| Dec 31, 2018 | $14,267 | AIDA HD CONNECT, DVD,WITH SMARTSCREEN,CE | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $11,393 | CCU, IMAGE 1, HIGH DEF, BASE, DOM,CE | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $10,386 | IMAGE 1,H3-Z HEAD,ZOOM,50/60HZ,CE | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $5,262 | LIGHT SOURCE, 300 WATT XENON W/SCB | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $5,108 | 26 INCH WIDEVIEW HD LED MONITOR | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $4,645 | SURG - REMB | Gift | STRYKER CORPORATION |  | 
        
          | Nov  8, 2018 | $4,232 | ALPINE XC
                  ASPEN
                  CYPHER MIS SCREW SYSTEM
                  TIMBERLINE | Education | ZIMMER BIOMET HOLDINGS, INC. |  | 
        
          | Dec 31, 2018 | $3,670 | ARTHROPUMP POWER SUCTION/IRRIGATION PUMP | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $3,670 | ARTHROPUMP POWER SUCTION/IRRIGATION PUMP | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $3,545 | HANDPIECE, 7K, POWERSHAVER SL, HYBRID | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $3,368 | VIDEO CART W/ARTICULATING ARM | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Oct 25, 2018 | $2,500 | No Listed Product | Promotional Speaking/Other | MEDLINE INDUSTRIES, INC. |  | 
        
          | Dec 31, 2018 | $2,480 | TELESCOPE, HOPKINS II 4MM X 18CM,30 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $2,417 | TELESCOPE,HOPKINS II,AUTOCLAVABLE | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $2,417 | TELESCOPE,HOPKINS II,AUTOCLAVABLE | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $2,236 | TELESCOPE,HOPKINS II, 30, 5MM X 29CM | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $2,236 | TELESCOPE,HOPKINS II, 0, ENLARGED VIEW, | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $2,147 | INTUBATION SCOPE, 15FR. X 650 MM | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $2,094 | POWERSHAVER SL CONSOLE | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $2,056 | C-MAC MONITOR, MODULE AND STAND KIT | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,265 | DOERGES DIFFICULT AIRWAY BLADE F/C-MAC | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,265 | DOERGES DIFFICULT AIRWAY BLADE F/C-MAC | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,265 | DOERGES DIFFICULT AIRWAY BLADE F/C-MAC | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 20, 2018 | $1,210 | No Listed Product | Education | ACELL, INC. |  | 
        
          | Dec 31, 2018 | $1,191 | FOUR PEDAL FOOTSWITCH ARTHROPUMP POWER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,179 | BONFILS INTUBATION ENDOSCOPE, BASIC SET | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,169 | C-MAC VIDEOLARYNGOSCOPE MILLER #1 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,169 | C-MAC VIDEOLARYNGOSCOPE MILLER,#0 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,169 | C-MAC VIDEOLARYNGOSCOPE MILLER,#0 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,169 | C-MAC VIDEOLARYNGOSCOPE MILLER #1 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,148 | TROCAR, SIZE 6MM | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,083 | LIGHT CABLE, 3.5MM X 300CM. LGTH 9.8 FT | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,047 | POWERSHAVER SL CONSOLE | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,044 | C-MAC VIDEO LARYNGOSCOPE # 3 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,044 | C-MAC VIDEO LARYNGOSCOPE # 4, | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,044 | C-MAC VIDEOLARYNGOSCOPE MACINTOSH #2 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,044 | C-MAC VIDEO LARYNGOSCOPE # 4, | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,044 | C-MAC VIDEOLARYNGOSCOPE MACINTOSH #2 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $1,044 | C-MAC VIDEO LARYNGOSCOPE # 3 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | May 15, 2018 | $1,000 | No Listed Product | Grant | THERATECHNOLOGIES INC. |  | 
        
          | Dec 31, 2018 | $999 | CLICKLINE REDDICK-OLSEN FORCEPS, | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $999 | CLICKLINE GRASP FORCEPS KIT, 5MM X 36CM | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $999 | CLICKLINE GRASP FORCEPS KIT, 5MM X 36CM | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $956 | TROCAR, SIZE 6MM | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $842 | TELESCOPE, HOPKINS II WIDE ANGLE,LATERAL | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $800 | HOSE, CO2, FOR BERTCHOLD AND | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $762 | KOH ASSISTANT NEEDLE HOLDER, PISTOL GRIP | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 26, 2018 | $751 | No Listed Product | Promotional Speaking/Other | ABBOTT LABORATORIES |  | 
        
          | Feb 16, 2018 | $700 | NELLCOR | Space rental or facility fees(teaching hospital only) | COVIDIEN LP |  | 
        
          | Dec 31, 2018 | $638 | TELESCOPE,HOPKINS II, 30, ENLARGED | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $635 | C-MAC VIDEO LARYNGOSCOPE # 3 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $635 | C-MAC VIDEO LARYNGOSCOPE # 4 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $548 | HANDLE FOR DISMANTLING KOH NEEDLE HOLDER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $548 | HANDLE FOR DISMANTLING NEEDLE HOLDER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $548 | HANDLE FOR DISMANTLING NEEDLE HOLDER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $548 | HANDLE FOR DISMANTLING KOH NEEDLE HOLDER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 11, 2018 | $525 | No Listed Product | Education | ACELL, INC. |  | 
        
