Page 77 - CombinedTest_Neat

Site Performance Summary:

Springfield Supply Expense is unfavorable to budget by $53,493(1.3%),
driven primarily by strong Cath Lab volume (+ 48%), Admissions+5%,
Radiology, Lab, Respiratory and wound clinic volume all up. Drugs, CRM
(driven by Cath Lab/ EP volume), and implant other (driven by wound
volume both at the clinics and the OR) are the major drivers for the
unfavorable variance.Annual pweriodic inventory adjustmet was negative
$109,855 in Urbana and favorable by $108,245 (Pharmacy regionally had a
$152K favorable variance.
Cath Lab / EP Lab had an unfavorable CRM implant variance ($121K)due to
an increase in ICD implants(4 at avg.$24K each and 6 additional monitors
vs. LY $29K).

While surgical volume total was down 9% (33 cases) Inpatient volume was
up 6.5% (11 cases) and procedures averaged 1.08 per case versus 1.05 last
year. Robotic cases continue to grow year over year 55 Ty vs 45 LY. Driving
increased spend in med/surg, instruments and implant other.
Key Challenges: 2-3 key contributors for each expense subaccount
While med/surg spend was unfavorable to budget by $7K (.6%) The OR,
Springfield Leader's Summary
driven by inpatient volume, Repiratory, Pulmonary and DME were over
OR Favorable $23.5K budget due to the increased volume in those areas. OR had a $51K
periodic inventory adjustment.

Med/Surg Periodic inventory adjustment of $119K, an Impella $28K and increased
Cath Lab Unfavorable
volume of 48%
$118,249
EP lab was over by $27.8K driven by the use of Thermocool, Soundstar and
Pentaray

Rx

CRM volume, and the wound volume continue to drive this unfavorable
variance. While total CRM devices remain fairly steady the number of
ICD/BIV have increased driving $65K of additional spend. The use of Reveal
Linq monitors continues to grow and several of these later result in the
placement of the ICD.
Implants
Wound grafts and skin substitutes continues grow and drive increased
spend. Wound Clinics revenue is up 20%.

The impact of the GE contract has driven positive variances in Physical
Plant /Meintenance and other non medical supplies.

Lab and Radiology negative variance due to volume. We had 131 positive
Other Expenses flu patients in December and CT volume was up 4% and MRI 34%

Actions Taken/Planned:
Volume Data
Alt Sourcing
Capital Avoidance