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Medical Surgical
                                                     117,461 CATH Lab  Cath Lab did an additional 55 procedures 345 in 2017 vs. 290 in 2016

                                                           Accunav catheters were not used in 2017 compared to 6 used in 2016 for a total
                                                           savings of 17k



                                 OR                        Aquamantys usage reduced by 9k
                                                           Reduction in CDS pack spend from 59k to 44k
           Drugs
                           16,731                          Soliris purchased in 2017 and not in 2016 52k in spend
                                                           Increase in Exparel from 9k to 38k. 29k increase
                                                           Isoproterenol purchased in 2017 and not in 2016 18k
           Cardiology Implants
                                                       41,469 Stents  Synergy stent usage was reduced from 14 in 2016 to 6 in 2017 10k difference
                                                           3 fewer stents used in 2017 compared to 2016
                                                            Less expensive pacemakers used in 2017-Advisa@ 4143ea compared to
                           39,364 CRM
                                                           Viva@7128ea

         Anderson Variance Analysis
                           (17,625) Valves                 6 valves done in 2016 and in 2017. 3 additional rings done in 2016. Total expenses
                                                           down 1k from prior year
           Non-Cardiology Implants
                           (34,346) Spine                  22 spine cases done in 2017 compared to only 3 in 2016
                                                           2 cages implanted at a cost of 10k total
                           (65,857) Ortho                  12 more total joint cases done in 2017 compared to 2016.
                                                           Average cost per case reduced in  basic hips and knees with an increase in robotic
                                                           cases and average case cost.
                                                      (24,739) Other
                                                           15k in additional allograft spend
                                 OR                        11k in reload staplers that were classed in 2016 as endomechanical
                                                           8k in additional lens spend.
           Other
                                                      (34,978) Dietary
                                                        (2,690) Blood
                                                       19,690 Endomechanical  11k in reload staplers now classed as Implant other
                                                           3k in computers and monitors
                                                       (7,156)   Other Non-Medical
                                                           2k recliner purchased for Rehab
                                                           IV caths now considered part of this category instead of med surg 10k in spend
                                                       (9,607)   IV and IV Sets
                                                           IV Start kits now considered part of this category instead of med surg 5k in spend
                                                       47,826 Physical Plant/Maintenance  GE increase in contracted services over CHI at a discounted price
                                                       18,483 Laboratory  9k reduction in reagent spend
                                                       12,729 Chemistry Supplies
                                                       12,638 Radiology  14k isovue and prohance reclassed to contrast media 2016-2017
                                                         5,351 Office
                                                       16,294 Minor Equipment Non-Medical
                                                        (5,483) Suture
                                                      (37,849) Instruments  27k in Davinci spend in 2017
                                                         8,226 Minor Equipment Medical
                                                         1,684 Linen & Laundry
                                                       11,820 Freight
                                                       20,601 Housekeeping & Laundry
                                                      (15,436) Contrast Media  14k reclassed from radiology supplies prohance and isovue 2016-2017
                                                           (545) Gases, Medical
                                                        (1,145) Forms
                                                              58   Fuel (aircraft & auto)
                                                           (116) Uniforms
                                                            225 Film, Radiographic
                                                           (340) Anesthesia
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