2019-07-31 CC MINUTES.pdfCommissioners' Court —July 31, 2019
REGULAR 2019 TERM § JULY 31, 2019
BE IT REMEMBERED THAT ON DULY 31, 2019, THERE WAS BEGUN AND HOLDEN A REGULAR
TERM OF COMMISSIONERS' COURT.
1. CALL TO ORDER
This meeting was called to order at 10:00 A.M by Judge Richard Meyer.
2. ROLL CALL
THE FOLLOWING MEMBERS WERE PRESENT:
Richard Meyer
David Hall
Vern Lyssy
Clyde Syma
Gary Reese
Anna Goodman
Catherine Sullivan
County Judge
Commissioner,
Precinct #1
Commissioner,
Precinct #2
Commissioner,
Precinct #3
Commissioner,
Precinct #4
County Clerk
Deputy County
Clerk
3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3)
Invocation —Commissioner
David
Hall
Pledge to US
Flag &Texas
Flag —Commissioner
Gary Reese/Vern Lyssy
Page 1 of 3
Commissioners' Court —July 31, 2019
4. General Discussion of Public matters and Public Participation.
Galen Johnson stated pictures with the new Fire trucks will be August 05,
2019 at 1:30 p.m. at the Bayfront Pavilion.
5. Approve minutes of July 3, 2019 and July 10, 2019 meetings.
RESULT. APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: Gary Reese, Commissioner Pct 4
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA NO. 6)
On additional insurance proceeds from TAC in the amount of $450.93 for
damages to a Sheriff's Office vehicle from an accident on 5/16/19. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pct 4
SECONDER: David Hall,; Commissioner Pct I
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7)
On any necessary budget adjustments. (RM)
2019
RESULT: APPROVED [UNANIMOUS]',
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: David Hall, Commissioner Pct 1
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
Page 2 of 3
Commissioners' Court —July 31, 2019
8. Approval of bills and payroll. (RM)
MMC
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct i1
SECONDER:; Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
COUNTY
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
INDIGENT
RESULT: APPROVED [UNANIMOUS]'
MOVER: David Hall,Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct`2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
ADJOURNED: 10:07 A.M.
Page 3 of 3
Commissioners' Court —July 31, 2019
BE IT REMEMBERED THAT ON 7ULY 31, 2019, THERE WAS BEGUN AND HOLDEN A REGULAR
TERM OF COMMISSIONERS' COURT.
1. CALL TO ORDER
This meeting was called to order at 10:00 A.M by Judge Richard Meyer.
2. ROLL CALL
THE FOLLOWING MEMBERS WERE PRESENT:
Richard Meyer
David Hall
Vern Lyssy
Clyde Syma
Gary Reese
Anna Goodman
Catherine Sullivan
County Judge
Commissioner,
Precinct #1
Commissioner,
Precinct #2
Commissioner,
Precinct #3
Commissioner,
Precinct #4
County Clerk
Deputy County
Clerk
3. INVOCATION &PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3)
Invocation —Commissioner
David
Hall
Pledge
to US
Flag &Texas
Flag —Commissioner
Gary Reese/Vern Lyssy
Page 1 of 6
Commissioners' Court —July 31, 2019
4. General Discussion of Public matters and Public Participation.
Galen Johnson stated pictures with the new Fire trucks will be August 05,
2019 at 1:30 p.m, at the Bayfront Pavilion.
Page 2 of 6
Calhoun County Commissioners Court
Public Participation Form
NOTE: This Public Participation Form must be presented to the County Clerk or Deputy Clerk
prior to the time the agenda item (or items) you wish to address are discussed before the
Court.
Instructionfs:�Fill out all appropriate blanks. Pglease Al
or write legibly.
NAME: t S� /y t! z>HA 5eq A[ hh
ADDRESS: G/< 7 <!L/ ``T L /7f✓s � f}
TELEPHONE:
PLACE OF EMPLOYMENT: GEC % l%�� lctp ( L
EMPLOYMENT TELEPHONE:
Do you represent any particular group or organization? YES NO (Circle one)
If you do represent a
group or organization,
please
provide the name, address and telephone
number of the group
or organization:
Which agenda item (or items) do you wish to address?
In general, are you for or against the agenda item (or items)?
I have read the Rules of Procedure, Conduct and Decorum. Initials
I hereby swear that any statement I make will be the truth, and nothing but the truth, to the
best of my knowledge and ability.
Signature:
Commissioners' Court --July 31, 2019
5. Approve minutes of July 3, 2019 and July 10, 2019 meetings.
RESULT: APPR
MOVERS Vern L
SECONDER: Gary F
AYES: Judge
n
2
4
III, Lyssy, Syma,
ese
Page 3 of 6
The Commissioners' Court of Calhoun County, Texas met on Wednesday, July 3, 2019 at
10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at
211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas.
Attached are the true and correct minutes of the above referenced meeting.
Richard Meyer, Co Judge
Calhoun County, T6xas
Anna Goodman, County Clerk
Deputy Cler
Commissioners' Court— July 03, 2019
�AiL rILU U.J IN �vui\N` I I �®lU'll A�YJ1�6J lJll®A�Y��tJ9 k�kJpuxk JL
REGULAR 2019 TERM
DULY 03, 2019
BE IT REMEMBERED THAT ON DULY 03, 2019, THERE WAS BEGUN AND HOLDEN A REGULAR
TERM OF COMMISSIONERS' COURT.
1. CALL TO ORDER
This meeting was called to order at 10;00 A.M by Judge Richard Meyer.
2. ROLL CALL
THE FOLLOWING MEMBERS WERE PRESENT%
Richard Meyer
David Hal(
Vern Lyssy
Clyde Syma
Gary Reese
Anna Goodman
Catherine Sullivan
County7udge
Commissioner,
Precinct #I
Commissioner,
Precinct #2
Commissioner,
Precinct #3
Commissioner,
Precinct #4
County Clerk
Deputy County
Clerk
3. INVOCATION &PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3)
Invocation --
Commissioner
David
Hall
Pledge to US
Flag &Texas
Flag —Commissioner
Gary Reese/Vern Lyssy
Page 1 of 4
lCorninissioners' Court --July 03, 2019
4. General Discussion of Public matters and Public Participation.
NI
5. Wear the May no Memorial Medical Center Report. (RM}
Jason Anglin, CEO of MMC, and Diane Moore, CFO of MMC, presented
report.
6. Approve the Wednesday June 05, 2019 and Monday, June 10, 2019
Commissioners' Court Meetings. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: Gary Reese, Commissioner Pct 4
AYES: Judge Meyer, Commissioner Hail, Lyssy, Syma, Reese
7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7)
To approve a Drainage Easement Agreement location in Precinct 4 between
Calhoun County and POC Park 1, LP and authorize the County Judge to sign
same and file it of record in the Official Records. (GR)
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pct 4
SECONDER: Clyde Syma, Commissioner Pct 3
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8)
To approve the County Municipal Road Mileage Certification and authorize the
County Judge to sign. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pct 4
SECONDER: Clyde Syma, Commissioner Pct 3
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
Pale 2 of 4
Commissioners' Court — July 03J 2019
9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9)
To approve the contract with G&W Engineers, Inc. for Engineering Services
In support of Calhoun County State and Federal Grants and authorize the
County Judge to sign all necessary documents. (RM)
PASS
14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10)
To approve the specifications for rebidding the RFP for
Administration/Professional Services in support of Calhoun County State
and Federal Grants and advertise for these services. The RFP will be due by
2:00 p.m. Wednesday, July 24, 2019 and considered for award on
Wednesday, July 31, 2019. (RM)
RESULT: APPROVED [UNANIMOUS]
OVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
11. Consider and take necessary action on any necessary budget adjustments.
2019
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pct 4
SECONDER: David Hall, Commissioner Pct 1
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
Page 3 of 4
•Commissioners' Court—July03, 2019
12, Approval of bills and payroll. (RNI)
MMC
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct i
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
County
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
Court Adjourned: �] Q:14 A.
Page 4 of 4
The Commissioners' Court off Calhoun County, Texas met on Wednesday, July 1®, �019 at
10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at
211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas.
Attached are the true and correct minutes of the above referenced meeting.
chard Meyer, Cou y Judge
Calhoun County, Texas
Anna Goodman, County Clerk
r�
liv� 2 tn.T 14 �
Deputy Clerk
Commissioners' Court -July 10, 2019
REGULAR 2019 TERM
DULY 10, 207,9
BE IT REMEMBERED THAT ON ]ULY 10, 2019, THERE WAS BEGUN AND HOLDEN A REGULAR
TERM OF COMMISSIONERS' COURT,
1. CALL TO ORDER
This meeting was called to order at 10:00 A,M by Judge Richard Meyer.
2. RpLL CALL
THE FOLLOWING MEMBERS WERE PRESENT:
Richard Meyer
David Hall
Vern Lyssy
Clyde Syma
Gary Reese
Anna Goodman
Catherine Sullivan
County judge
Commissioner,
Precinct #1
Commissioner,
Precinct #2
Commissioner,
Precinct #3
Commissioner,
Precinct #4
County Clerk
Deputy County
Clerk
3. INVOCATION &PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3)
Invocation -Commissioner David Hall
Pledge to US Flag &Texas Flag -Commissioner Gary Reese/Vern Lyssy
Page 1 of 6
Commissioners' Court — July 1.0, 2019
4. General Discussion of Public matters and Public Participation.
N/A
5. Public Hearing regarding amending the calendar year 2019 Calhoun County
budget.
Commenced: 10:04 a.m. — Candice Villarreal presented the amendments
Adjourned: 10:10 a.m.
6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA NO. 6)
To amend the calendar year 2019 Calhoun County budget. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: Gary Reese, Commissioner Pct 4
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM N0.7)
To amend the Calhoun County Culvert and Driveway Order Section #5 to
to read: (GR)
All Culverts must be installed and backfilled with a suitable clay backfill with
a PI (Plasticity Index) of no less than fifteen (15) or greater than fifty(50)
and compacted. All culverts must be covered with a minimum of two (2)
inches of flexible base material to adequately cover the culvert. Calhoun
County will not furnish any materials for culvert installation.
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pct 4
SECONDER: Clyde Syma, Commissioner Pct 3
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
Page 2 of 6
Commissioners' Court — July 10, 2019
8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. B)
On a Tax Resale Deed and Resolution for the sale of a property previously bid
in trust to Calhoun County. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: David Hall, Commissioner Pct 3
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.9)
That allows Calhoun County Elections to consolidate sixteen (16) polling
locations into fourteen (14) locations. (RM)
Mary Orta-spoke on this matter.
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Gary Reese, Commissioner Pct 4
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10)
On closing a portion of Magnolia Beach for one day (July 13, 2019) for the 1st
Annual Magnolia Beach Festival as provided by Texas Local Government Code
Section 240.902. (DH)
Heather Burkett spoke on this matter.
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Clyde Syma, Commissioner Pct 3
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
Page 3 of 6
Commissioners' Court —July 10, 2019
11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM 1740. 11)
On a Resolution of Commissioners Court authorizing the County Judge to
to submit a Community Development Block Grant Disaster Recovery
(CDBG-DR) application to the Texas General Land Office for local infra-
structure programs and authorizing the County Judge to act as Calhoun
County's Executive Officer and Authorized Representative in all matters
pertaining to the County's participation in the Community Development and
Revitalization Hurricane Harvey Program. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: Gary Reese, Commissioner Pct 4
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA TTEM NO. 12)
To rescind the July 03, 2019 approval of specifications for rebidding of the
RFP for Administration/Professional Services in support of Calhoun County
State and Federal Grants. This action is based on new guidance from the T
Texas General Land Office regarding the procurement of the Grant Admini-
stration Request for Proposal respondent received and scored on June 19,
2019. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM N0. 13)
To rescind the June 26, 2019 non -award of the 2019.05.29-APS RFP for
Administration/Professional Services in support of Calhoun County State
and Federal Grants. The denial of the award was due to the notification from
the Texas General Land Office that the procurement requirements were not
met. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: Gary Reese, Commissioner Pct 4
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
Page 4 of 6
Convnissioners' Cold t --July 10, 2019
14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14)
To award the RFP received on June 19, 2019 for Administration/Professional
Services in support of Calhoun County State and Federal Grants. The final
grant amount is yet to be determined and the award is contingent upon
funding of the CDBG-DR grant with the Texas General Land Office. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
15. ACCEPT REPORTS OF 7HE FOLLOWING OFFICES:
1. County Clerk —May 2019
2. County Treasurer — May 2019
3. Justice of the Peace — PCT 1 June 20191 PCT 2 June 20191
PCT 4 June 20191 PCT 5 June 2019
4. Floodplain Administration — June 2019
5. Code Enforcement — 2nd Qtr. 2019
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct i
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
16. Consider and take necessary action on any necessary budget adjustments.
(RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: Gary Reese, Commissioner Pct h
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
Page5of6
Commissioners' Court — July 10, 2019
17. Approval of bills and payroll. (RM)
MMC
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
COUNTY
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
PAYROLL
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
AD]OURNED: 10:34 A.M.
