Page 7 - CombinedTest_Neat

Site Performance Summary:

Anderson had reduced volumes in admissions, patient days and EIPAS, but
an increase in Surgeries and Cath Lab Procedures.This led to an increase in
net patient revenue to budget of 2.6%. Total supplies came in under budget
by 185k or 4.4% This was led by Med Surg supplies being under budget by
117k and plant maintenance supplies being under budget by 48k.

Key Challenges: 2-3 key contributors for each expense subaccount
Cath Lab had a 180k pick-up for inventory. Without this they were 3k over
budget while performing 55 additional procedures in 2017 over 2016 (345-
290)
Med/Surg
Aquamantys usage reduced 9k from 2016 to 2017 and continues to be used
only on Anterior hips.

Soliris purchased in 2017 and not in 2016 52k in spend
Leader's Summary
Rx Increase in Exparel from 9k to 38k. 29k increase

Isoproterenol purchased in 2017 and not in 2016 18k

Synergy stent usage was reduced from 14 in 2016 to 6 in 2017 10k
difference

Less expensive pacemakers used in 2017-Advisa@ 4143ea compared to
Implants
Viva@7128ea
22 spine cases done in 2017 compared to only 3 in 2016. Increase of 51k
YOY and 34k over budget
Physical and Plant Maintenance expenses continued to be under budget by
48k this month and 269k for the year.

Instruments over budget by 38k led mostly by 27k in Davinci instrument
Other Expenses spend

Office supplies under budget 5k this month and 26k for the year.

Actions Taken/Planned:
Planned conversion to Arjo slings for patient lifts. We are already using
Conversions
alternative product for lift sheets.
Surgical Nav Would like to re-visit getting a surgical Navigator for the East Market.
Continue to move products into the LUM line to further reduce inventory
Lum Conversion
and to reduce shipping costs from direct vendors.
New design with managers bringing ideas for cost savings to the table.
Re-design of SMAT program
More inclusive and more frequent meetings.