Financial Visibility Wall

Transcription

1 Financial Visibility Wall Region Information at a Glance As of July 31, 2016: Target Actual Projected Variance Initiative Lead VP Target Actual Projected Surplus/Deficit $0 ($5,128,000) ($13,758,000) ($13,758,000) Sick time reduction All SLT $500,000 ($125,181) $0 FTEs (125) Overtime reduction All SLT $1,000,000 $110,146 $500,000 Vacation Carryforward Hours 0 208,248 (204,532 as at Jul/15) Orientation reduction Higgins $1,000,000 $211,317 $1,000,000 Optimizing People Resources Garratt/Higgins $5,250,000 ($5,469,064) ($4,862,347) Paid Hours Info as of Week 18: % change fav/(unfav) Appropriateness McCutcheon $500,000 $0 $100,000 Total paid hours (target - decrease of 2.50%) 5,388,982 5,381, % Inventory & Procurement Mgmt Peters $1,000,000 $0 $400,000 Overtime (target - decrease of 8.75%) 115, , % Product Standardization Garratt $750,000 $0 $250,000 Sick (target- decrease of 2.24%) 217, ,977 (0.63%) 3sHealth Procurement Savings Peters $700,000 $175,000 $500,000 Orientation (target - decrease of 15.21%) 85,746 77, % One-time GST Rebate Peters $1,200,000 $1,275,633 $1,275,633 One-time PST Rebate Peters $1,900,000 $1,976,845 $1,976,845 Portfolio Information at a Glance Deficit Mitigation Strategies Real Estate Revenue Increase Peters $500,000 $0 $500,000 Unbudgeted Revenue $1,893,044 $5,873,648 Vacation Liability ($3,288,237) ($6,971,779) Portfolio net variance statement Portfolio net variance chart Totals $14,300,000 ($3,240,497) $542,000 (A) (B) Portfolio FTEs Portfolio results reports Projected deficit (A-B) $13,758,000 Portfolio Vacation Carryforward Reports Portfolio Paid Hours Optimizing People Resources Committee Service Volume and Operation Data Key Service Metrics Task Team A3 WOTT Report Presentation 1D Newspaper Hemo Newspaper 6F Newspaper WO FTE Survey Employee / Physician Engagement Monthly Financial Update Communications

2 REGINA QU'APPELLE HEALTH REGION KEY INDICATOR HIGHLIGHTS - Net Operating Deficit July 31, Projected Deficit AS AT JULY 31, 2016 $ $ (5,127,678) (13,758,000) 1. Operations as at July 31, 2016 Annual YTD YTD Variance Budget Budget Actual Fav.(Unfav.) Revenue $ 1,043,910,352 $ 344,017,808 $ 345,785,342 $ 1,767,534 Expense 1,043,910, ,343, ,913,020 (6,569,542) Deficit $ - $ (325,670) $ (5,127,678) $ (4,802,008) as at June 30, 2016 Revenue $ 1,043,910,352 $ 257,138,105 $ 259,031,149 $ 1,893,044 Expense 1,043,910, ,344, ,196,320 (11,851,463) Surplus (Deficit) $ - $ 1,793,248 $ (8,165,171) $ (9,958,419) as at July 31, 2015 Revenue $ 1,022,113,286 $ 335,769,773 $ 339,939,229 (4,169,456) Expense 1,022,113, ,112, ,557,737 (8,444,964) Deficit $ - $ (1,343,000) $ (5,618,508) $ (4,275,508) 2. Year-End Projection Budget Projected Variance Revenue $ 1,043,910,352 $ 1,049,784,000 $ 5,873,648 Expense 1,043,910,352 1,063,542,000 (19,631,648) Projected Deficit $ - $ (13,758,000) $ (13,758,000) Projections are based on past trends and year to date operations. 3. Compliance with Agreements & Legislation Regina Qu'Appelle Health Region has filed all statutory remittances for the month of July for payroll deductions, provincial sales tax and the federal goods and services tax.

3 Regina Qu'Appelle Health Region Executive Summary July 31, 2016 The Regina Qu'Appelle Health Region ended July with a surplus of $3.04M bringing the deficit to $5.13M. Operating Revenue Year to date revenue is up over last year by 1.72%. Provincial funding is favorable by $0.75M which is mostly due to additional surgeries completed over base. Compensation recoveries, recoveries from other RHAs (laundry) and revenue from the federal government for Veterans Affairs Canada clients is favorable. Sales are down in Immunization, Hearing Aid Plan, and Prosthetics/Orthotics but most likely that is due to summer slowdowns. Operating Expenses Expenses are 1.55% higher this year compared to last year to date. Salaries and benefits for both medical and regular staff are over budget by a total of $6.25M. The vacation liability has increased by $1.29M to the end of July. Repairs and maintenance and professional fees are significantly over budget to the end of July and will probably continue to be overspent. The region is spending approximately $2.94M per day compared to a budgeted spend of $2.86M per day. Significant Items and Potential Risks The region is facing another difficult year. Deficit reduction initiatives have focused on reducing compensation costs. Unfortunately these initiatives have not achieved the desired results. The region must implement effective change management strategies to achieve its goals strategies which set clear and firm direction for all levels of the organization but are flexible enough to respond to the changing health care environment. The region must become financially sustainable in order to achieve its vision of Healthy People, Families and Communities. Diligent daily management and the continued focus on developing a strong and sustainable foundation are key priorities. Increasing demand for services and growth pressures will need to be managed against increasing costs and funding expectations.

