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Site Performance Summary:
                                             Overall supply expense over budget $312K despite lower IP/OP volumes,
                                             Admissions & Patient Days. Key drivers are inventory adjustments in
                                             Surgery ($280K) & Central Stores ($186K).                      Contributing to lower
                                             Surgery volumes was Drs Thusay & Morse taking time off over the
                                             holidays.Gen Surg & Ortho were down 130 & 51 cases respectively. Patient
                                             volume in Wound Clinic continues to stay strong with four additional
                                             patients.


                   Key Challenges: 2-3 key contributors for each expense subaccount
                                             Lower IP/OP volumes down 13% & 3% respectively


                 St Charles Leader's Summary
                                             Surgery Inventory adj - Impact $280K
                           Med/Surg

                                             Dr Thusay time off impacted Gen Surg. Service line down 130 cases








                               Rx




                                             Otho volume soft due to Dr Morse time off. Down 50 cases


                                             Growth in spine neuromodulation procedures by Dr Beeks - Impact $86.8K
                            Implants






                                             Increase in active Wound Clinic pateints - Impact $10.3K



                                             Central Store inventory adjustment- $186K
                         Other Expenses







                   Actions Taken/Planned:
                          Volume Data        Better job of summarizing spine data
                           Alt Sourcing
                              Misc           Investigate how clip 360 resolution is expensed
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