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Variance Analysis

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The month budget I received for December clearly shows my salaries budget was higher then forecasted. In December of 2013 my variance financial plan included the salary for the staff in the emergency room. Here we have a break down on the staff, which includes 25 registered nurses, 10 on call doctors and 8 registration clerks. With the nurses salary being ranged from 15.75-24.75 hourly, registration clerks 12.00 hourly and doctors on salary at a set rate of 2,614.40. We have 10 nurse with the pay rate of 15.75 at 40 hours a week that equals to 27,090 a month. 5 nurses are at the pay range of 18.75 at 40 hours a week that equals 16,125. Then there is 5 registered nurse at the pay range of 20.00 a hour at 40 a week that equals 17,200 a month. The remaining 5 nurses are at the top pay range of 24.75 a hour at 40 a week equals 21,285. The 8 registration clerks work 40 hours a week at 12.00 a hour which equals 16,512 a month. At a set rate the doctor’s pay a month comes up to 112,402. When combining the wages the total amount calculated was 210,614 for the month of December. Over-time was not added to this month due to the 2 extra nurses on stand-by. As shown on my variance expense these calculations were correct but lacked unexpected events. Three registered nurses went on a unexpected sick leave on December 15 due to a spread of hepatitis c. Both nurses had to be sent off for testing which cost the company 2,000 and also we had to pay for time off which is their regular pay. 2 nurses were replaced but due to this 2 nurses had to work over time. Another nurse was fired due to attendance on the 25th of December, which cost more over time to be issued. This month we also had a raise in patients due to the fact of the hospital on the east side closing. In our geographic range we are the only hospital that can take a level 3 triage. Over all due to these unexpected events we were over budget by 30,000. To fix this issue for next month I will request a over time expense for 20,000 to be added for unexpected expenses. I will also have to include hiring expenses of 2,000 to help find another nurse.
Also after reviewing my supplies report I found it to come up lower then what was forecasted. I included in my budget for needles, bandages and IV’s to be purchased in a bundle pack. The manufacture agree and accepted our price of 500.00 for 3,000 units of needles, 5,000 bandages and 4,000 IV’s. We made a agreement if purchased over 3,000 units of needles they would not charge for deliver for 30 days. This month we have reached our 3,000 units and we saved 150.00 off the deliver. I found a new company that would clean all waste materials and basic laundry using their own cleaning product, and machines, the total cost will be 1000.00 dollars a month. This companies has required a year contract and will charge a small fee of 5% for maintenance fee for the machines. The maintenance fee was included in the December report but will be taken out in January. I also forecasted for our emergency medication to be ordered in bulk which allowed our department to purchase the medication for 200,000. The company offered a customers rebate which subtracted 1,500 off of our bill. This month we were also offered a 20% discount for the end of the year for the purchasing of our pens, paper, computers and any office supplies threw Staples. My total budget was estimated at 150,000 this year but with the discounts, rebates and new contracts we saved 15% of our expenses.

After reviewing the complete report the conclusion will be to make sure we have enough money to cover unexpected expense and also over time. The report also needs to include patental hiring and sick leave expenses. The over all report was correct until the end of December due to the lack of knowledge and not adding an amount to over time. On a better note the supplies where over forecasted but may help with the salary crises. Even though the supplies was at a low this month we will still have to forecast correct because this could hurt the company also.

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