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Robert Packer Hospital






                              Projection Based on YTD November 30,2018 Operating Results





                                 Robert Packer Hospital
                                 Projection Based on YTD November 30, 2018 Operating Results
                                 Summary
                                                                                                                               Fav/(Unfav)
                                                                                                                                Variance
                                                                                                                              Projection vs
                                                                                   FY19 Projection        FY19 Budget            Budget
                                 Patient Service Revenue Net of
                                Contractual and Other Allowances                               378,816,224             377,436,442                 1,379,782


                                 Provision for Bad Debt                                          25,192,730                 25,436,088                    243,358


                                 Other Operating Revenue                                         12,668,735                 11,803,667                    865,068
                                 Total Operating Revenue                                       366,292,229             363,804,022                 2,488,207


                                 Expenses:
                                 Salaries and Wages                                              84,336,947                 89,908,803                5,571,856   A
                                 Employee Benefits                                               22,979,915                 21,262,623               (1,717,292)
                                 Purchased Services                                              78,120,735                 68,284,058               (9,836,677) A
                                 Physician Fees                                                  21,849,728                 20,465,467               (1,384,261)
                                 Supplies                                                        49,559,967                 48,409,327               (1,150,640)
                                 Pharmaceuticals                                                 37,620,043                 29,305,557               (8,314,486) B
                                 Insurance                                                          2,646,154                  2,646,154                             -
                                 Other Expenses                                                  22,246,267                 20,136,280               (2,109,987) C
                                 Depreciation & Amortization                                     16,087,656                 16,874,825                    787,169
                                 Interest Expense                                                   3,873,686                  3,873,362                          (323)
                                 Loss on Refinancing
                                      Total Operating Expenses                                 339,321,097             321,166,456              (18,154,641)


                                 Income/(Loss) from Operations                                   26,971,132                 42,637,566             (15,666,434)


                                 A - Net Salaries/Purchased Services variance of ($4.3M) due primarily to the Temporary Staff expense for
                                vacancies to support patient volumes.
                                 B - Projection period additional expense for CTS $3.3M, change in 340B savings estimate $2.4M, change in
                                system targeted expense reduction $.2 and YTD November variance $2.4M results in ($8.3M) unfavorable
                                variance to FY19 Budget.
                                 C - Other Expense variance of ($2.1M) due primarily to $1M of expense for Repair and Upkeep of buildings and
                                equipment, net of a targeted $.5M savings, and PAMA assessment expense of $.7M for change in methodology
                                (Other Operating Revenue offset).
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