all $'s in 000's	Projected Month End					Prior Year-Month End				Projected Year-to-Date					Prior Year-to-Date
VOLUME:	Actual	Budget	Var Fav/ (Unf)	% Fav/ (Unf)		Actual	Growth/ (Decline)	%Growth/ (Decline)		Actual	Budget	Var Fav/ (Unf)	% Fav/ (Unf)		Actual	Growth/ (Decline)	%Growth/ (Decline)
Discharges	471	461	10	2.2%		477	(6)	(1.3%)		5,349	5,320	29	0.5%		5,436	(87)	(1.6%)
Patient Days	1,849	1,740	109	6.3%		1,822	27	1.5%		20,580	20,352	228	1.1%		20,377	203	1.0%
ALOS	3.93	3.77	(0.16)	(4.2%)		3.82	(0.11)	(2.9%)		3.85	3.83	(0.02)	(0.5%)		3.75	(0.10)	(2.7%)
Observation Days	233	159	74	46.5%		232	1	0.4%		3,394	2,344	1,050	44.8%		2,611	783	30.0%
Adj Discharges	945	907	38	4.2%		894	51	5.7%		10,850	10,297	553	5.4%		10,756	94	0.9%
IP Surgery Cases	100	122	(22)	(18.0%)		110	(10)	(9.1%)		1,162	1,353	(191)	(14.1%)		1,274	(112)	(8.8%)
OP Surgery Cases	175	235	(60)	(25.5%)		185	(10)	(5.4%)		1,948	2,253	(305)	(13.5%)		2,197	(249)	(11.3%)
Total Surgery	275	357	(82)	(23.0%)		295	(20)	(6.8%)		3,110	3,606	(496)	(13.8%)		3,471	(361)	(10.4%)
ED - Visits	3,200	3,035	165	5.4%		3,198	2	0.1%		33,682	34,112	(430)	(1.3%)		37,841	(4,159)	(11.0%)
IP Revenue	$18,006	$15,857	$2,149	13.6%		$16,706	$1,300	7.8%		$196,784	$183,886	$12,898	7.0%		$181,147	$15,638	8.6%
OP Revenue	$18,107	$15,309	$2,797	18.3%		$14,559	$3,548	24.4%		$200,048	$169,407	$30,641	18.1%		$173,702	$26,346	15.2%
Total Revenue	$36,112	$31,166	$4,946	15.9%		$31,264	$4,848	15.5%		$396,833	$353,293	$43,539	12.3%		$354,849	$41,984	11.8%

(prior year to date) If I look at the Total Surgery row, I can see that I am down 10.4% or 361 cases compared to last year. The variance that indicate a negative indicator is in red font. I would want to look into why I am loosing volume. If I have market research data, I would ask if the entire volume in the community is down. If so, by what percent. If the market in the area is stable, you would conclude that you are losing market share.

(projected year to date) If I look at ALOS (Average Length of Stay) row, I can see that I am projected to be at an average of 3.83 days, and I am running at 3.85. Would you assume that we are doing well? The answer is "no". We are close, but in a big organization, every .1 variance in length of stay can equate to a $500,000 in revenue!! This is because if you assume that all patients are paid a flat amount for their stay, as Medicare does for the lives that they cover, every day is more cost to you, and you do not get paid any more money.

(projected month end) Looking at total revenue, is Local Hospital beating budget? By what percent?

In many cases, hospitals are paid the same amount for a patient if they are in the hospital for 3 days or 4 days, because they are paid by the diagnosis.

With that information, would you say that Local Hospital is doing a good job with ALOS (average length of stay)? Why?

(prior year month end) From a total revenue perspective, is Local Hospital doing better or worse than last