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2018-11-28Calhoun County Commissioners' Court — November 28 OS, 2018 CCALHIOUN COUNTY CC®MM ISS ION ERS9 CC®1C7RT REGULAR 2018 TERM 0 NOVEMBER 28, 2018 BE IT REMEMBERED THAT ON NOVEMBER 28, 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 County Judge David Hall Commissioner, Precinct #1 Vern Lyssy Commissioner, Precinct #2 Clyde Syma Commissioner, Precinct #3 Kenneth Finster Commissioner, Precinct #4 - ABSENT Anna Goodman- County Clerk Catherine Deputy County Clerk Sullivan 3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3) Invocation -- Commissioner David Hall Pledge to US Flag & Texas Flag — Commissioner Vern Lyssy/Clyde Syma Page 1 of 11 Calhoun County Commissioners' Court— November 28 05, 2018 4. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 4) On request by Commissioner Precinct #3 to purchase 2019 Dodge Ram 1500 VIN iG6RR6FGOJS324695 from Grapevine Dodge Chrysler Jeep and authorize Commissioner Syma to sign any necessary documents. (CS) RESULT: APPROVED [UNANIMOUS] MOVER: Clyde Syma, Commissioner Pet 3 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 2 of 11 Clyde Syma Calhoun (county Commissioner, Precinct 3 24627 Slate Ilwy. 172—Olivia, fort Lavaca,'I'exaz 77979 —Office (361) 893-5346 — Fax (361) 893-5309 Email: clyde.svmri n callionucoix ors November 19, 2018 Honorable Michael Pfeifer Calhoun County .fudge 211 S, Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Pfeifer; Please place the following item on the Commissioner's Court Agenda for November 28, 2018. Please Consider and Take Necessary Action on request by Commissioner Precinct 3 to purchase 2019 Dodge Ram 1500 VIN # 1 C6RR6FGOJS324695 from Grapevine Dodge Chrysler Jeep and authorize Conunissioner Syma to sign any necessary documents. Sincerely, Clyde ma Commissioner Pct. 3 I112C)DIJCT PRIC1Nc SUMMARY BASED ON C ONTRAC J I3UYBOARD II521 -1.6 Grapevine. Dodge Chrysler Jeep 260:1, William D'I'ate, Grapevine, T)( 76051 End Use: CALI_IOUN__COUNTY—__ - Contact: CLYDE SYMA Phone/Entali: CIYDE.SYMA@CALI-IOUNCOTX.ORG Pi oduet Desc npilot1: 2019 RAM_1500 A. Bid Series 13. Published (Chinn, ❑Irmior r: i, i—i--1 Rep: �f .etlllisSJlPltLds _ PhoneLSl7l_411(L-7541------ -------_-____ Entail: dtb9Blis@gtapevinedcj_coln__-__ Dale: J1/14/201II 1.8,4 (i code Options Bid Price Code Options Price DS1L41 QUAD CAB TRADESMAN 37II3 22B _ V6/IISPD AUTO _Bid NC; PW7 WHITE NC FlEP CHROMGPLUSPACKAGE 1256 CLOTH/CARPEL'/KEYLESS ENTRY PACKAGEBLUE TOOTH, CHROME BUMP PACKAGE ALUM WFIEELS PACKAGE Total of B. Published Options: '5039 , C. Unpublished Options A Options P Bid Price Option$ Bid Price D. E. F. G. H. I. J. K. L. M. N. 0. Total of C. Unpublished options: Pre -delivery Inspection: -' Texas State Inspection: Manufacturer Destination/Delivery: Floor Plan Interest (for in -stock and/or equipped vehicles): - Lot Insurance (for h1 stock and/or equipped vehicles): Contract Price Adjustment: Additional Delivery Charge: miles Subtotal: Quantity Ordered x IC = - Trade in: BUYBOARD Administrative Fee ($400 per purchase order) TOTAL PURCHASE PRICE INCLUDING 13UYBOARD FEE ' � 300 23II06 400,00 524.206 New 2010 RAM I500'Tradesman Grapevine Dl dge Chrysler Jeep ,� d Email Dealer �o $23,950 'I (008) 905-1754 Advertisement < kad< I o Dealer Restilis New 20"18 RAM -1500 Tradesman Save New 2018 RAM 1500 Tradesman Grapevine Dodge Chrysler JLop Email Dealer $23,950 Similar Vehicles from thi�i h3 ,(A 17H4 New 2019 RAM $2 , �8d 2016 4,0 19 RAM ;a64 19 RAM ;>64(9 419 R 1500 RAM 1600 4x4 1500 Laramie 1500 Laramie 1500 Lararn Tradesman quad Cab SLT Limited Limited Longhorn Grepevine Dodge Chrysler Grapovine Dodge Chrysler Grapevine Dodge Chrysler Grapevine Dodge Chrysler Grapevine Dodl Joel) .leep Jeep Jeep Jeep Additional Vehicle Details STOCK NUMBER S324695 VIN 1C6RR6FGOJS324695 Seller Comments ABS brakes, Electronic Stability Control, Heated door mirrors, Low tire pressure warning, Traction control. $11,000 off MSRP! DFW Exclusive 100k Mile Warranty for FREE. Bright White Clearcoat 2018 Ram 1500 Tradesman RWD 8-Speed Automatic 3.61- V6 24V VVT Price includes: $3,250 - 2018 Retail Consumer Cash 63CJ'I. Exp. 12/03/2018, $2,000 - 2018 Retail Bonus Cash SWCJA1. Exp. 12/03/2018, $250 - 2018 Bonus Cash SWCJA. Exp. 12/03/2018, $1,000 - 2018 Black Friday Retail Bonus Cash 45CJN. Exp. 12/03/2018 You'll get a Great Deal, and a Great Deal more at Grapevine Dodge Chrysler Jeep! Just minutes from DFW Airport, 2601 William D Tate Ave. Ask for Internet Sales Department - for NEW CAR INTERNET SALES and mention AutoTrader.com! For Used - ask for Used Car Internet Sales! We know our inventory very well and will answer all your questions! We can also confirm all Internet pricing you see on these listings so call today to confirm availability! Safety Recall Information Sumo vehicles may be subiecI to manufacturer safety recalls. See if (here or any open safely mcaIIs for Ihis �ehUtPevflLr(k}i�I�INNi $ulli6rr$7'�i1�ldlh➢93Ii�iR 4tl3Ui1N7i�R1L6Lj Y�taystCrIIIillatf3notyet beposted slid i, ,ail Dealer' (her igi lo)jp delay between the time a mpaif is made and beforell [bo rmI,dp�Q d to the' I�sk12.. Before purchasing, be sure to ask the dealer for an up-to-date status on any recalls. Check Safety Recall Status G- Pricing Details Brice Breakdown Some manufacturers and dealers offer rebates and discounts. Contact the dealer for further pricing details. MSRP $34,950 Dealer Asking Price $23,950 Kelley Blue Book® Fair Market Range Autotrader is displaying the Kelley Blue Beef<© Price Advisor to help shoppers better understand vehicle pricing. The Kelley Blue Booke Fair Market Range does not factor in consumer incentives or rebates. Kelley Blue Book info valid for ZIP Code 76051 through 11/14/2018 Kelley Blue Book Privacy Calhoun County Commissioners' Court — November 28 05, 2018 S. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 5) To authorize a loan in the amount of $33,038.13 from the general fund to the grants fund for the 2018 Homeland Security Grant Program Award #EMW- 2016-SS-00056 and 2018-SS-0022-S01. (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syina Page 3 of 11 Suan Riley From: candice.villarreal@calhouncotx.org (Candice Villarreal) <candice.villarreal@calhouncotx.org> Sent: Tuesday, November 20, 2018 2:41 PM To: susan.riley@calhouncotx.org; Michael Pfeifer; vern.lyssy@calhouncotx.org; Clyde Syma; David Hall; Kenneth Finster Subject: [WARNING -Remote attachments, verify sender] Agenda Item - Loan to Grants Fund Attachments: 2018 HSGP Loan.pdf Susan, Please place the following on the next Commissioners Court agenda: Consider and take necessary action to authorize a loan in the amount of $ 33,038.13 from the general fund to the grants fund for the 2018 Homeland Security Grant Program Award # EMW-2016-SS-00056 and 2018-SS- 00022-5O1. Thank youl Candice Villarreal 1•st Assistant Auditor Calhoun County Auditors Office Phone: (361)553.4612 Fax: (361) 553.4614 candice, villarreal @calhouticotx.otg CALHOUN COUNTY, 1"EXA$ PURCHASE ORDER NO. 2715112619759 201:WestAustin Port Lavaca, Texas 77979 DATE: 11/26/18 Cal. Co. Grants Fund VENDOR # 879 UNIT ACCOUNT NO. DESCRIPTION QUANTITY PRICE TOTAL 1000-999.10590 Loan to pay for radios procured under the DOG Homeland Security Grant Program $33,038.13 (for Sixmile & Mag. Beach VFD's) (Agenda item for loan to be approved in CC on 11/28/18 -Grants approved In CC on 10/17&10/31) Notes to Treasurer: For receipt posting credit 2716-999-20610-759 COUNTY AUDITOR APPROVAL ONLY NEW TOTAL $33,038.13 THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD CONDITION AND REQUEST THE COUNTY TREASURER TO PAY THE ABOVE OBLIGATION. DEPARTMENT HEAD DATE �rw W S l�dc, sZc Calhoun County Emergency Managemew, 211 South Ann Street, Suite 301 12 Port Lavaca, TX 77979-4249 Phone: 361-5534400/Fax: 361-553-4444 e-mail: ladonna.thigpen@calhouncotx.org October 11, 2018 Commissioner's Court RE: Agenda Item Please place the following request on the Commissioners' Court agenda for October 17, 2018. "Discuss and take necessary action on accepting the Statement of Award from the 2018 Homeland Security Grant Program for the 2018 Six Mile VFD Mobile Radio Project in the amount of $5,021.96 and authorize the Judge to sign electronically." Thank you, LaDonna Thigpen Calhoun County Emergency Management 211 South Ann Street, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4400/Fax: 361-553-4444 e-mail: ladonna.thigpen@calhouncotx.org October 23, 2018 Commissioner's Court RE: Agenda Item Please place the following request on the Commissioners' Court agenda for October 31, 2018. "Discuss and take necessary action on accepting the Statement of Award from the 2018 Homeland Security Grant Program for the 2018 Six Mile VFD Portable Radio Project, Grant #3616701 in the amount of $23,084.12 and authorize the Judge to sign electronically." Thank you, din an-r� LaDonna Thigpen Calhoun County Emergency Management 211 South Ann Stteet, Suite 301 Port Lavaca, TX 77979-4249 Phone: 361-553-4400/Fax: 361-553-4444 e-mail: ladonna.thigpenocalhouncotx.org October 23, 2018 Commissioner's Court RE: Agenda Item Please place the following request on the Commissioners' Court agenda for October 31, 2018. "Discuss and take necessary action on accepting the Statement of Award from the 2018 Homeland Security Grant Program for the 2018 Magnolia Beach VFD Mobile Radio Project, Grant #3642201 in the amount of $4,932.05 and authorize the Judge to sign electronically." Thank you, LaDonna Thigpen Calhoun County Commissioners' Court— November 28 05, 2018 6. ACCEPT REPORTS OF THE FOLLOWING COUNTY OFFICES: (AGENDA ITEM NO. 6) i. Calhoun Tax Assessor/Collector 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 Page 4 of 11 Calhoun County Commissioners' Court — November 28 05, 2018 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7) To declare certain items of County property at the Calhoun County Library as Surplus/Salvage and remove from inventory. (See List) (MP) RESULT: APPROVED (UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 5 of 11 t ' "ray Suan Riley From: ncruz@cclibrary.org (Noemi Cruz) <ncruz@cclibrary.org> Sent: Thursday, November 15, 2018 6:42 PM To: susan.riley@calhouncotx.org Subject: Agenda item #2 Susan, Please add the following to the next Commissioners' Court meeting: 2) To accept items to be declared surplus/salvage Thanks Noeml Cruz, Library Director Calhoun County Public Library 200 W. Mahan Port Lavaca, TX 77979 Phone 361.552.7250 ext. 23 Fax 361.552.4926 Email ncruz@cclibrarv.org Web www.cclibrary.org �ZA6 Calhoun County Public Library www.cclibrar .org 200 W. Mahan I Port Lavaca, TX 77979 Ph: 361.552.7323 Fax: 361.552.5218 OCTOBER 2018 I would like the following items to be declared Surplus/Salvage 313 BOOKS 70 PAPERBACKS 171 MAGAZINES Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Calhoun County Library Date: October 2018 Inventory Description Serial No. Reason for Number Surplus/ Salvage Declaration 650-0058 Metal Stand With No longer needed 2 Racks 650-0004 Round Wooden Table 650-0277 Telephone Obsolete System 650-0222 D-Link Ethernet Obsolete Switch 650-0156 Alarm —Digital Dialer Fire Alarm 650-0184 4 Hard Drives Obsolete Maxtor 650-0199 Zoom/Access 8 Obsolete 652-0166 Zoom/Access 2 Obsolete 651-0190 