4 Operations Summary Annual Budget July 16 YTD Budget July 16 YTD Actual YTD Variance Projected Variance Budget to Budget YTD Actual to YTD Actual Revenue - Province of Sask $ 963,428,308 $ 316,776,192 $ 317,526,049 $ 749,857 $ 2,855, Agency & Other Gov't Revenue 23,908,278 8,132,218 8,989, ,099 1,591,722 (10.42) (0.44) Patient & Service Fees 24,447,105 8,157,278 8,288, , , (0.05) Other Revenue 32,126,661 10,952,120 10,981,823 29, , (25.39) Total Revenue 1,043,910, ,017, ,785,342 1,767,534 5,873, Salaries 559,944, ,579, ,163,481 (3,584,252) (8,055,195) 2.27 (0.09) Benefits 114,823,277 38,129,005 40,013,817 (1,884,812) (658,723) Vacation (5,971,779) (1,996,040) 1,292,197 (3,288,237) (6,971,779) Medical Remuneration 92,459,436 29,923,432 30,324,269 (400,837) (1,740,564) Operating Grants 71,447,100 23,815,700 22,924, ,487 47, Medical Supplies 91,471,581 30,587,134 29,206,409 1,380, ,581 (2.30) (3.30) Infrastructure 47,487,117 15,817,886 15,762,802 55,084 (1,262,883) (0.85) 0.89 Clinical & Operational Supports 56,756,581 18,085,141 18,315,156 (230,015) (1,323,419) Admin & Other 15,492,234 5,401,991 4,910, ,315 12, Total Expenses 1,043,910, ,343, ,913,020 (6,569,542) (19,631,648) Detail by Portfolio Surplus (Deficit) $ - $ (325,670) $ (5,127,678) $ (4,802,008) $ (13,758,000) - (8.74) July 16 YTD Budget Revenue July 16 YTD Actual YTD Variance July 16 YTD Budget Expense July 16 YTD Actual YTD Variance Net Variance David McCutcheon $ 5,436,918 $ 5,585,591 $ 148,673 $ 70,251,882 $ 74,219,669 $ (3,967,787) $ (3,819,114) Karen Earnshaw 6,175,774 5,817,241 (358,533) 51,948,065 52,369,878 (421,813) (780,346) Michael Redenbach 5,752,980 5,718,955 (34,025) 57,864,316 58,515,705 (651,389) (685,414) Sharon Garratt 344,136 2,410,701 2,066,565 61,257,636 63,822,950 (2,565,314) (498,749) Sue Neville 4,400,692 4,498,326 97,634 54,586,223 57,277,248 (2,691,025) (2,593,391) Subtotal Health Services 22,110,500 24,030,814 1,920, ,908, ,205,450 (10,297,328) (8,377,014) Board & Executive Office ,001,324 2,779, , ,016 Financial Services 418, , ,383 18,850,255 19,141,955 (291,700) 148,683 Human Resources 1,389,244 1,398,892 9,648 5,850,324 6,377,752 (527,428) (517,780) Knowledge & Technology Services 1,112,980 1,135,670 22,690 14,335,074 14,782,177 (447,103) (424,413) Quality & Transformation - 8,773 8,773 79,769 64,190 15,579 24,352 Subtotal Corporate Services 2,921,558 3,403, ,712 42,116,746 43,145,600 (1,028,854) (547,142) Administration 318,985, ,351,258 (634,492) 6,318,610 1,561,970 4,756,640 4,122,148 Human Resource Data Total $ 344,017,808 $ 345,785,342 $ 1,767,534 $ 344,343,478 $ 350,913,020 $ (6,569,542) $ (4,802,008) Overtime Hours per Paid FTE May-15 Jun-15 Jul-15 May-16 Jun-16 Jul-16 June to July CUPE HSAS (0.01) SUN OOS (0.04) Sick Hours per Paid FTE Regina Qu'Appelle Health Region Monthly Fact Sheet For the Month of July 2016 % Change CUPE (0.68) HSAS (0.85) SUN (0.49) OOS (1.04) Paid FTE's (Budget 7,783.35) 7, , , , , ,

5 Regina Qu'Appelle Health Region Statement of Financial Position as at July Operating Capital Community Total Total Fund Fund Trust Fund ASSETS Cash & short-term investments $ - $ 10,179,121 $ 357,890 $ 10,537,011 $ 632,697 Accounts receivable Ministry of Health 5,992, ,992,405 6,903,956 Other 11,870, ,838 5,543 12,079,093 16,613,402 Due (to)/from other funds (408,243) 138, , Inventory 5,571, ,571,798 4,139,743 Prepaid 3,614, ,614,049 5,955,119 Total Current Assets 26,640,721 10,520, ,237 37,794,356 34,244,917 Long term investments , , ,301 Due from local governments ,114 Capital assets - 302,434, ,434, ,778,388 Total Assets $ 26,640,721 $ 312,955,285 $ 1,095,475 $ 340,691,481 $ 336,695,720 LIABILITIES Bank indebtedness $ 16,086,925 $ - $ - $ 16,086,925 $ 7,499,881 Accounts payable 56,123,854 11,450-56,135,304 41,041,197 Accrued salaries 14,465, ,465,883 25,181,717 Vacation payable 56,835, ,835,836 56,084,928 Deferred revenue 8,794, ,794,369 11,963,208 Long term debt - current - 637, , ,422 Total Current Liabilities 152,306, , ,955, ,408,353 Debentures - 2,473,673-2,473,673 2,473,673 Long term debt & mortgages - 3,931,608-3,931,608 4,144,082 Employee future benefits 26,009, ,009,609 25,766,900 Total Liabilities 178,316,476 7,054, ,370, ,793,008 FUND BALANCES Invested in capital assets - 295,392, ,392, ,523,211 Restricted (internal & external) (753,093) 10,508,948 1,095,475 10,851,330 13,196,661 Unrestricted (150,922,662) - - (150,922,662) (145,817,160) Total Fund Balances (151,675,755) 305,901,132 1,095, ,320, ,902,712 Total Liabilities & Fund Balances $ 26,640,721 $ 312,955,285 $ 1,095,475 $ 340,691,481 $ 336,695,720

