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2018-01-31 CC MINUTESI Calhoun County Commissioners' Court — January 31, 2018 REGULAR 2018 TERM § JANUARY 31, 2018 BE IT REMEMBERED THAT ON JANUARY 31, 2018, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Michael J. Pfeifer David Hall Vern Lyssy Clyde Syma Kenneth Finster Anna Goodman Catherine Blevins County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk 3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3) Invocation — Commissioner Hall Pledge to US Flag & Texas Flag — Commissioner Finster & Lyssy Page 1 of 18 Calhoun County Commissioners' Court — January 31, 2018 4. HEAR PRESENTATION (AGENDA ITEM NO. 4) From Galen Johnson regarding purchase of fire trucks (pumper trucks) for six volunteer Fire Departments. (MP) Olivia Fire Chief spoke on this matter. Page 2 of 18 Agenda Item for Commissioners' Court — Wednesday, January 31, 2018 Hear presentation from Galen Johnson regarding purchase of six fire trucks. One for each Volunteer Fire Department. I Calhoun County Commissioners' Court— January 31, 2018 S. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 5) To approve specifications for the purchase of fire trucks (pumper trucks) for Volunteer Fire Departments and authorize the County Auditor to advertise for bids. Bids will be due Thursday, February 22, 2018 and considered for award on Wednesday, February 28, 2018. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vein Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 3 of 18 CINNIMLLER PEOOY HALL CRISTINA P TOAZON 202 S ANN ST, STE B DEMI CABRERA CANDICE VILLARREAL PORT LAVACA, TEXAS 71979 ERICA PEREZ 1" ASSISTANT AUDITOR TELEPHONE 136115534610 FAX 13611553-4614 ASSISTANT AUDITORS RETURN INSTRUCTIONS For Submitting a Bid for 2018.02.22 6 Commercial Cab Pumpers BIDS DUE: By 10:00 AM, THURSDAY, FEBRUARY 22, 2018 DELIVERY ADDRESS FOR BIDS: Michael Pfeifer, County Judge Calhoun County Courthouse 211SAnn St 3`d Floor, Suite 301 Port Lavaca TX 77979 BID PACKAGES: Maybe obtained at the Calhoun County Auditor's Office. Peggy Hall, Assistant Auditor Calhoun County Courthouse Annex 11 202 S. Ann St., Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Email: peggy.hall@calhouncotx.org Page 1 of 2 CIN PEGOY HALL CRISTINA P TUMOR 202 S ANN ST, STE B DEMI CABRERA CANDICE VILLARREAL PORT LAVACA, TEXAS 71979 ERICA PEREZ In ASSISTANT AUDITOR TELEPNONE 13611553-4610FAM(3611553-4614 ASSISTANT AUDITORS Return the following by 10:00 AM, THURSDAY, FEBRUARY 22, 2018: This information must be returned by the time and date due. Failure to return the following information will void the bid. 1. Bid — (return all 3 pages: Specifications page, Bid page & Signature page) 2. Your Complete Bid - List of Specifications and all other information needed to make your bid complete. 3. Form 1295 (see General Conditions, page 5) * On #3 on Form 1295 put the following: 2018.02.22 Six Commercial Cab Pumpers * Do Not Fold * Bid information must be returned in a sealed 9 x 12 or larger envelope clearly marked: "Sealed Bid — 6 Commercial Cab Pumpers" * If you send your bids by UPS, FEDEX, etc, the outside of this envelope must be clearly marked: "Sealed Bid — 6 Commercial Cab Pumpers" Page 2 of 2 Agenda Item for Commissioners' Court — Wednesday, January 31, 2018 Consider and take necessary action to approve specifications for the purchase of six fire trucks. One for each Volunteer Fire Department and authorize the County Auditor to advertise for bids. Bids will be due Thursday, February 22, 2018 and considered for award on Wednesday, February 28, 2018. CALHOUN COUNTY, TEXAS CSI RETURN INSTRUCTIONS For Submitting a Bid for 2018.02.22 6 Commercial Cab Pumpers Return the following bV 10:00 AM, THURSDAY, FEBRUARY 22, 2018: This information must be returned by the time and date due. Failure to return the following information will void the bid. 1. Bid — (return all 3 pages: Specifications page, Bid page & Signature page) 2. Form 1295 (see General Conditions, page 5) * On #3 on Form 1295 put the following: 2018.02.22 Six Commercial Cab Pumpers * Do Not Fold * Bid information must be returned in a sealed 9 x 12 or larger envelope clearly marked: "Sealed Bid — 6 Commercial Cab Pumpers" * If you send your bids by UPS, FEDEX, etc, the outside of this envelope must be clearly marked: "Sealed Bid — 6 Commercial Cab Pumpers" Direct questions to: Peggy Hall, Assistant Auditor 361-553-4610 peggy.hall@calhouncotx.org PEGGY HALL CRISTINA P TURON 202 SANN ST, STE B DEMI CABRERA CANDICE VILLARREAL PORT LAVACA, TEXAS 71979 ERICA PEREZ 1sTASSISTANTAUDITOR TELEPHONE (3 611 5 53-4610 FAX 13611553-4614 ASSISTANT AUDITORS RETURN INSTRUCTIONS For Submitting a Bid for 2018.02.22 6 Commercial Cab Pumpers Return the following bV 10:00 AM, THURSDAY, FEBRUARY 22, 2018: This information must be returned by the time and date due. Failure to return the following information will void the bid. 1. Bid — (return all 3 pages: Specifications page, Bid page & Signature page) 2. Form 1295 (see General Conditions, page 5) * On #3 on Form 1295 put the following: 2018.02.22 Six Commercial Cab Pumpers * Do Not Fold * Bid information must be returned in a sealed 9 x 12 or larger envelope clearly marked: "Sealed Bid — 6 Commercial Cab Pumpers" * If you send your bids by UPS, FEDEX, etc, the outside of this envelope must be clearly marked: "Sealed Bid — 6 Commercial Cab Pumpers" Direct questions to: Peggy Hall, Assistant Auditor 361-553-4610 peggy.hall@calhouncotx.org Calhoun County Basic Specifications Commercial Cab Pumper Required. • Freightliner single -Cab M2 Chassis • Cummins ISL 300HP Engine • Allison 6 Speed Automatic Transmission • Cab Air Conditioning included • 1250 GPM Water Pump — Darley Preferred • 1000 Gallon Poly Water Tank • All Stainless Steel Pump Piping and Valves • NO electronic valve actuators, ALL manual pump valves • Top -mount Pump Panel • Aluminum Pumper body • Pump Discharges: • Two 1.5" NH Crosslay Preconnects • Four 2.5" NH Discharges; 2 Driver Side -1 Rear - 1 Passenger Side • One 4" piped discharge with 4" or 5" Stortz Discharge - Passenger Side • One 2.5" NH Pump Intake - Drivers Side • One 3" NPT Deck Gun Connection • Two 6" NH Pump Intakes— One on each Side • One 2.5" NH Direct Tank Fill with valve in Rear • Four Body Mounted Whelen LED Scene Lights; 1 Driver Side - 2 Rear - 1 Passenger Side • Three High Visibility Whelen Tank Level Indicators; 1 Driver Side - 1 Rear - 1 Passenger Side • ALL Whelen LED Emergency Lighting • Whelen LED Arrowstick mounted on rear of body • Roll -up doors on all body compartments (7 Total Body Compartments; D1, D2,D3, R1, P3, P2, P1) • 7000 Series Pac Trac in 3 body compartments (D1/D2/P1) for ease of mounting tools, etc • Adjustable shelves in the rest of body compartments • Two slide out shelves in P3/R1 • Interior. Ladder Storage with full complement of ladders including attic ladder • Two Free Floating hose trays with straps under each pump panel • Spare SCBA cylinder storage over rear fenderwells • Full Hose bed with two adjustable dividers Optional: • Extendable LED Scene Lights • Generator • Rechargeable LED Flashlights • Crew Cab or Extended Cab • FOAM or CAFS • Other Equipment: ie: deck gun, hard suction hoses, intake valves, etc Page 1 of 3 PRICE WITH REQUIRED SPECS 1. 014 3. 0 j . D LESS TRADE IN - STRIPPED OF LOOSE ITEMS Magnolia Beach VFD 2000 Smeal Freightliner Pumper Six Mile VFD 1992 E -One Pumper Olivia Port Alto VFD 1998 Smeal International Pumper Point Comfort VFD 2001 E -One GMC Pumper Port O'Connor VFD 1998 Smeal Freightliner Pumper Seadrift VFD 1994 E -One Pumper OPTIONAL: ADDS TO PRICE WITH REQUIRED SPECS • Extended LED Scene Lights: Add Per Pumper • Generator: Add Per Pumper • Rechargeable LED Flashlights: Add Per Pumper • Crew Cab: Add Per Pumper • Extended Cab: Add Per Pumper • FOAM: Add Per Pumper • CAFS: Add Per Pumper • Other Equipment: (ie: deck gun, hard suction hoses, intake valves, etc.) Deck Gun: Add Per Pumper Hard Suction Hoses: Add _ Intake Valves: Add Per Pumper Add Add Per Pumper Add NET PRICE Per Pumper _ Per Pumper Per Pumper Page 2 of 3 The undersigned affirms that they are duly authorized to execute this bid and that this company, corporation, firm, partnership, or individual has read the entire bid package and fully understands and has followed all specifications and general conditions.. SUBMITTED this day of 2018 Authorized Signature: Name: Title: Business Name: Address: Phone Number: Fax Number: E -Mail Address: NOTE: Be sure to remember to include your Form 1295 with your bid. See page 5 of the General Conditions. Page 3 of 3 CALHOUN COUNTY, TEXAS GENERAL CONDITIONS Read all documents carefully. Follow all instructions. You are responsible for fulfilling all requirements and specifications. General Conditions apply to all advertised bids, proposals or contracts; however these may be superseded in whole or in part by the scope, special requirements, specifications or special sections of Texas Government Code and/or Texas Local Government Code. Governing Law: Bidder is advised that the Invitation to Bid, Request for Proposal or Contract shall be fully governed by the laws of the State of Texas and that Calhoun County may request and rely on advice, decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of the Invitation to Bid, Request for Proposal or Contract. All parties agree that the venue for any litigation arising from this Invitation to Bid, Request for Proposal and/or Contract shall be held in Port Lavaca, Calhoun County, Texas. Bid Proposal and/or Contract Form Completion: Once a bid, proposal and/or contract is released for bidding, Calhoun County will not answer any questions except through an addendum that has been approved by Commissioners' Court or at a mandatory pre-bid meeting. Fill out, sign, and return to the Calhoun County Judge's Office the required number of bid forms, proposal forms, and/or contracts, and any other required information by the day and time the bid, proposal and/or contract is due. The bid, proposal and/or contract must be signed and dated by an officer (or employee) who is duly authorized to execute this bid, proposal and/or contract, and that this company, corporation, firm, partnership or individual has not prepared this bid in collusion with any other vendor, and that the contents of this bid, proposal and/or contract as to prices, terms or conditions of said bid have not been communicated by the individual signing nor by any employee or agent to any other person engaged in this type of business prior to the official opening of this bid, proposal and/or contract. The use of liquid paper or white out is not acceptable and may result in the disqualification of the bid, proposal and/or contract. If an error is made, the vendor must draw a line through the error and initial each change. All responses typed or handwritten must be clear and legible. Bid Proposal and/or Contract Return: On or before the due date and time, the vendor must return all completed bids, proposals and/or contracts and required information and copies to the Calhoun County Judge's Office, 211 S. Ann St., 3`d Floor, Suite 301, Port Lavaca, Texas. The clock in the County Judge's office is the official clock that will be used in determining the time the bid, proposal and/or contract is received and the time the bid, proposal and/or contract will be opened. A late delivery with an early postmark will not suffice. Calhoun Page 1 of 9 County will not be responsible for the delivery of your bid, proposal and/or contract to the office of the County Judge. Calhoun County is not responsible for late deliveries due to mail, carrier, etc. Calhoun County does not accept faxed or emailed bids, proposals and/or contracts. If you would like to confirm the delivery of your bid, proposal and/or contract, you may call the County Judge's office at 361-553-4600. Late bids, proposals and/or contracts will not be accepted. All late bids, proposals and/or contracts will be returned unopened to the bidder. Bid, proposal and/or contract must be submitted in a sealed 9 x 12 or larger envelope, addressed as follows: Michael Pfeifer, Calhoun County Judge, 211 S. Ann St., 3`d Floor, Suite 301, Port Lavaca, TX 77979. The outside of the envelope must be clearly marked: SEALED BID (PROPOSAL) and the name of the bid or proposal must also be clearly stated. Withdrawal of BID Proposal and/or Contract: A vendor may withdraw their bid, proposal and/or contract before County acceptance of the bid, proposal and/or contract without prejudice to the vendor, by submitting a written request for its withdrawal to the County Judge and mail or hand deliver to the address the bid, proposal and/or contract was submitted to. A bid, proposal and/or contract that were opened are not subject to amendment, alteration, or change for the purpose of correcting an error in the bid, proposal and/or contract price. Bids, proposals and/or contracts containing an error may be offered "as is" or withdrawn by the vendor in accordance with applicable State Laws. Bid Proposal and/or Contract Opening and Award: Vendors are invited to be present at the opening and awarding of the bid, proposal and/or contract. Governing Forms: In the event of any conflict between the terms and provisions of these conditions and the specifications, the specifications shall govern. In the event of any conflict of interpretation of any part of this overall document, Calhoun County's interpretation shall govern. Addendums: When specifications are revised, the Calhoun County Auditor's Office will send each vendor that received a bid, proposal and/or contract package the addendum once it has been approved by Commissioners' Court. No addendum can be sent out until the Commissioners' Court has approved the addendum. Hold Harmless Agreement: Successful vendor shall defend, indemnify and hold Calhoun County and its officers, agents, and employees harmless from all suits, actions, or for personal injury, death and/or property damage arising from any cause whatsoever, resulting directly or indirectly from vendor's performance. Vendor shall procure and maintain, with respect to the subject matter of this bid, proposal and/or contract, appropriate insurance coverage including, as a minimum, general liability and property damage, workers' compensation, employers liability and auto insurance Page 2 of 9 with adequate limits to cover vendor's liability as may arise directly or indirectly from work performed under terms of this bid, proposal and/or contract. Certification of such coverage must name Calhoun County as an additional insured and be provided to the County upon request. Waiver of Subrogation: Vendor and vendor's insurance carrier waive any and all rights whatsoever with regard to subrogation against Calhoun County as an indirect party to any suit arising out of personal or property damages resulting from vendor's performance under this agreement. Bonds• If this bid or proposal requires submission of bid or proposal guarantee and performance bond, there will be a separate page explaining those requirements. Bids or proposals submitted without the required bid bond or cashier's checks are not acceptable. Taxes: Calhoun County is exempt from all federal excise taxes and state and local (county and city) sales tax. Tax exempt forms will be furnished upon request to the Calhoun County Auditor's Office. Pricing: Prices for all goods and/or services shall be firm for the duration of this bid, proposal and/or contract and shall be stated on the bid sheet, proposal and/or contract. Prices shall be all inclusive. All prices must be written in ink or typewritten. Pricing on all transportation, freight, and other charges are to be prepaid by the vendor and included in the bid, proposal and/or contract prices. If there are any additional charges of any kind, other than those mentioned above, specified or unspecified, vendor must indicate the items required and their costs or forfeit the right to payment for such items. Inspections: Calhoun County reserves the right to inspect any item(s) or service location for compliance with specifications and requirements and needs of the using department before accepting them. Testin : Calhoun County reserves the right to test equipment, supplies, materials and goods bid for quality, compliance with specifications and ability to meet the needs of the user. Should the goods or services fail to meet requirements and/or be unavailable for evaluation, the bid is subject to rejection. Awards: Calhoun County reserves the right to award this bid, proposal and/or contract on the basis of lowest and best bid, proposal and/or contract that met specifications in accordance with the laws of the State of Texas, to waive any formality or irregularity, to make awards to more than one vendor, to reject any or all bids, proposals and/or contracts and to be the sole judge in determining which bid, proposal and/or contract will be most advantageous to Calhoun County. An award is final only upon formal execution by the Calhoun County Commissioners' Court. Page 3 of 9 In the event of tie bids, proposal and/or contracts, the winning bid, proposal and/or contract is determined per the Texas Local Governmental Code 262.027(b). Calhoun County, Texas is an Equal Employment Opportunity Employer. The County does not discriminate on the basis of race, color, nation origin, sex, religion, age or handicapped status in employment or the provision of services. Assignment: The successful vendor may not assign, sell or otherwise transfer this bid, proposal and/or contract without written permission of Calhoun County Commissioners' Court. Term of Bids, Proposals and/or Contracts: If the bid, proposal and/or contract are intended to cover a specific time period, said time will be given in the specifications and/or instructions. Bid, Proposal and/or Contract Obligation: Calhoun County Commissioners' Court must award the bid, proposal and/or contract. If a contract is required, the County Judge or other person authorized by Commissioners' Court must sign the contract before it becomes binding on Calhoun County. Delivery All items shall be shipped F.O.B. inside (or site location) delivery unless otherwise stated in the specifications. Default in promised delivery (without accepted reasons) or failure to meet specifications, authorizes the County to purchase supplies from the next lowest bidder that met specifications. Rejections: Articles not in accordance with samples and specifications must be removed by the vendor at the vendor's expense. All disputes concerning quality of supplies, products, and/or services delivered under this bid, proposal and/or contract will be determined by Commissioners' Court or their designated representative. Termination: Calhoun County reserves the right to terminate the bid, proposal and/or contract for default if the vendor breaches any of the terms therein, including warranties of vendor or if the vendor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper goods and/or services within the proper amount of time, and/or to properly perform any and all services required to Calhoun County's satisfaction and/or to meet all other obligations and requirements. Bids, proposals and/or contracts may be terminated without cause upon thirty (30) days written notice to either party unless otherwise specified. The vendor or Calhoun County must state therein the reasons for such cancellation. Calhoun County reserves the right to award cancelled bid, proposal and/or contract to the next lowest and best vendor that met specifications and is deemed to be in the interest of the County. Page 4 of 9 Delinquent Property Taxes: Calhoun County reserves the right to reject any bid, proposal and/or contract submitted by a vendor owing delinquent property taxes to Calhoun County, Texas. Certificate of Interested Parties — Form 1295 Section 2252.908 was added to the Government Code by the 84th Texas Legislature through adoption of House Bill 1295. Senate Bill 255 adopted by the 85th Legislature Regular Session amended the law effective for contracts entered into or amended on or after January 1, 2018. Additional exemptions from Form 1295 requirement were added for 1) a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity, 2) a contract with an electric utility as defined by Section 31.002 of the Utilities Code, or 3) a contract with a gas utility as defined by Section 121.001 of the Utilities Code. Notarization of Form 1295 has been replaced by an unsworn statement under penalty of perjury by an authorized representative of the business entity. The Texas Ethics Commission promulgated rules to implement the law and established an online portal: https://www.ethics.state.tx.us/whatsnew/elf_info_forml295.htm. The law states that a County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) has been completed and provided to the County at the time the