Zoom/Access 2 Obsolete 653-0189 Zoom/Access 2 Obsolete 650-0187 Magnifier ER9306-162 Obsolete Machine Vantage CCD 475-0176 CPU Inspiron 530 7K927H1 Obsolete 475-0177 CPU Inspiron 530 91<927H1 Obsolete 650-0268 CPU Dell Optiplex JL6K911 Obsolete GX240 650-0281 CPU Dell Optiplex CQ4PG51 Obsolete GX240 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Calhoun County Library Date: October 2018 Inventory Description Serial No. Reason for Number Surplus/Salvage Declaration Compaq Monitor CNN3310NKB Obsolete FP-5315 HP Mouse FATSQOCN3YZD9G Obsolete HP Keyboard BAUDROJVBZALTB Obsolete Winnebago 80020730034 Obsolete Scanner Ke board 00598092008 Broken Demco 1395024 Broken Headphones Brilliance 200W BZ000601426390 Obsolete Monitor CPU Dimension CNJ6M91 Obsolete 5150 CPU Dimension JFKY2D1 Obsolete 5150 650-0280 CPU Dell 6Q4PG51 Obsolete Optiplex GX270 650-0296 CPU Dell 2VGPRBI Obsolete Optiplex GX520 Printer HP CN79E490PG Obsolete DesKet F2110 Canon Printer Obsolete IP2600 Keyboard Dell CN-07N242-71616- Obsolete Sk-8110 468-1AKZ Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Calhoun County Library Date: October 2018 Inventory Description Serial No. Reason for Number Surplus/Salvage Declaration 650-0035 2 Bean Bag Chairs Old/Torn 650-0290 Dell Optiplex GX520 9QGPRBI Obsolete CPU 650-0286 Dell Optiplex 170L Obsolete 650-0 445 Computer Cabinet Broken 650-0287 CPU Dell OptiPlex GX 57QPR81 Obsolete 170L 650-0294 CPU Dell Optiplex GX HSGPRB1 Obsolete 520 650-0291 CPU Dell Optiplex GX CRGPRBI Obsolete 520 650-0295 CPU Dell Optiplex GX 9TGPRB1 Obsolete 520 Calhoun County Commissioners' Court — November 28 05, 2018 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) To declare certain items of County property at the Calhoun County Library as Waste and authorize disposal of same. (See List) (MP) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 6of11 Suan Riley From: ncruz@cclibrary.org (Noemi Cruz) <ncruz@cclibrary.org> Sent: Thursday, November 15, 2018 6:42 PM To: susan.riley@calhouncotx.org Subject: Agenda item #3 Susan, Please add the following to the next Commissioners' Court meeting: 3) To accept items to be declared waste -Thanks Noemi Cruz, Library Director Calhoun County Public Library 200 W. Mahan Port Lavaca, TX 77979 Phone 361.552.7250 ext. 23 Fax 361.552.4926 Email ncruz@cclibrary.org Web www.cclibrary.org "A library outranks any other one thing a community can do to benefit its people. It is a never failing spring in the desert." Andrew Carnegie f ' Calhoun County Public Library www.cclibrafy.org 200 W. Mahan I Port Lavaca, TX77979 Ph: 361:552.7323 Fax: 361.552.5218 OCTOBER 2018 I would like the following items to be declared Waste 1HARDBACKS 1 DVD's 173 MAGAZINES Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Calhoun County Library Date: October 2018 Inventory Number Description Serial No. Reason for Surplus/Salvage Declaration 651-0103 Chair Posture Broken 651-0108 4 Folding Chairs Broken Calhoun County Commissioners' Court— November 28 05, 2018 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) To accept donations to the Calhoun County Library. (See List) (MP) RESULT: APPROVED [UNANIMOUS] MOVER: Michael Pfeifer, County Judge SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 7 of 11 Suan Rile From: ncruz@cclibrary.org (Noemi Cruz) <ncruz@cclibrary.org> Sent: Thursday, November 15, 2018 6:41 PM To: susan.riley@calhouncotx.org Subject: Agenda item #1 Hi Susan, Please add the following to the next Commissioners' Court meeting: 1) To accept donations -Thanks Noemi Cruz, Library Director Calhoun County Public Library 200 W. Mahan Port Lavaca, TX 77979 Phone 361.552.7250 Fax 361.552.4926 Email ncruz(Z cclibrarv.oro Web www.cclibranLorg "A library outranks any other one thing a community can do to benefit its people. It is a never failing spring in the desert." Andrew Carnegie Calhoun County Public Library "N .cclihrary.erg 200 K Mahan I Port Lavaca, TX 77979 Ph: 361.552.7323 Fax: 361.552.5218 The following materials have been donated to the Calhoun County Public Library System during the month of OCTOBER 2018 Books Donor 8 Books Unknown 1 Book Anna Lawler 5 Books Miles Arceneaux 5 Books Brent Douglas 5 Books Jennie James 3 Books Jim Busby 8 Books Betsy Gibbons 6 Books Ina Bullock 3 Books Signy Sizer 9 Books Doris Harvey 2 Books S.W. Holmes 159 Books Carol Fox Paperbacks 25 Paperbacks Unknown 1 Paperback Johnny Kisiah 10 Paperbacks Jennie James 15 Paperbacks Jim Busby 2 Paperbacks Ina Bullock 22 Paperbacks Doris Harvey 1 Paperback Joseph Smith 1 Paperback S.W. Holmes 1 Paperback Carol Fox DVDS 9 DVD`s Unknown 2 DVD's Bo Warren 1 DVD Shona Poe Calhoun County Commissioners' Court— November 28 05, 2018 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) On any necessary budget adjustments. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pet 2 SECONDER: David Hall, Commissioner Pet 1 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 8of11 0: mi ») ■: ■: m! Z: �! z! 0: �! o! §■� \ B j k� m % z % c z v / A k % f 'n § k g � w v v O A m q0 00 0 2 ? T Km m �c m 0) a A 0 p Z 3 T m c c m m 0 zz 00 0 c) zz� H a JUM T O O 0 1 0 m 3 I m m a m m 10 =m m scn 1 'D > 0 ,r 'cnS3 a 1 0 0 c z 0 r m A 0 D r AfA f 0 o O o I� m� O O O O T 0 0 z -a z G) m z 0 m N -a 0 D r 3 3 v: m T m? o C �i 3 a a m z m Zi a -� N a 0 m Z. z m o A : m m: x Z c p A cmn a a C m p x 9 z i m i m N i Z O n m m m a C v O m N A A ea O J W OD J O N 21 A N W (O N A Z OD O W N 0 0 0 e mm0-I0 m 01 o O D 7O O O c m cc v D m w m 3 Z y 0 0A m m D 0z;0M D 1 OC 1 m { 1 O< D eaa { ? 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T OIN T K - _ T � T - N N O N 111""WIII"'lll p C4� C in al�l� t» O O N (AP m a zz w a m a m Z z A c 0 n m m m n r C v m T a m Z I Oi O A X 00 0 z z as 0 m m v m m g z 0 i N i 0 r A N VOi m N m m N W N ti o 000umioornwcAito � K w W -I < x O O 'O yE�-, c c O 0 m<< D m m�oci oGi� AxZuxx A - zzN m-i z-lq Zmmmm zxcn z Co M D O v v O D K zcnv o M(0-59 o w;5E 9m O ti N m 9< m a c -0z v D y -0m 3 m m N O z mmtommmmmmm m m m m m m m m m mN m m m m m m m m m m Z z z z z z z z z z z e 0000000000 0000000000 zzzzzzzzzz H a ffl di EA E9 fA EA EA EA EA EA fA EA T T O o 0 0 0 0 0 0 0 0 0 0 � JR0 T O 0 0 0 0 0 0 0 0 0 0 0 W W EA ffl EA f V J _ N Efl J W Oo A EA W N EA '^ m T y T W W N y J V A A W T � EA E9 EA (A EA Efl ffl C i C9 -' zi O O ;i pN O O O N O W ,9 0 0 0 VO m m CA O 2 O A m 8 I� O P 1 m m m 3 P. C 3 m Z 1 O v m T a 1 m Z l Z O cn W O c v n m m m r C 0 AO ~ d N C z 0 �cf) m m r r N O cz a --Io �c� O O 3 z T 3 0 m z z o00 3G)G) zZZ A N O = y O m n r " 4 0 0 0 (T I� T to E» to m T O O O N di wIm 'A O O O T O 29 TT T � O O T W O O T 0 A -moll to » m H O z m m 3 a v C m m Z i 0 0 n 0 n z O W A 0 c� m v A m z 0 W 0 O 'D r mmmcnmmw" m W W W W W W A t0 (0 CT (T fP � ti J N N A A m o 0 0 0 0 o e y� 6 A n O O g�� n unvDnn m m 0000 n mr r��R�SM z z W W OzZo oOO�0 p ?0ooi -i ��mmmcnv�� cnv�cc= m m v v O O r r m D W N C/) (j) mm 9 (OD fop t00 (OO (OO N � _ 0 zzzzzzzz 00000000 00000000 n zzzzzzzz eza m� Zvi vi vi En to vim ^� 0 0 0 0 0 0 0 C z Z eTy Riff Ca^A W N N N N O O O O W 09 fH EA 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 m Z v a m m m n r C to C v Q ()$\/j$b 000000000 000000000 [[[[§§7[z B S m L@W�Wwwr � M k § § ) � M § m) k §� § & '0= o IN ; ) �� k ; 3E m / ■ ■ zB o kB rt, §- � § §) r ° \\ ®m § ■B ¢ 9 @■ o §§k S » #.M]CI§ c § z 9 � § \ 2 ) mg �■ ME ® z■ o 0B = z $ 2 g , m W/ \ 3 \ k §v: m; ® »� ■: m z; + z R to a m P -1 k § § 2 m k & ■ � � @ k § B m ® m §i I 0 � � ■ z -1 z 0 k k v 7 A % % f § § a -P.C7 N N W z N e � v@ m: O 3 a p Z Z: : M: Z: z O 0 m n 1 a m Z 1 0 D r c0 m (e 3 T N MIA JJ O N .s J N O C D z 0 = A v A co m Z� n D 2 00 m z (a m z co m w w X I4 m 100 2 c v z O 0 Calhoun County Commissioners' Court— November 28 05, 2018 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) To pre -approve expenditures by incumbent County or precinct officer(s) under County's Policy of Compliance with LGC 130.908 (MP) N/A Page 9 of 11 Calhoun County Commissioners' Court— November 28 05, 2018 12. APPROVAL OF BILLS AND PAYROLL (AGENDA ITEM NO. 12) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pot 1 SECONDER: Vem Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma COUNTY RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma INDIGENT RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vern Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma PAYROLL RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pet 1 SECONDER: Vem Lyssy, Commissioner Pet 2 AYES: Judge Pfeifer, Commissioner Hall, Lyssy, Syma Page 10 of 11 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- November 28 2018 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES .TOTAL. ?RANSFERS BETWEEN, FUNDS ' $ _.; ;. TOTAL NURSING HOIIIIE UPL EXRENSES _ _ $ 1,2�9,898 35. 70TAL INTER GOVERNIIAENT TkANSFERS , , , ' , ' $ 310,478,97 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---November 28 2018 PAYABLES AND PAYROLL 11121/2018 Weekly Payables 429,526.94 11/26/2018 McKesson-3406 Prescription Expense 1,183.39 11/20/2018 Citibank Credit Card -see attached 4,975.99 11/21/2018 ITA Resources Inc. -Respiratory Services 23,568.90 11126/2018 Amerisource Bergen-340B Prescription Expense 3,436.40 11/26/2018 Payroll Liabilities (Payroll Taxes) 95,225.92 11/26/2018 Payroll 290,777.28 Electronic Bank Payments- 11/20/2018 IBC Electronic Payments (Credit Card & Lease Fees) 151.23 Prosperity Electronics Payments 11/20-11123/18 Pay Plus -Patient Claims Processinq Fee 29.33 30TALTItANERS BEiWFEN FUNDS $ . NURSING HOME UPL EXPENSES 11126/2018 Nursing Home UPI 1,149,319.93 11/26/2018 Nursing Home UPI 81,987.89 QIPP/INTEREST CHECKS TO MMC 11/26/2018 Ashford 20,448.62 11/26/2018 Fort Bend 8.361.11 11/26/2018 Solera 5,822.50 11/26/2018 Crescent 3.959.30 INTER -GOVERNMENT TRANSFERS 12/7/2018 IGT DY7 Final UC to be paid December 07,2018 Page 1 of 19 C NOV 2 Q 2018 MEMORIAL MEDICAL CENTER 11/20/2018 0 AP Open rem'{s&c?d8y,'li'♦:6I7 Invoice List ap_open_invoice.template Due Dates Through: 12/0512018 Vendor# Vendor Name Class Pay Code 10995 ABILITY NETWORK(SHIFfHOUND) V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 18MOi73734 r/ 11/13/20 11/05/20 12/01/20 558.00 0.00 0.00 558.00 SCHEDULING SERVICES Vendor Total=.Number Name Gross Discount No -Pay Net 10995 ABILITY NETWORK(SHIFTHOUND) 558.00 0.00 0.00 558.00 Vendor# Vendor Name Class Pay Code 11283 ACE HARDWARE i5521 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / ✓ 128696 ✓ 10131/2010//3112011/30/20 27.97 0.00 0.00 27.97 SUPPLIES U1011V Ofy) 128742V1 11/13/20 11/01/20 12/01120 3.99 0.00 0.00 3.99� SUPPLIES ( MA d.) 128593✓J 11/19/20 10/29/20 11/29/20 36.95 0.00 0.00 36.95 ✓ SUPPLIES (, (ViU•\(14.