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Site Performance Summary:
                                             Overall supplies are under budget by $882,368. Total periodic inventory
                                             adjustments accounted for $807,033 of the variance. Favorable variances
                                             in the implant categories attributed to lower CRM and TJR volumes and the
                                             new orthopedic joint contracts.


                   Key Challenges: 2-3 key contributors for each expense subaccount
                                             Although overall inventory variance was favorable, we did have a negative
                                             inventory adjustment in Cardiac Cath Lab for medical surgical supplies
                                             totaling $115K
                            Med/Surg
                 Mercy West Leader's Summary
                                             Increase in 14 CSI Diamondback devices over prior year adding $49K in
                             ($128K)
                                             costs to Cath Lab
                                             Increase in 25 Bard drug coated baloons over prior year adding $38K in
                                             expenses to Cath Lab

                                             Favorable periodic inventory adjustment totaled $443K
                               Rx
                             $468K



                                             CRM Implants under budget by $55K due to only performing 4 ICD and 8
                                             pacemaker procedures

                                             Orthopedic Implants under budget by $67K. Saving over prior year for knee
                            Implants         procedures ($360 per case) and hip procedures ($311 per case) realized due
                             $110K           to the new contracts.
                                             Other implants over budget by $57K due to one Impella catheter ($20K),
                                             increase in wound care grafts ($14K), and a complex CVOR case needing
                                             multiple plates and screws ($12K)
                                             Favorable periodic inventory adjustment totaled $469K for surgical trays




                         Other Expenses
                             $433K






                   Actions Taken/Planned:
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