contract is considered for action by Commissioners' Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for-profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract (bids and/or proposals also require Form 1295). The law does not apply to a contract, bid and/or proposal between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within thirty (30) days of approving a contract with a business entity. Governmental transparency is the objective of the law. A business entity will generate Form 1295 online. A business entity must use the application at the Texas Ethics Commission website to enter the required information on Form 1295 and print a copy of the completed form, which will include a certification of filing that will contain a unique certification number and date filed in the box marked "Office Use Only" located at the top right hand corner of the form. An authorized agent of the business entity must sign the printed copy of the form affirming under the penalty of perjury that the completed form is true and correct. Calhoun County Commissioners' Court will not consider for action any bid, proposal and/or contract with a business entity unless it is accompanied by a completed, signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. No later than thirty (30) days after Calhoun County Commissioners' Court approves a contract or awards a bid or proposal with a business entity, the County Clerk will file acknowledgement Page 5 of 9 of receipt of the Form 1295 with the Texas Ethics Commission. The Texas Ethics Commission will post the completed Form 1295 to its website within seven (7) business days after Calhoun County acknowledges receipt of the form. Debarment: Vendor certifies that at the time of submission of its bid, proposal and/or contract, vendor was not on the federal government's list of suspended, ineligible or debarred vendors and that vendor has not been placed on this list between the time of its bid, proposal and/or contract submission and the time of execution of the bid, proposal and/or contract. If vendor is placed on this list during the term of the bid, proposal and/or contract, the vendor shall notify the Calhoun County Auditor. False certification or failure to notify may result in termination of the bid, proposal and/or contract for default. Invoices and Payments: All invoices are subject to approval by the County Auditor's Office. Invoices shall be itemized and free of federal excise taxes and state and local (county and city) sales tax. Payment of all invoices will be made once the purchase order and invoice(s) are properly and timely submitted to the County Treasurer's Office by the appropriate County department. Each County department is responsible for submitting their purchase orders for payment to the County Treasurer's Office by the deadline time and date set forth by the Treasurer's office. No payment can be made or mailed out until approved by Commissioners' Court. Purchase order due dates/times and Commissioners' Court dates/times are subject to change. Calhoun County's obligation is payable only and solely from funds available for the purpose of this purchase. Lack of funds shall render the order null and void to the extent funds are not available and any delivered but unpaid goods will be returned to the seller by the county. Gratuities: Calhoun County may, by written notice to the vendor, cancel any order and/or service without liability, if it is determined by the County that gratuities, in the form of entertainment, gifts, or otherwise were offered or given by the vendor, or any agent or representative of the vendor to any officer or employee of Calhoun County with a view toward securing an order and/or service. In the event an order and/or service is canceled by the County pursuant to this provision, the County shall be entitled, in addition to any other rights and remedies, to recover or withhold the amount of the cost incurred by vendor in providing such gratuities. Warranty Product: Vendor shall not limit or exclude any implied warranties and any attempt to do so shall render an order voidable at the option of the County. Vendor warrants that the goods and/or services furnished will conform to the specifications, drawings, and description listed in the bid invitation, proposal and/or contract and to the sample(s) furnished by vendor if any. In the event of a conflict between the specifications, drawings, and descriptions, the specifications shall govern. Page 6 of 9 Cancellation: Calhoun County shall have the right to cancel for default all or any part of the undelivered portion of an order and/or services if vendor breaches any of the terms hereof including warranties of vendor, or if the vendor becomes insolvent or files for protection under the bankruptcy laws. Such rights of cancellation are in addition to and not in lieu of any other remedies, which Calhoun County may have in law or equity. Force Maieure• Force Majeure means a delay encountered by a party in the performance of its obligations under this Agreement, which is caused by an event beyond the reasonable control of that party. Without limiting the generality of the foregoing, "Force Majeure" shall include but not be restricted to the following types of events: acts of God or public enemy; acts of governmental or regulatory authorities; fires, floods, epidemics or serious accidents; unusually severe weather conditions; strikes, lockouts, or other labor disputes; and defaults by subcontractors. In the event of a Force Majeure, the affected party shall not be deemed to have violated its obligations under this Agreement, and the time for performance of any obligations of that party shall be extended by a period of time necessary to overcome the effects of the Force Majeure, provided that the foregoing shall not prevent this Agreement from terminating in accordance with the termination provisions. If any event constituting a Force Majeure occurs, the affected party shall notify the other parties in writing, within twenty-four (24) hours, and disclose the estimated length of delay, and cause of the delay. Waiver: No claim or right arising out of a breach of any bid, proposal and/or contract can be discharged in whole or in part by a waiver or renunciation of the claim or right unless the waiver or renunciation is supported by consideration and is in writing signed by the aggrieved party. Applicable Law: This agreement shall be governed by the Uniform Commercial Code. Whenever the term "Uniform Commercial Code" is used it shall be construed as meaning the Uniform Commercial Code as adopted in the State of Texas and in effective on the date of bid, proposal and/or contract. Prohibition against Personal Interest in Bids, Proposals and/or Contracts: No officer or employee of the County shall have financial interest, direct or indirect, in any bid, proposal and/or contract with the County, or shall be financially interested, directly or indirectly, in the sale to the County of any land, materials, supplies, or service, except on behalf of the County as an officer or employee. Any willful violation of this section shall constitute malfeasance in office, and any officer or employee guilty thereof shall be subject to disciplinary action under applicable laws, statutes and codes of the State of Texas. Any violation of this section, with the knowledge, expressed or implied of the person or corporation contracting with the County shall render the bid, proposal and/or contract involved voidable by the Calhoun County Commissioners' Court. Insurance: Before commencing work, the successful vendor shall be required, at his own expense, to furnish the Calhoun County Auditor within ten (10) days of notification of award with a Page 7 of 9 certificate of insurance showing the following insurance coverage to be in force throughout the term of the bid, proposal and/or contract: General Liability ($100,000/$300,000 or greater) Workers' Compensation (at Statutory Limits) Employers Liability ($1,000,000 or greater) Auto Insurance ($100,000 BIPP/$300,000 BIPO/$100,000 PD or greater) The certificate must reflect that Calhoun County is an additional insured on the General Liability coverage. Each insurance policy to be furnished by successful vendor shall include, by endorsement to the policy, a statement that a notice shall be given to the Calhoun County Auditor by certified mail thirty (30) days prior to cancellation or upon any material change in coverage. OSHA Requirements: The vendor or contractor hereby guarantees to Calhoun County, Texas that all materials, supplies, equipment or services listed on the bid, proposal and/or contract, purchase order or invoice meets the requirements, specifications and standards as provided for under the Federal Occupational Safety and Health Act of 1970, as amended and in force at the date hereof. Protest Procedures: All protests and disputes will be held in Port Lavaca, Calhoun County, Texas. Any actual or prospective vendor who believes they are aggrieved in connection with or pertaining to a bid, proposal and/or contract may file a protest. The protest must be delivered in writing to the Calhoun County Auditor's Office, in person or by certified mail return receipt requested prior to award. The written protest must include: Name, mailing address and business phone number of the protesting party; Appropriate identification of the bid, proposal and/or contract being protested; A precise statement of the reasons for the protest; and Any documentation or other evidence supporting the protest and any alleged claims. The County Auditor's Office will attempt to resolve the protest, including at the County Auditor's option, meeting with the protesting party. If the protest is successfully resolved by mutual agreement, written verification of the resolution, with specifics on each point addressed in the protest, will be forwarded to Commissioners' Court. If the County Auditor's Office is not successful in resolving the protest, the protesting party may request in writing that the protest be considered by Commissioners' Court. Applicable documentation and other information applying to the protest will be forwarded to Commissioners' Court, who will promptly review such documentation and information. If additional information is required, Commissioners' Court will notify the protesting party to provide such information. The decision of Commissioners' Court will be final Page 8 of 9 Public Information Act: All governmental information is presumed to be available to the public. Certain exceptions may apply to the disclosure of the information. Governmental bodies shall promptly release requested information that is not confidential by law, either constitutional, statutory, or by judicial decision, or information for which an exception to disclosure has not been sought. CALHOUN COUNTY AUDITOR To request information from Calhoun County, please contact: Cindy Mueller Calhoun County Auditor Calhoun County Courthouse Annex II 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: cindy.mueller@calhouncotx.org To request a bid/proposal package: Peggy Hall Assistant Auditor Calhoun County Courthouse Annex II 202 S Ann St, Suite B Port Lavaca, TX 77979 Phone: 361-553-4610 Fax: 361-553-4614 Email: peggy.hall@calhouncotx.org Page 9 of 9 Calhoun County Commissioners' Court — January 31, 2018 6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 6) To amend the Policy of Compliance with Government Code Section 2252.908 (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster, Commissioner Pet 4 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Cindy Mueller spoke on this matter. Page 4 of 18 Calhoun County, Texas POLICY OF COMPLIANCE SECTION 2252.908 TEXAS GOVERNMENT CODE Approved by Commissioners Court January 28, 2016 Amended by Commissioners Court January 31, 2018 BACKGROUND Section 2252.908 was added to the Government Code by the 84' Texas Legislature through the adoption of House Bill 1295. The law states that the County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) is provided to the county at the time the contract is considered for action by Commissioner's Court. The term "business entity" includes a sole proprietorship, partnership or corporation (whether for-profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract. The law does not apply to a contract between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within 30 days of approving a contract with a business entity. Governmental transparency is the objective of the law. Senate Bill 255 adopted by the 85' Legislature Regular Session amended the law effective for contracts entered into or amended on or after January 1, 2018. Additional exemptions from Form 1295 requirement were added for 1) a contract with a publicly traded business entity, including a wholly owned subsidiary of the business entity, 2) a contract with an electric utility as defined by Section 31.002 of the Utilities Code, or 3) a contract with a gas utility as defined by Section 121.001 of the Utilities Code. Notarization of Form 1295 has been replaced by an unsworn statement under penalty of perjury by an authorized representative of the business entity. The Texas Ethics Commission promulgated rules to implement the law and established an online portal h_ptt s:ltwww.ethics.state.tx.us/whatsnew/elf info forml295.htm. A business entity will generate Form 1295 online. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven business days, Form 1295 will be available for public viewing on the Commission's website. COMPLAINCE Calhoun County Commissioners Court will not consider for action any contract or bid with a business entity unless it is accompanied by a completed, signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. No later than 30 days after Commissioner's Court approves a contract or awards a bid with a non-exempt business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Ethics Commission. Calhoun County, Texas POLICY OF COMPLIANCE SECTION 2252.908 TEXAS GOVERNMENT CODE Approved by Commissioners Court January 28, 2016 Amended by Commissioners Court January 31, 2018 BACKGROUND Section 2252.908 was added to the Government Code by the 840, Texas Legislature through the adoption of House Bill 1295. The law states that the County may not enter into a contract with a business entity unless a Certificate of Interested Parties (Form 1295) is provided to the county at the time the contract is considered for action by Commissioner's Court. The tern "business entity" includes a sole proprietorship, partnership or corporation (whether for-profit or non-profit). The term "contract" includes amendment, extension or renewal of an existing contract. The law does not apply to a contract between the County and another governmental entity or state agency. The county is required to file Form 1295 with the state within 30 days of approving a contract with a business entity. Governmental transparency is the objective of the law. The Texas Ethics Commission promulgated rules to implement the law and established an online portal https://www.ethics.state.tx.us/whatsnew/elf info form1295.htm. A business entity will generate Form 1295 online. Calhoun County will acknowledge online the receipt of Form 1295 after a contract is executed. Within seven business days, Form 1295 will be available for public viewing on the Commission's website. COMPLAINCE Calhoun County Commissioners Court will not consider for action any contract or bid with a business entity unless it is accompanied by a completed and signed Form 1295 or a signed statement declaring the provision of the law under which the business entity is exempt. No later than 30 days after Commissioner's Court approves a contract or awards a bid with a non-exempt business entity, the County Clerk will file acknowledgement of receipt of the Form 1295 with the Ethics Commission. Susan Riley From: cindy.mueller®calhouncotx.org -- Cindy Mueller <cindy.mueller@calhouncotx.org> Sent: Thursday, January 25, 2018 1:13 PM To: 'Susan Riley' Cc: shannon salyer; Anna Goodman; Catherine Blevins; Erica Perez; Peggy hall; Clyde Syma; david.hall@calhouncotx.org; Kenny Finster; mike pfeifer; veru lyssy Subject: Agenda Item Request -Form 1295 Policy Amendment Attachments: CALHOUN COUNTY Policy of Compliance Section 2252.908 TxGovtCode 2018.01.31.pdf; CALHOUN COUNTY Policy of Compliance Section 2252.908 TxGovtCode Changes.pdf Please place the following item on the agenda for January 31, 2018: • Consider and take necessary action to amend the Policy of Compliance with Government Code Section 2252.908. (Vote: SB 255 amended the law effective January 1, 2015. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553.4610 Fax 361.553.4614 Calhoun County Commissioners' Court — January 31, 2018 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7) To change the meeting date on February 26, 2018 to February 28, 2018 (KF) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: Kenneth Finster, Commissioner Pet 4 AYES: Judge Pfeifer, Commissioner Hall, Lyssy; Syma, Finster Page 5 of 18 M O N O I T O T tC T LO T O T a3 T 00 O 0 U CO T T N N N N T N O N T 00 V W co N'I H O U N N N Calhoun County Commissioners' Court — January 31, 2018 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) To change the meeting date on February 21, 2018 to February 19, 2018 (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 6 of 18 r U - Z r >w coW D r ML M z 0 w LL z COCO O N O 10 T O TM LO T O T' T O U M T cm T Itt t% M N N N T N O N T O U co T co cm H O U N N Ln cm Calhoun County Commissioners' Court — January 31, 2018 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) To acknowledge receipt of Tax Assessor -Collector 2017 Transcript from Texas Association of Counties (TAC) Continuing Education Requirements and enter in Official Public Records. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 7 of 18 CALHOUN COUNTY TAX ASSESSOR/COLLECTOR GLORIA A. OCHOA TAX ASSESSOWCOLLECTOR Phone: 361-553-4433 P. O. DRAWER 6, 211 S. ANN ST. Fax: 361-553-4442 PORT LAVACA, TEXAS 77979 January 24, 2018 Honorable County Judge Honorable Commissioners Court 211 S. Ann St. PortLavaca, Texas 77979 Re: County Tax Assessor Collector Certification In compliance with SB 546 which states a County Assessor -Collector shall file annually a continuing education certificate of completion with the Commissioner's Court of the County in which the County Assessor -Collector holds office. Therefore, I am submitting a transcript from the Texas Association of Counties reporting the completion of my continuing education requirements for 2017. The certificate is for Court information and to be entered into the minutes of Commissioners Court for compliance in accordance with Section 6.231 of the Texas Property Tax Code. No further action is required by Commissioners Court. Thank you for your attention in this matter and if any further information is needed, please let me know. Sincerely, r Gloria A. Ochoa, Tax Assessor- Collector y5°R.,° Tax Assessor -Collector Association y� �G , { 193q D a Professional County Collector Maintenance 6 � A r w 9SSO IIA `Or Hon. Gloria A. Ochoa Tax Assessor Collector Calhoun County PO Box 6 Port Lavaca, TX 77979-0006 ID: 22632 Phone: (361) 553-4433 Fax: (361) 553-4442 Program Start: 01/01/2017 Program End: 12/31/2017 In orderto retain this designation, the TACAActive member must earn 20 Continuing Education Hours annually. A maximum of 10 hours may be carried forward if you earn more than the required 20. Date Course Title Units 01/01/2017 Excess hours carried from 2016 10.00 05/17/2017 Coastal Bend Regional Meeting 4.00 06/04/2017 Tax Assessor -Col lector Association Conference 14.75 06/08/2017 Ethics for County Tax Assessor -Collectors Course at TACA Con 0.00 08/16/2017 Coastal Bend Regional Meeting 3.25 11/14/2017 VG Young School for Tax Assessor -Collectors 14.00 Total Hours for Year: 46.00 You have met your continuing education requirements for the period ending 12/31/2017. You may carry forward 10.00 hours to the next reporting period. 1 211 3/2 01 7 Please contact the TaxAssessor-Collectors Association Director of Education by email @ roving@brazoria-county.com with any questions. I Calhoun County Commissioners' Court — January 31, 2018 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) On Amendment to Tyler Services Agreement dated September 12, 2016 in the amount of $9,000 annually to begin in 2019 for three additional user licenses and authorize County Judge to sign. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Kenneth Finster; Commissioner Pet 4 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 8 of 18 COUNTY OF CALHOUN ANNA KABELA District Clerk 211 S. Ami —Courthouse Port Lavaca, Texas 77979 (361)-553-4630 January 22, 2018 Honorable Mike Pfeifer Calhoun County Judge Calhoun County Commissioners' Court Re: Agenda Item for Commissioners' Court We would like to place the following item on the agenda: Allow the Honorable Mike Pfeifer to sign the "Amendment" from Tyler Technologies for the addition of three SaaS Users for District Court. Tyler has agreed to Naive the 2018 costs for the additional Users, and shall invoice Calhoun County for the SaaS Fees for the additional Users beginning on January 1, 2019. Respectfully, Anna Kabela Calhoun County District Clerk AMENDMENT This amendment ("Amendment") is made by and between Tyler Technologies, Inc., a Delaware corporation ("Tyler") and Calhoun County, Texas (the "Client"). and shall be effective as of the date of the last signature below ("Amendment Effective Date"). WHEREAS, Client and Tyler are parties to that certain Software as a Service and Professional Services Agreement effective September 12, 2016 (the "Agreement'); and WHEREAS, Tyler and Client desire to amend the Agreement to add additional software, hardware, and services as further detailed in the attached Amendment Exhibit "A". NOW THEREFORE, in consideration of the foregoing, the mutual covenants and agreements contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, Tyler and Client agree as follows: 1. The Licensed Software and Users detailed in the Amendment Investment Summary attached hereto as Amendment Exhibit "A" are hereby added to Schedule 1 "Investment Summary" of the Agreement as of the Amendment Effective Date. 2. Tyler shall invoice Client for the SaaS Fees for the additional Users added hereby beginning on January 1, 2019, pursuant to the tcrms.of the Agreement. 3. This Amendment shall be governed and construed in accordance with the terms of the Agreement. 4. All terms and conditions of the Agreement not herein amended remain in full force and effect. Except as defined herein or otherwise required by the context herein, all defined terms used in this Amendment have the meaning ascribed to such terms as forth in the Agreement. [Remainder intentionally left blank; signature page to fallow] Page 1 of 3 IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be executed by a duly authorized representative to be effective as of Amendment Effective, Date, TYLER TECHNOLOGIES, INC.: By: Name: Title: Date: CALHOUN COUNTY, TEXAS: By: Name' Michael J. Pfeifer Title: Calhoun County Judge Date: January 31, 2018 Page 2 of AMENDMENT EXHIBIT 10X" Amendment Investment Summary Software Licenses and ASP Fee SaaS Fee Payments .` - SaaS FeeAnnual Amount $9,000 per Year Software Licenses No. CostlUser SaaS Fee Odyssey Online • Licensed Software Users per Month (Annual) Odyssey Case Manager District Clerk 1 250.00 $3,000 District Court 2 250.00 $6,000 Total Annual SaaS Fee $9,000 Page or Calhoun County Commissioners' Court —January 31, 2018 11. ACCEPT REPORTS OF THE FOLLOWING COUNTY OFFICES: (AGENDA ITEM NO. 11) i. Calhoun Tax Assessor/ Collector — Dec 17 ii. County Treasurer iii. County Sheriff iv. District Clerk v. County Clerk vi. Justices of Peace vii. County Auditor viii. Floodplain Administration ix. Extension Service x. Adult Detention Center SHP Medical RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 9 of 18 (n 00 r (O O n 0( O W A N O O tdov N 2 O O (Or f r O D ' O r� n M W O r LU ER fA fR Y} r r N t0 00 ONO M le ((d O011 ir O N m w O r r M r M n N de ON h N 'eY N N' O r N r m y p fA VT fR fA fA fR to fA fA fA to to HCD fA o 0 Z O00 vrn n m o on O . r O N O Y1 toN F N N N N I N n O (O n N N r J N r J O O t» to w (n (n (n w (n 69 te. 403- t0� NO co N O Cl) 11 0 o co ey o N r r E9 fA to V! V! 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O > Lo m w 0 U a a a U a y 2 O w u LU LL 0 LL a CL W c ao U I Calhoun County Commissioners' Court —January 31, 2018 12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) To accept donations to Calhoun County. PASS Page 10 of 18 I Calhoun County Commissioners' Court— January 31, 2018 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) To declare certain items of County property in the Office of the District Clerk as surplus/salvage and remove from inventory. (See List) (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy; Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 11 of 18 Susan Riley From: anna.kabela@calhouncotx.org -- Anna Kabela<anna.kabela@calhouncotx.org> Sent: Monday, January 22, 2018 9:09 AM To: susan.riley@calhouncotx.org Subject: SURPLUS Attachments: 2018 SURPLUS LIST.pdf Good morning, Susan, I have 2 surplus items that slipped past me in December. Wil you please place the attached surplus list on the next available Commissioners' Court agenda for approval. Thank you so much! ANNA KABELA District Clerk Calhoun County District Clerk's Office arina,kabela@calhouncotx.org (361) 553-4631 Phone (361) 553-4637 Fax 211 S. Ann -Courthouse, Suite. 203 Port Lavaca, Texas 77979 i Calhoun County Commissioners' Court— January 31, 2018 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) On the matter of declaring certain items of County property as surplus/ salvage. (MP) PASS Page 12 of 18 2018 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: District clerk Requested By: Anna Kabela Inventory Reason for Surplus/Salvage Number Descri tion Serial No. Declaration Black bine Roller Shelves Not Needed 450-0036 Typing Stand Metal w P rmica Top Not Needed I Calhoun County Commissioners' Court — January 31, 2018 15. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 15) On matter of transferring certain items of County property from one County department to another County department. (See List) PASS Page 13 of 18 Calhoun County Commissioners' Court— January 31, 2018 16, APPROVAL OF PAYROLL (AGENDA ITEM NO. 16) PASS Page 14 of 18 I Calhoun County Commissioners' Court— January 31, 2018 17. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 17) On any necessary budget adjustments. PASS Page 15 of 18 Calhoun County Commissioners' Court— January 31, 2018 18. APPROVAL OF PAYROLL (AGENDA ITEM NO. 18) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 16 of 18 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- January 31, 2018 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 2,087,791.54 TOTAL TRANSFERS BETWEEN FUNDS $ 2,647,266.23 TOTAL NURSING HOME UPL EXPENSES FOR January 2018 $ 2,844,964.86 TOTAL INTER -GOVERNMENT TRANSFERS $ '1,053,086.75 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- January 31, 2018 PAYABLES AND PAYROLL 1/2/2018 McKesson - 340B Prescription Expenses 522.13 1/4/2018 Medlmpact - Prescriptions for Indigent Care 493.59 1/4/2018 Baxter Healthcare - Supplies 2,439.30 1/4/2018 Baxter Healthcare Corp - Supplies, Software, Lease 4,873.14 1/5/2018 Weekly Payables 493,670.82 1/8/2018 McKesson - 340B Prescription Expenses 1,538.16 1/10/2018 Payroll Liabilities (Payroll Taxes) 1,061.54 1/11/2018 MMC Employee Benefit Plan - Emp Insurance 74,520.08 1/11/2018 Payroll 248,476.58 1/11/2018 Payroll Liabilities (Payroll Taxes) 89,525.40 1/15/2018 Principal Life - Emp Life Ins 4,423.88 1/17/2018 McKesson - 340B Prescription Expenses 2,362.06 1/17/2018 Credit Card - See attached 2,531.14 1/17/2018 Patient Refunds 4,303.83 1/17/2018 Refund/Transfer Insurance Payments to Nursing Homes & Dr. Crowley 32,239.53 1/17/2018 Pablo Garza - Contract Employee 1,515.00 1/17/2018 Rita Davis - Contract Employee 586.50 1/17/2018 Shirley Karnei - Contract Employee 285.78 1/18/2018 TXU Energy 28,804.29 1/19/2018 Weekly Payables 434,979.50 1/22/2018 McKesson - 340B Prescription Expenses 2,723.03 1/22/2018 Allied Benefit System - Employee Insurance 30,264.96 1/24/2018 Medlmpact - Prescriptions for Indigent Care 296.92 1/24/2018 Weekly Payables 158,810.99 1/24/2018 Payroll Liabilities (Payroll Taxes) 90,397.18 1/25/2018 Payroll 250,795.98 1/25/2018 Cardinal Health - 340B Prescription Expenses 458.12 1/29/2018 Pablo Garza - Contract Employee 1,275.00 1/29/2018 Shirley Karnei - Contract Employee 277.86 1/30/2018 Medlmpact - Prescriptions for Indigent Care 176.20 1/30/2018 McKesson - 340B Prescription Expenses 2,198.22 Electronic Bank Payments 1/1-22/2018 IBC Electronic Payments (Credit Card & Lease Fees) 366.38 Prosperity Electronics Payments 1/1/22/2018 Credit Card & Lease Fees 6,687.86 1/4/2018 Returned Check 120.00 1/10/2018 Deposit Adjustment Error 100.00 1/19/2018 TCDRS - Retirement 112,709.22 1/23/2018 Sales Tax 844.27 1/24/2018 Check Order - Deposit Books 137.10 TRANSFERS BETWEEN FUNDS 1/4/2018 Transfer from IBC Operating to Prosperity Operating 187,885.51 1/8/2018 Transfer from Propsperity Operating to Prosperity Indigent 17,603.28 1/16/2018 Transfer from IBC Operating to Prosperity Operating 282,131.38 1/25/2018 Transfer from IBC Operating to Prosperity Operating 165,715.13 1/29/2018 Transfer Waiver Funds received in IBC Operating to Prosperity Waiver 1,000,000.00 1/29/2018 Transfer Waiver Funds received in IBC Operating to Prosperity Operating 834,011.48 1/29/2018 Transfer from IBC Operating to Prosperity Operating 159,919.45 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- January 31, 2018 NURSING HOME UPL EXPENSES 1/2/2018 Nursing Home UPI 69,487.65 1/2/2018 Nursing Home UPI 265,987.19 1/8/2018 Nursing Home UPI 200,524.64 1/8/2018 Nursing Home UPI 178,634.32 1/22/2018 Nursing Home UPI 255,363.49 1/22/2018 Nursing Home UPI 162,156.64 1/30/2018 Nursing Home UPI 29,334.30 1/30/2018 Nursing Home UPI 1,142,294.20 1/30/2018 Nursing Home UPI 377,152.70 QIPP/CHECKS TO MMC 1/30/2018 Ashford -Dec 74,203.96 1/30/2018 Golden Creek -Dec 49,230.42 1/30/2018 Fort Bend -Dec 19,253.91 1/30/2018 Solera-Dec 15,877.69 1/30/2018 Crescent -Dec 5,463.75 TOTAL NURSING HOME UPL EXPENSES $i 2,844,964.86 INTER -GOVERNMENT TRANSFERS 1/4/2018 IGT Private Waiver 1/2612018 IGT DY7 Advance for UC to be paid February 2, 2018 DUE to Employee 12/2212017 Owed To Employee -Not yet reimbursed to employee (Bank Error) 1/11/2018 Owed To Employee -Not yet reimbursed to employee (Bank Error) 790,825.75 262,261.00 Amount $ 175.00 $ 175.00 /(( §§|§(| ©t#@�w Be2,!!r tk kr!§ §pia, M f3 to 513 (�\L \/ \ §( §®!!< |§ � 2 §[\\} / § \\\ \) ; ) 7ƒ \/.2 § k( � / {\ :.a 4 to m ( /(( §§|§(| ©t#@�w Be2,!!r tk kr!§ §pia, M f3 to 513 (�\L \/ |§ � 2 §[\\} (/ \\\ / \/.2 0 :.a 4 to m /(( §§|§(| ©t#@�w Be2,!!r tk kr!§ §pia, M f3 to 513 | (�\L \/ |§ §[\\} (/ 4 to | 0 91 i 00 i 0 -za R 1(z M, "1de ?14 ih rr: 4" n 0 91 i 00 i 0 -za 1(z M, "1de ?14 Fax Server 1/4/2018 10:32:45 AM PAGE 'L/UUU rax Server Page 1 of 1 MEMORIAL MEDICAL CENTER 0 01104!2018 AP Open Invoice List ap_openjnvoice,lemplate 10'28 Dates Through: Vendor!# Vendor Name Class Pay Code 11492 MMC OPERATING PROSPERITY ACC Invoice# Comment Tran Dt Inv Dl Due Dt Check D•Pay Gross Discount No -Pay Net 000571 01/04/20 01102/20 01/02120 187,885,61 0,00 0.00 187,885.61 TRANSFER FUNDS ' Vendor Totals Number Name Gross Discount No -Pay Net 11492 MMC OPERATING PROSPERITY ACC 187,886.51 0.00 0.00 187,865.51 Report Summary Grand Totals: Gross Discount No -Pay Net 187,885,51 0.00 0.00 187,885.51 PPPROVW an JAO 0 4 2018 COUNTY AUDITOR CALHOUN COUNTv,TEXAS ,K� 1��3g� fa l I/ Michael J. Pfeifer Calhoun County Jud e Date: l -Ci- .2a/f file:/f/C:/Usersfeclevengerfcpsifmemmed.cpsinet.com/u82227/data_5/tmp_cw5report6690... 1/412018 MEMORIAL MEDICAL CENTER 01/03/2018 AP open Invoice List 16:16 Due Dates Through: 01/10/2018 Vendor# Vendor Name Class Pay Code 10613 MEDIMPACT HEALTHCARE SYS, INC. AIP Invoice# Comment Tran Dt Inv tQ� Due Dt Check D' Pay Gross 000542A 12131/2012/1972012/29/20 493.59 INDIGENT CARE Vendor Totals Number Name Gross 10613 MEDIMPACT HEALTHCARE SYS, INC. 493.59 ReportSummary Grand Totals: Gross Discount 493.59 0.00 ATIPRONTO ON n �!" ��3 q07 l� COUNT`IAUDITOR ;'ht'133UN COUNTY, TDY-1S ji PL Michael J. Pfeifer Calhoun County udge Date: ! -,9 - / Page 1 of 1 0 ap open_invoice.template Discount No -Pay Net 0.00 0.00 493.59 Discount No -Pay Net 0.00 0.00 493.59 No -Pay Net 0.00 493.59 file:///C:/Users/cclevenger/epsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report2566... 1/3/2018 Fax Server 1/4/2018 10:22:46 AM PAGE 2/003 Fax Server Page 1 of 1 APPROVED am JAN 0 4 2018 COUNTY AUDITOR CALHOUN COUNTY, TEXAS Michael J. Pie'rfer Jud e Calhourn.� County Date: file:///C:/Usersleclovengerlepsilme,mmed.cpsinet.com/U82227/data 5/tmp pw5report6542... 1/4/2018 0 MEMORIAL MEDICAL CENTER 01/0412010 AP Open Invoice List 0 ap_open invoice.templale 10:15 Dates Through: Vendor# Vendor Name Class Pay Code 61150 /BAXTER HEALTHCARE w Invoice# Comment Tran Dt (9D Due Dl Check DPay Gross Discount No -Pay Net 484.72✓ 56207345 12119120 09112120 01/01120 484.72 0.011 0.00 SUPPLIES ✓ ✓56861o09 12/1912011/0612001/01120 453.41 0.00 0.00 453.41 // SUPPLIES x/56940455 12/191201111312001101/20 465.71 0.00 0.00 465.71 ✓ SUPPLIES 57088434 1211912011127120 01/01/20 49D.55 0.00 0.00 490.55 ✓ SUPPLIES 544.91 ✓ /57146478 12/19/20 11/30/20 01/01/20 544.91 0.00 0.00 SUPPLIES Vendor TotalENumber Name Gross Discount No -Pay Net 81150 BAXTER HEALTHCARE 2,439.30 0.00 0.00 2,439.30 Report Summary Grand Totals: Gross Discount No -Pay Net 2,439.30 0.00 0.00 2,439.30 APPROVED am JAN 0 4 2018 COUNTY AUDITOR CALHOUN COUNTY, TEXAS Michael J. Pie'rfer Jud e Calhourn.� County Date: file:///C:/Usersleclovengerlepsilme,mmed.cpsinet.com/U82227/data 5/tmp pw5report6542... 1/4/2018 0 RUN DATB:01/04/18 MEMORIAL MBDICAL CENTER PAGE 1 TIMEo11:19 CHECK REGISTER GLCKREG 01/04/18 THRU 01/04/18 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOPMT PAYEE A/P 173988 01/04/18 2,439.30 BAXTER HEALTHCARE A/P 173989 01/04/18 4,873.14 BAXTER HEALTHCARE CORP TOTALS: 7,312.44 APPROVM- 4m AM 0 b 2098 COUNTY AUDITOR CA'L HOUN COUNTY., TEY.AS Page 2 of 24 file:///C:[Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report3757... 1/3/2018 9652328431 12121/20 11/01120 12/01/20 477.00 0.00 0.00 477.00 SUPPLIES 159.00 9652470877 12/29/2011/22/2012/22/20 159.00 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A1690 ALCON LABORATORIES, INC. 636.00 0.00 0.00 636.00 Vendor# Vendor Name Class Pay Code 11684 /ALERE NORTH AMERICA, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 91381647 12/31/2010/23/2011/23/20 5,279.20 0.00 0.00 5,279.20✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11684 ALERE NORTH AMERICA, LLC 5,279.20 0.00 O.OD 5,279.20 Vendor# Vendor Name Class Pay Code A1705 JALIMED INC. M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net/ J RPSVO2676352 12/19120 11/22120 01/01/20 156.06 0.00 0.00 156.06 ✓ SUPPLIES /RPSV02662193 12/29/2011107/2012/07/20 373.25 0.00 0.00 373.25 SUPPLIES ✓RPSV02663481 12/29/20 11/08/20 12/08/20 31.27 0.00 0.00 31.27 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A1705 ALIMED INC. 560.58 0.00 0.00 560.58 Vendor# Vendor Name Class Pay Code 10931 /AMERICAN APPLIANCE Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net f 24713 01/02/201012612011/10/20 398.00 0.00 0.00 398.00 REFIGERATOR ' Vendor Totals Number Name - Gross Discount No -Pay Net 10931 AMERICAN APPLIANCE 398.00 0.00 0.00 398.00 Vendor# Vendor Name Class Pay Code 10938 BANK OF THE WEST Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 4355938 12/27/2012/12/2001/01/20 6�7 0.00 0.00 36.145..337 EQUIPMENT LEASE Vendor Totals Number Name Lake �'�' Gross Discount No -Pay Net 10938 BANKOFTHEWEST 6,1� 0.00 0.00 6�7 �� \\ 11 Vendor# Vendor Name Class Pay Code 61r.(�j�,•1Pi B0435 vBARD PERIPHERAL VASCULAR M Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net ✓77238192 12/19/2011/20/2001/01/20 344.62 0.00 0.00 344.62,, SUPPLIES ' / ✓ 77231556 12/19/20 11/17/20 01/01/20 344.62 0.00 0.00 344.62 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 80435 BARD PERIPHERAL VASCULAR 689.24 0.00 0.00 689.24 Vendor# Vendor Name Class Pay Code B1150 BAXTER HEALTHCARE W Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 56207345 12/19/20 09/12/20 01101!20 4 .72 0.00 0.00 .72 SUPPLIES file:///C:[Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report3757... 1/3/2018 Page 4 of 24 A1825 / CARDINAL HEALTH 414,LLC JV M Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 8001514276 12/22120 11/3012012/30120 378.75 0.00 0.00 378.75 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A1825 CARDINAL HEALTH 414,LLC 378.75 0.00 0.00 378.75 Vendor# Vendor Name Class Pay Code JCAREFUSION 10650 2200, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net ,/9108161839 12119/2011/2212001/01/20 81.45 0.00 0.00 81.45 SUPPLIES / 49.09 / 9108147543 12/29/20 11/15/20 12/15120 49.09 0.00 0.00 SUPPLIES ' Vendor Totals Number Name Gross Discount No -Pay Net tomo CAREFUSION 2200, INC 130.54 0.00 0.00 130.54 Vendor# Vendor Name Class Pay Code C1992 /CDW GOVERNMENT, INC. M Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 77.08 KWB9832 12/29/2011/20/2012/20120 77.08 0.00 0.00 SUPPLIES J KWQ5546 12/29/2011/22/20 12122120 111.93 0.00 0.00 111.93 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net C1992 CDW GOVERNMENT, INC. 189.01 0.00 0.00 189.01 Vendor# Vendor Name - Class Pay Code 10350 /CENTURION MEDICAL PRODUCTS Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 0092384752 12/19/20 11/07/20 01/01/20 1,187.80 0.00 0.00 1,187.60 SUPPLIES 647.50 f 0092385963 12/19/20 11/08/20 01/01/20 647.50 0.00 0.00 SUPPLIES 1,798.98 0092393473 12/19/2011/2012001/01/20 1,798.98 0.00 0.00 SUPPLIES J0092396879 12/19/2011/27/2001/01/20 767.16 0.00 0.00 767.16 SUPPLIES 10092399060 12/19/20 11/29/20 01/01/20 832.80 0.00 0.00 832.80 SUPPLIES 0092401774 12/19/20 12/04120 01/03/20 187.60 0.00 0.00 187.60/ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10350 CENTURION MEDICAL PRODUCTS 5,421.84 0.00 0.00 5,421.84 Vendor# Vendor Name Class Pay Code 10105 PRIS KOVAREK Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 0000801 01/02/2001/02/2001/02120 200.00 0.00 0.00 200.00/ SWINGBED SERVICE/ACTIVIT ' Vendor Totals Number Name Gross Discount No -Pay Net 10105 CHRIS KOVAREK 200.00 0.00 0.00 200.00 Vendor#J•✓endor Name Class Pay Code C1611 / CITIZENS MEDICAL CENTER W Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 122717 12/27/20 12/19/20 01/19/20 85.00 0.00 0.00 85.00 file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_pw5report3757... 1/3/2018 Yage b of L.4 W Jnvoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2,965.64 ,/ RT00176390 11/30/20 11121/20 01/01/20 2,965.64 0.00 0.00 EQUIP RENTAL ' Vendor Totals Number Name Gross Discount No -Pay Net 11004 CSI LEASING INC 2,965.64 0.00 0.00 2,965.64 Vendor# Vendor Name Class Pay Code C1443 ✓CYGNUS MEDICAL LLC M Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net J230139 12/19/2011/06/2001/01/20 449.00 0.00 0.00 449.00/ SUPPLIES 264.00 232142 12/19/2011/30/2001/01120 264.00 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net C1443 CYGNUS MEDICAL LLC 713.00 0.00 0.00 713.00 Vendor# Vendor Name Class Pay Code /CYRACOM LLC 11368 Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net J 691002 12127/20 10/31/20 11/30/20 187.92 0.00 0.00 187.92 PHONE INTERPRETATION / 700923 12/27/20 11/30/20 12/03/20, 220.32 0.00 0.00 220.32 v/ PHONE INTERPRETATION Vendor Totals Number Name Gross Discount No -Pay Net 11368 CYRACOM LLC 408.24 0.00 0.00 408.24 Vendor# Vendor Name Class Pay Code 11287 DELTA HEALTHCARE PROVIDERS Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 174950130 12/27/20 12/10/20 01/10/20 2,873.20 0.00 0.00 2,873.20 PT SERVICES 12-/q - "qVII-1 175050119 12129/2012/1712001/07/20 2,873.20 0.00 0.00 2,873.20 PT SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 11287 DELTA HEALTHCARE PROVIDERS 5,746.40 0.00 0.00 5,746.40 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 19.37 /6218380/ 12/19/20 11/29/20 01/01/20 19.37 0.00 0.00 SUPPLIES / 5193650 ✓ 12/20/20 11/01/20 11/26120 696.45 0.00 0.00 696.45 J SUPPLIES 5196990 12120/20 11/06/20 12/01120 553.17 0.00 0.00 553.17 / SUPPLIES 541.12 6216740 12/20/20 11127/2012/22/20 541.12 0.00 0.00 SUPPLIES 384.47 5206450 12/21/2011/1412012/09/20 384.47 0.00 0.00 SUPPLIES 5227930 12127/2012107/2001/01120 16.65 0.00 0.00 16.65✓ SUPPLIES J 5230200 12/27/2012/11/2001/05/20 88.32 0.00 0.00 88.32✓ SUPPLIES 27.49 5232570 12/27/20 12/13/20 01/07/20 27.49 0.00 0.00 SUPPLIES J 5233030 12127/20 12/13/20 01/07/20 213.58 0.00 0.00 213.58 file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data 5/tmp cw5report3757... 