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2019-11-06-CC MINUTES.pdfCommissioners' Court— NOVEMBER 06, 2019 BE IT REMEMBERED THAT ON NOVEMBER 0612019, 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 County Judge David Hall Commissioner, Precinct #1 Vern Lyssy Commissioner, Precinct #2 - ABSENT Clyde Syma Commissioner, Precinct #3 Gary Reese Commissioner, Precinct #4 Anna Goodman County Clerk Catherine Sullivan Deputy County Clerk 3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3) Invocation —Commissioner David Hall Reese/Clyde Pledge to US Flag &Texas Flag —Commissioner Gary de Syma Page 1 of 5 Commissioners' Court - NOVEMBER 06, 2019 4. General Discussion of Public matters and Public Participation. Karen Lyssy; Emilee DeForest; Greg Baker; R.J. Shelly of Extension office spoke on the activities of their office. 5. Hear the September 2019 report from Memorial Medical Center. Jason Anglin and Diane Moore gave the report. 6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.06) include anent a HVAC system evaluation ofor the Memorial Medr expanded ical g services to al Center facility and authorize the County Judge to sign. (RM) ave Scott Mason and Jonathan Parker of G&W Engineers, Inc. g presentation. RESULT: : APROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Syma, Reese 7. 07) CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. C CO a proposal from G&W Engineers, Inc. for Chocolate Bayou Bulkhead and on r Army Corps of Engineers Permits in the amount Boat Ramp Improvements fo of $3,600.00 and authorize Commissioner Hall to sign. (DH) � APROVED [UNANIMOUS] Gary Reese, Commissioner Pct 4 DER: Clyde Syma, Commissioner Pct 3 Judge Meyer, Commissioner Hall, Syma, Reese Page 2 of 5 Commissioners' court- NOVEMBER 0672019 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 08) (GR) On a proposal from G&W Engineers, Inc. for Chocolate Bayou Bulkhead and Boat Ramp Improvements Engineering for TPWD Grant in the amount of $20,000 and authorize Commissioner Hall to sign. (DH) RESULT: APROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Syma, Reese 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.9) To accept a CEPRA grant from the Texas General Land Office in the amount of $105,000 for the engineering of the Magnolia Beach Erosion Project and l to sign all pertinent documents fauthorize Commissioner unds in the amount1of $70,000 to be paid from GOMESA funds.d(DH) matching RESULT: 1 APROVED [UNANIMOUS] MOVER: David Halt, Commissioner Pct i SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Syma, Reese 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) On Port Alto Shoreline Restoration Construction Services FNI Project No. CCY17350 and authorize Commissioner Syma to sign the Professional Service Agreement with Feese and Nichols. (CS) 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) To transfer $29,635 from GOMESA funds to the Port Alto Shoreline Restoration Construction FNI Project No. CCY17350 for services provided by Freese and Nichols post Hurricane Harvey. (CS) Page 3 of 5 Commissioners' Court — NOVEMBER 06, 2019 12. CONSIDER AND TAKE NECESSARY ACTION (ITEM NO. 12) To appoint Commissioner Gary Reese to the Foreign Trade Zone Board with the Port of Port Lavaca and Point Comfort to replace Kenneth Finster. (RM) r; APROVED [UNANIMOUS] t; Richard Meyer, County Judge IDER: David Hall, Commissioner Pct 1 Judge Meyer, Commissioner Hall, Syma INEDA Gary Reese, Commissioner Pct 4 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) To declare items located in the County Clerk's Office as Waste and authorize The County Clerk to dispose of same. (RM) (See List) lSULT: APROVED [UNANIMOUS] ROVER: David Halt, Commissioner Pct 1 iECONDER; Gary Reese, Commissioner Pct 4 YES: Judge Meyer, Commissioner Hall, Syma, Reese 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) To declare items located in the County Court -at -see l'sffice as Waste and authorize the Judge to dispose of same. (RM) ( ) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner;Pct 4 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Syma, Reese 15. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 15) To declare vehicles from the Sheriff's Office fleet as Surplus/Salvage and authorize them to be sold at auction. Proceeds to be deposited in the Sheriff's Office Account. (RM) (see list) T; APPROVED [UNANIMOUS] z; Clyde Syma, Commissioner Pct 3 ERR Gary Reese, Commissioner Pct 4 Judge Meyer, Commissioner Hall, Syma, Reese Page 4 of 5 Commissioners' COUIi—NOVEMBER06, 2019 16. Accept reports from the following County Offices: 1. County Tax Assessor -Collector — September 2019 17, CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 17) On any necessary budget adjustments. (RM) APPRO' Gary Re, IERE David H+ Judge M 1g. Approval of bills and payroll. (RM) r NIMOUS] issioner Pct 4 ssioner Pct 1 missioner Hall, Syma, Reese SULT: APPROVED [UNANIMOUS] IVERE David Hall, Commissioner Pct 1 CONDER: Gary Reese, Commissioner Pct 4 ES: Judge Meyer, Commissioner Hall, Syma, Reese unty ESULT: APPROVED [UNANIMOUS] AVER: David Hall, Commissioner Pct 1 i:ONDER: Gary Reese, Commissioner Pct 4 rES: Judge Meyer, Commissioner Hall, Syma, Reese ADJOURNED: 10:43 A.M. Page 5 of 5 Commissioners' Court — NOVEMBER K 201.9 REGULAR 2019 TERM NOVEMt3tKUo, tvi7 BE IT REMEMBERED THAT ON NOVEMBER 06, 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 County Judge David Hall Commissioner, Precinct #1 Vern Lyssy Commissioner, Precinct #2 - ABSENT Clyde Syma Commissioner, Precinct #3 Gary Reese Commissioner, Precinct #4 Anna Goodman County Clerk Catherine Sullivan 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/Clyde Syma Page 1 of 16 Commissioners' Court —NOVEMBER06, 201-9 4. General Discussion of Public matters and Public Participation. Karen Lyssy; Emilee DeForest; Greg Baker; R.7. Shelly of Extension office spoke on the activities of their office. Page 2 of 16 Calhoun County Commissioners Court Public Participation Form DIE, IsPublic 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. Instructions: Fill out all appropriate blanks. Please print or write legibly. NAME: ADDRES / TELEPHONE: I PLACE OF EMPLOYMENT: EMPLOYMENT TELEPHONE: Do you represent any particular group or organization? NO (Circle one) !C� If you do represent a group or organization, please provide the name, address and telephone number of the group or organization: r 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 o m knowled a and abilit . i5ut k Signature: 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. Instructi(on�s: Fill otut all app°ro�priate(bl�anks. Please print or write legibly. NAME: i \l& ADDRESS: PLACE OF EMPLOYMENT: AcYl L 9 Y f YIS ( �t EMPLOYMENT TELEPHONE: S �I — ; q I 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 tel number of the p 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 l make will be the truth, and nothing but the truth, to the best of my knowledge and ability. Signature: Calhoun County Commissioners Court Public Participation Form Court. Instru _coons: Fill out all appropriate blanks. Please print or write legibly. NAME: ADDRE: TELEPHONE: PLACE OF EMPLOYMENT: EMPLOYMENT TELEPHONE: Do you represent any particular group or organization? YES NO (Circle one) rganization, please provide the name, address and tel If you do represent a group or oephone 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)? 1 have read the Rules o Procedure Conduct and Decorum. Initials �_ best of my knowledae and ability. Signature: Calhoun County Commissioners Court Public Participation Form Court. Instructions: Fill out all appropriate blanks, Please print or write legibly. NAME: �C ADDRESS: TELEPHONE: PLACE OF EMPLOYMENT:® EMPLOYMENT TELEPHONE: Do you represent any particular group or organization? please provide the name, address and tel If you do represent a group or organization, umber of the group or organization: n Which agenda item (or items) do you wish to address? YE NO (Circle one) In general, are you for or against the agenda item (or items)? 1 have read the Rules o Procedure Conduct and Decorum. Initials �— best of my knowledae and ability. Signature: Commissioners' Court—NOVEMBERK 2019 5. Hear the September 2019 report from Memorial Medical Center. Jason Anglin and Diane Moore gave the report. Page 3 of 16 Memorial Medical Center - Port Lavaca, Texas CEO Report October 23, 2019 Financia_ RResults° In September, we had a Net Income of $153,393 decreasing YTD loss to ($26,518). From an EBITDA (Earnings before Interest, Tax, Depreciation and Amortization) was an Income of $232,356 and YTD income of $710,700, Highlights of Patient Volume this past week: Emergency Department Surgery III Acute/observations/Swing Bed Patients Including �� Acute Observation Swing Bed Totals rs Visits Prior Week.. �' -- Private pay percentage of Acute/Observation/Swing bed patients has been lower the last two weeks. Waiver 1115 Program. 2019 targets. October waiver reporting is complete. Now we are working on meeting Marketing /Business Development Weeldy Update 10/11/19 _ Visit b Sandy Miller ®. C. Kovarek (Program Hope / Cardia rode info n about Program H pe• (Therapist) to Retama Manor South to p _ Visit b Christy Crisp C. I�ovarelc (Program Hope / Cardiac and Pulmonary Rehab) Y ® (Respiratory Therapist Nurse) to Dr. Cope office. Spoke with Nurse to discuss current and potential patients for Cardiac and pulmonary Rehab. C. Kovarelc (Program Hope / Cardiac and Pulmonary Rehab) — Visit by Christy Crisp ® (Respiratory Therapist Nurse) to Dr. Llompart's office. Spoke with Nurse to discuss Cardiac and Pulmonary Rehab. Nurse requested additional informatRrohab n On Program byChristyCrisp ® C. Kovarek (Program Hope / Cardiac and Pulmonary ) (Respiratory Therapist Nurse) to Dr. Qureshi's office. Spoke with Office Staff to discuss Cardiac and Pulmonary Rehab. Rehab) — Visit by Christy Crisp ® C. Kovarek (Program Hope / Cardiac and Pulmonary Vu's office. Spoke with Nurse to discuss Cardiac and (Respiratory Therapist Nurse) to Dr. pulmonary Rehab. Visit by Christy Crisp C, Kovarek (Program Hope /Cardiac and Pulmonary Rehab ) — (Respiratory TherapistNurse) to Dr. MCNclI's office. Spoke with Nurse to discuss Cardiac and Pulmonary Rehab. Visit by Christy Crisp C. Kovarek (Program Hope /Cardiac and Pulmonary Rehab) — ® . Mitchell's office. Spoke with Nurse to discuss Cardiac (Respiratory Therapist Nurse) to Dr and pulmonary Rehab. 10/14/19 ou tours for the A. Galvan (Marketing) & R. Thomas (Administration) —Scheduled two gr p ® I for presentation and tour. Dates: November 6 and 7 at City of Port Lavaca to come ons 2PM. ameras F, 7anak (Diagnostic Imaging) — Site Visit with Seaman's to view Nuclear Medicine discus ® Co Kuhlman (Laboratory) — Meethrg with Dr' Jeammne Griffin and Dr. Clinton to discuss benefits of (Lobo. Also discussed the possible discontinuation of four obsolete tests that would save the lab money annually to remove from the test menu. ® Co Kuhlman (Laboratory) - Meeting with Dr. Bunnell to discuss benefits of Biofire. Also discussed the possible discontinuation of four obsolete tests that would save the lab money annually to remove from the test menu, 10l15/19 A. Galvin (Marketing) —Call with Stratasan: Strategic Healthcare Solutions for training on ® ation and how our service line numbers compare to lo running reports to view outmigrcal hospitals* A. Galvin (Marketing), C. Kovarek (program Hope ! Cardiac Meeti nwithlChelsea Di bel with McLennan (Respiratory) & R. Thomas (Administration) - g et more referrals from Premier Sleep to discuss our Sleep Study Program and ways to g Providers. Memorial Medical Clinic will be building a checklist with various screening questions for multiple service lines. A. Galvan (Marketing) — Call with Brian Lani fi'om Legato Healthcare Solutions to discuss a name for the new Inpatient Geratrie service line. 10/16/19 ® C. Kovarek (Program Hope / Cardiac and Pulmonary Rehab) — Meeting with Arleama Tristan from Port Lavaca Nursing and Rehab to potential Program Hope referrals. 10/17/19 A. Galvan (Marketing) & R. Thomas (Administration) — Call with Brian Lani & Chelsea Rank ® from Legato Healthcare Solutions to discuss color palettes and get updates on Rebranding Project. Presentation scheduled for Thursday, October 24, at 9AM. R. Thomas (Administration) — Attended event hosted by TORCH to present State Senator Lois IColkhorst with the TORCHbearer award for her efforts on behalf Texas rural hospitals this past legislative session at El Campo Memorial Hospital in El Campo. 10/18/19 ® R. Thomas (Administration) — Business Development/One-on One Provider Meeting with Dr. Falcon, 10/21/19 C. Kovarek (Program Hope / Cardiac and Pulmonary Rehab) —Updates by Christy Crisp (Respiratory Therapist Nurse) to Dr. Carr's office. Spoke with Nurse to discuss current patients for Cardiac and pulmonary Rehab. ® C. Kovarek (Program Hope / Cardiac and Pulmonary Rehab) —Updiscuss by Christy current sty Crisp (Respiratory Therapist Nurse) to Du's office. Spoke with Nurse to patients for Cardiac and Pulmonary Rehab. Information on Board Items: Financial Items: 1. Proposed Web -based software a reement with Nuance. _ oo tr The proposed ragri ement to's over eight years old and the vender has discontinued supp replace the system is for a web -based system. The three-year access cost of the web -based system is $14,400, Estimated annual usage fees are $2,700, aces ou 2. Pro osed Itersource lease urchase of Allworx Phone S stem —This agreement The nelw proposal current phone system with a monthly cost savings of approximately $2, is a five-year lease with MMC owning the equipment at the end of the lease. 