� / 128677 v/ 11/19/20 10//30120 11/30/20 16.17 0.00 0.00 16.17 r✓ SUPPLIES (.Q1G51,'-010) 128669� 11/19120 10/30/20 11130120 119.70 0.00 0.00 119.70 SUPPLIES (PI,kk 0?4) - 129088r/ 11/19/20 11/13/20 11/13/20 26.58 0.00 0.00 X58 V/ SUPPLIES (M kI.) 129067 ✓ 11/19/2011/13/20 11/13/20 21.98 0.00 0.00 / 21.98 ✓ SUPPLIES (%(JAnF•) Vendor Total: Number Name Gross Discount No -Pay Net 11283 ACE HARDWARE 15521 253.34 0.00 0.00 253.34 Vendor# Vendor Name Class Pay Cade 10950 ACUTE CARE INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 24066 11/13/20 11/20/20 11/30/20 1,400.00 0.00 0.00 1,400.00 ✓ RFID FEE Vendor Total, Number Name Gross Discount No -Pay Net 10950 ACUTE CARE INC 1,400.00 0.00 0.00 1,400.00 Vendor# Vendor Name Class Pay Code 11062 AIRESPRING INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 119003523✓ 11/19/20 11/16/20 11/16/20 2,174.41 0.00 0.00 / 2,174.41 ✓ PHONE Vendor Total: Number Name Gross Discount No -Pay Net 11062 AIRESPRING INC 2,174.41 0.00 0.00 2,174.41 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 9957312878 ✓ 11/16/20 10/31120 11/25/20 77.04 0.00 0.00 77.04v1 CYLINDER RETNAL 908196569411/1612010/3i/2011/25/20 2,119.67 0,00 0.00 2,119.67 RENTAL 9957311737 ✓ 11/19/20 10/31/20 11/26/20 750.29 0.00 0.00 750.29 file:///C:/Users/celevenger/cpsi/memmed.cpsinet.com/u82227/data 5/tmp_cw5report85... 11/20/2018 Page 2 of 19 CYLINDER RENTAL 995731736 J 11/19/20 10/31/20 11/25/20 439.58 0.00 0.00 439.58 t/ CYLINDER RENTAL Vendor Totals Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC -CENTRAL DIV 3,386.58 0.00 0.00 3,386.58 Vendor# Vendor Name I Class Pay Code A1690 ALCON LABORATORIES, INC. M Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9654615698 11/16/20 11/05/20 12/05/20 1,547,70 0.00 0.00 1,547.70 SUPPLIES 9654577269 e//11/19/20 10/30/20 11/29/20 954.00 0.00 0.00 954.00 J LENSES Vendor Totals Number Name Gross Discount No -Pay Net A1690 ALCON LABORATORIES, INC. 2,601.70 0.00 0.00 2,501.70 Vendor# Vendor Name /Class Pay Code A1760 AMERICAN ACADEMY OF PEDIATRICS ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 14326768 v/11/19/20 10/30/20 11/30/20 137.76 0.00 0.00 137.75 SUPPLIES DA•Y M ►Aq6 Vendor Totals Number Name Gross Discount No -Pay Net A1760 AMERICAN ACADEMY OF PEDIATRICS 137.75 0.00 0.00 137.75 Vendor# Vendor Name Class Pay Code A2271 ARTHREX, INC - W Invoice# /Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 94403701 ✓ 11119/20 11/01/20 12/01/20 4.155.34 0.00 0.00 4,155.34 EQUIPMENT Frt.iy6tii "l o •3�' / 94403702 V1 11/19/20 11/01/20 12/01/20 6,99&28 0.00 0.00 6,998.28 ✓ EQUIPMENT f 1691&1 94414546 11/19/20 11/05/20 12/05/20 362.70 0.00 0.00 362.70 ✓ E UIPMENT f V 61y Q' ".I b 944020402 11/19/20 11/06/20 12/04120 2,018.72 0.00 0.00 / 2,018.72 V EQUIPMENT 'fYuyk{-'Lg,-l%/ Vendor Totals Number Name Gross Discount No -Pay Net A2271 ARTHREX, INC 13,535.04 0.00 0.00 13,535.04 Vendor# Vendor Name Class Pay Code A2600 AUTO PARTS & MACHINE CO. W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ` 880852 c/ 11/19/20 11/08/20 11/23/20 8.99 0.00 0.00 / 8.99 r/ SUPPLIES / 880809./ 11/19/20 11/08/20 11/23/20 81.87 0.00 0.00 81.87 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A2600 AUTO PARTS & MACHINE CO. 90.86 0.00 0.00 90.86 Vendor# Vendor Name Class Pay Code 11756 AYA HEALTHCARE INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 513997R ✓ 11/19/20 10125/20 11/25/20 2,962.25 0.00 0.00 2,962.25 SURGERYSTAFFING 17j jfte_ Jolla-)J$- jojjjjj j Vendor Totals Number Name Gross Discount No -Pay Net 11756 AYA HEALTHCARE INC 2,962.25 0.00 0.00 2,962.25 Vendor# Vendor Name / Class Pay Code B1150 BAXTER HEALTHCARE ✓ W file:///C:/Users/celevenger/cpsi/Menuned.cpsinet.corn/u82227/data_5/tmp_cw5report85... 11/20/2018 Page 3 of 19 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 61242719 V//11/16/20 11/02/20 11/27/20 428.10 0.00 0.00 428.10 ✓ SUPPLIES 61096424 v1 11/19/20 10/21/20 11/15/20 2,367.50 0.00 0.00 2,367.60 LEASE 61096391 V 11/19/20 10122/20 11116120 629.50 0.00 0.00 629.50 PUMP LEASE 61301032 V1 11/19/2011/08/20 12/03/20 451.68 0.00 0.00 451.68 INVENTORY Vendor Total: Number Name Gross Discount No -Pay Net B1150 BAXTER HEALTHCARE 3,876.78 0.00 0.00 3,876.78 Vendor# Vendor Name Class Pay Code M2485 BAYERHEALTHCARE V1 M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6006816538 ✓ 11/16/20 11/05/20 12/05/20 572.32 0.00 0.00 672.32 ✓ SUPPLIES y(n V(jp#t 34-1v vV Vendor Totak Number Name Gross Discount No -Pay Net M2485 BAYER HEALTHCARE 572.32 0.00 0.00 572.32 Vendor# Vendor Name Class Pay Code B1220 BECKMAN COULTER INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 5397189 J 10/31/20 10/30/20 12/01/20 3,507.27 0.00 0.00 3,607.27 ASE / 107378853 11119/20 11102/20 11127/20 3.185.12 0.00 0.00 3,185.12 ./ SUPPLIES ✓ 107378521 t/ 11/1912011/02/2011/27/20 1,742.44 0.00 0.00 1,742.44 I VENTORY / 107378275 11/19/20 11/02/20 11/27/20 505.29 0.00 0.00 505.29 SUPPLIES 107379415 11/19120 11/04/20 11/29/20 625.52 0.00 0.00 625.52 SUPPLIES / 107379111v/ 11/19/20 11/04/20 11/29/20 79.70 0.00 0.00 79.70 ✓ SUPPLIES 107379238�/ 11/19/20 11/04120 11/29/20 204.50 0.00 0.00 204.50 SUPPLIES 107381643✓ 11/19/20 11/05120 11130/20 2,124.80 0.00 0.00 2,124.80V1 S PPLIES 107382065 11/19/20 11/05/20 11/30/20 180.58 0.00 0.00 180.58 ✓ SUPPLIES 107382503 V1 11/19/20 11105/20 11/30/20 127.52 0.00 0.00 127.52 ✓ SUPPLIES 107381650 V1 11/19/20 11/05/20 11/30/20 676.01 0.00 0.00 678.01 /gUPPLIES 107383143 �/ 11/19120 11106120 11130/20 6,840.53 0.00 0.00 6,840.53 S PPLIES VI 107381641 11/19/20 11/05/20 12/04/20 6,307.68 0.00 0.00 6,307.68 SUPPLIES Vendor TotalE Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 26,108.96 0.00 0.00 26,108.96 Vendor# Vendor Name Class Pay Code 10024 BECTON, DICKINSON & CO (BD) file:/l/C:/Users/eclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_ew5report85... 11 /20/2018 Page 4 of 19 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9104727104v/ 11/19120 11/02/20 12102120 1,812.61 0.00 0.00 1,812.61 SUPPLIES OKYVJV� biliq Vendor Totals Number Name Gross Discount No -Pay Net 10024 BECTON, DICKINSON & CO (BD) 1,812.61 0.00 0.00 1,812.61 Vendor# Vendor Name Class Pay Code B1650 BOSART LOCK & KEYING v/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 116057/ 10/31/20�10,"/"3�1/2011/30/20 56.80 0.00 0.00 56.80 (�� KEYS 'luf Lwtffi-�w0 (1101(t).L(1001`5 Vendor Totals Number Name Gross Discount No -Pay Net B1650 BOSART LOCK & KEY INC 56.80 0.00 0.00 56.80 Vendor# Vendor Name Class Pay Code / A1825 CARDINAL HEALTH 414,LLC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ✓ 8001763639V/ 10/2312010/3012�0 253.54 0.00 0.00 253.54 -11/29/20 SUPPLIES hltipQlfLy J)J. p� 8001775407,/ 11/19/20 10/13/2011/12/20 192.50 0.00 0.00 192.50 SUPPLIES 1jV,�Vp(yt {{�j"j-9D 8001786226v/ 11/19/20 10121/20 11/20/20 90.10 0.00 0.00 / 90.10 ✓ SUPPLIES / 8001780735 ✓ 11/19/2010/2412011/23/20 610.05 0.00 0.00 610.05 ✓ SUPPLIES( KVV j it (11/40 Vendor Totals Number Name Gross Discount No -Pay Net A1825 CARDINAL HEALTH 414,LLC 1,146A9 0.00 0.00 1,146.19 Vendor# Vendor Name Class Pay Code C1219 CAROLINA LIQUID CHEMISTRIES Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net �omment 0168900IN 10/31/20 10/30/20 11/29120 108.22 0.00 0.00 / 108.22 tf SUPPLIES fvgL� 1,+1v . Vendor Totals Number Name Gross Discount No -Pay Net C1219 CAROLINA LIQUID CHEMISTRIES 108.22 0.00 0.00 108.22 Vendor# Vendor Name Class Pay Code C1992 CDW GOVERNMENT, INC. ✓ M Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /Comment PRQ8027 11/19120 10/22/20 11/21/20 173.62 0.00 0.00 173.62 PRINTER (7 Va Wi ft_� 2Z,. 01j PTR3286 11/19/20 1013012011/29/20 73,29 0.00 0.00 73.29 J SUPPLIES 61�y`7jj\� lcl2 PVQ2249 ✓ 11/19/2 11/01/2012101/20 4,177.17 0.00 0.00 4,177.17 MINOR EQUIPMENT �(N.f9(rt� q 6,1 0 t HVD J_WaV(jr;t(L(!-) Vendor Totals Number Name Gross Discount No -Pay Net C1992 COW GOVERNMENT, INC. 4,424.08 0.00 0.00 4,424.08 Vendor# Vendor Name Class Pay Code 10786 CLINICAL PATHOLOGY t/ Invoice# omment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2018100A / 11/20/20 11/20/20 11/20/20 14,089.75 0.00 0.00 14,089.76 LABS Vendor Totals Number Name Gross Discount No -Pay Net 10786 CLINICAL PATHOLOGY 14.089.75 0.00 0.00 14,089.75 Vendor# Vendor Name / Class Pay Code 11126 COLA RESOURCES, INC. ✓ file:///C:/Users/celevenger/cpsi/memnied.cpsinct.com/u82227/data_5/tmp_cw5repoA85... 11 /20/2018 Page 5 of 19 Invoice# Co/rpment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net CRI09672018 y 11/19/20 08/28/20 09/28/20 249.00 0.00 0.00 / 249.00 r/ RENEWAL Vendor Totals Number Name Gross Discount No -Pay Net 11126 COLA RESOURCES, INC. 249.00 0.00 0.00 249.00 Vendor# Vendor Name Class Pay Code 10006 CUSTOM MEDICAL SPECIALTIES Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 246140 ✓ 11/16/20 11/05/20 12/05/20 83.65 0.00 0.00 83.65 SUPPLIES (I tu�pj NL 'IV•I1 Vendor Totals Number Name Gross Discount No -Pay Net 10006 CUSTOM MEDICAL SPECIALTIES 83.65 0.00 0.00 83.65 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 / / 6525801 ✓ 10/31/20 11/05120 11/30/20 1.96 0.00 0.00 1.96 r/ / SUPPLIES 5534860 ✓ 11/12/20 11/05/20 11/30/20 79.80 0.00 0.00 79.80 v/ SUPPLIES / ✓ 5534850✓ 11/12/20 11/05/20 11/30/20 64.17 OAO 0.00 64.17 /SUPPLIES / ✓ 5536570 V 11/12/20 11/06/20 12/01/20 42.62 0.00 0.00 42.62 / SUPPLIES / 5537520 v 11/12/2011/06/2012/01/20 9.78 0.00 0.00 9.78 V / SUPPLIES t/ 6398951 ✓ 11/16120 06/13120 07/08/20 26.64 0.00 0.00 26.64 SUPPLIES 5410760 v� 11/16/20 06/25/20 07/20/20 230.20 0.00 0.00 230.20 SUPPLIES / / 6416400 ✓ 11/16/20 07/02/20 07/27120 56.98 0.00 0.00 56.98 ✓ / SUPPLIES 541B220 ✓ 11/16/20 07103/20 07128120 556.52 0.00 0.00 556.52 SUPPLIES 5416401 11/16/20 07/03/20 07/28/20 244.93 0.00 0.00 244.93 ✓� / SUPPLIES J 5416402 V 11/16/20 07/05/20 07130/20 22.99 0.00 _ 0.00 22.99 ✓ SUPPLIES 10.46 5540420 V/ 11116/20 11/08/20 12/03120 10.46 0.00 0.00 SUPPLIES / 5540760 / 11116/20 11/08120 12103120 95.93 0.00 0.00 95.931/ / SUPPLIES / ✓ 5539300 ✓ 11116/20 11/09/20 12/04/20 28.59 0.00 0.00 28.59 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 1,471.57 0.00 0.00 1,471.57 Vendor# Vendor Name Class Pay Code 10892 DIANE MOORE a// Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 111618 11/16/20 11/16/20 11116/20 220.72 0.00 0.00 220.72 TRAVEL Vjtl.'&k L44,,�_i/0}'Rkpp 1✓t}ilM ut-i 1(114-1111`S11`/ Vendor Totals Number Name Gross Discount No -Pay Net file:///C:/Users/eolevenger/cpsi/memmed.cpsinct.com/u82227/data_5/tnip_cw5report85... 11 /20/2018 Page 6 of 19 10892 DIANE MOORE 220.72 0.00 0.00 220.72 Vendor# Vendor Name / Class Pay Code 10789 DISCOVERY MEDICAL NETWORK INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / MMC111418 11/19/2011/15/2011//16120 J 143,025.85 0.00 0.00 143,025.85 ✓ PROFEES NOV. I-lrJ j%, Vendor Total; Number Name Gross Discount No -Pay Net 10789 DISCOVERY MEDICAL NETWORK INC 143,025.85 0.00 0.00 143,025.85 Vendor# Vendor Name Class Pay Code 12044 DRIESSEN WATER INC. (CULLIGAN) Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net C183930A✓ 11120/2010/31/20 321.50 0.00 0.00 321.50 WATER Vendor Total: Number Name Gross Discount No -Pay Net 12044 DRIESSEN WATER INC. (CULLIGAN) 321.50 0.00 0.00 321.50 Vendor# Vendor Name Class Pay Code 10175 DSHS CENTRAL LAB MC2004 r/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 102018 11/19/20 11/01/20 11/26/20 652.40 O.OD 0.00 / 552.40 t/ LAB SERVICES Vendor Total: Number Name Gross Discount No -Pay Net 10175 DSHS CENTRAL LAB MC2004 552.40 0.00 0.00 552.40 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 37126 v/ 11/20/20 11/14/20 11/24120 17,125.00 0.00 0.00 17,125.00 VOLUME GUARANTEE Vendor Total: Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 17,126.00 0.00 0.00 17,125.00 Vendor# Vendor Name Class Pay Code 10042 ERBE USA INC SURGICAL SYSTEMS a/ Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 513559,// 11/16/20 11/05/20 12/05/20 155.20 0.00 0.00 / 155.20 V/ SUPPLIES fjiu l'hlvW (G3',�(] . JJ Vendor Totals Number Name Gross Discount No -Pay Net 10042 ERBE USA INC SURGICAL SYSTEMS 155.20 0.00 0.00 155.20 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 A1811061378 V/11116120 11/06/20 12101/20 16,485.00 0.00 0.00 16,485.00 SOFTWARE Vendor Total: Number Name Gross Discount No -Pay Net C2510 EVIDENT 16,485.00 0.00 0.00 16,486.00 Vendor# Vendor Name Class Pay Code 10689 FASTHEALTH CORPORATION ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 11A18MMC V1 11/19/20 11/01/20 11/16/20 495.00 0.00 0.00 495.00V1 WEBSITE MONTHLY Vendor Total Number Name Gross Discount No -Pay Net 10689 FASTHEALTH CORPORATION 495.00 0.00 0.00 495.00 - Vendor# Vendor Name Class Pay Code F1100 FEDERAL EXPRESS CORP. W file:///C:/Users/celevenger/cpsi/Memmed.cpsinct.com/u82227/data 5/tmp_cw5report85... 