1/3/2018 Vendor Totals Number Name Gross Discount 11680 EMILIE KESTNER 21.40 0.00 Vendor# Vendor Name Class Pay Code 10003 /FILTER TECHNOLOGY CO, INC 10D42 ERBE USA INC SURGICAL SYSTEMSy / Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross ✓ 94745 01/02/20 10/13/20 11/12/20 Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount J 455947 12/19/2011/28/2001/01/20 153.54 0.00 SUPPLIES Vendor# Vendor Name Class Pay Code Net Vendor Total: Number Name Gross Discount 10042 ERBE USA INC SURGICAL SYSTEMS 153.54 0.00 Vendor# Vendor Name Class Pay Code 000536 12/27/20 12/21/20 12/31/20 C2510 ✓ EVIDENT M PAYROLL DED 0.00 Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount T1912111378 12/27/20 12111/20 01/05/20 13,949.45 0.00 F COMPUTER PROGRAM Discount Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Vendor Total: Number Name Gross Discount 02510 EVIDENT 13,949.45 0.00 Vendor# Vendor Name Class Pay Code 11184 FLDR DESIGNS LLC 5050d EVOQUA WATER TECHNOLOGIES LLC Vendor# Vendor Name Class Pay Code No -Pay Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount ✓903329845 12/19/20 11/11/20 01/01120 425.25 0.00 SUPPLIES Net Vendor Total: Number Name Gross S0501 EVOQUA WATER TECHNOLOGIES LLC 425.25 Vendor# Vendor Name Class Pay Code 153.54 10003 /FILTER TECHNOLOGY CO, INC 0.00 / Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross ✓ 94745 01/02/20 10/13/20 11/12/20 21.32 SUPPLIES Net Vendor Total: Number Name Gross 10003 FILTER TECHNOLOGY CO, INC 21.32 Vendor# Vendor Name Class Pay Code Net 11037 /IFIRSTCLEARING 0.00 Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross 000526 12/27/20 12/07/20 01/05/20 75.00 PAYROLL DED Discount 000536 12/27/20 12/21/20 12/31/20 75.00 PAYROLL DED 0.00 Vendor Total: Number Name Gross 11037 FIRSTCLEARING 150.00 Vendor# Vendor Name Class Pay Code 0.00 11184 " FLDR DESIGNS LLC Discount Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross 15183 12/22120 12107120 01/07/20 1,799.63 0.00 1,799.63 SUPPLIES No -Pay Vendor Total: Number Name Gross 11184 FLDR DESIGNS LLC 1,799.63 Vendor# Vendor Name Class Pay Code No -Pay F1653 / FORT BEND SERVICES, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 0212799IN 12/27/20 12/01/20 01/01/20 530.00 WATER TREATMENT Vendor Total: Number Name Gross rage 6 or /4 No -Pay Net 0.00 21.40 No -Pay Net 0.00 153.54 No -Pay Net 0.00 153.54 No -Pay Net 0.00 13,949.45 No -Pay Net 0.00 13,949.45 No -Pay Net 0.00 425.25 Discount No -Pay Net 0.00 0.00 425.25 Discount No -Pay Net 0.00 0.00 21.32 ✓ Discount No -Pay Net 0.00 0.00 21.32 Discount No -Pay Net 0.00 0.00 75.00 0.00 0.00 75.00/ Discount No -Pay Net 0.00 0.00 150.00 Discount No -Pay Net / 0.00 0.00 1,799.63 Discount No -Pay Net 0.00 0.00 1,799.63 Discount No -Pay Net 0.00 O.OD 530.00,/ Discount No -Pay Net file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report3757... 1/3/2018 G0930 GRAPHIC CONTROLS LLC 118.56 0.00 Vendor#vendor Name Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross H1135 /HEALTH CARE LOGISTICS INC J/ M 199.10 SUPPLIES Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount ,/6472175 01/02/20 11/16120 12116120 100.50 0.00 SUPPLIES Grass - H1399 HILL -ROM COMPANY, INC Vendor Totals Number Name Gross Discount H1135 HEALTHCARE LOGISTICS INC 100.50 0.00 Vendor# Vendor Name Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check Or Pay Gross 11552 / HEALTHCARE EQUIPMENT FINANCE 517.12 SUPPLIES Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount / 87270530 12/22/2012/10/2001/10120 9,000.00 0.00 EQUIPMENT LEASE Pay Code H1850 /OSPIRA WORLDWIDE, INC M !87270521 12/22/20 12/10/20 01/01/20 7,154.17 0.00 EQUIPMENT RENTAL 346.65 SUPPLIES 87268229 12/27/20 12/10120 01/01/20 5,165.38 0.00 EQUIPMENT LEASE 346.65 Vendor# Vendor Name Class Vendor Totals Number Name Gross Discount 11552 HEALTHCARE EQUIPMENT FINANCE 21,319.55 0.00 Vendor# Yendor Name - Class Pay Code H1399 !HILL -ROM COMPANY, INC M No -Pay Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross / 550784 01/02/2011114/2012114/20 199.10 SUPPLIES Net /557807 01/02/201112812012/28/20 452.22 SUPPLIES Net Vendor Totals Number Name Grass - H1399 HILL -ROM COMPANY, INC 651.32 Vendor#/Vendor Name Class Pay Code H0416 f HOLOGIC INC Invoice# Comment Tran Dt Inv Dt Due Dt Check Or Pay Gross J 8425128 12/19/20 12/04120 01/01/20 517.12 SUPPLIES Vendor Totals Number Name Gross H0416 HOLOGIC INC 517.12 Vendor# Vendor Name Class Pay Code H1850 /OSPIRA WORLDWIDE, INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross /921016948 12/19/20 11/21/20 01/01/20 346.65 SUPPLIES Vendor TotalsNumber Name Gross H1850 HOSPIRA WORLDWIDE, INC 346.65 Vendor# Vendor Name Class Pay Code 11127 /INTEGRATEDMEDICALSYSTEMS Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross 1568407 12121120 10117120 11/16/20 46.25 SUPPLIES Vendor Totals Number Name Gross 11127 INTEGRATED MEDICAL SYSTEMS 46.25 Vendor# Vendor Name Class Pay Code 10442 INTERSTATE ALL BATTERY CENTER Invoice# Comment Tran Dt Inv Dt Due Dt Check 0, Pay Gross Discount 0.00 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 rage loot 1.4 0.00 118.56 0.00 No -Pay Net Net 0.00 100.50 No -Pay No -Pay Net 0.00 100.50 No -Pay Net 0.00 9,000.00 0.00 7.164.17-/ 0.00 5,165.38/ No -Pay Net 0.00 21,319.55 No -Pay Net 0.00 199.10 0.00 " 0.00 452.22 No -Pay Net 0.00 651.32 No -Pay Net 0.00 517.12 No -Pay Net 0.00 517.12 No -Pay Net 0.00 346.65 No -Pay Net 0.00 346.65 Discount No -Pay Net / 0.00 0.00 46.25 Discount No -Pay Net 0.00 0.00 46.25 Discount No -Pay Net file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data 5/tmp_cw5report3757... 1/3/2018 Page 1"2 of "24 Vendor Totals Number Name Gross Discount No -Pay Net L1001 IANDAUER INC 757.58 O.OD 0.00 757.58 Vendor# endor Name Class Pay Code W L1288 LANGUAGE LINE SERVICES Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 4197524 12127/2011/30120 12125/20 81.00 0.00 0.00 81.00/ PHONE INTERPRETATION ' Vendor Totals Number Name Gross Discount No -Pay Net L1288 LANGUAGE LINE SERVICES 81.00 0.00 0.00 81.00 Vendor# Vendor Name Class Pay Code 11600 ,/LEGALSHIELD Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount Pay Net / 000558 12129/20 12/15120 01/08/20 443.65 0.00 0.00 0.0 443.65 ✓ EMPINSURANCE ' Vendor Totals Number Name Gross Discount No -Pay Net 11600 LEGAL SHIELD 443.65 0.00 0.00 443.65 Vendor# Vendor Name Class Pay Code L1640 /LOWE'S HOME CENTERS INC W Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 000569 01/02120 12102120 01/02120 50.02 0.00 0.00 50.02 CREDIT CARD Vendor Totals Number Name Gross Discount No -Pay Net L1640 LOWE'S HOME CENTERS INC 50.02 0.00 0.00 50.02 Vendor# Vendor Name Class Pay Code 10972 /M G TRUST Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 000525 12127/2012107/2001/05120 1,165.00 0.00 0.00 1,165.00 PAYROLL DED 000537 12127/2012121/2012/21/20 1,165.00 0.00 0.00 1,165.00 PAYROLL DED Vendor Totals Number Name Gross Discount No -Pay Net 10972 M G TRUST 2,330.00 0.00 0.00 2,330.00 Vendor# Vendor Name Class Pay Code J1350 /M.C. JOHNSON COMPANY INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dr Pay Gross Discount No -Pay Net/ / 00372179 12119/20 10/25120 01/01/20 105.35 0.00 0100 105.35 Vendor Totals Number Name Gross Discount No -Pay Net J1350 M.C. JOHNSON COMPANY INC 105.35 0.00 0.00 105.35 Vendor# Vendor Name Class Pay Code M1500/MARKS PLUMBING PARTS M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net INV001648185 12/27/20 09/22/20 10/22/20 530.89 0.00 0.00 530.89 SUPPLIES INVO01648186 12/27/20 09/22/20 10/22/20 525.68 0.00 O.OD 525.68 SUPPLIES 882.29 /INV001656925 12/27/2010125120 11/24/20 882.29 0.00 1).00 SUPPLIES ANV001656924 12127/2010/25/2011/24/20 446.15 O.OD 0.00 446.15✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M1500 MARKS PLUMBING PARTS 2,385.01 0.00 0.00 2,385.01 file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u822271data_5/tmp cw5report3757... 1/3/2018 SUPPLIES W /2873465 12120/20 11/14/20 12/20/20 SUPPLIES 2834417 01/02/2010/06/20 11/06/20 page 14 of "24 105.59 0.00 0.00 105.59 / 5,638.86 0.00 0.00 5,638.86 Vendor Totals Number Name Gross Discount No -Pay Net M2827 MEDIVATORS 6,240.77 0.00 0.00 6,240.77 Vendor# Vendor Name Class Pay Code 000528A 12127/2012/0712001/07/20 241.29 PAYROLLDED /MEDLINE INDUSTRIES INC M 000539 12127/20 12121/20 12/21/20 206.29 PAYROLLDED No -Pay M2470 nvoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 43.58 J1837801882 12119/2010/31/2001/01/20 43.58 0.00 0.00 Check DPay Gross SUPPLIES 73.74 SUPPLIES 179.73 973.94 37801880 12119/2010/31/2001/01/20 973.94 0.00 0.00 Pay Code SUPPLIES Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross J 8800128302 12/1912009/2012001/01/20 92.64 Vendor Totals Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 1,017.52 0.00 0.00 1,017.52 Vendor# Vendor Name Class Pay Code M2556✓ MEGADYNE MEDICAL W Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 54.00 11180308 12119/2011/20/2001/01/20 54.00 0.00 0.00 Vendor Totals Number Name """' M2556 MEGADYNE MEDICAL 54.00 Vendor# Vendor Name Class Pay Code /MEMORIAL CLINIC No -Pay 0.00 10963 MEDICAL 0.00 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 000528A 12127/2012/0712001/07/20 241.29 PAYROLLDED 0.00 000539 12127/20 12121/20 12/21/20 206.29 PAYROLLDED No -Pay Vendor Totals Number Name Gross 10963 MEMORIAL MEDICAL CLINIC 447.58 Vendor# Vendor Name Class Pay Code 10182 MERCEDES MEDICAL 0.00 Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross 1997999 12/19/20 12/05/20 01/04/20 73.74 SUPPLIES 179.73 Vendor Totals Number Name Gross 10182 MERCEDES MEDICAL 73.74 Vendor# vendor Name Class Pay Code M2659 ,/MERRY X-RAY/SOURCEONE HEALTHCA M Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross J 8800128302 12/1912009/2012001/01/20 92.64 SUPPLIES Discount No -Pay Net 0.00 0.00 54.00 Discount 0.00 No -Pay 0.00 Net 241.29 ✓ 0.00 0.00 206.29 .� Discount No -Pay Net 0.00 0.00 447.58 Discount No -Pay Net 0.00 0.00 331.95 Discount No -Pay Net 0.00 0.00 73.74 Discount 0.00 No -Pay 0.00 Net 92.64 ✓8800158470 12/1912011/1312001/01/20 1,336.26 0.00 SUPPLIES J 8800160853 12/19/20 11116/20 01/01120 178.70 0.00 SUPPLIES 8800164827 12/19/20 11/27/20 01/01/20 331.95 0.00 SUPPLIES J8800151128 1212012010/31/2001/01/20 179.73 0.00 SUPPLIES ' 0.00 0.00 0.00 0.00 1,336.26 178.70 331.95 179.73 ✓ file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report3757... 1/3/2018 Page 16 of 24 file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report3757... 1/3/2018 ,/2187873 INVENTORY 12/31/201212112012122120 262.90 0.00 0.00 262.90 INVENTORY 31.84 0.00 0.00 / 31.84 V/219246412131/2012/22/2012/23/20 INVENTORY V 2192555 12/31/20 12122/20 12123/20 293.75 0.00 0.00 293.75 INVENTORY V/ 2192652 12131/20 12122/20 12/23/20 438.50 0.00 0.00 436.50 INVENTORY 22.20 ✓2192465 12131/2012/2212012/23/20 22.20 0.00 0.00 INVENTORY 2192556 12/3112012/2212012/23/20 3,059.08 0.00 0.00 3,059.08 INVENTORY 82.21 ✓ 2206282 12/31/2012/27/2012/28120 82.21 0.00 0.00 INVENTORY 125.46/ ✓ 2203563 12/31/20 12/27/20 12128/20 125.46 0.00 0.00 INVENTORY 2206284 12/31/2012/2712012/28120 78.17 0.00 0.00 78.17 ✓ /2206283 INVENTORY 12/31/20 12/27120 12/28/20 453.99 0.00 0.00 453.99 INVENTORY /2206077 12/31/20 12127/20 12/28120 9.21 0.00 0.00 9.21 INVENTORY ✓ 2203899 1213112012/27/2012128/20 5.11 0.00 0.00 5.11 INVENTORY ✓2212757 12/31/2012/28/2012/29120 1,289.52 0.00 0.00 1,289.52 INVENTORY ,212759 12/31/2012/28/2012/29/20 27.29 0.00 0.00 27.29 INVENTORY ✓2212758 12/31/2012/28/2012/29/20 95.92 0.00 0.00 95.92 INVENTORY CM77284 12/31/20 12129/20 12/30/20 -191.79 0.00 0.00 •191.79 CREDIT 2216695 12/3112012/29/2012130/20 1,386.63 0.00 0.00 1,366.63 INVENTORY / J 2216697 12131/2012/2912012/30/20 48.54 0.00 0.00 48.54,/ INVENTORY / 54.07! J 2216354 12131/2012129/2012/30/20 54.07 0.00 0.00 INVENTORY 0.00 202.26 2216353 12131/2012129/2012130120 202.26 0.00 V/ 2216696 INVENTORY 12/31/20 12/29/20 12/30120 710.54 0.00 0.00 710.54 ✓ INVENTORY 12/3112012/2912012130/20 9.23 0.00 0.00 9.23 v/2216694 INVENTORY ✓2175888 01/02/2012119/2012120/20 9.65 0.00 0.00 9.65 INVENTORY 44.58 ✓ / P19B24g 01/02/2012126/2012/27/20 44.58 0.00 0.00 INVENTORY - 2200388 01/0212012/26/2012/27120 2,907.00 0.00 0.00 2,907.00 INVENTORY 01/02120 12126/20 12/27/20 8.04 0.00 0.00 8.04 / /2200389 file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report3757... 1/3/2018 Page 18 of 24 SERVICE CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 1,287.97 0.00 0.00 1,287.97 Vendor# Vendor Name Class Pay Code 01416 /ORTHO CLINICAL DIAGNOSTICS 4/ Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / " /Invoice# /1850485309 12/19/2011/0812001/01/20 166.26 0.00 0.00 166.26 JJJ SUPPLIES 1,077.99 J1850486315 12/19/201110912001101/20 1,077.99 0.00 0.00 SUPPLIES J 1850490418 12119/2011/15/2001101/20 1,304.68 0.00 0.00 1,304.68 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 2,548.93 0.00 0.00 2,548.93 Vendor# Vendor Name Class Pay Code OM426 OWENS & MINOR Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net / 2028849580 12120/20 07/06/20 08/05/20 18.07 0.00 0.00 18.07 SUPPLIES 2030822212 12/20/2009/1912010119120 52.83 0.00 0.00 52.83 SUPPLIES 20.76 ✓ ✓2030824726 12120/20 09/19/20 10/19/20 20.76 0.00 0.00 SUPPLIES / 40.89 ✓ 2030825516 12/20120 09/19/20 10/19/20 40.89 0.00 0.00 SUPPLIES 13.40 J2032124217 12120/2011/02/2012/02/26 13.40 0.00 0.00 SUPPLIES / J 2032123516 121201201110212012/02/20 109.86 0.00 0.00 109.86 ✓ SUPPLIES J 2032127863 12120/201110212012/02120 264.22 0.00 0.00 264.22 SUPPLIES 2032052931 12120/20 12101/20 12/31/20 160.92 0.00 0.00 160.92 SUPPLIES ✓ 2026747274 12121/20 04/18/20 05/18120 34.50 0.00 0.00 34.50 SUPPLIES 18.58 /1031910333 12121/2010/26/2011125/20 18.58 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net OM425 OWENS & MINOR 734.03 0.00 0.00 734.03 Vendor#Yendor Name Class Pay Code 11069 J PABLO GARZA Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 000562 01102/2001/01/2001101120 1,507.50 0.00 0.00 1,507.501/ CONTRACT EMPLOYEE IR//g-311Zo/y ' Vendor Totals Number Name V Gross Discount No -Pay Net 11069 PABLO GARZA 1,507.50 0.00 0.00 1,507.50 Vendor# Name Class Pay Code /Vendor )PORT LAVACA WAVE W P2100 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 000508 12121/20 11/30/20 12/25120 845.00 0.00 0.00 845.00 Vendor Totals Number Name Gross Discount No -Pay Net file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report3757... 1/3/2018 K0536 SHIRLEY KARNEI 343.97 Vendor# Vendor Name Class Pay Code 10699 $IGN AD, LTD. Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross 220330 12/21/201211512012/25120 360.00 AD 0.00 0.00 Page 20 of 24 343.97 Discount No -Pay Net 0.00 0.00 380.00/ 220313 + 12129120 12/15/20 12/25/20 1,195.00 0.00 AD Vendor Totals Number Name Gross Discount 10699 SIGN AD LTD 1,575.00 0.00 0.00 1,195.00 ✓ No -Pay Net 0.00 1,575.00 Vendor# Vendor Name Class Pay Code 10661 AIMMLER, INC. Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay ,182761 12/19/20 12/19/20 01/01/20 155.00 O.OD 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay 10681 SIMMLER, INC. 155.00 0.00 0.00 Vendor#endor Name Class Pay Code 52362 )SMITH & NEPHEW Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount Pay Invoice# ✓94010917 12/19/20 12/19/20 01/01/20 502.65 0.00 0.00 0.0 SUPPLIES 93984413 12120/2010/23/2012120/20 1,051.29 0.00 0.00 J SUPPLIES f 93992689 12/20/20 10/26120 12120120 750.19 0.00 0.00 I SUPPLIES J 94003091 12/20/20 11/01/20 12/20120 791.18 0.00 0.00 SUPPLIES f9400011354 1212012011/13/2012120120 263.71 0.00 0.00 SUPPLIES Gross Discount No -Pay Vendor Totals Number Name 52362 SMITH & NEPHEW 3,359.02 0.00 0.00 Vendor# V� ndor Name Class Pay Code 52353 /SMITHS MEDICAL ASD INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay 15035911 12120/20 11/03/20 12120/20 351.63 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay 52353 SMITHS MEDICAL ASD INC 351.63 0.00 0.00 Vendor#1II,�e�ndor Name Class Pay Code 11672 TANLEY ACCESS TECH LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay /904929088 1212712011/0312012/03/20 3,250.00 0.00 0.00 PURCHASED SERVICES Vendor Totals Number Name Gross Discount No -Pay 11672 STANLEY ACCESS TECH LLC 3,250.00 0.00 0.00 Vendor# VAndor Name Class Pay Code S3960 STERICYCLE, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay 4007478807 01/02/20 12101/20 12131/20 2,192.97 0.00 0.00 / DISPOSAL SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 155.00 Net 155.00 Net 502.65 1,051.29 750.19 791.18 263.71 Net 3,359.02 Net 351.63 Net 351.63 Net 3,250.00 Net 3,250.00 Net 2,192.97 Net file:///C:iUsers/cclevenger/opsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report3757... 1/3/2018 PURCHASED SERVICE No -Pay Vendor Total: Number Name Gross 10985 THE COMPLIANCE TEAM, INC 117.70 Vendor# jlendor Name Class Pay Code No -Pay 11100 THE US CONSULTING GROUP 0.00 Comment Tran Dt Inv Dt Due Dt Check D Pay Gross /Invoice# 340370193 12/29/2012111/2001/05120 232.87 340370194 12131/20 12/11/20 01/05/20 1,286.81 PURCHASED SERVICE No -Pay Vendor Total: Number Name Gross 11100 THE US CONSULTING GROUP 1,519.68 Vendor# Vendor Name Class Pay Code No -Pay T3130 HEALTH SERVICES INC M 0.00 ,TRI-ANIM Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross J 62884040 12120/2011/15/2012/10/20 293.12 SUPPLIES Net Vendor Totals Number Name Gross T3130 TRI-ANIM HEALTH SERVICES INC 293.12 Vendor#Yendor Name Class Pay Code Net / P21go. / U S POSTAL SERVICE 0.00 Invoice# comment Tran Dt Inv Dt Due Dt Check D• Pay Gross 000555 12129/2012/1212012112120 225.00 BUSINESS REPLY RENEWAL 0.00 Vendor Totals Number Name Gross P2190 U s POSTAL SERVICE 225.00 Vendor# Vendor Name Class Pay Code 0.00 JUNIFIRST HOLDINGS W 17.00,/ U1054 Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross J8150785824 12/1612012/28/2001/01/20 21.25 LAUNDRY No -Pay 8150787094 12127/2012/1212001/06/20 17.00 8150787178 12/27/2012112/2001/06120 2125 LAUNDRY No -Pay 0.00 Vendor Totals Number Name Gross U1054 UNIFIRST HOLDINGS 59.50 Vendor# Vendor Name class Pay Code 0.00 U1064 UNIFIRST HOLDINGS INC 0.00 Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross ✓8400263034 12/16/20 12/08/20 01/02/20 148.95 LAUNDRY 47.15 / J 8400263064 12127/2012/08/2001/02/20 733.01 LAUNDRY 8400263232 12127/20 12/12/20 01/06/20 155.33 LAUNDRY 84002823^ 12/31/20 12/12/20 01/06/20 52.60 7.4323 SUNDRY 8400263234 12/31/2012112/2001/06/20 47.15 LAUNDRY 840023270 12/31/20 12/12120 01/06/20 895.3C LAUNDRY 6 Page 22 of 24 Discount No -Pay Net 0.00 0.00 117.70 Discount No -Pay Net 0.00 0.00 232.87 0.00 0.00 1,286.81 Discount No -Pay Net 0.00 0.00 1,519.68 Discount No -Pay Net / 0.00 0.00 293.12 Discount No -Pay Net 0.00 0.00 293.12 Discount No -Pay Net / 0.00 0.00 225.00 ✓ Discount No -Pay Net 0.00 0.00 225.00 Discount 0.00 No -Pay 0.00 Net 21.25. 0.00 0.00 17.00,/ 0.00 0.00 21.25 r/ Discount No -Pay Net 0.00 0.00 59.50 Discount 0.00 No -Pay 0.00 Net 148.95 , 0.00 0.00 733.01 0.00 0.00 155.33 0.00 0.00 52.60' 0.00 0.00 47.15 0.00 0.00 895.30✓ file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report3757... 1/3/2018 MPROY Ta c�s_o 173q ON 4o JAN 0 5 2018 1-7q Ifs COUNTYAUDITOR CALHOUN COUN'T'Y; TEXAS file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data 5/tmp_cw5report3757... 1/3/2018 Page 24 of 24 tis SUPPLIES Vendor Totals Number Name Grpgsa Discount No -Pay 0.00 b�bx0 %0 J N�tli P%4,iN \\� W1005 WALMART COMMUNITY 280:@8 0.00 Vendor# Vendor Name Class Pay Code )2,49 11110 /WERFEN USA LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 1,571.67 9110427963 01/02/20 09/15/20 10/10/20 1,571.67 0.00 0.00 SUPPLIES 9110446721 01/02/20 11/13/20 12/08/20 5,346.95 0.00 0.00 5,346.95 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 6,918.62 0.00 0.00 6,918.62 Vendor# Vendor Name Class Pay Code Z1005 /MMER US, INC. w Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 000567 01/02/20 11/20/20 12/20/20 424.00 0.00 0.00 424.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net Z1005 ZIMMERUS,INC. 424.00 0.00 0.00 424.00 Report Summary Grand Totals: Gross Discount No -Pay Net 505,979.68 0.00 0.00 505,979.68 ( PW 5 < .4 a31b «, /95.371 P1� 46)g6�7.6H 4 �,939.36i P�3 (y1873.14) 1,07, qO 41,410,ta tw.P$�q �y,�"S"a Michael J. Pgeffer e COu J dg �� S9.�s) CalhOuln a Date: -�— N gg3,0b,92. MPROY Ta c�s_o 173q ON 4o JAN 0 5 2018 1-7q Ifs COUNTYAUDITOR CALHOUN COUN'T'Y; TEXAS file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data 5/tmp_cw5report3757... 