3. proposed Internet Service — Our current agreement with Windstream expires December 19. Our proposal is to replace our service thru Windstream (45M upload, 45M download) with a new nhave agreement with Sparklight (cable one) (500M 0M downloado) We also load that we gadded whenour service with Sparklight (cable one) at 100M upload and needs exceeded the 45M thru Windstream. The new cost of the 5o0M service thru Sparklight is $2,000 per month, which will be an increase of $g50 over the current Sparldiger month leading to ost, ntwever, we will drop the Windstream service, which cost $4,542.57 p savings of $3,693 on internet service. Long term, we plan to explore cost thru another service for some redundancies for potential backup. our 4. proposed Lease Purchase of Nuclear Medicine E ui ment. —This is to replaceOur current t equipment and allow MMC to continue to provide Nuclear Medicine Testing. equipment is over 15 years old and is currently out of service. The cost of the proposed equipment is $219,900. We are proposing to acquire the equipment thru a lease purchase, which has a $1 buyout at the end of the lease where MMC will own the equipment. 5. Propose Service A reement for Nuclear Medicine E ui ment —This is for the service contract for the equipment. The annual cost Is $26,326. d for In atient Geriatric Pro m—This agreement will allow 6, Pro oseda reement with Diamon MMC to add Limited Inpatient Psych Services, iscovery 7. Proposed rofessional covers e a reemour curent heDnt Locum Paen'Medicine Phy for an wants to M D Pain Medicine Physician —Dr Uong, become a permanent provider with MMC. Transitioning him from Locum to Peox mate y ill be a significant annual cost savings from s a provider willtallow us toint o continue to grow the $246,000. In addition, having him as a permanent service. With Dr Uong, we are planning on him working a week on m-f and week oofds schedule, g, Proposed Recruitment Placement Fee with Jackson and Col<er — With Dr. Long p services to MMC under a Locum agreement with Jackson & Coker there is a recruitment fee of $40,000 if Dr. Uong becomes a permanent provider with MMC. 9, Pro osedfilin ofnecessa a erworkforo eration of three nursin facilitiesfor IPP program. We would like to add three additional facilities to the facilities MMC works with under the QIPP program. Closed Session. We have closed sessions posted for (1) Board of Directors. (2) Legal. Respectfully, Jason Anglint, Mej�orlal Medical Center Memorial Medical Center Financial Report For the Month of: September 2019 C1ve___ r_view: . In September 2019, we had a Net Profit of $153,393 and a total YTD (Year to date) 2019 loss of •n 769,745), as compared to September 2019 YTD loss of ($26,518), a September 2019 Memorial Medical Clinic (RHC) had a loss of $75,184 and a total profit YTD of $982,012, In September 2018 we had a YTD loss of ($ positive difference of $7431226• Our E81TDA (Earnings before Interest, Tax, Depreciation and Amortization) is a profit of $232,356 for September 2019 and a profit of $710,700 for our 2019 YTD• comparing compared to In comp 2018 to 2019, we had a hospital overall gross revenue of $6,178,218 for September 201 as compared to $5,501,701 September 2018, an increase of $676,517. The increase in revenue as 2018 was in Inpatient, Outpatient, ER, Swing and Clinic. Statistics: Se tember Hi hit hts on Volumes: Key volumes in September as compared to August include: Overall September Average daily census 14.30 an increase from August's 14.03 ER Visits down 5.0% from 815 to 774 visits. Clinic Visits down 13.0%from 2,932 to 2,552 visits. Surgery down 17.0% from 135 to 112 cases. Imaging down 5.3% from 1,618 to 1,532 Lab down 3.0% from 37,490 to 36,384 Rehab up 7.1%from 11395 to 1,646 Program Hope down 15.2%from 138 to 1117 Private Pay utilization was 17.9% of Revenue. Hospital —August's Self Pay was $1,068,540 compared to September's $1)033,949 a decrease of $341591. BalanceSheet Highlights: ASSETS Bank Accounts Cash and Investment balances ended the month at $4,779,810. The hospital' balance is $3,211,206, The end of September, we had 30.34 days of cash. Accounts Receivable Patient Accounts Receivable balances were $11,867,677 for the hospital and $424,366 for the clinic. Net AR combined is $2,6561347. 750,325. The majority of received for DYB. The balance at the end of September Accounts Receivable-- Other The balance in Other A/R decreased by 1, the decrease was due to the UC payment is $4,554,066. The balance of Accounts Receivable other ispri 922 3made up of four accounts, DSH $0, UC $0, DSRIP (Waiver) $1,322,528, and NH QIPP $2 Accounts Receivable Nursin Home The nursing homes ended September with $11,085,714 in receivables. ents Accounts Receivable Est. 3`d Part Paar S payers of $1,015,347. This is an accrual for monies due Our books reflect a net due to third p Y p Medicare for 2019. LIABILITIES Accountable The balance in payments due to vendors _ and accruals at the end of the month was $1,317,845. decreased by $100,000, the total due Due to Calhoun County The balance due to Calhoun county is $300,000. ne Homes The balance due to Nursing Homes increased to $13,639,60 . Due to Nursi payroll and benefits paya ble to hospital employees totaling Accrue__ d Expenses We carried accrued $11334,818. September. Accrued Inter overnmental Transfers IGT liability is $747,077 at the end of Leas.es?aYable The hospital has $904,584 in capital leases total both long term and short term. Long-term portion also included below. Lon Term Debt Net of Current: The total is $1,6631064. This consists of $897,238 in Pension f leases. liability and $765,826 the long term pfturrent ortion o Curre�tio The ratio between n obenchmarl<of 2.3 September. This issets and current liabilities is 1.32 at the end of s lower Income Statement Income�ment' for hospital and clinic in September was $6,178,218 which is a dec Gross patient revenue rease o $814,163 from August. Revenue Deductions t September were at 6o current 6 data. (ourincreaseAugust. In September we had a UC adjustment due to the updating in uncompensated care cost in the last several years' has had an incuese in our DSH/UC payments.) This reduced the overall contractual deductions for Aug Total Operating Revenue September 2019 as compared to YTD from September 2018, we are up by $3,016,995, This is due to the following: ® Overall Patient Revenue is up $8,721,618 o Self -pay revenue YTD is up $1,379,857 ® Overall Deductions are up $6,844,364 o Contractual expense up $4,924,159 o Charity is up $1,834,372 o Bad Debt is up $973,188 Net Charity and Bad Debt is up $2,807,560 o Indigent is up $12,933 o DSH/UC/DSRIP is up $900,289 Other Operating Revenue is up $1,139,742 0 340b is up $994,122 Total September expenses (excluding nursing home) were down from August by $155,294. This was driven by: O Salary expense down $31,678 (One less days in September) less day in September) ® Benefits and PR Taxes expense is down by $23,057 ® Professional Fees were down by $2,418 (Reduction in Legal fees) ® Purchased Services were down by $20,387 ($10,950 decrease in accrued Wound Care services, $2,915 decrease in Service Agreement Radiology, $2,637 decrease in Purchased Services ER due to timing of bills$1,909 decrease in Maint Contracts- Plant Operations with elevator costs ® Supplies were down by $97,264 ($32,315 decrease in Laboratory, $29,543 decrease in Pharmacy cost of goods sold, $12,632 decrease in surgery Supplies) a Insurance was a $0 change ® Utilities were up by $19,131 (Telep ($4 3631decrease in Lab with analyzer costo other s) income) ® Other Expenses were down $2,209 ($ , ® Depreciation was up by $2,588 (Addition of hospital beds, CPSI Server, Clinic Furniture) \2 !§!! § § } § 2\ §!§! \ k $![! \ § / \r!< K ] ! \i\ \! § \\ § )) ! ))|§.§ }) ) � � 2 a 3ma�e5a�a�����oo�ea SXRA"O�g�,.,rH_s000000 6 ®Fffitl�����nBR��og�a$ -2- ma,Ir_na e_e °eeeee 5"sa= Mn<m BRAw.. o -3- Memorial Medical C Income Statement by Operating Unit Far the Month Ended September 30,2019 Curtest Pe(iod Numing Hospital clinics _ Homes combined - - 1,127,318 1,127,318-- 3,173,419 21777,516 395,903 _ 1,877,482 11877,482 - 41809/136 4,80%436 '809,436 10,987,654 5,782,315 395s9D3 49D3 , 37,812 T,835,575 2,797,764 313,201 305,450 7,751 201835 20,835 (288,331) (7881331) 885,041 855,033 30,008 75,571 3,766,321 .- 3,690,750 - -- 2,091,565 320,332 4,809,436 7,221,333 103,465 139,582 243,047 45991430 4809,436 7,464,0 2 195,030 CurrenC Period Nursing Homes combined Hospital C 815,645 150150,169 320,990 283,119 370821 465,583 217,200 248,383 _ 334,767 296,289 381477 - 2830882 248,035 35,847 - 5,241 5,241 64,049 64,049 _ g2,O6fi 73,665 HARD 4,91%719 4,91%719.� 7LA33,061 2,003,243 5... " 62,962 160000 - 78,962 535,099 4, 110,719 74512 023 2,066,205 .-. . 1280825 (75,184) (101,283) (47,643) 992 992 (2,522) _ 202,56 202,567 201,036, 1271294 (75,184) 101,283 153,393 `-�- Revenue Inpatient Revenues Outpatient Revenues ER Revenues Resident Revenues Total Patient Revenue�-I L;` Ra�anuaoeaualons ._ Contractuals Charity Indlgent Care OSN/UCC Bed Oebt Total Revan_ue Deductions Net Patient Revenue Other Operating Revenue T tal Opemting Revenue_ L-OPe� J Salaries & Wages Employee Benefits & PRTaxes professional Fees purchasedServlces supplies insurance Utilities Other EXpenses Nursing Home Fee Total Opeati� s.__.-• Depreciation TotalRXpenses Net Operating income IWon6p mt'ng Income/(6Xp) Investment income Interest Expense Contributions and Grants IGTExpense Service contribution by SOSET Nursing Home Program TotalNonOpera Total Net income/(Loss) -4- YeartP Oala Nursing Hos Ital Clinics Homes Combined v_ - .. _- -..__. 10,396,502 10,3960502 31,345,304 26,270,999 5,074,304 - 17,355,553 17,355,553 - 3908770974 3%SA974 39,877,974 98,975,332 54,023,054 5,074,304 663,016 1 30,046,152 29,385,135 6,458,SM11 8,344,779 114,062 216,389 20805 7,425 (2,442,159) (2,442,159) 53,856--,...'. 2,894,095 2,840,239 _ 39,173,318 38,336,959 836,359 15,686,094 40237,945 39,877,974 59,8021013 747,916 1,350,095 - 2109011 �_.._ ...-61900,024 SG/334 01A 5 588 040 391877,974 vearto pate Nursing Hospital Clinics Hoy 7,251,615 11276AB1 2,674,850 2,2991641 375,209 4,029,401 1,881,906 2,147,495 2,9661420 20588,599 377,820 2,641,698 21411,065 230,633 _ 44,362 44,362 486,342 486,342 - _ 770,755 716,366 540389 g0,57%509 400579,509 17,679,697 4,462,028 40,579,509 L.593,218 144,000 - 7371218 606,028 _ 40j579,509 63,458,651 (1,839,104) 982,012 (701,535) (1,558,627) _ 9,692 9,692 (2M1,300) _ 1,596,71 (14,600) ,,._ 1,546,717 1,532,109 (1853712) 98201E 84538E _ 26,518 Memorial Medical Center income Statement, Combined For the Month Ended September 30,2019 Revenue Year fo Date Current Period Actual This Budget This Actual YTD Budget YTD LastYearYTD Month Month Last Year ,127,1,054,368 Inpatient Revenues 1318 1,184,332 30,396,502 10,658,990 9,127,331 127,13,779,700 2,791,507 Outpatient Revenues 31,34%304 3400170304 261274,701 17,355,553 14 10877/482 1165%920 1165%826 ER Revenues ,240,14,973,708 471A75 4,138,618 Resident Revenues 3%877,974 40,240,575 38,346,520 4,809,436 4, 75 10,987,654 11,089,128 9,640,319 Total Patient Revenue 98,975,332 99,802,151 88,722,260 Revenue Deductions 2,835,575 31219,948 2,6200286 Contractuals 30,046,152 28,979,536 25,121,993 313,201 337,329 9450398 Charity 8,458,841 3,035,964 6,624,469 20,835 21,500 18,384 Indigent Care 216,389 193,500 203,456 (288,331) (144,993) (136jB70) DSH/UCC/DSRIP (21442,159) (1,3040935) (1,541,871) 885,041 642,943 (130,888) Bad Debt 2,894095 5,7860491 1,920,907 3 766,321 4,076,728 3,316,310 Total Revenue Deductions 39,173,318 390 6,6,556 3213280954 71221,333 71012,399 $6, 324,009 Net Patient Revenue 590802,013 6%111,595 56,393,306 243,047 97304 97,816 Other Operating Revenue 2,098,011 875,739 9580269 7,464,380 7,1091704 6,421,825 Total Operating Revenue 61,900,024 63,987,334 57,351,575 Operating Expenses Year to Date Current Period Actual This Budget This Bedget YTD Last YearYID Month Month Last Year Salaries&Wages 81528,095 8,702,204 7163317d0 9650814 966,912 873,462 Employee BeneFlts&PRTaxes 2,674,850 2,7571697 2,7611359 3200940 306,411 286,3844,029,401 41755,278 3,243,297 465,583 528,364 36%S17 Professional Fees Purchased Services 2,9660420 2,982,025 2,795,595 334,767 331,336 307,115 Supplies 2,641,698 2,946,260 11978,400 283,882 327,362 224,248 Insurance 44,362 36,000 33,563 5,241 4,000 31354 Utilities 486,342 4191430 505,295 64,049 46,603 53,462 64,049 105,366 3,462 Other Expenses 770,755 948,297 585,168 Nursing Home Fee 40,579,509 40,915,859 38,891,904 4,910,719 4,546,207 4,202,486 g 62,721,434 64,463,050 58,428,290 7,433,061 7,162,561 61374,221 Total Operating Expenses 78,962 80,693 85,711 Depreciation 737,218 726,239 820,085 7512,023 b243,254 6,459,932 Total Expenses 630458,651 65,18%288 5%24%375 ,_.. _ _... - _.. (47,643) (133,550) (38,107) Net Operating Income (LOSS) (1,558,627) (1,2011954) (1,896,800) Non Operating Income / (ESP) 58"3 11127 Investment Income 9,692 5,243 11,144 992 Interest Expense (24,300) (20,805) (34,119) (2522) (2,312) (3,112) Contributions and Grants - 16,950 200 1,883 IGT Expense - ServiceContributionbySOSET - 1,546,717 1,350,567 11149,831 202,567 150,063 127,736 Nursing Home Program 11532,109 1,351,955 1,127,056 201,036 150,217 125,751 Total Non -Operating Revenue 153,393 16,667 87,644 Total Net Income (Loss) (26,518) 150,000 (76%745) - 5 - -6- -7- -8- Memorial Medical Centar Productivity Monthly Totals September-19 Studer scare Metl Surg11CU Nursery/OB Nume Admin Case Management Infusion Services Emergency Room Risk Management I Infeot on Preventlon I Employee Health Surgery All Nursing UiagnWE lma9ing Lab Pharmacy Rehab Services ' Ctliiic Ope ailons � -3 1 Admin Fiscal Acct PFS HIM IT Purchasing -CS Indigent Care Totals Target Target Target Target Actual FTE's BM FTE's OM FTE's BM FTE's SM FTE's 75% 50/ Worked 90% 82.5% 3 2 5 4 Goal Min Requirements 24,47 26.00 27.21 30.01 30.46 4,34 4.65 6.18 1 3.99 4.17 10,39 4,57 l J 5 6.07 8.05 7.20 6112 6.72 0.92 Ll 6 3.84 4.48 0.41 0.53 0,28 0.34 10,36 f1 3 9.88 10.30 10,70 11,78 2.63 0.48 <_% 6 1.57 1.73 1.88 12,84 16,00 9.97 t7 5 10.37 11.80 59 47 64 87 89.72 63.42 66,74 `' 3 12.15 12.72 13,29 15171 11.30 0 6 18,64 22.4E 13.36 ( 6 16.61 17.58 6.12 6A6 2.65 1-s1 6 426 4.68 6.19 6.69 -' ., 3 6.09 6.47 A6,80 52.62 34.00 " 5 30. 