          | Dec 21, 2018 | $525 | No Listed Product | Education | ACELL, INC. |  | 
        
          | Dec 31, 2018 | $500 | CLICKLINE'KELLY' DISSECT&GRASP | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $445 | TRAINER F/SIMULATED LAPAROSCOPIC | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $445 | TRAINER F/SIMULATED LAPAROSCOPIC | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $443 | SILCUT PUNCH, THROUGH-CUTTING | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $443 | PUNCH, STRAIGHT, 3.4MM, SILCUT | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $443 | PUNCH, 30 DEGREE LEFT, 3.4MM, SILCUT | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $426 | TROCAR & CANNULA,W/MULTI- | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $426 | TROCAR & CANNULA.W/MULTI- | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $368 | TRAY, LAP CLICKLINE INSTRUMENT SET | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Feb 12, 2018 | $350 | SET AND RAINBOW SET | Space rental or facility fees(teaching hospital only) | MASIMO CORPORATION |  | 
        
          | Jan 19, 2018 | $350 | OFIRMEV | Space rental or facility fees(teaching hospital only) | MALLINCKRODT LLC |  | 
        
          | Dec 31, 2018 | $308 | TRAY, STERRAD, HIGH DEF CAMERA HEADS | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $279 | POLE STAND FOR VIDEO INTUBATION PLATFORM | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $274 | HANDLE FOR DISMANTLING KOH NEEDLE HOLDER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $263 | STAINLESS STEEL TRAY FOR STERILIZATION | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Jan 11, 2018 | $250 | No Listed Product | Charitable Contribution | SENECA MEDICAL, LLC |  | 
        
          | Dec 31, 2018 | $227 | ADJUST SHELF + LOCKING DRAWER F/ 9603 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $221 | SILCUT ALLIGATOR GRASPER, TRAUMATIC, | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $221 | PUNCH,15 DEGREE, CURVED, 3.4MM, SILCUT | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $221 | SILGRASP GRASPER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $221 | SILGRASP GRASPER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $221 | SILCUT ALLIGATOR GRASPER, TRAUMATIC, | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $221 | PUNCH,15 DEGREE, CURVED, 3.4MM, SILCUT | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $221 | HANDLE, ONLY, PLASTIC W/O RATCHET | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $198 | TRAY, STERRAD, FLEXIBLE FIBERSCOPES | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $191 | TROCAR, SIZE 6MM | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $183 | HIGH FLOW ARTHROSCOPY SHEATH,6MMX13.5CM | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $183 | HIGH FLOW ARTHROSCOPY SHEATH,6MMX13.5CM | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $178 | INSERT FOR DISMANTLING KOH NEEDLE HOLDER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $178 | INSERT FOR DISMANTLING KOH NEEDLE HOLDER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $178 | INSERT FOR DISMANTLING KOH NEEDLE HOLDER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $178 | INSERT W/TC JAWS CRVDING KOH NEEDLE | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $175 | CONNECTING CABLE F/FOOTSWITCH 20012834 | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $162 | OUTER TUBE FOR DISMANTLING KOH | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $162 | TUBE,OUTER,INSULATED, 5MM. 36CM, WITH | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Jan 24, 2018 | $159 | No Listed Product | Travel and Lodging | SENECA MEDICAL, LLC |  | 
        
          | Dec 31, 2018 | $155 | LIGHT CABLE, 3.5MM X 300CM. LGTH 9.8 FT | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $122 | OUTER TUBE FOR DISMANTLING KOH | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $91 | BLUNT OBTURATOR, FOR USE WITH 28136DS/S | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $89 | INSERT FOR DISMANTLING KOH NEEDLE HOLDER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $89 | INSERT FOR DISMANTLING KOH NEEDLE HOLDER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $89 | INSERT FOR DISMANTLING KOH NEEDLE HOLDER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $89 | INSERT FOR DISMANTLING KOH NEEDLE HOLDER | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $81 | OUTER TUBE FOR DISMANTLING KOH | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $81 | OUTER TUBE FOR DISMANTLING KOH | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $81 | OUTER TUBE FOR DISMANTLING KOH | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $81 | OUTER TUBE FOR DISMANTLING KOH | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Jan 24, 2018 | $70 | No Listed Product | Food and Beverage | SENECA MEDICAL, LLC |  | 
        
          | Dec 31, 2018 | $51 | CHANGING ROD,LENGTH 35CM, FOR USE WITH | Education | KARL STORZ ENDOSCOPY-AMERICA |  | 
        
          | Dec 31, 2018 | $41 | OUTER TUBE FOR DISMANTLING KOH | Education | KARL STORZ ENDOSCOPY-AMERICA |  |