1/3/2018 RUN DATE:01/08/18 MEMORIAL MEDICAL CENTER TIME:11:46 CHECK REGISTER 01/08/18 THRU 01/08/18 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYER ---------------------------------------------------------------------- A/P 174040 01/08/18 421.58 GRAINGER A/P 174041 01/08/18 118.56 GRAPHIC CONTROLS LLC A/P 174042 01/08/18 100.50 HEALTH CARE LOGISTICS INC A/P 174043 01/08/18 21,319.55 HEALTHCARE EQUIPMENT FINANCE A/P 174044 01/08/18 651.32 HILL -ROM COMPANY, INC A/P 174045 01/08/18 517.12 HOLOGIC INC A/P 174046 01/08/16 346.65 HOSPIRA WORLDWIDE, INC A/P 174047 01/08/18 46.25 INTEGRATED MEDICAL SYSTEMS A/P 174048 01/08/18 248.95 INTERSTATE ALL BATTERY CENTER A/P 174049 01/08/18 62.85 INTOXIMETERS INC A/P 174050 01/08/18 4,267.57 J & J HEALTH CARE SYSTEMS, INC A/P 174051 01/08/18 29.64 JESUSITA S. HERNANDEZ A/P 174052 01/08/18 417.93 JOHNSTONE SUPPLY A/P 174053 01/08/18 757.58 LANDAUER INC A/P 174054 01/08/18 81.00 LANGUAGE LINE SERVICES A/P 174055 01/08/18 443.65 LEGAL SHIELD A/P 174056 01/08/18 50.02 LOWE'S HOME CENTERS INC A/P 174057 01/08/10 2,330.00 M G TRUST A/P 174058 01/08/18 105.35 M.C. JOHNSON COMPANY INC A/P 174059 01/08/18 2,385.01 MARKS PLUMBING PARTS A/P 174060 01/08/18 1,564.59 MIN BUSINESS BANK A/P 174061 01/08/18 82.65 MARTIN PRINTING CO A/P 174062 01/08/18 1,314.83 MCKESSON MEDICAL SURGICAL INC A/P 174063 01/08/18 307.90 MRDELA INC A/P 174064 01/08/18 120.00 MEDIPROCITY A/P 174065 01/08/18 6,240.77 MEDIVATORS A/P 174066 01108/18 1,017.52 MEDLINE INDUSTRIES INC A/P 174067 01/08/18 54.00 MEGADYNE MEDICAL A/P 174068 01/08/18 447.58 MEMORIAL MEDICAL CLINIC A/P 174069 01/08/18 73.74 MERCEDES MEDICAL A/P 174070 01/08/18 2,119.28 MERRY X-RAY/SOURCEONE HEALTHCA A/P 174071 01/08/18 258.52 METLIFE A/P 174072 01/08/18 445.90 NMC AUXILIARY GIFT SHOP A/P 174073 01/08/18 27,307.87 MMC EMPLOYEE BENEFIT PLAN A/P 174074 01/08/18 .00 VOIDED A/P 174075 01/08/18 .00 VOIDED A/P 174076 01/08/18 15,449.33 MORRIS & DICKSON CO, LLC A/P 174077 01/08/18 75.76 NAZARIO HERNANDEZ A/P 174078 01/OB/10 192.36 NURSES CHOICE CORPORATION A/P 174079 01/08/18 3,750.00 NUTRITION OPTIONS A/P 174080 01/08/18 185.22 OFFICE DEPOT A/P 174001 01/08/18 1,287.97 OLYMPUS AMERICA INC A/P 114082 01/08/18 2,548.93 ORTHO CLINICAL DIAGNOSTICS A/P 174083 01/08/18 .00 VOIDED A/P 174084 01/08/18 734.03 OWENS & MINOR A/P 174085 01/08/18 1,507.50 PABLO GARZA A/P 114086 01/08/18 845.00 PORT LAVACA WAVE A/P 174087 01/08/18 416.40 PRECISION DYNAMICS CORP (PDC( A/P 174088 01/08/10 3,975.00 PREMIER SLEEP DISORDERS CENTER A/P 174089 01/08/18 1,625.00 RADSOURCE A/P 174090 01/08/18 50.00 RAPID PRINTING LLC PAGE 2 GLCKREG Page 1 of 1 MEMORIAL MEDICAL CENTER 01 /0 812 01 8 AP Open invoice List 0 ap open_invoice.template 11:06 Dates Through: Vendor# Vendor Name class Pay Code 11460 CALHOUN COUNTY INDIGENT ACCOUN ICP Invoice# Comment Tran Dt Inv Dl Due Dt Check D• Pay Gross Discount No -Pay Net 000579 01108/2001/08/2001/11120 17,603.28 0.00 0.00 17,603.28 TRANSFER FROM OP TO IND ' VGross Vendor Totals Number Name Discount No -Pay Net 11460 CALHOUN COUNTY INDIGENT ACCOUN 17,603.28 0.00 0.00 17,603.28 Report Summary Grand Totals: Gross Discount No -Pay Net 17,603.28 0.00 0.00 17,603.28 K d os ;+e d -,� DPera+: n9 h error. Wrote aecK o�.� 1 df OQ�° f'n5 +o Tnd9 ColrECf e rro! JAN 0 a 2010 COUNTY AUDITOR- CALHOUN COUNTYITEX15 cK-zi, )73�9O �'J Michael J. Pfeifer Calhoun County Judge Date: file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report6884... 1/8/2018 oz 3 In A m 0 z Cl) m 9 m z --q 6> 51 1 0 TV > 2"q AR it -U 0Im NN I M zip 0:1 411�, Zttn 0> oz 3 In A m 0 z Cl) m 9 m z --q 6> 51 1 0 TV > 00 AR it -U 0Im NN I M zip 0:1 411�, Zttn 0> ,-o ] \ n ` k c $ m \ t 0 0 � ,ae \\( \{ !e {{ MEMORIAL MEDICAL CENTER 01/11/2018 AP Open Invoice List 10:02 Due Dates Through: 01/08/2018 Vendor# Vendor Name Class Pay Code 10810 MMC EMPLOYEE BENEFIT PLAN Invoice# Comment Tran Dt Inv Dt Due Dt Check Dr Pay Gross 000574 12131/20 12/04/20 01/01/20 7,860.14 EMPINSURANCE 0 ap open_invoice.template Discount No -Pay 0.00 0.00 000575 01/05/20 01/02120 01/01/20 37,720.17 0.00 EMPINSURANCE 010818 01/11/20 01/08/20 01/08/20 28,939.77 0.00 EMPLY BENEFITS Vendor Totals Number Name Gross Discount 10810 MMC EMPLOYEE BENEFIT PLAN 74,520.08 0.00 Report Summary Grand Totals: Gross Discount No -Pay 74,520.08 0.00 0.00 00haei J,Pfeifer �a►hpu� Coup Date. ty JueOge 0.00 0.00 No -Pay 0.00 Page 1 of 1 Net 7,860.14 37,720.17 28,939.77 Net 74,520.08 Net 74,520.08 1 II113 .APPROWD ON JAN 1 12018 COUNTYAUDWOR CALHOUN COUNW,TEXa r�or./, ni-t;7/o.ngi/memmed.cnsinet.corn/u88324/data_5/tmp_cw5report7416673... 1/11/2018 Page 1 of 1 MPROVED on CK JAPE 15 2018 COUNTY AUDITOR CALHOUN COUNTY, TEXAS Michael J. Pfeifer Calhoun County Judge Date: file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report531... 1/15/2018 MEMORIAL MEDICAL CENTER 0 01/15/2018 AP Open Invoice List ap open_invoice.template 12.61 Dates Through: Vendor# Vendor Name Class Pay Code 10326 PRINCIPAL LIFE Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net Invoice# Comment 01/15/20 11117/20 12/01120 2,296.81 0.00 0.00 2,296.81 V/000449 INSURANCE 01/1512012/17/2001/01120 2,127.07 0.00 0.00 V 2,127.07 000505 INSURANCE Gross Discount No -Pay Net Vendor Total: Number Name V 4,423.88 0.00 0.00 4,423.88 10326 PRINCIPAL LIFE Report Summary Grand Totals: Gross Discount No -Pay Net 4,423.88 0.00 0 00 4,423.88 MPROVED on CK JAPE 15 2018 COUNTY AUDITOR CALHOUN COUNTY, TEXAS Michael J. Pfeifer Calhoun County Judge Date: file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report531... 1/15/2018 Page 1 of 1 MEMORIAL MEDICAL CENTER 0 01 /1 612 01 8 AP Open Invoice List ap_open invoice,femplale 09:41 Dates Through: A Vendor# Vendor Name Class Pay Co e 11492 MMC OPERATING PROSPERITY ACC Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 01/16/2001/12/2001/12120 282,131.38 0.00 0.00 282,131.38 000687 TRANSFER FUNDS Vendor Total: Number Name 11492 MMC OPERATING PROSPERITY ACC Report Summary Grand Totals: Gross Discount 282,131.38 0.00 Michael J. Pfeifer Calhoun County Jupige Date: Gross Discount No -Pay Net 282,131.38 0.00 0.00 282,131.38 No -Pay Net 0.00 282,131.38 T JAN 16 2018 4 a3 gg COUPlTY AUDITOR CA9,NOUN couWN,TEXAS file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.coralu82227/data_5/tmp_cw5report658... 1/16/2018 Y J e� i-4 C D 0 N� •p W D A 3 O g' 03 G r �in z�0 s< o m V r m Y zip I c oo Dc m 3 Vn 3 T f Z m �1 B -m D � T y a � i G 3g g �< m r\ m o C 1 - p m - = 00 ; 0 m 9L g N pn W W m N (�D b c Co uN, o C CD (- V > ( o l O N 0 J N 0 N ( O O C- D ^ o 0 ® TT N r3 c o. fp C N N.0 _ of »c -T.E y T'p UNi p `�1 N W SN a:. p'zip: a D4 m m �Q y�;• �D &OE. ~ MJ m z m. o D A11 n '• d CS o N QD a° C ON S rQ Elam" January 2018 Statement Open Date: 12/06/2017 Closing Date: 01/04/2018 Visa® Business Card NO MEMORIAL MEDICAL CNT JASON W ANGLIN Firm ttiYti_Ca"tip Michael J. Pfeifer Calhoun County Judge Date: 46 Cardmember Service BUS 30 ELN B Summary Previous Balance Payments Other Credits Purchases Balance Transfers Other Debits Fees Charged Interest Charged + $1,670.15 $1,670.15CR $0.00 + $2,531.14 $0.00 $0.00 $0.00 New Balance Past Due Minimum Payment Due 00 $26.00 Credit Line $10,000.00 Available Credit $7,468.86 31. APPROVED am JAN 17 201E COUNT,f AU01T0IR CALHOUN COUW1 zJ, "rEXA8 Pay Mall payment coupon Pa online at f' Pay by phone Pq ,with a check � myaccoumaccess:com t Payment Options: Please detach and send coupon wlth check payable to: Cardmember Service ■ Elan.. C. to pay by phone , to change your address MEMORIAL MEDICAL CNT JASON W ANGLIN 202 S ANN ST # A PORT LAVACA TX 77979-4204 rnyment Oue Date 2/01/2018 New Balance $2,531.14 Minimum Payment Due $26.00 Amount Enclosed Cardmember Service P.O. Box 790408 St. Louis, MO 63179-0408 Elan, January 2018 Statement 12/06/2017-01104/2018 MEMORIAL MEDICAL CNT JASON W ANGLIN ' � r Cardmember Service t Purchases and Other Debits Post Trans Amount Notation Date Date Ref # Transaction Description 01/04 01/04 9490 AMA"CREDENTIALING 800-621-8335 IL $43.00 / TOTAL THIS PERIOD $2,531.14 Post Trans Amount Notation Date Date Ref # Transaction Description 01/04 ANNUAL MEMBERSHIP FEE $0.00 TOTAL FEES THIS PERIOD $0.00 JAM t Total Fees Charged in 2018 Total Interest Charged in 2018 $0.00 $0.00 Signature/Approval: Accounting Code: Your Annual Percentage Rate (APR) is the annual interest rate on your account. **APR for current and future transactions. Phone L Questions C Cardmember Service P.O. Box 6353 ..x Fargo, ND 58125-6353 ®Mail payment coupon with a check Cardmember Service P.O. Box 790408 St. Louis, MO 63179-0406 End of Statement Expires with Statement Online myaccountaccess.com Balance Annual Balance Subject to Interest Percentage Rate Balance Type By Type Interest Rate Variable Charge "BALANCE TRANSFER $0.00 $0.00 YES YES $0.00 $0.00 11.24% 11.240% "PURCHASES $2,531.14 $0.00 $0.00 $0.00 YES $0.00 25.24% "ADVANCES Phone L Questions C Cardmember Service P.O. Box 6353 ..x Fargo, ND 58125-6353 ®Mail payment coupon with a check Cardmember Service P.O. Box 790408 St. Louis, MO 63179-0406 End of Statement Expires with Statement Online myaccountaccess.com ,MEMORIAL MEDICAL CENTER PURCHASE ORDER B1UTo: 815 N. VIRGIN!& ST. PORT L&VACA, TX -77979 PHONE: (361)'552-6713 FAM (361))555/2-X003.12 VendorName: Vendor Address: VendorPhone#: VAnflnr 17ax #; Slip To: 815 N:VIRGRffAST. ' PORTLAVACA, TX77979 PHONE: (361) 552-6713 FAX.®(361) 552.0312 Date: `I o ` / I P.O. # Account# In4tiatedBy: tom59401 DateRegnited 8xpense# Depadauent DetiverTo � Iaae Qty- Cata7.ogNumber Desaupflon Unit Cost Unit $xtc Meas. cost No...: 1 ... .. 3 • .4 f I a�D.Go ass . BI . 8 DLDD J��•Db 10 Est Freight T'st. Total Cost NOTES: I CArEreS s !/V 014 Contact• Date: 17 , ,q Quoted$y. [,OUPITY AL JIj Buyer. B:t'.A. C .LHOU�1ppt4P �Ds.ClmicalSe�vice I // RUN DATE: 01/16/18 MEMORIAL MEDICAL CENTER PAGE 1 TIME: 10:08 EDIT LIST FOR PATIENT REFUNDS ARID=0001 APCDEDIT PATIENT PAY PAT NUMBER PAYEE NAME DATE AMOUNT CODE TYPE DESCRIPTION GL NUM ---------------------- ____ ________________________________T � ,gam, v�wz z !n^ enl _ . e ' . x ' _ _ 010318 23.12 / 2 Yr� <-s m�. y+.s ces sasuLc au 77979 010318 50.00✓ 2 77979 / 2 010318 104.83 77982 010310 31.83% 2 77979 2 011618 550.00 / 3 29229 010316 70.46 2 77979 010318 21.89 2 77983 010318 56.00 2 77979 010318 400.00./ 1 77979 010318 90.24 2 77979 010318 15.35 2 77465 2 010318 15.00 77979 010318 238.96 2 77979 010318 56.00 2 RUN DATE: 01/16/18 MEMORIAL MEDICAL CENTER PAGE 3 TIME: 10:08 EDIT LIST FOR PATIENT REFUNDS ARID=0001 APCDEDIT 77414 112817 PAY PAT AMOUNT CODE TYPE DESCRIPTION 6113.50 / 2 TRANSFER FOR ASHFORD GARDENS J 1210 NORTHLINE DRIVE BRoAD600 HOUSTON O1 THE BROADMOOR AT CREEK TX 770761517 112817 3619.00 ✓ 2 TRANSFER FOR THE BROADMOOR AT CREEK 5665 CREEKSIDS FOREST DRIVE SPRING TX 77389 BROAD600 02 THE BROADMOOR AT CREEK 112817 3816.40 2 REFUND FOR THE BROAD140OR AT CREEK 5665 CREEKSIDE FOREST DRIVE 77389 �r BROAD600 SPRING 03 THE BROADMOOR AT CREEK TX 112817 1316.00 1/ 2 Rwfi FOR THE BROADMOOR AT CREEK t/ 5665 CRERKSIDE FOREST DRIVE SPRING TX 77389 MISS600 O1 WILLIAM J CROWLEY 031516 559.06 2 TRANSFER TO DR. WILLIAM J CROWLEY 1016 N VIRGINIA ST PORT LAVACA TX 77979 / FOR SOLERA WEST HOUSTON SOLBR600 01 SOLERA WEST HOUSTON -112817 4277,00 2 TRANSFER 2101 GREENHOUSE ROAD HOUSTON TX 770846108 / ,V/ SOLER600 02 SOLERA WEST HOUSTON 112817 7550.90 ✓ 2 TRANSFER FOR SOLERA WEST HOUSTON 2101 GREENHOUSE ROAD HOUSTON TX 770046108 Page 1 of 1 wj?VjOVw am JAN 17 2093 C r_p 1-7q170 COUNTY AUDITOR CALHOUN COUW i Y, TEXAS 2_u Ip ' = Michael J. Pfeifer Calhoun County Judge Date: _La lel file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report524... 1/17/2018 MEMORIAL MEDICAL CENTER 01/17/2018 AP Open Invoice List 0 ap open_invoice.template 13:59 Dates Through: Vendor# Vendor Name Class Pay Code 11069 PABLO GARZA Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 000566 01/15/2001/1512001/15/20 1,515.00 0.00 0.00 1,515.00 CONTRACT EMPLOYEE Y2_'yjj/Ig ' Vendor Total: Number Name Gross Discount No -Pay Net 11069 PABLO GARZA 1,515.00 0.00 0.00 1,515.00 ReportSummary Grand Totals: Gross Discount No -Pay Net 1,515.00 0.00 0.00 1,515.00 wj?VjOVw am JAN 17 2093 C r_p 1-7q170 COUNTY AUDITOR CALHOUN COUW i Y, TEXAS 2_u Ip ' = Michael J. Pfeifer Calhoun County Judge Date: _La lel file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report524... 1/17/2018 MEMORIAL MEDICAL CENTER 01/17/2018 AP Open Invoice List 13:59 Dates Through: Vendor# Vendor Name Class Pay Code K0536 SHIRLEY KARNEI Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross 000584 0111512001/14/2001/18/20 285.78 CONTRACT EMPLOYEE `�2 — (IQ/IS Vendor Totals Number Name Gross K0536 SHIRLEY KARNEI 285.78 Report Summary Grand Totals: Gross Discount 285.78 0.00 Page 1 of 1 0 ap open_invoice.template Discount No -Pay Net 0.00 0.00 285.78 Discount No -Pay Net 0.00 0.00 285.78 No -Pay Net 0.00 285.78 wpr3t3wo ON JAN a 2058 C 1 V 7 z COUNTY AUDITOR cAligoUN COUNTY, YEXA5 Michael J. Pfeifer Calhoun County Judge Date: file:///C:[Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report527... 1/17/2018 RUN DATE:01/17/18 MEMORIAL MEDICAL CENTER PAGE 2 TIME:16:14 CHECK REGISTER GLCKREG 01/17/18 THEW 01/11/18 BANK --CHECK ---------------------------------------------------- CODE 04BER DATE AMOUNT PAYEE. A/P 174168 01/17/18 559.06 WILLIAM J CROWLEY A/P 174169 01/17/18 56.00 f.1„i%EM� A/P 174170 01/17/18 1,515.00 PABLO GARZA A/P 174171 01/17/18 586.50 RITA DAVIS A/P 174172 01/17/18 285.78 SHIRLEY KARNBI TOTALS: 43,205.03 ?,Y1 lo-v�,?ani GC+ azfP1G©��, RUN DATE:01/18/18 MEMORIAL MEDICAL CENTER PAGE 1 TIME:15:19 CHECK REGISTER GLCKREG 01/18/18 THRU 01/18/18 BANK--CURCK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 174173 01/18/18 28,804.29 TKU ENERGY TOTALS: 28,804.29 A" PROV&o ON JAN 18 2016 CC0UN7y AUDjTOR 11Lv Io 1Ad COUFU r y, TEYA,9 Page 2 of 26 Vendor Totals Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC- CENTRAL DIV 226.09 0.00 0.00 226.09 Vendor# Vendor Name Class Pay Code A1690 ALCON LABORATORIES, INC. \J/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net V 9652514216 t/ 12/31/20 12/01/20 01/11/20 795.00 0.00 0.00 795.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net s A1690 ALCON LABORATORIES, INC. 795.00 0.00 0.00 795.00 Vendor# Vendor Name Class Pay Code ✓ 11299 ALLSTATE Invoice# Comment Tran Dt Inv Dt Due Dt Check D* Pay Gross Discount No -Pay Net ✓ C042238000 V1 01/15/2012104/20 12/04/20 11,413.94 0.00 0.00 11,413.94 INSURANCE C042832800 VI 01/15/2001/02/2001/02/20 11,662.54 0.00 0.00 ' 11,662.54 INSURANCE ' Vendor Totals Number Name Gross Discount No -Pay Net 11299 ALLSTATE 23,076.48 0.00 0.00 23,076.48 Vendor# Vendor Name Class Pay Code ✓ ' A1746 ALPHA TEC SYSTEMS INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net INV00059587 V1 01/10/20 12/12/20 01/12120 168.10 0.00 0.00 166.10 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A1746 ALPHA TEC SYSTEMS INC 168.10 0.00 0.00 168.10 Vendor# Vendor Name Class Pay Code 10419 AMBU INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 218003469 ✓ 01/09/20 01/09/20 01/09/20 109.51 0.00 0.00 109.51 V SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10419 AMBU INC 109.51 0.00 0.00 109.51 Vendor# Vendor Name Class Pay Code A2150 ANNOUNCEMENTS PLUS TOO AGAIN ✓ W Invoice#/ Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 165 12131/2011/17/2001/11/20 ✓ 13.00 0.00 0.00 13.00 `✓ SIGNS Vendor Totals Number Name Gross Discount No -Pay Net A2150 ANNOUNCEMENTS PLUS TOO AGAIN 13.00 0.00 0.00 13.00 Vendor# Vendor Name Class Pay Code A2218 AQUA BEVERAGE COMPANY ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net .000485._ 12/31/20 11130/20 01/11/20 11.59 0.00 0.00 11.59 ✓ %DWO WATER Vendor Totals Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE COMPANY 11.59 0.00 0.00 11.59 Vendor# Vendor Name Class Pay Code A2600 AUTO PARTS & MACHINE CO. ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Or Pay Gross Discount No -Pay Net 852091✓ 12/31/2012/29/2001/13/20 182.85 O.OD 0.00 182.85 ✓ SUPPLIES 851161 01/09/2012/1512012/30/20 89.63 0.00 0.00 89.63 ✓ file:///C:/Users/cclevenger/cpsi/memmed. cpsinet.com/u82227/data_5/tmp_cw5report115... 1/18/2018 11050 BIRCH COMMUNICATIONS 1,287.67 Vendor# Vendor Name Class Pay Code D1040 C R BARD, INC \/ Net Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 77214273 t/ 01/10/2011/14/2012/14/20 174.90 SUPPLIES y Vendor Totals Number Name Gross D1040 C R BARD,INC 174.90 Vendor# Vendor Name Class Pay Code / No -Pay C1010 CABLE ONE d W 0.00 Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross 000607 0110912012/1612001/15/20 418.85 CABLE No -Pay 000608 01109/2012116/2001/16120 %,0251A8 CABLE Vendor Totals Number Name Gross 44.9 470183 C1010 CABLE ONE 0.00 Vendor# Vendor Name Class Pay Code ✓ M No -Pay A1825 CARDINAL HEALTH 414,LLC 0.00 Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross 8001527653✓ 01116120 12/16120 01115/20 40.36 SUPPLIES 0.00 Vendor Totals Number Name Gross A1825 CARDINAL HEALTH 414,LLC 40.36 Vendor# Vendor Name Class Pay Code M 126.02 C1992 COW GOVERNMENT, INC. V/ No -Pay Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross L13C0323 ✓ 12/31/20 12105/20 01/11/20 126.02 SUPPLIES No -Pay Vendor Totals Number Name Gross C1992 CDW GOVERNMENT, INC. 126.02 Vendor# Vendor Name Class Pay Code ✓ w 0.00 E1270 CENTERPOINT ENERGY 338.50 ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross 000578 12/31/20 12/29120 01/16/20 56.87 GAS Vendor Totals Number Name Gross E1270 CENTERPOINT ENERGY 56.87 Vendor# Vendor Name Class Pay Code ✓ 10350 CENTURION MEDICAL PRODUCTS Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross 0092325579 ✓ 01/09/20 08/14/20 09/13/20 338.50 SUPPLIES 0092374287 ✓ 01/09/20 10/23/20 11/22/20 289.20 SUPPLIES 00092376324✓ 01/09/2010/25/2011/24120 833.14 SUPPLIES 0092379157✓ 01109/20 10/30/20 11/29120 290.00 SUPPLIES 0092380969 ✓ 01/09/20 11/01/2012/01/20 731.16 SUPPLIES Page 4 of 26 0.00 0.00 1,287.67 Discount No -Pay Net 0.00 / 174.90 0.00 y Discount No -Pay Net 0.00 0.00 174.90 Discount No -Pay Net 418.85 0.00 0.00 0.00 0.00 4%.01,51A Discount No -Pay Net 0.00 0.00 L}// -fl47tvw Discount No -Pay Net 0.00 0.00 40.36 ✓ Discount No -Pay Net 0.00 0.00 40.36 Discount No -Pay Net 0.00 0.00 126.02 t/ Discount No -Pay Net 0.00 0.00 126.02 Discount No -Pay Net 0.00 0.00 56.87 Discount No -Pay Net 0.00 0.00 56.87 Discount No -Pay Net 0.00 0.00 338.50 ✓ 0.00 0.00 0.00 0.00 0092388716 01/09/2011/13/2012/13/20 1,166.05 0.00 0.00 289.20 ✓ 0.00 833.14✓ 0.00 290.00✓ 0.00 731.16 ✓ 0.00 1,166.05 ✓ file:///C:/Users/eclevenger/cpsi/memmed.cpsinet.coni/u82227/data_5/tmp_cw5report115... 1/18/2018 Page 6 of 26 C1970 CONMED CORPORATION 915.74 0.00 0.00 915.74 Vendor# Vendor Name Class Pay Code L1430 CONMED LINVATEC ✓/ yV M Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 2681548/ 01109/20 10/26/20 01/09/20 333.72 0.00 0.00 333.72 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net L1430 CONMED LINVATEC 333.72 0.00 O.OD 333.72 Vendor# Vendor Name Class Pay Code CORAL VALENTINE ✓/ 11716 Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / EMD90604V 01/16/20 11/28/20 12128/20 30.OD 0.00 0.00 30.00 PT REFUND Vendor Totals Number Name Gross Discount No -Pay Net 11716 CORAL VALENTINE 30.00 0.00 0.00 30.00 Vendor# Vendor Name class Pay Code CULLIGAN OF VICTORIA ✓ M R1050 Invoice# co ment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / 446.80 ✓ 555X02867208 12/31/20 12131/20 01/25/20 446.80 0.00 0.00 WATER Vendor Totals Number Name Gross Discount No -Pay Net R1050 CULLIGAN OF VICTORIA 446.80 0.00 0.00 446.80 Vendor# Vendor Name class Pay Code CUSTOM MEDICAL SPECIALTIES 10006 Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 82.40 230239 01109120 10/26/20 01/09/20 82.40 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10006 CUSTOM MEDICAL SPECIALTIES 82.40 0.00 0.00 82.40 Vendor# Vendor Name Class Pay Code 11688 DATEX OHMEDA, INC v Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 80242022 01/05/20 12/27120 01/26/20 22,529.93 0.00 0.00 22,529.93 t/ WARMER FOR OB ' Vendor Totals Number Name Gross Discount No -Pay Net 11688 DATEX OHMEDA, INC 22,529.93 0.00 0.00 22,529.93 Vendor# Vendor Name/ Class Pay Code 11287 DELTA HEALTHCARE PROVIDERS J Invoice# Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net /Comment 173950073 J 01/1512010/01/2011101120 3,284.33 0.00 0.00 3,284.33 J PHYSICAL THERAPY SERVICE / 3,432.26 173050167A ✓ 01/15/20 10/08/20 11/08/20 3,432.26 0.00 0.00 t/ /PHYSICAL THERAPY SERVICE 0.00 ' 3,735.20 175250092 ✓ 01/15/20 12/31/20 01/15/20 3,735.20 0.00 PHYSICAL THERAPY SERVICE ' Vendor Totals Number Name Gross Discount No -Pay Net 11287 DELTA HEALTHCARE PROVIDERS 10,451.79 O.OD 0.00 10,451.79 Vendor# Vendor Name Class Pay Code / 10368 DEWITT POTH & SON Invoice#Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 5239700V 12131/20 12/20120 01/14120 229.98 0.00 0.00 229.98,/ SUPPLIES file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp cw5report115... 1/18/2018 Page 8 of 26 Vendor Totals Number Name Gross Discount No -Pay Net 11291 DOWELL PEST CONTROL 105.00 0.00 0.00 106.00 Vendor# Vendor Name/ Class Pay Code - 11046 E -MDS, INC✓ I Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 20452 V/ 01/15120 12/21/20 01/21120 500.00 0.00 0.00 500.00 SUBSCRIPTION ' Vendor Totals Number Name Gross Discount No -Pay Net 11046 E -MDS, INC 500.00 0.00 0.00 500.00 Vendor# Vendor Name Class Pay Code E1090 EDWARDS LIFESCIENCES v/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net ✓ 6911063%/01/09/20 10/25/20 01/09/20 164.70 0.00 0.00 164.70 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net E1090 EDWARDS LIFESCIENCES 164.70 0.00 0.00 164.70 Vendor# Vendor Name Class Pay Code ✓ 11284 EMERGENCY STAFFING SOLUTIONS Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net / 35955 ✓ 01/16/20 01/15/20 01125/20 40,062.50 0.00 0.00 40,062.50 r/ ER PHYSICIAN SERVICES ' Vendor Totals Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 40,062.50 0.00 0.00 40,062.50 Vendor# Vendor Name Class Pay Code 11448 EPIPHANY ARCHANGEL✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 000609 01/0912012/0612001/06/20 12.36 0.00 0.00 12.36 ✓ SUPPLIES 37.28 ✓ 000610 01/09/20 12/06/20 01/06/20 37.28 0.00 0.00 SUPPLIES ' 000611 01/09/20 12/06/20 01/06/20 6.57 0.00 0.00 6.57 ✓ SUPPLIES 24.18 ✓ 000563 01/09/2012106/2001/06120 24.18 0.00 0.00 SUPPLIES ' Vendor Totals Number Name Gross Discount No -Pay Net 11448 EPIPHANY ARCHANGEL 80.39 0.00. 