6 Regina Qu'Appelle Health Region Statement of Operations For the Four Months Ending July 31, 2016 Revenue Annual Budget YTD Budget YTD Actual YTD Variance % Variance YTD Budget % Chg Act Yr to Yr Projected Actual Projected Variance July 2015 YTD Actual March 2016 Final Revenue - Prov of Sask $ 963,428,308 $ 316,776,192 $ 317,526,049 $ 749, $ 966,284,000 $ 2,855,692 $ 307,898,989 $ 951,949,676 Agency & Other Gov't Rev 23,908,278 8,132,218 8,989, , (0.44) 25,500,000 1,591,722 9,028,862 27,076,202 Patient & Service Fees 24,447,105 8,157,278 8,288, , (0.05) 25,000, ,895 8,292,346 24,888,634 Other Revenue 32,126,661 10,952,120 10,981,823 29, (25.39) 33,000, ,339 14,719,032 37,379,048 Total Revenue 1,043,910, ,017, ,785,342 1,767, ,049,784,000 5,873, ,939,229 1,041,293,560 Expense Salaries 559,944, ,579, ,163,481 (3,584,252) (1.94) (0.09) 568,000,000 (8,055,195) 188,338, ,256,269 Benefits 114,823,277 38,129,005 40,013,817 (1,884,812) (4.94) ,482,000 (658,723) 39,132, ,471,297 Vacation (5,971,779) (1,996,040) 1,292,197 (3,288,237) ,000,000 (6,971,779) 682,829 4,447,184 Salary & Benefits 668,796, ,712, ,469,495 (8,757,301) (3.97) ,482,000 (15,685,697) 228,153, ,174,750 Medical Fees 86,029,204 27,838,923 27,463, , ,200,000 (170,796) 25,431,243 82,699,588 Medical Salary 6,430,232 2,084,509 2,860,555 (776,046) (37.23) ,000,000 (1,569,768) 2,545,665 7,680,665 Med Remuneration 92,459,436 29,923,432 30,324,269 (400,837) (1.34) ,200,000 (1,740,564) 27,976,908 90,380,253 Grants to Ambulance 3,355,324 1,118,440 1,108,832 9, ,300,000 55,324 1,003,805 3,365,879 Grants to Hlth Care Org 68,091,776 22,697,260 21,815, , ,100,000 (8,224) 21,669,164 66,794,162 Operating Grants 71,447,100 23,815,700 22,924, , ,400,000 47,100 22,672,969 70,160,041 Diagnostic Imaging 625, , ,104 20, ,000 (24,863) 128, ,838 Drugs 15,157,878 5,066,694 5,183,974 (117,280) (2.31) ,500,000 (342,122) 5,109,637 14,597,989 Laboratory Supplies 6,496,178 2,174,026 2,187,379 (13,353) (0.61) ,500,000 (3,822) 1,957,558 6,334,988 Medical & Surg Supplies 47,818,175 15,984,082 15,597, , ,500,000 (681,825) 15,458,378 46,113,277 Prosthetics & Orthotics 20,224,013 6,768,196 5,809, , (19.95) 19,000,000 1,224,013 7,257,940 20,258,641 Therapeutic Supplies 1,150, , , , (18.01) 1,000, , , ,150 Medical Supplies 91,471,581 30,587,134 29,206,409 1,380, (3.30) 91,150, ,581 30,203,213 88,794,883 Information Tech Contracts 6,042,977 2,014,486 1,874, , (3.43) 6,000,000 42,977 1,941,222 6,123,961 Insurance 1,763, , ,263 31, (3.70) 1,750,000 13, ,616 1,819,274 Rent/Lease/Purchase 13,363,178 4,454,516 4,401,134 53, (12.74) 13,500,000 (136,822) 5,043,711 14,660,449 Repairs & Maintenance 14,197,073 4,757,898 5,093,673 (335,775) (7.06) ,500,000 (1,302,927) 4,304,418 15,099,979 Utilities 12,120,889 4,003,318 3,837, , ,000, ,889 3,756,592 11,409,938 Infrastructure 47,487,117 15,817,886 15,762,802 55, ,750,000 (1,262,883) 15,623,559 49,113,601 Contracted Out Services 25,424,214 8,409,901 8,460,587 (50,686) (0.60) ,000, ,214 6,954,822 22,349,101 Dietary Supplies 87,858 29,352 24,582 4, ,000 7,858 22,251 87,773 Food 8,223,581 2,748,700 2,683,330 65, ,500,000 (276,419) 2,527,808 8,155,174 Hskg & Laundry Supplies 2,488, , ,958 43, (22.63) 2,600,000 (111,999) 1,018,400 3,414,892 Other Supplies 3,517,456 1,176,741 1,227,046 (50,305) (4.27) (1.09) 3,400, ,456 1,240,624 3,789,701 Professional Fees 12,241,026 3,294,367 3,794,969 (500,602) (15.20) ,000,000 (1,758,974) 3,390,661 13,537,827 Travel Expense 4,774,445 1,594,614 1,336, , (9.10) 4,500, ,445 1,470,444 4,486,982 Clinical & Oper Supports 56,756,581 18,085,141 18,315,156 (230,015) (1.27) ,080,000 (1,323,419) 16,625,010 55,821,450 Advertising & Public Relations 303, ,076 35,802 65, (62.02) 200, ,238 94, ,726 Board Costs 175,586 58,532 16,853 41, (20.31) 80,000 95,586 21,147 76,301 Educational Fees & Material 998, , , , ,000 98, , ,620 Interest Expense 432, , ,197 (22,057) (15.30) ,000 (17,610) 132, ,706 Meeting Expense 376, ,384 84,742 40, ,000 26,153 53, ,016 Office Costs & Supplies 3,892,475 1,302,449 1,213,766 88, (4.91) 3,500, ,475 1,276,433 3,750,231 Other Expenses 4,813,375 1,944,564 2,214,035 (269,471) (13.86) ,000,000 (1,186,625) 1,772,972 5,469,550 Project Costs 4,500,294 1,372, , , ,000, , ,775 3,135,070 Admin & Other 15,492,234 5,401,991 4,910, , ,480,000 12,234 4,303,045 14,050,220 Total Expenses 1,043,910, ,343, ,913,020 (6,569,542) (1.91) ,063,542,000 (19,631,648) 345,557,737 1,056,495,198 RQHR Deficit $ - $ (325,670) $ (5,127,678) $ (4,802,008) (8.74) $ (13,758,000) $ (13,758,000) $ (5,618,508) $ (15,201,638)

