Review the attached monthly budget report from General Hospital. Identify the line items that are variances from the budget, use the rates per UOS to help analyze and mark whether the line item was F-favorable or U-unfavorable, analyze the reason/s for the variance and write up a variance report for your boss including some ideas of what you could do to get back to budget. Review both the current month and the Year to Date in your evaluations. Use the SBAR method for writing up your variance and recommendations to get back to budget.

General Hospital-Sample Budget Report
Monthly Revenue and Expense Report	Respiratory Therapy-31677200
	For the Month Ended March 31, 2015					Year to Date - March 31, 2015
	Mar-15	Mar-15	Mar-15	Mar-15		Mar-15	Mar-15	Mar-15	Mar-15
Account Description	Actual	Budget	Variance	Variance %		Actual	Budget	Variance	Variance %
Revenue
Inpatient Revenue	2,088,635	1,555,433	533,202	34.3%		5,749,533	4,666,299	1,083,234	23.2%
Outpatient Revenue	117,077	123,212	-6,135	-5.0%		365,542	369,636	-4,094	-1.1%
Total Revenues	2,205,712	1,678,645	527,067	31.4%		6,115,075	5,035,935	1,079,140	21.4%
Volume
Inpatient Volume (UOS)	10,443	7,777	2,666	34.3%		28,748	23,331	5,416	23.2%
Outpatient Volume (UOS)	520	548	-27	-5.0%		1,625	1,643	-18	-1.1%
Total Volume	10,964	8,325	2,639	31.7%		30,372	24,974	5,398	21.6%
Direct Expenses
Salaries and Wages	539,977	376,898	163,079	43.3%		1,495,821	1,130,694	365,127	32.3%
Employee Benefits	119,796	99,615	20,181	20.3%		331,854	298,845	33,009	11.0%
Contract Labor (Agency)	66,664	8,333	58,331	700.0%		149,994	24,999	124,995	500.0%
Medications	112,569	95,086	17,483	18.4%		337,707	285,258	52,449	18.4%
Medical Supplies	185,949	173,849	12,100	7.0%		557,847	521,547	36,300	7.0%
Other Supplies	1,516	2,070	-554	-26.8%		4,548	6,210	-1,662	-26.8%
Utilities	79	48	31	64.6%		237	144	93	64.6%
Maintenance and Repairs	965	4,685	-3,720	-79.4%		2,895	14,055	-11,160	-79.4%
Purchased Services	14,751	17,747	-2,996	-16.9%		44,253	53,241	-8,988	-16.9%
Lease and Rental	3,391	5,529	-2,138	-38.7%		10,173	16,587	-6,414	-38.7%
Other Expenses	863	2,398	-1,535	-64.0%		2,589	7,194	-4,605	-64.0%
Total Direct Expenses	1,046,520	786,258	260,262	33.1%		2,937,918	2,358,774	579,144	24.6%
Allocated Expenses
Facility, Medical Ed, Billing, etc. (Allocated Expenses)	557,204	504,932	52,272	10.4%		1,671,612	1,514,796	156,816	10.4%
Total Operating Expenses	1,603,724	1,291,190	312,534	24.2%		4,609,530	3,873,570	735,960	19.0%
Total Income From Operations	601,988	387,455	214,533	55.4%		1,505,545	1,162,365	343,180	29.5%
Labor Breakdown
Total Paid FTEs (Productive plus PTO)	71	56	15	26.2%		65	56	9	16.5%
Total Worked FTEs (Productive Only)	68	49	19	38.0%		60	49	11	21.6%
Total Paid Hours	12,608	9,990	2,618	26.2%		34,928	29,969	4,959	16.5%
Total Worked Hours (Productive Only)	12,060	8,741	3,319	38.0%		31,891	26,223	5,668	21.6%
Total Worked FTE Breakdown (Productive Only)
FTEs-Managers/Supervisors	3	3	0	0.0%		3	3	0	0.0%
FTEs-Technical/Specialist	59	51	8	15.7%		50	44	6	13.6%
FTEs-Clerical/Other	1	1	0	0.0%		1	1	0	0.0%
FTEs-Agency	8	1	7	700.0%		6	1	5	500.0%
Total Worked FTEs (Productive Only)	71	56	15	26.8%		60	49	11	22.4%
Productivity Breakdown	Actual	Target	Variance	Variance %		Actual	Target	Variance	Variance %
Actual Hours Worked (Productive Hours)	12,060	11,512	548.18	4.8%		31,891	26,223	5,668	21.6%
Productivity for Worked Hours (Hours Worked/UOS)	1.1	1.05	0.05	95.5%		1.05	1.05	0	100.0%
Assumptions
Inpatient Revenue per UOS	$200
Outpatient Revenue per UOS	$225
Productivity Target (Productive Hours Worked per UOS)	1.05