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Cath cases were  6% below budget. Only 3 Diamondback  Atherectomy Catheters used.   Dr. Yoo - neurosurgery  MRMC below budget by $285,00 $341K Prevnar bulk buy spread forward across year  IP cath volume was 20% below PY. OP cath cases 13% below  budget but 18% above PY. Stent expense flat to budget. 60%  Increase peripheral stents. Flat to budget 38% EP case decrease YOY, Favorable to budget.  54%  YOY increase in fusions, resulting in a $77K incremental   a $59K incremental  increase.  10K Novastep  walking ring for podiatry, Dr. Hardy. Podiatry  cases are 2 more CY than PY.  Cath lab below budget  ev




                  Comments  Surgery is $16K over budget. 8 Drug coated  balloons used  CY vs  zero in PY ,incremental increase of $9K.  Additional supplies for   spend increase. 400% increase in neuro stimulators , resulting in  TJR cases 5 less than PY. There were however, 6 total shoulders  in CY and none in PY, totalling $53K decerasing   the pickup from   Multiple weather events  (extreme cold and freeze thaw)issues  caused several roof leaks and steam/water line repair issues. Ex.  Reclass of $20K to balance sheet requested for expense in later   $4K closure devices in practices expensed to minor equipment.   $1,065 nee











                  Department  Cath Lab  OR  Pharmacy  Surgery and Cath   lab  Cath lab  no open heart  Surgery    Surgery  Surgery  lower volume.        Surgery  Cath Lab  Dietary  Lab  Surgery  Gift Shop  Pharmacy  Facilities  Lab  Lab  Radiology  All  Pharmacy  Surgery  Surgery  Practices  Linen  Overhead  All  Radiology  Respiratory  All  Supply Chain  Nursing  Radiology  Radiology  Surgery  Surgery  All  Supply Chain  Overhead







                  Supply Category  Med Surg  Drugs  Stents  CRM  Valves  Spine  Ortho  Other  Physical Plant/Maintenance  Minor Equipment Non-Medical  Minor Equipment Medical  Housekeeping & Laundry  Radiopharmaceuticals  Dietary Utensils Disposable  Rebates & Incentives




                                                                                   Dietary  Blood  Endomechanical  Other Non-Medical  IV and IV Sets  Laboratory  Chemistry Supplies  Radiology  Office  Suture  Instruments  Linen & Laundry  Freight  Contrast Media  Gases, Medical  Forms  Fuel (aircraft & auto)  Uniforms  Film, Radiographic  Pack & Gowns  Anesthesia  Dept Transfers  Inventory Variance  Premier Incentive  Purchase Discounts

                                                                                   (14,371)  2,237     (3,449)  4,057     21,758  (19,322)  (30,397)  8,948     (1,195)  11,235  (11,394)  864     (18,600)  (2,920)  74     6,860     4,522     (3,868)  (1,806)  354     1,367     10,765  408     (32)     753     (662)     3,318     2     2,519     9,187     112,901  (2,782)
                  Budget Variance  $25,142  $285,260  $70  $79,100  $3  Non-Cardiology Implants  ($21,312)  $37,525  $4,125



                     Med/Surg    Drugs  Cardiology Implants                      Other Expenses  Lorain Variance Analysis
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