7 Regina Qu'Appelle Health Region Explanation of Variances For the Four Months Ending July 31, 2016 For the month of July the region recognized a surplus of $3.04M. Salary and benefit costs were over spent but offset by a reduction in the vacation liability account. Medical fees and medical supplies were favorable in July. Contracted out services and professional fees were overspent. YTD Variance Budget Revenues $344,017,808 Ministry of Health Funding $749,857 Additional revenue has been recognized for 1,684 surgeries above base funding. Other Gov't & Agency Revenue $857,099 Variance is due to: VAC unit at Wascana Rehab Centre - current resident complement is higher than budget $416,874 Worker's Compensation Board - client numbers are exceeding budget YTD 246,136 Non Canadian resident revenue favorable 208,436 All Other Revenues $160,578 $1,767,534 Total Revenues $345,785,342 YTD Variance Budget Expenses $344,343,478 Salaries ($6,872,489) Variance due to: Variance due to vacation liability change ($3,288,237) Variance attributed to regular staff salaries ( FTEs overbudget) (2,586,717) Prefiscal / Retro payments (927,524) Contracted staff (37,701) Budget reduction for vacancy management target (32,310) Benefits ($1,884,812) Benefits are overbudget due to the overexpenditure in salaries. Remuneration - Medical ($400,837) Variance is in the following areas: CT Scan / Ultrasound ($582,269) Laboratory Medical (521,566) Hospitalist Program (282,697) Emergency Phyicians (147,306) Primary Health Care 255,710 Unallocated budget 309,178 Mental Heath & Addiction Services 366,712 Operating Grants $891,487 Budget includes contract increases for the affiliates but nothing has been paid out to date.

8 Regina Qu'Appelle Health Region Explanation of Variances For the Four Months Ending July 31, 2016 Medical and Surgical Supplies $386,410 Variance is in the following areas: Medical Imaging ($229,453) Unallocated budget 152,062 Women & Children's Health 163,907 Ambulatory Care & Medical Outpatients 186,496 Prosthetics / Orthotics $958,407 Variance is in the following areas: Surgical Service Line $640,843 Critical Care & Cardiosciences 247,630 Repairs and Maintenance ($335,775) Repairs at Pioneer Village are over budget by $341,280 Professional Fees ($500,602) Variance is due to the following: KPMG GST Review ($323,054) Energy Performance Contract - settlement with Johnson Controls (264,900) Research & Health Information Services (163,061) Human Resources - Legal & Policy Admin - investigations, legal fees (87,798) Academic Health Sciences 140,529 IT Corporate & Clinical Support 164,601 Other Expense ($269,471) Annual maintenance fees for EMS dispatch system expensed in July Project Costs $406,404 Budget in many cases is held for special projects which don't occur regularly. Costs are often expensed through other accounts but the budget is held in Projects. All Other Expenses $1,051,736 ($6,569,542) Total Expenses $350,913,020 Deficit ($5,127,678)

