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When the money is flowing you don't always look closely at what you spend," admits Mary Haynor, president and chief executive officer of Horizon Home Care & Hospice in Brown Deer, WI, an agency that cut $1.3 million out of the annual budget in early 2010. "It is hard, time-consuming work to evaluate all of your costs but when you do, you see how the little things add up," she admits.

Small amounts add up to big savings