Shouldice Hospital in Canada is widely known for one thinghernia repair! In fact, that is the only operation it performs, and it performs a great many of them. Over the past two decades this small 114-bed hospital has averaged 12,280 operations annually. Last year, it had a record year and performed nearly 9,420 operations.

A hernia repair operation at Shouldice Hospital is performed by one of the 12 full-time surgeons assisted by one of seven part-time assistant surgeons. The first operations begin at 7:30 AM each day, Monday through Friday. Surgeons generally take about one hour to prepare for and perform each hernia operation, and they operate on an average of at most four patients per day. This four patient per day limit on the average number of operations performed per surgeon has been found to be the best operating level for the hospital as it take into account time the surgeons need for patient exams and consultations, updating medical charts, writing reports, traveling to professional conferences, vacations, and other times when they are performing other duties or are not available to perform surgeries. A given surgeon may perform more than four surgeries on a given day, but the average cannot exceed four without having adverse effects on overall hospital operations. The surgeons' day ends at 4 p.m. Although hernia repair operations are performed only five days a week, the remainder of the hospital is in operation continuously to attend to recovering patients.

The table below shows the room occupancy plan for the existing system. Each row in the table follows the patients who checked in on a given day. The columns indicate the number of patients in the hospital on a given night.

	BEDS REQUIRED
CHECK-IN DAY	MONDAY	TUESDAY	WEDNESDAY	THURSDAY	FRIDAY	SATURDAY	SUNDAY
Monday	38	38	38
Tuesday		38	38	38
Wednesday			38	38	38
Thursday				38	38	38
Friday
Saturday
Sunday	52	52					38
Total	76	114	114	114	76	38	38

For example, the first row of the table shows that 38 people checked in on Monday and were in the hospital for Monday, Tuesday, and Wednesday. By summing the column of the table for Wednesday, we see that there are 114 patients staying in the hospital that day.

The medical facilities at Shoulice consist of four operating roots, a patient recovery root, a Laboratory, and six examination roots.

New Look at the effect of increasing the number of beds by 50 percent.

a. How many operations could the Hospital perform Per Day before running out of red capacity? ( assume operations are performed live days per week, with the same Number performed on each Day)

That is the Number of operations Per Day

b. what would the utilization of the bed capacity become if the new beds were added and the Hospital were to perform the Number of operations calculated in part a.?

	Utilization
Monday	%
Tuesday	%
Wednesday	%
Thursday	%
Friday	%
Saturday	%
Sunday	%
Total	%