0 41AS 19,10 20.49 21,79 26.75 19.17 i 6 14.24 15.57 18.90 21.70 11.73 (� 5 38.06 38.70 47.45 -30.90 5 33.42 4.88 6.20 5,56 6,04 SAO � 1 14.70 16.18 15,66 17.67 13.52 6 4.53 5.24 6.00 7.77 4.48 5 2.01 3.40 �_� 3.14 3.65 a113 34.49 28.80 �> 3 2723 2915 7,98 8,52 10.98 6.61 (j 6 7.44 4.06 6,61 2,72 i� 5 ' 3.32 3.69 � - 20.98 27.18 15.19 �� 5 16.23 18.60 _ 4.23 6,32 4,22 3.47 � . 3.86, . 3,02 4,89 2.01 2.08 2.55 395 6,26 2.41 iJ 6 '2 98 3.-06 1,43 1.43 3 1.43 4143 1.-03 62.23 , 33.49 ''} 5 38 84 '46.19 196'18 21289 229.53 280.ti _.gam G;\ProducBviry Statfng12019 RepodslNew ProducBvity Staffing September FY 2019.%I5x CbY 8.11 Memorial Medical Center MMC Productivity Year to Date Totals Jan 2019 to Dec 2019 Target Target Target Target Actual FTE's BM FTE'e BM FT7 5 BM FT50 / M FTes fed 90% 82.5% _ Goal Min Requirements Med SurgIICU 24,36 25,99 27.15 30.86 30,45 i� 2 Nursery/OB Us 4.15 4,33 4.53 8.42 1 C7 4,83 6.76 6.66 9,88 4.37 0 6 Nurse Admin t 6 Case Management e,66 4.15 4.74 6.23 0.91 0.48 0.67 0.09 0.89 0.93 '.� 1 Infusion Services 3 Emergency Room 10.30 10.91 11.24 12.37 10.94 Risk Management/infection 128 1,43. 1,67 2,27 0.80 _ 6 Prevention / Employee Health 9.00 10.90 12.12 15.06 10.05 ll 4 Surgery 3 586�g6B 8189 68.87 All Nursing Diagnostic Imaging 12.61 13.20 13,79 16.32 11.12 i 3 5 16,14 17,06 17,98 21.70 13,67 c7 5 Lab 3.89 4.20 4.68 6.62 3.55 6 Pharmacy - 5.70 6.15 6.80 517.89 7.36.6753 b (� 6 RehaServices 383'__-_3__qg gg g3A6 .82 MW Clinic e 20.25 21.62 23,00 27.18 10.08 5 l) 14,86 16.26 17,66 22.61 10.33 Clinic PFS 6 35.10 37.88 40.66 49.79 28.41 Clinics OKEMMMO 6.10 6.47 5.03 7.19 8.22 1 Dietary S Environmental Services 14.78 15.20 15.82 17.64 12.74 Q 4.47 5.17 5.91 7.68 4.35 i7 5 Plant/Bio Mad 3 . 3.14 3.63 3.92 2'61 3.94 ' k Security 27.49 29.36 31,29 34.62 28.94 - 'J 4 7.06 7,57 8.10 9,89 5.39 Admin 3.51 3.89 4.26 7.06 '2,78 :..5 Fiscal'Amt. 17-70 20.16 22.63 29.10 14.80 PFS 4A9 4.62 5.06 - 8.29 4.30 ': 4 HIM 2AW 2.47 2.92 4.- 1.94 (7 6 IT 5 2.77 3.23 3.89 5.82 245 - Pwettasin¢CS � 3 843.3Q Indigent Care 1.43 1.43 48.09 84.30 33,13 5 38.6' ,' 196.25 21b.15. 231.77 282.11 193.22 '7 Totals 6 -10-- G:\Produolivity Staf8n912019 Reports\New Producttvity.Staffin9 September FY 2019,Xla8 8.42 8.91 mod: e��2C 3�XX m N � E u E " ��ownn0n� Oct m w m gyp` �u ana W P �I at N N O U � y m w 7 m p '_pnp ar�i,me o c nQ lap N m N m .c m N boa mrn eco tmrT o m ry Y m maw N M m 0 N N v � '°'°tea nm$oN e O N TC4 p�NN o o y m p� _ cam m ~ OIca �` aevmniw �� o ra'ima��mgrv�o`� U � � CF eq I m %' r• nT M N cl O Ovnfi y N N Y �rvam rim v ryvNlrpo Q 5 C R oa 9 o �� E � m c.� o a v W w a 4 z a s « o o u r r z z r w m Wk tmm Ian N _.. N °fin °�mr`1�� o Nmm � vim mm Nry rl m N N Q -11- N� m y �00000000000�00 N�n�jOPnmq iO a � m�oam^em �um� Q V iNr1 � N rl •i ,-1 �` N N N� ry •i N N N� N "i � �nm N � � m!3 ry a MW 2 �",� ,nrva�aM,�am."n 2 >.4 mxyc� Gc Yn�as N w E m Y N J U a a. N � N ip U W o y O i u N t0 LL i tD h N a of cn W ���muhimmNoG m c E 01 D m 0 0 0 0 0 0 0 0 0 0 i 0 ° 0 0 0 0 6 0 0 0 0' fl. w W W d. ip h O Ol Ol N L N N W N Opl m Imfl lmD N m K 0 0 0 � o o m m m r r! � N r � M h N m � U ei O m ��i •N'+ a-1 ao N o N M n� a-1 � FD- -14- N N tM0 m m � o m rci � ui U U U U U U � U d Y cG N FU- vai � New Panem ��,,,,•- ••�•- Existing Patient Clinic Visits All O9herVisils Total RHC&Sumery Cllnlo isits specialty Cllnlo Visits Hospital OR Procedures TolalVisis& Procedures No Shows No Shaw % Rural Hoahh Cllnlc Revenue Professional Fees Specialty Clinic Revenue PatienlRevenue Use Salades-Repelar Salades-OveNme Solades-PTO Total Salaries Renefls-FICA Benefits - Stale Unemployment Benefits- Federal UnemploymeN Benapls-Re0rement InsumOm"HospBnliaapon Insurance - Other Supplies-Ceneml SuppNea-Ofice Supplies -Poems Freight Total Supplies software Maint Minoreaulpmenl Posla9e Intere lion Costs Interest Expanse Laundry Travel 917 617 ^^ 667 42,600 b,313 77,000 500 _ 4,9B3 623 517 4661 -^ 617 11n 1B9 130915 1302611 162gi26 A An 574986 A70570 836,998 680.407 aor e•+, ---'-- 995 1,113,848 139,231 110127.t473i579723,,4 128,92288 1113T218 721 .949 3,627 31,793 163 B,133 OM 12ie341 3934 4082 2,825 41772 12,047 130,84169,,9576fi45 2,66E 4,834 3,874 181,493 17198 14.059 150,189 1,26,40, 613,47 144,4 31784 1A94313 156,7110306 ,246 128,774 12.9,800 8,891 101282 10,608 19,424 UB,289 t 9,287 8,628 91466 10,104 272B1 37 1,032 219 b0 iq 19 leg 324 28B 698 12,791 f3M 13,095 1t7,032 19,325 7B8 334 12,198 164,800 19,325 11.805 10.636 11,944 12,fi90 12' 22,983 76,65g 70,506 111241 124062 1,508 704297 12,337 22,103 22,098 t1,277 2,028 1 734 1 820 1,263 7.445 943 200 491 A 103 1.257 1230 114 cs 5R5 36,821 37,021 375,209 48,901 IeD 335 181 839 189 101 198 B20 °" "" - 225,233 2s,i54 939 14,000 28,875 35,762 580 21,232 1seB69 33,921 194 86g 86 4,849 3fi,897 35,990 889 921 92 _ - - 654 819 A49 - - . 768 95 60 13 21 91 145 90 16g _ 188 t5,006 29,055 35,847 230,533 28,029 34,077 1,090 340431 6,639 38,900 21,828 191693 9,872 3,872 30072 t47.495 288,A37 3,872 3,872 3,872 3,872 242,774 245478B 24s,3B3 2, 42,796 4,174 4,174 217,734 212,655 260,616 232023 262,e21 210,988 21239 39.476 40722 32.023 48301 42879 35440 49,876 34805 342, 369 _ 257,539 538 28680 297 11960 2,6 13,050 tease 2g3146 268,3D5 295,200 281,833 912,794 282,094 299,,6602,525,315 316,88 6,207 312 478 2,608 = 3,742 997 733 - _ - - 6B 201 873 _ 544 1,329 2,436 305 748 3,401 22,506 21813 644 368 - t,800 9$9g 3,097 3,232 - 1A01 ila 862 - gt6 - 9,390 4 067 6,;t0 7,336 45,128 5,841 1,808 1,610 4,642 1,1fie 7,997 q,08A i,9fi4 91261 1,150 995 1,094 1,064 995 995 996 986 ,; N. 1.009 1608A 1,064 9,281 1,150 Tolel Ex erases 13,230 327223 73,9B3 7aa,en, ""'-� 00D 78,000) 132 62 18,000) (18,OOO) (16,000) (18,000j (144, ) ( NetOpamNnp income ig ppp) (16,000) (16.000) ( pepreclalion- IMExpense --16- 461 ao, 2D,540 2.686 sasl Den - p• 2,185 - - y. , _ W9 R,411 R 2.3a] R,111 2685 R 206 48t 2832 26582 $, 2A,495 New PatlenlUlnloNdts _ 2,542 2A69 p•99a 112 716 00 Felsdn9Pa11enFo1lnicV(zlis R,BBS T,805 2,]]4 Te TT 95 2031 Tb 211 9151 2,160 B3 69 2643 2)69 9044 Ail OlherNsils ]0 i4 B58 2843 pap0 09 Talal cBMO Nsils 2044 28aB 219 175 1.072 2s% NospllalORProcedusas 209 1T4 t]e ]% Tolel Ns693PmcMur¢s te5 212 1T0 6% T% 0% - 1TD BY. ...., - 2A3,,838$54.690 No Shows/Mined Appointments 31B4OST 891631 248,9]0 21390 No Shmv% i051 288 4 925401 ]2685 101,030 l0$B2 1,091I215 t�•62] 354,3]2 3]050 900a1 131,952 q,s3T (0.692) Tolel 9pjp0044 1 i,9T1 14 00 15 392 1405 6 (6694) ((Ale) 92,2T1 T1 500 �46 N 20 _.,_,e.,,..,n en3eel ADDS ,_.�„ 12d2B5) 21082 0pp41�2 Ann 0.13 0,66080/ 83 I40B RaVanua "-'66S TS6 as �'"' "" Total Iona) aneous Revenue 86,374 89'"a 9],390 821019 ]92,630 B9,OBT 592134 439 t28 T36858 bIT 45T 2,01E te,074 2,10s Dial el Revenue 8B5 2,244 1,081 21801 91518 11.448 yowl ]9,312 01,440 eR1o5 SIAN 80 ]489 11,209 10085 shell 1,327 2,OB3 10,005 102,802 Wool 103,180 t11.i]0 108,230 80D,B31 Selallas-Regular Tedl 10725 TSii 120D4 34.600 Sawdes-OVONmo Todd s1604 01,118 100,299 9B.61i ;g003 2]8,889 31,sal 28,2818E s3.600 84,854 Allan 8,437 12,130 1,61T &Manes -PTO 3p B24 32,501 9 1,004 2022 Total Clinical Seladea 2],TBS fA0 SOB 32.206 4037 4"MD41 2fi� sell 1A91 32614 92k11 3M1�060 39 22 005 BaleNes-Regular 40005092 405] 0,089 •2B9 ,494 ,140 30,448 329A10 -00, 15 90010042 9903 p.OS 99,995 4.581 Selmlea-OveNme 30,215 42,609 59.613 Tom, s-PT0 83,OB] 71e03 Todi GI010 PFS Seledes T0O 1.151 7.at2a 1A23 1,161 145 6,T41 0,142 a,Tes 7,028 ]0 08 45Is 19 ] pT2T 16666 9,833 T I 658 "1 175 0,110 0,864 S,]e6 B,i09 9,6]3 2,051 21,110 2,716 BaneTds 011AIDl-FICA To1a1 ]666 60 BeneMS COnual- Fademl UnemploymentTeat 01515 SA 8 2,652 2,2B2 2,206 2,]05 263 14 4]e SAO 98 4 (1) 38251 3,594 T1,882 40015042 2.180 1'le0 112 3,648 Bepe19eoginclAFS- ICA 102 119 3,266 T,9d2 2,809 ,928 11,t93 110,020 14,] Benel0s Cgnla PFS-FIB ml Unemployment bDp]5092 2,]ai 2,9T8 14,T82 10,8Do iT,490 1,180 9,BT4 11241 UoSafie Clinb PFS-F 40D40042 R,811 14ASI 20,632 1,980 741 Iowa ved aIS14 04 Retirement 8,991 6')ng i 490 less 1•Baa T84 (446) 9,641 0eneRls CIIMePF9- Albcated 130 AS2 861 TT 850 _ MITI Group NealthOwtut ADS in 1,803 ki23 - - JA39 1Bn ONer lnsumme tllninl 21312 8,91E 6A50 1,069 B 459 - BOA 1.024 24U Wodcers'conWtllnisal Allocol� 621 100 290 300 t 3S•294 350,808 44.861 Group Realthan9cp69 A56 20 311 960 <s 2B3 4B,124 41,504 34,G09 Other lmomme dntcPF3 d4,990 6R,B59 Total BemOUp CI(nla PF3 3Loae a16DD 1 eTfi 155489 1B1 896 191102 to SO ilb 390 1146t1 120,851 f95,414 1 6�4,400 12T•046 21,083 18 B02 32,T/5 64 18T on 50 Total Salbdes, Wages, and0enefis 95a01 35,et4 90 B16 _ - Total 651 no 415 - 0p t3 21 _ )40 82 ,asSolos-ceneml Told - - 80 150 22i,aeT 2e,4ei Suppllm-ORoe ToUI t]0 B1 145 29,404 35.380 9uppMe-F005 Total 33A43 506 14,TO Freight 90A6] 36,683 21643 iB,2i2 Sail 3,8]2 3,012 e,812 35,451 4.431 3,B]2 9,9]2 245,)80 me SOB 2,t4T,494 280,992 Total Supows 4,74 4,1T4 9.812 2A pO 20106 16449d 20682 401]0061 21R,S50 2So,si6 21]019 din 8282021 14.00 2228)B �0323 SaMvam Malnl Toil 21457 11122 a 214.068 2R,969 2A41,440 293,490 iD 114 2I ]0 2T6,B93 280,E19 231,539 2026 e pia Fees-PBVblolens Total 232 pT1 244,305 05608 - PuruhasedBADADSs-NSn.Phyaclon - - 2e0 Oa 20n Todd Pemhased Bou'does 40 I0041 - - - 201 loan260E 15,050 t,e31 RaPMrs-Imimmenls 4011004i - - - - 6,201 _ - - - 3,142 468 MSint. Congeals 40130041 - 410 2508 1,13a Repatm-0emdmenl2l Toll - - ]33 091 - 544 BB Minor equipment 4=5041 201 (NO - - - - 305 pogo a 40440041 _ - - 748 - 1'320 23500 2.613 Cdieottonceds 40WIMI S44 - - _ 1,BD0 9,990 3.09] S,23x 3,401 17401 ITS Inlmest Pxpeme 4052WI - 358 - - TO Laundry 40600041 662 670 - - - - - 11168 US 5revel 4p60504t _ - 8- - - - - bsefipllons dnetu04l _ - - 1,160 - _ - 45,120 5,541 Eduoalon 40 M41 - - 0,9A0 4,eel 6,00 TA30 AMRWQ 4004M41 - - h,892 1.t00 ],99T T02 003 ]d0 Raomlled- Empavees 4D9B0041 1A00 1,510 ]92 TD2 702 T02 0003 In Misnel'anewsexP 093 an 633 ]92 Top 702 T01el OIM1es Paeetk-a Expanses 633 033 0;3 893 615190 405WW1 839 03a B93 48]434 485883 48/,320 4209.E leases &Rental 392D 9I94983 414290 To1M Reni mid Leases 42332E A38.016 4T44]2 980000 500810 4 W 92 30 2]O 1B8 iD04A 51D ;02 ee SB 969 0T 845 total mm 118009 NB,BOo) (i8,000j (184000) N810091 AIR ,aoo) (10,000) Ne10 emVn dwma (16600) 18,000) (16ja w) (Island - p.memanm ""......�-faun mama flg4s ,�.^•• NelNorto 80 A BB 320.IB t028o0 15.d80 a9 20340 185.Bi 18)65 23161 �AZd �69i 2Aae 2,988 12,BB3 C inbu0on Me in 1,lee Z4]0 Z,182 q,02/ 1,eB1 2,43E 2,998 12,803 19685 151.80 20a94 2,10t 2A92 Join ,4T8 ,102 Net Raven Valwy 2,iBf 2,692 OseeReas�van Ys0 w CCommunity mUnuy OMB, -16-- saladea-rsegular salades-oveNme Selades-F7�,— 7olal Salaries Benefls-FICA Benr5la - State Un nnPlOymenl Brasilia - Federal Unemployment Benefits - Retirement Group Health othsrinsuranse workers,comp Total Benefits Total Sela Supplies General supplies -O61ae supplies -F003 Freight 7op1 SUPPIIss Pm Fees -Phvstdans r%n A 41'tur 38.867 e9117 42 q27 5,313 40 2 852 31458 62,138 5,142 4,626 steel Sam 4,70' 21760 $76 3,364 A,687 4,839 t,i66 1,076 170 () 452 631 STa. z —B52s (54) _ t77 546 523 teen 8.030 6,A5B 5,494 5•BB6 6490 5500 5,240 &741 5'a 9B5 367 3,503 438 368 523 418 - M12 5 368 320 357 - - - - 476 44504 563 502 476 609 578 7400 825 30 4 466 656 53] 952 7,120 577 61 648 Be 479 403 1,09E us 48 � gg7 38 eel 310 40 762 101 6! a v7a 2,050 t,552 1,627 18A84 2,050cren �p 6t50 !a'e - 200 123 112e1 23l 3 97 648 7 4 41 38 2334 40 _ - iB 235 50g 205 161 84 32i 262 217 - 32276 20000 19 125 24,050 1.125 12•00 28,000 t5000 32,275 20,000 t9,i25 1,126 12,080 362 382 382 362 '�2 962 362 982 382 982 362 382 302 362 982 382 29348 41677 21331 28 74 33.364 183B8 Watt 37 01 t9010 215T4 16804 27446 16 WB 13463 42721 24737 _ - -17- 440 2476 30B 40 242 90 10 2 qqT 23736 342 382 31258 407 Memorial Medical Ceniar vhysician avenue ran - Hospital only YTD for 2019,zolS. 2017 As Of September, 2019 Memorial Medical Center Cltnic 000966 Thong -Than 001367 Pfeil Michael 002099 SheldkTrad 002921 Galnes Michael 005966 Carol Andrus 009293 Serino Danielson 009294 John Durst 011005 Crowley William 019DOO Arroyo Diaz Ric 022000 R013S Peter 041574 Hinds Frank 041596 Schultz Mercede 041743 Angela Dobbins 058001 Tturiklll Court 09-1445 Pete PaPaPcclau 100118 Joseph Jenkins 302218 Cook Marshall I097171 John Gilman 320001 Sharma Odornell Hospimlist p15020 Hospimlist Port Laaaca Clinic 000983 Michael Caughron 001126 Thou N Kwl 001500 Lincoln Jewel 012000 GfifBn Jeannine 013001 Falcon Leigh A 050001 WrlghtJohn 101202 Salinas Henry 37.0001 O'Donnell Sharma Specialty Clinic 000404 Adu AYo 000548 Haresh Kumar 012100 Breech Donald 013000 Bunnell Don Pau 057W4 Haesh Chandra 059000 Krueger KurR5 066000 Oakley Robert 070082 Richard Steinberg 525225 MoRkAzhar MD 900009 Dakshesh Parikh 2018 YJD 2017 YTD 019 YTD 1,171,757 11042,177 1s133,161 366,580 5,512 411,064 3660580 346,157 479,887 71,419 259,269 178,841 74,891 1,314 4921285 206,323 31823,399 4,129,916 41759,389 2,909,131 2,847,235 2,700,400 1,038,601 972,751 894,378 605,539 1,294,378 1,049,127 154JB16 1,132,937 1,049,127 32BJ875 230,884 467,615 243,306 24 217 - 1,118,971 - 1,063,095 - I 52,534 Amount Comparision %Compariston �n19 [0 2018 2019 to 2018 11,410 99,484 108,468 80,428 0 314) 0 306,517) 61,895 40,313) 261821) 83,810 0 158,740 243,306 3,0941154 1,0631095 52,534 1% 12% 29% 45% DIV/01 100% NDIVJ0f .7% 2% 14% 15% 8% NDIV/01 48% BDIV/01 4521% BDIV/01 ND{V/01 Amount Comparision Comparision 91,040 405,552 133,729 759,269 4,891) 492,285) 2oG,323) 935,990) 208,730 7A,463) 688,839 978,122 0 256,732 243,306 1,118,971 095 52,534 NDIV 9% 7358% 39% /01 00% 100% Low% -20% 8% -8% 114% 632% NDIV(01 111% NDIV/al DIV/01 NDof NDIV/ol 259,663 '���� 279,749 20% 3131961 1,396,359 1,676,108 1f411,e56 215'526) -09% (1,266923 1.52% 1508B531,411 1,552,424 ( 129% 266,923 7% 42A65 175,742 248,952 3% 104,14fi 442,665 652,643 49,228 13% (35,7351 -1% 1,701,870 1,652,643 1,597,725 2,817,071 310,297 45,609 NDIV/0! 