Agency 300050
Long Term Care
RCW 18.20, .51,
26.44, 74.08, .09, .34, .36, .38, .42, .46
Request | $1,777,626,000 | ||||||||||||||||||
Net change from current biennium | $257,685,529 | Increase | |||||||||||||||||
Percent change from current biennium | 17.0% | Increase | |||||||||||||||||
The Long Term Care program provides a broad range of social and
health services to adults and older people living in the community
or in residential care settings, including nursing facilities.
These services are designed to establish and maintain a comprehensive
and coordinated service delivery system. Special emphasis is placed
on meeting the needs of functionally disabled older persons who,
without assistance, are at risk of placement in a more restrictive
living environment.
The Department implements long-term care services through Area
Agencies on Aging and their service providers, Home and Community
Service Offices, and offices for nursing home survey and client
quality assurance.
The goal is to develop and maintain a comprehensive and coordinated
service delivery system which enables people served to achieve
a maximum degree of independence and dignity.
Links to Category Level Detail
Residential Care Quality Assurance
Aging and Adult Field Services
Operating Budget: Summary by Object
| ||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
Salaries And Wages | 22,772,218 | 30,570,129 | 32,534,457 | 34,195,953 | 36,111,561 | |||||||||||||
Employee Benefits | 5,759,849 | 7,818,848 | 8,227,799 | 8,797,593 | 9,084,047 | |||||||||||||
Personal Service Contracts | 207,854 | 518,018 | 232,800 | 620,393 | 243,800 | |||||||||||||
Goods And Services | 5,582,282 | 7,756,497 | 10,345,671 | 8,545,777 | 8,209,050 | |||||||||||||
Travel | 955,138 | 1,109,066 | 935,948 | 1,070,978 | 1,178,589 | |||||||||||||
Capital Outlays | 1,876,100 | 1,800,005 | 759,028 | 1,559,623 | 1,379,753 | |||||||||||||
Grants, Benefits & Client Services | 646,264,341 | 683,061,208 | 745,378,459 | 802,919,476 | 858,393,247 | |||||||||||||
Debt Service | 6,326 | 11,885 | 6,376 | 6,376 | 6,376 | |||||||||||||
Interagency Reimbursements | (6,943,512) | (6,669,724) | (6,600,000) | 378,950 | 378,950 | |||||||||||||
Intra-Agency Reimbursements | 1,167,559 | 1,102,472 | 1,041,529 | 2,383,881 | 2,161,627 | |||||||||||||
Annual Total |
677,648,155 |
727,078,404 |
792,862,067 |
860,479,000 |
917,147,000 | |||||||||||||
Operating Budget: Category Summary
| ||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
Assistance Payments | 482,596,216 | 482,437,363 | 483,163,351 | 492,884,121 | 507,004,061 | |||||||||||||
Adult Services | 157,772,607 | 195,032,885 | 256,641,369 | 311,129,433 | 352,518,240 | |||||||||||||
Residential Care Quality Assurance | 8,814,000 | 10,051,904 | 10,507,936 | 11,629,498 | 12,004,188 | |||||||||||||
Direct Aging and Adult Services | 18,286,896 | 27,439,697 | 28,256,937 | 32,415,988 | 33,728,184 | |||||||||||||
Special Projects | 642,447 | 832,854 | 831,703 | 799,154 | 740,703 | |||||||||||||
Program Support | 9,535,989 | 11,283,701 | 13,460,771 | 11,620,806 | 11,151,624 | |||||||||||||
Annual Total |
677,648,155 |
727,078,404 |
792,862,067 |
860,479,000 |
917,147,000 | |||||||||||||
Fiscal Year 1993-94 | 644,280,920 | |||||||||||||||||
Biennium Total |
1,321,929,075 |
1,519,940,471 |
1,777,626,000 | |||||||||||||||
Operating Budget: Change from Preceding Biennium
| ||||||||||||||||||||||||||
1993-95 Actual | 1995-97 Estimated | 1997-99 Proposed | ||||||||||||||||||||||||
Amount | Percent | Amount | Percent | Amount | Percent | |||||||||||||||||||||
Assistance Payments | 131,412,234 | 16.1% | 15,854,628 | 1.7% | 34,287,468 | 3.6% | ||||||||||||||||||||
Adult Services | 49,117,096 | 19.4% | 149,260,060 | 49.4% | 211,973,419 | 46.9% | ||||||||||||||||||||
Residential Care Quality Assurance | 1,314,000 | 8.1% | 2,994,840 | 17.1% | 3,073,846 | 15.0% | ||||||||||||||||||||
