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Medical Surgical
                                                       (44,639)
                                OR
                                                          Varaince primarily driven by growth in Spine & Ortho volumes. Sixty four (64) items
                                                          make up 70 %  of spend. Examples are Osteoccol ($6.8K), Needle Electrode ($24K), &
                                                          Aquamantis  ($10.3K).
                                                          Spine Peek products need reclassed - Impact $20K
          Drugs
                         (145,451)



          Cardiology Implants
                                                        11,112 Stents




                          102,885 CRM

                           (4,352) Valves
         St Anne Variance Analysis
                                                          Two Mosiac Aortic Valves - $11.7K
          Non-Cardiology Implants
                         (106,270) Spine
                                                          Nine TLIF procedures by Dr Christoff - Impact $148K; Dr Spetka return. Impact  $30K
                          (55,457) Ortho
                                                          Eleven (11) incremental cases versus PY. Impact $41K
                                                       (27,013) Other  Three AAA stents ($48.9K) & Strattice hernia repair ($9.9K)
                                CATH Lab

                                OR

                                Wound
          Other
                                                           7,982 Dietary
                                                           9,361 Blood
                                                         (3,028) Endomechanical  Reclass
                                                         (4,692) Other Non-Medical  Five Bariatric Recliners - $10.8K
                                                       (14,342) IV and IV Sets  Reclass
                                                        30,783 Physical Plant/Maintenance
                                                          CAP ($5,371); Wisconsin State Hygiene Laboratory ($4,532)& Maine Standards
                                                         (9,838)
                                Laboratory                ($4,097) proficiency testing.
                                                        10,152 Radiology
                                                           3,453 Office
                                                              320 Minor Equipment Non-Medical
                                                         (1,327) Suture
                                                       (24,356) Instruments  Appears to be DaVinci driven purchases. Need to further investigate
                                                          Freezer & refrigerator for Lab ($9.8K); Four strechers for Surgery ($12.8K); Two
                                                       (27,792) Minor Equipment Medical
                                                          Medtronic Affintiy devices for bypass surgery ($7.8K)
                                                                38 Linen & Laundry
                                                        13,054 Freight
                                                         (1,152) Housekeeping & Laundry  Higher admissions. Up 18%
                                                           4,632 Contrast Media
                                                              515 Gases, Medical
                                                              725 Forms
                                                           1,623 Fuel (aircraft & auto)
                                                                   6 Uniforms
                                                              381 Film, Radiographic
                                                         (1,495) Pack & Gowns
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