2, 183,335 2,471,039 45,609 NDIV/01 (303j7O6 -1000/0 45,609 903.70fi (272,899) scu (R65,592 594,334 698,- (537,937 238% 53,906 BDIV/- 38,890 _ 37,937 -fib% 53,908 15971 412,653) -62% (135,584 29% 665,253 753,319 ( _11% 135,5B4 252,600 474,732 (75,987) 4,944 NDIV/Ol G104316 686,303 44944 NDIV/01 41,111 NDIV101 41944 41,111 NDIV/01 411111 - - (92,633) -t00% 92,633 p NDIV(01 87% 490 - 42926 25,340 15% 15,R63 JOB 54,795 80,135 __- R37 2,124 1963,889) -47% G94 -18- Physiclan Revenue Trend - Hospital Only Memorial Medical Center yfD for 2019120181&2017 Coastal Medical Clinic 000806 William McFarland OOD809 Delgado Ana 011000 McFarland, Tim R Independent 006000 fin Mau Shone 310001 Cummins Michelle 330000 Le Nhl MD Other Medical Staff 065002 George 9001811s 807077 Nlle5h Patel 989112 Powaser Peter Total E/R Physicians Other Ordering Physicians Totals Amaunt Amount Comparlslan COMPerl5lon Comparlslon %Comparlslon 2D2019 to 2017 2019 to 2037 18YTD 2017 YIP 2019 to 201H Z019 to 2018 D 74,491) -78% 96,014 21,523 ODIV/0156% ( 71422 dDIV/01 21,523 - 2,670 99% -79% 392 575 7,422 4,752 409 nat 51,545 ,.rn <441 -78% 0% 1% 0% .28% 147,813 269,084 204,800 (1211270) .40% 0541136) 315,323 (307,083) 12,093 43% 161,187 268,270 23 582 139% .36% 16,928 28/l17 .37�; 199F030 40,510 548,540 204,771 349,530 554,281 3% 1% 1% 98% 580072 25% $ 294,633 $ 148,778 $ ,377 (581,855 -100% (331,635) -300% 582,644 $ 56% 149,737 BDIV/OI $ 742 $ Ae 4n4 4 33253,616 .C4, 1123.8261 -22% Memorial Medical Center Inpatlent Volume Indicators Admissions by Unit r 66i — — f / 54 �'. r93 1 63 w2 ( 92 ..}} 69 ( �" 6] 2sx ILI "W 616 )SGG �5B8" "18M 2019Ym 201GYiD 2D37 yr0 n Medial/Surgical/ICU Dbstenlcs rl Swing bed Admin patient Days by Unit rt -�472 Bd4 468! r--214I rb4, y' 14B Emma z,B a ,[],2iz.. Ikk y3a3am rr 2016YID 2017YlD 2018 YID 2D39nD n Medical)/Surglcal/ICU �aobztetrks nswln@Bed a,000 3,soo 3,000 2,500 2,000 1,s00 1,000 0� Average DAY Census O 2oI6YtD 2017 Y(D 201B Yr➢ GV3Y r�✓ !r Medlal/Surgical/ICU D➢bstetrin rs Swing eed Average Length of Stay 4.00 - a 13.1]I 12AO .. ;.: 8A0 ss 7.43 1 735 1 6.00 di I I159i g :4.021 ZAB 222 OJ .00 65 230 t l" O.Oo I f 20161T0 2017YTD 201OWD 2019 WD n Medlcal/Surelcal/ICU lr Dbstetdrs Cswing Bed --20- Memorlal Medical Center Operating Statistics 14-Month Trends Outpatientstatistical Trends 2,319. 2,279 — .. 2,269 - 2,SB9 2,900 2,100 2,031 2,045 2109 4 - 22039 A1331 - 2,000 c1 �. 3;662 _ 11606 - y i 11306 S00 0 18 Oc 18 N 18 Dec 18 1 19 feb-19 Mar-" APs'19 Mayf9 Jun-19 lul-19 Aug-19 SCP-19 hills Aug1 5 P =Specialty Oilnlc Visits -- ,Outpatlentwits --- EmeSgency Rooui VlSits Surgery & Endoscopy 200 -. - _. s. 133 ,112 _ As Sp¢ 93 0 91 .. 102 19 1u118 Aug.19 g9 .. ..go 86 ..78 5 p18 oua-U N 18 Oeo-1B 1 19 Feb-19 M 19 A1,1prv19 M y-19 Jun-19 1 119 A g-19 Setr Radiology Procedures —.— - - - 1546 1;618.-.j 932" 1452 14R 1339 1646 I,Ti83 1990 1,622 14B9 1.,630 10D0 1,392 ]N2 1,261 — -' 0 ..- -19 Fe119 Mar-]9 Apr-39 May-19 Jun-' 9 Jul-18 A19-18 Sep-18 OR-18 Nov-18 0eo-1B Jan I 1-19 Aug19 p Laboratory test 90,000 - .. 3$}54-30.861 35;494-36701-34:93Y 86r0 718 319T 309t2 a%i25 +TO, 3 30, 32 .- IuI-38 Aug-38 Sep-18 Oct-18 Nov-IB Deo-18 Jan-19 fats-19 Marv19 Apr19 May-19 lun-19 lul-19 Au8- ap' Rehab Services procedures 100D 3,45 443 1,340 12749 IVF36--34Y8 i3b8 7`'69 _ 1,464 . 38 Sep-SH Oct-18 Nov-IB Deo-1B Jan ]9 Fb-19 Mar-, APr Jul-SB Aug19 May-19 lun-19 1u119 Ag'19 6ep-39 0 -21 mm o m m b 6 N Co m tmp o m N o m V4W4 a N mo��a a mNp rt 4R19 mm Zq ol �N" �� moaFt� mG���am e�mm��r�� " m om,a m mom n m a e mo�m mm a m m� m 6� wm06 � T4 m 03 a N��m°1< roF� N V V m" N r m" N m m n N WIT � o M a C i t m V m �Lq ev $�� Fort � pz `° N ,ecs ri pi w 6m�oomm IF arm ter? m IH � oUl mcl �mm� �mm� ��m�m m m lVo o ry^ "a N g N n p m C 69 ii o���do In� o 49 � CL Ila avb' 2 E ae 3oo' a ° GEbNz� FwF aio t=t= �22— Memorial Medical Center Statistical Comparison Total Admissions ER Admissions Total Patient Days AVERAGE DAILY CENSUS Medical/Surgical/ICU Obstetrics Swing Bed Total AVG Daily Census Total AVG LOS - Acute Care Observation - Patients Observation - Patients from ER Newborns - Births MMC Clinic Visits Outpatient Visits Emergency Room Visits Specialty Clinic Visits Surgery & Endoscopy Laboratory test Radiology Procedures Radiology OP - Clinic Bone Density Nuclear Medicine Ultrasound Ultrasound - Clinic CT scans Mill Mammograms Total Radiology Procedures Respiratory Therapy Procedures Stress Test Holter Monitor EKG Exams Sleep studies Total Respiratory Physical Therapy Services Procedures Occupational Therapy Total Speech Therapy Total Behavioral Health Patient Encounters Cardiac Rehab units Pharmacy Total Dietary Total YTD YTD YID YTD 9/30/2019 09/30/16 09/30/17 09/30/18 09/30/19 OVER 9/3D/20D18R) (9 months) (9 months) CHANGE 9 months) 9 months) 46 5.7% 895 562 449 57 457 402 718 08 (55) -13.7% 62 ^ 868 23.8% 8.10 9.45 1.35 10.36 8.58 59 (0.09) -15.0% 0. 0,78 0.55 0,67 0.59 1.92 57.5% 437 366 396 405 86 21.2% 85 325 226 3481 (4) -4.9% 84 66 85 24,243 4,275 17.6% 16,631 17,656 19,968 7,610 541 3'1% 1 19,134 17,501 17,069 7 14 475 6.5% 61719 6,623 6,839 1579) -68.4% 3,888 2,309 4,671 4,171 933 106 11.4% 983 748 827 281,327 280,749 279,536 325,339 45,803 14.1% 6,393 569 8.9% 61462 6,037 5,824 587 35.1% 1,130 1,129 1,209 1,218 9 4.1% 116 132 97 73 (24) -32.9% 169 110 97 106 6.8% 11779 11376 1,456 1,562 (138) 41.9% 422 396 467 29 392 16.7% 1, 2,325 1,988 2376 9.0% 991 795 764 840 (7) 41% 707 345 666 659moo❑ 1.570 11_1% 5,328 5,881 553 9.49/ 7,129 6,190 37 63 33 28 26 1 3.8% 25 2,105 2,298 193 8.4% 129 2,2,201 85 20 23.5% 28 105 65 172 899 -6.S% 15,823 17,240 14,071 13,1f347) 2,043 939 239 1,586 302)-159.8% 189 , 523 726 491 1068 ( 58 5.4% 31240 11532 1,010 661 40.2% 18 442 985 11646 19,879 18.7% 1091920 92,284 86,636 106,515 13,404 28.4% 43,011 n.a. 33,711 47,115 --23- r. m iz��ma�" �maw, w oo. vb m N �Hx .o " � � z eon m MaDm � „mm to z mMLAM,xmr m�nngrc�em g5"= zSaae�mp-?g � `°moo x9�T Soe�.°z�=�feepA� N m m N n m m m m NMmM o nMm o°m rmr o om°r) n r m d, m m m �: �o mro Be as d: N M O1 mNm� in o�nm m dL6ri o m ma m n m a o ry N r m a ai ri ry N rt ✓ m m .ai � W o r O� m ao B ^1 M t 0 .�-� O O m 'i r N r O IV H mm v1Oi, m �rv0 BF i o o m �r r1 m w In A m .�-1 N rj m rv' tp C3 ehi N BIT ry r 1 aooq m a�'mrm pa0mn m M mr' N m l'IL�.j pp m o ri m m m m I, p r IN N a N V O m ro o o r r a 1.6 rl 11. LIZ m m d `I W H+Cli ^ m r p rvp�� Qp Be tO O m m m m N h m M of dM_ ID V V Q I� b N N N M M N .�-� m � m' N rpj •-1 i i r J C0 N m Q dam' m i M b ONO W lYl 06 W omO N W N d'cl of W' V ri m N N C W ^ N W m a m m m m h 1p N " O tO N 0 O , ai N m 1p' O ttt N c p W ONO wm W O N N N m M r m N m N O N d� Oi N m p p O O d'tt [n m 6 oa mom mm oSd �0°mmm�� m mm rj N' r Y a L6 M IO m N tp(1 N tO CO W O N' OO rml N .i tD I� m0 M w rla ' o m�mootO mm�III'tn m o Noun m N W r rl m o N rti N W h ri N ti N N m ID B Mi N O m 1� m m N ttmi Np m d. a INO ai N N rl I� p m' m d' w m� mO N m M ��a d. "� mr �Io N rNj^N' d' O� e{ .m-� y np] rl O m 00 rl m m o N N O Rpl� W 1 N m Q m m N W N N N m 7 m m .-1 ry `i IN � m N E m c c m E c 2 ,Cn c u$ W m m a U ri E w '0 o u o 2 3 "v N U m N t�i W .JII m u v 3 'c E .1° a m -> j2 a `a - m s a wLow! a m a m c F o a v � c y o 0 in q o F a z W 9 C 0o m m h a n p vm^ rj pj v m NM o .-a m m n ri ti d' ri n o n N u1 We aT C6 o �� h m ONco n ti v N a e� ai n cooi n IhA O W W N h^ Owl N .-1 cz o M W m N ycz o m ci � � m ryry o � `i o m 14 r m ry N ,m'1 m � �; amino' `-in m �1Om pomi o ° w 6 Crc�Ni, N N o e.j a-i ti V4 N 0 ti N N m m n O W vmi lmD O �.j ry fj h N n N a m N n m M � m •-I `� m ti vim a N m , � N d' n � mti oco mv' m G a w y U T m AD W J Ep W U Q ti u N `w a cz¢•a, a „ao Q? �aQaaa 9 r ° zz z �- ,,a� Memorial Medical Center Copltal Acquisitlons 2019 For the Month Ended September 30, Land Building._ EquipmentDescription Total . 11A15..._ - 11,415 Month Pacific Medical- Physlo Life Pak 130t3,733 Smith&Nephew-OHha - (94534S) (395) Phillips - EKG Machines 7229 71229 Arthrex- return Rasp - CDW Computers 36,067 38,087 Sub Total January 100000 51581 5,581 Evident -RCM 45,625 45,675 CDW Computers M,Resson- Bloflre Lab 61,206 51,206 Sub Total February 85,498 5,400 Elevator Repair and Panel 3,600 Evident- Lab Interface 141554 Evident -Lab BloBre Interface 109,052 Evident -PALS Workstation Suh Total March 12,567 Water-rankandInstall 12,567 Sub Total April Nonefor May - Sub Total may 51000 9,982 CPS[ EVIDENT- Lab Software Interface 5 439 VCSSecurltY-cameras 20,421 - Fisher Healthcare - Lab Refridgerator _ Suh Totallune 9585 9585 Exhaust Manifold - Pnesthesla 9585 9585 Suh Total July 50,000 500000 5,324 S,324 Stand Stedlyaer 2g175 24,175 Fischer -Lab Fridge 1450 1450 COW Computers, switches, monitors 80949 80949 Exhaust Manifold -Anesthesia - Sub Total August 1636 11636 48 48 1&I Health care- part ofsterlyter 94,945 94,94S CDW computers, switches, monitors 88,305 Hospital Beds 5,264 CPSI Server 70174 Telephones -Hospital Clinic 5,000 CPSI - Portal 92960 9,966 CPSI- Software -EDIE Interface 8250 8,250 Cohlnets,Shored-Hospital Clinic 220 582 114 B39 CPSI -Software -Contract Mngt Sub Total September SubTotel Dctaber Suh Total November Sub Total December $ 299,666 $ 12,567 539,862 Total -'27- eem,: * \\\�)(} \ \ ` ! \ §'( mm Ui „ /, ° �) \ \ 4 ! l;,m,§!4R r \ § 4 § !!rq R;/®mm} m \ a § } ! } ��°° eamcr, Ci * « ( MMcct } \ (&7rx / \ pi \ ] affL "7 k\ �\ \ em§.\ y;2m5 ® ®f # R ] }\\ ] ) ` ng t m ! « G ! C'l § `C6 . \ \V4 ` % \ \ ) BM q / \ ! \ \ - § ] . ; ! ! » /:! } \I;ak<a!i ��) \ ) «\ \/ a !�, �2e- Memorial Medical Center payer MW Memorial Medical Center As of September 30,2019 18 Month Trend 30.0__. _-..-...... _ _..- --Seriesl--6erles2 �--ry5eries3 6edes4 =�'6ertes6 ===Serles6 -29- Memorial Medical Clinic Payer Miu Memorial Medical Clinic As of SeptemlJer 30, ?_019 " HMO/PPO & Workers Comp Privateer a/ Commercial 9% 12 Month Trend 35.0 4 —� 300 -- �� all 200 Ij 15.0 Cam- - �3 '"N:' 100 .i_ s.o o 0.0 � °� > Pik ` v � v 0 0 z o �,.t ��r� -HMO m /PPO &Workers Cop Medicaid ti3-�61ue Cross .%CpbV,iaj—o Medicare �Private =_--. —30— §!§§§§§§§§i - �- � � � Menloriai NMeolical Center Accounts Receivable Agings / Over %Over % Under 90 Hader 91-120� 121-150 151-180 181-365 Total Oros �S20 Days 90 Days 60 Day ys -30 31-60 61-90 - Aging _ _1 Total 53.6% 66.0% --��' y2 622,606 469,173 1,322,009 10,338,864 23.3% 34.0% 58.1% 67.1% 0371071 1,509,038 1,276,575 1,102,392 935 1,385,778 10,638,860 23.9% 32.9% Jan-18 41949,627 805,456 354, 431,215 10,706068 26.2% 33.9% 5M1.0% 66.1% Feb-18 4,404,787 1,771,312 966,966 739,113 637321 1, 52.0% 65.4% 295,861 817,250 24.6% 34.6% 1,103,355 696,484 545,343 1,487,965 11,029259 35.2% 54A% 64.8% mar-is 4ll 31973 293 2,142,989 1, 521,370 11,029,259 25.6% 66.2% Apr-18 3,973,283 1,797,168 1,488,925 059,675 921,907 364,597 1, May-18 4,085,271 1,913,588 11142,B51 1, 238 337,403 1,454,395 10,327,165 24•9% 39.2% 49.5% 60.8% Jun-18 3,849,206 1,703,638 1,2791846 920,439 782, 807,759 11,188,053 30.5% 482% 58.6% Jul-18 3,900,269 1,6400242 1,2640165 97%541 859,006 774197 1, 898,089 774,19J 1,938,160 11,264,437 32.1% 41.4% MOB 3 905 377 1,733,095 315 1,052,621 182,860 11,348,962 33.8% 40.7;5 50.1% 59.3% 1,104, 872,556 776,132 2, 39.1% 51.0% 60.9% 1,782,035 1,042315 787,688 286 1,870,134 100491,265 30.6% 60.2% Sep-18 3,874627 885 863,349 6481820 32.2% 39.8% 50.9% 471,773 1,037,378 890, 284,916 10564 63.6% 74.1% Oct-18 3,874,599 1' 316 1,099,596 5690459 863,349 364,949 2'g42022 1//5972960SO 20.5% "'5% Nov-18 4,089,598 1,907, 120 569,459 355,761 364,949 1, 892 2,169,847 1,108, 281,876 1,604,405 11,597,296 20.6% 28.5% 62.6% 71.5 0 Dec18 41553, 12,151,491 22.0% 23.9% 62.4% 72.0% Jan-19 5,012,841 2,242,154 1,038,085 72%706 505,770 336,206 11738,383 62.4% 76,1% Feb-19 SJ346099G 2,238,339 1,16%585 �15,60q 376,172 292,330 1,444,460 11,823,072 400 17.9% 30.5% 55.1% 69.5% 621,470 659,569 12,714, 20.0% Mar-19 4,879,798 2,493,565 1, 327,444 541,810 345,123 1, qpr-19 4,915,031 2,088,266 1,836#828 1, May-19 4,457,167 1,974,316 963,685 847,964 7o%931 381,013 1,523,063 10,857,160 24.1% 31.9% 59.2% 69. o 505,126 502,661 1,698,865 11,311,652 23.9% 30.5% 60.5% 69.5% lun-19 4,626,605 2,433,349 1,159,070 687,482 607,170 504,500 1,477p64 11,495,640 22.5% 28.5% fi1.4% 71.5 847,833 1,994,826 1,024,153 738,188 581,4B5 399,974 1,884,520 31,446,909 25.0% 31.3% 59.5% 68.5% Jul-19 4, 71%768 11,866,009 25$% 31.5% Aug-19 501700270 11791,145 901,746 531,552 422,692 2,048,792 Sep-19 41876,252 2,186,021 1,070,798 129,902 77,713 52,902 16,665 43,694 88,177 21575,409 5.8% 7.6% 89.2% 94.4% Medicare 2,727.305 4.1% 5.6% 89.8% 94.4% Jan-18 2 088 267 361,587 35,914 3,745 52,846 9,q% 84.3% 90.6% 088,267 361,587 1251854 40,101 29,320 52,846 2307,071 4.8% Feb-18 2. 