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Medical Surgical
                                                     (135,635) CATH Lab
                                                          Unfavorable inventory adjustments of $439K
                                                          Increases in 16 Diamondback Devices ($55K) and 28 drug coated baloons ($42K)
                                OR                        Unfavorable inventory adjustments of $202K
                                                          4 external fixation procedures totaling $101K at the Jewish Hospital


          Drugs
                          846,675                         Favorable inventory adjustment of $446K



          Cardiology Implants
                                                        51,222 Stents
                                                          Reduction in Abbott Xience stents from 152 in 2016 to 99 in 2017 saving $43K. Cost
                                                          per sent decreased $16 per stent on average due to bulk purchase opportunities.

                          (41,869) CRM
                                                          Increased volume at the Fairfield who was over budget by $151K
                           13,970 Valves
         Cincinnati Variance Analysis
          Non-Cardiology Implants
                         (294,052) Spine                  Fusion procedure up 12 procedures over prior year adding $96K in costs
                                                          Pain pump procedres up 10 over prior year adding $95K in expenses
                         (214,738) Ortho                  Over budget but under prior year by $70K. Volume compared to prior year up 5
                                                          procedures. Revisons up 12 procedures adding $144K in costs over prior year.
                                                     (776,370) Other
                                                          5 Watchman devices ($85K), 2 Impella catheters ($45K), and 4 Occluders ($40K) added
                                CATH Lab
                                                          $170K to the variance
                                                          Overall surgical departments are over budget by $557,600 but under prior year
                                OR
                                                          spending by $45K. Spine biologics added $50K in expense at the Jewish Hospital.
                                                          Increase in graft spending totaling $98K. December was the last month of pass through
                                Wound
                                                          status for one of the grafts to be reimbursed.
          Other
                                                        27,814 Dietary
                                                          Driven by the variance at the Jewish Hospital. Spending in line with run rate and 2018
                                                       (45,911)
                                Blood                     budget
                                                           6,620 Endomechanical
                                                          Marketing department for the corporate office over budget by $58K for various
                                                       (66,029)
                                Other Non-Medical         promotional supplies
                                                          Cateorgy over prior year by $38K. $49K in IV Catheters and $25K in IV start kits
                                                     (104,839)
                                IV and IV Sets            previously categorized as medical surgical supplies
                                                      182,892 Physical Plant/Maintenance  Savings due to transition to GE for clincal engineering service
                                                       (25,580) Laboratory
                                                       (18,421) Chemistry Supplies
                                                         (1,843) Radiology
                                                        54,459 Office  Reclassifications and controls placed to reduce cost in this cateogry
                                                       (26,138) Minor Equipment Non-Medical
                                                         (4,803) Suture
                                                          Intuitive surgical supplies up $60K over prior year
                                                     (135,107)
                                Instruments               Medline supplies now being categoriezed as instruments totaled $24K
                                                       (20,325) Minor Equipment Medical
                                                        37,273 Linen & Laundry
                                                        73,015 Freight
                                                        26,594 Housekeeping & Laundry
                                                       (37,948) Contrast Media
                                                             (868) Gases, Medical
                                                              192 Forms
                                                         (5,307) Fuel (aircraft & auto)
                                                              223 Uniforms
                                                              654 Film, Radiographic
                                                         (2,357) Anesthesia
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