Page 6 of 6
Commissioners' Court —July 31, 2019
6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA NO. 6)
On additional insurance proceeds from TAC in the amount of $450.93 for
damages to a Sheriff's Office vehicle from an accident on 5/16/19. (RM)
RESULT: APPROVED [UNANIMOUS]
MOVER: Gary Reese, Commissioner Pct 4
SECONDER: David Hall, Commissioner Pct 1
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
Page 4 of 6
7/16l2019 APD20196368-1 MVD-to ClmlAty. Supplement to MV 2016 CHEV
Tahoe VIN *3824
711612019 APD20196368-1 - -
. � Calhoun County
202 S Ann St Ste B
Port Lavaca, TX 77979-4204
TO REORDER CALL: (706)327-9550
38416
`wiasEommar� imia
Mae Belle Cassel
From: candice.villarreal@calhouncotx.org (Candice Villarreal)
<cand ice.vi I la rreal @cal houncotx.org>
Sent: Monday, July 22, 2019 5:01 PM
To: maebelle.cassel@calhouncotx.org
Cc: Richard H. Meyer; David Hall; vern.lyssy@calhouncotx.org; Clyde Syma; Gary Reese
Subject: Agenda Item - Insurance Proceeds
Attachments: TAC Proceeds - SO Accident 051619 (2).pdf
MaeBelle,
Please add the following agenda item for the next Commissioners Court.
• Consider
and
take necessary action on additional insurance proceeds from TAC in the
amount of $450.93 for
damages
to a
Sheriff Office vehicle from an accident on 5/16/19.
Thank you,
Candice Villarreal
1s, Assistant A uditor
Calhoun County Auditors Office
Phone: (361)5534612 Fax: (361) 5534614
candice.villariveal@)calhouncotx.org
Calhoun County Texas
Commissioners' Court —July 3i, 2019
7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7)
On any necessary budget adjustments. (RM)
2019
RESULT: APPROVED [UNANIMOUS]
MOVER: Vern Lyssy, Commissioner Pct 2
SECONDER: David Hall, Commissioner Pct'1
AYES: Judge Meyer, Commissioner Hall, LLyssy, Syma, Reese
Page 5 of 6
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Commissioners' Court -- July 31, 2019
8. Approval of bills and payroll. (RM)
MMC
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
COUNTY
RESULT. APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
INDIGENT
RESULT: APPROVED [UNANIMOUS]
MOVER: David Hall, Commissioner Pct 1
SECONDER: Vern Lyssy, Commissioner Pct 2
AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese
ADJOURNED: 10:07 A.M.
Page 6 of 6
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR --July 31I 2019
TOTALS TO BE APPROVED -TRANSFERRED FROM ATTACHED PAGES
TOTAL PAYABLES PAYROLL AND ELECTRONIC BANK PAYMENTS $ 610182127
TOTAL TRANSFERS BETWEEN FUNDS $ ft
TOTAL NURSING HOME UPL EXPENSES $ 1333,659.23
TOTAL INTER -GOVERNMENT TRANSFERS $ -
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ==-July 31, 2019
PAYABLES
AND PAYROLL
7/26/2019
Weekly Payables
534,190.89
7126/2019
Ashford -Nursing home insurance payment sent to MMC in error
14,768,00
7/26/2019
Solera-Nursing home payment sent to MMC in error
31000,00
7/26/2019
Broadmoor-Nursing home insurance payment sent to MMC in error
93,34
7/26/2019
Crescent -Nursing home insurance payment sent to MMC in error
13,680.00
7/26/2019
Gulf Pointe Plaza -Nursing home Insurance payment sent to MMC in error
21070,00
7/26/2019
Goldencreek-Nursing home insurance pymt sent to MMC in error
371185,32
7/29/2019
McKesson-340B Prescription Expense
51210,35
7/29/2019
Amerisource Bergen-340B Prescription Expense
361.39
Prosperity Electronic Bank Payments
7/22/2019
Credit Card & Lease Fees
151,23
7/22-7/26/19
Pav Plus-Patlent Claims Processing Fee
112.75
TflTAL7RANSFERS BETWEEN FUNDS $
NURSING HOME UPL EXPENSES
7/2912019 Nursing Home UPI
11200,451,26
7/29/2019 Nursing Home UPI
57,207,23
7/29/2019 Nursing Home UPI
79517,84
QIPP/INTEREST CHECKS TO MMC
7/29/2019 Ashford
32,879.49
7/29/2019 Solera
91361,37
7/29/2019 Crescent
6,368.52
7/29/2019 Broadmoor
6,407.27
7/29/2019 Fort Bend
13.466.27
TOTAL INTER -GOVERNMENT TRANSFERS $
GRAND TOTAL DISBURSEMENTS APPROyED July 31, 2019 $ 1944,482.fi2i
Page I of 13
PPRCEMD
MEMORIAL MEDICAL CENTER 0
AP Open Invoice List ap_open_invoice.template
Due Dales Through: 08/07/2019
Vendor# Vendor Name Class Pay Code
11237 3WON, LLC
Invoice#1 Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net /
1544✓ 07/12/20 07/02120 08/02/20 398.00 0,00 0.00 398.00 ✓
CREDENTIALING
Vendor Totals Number Name Gross Discount No -Pay Net
11237 3WON, LLC 398,00 0,00 0.00 398.00
Vendor# Vendor Name Class Pay Code
11283 ACE HARDWARE 16621 /
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
135730 v1 07/09/20 07/08/20 08/02/20 38.57 0.00 0.00 38.57 f
SUPPLIES ( VtLGV1 hv✓ )
Vendor Totals Number Name 0 Gross Discount No -Pay Net
11283 ACE HARDWARE 15521 38.57 0.00 0.00 38,57
Vendor# Vendor Name Class Pay Code
10299 ACOG DISTRIBUTION CENTER V/
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
52319234 t/ 07/23/20 05/06/20 06/06/20 58.65 0.00 0,00 58.65
PATIENT EDUCATION
Vendor Totals Number Name Gross Discount No -Pay Net
10299 ACOG DISTRIBUTION CENTER 58.65 0.00 0.00 58,55
Vendor# Vendor Name Class Pay Code
12532 ADVANCED PLUMBING ✓
Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net
3824 07/24/20 07/10/20 07/10/20 120.00 0,00 0.00 120.00
BACKFLOW TEST (TWU 0WC)
3825 f 07/24/20 07/12/20 07/12/20 500.00 0.00 0,00 500.00 y/1
ANNUAL GAS TEST (R .WL)
Vendor Totals Number Name Gross Discount No -Pay Net
12532 ADVANCED PLUMBING 620.00 0.00 0.00 620.00
Vendor# Vendor Name Class Pay Code
A1690 ALCON LABORATORIES, INC. M
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
9656094728 t/ - 07/16/20 07/08/20 08107/20 31275,60 0.00 0.00 31275,60
SUPPLIES
9656040861 Y/07/22/20 06/27/20 07/27/20 795,00 0.00 0.00 795,00
SUPPLIES
9656056781 l/ 07/22/20 07/01/20 07/31/20 318.00 0.00 0.00 318.00
SUPPLIES
Vendor Total: Number Name Gross Discount No -Pay Net
A1690 ALCON LABORATORIES, INC. 41388.60 0.00 0.00 41388.60
Vendor# Vendor Name Class Pay Code
/
10958 ALLYSON SWOPE �/
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
072319 07/23/20 07/23/20 07/23/20 21646.00 0.00 0,00 2,646.00
CONTRACT EMPLOYEE 16
Vendor Totals -Number Name Gross Discount No -Pay Net
10958 ALLYSON SWOPE 21646,00 0,00 0.00 23646.00
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Vendor#
Vendor Name
Class
Pay Code
A1553
APPLIED CARDIAC SYSTEMS v/
M
Invoice# Comment Tran Dt Inv Dt
Due Dt
Check D Pay
Gross
0034653IN 07/23/20 06/30/20
07/10/20
2,400.00
3YR SRV CTRACT HOLTER M(
Vendor Totals Number Name.
Gross
A1553 APPLIED CARDIAC SYSTEMS
2,400.00
Vendor#
Vendor Name
Class
Pay Code
61220
BECKMAN COULTER INC
M
Invoice# Comment Tran Dt Inv Dt
Due Dt
Check D Pay
Gross
1078455600/ 07/16120 07/08/20
08/02/20
43.84
SUPPLIES
107845797 07/16/20 07/08/20
08/02/20
64,06
SUPPLIES
107846033v/ 07/16/20 07/08/20
08/02/20
190.03
SUPPLIES
Discount No -Pay Net
0.00 0.00 2,40/
0.00,�
Discount
No -Pay
Net
0.00
0,00
2,400.00
Discount No -Pay Net /
0.00 0.00 43,84 V
0.00
0.00
10785407 0 07/24/20 07/12/20 08/O6/20 4,233.46 0.00
HEMATOLOGY BILLING
Vendor Total: Number Name Gross Discount
B1220 BECKMAN COULTER INC 4,531.39 0.00
Vendor# Vendor Name Class Pay Code
C1048 CALHOUNCOUNTY..:(// W
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount
072219 07/22/20 07/22/20 07/22/20 2500000.00 0.00
2ND PAYMENT .2019$1000000:{ 1401000%00 P}`J V)
Vendor Total: Number Name Gross Discount
C1048 CALHOUN COUNTY 250,000.00 0.00
Vendor# Vendor Name / Class Pay Code
C1325 CARDINAL HEALTH 414, INC.(/ W
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount
8001972125 r/ 07/23/20 06/16/20 07/11/20 253.66 0.00
SUPPLIES
Vendor Total: Number Name Gross Discount
C1325 CARDINAL HEALTH 414, INC. 253.66 0.00
Vendor# Vendor Name Class Pay Code
11004 CSI LEASING INC/
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount
RT00233341 v/ 06/28/20 06/21/20 08/01/20 23965,64 0,00
NURSE CALL SYSTEM
Vendor Total: Number Name Gross Discount
11004 CSI LEASING INC 2,965.64 0.00
Vendor# Vendor Name Class Pay Code
10368 DEWITr POTH &SON
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount
5768490 ✓ 07/12/20 07/08/20 08102/20 87.97 0.00
/SUPPLIES
5766860 ✓ 07/12/20 07/08/20 08/02/20 94.95 0.00
SUPPLIES
5766870f
/SUPPLIES
5771350 v�
SUPPLIES
07112/20 07l08120 08/02/20
07/19I20 07111/20 08105/20
5.00 0.00
11.42 0.00
0.00
64.06
v/
0.00 190.03
0.00 4,233.46
No -Pay Net
0.00 4531.39
No -Pay Nel
0.00 250000.00;v
No -Pay Net
0.00 250,000.00
No -Pay Net
0.00 253.66 r/
No -Pay Net
0.00 253.66
No -Pay Net
0.00 2,965.64 y�
No -Pay Net
0.00 2,965.64
No -Pay Net
0.00 87.97 N
0.00 94.95 t�
0.00 5.00 '✓
0.00 11.42
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5771470 V 07/19/20 07A 1 /20 08/05/20 91.71 0.00 0.00 91.71
/SUPPLIES
5771900 r/ 07/19/20 07/12/20 08/06/20 19.59 0,00 0,00 19.59
SUPPLIES
Vendor Totals. Number Name Gross Discount No -Pay Net
10368 DEWITT POTH $ SON 310.64 0,00 0.00 310.64
Vendor# Vendor Name Class Pay Code
10892 DIANE MOORE
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
072119 07/23/20 07/21/20 07/21/20 169.36 0,00 0,00 169.36
TRAVELr(HT HEALTH CONFe(w(j& 11117 11?4111q '(MYIC03C} )
Vendor Total: Number Name Gross Discount No -Pay Net
10892 DIANE MOORE 169.36 0,00 0.00 169.36
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 /
MMC071519 r% 07/24/20 07/15/20 07/15/20 133,798,68 0.00 0.00 133,798.58 ✓
PROFEES VAIcaLit01 Vg1poll tv�Al YIA '71IS1111 .
Vendor Totals Number Name J Gross Discount No -Pay Net
10789 DISCOVERY MEDICAL NETWORK INC 133*798.58 0.00 0.00 1330798.58
Vendor# Vendor Name Class Pay Code
11196 DON BROWN ELEVATOR INSPECTIONS/
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
4577 ✓ 07/24/20 07/14/20 07/14/20 900,00 0.00 0.00 900.00
ANNUAL SAFEf INSPECTION
Vendor Totals Number Name Gross Discount No -Pay Net
11196 DON BROWN ELEVATOR INSPECTIONS 900.00 0.00 0.00 900,00
Vendor# Vendor Name Class Pay Code
E1070 EDWARDS PLUMBING INC ✓ W
Invoice# / Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net /
61502 ✓ 07/22/20 07/22/20 07/22/20 31400.00 0.00 0.00 31400,00
MEDICAL GAS MANIFOLD INSIWtll bvR
Vendor Totals Number Name Gross Discount, No -Pay Net
E1070 EDWARDS PLUMBING INC 3.400.00 0.00 0,00 3,400.00
Vendor# Vendor Name Class Pay Code
T0383 ERIN CLEVENGER W
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /
072219 07/22/20 07/22/20 07/22/20 230.52 0.00 0,00 "230.52 Y/
TRAVEUTHTHEALTCARECC(f=(Yl,it Initl--7170119) (Wkaf Lf gq &k) .