1050521 28,386 78523 2,637,667 6.6% 10.0% 81.3% 90.0% Mar-18 1/591/974 370,210 227 644 23,247 82A% 88.1% 620 410,877 227,646 24,555 71,717 59,169 2/711/689 7.3% 18,7% 91.3% Apr-18 1,734, 124,556 69,527 70,213 6.3% 7.2% 84.3% 408,277 154,170 g8,527 24,513 72,939 2,329,531 89.1% 92.8% may-18 1,825,583 162,714 57,769 2,248,427 5.7% 7.2% 34,860 49,928 30,310 4-7,287 Jun-18 1,764,878 244,537 Jul-18 1,759,349 244,537 62,156 38,259 24,094 38,439 77,846 2,061,922 6.7% 5*8% 88.0% 91. Aug-18 1/546/920 284,669 21,457 35,582 3,572 74,026 2,207,803 7.3% 8.9% 91.9% 94.2% 71,695 87.6% 91.1% Sep-18 1,805,215 330,690 53,618 26921 31,218 103,583 77,659 34,946 27,774 125,583 21691,725 7.0% 83% 87.3% 91.7 Oct-18 1,679,366 315,548 3%81721878J33% 6.0% 87.2% 94.0% 2,034,186 315,548 196721 37,089 23,144 28,061 54,054 3328306 Now18 66,915 7,042 27,935 3,328,306 3.5% 6.3% 89.1% 93.7% Dec-18 2,083,669 426,067 196,721 80,425 4.4% 63% 88.1% 93.7% 101,300 146,566 80794 12,361 37,811 2,990,II64 Jan-19 2,469,536 495,500 166,365 58,361 g5890 3,152,304 5.2% 9.4% 84.6% 9D.6% Feb-19 2,221,476 413,696 49,459 67,327 5.4% 7.5% 88.0% 92.5% 363,228 186,739 135,129 3,218,147 90.0% Mar-19 2,304,532 1gq�562 65,663 37,622 38,146 98,8fi4 2961,865 8.1% 50.0% 86.0% 2,470,548 362,741 55,356 85,991 41,564 312,288 6.6% 8.1% BB.3% 91.9% Apr-19 457,737 120,730 112,804 %338,763 May-19 2,088,196 123$369 55,730 42,057 22,849 2,277,482 669,084 55,730 30,964 22,849 144,470 3,379,566 5.9% 7,5% 87.5% 92.5 Jun-19 168,453 31489,888 6.7% 8.9% 87.5% 91.1% Jul-19 21518,904 438,196 y7,145 49p92 28,749 155,671 7.4% 9.2% 87.8% 90.8% 396660 126,005 18 678 39,745 180,668 3,234.043 Aug-19 2,659,166 97,464 59,115 Sep-19 24525,142 3131230 qq 1,027,857 .% .% 55.5% 77.5% Medicaid 14528225,858 86,639 48,806 46,157 4914 22.4% 77.3% fi6.6% 72.7% Jan-18 422,O60 42,735 66,332 38,398 92,970 881,531 .2% 11.1% 78.0% 88.9° 433,253 154,279 534562 9079 1,863 31,876 733,121 4.396 11.0%.% 8.0% Feb18 8%035 28,497 27,487 1,046,473 81.3% 87.0% Mar-18 437,939 133,832 4637 52% 13.0% Apr-18 683,844 151,138 96296 69,986 13jO95 4,968 10,969 1,003207 8.3% 12.3% 72.9% 877 549,198 266,269 57,422 78,441 35,940 1,093267 MBY-18 54,626 19,590 16,051 10.1% 17.6% 65.5% 62.4% Jun-18 ,260,16,823 31,984 18255 4403 937,976 8.6% 67.1% 814% 423,204 191,192158JO59 71,199 29,471 792,443 9.2% Jul-18 113,057 74,726 20,198 230360 2.7% 1.2% 68.6% 80,891 406,778 124,853 33,959 23,860 33,938 724,378 .% 10.% 77.9% 89.8% Aug-18 335,414 161,755 87,984 47,466 24,348 7,532 13,344 732,875 5.1%9.8% 81.4% 90.2% Sep-18 87,883 2%213 7,186 605,811 Oct18 ,0122.525 28,582 21,941 1,925 684,425 7.8% 14.9% 78.8% 85.1% 33675 53,327 140850 14,218 Dec-18 423,7713 1151665 42,878 48,822 24,280 a J:\2019\September 2019\A8 Monthly Analy515 Board Packet -September 2019.,9& 121-150 151-180 0-30 I 31-60 I 61-90 91-120 Aging � �� 20,055 16 Jan-19� 6,870 400,337 199,287 52,899 ,310 15,57 Feb-19 735,737 131,145 74,354 25,353 12,849 Mar-19 410,982 329,926 80,275 55,287 130403 31784 Apr-19 395,798 233,790 284,917 78,653 350649 10,817 May-19 406,807 1924253 108,831 16B,137 47,053 161219 Jun-19 38%600 272,872 96,375 61,313 69,604 24,110 Jul-19 327,304 157,391 210,989 71,164 44,582 60,040 Aug -I 9 538,131 161,442 106,951 143,208 76,299 4%935 Sep-19 4071353 368655 90,936 110,633 77,569 34,286 BCBS 3,229 Jan-18 31A,301 41,036 15,003 96,092 15,309 Feb-18 298,344 49,545 7,521 2,126 Mar-18 2952992 108,847 36,620 Apr-18 264,955 59,799 22,052 24,249 3,036 May-18 333,429 850657 28,772 13,701 110066 Jun-18 243,731 39,136 151863 19,935 51982 Jul-18 293,552 25,273 210415 41663 4,641 Aug-18 2461685 76,065 10,129 150588 2,965 Sep-18 259,451 360355 310903 9175 17,660 Oct-18 278,210 10,535 81081 2,984 NOv-18 4731881 65,622 13,374 51239 Dec-18 510,844 4754304 580976 151243 3,227 Jan-19 459,138 119,930 66,665 23,380 1,444 Feb-19 573,148 25%028 60,021 390862 170615 Mar-19 662,668 231,969 12508 111513 80343 Apr-19 571,979 210,997 126,288 100,444 71771 May-19 511,324 133,048 1020897 580981 9%346 lun-19 453,028 172,237 61,109 43,457 61,075 Jul-19 47%018 66,128 88,280 24,074 31,017 Aug49 397,246 54,579 34,246 s%371 16,969 Sep-19 441,987 72,210 32,973 22,099 330963 Commercial 123,015 Jan-18 824,258 285,290 217,186 165,843 Feb-18 91811B3 364,431 202,273 130A00 93,883 Mar-18 850,442 605,732 226,262 153,925 1014948 92 Apr-18 72%218800IB62 278AGO 230,641 173,663 165,732 May-18 800,862 399 Jun-18 829,499 388,496 142,866 150,542 107,817 Jul-18 825,768 467,637 202,262 79,734 Aug-18 744,010 433,200 1S600 115,254 57,004 Sep-18 955,278 421,905 184,118 119,636 73,755 Oct48 751,981 423,249 148,746 104,819 91,486 Nov-18 7544369 434,004 280,506 122,980 920969 Dec-18 817,530 994,224 259,158 23%755 H%091 Jan-19 927,190 570,273 175,263 158,387 172,814 Feb-19 1,006,613 527,175 346,215 151,452 12038 Mar-19 712,768 556,825 397,004 254,630 112,539 Apr49 825,654 318,718 296,241 262,117 207,092 May.19 850,883 543,806 203,93.3 258,869 226,914 Jun-19 902,71.7 489,154 348,312 189, JuIA9 830,178 406,807 216,386 269,80 166,079 Aug -I 9 817,787 397,637 210,819 175,791 186,787 Sep-19 657,090 4570738 22%275 167,776 141,212 3,315 1,956 18,355 290 853 1,022 1,388 2,895 3,928 60 5,336 3,724 3,579 16,872 7,155 6,173 17,321 48,279 24,536 16,252 Memorial Medical Center Llccounts Receivable Agings s_ ljnder I81-365 Patal Gr ss 120 Days 90Days 60Days 90 Days 13,799 71%259 6.0a 9.2% 83.5% 90.8% 17,031 1,003,340 3.7% 6.2% 86.40A 93.8% 7,$OS 900,661 2.7% 8.8% 82.39/ 91.2% 8,513 1, 12,907 952,206 8.0% 25.7% 619% 74.3% 15,08181 9244953 11.8% 18.4% 71.2% 81.6% 36,095 9071564 15.5% 23.3% 53A% 690% 98,407 1,168,375 18.7% 31.0% 59.9% 62,513 11149,944 15.2% 24.8% 67.3% 75.2% 21,609 498,447 9,74a 395,9B9 6.8% 8.4% 87.9% 91.6% 1,912 471,374 4.8% 6.3% 85.9% 93.7% 3,381 377,761 1.S% 8.2% 86 91.89/a 1,266 474,745 2.8% 5.7% 88.3% 94.3% 339 324,987 1.9% 8.19, 87.0% 91.9% 1,147 351,714 1.9% 3.3% 90.67' 96.7% 365 353,185 1.3% 5.7% 91A% 94.3% 2,167 356,462 5.6% 8.1% 83.0% 91.9% 5,197 3221787 5.2% 8.0% 89.5% 92.0% 5,218 57%977 2.8% 3.7% 94.0% 96.3% 13,663 11082,593 2,190 3.5% 91.1% 95.5% 5,413 679,693 1.654 5.0% 85.2% 95.0% 8,921 962,174 3.1% 7.3% 86.5% 92.7% 8,05.4% 14.8% 7 37 1,067,670 3.3% 85 2% 1 43, 48,31 959,900 16.0% 22.2% 67.1% 77,8% 49,107 857,334 14.9% 19.9% 72.9% 80.1% 17,679 753,476 12.9% 16.1% 72.2% 83.9% 0 12,7 794 637,279 10.7% 14.1% 80.7% 859% 17,94 129,679 187,441 1,932,911 22.8% 31.4% 57A% 68.00 63,325 228JS21 21000,617 193% 25.8% 64.1% 74.2% 81.211 256,G03 2m27Gj123 19.3% 26.1% 64.0% 73.9% 92,298 262,489 2,1421410 224% 29.2% 5401% 70.8% 85,795 274,780 1,909,633 22.3% 31A% 56.5% 68.6% 24,Goo 284,230 1/9030032 20.6% 28.5% 64.0% 71.5% 62,825 248,128 1,9941172 21'0% 266% 63.4% 936 , 73.4% 223 97,446 1,857,709 20.4% 32289,9fi6 2,077,017 19.1% 24.8% 66.3% 75.2% ,936 49,131 28%966 1,826,009 21.8% 27.5% 644% 729% 87,543 310,882 2,083,255 23.6% 29.5% 57.0% % 70.5 792,225,488 23.2% 33.9% 5% 4.4% 66.1 ,660 348,069 56,623 349,531 2AI01081 24.0% 30.6% 62.1% 69.4% 136,011 389,306 2,681,539 26.3% 361% 48.7% 63.9% 87,656 48GA18 2,607, 780665 496,288 7AB4,775 31.5% 42.0% 46.1% 58.0% 186,613 70%428 2,831,092 364% 426% 45.9% 574% 205196j488 7910878 3,034, 355,988 791,878 2,837,121 39.3% 48.8% 43.6% 51.2% 153,321 805,894 2,748,037 41.7% 48.1% 44.2% 51.9% 121,537 832,391 2,606,019 42.0% 48.5% 42.8% 51.5% 1:\2019\Septemher 2019\AR Monthly Analysis Board Packet -Septemher 2019.z13y Mewl®rial Medical center Accoungs Receivable Ag=rags __ _- 91-120 121150 351-I80 181-365 TOW Gross 120Dnys 90Deys 60cays 90Dnys _._.I 0 30 31 60 61-90 I �Agin9 Private Pay 740,726 697,147 594017 247,510 Jan-18 631,752 582,628 594,017 247,510 Feb-18 666,740 841,468 570o272 521o799 5871575 50%572 Mar-18 477,973 924,367 914,130 424,871 Apr-18 561,647 744,232 785,526 776,098 739,448 222,767 MBY-18 576,199 875,225 671,847 669,33.4 739,448 269,300 Jun-18 4H0,707 817,645 789,785 648,370 589,705 Jul -Is 59$396 711,603 80D 272 783,095 6641636 630,659 Aug-3-8 8190007 814,307 72%135 808,794 793,828 7130445 Sep-18 550,018 831,329 684,693 590,239 714,458 713,445 OCE18 717,042 661,353 715,009 712,732 537,764 5560476 Nov-18 717049L042 935,365 628,661. 702,449 711,638 525,804 Dec-18 1180136 75%S87 5500387 199,723 2340776 19%91217019 3 198,914 Jan-19 756,640 857,165 641,958 362,191 177,385 Feb-19 810,016 907,295 522,629 448,673 Mar-19 788,848 1,011,617 831,644 259,046 192,429 117,192 Apr-19 651,051 962,021 984,820 820,567 253,676 210,340 May-19 5990955 647,471 427,314 345,917 250,277 190� 529,905 2' JJul--19 69%429 926,3042 340,044 264,252 251,938 149,432 Aug7570939 783,827 423,725 260J130 210,872 Sep-19 976,188 621,149 370,279 Sep-19 844,679 974,96E 413041240 38.4% 54.6% 982,712 4,6331419 39.4% 55.1% 32.6% 44.9% 1,097,977 4,920,379 44.3% 55.0% 28.5% 45.0% 1,1161085 4,8881213 41.3% 57.2% 26.7% 42.8% 1,175,185 409294986 43.4% 56.9% 29.4% 43.1% 1,080,836 4,6760348 41.5% 55.3% 27.8% 44.7% 1,4670114 51655,765 48.8% 62.7% 23.2% 37.3% 1,6071033 6/1790179 48.8% 61.9% 26.4% 38.1% 1,7821763 5,866,945 54.7% 14.8% 25.6% 38.8% 1,491,414 5,391,791 48.0% 61.2% 1,836,047 5,831,052 52.7% 64.8% 24.5% 35.2% 1,0121018 3,692,912 39.7% 45.1% 40,0% 54.9% 1,207,729 4460,957 36.8% 49.4% 36.2% 50.6% 1,28%312 4/513/502 40.4% 358% 43.9% 64.2% 896,868 4,097,643 29.4% 1,012,867 41895,342 30.29/ 469% 39.6% 53.1% 7S9,739 %1521173 37.1% 46.9% 592,052 31340,397 30.7% 41.1% 43.0% 58.9% 708,743 3,433,925 33.7% 42.9% 47.2% 57.1% 811,813 3,442,927 35.2% 419% 44.8% 57.1% 955,427 4,238,724 33.7% 42.4% 43.0% 57.6% All Insured 535,849 405,246 191,715 223,045 Jan-18 3,405,319 926,411 396,693 218,928 211,439 107,424 Feb-18 3073B4O47 929,943 151,540 130,749 Mar-18 3JI661346 1,218,622 4811791 295,463 216,729 120,472 Apr-18 3j4M636 1,052,937 703,399 327,258 161,829 May-18 34509/072 1,038,363 471,005 390,362 192,535 68,104 Jun-18 3,369,499 885,993 490,060 272,069 194,371 112,412 Jul-18 %301,873 928,639 463,893 190�452430826 104,260 161,122 2,944,393 918,788 381,740 243,826 62,687 Aug-18 950,706 357,622 197,449 158,098 3,355,359 3222370 178,153 150,415 91,902 Sep-18 830,420 124,902 Nov -18 3,157,510 952 464,935 369,735 151,711 Nov-18 3,598,510 971, 369,735 138,742 127,907 835,756 1p11,260 557,734 270993 82,961 Oec-18 3' 201 1,384,989 3964126 348,391 158,821 Jan-19 4,256, 646,956 775,029 236,096 Feb-19 4536/974 11331,044 456,558 183,743 175,139 Mar-19 4/090/950 1148IJ949 789,826 2g8,134 134,782 Apr-19 4,263,980 11126,245 852,009 506,877 250,569 May-19 31857,212 11326,844 536,371 541,342 459,305 Jun-19 4,0181827 1,603,347 629j164 341,565 362,893 287,155 Jul-19 4154,404 11068,522 684,109 420,773 272,642 287,155 Aug-19 41412,330 1,007,319 478,021 359,623 271,422 250,541 Sep-19 4,031,573 1,20%833 44%G49 359,623 271,422 211,620 J:\2019\Septembef 2019\AB Month�YAnalysis 0oard Packet -September 2019.x1sx T 347,040 6,034,625 12.6% 19.3% 71.8% 80.7% 403,066 600050442 12.0% 343,238 517871689 10.8% 15.9% 75.8% 84.1% 371,881 6,2041312 11.4% 16.7% 710% 83.3% 346,184 6,099,274 11.3% 17.7% 74.6% 82.3% 373,559 5,650,817 11.2% 16.0% 75.3% 84.0% 340,645 50532,288 11.7% 15.1% 76.5% 84.9% 331,128 5,0BSJ258 11.7% 16.5% 76.0% 83.5% 400,096 5,482,017 113% 14.9% 78.5% 85.1% 3781720 5,089f474 12.2% 15.4% 76.8% 84.6% g48,869 51954,768 12.2% 430,004 61871,138 10.1% 15.4% 79.0% 84 6% 396,677 7,1-361339 10.5% 14.7% 76.9% 95.3% 45%070 7,637,999 11.1% 547,591 70725/757 11.7% 17.6% 72,1% 82.4% 6460702 70818,729 13.7% 25 2% 67.3% 74.8% 7331344 71704,998 18.7% 885,412 8,155,243 19.2% uA% 66.3% 75.0% 9901121 7,877,727 19.7% 1,072,706 80059980 20.6% 26.3% 68.7% 73.7% 1,09%365 70627,285 20.7% 25.4% 68.7% 74.6% & /{ . \ \� .) /{ 7 \ }) !) / \} t .ƒ �r� ( Memorial Wledical Clinics Accounts Receivable Agings l s I120 Dees 90 Does 60 i Y 90 A Ys -_ 61-90 91-120 � 121150 � 151-180 I 181365 Total Gross 1lll % Over I % Over l% Und I/ U d r IAgInB I 0.30 I Total 9,784 10,329 1,798 1,725 (7,453) 518,080 -0.8% 1.2% 96.9% 96.8% 12,415 1,298 1,988 (71453) 68%718 -0.1% 1.3% 97.3% 98.7% Jan-18 489,483 8,542 %431 104058 643,253 19.9% 24.0% 66.5% 76.0% Feb-18 662,437 88,982 60,831 26,105 320849 57,084 38,388 Mar-18 339,013 52,817 36,604 15,031 11,116 16,556 2S4,242 608,851 463% 22.8% 45.2% 51.2% Apr-18 222A85 43,889 6,351 61,873 6207,0784 189% 24.2% 640% 75.8% May-18 335,753 173,813 52,167 36,240 3%443 5%232 69.7% Jun-18 294,657 107,410 73,653 33,359 29,081 616,559 21.0% 30.3% 54.4% 70,5OO 57,360 61j81555 394 26,238 71,943 54 p% 64.9% Jul-18 2fi0,163 77,067 55,394 27,360 86,595 658,628 32.1% 42.2% 57.8% Aug-18 280,996 77,054 66,173 6%908 112,080 692,889 32.1% 42.2% 48.8% 66,173 5%767 52,791 151,394 7320633 35.9% 43.3% 50.8% 56.7% Sep-18 291A39 86,054 54574 56,767 54,791 760s805 34.3% 39.6% 52.9% fi0.4% 80,198 56,931 40,601 4%012 1771569 857, Oct-18 281,839 56,831 40,017 857,D90 31.6% 38.3% 50.8% 61.7% NOV48 283,334 119,440 93,754 57,379 351780 32,266 202,603 Dec-18 309,302 126,006 41,525 384396 304694 19%243 966,369 27.3% 31.1% 51.4% 57.9% Jan-19 286,577 90,591 47,156 37,434 37,660 27,833 19%719 966,369 27.3% 33.9% 62.8% 68.8% 531,722 74,798 58,203 30,517 31,697 210,733 9280936 29.4% 33.9% 619% 66.1% Feb-19 44,579 42,242 66%208 32.0% 35.5% 53.7% 64.5% Mar-19 369,686 199,482 23,266 21,645 23,307 167,460 27,906 14,235 175,771 407,699 36.8% 45.1% 46.6% 80.3% Apr-19 264,949 91,004 71,577 217,505 58,477 49p4O5 49,246 30,137 %434 8,006 407,699 10.7% 19.7% 73.2% 80.1% May-19 36,636 6,863 393,661 14.4% 19.9% 69.9% 80.1% Jun-19 239,594 58,963 28,926 21,664 28,208 23,455 99 225,860 49,363 40,248 20,567 23,499 24,072 588,087 11.6% 15.8% 78.9% 84.2% Sepd9 246,570 121,982 31,574 26,090 20,567 22,572 42,630 475,789 18.6% 24.1% 74.0% 75.9% 161 (463) 86,630 -0.3% -03% 100.0% 100.3% Medicare 291 - - 463 97 573 -1.5% -1.5% 101.2% 101.5% Jan-18 84,984 1,657 90 16 - 161 ( ) 37,573 15.9% 15.9% 82.7% 84.1% 37,789 787 8,097 120 1,009 Feh-18 46,304 1,787 828 5 5 7,751 23,694 78,096 40.3% 40.9% 81.0% 82.1% Mar-16 507 8,674 56A26 15.9% 17.9% 81.0% 9847% Apr-16 4g887 3,659 1,592 1,119 362 (75) 86.7% 98.7% 6,412 GS6481 783) 85,251 0.8% 4,8% MaY'18 39,279 g,481 408 1,335 80 ( 85 251 -0.1% 4.8% 87.3% 95.2% Jun-18 59,720 90066 70 9 6,798 4,141 819 (70 Jul-18 68,306 6,286 190 (43) 67,062 5.0% 16.0% 78.9% 84.0% 8,677 %402 7,413 3,187 200 82,341 11.1% 15,2% 74.8% 84.8% U9-18 58,061 8,218 4,803 7,413 11532 7%954 10.2% 16.7% 92.0% 83.3% Sep58,061 3,515 3,402 21383 1,732 46,870 13,775 969 1,B33 %402 3,747 71,947 12.5% 13.0% 72.2% 87.0% Nov-18 42,211 %728 10,660 6365 405 1,833 7,032 78,686 11.8% 20.3% 70.6% 79.7% Oeo-18 49,651 5,873 7,211 5926 6,219 7,302 101,605 13.5% 10.9% 83.3% 89.1% Jan-19 14,851 3,171 1926 4,219 180 6444 124,235 10.0% 10.9% 63,956 1,526 Feb-19 95,149 80400 7,151 2195 247 4,229 71343 86,733 13.6% 16.2% 83.5% 83.8 317 1,577 12,946 94,475 3.6.7% 17.9% 73.7% 82.2% Mar-19 59,975 12,427 1,032 1,275 9.4% 18.3% 77.0% 81.7% 58,655 10,971 8,019 1,373 1,436 3,213 64,391 Apr-1J 3,004 51779 80,917 70% 10.9% 88.6% 89.1% May-19 48,717 868 435 3,164 11860 1,183 2,584 76,761 73,9%,0% 3.8% 90.5% 96.2% 65s7335,958 1,659 Jun Jul-19 67,208 21242 4,766 559) 465 994 (82) 265 2,029 172,705 1.7% 3.1% 97.3% 96.9 Aug-19 126,263 2,130 761 276 479 (82) 1,906 72,705 3.2% 3.5% 95.4% 96.5% Sep-19 53,166 16,199 1.8% 4.