11/20/2018 Page 7 of 19 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 635586024 w/ 11/16/20 11/01/20 11/26/20 19.65 0.00 0.00 19.65 ✓ SHIPPING Vendor TotalE Number Name Gross Discount No -Pay Net F1100 FEDERAL EXPRESS CORP. 19.65 0.00 0.00 19.65 Vendor# Vendor Name Class Pay Code 11037 FIRSTCLEARING Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 110818 11119/20 11/08/20 11108120 75.00 0.00 0.00 75.00 PAYROLL DED Vendor Total: Number Name Gross Discount No -Pay Net 11037 FIRSTCLEARING 75.00 0.00 0.00 75.00 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 6193236 11/16/20 11/01/20 11/26/20 5,103.40 0.00 0.00 5,103.40 ✓ SUPPLIES G/WVVjfth 16%,G D 6300168 ✓ 11/16/20 11/0212011/27/20 9.70 0.00 0.00 9.70 .� / SUPPLIES 6409056f 11/16/20 11/05/20 11/30/20 19.40 0.00 0.00 19.40 /SUPPLIES 6409057 ✓ 11/05120 11130/20 82.00 0.00 0,00 82.00 �11""1116/20 SUPPLIES IwvvI" qi •00 6686803 v/ 11/16/20 11/07/20 12/02/20 171.78 0.00 0.00 171.78 SUPPLIES 6686805 11/16/20 11/07/20 12102/20 722.92 0.00 0.00 722.92V/ SUPPLIES %11vi. (61•� J 87038 11/16/2011/08/2012103120 167.26 0.00 0.00 167.26✓ SUPPLIES 688704011/16/20 11/08/20 12/03/20 210.62 0.00 0.00 210.62 SUPPLIES C' AVrl9L� K4.`,,{( 7152596 v1 11/16120 11/09/20 12/04/20 276.29 0.00 0.00 276.29 /SUPPLIES 6W j�QI fL. 3 3." 6193238 t� 11/19/20 11/01/20 11/26/20 579.12 0.00 0.00 579.12 V/ SUPPLIES 6kil1111s1 115,q/j_� 6193237 v/ 11119/20 11/01120 11/26/20 1,554.39 0.00 0.00 1,554.39 / SUPPLIES 66VVjyt� 3%1" / 7152593 11/19/201 /09/2012/04120 678.19 0.00 0.00 678.19 t/ SUPPLIES yU,�,pint� yi -xt Vendor Total; Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 9,575.07 0.00 0.00 9,675.07 Vendor# Vendor Name Class Pay Code F1653 FORT BEND SERVICES, INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 02189341N ✓ 11/19/20 11/01120 12/01/20 530.00 0.00 0.00 / 530,00 ✓ WATER TREATMENT Vendor Total= Number Name Gross Discount No -Pay Net F1653 FORT BEND SERVICES, INC 530.00 0.00 0.00 530.00 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 file:I/IC:/Userslcclevengerlcpsilmemmed.cpsinet.comlu822271data_5/tmp_cw5report85... 11 /20/2018 Page 8 of 19 6001176845 111/19/20 11/01/20 11/26/20 3,588.58 0.00 0.00 3,588.58 ✓ IMAGING CONTRACT 6001176762 11/19/20 11/01/20 12/01/20 3,236.62 0.00 0.00 3,236.62 SUPPLIES / 6001179267 �/ 11/19/20 1111012012/05120 4.154.94 0.00 0.00 4,154.94 IMAGING CONTRACT Vendor Totals Number Name Gross Discount No -Pay Net 10283 GE HEALTHCARE 10,980.14 0.00 0.00 10,980.14 Vendor# Vendor Name Class Pay Code 10642 GLAXOSMITHKLINE PHARMACUETICAL Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ✓ / 8252573461 09/30/20 09/19/20 12/01/20 2,954.92 0.00 0.00 2,954.92 ✓ INVENTORY ✓ 8252583093 10/12/20 09/27/20 12/01/20 4,808.70 0.00 0.00 4,808.70 INVENTORY Vendor Totals Number Name Gross Discount No -Pay Net 10642 GLAXOSMITHKLINE PHARMACUETICAL 7,763.62 0.00 0.00 7,763.62 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 1579425 ✓ 10/31/20 10/25/20 12/01/2D -19.27 0.00 0.00 -19.27 CREDIT 1582531r// 11/16/20 10/31/20 11/30/20 464.40 0.00 0.00 464.40 t/ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 445A3 0.00 0.00 445.13 Vendor# Vendor Name /Class Pay Code 10804 HEALTHCARE CODING & CONSULTING �/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 7808 11/12/20 10/31/20 11/30/20 255.00 0.00 0.00 255.00 ✓ CODING SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 10804 HEALTHCARE CODING & CONSULTING 255.00 0.00 0.00 255.00 Vendor# Vendor Name Class Pay Code 11552 HEALTHCARE EQUIPMENT FINANCE/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net / 100055948 11119/20 11/07/20 12/01120 4,919.41 0.00 0.00 4,919.41 ✓ LEASE `WtU6� 100055950 11/19/20 11/07/2012101/20 9,000.00 0.00 0.00 9,000.00 >/ LEASE 1w{tresk�td.2� 100056949 11/19/20 11107/20 12101/20 7.154.17 0.00 0.00 7,154.17 LEASE Vendor Total: Number Name Gross Discount No -Pay Net 11552 HEALTHCARE EQUIPMENT FINANCE 21,073.58 0.00 0.00 21,073.58 Vendor# Vendor Name Class Pay Code 10298 HITACHI MEDICAL SYSTEMS Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net PJIN0126066 ✓ 11/19/20 11/15/20 11/15/20 8,333.33 0.00 0.00 / 8,333.33 r/ MAINT CONTRACTQ Vendor Totals Number Name Gross Discount No -Pay Net 10298 HITACHI MEDICAL SYSTEMS 8,333.33 0.00 0,00 8,333.33 Vendor# Vendor Name Class Pay Code file:///C:/Users/cclevenger/cpsi/memmed.cpsinct.com/u82227/data 5/tmp_cw5report85... 11/20/2018 Page 9 of 19 K1070 KEY SURGICAL INC V1 M Invoice# Comment Tran Dt Inv Dt Due Dt / Check D Pay Gross Discount No -Pay Net / 1147214 J 11/16/20 11/05/20 12105/20 43.00 0.00 0.00 43.00 r/ SUPPLIES wllo P113 $.00 tl Vendor Total: Number Name Gross Discount No -Pay Net K1070 KEY SURGICAL INC 43.00 0.00 0.00 43.00 Vendor# Vendor Name / Class Pay Code L0700 LA13CORP OF AMERICA HOLDINGS V M Invoice# lomment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 60739108 `/ 11/19/2011/03/2011/28/20 847.50 0.00 0.00 847.50 SUPPLIES t,jjk1 Jj�, j 611/19/201110312011/28120 60561719 �/ 70.00 0.00 0.00 70.00 SUPPLIES �V$91Aji).00 - Vendor Totalt Number Name J Gross Discount No -Pay Net L0700 LABCORP OF AMERICA HOLDINGS 917.50 0.00 0.00 917.50 Vendor# Vendor Name Class Pay Code / L1005 LAERDAL MEDICAL CORPORATION ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 20182000096376 11/19/20 10/26/20 11/26/20 247.04 0.00 0.00 247.04✓ SUPPLIES 6WV?jytq 3J,o Vendor Total: Number Name Gross Discount No -Pay Net L1005 LAERDAL MEDICAL CORPORATION 247.04 0.00 0.00 247,04 Vendor# Vendor Name Class Pay Code 10578 LUMINANT ENERGY COMPANY LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INVO549509 10131/20 11/01120 11/30120 2,432.16 0.00 0.00 2,432.16 t/ GAS Vendor Total! Number Name Gross Discount No -Pay Net 10578 LUMINANT ENERGY COMPANY LLC 2,432.16 0.00 0.00 2,432.16 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 / 110818 11/19/2011108/20 11/08/20 1,295.00 0.00 0.00 1,295.00 PAYROLL DED Vendor Totals Number Name Gross Discount No -Pay Net 10972 M G TRUST 1,295.00 0.00 0.00 1,295.00 Vendor# Vendor Name / Class Pay Code M1500 MARKS PLUMBING PARTS ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INVO01751220 10131/20 10130120 11129/20 45.44 0.00 0.00 / 45.44 ✓ SUPPLIES Vendor Total=.Number Name Gross Discount No -Pay Net M1500 MARKS PLUMBING PARTS 45.44 0.00 0.00 45.44 Vendor# Vendor Name Class Pay Code 11099 MARLIN BUSINESS BANK ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 16459671V/ 11/19/20 11/14/20 12/04/20 663.27 0.00 0.00 663.27 LEASE Vendor Total=.Number Name Gross Discount No -Pay Net 11099 MARLIN BUSINESS BANK 663.27 0.00 0.00 663.27 Vendor# Vendor Name Class Pay Code file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report85... 11/20/2018 Page 10 of 19 M1950 MARTIN PRINTING CO t/ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 73020 �/ 11/12/20 11/02120 12102/20 64.10 0.00 0.00 / 64.10 SUPPLIES Vendor Total<Number Name Gross Discount No -Pay Net M1950 MARTIN PRINTING CO 64.10 0.00 0.00 64.10 Vendor# Vendor Name / Class Pay Code 11760 MARVELOUS GARDENS, INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 1082 ✓ 11/19120 11/15/20 11/15120 379.17 0.00 0.00 379.17 ✓ LAWN CARE W VAL 1083 ✓ 11l19/20 11/15120 11/15/20 433.33 0.00 0.00 433.33 y' MONTHLY PAYEMNT WVUU / 1069 t/ 11119/20 11/15/20 11/15/20 205.83 0.00 0.00 205.83 LAWN CARE VC%� 895 11/20/20 09/26/20 09/25/20 200.00 0.00 0.00 / 200.00 LAWN CARE WVuL Vendor Total; Number Name Gross Discount No -Pay Net 11760 MARVELOUS GARDENS, INC 1,218,33 0.00 0.00 1,218.33 Vendor# Vendor Name Class Pay Code M2178 MCKESSON MEDICAL SURGICAL INC✓ Invoice# /Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net / 39470896t/ 1111612011/0112012101120 208.26 0.00 0.00 208.26 UPPLIES / ✓ 38981831 +� 11/19/20 10/25/20 11/24/20 996.32 0.00 0.00 996.32 SUPPLIES 38993365 ✓ 11/19120 10125/20 11124l20 227.45 0.00 0.00 227.45 SUPPLIES `Yo'ykt qq,o Vendor Total: Number Name Gross Discount No -Pay Net M2178 MCKESSON MEDICAL SURGICAL INC 1,432.03 0.00 0.00 1,432.03 Vendor# Vendor Name Class Pay Code M2827 MEDIVATORS V// M Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net V/ 3234274 1/ 11/16/20 11/06/20 12/05/20 371.50 0.00 0.00 371.50 SUPPLIES 41AI?pjti% g 0.01 J Vendor Total: Number Name Gross Discount No -Pay Net M2827 MEDIVATORS 371.50 0.00 0.00 371.50 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC V1 M Invoice# Comment Tran Dt Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Net / 1861511051 v/ 63.13 0.00 0.00 63.13 �✓ (11/16/2010123/2011117/20 SUPPLIES i � (Iy VI HI j j 1862223067✓/11/16/20 11101/20 11126/20 225.31 0.00 0.00 225.31 SUPPLIES 1862223064v/ 11/16/20 11/01/20 11/26/20 814.86 0.00 0.00 814.85 E� PLIES SU / 18622230667 11/16/20 tl/01l2011/26/20 119.73 0.00 0.00 119.73 1/1 SUPPLIES 1862384899 ✓ 11/16/20 11/02/20 11/27/20 66.29 0.00 0.00 66.29 S PPLIES 1862385002 11116/20 11/02120 11127/20 1,914.12 0.00 0.00 1,914.12 SUPPLIES file:///C:/Users/eclevenger/cpsi/memined.cpsinct.com/u82227/data 5/tmp_cw5repor(85... 11/20/2018 Page 11 of 19 1862386000 f 11116120 11/02120 11/27/20 qQ SUPPLIES 18623811e 11/16/201�y1/02/p2011127/20 SUPPLIES �YtIy V�i q,tq 1 1862385001 d 11/16/20 11/02/20�111/27120 SUPPLIES fV6c t %$-I f 1862384897 11/16/20 11/02/20 11/27/20 S PPLIES 1862505482 11/16/20 11/05/20 11/30/20 SUPPLIES f� Y (i y k � J' .47V 1862561660 {/ 11/16/20 11/06120 12/01/20 SUPPLIES 1862561666 11/16/20 11/06/20 12/01/20 SUPPLIES �viyhi I1,'11 1862561653 V1 11/16/20 11/06/20 12/01/20 PPLIES 1862561662 7 - 11/16/20 11/06/20 112/01/20 SyPPLIES 7862561561 �/ 11/16/2011/06(2012/01120 SUPPLIES (V Uy N76I U -6 ' 1862561557 ✓ 11/16/20 11/06/20 12/01/20 SU�PLIES 1862561556 1 11l16/20 11l06120 12/01120 SyPPLIES 1862561549 ✓ 11/16/2011/0612012/01120 S}•JPPLIES ;�I'�I(�IA� I1,1{ 1862661554 �/ 1 ill 6/20 11/06120 12/01/20 S/U PPLIES 1862561556v 11116/20 11/06/20 12/01120 SUPPLIES ff6oVt I�•�(� 1862661558 11/16/20 11/06/20 12/01/20 SUPPLIES 1862561548 t% 11/16/20 11/06/20 12101/20 SUPPLIES 1852561565 ✓/11/1612011/0612-0712/01/20 S/UPPLIES yI(J)41 1862561563J 11/16120 11/06/20 12101/20 SUPPLIES fjLiyVth IJIW 1862861550 J 11/16/2011/0612012101/20 ( SUPPLIES {Yi yk. - 1�,w 1862693943✓ 11/16/2011/07/2012102120 SUPPLIES 18626,93945 ✓ 1ill 6/20011/07/2012/02120 SUPPLIES �Y6yJk Ij,OI/ 1862693944 ✓/ 11/16/2011/0712012/02120 SUPPLIES 1862767811 ✓ 11/16/20 11108120 12/03120 SUPPLIES 1862757809 t 11/16/2011/08/2012/03120 SUPPLIES 18627578071% 11/16/20 11108/20 12103120 15.72 0.00 0.00 361.08 0.00 0.00 91.00 0.00 0.00 766.95 0.00 0.00 60.79 0.00 0.00 1.246.00 0,00 0.00 35.57 0.00 0.00 17.82 0.00 0.00 198.93 0.00 0.00 39.56 0.00 0.00 2,375.70 0.00 0.00 70.84 0.00 0.00 25.89 0.00 0,00 158.33 0.00 0.00 198.84 0.00 0.00 4.96 0.00 16.39 0.00 91.00 0.00 44.20 0.00 29.64 0.00 380.87 0.00 22.82 0.00 90.95 0.00 90.95 1,286.01 28.57 ME 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.72 ✓ 361.08 V 91.00 766.95 ✓ 50.79J 1,246.00 35.57 17.82 ✓ 198.93 t/ 39.56 V/// 2,375.70 V 70.84 V 25.89 >1 / 158.33 198.84 4.96 V/ 16.39 ✓ 91.00 44.20 29,64 380.87 1"// 22.82 J 90.95 90.95 1,286.01 V1 28.67 f file:///C:/Users/cclevengerlepsi/memmed.cpsinetcom/u82227/data 5/tmp_cw5report85... 