We lower selling and administrative expenses by about 21 percent for the fourth one fourth of 2013 in comparison to prior 12 months, partly the anticipated result of the program we announced in late April to lessen future cash outlays by approximately $1,000,000 yearly. Additionally, we reduced curiosity expense by refinancing some of our more mature Gamma Knife models, and paid off among the Company's debt obligations in 2013. Reimbursement for Gamma Knife services will increase in 2014. January 1 Effective, 2014, CMS Gamma Knife delivery code reimbursement risen to $3,592 from the previous rate of $3,301. It’s estimated that including ancillary solutions and outlier modifications, if relevant, Gamma Knife centers may receive Medicare reimbursement as high as $9,000 per treatment beneath the announced CMS rates.Early detection would allow ophthalmologists to treat individuals before optic nerve damage occurs and would give us the best chance of protecting their vision.’ A symptomless eyes disease like glaucoma highlights the need for regular attention exams. The American Academy of Ophthalmology recommends that everyone possess a complete eye exam by an ophthalmologist at age group 40 and stick to the follow-up examination schedule recommended by their doctor. This during Glaucoma Recognition Month January, the Academy encourages visitors to learn more about the disease referred to as ‘the sneak thief of sight.’ Those who have a grouped genealogy of glaucoma, or who are African-American or Hispanic, could be at higher risk.