% 93.3% 973..9% Medicaid 1795 1,074 1,817 674 443 (94) 5%218 .3% 97.4% 98.7% Jan-18 52,500 269 (603) 187,593 -0.1% 1 180,174 2,576 21454 2,63377 4,997 8,406 96,123 17.5% 21.4%66.1% 78.6% Feb-18 41,100 22475 11,937 31830 ,19,807 125,852 19.8% 26.1%56.8% Mar-18 8 3,337 4.0% 67.4% 76.%0 162,10,369 146,176 11.% 6.7% Apr-18 52,892 ,592 1,2316.9% 23.3% 64.6% 7 36,104 12,462 1%326 2967 136,906 May-18 62,491 16,595 1608 3,990 ,137,408 20.5% 31,9% 4.2% 681% Jun-18 4%771 39,609 28,797 15,558 80267 14650 5,291 18 .4% 39.3% .0% 60.7 Jul-18 37,712 27,135 25,800 240544 15,41B 80187 16,598 1784138 33.8% 47.3% 38.0% 52.7% Au9-18 46,844 27,268 26,074 24,043 22,082 337.4% 50.0% 413% 50.0% 50,254 11,527 24,543 21921 7,302 224,253 Sep-18 19,624 28,277 209,698 41.4% 49.9% 437% 50.1% act-18 74,987 17,600 9,628 15,621 51,516 39.0%45.1% 40.8% 54.9% 36,903 54,776 13,278 17,977 114,826 59,003 218144 Nov-18 3%732 13,344 11,175 179,221 46.5% 55.1% 38.2% 44.9% Dec-18 7o,610 18,453 12,025 15,416 81981 10,307 64,042 Jan-19 48,748 19,702 06- J:\2019\September 2019\AS Monthly Analysis Board packet -September 2019A Memorial Medical Clinics Accounts Receivable Agings - 121-150 151188 181m365 Total Gross /Over / Ov r 6 1)9 9U Under 3160 6190 91"120 120➢Sys 90D ys 60D y n8 0-30 7992 59,193 22400D 36.5% 403% 52.6% 59J% 15,945 8,558 14,553 h5,913 199,843 32.8% 37.9% 60.6% 62.1% Feb-19 110,975 6,784 5,450 14,273 g•9% 722% 91.1% 81,358 39,603 22938 100107 3,323 169 4,573 104,686 72% 56.8% 732% Mar-19 19,781 1,238 98,420 112% 26.8% Apr-19 45,442 30,161 31478 3,247 4,299 42,677 15,199 140156 15,363 5765 20996 6,255 84,909 1747% 32.4% 62.4% 67.6% kJJu 19 36,8776 13,793 14,199 12,731 7,077 579 3,217 8,760 118,573 14,4% 202% 7"6% 798% lul-19 9,630 6,981 2, 6,189 1113,484 21A% 28,1% 69,5% 71.9% 6,560 1 Sep- 9 40,942 31,023 2,400 7,013 ,757 13,790 _ - (1,856) 48,808 -3.8% -3.9% 303.8% 103.9% BCBS - 48 (24) (1,856) 83,544 -1,9% -2.0% 102.0% 102.0% Jan-18 5%641 (24) - 235 64,507 26,8% 28.6% 684% 71.4% Ma 18 43,110 1,026 1,940 1'759 161 151789 3,434 33,269) 61' 5.0% 92.5% 95.0% 31190 372 6146%' 62,8% 35.8% 372% 1,077 032 1,918 883 51 1,280 1,140 52,251 429b 4J% 95.0% 95.3% Apr-18 20' 2,168 1,308 129 55 1,140 42,791 2,8% May-18 46,176 802 129 ( ) 36,159 2.8% 3.3% 94,6% 96,7% Jun-18 35,376 10,826 761 183 24 -990 24 1,494 45,497 35% 5,4% 66,8silo% 94.6% Jul-18 23,376 879 53 921 5,5% 233% 66.8% 76.7% 33,774 3,099 61214 30, 53 1,702 _ Sep18 16,832 30834 2,059 31058 5329 675) (40) (2,235) 59,397 4.7% 1,9% 85,6% 198.1% OCE18 40,167 7,467 2,099 329 675 (1,999) 397 1.6% I1.5% 73.7% 88,5% Nov-18 38,892 11,973 7,427 7252 2,089 329 (1,222) 73' -3.5% 5.1% 95.5% 94.9% 34,711 9,404 10,293 645 - 12,223) 44,720 De -is 11,155 (233) 3,839 2173 98,066 2.0% 1.6% 06.5% 982% Jan 31,537 9,064 (233) 3,887 249 (, ) Feb-19 83,571 3,701 145 (10332) 1,565 (21571) 33,100 -7.1% -0,2% 183,2% 100,2% 2%847 9,402 43 _ (11332) 1,218 47,024 -02% -02% 832% 1002% Marv19 5,004 81027 (317) 30,960 -0396 2.6% 932% 97A% Apr-19 34,108 1 M 912 212 46,927 0.8% 11% 98.9% 98.9% May-19 281267 753 158 114 259 40,010 0.1% 0.1% 99.4% 99.9% Jon-19 40,712 5,685 _ 35 24 ( ) 61,691 01% 0.5% 91.5% 995% Jul-19 33,080 6,684 JD5 189 (3) (3) 120 4,205 17 61,691 02% 0.8% 98.0% 992% Au9-19 55,468 3,949 584 257 64 Sep-19 41,010 - 01.% 9o 99.9% Commercial 92 11736 (30990) 24%882 -0.9% -02% 500,0% 1002% Jan-18 23%7482981 1877 2,- 1,836 (3,675) 206,743 -0,9% 8.4%69.6% 71.6% (201) 397 10459 248,033 190% 2 Feb-18 206,928 28,78 29,821 81404 86.4% 9.1% 13.6% Mar-18 129,401 43274 q,835 ,1520063 103.1% (25,374) %806 5,402 142,580 11.0% .9% 89.0% Apr-18 20,869 (71062) 6,843 8,497 30521 4,324 SAILS 197,364 67% 5.0% 763% 85.0 May-18 120,047 410619 14,041 6213 3117 6,947 185149 8.8% 107,337 33,964 , 5,670 10730 6p28 61741 221% 68.2% 779% Jun-18 96,918 36,921 18,582 205,834 14.3% %6.% 67.4% Jul -IS 16306 146 7,363 7198 9220227% 3 120,715 1$719 1,,15622 14,313 13,691 ,3,3% 625% 662% SeP10 79,477 35,827 14332 18938 16,964 13,669 23,937 183,334 29,8% 390% 65,6% 73. 92,127 22,537 71538 ,5,555 44,665 27,254 27.1% 2 Oct-16 4,087 50716 4.1% % 115,695 261818 15,64 3,350 4,732 49,341 18.1% 743% 81,9% Nov-18 15,904 40,368 18198 1,190 17,287 157,907 160% 1.6%80.9% 884% Dec-18 83,808 33,541 110937 3,307 6,837 11501 262,485 7,6% 1 Jan-19 19,615 10,505 2,171 6,350 168,567 8.6% 22.6% 74.49Y77% Feb-19 194,610 17,733 50087 2%G49 51549 593 84292 122,021 16,1% 183% 74.7% 81,7% 4443 8,538 21637 13,079 6,187 80909 .7% 17.6% 82.4% Apr-19 76,446 14,722 31154 6,354 1,074 3,870 2,914 105,300 10J% 12.18347% 87.9% MaY-19 14,873 495 1,436 54000 445 5,836 97,833 9.9% 12.9% 80.6% 87.1% 178,926 90163 6,369 1346 137,914 8.3% 11.7% 80.0% 883% Jul-19 60,157 18,666 1,133 8,435 75.4% 796 111,531 4,726 1181,3624549 890179 102% 20,4% Sep19 47,794 19,471 30694 90093 31217 1:\2019\September 2019\AR Mon[hly Analysis Board Packet -September 2019.x1 z / Memorial Medical Clinics a, pn, n,tc Receivable Agings Jan48 65,611 50982 1186 PI'IVflPay 5493 6,098 1, Feb-18 152,357 51922 60490 50992 ,86 20,420 45,853 ) (3,3,8 0 8 Mar-18 7%096 (557) Apr 18 87,804 35,673 31171 27,510 23,701 0134,763 May-18 671759 5045 Jun-18 42,461 20,528 31,246 11,979 2,490 Jul-18 34,052 18,106 151562 21,808 1, 35,477 ,314,070 12,874 21,920 Au9-1B 43,701 25,352 14,491 18,044 121357 Sep-18 12,860 14,601 Oct-18 372688 180818 13090. Nov. -Is 4%633 16,146 13,747 15,490 26,779 14,489 18,761 Dec-18 36426 41,907 15714 Jan-19 58,528 114343 20,256 13,037 , Feb-19 47,417 3%180 61428 170521 12,568 Mar-19 1210552 93,406 36,194 60146 200602 Apr-19 50,299 30,146 27,212 1%360 3,968 May-19 49,173 26,785 27,95B 20,838 21,769 17,513 19,531 1%402 17,399 Jun-19 21,918180184 Jul-19 28,540 7,978 15,102 16,009 Aug-19 80,582 3,146 40674 116,760 Sep-19 6367 35,846 1,288 9,451 13, AllInsured 766 lab-18 4230872 61433 30291 4231 Feb-18 ,2621 M41 4066 SOS Mar-18 259,916 680562 19JS40 515 361042 Apr-18 134,680 170144 30,751 (16,140) 110673 May-18 267,993 86,303 2%467 079 A26 Jun-18 252,196 8688 42,406 21,1 23985 Jul-18 226,111 81,168 54,938 35,551 , 591 Aug-18 245,519 58,764 55,331 4886433A74 Sep-18 24,60,702 51,683 45,076 Oct-1254,150 61,380 30,210 3997345,583 7, Nov-18 23%701 103,294 43,083 24jS28 17019 Dec-18 2,,66,97542,889 , Jan-19 228,049 79,249 26,90D 28,488 220682 Feb-19 484,306 36,618 51,774 19,913 25,092 Mar-19 248,133 106,076 8,385 360096 99915 14,650 60,859 44,364 41906 17,677 pprvlg 21,447 28,407 60137 May-19 166,332 31,693 9,395 170235 1738 Jun-19 217,676 41,452 Jul-19 197,321 41,385 250146 5655 9A24 Aug-19 361,183 180836 26,899 120455 Sep-19 1821912 6%881 7,438 16,639 10,320 1 3 1 2 1 1 (1832412640((,,(,,,65,9,34,,335515) (11060) 83,541 -0.8. 13) 21832 174,264 2.0% 5.54%% 8905..78%% 9934..56% 56 22,278 176,437 21.6% 0.2% 56A% 79.8%% 191,467 16.2% 32.5% 64.5% 67.5% 68) 34,890 39.9% 48.1% 60.1% 09) 36,375 197,86E 35.7% 10 40,062 1830631 42.2% 49.7% 34.3% 41 59,892 166,251 46.1% 593% 31.4%40.7% 95 61,348 17SM588 54.0% 61.4% 686 30 72,814 209,289 51.5%60.1% 33% 3.% 60 659 202,59 27.9% 34.2% 77%640 053.1% 60.7% 32.5% 39.3% 546 88,447 239,356 49.291 55.2% 33.6% 44.8% 19,017 1111836 24%730 58.7% 63.991 33.091 2% 35.7% 11,716 123,754 257,584 57.5% 64,3% 11,038 151,756 440,693 41.6% 43.0% 48.89/ 57,05/ 22,474 142,536 294,995 57.3% 63.5% 27.3% 36.5% S,682 165,661 317,866 60.8% 67.3% 440% %658% 811 (61928) 890645 12.6% 34.2% 13,339 (7,922) 91,830 26.4% 43.8% 39.6% 56.29f 915 41726 137,977 27.1% 35.9% 60.7% 64.1% 19,535 22,368 165,300 33.9% 39.0% 60.2% 610% 2,340 (6,% 394) 434,538 -0.96 0.2% 99.0% 99.8 $501 (61864) 515,453 -0.8% 0.0% 99.5% 100.0% 381128 16,110 466,813 19.3% 25.4% 70.49f 74.69/ 1$924 219,351 417,382 60.1% 56.3% 36.4% 43.7% 6,760 25,498 452,217 9,2% 15.4% 78.3% 84.6% 10,171 4 7,132 44,153 9.3% 14.1% 76.3% 80.4% 211897 12,051 450,308 11.7% 19.6% 68.2% 15,765 25,247 48%041 15.4% 25.6% 63.0% 74.4% 30,384 391267 4831600 23.7% 34.4% 54.9% 65.6% 37,932 60,735 529,963 27.2% 34.8% 59.5% 65.2% 281252 97,929 558,296 27.5% 31.99? 60.4% 68.1% 211720 114,156 617,734 24.8% 31.7% 57.5% 68.3% 11,677 86,407 483,453 25.0% 30.99/ 63.6% 69.19/ 16,117 74,965 708,785 16.4% 19.2% 73.5% 80,891 201659 58,978 48B,243 18.3% 25.7% 725% 74.3% 833 24,924 368,218 11.8% 13.1% 74.8% 86.9% %553 10,110 274,679 9.0% 19.4% 72.89f Buie 4,623 14,934 318,054 10.2% 15.6% 81,59, 84.4% 8,115 14,785 301,831 10.7% 12.6% 79.1% 87.4% 7,5H4 1%344 450,109 6.8% 9.6% 84.4% 90.49'o 3,037 200262 310,489 10.8% 16.26 810.9/ 83.8% 1:\2o19\Septemher 2019\AR Monthly Analysts Board Packet -September 2019.x1 zoy MEMORIAL MEDICAL CUM 1 ER CHECK REGISTER: 9-1-19 TWRU 9-30-19 BANK CODE C9(# DATE AM0UNT PAYEE 100004 9/10/2019 942,542.52 STATE COMPTRLR A/P 1666 9/20/2019 (398,00) 3WON, LLC 18 A/P /20558.00 ABILITY NETWORK (SHIFTHOUND) A/P 182151 /2019 53.54 ACE HARDWARE 15521 A/P 182152 9/4/2019 954.00 ALCON LABORATORIES, INC. A/P 182153 9/4/2019 4 9/4/2019 766.65 BAXTER HEALTHCARE A/P 182159/4/2019 18,541,12 BECKMAN COULTER INC A/P 182155 9/4/2019 11600,32 BIO-RAD LABORATORIES, INC A/P 18215 A/P 182156 9/4/2019 17,276.75 BIOFIRE DIAGNOSTICS LLC 182158 9/4/2019 113.15 CALHOUN COUNTY A/P g/4/2019 1,248.35 CARDINAL HEALTH 4147 INC. A/P 182159 9 500.00 CHEMACIUA 182160 9/4/201 A/P 182161 9/q/2016,895.22 CITY OF PORT LAVACA A/P 51775,00 CLINICAL COMPUTER SYSTEMS INC A/P 1821g/q/2019 62 125.52 CONNED CORPORATION A/P 182163 9/4/2019 182164 9/4/2019 454.00 CYGNUS MEDICAL LLC A/P 9/4/2019 208A7 CYRACOM LLC A/P 182165 4,2 182166 9/4/2019 52.36 DEWITT POTH &SON A/P 9/4/2019 65.19 DIANE MOORE A/P 182167 A/P 182168 9/4/2019 144,684,99 DISCOVERY MEDICAL NETWORK INC 40,062,50 EMERGENCY STAFFING SOLUTIONS A/P 182169 9/4/2019 182170 9/4/2019 98.46 FEDERAL EXPRESS CORP. A/P 9/4/2019 VOIDED A/P 182171 9/4/2019 17,069498 FISHER HEALTHCARE A/P 182172 342,82 GENESIS DIAGNOSTICS A/P 182173 9/4/2019 182174 9/4/2019 57.24 GRAINGER A/P A/P 182175 9/4/2019 865.00 GUERBET,LLC 182176 9/4/2019 1,449.58 GULF COAST PAPER COMPANY A/P 9/4/2019 844.80 HILL -ROM COMPANY, INC A/P 182177 9/4/2019 7,990.00 ICAD, INC A/P 182178 692.11 1 & 1 HEALTH CARE SYSTEMS, INC 182180 A/P 18219/4/2019 9/4/2019 3,529.36 JACKSON & COKER LOCUM TENENS, A/P 9/4/2019 11190,86 M G TRUST A/P 182181 VOIDED A/P 182182 9/4/2019 182183 9/4/2019 9.42 MCKESSON MEDICAL SURGICAL INC A/P 9/4/2019 221.98 M EDIVATORS A/P 182184 VOIDED A/P 182185 9/4/201.9 A/P 182186 9/4/2019 12,884.52 MEDLINE INDUSTRIES INC 182187 9/4/2019 281.62 M EDTRO NIC USA, INC. A/P 165.00 MEMORIAL MEDICAL CLINIC g/q/2019 A/P 182188 293.06 MICROTEK MEDICAL INC A/P 182189 9/4/2019 A/P 182190 9/4/2019 390.00 MID -COAST ELECTRIC SUPPLY,INC -39- WC 182244 9/4/2019 94.61 A/P 9/4/2D19 36.65 A/P 182245 101.92 A/P 182246 9/4/2019 182247 9/4/2019 20.35 A/P 9/4/2019 17.10 A/P 182248 13.97 A/P 182249 9/4/2019 9/4/2019 2 A/P 182250 190,30.32 A/P 182251 9/4/2019 9/4/2019 29.07 A/P 182252 302.75 A/P 182253 9/4/2019 182254 9/4/2019 15.50 A/P 9/4/201 A/P 182255 9 145.88 A/P 182256 9/4/2019 66.09 9/4/2019 10.00 A/P 182257 195,26 A/P 182258 9/4/2019 9/4/2019 39.14 A/P 182259 139.48 A/P 182260 9/4/2019 56.39 A/P 182261 9/4/2019 9/4/2019 42.00 A/P 182262 195.22 A/P 182263 9/4/2019 109.33 A/P 182264 9/4/2019 182265 9/4/2019 45.37 A/P 9/4/2019 80.0f A/P 182345 9/11/2019 158.94 ACE HARDWARE 155t1 A/P 18245 182346 9/11/2019 1,757.29 AIRGAS USA, LLC -CENTRAL DIV A/P 9/11/2019 1,594.15 ALCON LABORATORIES, INC. A/P 182347 182348 9/11/2019 21243.25 ALLYSON SWOPE A/P 9/11/2019 309.17 ARTHREX,INC A/P 18233,969.18 BAXTER HEALTHCARE A/P 182350 9/11/2019 182351 9/11/2019 1,030.78 BECKMAN COULTER INC A/P 9/11/2019 BOSART LOCK & KEY INC A/P 182352 182353 9/11/2019 12,209,33 CDW GOVERNMENT, INC. A/P ,050.00 CFI MECHANICAL INC A/P 182354 g/11/2019 1 1,818.00 CLIA LABORATORY PROGRAM A/P 182356 9/11/2019 182356 9/11/2019 347.94 COASTAL OFFICE SOLUTONS A/P 9/11/2019 11614,80 COASTAL REFRIGERATION A/P 182357 182358 9/11/2019 1,081.76 COMBINED INSURANCE A/P 9/11/2019 1,096.60 DEWITT POTH & SON A/P 182360 9/11/2019 123,896,04 DISCOVERY MEDICAL NETWORK INC A/P 1823 A/P 182361 9/11/2019 221380.00 EMERGENCY STAFFING SOLUTIONS 182362 9/11/2019 19,329,42 EVIDENT A/P 9/11/2019 71.68 FEDERAL EXPRESS CORP. A/P 182363 182364 9/11/2019 4,583.91 FISHER HEALTHCARE A/P 9/11/2019 50.42 FRONTIER A/P 182365 1,094.63 FUSION CLOUD SERVICES, LLC A/P 182366 9/11/2019 182367 9/11/2019 398.00 GI SUPPLY A/P 9/11/2019 175,00 GULF COAST DELIVERY A/P 182368 -41 A/P 182369 9/11/2019 1,784.70 GULF COAST PAPER COMPANY A/P 182370 9/11/2019 500.00 GULF COAST REGIONAL Fillfir A/P 182371 9/11/2019 735.93 A/P 182372 9/11/2019 110.80 HEALTH CARE LOGISTICS INC A/P 182373 9/11/2019 41747,50 HEALTH EFILINGS LLC A/P 182374 9/11/2019 320.00 ICU MEDICAL, INC