Vendor Totals Number Name Gross Discount No -Pay Net
T0383 ERIN CLEVENGER 230.52 0.00 0.00 230.52
Vendor# Vendor Name Class Pay Code
10003 FILTER TECHNOLOGY CO, INC
Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
102597 ✓ 07/22/20 06/28/20 07/28/20 21959.92 0,00 0,00 21959,92 ✓
/ FILTERS FOR FACILITY
102523 ✓ 07/22/20 07/03/20 08/02/20 450.26 0.00 0.00 450,26 V/
SUPPLIES
Vendor Totals Number Name Gross Discount No -Pay Net
10003 FILTER TECHNOLOGY CO, INC 31410,18 0,00 0.00 31410.18
Vendor# Vendor Name - Class Pay Code
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F1400 FISHER HEALTHCARE ✓ M
Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /
9649322 ✓ 07/16/20 07/08/20 08/02/20 20,00 0.00 0.00 20.00 r/
SUPPLIES
9649319%// 07/16/20 07/08/20 08/02120 65.64 0.00 0.00 65.64 r/
SUPPLIES •
Vendor Totals Number Name Gross Discount No -Pay Net
F1400 FISHER HEALTHCARE 85.64 0.00 0,00 85,64
Vendor# Vendor Name Class Pay Code
W1300 GRAINGER ✓/ M
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
9223597023 / 07/22/20 07/03/20 07/28/20 74.50 0.00 0.00 74.50 v'
SUPPLIES
9226281898 ✓ 07/22/20 07/08/20 08102/20 58.00 0,00 0.00 58.00 ✓
SUPPLIES
Vendor Totals Number Name Gross Discount No -Pay Net
W1300 GRAINGER 132.50 0,00 0.00 132.60
Vendor# Vendor Name Class Pay Code
G1210 GULF COAST PAPER COMPANY v/ M
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
1697900 r// 07/09/20 07/02/20 08/01/20 109.89 0.00 0.00 109.89
SUPPLIES
1697903 v/ 07/11/20 07/02/20 08/01120 644,93 0.00 0,00 644.93
SUPPLIES
Vendor Totals Number Name Gross Discount No -Pay Net
G1210 GULF COAST PAPER COMPANY 754,82 0.00 0.00 754.82
Vendor# Vendor Name I / Class Pay Code
12380 HEALTH SOLUTIONS DIETETICS ✓
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
072219 07/25/20 07/22/20 07/22/20 3,000.00 0.00 0.00 31000,00
DIETICAN 'T15�1)2�ily
Vendor Totals Number Name Gross Discount No -Pay Net
12380 HEALTH SOLUTIONS DIETETICS 3,000.00 0.00 0,00 3,000.00
Vendor# Vendor Name /Class Pay Code
11552 HEALTHCARE EQUIPMENT FINANCE ✓
Invoice# C%ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
100178038 v" 07/22120 07/08/20 08/01/20 7,154.17 0.00 0,00 7,154.17
LEASE /
100178037 t/ 07/22/20 07/08/20 08101/20 4,919.41 0,00 0,00 41919.41 >J
I EASE 14$JUI+- qIU j.l.:
100178039 v 071222./20 07/086/20 08/01/20 31334,17 0.00 0.00 31334.17
LEASE jWt(':tSi 3ai.•&j...':.
100178040 t/ 07/22/20 07/08120 08101/20 11797.44 0,00 0.00 11797.44 r/
LEASE [1tV(jjb 4 ehq,Lfjj
Vendor Total: Number Name Gross Discount No -Pay Net
11552 HEALTHCARE EQUIPMENT FINANCE 17,205.19 0.00 0.00 17,205,19
Vendor# Vendor Name Class Pay Code
J1300 JECKER FLOOR & GLASS LX/ W
Invoice# Comment Tran Dt Inv Dt Due DI Check D- Pay Gross Discount No -Pay Net
78576 v/ 07/23/20 06/11/20 06/21/20 50.00 0.00 0.00 50,00 11�
GREY COVE BASE
Vendor Totals Number Name Gross Discount No -Pay Net
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J1300 JECKER FLOOR & GLASS 50,00 0.00 0.00
Vendor# Vendor Name Class Pay Code
11275 KYLE DANIEL D& -rlNl d
Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay
071719 07122/20 07117120 07/17/20 ?l2.(1v43ru2 0.00 0.00
TRAVEL/REGIONALADVISORy MILY161 MIt' Vj-111-11 Iq (Ititt lld.gL)
Vendor Total: Number Name Gross Discount No -Pay
11275 KYLE DANIEL 3?„D�j 4IPC1)2 0.00 0,00
Vendor# Vendor Name / Class Pay Code
11600 LEGALSHIELD V
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay
071519 07/22/20 07/16/20 07/15/20 1 *483,60 0,00 0.00
INSURANCE
Vendor Totale Number Name
Gross
11600 LEGAL SHIELD
1,483.60
Vendor# Vendor Name
Class
Pay Code
10972
M G TRUST r//
Invoice# Comment Tran Dt Inv Dt
Due Dt
Check D- Pay Gross
072219 07/23/20 07/05/20 07/05/20
11190.86
PAYROLL DED
Vendor Totals Number Name
Gross
10972 M G TRUST
17190.86
Vendor#
Vendor Name
Class
Pay Code
M1344
MAINE STANDARDS CO., LLC
Invoice# Comment Tran Dt Inv Dt
Due Dt
Check D Pay
Gross
1917977 ✓ - 07/24/20 06/04/20
06/04/20
1,423.64
YRLY EVAL SUBSCRIPTION
Vendor Total: Number Name
Gross
M1344 MAINE STANDARDS CO., LLC
1,423.64
Vendor#
Vendor Name
Class
Pay Code
M2178
MCKESSON MEDICAL SURGICAL INC
Invoice# Comment Tran Dt Inv Dt
Due Dt
Check D Pay
Gross
56702316 v/ 07/24/20 O6/14/20
06/29/20
54.72
/SUPPLIES
56948382 ✓ 07/24/20 06/18/20
07/03/20
70.72
UPPLIES
58235565 07/24/20 07/04/20
07/19/20
418.97
SUPPLIES
Vendor Total: Number Name
Gross
M2178 MCKESSON MEDICAL
SURGICAL INC
544.41
Vendor#
Vendor Name
Class
Pay Code
12588
MEDICAL TECHNOLOGY ASSOCIATES
Invoice# Comment Tran Dt Inv Dt
Due Dt
Check D Pay
Gross
INV158390 07/22/2006/30/2007/25/20
51185.06
REPLACE NITROUS OXIDE M/
Vendor Total: Number Name
Gross
12588 MEDICAL TECHNOLOGY ASSOCIATES
51185.96
Vendor#
Vendor Name
Class
Pay Code
M2827
MEDIVATORS
M
Invoice# omment Tran Dt Inv Dt
Due Dt
Check D Pay
Gross
90180863 07/22/20 06/27/20
07/27/20
232.08
50.00
Net/
46.92 32/40.1/
Net
46.�2 zwv
Net 60 /
1,483.✓
Discount No -Pay Net
0.00 0,00 1,483.60
Discount No -Pay Net
0.00 0,00 1,190.86
Discount No -Pay Net
0.00 0.00 1,190.86
Discount No -Pay Net /
0.00 0.00 1,423.64 ✓
Discount No -Pay Net
0.00 0.00 1,423.64
Discount - No -Pay Net
0.00 0.00 54.72
0.00 0.00 70.72
0.00 0.00 418.97
Discount No -Pay Net
0.00 0.00 544.41
Discount
No -Pay
Net
0.00
0.00
5,185.05
Discount No -Pay Net
0.00 0.00 5,185.05
Discount
No -Pay
Net
0.00
0.00
232.08
r�
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SUPPLIES
Vendor Total; Number Name Gross Discount
M2827 MEDIVATORS 232.08 0.00
Vendor# Vendor Name / Class Pay Code
M2470 MEDLINE INDUSTRIES INC ✓ M
Invoice# C/o�nment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount
1881402977 t7 07/16/20 07/09/20 08/03/20 11.46 0.00
SUPPLIES
1881402978 V// 07/16/20 07/09/20 08/03/20 19.00 0.00
SUPPLIES
1881402976 ✓ 07/16/20 07/09/20 08/03/20 30.79 0.00
SUPPLIES
1881518172 e/ 07/16/20 07/10/20 08/04/20 23,17 0.00
SUPPLIES f fij�jit Ij•(ij 6Y1 'j'qV CA&j-(e00-} CI)
1881518170 ✓ 07/16/20 07/10120 08/04/20 11660,00 0,00
SUPPLIES
1881518171 >J 07/16/20 07/10/20 '
08/0biiVt
4/20 21,10 0.00
SUU PLIES �yUy�'l�"(i!•�2J :fnt 1,31 IV 41(�.:I Ae� I L1)..:
1881518166 4/ 07/16/20 07/10/20 08/04/20 934.63 0.00
SUPPLIES
1881518174 7 00r7/16/20 07/10/20 08/04/20 o . 38.57 0.00
SUPPLIES fY�btiV4 ¢ 7y agl' 1j'du,[4 (1)...
1880028305 / 07/22/20 06/20/20 07/15/20 209,60 0,00
C,4`-}
SUPPLIES
Vendor Total: Number Name Gross Discount
M2470 MEDLINE INDUSTRIES INC 21948,22 0.00
Vendor# Vendor Name Class Pay Code
10963 MEMORIAL MEDICAL CLINIC V
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount
070519 07/23/20 07/05/20 07/05/20 195,17 0,00
.PAYROLL DEDLLC4FAj-�`,q(.': C+yM1j}(tY�eP:'.FAyyti (� 41i5
Vendor Totals Number Name Gross Discount
10963 MEMORIAL MEDICAL CLINIC 195A7 0.00
Vendor# Vendor Name Class Pay Code
10904
MERCK SHARP & DOHME CORP
Invoice# Co ment Tran Dt Inv Dt
Due Dt
Check D Pay
Gross
7013225719 06/24/20 05/23/20
08/07/20
1,204.29
INVENTORY
Vendor Totah Number Name
Gross
10904 MERCK SHARP & DOHME
CORP
11204.29
Vendor#
Vendor Name
Class
Pay Code
Cl
M2659
MERRY X-RAY/SOURCEONE HEALTHCA v/
M
Invoice# Comment Tran Dt Inv Dt
Due Dt
Check D Pay
Gross
8800474348 07/23/20 06/20/20
07120/20
430.19
SUPPLIES
Vendor Totah Number Name
Gross
M2659 MERRY X-RAY/SOURCEONE HEALTHCA
430,19
Vendor#
Vendor Name
Class
Pay Code
10791
MINDRAY DS USA, INC. t//
Involce# Co ment Tran Dt Inv Dt
Due Dt
Check D Pay
Gross
0600716730 ,07/22/20 06/26/20
07/16/20
103.74
SUPPLIES
No -Pay Net
0.00 232,08
No -Pay Net
0.00 11,46
0.00 19.00
0.00 30.79
0.00 23.17 6+'�
0.00 1,660.00
0.00 21.10 t'"�
0.00 934.63 q�/
0.00 38.57 y¢.
