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15 February 2012 - Auckland District Health Board

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Financial Commentary for December 2011<br />

Financial Performance<br />

Month<br />

96<br />

� The net result for the month is a deficit of $(2,183)k compared to the budgeted<br />

deficit of $(1,742)k. This brings the year to date to a deficit of $(1,807)k compared to<br />

the budgeted deficit of $(1,202)k.<br />

� The result for the month is driven by higher revenue and higher operational costs.<br />

� The month’s revenue was higher than budget by $3.7m. This was the result of:<br />

a) Favourable Inter DHB revenue $2.9m primarily driven by higher IDF revenue<br />

for PHO realignments $2.6m (refer Funder Payments below) and higher IDF<br />

referrals $0.9m.<br />

b) Favourable MoH sub-contracts revenue $0.5m due mainly to higher SCI funding<br />

$0.2m and higher Other Side Contract revenue $0.3m.<br />

c) Lower volumes of ACC and non residents $(0.8)m<br />

d) Gains on mark to market valuation of interest rate swap instruments $1.4m<br />

� The month’s expenditure was higher than budgeted by $(4.1)m. This was the result<br />

of:<br />

a) Unfavourable variance in Employee Costs of $(1.1)m, primarily due to higher cross<br />

cover and locum costs, higher number of appointments for RMO’s on rotation,<br />

jobsizing back pays, timing of RMO training expenses and higher utilisation of CME.<br />

b) Unfavourable variance in Outsourced Services $(1.4)m following outsourcing in<br />

Cardiac, Orthopaedics, General & Paediatric surgery to achieve ADHB population<br />

elective discharge targets $(0.5)m and additional imaging services $(0.8)m.<br />

c) Unfavourable Funder Payments (including IDF Outflows) of $(2.4)m due mainly to<br />

increased PHO expenditure through the realignment of PHO’s $(2.6)m. This PHO<br />

realignment also generates the higher revenue funding noted above.<br />

d) Favourable variances in Depreciation, Interest and Capital Charges of $0.9m driven<br />

by lower levels of capital expenditure, the devaluation of properties at last balance<br />

date and a wash up of prior year Capital Charge.

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