A/P 182375 9/11/2019 1,500.00 ITERSOURCE CORPORATION A/P 182376 9/11/2019 11,622,59 1ACKSON & COKER LOCUM TENENS, A/P 182377 9/11/2019 239.00 DECKER FLOOR & GLASS A/P 182378 9/11/2019 126.90 MEDI-DOSE, INC A/P 182379 9/11/2019 31033,84 MEDICAL DATA SYSTEMS, INC. A/P 182380 9/11/2019 87.65 MEDIMPACT HEALTHCARE SYS, INC. A/P 182381 9/11/2019 VOIDED A/P 182382 9/11/2019 VOIDED A/P 182383 9/11/2019 5/091401 MEDLINE INDUSTRIES INC A/P 192384 9/11/2019 80.53 MMC AUXILIARY GIFT SHOP A/P 182385 9/11/2019 VOIDED A/P 182386 9/11/2019 VOIDED A/P 182387 9/11/2019 81558,22 MORRIS & DICKSON CO, LLC A/P 182388 9/11/2019 292.64 NADINE GARNER A/P 182389 9/11/2019 755.37 ORTHO CLINICAL DIAGNOSTICS A/P 182390 9/11/2019 2,152.50 PABLO GARZA A/P 182391 9/11/2019 633.98 PARTSSOURCE, LLC A/P 182392 9/11/2019 170.00 PHILIP THOMAE PHOTOGRAPHER A/P 182393 9/11/2019 11145,00 PORT LAVACA WAVE A/P 182394 9/11/2019 26.23 PRECISION DYNAMICS CORP (PDC) A/P 182395 9/11/2019 71300,00 PREMIER SLEEP DISORDERS CENTER A/P 182396 9/11/2019 368.49 QIAGEN INC A/P 182397 9/11/2019 240.00 REVISTA de VICTORIA A/P 182398 9/11/2019 4,512.75 ROBERTS, ODEFEY, WITTE & WALL A/P 182399 9/11/2019 48.91 SCAN SOUND, INC A/P 182400 9/11/2019 820.89 SERVICE SUPPLY OF VICTORIA INC A/P 182401 9/11/2019 913.73 SHERWIN WILLIAMS A/P 182402 9/11/2019 10.00 SHIP SHUTTLE TAXI SERVICE A/P 182403 9/11/2019 495.44 SHIRLEY KARNEI A/P 182404 9/11/2019 258.80 SMITH & NEPHEW A/P 182405 9/11/2019 47.33 SMITHS MEDICAL ASD INC A/P 182406 9/11/2019 4,830.00 SOUTH TEXAS BLOOD & TISSUE CEN A/P 182407 9/11/2019 675.00 SOUTHEAST TEXAS HEALTH SYS A/P 182408 9/11/2019 74.27 SPARKLIGHT A/P 182409 9/11/2019 11,920.72 SUN LIFE FINANCIAL A/P 182410 9/11/2019 21799,00 TELCOR A/P 182411 9/11/2019 %394.69 UNIFIRST HOLDINGS INC A/P 182412 9/11/2019 136.92 UNIFORM ADVANTAGE A/P 182413 9/11/2019 599000 UPDOX LLC A/P 182414 9/11/2019 543.50 WAGEWORKS A/P 182415 9/11/2019 129.60 WAGEWORKS, INC -42- A/P 18241.6 9/11/2019 A/P 182417 9/11/2019 A/P 182418 9/18/2019 A/P 182419 9/18/2019 A/P 182420 9/18/2019 A/P 182421 9/18/2019 A/P 182422 9/18/2019 A/P 182423 9/18/2019 182424 9/18/2019 A/P A/P 182425 9/18/2019 A/P 182426 9/18/2019 A/P 182427 9/18/2019 A/P 182428 9/18/2019 A/P 182429 9/18/2019 A/P 182430 9/18/2019 A/P 182431 9/18/2019 A/P 182432 9/18/2019 A/P 182433 9/18/2019 A/P 182434 9/18/2019 A/P 182435 9/18/2019 A/P 182436 9/18/2019 A/P 182437 9/18/2019 A/P 182438 9/1.8/2019 A/P 182439 9/19/2019 182440 9/18/2019 A/P A/P 182441 9/18/2019 A/P 182442 9/18/2019 A/P 182443 9/18/2019 A/P 182444 9/18/2019 A/P 182445 9/18/2019 A/P 182446 9/18/2019 A/P 182447 9/18/2019 A/P 182448 9/18/2019 A/P 182449 9/18/2019 A/P 182450 9/18/2019 A/P 182451 9/18/2019 A/P 182452 9/18/2019 A/P 182453 9/18/2019 A/P 182454 9/18/2019 A/P 182455 9/18/2019 A/P 182456 9/18/2019 A/P 182457 9/18/2019 A/P 182459 9/18/2019 182459 9/18/2019 A/P 9/18/2019 A/P 182460 A/P 182461 9/18/2019 A/P 182462 9/18/2019 254,78 WALMARTCOMMUNITY 1977.97 WERFEN USA LLC 99.56 ACE HARDWARE 15521 920,91 AIRGAS USA, LLC -CENTRAL DIV 31337 ARGON MEDICAL DEVICES 630.26 BAXTER HEALTHCARE 570.00 BAY STORAGE 1,405.80 BAYER HEALTHCARE 423.49 BAYMEDICAL PRODUCTS 3,550.74 BECKMAN COULTER INC 205/007427 BLUE CROSS BLUE SHIELD 198.72 BOUND TREE MEDICAL, LLC 1,901.00 BUILDING KID STEPS 130.00 CALHOUN COUNTY INDIGENT ACCOUN 250.00 CALHOUN SPORTS MEDICINE 504.47 CARDINAL HEALTH 414, INC. 21159.48 CDW GOVERNMENT, INC. 46.02 CENTERPOINT ENERGY 480,00 CHRIS KOVAREK 11590,35 CONMED CORPORATION 1,036.99 CUSTOM MEDICAL SPECIALTIES 1,182.65 DEWITT POTH & SON 50,311,25 DIAMOND HEALTHCARE CORP 70.96 DILON TECHNOLOGIES 1,030.00 DOWELL PEST CONTROL 280.00 EAGLE FIRE & SAFETY INC 1,490.00 FASTHEALTH CORPORATION 47.09 FEDERAL EXPRESS CORP. 2,907.01 FISHER HEALTHCARE 41766.02 GARDNER & WHITE, INC. 204,93 GETINGE USA SALES LLC 350,00 GUERBET, LLC 37.31 GULF COAST PAPER COMPANY 294.64 GULF COAST SCIENTIFIC VOIDED 891.15 HEB CREDIT RECEIVABLES DEPT308 8,333.33 HITACHI MEDICAL SYSTEMS 708.75 HOLOGIC INC 14,482.14 HUNTER PHARMACY SERVICES 250,00 ITERSOURCE CORPORATION 31784,10 1 & J HEALTH CARE SYSTEMS, INC 22,854.53 JACKSON & COKER LOCUM TENENS, 100,00 JECKER FLOOR & GLASS 275.00 K & M SPORTS 43.00 KEY SURGICAL INC 55,00 1,190.86 M G TRUST - 43- A/P 182463 9/18/2019 A/P 182464 9/18/2019 A/P 182465 9/18/2019 182466 9/18/2019 A/P A/P 182467 9/18/2019 182468 9/18/2019 A/P A/P 182469 9/18/2019 A/P 182470 9/18/2019 182471 9/18/2019 A/P A/P 182472 9/18/2019 A/P 182473 9/18/2019 182474 9/18/2019 A/P A/P 182475 9/18/2019 A/P 182476 9/18/2019 A/P 182477 9/18/2019 A/P 182478 9/18/2019 A/P 182479 9/18/2019 A/P 182480 9/18/2019 A/P 182481 9/18/2019 182482 9/18/2019 A/P A/P 182483 9/18/2019 A/P 182484 9/18/2019 A/P 182495 9/18/2019 A/P 182486 9/18/2019 182487 9/18/2019 A/P A/P 182488 9/18J2019 A/P 182489 9/18/2019 A/P 182490 9/18/2019 A/P 182491 9/18/2019 A/P 182492 9/18/2019 182493 9/18/2019 A/P 9/18/2019 A/P 182494 A/P 182495 9/18/2019 A/P 182496 9/18/2019 A/P 182497 9/18/2019 A/P 182498 9/18/7019 A/P 182499 9/18/2019 A/P 182500 9/18/2019 A/P 182501 9/18/2019 A/P 182502 9/18/2019 A/P 182507 9/25/2019 A/P 182508 9/25/2019 A/P 182509 9/25/2019 A/P 182510 9/25/2019 A/P 182511 9/25/2019 A/P 182512 9/25/2019 A/P 182513 9/25/2019 136.05 MEDIMPACT HEALTHCARE SYS, INC. VOIDED VOIDED VOIDED 11,295.49 MEDLINE INDUSTRIES INC 200.00 MEMORIAL MEDICAL CLINIC 76.17 MERCEDES SCIENTIFIC 1,368.02 MERRYX-RAY/SOURCEONEHEALTHCA 110.76 MMC VOLUNTEERS VOIDED 6,364.51 MORRIS & DICKSON CO, LLC 175.00 NATIONAL FIRE PROTECTION ASSOC 226.95 OLYMPUS AMERICA INC 484.14 ORTHO CLINICAL DIAGNOSTICS 187.50 PALACIOS BEACON 834.00 PATRICK OCHOA 21660,40 RANDY'S FLOOR COMPANY 350.00 RAPID PRINTING LLC 5,909.84 RICOH USA, INC. 89.00 SERVICE SUPPLY OF VICTORIA INC 500.00 SHANNAO'DONNELL, FNP 18.93 SHERWIN WILLIAMS 8.00 SHIP SHUTTLE TAXI SERVICE 790.00 SIGN AD, LTD. 49,96 SMITHS MEDICAL ASD INC 2,719.00 SOUTH TEXAS BLOOD &TISSUE CEN 72.34 STERIS CORPORATION 377.52 STRYKER SALES CORP 2,354.33 STRYKER SUSTAINABILITY 2,333,72 SUN LIFE ASSURANCE COMPANY 581.57 THE BRATTON FIRM 31400,00 THE COMPLIANCE TEAM, INC 75.00 TROEMNER, LLC 30,787.85 TXU ENERGY 3,595,77 UNIFIRST HOLDINGS INC 313.75 UNIFORM ADVANTAGE 37,377.67 VICTORIA ANESTHESIOLOGY 600.00 VICTORIA RADIOWORKS, LTD 31629,52 WAGEWORKS 126.00 ZIMMER BIOMET 558.00 ABILITY NETWORK (SHIFTHOUND) 99.31 ACE HARDWARE 15521 1,400.00 ACUTE CARE INC 550.45 AIRGAS USA, LLC - CENTRAL DIV 795.00 ALCON LABORATORIES, INC. 193.32 ALIMED INC. 2,468.25 ALLYSON SWOPE A/P 182514 9/25/2019 A/P 182515 9/25/2019 A/P 182516 9/25/2019 A/P 182517 9/25/2019 A/P 182518 9/25/2019 A/P 182519 9/25/2019 182520 9/25/2019 A/P A/P 182521 9/25J2019 A/P 182522 9/25/2019 A/P 182523 9/25/2019 A/P 182524 9/25/2019 A/P 182525 9/25/2019 A/P 182526 9/25/2019 A/P 182527 9/25/2019 A/P 182528 9/25/2019 A/P 182529 9/25/2019 A/P 182530 9/25/2019 A/P 182531 9/25/2019 A/P 182532 9/25/2019 A/P 182533 9/25/2019 A/P 182534 9/25/2019 A/P 182535 9/25/2019 A/P 182536 9/25/2019 A/P 182537 9/25/2019 A/P 182538 9/25/2019 A/P 182539 9/25/2019 A/P 182540 9/25/2019 A/P 182541 9/25/2019 A/P 182542 9/25/2019 A/P 182543 9/25/2019 A/P 182544 9/25/2019 182545 9/25/2019 A/P 9/25/2019 A/P 182546 A/P 182547 9/25/2019 A/P 182548 9/25/2019 A/P 182549 9/25/2019 A/P 182550 9/25/2019 A/P 182551 9/25/2019 A/P 182552 9/25/2019 A/P 182553 9/25/2019 A/P 187554 9/25/2019 A/P 182555 9/25/2019 A/P 182556 9/25/2019 182557 9/25/2019 A/P 9/25/2019 A/P 182558 A/P 182559 9/25/2019 A/P 182560 9/25/2019 51.95 AQUA BEVERAGE COMPANY 4,950.00 AUTHORITYRX 603.36 BAXTER HEALTHCARE 25,154.25 BECKMAN COULTER INC 8,256.25 BIOFIRE DIAGNOSTICS LLC 100,OOD.00 CALHOUN COUNTY 394.91 CAREFUSION 2200, INC 48.23 COW GOVERNMENT, INC. 1,375.00 CHRISTINAZAPATA-ARROYO 39,675.99. CLINICAL PATHOLOGY LABS 739.00 COOPER SURGICAL INC 65.00 CORPUS CHRISTI PROSTHETICS 261.39 CYRACOM LLC 245.98 DEWITT POTH & SON 357.08 DIANE MOORE 1,875.00 DIGITAL INOVATION,INC. 121.70 DILON TECHNOLOGIES 127,192,87 DISCOVERY MEDICAL NETWORK INC 3/765680 DUDE SOLUTIONS, INC 40,062.50 EMERGENCY STAFFING SOLUTIONS 154.95 ERBE USA INC SURGICAL SYSTEMS 179.23 FASTENALCOMPANY 53.18 FEDERAL EXPRESS CORP. 31355.81 FISHER HEALTHCARE 1,597.71 FRONTIER 11,477.94 GE PRECISION HEALTHCARE, LLC 179,50 GRAINGER 1,529.62 GULF COAST PAPER COMPANY 40.00 HEALTH CARE LOGISTICS INC 682.50 HEALTHCARE CODING & CONSULTING 17,205.19 HEALTHCARE EQUIPMENT FINANCE 423.08 INDEED, INC. 11614,75 IRON MOUNTAIN 167.53 114 244.25 LABCORP OF AMERICA HOLDINGS 1,449.70 LEGALSHIELD 570.04 LOWE'S HOME CENTERS INC 29,337,86 LUBY'S FUDDRUCKERS RESTAURANTS 1,190.86 M G TRUST 11723.00 MASA GLOBAL BUILDING 665.90 MCKESSON MEDICAL SURGICAL INC 407.60 MEDIVATORS VOIDED VOIDED 8,223.54 MEDLINE INDUSTRIES INC 440.00 MEMORIAL MEDICAL CLINIC 43.67 MERCEDES SCIENTIFIC -45- A/P 182561 9/25/2019 A/P 182562 9/25/2019 A/P 182563 9/25/2019 A/P 182564 9/25/2019 A/P 182565 9/25/2019 A/P 182566 9/25/2019 A/P 182567 9/25/2019 A/P 182568 9/25/2019 A/P 182569 9/25/2019 A/P 182570 9/25/2019 A/P 182571 9/25/2019 A/P 182572 9/2.5/2019 A/P 182573 9/25/2019 A/P 182574 9/25/2019 A/P 182575 9/25/2019 A/P 182576 9/25/2019 A/P 182577 9/25/2019 A/P 182578 9/25/2019 A/P 182579 9/25/2019 A/P 182580 9/25/2019 A/P 182581 9/25/2019 A/P 182582 9/25/2019 A/P 182583 9/25/2019 182584 9/25/2019 A/P A/P 182585 9/25/2019 A/P 182586 9/25/2019 A/P 182587 9/25/2019 A/P 182588 9/25/2019 A/P 182589 9/25/2019 A/P 182590 9/25/2019 A/P 182591 9/25/2019 A/P 182592 9/25/2019 A/P 182593 9/25/2019 A/P 182594 9/25/2019 A/P 182595 9/25/2019 A/P 182597 9/25/2019 A/P 182602 9/20/2019 A/P 200019 9/9/2019 A/P 200020 9/9/2019 A/P 200021 9/23/2019 A/P 200022 9/24/2019 A/P 200024 9/16/2019 300016 9/9/2019 A/P A/P 300103 9/3/2019 A/P 300104 9/4/2019 A/P 300105 9/4/2019 A/P 300106 9/4/2019 159.00 MGC DIAGNOSTICS VOIDED 13,639.91 MORRIS & DICKSON CO, LLC 32.36 NADINE GARNER 472.43 0CCU PRO LLC 2,002,50 PABLO GARZA 21000,00 PARA 356.00 PORT LAVACA WAVE 113.16 POWER HARDWARE 21028,00 PRESS GANEY ASSOCIATES, INC. 47.29 RED HAWK FIRE AND SECURITY 240.00 REVISTA de VICTORIA 205.32 ROSHANDA THOMAS 235.00 RX WASTE SYSTEMS LLC 190.24 SARA RUBIO 20.59 SHERWIN WILLIAMS 297.44 SHIRLEY KARNEI 1,333.33 SIEMENS FINANCIAL SERVICES 390.00 SIGN AD, LTD, 4,248.22 SMITH & NEPHEW 2,300.00 STERICYCLE, INC 471,35 STRYKER SALES CORP 5,699.00 T-SYSTEM, INC 5/069000 TEXAS BURNER & BOILER SERVICES 1,640.60 THE US CONSULTING GROUP 1,955.10 THERACOM, LLC 543.00 TLCSTAFFING 11747,25 TRIZETTO PROVIDER SOLUTIONS 3,244.91 UNIFIRST HOLDINGS INC 504.76 UNIFORM ADVANTAGE 137.34 UNITED AD LABEL CO INC 31658.37 WAGEWORKS 129,60 WAGEWORKS 389.24 WATERMARK GRAPHICS INC 596.14 WEST INTERACTIVE SERVICES CORP 100.00 BETHANY SENIOR LIVING 398,00 3WON, LLC 347.65 EXPERTPAY 97,474.17 IRS USA TAX PYMT 101,916,71 IRS USATAXPYMT 347.65 EXPERT PAY 141,489.76 TEXAS COUNTY DRS RECIEV 1.24 PAY PLUS 37.15 PAY PLUS 10.00 AUTHNET GATEWAY BILLING 19.95 MERCH BNKCD DISCOUNT 306.54 MERCH BNKCD DISCOUNT -46- A/P 300107 9/4/2019 A/P 300108 9/4/2019 A/P 300109 9/4/2019 A/P 300110 9/4/2019 A/P 300111 9/5/2019 A/P 300112 9/5/2019 A/P 300113 9/5/2019 A/P 300114 9/5/2019 9/6/2019 A/P 300115 A/P 300119/10/2019 A/P 300119 9/10/2019 A/P 300119 9 A/P 300120 9//10/2019 10/2019 A/P 300121 9/10/2019 A/P 300122 9/10/2019 A/P 300123 9/10/2019 A/P 300124 9/11/2019 A/P 300125 9/13/2019 A/P 300126 9/16/2019 A/P 300127 9/17/2019 A/P 300128 9/18/2019 A/P 300129 9/19/2019 A/P 300130 9/20/2019 A/P 300131 9/20/2019 A/P 300132 9/23/2019 A/P 300133 9/25/2019 A/P 300134 9/26/2019 A/P 300135 9/26/2019 A/P 300136 9/27/2019 A/P 500026 9/3/2019 A/P 500027 9/6/2019 A/P 500028 9/10/2019 A/P 500029 9/17/2019 A/P 500030 9/20/2019 A/P 500031 9/24/2019 A/P 500032 9/27/2019 A/P 700009 9/6/2019 A/P 700010 9/19/2019 A/P TOTAL: A/P 182213 9/4/2019 A/P 182214 9/4/2019 A/P 18221.5 9/4/2019 A/P 182216 9/4/2019 A/P 182217 9/4/2019 A/P 182218 9/4/2019 A/P 182503 9/18/2019 9,95 MERCH BNKCD FEE 2.28.84 MERCH BNKCD FEE 152.54 MERCH BNKCD INTERCHNG 0,82 PAY PLUS 43.26 FDGL LEASE PYMT 40.02 FDGL LEASE PYMT 69.24 FDGL LEASE PYMT 48.48 PAY PLUS 0.91 PAY PLUS 44,48 PAY PLUS 635.95 TSYS/TRANSFIRST DISCOUN 129.00 TSYS/TRANSFIRST DISCOUN 129,69 TSYS/TRANSFIRST DISCOUN 2,611.00 TSYS/TRANSFIRST DISCOUN 11258,66 TSYS/TRANSFIRST DISCOUN 76,19 TSYS/TRANSFIRST DISCOUN 54,31 PAY PLUS 0.90 PAY PLUS 123,10 PAY PLUS 33,94 PAY PLUS 35.94 PAY PLUS 116.84 PAY PLUS 151.23 FDGL LEASE PYMT 4,39 PAY PLUS 37.77 PAY PLUS 11,63 PAY PLUS 7.96 PAY PLUS 3,257.64 DOMESTIC WIRE OUT CBNA 0.91 PAY PLUS 2,875.76 MCKESSON 607.24 AMERISOURCE 2,970.08 MCKESSON 6,183.50 MCKESSON 21401,73 AMERISOURCE 10,679.20 MCKESSON 630.81 AMERISOURCE 59.00 CLEARGAGE 1,786.80 WEBFILE TAX PYMT 2,921,758,39 1,392.66 ASHFORD GARDENS 34.94 BROADMOOR AT CREEI<SIDE PARK 34,94 FORTBEND HEALTHCARE CENTER 442,81 GOLDENCREEK HEALTHCARE 34,94 SOLERA WEST HOUSTON 34,94 THE CRESCENT 20.00 ASHFORD GARDENS --47- A/P 182504 9/18/2019 A/P 182505 9/18/2019 A/P 182506 9/18/2019 A/P 182596 9/25/2019 A/P 182598 9/25/2019 A/P 182599 9/25/2019 A/P 182600 9/25/2019 A/P 182601 9/25/2019 A/P TOTAL (nursing home): !CP YOYAL: NHB 33 9/4/2019 NHB 35 9/25/2019 NHB 60 9/4/2019 62 9/4/2019 NHC 9/25/2019 NHC 64 NHA 67 9/4/2019 NHA 69 9/25/2019 NURSING HOME TOTAL: 62547 9/6/2019 PR- PR- 62548 9/6/2019 62549 9/6/2019 PR- PR- 62550 9/6/2019 62551 9/6/2019 PR- PR- 62552 9/6/2019 62553 9/6/2019 PR- 9 PR- 62554 /20/2019 62555 9/20/2019 PR 9 PR- 62556 /20/2019 62557 9/20/2019 PR 9 PR- 62558 /20/2019 62559 9/20/2019 PR 9 PR 62560 /20/2019 62561 9/20/2019 PR- PR- 999999 9/6/2019 PR TOTAL: GRAND TOTAL: 5,285.50 BROADMOOR AT CREEKSIDE PARK 47,290.73 GOLDENCREEK HEALTHCARE 6,780.84 GULF POINTE PLAZA 16,376.08 ASHFORD GARDENS 10,092.00 BROADMOOR AT CREEKSIDE PARK 53,124,02 GOLDENCREEK HEALTHCARE 3,000.00 SOLERA WEST HOUSTON 21610,00 