0.00 80.39 Vendor# Vendor Name Class Pay Code ✓ 10042 ERBE USA INC SURGICAL SYSTEMS Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ✓ 453832 ✓ 01109/2011/13/2012113/20 153.54 0.00 0.00 153.54 SUPPLIES ' Vendor Totals Number Name Gross Discount No -Pay Net 10042 ERBE USA INC SURGICAL SYSTEMS 153.54 0.00 0.00 153.54 Vendor# Vendor Name Class Pay Code C2510 EVIDENT/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net A1710041378B ✓ 01/16/20 10/04/20 10/29/20 26,643.17 0.00 0.00 26,643.17 SQFTWARE AND SUBSCRIPT/ A1712061378 01/16/20 12/06120 12/31/20 17,584.00 0.00 0.00 17,584.00 ✓ Vendor Totals Number Name Gross Discount No -Pay Net C2510 EVIDENT 44,227.17 0.00 0.00 44,227.17 file:///C:/Users/cclevenger/cpsi/Menimed. cpsinet.corn/u82227/data_5/tmp_cw5report115... 1/18/2018 Page 10 of 26 SUPPLIES W 1997914 01110/2011/2212012/17/20 64.90 0.00 0.00 64.90 ✓ / SUPPLIES / 2147640 ✓ 01/10/20 11/27/20 12/22/20 54.78 0.00 0.00 54.78 ✓ SUPPLIES 2262840 01/10120 11/28/20 12/23/20 376.49 0.00 0.00 376.49 SUPPLIES 2475092 01/10/20 11/30/20 12/25/20 218.94 0.00 0.00 218.94 SUPPLIES 0.00 0.01) 56.18 V/ 2475090 01/1012011/30/20 12/25/20 56.18 SUPPLIES J 2614240 01/10/20 12/01/20 12126/20 57.26 0.00 0.00 57.26 ✓ SUPPLIES 2893377 01/10/2012/0512012/30/20 2,886.40 O.OD 0.00 2,886.40 / SUPPLIES 0.00 0.00 138.53 3563272 V1 01/12/2012/08/20 01/02/20 138.53 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 19,064.70 0.00 O.OD 19,064.70 Vendor# Vendor Name Class Pay Code 11183 FRONTIER Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 01/19/20 5q.gg 11184 0.00 t6 0.00 5q.lx it V84 000573 12/3112012119/20 PHONE 000588 01/16/2011/02/2011/20/20 $ .gU 911.81 0.00 ' 0.00 84M9161 PHONE 000589 01/16/2012102/2012/22/20 907.96 ✓ 0.00 0.00 907.96✓ PHONE 000590 01/16/20 01/02120 01/22/20 954.72 0.00 0.00 ' 954.72 PHONE Vendor Totals Number Name 11183 FRONTIER �l �t Gross Zlb 1.-14 2,990.33 Discount 0.00 No -Pay Net 0.00 61'lbi.jtj,90133 Vendor# Vendor Name Class Pay Code 10283 GE HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 500710687 01/05/2012/2112001/15120 1,128.00 0.00 0.00 1,128.00 [CAD UPDATE ' Vendor Totals Number Name Gross Discount No -Pay Net 10283 GE HEALTHCARE 1,128.00 0.00 0.00 1,128.00 Vendor# Vendor Name Class Pay Code M W1300 GRAINGERV/ invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 9633061214 ✓ 12/31/20 12/04/20 01/11/20 1,928.42 0.00 0.00 1,928.42 REPAIR SUPPLIES Vendor Totals Number Name - Gross Discount No -Pay Net W13OO GRAINGER 1,928.42 0.00 0.00 1,928.42 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY,/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 1412090 ✓ 01/08/20 11/14120 01/11/20 424.01 0.00 0.00 424.01 v1 SUPPLIES 1422372 v1 01109/20 12/06/20 01/05/20 478.38 0.00 0.00 478.38 ✓ file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.con/u82227/data_5/tmp_cw5report115... 1/18/2018 Page 12 of 26 file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report115... 1/18/2018 Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net / INV317821 v/ 12/31/20 12/12120 01/11120 191.07 0.00 0.00 191.07✓ EDUCATION BOOKLETS ' Vendor TotalsNumber Name Gross Discount No -Pay Net 11692 INJOY HEALTH EDUCATION 191.07 0.00 0.00 191.07 Vendor# Vendor Name Class Pay Code M 11260 INTOXIMETERS INC V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net / 583179V/ 12/27/2012/12/2001/12120 205.25 0.00 0.00 205.25 v/ Vendor Totals Number Name Gross Discount No -Pay Net 11260 INTOXIMETERS INC 205.25 0.00 0.00 205.25 Vendor# Vendor Name Class Pay Code J0150 J & J HEALTH CARE SYSTEMS, INC .// Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 918630225 01/10/20 10/18/2011/17/20 151.35 0.00 0.00 151.35 V/ SUPPLIES / 918644276 01/10/20 10/23/20 11/22/20 763.36 0.00 0.00 763.36 f SUPPLIES 918677313 01/10/2010/31/2011/30/20 2,966.52 0.00 0.00 2,968.52 V1 /SUPPLIES 9187499041/ 01/10/2011/13/2012/13/20 66.68 0.00 0.00 66.681 SUPPLIES 0.00 0.00 66.68✓ 918749903✓ 01/10/2011l15/2012115l20 66.68 SUPPLIES / 918618161 01/12/2010/16/2011115120 644.85 0.00 0.00 644.85✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net J0150 J & J HEALTH CARE SYSTEMS, INC 4,661.44 0.00 0.00 4,661.44 Vendor# Vendor Name Class Pay Code 11230 JACKSON & COKER LOCUM TENENS, Invoice# Comment Tran Dt Inv Dt Due Dt / Check D, Pay Gross Discount No -Pay Net 54.92 k/ 2011946 ✓ 01/09/20 12/20/20 01/20/20 54.92 0.0D 0.00 FUEL AND TOLLS ' Vendor Totals Number Name Gross Discount No -Pay Net 11230 JACKSON & COKER LOCUM TENENS, 54.92 0.00 0.00 54.92 Vendor# Vendor Name Class Pay Code w J1415 JOHNSTONE SUPPLY Invoice# / Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net / 6012504 ✓ 01/09/20 01/03/20 01/13/20 359.24 0.00 0.00 359.24 v MODULEBOARD ' Vendor Totals Number Name Gross Discount No -Pay Net J1415 JOHNSTONESUPPLY 359.24 0.00 0.00 359.24 Vendor# Vendor Name / Class Pay Code 11600 LEGAL SHIELD ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 000583 01/15/2001/1512001/15/20 443.65 0.00 0.00 443.65 V INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 11600 LEGALSHIELD 443.65 0.00 0.00 443.65 Vendor# Vendor Name Class Pay Code 10578 LUMINANT ENERGY COMPANY LLC file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report115... 1/18/2018 Page 14 of 26 file:///C:/Users/cclevenger/epsi/memmed.cpsinet.coni/u82227/data_5/tmp_cw5report115... 1/18/2018 W Invoice#/ Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay 0.00 Net / 3,110.16 116558✓ 01/0912012!31/2001/25/20 3,110.16 0.00 t/ COLLECTION FEES ' Vendor Totals Number Name Gross Discount No -Pay Net 11141 MEDICAL DATA SYSTEMS, INC. 3,110.16 0.00 0.00 3,110.16 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC V/ M Invoice# /Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net ✓ 1840891203V 12/31/2012/18/2001/12120 -10.64 0.00 0.00 -10.64 CREDIT ✓ 1837409279 v/ 01110/20 10/25/20 11/19/20 1.14 0.00 0.00 1.14 SUPPLIES 183095193 01/12/20 11/04/20 11/29/20 85.44 0.00 0.00 85.44 SUPPLIES 153.18 1838095195✓ 01/12120 11/04/20 11/29/20 153.18 0.00 0.00 SUPPLIES 0.00 61.28 1838095194 v1 01/12/20 11/04120 11/29120 61.28 0.00 SUPPLIES 1838191505 V 01/12/20 11/07/20 12/02120 202.04 0.00 0.00 202.04 v1 �UPPLIES 0.00 808.79 ✓ 1836191507 01/12!20 11/07/20 12/02/20 808.79 0.00 SUPPLIES 1840149924 ✓ 01/12/20 12/07/20 01/01/20 691.21 0.00 0.00 691.21 SUPPLIES 50.08 V/ 1840149927✓ 01/12120 12/07/20 01/01/20 50.08 0.00 0.00 SUPPLIES - 18.39145202 ✓ 01/15/2011/21/20 12/16/20 37.01 0.00 0.00 37.01 .1 SUPPLIES / 1839145201 ✓ 01/15/20 11/21/20 12/16120 18.20 0.00 0.00 18.20✓ SUPPLIES 1839145204 01/15/20 11/21/20 12/16/20 91.49 0.00 0.00 91.49 .� SUPPLIES / 1839145203 01/1512011121/2012/16/20 1,354.09 0.00 0.00 1,354.09 ✓ SUPPLIES 1839144699 01/15/2011121/2012/16/20 1,061.24 0.00 0.00 1,061.24 V1 SUPPLIES 1839145205 01115/20 11/21/20 12/16/20 52.29 0.00 0.00 52.29 v1 SUPPLIES 1839211753 / 01/1512011/22/20 12117/20 54.35 0.00 0.00 54.35,/ SUPPLIES 1839211756 ✓ 01/15/20 11/22/20 12/17/20 34.17 0.00 0.00 34.17 SUPPLIES 1839211755 ✓ 01/15/20 11/22120 12/17/20 24.75 0.00 0.00 24.75 SUPPLIES 1839211754 v1 01/15/20 11/22/20 12/17/20 41.57 0.00 0.00 41.57 SUPPLIES 1839373123 01115/2011/2312012/18/20 14.97 0.00 0.00 14.97 SUPPLIES 1839517332 ✓ 01/15/20 11/28/20 12/23/20 35.65 0.00 0.00 35.65 ✓ SUPPLIES 0.00 0.00 76.07 1839517329✓ 01/1512011/2812012123/20 76.07 SUPPLIES file:///C:/Users/cclevenger/epsi/memmed.cpsinet.coni/u82227/data_5/tmp_cw5report115... 1/18/2018 Page 16 of 26 SUPPLIES y 1840099483 01/15/2012106/2012131/20 6.62 0.00 0.00 6.62 SUPPLIES 1840099479 01/15/20 12/06/20 12131/20 7.OD 0.00 0.00 7.00 v/ SUPPLIES 1840469635 v/ 01/15/20 12/12/20 01/06/20 11.40 0.00 0.00 11.40 S�IPPLIES 0.00 0.00 13.72 1840469624 r/ 01/15/2012/12/2001/06/20 13.72 SUPPLIES 1840469841 01/15/20 12/12/20 01/06/20 127.91 0.00 0.00 127.91 SUPPLIES 1840469840 / 01/15/20 12/12120 01/06/20 20.64 0.00 0.00 20.64 SUPPLIES 18404698301/ 01/15/201211212001/06120 1,403.78 0.00 0.00 1,403.78 V/ SUPPLIES 1840469837 01/15/20 12/12/20 01/06/20 35.69 0.00 0.00 35.69 SUPPLIES 1840469839 01/15120 12/12120 01/06/20 22.22 0.00 0.00 22.22 v� SUPPLIES 1840585771 01/15/2012/13/2001/07/20 33.58 0.00 0.00 33.58 SUPPLIES 1840585773 01/15/20 12/13/20 01/07/20 26.02 0.00 0.00 26.02 SUPPLIES 1840585774 01/15/2012/13/2001/07120 113.94 0.00 0.00 113.94 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 11,221.28 0.00 0.00 11,221.28 Vendor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC V1 Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 000602 01/09/20 01/04/20 01/14/20 191.29 0.00 0.00 191.29 ✓ PAYROLL DED ' Vendor Total: Number Name Gross Discount No -Pay Net 10963 MEMORIAL MEDICAL CLINIC 191.29 0.00 0.00 191.29 Vendor# Vendor Name Class Pay Code W M2621 MMC AUXILIARY GIFT SHOP/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 671240 01/09/20 12/31/20 01/01/20 111.15 0.00 0.00 111.15 DEBIT CARD MACHINE FEE Vendor Totals Number Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GIFT SHOP 111.15 0.00 0.00 111.15 Vendor# Vendor Name Class Pay Code 10810 MMC EMPLOYEE BENEFIT PLAN Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 000592 01/17/20 01/15/20 01/15120 18,510.27 0.00 0.00 18,510.27 INSURANCE Vendor Total: Number Name Gross Discount No -Pay Net 10810 MMC EMPLOYEE BENEFIT PLAN 18,510.27 0.00 0.00 18,510.27 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC v1 Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 1850786 12131/2010/03/2001/11/20 1,500.00 O.OD 0.00 1,500.00 file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.corn/u82227/data_5/tmp_cw5report 115... 1/18/2018 Vendor# Vendor Name Class Pay Code No -Pay 10188 NATUS MEDICAL INC ✓ 0.00 Invoice# Comment Tran Dl Inv Dt Due Dt Check DPay Gross 2228865 V1 01/09/20 01/20 01/23/20 2.63 0.00 0.00 2233128 INVENTORY 01/09/2001/03/2001/23/20 525.93 0.00 0.00 10948 NOVITAS SOLUTIONS -PART A INVENTORY Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross 44451 01/16/20 01116/20 01/16/20 57.93 2228866 V/ 01/09/20 01/03/20 01/23/20 69.66 0.00 0.00 57.93 INVENTORY 0.00 11472 OCCUPRO LLC Vendor Totals Number Name Gross Discount No -Pay 10536 MORRIS & DICKSON CO, LLC 11,292.14 0.00 0.00 Vendor# Vendor Name Class Pay Code No -Pay 10188 NATUS MEDICAL INC ✓ 0.00 Invoice# Comment Tran Dl Inv Dt Due Dt Check DPay Gross 1040602846 12/31/20 12/01/20 01/11/20 1,248.42 SUPPLIES Net Vendor Totals Number Name Gross 10188 NATUS MEDICAL INC 1,248.42 Vendor# Vendor Name Class Pay Code Net 10948 NOVITAS SOLUTIONS -PART A 0.00 Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross 44451 01/16/20 01116/20 01/16/20 57.93 REFUND Vendor Totals Number Name Grass 10948 NOVITAS SOLUTIONS -PART A 57.93 Vendor# Vendor Name Class Pay Code 0.00 11472 OCCUPRO LLC invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 8123 01109/2010/07/2011/07/20 426.56 PROVIDER LICENSE AND USP Vendor Totals Number Name Gross 11472 OCCUPRO LLC 426.56 Vendor# Vendor Name Class Pay Code OM425 OWENS & MINOR ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross 2032247217 ✓ 01/11/20 11/07/20 12/07/20 379.14 SUPPLIES 2032246201 ✓ 01/11/20 11/07/20 12/07120 665.33 SUPPLIES 2032240252 ✓ 01/11/20 11/07/2012107120 39.00 SUPPLIES 2032315727 v1 01/11/20 11/09/20 12/09/20 120.48 SUPPLIES 2032312799 / 01/1112011/0912012/09/20 167.00 SUPPLIES 2032313722 ✓ 01/11/20 11/09/20 12109120 14.20 SUPPLIES Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Page 18 of 26 2.63 525.93 69.66 V/ Net 11,292.14 Net 1,248.42 v/ Net 1,248.42 Net 57.93 Net 57.93 Discount No -Pay Net 0.00 0.00 426.56 Discount No -Pay Net 0.00 0.00 426.56 Discount No -Pay Net 0.00 0.00 379.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2032641839 ✓ 01/11/20 11/21/20 12/21/20 1,077.61 0.00 SUPPLIES 2032769123 r/ 01/11/20 11/28/20 12/28/20 18.58 0.00 4te SUPPLIES 2032769099 v/ 01/11120 11/28/20 12/28/20 40.12 0.00 SUPPLIES 2032797475 01/11/20 11/28120 12/28/20 32.74 0.00 SUPPLIES 0.00 0.00 0.00 0.00 665.33 ✓ 39.00 120.48 ✓ 167.00 14.20 ✓ 1,077.61✓ 18.58 ✓ 40.12✓ 32.74 ✓ file:///C:/Users/cclevenger/epsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report115... 1/18/2018 Page 20 of 26 11080 RADSOURCE 1,667.00 0.00 0.00 1,667.00 Vendor# Vendor Name Class Pay Code R1200 RED HAWK FIRE AND SECURITY /,y Invoice# Comment Tran Dt Inv Dt Due Dt Check a Pay Gross Discount No -Pay Net 325904 �/ 01/09/20 12101/20 12/26/20 43.72 0.00 0.00 43.72 FIRE MONITORING ' Vendor Total: Number Name Gross Discount No -Pay Net R1200 RED HAWK FIRE AND SECURITY 43.72 0.00 0.00 43.72 Vendor# Vendor Name Class Pay Code G0425 ROBERTS, ROBERTS & ODEFEY, LLP ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 000056 01/09/2012119/2001/05/20 893.75 0.00 0.00 893.75 LEGAL SERVICES 0.00 27.50 000022 01/09/2012/19/2001/05/20 27.50 0.00 LEGAL SERVICES / 000158 01/09/2012/19/2001/05/20 2,970.00 0.00 0.00 2,970.00 t/ LEGAL SERVICES 000087 01/09/20 12/19/20 01/05/20 893.75 0.00 0.00 893.75 LEGAL SERVICES ' Vendor Total: Number Name Gross Discount No -Pay Net G0425 ROBERTS, ROBERTS & ODEFEY, LLP 4,785.00 0.00 0.00 4,785.00 Vendor# Vendor Name Class Pay Code 51800 SHERWIN WILLIAMSv/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 1388B.// 12/31/2012/23/20 01/11/20 24.46 0.00 0.00 24.46 ✓ SUPPLIES 14878 ✓ 12131/20 12128/20 01/12/20 55.87 0.00 0.00 55.87 SUPPLIES 10884 v101109/2012115/2012/30120 -57.39 0.00 0.00 57.39 ✓ SUPPLIES 10074A / 01/17/20 12/14/20 12/29/20 153.44 0.00 0.00 153.44 t/ SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net S1800 SHERWIN WILLIAMS 291.16 0.00 0.00 291.16 Vendor# Vendor Name Class Pay Code S2001 SIEMENS MEDICAL SOLUTIONS INC ,/ M Invoice#�omment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net / 751.58 v 115539393 01/1612012/18/2001/12/20 751.58 0.00 0.00 MAINTENANCE CONTRACT Vendor Total: Number Name Gross Discount No -Pay Net S2001 SIEMENS MEDICAL SOLUTIONS INC 751.58 0.00 0.00 751.58 Vendor# Vendor Name/ Class Pay Code 11596 SKELETAL DYNAMICS, LLC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net INVO031966 ✓ 01/16/2011/14/2012/14120 2,643.00 0.00 0.00 2,643.00 V/ SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 11596 SKELETAL DYNAMICS, LLC 2,643.00 0.00 0.00 2,643.00 Vendor# Vendor Name Class Pay Code 11296 SOUTH TEXAS BLOOD & TISSUE CEN ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net / 90032246 12/3112012/21/2001/15120 6,169.00 0.00 0.00 6,169.00 ✓ file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report115... 1/18/2018 Page 22 of 26 ELEVATOR WORK q/ 6000279204 01/15/20 11/17/20 12/17/20 4,167.00 0.00 0.00 4,167.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net T2250 THYSSENKRUPP ELEVATOR CORP 8,579.00 O.OD 0.00 8,579.00 Vendor# Vendor Name Class Pay Code 11512 TODD SAVOY Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 000610 01/09/2001/03/2001/10/20 7.48 0.00 0.00 7.48 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11512 TODD SAVOY 7.48 0.00 0.00 7.48 Vendor# Vendor Name Class Pay Code 11067 TRIZETTO PROVIDER SOLUTIONS Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 3A3X121700J 12/3112012/01/2001/11/20 119.00 0.00 0.00 119.00 PURCHASED SERVICES 35FK121700V 12/31/2012/01/2001/11/20 1,316.53 0.00 0.00 1,316.53 V/ PURCHASED SERVICES Vendor TotalsNumber Name Gross Discount No -Pay Net 11067 TRIZETTO PROVIDER SOLUTIONS 1,435.53 0.00 0.00 1,435.53 Vendor# Vendor Name Class Pay Code 11002 TRUSTAFFV/ Invoice# / Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 360641 ✓ 12/21/20 12/12/20 01/11/20 2,681.25 0.00 0.00 2,681.25 OB STAFFING 0.00 3,656.25 359801 12131/2012/08/20 01/11/20 3,656.25 0.00 STAFFING SERVICES 364529 / 01/09/20 12/27/20 01/26/20 2,700.00 O.OD 0.00 2,700.00 STAFFING SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 11002 TRUSTAFF 9,037.50 0.00 0.00 9,037.50 Vendor# Vendor Name Class Pay Code 11169 TXU ENERGY P_tV0Ve_?PX Gci.klrn chaftotr Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 054627077706 01/18/2012/19/2001108/20 28,846.14 0.00 0.00 28,848/ ELECTRICITY ' Vendor Totals Number Name 11169 TXU ENERGY Gross 28,814 Discount 0.00 No -Pay 0.00 Net 28,84/4 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 8400263721v/ 12121/2012/19/2001/13/20 103.37 0.00 0.00 103.37 v/ LAUDNRY 8400264211 v7 12129/20 12126/20 01/20/20 207.46 0.00 0.00 207.46 LAUNDRY 840D264037 V/ 12/31/2012/22/2001/16/20 21.25 0.00 0.00 21.25,/ LAUNDRY 840264043 V/ 12131/201212212001/16/20 790.30 0.00 O.OD 790.30 ✓ 8400264010 v/ 12131/20 12/22/20 01/16/20 17.00 O.OD 0.00 17.00 LAUNDRY file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.coni/u82227/data_5/tmp_cw5report115... 1/18/2018 FOOD SUPPLIES 0.00 3040256 01/09/20 11/30/20 12/20/20 69.42 FOOD SUPPLIES 0.00 3040254 ✓ 01/09/20 11/30/20 12/20/20 1,651.72 9501751 01/09/20 12/20/20 01/04120 -17.99 0.00 0.00 CREDIT No -Pay 64036080 ✓ 01/09/20 12/07/20 12/27/20 1,327.27 Vendor Totals Number Name Gross Discount No -Pay U1056 UNIFORM ADVANTAGE 837.95 0.00 0.00 Vendor# Vendor Name Class Pay Code Vendor Totals Number Name Gross U1350 UPS V/ W 6,546.22 Vendor# Vendor Name Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay 0000778941507 12/31/2012/1612001/15/20 394.70 0.00 0.00 FREIGHT Gross 11708 VELYNCIAVILLEGAS 40.00 Vendor Totals Number Name Gross Discount No -Pay U1350 UPS 394.70 0.00 0.00 Vendor# Vendor Name Class Pay Code Vendor Totals Number Name Gross ✓ 1,990.55 Vendor# Vendor Name Class Pay Code 10172 US FOOD SERVICE Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay 5266490✓ 01/09/2010/24/2011/13/20 627.67 0.00 0.00 FOOD SUPPLIES 5293982 *// 01/09/2010/26/2011/15/20 1,279.84 0.00 0.00 FOOD SUPPLIES 0.00 3040256 01/09/20 11/30/20 12/20/20 69.42 FOOD SUPPLIES 0.00 3040254 ✓ 01/09/20 11/30/20 12/20/20 1,651.72 FOOD SUPPLIES 0.00 3164072 01/09/20 12/07/2012127/20 1,144.65 FOOD SUPPLIES No -Pay 64036080 ✓ 01/09/20 12/07/20 12/27/20 1,327.27 FOOD SUPPLIES 1,990.55 ✓ 3223599A ✓ 01/09/2012111/2012131/20 140.56 FOOD SUPPLIES 0.00 3223599 ✓ 01/09/2012/11/2012/31/20 305.09 FOOD SUPPLIES No -Pay Vendor Totals Number Name Gross 10172 US FOOD SERVICE 6,546.22 Vendor# Vendor Name Class Pay Code 11708 VELYNCIA VILLEGAS Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross 5007006 01/16/2011/28/2011/28/20 40.00 PT REFUND Vendor Totals Number Name Gross 11708 VELYNCIAVILLEGAS 40.00 Vendor# Vendor Name Class Pay Code 10793 WAGEWORKS t/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross 000601 01/09/20 01/04/20 01/14/20 1,990.55 FLEX SPEND Vendor Totals Number Name Gross 10793 WAGEWORKS 1,990.55 Vendor# Vendor Name Class Pay Code W1005 WALMART COMMUNITY,/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross 02796 01/09/2010/16/2011/16/20 39.94 SUPPLIES 02794 01/09/2010/16/2011/16/20 11.74 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Discount No -Pay 0.00 0.00 Page 24 of 26 -17.99 V Net 837.95 Net 394.70 V1 Net 394.70 Net 627.67 V 1,279.84 ✓ 69.42 ✓ 1,651.72 ✓ 1,144.65 ✓ 1,327.27 ,/ 140.56 v 305.09 Net 6,546.22 Discount No -Pay 0.00 Net / 40.00 0.00 r/ Discount No -Pay Net 0.00 0.00 40.00 Discount No -Pay Net 0.00 0.00 1,990.55 ✓ Discount No -Pay Net 0.00 0.00 1,990.55 Discount No -Pay Net 0.00 0.00 39.94,/ 0.00 0.00 11.74✓ file:///C:/Users/cclevenger/epsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report115... 1/18/2018 08479A 01117/2010/30/2011/30/20 88.74 SUPPLIES 294.58 08276 01/17/2010/31/20 18.16 SUPPLIES 1,068.11 r/ Vendor Totals Number Name Gross W1005 WALMART COMMUNITY 409.56 Vendor# Vendor Name Class Pay Code M W1040 WATERMARK GRAPHICS INC v/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross 118027 V/ 12131/20 12/20/20 01/19/20 294.58 SHIRTS Vendor Totals Number Name Gross W1040 WATERMARK GRAPHICS INC 294.58 Vendor# Vendor Name / Class Pay Code 11110 WERFEN USA LLC ✓ Invoice# Co%�ment Tran Dt Inv Dt Due Dt Check D• Pay Gross 9110459252 V 12/31/2012/13/2001/13/20 1,068.11 SUPPLIES 9110426865✓ 01/09/20 09/13120 10/08/20 424.40 SUPPLIES 9110456322 r/ 01/09/20 12/06/20 12/31/20 923.02 SUPPLIES Vendor Totals Number Name Gross 11110 WERFEN USA LLC 2,415.53 Vendor# Vendor Name Class Pay Code 11166 WEST INTERACTIVE SERVICES CORP V Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross INVO01897200 VI 12/31/2011/30/2001/11/20 413.32 HOUSE CALLS Vendor Totals Number Name Gross 11166 WEST INTERACTIVE SERVICES CORP 413.32 Report Summary 0.00 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Discount 0.00 0.00 0.00 Discount 0.00 Discount 0.00 Discount 0.00 Grand Totals: Gross Discount No -Pay 463,976.08 0.00 0.00 APPIdOVi•;F3 ONr JAN 19 2018 t�.63976�08 51^98 48.02 118=84 59°42 918.81 845986 28%848=14 86^06 7°53 73^11 67 53 P9 y Gorrct.l-ian Page 26 of 26 0.00 88.74 0.00 18.16 t1 No -Pay Net 0.00 409.56 No -Pay Net 0.00 294.58 No -Pay Net 0.00 294.58 No -Pay Net 0.00 1,068.11 r/ 0.00 424.40 r/ 0.00 923.02 ✓ No -Pay Net 0.00 2,415.53 No -Pay Net 0.00 413.32 No -Pay Net 0.00 413.32 Net 463,976.08 61.1t +y8.m • i - I I S.K`� p 9 1 b CoYY¢c}iah + t P9 y2 (Yelv�ov� �cr ft kL�� - 9.