9 Annual Budget April May June July YTD Actual YTD Actual Change % YTD Actual YE Actual Ministry of Health Funding $ 963,428,308 $ 75,565,161 $ 81,406,534 $ 80,383,603 $ 80,170,751 $ 317,526, % $ 307,898,989 $ 951,949,676 Other Gov't & Agency Revenue 23,908,278 2,214,851 2,489,660 1,864,326 2,420,480 8,989,317 (0.44%) 9,028,862 27,076,202 Patient & Service Fees 24,447,105 2,099,106 2,185,745 1,898,847 2,104,454 8,288,152 (0.05%) 8,292,346 24,888,634 Revenue - Other 32,126,661 2,252,045 2,310,675 4,360,596 2,058,508 10,981,824 (25.39%) 14,719,032 37,379,048 Total Revenue 1,043,910,352 82,131,163 88,392,614 88,507,372 86,754, ,785, % 339,939,229 1,041,293,560 Salaries 559,944,805 45,243,938 47,877,599 46,692,906 48,379, ,193,701 (0.08%) 188,338, ,256,269 Benefits 114,823,277 10,300,071 10,391,995 9,695,773 9,595,757 39,983, % 39,132, ,471,297 Vacation (5,971,779) 1,887,807 1,455, ,304 (2,731,431) 1,292, % 682,829 4,447,184 Subtotal Salaries & Benefits 668,796,303 57,431,816 59,725,112 57,068,983 55,243, ,469, % 228,153, ,174,750 Medical Fees 86,029,204 5,228,576 7,241,830 9,267,417 5,725,890 27,463, % 25,431,243 82,699,588 Medical Salary 6,430, , , , ,017 2,860, % 2,545,665 7,680,665 Subtotal Remuneration - Medical 92,459,436 6,028,045 7,934,526 9,946,791 6,414,907 30,324, % 27,976,908 90,380,253 Grants to Ambulance Services 3,355, , , , ,646 1,108, % 1,003,805 3,365,879 Grants to Health Care Organizations 68,091,776 5,440,478 5,063,250 5,834,677 5,476,978 21,815, % 21,669,164 66,794,162 Subtotal Operating Grants 71,447,100 5,716,873 5,339,645 6,111,072 5,756,624 22,924, % 22,672,969 70,160,041 Diagnostic Imaging 625,137 47,642 60,288 75,997 5, , % 128, ,838 Drugs 15,157,878 1,100,615 1,388,836 1,455,658 1,238,865 5,183, % 5,109,637 14,597,989 Laboratory Supplies 6,496, , , , ,266 2,187, % 1,957,558 6,334,988 Medical & Surgical Supplies 47,818,175 3,662,998 4,341,015 4,534,937 3,058,722 15,597, % 15,458,378 46,113,277 Prosthetics & Orthotics 20,224,013 1,783,749 1,338,754 1,374,565 1,312,722 5,809,790 (19.95%) 7,257,940 20,258,641 Therapeutic Supplies 1,150,200 (5,295) 96,865 78,200 68, ,490 (18.01%) 290, ,150 Subtotal Medical Supplies 91,471,581 7,319,880 7,779,398 7,909,658 6,197,472 29,206,408 (3.30%) 30,203,213 88,794,883 Information Technology Contracts 6,042, , , , ,646 1,874,606 (3.43%) 1,941,222 6,123,961 Insurance 1,763, , , , , ,263 (3.70%) 577,616 1,819,274 Rent/Lease/Purchase 13,363, ,446 1,032,409 1,129,059 1,257,220 4,401,134 (12.74%) 5,043,711 14,660,449 Repairs & Maintenance 14,197, ,732 1,188,516 1,701,684 1,204,740 5,093, % 4,304,418 15,099,979 Utilities 12,120, , ,489 1,017,798 1,083,124 3,837, % 3,756,592 11,409,938 Subtotal Infrastructure 47,487,117 3,498,610 3,709,147 4,383,242 4,171,803 15,762, % 15,623,559 49,113,601 Contracted Out Services 25,424,214 2,103,825 1,979,612 2,010,296 2,366,854 8,460, % 6,954,822 22,349,101 Dietary Supplies 87,858 3,493 11,441 3,879 5,769 24, % 22,251 87,773 Food 8,223, , , , ,468 2,683, % 2,527,808 8,155,174 Housekeeping & Laundry Supplies 2,488, , , , , ,958 (22.63%) 1,018,400 3,414,892 Other Supplies 3,517, , , , ,517 1,227,045 (1.09%) 1,240,624 3,789,701 Professional Fees 12,241, , ,953 1,399, ,652 3,794, % 3,390,661 13,537,827 Travel Expense 4,774, , , , ,398 1,336,684 (9.10%) 1,470,444 4,486,982 Subtotal Clinical & Oper Supports 56,756,581 4,173,880 4,489,678 5,035,797 4,615,801 18,315, % 16,625,010 55,821,450 Advertising and Public Relations 303,238 2,423 5,665 2,294 25,420 35,802 (62.02%) 94, ,726 Board Costs 175,586 3,508 4,065 2,591 6,690 16,854 (20.30%) 21,147 76,301 Educational Fees and Materials 998,723 48, ,818 26,112 17, , % 101, ,620 Interest Expense 432,390 34,954 38,701 48,398 44, , % 132, ,706 Meeting Expense 376,153 28,872 13,306 27,600 14,963 84, % 53, ,016 Office Costs & Supplies 3,892, , , , ,069 1,213,767 (4.91%) 1,276,433 3,750,231 Other Expenses 4,813, , , , ,137 2,214, % 1,772,972 5,469,550 Project Costs 4,500, , , , , , % 849,775 3,135,070 Subtotal Admin & Other 15,492, ,312 1,158,619 1,462,236 1,316,510 4,910, % 4,303,045 14,050,220 Total Expense 1,043,910,352 85,142,416 90,136,125 91,917,779 83,716, ,913, % 345,557,737 1,056,495,198 Surplus (Deficit) $ - $ (3,011,253) $ (1,743,511) $ (3,410,407) $ 3,037,492 $ (5,127,679) $ (5,618,508) $ (15,201,638) Cost per Day (Total expense / # of days past) Operations by Month For the Four Months Ending July 31, 2016 $ 2,860,028 $ 2,838,081 $ 2,907,617 $ 3,063,926 $ 2,700,539 $ 2,876,336 $ 2,832,440 $ 2,886,599

