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Medical Surgical
                         $211,809 CATH Lab            Cath Lab overbudget $40,558. Increase of five Cath. Nav. Thermocool ( Biosense
                                                      Webster) over PY totaling $21,066. Increase of 3 ea. Ocelot Cath, and 3 ea. Arthrect
                                                      Pantheris Cath ( Avinger Inc.) over PY totaling $16,470.
                               OR
                                                      Outpatient Surgery overbudget $25,179. Increase in Wand Werewolf Flow Coblation (
                                                      Smith @Nephew ) of 26 over PY totalling $11,154. Increased use of 2.9 Osteoraptyor
                                                      Anchor  over PY totaling $8,013.

          Drugs
                         616,594 Pharmacy



          Cardiology Implants
                                                      Endoscopy over budget $8034. Increased usage of Duodenal Stents over PY by 4 Ea
                                                         (2,183) Stents
                                                      totaling $9852


                         (150,666) CRM
                                                      There was an increase of 8 Pacemakers over PY totaling $65,827,increase in ICD's of 8
                                                      totaling $102,698 and increase in Leads of 22 totaling $15,702.
         Fairfield Variance Analysis
                          15,687 Valves               Budgeted for  a little less than five TAVR's. Completed five TAVR procedures in
                                                      December ($162,500). Received TAVR Quarterly rebate $11,250.
          Non-Cardiology Implants
                          24,957 Spine                Pain Therapy overbudget $5953. Increased  use of Kit Lead 50 CM9( Boston Scientfic
                                                      Neuro) totaling $6000
                          (86,012) Ortho              Surgery overbudget $32,676. There was an increase of four shoulder cases over PY
                                                      totaling $29,900. Outpatient  Surgery  $ 53,336. Did 14 ( Depuy ) Advance Attune knee
                                                       (31,370) Other
                                                      Used one Impella cath 2017 -$25,000- Over Budget $2023
                                                CATH Lab
                                                      Outpatient Surgery overbudget  $59,443. Purchased one Alloderm ( Likecell corp.)
                                                    OR
                                                      $24,809. There was 12 Aminon Inj. 1cc increase totaling $22,200.


          Other
                                                        38,293 Dietary
                                                         (2,162) Blood
                                                      Gastric Sleeves volume up 15 cases over PY.  $52,096 spent on reloads for the 40
                                                       (33,575)
                                                      Gastric Sleeve procedures. $18,293 for Harmonic Shears and $18,038 Stapler Echelon.
                               Endomechanical
                                                         (9,047) Other Non-Medical
                                                       (25,746) IV and IV Sets
                                                        18,784 Physical Plant/Maintenance
                                                                 7    Laboratory
                                                         (3,508) Chemistry Supplies
                                                       (26,758) Radiology
                                                        10,248 Office  Pharmacy has a $29,400 accrual. TBD
                                                         (4,463) Minor Equipment Non-Medical
                                                          1,616 Suture
                                                       (12,935)  There is a $19,400 reclass in Surgery for items incorrectly expensed to 56460000.
                               Instruments
                                                         (3,664) Minor Equipment Medical
                                                          1,565 Linen & Laundry
                                                         (7,982) Freight
                                                          1,224 Housekeeping & Laundry
                                                         (3,443) Contrast Media
                                                       (17,721) Gases, Medical  Invoices for Praxair from 2017 . Catch up on invoices from previous months.
                                                            (534) Forms
                                                              301 Fuel (aircraft & auto)
                                                              281 Uniforms
                                                                 (2) Film, Radiographic
                                                             -    Anesthesia
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