0.00 209.601/
No -Pay Net
0.00 21948,22
No -Pay Net
0.00 195.17 't✓
No -Pay Net
0.00 195.17
Discount No -Pay
0.00 0.00
Discount No -Pay
o.00 o.00
Net
1,204.29
Net
1,zoa.zs
Discount
No -Pay
Net
/
0.00
0.00
430.19
r1
Dismount No -Pay Net
0.00 0.00 430.19
Discount No -Pay Net
0.00 0.00 103.74
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Vendor Total: Number Name Gross Discount No -Pay Net
10791 MINDRAY DS USA, INC. 103,74 0.00 0.00 103.74
Vendor# Vendor Name / Class Pay Code
10810 MMC EMPLOYEE BENEFIT PLAN
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
072219 07/23/20 07/22/20 07/22/20 13,845.44 0.00 0.00 13,845.44 r/
INSURANCE
Vendor Total: Number Name Gross Discount No -Pay Net
10810 MMC EMPLOYEE BENEFIT PLAN 13,845,44 0.00 0.00 13,845.44
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
4457008 07/22/20 07/16/20 07/26/20 2.41 0.00 0.00 2.41
/INVENTORY
4460015 ✓ 07/22/20 07/16/20 07/26/20 6.27 0.00 0.00 6.27
INVENTORY
4460014 v1 07/22120 07/16/20 07/26/20 339.17 0.00 0.00 339.17
/INVENTORY - /
4457007 ✓ 07/22/20 07/16/20 07/26/20 48,67 0.00 0.00 48.67'/
INVENTORY
3236 ✓ 07/22/200711612007/26/20-1,052.75 0.00 0.00-1,052,75 y/
/ CREDIT
3159 ✓ 07/22/20 07/16/20 07/26/20 -9.85 0.00 0,00 -9,85 1✓
/CREDIT
4460016 ✓ 07/22/20 07/16/20 07/26/20 764.58 0.00 0.00 764.58
INVENTORY
/
2859 ✓ 07/22/20 07/16/20 07/26/20 -8820 0.00 0.00 -88.20 >r
REDIT /
4464186 07/22/20 07/17/20 07/27/20 11873.22 0.00 0.00 11873,22 s/
/INVENTORY
4463771 ✓ 07/22/20 07/17/20 07/27/20 662.10 0,00 0.00 662,10 V
JNVENTORY
4464017 e/ 07/22/20 07/17/20 07/27/20 128.26 0,00 0.00 128.26 t,.�
INVENTORY
4464185 07/22/20 07/17/20 07/27/20 121.68 0.00 0.00 121.68
,INVENTORY
4464187 t/ 07/22/20 07/17/20 07/27/20 457.41 0,00 0,00 457.41
INVENTORY /
4472904 07/22/20 07/19/20 07/29/20 85.31 0.00 0.00 85.31 V
/INVENTORY
4472972 ✓ 07/22/20 07/19/20 07/29/20 6,162.48 0.00 0.00 61162.48 v�
INVENTORY
4472973v/ 07/22/20 07119/20 07/29/20 364.51 0,00 0.00 364.51
INVENTORY 4472974/ 07/22120 07/19/20 07/29/20 57.77 0.00 0.00 57.77 ,//
/ INVENTORY /
4283343 ✓ 07/23/20 05/30/20 06/09/20 55.52 0.00 0.00 55.52
/INVENTORY /
4294644 ✓ 07/23/20 06/03/20 06/13/20 55.52 0,00 0,00 55.52 >/
/INVENTORY /
4338172 V 07/23120 06/13/20 06/23/20 193.97 0,00 0.00 193.97
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Page 8 of 13
INVENTORY
4361879 r/ 07/23/20 06/19/20 06/29/20 113.05 0,00 0.00 113.05
/ INVENTORY
3377A ✓ 07/23/20 07/16/20 07/16/20-136.53 0.00 0.00-136.53
CREDIT
3482 // 07/23/20 07/16120 07/26/20 -0.25 0,00 0.00 -0.25
/ CREDIT
3933 v 07/23/20 07/18/20 07128/20 -18.83 0.00 0.00 -18,83 br'�
/REDIT /
4479576 07/23/20 07/22/20 08/01/20 31948.58 0.00 0.00 3,948.56
INVENTORY
4479578 07/23/20 07/22/20 08/01/20 205.05 0.00 0.00 205.05 d
/INVENTORY
4479577 ✓ 07/23/20 07/22/20 08101/20 22408,63 0.00 0.00 2,408.63 v�
/INVENTORY
CM83410 r/ 07/23/20 07/22/20 08/01/20 -38.54 0.00 0.00 -38.54
CREDIT
4472975 07125/20 07/19/20 07/29/20 7.82 0.00 0.00 7.82 VZ
SUPPLIES
Vendor TotalE Number Name Gross Discount No -Pay Net
10536 MORRIS R DICKSON CO, LLC 16,717.03 0.00 0.00 161717.03
Vendor# Vendor Name Class Pay Code
A2252 NADINEGARNEE dbLow6,) W
Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net
071719 07/22/20 07/17/20 07/17/20 32.34 4PO46 0.00 0,00 46 6 2.3tt
TRAVEL/GOLDEN CRESCENT HeAOkAte, CoeLj-bM 7111111q (W(fiajt.) t
Vendor Total: Number Name �1Gro Discount No -Pay Net
A2252 NADINE GARNER l�• J� 46. 0.00 0.00 4 .36
Vendor# Vendor Name / Class Pay Code
11472 OCCUPRO LLC ✓
Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
14074 v 07/10/20 07/07/20 08/06/20 458.67 0.00 0.00 458.67
USER LICENSE
Vendor TotalENumber Name Gross Discount No -Pay Net
11472 OCCUPRO LLC 458.67 0.00 0.00 458.67
Vendor# Vendor Name Class Pay Code
01416 ORTHO CLINICAL DIAGNOSTICS ✓/
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
1851022360 >/ 07/24/20 06/24/20 07/24/20 755.37 0.00 0,00 755,37 L/
Vendor TotalE Number Name Gross Discount No -Pay Net
01416 ORTHO CLINICAL DIAGNOSTICS 755.37 0,00 0,00 755.37
Vendor# Vendor Name Class Pay Code
/
11069 PABLO GARZA ✓
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
072319 07/23/20 07/23/20 07/23/20 2,077.50 0.00 0.00 21077.50
CONTRACT EMPLOYEE(l 14 114. - 117]Z 11 cl
Vendor Total: Number Name Gross Discount No -Pay Net
11069 PABLO GARZA 2,077.60 0.00 0,00 21077.50
Vendor# Vendor Name Class Pay Code
P1260 PENTAX MEDICAL COMPANY V// M
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
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Page 9 of 13
92167894 v/ 07123/20 06/11/20 07/06/20 11986.20 0.00 0.00 1,986.20
1YR SRV CONTRACT BRONCF
Vendor Totals Number Name Gross Discount No -Pay Net
P1260 PENTAX MEDICAL COMPANY 11986,20 0.00 0,00 11986,20
Vendor# Vendor Name J Class Pay Code
12708 POC ELECTRIC, LLC V
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /
2874 ✓ 07/23/20 07/19/20 07/19/20 1,000.00 0.00 0.00 11000,00 V
INSTALL 120V FOR N/O HEAT6r
Vendor Total: Number Name Gross Discount No -Pay Net
12708 POC ELECTRIC, LLC 1,000.00 0.00 0,00 11000.00
Vendor# Vendor Name Class Pay Code
12480 PRO ENERGY PARTNERS LP 1/
Invoice# omment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /
19060600 07122120 07/11/20 07/26/20 23436,89 0,00 0,00 21436.89
GAS
Vendor Total: Number Name Gross Discount No -Pay Net
12480 PRO ENERGY PARTNERS LP 21436.89 0.00 - 0.00 2,436.89
Vendor# Vendor Name / Class Pay Code
10896 QIAGEN INC ✓
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
98971293 t/ 07/11/20 07/02/20 08101/20 1,373.49 0.00 0.00 11373.49 ✓`�
SUPPLIES
Vendor Totals Number Name Gross Discount No -Pay Net
10896 QIAGEN INC 11373.49 0.00 0,00 11373,49
Vendor# Vendor Name / Class Pay Code
11080 RADSOURCE ✓
Invoice# omment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
SC59258 07/16/20 07/12/20 08/06/20 1,667.00 0,00 0.00 1,667.00 {t
RAD SERVICES
Vendor Totals Number Name Gross Discount No -Pay Net
11080 RADSOURCE 1,667.00 0.00 0.00 1,667.00
Vendor# Vendor Name Class Pay Code
11251 RAPID PRINTING LLC v"/
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
5798 07/22/20 05/08/20 05/08/20 168.00 0.00 0.00 168.00
HEALTHFAIR FOAM BOARDS
Vendor Total: Number Name Gross Discount No -Pay Net
11251 RAPID PRINTING LLC 168.00 0.00 0.00 168.00
Vendor# Vendor Name C ass Pay Code
11024 REED, CLAYMON, MEEKER & HARGET
Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net /
16982 ✓ 07/22/20 07/15/20 07/15/20 24,750.00 0.00 0.00 24,750.00 t,!
LEGAL � /
17009 07/22/20 07/15/20 07/16/20 844,50 0,00 0,00 844,50
LEGAL
Vendor Totals Number Name Gross Discount No -Pay Net
11024 REED, CLAYMON, MEEKER & HARGET 25,594.50 0.00 0.00 25,594.50
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
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Page 10 of 13
912258134 / 05/28/20 05/06/20 08/04/20 293,79 0.00 0.00 293.79
INVENTORY
Vendor Totals Number Name Gross Discount No -Pay Net
S1001 SANOFI PASTEUR INC 293,79 0,00 0.00 293.79
Vendor# Vendor Name / Class Pay Code
S1800 SHERWIN WILLIAMS ✓ W
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
64923 07/22/20 07/12/20 07/27/20 9.05 0.00 0.00 9.05 1 -
SUPPLIES
Vendor Totals Number Name Gross Discount No -Pay Net
S1800 SHERWIN WILLIAMS 9.05 0,00 0.00 9,05
Vendor# Vendor Name / Class Pay Code
51850 SHIP SHUTTLE TAXI SERVICE ✓ W
Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
848980 ✓ 07/22/20 07/03/20 07/03/20 8.00 0.00 0.00 8.00
TRASPORT PT
Vendor Totals Number Name Gross Discount No -Pay Net
S1850 SHIP SHUTTLE TAXI SERVICE 8.00 0.00 0.00 8.00
Vendor# Vendor Name / Class Pay Code
K0536 SHIRLEY KARNEI ,/
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
072319 07124/20 07/23/20 07/23/20 460.24 0.00 0.00 460.24 v/
CONTRACT EMPLOYEE ('t Ilaltl -"Il23il�r)
Vendor Totals Number Name Gross Discount No -Pay Net
K0536 SHIRLEY KARNEI 460.24 0.00 0.00 460.24
Vendor# Vendor Name / Class Pay Code
11596 SKELETAL DYNAMICS, LLC ✓
Invoice# C%mment Tram Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
INV0063120✓ 07/22/20 07/03120 08/03/20 443,00 0.00 0.00 443.00
SUPPLIES
Vendor Totals Number Name Gross Discount No -Pay Net
11596 SKELETAL DYNAMICS, LLC 443.00 0.00 0.00 443.00
Vendor# Vendor Name - / Class Pay Code
52362 SMITH & NEPHEW V/
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
923273605 ✓/07/16/20 07/08/20 08/05/20 11447,77 0.00 0.00 1,447.77
SUPPLIES
Vendor Totals Number Name Gross Discount No -Pay Net
52362 SMITH&NEPHEW 11447.77 0,00 0.00 11447,77
Vendor# Vendor Name / Class Pay Code
52353 SMITHS MEDICAL ASD INC ✓
Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net
15596466 ✓/07/22/20 07/04/20 08/03/20 87,46 0.00 0.00 87,46
SUPPLIES
Vendor Totals Number Name Gross Discount No -Pay Net
52353 SMITHS MEDICAL ASD INC 87.46 0.00 0.00 87.46
Vendor# Vendor Name / Class Pay Code
52830 STRYKER SALES CORP ✓ M
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
V3MO58A 07/23/20 05121/20 06/20/20 680.00 0,00 0.00 680,00
SUPPLIES
Vendor Totals Number Name Gross Discount No -Pay Net
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Page 11 of 13
S2830 STRYKER SALES CORP 680.00 0,00 0.00 680.00
Vendor# Vendor Name / Class Pay Code
11944 TALX CORPORATION f
Invoice# Go m ant Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
1000641522 07/09/20 07/08/20 08/07/20 37.14 0.00 0.00 37.14
EP VERIFICATIONS .
Vendor Totals Number Name Gross Discount No -Pay Net
11944 TALX CORPORATION 37.14 0.00 0,00 37.14
Vendor# Vendor Name Class Pay Code
11140 TEXAS ADVANTAGE COMMUNITY BANK
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
071519 07/22120 07/15/20 07/16/20 31690.52 0,00 0.00 3,690.52
LOANPAYMENT LtnAUtl&- 1i1•09)
Vendor Total: Number Name Gross Discount No -Pay Net
11140 TEXAS ADVANTAGE COMMUNITY BANK 3,690.52 0.00 0.00 3,690.52
Vendor# Vendor Name Class Pay Code
T1880 TEXAS DEPARTMENT OF LICENSING A/P
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
071919 07/24/20 07/19/20 07/19/20 60,00 0.00 0100 60.00
(3) INSPECTION / ELEVATOR t
Vendor Totals Number Name Gross Discount No -Pay Net
T1880 TEXAS DEPARTMENT OF LICENSING 60,00 0.00 0,00 60.00
Vendor# Vendor Name Class Pay Code
11100 THE US CONSULTING GROUP
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /
340375221 07112/20 07/10/20 08/04/20 242,69 0.00 0.00 242.69v
TRASH SERVICE
Vendor Totals Number Name Gross Discount No -Pay Net
11100 THE US CONSULTING GROUP 242.69 0.00 0.00 242.69
Vendor# Vendor Name Class Pay Code
10732 THERACOM, LLC
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
211681760301�/ 05131/20 05/21/20 08/01/20 2,346,12 0.00 0,00 2,346.12 v'
INVENTORY
Vendor Totals Number Name Gross Discount No -Pay Net
10732 THERACOM, LLC 2,346,12 0,00 0.00 2,346A2
Vendor# Vendor Name / Class Pay Code
T2250 THYSSENKRUPP ELEVATOR CORP s/ M
Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
3004579870 ✓/07/22/20 05/01 /20 05/01/20 13269469 0.00 0,00 11269,69
OIL & GREASE ELEVATOR
Vendor Totals Number Name Gross Discount No -Pay Net
T2250 THYSSENKRUPP ELEVATOR CORP 1,269.69 0.00 0.00 1,269.69
Vendor# Vendor Name - Class Pay Code
U1064 UNIFIRST HOLDINGS INC
Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net
8400305598 07112/20 07/08120 08/02120 47,15, 0.00 0.00 47,15 v`
LAU DRY
8400305629 07/12/20 07/08/20 08/02/20 832.81 0.00 0.00 832.81
LAUN RY .