Direct Aging and Adult Services | 3,676,554 | 11.8% | 20,842,184 | 59.8% | 10,447,538 | 18.8% | ||||||||||||||||||||
Special Projects | 642,195 | 331.7% | 828,728 | 99.2% | (124,700) | (7.5)% | ||||||||||||||||||||
Program Support | (349,863) | (2.1)% | 8,230,956 | 49.8% | (1,972,042) | (8.0)% | ||||||||||||||||||||
Total |
185,812,216 |
16.4% |
198,011,396 |
15.0% |
257,685,529 |
17.0% | ||||||||||||||||||||
Employment Summary
| ||||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||||
FTE Staff Years | 563.8 | 771.6 | 774.0 | 836.7 | 885.7 | |||||||||||||||
Average FTE Staff Year Costs | 40,391 | 39,619 | 42,034 | 40,870 | 40,772 | |||||||||||||||
Source of Funds
| |||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | |||||||||||||||
General Fund - Basic Account - DSHS Social Service Fed Block Grant | 3,809,800 | 3,810,200 | 3,686,800 | 3,687,200 | |||||||||||||||
General Fund - Basic Account - State | 318,767,199 | 360,492,743 | 388,086,449 | 414,200,000 | 439,790,000 | ||||||||||||||
General Fund - Basic Account - Federal | 358,506,114 | 21,285,374 | 19,354,902 | 21,661,932 | 20,289,000 | ||||||||||||||
General Fund - Basic Account - Federal Unanticipated | 374,842 | 22,974 | |||||||||||||||||
General Fund - Basic Account - DSHS Medicaid Federal | 341,251,162 | 375,832,516 | 418,612,768 | 451,089,300 | |||||||||||||||
Health Services Account - State | 216,351 | 5,778,000 | 2,317,500 | 2,291,500 | |||||||||||||||
Annual Total |
677,648,155 |
727,078,404 |
792,862,067 |
860,479,000 |
917,147,000 | ||||||||||||||
The Assistance Payments category provides nursing facility care
to eligible persons who require short post-hospital recuperative
care, are no longer capable of independent living and require
nursing services, or are patients with chronic disabilities needing
long-term habilitation and/or medical services.
Objectives are to: ensure that all nursing facilities are in compliance with federal and state regulations; ensure that all medical assistance clients in nursing homes receive quality care which reflects their individual needs; and control all nursing home program costs.
Expenditure Detail
| ||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
Grants and Subsidies | 489,552,740 | 489,016,740 | 489,763,351 | 492,884,121 | 507,004,061 | |||||||||||||
Other Operating Costs | (6,956,524) | (6,579,377) | (6,600,000) | |||||||||||||||
Annual Total |
482,596,216 |
482,437,363 |
483,163,351 |
492,884,121 |
507,004,061 | |||||||||||||
Fiscal Year 1993-94 | 467,149,870 | |||||||||||||||||
Biennium Total |
949,746,086 |
965,600,714 |
999,888,182 | |||||||||||||||
Source of Funds
| |||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | |||||||||||||||
General Fund - Basic Account - State | 230,800,684 | 238,228,315 | 239,444,264 | 237,275,688 | 243,141,448 | ||||||||||||||
General Fund - Basic Account - Federal | 251,795,532 | ||||||||||||||||||
General Fund - Basic Account - DSHS Medicaid Federal | 244,209,048 | 243,719,087 | 255,608,433 | 263,862,613 | |||||||||||||||
Annual Total |
482,596,216 |
482,437,363 |
483,163,351 |
492,884,121 |
507,004,061 | ||||||||||||||
The Adult Services category includes payments for chore services,
adult day health, residential care, nursing home discharge payments,
the Community Options Program Entry System (COPES), Medicaid personal
care, and aging services provided through Area Agencies on Aging
(AAAs).
Chore services providers assist with household and personal care
tasks such as shopping, meal preparation, bathing, or grooming
to allow clients to remain in their own homes. The adult day health
program is offered to people who do not require 24-hour institutional
care but are not capable of full-time independent living. Adult
day services include nursing care, social services, occupational
and activity therapy, personal care, and nutrition.
