Page 76 - CombinedTest_Neat

Medical Surgical
(7,356) CATH Lab Unfavorable to budget by $118K, 26%, Cath Lab volume up 48%,There was an
adjustment for inventory or $119K. Expenses include $28K Impella and 4 Ekos $11K.
EP lab unfavorable by $27,000 22%, Driven by 11 Thermocool $38K, and 7 Soundstar
$18K
Favorable to budget by $23K. Overall surgical volume was below budget by 9.3%,
however inpatient volume was up 6.6% and procedures versus case were up 15
OR
procedures and 22% increase in robotic cases. There was a $51K adjustment for
inventory.

Drugs
(43,791) I'm still working with Pharmacy to identify the variance. $68K is attributed to the retail

Cardiology Implants
45,736 Stents
Fewer DES versus last year and the continued effort to place several stent graft into
the implant other versus this GL account.
Springfield Variance Analysis
(121,098) CRM While we did 7 fewer pacers (average $5019 with leads) we did 4 additional ICD & BIV
(Average $24,428 with leads) so the net is an increase of $62K. There were 6 additional
Reveal Linq monitors that accounted for $29,070
(1,280) Valves
Four valves vs. 4 last year.
Non-Cardiology Implants
(3,882) Spine
Interstim and lead which is $14,935.
(2,416) Ortho
14 TJR tis year versus 11 LY. How ever LY included a revision
(104,549) Other
Cath Lab was unfavorable to budget by $3,800. An Impella at $25K and 20 additional
CATH Lab
Angio seal $3,500 drove this variance
OR was unfavorable to budget by $68K. There was a Xenmatrix graft for $15,315, Two
OR Miromatrix grafts totaling $11,560, and Robotic relaods totaling $8k versus last year.
Robotic case volume was up 10 cases 55 versus 45.
Woud clinic and OR wound cases continue to drive a large portion to this spend. The
Wound
two wound clinics 28 skin grafts/substitutes. Their revenue was up 20%.
Other
6,394 Dietary
Volume and spend at the surgeons hospital was up over $10K which we receive
(18,532)
Blood revenue for.
(701) Endomechanical
32,488 Other Non-Medical Driven by the GE contract, This has trended this way since June
(11,239) IV and IV Sets
54,589 Physical Plant/Maintenance Driven by the GE contract, This has trended this way since June
1,598 Laboratory
(18,716) Radiology Triad Isotopes and contrast media, atributed to increase volume.
3,720 Office
I have to dig deeper into this one I believe there are DME items that are no longer
49,634 being charged to this GL. They are over $8K in minor equipment medical.
Minor Equipment Non-Medical
(14,040) Suture The increase us of Stratafix is a small part of this
13,518 Instruments
(5,122) Minor Equipment Medical
491 Linen & Laundry
15,891 Freight
2,210 Housekeeping & Laundry
72 Contrast Media
(9,056) Gases, Medical
1,072 Forms
- Fuel (aircraft & auto)
983 Uniforms