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     Key Performance Indicators  Metric                              4,441                          4,725                            ($100)  % Variance 30.0%  $11,376,020
                                                                                                                     St. Charles Hospital
                                                                                                                                                                Prior
                                                                                                                                        Variance
                                                                                                                 Actual
                                                                                                                             Budget
                                                                                                                                                        -21.6%
                                                                                                                                          ($297,980)
                                                                                                                              $1,381,021
                                                                                                                  $1,679,001
                                                                                      Supply Expense
                                                                                                                                                                 $1,561,848
                                                                                                                             $11,515,246
                                                                                                                 $10,794,490
                                                                                                                                                         -6.3%
                                                                                      Net Patient Revenue
                                                                                                                                          ($720,756)
                                                                                      Supply Expense % Net Patient Revenue
                                                                                                                     15.6%
                                                                                                                                                                    13.7%
                                                                                                                                             3.6%
                                                                                                                                 12.0%
                                                                                                                                                                    $887
                                                                                                                                                        -11.6%
                                                                                                                                 $862
                                                                                                                      $962
                                                                                      Supply Expense per EIPA
                                                                                                                                  822
                                                                                                                                                        16.7%
                                                                                                                      959
                                                                                                                                              137
                                                                                                                                                                     956
                                                                                      Total Admissions
                                                                                                                                                         -6.0%
                                                                                      Total Patient Days
                                                                                                                                                                    4,999
                                                                                                                                             (284)
                                                                                      Total EIPAs
                                                                                                                                              143
                                                                                                                                 1,603
                                                                                                                                                                    1,760
                                                                                                                                                         8.9%
                                                                                                                     1,746
                                                                                                                                  104
                                                                                                                       77
                                                                                      IP Surgeries
                                                                                                                                  493
                                                                                                                                                         -5.1%
                                                                                                                      468
                                                                                      OP Surgeries
                                                                                                                                              (25)
                                                                                      Total Surgeries
                                                                                                                                  598
                                                                                                                                              (53)
                                                                                                                                                         -8.9%
                                                                                                                      545
                                                                                                                    Site Performance Summary  (27)      -26.0%                              119  416  535
                                                                                      Supply expense unfavorable to budget by $297K. Admissions & ED visits were up 16.7% & 1.3% respectively while patient days declined
                                                                                      6%. IP Surgery volume increased both to budget & PY while OP missed budget but higher than PY.
                                                                                      Surgery volume increased from 633 TY versus 581 PY.
                                                                                      Service lines with largest increase were GI (69) & OB/GYN (6). Other service lines flat with PY except Gen Surg which was down (17 ).
                                                                                      Supply expense variance primarly driven by Rx ($147K), Med/Surg ($33.4K), Impant Other ($24K) & IV supplies ($26K).
                                                                                      Pharmacy experienced increases in Hormone & Synthetic ($39.8K), Blood coagulant  ($26.4K) & Diagnostic ($18.5K) drugs.  Med/Surg
                                                                                      expense in support of new Vascular Surgeon, Dr Hacker (Vascular), Implant Other increase due to new Surgeons; Drs Hacker (Vascular) &
                                                                                      Dr Momoh (Ortho) while IV supply expense driven largely by spike in flu cases. Overall flu related  supply expense was $37.1K.
                                                                                    St. Charles Hospital Leader's Summary
                                                                                                                         Key Challenges
                                                                                                             Increased spend for new Vascular Surgeon, Dr Hacker - $20K
                                                                                              Med/Surg
                                                                                                             Higher RX expense coming from Oncology
                                                                                                 Rx
                                                                                                             Impact from new Ortho Surgeon (Dr Momoh) & Vascular Surgeon (Dr Hacker) - $22.4K
                                                                                               Implants      Ortho volume declined along with average cost per case - $226
                                                                                                             Impact of Navio robotic cases
                                                                                                             Impact of flu related supplies - $37.1K
                                                                                             Other Expenses
                                                                                                                     Actions Taken/Planned:
                                                                                                             Convert 3 port to 2 port IV set
                                                                                                             Met with Pharmacy Director on Rx spend
                                                                                                             Met with Surgery to understand impact of Navio robotic cases