8400305599 07/12/20 07/08/20 08/02/20 57,35 0.00 0,00 57.35
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Page 13 of 13
11166 WEST INTERACTIVE SERVICES CORP 480,96 0,00
Report Summary
Grand Totals: Gross Discount No -Pay
534,218.89 0.00 0.00
f 9 6 UvveLhw1
Ae�'R.O'6rP.9}
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JUL 2 6 2019
COUNTYAUDITOR
CALHOUN COUNTY, TM, XAS
480.96
Net
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072319A 07/24/2019 07/23/2019 08/09/2019 2,728.00 0.00 0.00
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072419 07/24/2019 07/241201°9e// 08/09/2019 5,320.00 0.00 0,00
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Grand Totals: Gross Discount No -Pay
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11828 SOLERA WEST HOUSTON
Invoice# Comment Tran Dt Inv Dt Due Dt Check Ot Pay Gross Discount NaPay Net
072319 07/24/2019 07/23/2019 08/0912019 -�1 31000,00 0.00 0.00 31000,00
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11828 SOLERA WEST HOl 3,000.00 0.00 0.00 3,000.00
Grand Totals: Gross Discount No -Pay Net
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11832 BROADMOOR AT CREEKSIDE PAR
Invoice# Comment Tran Dt Inv Ot Due Dt Check Dt Pay Gross Discount No -Pay Net
072319 07/24/2019 07123/201''9rr 08/09/2019���9 1 93,34 0.00 0.00 93.34
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Vendor Totals: Number Name Gross Discount No -Pay Net
11832 BROADMOOR AT Cl 93.34 0.00 0,00 93.34
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93.34 0.00 0.00 93.34
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11824 THE CRESCENT
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net
072319 07/24/2019 07/23/2019 08/09/2019 13,680.00 0.00 0,00 13,680.00
TRANSFER RMI V16 V"VL IVI&IAKdU(, V�ffj 7dtAl i" 'fD `t/IIUL� in CWW—
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11824 THE CRESCENT 13,680.00 0.00 0,00 13,680.00
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12696 GULF POINTE PLAZA
Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net
072319A 07/24/2019 07/23/2019 08/09/2019 t640,00 0,00 0,00 640.00✓
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12696 GULF POINTE PLA2 25070.00 0.00 0.00 2,070.00
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Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Grass Discount No -Pay Net
072319E 07/24/2019 07/23/2010091I O8/0912019 35,920.25 0,00 0,00 353920.25
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072319A 07/24/2019 07/23/2019 08/09/2019 741.44 0,00 0.00 741.44 t/
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STATEMENT
AmerisourceBergen•
AMERISOURCEBERGEN DRUG CORP
12727 WEST AIRPORT BLVD
• SUGAR LAND TX 77478-6101
866-451-9655
_ AMERISOURCEBERGEN DRUG CORP
PO Box 905223
CHARLOTTE NC 28290.5223
Number: 58186547 Date: 07-26-2019 1 of 1
WALGREENS g12494 340a
MEMORL\L MEDICAL CENTER
1302 N VIRGINIA ST
PORT LAVACA
TX 77970.2509
ACCOUNT: 70013529410J7020/00
Not Yet Due:
0.00
Current
361.39
Past Due:
0.00
Total Due:
351.39
Account Balance:
361.39
Activity
Due
Reference
Purchase Order
Activity
Amount
Date
Date
Number
Number
Type
07-22-2019
08-02-2019
3025264296
148536
Invoice
17,55
07-22.2019
08-02-2019
3025264297
148540
Invoice
163.40
07-22-2019
08.02-2019
3026310459
148589
Invoice
129.28
07-22-2019
08.02-2019
3025310890
148590
Invoice
7.24
07-23.2019
08,02.2019
3025349624
148600
Invoice
1.55
07.24.2019
08-02.2019
3025398653
14861.5
Invoice
12.07
07-25-2019
08-02-2019
3026446985
148623
Invoice
6.68
07-26.2019
08-02-2019
3025502570
148639
Invoice
23.62
Reminders
Thank You
for Your
Payment
Date
Payment Number
Amount
�
Due Date
Amount
07-26-2019
(1J15.54)
08.02-2019
_3y39,
Total Due:
{ 361.39
Terms:
Mondav - Fridav
due in 7 days
C� �iOUt�
#. l
coTrrrrpATJnrrOx
oaa.TfouN covxTx> z�.�s
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Memorial Medical Center
Nursing Hotnn UPI.
Weekly Contest Transfer
Prosperity Accounts
29/2019
rtvlam FodaYa la Ue
Account ' U balance ALL o Beginning Tran,s<,r¢J to xnomst
Iusing
ts 1155.. ember balance T 1<r in Pen /rUneo E°?_Balance 6.22
g /d.aWrgUg5 13E,6}N.1) 137,S1fl.1 ]I�1J,015.71 g/ _-2I4.1357I / IBl, li6.33
Bank Balance E1.1.135.71 ✓
Variance
Leave In Balance 1C0.00
Noufinrsln/ormanon /nr a,h(¢rd C¢rder,a:
Ashl rd Health Cure Center Ltd Co
IP Messom Chose Rant
Aa
can,
375,227.59 V 375,127.59 ✓ 88,710.25 L/
131,3E•1.59✓111.2EM1.59 ✓ 39M1.Ii t.90 a/
�IftC..gWy _'� %'�-"L3,536.5d (/L3,JE05J ✓],385.39 ✓
#� a���'yl'��Ilg`� 18B,L17.81 �IBtl,S Il.BI y 504,680.91
A�f�i=nla. c,elr<�,e,LiLe_Br. tvc,r Iro9,ran1F�- s d_mal9Coe.fm.sr:
6A1
8
1 <
0l
i 5
78
I a
V SJ
)2'i
S39919-12
ate: 0440 bahancoA of Oncr $5,000 pro he transferred mrho 4 9
5 a
�) 1
9 �
5 b
Natel Each ocawot has a base baknce ol$iM that hlAlC• 1 C ¢ Z
L..r
/ i
1 <..2
f✓
1 \}IN w«s h 3,anarosa\rlB uPL rram}<r summan\wmVeh\mi Bel3am}ar sar,aa,n o:.29�39 . ean].b.
variance
MMC Portion QIPP I
124879,49
MMC Portion QIPP 213tWisse
-
July interest
-
Auguntramest
-
September Interest
-
AJPnt Balanceffranster Amt
Ss1,156.22
✓
-
36,810.25
/
82,307,98
Bank Balance
83,510.25
r/
Variance
Leave In Balance
100.00
Mh1C Portion QIPP 1
6,407,27
g/
MMC Persian QIPP 2,3,Lapse
Italy Internal
-
August Interest
-
September Interest
Ad just halance/Transfee Ant
82,302,98
394,221.90
/
387,753.38
Bank Balance
394,221.90
✓
Variance
-
leave In Balance
]BUD
NWC Portion QIPP 1
6,168.52
g/
M}aC Portion QIPP 2,3,tapse
-
Jul5.Interest
-
August Interest
-
September Interest
-
AJlusl BJlance/rransrn miss
38),753.38
}/
67,485.39
/
53,919.12
Bank Balance
WeISS.39
_
Variance
leave In Balance
100.00
BASIC Pat don QIPF1
I3p6G,2)
a/
MMC Portion QIPP 2,3,tapse
-
Alylnterest
-
August Interest
-
September Interest
Adjust Balance/Transfer Amt
53,919.12
✓
50A,7B0.93
/
J9S,31A56
Bank Balance
501.)80.93
V/
Adjust
-
Leave is Balance -
tC0.00
MMC Portion QIPP1
%361.37 t/
PANIC Portion QIPP 2.3,Wpse
lulyinterest
-
-r August Interest
-
September Interest
0alance/rramfer Arnt 495,319.56 Ito/
TQTM Tft0.N5FER5 t,200A51ti26
' Approved:
oianee Moore, CFO 7/29/2019
CC[IDI'PY AUDT'iOiL
CAAfaT�C� CDY7N'I">t,'PICY+A9
Rif if Wife HYiwort or5rfToil ea4 Jorkhtcts\Jo19Uu rs1 (* nor to I. i,r.1 t'291 1 P>Ye1
MMC PORTION
irLl Lt /Y. gIP2'/Contpi gli'r([ompl gIPP/[mn13 (Ilpp/lapse 111P1'll Nil Poll [ion
7/2412019 ACH Deposit MCHINAHEALTHCAR MOIINAACH 00826222 •0!000010 114633,98 Lam/ 31,438.98 116638A0
712.112019 ACH De0seRUICCOMMUNUNIH H((iA1MpfA1%4690341 I IND000 I'14443✓ - 1,144,43
1121.12019 ACE Oesoto N0VI TAS SOLUTION HCCLANAPAN 675413 3200001N1 L02,1.13.--�/ 102,143HR
712,112019 ACH Dom HEALTH HUMAN SVC HCCUIMAMT 17440 11ISMS /4,920.W 4� 4,020.00
1/25/2019 Chi Wile D:Rncnk WIRE OUT ASRTORD HEAT HI CARE CENTER LTD it IJ94235/ •
7/15/2019 Deposal 6,649.50 �/ 6.640,50
7l15/)019 ADI 04po30 Un0edlleaiocare HCCI AIMPM I 146003411174284 1,230.Ou✓/ - EmON
7/25/2019 ACH Oeposit HERE COMMUNITY pt HCCIAIMPM T 746003411910000 635.68 6/ - - u85.68
1/25/2019 ACH Deposit UIIC COMMUNITY PL NCAJMPMT 2.263034119IOW0 9,716,50� - 9,716.50
1/25/2015 ACT Deposit NOVITAS SOLUTION HCCNIMPMt 675423 420000140 158.86 1511.86
'112512019 ACHDepOtHEALIE HUMAN SVC HCCI MMPh111J46903.41130052 6900
// ,.)6 ✓ - 61903.16
117612019 check 062 21,38194 s/ / - -
7/26/2019 ACH Deposit A,mnBlaup 3XSC HCCLANAPM 1 3104971536 111000 3/091329 /// - 31.91319
7/26/2019 A0! Ocpas4 AMERiGROUP CORPO E PAYMEN t EE518808311110ON 21.240.51 (,21,240.51 21,240,51
7/26/2019 ACH Deposit UHCCOMhILRAV PL HCCLAIIAP"T 74603411910000 1 15,68522
f3),5)H.3) 21d.035.)1 32,8)9449 _ 321879,41 18L,156.21
MMC PORTION
Now'^'���'�';,�L"�' b�,,� �ve T _j8L0_VI IC•Insier.ln OIPf/<pmPf Nnp/Cpmpi WPP/[omp3 gipp/Wpe DEEP,, NilPORTION
7/2112019 ACN Depp»t UIICCO2.fAlUtlltt pt llCCIMMPM1li 146W34319L00W 26on - 2G.01
7/22/2019 ACN Ccpo5114111L Cnmmuniry PlfiCMllAPp,3T)A600142191W{A SJJ.J9� - 571.70
7/2212019 ACIOelnsit NDVI4ASSOLUi1021 fICC,LAihipE,11676357420000192 10,06153� - 10.063.53
712212019 ACH Deposit HUMANA INS CO EEPAYMENt 39DE61830M05749535 EMS 24✓ - 11568 is;
1/2312019 ACH Deposit UrredHeatthcare HCCtARAPMT)46003411124384 3.]2).49 �/ - 3,711-69
7173/2019 ACH Deposit NOVITAS SOLUTION IICCIAItAP.IAT 67635142MM109 9,782.58 ✓ - 91181.SN