10 Revenue and Expenses by Portfolio For the Four Months Ending July 31, 2016 Revenue P Expense Annual Budget YTD Budget YTD Actual Variancer Annual Budget YTD Budget YTD Actual Variance Net Variance Medical Serv - Executive Office $ 500 $ 166 $ - $ (166) $ 834,104 $ 272,432 $ 261,382 $ 11,050 $ 10,884 Lab - Infection Control 148,905 49,770 19,483 (30,287) 1,509, , , , ,017 Inter-Regional Transfusion Safety ,891 20, ,663 56,177 68,423 (12,246) 8,645 Medicine KOT , , ,787 17,589 17,589 Anti Microbial Stewardship , ,473 38,676 80,797 80,797 Critical Care & Cardiosciences 71,000 23,732 55,841 32,109 59,106,037 19,447,379 19,403,629 43,750 75,859 Emergency & EMS 7,322,466 2,430,846 2,441,179 10,333 39,886,088 13,243,853 14,787,774 (1,543,921) (1,533,588) Medical Care - - 4,488 4,488 35,856,182 11,758,708 12,687,632 (928,924) (924,436) Physician Services 10,964,174 2,932,404 3,043, ,306 76,830,031 24,694,682 26,460,868 (1,766,186) (1,654,880) David McCutcheon 18,507,045 5,436,918 5,585, , ,061,378 70,251,882 74,219,669 (3,967,787) (3,819,113) Healthline 2,243, , ,743 4,999 6,833,905 2,236,131 2,105, , ,303 Population & Public Health Serv 3,496,867 1,168, ,075 (222,743) 16,345,623 5,394,189 5,352,071 42,118 (180,626) Primary Health Care 1,423, , ,197 (84,715) 3,773,577 1,241,987 1,077, ,812 80,097 Rural PHC Services 9,549,019 3,185,872 3,311, ,649 71,928,109 23,579,666 24,411,743 (832,077) (706,428) Urban PHC 1,781, , ,706 (181,722) 59,588,813 19,496,092 19,423,063 73,029 (108,692) Karen Earnshaw 18,494,211 6,175,774 5,817,241 (358,533) 158,470,027 51,948,065 52,369,878 (421,813) (780,346) Extended Care/VAC 3,902,129 1,301,390 1,265,615 (35,775) 26,391,451 8,643,544 9,120,355 (476,811) (512,586) Health Service Organizations 47,745 15,958 21,108 5,150 63,549,709 21,183,246 20,423, , ,720 IHS - Admin 112,886 37,732 52,752 15,020 2,675, , , , ,349 Mental Health & Addiction Services 5,593,928 1,868,818 1,720,008 (148,810) 49,103,419 16,035,958 16,540,638 (504,680) (653,490) Pioneer Village 7,434,712 2,478,944 2,653, ,795 28,543,533 9,376,758 10,230,304 (853,546) (678,751) Program Support 150,000 50,138 5,732 (44,406) 5,372,274 1,751,668 1,487, , ,344 Michael Redenbach 17,241,400 5,752,980 5,718,955 (34,025) 175,636,046 57,864,316 58,515,705 (651,389) (685,414) Ambulatory Care & Medical Outpts 392, , ,595 77,419 21,433,993 7,054,720 7,173,934 (119,214) (41,795) Kidney Program - - 3,020 3,020 17,888,238 5,824,103 6,140,751 (316,648) (313,628) Specialty Care Administration 23,000 7,694 32,702 25,008 1,168, , ,858 (21,160) 3,848 Surgical Service Line 30,000 10,028 1,940,553 1,930, ,421,697 32,798,781 33,573,542 (774,761) 1,155,764 Women & Children's Health Serv 584, , ,831 30,593 46,103,519 15,176,334 16,509,865 (1,333,531) (1,302,937) Sharon Garratt 1,029, ,136 2,410,701 2,066, ,015,657 61,257,636 63,822,950 (2,565,314) (498,750) Client Support Services 3,542,070 1,183,814 1,229,375 45,561 55,690,733 18,341,923 19,003,438 (661,515) (615,953) Clinical Support Admin ,919 24,951 80,455 (55,504) (55,504) Laboratory 1,040, , ,373 (42,315) 31,998,787 10,459,762 11,061,852 (602,090) (644,405) Medical Imaging 790, , ,699 91,375 30,208,318 9,941,359 10,280,272 (338,913) (247,538) Pharmacy 1,128, , ,219 4,171 12,785,345 4,262,813 4,795,480 (532,667) (528,496) Rehab, Spiritual Care, Native Hlth 6,352,899 2,269,818 2,268,660 (1,158) 35,221,199 11,555,415 12,055,751 (500,336) (501,494) Sue Neville 12,854,925 4,400,692 4,498,326 97, ,980,301 54,586,223 57,277,248 (2,691,025) (2,593,391) Executive Office , , ,705 16,382 16,382 Board of Directors , ,574 95,121 12,453 12,453 Strategy 182, ,030,187 2,694,663 2,501, , ,181 Board & Executive Offices 182, ,966,454 3,001,324 2,779, , ,016 Facilities Management 1,168, , ,829 42,655 36,753,762 12,336,141 12,339,746 (3,605) 39,051 Finance 50,000 16, ,473 94,787 6,181,846 2,036,697 2,083,890 (47,193) 47,594 Materials Management 30,433 10, , ,465 10,221,004 3,386,198 3,691,030 (304,832) (3,367) Payroll & Benefits 5,500 1,834 3,310 1,476 2,803, , ,043 (871) 605 VP Finance & CFO , , ,247 64,800 64,800 Financial Services 1,254, , , ,383 56,481,859 18,850,255 19,141,955 (291,700) 148,683 Employee Relations 40,000 13,360 49,194 35,834 5,252,092 1,852,333 1,946,337 (94,004) (58,170) Human Resources VP ,388, , ,968 (204,779) (204,779) People Stategy & Safety 222,255 24,986 7,802 (17,184) 4,465,614 1,379,897 1,394,101 (14,204) (31,389) Security & Parking Services 4,493,630 1,350,898 1,341,897 (9,001) 5,440,352 1,790,079 2,017,756 (227,677) (236,679) Workforce Planning & Developmen ,209, , ,591 13,235 13,235 Human Resources 4,755,885 1,389,244 1,398,892 9,648 17,755,840 5,850,324 6,377,752 (527,428) (517,780) Academic Health Sciences 2,188, , ,725 (68,775) 3,375,526 1,109,133 1,013,901 95,232 26,458 Clinical Engineering 104,186 34,824 26,810 (8,014) 7,070,598 2,336,980 2,369,143 (32,163) (40,177) Information Technology 464, , ,014 5,140 20,393,844 6,728,549 7,040,133 (311,584) (306,444) Knowledge Management , , ,752 (32,010) (32,010) Research & Hlth Information Serv 575, , ,121 94,339 12,474,002 3,979,670 4,146,249 (166,579) (72,240) Knowledge & Tech Serv 3,332,252 1,112,980 1,135,670 22,690 43,942,951 14,335,074 14,782,177 (447,103) (424,413) VP Quality and Transformation - - 8,773 8, ,397 79,769 64,190 15,579 24,352 Quality & Transformation - - 8,773 8, ,397 79,769 64,190 15,579 24,352 Region Administration 966,257, ,985, ,351,257 (634,493) 13,357,442 6,318,610 1,561,969 4,756,641 4,122,148 Total RQHR $ 1,043,910,352 $ 344,017,808 $ 345,785,342 $ 1,767,534 $ 1,043,910,352 $ 344,343,478 $ 350,913,020 $ (6,569,542) $ (4,802,008)