Residential care is provided in adult residential care facilities
and adult family homes for eligible individuals who require assistance
and supervision in assuming responsibility for themselves in a
daily living situation. An adult residential care facility is
a licensed boarding home and does not provide medical or nursing
services. In order to receive care in such a facility, a person
must be eligible for Supplemental Security Income or Continuing
General Assistance. Adult family homes provide a protected family-like
environment to adult clients who require such protection due to
physical disability, frailty, confusion, or emotional instability.
Nursing home discharge payments are designed to assist those residents
of nursing homes whose conditions allow discharge in establishing
an independent living arrangement.
COPES is the Washington State community-based care Medicaid waiver.
Under COPES, services offered include adult residential care,
adult family homes, personal care, and case management. Recipients
are also eligible for medical services reimbursed by Medicaid
and for home health or adult day health services to supplement
primary COPES services. These services strive to prevent or delay
nursing home placement.
Personal care services are provided to Medicaid eligible clients
needing assistance with activities of daily living to remain in
their own homes. Examples of services available range from assistance
with bathing, feeding, and medication to protective supervision.
Live-in care is also available in this program.
Services to the aging are provided by local Area Agencies on Aging
(AAAs). Federal and state funds are supplied to the AAAs to directly
serve senior citizens. Services include information and assistance,
case management, respite care, adult day health, transportation,
health screening, in-home services, nutrition services (congregate
and home-delivered meals), employment, legal services, and minor
home repair and maintenance services. Adult volunteer programs
such as the Foster Grandparent and Senior Companion programs are
also included in the array of services offered to aging citizens.
Objectives are to: maintain consistent, managed caseload growth in chore services; increase the number of clients served in the community by expanding the federally funded COPES program; and provide additional adult family home and assisted living beds for adults and older people.
Budget Unit Data
| |||||||||||||
1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||
Title III Aging Services | 13,016,508 | 11,653,638 | 12,914,294 | 13,180,594 | |||||||||
Senior Citizens Services Act | 8,153,506 | 9,627,706 | 9,633,695 | 9,627,706 | |||||||||
Senior Companion Program | 332,448 | 329,356 | 347,113 | 347,094 | |||||||||
Community Svcs. Employ Older Americ | 1,011,642 | 1,091,274 | 1,646,246 | 1,646,246 | |||||||||
Respite Care | 2,093,855 | 2,496,576 | 2,560,729 | 2,628,076 | |||||||||
USDA Cash in Lieu of Commodities | 2,030,149 | 2,100,000 | 1,962,370 | 1,962,370 | |||||||||
Foster Grandparent Program | 969,595 | 985,274 | 995,469 | 992,347 | |||||||||
Private Duty Nursing | 3,495,961 | 5,422,826 | 5,111,370 | 5,898,778 | |||||||||
Chore Services | 12,026,255 | 8,197,866 | 7,615,780 | 7,900,688 | |||||||||
Adult Day Health | 4,901,481 | 6,177,848 | 8,491,037 | 11,118,306 | |||||||||
Adult Residential Care | 1,630,390 | 1,366,585 | 766,058 | 800,722 | |||||||||
Nursing Home Discharge | 133,195 | 31,500 | 280,500 | 292,500 | |||||||||
COPES | 67,010,432 | 109,922,292 | 149,327,047 | 174,625,082 | |||||||||
Case Management | 9,058,732 | 12,752,984 | 12,700,158 | 12,790,676 | |||||||||
Title XIX Personal Care | 69,168,736 | 84,485,644 | 96,777,567 | 108,707,055 | |||||||||
Category Employment
| ||||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||||
FTE Staff Years | 12.3 | 12.3 | 15.5 | 11.5 | 11.5 | |||||||||||||||
Average FTE Staff Year Costs | 31,094 | 31,916 | 26,011 | 33,069 | 33,069 | |||||||||||||||
Expenditure Detail
| ||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