7/2412019 ACE Oeposit MOLINA HEALTHCAR MOENAACi1 MOIG37242M00IO 2,26810 24268410 2,268,10
1/24/2D19 ACH Oeposit Uriltedllealdrore HCCIAIMPNIT 7PIM3411124384 21260.W V 2,268.W
7/24/2019 ACH Deposit HEALTH HUMAN SVCHCCLUMPM117460034113004E /10,731.31✓ - 10,)31.33
7/2512019 ClA Wire Lbnwsti<WIRE OUTCANTEX HEALHI CARE CENTERSIII 3701960.13 d
//2512019 ACH Deposit UHC COMMUNIT( PLHCCIAIMPAIT)46C0341191WO /CHR)rs8 2.480.98
7/2612029 Check 928 4,162.46 ✓ - -
)/26)2019 ACN Deposit AMERIGROUP CORPO E-PAYMENT EE53880834111000 14139.17 s/40139.17 4,119,17
1/2612019 ACH Deposit Unitedllezlmcare HCO AIMPAIT 746003411124384 1?a010,50 �/ - 12,010.%
7/26/2019 ACH Deposit UHC COMMUNITY PL HCCIAIMPMT'2.16W3411910M0 ).330.56d - 2,330.56
A26/2019 ACII Depo0tURCCommunity is] HCCtA1MPAIT 146W14119100W 2,905.00v - 2,905.00
7/26j2019 ACH Denpsil NOVHA55OLUTION HC"IMP&IT 676357420000149 50604A3✓ 5,60sm
7/26/2019 ACH De➢ositHHUP LA KCWMFWT 39086142000014325845 (15 _ _ )E3,1)5.92 13,115.92
3>5,321.59 V/ 8210.25 6407.27 6407,27 82302.98
2a3. MMCpCNNDN
i1a_921er�0u1 S@9FL glFup,/ComP3 glPp/Comp2 DIPp/Carup3 give/Wpse glpP )I NtiPOI1tI0N
7/22/2019 ACH DepositUplledlleaEhcare HCC1AIMPMT 246W341112.4384 919"CIRS / - 9,990.W
7/27/2019 ACH Deposit NOVITAS SOLUTIONNCCIAIMPIAT 626323410OW192 26265),53 t// 262,G52.53
7122/2019 ACH Deposit HUMANA INS CO EFPAYMENT 3908648300005249534 1:61805 y 11618A5
7/23/2010 ACH Oeposit UHCColmnunity Pi HCCLAINViAT 746014119100W 1,640.00 21648.00
1123/2015 ACH Deposit 14OVITAS SOLUTION HCMIMPMT 616313420000I0) 10,347.22✓/ - 10,342.2E
7/2412019 ACH Deposit MOLINA HEALTHCAR MOIINMCH W02635242000010 2,Z54.58 L//21154,38 20254,38
1/24/1019 ACH Deposit Umredi- althcale HCCURMPM1746A03411124384 J,010.00 L/// %630.W
1/2.1/2019 ACH Deposit JHC Community PI HCCLIIMPMT 746W3411910W0 99J.50Y 997.50
7/14/2019 ACT Unpin HEALTH HUMAN SVC RCCUIRAPISN 11.160034111012 1,341.19 y - 1*341.19
1/2512019 CM Wife Domestic WIRE OUTCANTEX HEARTH CARE CENTERS Fit 117600309
7/25/2019 Oefo k 4,312.17 ✓ 4,312-1)
7/25/2019 ACHDeposlt%tAPIAGEAND21ET1118MNMOMtl00MC00 5i'Nr326841 2,94).50 p/ 2,9.47.50
1/25/2019 ACH Deposit U2ICCOMMUNITYPLHCCtNMPMI 346003411910NN 91849.28 9,849.J0
7/25/2019 ACH Deposit NOVITASSOIIIHON HCQAIMPt.trb7631342COCKI 3,699,30� - 13,699.30
1126/2019 Check457 44141_SO
112611019 ACN De{wrts MANAGEANDNET1718MNSP2ANTOWO0.roWG3316841 11913.02 t// 14913.0E
7/26/1019 ACH Deposit AME111GROUPCORPOE-PAYMENT EE51R908331110W 01,114,14 J 41114,14 4,I3./,14
1/26/2019 ACIl0cposil UAltedllcalllrcare HCCtAIMI'Afi )46M341112438.1 I%mTer a/ liTaRt .W
1/26/2019 ACH Deposit WIC COMMUNITY PLH(AZbRMPMT 746003411910000 13.795136 /
7/26/2019 ACUDepICAI(ASSOLUTION HCLAIMPMi 4'26323420000W1 9 9,5551 /,// - 1 oRt91551,51
7/26/2010 ACNOeposlt HUNIANAINSCO HCWMI➢2AT 39086483e.A00581210 1422415 ✓ 11224,15
7/26/2019 ACHOeptiHUMANANS COHCCIAMPMT 390864 tl30W0586905 SSE 70 /331.70
2/26/2(19 ACH 0epostHUNAIIACHA0158 HCCLAAVIVIT390864420W01•f30 _..... /A5,51938 `" /_... - 151519.38
.•,v,,3. az x+4' � rta r. r.4Ht Lplctp 4mr/comps wrr/c4mpz glPl'/Cpmp3 gIPP/Lip50 rnrpn NUPonnON
)/12/1019 ACN Deposit YOVITASSOLUTtON HCCL41A1PMi 6I5643 M12WW191 80604 // - tlOfi.04
111111019 ACN Deposit HUMANA INS CO EE➢AYMENT 3900638300<05749536 1,209.04 N// - 1,20999
1/22/2019 ACH Opro RHUMANA CHA DISH HC<IAMVMT 39096342MW1913 2,DW 3.1 E/ 2,00)J4
IJ2.12019 ACH Deposit MOUHANEALTHCAtt NIOINAACN 0082625642001 4.76692 / 4,766,92 41766,92
2/24/2019 ACH Oeposit NOVITASSOUTION HCCUIMPA47675663.120000180 3J.IR185e/ 31, 182.N5
1/IS/2019 Chi Wire Domestic WIRE OUT C'ANIEX HFALTH CARE CENTERS111 54165866 ✓/ - -
111512019 ACH Deposit NOVITASSOLUTION HCMIMPMT 6756634200001.11) IDG-11.54 - 10,641.54
7/16/2019 Check N55 8,)5),88 - -
7/26/7019 ACHE Deposit AAIEHIGROUP CORPO E-PAYMEN I EES1880830114000 8.699.35 ✓ ,699.35 86699,35
7/26/2019 ACH Deposit URIC COMMUND-f PL HCCIAIMPAIT 746003411910000
I.\tIN 4'/eei)y 3ran:terMank OOYAoaa Y;orks0aeU\2019vulY4Nrl Rank Download 7•22-19,Hru
/-29.19.Jss
,
P.4r 1
AiMf PORTION
N
-
irl. 4LL
41fY/Compl
Qlrr/Comps 41rr/Compl 41PP(apso
41PP 11
Nil PUIIIUt
}
h[11UPPosItUNHER)lIGL3l1CA0[IICCIMM1iPiAT]•IGW3A13124304
1/0430W
/
- 11,610.(NI
111112019
AOi Diposlt 3111C CO1441AUNITY PL IICCLAMPMT I•I6W34119104W
1,496424✓/
1,49C14
712212019
ACH Deposit UIIC C0&RAUt1HY Pt HCCUrYAPA4 I)46W3411910000
2,039.641//
2,H59.44
/122/1019
ACH DoPostl HWAANA CIIA DIED HCCLARAPhi 13908621=001913
5,3E4.83✓
IH4E)
I/21/1019
RCN Deposit AMP Supplerrer..ta HCCtAI!/.PMT 24E003411124384
4,355.W
f
4,155A0
111112019
ACH DPPvfit NOnHM AtuilOtt IICCLAIMPIN 4>631041fALb109
316.)49.)0✓/
316,269. 10
2/13/2019
ACH Deposit HUMANA IHS CO EIPAYTeCNT 3902628300035U6165)
2.291.93✓
21291,83
7/21/2019
ACH OPP001 NUM•\NA CHA TOM ItCCt VJPM r 14086242CL50 1011
73,194.2.1
�/
- 23, 196,74
/12112019
ACH Deposit 110AAANADIA DORA 11CCINMPMT 390362420UA1911
609.56✓/
- 609.56
1/24/2019
ACH Deposil&10UNA HEAL313CAR hIWNMCH 0082633942000010
11313.01
✓/3,313.81
3ell1lll -
1114/2019
ACH DeposNUHCCUtAMUHifY Pt I1CCLAIMP171124600341193000V
156.I8
✓
- 1511.18
112412019
ACH Deposit 1110JANA INS CO EEPAYMENT 390301 H3W005368tlY3
M35.so
t�/
- 012)5.69
2/1412019
ACH Depw" HEALTI1 RMIAN SVC HCCLAIAIPIAT 1746WB41130]'/2
1,038.32✓
- •1,03H31.
/l15/1019
CM Wire UameHiC WIRE W i CArl3 EX Hints It CARE CENTEM5111
1H29429.24 s/
'
I/25/1019 ALN Deposl[N1.4)1AVEANDNEI1I13 tAN2PMNT WOCWOCCd22481 .t1 11095..00 �/ •1,095W
7125/2010 ACH Deposit AmeNproup TMSC 11CCIAth1PM13104095919 I1 IWO 1,411.W l,Ali.W
1125/2019 ACH Deposit UI IC CD).iMUNI1Y PL il(mnipm r 746034119100W 2,OSOM - I,OSOW
7/15/2019 ACII Deposit UHC CO!AMUNt1Y PL HCCIAIh1PM t 7,160341191000 6,980.59 �/ - 61980,59
]/IS/MI9 ACII UePPilt llllC Catnmun4y Pl L!LStAV.IpfAT]4(.W3411910000 >39.50✓ - 2311,50
7/25/2010 ACH Deposit NOVITAS SOLUVO'i HCCUsIIAMIT 676310 420000143 1,027.45 3,027A5
1125n(119 ACH Oeposit)IEAL 11 sOpAAN SVC HCCLAIUMI 1174' WMl B(s)/1 301.21 � 301.71
712612019 Cheek P55 6.08657 s,/
712612019 ACH Deputt AmetiGlnupt%SC 21CCLAINIPhl t 3104971S371 110J0 10,965.81 ✓/ - 1t1,965.81
//2612019 ACH Deposit MAE RIGROUP CORPO EPA•11ALNT EESI88083211 IW0 4,04/.56 ✓ 6*042.56 6,(N2,56
1126/2019 A0I Deposi111nOcAHealiirarc HCCIARAPMI /46W 3.411 E14384 I4,01.0 14,033 63
1116/)U19 A01 Deposil UNCCONItitUNiTY PL 1ICCL)%0APMT 146W341191CW0 5,466.21 5446631
7/2611019 ACH Deposil IRWITAS SOLUTION i1CCUItAPMT 06310420000149 53,112.454/ - 53,112.45
1/26/2019 ACH Deposit llVAANA HIS CO HCC1AltAMIT 3908628300OS86905 9 ve�j 7,813.29
TOTALS 880,8]4.)0 1,248,934.18 68; 182.92 6H.483.92 ],3D0,951.24
7/2912019
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MEMORIAL MEDICAL CENTER -
OPERATING
MEMORIAL MEDICAL CENTER /
NH ASHFORD '4381 *
MEMORIAL MEDICAL CENTER /
NH BROADMOOR mtm*
MEMORIAL MEDICAL CENTER /
NH CRESCENT 64411 *
MEMORIAL MEDICAL CENTER
SOLERA AT WEST HOUSTON
•4438 *
MEMORIAL MEDICAL CENTER /
NH FORT BEND •444e*
MEMORIAL MEDICAL / NH
GOLDEN CREEK HEALTHCARE
MMC •NH GULF POINTE PLAZA
- PRIVATE PAY fW
MMC -NH GULF POINTE PLAZA
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$285,213.01 S214,135.71
$723,%10.13 588.810.25
$403,2G7.05 5394,221.90
$544,821.21 $504,780.93
$77,AA4.7A $67,4A5.39
Memorial Medical Center
Nursing Ilonte UPL
Weekly Nexlon Transfer
Prosperity Accounts
7/29/2019
Premou$ Amount a en
Account neglnning Pending Translenval to
Nunin {lame Number Balance Transfer -Out Transfer'" OCR sits Toda's Beginning Balance Nursin dome
80,4IC5.01 80,365.01 520
207_23 V, 52,30133 570207.23
Bank Balance 57,307.23
Ltay Jn I» o/mnJion (nr Golden Geek:
Nexlon Ilealth at Go(den C/eek
Wells Fargo Bonk. N.A.
AOA I
Acrop
Norr: Only bnlan<es o/over $S,GIX) will br rransJr/rrd 1» the nursing home.
Note 2: Each account In$ a base balance a(SIW that MMC deposircd tP oprn orcounr.
Vmi d
-
Leave lnBalance IGO0
MMC Portion QIPP k
M11MC Pnrt1on01PP213,lapse July Interest
Autpotlnterest
September Interest
Adjust B11 Fee /Trat ufcr Amt _ 512 .23 j✓(
Approved:
Diane C. Moore, CFO 7/29/2019
JIiL 2 9 2013
COUNTiCATTllITOR
c/,T.xourt tour», rl'FXAS
1:iNN Lycekly i,amf<n\NB UPt imnii<r 5un�mary\3019\Iv1Y\rI11 UPl Tramfer Summary 01391') Copy..n.
