LC
Total Budget
$52.4M
FY 2024 approved budget
Actual Spend
$49.8M
Under by $2.6M
Variance ($)
-$2.6M
FAVORABLE
Variance %
-5.0%
Below budget
Budget vs Actual by Category
Grouped comparison across expense types
Budget
Actual
Spend Distribution
Actual spend by category
Medical
$28.4M (57%)
Pharmacy
$9.1M (18%)
Admin
$6.8M (14%)
Capitation
$5.5M (11%)
Monthly Spend Trend — Budget vs Actual
12 months rolling with variance band
Budget
Actual
Variance Detail by Category
Category Budget Actual Variance $ Variance % Trend Status
Medical / Clinical
Inpatient, outpatient, professional services
$30,100,000 $28,420,000 -$1,680,000 -5.6% FAV
Pharmacy
Retail, specialty, mail-order pharmacy
$9,800,000 $9,120,000 -$680,000 -6.9% FAV
Administrative
Staffing, operations, overhead
$6,500,000 $6,820,000 +$320,000 +4.9% UNFAV
Capitation Payments
Provider capitation, risk pool distributions
$6,000,000 $5,440,000 -$560,000 -9.3% FAV
TOTAL $52,400,000 $49,800,000 -$2,600,000 -5.0% FAV
Department Drill-Down — Medical / Clinical
Inpatient
$8.2M
Budget: $9.1M
Outpatient
$11.4M
Budget: $11.8M
Professional Svc
$6.9M
Budget: $7.2M
Behavioral Health
$1.9M
Budget: $2.0M
Page Guide

The Budget vs Actual page compares approved financial budgets against actual spending across all categories.

  • Use the fiscal period dropdown to select the reporting timeframe.
  • KPI cards show the total picture — favorable variance is shown in green.
  • Click "Drill" on any category row to see department-level breakdown.
  • Use Export to download the variance report as a CSV or PDF.
  • FAV (Favorable): Actual spend is below budget — this is a positive outcome for the plan.
  • UNFAV (Unfavorable): Actual spend exceeds budget — requires investigation.
  • Healthcare budgets fluctuate seasonally — Q1 and Q4 typically have higher spend.
  • A variance of more than ±5% typically triggers a formal budget review.
  • Medical/Clinical: All claims costs including inpatient, outpatient, professional services, and ancillary.
  • Pharmacy: Retail, mail-order, and specialty pharmacy claims.
  • Administrative: Staffing, IT, facilities, and operations overhead.
  • Capitation: Fixed PMPM payments to capitated provider groups.
  • Review monthly trends — a single unfavorable month may be a timing issue, not an overrun.
  • Administrative overruns (like this year's +4.9%) often signal unexpected staffing or IT costs.
  • Export Q4 actuals and compare to prior Q4 for seasonal pattern analysis.
  • Share the variance table with department heads monthly for accountability.