Salaries and Benefits | 493,178 | 505,480 | 517,565 | 493,135 | 492,975 | |||||||||||||
Grants and Subsidies | 156,316,565 | 193,617,482 | 255,249,405 | 309,631,535 | 351,023,483 | |||||||||||||
Other Operating Costs | 962,864 | 909,923 | 874,399 | 1,004,763 | 1,001,782 | |||||||||||||
Annual Total |
157,772,607 |
195,032,885 |
256,641,369 |
311,129,433 |
352,518,240 | |||||||||||||
Fiscal Year 1993-94 | 144,641,587 | |||||||||||||||||
Biennium Total |
302,414,194 |
451,674,254 |
663,647,673 | |||||||||||||||
Source of Funds
| |||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | |||||||||||||||
General Fund - Basic Account - DSHS Social Service Fed Block Grant | 3,809,800 | 3,810,200 | 3,686,800 | 3,687,200 | |||||||||||||||
General Fund - Basic Account - State | 69,300,515 | 97,003,927 | 120,718,665 | 147,815,009 | 166,440,151 | ||||||||||||||
General Fund - Basic Account - Federal | 88,472,092 | 17,006,303 | 15,758,894 | 18,151,731 | 17,236,499 | ||||||||||||||
General Fund - Basic Account - Federal Unanticipated | 22,974 | ||||||||||||||||||
General Fund - Basic Account - DSHS Medicaid Federal | 76,973,530 | 110,575,610 | 139,158,393 | 162,862,890 | |||||||||||||||
Health Services Account - State | 216,351 | 5,778,000 | 2,317,500 | 2,291,500 | |||||||||||||||
Annual Total |
157,772,607 |
195,032,885 |
256,641,369 |
311,129,433 |
352,518,240 | ||||||||||||||
Residential
Care Quality Assurance
The Residential Care Quality Assurance category performs oversight
to assure quality care, patient assessment and cost containment
in nursing facilities. Activities include surveys performed by
nursing home surveyors and regular patient assessments by quality
assurance nurses. Quality assurance activities also extend to
adult residential care facilities and adult family homes. Fire
safety inspections are performed under contract with the State
Fire Marshal's office.
The objective is to continue these quality assurance activities in order to ensure the safety and health of patients receiving residential care.
Category Employment
| ||||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||||
FTE Staff Years | 135.9 | 146.0 | 146.0 | 167.0 | 176.0 | |||||||||||||||
Average FTE Staff Year Costs | 42,995 | 45,750 | 45,750 | 45,210 | 44,876 | |||||||||||||||
Expenditure Detail
| ||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
Salaries and Benefits | 7,237,000 | 8,300,942 | 8,302,974 | 9,380,502 | 9,812,106 | |||||||||||||
Other Operating Costs | 1,577,000 | 1,750,962 | 2,204,962 | 2,248,996 | 2,192,082 | |||||||||||||
Annual Total |
8,814,000 |
10,051,904 |
10,507,936 |
11,629,498 |
12,004,188 | |||||||||||||
Fiscal Year 1993-94 | 8,751,000 | |||||||||||||||||
Biennium Total |
17,565,000 |
20,559,840 |
23,633,686 | |||||||||||||||
Source of Funds
| |||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | |||||||||||||||
General Fund - Basic Account - State | 3,940,000 | 4,493,202 | 4,721,110 | 5,263,579 | 5,455,167 | ||||||||||||||
General Fund - Basic Account - Federal | 4,874,000 | 2,686,127 | 2,407,600 | 2,831,636 | 2,538,384 | ||||||||||||||
General Fund - Basic Account - DSHS Medicaid Federal | 2,872,575 | 3,379,226 | 3,534,283 | 4,010,637 | |||||||||||||||
Annual Total |
8,814,000 |
10,051,904 |
10,507,936 |
11,629,498 |
12,004,188 | ||||||||||||||
Aging and
Adult Field Services
This category supports the Home and Community Services Offices
(HCSOs), which are the local arm of the Aging and Adult Services
Administration. Specifically, these offices have the responsibility
for Adult Protective Services and for determining client eligibility
for the various services. The HCSOs also provide information and
referral, nursing home placement, adult protective and case management
services.
The objectives of Home and Community Services Offices are to provide a broad range of social and health services to adult and older people living in the community and in residential care settings, and to establish and maintain a comprehensive service delivery system which enables people receiving these services to achieve a maximum degree of independence.