MM1iC PORTION
90��2n Gbe�'c „'-=z V -,., 3 Ta }I O I %S.nsl Jn QIPP/eompl QIPP/Comp2 QIPP/Comp3 QIPP/lapse QIPPII POPNit
2i25/2019 CM1 Oo�ne>0c V OUT NEXIONIIEAM I At COlpEN N[CX 0,365,011/
712SI2019 pop"I ll•wAl ti11,221.42
1/15/2019 ACH OeposU ACH SEMMUNi SERVICE 410SU34399W1693613 J2. 942.52
7/76/2019 ACH Otpwl1 NOVNAS SOlU3ION HCWdMPNIT 67W92 42000J149 -- ____ _ <5.032.2J L _ __ __45,032.24
712912019
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NH CRESCENINIM
MEMORIAL MEDICAL CENTER /
SOLERA AT WEST HOUSTON
omm
MEMORIAL MEDICAL CENTER /
NH FORT BEND
MEMORIAL MEDICAL / NH
GOLDEN CREEK HEALTHCARE
�4454 *
MMC -NH GULF POINTE PLAZA
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Weekly HMG Transfer
Prosperity ACCounit
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Previoos
uni Number
,Gull t¢yL2afi++:6P3Y .: r
renalna
a le,Un«
leive in ll-kbree I No Do
MMC Portion OPPI
MMC PCrtionOPP 2AUvre
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Amount eo ee
lmnrmrreaa
Adlml e,l,n:e/tarnkr nml �.�.� o.v ✓
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O1V JUL 2 9 2019
COUNTYAUDYTOR
CAT.'HOUN COUNTY, TMUS
RIMCPORTION
Nil
Sru�F4tT4i `PaW Pri$e14 ''; _'.j Is�for_OVS isJ OIPPI[omP3 QIPP/[amP2 QIPP/ComV3 OIPY/lapse QIPP iI PORTION
Na 0ink AttIvltY lost Iin pe0od___----.------
MMC PORTION
•^1� i', n" X. .._ ...: .. Transfer OS Transfor—ln QIPP/ComP1 QIPPI<(mP3 QIPPICamP3 QIPPItnOfu QIPPTI PORTION
w5120191)elwRt .r a,400.00 9::0400
4,400.00 4A00.00
712W2019
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MEMORIAL MEDICAL CENTER -
OPERATINGOW
MEMORIAL MEDICAL CENTER /
NH ASHFORDfnft
MEMORIAL MEDICAL CENTER /
NH BROADMOOR
MEMORIAL MEDICAL CENTER /
NH CRESCENVOOft
MEMORIAL MEDICAL CENTER /
SOLERA AT WEST HOUSTON
Nft
MEMORIAL MEDICAL CENTER /
NH FORT BEND
MEMORIAL MEDICAL / NH
GOLDEN CREEK HEALTHCARE
MMC -NH GULF POINTE PLAZA
- PRIVATE PAY •saga*
MMC -NH GULF POINTE PLAZA
-MEDICARE/MEDICAID ;an.r1*
tal Banking
Available Previous Day
$100.13 $100,13
• S7,G77.84 S7,G17.84
Reorder Favorites
hupsa/Pbsitzsecure.lundsxpress.wndlxv+oblapPR;llrame 1d
- MEMORIAL MEDICAL CENTER
CHECK REQUESL
P Memorial Medical Center Operating 7/29119
Date Requested:
A -- — v-
ggsv - AFOR ACC.T. USC
APPROVED ONLY
Y ON uimprest Cash
----= JUL 2 9 201 ❑AIR check
❑Mail Checkto Vendor
F COUNry AUDITOR -CALHOUN COUN€YP TEXAS C7 Return Check to Dept
-..--
A NIOUNF 532,879.49
G/L NUM6ER: 21000012
tFXNi.ANATION; Ashtortl- To transfer (ands For Cornp 1• QIPP payment.
REO.Uf STEU t3Y: Sarah L Henderson
At1TNORIZEU 6Y:
MEMORIAL MEDICAL CENTER
CHECK REQUEST
P Memorial Medical Center Operating
Date Requested:
m_
Y
--
E
AMOUNT $6,407.27
JUL � g 2Qi!3
- COUNTYAUYiiTOpg
7/29f19
FOR ACCT. USE ONLY
L 1lmprestCash
�A/P Check
Mail Check toVendor
Return Check to Dept
CAL6i0UN COUNTY, TF.XRt9
G/L NUMBER: 21000009
EXPLAPtA"IIOPI; Broadmoor- To Irans(er funds For Comp 1- QIPP payment.
REQIJES rE0 BY: Sarah 1. Henderson
AUTHORIZED BY'
MEN/10RIAL MEDICAL CENTER
CHECI< REQUEST
P Memorial Medical Center Operating
Uate Requested:
'--- _ APPROVBD Y
ON
c — — ------ — JUL 2 9 2019
F. COUNTY AUDITOR.
J. t AZJJOUN COUNTY, TWW
AMOUNT $%361.37 G/l. NUMBER: 21000011
tiXPLANATION; Soles- To transfer funds for Comp 1- gIPP payment.
lil:glJES(ED BY: Sarah L Henderson
AU'iFIORIZED CiY:
7/20/1g
FOR NCCT. USE ONLY
�Imprest Cash
�A/P Check
Mail Check to Vendor
Return Check to Dept
MEMORIAL MEDICAL CENTER
CHECK REQUEST
P Memorial Medical Center Operating 7/29/19
Uate Requested:
A
Y
G
flMOUNT $6,368.52
APPROV
ON
JUL 7 9 20
COUNTY AUDMR
6iALHGUN COUNCI, Tk" R.a
FOR ACCT. USE ONLY
�Imprest Cash
�AJP Check
Mail Check to Vendor
Return Check to Dept
G(l. NUMBER: 21000010
E{,PIAIdATION: Crescent- To transfer funds for Comp 1- OIPP payment.
R[C2UL'S"fED BY; Sarah L. Henderson Alli'HORIIED Bl':
MEMORIAL. MEDICAL CENTER
CHECK REQUEST
P Memorial Medical Center Operating 7/29119
Date Requested:
A
Y APPROVED
2019
E Cpi7IV I"I AUTI�`C01.L
FOR ACCT. USE ONLY
�Imprest Cash
�A/P Check
Mail Check to Vendor
�Iteturn Check to Dept
CALHO
A tv omn $13.466.27 G/L NUMBER: 21000008
EXPLADIA'I""ION; Fort Bend- To transfer funds for Comp 1- OIPP payment.
R[QUES"ff-0 C3Y: Sarah L Henderson
AUTFIORIlED f3Y:
July 31, 2019 2019 APPROVAL LIST - 2019 BUDGET
COMMISSIONIERS COURT MEETING OF
07/31/19
BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE
2
$119405,26
FICA
P/R
$
52,710.84
MEDICARE
P/R
$
12,32738
FWH
P/R
$
37,781.27
NATIONWIDE RETIREMENT SOLUTIONS
P/R
$
39453,48
OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT
P/R
$
2,406.54
CITY OF SEADRIFT
A/P
$
72,25
FRONTIER COMMUNICATIONS
A/P
$
316,73
VICTORIA ELECTRIC CO-OP
A/P
$
2,32737
WASTE MANAGEMENT
A/P
$
1907820 f
TOTAL VENDOR
DISBURSEMENTS:
123987932 J
$
CALIFOIJN COUNTY INDIGENT aIEAF TF3 CARE Am $ 24,29L63
TOTAL TRANSFERS BETWEEN FUNDS: $ 24,291,63
TOTAL AMOUNT FOR APPROVAL: $ 1489170.95
H ro ro ro roo b n
ro� ro ro ro ron ro n nna a a a a a <
�n n � n �'n n �n �n op o0 00 0�� H H H H H o
- 1111111 3 & V AIl 00 0o co' oa oa 3 w aA a r000000 �
V U U U U Uwi tUi� U VWi U ao W A U tUii U N b b� b
�Y
3
N A O O A J pPp pOOp
o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
"
w
w
A
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ----July 31.2019
INDIGENT HEALTHCARE FUND:
INDIGENT EXPENSES
Michelle M. Cummins MD
ESS of Port Lavaca LLC
HEB Pharmacy (Medimpact) Pharmacy Reimbursement
M MCenter (In -patient $ 0.00/ Out -patient $11,051.39 / ER $3,736.64)
Memorial Medical Clinic
MMC Professional Fees
Regional Employee Assistance
Singleton Associates, PA
Victoria Anesthesiology Assoc
SUBTOTAL
Memorial Medical Center (intligent Healthcare Payroll an Expenses]
Co -pays adjustments for June 2019
Reimbursementfrom Medicaid
by: CT
248.14
98,98
344,94
14,788,03
3,634,86
388,51
56,18
70,03
691,17
Sub
20,320.84
4,166.67
total 24,487.51
(190400)
0.00
Sub
20,320.84
4,166.67
total 24,487.51
(190400)
0.00
007312019 OACALHOUN COUNTY, TEXAS
DATE:
CC Indigent Health Care
7/31/2019
VENDOR � 852
ACCOUNT
NUMBER
DESCRIPTION OF GOODS OR SERVICES
QUANTITY
UNIT
PRICE
TOTAL
PRICE
1000-800-98722-999
Transfer to pay bills for Indigent
Health Care
$24,297.51
approved by Commissioners Court on
07/31/2019
1000-001-46010
June 30, 2019.interest
($5.88)
O
$24,291.63
COUNTY AUDITOR
APPROVAL 059Y
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 CO ON AND REQUEST THE COUNTY TREASURER TO PAY
THE ABO O GATION.
t
BY: !/ 7/31/19
W N j�
LO
m U U
g ZZ
.._,
�'• �
aiDEPAYTMFNT
HEAD
DATE
0HS
Issued 07/02/19
Source Description
Source Totals Report
Calhoun Indigent Health Care
Batch Dates 07/01/2019 through 07/01/2019
For Source Group Indigent Health Care
For Vendor: All Vendors
Amount Bitted
Amount Paid
01
Physician Services
53179,90
861.84
01-2
Physician Services -Anesthesia
2,418.00
691,17
02
Prescription Drugs
344.94
344,94
08
Rural Health Clinics
31804,11
37634,86
14
Mmc - Hospital Outpatient 34,372.03
113051,39
15
Mmc - Er Bills
11,677.00
3,736.64
Expenditures 57,910,34
20,435,20
Reimb/Adjustments-114,36
-114.36
Grand Total 573795.98
20,320.84
EXPENSES
4,166.67
24,487.61
COPAYS
<190.00>
TOTAL 24,297.51
daPPROirEii
ON
jUL 16 2019
BY
CA6HOUN COUNTY AUDITOR
vIHs
Issued 07/02/19
Source Description
Source Totals Report
Calhoun Indigent Health Care
Batch Dates 02/01/2019 through 07/01/2019
For Source Group Indigent Health Care
For Vendor: All Vendors
Amount Billed
Amount Paid
01
Physician Services
52,333.35
51870,06
01-2
Physician Services -Anesthesia
6,162,00
1,743.02
02
Prescription Drugs
11587,10
11587,10
08
Rural Health Clinics
121484,14
11,269.88
13
Mmc - Inpatient Hospital 83618.00
42998,44
14
Mmc - Hospital Outpatient 181,235.25
58,257.01
15
Mmc - Er Bills
593792,00
19,133.44
Expenditures 322,558.65
103,287,28
Reimb/Adjustments-346.81
-428,33
Grand Total 322,211.84
102,858.95
EXPENSES
25,000.02
127,858.97
COPAYS
<11310.00>
TOTAL
126,548.97
Bill To:
Calhoun County
S I S N. V irginia St. fort Lavaca, Texas 77979 (36 ]} 552-6713
Date: 7/3/2019
Invoice # 333
For: Jun-19
pESCftIPT14,N.=41i+f0UMt', �';
Funds to cover indigent program operating expenses. $ 4,166.67
$ 4,166.67
APPROVED
ON
Diane Moore
CFO JUL 16 2019
131'
CRLFEOUN COUNTY Rt1f3lTOP,
MEIVIOKIAL MEDICAL CENTER
CHECK REQUEST
P Calhoun County Indigent Account - 7/3/2019
Date Requested:
A
Y t
APPROVED
ON
JUL 0 8 2019
E COUNTY AUDITOR
CO '
F
OR ACCT. USE ONLY
Imprest Cash
❑A/P Check
Mail Check to Vendor
Return Check to Dept
CALL-OUIV
Y,TEir.AS
UN P
AMOUNT $190.00 G/LNUMBER: 50240000
EXPLANATION: To transfer indigent co -pays from the operating account to the indigent bank account.