11 David McCutcheon Karen Earnshaw Michael Redenbach Sharon Garratt YTD Operating Variance by Portfolio For the Four Months ending July 31, 2016 Sue Neville Board & Exec. Offices Financial Services Human Resources Knowledge & Technology Quality & Transformation Ministry of Health Funding $ (49,940) $ (537,268) $ (115,827) $ 1,833,478 $ 1,576 $ - $ (13,803) $ 851 $ (106,646) $ - $ (262,563) $ 749,857 Other Gov't & Agency Rev 20,689 81, , , ,099 Patient & Service Fees (1,645) 11, ,492-1, , ,875 Revenue - Other 179,569 85,459 (18,990) 233,087 (9,075) ,186 8, ,336 8,773 (1,041,658) 29,703 Total Revenue 148,673 (358,533) (34,025) 2,066,565 97, ,383 9,648 22,690 8,773 (634,493) 1,767,534 Admin Total Variances Salaries (1,637,480) (685,935) (1,348,934) (2,299,998) (1,851,973) (71,436) (116,957) (210,757) (120,200) (27,264) 4,786,682 (3,584,252) Benefits (429,343) (208,068) (187,509) (626,768) (161,525) (10,193) 27,554 (63,836) 35,230 4,116 (264,470) (1,884,812) Vacation (694,636) (579,094) (428,643) (660,456) (453,397) (53,981) (162,724) (178,448) (120,013) 38,849 4,304 (3,288,237) Salaries & Benefits (2,761,459) (1,473,097) (1,965,086) (3,587,222) (2,466,895) (135,610) (252,126) (453,041) (204,984) 15,701 4,526,517 (8,757,301) Medical Fees (869,813) 253, ,264 96,943 (4,065) - - (2,435) 9, , ,209 Medical Salary (598,700) (10,222) (167,124) (776,046) Remuneration - Medical (1,468,513) 242, ,140 96,943 (4,065) - - (2,435) 9, ,178 (400,837) Grants to Ambulance Serv 9, ,608 Grants to Health Care Org , , ,879 Operating Grants 9, , , ,487 Diagnostic Imaging 10,352 12, (2,508) ,104 Drugs 84,857 23,984 (97,961) 32,318 (161,775) - (3,306) 2,223 (211) - 2,590 (117,280) Laboratory Supplies - 23, (37,171) (13,353) Medical & Surgical Supplies 138,959 48,679 (1,146) 280,987 (237,912) 33 (660) 2,994 2, , ,410 Prosthetics & Orthotics 244,418 (600) - 671,900 42, ,407 Therapeutic Supplies - 146, ,437 Medical Supplies 478, ,578 (99,107) 985,204 (396,678) 33 (3,966) 5,217 2, ,652 1,380,725 IT Contracts (364) 46,392 (85) (819) (241) - (12,742) - 109,307 - (1,568) 139,880 Insurance , ,405 Rent/Lease/Purchase 9,715 (5,617) 57,615 (1,215) (21,251) 9, ,914 (6,678) (102,305) (466) (1,046) 53,382 Repairs & Maintenance 29,542 6,317 (101,444) (47,772) 34, (295,254) (11,752) (51,481) - 100,274 (335,775) Utilities 1,116 2,787 6, , ,192 Infrastructure 40,009 49,880 (37,106) (49,806) 13,457 10,560 (6,196) (18,430) (44,479) (466) 97,661 55,084 Contracted Out Services - 80,331 14,863 15,459 (15,533) - (195,807) ,000 (50,686) Dietary Supplies 238 (3,126) (451) 767 7,361 - (19) ,770 Food ,133 4,273 (55,214) 91, ,370 Hskpg & Laundry Supplies (1,892) (7,539) (1,574) (24,161) 80, ,582 (12,749) (891) - 6,757 43,508 Other Supplies (12,046) (25,581) 9,815 (9,874) (41,018) 11,021 (11,704) 7,420 12,071-9,590 (50,305) Professional Fees (8,074) 39,722 83,084 7,051 (25,174) 18,877 (7,163) (173,215) 68,580 - (504,289) (500,602) Travel Expense 28,410 70,025 42,192 9,337 24,303 27,493 9,112 18,670 29,872 (1,483) - 257,930 Clinical & Oper Supports 7, , ,202 (56,635) 122,467 57,422 (200,999) (159,875) 109,631 (1,483) (437,942) (230,015) Advertising & Public Relations (5,949) 21, ,715-12, ,274 Board Costs , ,679 Educational Fees & Materials (6,879) 27,465 (1,918) 31,540 13,023 (212) ,830 24, ,160 Interest Expense (996) (23,754) ,737 (22,057) Meeting Expense (8,408) 24, ,153 (4,854) 29, (24,743) 20, ,642 Office Costs & Supplies (17,391) 49,666 11,111 20,666 15,946 19,316 17,695 3,627 (13,663) - (18,291) 88,683 Other Expenses (273,214) 23,913 22,143 (3,537) 4,398 (779) (8,211) 843 (44,087) (2,400) 11,461 (269,471) Project Costs 39, ,870 78,955 (5,246) 11, , ,945 56,281 (305,457) 4, ,404 Admin & Other (273,248) 326, ,358 46,201 40, , , ,135 (318,566) 1,827 (5,093) 491,314 Total Expense (3,967,787) (421,813) (651,389) (2,565,314) (2,691,025) 221,798 (291,700) (527,428) (447,103) 15,579 4,756,641 (6,569,542) Surplus (Deficit) $ (3,819,113) $ (780,346) $ (685,414) $ (498,750) $ (2,593,391) $ 222,016 $ 148,683 $ (517,780) $ (424,413) $ 24,352 $ 4,122,148 $ (4,802,008)