%Isis 19 - SI,•c - �, Q9 23 CorY'a.ckiotn � 73.113 + 4'1.53 t COUNTYAU2?.I, 4 3 4 : 9 7 `:•' ' S U :;: ! Michael J. Pfeller cAzzzozmrooutvmr £ Calhoun County J die C( r�t17Y17y +0Date: 17wZg9 f le:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_pw5reportl 15... 1/18/2018 RUN DATE:01/22/18 MEMORIAL MEDICAL CENTER TIME:11:34 CHECK REGISTER 01/22/18 TEND 01/22/18 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 174224 01/22/18 2,505.25 GULF COAST PAPER C014PANY A/P 174225 01/22/18 500.00 GULF COAST REGIONAL A/P 174226 01/22/18 46.59 HAYES ELECTRIC SERVICE A/P 174227 01/22/18 452.22 HILL -ROM COMPANY, INC A/P 174228 01/22/18 8,333.33 HITACHI MEDICAL SYSTEMS A/P 174229 01/22/18 93.93 HOLOGIC INC A/P 174230 01/22/18 11.25 HOSPIRA WORLDWIDE, INC A/P 174231 01/22/18 191.07 INJOY HEALTH EDUCATION A/P 174232 01/22/18 205.25 INTOXIMETERS INC A/P 174233 01/22/18 4,661.44 J & J HEALTH CARE SYSTEMS, INC A/P 174234 01/22/18 54.92 JACKSON & COKER LOCUM TENENS, A/P 174235.01/22/18 359.24 JOHNSTONE SUPPLY A/P 174236 01/22/18 443.65 LEGAL SHIELD A/P 174237 01/22/18 3,296.83 LUMINANT ENERGY COMPANY LLC A/P 174238 01/22/18 1,165.00 M G TRUST A/P 174239 01/22/18 36.64 MARIMBA NAVARRO A/P 174240 01/22/18 37.15 14ARTIN PRINTING CO A/P 114241 01/22/10 .00 VOIDED A/P 174242 01/22/18 6,447.16 MCKESSON MEDICAL SURGICAL INC A/P 174243 01/22/18 3,110.16 MEDICAL DATA SYSTEMS, INC. A/P 174244 01/22/18 .00 VOIDED A/P 174245 01/22/18 .00 VOIDED A/P 174246 01/22/18 .00 VOIDED A/P 174247 01/22/18 .00 VOIDED A/P 174248 01/22/18 .00 VOIDED A/P 174249 01/22/18 .00 VOIDED A/P 174250 01/22/18 .00 VOIDED A/P 174251 01/22/10 11,221.28 MEDLINE INDUSTRIES INC A/P 174252 01/22/18 191.29 NE14ORIAL MEDICAL CLINIC A/P 174253 01/22/18 111.15 MMC AUXILIARY GIFT SHOP A/P 174254 01/22/18 18,510.27 RMC EMPLOYEE BENEFIT PLAN A/P 174255 01/22/18 .00 VOIDED A/P 174256 01/22/18 11,292.14 MORRIS & DICKSON 00, LLC A/P 174257 01/22/18 1,248.42 NATO$ MEDICAL INC A/P 174258 01/22/18 57.93 NOVITAS SOLUTIONS -PART A A/P 174259 01/22/18 426.56 OCCUPRO LLC A/P 174260 01/22/18 .00 VOIDED A/P 174261 01/22/18 .00 VOIDED A/P 174262 01/22/18 5,341.96 OWENS & MINOR A/P 174263 01/22/18 3,177.34 PAETEC (WINDSTREAM) A/P 174264 01/22/18 11,001.20 PORT LAVACA RETAIL GROUP LLC A/P 174265 01/22/18 173;18 POWER HARDWARE A/P 174266 01/22/18 1,667.00 RADSOURCE A/P 174267 01/22/18 43.72 RED HAWK FIRE AND SECURITY A/P 174268 01/22/18 4,785.00 ROBERTS, ROBERTS & ODEFEY, LLP A/P 174269 01/22/18 291.16 SHERWIN WILLIAMS A/P 174270 01/22/18 751.58 SIEMENS MEDICAL SOLUTIONS INC A/P 174271 01/22/18 2,643.00 SKELETAL DYNAMICS, LLC A/P 174272 01/22/18 3,432.76 SOUTH TEXAS BLOOD & TISSUE CEN A/P 174273 01/22/18 2,193.22 STRYKER SUSTAINABILITY A/P 174274 01/22/18 40.39 SYLVIA VARGAS PAGE 2 GLCKREG \ § d m k \\\ - 2 }| t � T w 3 5 in A O m t7Z 3 ►A J N 4 Iz N i �a D �6 y� N 3 5 in A O m t7Z 3 ►A J •.O O IN Cip 3n 9<y M wz w a m CD3 8� a2 �z 3 5 in D< O m t7Z 3 ►A n Q 4 Iz i �a D �6 y� O u p N r N N O w W w m 0 N D 0 � N d � en -On IC niA w m1 m..a 0" jm�o;im 1 CO w N C co NN om =D x x. (. D A] a w Oo C z ON N N � O - to a Vi TN c a.iF m N N N Jw w W � W CD3 8� a2 �z 3 5 in D< O m t7Z 3 ►A n Q 4 Iz i 4 D Vr^ w 3 , 3 m C C: 'mD o0 � e M 0 w ZT o D Fn _ Z = n ex o N N i F p00 n 03 7 O u p N r N N O w W w m 0 N D 0 � N d � en -On IC niA w m1 m..a 0" jm�o;im CO co NN om =D x x. (. D A] a w Oo C z ON Page 1 of 1 APP151 0cg p 17V ?� 95 jj R 2 2 2096 COUNTY AUDITOR CALHOUNC©UVtTY, TEXAS i�L,4�7 � kl Michael J. Pfeifer Calhoun County Judge Date: _L/�i f, l P-MC::/[Jsers/cclevenger/evsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report704... 1/22/2018 MEMORIAL MEDICAL CENTER 01!22/201 B AP Open Invoice List 0 ap_open_invofce.template 14:45 Dates Through: Vendor# Vendor Name Class Pay Code 10814 ALLIED BENEFIT SYSTEMS ,1 Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 0000405325A 01/22/2012/15/2001/15/20 30,264.96 0.00 0.00 30,264.96 EMPLOYEEINS ' Vendor Total: Number Name Gross Discount No -Pay Net 10814 ALLIED BENEFIT SYSTEMS 30,264.96 0.00 0.00 30,264.96 Report Summary Grand Totals: Gross Discount No -Pay Net 30,264.96 0.00 0.00 30,264.96 APP151 0cg p 17V ?� 95 jj R 2 2 2096 COUNTY AUDITOR CALHOUNC©UVtTY, TEXAS i�L,4�7 � kl Michael J. Pfeifer Calhoun County Judge Date: _L/�i f, l P-MC::/[Jsers/cclevenger/evsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report704... 1/22/2018 RUN DATS:01/22/18 MEMORIAL MEDICAL CENTER TIME:15:16 CHECK REGISTER 01/22/18 THRU 01/22/18 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE A14OUNT PAYEE -----------'------------------'------- A/P 174224 01/22/18 2,505.25 GULF COAST PAPER COMPANY A/P 174225 01/22/18 500.00 GULF COAST REGIONAL A/P 174226 01/22/18 46.59 HAYES ELECTRIC SERVICE A/P 174227 01/22/18 452.22 HILL -ROM COMPANY, INC A/P 174228 01/22/18 8,333.33 HITACHI MEDICAL SYSTEMS A/P 174229 01/22/18 93.93 HOLOGIC INC A/P 174230 01/22/16 11.25 HOSPIRA WORLDWIDE, INC A/P 174231 01/22/18 191.07 INJOY HEALTH EDUCATION A/P 174232 01/22/18 205.25 INTOXIMETERS INC A/P 174233 01/22/18 4,661.44 J & J HEALTH CARE SYSTEMS, INC A/P 174234 01/22/18 54.92 JACKSON & COKER LOCU14 TBNBNS, A/P 174235 01/22/18 359.24 JOHNSTONE SUPPLY A/P 174236 01/22/18 443.65 LEGAL SHIELD A/P 174237 01/22/18 3,296.83 LUMINANT ENERGY COMPANY LLC A/P 174238 01/22/18 1,165.00 M G TRUST A/P 174239 01/22/18 36.64 MARINDA NAVARRO A/P 174240 01/22/18 31.15 MARTIN PRINTING CO A/P 174241 01/22/18 .00 VOIDED A/P 174242 01/22/18 6,447.16 MCKESSON MEDICAL SURGICAL INC A/P - 174243 01/22/18 3,110.16 MEDICAL DATA SYSTEMS, INC. A/P 174244 01/22/18 .00 VOIDED A/P 174245 01/22/18 .00 VOIDED A/P 174246 01/22/18 .00 VOIDED A/P 174247 01/22/18 .00 VOIDED A/P 174248 01/22/18 .00 VOIDED A/P 174249 01/22/18 .00 VOIDED A/P 174250 01/22/18 .00 VOIDED A/P 174251 01/22/18 11,221.28 MEDLINE INDUSTRIES INC A/P 174252 01/22/18 191.29 MEMORIAL 14EDICAL CLINIC A/P 174253 01/22/18 111.15 MMC AUXILIARY GIFT SHOP A/P 174254 01/22/18 18,510.27 D24C EMPLOYEE BENEFIT PLAN A/P 174255 01/22/18 .00 VOIDED A/P 174256 01/22/18 11,292.14 MORRIS & DICKSON 00, LLC A/P 174257 01/22/18 1,248.42 NATUS MEDICAL INC A/P 174258 01/22/18 57.93 NOVITAS SOLUTIONS -PART A A/P 174259 01/22/18 426.56 OCCUPRO LLC A/P 174260 01/22/18 .00 VOIDED A/P 174261 01/22/18 .00 VOIDED A/P 174262 01/22/18 5,341.96 OWENS & MINOR A/P 174263 01/22/18 3,177.34 PARTEC (WINDSTREAM) A/P 174264 01/22/18 11,001.20 PORT LAVACA RETAIL GROUP LLC A/P 174265 01/22/18 173.18 POWER HARDWARE A/P 174266 01/22/18 1,667.00 RADSOURCE A/P 174267 01/22/18 43.72 RED HAWK FIRE AND SECURITY A/P 174268 01/22/18 4,785.00 ROBERTS, ROBERTS & ODEFEY, LLP A/P 174269 01/22/18 291.16 SHERWIN WILLIAMS A/P 174270 01/22/18 751.58 SIEMENS MEDICAL SOLUTIONS INC A/P 174271 01/22/18 2,643.00 SKELETAL DYNAMICS, LLC A/P 174272 01/22/18 3,432.76 SOUTH TEXAS BLOOD & TISSUE CEN A/P 174273 01/22/18 2,193.22 STRYKER SUSTAINABILITY A/P 174274 01/22/18 40.39 SYLVIA VARGAS PAGE 2 GLCKREG Page 1 of 1 MEMORIAL MEDICAL CENTER 01/23/2018 AP Open Invoice List 0 15:36 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 10613 MEDIMPACT HEALTHCARE SYS, INCy A/P Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 000594 01/23/2012134/2012/31/20 65.14 0.00 0.00 65.14 INDIGENT CARE 1 z /B 0.00 0.00 231.78 000598 01/23/20 1 12131/20 231.78 INDIGENT CARE Vendor TotalE Number Name Gross Discount No -Pay Net 10613 MEDIMPACT HEALTHCARE SYS, INC. 296.92 0.00 0.00 296.92 ReportSummary Grand Totals: Gross Discount No -Pay Net 296.92 0.00 0.00 296.92 APPROVED ON JAM 2 k 2018 C K:fi_ C1 COUNTY AUDITOR VE�g CAILHOUN COUM , Michael J. Pfeffer Calhoun County Judge Date: ,/ - a1_ i � file:///C:/Users/cclevenger/epsi/memmed.cpsinet.com/u82227/data 5/tmp_cw5report691... 1/23/2018 Page 1 of 9 APPROVED ON MEDICAL CENTER Ol�l/2038} 2018 0 AP Open Invoice List AP 16:09ap_open_invoice.template Due Dates Through: 01/31/2018 COUIJ'E`% AUJDITO& ",A.,T;tieDdPdr,Vehuo'-;r;meiClass Pay Code 11237 3WON, LLC;7 y Invoice/# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 1095 J 01/23/20 06/09/20 07/09/20 199.00 0.0D 0.00 199.00/ PRACTIONER CREDENTIALINI ' 1106 �/ 01/23/20 07/10/20 08/10/20 396.00 0.00 0.00 398.00 y/ PRACTIONER CREDENTIALIN( ' Vendor Totals Number Name Gross Discount No -Pay Net 11237 3WON, LLC 597.00 0.00 0.00 597.00 Vendor# Vendor Name Class Pay Code ✓ 11283 ACE HARDWARE 15521 Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net / 25.47 118640 ✓ 12/3112012/27120 01/27/20 25.47 0.00 0.00 d SUPPLIES / 118676✓ 12/31/2012/28/2001/28/20 7.99 0.00 0.00 7.99✓ SUPPLIES ' Vendor Totals Number Name Gross Discount No -Pay Net 11283 ACE HARDWARE 15521 33.46 0.00 0.00 33.46 Vendor# Vendor Name Class Pay Code A1680 AIRGAS USA, LLC - CENTRAL DIV M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 9948966528/ 01/23/2011/30/2012/25/20 420.84 0.00 0.00 420.84✓ - CYLINDER RENTAL / 9071239752✓ 01/23/20 12/31/20 01/25/20 2,094.54 0.00 0.00 2,094.54 ✓ SUPPLIES 21.78 9071397021 � 01/23/20 01/05/20 01/30/20 21.78 0.00 0.00 SUPPLIES ' Vendor Totals Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC -CENTRAL DIV 2,537.16 0.00 0.00 2,537.16 Vendor# Vendor Name Class Pay Code 11632 AMERICAN CONSTRUCTION Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross - Discount No -Pay Net / 1331/ 01/23/2001/07/2001/31/20 5,199.96 0.00 0.00 5,199.96 ✓ CONSTRUCTION ' Vendor Totals Number Name Gross Discount No -Pay Net 11632 AMERICAN CONSTRUCTION 5,199.96 0.00 0.00 5,199.96 Vendor# Vendor Name Class Pay Code 10938 BANK OF THE WEST Invoice# / Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 6,452.64 4384282V 01/2312001/12/2001/31/20 6,452.64 0.00 0.00 Vendor Totals Number Name 10938 BANK OF THE WEST Gross Discount No -Pay Net 6,452.64 0.00 0.00 6,452.64 Vendor# Vendor Name Class Pay Code C1048 CALHOUN COUNTY W Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 000605 01/23/2012/24/2001/24/20 81.23 0.00 0.00 81.23 file:///C:/Users/cclevenser/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report917... 1/23/2018 Page 3 of 9 file:///C:/Users/ecleveni4er/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_ew5report917... 1/23/2018 Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net IN2005143B V1 01/23/2012129/20 01/23/20 19,166.67 0.00 0.00 19,166.67 CPR PROGRAM ' Vendor Totals Number Name Gross Discount No -Pay Net 11011 DIAMOND HEALTHCARE CORP 19,166.67 0.00 0.00 19,166.67 Vendor# Vendor Name Class Pay Code 10842 DOOR CONTROL SERVICES, INC v/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net SMINV147942 / 12/31/20 12/27/20 01/27/20 199.25 0.00 0.00 199.25 SERVICE CALL ER DOOR " Vendor Totals Number Name Gross Discount No -Pay Net 10842 DOOR CONTROL SERVICES, INC 199.25 0.00 0.00 199.25 Vendor# Vendor Name Class Pay Code 10788 FIRETROL PROTECTION SYSTEMS P/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 100506099 �/ 01/23/20 12/19/20 12/29/20 760.00 0.00 0.00 760.00 ALARM INSPECTION ' 100508331 01/23/20 12/20/20 12/30/20 286.00 0.00 0.00 286.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10788 FIRETROL PROTECTION SYSTEMS 1,046.00 0.00 O.OD 1,046.00 Vendor# Vendor Name Class Pay Code 11037 FIRSTCLEARING ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 011818 01/23/20 01/18/20 01/18/20 75.00 0.00 0.00 75.00 PAYROLL DED ' Vendor Totals Number Name Gross Discount No -Pay Net 11037 FIRSTCLEARING 75.00 0.00 0.00 75.00 Vendor# Vendor Name Class Pay Code GE HEALTHCARE/ 10283 Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net / 6000949427 ✓ 01/23/20 3,236.62 0.00 0.00 3,236.62 ✓ MAINT CONTRACT RAD ' Vendor Totals Number Name Gross Discount No -Pay Net 10283 GE HEALTHCARE 3,236.62 0.00 0.00 3,236.62 Vendor# Vendor Name Class Pay Code 11724 GRACE PLUMBING ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 291291 01123/20 12/29/20 01/29/20 95.00 0.00 0.00 95.00 ASSESSMENT ' Vendor Totals Number Name Gross Discount No -Pay Net 11724 GRACE PLUMBING 95.00 0.00 0.00 95.00 Vendor# Vendor Name Class Pay Code M G1210 GULF COAST PAPER COMPANY,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 1424855 01/09/20 01/09/20 01/31/20 126.64 0.00 0.00 126.64 r/ SUPPLIE Vendor Totals Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 126.64 0.00 0.00 126.64 Vendor# Vendor Name Pay Code /Class 10804 HEALTHCARE CODING & CONSULTING V file:///C:/Users/ecleveni4er/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_ew5report917... 1/23/2018 Page 5 of 9 Vendor Totals Number Name Gross Discount No -Pay Net M2181 MATTHEW BENDER & CO.,INC. 65.08 0.00 0.00 65.08 Vendor# Vendor Name Class Pay Code 11432 MD REPORTS ✓/ V Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net INV3654v1 01/23/20 01/,,01/20 01/15/20 1,470.00 0.00 0.00 1,470.00 MAINT CONTRACT tt*W( hdppal FG(' 6ndt'z7t0r%1 Rapdv'F Vghr Vendor Totals Number Name Gross Discount No -Pay Net 11432 MD REPORTS 1,470.00 0.00 0.00 1,470.00 Vendor# Vendor Name Class Pay Code 11141 MEDICAL DATA SYSTEMS, INC. V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 114769%/ 01/23/20 10/31/2011/25/20 2,884.58 0.00 0.00 2,884.58 ✓ COLLECTION FEES Vendor Totals Number Name Gross Discount No -Pay Net 11141 MEDICAL DATA SYSTEMS, INC. 2,884.58 0.00 0.00 2,804.58 Vendor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 011818 01/23/20 01/18/20 01/18/20 489.98 0.00 0.00 489.98 PAYROLL DED Vendor Totals Number Name Gross Discount No -Pay Net 10963 MEMORIAL MEDICAL CLINIC 489.98 0.00 0.00 489.98 Vendor# Vendor Name Class Pay Code M2621 MMC AUXILIARY GIFT SHOP V/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 000604 01/23/2001/23/2001/31/20 65.74 0.00 0.00 65.74 GIFT SHOP PAYROLL DED Vendor Totals Number Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GIFT SHOP 65.74 0.00 0.00 65.74 Vendor# Vendor Name Class Pay Code 10810 MMC EMPLOYEE BENEFIT PLAN ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 000597 01/2312001/22/2001/30/20 13,203.45 0.00 0.00 13,203.45✓ EMPINSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 10810 MMC EMPLOYEE BENEFIT PLAN 13,203.45 0.00 0.00 13,203A5 Vendor# Vendor Name Class Pay Code - N1225 NUTRITION OPTIONS W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 000595 01/23/2001/17/2001/26/20 3,000.00 0.00 0.00 3,000.00 DIETICIAN Djlpq�rej t�jy1/r/ l/141f/ th-llf' ' Vendor Totals Number Name Gross Discount No -Pay Net N1225 NUTRITION OPTIONS 3,000.00 0.00 0.00 3,000.00 Vendor# Vendor Name Class Pay Code ✓ 01500 OLYMPUS AMERICA INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 94833656 ✓ 01/23/2011/07/2012/02/20 1,137.51 0.00 0.00 1,137.51 SERVICE CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 1,137.51 0.00 0.00 1,137.51 file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report917... 1/23/2018 Page 7 of 9 10520 RICOH USA, INC. 9,062.16 0.00 0.00 9,062.16 Vendor# Vendor Name Class Pay Code S2001 SIEMENS MEDICAL SOLUTIONS INC V/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 115475744 ✓ 01/23/20 07/18/20 08/12/20 832.25 0.00 0.00 832.25 V1 MAINT CONT 115488373 ✓ 01/23/20 08/18/20 09/12/20 832.25 0.00 0.00 832.25 PURCH SERV Vendor Totals Number Name Gross Discount No -Pay Net S2001 SIEMENS MEDICAL SOLUTIONS INC 1,664.50 0.00 0.00 1,664.50 Vendor# Vendor Name Class Pay Code 82345 SOUTHEAST TEXAS HEALTH SYS W Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 25988 01/23/2001/01/2001/31/20 5,000.00 0.00 0.00 5,000.00 ✓ MEMBERSHIP DUES "10 AAh"'t3u�S(Sa�' Vendor Totals Number Name Gross Discount No -Pay Net S2345 SOUTHEAST TEXAS HEALTH SYS 5,000.00 0.00 0.00 5,000.00 Vendor# Vendor Name Class Pay Code S3960 STERICYCLE, INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 4007541349✓ 01/04/2001/01/2001/31/20 1,928.53 0.00 0.00 1,928.53 DISPOSAL SERVICES Vendor Totals Number Name Gross Discount No -Pay Net S3960 STERICYCLE, INC 1,928.53 0.00 0.00 1,928.53 Vendor# Vendor Name Class Pay Code T2539 T -SYSTEM, INC,/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 205EV32190✓ 12/31/2012/31/2001/31/20 1,144.00 0.00 0.00 1,144.00 ✓ CLOUD HOSTING 205EV32108 12/31/2012/31/2001/31/20 ✓ 4,555.00 0.00 0.00 4,555.00 f COMPUTER SYSTEM ER Vendor Totals Number Name Gross Discount No -Pay Net T2539 T -SYSTEM, INC 5,699.00 0.00 0.00 5,699.00 Vendor# Vendor Name Class Pay Code ✓ T2250 THYSSENKRUPP ELEVATOR CORP M Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 6000285642 01/09/20 12/28/20 01/28/20 1,638.00 0.00 0.00 1,638.00 ✓ ELEVATOR TROUBLESHOOTII Vendor Totals Number Name Gross Discount No -Pay Net T2250 THYSSENKRUPP ELEVATOR CORP 1,638.00 0.00 0.00 1,638.00 Vendor# Vendor Name Class Pay Code 11067 TRIZETTO PROVIDER SOLUTIONS Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net 35FK111700// 01/23/2011/01/2011/26/20 1,444.66 0.00 0.00 1,444.66 PURCH SERVICES 35FK011800 / 01/23/20 01/01/20 01/26/20 833.67 0.00 0.00 833.67 PURCHASED SERVICES 3A3X011800 ✓ 01/23/20 01/01/20 01/26120 124.00 0.00 0.00 124.00 ✓ PURCHASED SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 11067 TRIZETTO PROVIDER SOLUTIONS 2,402.33 0.00 0.00 2,402.33 file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report917... 1/23/2018 Page 9 of 9 V Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net / 02757 ✓ 01/23/20 12/14/20 01/14/20 8.93 0.00 0.00 8.93 r/ SUPPLIES 02755 0112312012114/2001/14/20 3.52 0.00 ' 0.00 3.52,/ SUPPLIES 02756 01/23/20 12114/20 01114/20 2.88 0.00 0.00 2.88 SUPPLIES 03990 01123/2012/2112001/21/20 4.39 0.00 0.00 4.39 SUPPLIES 07180 01/23/2012/28/20 01/28/20 4.25 0.00 0.00 4.25 SUPPLIES / 03896 �/ 01/23/20 01/10120 01/10/20 17.40 0.00 0.00 17.40 SUPPLEIS Vendor Totals Number Name Gross Discount No -Pay Net W1005 WALMART COMMUNITY 41.37 0.00 0.00 41.37 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 4,046.92 9110462274 / 01123/2012/19/20 01/13/20 4,046.92 0.00 0.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 4,046.92 0.00 0.00 4,046.92 Vendor# Vendor Name Class Pay Code 11166 WEST INTERACTIVE SERVICES CORP Invoice# Com ant Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net INV00191450112312012/31/2001/31120 521.`10 18 7 342/2 0.00 0.00 32-I•µo342/62 PURCHASED SERV ' Vendor Totals Number Name 37.1 Gross Discount No -Pay Net 11166 WEST INTERACTIVE SERVICES CORP 3Qtf.62 0.00 0.00 321•�}�4�.62 Vendor# Vendor Name / Class Pay Code 10556 WOUND CARE SPECIALISTS r/ Involve# Cnt Tran Dt Inv Dt Due Dt Check D• Pay Gross e Discount No -Pay Net WCS00001703om 01/2312001/01/2001/21/20' 14,575.00 0.00 0.00 14,575.00 WOUND CARE ' Vendor Totals Number Name Gross Discount No -Pay Net 10556 WOUND CARE SPECIALISTS 14,575.00 O.OD 0.00 14,575.00 Report Summary Grand Totals: Gross Discount No -Pay Net 158,844.21 0.00 0.00 158,844.21 c < I I 3 S -l'> �f P9 -! COVY�c{l0✓1 C5 -1'to1. a1 r <34'a Ua� r?ov> fl� 1 8>84L-21 Ti �9% Lorret,bon h3al�FD 113.37 -! al�td %. a, id9 101 -3 7 342.62 ori�ifrl% .010r," t;.Tr- 40 G(CS4 17yzq 7 1 5 8 ' 8 10 ` Michael J. Pfeffer 40 N 3,o Calhoun County Jud e Date: 17 file:NC:/Users/celevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_ew5report917... 1/23/2018 RUN DATE:01/24/18 MEMORIAL MEDICAL CENTER PAGE 1 TIME:10:46 CHECK REGISTER GLCKREG 01/24/18 THRU 01/24/18 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P ' 172389 01/24/18 282,131.38CR MMC OPERATING PROSPERITY ACC A/P 174297 01/24/18 597.00 3WON, LLC A/P 174298 01/24/18 33.46 ACE HARDWARE 15521 A/P 174299 01/24/18 2,537.16 AIRGAS USA, LLC - CENTRAL DIV A/P 174300 01/24/18 5,199.96 AMERICAN CONSTRUCTION A/P 174301 01/24/18 6,452.64 BANK OF THE WEST A/P 174302 01/24/18 81.23 CALHOUN COUNTY A/P 174303 01/24/18 210.00 CALHOUN COUNTY INDIGENT ACCOUN A/P 174304 01/24/18 731.36 CARDINAL HEALTH 414, INC. A/P 174305 01/24/18 75.00 CHRIS KOVAREK A/P 174306 01/24/18 797.50 CHRISTINA ZAPATA-ARROYO A/P 174307 01/24/18 660.00 CROSSROADS INSPECTION SERVICE A/P 174308 01/24/18 86.67 CYRACOM LLC A/P 174309 01/24/18 19,166.67 DIAMOND HEALTHCARE CORP A/P 174310 01/24/18 199.25 DOOR CONTROL SERVICES, INC A/P 174311 01/24/18 1,046.00 FIRETROL PROTECTION SYSTEMS A/P 174312 01/24/18 75.00 FIRST CLEARING A/P 174313 01/24/18 3,236.62 GE HEALTHCARE A/P 174314 01/24/18 95.00 GRACE PLUMBING A/P 174315 01/24/18 126.64 GULF COAST PAPER COMPANY A/P 174316 01/24/18 180.00 HEALTHCARE CODING & CONSULTING A/P 174317 01/24/18 820,79 IRON MOUNTAIN A/P 174318 01/24/18 424.47 JAQUELINE HERRERA A/P 174319 01/24/18 101.37 KYLE DANIEL A/P 174320 01/24/18 400.00 LAMAR COMPANIES A/P 174321 01/24/18 1,165.00 M G TRUST A/P 174322 01/24/18 907.29 MARLIN BUSINESS BANK A/P 174323 01/24/18 65.08 MATTHEW BENDER & CO.,INC. A/P 174324 01/24/18 1,470.00 MD REPORTS A/P 174325 01/24/18 2,884.58 MEDICAL DATA SYSTEMS, INC. A/P 174326 01/24/18 489.98 MEMORIAL MEDICAL CLINIC A/P 174327 01/24/18 65.74 MPIC AUXILIARY GIFT SHOP A/P 174328 01/24/18 13,203.45 MMC EMPLOYER BENEFIT PLAN A/P 174329 01/24/18 3,000.00 NUTRITION OPTIONS A/P 174330 01/24/18 1,137.51 OL174PUS AMERICA INC A/P 174331 01/24/18 48.47 OWENS & MINOR A/P 174332 01/24/18 165.00 PALACIOS BEACON A/P 174333 01/24/18 2,000.00 PARA A/P 174334 01/24/18 5,625.00 PREMIER SLEEP DISORDERS CENTER A/P 174335 01/24/18 3,334.00 RADSOURCE A/P 174336 01/24/18 43.72 RED HAWK FIRE AND SECURITY A/P 174337 01/24/18 9,062.16 RICOH USA, INC. A/P 174338 01/24/18 1,664.50 SIEMENS MEDICAL SOLUTIONS INC A/P 174339 01/24/18 5,000.00 SOUTHEAST TEXAS HEALTH SYS A/P 174340 01/24/18 1,928.53 STERICYCLE, INC A/P 174341 01/24/18 5,699.00 T -SYSTEM, INC A/P 174342 01/24/18 1,638.00 THYSSENKRUPP ELEVATOR CORP A/P 174343 01/24/18 2,402.33 TRIZETTO PROVIDER SOLUTIONS A/P 174344 01/24/18 420.00 TSICP A/P 174345 01/24/18 1,136.50 UNIFIRST HOLDINGS INC Page 1 of 1 MEMORIAL MEDICAL CENTER 0 0 9:02 0111 JAN 2 5 2010 COSAITYAUD TOR CAL -10 -ON CGIUD17t'Y,'PP�,XAy' 0ta� 17z39D Michael J. H' ikx Calhoun Cou• t s -Y Jud - e Date: fi I e:///C:/Users/celeven¢er/cusi/memmed.cpsinet.com/u82227/data_5/ttiap_cw5report720... 