June, 2019
REQUESTED BY: Sarah L. Henderson AUTIiORIZED BY: �/���— C W
RUN DATE: 07/03/19
M ORLU MEDICAL CENTER
PAGE 107
TIME: 15:07
RECEIPTS FROM 06/01/19 TO 06/30/19 RCNREP
GIL
RECEIPT PAY
CASH
RECEIPT
DISC
COLL
GL MR
NUMBER DATE
1MIM8BR
TYPE PAYER
AMOUNT
AMOUNT NUMBER NAME
DATE INIT CODE
ACCOUNT
50200,000 06/10/19
523395
IN
INTERNATIONAL DENSF
228.31-
228.31-
00/00/00
BIT
2
50200aOOD 06/10/19
523397
IN
INTERNATIONAL BENEF
.00
,00
00/00/00
BIT
2
50200.000 06/10/19
523413
IN
CIGNA HEALTHCARE
78.54-
78.54-
00/00/00
BIT
2
50200,000 06/11/19
523446
IN
CIGNA HEALTHCARE
49.43-
49.43-
00/00/00
BIT
2
50200aODO 06/11/19
523450
IN
CIGNA HEALTHCARE
148s3O-
148.30-
OD/00/00
BIT
2
50200t000 06/11/19
523476
IN
INR
30.16-
30.16-
00/00/00
BIT
2
50200,000 06/12/19
523511
IN
CIGNA HEALTHCARE
113.42-
113.42-
00/00/00
BIT
2
50200,000 06112/19
523587
IN
CIGNA HEALTHCARE
74.47-
74.47-
00/00/00
BIT
2
502009000 06/14/19
523728
IN
CHUBB CARDIVAL CHOI
52.20-
52.20-
00/00/00
BIT
2
502009000 06/14/19
523760
IN
CIGNA REALTHCARE
106.57-
106,57-
00/00/00
HIT
2
50200,000 06/14/19
523788
IN
CIGNA HEALTHCARE
243.96-
243.96-
00/00/00
PIT
2
50200,000 06/14/19
523799
IN
CIGNA
66,34-
66.34-
00/00/00
BIT
2
50200sOOD 06/18/19
523981
IN
CIGNA
2583,00-
2583.00"
00/OD/00
BIT
2
502OOo000 06/19/19
524100
IN
CIGNA HEALTHCARE
151.37-
151.37-
00/00/00
BIT
2
502006000 06/19/19
524123
IN
UNITED HEALTHCARE
l30v83-
130.83-
00/00/00
HIT
2
50200,000 06/20/19
524164
IN
CIGNA HEALTHCARE
27.60-
27.60-
00/00/00
BIT
2
50200,000 06/20/19
524167
IN
CIGNA HEALTHCARE
49.43-
49.43-
00/00/00
RIT
2
50200,000 06/20/19
524171
IN
AETNA THE CARE
.00
.00
00/00/00
BIT
2
5020Ge000 06/20/19
524189
IN
HARSH AFFINITY GROU
.00
.00
00/00/00
BIT
2
50200,000 06/20/19
524191
IN
MARSH AFFINITY SHOD
.00
.00
00/00/00
HIT
2
50200.00D 06/20/19
524193
IN
CIGNA HEALTHCARE
517.88-
517.88-
00/00/00
BIT
2
50200.000 06/24/19
524352
IN
CIGNA HEALTHCARE
18.62-
18.62-
00/00/00
BIT
2
50200,000 06/26/19
524627
IN
DIRECT CARE ADMINIS
15.90-
75.90-
00/00/00
BIT
2
50200tODO 06/26/19
524634
IN
AETNA THE CARE
51.00-
51.00-
00/00/00
BIT
2
50200.000 06/26/19
524636
IN
AETNA TRS CARE
93.50-
93.50-
00/00/00
HIT
2
50200.000 06/26/19
524638
IN
AETNA TRS CAPE
107.16-
107.16-
00/00/00
HIT
2
50200,000 06/26/19
524642
IN
AETNA THE CARE
89.68-
85.68-
00/00/00
PIT
2
50200o000 06/26/19
524644
IN
AETNA THE CARE
206.98-
206.98-
00/00/00
BIT
2
5020DoODO 06/26/19
524647
IN
AETNA U H RBALTHCAR
74.10-
74.10-
00/00/00
PIT
2
50200,000 06/26/19
524649
IN
AETNA THS CABE
117.81-
117.81-
00/00/00
BIT
2
50200.000 06/26/19
524651
IN
AETNA THE CARE
52.70-
52.10-
00/00/00
PIT
2
502ODo000 06/26/19
524678
IN
PAN AMERICAN LIFE I
14OeIO-
140.10-
00/00/00
BIT
2
502OOoODO 06/26/19
524682
IN
TML -GBRP CLAIMS
4.37-
4.37-
00/00/00
BIT
2
50200.000 06/26/19
524698
IN
BOON CHAPMAN
51.00-
51.00-
00/00/00
BIT
2
50200.000 06/26/19
524709
IN
DOMANA
187.45-
187.45-
00/00/00
BIT
2
50200,000 06/28/19
524890
IN
CIGNA HEALTHCARE
64,20-
64.20-
00/00/00
BIT
2
**TOTAL** 50200,OOD
COMMERCIAL INS. 4W
-318387.79
50240.000 06/12/19
523468
CA
10.00
10.00
00/00/00
CAS
2
50240.000 06/26/19
524489
CA
10,00
10,00
00/00100
CAS
2
50240.000 06/19/19
524010
CA
10.00
10.00
00/00/00
HEG
2
50240oOOD 06/04/19
522777
CA
10.00
10.00
00/00/00
PLB
2
50240.000 06/04/19
522842
CA
10.00
50.00
00/00/00
PLB
2
50240.000 06/05/19
522924
CA
10.00
10,00
00/00/00
In
2
50240,OOD 06/06/19
523011
CA
10.00
10.00
00/00/00
PLB
2
50240.000 06/07/19
523154
CA
50.00
10.00
00/00/00
PLB
2
50240.000 06/07/19
523190
CA
10.00
10.00
00/00/00
PLB
2
50240.000 06/07/19
523223
CA
10.00
10,00
00/00100
In
2
50240.000 06/11/19
523292
CA
50.00
10.00
00/00/00
PIN
2
50240a000 06/11/19
523299
CA
10,00
10.00
00/00/00
PLB
2
50240.000 06/12/19
523469
CA
10.00
10.00
00/00/00
PLB
2
50240t000 06/13/19
523548
CA
10.00
10.00
00/00/00
FIB
2
50240.000 06/14/19
523687
CA
10.00
I0aOD
00/00/00
PLB
2
RUN DATE: 07/03/19
MEMORIAL
MEDICAL CENTER
PAGE 108
TIME: 15:07
RECEIPTS
FROM 06/01/19 TO 06/30/19 RMP
G/L
RECEIPT PAY
CASH
RECEIPT
DISC
COLL
GL CASH
NUMBER DATE
NUMBER TYPE PAYER
AMOUNT
AMOUNT NUMBER WE
DATE INIT
CODE
ACOWNT
50240,000 06/17/19
523824 CA
10,00
10600
WORM
PLB
2
5024000OO 06/20/19
524080 CA
10.00
10.00
00/00/00
PLB
2
50240,000 06/20/19
524152 CA
10,00
10.00
00/00/00
PLO
2
50240,000 06/26/19
524625 CA
10.00
10600
00/00/00
PLB
2
"TOTAL'S 5024D,000 COUNTY INDIGENT
COPAYS
190900
50510,000 06/06/19
523061 CA
CAPE
433,19
433.19
00/00/00
CAS
2
50510.000 06/06/19
523062 VI
CAPE
394,77
394977
00/00/00
CAS
2
50510,000 06/06/19
523063 MC
CAPE
147,32
147,32
00/00/00
CAS
2
50510,000 06/06/19
523064 AE
CAFE
5.40
5840
00/OD/00
CAS
2
50510,000 06/06/19
523065 US
CAFE
9,04
9404
00/00/00
CAS
2
50510,000 06/18/19
523925 CA
CAFE
276,16
276,16
00/00/00
CAS
2
505104000 06/18/19
523926 VI
CAFE
185,82
185.82
00/00/00
CAS
2
50510.00D 06/18/19
523927 MC
CAFE
59,96
5936
00/00/00
CAS
2
50510,000 06/20/19
524093 CA
CAFE
349,50
349,50
00/00/00
CAS
2
50510,000 06/20/19
524094 US
CAFE
23985
23,85
00/00/00
CAS
2
50510.000 06/20/19
524095 MC
CAPE
90672
90,72
00/00/00
CAB
2
505109000 06/20/19
524096 VI
CAPE
217,81
217,81
00/00/00
CAB
2
$0510*000 06/03/19
522686 VL
CAPE
699087
699,97
00/00/00
PLB
2
50510,000 06/03/19
522687 MC
CAFE
203,18
203,38
00/00/00
PLB
2
5D530.000 06/03/19
522688 US
CAFE
22666
22,66
00/00/00
PLB
2
50510,000 06/03/19
522689 CA
CAFE
447.93
447,93
00/00/00
PIG
2
50510,000 06/03/19
522706 VI
CAFE
76987
76,87
00/00/00
PLB
2
50510.000 06/03/19
522707 MC
CM
8009
8409
00/00/00
PLB
2
50510,OOD 06/03/19
522708 CA
CAFE
82.13
82,13
00/00/00
PLO
2
50510.000 06/03/19
522710 VI
CAFE
87,89
87.89
00/00/00
PLO
2
50510,000 06/03/19
522711 MC
CAFE
25,63
25,63
00/00/00
PLO
2
50510,000 06/03/19
522712 AE
CAFE
36,69
36,69
00/00/00
PLO
2
5051O,000 06/03/19
522313 US
CAFE
10,24
10.24
00/00/00
PLO
2
50510,000 06/03/19
522714 CA
CAFE
223259
223,59
00/00/00
PLO
2
50510,000 06/04/19
522772 VI
CAFE
336,45
336,45
OD/00/00
PLO
2
505IOo000 06/04/19
522773 MC
CAFE
81,46
81,46
00/00/00
PLB
2
50510,ODO 06/04/19
522774 US
CAPE
10480
10.80
00/00/00
PLB
2
50510,OOD 06/04/19
522775 CA
CAPE
32131
32131
00/00/00
PLB
2
50510,000 06/05/19
522926 VI
CAPE
189,84
189084
00100/00
PLB
2
50510,000 06/05/19
522927 MC
CAFE
117.29
117,29
00/00/00
PLB
2
505IDoOOD 06/05/19
522928 AS
CAFE
9404
9,04
00/00/00
PLB
2
50510,000 06/05/19
522929 US
CAPE
6091
6.91
00/00/00
PLB
2
50510,000 06/05/19
522930 CA
CAFE
372,37
372,37
00/00/00
PLB
2
505109000 06/07/19
523174 VI
CAFE
302678
302.78
00/00100
PLB
2
50510.00D 06/03/19
523175 MC
CAFE
166651
166051
00/00/00
PLB
2
5D51O,000 06/07/19
523176 US
CAFE
13,15
13,15
00100/00
PLB
2
50510,000 06/07/19
523177 CA
CAFE
256,21
256.21
00/00/00
PLB
2
505106000 06/10/19
523278 VI
CAFE
455,61
455.61
00/00/00
PLB
2
50510,000 06/10/19
523279 MC
CAFE
178,84
178.84
00/00/00
PLB
2
505104000 06/10/19
523280 US
CAFE
43,64
43.61
00/00/00
PLB
2
50510,000 06/10/19
$23281 CA
CAFE
633918
633,18
00/00/00
PLB
2
50510,000 06/10/19
523296 VI
CAFE
56031
5631
00/00/00
PLB
2
5D510,000 06/10/19
523297 MC
CAPE
45.36
4536
00/00/00
PLB
2
505106000 06/10/19
523298 CA
CAFE
130,01
130001
00/00/00
PLB
2
50510,000 06/10/19
523302 VI
CAFE
123,58
123,58
00/00/00
PLB
2
50510,000 06/10/19
523303 MC
CAFE
61,59
61459
00/00/00
PLB
2
50510,000 06/10/19
523304 AS
CAPE
27,51
27,51
00/00/00
PLB
2
January
February
March
April
May
June
July
August
September
October
November
December
Calhoun County Indigent Care Patient Caseload 2019
Approved
Denied
Removed
Active
Pending
0
1
6
15
4
2
0
0
17
2
2
1
1
18
6
2
0
0
20
4
1
2
0
21
2
0
0
1
20
4
YTD
Monthly Avg 1 1 1 19 4
December 2018 Active 21
Number
of Charity
patients
245
Number
of Charity
patients below 100% FPL
138
Calhoun County Pharmacy Assistance Patient Caseload 2018
January
February
March
April
May
June
July
August
September
October
November
December
d
fills
Removed
Active
Value
YTD PATIENT SAVINGS
Monthly Avg 5 12 0 100 $32,158493
0
December 2018 Active 87
THE COUNTY OF CALHOUN TEXAS
CAL CO INDIGENT HEALTHCARE
202 S ANN ST STE A
PORT LAVACA TX 77979
12800
Statement Date 6/30/2019
Account No
Page 1 of 2
5606 North Navarro, Suite #100
Victoria, Texas