11/20/2018 Page 12 of 19 SUPPLIES NejK 1862757805 V 11/16/20 11/08/20 12/03/20 14.29 0.00 0.00 14.29 ! SUPPLIES ('VCI Vi 4,VO 1862858234 ✓ 11/16/20 11/09/20 12104120 111.20 0.00 0.00 111.20 SUPPLIES J?/'J� 1862858233 r// I I M6120 11/09/20 12104120 153.38 0.00 0.00 / 153.38 ✓ SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 11,221.68 0.00 0.00 11,221.68 Vendor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 110818 1 ill 9/20 11/08/20 11/08120 25,00 0.00 0.00 25.00 PAYROLLDED Vendor Total: Number Name Gross Discount No -Pay Net 10963 MEMORIAL MEDICAL CLINIC 25.00 0.00 0.00 25.00 Vendor# Vendor Name Class Pay Code M2621 MMC AUXILIARY GIFT SHOP W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 111518 11/19/20 11/15/20 11/15/20 183.75 0.00 0.00 183.75 / PAYROLLDED Vendor Total: Number Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GIFT SHOP 183.75 0.00 0.00 183.75 Vendor# Vendor Name Class Pay Code 11972 MOMENTUM RENTAL & SALES Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 660741 v// 11119120 11/08/20 12/01120 442.11 0.00 0.00 442.11 RENTAL Vendor Total; Number Name Gross Discount No -Pay Net 11972 MOMENTUM RENTAL & SALES 442.11 0.00 0.00 442.11 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 3505403 ✓ 11/19/20 11/12/20/1/22120 37.57 0.00 0.00 / 37.57 ✓ INVENTORY 3505556 ✓ 11/19/20 11/12/20 11/22/20 129.23 0.00 0.00 / 129.23 d /INVENTORY 3503391 V 11/19/20 11/12/20 11/22/20 14.96 0.00 0.00 14.96 f INVENTORY / 3505402 ✓ 11/19/20 11/12/20 11/22/20 570.21 0.00 0.00 570.21 rj INVENTORY 3505404 11/19120 11/12120 11/22120 5.79 0.00 0.00 5.79 /INVENTORY / 3506956 ✓ 11/1912011112/2011/22/20 204.60 0.00 0.00 204.601/ / INVENTORY 3505401 V 11/19/20 11/12/20 11/22/20 5,552.64 0.00 0.00 5,552.64 INVENTORY 3503390 V% 1111912011112/2011/22/20 12.55 0.00 0.00 / 12.55 NVENTORY 3508616 J 11/19/2011/13120 il/23120 26.23 0.00 0.00 26.23 //INVENTORY 3410819 V 11/19/20 11/13/20 11/23/20 632.14 0.00 0.00 632.14 ✓ file:///C:lUsers/eclevengerlepsi/memmed.cpsinet.com/u82227/data 5/tlnp^cw5report85... 11/20/2018 Page 13 of 19 /,{NVENTORY 3510818 �J 11/19/20 71/13/20 77/23/20 8.84 0.00 0.00 8.84 INVENTORY 3516538 ✓ 11/19/20 11/14120 11/24/20 6.24 0.00 0.00 6.24/ INVENTORY J / 3516541 11/19/20 11/14/20 11/24/20 2,159.61 0.00 0.00 2,159.61 t/ INVENTORY ✓ •, f 3516540 11/19/20 11/14/20 11/24/20 6.75 0.00 0.00 6.75 JNVENTORY 3514223 ✓ 11/19/2011/14120 11/24120 39.37 0.00 0.60 39.37 jINVENTORY / 3516539 �/ 11/19/20 11/14120 11/24120 9.60 0.00 0.00 9.60 /INVENTORY 3514224 V/ 11/19/20 11/14/20 11/24/20 361.99 0.00 0.00 361.99 INVENTORY 7745 ✓ / 11119/20 11115120 11125120 -57.88 0.00 0.00 -57.88 CREDIT 7854 V/ 11/19/20 11/15/20 11/25/20 -9.66 0.00 0.00 -9.66 CREDIT 3521047 1/ 11119/201t/1512011/25/20 9.69 0.00 0.00 9.69/ / INVENTORY 7744 ✓ 11119/20 11/15120 11125120 -0,33 0.00 0.00 -0.33 CREDIT / 3518940 �% 11/19/20 11/16/20 11125120 266.34 0,00 0.00 266.34 " INVENTORY 3520655 ✓ 11/19/20 11/1512011125/20 1,017.73 0.00 0.00 1,017.73 INVENTORY / 3520654 11/19/20 11/15/20 11/25/20 224.62 0.00 0.00 224.62 INVENTORY / ,/ 7568 11119120 11/15/20 11126120 -1.03 0.00 0.00 -1.03 CREDIT 3521048 11119/2011115/2011/25120 30.92 0.00 0.00 30.92 INVENTORY / 3520656 J 11/19/20 11/15/20 11/25120 221.95 0.00 0.00 221.951/ ,INVENTORY 3519314 ,/ 11/19/20 11/15/20 11/25120 38.60 0.00 0.00 38.60 .INVENTORY 3519315 11/19/20 11/15/2011/25120 2,478.22 0.00 0.00 2,478.22 /INVENTORY 3520653 ,/ 11/19/20 11/15/20 11/25/20 295.70 0.00 0.00 295.70 :/ INVENTORY 7382 1% 11/i9/20 11/15/20 11/25/20 -733.78 0.00 0.00 -733.78 f / CREDIT CM95058 ✓ 11/19/20 11/16/20 11/26/20 -284.02 0.00 0,00 -284.02 Jf 5 INVENTORY / 3�'25374 11/19/20 11/16/20 11/26/20 545.07 0.00 0.00 545.07 �/ /-INVENTORY ✓/ 3525373 ✓ 11/19/20 11/16/20 11/26/20 0.39 0.00 0.00 0.39 NVENTORY 3525375 Yi/19/20 11/16/20 11/26/20 130.67 0.00 0.00 130.67 ✓ j INVENTORY file:///C:/Users/celevenger/cpsi/meinmed.cpsinct.com/u82227/data 5/tmp_cw5report85... 11/20/2018 Page 14 of 19 3524307 / 11/19/20 11/16120 11126/20 283.90 0.00 0.00 283.90 INVENTORY - CM95059 11/19/20 11/16/20 11/26/20 -576.37 0.00 0.00 -576.37 CREDIT Vendor Total: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 13,669.05 0.00 0.00 13,659.05 Vendor# Vendor Name Class Pay Code / 01500 OLYMPUS AMERICA INC r/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 96566922 rf/11/16/20 11/05/20 11/30/20 118.37 0.00 0.00 118.37 t/ UPPLIES 96573706 11/19/20 11107/20 12102120 1,137.51 0.00 0.00 1,1371.51 SERVICE CONTRACT - VendorTotaI;Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 1,255.88 0.00 0.00 1,255.88 Vendor# Vendor Name Class Pay Code / 01416 ORTHO CLINICAL DIAGNOSTICS V Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1850801208 ✓ 10/31/20 10/31120 11130/20 119.65 0.00 0.00 119.65 � $UPPLIES / 1860801371 r/ 10/31/20 10/31/20 11/30120 42928 0.00 0.00 429.28 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 548.93 0.00 0.00 548.93 Vendor# Vendor Name Class Pay Code OM425 OWENS & MINOR ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8000160978 ✓ 11/19/20 10/31/20 11/30/20 6.34 0.00 0.00 / 6.34 r/ FINANCE CHARGES `jjUt,& Vendor Total; Number Name Gross Discount No -Pay Net OM425 OWENS & MINOR 6.34 0.00 0.00 6.34 Vendor# Vendor Name Class Pay Code P0706 PALACIOS BEACON ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 330,95842 11/19/20 10/25/20 250.00 0.00 0.00 250.00 AD Vendor Total: Number Name Gross Discount No -Pay Net P0706 PALACIOS BEACON 250.00 0.00 0.00 250.00 Vendor# Vendor Name Class Pay Code 10032 PHILIPS HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 937646725 v/ 11/19/20 10130/20 11/24/20 2,627.00 0.00 0.00 2,627.00 SERVICEAGREMENT - VendorTotaleNumber Name Gross Discount No -Pay Net 10032 PHILIPS HEALTHCARE 2,627.00 0.00 0.00 2,627.00 Vendor# Vendor Name Class Pay Code 11932 PRESS GANEY ASSOCIATES, INC. ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net IN000355116 10/31120 10/31120 11/30/20 1,950.00 0.00 0.00 1,950.00 j PT SURVEYS Vendor Total; Number Name Gross Discount No -Pay Net 11932 PRESS GANEY ASSOCIATES, INC. 1,950.00 0.00 0.00 1,950.00 file:///C:/Users/eclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report85... 11 /20/2018 Page 15 of 19 Vendor# Vendor Name Class Pay Code ✓% 11195 PSYCHEMEDICS CORPORATION Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 521854 / 11/19/20 11/01/20 11/01/20 138.00 0.00 0.00 138,00 f LAB SERVICES 6W^ ,Vi 0 J�, (10 Vendor Totals Number Name U Gross Discount No -Pay Net 11195 PSYCHEMEDICS CORPORATION 138.00 0.00 0.00 138.00 Vendor# Vendor Name Class Pay Code / 11251 RAPID PRINTING LLC r/ Invoice#/, Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3794 ✓ 11119/20 10/12/20 11/11/20 112.00 0.00 0.00 112.00 / SIGNS 3904 r/ 11/19/20 10/31/20 10131/20 112-00 0.00 0.00 112.00 ,/ SIGNS Vendor Totals Number Name Gross Discount No -Pay Net 11251 RAPID PRINTING LLC 224.00 0.00 0.00 224.00 Vendor# Vendor Name Class Pay Code 11137 REALITY MEDICAL IMAGING OFTX ✓ Invoice# Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /Comment 18R1594 ✓ 11/19/20 11/14/20 11/14120 2,817.50 0.00 0.00 2,817,50 SERVICE AGREEMENT Vendor Totals Number Name Gross Discount No -Pay Net 11137 REALITY MEDICAL IMAGING OF TX 2.817.50 0.00 0.00 2,817.50 Vendor# Vendor Name Pay Code /Class 11024 REED, CLAYMON, MEEKER & HARGET r/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 15178 11/19120 11/08/20 11/08/20 401.50 0.00 0.00 401-50 LEGAL Vendor Total: Number Name Gross Discount No -Pay Net 11024 REED, CLAYMON, MEEKER & HARGET 401.50 0.00 0.00 401,50 Vendor# Vendor Name Class Pay Code S1001 SANOFI PASTEUR INC w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 910998374 09/30/20 09/18/20 12/01/20 1,840.26 0.00 0.00 1,840.26 I/ INVENTORY 911509514 t/ 10/31120 10/29/20 11/29/20 4,140.58 0.00 0.00 4,140.58 INVENTORY 911080120 f 11/19/20 09/25/20 10/26/20 2,035.43 0.00 0.00 2,035.43 INVENTORY 911553014 v/ 11/19/20 11/05120 12/01/20 3,989.44 0.00 0.00 3,989.44'/ INVENTORY Vendor Totals Number Name Gross Discount No -Pay Net S1001 SANOFI PASTEUR INC 12,005.71 0.00 0.00 12,005.71 Vendor# Vendor Name Class Pay Code S2001 SIEMENS MEDICAL SOLUTIONS INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 116665499V1 11/1912010/18/2011/12120 751.58 0.00 0.00 751.58 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net S2001 SIEMENS MEDICAL SOLUTIONS INC 761.58 0.00 0.00 751.58 Vendor# Vendor Name Class Pay Code file:lllC:/Users/cclevenger/cpsi/menimed.cpsinet.com/u82227/data S/tmp_cw5report85... 11/20/2018 Page 16 of 19 82270 SMILE MAKERS ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 8443779 11/07/20 12/02/20 147.80 (11/16/20 SUPPLIES Vendor Totals Number Name Gross S2270 SMILE MAKERS 147.80 Vendor# Vendor Name Class Pay Code 11296 SOUTH TEXAS BLOOD & TISSUE CEN Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross / 90040526 ✓ 11/19/2010/31/2011/25120 6,336.00 Discount No -Pay Net Q.00 0.00 147.80 Discount No -Pay Net 0.00 0.00 147.80 Discount No -Pay 0.00 0.00 /SUPPLIES 90040414 ,/ 11/19/20 10/31/20 11/25/20-3,910.00 0.00 0.00 CREDIT Vendor Totals Number Name Gross 11296 SOUTH TEXAS BLOOD & TISSUE CEN 2,426.00 Vendor# Vendor Name Class Pay Code 82694 STANFORD VACUUM SERVICE M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 043036 v/ 11/19/2011/14/2012/01120 385.00 GREASE TRAP PUMP Vendor Totals Number Name Gross 82694 STANFORD VACUUM SERVICE 385.00 Vendor# Vendor Name Class Pay Code / S3960 STERICYCLE, INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 4008165157 t% 10124/20 11/01120 12101/20 2,023.97 DISPOSAL SERVICES Vendor Totals Number Name Gross S3960 STERICYCLE, INC 2,023.97 Vendor# Vendor Name Class Pay Code 11772 STERIS INSTRUMENT MANAGEMENT Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross 2Va33201-1-761r6-7 11119/20 11/02/20 12/01/20 236.00 SUPPLIES SW IVIKLil-Ob Vendor Totals Number Name Gross 11772 STERIS INSTRUMENT MANAGEMENT 236.00 Vendor# Vendor Name Class Pay Code $2833 STRYKER ENDOSCOPY Invoice# C mment Tran Dt Inv Dt Due Dt Check D Pay Gross 8309103E 11/19/20 11/02120 12102/20 9,286.39 MINOR EQUIPMENT Vendor Totals Number Name Gross S2833 STRYKER ENDOSCOPY 9,286.39 Vendor# Vendor Name Class Pay Code 11103 STUDER GROUP, LLC % Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 101524 11/19/20 06/04/20 07/04/20 18,938.23 INSTALLMENT Vendor Totals Number Name Gross 11103 STUDER GROUP, LLC 18,938.23 Vendor# Vendor Name Class Pay Code T2539 T-SYSTEM, INC ✓ 1N Discount No -Pay 0.00 0.00 Net 6,336.00 ✓/ -3,910.00 Net 2,426,00 Discount No -Pay Net / 0.00 0.00 385.00 t/ Discount No -Pay Net 0.00 0.00 385.00 Discount No -Pay Net 0.00 0.00 2,023.97 Discount No -Pay Net 0.00 0.00 2,023.97 Discount No -Pay Net 0.00 0.00 236.00 Discount No -Pay Net 0.00 0.00 236.00 Discount No -Pay Net 0.00 0.00 9,286.39 Discount No -Pay Net 0.00 0.00 9,286.39 Discount No -Pay Net 0.00 0.00 18,938.23 Discount No -Pay Net 0.00 0.00 18,938.23 file:///C:lUsers/cclevenger/cpsilmemmed.cpsinet.corn/u82227/data_5/tmp_cw5report85... 