1/24/2018 01/2412018 AP Open Invoice List 09 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11492 MMC OPERATING PROSPERITY ACC Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 000608 01/2412001/24/2001/24/20 165,715.13 0.00 0.00 165,715.13 TRANSFER Vendor Total: Number Name Gross Discount No -Pay Net 11492 MMC OPERATING PROSPERITY ACC 165,715.13 0.00 0.0D 165,715.13 Report Summary Grand Totals: Gross Discount No -Pay Net 165,715.13 0.00 0.00 165,715.13 0111 JAN 2 5 2010 COSAITYAUD TOR CAL -10 -ON CGIUD17t'Y,'PP�,XAy' 0ta� 17z39D Michael J. H' ikx Calhoun Cou• t s -Y Jud - e Date: fi I e:///C:/Users/celeven¢er/cusi/memmed.cpsinet.com/u82227/data_5/ttiap_cw5report720... 1/24/2018 2 a n m s g W o D > O n 0 O �m n D D O a W �• X A iii m A o c � o � ry v � m � N O N �rt N F � O � c N = fU Cn N p C � i N m ^ w N a = C m vl m � m o a a w n N � h 00 � � a p� O O 0 C 9 > gam g < o u O N ip c m W m m s d a r 4 K o � N c w v 3 6 (p N N N j aE �N O 41 N N o �ADq s fo m m a p1 K g O n 4 m z O c O N Fn' � o ➢1 S to O .W (Op a � N M W o D > O n 0 O �m n D D O a W �• X A iii m A o c � o � v o N O N �rt N F n � m rib V^I m ^ w m vl m � O J W w n 00 n O 0 C 9 > < u CO W 6 N m N N N j % �N O :w N N N o y M o p� 0 N � c w w� G 5 � W qk o a i0 and D�m3C W o Z 0 n �Or > O n 0 O �m n D D O a W �• X A iii m�p A !D cli W � o � v o N O N �rt N F � N rib V^I C) vl � O J W w 00 O C 9 > < 4 CO W o p� 0 N � c w w� G 5 � W qk o a i0 and D�m3C W o Z 0 n �Or > O n 0 O �m n D D O a X �• X A iii m�p A !D cli W � o W o � m > O n 0 O �m d � �3Z o w m y A x - v v o N N �rt N F N N m O J W Peggy Hall From: cindy.mueller@calhouncotx.org -- Cindy Mueller <cindy.mueller@calhouncotx.org> Sent: Thursday, January 25, 2018 5:13 PM To: JAnglin@mmcportlavaca.com; rhonda.kokena@calhouncotx.org Cc. Erica Perez, peggy hall Subject: RE: DY7 Advance LIC IGT Notification (Gov Entity 4 of 8) Jason, My office will be preparing MMC list for each meeting as bills are approved. Thank you for letting us know to add the IGTto 1/31 list. Cindy From. JAnglin@mmcportlavaca.com —Jason Anglin [mailto:JAnglin@mmcportlavaca.com) Sent: Thursday, January 25, 2018 4:57 PM To: rhonda.kokena@calhouncotx.org; Cindy Mueller <cindy.mueller@calhouncotx.org> Subject: FW: DY7 Advance LIC IGT Notification (Gov Entity 4 of 8) Rhonda, I was thinking about the change to Weekly Commissioner Court Meetings. I have this IGT coming up Feb 2"d but I have to put it into computer system by February 1st. Normally I enter into the State's System the same or next day after I received the request. I don't like waiting to the last minute in case of technical difficulties or if I was to get sick or something. I'm planning on scheduling in the State's System tomorrow. So not sure if it needs to be approved next week by Commissioner Court before the State drafts out of our bank account. Our IGT amount is $262,261. Thank you, Jason Anglin, CEO Memorial Medical Center 815 N Virginia St Port Lavaca, TX 77979 Office 361-552-0240 Fax 361-552-0220 AMROdZo am .JAN [ 6 2016 COUNTY dd111l;rro t CAL-tf' 11 C,i$fFP%Wf,'Y A5 MEMORIAL MEDICAL CENTER 01 /2 912 01 8 AP Open Invoice List 1128 Dates Through: Vendor# Vendor Name Class Pay Code K0536 SHIRLEYKARNEI Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross 000621 01/29/2001/28/2001/28/20 277.86 CONTRACT EMPLOYEE �jS-28/2olg Vendor Total: Number Name Gross K0536 SHIRLEY KARNEI 277.86 ReportSummary Grand Totals: Gross Discount 277.86 0.00 Page 1 of 1 0 ap_open_invoice.template Discount No -Pay Net 0.00 0.00 277.86 Discount No -Pay Net 0.00 0.00 277.86 No -Pay Net 0.00 277.86 Affl§ovop ON JAN 2 9 2098 coUNTY AUDITOR CALHOUN COUNTY, TEXAS file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report495... 1/29/2018 Page 1 of 1 MEMORIAL MEDICAL CENTER 0 16:31 2018 AP Open Invoice List 16:31 ap_open invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11492 MMC OPERATING PROSPERITY ACC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 000628 01/29/20 01/29/20 02/01/20 993,930.93 0.00 0.00 993,930.93 TRANSFER FUNDS Vendor Totals Number Name 11492 MMC OPERATING PROSPERITY ACC Report Summary Grand Totals: Gross Discount 993,930.93 0.00 Gross Discount No -Pay Net 993,930.93 0.00 0.00 993,930.93 No -Pay 0.00 Wpjg0VFB ®N 1AIKI 2 9 2018 Net 993,930.93 COU14TY AUDITOR CALHOUN Cott +jI Y'*rEX"tla file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report448... 1/29/2018 o > U'u fA in 0* 0 m z 0 o >0 r 0 0 Z T o > U'u fA in Z 0 m z 0 o >0 r 0 0 Z T 81 (n > 5 GXI co 70 CD c) CD C) :pt +lD + + co 0 CO G) cl R O 00 C� > o > U'u fA in Z 0 m z 0 o >0 r 0 0 Z T 00 -1 0 > 0 �71 Cindv Mueller From: mortiz@mmcportlavaca.com -- Maria Ortiz <mortiz@mmcportlavaca.com> Sent: Tuesday, January 30, 2018 11:30 AM To: Peggy Hall; Erica Perez; cindy.muelier@calhouncotx.org; Rhonda Kokena Cc: Jason Anglin Subject: FW: NH Transf for 01/29/18 Attachments: NH Transf 012918.pdf Importance: High Peggy, As per our conversation this morning, if the NH transfers were sent to you before noon they could be included for Wed Comm Court approval. E-mail below indicates Jason's approval. Thank you, Maria D. Ortiz Accounting Memorial Medical Center 815 Virginia St. Port Lavaca, Texas 77979 mortiz(cr�mmcportlavaca.com Off:361-652-6713, Ext 121 .... From: Jason Anglin Sent: Tuesday, January 30, 201811:22 AM To: Maria Ortiz <mortiz@mmcportlavaca.com> Subject: Re: NH Transf for 01/29/18 Approved. Thank you, Jason Anglin On Jan 30, 2018, at 11:10 AM, Maria Ortiz <mortiz@mmcnortlavaca.com> wrote: Jason, For your review and approval. I spoke to Mark S. Voye, CFO for Cantex; He showed me how to get to the payments on Comp 2 and I identified them (which I attached). He also said the % split is 50/50. Peggy said if we could this to her by 12:00 she could get them in for Wed Comm Court approval. Just let me know before than if you can. Thank you, Maria D. Ortiz Accounting Memorial Medical Center 815 Virginia St. Port Lavaca, Texas 77979 mortiz(a)mmcportlavaca.com Cindv Mueller From: mortiz@mmcportlavaca.com -- Maria Ortiz <mortiz@mmcportlavaca.com> Sent: Tuesday, January 30, 2018 11:30 AM To: Peggy Hall; Erica Perez; cindy.mueller@calhouncotx.org; Rhonda Kokena Cc: Jason Anglin Subject: FW: NH Transf for 01/29/18 Attachments: NH Transf 012918.pdf Importance: High Peggy, Asper our conversation this morning, if the NH transfers were sent to you before noon they could be included for Wed Comm Court approval. E-mail below indicates Jason's approval. Thank you, Maria D. Ortiz Accounting Memorial Medical Center 815 Virginia St. Port Lavaca, Texas 77979 _mortiz(o)mmcportlavaca.com Off:361-552-6713, Ext 121 From: Jason Anglin Sent: Tuesday, January 30, 201811:22 AM To: Maria Ortiz <mortiz@mmcportiavaca.com> Subject: Re: NH Transf for 01/29/18 Approved. Thank you, Jason Anglin On Jan 30, 2018, at 11:10 AM, Maria Ortiz <mortiz mmcportlavaca.com> wrote: Jason, For your review and approval. I spoke to Mark S. Voye, CFO for Cantex; He showed me how to get to the payments on Comp 2 and I identified them (which I attached). He also said the % split is 50/50. Peggy said if we could this to her by 12:00 she could get them in for Wed Comm Court approval. Just let me know before than if you can. Thank you, Maria D. Ortiz Accounting Memorial Medical Center 815 Virginia St. Port Lavaca, Texas 77979 mortiz(cpmmcportlavaca.com Cindy Mueller From: mortiz@mmcportlavaca.com -- Maria Ortiz <mortiz@mmcportlavaca.com> Sent: Tuesday, January 30, 2018 11:30 AM To: Peggy Hall; Erica Perez; cindy.mueller@calhouncotx.org; Rhonda Kokena Cc: Jason Anglin Subject: FW: NH Transf for 01/29/18 Attachments: NH Transf 012918.pdf Importance: High Peggy, As per our conversation this morning, if the NH transfers were sent to you before noon they could be included for Wed Comm Court approval. E-mail below indicates Jason's approval. Thank you, Maria D. Ortiz Accounting Memorial Medical Center 815 Virginia St. Port Lavaca, Texas 77979 mortiz(a).mmcportlavaca.com Off:361-552-6713, Ext 121 From: Jason Anglin Sent: Tuesday, January 30, 201811:22 AM To: Maria Ortiz <mortiz@mmcportlavaca.com> Subject: Re: NH Transf for 01/29/18 Approved. Thank you, Jason Anglin On Jan 30, 2018, at 11:10 AM, Maria Ortiz <mortiz@mmcportlavaca.com> wrote: Jason, For your review and approval. I spoke to Mark S. Voye, CFO for Cantex; He showed me how to get to the payments on Comp 2 and 1 identified them (which I attached). He also said the % split is 50/50. Peggy said if we could this to her by 12:00 she could get them in for Wed Comm Court approval. Just let me know before than if you can. - Thank you, Maria D. Ortiz Accounting Memorial Medical Center 815 Virginia St. Port Lavaca, Texas 77979 mortiz(o)mmcportlavaca.com Erica Perez From: JAnglin@mmcportlavaca.com -- Jason Anglin <JAnglin@mmcportlavaca.com> Sent: Tuesday, January 30, 2018 1:35 PM To: Maria Ortiz Cc: cindy.mueller@calhouncotx.org; Erica Perez; Peggy Hail Subject: Re: Check request for MMC portion of QIPP payments from NI -Is Reviewed and Approved. Thanks, Jason Anglin On Jan 30, 2018, at 1:27 PM, Maria Ortiz <mortiz(cammcnortlavaca.com> wrote: Jason, Please review approve the attached scanned check request from NH to MMC for the QIPP payments/MMC portion. To be included in Wed's Comm Court approval. Total due MMC portion equals to: $164,029.70. Thank you, Maria D. Ortiz Accounting Memorial Medical Center 815 Virginia St. Port Lavaca, Texas 77979 mortiz(Mmmmortlavaca.com Off:361-552-6713, Ext 121 <NH ck req_QIPP Dec 2017.pdf> Erica Perez From: JAnglin@mmcportlavaca.com -- Jason Anglin <JAnglin@mmcportlavaca.com> Sent: Tuesday, January 30, 2018 1:35 PM To: Maria Ortiz Cc: cindy.mueller@calhouncotx.org; Erica Perez; Peggy Hall Subject: Re: Check request for MMC portion of QIPP payments from NI -Is Reviewed and Approved. Thanks, Jason Anglin On Jan 30, 2018, at 1:27 PM, Maria Ortiz <mortiz@mmcportlavaca.com> wrote: Jason, Please review approve the attached scanned check request from NH to MMC forthe QIPP payments/MMC portion. To be included in Wed's Comm Court approval. Total due MMC portion equals to: $164,029.70. Thank you, Maria D. Ortiz Accounting Memorial Medical Center 815 Virginia St. Port Lavaca, Texas 77979 mortiz(u)mmcportlavaca.com Off:361-552-6713, Ext 121 <NH ck req_QIPP Dec 2017.pdf> Erica Perez From: JAnglin@mmcportlavaca.com -- Jason Anglin <JAngiin@mmcportlavaca.com> Sent: Tuesday, January 30, 2018 1:35 PM To: Maria Ortiz Cc: cindy.mueller@calhouncotx.org; Erica Perez; Peggy Hall Subject: Re: Check request for MMC portion of QIPP payments from NHs Reviewed and Approved. Thanks, Jason Anglin On Jan 30, 2018, at 1:27 PM, Maria Ortiz <mortiz@mmcportlavaca.com> wrote: Jason, Please review approve the attached scanned check request from NH to MMC for the QIPP payments/MMC portion. To be included in Wed's Comm Court approval. Total due MMC portion equals to: $164,029.70. Thank you, Maria D. Ortiz Accounting Memorial Medical Center 815 Virginia St. Port Lavaca, Texas 77979 mortiz anmmcportlavaca.com Off:361-552-6713, Ext 121 <NH ek req_QIPP Dec 2017.pdf5 Erica Perez From: JAnglin@mmcportlavaca.com -- Jason Anglin <JAnglin@mmcportlavaca.com> Sent: Tuesday, January 30, 2018 1:35 PM To: Maria Ortiz Cc: cindy.mueller@calhouncotx.org; Erica Perez; Peggy Hall Subject: Re: Check request for MMC portion of QIPP payments from NHs Reviewed and Approved. Thanks, Jason Anglin On Jan 30, 2018, at 1:27 PM, Maria Ortiz <mortizPmmcportlavaca.com> wrote: Jason, Please review approve the attached scanned check request from NH to MMC for the QIPP payments/MMC portion. To be included in Wed's Comm Court approval. Total due MMC portion equals to: $164,029.70. Thank you, Maria D. Ortiz Accounting Memorial Medical Center 815 Virginia St. Port Lavaca, Texas 77979 mortiz(a)mmcportlavaca.com Off:361-552-6713, Ext 121 <NH ck req_QIPP Dec 2017.pdf> Erica Perez From: JAnglin@mmcportlavaca.com — Jason Anglin <JAnglin@mmcportlavaca.com> Sent: Tuesday, January 30, 20181:35 PM To: Maria Ortiz Cc: cindy.mueller@calhouncotx.org; Erica Perez; Peggy Hall Subject: Re: Check request for MMC portion of QIPP payments from NHs Reviewed and Approved. Thanks, Jason Anglin On Jan 30, 2018, at 1:27 PM, Maria Ortiz <mortiz(a)mmcportlavaca.com> wrote: Jason, Please review approve the attached scanned check request from NH to MMC for the QIPP payments/MMC portion. To be included in Wed's Comm Court approval. Total due MMC portion equals to: $164,029.70. Thank you, Maria D. Ortiz Accounting Memorial Medical Center 816 Virginia St. Port Lavaca, Texas 77979 mortiz(a),mmcportlavaca com Off:361-552-6713, Ext 121 <NH ck req_QIPP Dec 2017.pdi> Run Date: 01/08/18 MEMORIAL MEDICAL CENTER Page 108 Time: 15:18 Payroll Register ( Bi -Weekly 1 P2RRG Pay Period 12/22/17 - 01/04/18 Rung 1 Final Summary +-- P a y C o d e S u m m a r y ----------------------------------------- +-• D e d u c t i o n s S u m m a r y ------• ----i Payed Description Mrs IOTisHIUEIMOICB1 Grass I Code Amount 1 REGULAR PAY -S1 6920.60 N N N 137856.04 A/R 720.00 A/R2 125,00 A/R3 1 REGULAR PAY -S1 995.7D N N N N 38505,48 ADVANC 323.64 AWARDS BOOTS 1 REGULAR PAY -31 181.50 N N Y 5304,16 CAFE H CAVE -1 1675,96 CAPE -2 1132.00 1 REGULAR PAY -81 140.00 Y N N 3361.33 CAFE -3 CAPE -4 353,26 CAFE -5 376.58 2 REGULAR PAY -82 2301.50 N N N 51549.01 CAPE -C CAPS -D 1633.00 CAFB-F 2 REGULAR PAY -82 143.75 N N Y 4867,63 CAPS -H 17915,21 CAVB-I CAFE -L 2 REGULAR PAY -S2 57.75 Y N N 1621.41 CAFE -P 271,76 CANCER CHILD 3 REGULAR PAY -S3 1509.75 N N N 37591,34 CLINIC 191,29 C014BIN 854.90 CRBDUN 3 REGULAR PAY -S3 116.75 N N Y 4474,54 DD ADV DENTAL DEP-LF 3 REGULAR PAY -S3 31,00 Y N N 1146,56 DIS -LF 1878.93 BATSATCSH� 107.50 s C CALL PAY 2949.25 N 1 N N 5890.50 FBDTAX 36946.04 FICA -M 4983.10 FICA -0 21306.65 D DOUBLE TIME 12.00 N N N 11 870.00 FIRSTC 75.00 FLEX S 1990,55 FIX FB E EXTRA WAGES N 1 N N 14 1132.75 FORT D FUPA GIFT 8 353.10 F FUNBRAL LEAVE 8.00 N 1 N N 102.24 GRAIIf GRP -IN 129.26 GTL I INSERVICE 5.75 N 1 N N 189.75 HOSP-I ID TPP LEAF K 8XT8NDED-ILLNESB-BA14K 86,00 N N N 11 931,40 LEGAL 204.7 1ASA 336,OD [•RW 172.40 K EXTONDRD-ILLNESS-BANK 228.00 I1 1 N N 5503.92 MISC 21.60 MISC VICSHR 203.17 . P PAID -TIME -OFF 166.34 N N N N 6650.84 OTHER PHI PMI+++ P PAID -TIME -OFF 2667.25 N 1 N N 57240,25 PR FIN 345.29 RELAY REPAY X CALL PAY 2 128.00 N 1 N N 256,00 SAMS SCRUBS SIGNON Y YMCA/CURVES N N N N 30.00 ST -TX STONDF 1165.00 STUNS Z CALL PAY 3 144,00 N 1 N N 432.00 STON82 BIDDER TSA -1 p PAID TI14E OFF - PROBATION 40,00 N N N N 617,20 TSA -2 TSA -C TSA -P p PAID TIME OFF - PROBATION 148.00 N I N N 3041,92 TSA -R 25917.17 TUPION IMIFOR 59.69 t PHONE I DATA -------------------- Grand Totals: 18980.89 N ------- N ( N N Gross: 1070.00 370244.35 UR/ROS Deductions: 121767.77 Net: 228476,58 l Checks Count:- FT 189 PT 9 Other 36 Female 199 Male 34 Credit OverAmt 3 ZeroNet Term o a : 233 Run Date: 01/22/18 Time: 15:12 Final Summary *-- Pay Code Summary PayCd Description 1 REGULAR PAY -S1 1 REGULAR PAY -S1 1 REGULAR PAY -S1 2 REGULAR PAY -82 2 REGULAR PAY -82 3 REGULAR PAY -83 3 REGULAR PAY -83 4 CALL BACK PAY C CALL PAY C CALL PAY B EXTRA WAGES E EXTRA WAGES B EXTRA WAGES H HOLIDAY PAY I INSBRVICE I INSBRVICS K EXTENDED -ILLNESS -HANK K EXTENDED -ILLNESS -BANK P PAID -TIME -OFF P PAID -TINE -OFF X CALL PAY 2 E CALL PAY 3 p PAID TINE OFF - PROBATION p PAID TIME OFF - PROBATION MEMORIAL MEDICAL CBNTBR Page 105 Payroll Register ( Bi -Weekly 1 P2REG Pay Period 01/05/18 - 01/18/18 Rung 1 ------------------------------------*-- D e d u c t i o n s Summary ------------ Mrs JOTISHIVRIHDICB1 Gross I Cede Amount 8470.75 N 1620.50 N 164.50 Y 2585,50 N 71.75 Y 1550.25 H 87.75 Y 6.50 N 19.00 N 2763.75 N 12.00 N 862.45 22.75 1.00 SO.OD 345.50 88.00 838.17 144.00 96.00 9.00 26.00 N N 165250.23 A/R 521.14 A/R2 N N N 59199.37 ADVANC AWARDS N N 4172.23 CAFE H CAFE -1 N N 56286.82 CAFE -3 788.69 CAFE -4 N N 248719 CAFH-C CAFE -D N N 39524.81 CAFH-H 18022.00 CAPS -I N N 2923.01 CAFB-P 236.70 CANCER N Y 11 71.31 CLINIC 489.90 COMBIN N N N 38.00 DD ADV DENTAL 1 N N 5399.50 DIS -LF 1474.21 RAT N N t7 309.96 FEDTAX 37331.62 FICA -M 1 N N 60.00 FIRSTC 75.00 FLEX S 1 N N N 1478.25 FORT D FUTA N Y N 9596.76 GRANT GRP -IN 1 N N 555.90 HOSP-I ID TFT 1 N N 30.83 LEGAL 538.19 PASA N N N 820.00 RISC 21.60 11ISC/ I N N 6914.31 OTHER PHI N N N 2420.80 PR FIN 291.29 RELAY 1 N N 16016.44 SANS SCRUBS I N N 268.00 ST -TX STONDF 1 N N 288.00 STON62 STUDBN 4 N N 137.79 TSA -2 TSA -C 1 N N 313.44 TSA -9 26220.86 TUTION USAGE *-------------------- Grand Totals: 19865.12 ------- ( Gross: 374582.95 Deductions: 123786.97 Checks Count:- PT 189 PP 9 other 37 Female 201 Male 33 Credit OverAmt 3 BeroNet 183.86 A/R3 BOOTS 1588.74 CAFH-2 1074.50 406.80 CAPE -5 382.35 1655.50 CAFH-F CAFS-L CHILD 798.80 CREDUN DBP -LF EATCSH 65.00 5029.13 FICA -0 21503.69 2353.98 FIX PS GIFT S 59.54 129.26 GTL LEAF 528.00 MEALS 92.20 RKCSUR 76.19 PHI*** REPAY SISSON 1165.00 STONE TSA -1 TSA -P UNIFOR 683.15 Net: 250795.98 in, PQM -D Ae. /2,5/1 8 MEMORIAL MEDICAL CENTER IBC ELECTRONICTRANSFERS FOR OPERATING ACCOUNT—JANUARY 1, 2018 -JANUARY 29, 2018 Date Bank Description 01/03/18 ACH Payment -IBC MERCH BNKCD FEE 01/08/18 ACH Payment- VIVONETACQUISIT PAYMENT 01/10/18 ACH Payment- CLOVER APP MRKT CLOVER APP 01/22/18 ACH Payment -Telecheck INV012018D 01/22/18 ACH Payment- FDGL LEASE PYMT MMC Chief Executive Officer MMC Notes Amount -Credit Card Processing Fee 29.95 - Credit Card Machine Lease Expense 99.00 -Credit Card Machine Lease Expense 81.20 - Credit Card Processing Fee SAO -Credit Card Machine Lease Expense 151,23 Total Electronic Payments: 366,38 January30, 2018 Cc, sols Dan (- 27-J F.IeGFront C f i 30(,38 Prosperity Bank Message View Page 1 of 2 clarri.atkinson@calhouncoix.or9 Received: Jan 30, 201812:08 PM Exaires: Feb 13.2018 12:08 PM _ Svetlik a Officer made on 0110912018 to MMC account in euor. Correction made on 011IO12018 Centerk97 State Highway 35 N Lavaca, Texas 77979 *****security Notes EXTERNAL EtWL - Please exercise caution and 00 NOT open attaclva..t. or eliet: on lini:s from WL --M or ..reacted -mails. hope you me well. OurAuditors office has a question on a debit out of the Memorial Medical OpetatmgAcco j Oebicadjusonentlev erV9 $100.00 Regards, Clard Atkinson I Calhoun County Commissioners' Court — January 31, 2018 19. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 19) On single source, emergency and public welfare purchases and bills. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma, Finster Page 17 of 18 January 31, 2018 2018 APPROVAL LIST - 2017 BUDGET COMMISSIONERS COURT MEETING OF BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE AT&T MOBILITY CARDMEMBER SERVICE - SHERIFF/JAIL CAVALLO ENERGY TEXAS LLC CENTERPOINT ENERGY CPL RETAIL ENERGY MARTIN ASPHALT 01/31/18 A/P $ 2,144.81 A/P $ 3,851.72 A/P $ 21,846.04 A/P $ 4,490.58 A/P $ 29.09 A/P $ 60.00 TOTAL VENDOR DISBURSEMENTS: $ 32,422.24 TOTAL TRANSFERS BETWEEN FUNDS: $ - TOTAL AMOUNT FOR APPROVAL: $ 32,422.24 January 31, 2018 2018 APPROVAL LIST - 2018 BUDGET COMMISSIONERS COURT MEETING OF 01/31/18 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE ELECTION PAYROLL FOR NOV 7TH, 2017 ELECTION P/R FICA P/R $ 11,061.44 MEDICARE P/R $ 47,297.72 FWH P/R $ 39,310.29 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 2,990.98 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,354.40 TMPA P/R $ 308.00 UNITED WAY OF CALHOUN COUNTY P/R $ 10.00 WILLIAM E. HEITKAMP, TRUSTEE P/R $ 332.62 AT&T MOBILITY A/P $ 764.82 BANK OF TEXAS A/P $ 107,650.00 CABLE ONE A/P $ 588.67 CAHOUN COUNTY GENERAL FUND TEES & FINES 4TH QTR 2oi7 A/P $ 5,143.99 CARDMEMBER SERVICE - EMS A/P $ 595.00 CITY OF PORT LAVACA A/P $ 6,836.67 EAST TEXAS TRUCK SYSTEMS Rai-INSTAU2o Qo LWNTANK A/P $ 17,383.50 FRONTIER COMMUNICATIONS A/P $ 3,398.68 MCI COMM SERVICE A/P $ 32.15 MCI MEGA PREFERRED A/P $ 226.10 REPUBLIC SERVICES #847 A/P $ 506.18 STATE COMPTROLLER FEES& FINES 4TH QTR 2017 A/P $ 43,536.71 WEX BANK A/P $ 144.85 WHITE TRASH SERVICES A/P $ 610.26 TOTAL VENDOR DISBURSEMENTS: $ 290,083.03 TRNSF FROM IBC- OPERATING ACCT TO PROSPERITY- OPERATING ACCT A/P S 1,054,013.15 TOTAL TRANSFERS BETWEEN FUNDS: $ 1,054,013.15 TOTAL AMOUNT FOR APPROVAL: $ 1,344,096.18 I Calhoun County Commissioners' Court—January 31, 2018 20. PUBLIC DISCUSSION OF COUNTY MATTERS. COURT ADJOURNED: 10:24 AM Page 18 of 18