Category Employment
| ||||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||||
FTE Staff Years | 314.1 | 469.0 | 469.8 | 533.8 | 574.8 | |||||||||||||||
Average FTE Staff Year Costs | 38,335 | 37,109 | 39,397 | 38,176 | 37,790 | |||||||||||||||
Expenditure Detail
| ||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
Salaries and Benefits | 15,176,756 | 21,935,358 | 23,222,292 | 25,670,462 | 27,206,925 | |||||||||||||
Grants and Subsidies | 74 | 75 | ||||||||||||||||
Other Operating Costs | 3,110,066 | 5,504,264 | 5,034,645 | 6,745,526 | 6,521,259 | |||||||||||||
Annual Total |
18,286,896 |
27,439,697 |
28,256,937 |
32,415,988 |
33,728,184 | |||||||||||||
Fiscal Year 1993-94 | 16,567,554 | |||||||||||||||||
Biennium Total |
34,854,450 |
55,696,634 |
66,144,172 | |||||||||||||||
Source of Funds
| |||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | |||||||||||||||
General Fund - Basic Account - State | 10,134,382 | 14,774,430 | 15,949,317 | 17,516,595 | 18,668,239 | ||||||||||||||
General Fund - Basic Account - Federal | 8,152,514 | 623,142 | 623,142 | ||||||||||||||||
General Fund - Basic Account - DSHS Medicaid Federal | 12,042,125 | 11,684,478 | 14,899,393 | 15,059,945 | |||||||||||||||
Annual Total |
18,286,896 |
27,439,697 |
28,256,937 |
32,415,988 |
33,728,184 | ||||||||||||||
Special Projects includes projects funded as separate items for a defined period. These include the Alzheimer's Disease demonstration project and the Seattle Housing Authority project. The Title XIX Ombudsman is also funded here.
Category Employment
| ||||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||||
FTE Staff Years | 0.6 | 0.5 | 0.4 | |||||||||||||||||
Average FTE Staff Year Costs | 33,045 | 32,566 | 23,508 | |||||||||||||||||
Expenditure Detail
| ||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
Salaries and Benefits | 26,071 | 20,304 | 11,904 | |||||||||||||||
Grants and Subsidies | 350,221 | 411,318 | 365,703 | 403,820 | 365,703 | |||||||||||||
Other Operating Costs | 266,155 | 401,232 | 466,000 | 383,430 | 375,000 | |||||||||||||
Annual Total |
642,447 |
832,854 |
831,703 |
799,154 |
740,703 | |||||||||||||
Fiscal Year 1993-94 | 193,382 | |||||||||||||||||
Biennium Total |
835,829 |
1,664,557 |
1,539,857 | |||||||||||||||
Source of Funds
| |||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | |||||||||||||||
General Fund - Basic Account - State | 186,454 | 75,000 | 125,000 | 100,000 | 100,000 | ||||||||||||||
General Fund - Basic Account - Federal | 81,151 | 682,854 | 431,703 | 424,154 | 365,703 | ||||||||||||||
General Fund - Basic Account - Federal Unanticipated | 374,842 | ||||||||||||||||||
General Fund - Basic Account - DSHS Medicaid Federal | 75,000 | 275,000 | 275,000 | 275,000 | |||||||||||||||
Annual Total |
642,447 |
832,854 |
831,703 |
799,154 |
740,703 | ||||||||||||||
This category includes program and policy development, technical assistance, program evaluations, payment processes, data collection and reporting and general administrative functions. Coordination between the Area Agencies on Aging and DSHS Home and Community Services Offices is facilitated through the Long Term Care program.
Category Employment
| ||||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||||
FTE Staff Years | 100.9 | 143.8 | 142.7 | 124.0 | 123.4 | |||||||||||||||
Average FTE Staff Year Costs | 44,458 | 42,265 | 48,656 | 47,402 | 49,526 | |||||||||||||||
Expenditure Detail
| ||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
Salaries and Benefits | 5,599,062 | 7,626,893 | 8,719,425 | 7,437,543 | 7,683,602 | |||||||||||||
Grants and Subsidies | 44,741 | 15,593 | ||||||||||||||||
Other Operating Costs | 3,892,186 | 3,641,215 | 4,741,346 | 4,183,263 | 3,468,022 | |||||||||||||
Annual Total |
9,535,989 |
11,283,701 |
13,460,771 |
11,620,806 |
11,151,624 | |||||||||||||
Fiscal Year 1993-94 | 6,977,527 | |||||||||||||||||
Biennium Total |
16,513,516 |
24,744,472 |
22,772,430 | |||||||||||||||
Source of Funds
| |||||||||||||||||||
1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | |||||||||||||||
General Fund - Basic Account - State | 4,405,164 | 5,917,869 | 7,128,093 | 6,229,129 | 5,984,995 | ||||||||||||||
General Fund - Basic Account - Federal | 5,130,825 | 286,948 | 133,563 | 254,411 | 148,414 | ||||||||||||||
General Fund - Basic Account - DSHS Medicaid Federal | 5,078,884 | 6,199,115 | 5,137,266 | 5,018,215 | |||||||||||||||
Annual Total |
9,535,989 |
11,283,701 |
13,460,771 |
11,620,806 |
11,151,624 | ||||||||||||||