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Site Performance Summary:


                                             Supply expense over budget by $273K. Key drivers of unfavorable spend
                                             was higher Admissions ($18%) and slight uptick in Surgery volume ($1.5%).
                                             Ortho & Spine service lines drove most of supply variance ($161K). Return
                                             of Dr Spetka also help drive higher spine expense ($30K).  Also, incurred an
                                             unfavorable inventory adjustment $23.7K

                   Key Challenges: 2-3 key contributors for each expense subaccount
                                             Reclass PEEK products to spine -$20K



                                             Products used in support of growth in Ortho & spine volumes- Impact $41K
                 St Anne Leader's Summary
                           Med/Surg










                               Rx




                                             Dr Kristoff TLIF procedures - Impact $148K



                                             Ortho volume growth - Impact $41K
                            Implants

                                             Increase in AAA cases over PY - Impact $48.8K


                                             Central Supply Inventory adjustment - Impact $23.7K





                         Other Expenses






                   Actions Taken/Planned:
                          Volume Data        Better job of summarizing spine data
                           Alt Sourcing
                        Capital Avoidance
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