Page 369 - CEO Orientation

as ruptured. Thus market share loss is not driving the dropping volumes, but the actual
number of patients requiring the procedure has dropped. Advocacy with funding and
allocation bodies has begun.

 Opportunities for Management – Aortic Aneurysm:
o Aortic Aneurysm cases have been in flux over the past few years (~4 years) with
turnover in specialized vascular surgeons providing this tertiary care.

Financial position and activity results has been regularly presented to Operational Planning and
Performance Committee (OPPC) outlining ongoing hospital deficits and negative variances to
budget as a result of expenses incurred on unfunded activities and ongoing unaddressed operating
pressures. No significant recovery plans appears to have materialized over a period of 8 months
resulting in declining current ratio and on-going negative margins, which is not sustainable and
risks financial solvency of the hospital in the medium term.

Without course correction, the operating deficit is forecasted to roll into next year’s budget
(2018/19). Efforts via the OPPC, realization of revenues for PCOP (timing) and volume funding
optimization are being considered for fiscal 2018/19.

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