11/20/2018 Page 17 of 19 Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 205EV42422 1 0/31/20 10131120 11130/20 4,555.00 0.00 0.00 4,555.00 TRfCKING ✓ 205EV42427 10/31/2010/31/2011/30/20 1,144.00 0.00 0.00 1,144.00 CLOUD HOSTING 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 T2204 TEXAS MUTUAL INSURANCE CO V1 W Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 1000581469-,/ 11/19/20 11/11/20 11111120 3,853.00 0.00 0.00 3,853.00 ,✓ INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net T2204 TEXAS MUTUAL INSURANCE CO 3,853.00 0.00 0.00 3,853.00 Vendor# Vendor Name Class Pay Code / K1255 THE STAYWELL COMPANY, LLC r/ . Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /comment 8199523 11/16/20 11/02/20 12/02/20 ✓ 201.76 0.00 0.00 201.76 / ✓• SUPPLIES 5WYrrl Ir (�'lj Vendor Totals Number Name vd Gross Discount No -Pay Net K1255 THE STAYWELL COMPANY, LLC 201.76 0.00 0.00 201.76 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 5000975066 ✓ 11119/20 11/08/20 11108/20 960.00 0.00 0.00 emoo ✓ ELEVATOR SERVICEA Vendor Totals Number Name Gross Discount No -Pay Net T2250 THYSSENKRUPP ELEVATOR CORP 960.00 0.00 0.00 960.00 Vendor# Vendor Name / Class Pay Code 11171 TRI-TECH FORENSICS, INC. V Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 165392 11/19/20 11/07/20 12102/20 106.10 0.00 0.00 / 106.10 t/ SUPPLIES (/YlArlkit' �0d•IIIO Vendor Totals Number Name Gross Discount No -Pay Net 11171 TRI-TECH FORENSICS, INC. 106.10 0.00 0.00 106.10 Vendor# Vendor Name Class Pay Code 11067 TRIZETTO PROVIDER SOLUTIONS t/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 35FK111800 ✓ 11/19/2011/0112011/26/20 1,111.00 0.00 0.00 / 1,111.00 y� 5w.arikald4ivv 5 trits Vendor Totals Number Name Gross Discount No -Pay Net 11067 TRIZETTO PROVIDER SOLUTIONS 1,111.00 0.00 0.00 1,111.00 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 8400286698 V1 11/12/20 11/05120 11130120 68.53 0.00 0.00 68.53 ,/ LAUNDRY 8400286694 11/12/20 11/05/20 11/30120 ✓ 120.39 0.00 0.00 120.39 / V LAUNDRY 8400286727 v/ 11/12/20 11/05/20 11130/20 85.24 0.00 0.00 85.24 V1 LAUNDRY file:///C:/Users/cclevenger/cpsi/memmed.cpsinet.com/u82227/data_5/tmp_cw5report85... 11 /20/2018 Page 18 of 19 8400286734 ✓ 11/12120 11/05/20 11130120 1,087.43 0.00 0.00 1,087.43 LA/UNDRY 8400286695 �/ 11/12/20 11/05/20 11/30/20 140.11 0.00 0.00 140.11 LAUNDRY 8400286697v1 11/12/20 11/05120 11130/20 47.15 0.00 0.00 47.15 ✓ LAUNDRY 8400286762 >/ 11/12/20 11/05/20 11/30/20 116.30 0.00 0.00 116.30 LAUNDRY 8400287059 V//11/12/20 11108/2012103/20 949.47 0.00 0.00 949.47 v1 LAUNDRY 8400287014 r/ 11/12/20 11/08/20 12/03/20 156.38 0.00 0.00 / 156.38 LAUNDRY 8400287012 ✓ 11/12/20 11/08/20 12/03/20 17.00 0.00 0.00 17.00 LAUNDRY 8400286695 rf 11/13/2011/05/20 11/30/20 111.88 (.00 0.00 111.88 LAUNDRY Vendor Total: Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 2,899.88 0.00 0.00 2,899.88 Vendor# Vendor Name Class Pay Code U1056 UNIFORM ADVANTAGE ✓ W Invoice# Comment Tram Dt Inv Dt Due Dt Check Cr Pay Gross Discount No -Pay Net 9185260 11/16/20 11/12/20 11/27/20 46.88 0.00 0.00 46.88 ✓ UNIFORMS V. BROOME Vendor TotalE Number Name Gross Discount No -Pay Net U1056 UNIFORM ADVANTAGE 46.88 0.00 0.00 46.88 Vendor# Vendor Name Class Pay Code / 10793 WAGEWORKS r/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 110818 11119/20 11/08/20 11/08120 2.329.33 0.00 0.00 2,329.33 PAYROLL DED Vendor TotalE Number Name Gross Discount No -Pay Net 10793 WAGEWORKS 2,329.33 0.00 0.00 2,329,33 Vendor# Vendor Name Class Pay Code W1040 WATERMARK GRAPHICS INC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 122386 / 10/31/20 10/30/20 11/29/20 34.87 0.00 0.00 34.87 LAB COAT "11 it � 1. q v C � .1�_x ) 4 . Vendor TotalE Number Name Gross Discount No -Pay Net W1040 WATERMARK GRAPHICS INC 34.87 0.00 0.00 34.87 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 9110588984V/ 11/16/20 10/30/20 11/24/20 2,084.16 0.00 0.00 2,084.16 ✓ S PPLIES 9110590808 11/19/2011/0512011130120 403.12 0.00 0.00 403.12 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 2,487.28 0.00 0.00 2,487.28 Vendor# Vendor Name Class Pay Code / W1270 WISCONSIN STATE LABORATORY ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 569760 / 10/31/20 10/31/20 11130120 686.00 0.00 0.00 686.00 / file:///C:/Userslcclevenger/cpsi/memmed.cpsinet.com/u82227/data_51tmp_cw5report85... 11 /20/2018 Page 19 of 19 LAB SERVICES Vendor Totals Number Name Gross W1270 WISCONSIN STATE LABORATORY 686.00 Report Summary Grand Totals: Gross Discount 429,526.94 0.00 Discount No -Pay 0.00 0.00 No -Pay 0.00 Net 686.00 Net 429,526.94 file:///C:/Users/celevenger/cpsi/memmed.cpsinct.corn/u82227/data 5/tmp_ew5repolt85... 11/20/2018 No Z j, ro V O N o E,d <e o W z.: m ¢z � � N QN ym N O au O 0 N N m m M N M n m O N N O HU N N N t` m G N �mi T Q O Fm- V D o m ,F m a m � _ m a O N a0 W Q O Mr mmm O 'O aT D .�«C aT g >.2 �+y E G ® E e t- W m n C U V � LLB a W E F m Zo Q N 2 @ o ME 0 m o 0 �Z a N g a �tAA n o vI B ¢ oao � o ¢ Z ii m n z O z 1- `E ' o E o a` a O E �am8 m U ~ @ n y tll❑ R F` q IL 6 ry m O \ k \k k � k Z - W \\ W r/ � §a Q � C )\ z �\ \ 0 � Lu U ( iD5 ! $ ;!! 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Sox 78026 PHOENIX, AZ 050624026 *ee�ce 1, ea anw. <.inrl CieliHs '`� =-0hepwa .CreiGf�i . 00.00 00.00 00.00 $0.00 020,000.00 For customer service cell or write 1-800-248-4663 Citibank P.O. Box 6126 Sioux Falls, ED 67117 Send payments to: Citibank P.O. Box 78025 PHOENIX, AZ$6062.8025 Statement Date 11/03/2018 Payment Date 11/28/2018 Account Number Cash Advance U%fI1 Available Credit Una Available Cash We- ......... ..64 6997 $0.00 $20 000.00 $0.00 Sole Post Date Oats Reference Number 6lhd eofA Amount *n.•.+n"^"'s•s`n"'•"""*"'"'"'^•'•m'"^`"«'^^^"""° -" NOTICE MEMO ITEM(S) LISTED BELOW"'^"••^""•"""""•'^""""'"^""'•"'^^^""'^"""'""� ^f 10/02/2018 10/04/2018 85140518276900017100141 - ONI 8008696703 TX A$695.00 �/ N.Simenez 10/03/2018 10/04/2019 85326818276900015256861 SNILLPATB / NATIONAL 9133623900 No 1/031.90 PO 276686134705 // l% 10/03/2010 10/05/2018 75306378277161102365458 TPTA AUSTIN TX v6475.00 000000043140344 10/04/2018 10/08/2018 851405102789000L7300145 OHI 8008696793 TX �695.00 D.HcClalland / 10/05/2018 10/08/2018 05134378279600056416539 BEDE NPDB.HRSA.GOV 800-767-6732 VA 14-00 V N59628875 / 10/05/2018 20/08/2018 05134378279600056416612 BEDE NPDB.ERSA.GOV 800-767-6732 VA ✓02.00 N59629DOS ,+ 10/05/2018 10/00/2010 05134378270600056416794 NPDB NPDB.BRSA.GOV 800-167-6732 VA ✓02.00 V M59629251 ACCOUNT SUMMARY Previous Balance payments Credits Purchases Interest end Advances Cha es NewBefance CURRENT PERIOD O.00 $0.00 A vvaances 00.00 $0.00 D TOTALS 00.00 .00 DAYS IN BILLING PERIOD: 031 Purchases Gsh Adwnasa Payment Due: Amount Dyer Credit Limit: 00.00 $0.00 Balance Subject To Interest Charges > Periodic Rate > 60.00 .0000% $0,00 .0000% Amount Past Due: $0.00 ANNUAL PERCENTAGE RATE > 0.00% 0.00% MINIMUM AMOUNT DUE: 0.00 Cash Advance limitls a pardon ofyourTofal CmdWne "Available Cash Une Is a podton ofyourAvallable Credit Una Page 4 of 2 C ti, Statement pate 11/03/2018 NOTICE MEMO ITEM(S) LISTED BELOW 10/05/2018 10/08/2018 55310208279708095483772 HOLIDAY INN SAN AHTONI SAN ANTONIO TX / v,324.56 Y 11790702 Arrival: 10-03-18 V IO/06/2018 i0/08/2018 55432868279200602168173 AM CREDENTIALING 800-621-8335 IT. y086.00 10/10/2018 10/12/2010 $8309599284207000306576 REST WESTERN PLUS SAN ANTONIO TX �105.06 0000038657 Arrival: 10-10-19 / 10/12/2018 10/25/2018 5531020028670SID8223497 HOLIDAY INN RXP & SUIT PORT LAVACA TX f$134.47 17307217 Arrival: 10-11-18 10/17/2010 10/18/2018 55457028291207225104910 BUMMING AMERICAN HEA AMERICAN HER 6802420883 TX 9882428893 TX ✓$1.00 CR 4 �/41180 CR 10/17/2018 10/18/203.8 55457029291207225104969 RLFAHNING 10/19/2010 10/19/2018 56432868292200204610105 AM CREOENTLALING 800-621-8335 IL s,$43.00 10/21/2018 10/22/2010 5530§598294036000623961 SAMPTON INN a SUITES HOUSTON TX xh347.49 00DO0623 Arrival: 10-16-16 10/21/2018 10/22/2019 55309598294036000624929 HAMPTON TUN & SUITES HOUSTON TX '269.10 V 00000624 Arrival: 10-17-10 10/22/2019 10/23/2018 0$134378296600036963112 NPDR HPDB.MWA.GOV 800-767-6732 VA V42.00 N59836633 J$92.28 10/22/2019 10/23/2018 25536060296101016660041 TXOPS CRUM RECS AUSTIN TX 453020984 10/23/2018 10/24/2010 55429508296717106539524 HE TEXAS TRAUMA COORD 8014137200 CA ✓$50.00 10/25/2019 10/26/2010 25536068299101047045612 TX C1I RX PAGE AUSTIN TX ,431.34 45363S422 �41.07 V 10/25/2010 10/26/2018 75454918298900017300714 SAYSIOE SEAFOOD PORT LAVACA TX 10/26/2010 10/29/2016 55436870300163003078500 DOUDINTRSE SUITES ASIA AUSTIN TX X5.74 V 536102705490087 Arrival: 10-26-18 10/27/2018 10/29/2010 55310208301722203746024 GRAND HYATT SAN ANTONI SOOSS74599 TX �$555.14 30407228 Arrival: 10-25-18 10/29/2010 10/30/2018 05314618302300222129296 TEXAS TRADITIONS GRILL PORT LAVACA TX 152.90 10/31/2018 11/02/2018 55310208304036006231356 HILTON WACO WACO TX $148.35 � / V 00006231 Arrival: 10-29-18 10/31/2016 11/01/2018 55310208304036006231364 HILTON WACO WACO TX 48.35 � / /V 00006231 Arrival: 10-29-18 V� 11/01/2026 11/02/2010 05134370306600040013472 NPDS NPOB.HRSA.GOV 800-767-6732 VA VS10.00 U60024759 »»».++....—•••.•••�""""'•'•*"*"•""""" TOTAL AMOUNT OF MEMO ITEM(S): ",976.90 rho famign arrenry conversion rate used to woven your foreign bensacUons to U.S. dollaralndudes a seMce fee of 1%Assessed to ClObank by the applicable bankcamassodatlon. CIO is committed to the redudlon of paper. Within the Commercial Cards business, aydovu con switch to online statements now by registering yoerwrd on CltlMen1vat htlpsdfiame.calla.dtldlreq.wMCommerdalCard/CaNs.hlml. Thanks to Nose �tlallmie elone=. es statements online, togemerweare saving 2,170 Dees each year lhmug0 this Ac000rtmanagemant made easier. Online statements& CldMenagar Mobile offer2417 access, eeadty, and mob0lty. Log In At vwrw.dilmmrQv.wmllogin and dick Go paperless under the Statement lob. sign-up for email or text message elena to know when your statement la wady to New. When on the go, access your account and meant eclloty through your mobile device at www.dllmanegerwMmoblle -Cash Advance VAIIIIs a purdah efyour7olat Credit Una "Available Cash lineIs a podfw ofyourAvellable Craditfine oatinrx ATE Page 2 of 2 r'�t'TZflY1td CONj 1,r' T W MEMORIAL MEDICAL CENTER PURCHASE ORDER Bill To: 815 N. VIRGINIA ST PORT LAVACA, TX 77979 PHONE: (361) 552-6713 FAX: (361) 5522--0312 Vendor Name: —1' Vendor Address: Vendor Phone #: Vendor Fax #: Ship To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 PHONE: (361) 552-6713 FAX: (36,1)1552-0312 Date: P.O. # Account# Initiated B Form # Est. Freight Contact: Date: Quoted By: Buyer: E.T.A U Est. Total Cost n� Dept. Director Du. Nuu;ing Adm.Dir. Clinical Service TOTAL �ij}.