10/20/2026
Hospitals lose margin in SPD every day, and most finance teams never see it.
In his latest article, Moab Founder and CEO James Boyette argues that the biggest SPD leak isn’t on the OR schedule. It’s in the staffing model, and its costs are spread across three budgets:
→ Supply chain: loaner tray fees and expedited shipping
→ Labor: long-term agency and travel premiums
→ Capital: instrument repair and replacement
→ Untracked: IUSS used as a routine workaround instead of an emergency exception
Each cost looks manageable on its own. Together, they often add up to more than it would take to fix the problem.
The recommendation for leaders planning 2027 budgets is to stop asking how to cut SPD labor cost. The better question is what instability is costing across the whole organization.
A stable, well-trained SPD team isn’t a cost center to trim. It protects both patient safety and the bottom line.
Read the full article: https://lnkd.in/e6ncfb4x
Surgical Safety Starts in SPD.