12 REGINA QU'APPELLE HEALTH REGION Cash Flow Estimate with Actual Balance as of July 31, 2016 May June July August September October November December January Operating Fund MOH Bi-weekly Funding 70, ,966 70,644 66,144 70,644 70,644 70, ,966 70,644 Other Provincial 7,265 1,152 8,159 4,000 4,000 4,000 4,000 4,000 4,500 Other 7,058 7,728 10,719 8,500 7,000 7,000 7,000 7,000 7,000 Total Inflow 84, ,846 89,522 78,644 81,644 81,644 81, ,966 82,144 Payroll 27,981 45,150 29,674 29,000 29,000 29,000 29,000 45,000 29,000 Receiver General 14,374 16,019 13,991 20,000 11,000 11,000 11,500 11,000 20,000 Employee Benefits 13,291 9,144 9,091 13,500 10,000 9,000 10,000 10,000 9,200 Operating Grants 5,330 7,412 5,564 5,500 5,500 5,500 5,500 7,500 5,500 Interest Other - A/Payable 25,503 29,500 24,652 27,000 27,000 27,000 27,000 27,000 27,000 Total Outflow 86, ,254 82,999 95,015 82,515 81,515 83, ,515 90,715 Net change - operating funds (1,536) 7,592 6,523 (16,371) (871) 129 (1,371) 16,451 (8,571) Restricted Fund MOH Funding ,500 6, Other Provincial Donations , Total Inflow , ,035 6, Mortgage Payments Capital 1, ,000 1,200 1,200 1,200 1,200 1,200 Total Outflow 1, ,064 1,264 1,264 1,264 1,264 1,264 Net change - restricted funds (496) (104) 699 (329) 9,771 5,471 (529) (529) (529) Beginning Bank Balance (17,581) (19,613) (12,125) (4,903) (21,603) (12,703) (7,103) (9,003) (6,496) Total change during the month (2,032) 7,488 7,222 (16,700) 8,900 5,600 (1,900) 15,922 (9,100) Ending Bank Balance (19,613) (12,125) (4,903) (21,603) (12,703) (7,103) (9,003) 6,919 (15,596) 17/08/2016

13 Amount (1,000's) Bank Overdraft Week End Date

14 Annual Budget YTD Actual Revenue Provincial funding: Block - Life safety/emergency & infrastructure $ 7,890,000 $ - Electrical renewal 6,100,000 - Master service plan 1,500,000 - Capital equipment 637,000 - Designated funding - Hematology 500, ,124 Information technology 2,143,000 - Tertiary capital grant 1,000, ,248 Donated Funds 2,259, ,110 Mortgage subsidies 356, ,381 Other 295,000 85,697 Total Capital Revenue 22,680, ,560 Expenditures Block - Life safety/emergency & infrastructure 13,473,796 1,120,076 Electrical renewal 6,100,000 - Master service plan 1,500,000 - Equipment 5,194, ,423 Grants to affiiates 294,922 66,403 Information technology 4,688, ,166 Minor renovations 2,714,685 36,173 Mortgage payments 762, ,296 Other capital expenses - 43,114 Total Capital Expenditures 34,728,290 2,796,651 Carryforward funds applied to purchases - 1,890,015 Year end transfer from Operating fund 449,895 - Net change in capital fund $ (11,598,196) $ (44,076) Breakdown of net change Unfunded expenditures IT Patient Flow project $ (962) Abernathy - write off of accounts receivable (43,114) Net change in capital fund Regina Qu'Appelle Health Region Statement of Capital Transactions For the Four Months ending July 31, 2016 $ (44,076)