� v b b MEMORIAL MEDICAL CENTER PURCHASE ORDER Bill To: 815 N. VIRGR41A ST. Ship To: 815 N. VIRGIDIIA ST. PORT LAVACA, TX 77979 PORT LAVACA, TX 77979 PHONE: (361) 552-6713 PHONE: (361) 552-6713 FAX: (361) 55552-0312 FAX: (361) 552-0312 Vendor Name: dt-ba "q"f Date: Vendor Address: Vendor Phone #: Vendor Fax #: P.O. # Account# Initiated Fonn # 9401 Date Required Expense# Department Deliver To Line No. Qty, Catalog Number Description Unit Cost Unit Meas. Extended Cost 2 "P -AM-rv6 3 e` t • SG 3 A4 - W SPwj KwLogo I(�- t l lt� nHata 6 - &011- ,�S e41 t WS— 105--Vb 7 Sce, Ott- ass s e " &S— 19y.4-7 9 to CT� Est, Freight NOTES: Est, Total Cost Y i v .a MEMORIAL MEDICAL CENTER 03 PURCHASE ORDER BillTo: 815 N. VIRGIMA ST. Ship To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 PORT LAVACA, TX 77979 PHONE: (361) 552-6713 PHONE: (361) 552-6713 FAX: (361) 5552-0312 FAX: (361)552-0312 Vendor Name: CtbLbW� �(.10 P Date: W 14 fr1 K Vendor Address: Vendor Phone #: Vendor Fax #: F"o h Account # Initiated 00411 Date Required Expense# Department Deliver To Line No. Qty. Catalog Number Description Unit Cost Unit Meas. Extended Cost 4sw 2 / f . ✓"� �� 3 . kyun 4 6 ( , OP 7 NPOP.) Iphimg a. do 8 -TkpPs Gee, o��s - 30 a.01-0 10 Cyr"` "� "•py ... Est. Freight Est. Total Cost TOTAL COST 6U! MEMORLA.L MEDICAL CENTER PURCHASE ORDER Bill To: 815 N. VIRGINIA ST. Ship To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 PORT LAVACA, TX 77979 PHONE: (361) 552-6713 PHONE: (361) 552-6713 FAX: (361) 55521-0312 FAX: (361) 5r52-0312 Ci Vendor Name: di�Av cpap Date: Vendor Address: Vendor Phone #: Vendor Fax #: P.O. # Account # Initiated By: Forra # 9401 Date Required Expense# Department Deliver To Line No. Qty. Catalog Number Description Unit Cost Unit Meas. Extended Cost PAS- 2 W O-f,p ' f 4 na' LW d— Doubl e--Tau— A Lks+w — eQVA 6� 8 - I M lolaslit HAI 9 T s �r�G;4vy) - VIS IS2,Go �e'j� Cq Est. Freight Est. Total Cost TOTAL COST MEMORIAL MEDICAL CENTER PURCHASEORDER Bill To: 815 N. VIRGINIA ST PORT LAVACA, TX 77979 PHONE: (361) 552-6713 FAX; (361) 552-0312 Vendn,Name.: i Vends 6 9 S u Vendc 6 g 2-00 + Vendc 2 ^ 0 0 Date Re 1_ U �24 56 Line 8 6 U 1 i No. 1n5r06 43 t_i iI 2 5 4 r rs s 269, 10 3 2 O0 4 92..2g 50.Ob $ 31'34 ' 241�O' 6 355-'t li e 555 lit 7 1 52 ;u = 1t;g3!: 8 1 i, 83 1L^06 + 9 88, — 1 .88 - 10 - Est. Freight NOTES: Ship To: 815 N. VIRGINIA ST. PORT LAVACA, TX 77979 PHONE: (361) 552-6713 FAX: (361) 552-0312 Date: 1111,4119 P.O. # Account # Initiated Owl Form 9 9401 Expense# Department De]iverTo Description Unit Cost Unit Meas.. Extended Cost ( Uyt K?44�0 _CAft 4� 104d , —f VVVY2+4�kbp aUqttb tzt�.3� w I b l l� U (\i X � G{vlzs /^� IUV t . O �12uvtL�ng WOO �?aiL(0 -V V- -Ny- � iO 4M IOltll " < 1,S0 " it4r- &AVIAM Put am n OI1II < 1 'gO u Est. Total Cost Y 0 V Page 1 of 1 MEMORIAL MEDICAL CENTER 11I20I2018 0 AP Open Invoice List 15:30 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11285 ITA RESOURCES INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net % V MMC112018 11/2012011119/2012/09/20 23,568.90 0.00 0.00 23,568.90 RESPIRATORY SERVICES - Vendor Tolal<Number Name Gross Discount No -Pay Net 11285 ITA RESOURCES INC 23,568.90 0.00 0.00 23,568.90 Report Summary Grand Totals: Gross Discount No -Pay Net 23,568.90 0.00 0.00 23,668.90 mom ON v COUNTYAUDWOR offl LOUN COUNTY, TEKA9 file:///C:/Users/cclevenger/cpsi/memmed. cpsinet.com/u82227/data_5/tmp_cw5reportb3... 11/20/2018 Arnensouroe Berg en- STATEMENT CEBERGEN DRUG CORP AIRPORT BLVD F TX 77478-6101 AMERISOURCEBERGEN DRUG CORP PO Box 905223 CHARLOTTE NC 282905223 Number. 57427271 Date: 11-23-2018 1 of 1 WALGREENS #12494 340E MEMORIAL MEDICAL CENTER 1302 N VIRGINIA 5T PORT LAVACA TX 77979-2509 ACCOUNT: 1001352841037028186 Not Yet Due: 0.00 Current: 3,436.40 Pasl Due: 0.00 Total Due: 3,436.40 Account Balance: 3,436.40 Account Activity Activity Due Reference Purchase Order Activity Amount Date Date Number Number Type 11-21-2018 11-30-2018 30164,16061 139721 Invoice 1,102.83,7 11-21-2018 11-30-2018 30IW6062 139722 Invoice 1.33 ✓ 11-23-2018 11-30-2018 3016481110 139768 Invoice 2,043.88.E 11-23-2018 11-30-2018 3016481111 139769 Invoice 288.36 j Thank You for Your Payment Date Payment Number Amount 11-23-2018 (13,446.89) Ghee 0 03 COUNTYAUDZTON CALHOUN COUNW, TW Reminders Due Date Amount 11-30-2018 3,436.40 Total Due: 3,436.40 Terms: Monday - Friday due in 7 days \k-zta-V6 TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) "ENTER 9-DIGITTAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" ETV FEDERAL TAX DEPOSIT ENTER 1" E—T'ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGIT TAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) - Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) - July, Aug, Sept 4TH QTR -12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" "6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: ### F El $ 95,225.92 1 $ 47,524.46 $ 11,446.41 $ 36,255.05 CHECK S CALLED IN BY: CALLED IN DATE: CALLED IN TIME: K'Vinance Share\AP-Payroll FileslPayroll Taxes@018424 MMC TAX DEPOSIT WORKSHEET 11.22.18 1112612018 Run Date: 11/25/18 Time: 19:40 Final Summary e-•Pa y Code 3 u n m a r y Payed Description REGULAR PAY-31 REGULAR PAY-81 REGULAR PAY-S1 REGULAR PAY-31 REGULAR PAY-82 REGULAR PAY-S2 REGULAR PAY-S2 REGULAR PAY-33 REGULAR PAY-33 REGULAR PAY-S3 CALL PAY EXTRA WACBS EXTRA WAGES FUNERAL LEAVE INSERVICE EKTERDRD-ILLNESS-BANK PAID-TIMR-OFF PAID-TIMR-OFF CALL PAY 2 CALL PAY 3 PAID TIME OFF - PROBATION MEMORIAL MEDICAL CENTER Page 105 Payroll Register ( Bi-weekly ) P2RHG Pay Period 11/09/18 - 11/22/18 Run# 1 ---------- _---------------- e-- D e d u c t i o n s S u m m a r y ------------- We IOTISHIWBINOICBI Gross I Cade Amount B341.00 N N H 1748.75 H N N N 209.25 H N Y 79.50 Y N N 2481.00 N N N 154,25 N N Y 47.25 Y H N 1555.00 N N N 128.75 H N Y 31.50 Y N N 2168.00 H 1 N N N N N N N 1 N N N 48.00 H 1 11 N 48.50 N 1 11 N 304.00 H 1 N N 280.00 N N N N 1580.50 N 1 14 N 64.00 H 1 N N 12.00 N 1 N N 80.00 N 1 N N 161210.76 A/R 918.32 A/R2 75842.91 ADVANC AWARDS 6274.07 CAFE R CAFB-1 1656.85 CAPS-3 785.06 CAFE-4 55108,01 CAPE-C CAFE-D 5675.53 CAFE-H 19266.78 CAPH-I 1254.90 CAMP 231.57 CANCER 40930.19 CLINIC 310.00 COMBIN 4918.55 DD ABV DENTAL 1237.51 DIS-LF 1491.80 BAT 4336.00 FROM 36255.05 FICA-M 10125.36 FIRSTC 75,00 FLUX 8 577,50 FORT D FUTA 704.16 GRANT GRP-IN 1329.65 HOSP-I ID TFT 1376.56 LEGAL 464.28 NASA 6313.20 RISC RISC/ 33709.14 OTHER PHI 128.00 PR FIN 270.53 RELAY 216.00 SANE SCRUBS 1739,80 ST-TX STONDF STONE2 STUDBN TSA-2 TSA-C TSA-R 29449.35 TUPION UM/HOS +--- ••--------------- Grand Totals: 19501.25------- ( Gross: 420703.59 1 Checks Count:- FT 206 PT 8 Other 39 Female 219 Male 33 Credit 160.68 A/R3 HOOTS 1491.53 CAFE-2 940.90 362.00 CAFR-5 235.01 1665,36 CAFE-F CAFE-L CHILD 652,71 CRBOUN DHP-LF HAVEN 5.00 5763,01 FICA-0 23764.22 2329,33 FL% FH GIFT S 306.45 65.76 GTL LEAF 520.50 MEALS 272,42 MP4CSIL9 PHP++ REPAY SIGNON 1295.00 STORE TSA-1 TSA-P UNIFOR 575.31 Deductions: 129926.31 Net: 290777,28) OverAmt 7 2erollet Team Total: 252 J ----------- '----------------------' C_� ao Run Date: I1/21/18 MEMORIAL MEDICAL CRUM Page 3 Time: I2:06 Payroll Register I Bi-Weekly ) P2REG .. _ Pay Period 10/26/18 - 11/00/18 Rung 2. Final Summary t-- P a y C o d e S u n n a r y------------•---------------------------- *-- D e d u c t i o n s S u n m a r y-------------I Payed Description fire IOTISHIWElHOlCal Gross ( Cade Amount f____------------------ ..__------------------ -------------- ._.______t.______________________-_____________________f C -16.00 N S N N -32.DO A/R A/R2 A/R3 A09ANC AWARDS BOOTS CAFE If CAFE-1 CAFE-2 CAFR-3 CAFR-4 CAFR-6 CAFE-C CAFH-D CAFE-F CAFH-R CAFE-1 CAFR-L CAFE-? CANCER CHILD CLINIC COMBIN CRRDUH DD ANY DENTAL INP-LF DIS-LF BAT SATCSH FROM FICA-M -.46 FICA-0 -1.98 FIRSTC FLEX S FLX F8 FORT D IRA GIFT S GRANT GRP-IN GFL HOSP-I ID UP LEAF LEGAL MASH MRALS MISC MISC/ MMCSNB OTHER PHI PHI**t PR FIi7 RELAY REPAY SAILS SCRUBS SIGNON ST-TX STONDF STONE STONE2 STUDEN TSA-1 TSA-2 TSA-C TSA-P TSA-R -2,24 TUITION UNIFOR UW/HOS *-------------------- Grand Totals: -16.00------- I Gross: -32.00 Deductions; -4.68 Net; -27.32 1 VOID E-u It Q &a I Checks Count:- PT PT . Other Female Male Credit I OveTAmt Mullet Teri Total: ............. .-------- ....------------------------------ .-------------------------------- ....___.----------------------------- f CkacIL WA rAy2_M ILl lull6 Run Date: 11/21/18 NEWRIAL MSDICAL CHUM Time: 12:05 Payroll Register ( Bi-Weekly Pay Period 10/26/18 - 11/08/18 Runk 2 Department 007 - Dept. Sequence Department Summary *-- P a y C o d e S u m m a r y -------------- Paycd Description Hrs 10TI t----------------------------------------------' C CALL PAY -16,00 N +----------- ---- Department Totals: -16.00------- ( Gross: I Checks Count:- FP PT other Female Male Page 2 MRS --------s-- D e d u e t 1 o n a S u m m a r y-------------' Gross I Code Amount -32.00 -32.00 Deductions: -4.68 Net: -27.32 Credit 1 overAmt ZeroNet Term Total: q i 11 W 9 i u] n a v ]n w m aoarmrna of r; to «i m to Nj GIN i E + + r. x T x= x x U V V V V V N ep m m CO ro 0 0 0 0 0 0 N N N N N N N N N N N ey ci K J c 7 O E cv � u o ti CV y N w O p 0 Z CV G m 0 0 a c Erica Perez Subject: FW: Monday Submissions From: adelossantos@mmcportlavaca.com (Andrew DeLosSantos) fmailto:adelossantos@mmcportlavaca.comj Sent: Monday, November 26, 2018 12:28 PM To: Erica Perez Subject: RE: Monday Submissions Erica, Pay Plus is a third party payor for patient claims. Pay Plus makes deposits via ACH. The fees are for the deposits they administer. The fee should be 2.5% of the daily ACH deposits. Let me know if you have any questions. Thank you, Andy De Los Santos, CPA, CGMA Controller Memorial Medical Center 815 N. Virginia Street Port Lavaca, Texas 77979 361-552-0121(Office) 361-552-0220(Fax) adelossantos@mmcportlavaca.com Memorial Medical Center Nursing Home UPL Weekly Cant" Transfer Prosperity Accounts 11/26/2018 Pravwvs Today's Amountto Be Al.unt eeginning AM Panding Ckto Oaginning Tansr¢Redto N.RIn Homo Number Balanm , Tr er-0V Tr ".In MMCfOrWPP ➢endln Oepwi6 Bdlanca Nugingllome 216wmi 205,318.10 205,16947 149,660.81 - - - 149,815.44 / 129'm2 Bank Balance 149,815,44 ✓ Vadanre - IeaveinBalan[e 100.00 MMCPONOn QIPP1 20,44&62 MMCPaNOAQIPPi - MMCPOrttanQIPP2 - MMCPONOnQIPP3 OdoberBanklnteresf - 54,63,/ November Bank lntetest - RoutlnalnrOnnmlOn fmArh(ordGardens: Decemfxr Bank interest - ArhjordHepkhCOreCenterLtdCO Adjvstealame/TmiurerAmt 129,21219 ✓ JPMoyonbh.s Bonk MAIUOW614 AccoontN448234257 - PreNous Todayi Arno A¢aunt Bey1141t ACH emOto Begiim ng TaruiertMtO Nursin Nome Number aalOnce TmminAut .Cf.,@to TmnifWn MMCfOr OJPP PmdNg OepoAts Cantor PoNOn-Federal Match Balance Nuning Nome 216844438 125,213.61 126,048.19 449r148.29 - 449,623.71 /443,625.]9 Bank Balance 449,613.R ✓ Va lantt - lnaveMBalancO 100.00 MMC P.Won MPP3 S'MSO✓ MMCPOrt10n QIPP2 - MMCPordonQIPP3 - 0a.berBankinteresf 65.42 November Bankl.Me - Deambereankinterett - AdjYnBalance/rfans(efAmt 443,625.79 :. , •,, ;'.: 216844411 -c32,365m' J-9222502 ,/ 34],14290 - _ -• • - . .. ' 347,283.13 /: 343,183.00_ Bank Balance 347,283.13 Y Vadanca IeaveNealanx 100.00 MMC PORfOn CUPP 1 3,95930 MMCPOrtfonQFp2 - MMCPOdIOnQiPP3 Omber BankfntereR 40,83� November Danklnrerest - ' December Sankfntereat - AdJ rte ience(TmnsferAmf 393,38t 00 216844403255,TI699 c/ 255,632Bp r/ 151,567,68 - 151,731.83 51$61.68 Bank Balance ]51,731.83 t//1 Va lane L4avein Balance 100.00 MMCPONOn QIPPS MMCPONan QIPP2 MMCPONOn QIPP3 OdOberea0klnWeA 64Y9 November BaNtin[ereA 0 Decembereaak Mtele 0 j m Amt 15;sv.68 216994496 61,2]3.01 � 61349.94 �/ 90,092.98 90114.06 / 81,]332] ' Bankealanm 90,214.06 Vadance - LeaveinBalance 1W.OB MMCPOr on QIPP1 8,36L34 MMCPoNen MPP2 - mmcpallonQIPP3 O ber Banklnterea 21.68J NOvemher Bank I.Wen - 1 J 9 P[} G a } 7 r December BankinW,r - / Adj.AWa nc tftansfe,Amt 8473127 Gy jv 6L.5.r'/Y T 3 4�1t;>•OU - TOTALTRANSFERS 1,149,91993 005n 1 o sokm o[lVatNousm FORB¢nd B edm pA, ` V CarnkrsNBlft 6anttx Haptth Fare aetC } S I + 7 fJ i iJ (/ JPMorg 8 1 a 7 3} 2! ` MS14eBank pBA311a961a q .1#937662922 } t 1, s i '� Approved: �`il 1�1J in Diane Moore, CF0 1¢/2018 Note: oaivb fanresofowr$s"wig6eoms rtedrothanursinghome. Note2bo¢h mm thosabozobofanrevj$fCONotMMedeported to openaaoune NOV 2 6 2018 IC\NH We¢UyTnnSem\NN UPLTmnAerSummary\20t8\NovOmberZ018\NH UPLTmnsfersummaryli-2G18 CQX7NWAUDMIt CALHOUN COUNTY, T=A ;' ,& !