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Medical Surgical
                                                     (209,395)
                                OR
                                                          Unfavorable due to unfavorable inventory adjutment. - $280K


          Drugs
                         (148,762)
                                                          Purchases to stock new Omnicell cabinets which included 13 additional anesthesia
                                                          carts in Surgery. High dollar meds administered in our Infusion Center. Working to get
                                                          further $ detail. Also, Humalog used in diabetic treatment over budget ($11K) &
                                                          Ocrevus an Oncology RX over ($12.5K)




          Cardiology Implants
                                                        24,369 Stents  Favorable due to four Boston Sci bilinary stents ($16.9K) returned which were not used
                                                          by Dr Bleibel. Looking @ having product consigned.


                           4,605 CRM


                              0 Valves
         St Charles Variance Analysis
          Non-Cardiology Implants
                          (33,153) Spine
                                                          Four neuromodualtion procedures by Dr Beeks - Impact $86.8K
                           53,762 Ortho
                                                          Dr Morse took vacation time over holidays resulting in less total procedures.
                                                          Alloderm for Dr Gupta breast implant ($10K); Otho spend needs to be reclassed
                                                       (37,659)  ($9.6K), Phasix for Dr Thusay infected hernia repair ($7.5K); Everest screws need
                                Other                     reclassed to spine($6.4K)
                                Radiology/Specials        Supplies (guidewires, filters) to support new Vascualr Surgeon, Dr Hacker ($6.2K)

                                OR


                                Wound                     Four additional active patients than in 2016. Standardize to Epifix. Impact- $10.3K
          Other
                                                        36,047 Dietary
                                                           8,755 Blood
                                                       (16,138) Endomechanical  Reclass
                                                           2,495 Other Non-Medical  Gift Shop $3.9K
                                                         (4,905) IV and IV Sets  Reclass
                                                        11,493 Physical Plant/Maintenance
                                                        13,520 Laboratory
                                                               -  Chemistry Supplies
                                                        24,883 Radiology
                                                           1,603 Office
                                                       (11,104) Minor Equipment Non-Medical  Caninets for OR Rm #5 ($6.1K); monitoring system for medical gas compressors ($3.8K)
                                                         (2,244) Suture  Juggerknot backorder - $2.2K
                                                         (1,562) Instruments  Replaced two broken pistol gripe cable devices used in Ortho - $1.8K
                                                          Vyntus wireless walk kit for ICU ($4.9K); Two Phillips SCO2 machines for ICU ($5.7K);
                                                       (28,726) Minor Equipment Medical  Four Phillips ECG Transmitters ($5.4K); Two Stryker nitinol electodes need reclassed
                                                          ($7.4K)
                                                         (1,459) Linen & Laundry  Timing of sleep lab linen ($.&K)
                                                           1,380 Freight
                                                           5,151 Housekeeping & Laundry
                                                           1,103 Contrast Media
                                                           2,770 Gases, Medical
                                                         (4,587) Forms  Graphic charge for volunteers. Still re-searching
                                                           2,023 Fuel (aircraft & auto)
                                                              158 Uniforms
                                                             (178) Film, Radiographic
                                                           1,606 Pack & Gowns
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