§§.l...§,. , ; \ / MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating A Y E E AMOUNT $20,44&62 Date Requested: November 28, 2018 APPROVED ON NOV 2 6 2W COUNTY AUkTPd V CALHOUN COUNTY, TE FOR ACCT, USE ONLY IlImprest Cash []A/P Check Mail Check to Vendor Return Check to Dept G/L NUMBER: 21000012 EXPLANATION: Ashford —To transfer funds for October Component)—QIPP REQUESTED BY: Andy De Los Santos AUTHORIZED BY: RJ A Y E E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Operating Date Requested: November 28, 2018 AMOUNT $8,301.11 APPWVM ON NOV 2 6 2018 COUNTY AUDrEOR FOR 'HA/P Check Mail Check to Vendor Return Check to Dept CALHOUN COUNTY, TLXA9 G/L NUMBER: 21000008 EXPLANATION: FortBend—TotransferfundsforOctoberComponentI— CUPPPayments l REQUESTED BY: Andy De Los Santos AUTHORIZED BY: P A Y E E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Operating AMOUNT $5,822.50 Date Requested: November 28, 2018 COUNTYAUDPTOR CALHOUN COUNTY, TEXAS G/L NUMBER: 21000011 EXPLANATION: Solera— TotransferfundsforOctoberComponentI— QIPPPayments REQUESTED BY: Andy De Los Santos AUTHORIZED BY: FOR ACCT. USE ONLY Imprest Cash []A/P Check Mail Check to Vendor Return Check to Dept Qw P MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Operating Date Requested: November 28, 2018 A Y E E AMOUNT $3,959.30 FOR ACCT. USE ONLY APPAOVED ONIllmprest Cash i F]A/P Check t NOV 2 6 2013 Mail Check to Vendor COUNTYAUDITON ❑ Return Check to Dept CALHOUN COUNTY, Tg - a, GANUMBER: 21000010 EXPLANATION: Crescent —To transfer funds for October ComponentI— QIPPPayments r tr� REQUESTED BY: Andy De Los Santos AUTHORIZED BY: �V MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---- November 28, 2018 INDIGENT HEALTHCARE FUND: INDIGENT EXPENSES Adu Sports Medicine Clinic Michelle M. Cummins MD ESS of Port Lavaca LLC HEB Pharmacy (Medimpact) Pharmacy Reimbursement MMCenter (In -patient $9,64E62 / Out -patient $4,855.191 ER $1,808.64) Memorial Medical Clinic Singleton Associates, PA Victoria Eye Center SUBTOTAL Memorial Medical Center (indigent Healthcare Payroll and Expenses) Co -pays adjustments for October 2018 Reimbursement from Medicaid by: CT 233.65 188.94 436.82 242.20 16,312.45 1,331.62 170.55 99.17 19,015.40 4,166.67 Subtotal 23,182.07 (180.00) 0.00 DATE: VENDOR # 852 CC Indigent Health Care ACCOUNT NUMBER DESCRIPTION OF GOODS OR SERVICES QUANTITY UNIT PRIC TOTAL PRICE 1000-800-98722-999 Transfer to pay bills for Indigent Health Care $23,002.07 approved by Commissioiners Courton.11/28/2018 1000-001-46010 ($4.68) $22,997.39 COUNTY AUDITOR F APPROVAL ONLY p THE ITEMS OR SERVICES SHOWN AEOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD CONDITION AND REQUEST THE COUNTY TREASURER TO PAY THE ABOVE OBLIGATION. BY: 4411/28/18 p Q j F a f e j O CD 2 p -� DEPARTMENT HEAI-r DATE mi A �IHS Source Totals Report Issued 11/08/18 Calhoun Indigent Health Care Batch Dates 11/01/2018 through 11/01/2018 For Source Group Indigent Health Care For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 8,294.30 1,129.13 02 Prescription Drugs 298.87 242:20 08 Rural Health Clinics 1,340.00 1,331.62. 13 Mmc -inpatient Hospital 17,229.67 9,648.62 14 Mmc - Hospital Outpatient 15,008.88 4,855.19 15 'Mmc - Er Bills '`5,652.00 1,808.64 Expenditures 47,842.07 19,033.75 Reimb/Adjustments -18.35 -18.35 Grand Total 47,823.72 19,015.40 EXPENSES 4,166.67 23.182.07 COPAYS <180.00> APPROVED 23,002.07 ON By MEDICAID REIMBURSEMENTS <0> CALHOUN COUNTY AUDITOR TOTAL 23,002.07 @IHS Source Totals Report Issued 11/15/18 Calhoun Indigent Health Care Batch Dates 01/30/2018 through 11/0112018 For Source Group Indigent Health Care For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 56,677.34 8,288.53 01 2 Physician Services- Anesthesta 4;056.00 1,06616 02 Prescription Drugs 2,639.49 2,354.35 05 Lab/X-Ray 331.OQ 79.39 08 Rural Health Clinics 13,715.60 12,223.09 11 Reimbursements 0.00 2,792.98 13 Mmc - Inpatient Hospital 88,713.64 48,875.92 14 Mmc - Hospital Outpatient 187,909.24 60,931.40 15 Mmc - Er Bills 44,553.86 14,247.24 Expenditures 399,054.01 148,523.92 Reimb/Adjustments -457.84 -3,250.82 Grand Total 398,596.17 145,273.10 EXPENSES 41,666.70 186,939.80 COPAYS <2010.00> YEAR TO DATE TOTAL 184,929.80 Bill To: Calhoun County 815 N. Virginia St. Yon Lavaca, Texas 77979 (361) 552-6713 Date: 11/5/2018 Invoice # 325 For: Oct-18 DESCRIPTION I AMOUNT Funds to cover Indigent program operating expenses. $ 4,166.67 Total $ 4,166.67 APPROVED ON NOV 2 9 201$ BY Diane Moore CALHOUN' COUNTY AUDITOR CFO t P A Y E E MEMORIAL MEDICAL CENTERP CHECK REQUEST CALHOUN COUNTY INDIGENT ACCOUNT Date Requested: 11/05/18 FOR ACCT. USE ONLY ,�. FlImprest Cash f GP F]A/P Check APPROVED ON Mail Check to Vendor NOV 0 9 2018 []Return Check to Dept COMaYA'Unr o 50240000 AMOUNT $180.00 . cALHOUN coTJhER EXPLANATION: TO TRANSFER INDIGENT CO -PAYS FROM OPERATING ACCOUNT TO THE INDIGENT C, t� REQUESTED BY: Sarah L. Henderson AUTHORIZED BY: RUN DATE: 11/02/18 MEMORIAL MEDICAL CENTER PAGE 101 TIME: 13:44 RECEIPTS FROM 10/01/18 TO 10/31/18 RCMREP G/L RECEIPT PAY CASH RECEIPT NUMBER DATE OMER TYPE PAYER AMOUNT AMOUNT NUMBER NAME 50200.000 10/23/18 50200,000 10/30/18 50200.000 10/30/18 50200.000 10/30/18 50200,000 10/30/18 50200.000 10/31/18 50200.000 10/31/18 50200.OD0 10/31/18 DISC COLL GL CASH DATE INIT CODE ACCOM 00/00/00 BIT 00/00/00 BIT 00/00/00 RLT 00/00/00 BIT 00/00/00 BIT 00/00/00 RLT 00/00/00 RLT 00/00/00 BIT 50240.000 10/23/18 504886 CA 10.00 10.00 00/00/00 CAS 50240.000 10/02/18 503224 CA will, 1 10.00 10.00 00/00/00 PLB 50240.000 10/02/18 503307 CA 10.00 10.00 00/00/00 PLB 50240.000 10/02/18 503317 CA VONNNOW 1D.00 10.00 00/00/00 PIE 50240,000 10/02/18 503331 CA 10.00- 30.00- 00/00/00 PIE 50240.000 10/03/18 503447 CA IMMIJAM 10.00 10.00 00/00/00 PLB 50240.000 10/03/10 503467 CA 10.00 10.00 00/00/00 PLB 50240.000 10/05/18 503675 CA 10.00 10.00 00/00/00 PLB 50240.000 10/08/18 503746 CA ONNIMMM 10.00 10.00 00/00/00 PLB 50240.000 10/11/18 504043 CA ANNOMM 10.00 10.00 00/00/00 PLB 50240.000 10/11/18 504087 CA 10.00 10.00 00/00/00 PLB 50240.000 10/12/18 504109 CA ANNONOW 10.00 10.00 00/00/00 PLB 50240.000 10/12/18 504114 CA &UMMIM 10.00 10.00 00/00/00 PLB 50240.000 10/12/10 504115 CA f4NllNMllNft 10.00 10.00 00/00/00 PLB 50240.000 10/12/18 504116 CA WONNOW 10.00- 10.00- 00/00/00 PLB 50240.000 10/12/19 504117 CA 10.00 10.00 00/00/00 PLB 50240.000 10/15/18 504237 CA 10.00 10.00 00/00/00 PLB 50240.000 10/15/18 504312 CA 30MOMMOM 10.00 10.00 00/00/00 PLB 50240.000 10/15/18 504313 CA 10.00 10.00 00/00/00 PLB 50240.000 10/16/18 504445 CA 10.00 10.00 00/00/00 PLB 50240.000 10/22/18 504821 CE sUNWROM 10.00 10.00 00/00/00 PLB 50240.000 10/22/18 504822 VI NNNOW 10.00 10.00 00/00/00 PLB 50240.000 10/22/16 504823 CR J9NlWlW 10.00- 10.00- 00/00/00 PLB 50240.000 10/30/18 505498 CA 10.00 110.�0 00/00/00 PIE "TOTAL*f 5024 50510.000 10/22/10 50510.000 10/22/11 50510.000 10/22/18 50510.000 10/22/18 50510.000 10/23/18 50510.000 10/23/18 50510.000 10/23/18 50510.000 10/23/18 50510.000 10/23/18 50510.000 10/23/18 50510.000 10/23/18 50510.000 10/23/18 50510.000 10/23/10 50510.000 10/23/18 50510.000 10/23/18 50510.000 10/23/18 00/00/00 CAE 00/00/00 CAS 00/00/00 CAS 00/00/00 CAB 00/00/00 CAS 00/00/00 CAS 00/00/00 CAS 00/00/00 CAS 00/00/00 CAS 00/00/00 CAS 00/00/00 CAS 00/00/00 CAS 00/00/00 CAS 00/00/00 CAS 00/00/00 CAS 00/00/00 CAS 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Calhoun County Indigent Care Patient Caseload 2018 Approved Denied Removed Active Pending January 4 2 3 20 6 February 3 4 2 18 6 March 2 2 3 17 4 April 5 3 1 21 2 May 0 2 3 18 1 June 0 0 2 16 1 July 1 0 0 17 3 August 2 1 6 13 2 September 3 0 3 13 0 October 5 0 1 17 3 November December YTD Monthly Avg 3 1 December 2017 Active 18 2 17 3 Calhoun County Pharmacy Assistance Patient Caseload 2018 Approved Refills Removed Active Value January 0 5 0 32 $5,006.00 February 5 9 0 37 $26,999.00 March 5 9 0 42 $18,184.00 April 0 6 0 42 $16,769.61 May 10 7 0 52 $16,330.00 June 3 6 0 55 $39,699.96 July 2 3 0 57 $14,029.00 August 8 6 0 63 $19,964.75 September 7 12 0 70 $18,233.94 October 8 13 0 78 $30,486.80 November December YTD PATIENT SAVINGS $205,703.06 Monthly Avg 5 8 53 $20,570.31 0 December 2017 Active 32 I k THE COUNTY OF CALHOUN TEXAS CAL CO INDIGENT HEALTHCARE 202 S ANN ST STE A PORT LAVACA TX 77979 13332 Statement Date Account No 10/31/2018 Page 1 of 3 10/01/2018 Beginning Balance $5,039.11 3 Deposits/Other Credits + $28,958,54 13 Checks/Other Debits - $29,428.87 10/31/2018 Ending Balance 31 Days in Statement Period $4,568.78 Total Enclosures 15 Date Description Amount 10/03/2018 Deposit $28,823.86 10/18/2018 Deposit $130.00 10/31/2018 Accr Earning Pymt Added to Account $4.68 Check Number Date Amount Check Number Date Amount Check Number Date Amount 12146 10-02 $49.38 12162 10-11 $21,974.55 12167 10-12 $1,743.81 12150' 10-09 $93,46 12163 10-11 $4,166.67 12169' 10-15 $249A0 12156' 10-05 $391,96 12164 10-23 $233.65 12170 10-17 $65.22 12160' 10-09 $126.61 12165 10-16 $257.18 12161 10-12 $33.27 12166 10-11 $44.71 Date Balance Date Balance Date Balance 10-01 $5,039.11 10-11 $7,016.63 10-18 $4,797.75 10-02 $4,990.73 10-12 $5,239.55 10-23 $4,564.10 10-03 $33,814.59 10-15 $4,990.15 10-31 $4,568.78 10-05 $33,422.63 10-16 $4,732.97 10-09 $33,202.56 10-17 $4,667.75 Interest Paid This Period Interest Paid YTD MEMBER FDIC >h`01 MDR Below is an itemization, $4.68 $37,91 Earnings paid this period. — Annual Percentage Yield Earned Days in Earnings Period 0.45 % 31 NYSE Symbol "PB" November 28, 2018 2018 APPROVAL LIST- 2018 BUDGET BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE TEXAS ASSOCIATION OF COUNTIES HEBP ABILA AT&T MOBILITY CABLE ONE CITIBANK CITY OF PORT LAVACA FRONTIER COMMUNICATIONS WILLIAM BILLINGS COURT MEETING OIL 11/28/18 27 $491,209.03 P/R $ 418,468.06 A/P $ 218.42 A/P $ 458.46 A/P $ 189.95 A/P $ 17,161.45 A/P $ 518.09 A/P $ 548.43 A/P $ 417.89 TOTAL VENDOR DISBURSEMENTS: $ 929,189.78 P/R $ 310,726.76 TOTAL PAYROLL AMOUNT: $ 310,726.76 CALHOUN COUNTYINDIGENT OPERATINGMMCOPERATING-ERROR i TOTAL TRANSFERS BETWEEN FUNDS: $ 6,024,883.47 TOTAL AMOUNT FOR APPROVAL: $ 7,264,800.01 A N Q 0 6 0 w y a y a aV¢¢{ � c E L rz 3 A 0 o v U F a c 0 > O � n F 'a f'q , `o t] `o 00 v a m O U U o P � V a� d o P o0 o rn a m O P T P N P P w Cl at' AS' 4t' dl O OQ O Q O(7 OQ OQ OQ O Q �O VJ b Vl b N b rA d b Vl ¢ �O VJ b VJ b ..� ba ba ba ba ba �e.i C7 (� ae0. c7x a (fix 0. 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