THE CRESCENT 148,754.40 4,026.53 MMC OPERATING 2,311.25 MMC OPERATING 15,455414 MMC OPERATING 12,380.09 MMC OPERATING 2,297.42 MMC OPERATING 22,780.32 MMC OPERATING 111860.75 MMC OPERATING 71,111.50 1,343.94 PAY-P.OS/16/19 08/29/19 518.49 PAY-P.08/16/19 08/29/19 530.64 PAY-P.08/16/19 08/29/19 1,467.83 PAY-P.08/16/19 08/29/19 590.91 PAY-P.08/16/19 08/29/19 265.93 PAY-P.08/16/19 09/29/19 282.82 PAY-P.08/16/19 08/29/19 11376,20 PAY-P.08/3009 09/12/19 2,279.84 PAY-P.08/30/19 09/12/19 575.79 PAY-P.08/30/19 09/12/19 518.03 PAY-P.08/30/19 09/12/19 495.58 PAY-P.08/30/19 09/12/19 665.60 PAY-P.08/30/19 09/12/19 307.47 PAY-P.08/30/19 09/12/19 603.60 PAY-P.08/30/19 09/12/19 5937418.84 605,241.41 3,746,856.20 -48- MEMORIAL MEDICAL CENTER GROSS PAYROLL REPORT - SEPTEMBER 2019 Gvoss Pay Title Department Name 2,620.80 DEPARTMENTAL ASSIST PLANT OPERATIONS CENTRAL ASST PURCHASE BUYER CENTRAL SUPPLY 23728.54 LICENSED VOCATIONAL HOSPITAL CAMPUS RHC 4,500.00 PURCHASING SUPERVISR CENTRAL SUPPLY 61017,93 IP/EH/RM NURSE INFECTION PREVENTION 1 �410.13 REGISTERED NURSE MED/SURG 2,016.27 ES AIDE ENVIRONMENTAL SERVICES 6,777.80 SURGERY MANAGER SURGERY 8,407.16 REGISTERED NURSE MED/SURG 31630,56 LICENSED VOCATIONAL OBSTETRICS 8,610.36 REGISTERED NURSE MED/SURG 3,086.05 REGISTERED NURSE OBSTETRICS 83735,54 REGISTERED NURSE EMERGENCY ROOM 6,686.62 DIRECTOR OF INPT SVC MED/SURG 21860,95 LICENSED VOCATIONAL MED/SURG 31672,20 ADMINIST ASSISTANT ADMINISTRATION y 21946,09 CNA MED/SURG 7,010.13 REGISTERED NURSE ICU 31976,72 PRE -ADMISSION NURSE SURGERY 53989.34 REGISTERED NURSE HOSPITAL CAMPUS RHC 41190,24 LICENSED VOCATIONAL SURGERY 6,334.71 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 2829,50 MLT LABORATORY 5,364.19 MEDICAL LAB TECH LABORATORY 31223,72 LAB ASSISTANT LABORATORY 41136,11 MEDICAL LAB TECH LABORATORY 836.92 MEDICAL TECHNOLOGIST LABORATORY 519,94 REGISTERED NURSE EMERGENCY ROOM 2F897,26 REGISTERED NURSE MED/SURG BIRTH REG/TRANSCRIP HEALTH INFORMATION MANAGEMENT 612273,70 REGISTERED NURSE OBSTETRICS 41279,14 REGISTERED NURSE OBSTETRICS 437.25 REGISTERED NURSE MED/SURG 4,728.00 CLINICAL IT SPCLST ADMINISTRATION -CLINICAL SERVIC 128,00 REGISTERED NURSE OBSTETRICS 11284,69 REGISTERED NURSE OBSTETRICS 4,875.37 REGISTERED NURSE OBSTETRICS 8,652.20 CNO QUALITY ASSURANCE 4,676.59 REGISTERED NURSE MED/SURG 61923,07 OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY 826,58 LICENSED VOCATIONAL MED/SURG 7 917.80 PRACT ADMINISTRATOR CLINICFS 2,658.01 TECHNICAL SUPERVISOR LABORATORY 7�915.68 NURSE PRACTIONER HOSPITAL CAMPUS RHC 455,00 REGISTERED NURSE MED/SURG 1,672.00 REGISTERED NURSE MED/SURG 41976,77 CASE MANAGER/UR/DP UTILIZATION REVIEW REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED NURSE AIDE OP/QA NURSE REGISTERED NURSE LICENSED VOCATIONAL CLINICAL COORDINATOR RN -OR SCRUB NURSE REGISTERED NURSE LICENSED VOCATIONAL NURSE PRACTITIONER REGISTERED NURSE CERTIFIED NURSE AIDE LVN REG PHARM TECH SUPER NURSE PRACTIONER REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE RN -OR SCRUB NURSE O R TECH REGISTERED NURSE RN-PERIOPERATIVE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE CERTIFIED STERIL TEC COURIER -SUPPLY TECH REGISTERED NURSE DIRECTOR REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE REGISTERED NURSE LAB DIRECTOR REGISTERED NURSE REGISTERED NURSE LAB ASSISTANT REGISTERED NURSE ICU MED/SURG OBSTETRICS MED/SURG MED/SURG MED/SURG MED/SURG MEDISURG MED/SURG ICU EMERGENCY ROOM MED/SURG SPECIALTY CLINIC ICU MED/SURG MEMORIAL MEDICAL CLINIC MED/SURG MED/SURG MED/SURG HOSPITAL CAMPUS RHC MEMORIAL MEDICAL CLINIC MEDISURG MEMORIAL MEDICAL CLINIC PHARMACY HOSPITAL CAMPUS RHC OBSTETRICS ICU ICU ICU ICU MEDISURG SURGERY SURGERY SURGERY OBSTETRICS LABOR/DELIVERY OBSTETRICS OBSTETRICS SURGERY CENTRAL SUPPLY EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM EMERGENCY ROOM LABORATORY MED/SURG MED/SURG LABORATORY EMERGENCY ROOM -50- 5,070.46 5,932,87 4, 854.67 1,645,41 1,706,50 3,909.62 1,901,17 1,246.25 4,616,15 4,607,47 5,642,93 26,68 4,915.64 5,197.76 234,38 3, 892,13 4,275,31 6,661,07 3,040.57 7,915,70 519.75 2,334,91 300,50 3,443.80 7,916.68 5,134,45 4,661,60 1,614,57 4,290.16 9,645,09 85.00 3,589,37 5,762,08 5,748,39 4,053487 1,482.61 443,25 1,746,07 2,680.40 2,050.18 6,820,29 7,858,69 4,878.05 7,372.62 17063.26 4,066.42 2,610.70 51426,70 3,089.62 428,00 617,00 4,953.62 1,054.00 LAB ASSISTANT LABORATORY 1,465.26 MEDICAL TECHNICIAN LABORATORY 3,671.47 MEDICAL LAB TECH LABORATORY 4,270.97 GENERAL SUPERVISOR LABORATORY 21291,69 LAB ASSISTANT LABORATORY 21321,80 LAB ASSISTANT MMC CLINIC - LABORATORY 28.00 LABORATORY ASSISTANT LABORATORY 1,324.25 REGISTERED NURSE MED/SURG 1,007.50 REGISTERED NURSE MED/SURG 4,264.46 MLT LABORATORY 2,222.00 LAB ASSISTANT LABORATORY 296,63 LAB ASSISTANT LABORATORY 891,25 ST LABORATORY 1,840.19 MEDICAL TECHNOLOGI% PATIENT FINANCIAL SERVICES 3,259.02 REGISTRATION CLERK MEDICAL LAB TECH MMC CLINIC - LABORATORY 31667,99 REGISTERED NURSE MEDISURG 33940,60 MEDICAL LAB TECH LABORATORY 41631,42 REGISTERED NURSE MED/SURG 4,458.11 REGISTERED NURSE MED/SURG 709.06 CERTIFIED NURSES AID MED/SURG 33583,76 RGISTERED NURSE MED/SURG 3,577.24 REGISTERED NURSE MEDISURG 927,00 REGISTERED NURSE MED/SURG 898,00 REGISTERED NURSE MED/SURG 4,493.10 REGISTERED NURSE MEDISURG 12392.79 CERTIFIED NURSES AID MEDISURG 1,066.03 REGISTERED NURSE MED/SURG 5,418.58 REGISTERED NURSE EMERGENCY ROOM 61189,66 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 21145,60 RECEPT/SECRETARY DIAGNOSTIC IMAGING 6,686,66 RADIOLOGY SUPERVISOR DIAGNOSTIC IMAGING 53789,37 RADIOLOGY TECH MMC CLINIC- DIAGNOSTIC IMAGIN 1,002.00 RADIOLOGY TECH DIAGNOSTIC IMAGING 5t694,15 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 41517,35 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 63615.00 NUCLEAR MED TECH DIAGNOSTIC IMAGING 41581,81 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 1,277,50 RADIOLOGYTECH DIAGNOSTIC IMAGING 1943.42 RADIOLOGIC TECH DIAGNOSTIC IMAGING 2,011.88 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3,791.78 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 2 888,96 LVN-CHG-CHARTAUDITR PHARMACY 21672,00 REGISTPHARMACY TECH PHARMACY 31319,04 REG PHARMACY TECH PHARMACY 1,976.26 OPERATOR CLINIC FS 2,111.85 RECEPTIONIST CLINIC FS 11688,08 CLINIC FS 21092,44 RECEPTIONIST MEMORIAL MEDICAL CLINIC 2 296.07 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 621,48 MEDICAL ASSISTANT CLINIC FS 1,304.56 MEDICAL ASSISTANT RECEPTIONIST HOSPITAL CAMPUS RHC 3,296.44 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 17752.292 766.41 RECEPTIONIST CLINIC FS 2,500.51 COLLECTIONS CLERK CLINIC FS 2497,33 INSURANCE CLERK CLINIC FS 1,403.26 REGISTERED NURSE EMERGENCY ROOM 11920,42 OPERATOR CLINIC FS 2,409.86 OPERATOR CLINIC FS 23032,28 RECEPTIONIST CLINIC FS 11958,78 MEDICAL ASSISTANT HOSPITAL CAMPUS RHC 2,351.03 REFERRAL SPECIALIST MEMORIAL MEDICAL CLINIC 2,424.44 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 1,860.61 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 2751,93 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 3,041.69 REFERRAL SPCLST / MA MEMORIAL MEDICAL CLINIC 2,062.81 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 2,406.64 OFFICE COORDINATOR CLINIC FS 742040 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 2,397.73 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 3,963.05 LVN MEMORIAL MEDICAL CLINIC 3,896,63 RWNURSE SUPERVISOR MEMORIAL MEDICAL CLINIC 7,915.68 NURSE PRACTITIONER MEMORIAL MEDICAL CLINIC 1,719.89 MEDICAL ASSISTANT HOSPITAL CAMPUS RHC 81883,20 NURSE PRACTITIONER MEMORIAL MEDICAL CLINIC 4,678.26 PT ASSISTANT PHYSICAL THERAPY 6,013.54 PT ASSISTANT PHYSICALTHERAPY 91560,19 DIRECTOR REHAB SERVO PHYSICAL THERAPY 706,75 STUDENT LABOR/DELIVERY 71145,69 PHYSICAL THERAPIST PHYSICALTHERAPY 5,761.38 TEAM LEAD PTA PHYSICAL THERAPY 61089,77 REGISTERED NURSE OBSTETRICS 21123,67 OFFICE COORDINATOR PHYSICAL THERAPY 41265,12 THERAPIST BEHAVIORAL HEALTH 1,935,70 BEHAV, HEALTH THERA BEHAVIORAL HEALTH DISCHARGE ANALYST HEALTH INFORMATION MANAGEMENT 119787,16 16,78 HIM SPECIALIST HEALTH INFORMATION MANAGEMENT 021.97 REGISTERED NURSE EMERGENCY ROOM CODING SPECIALIST HEALTH INFORMATION MANAGEMENT 21342,68 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 41800,00 DIRECTOR OF DIETARY DIETARY 1,993.77 FOOD SERVICE STAFF DIETARY 21079,00 FOOD SERVICE STAFF DIETARY 21311,92 FOOD SERVICE STAFF DIETARY 22421.27 FOOD SERVICE STAFF DIETARY 11949,51 OPERATOR CLINIC FS 1,621.06 FOOD SERVICE STAFF DIETARY 2,674.76 FOOD SERVICE STAFF DIETARY 2,106.49 EVS AIDE/ FLOOR TECH ENVIRONMENTAL SERVICES 21910,53 PLANT OPS SPECIALIST PLANT OPERATIONS 2,195.82 PLANT CPS SPECIALIST PLANT OPERATIONS 2,427.28 SECURITY SUPERVISOR SECURITY 31662,68 PLANT OPS SPECIALIST PLANT OPERATIONS 1,678.99 EVS AIDE ENVIRONMENTAL SERVICES -52-- EVS AIDE ENVIRONMENTAL SERVICES 1,721,681,548.02 ES AIDE ENVIRONMENTAL SERVICES 2 444.27 LICENSED VOCAT NURSE MED/SURG 21170,88 E.S. TEAM LEADER ENVIRONMENTAL SERVICES 22168.20 EVS AIDE ENVIRONMENTAL SERVICES 1,340.28 EVS AIDE ENVIRONMENTAL SERVICES 2,358.76 EVS AIDE ENVIRONMENTAL SERVICES 2,022.27 ES AIDE ENVIRONMENTAL SERVICES789,19 EVS AIDE ENVIRONMENTAL SERVICES 1,847.06 ES AIDE ENVIRONMENTAL SERVICES 21083,50 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 2 200.78 FOOD SERVICE STAFF DIETARY 1,458.15 EVS AIDE ENVIRONMENTAL SERVICES 21102,74 OR AIDE SURGERY 2,600.70 SECURITY SUPERVISOR SECURITY 999,40 DIRECTOR OF PLANT OP PLANT OPERATIONS 642,56 SECURITY OFFICER SECURITY 71245,55 REGISTERED NURSE SURGERY 6,514.18 PERIOPERATIVE RN SURGERY 21002,60 SELF PAY CLERK PATIENT FINANCIAL SERVICES 21050,08 BILLING CLERK PATIENT FINANCIAL SERVICES 1,410.93 MEDICAID CLERK PATIENT FINANCIAL SERVICES 1,703.14 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 21069,16 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 2,006.08 REGISTRATION CLERK PFS - REGISTRATION 71,40 PT FIN COUN/CIHC COO INDIGENT CARE PROGRAM 736.00 REGISTRATION CLERK PFS - REGISTRATION 77988 PFS - REGISTRATION 1 815.34 REGISTRATION CLERK CASHIER -SWITCHBOARD PATIENT FINANCIAL SERVICES 1 880,21 CAS INS HI COORDINATOR PATIENT FINANCIAL SERVICES PATIENT FINANCIAL SERVICES 25537,30 MEDICARE COORDINATOR 11837,04 REGISTRATION CLERK PFS - REGISTRATION 1,712.92 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 31305,28 HR MANAGER HUMAN RESOURCES 2,303.32 REFERRAL SPECIALIST CLINIC FS 31037,93 TEAM LEADER PATIENT FINANCIAL SERVICES 3 709.40 PFS DIRECTOR PATIENT FINANCIAL SERVICES 99.00 REGISTERED NURSE EMERGENCY ROOM 2,776.21 REGISTRATION CLERK PFS - REGISTRATION 11745,84 REGISTRATION CLERK PFS, REGISTRATION 535,29 REGISTRATION CLERK PFS - REGISTRATION 2,171,80 SECURITY OFFICER SECURITY 2,384.56 FINANCIAL COUNSELOR INDIGENT DILTH WFORMAT ON MANAGEMENT 4,431.20 DIRECTOR OF HIM 4,270.37 EMERGENCY ROOM 2,374.53 REGISTERED NURSE MEDICAID CLERK INDIGENT CARE PROGRAM 43460,03 PERIOPERATIVE RN SURGERY 5,547.07 TRAUMA COORDINATOR ADMINISTRATION -CLINICAL SERVIC 6,675.10 DIRECTOR DIAGNOSTIC IMAGING 316,66 REGISTRATION CLERK PFS - REGISTRATION 6,668.08 I.T. DIRECTOR INFORMATION TECHNOLOGY 4,876.09 IT SYSTEM ANALYST INFORMATION TECHNOLOGY --53- 2,856.55 ACCOUNTANT ACCOUNTING 3,090.65 REGISTERED NURSE EMERGENCY ROOM 31076,93 HOSPITALIST-NP HOSPITALIST 632.88 LAB ASSISTANT LABORATORY 21900,58 SENIOR ACCOUNTANT ACCOUNTING 2,489.64 AP CLERK ACCOUNTING 13,366.40 C.F.O. ADMINISTRATION 10,440.00 ASSIST ADM INISTRATOR ADMINISTRATION 18,356,92 C.E.O. ADMINISTRATION 21636,56 ADMIN ASST TO AA-CNO ADMINISTRATION -CLINICAL SERVIC 3833.41 SPECIAL PROJECTS MGR BUSINESS DEVELOPMENT TOTAL: 883,726.01 -5Q•- S®u vee Totais Report ©IHs Calhoun Indigent Health Care Issued 10/07/19 Batch Dates 10/01/2019through 10/01/2019 For Source Group Indigent Health Care For Vendor: All Vendors Amount Billed Source Description 908.25 01 Physician Services 11716,00 01-2 Physician Services- Anesthesia 320.87 02 Prescription Drugs 12706.00 08 Rural Health Clinics 25,776.03 14 Mmc - Hospital Outpatient 31625,00 15 Mmc - Er Bills 095.68 Expenditures 34,-43,53 Reimb/Adjustments Grand Total 34,052.15 E)CPENSES COPAYS MEDICAID REIMBURSEMENT -55- Amoon4 Paid 232,09 443.30 320,87 1,486,87 8,335.67 1,160,00 123022.23 -43.53 1 78791 0 4,166.67 $16,145,37 <$150.00> $15,995.37 <0> $15,995.37 9MMENTIM TWO 'IA�2.! ti OIHS Calhoun Indigent Health are issued 10/07/19 Batch Dates 02/01/2019 through 10/01/2019 For Source Group Indigent Health Care For Vendor: All Vendors Amount Billed Amount Paid Source Description 4,77 64,136,70 23658,23 01 Physician Services 9 594 00 1 01-2 Physician Services- Anesthesia 2�427.33 2427427.33 15,806.70 02 Prescription Drugs 17,569,14 08 Rural Health Clinics 0.00 4,535.15 11 Reimbursements 83618,00 4,998.44 13 Mmc - Inpatient Hospital 252,396,97 81,185.80 i4 Mmc - Hospital Outpatient 76,139.00 24,364.48 15 Mmc - Er Bills �— Expenditures431;665,43 1393562.56 685 29-52301.96 Reimb/Adjustments _— -- Grand Total 430,880,14 134,260,60 EXPENSES $37,500.03 $171,760.63 COPAYS <$1770> TOTAL $169,990,63 -56- January February March April May June July August September October November December Calhoun County Indigent Care Patient Caseload 2019 Approved Denied Removed Active Pending 4 0 1 6 15 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 0 1 0 20 3 0 0 1 19 8 3 0 4 18 12 YTD Monthly Avg 1 1 1 19 5 December 2018 Active 21 Number of Charity patients 241147 Number of Charity patients below 100% FPl Calhoun County Pharmacy Assistance Patient Caseload 2018 January February March April May June July August September October November December d Active Value Approved Refills Remove 3 15 0 91 $25,152.26 4 12 0 95 $32,125,05 4 8 1 94 $13,174,77 8 12 0 102 $42,108.25 5 15 0 107 $51,395,05 3 9 0 110 $28,998,17 1 5 0 111 $1.51135,00 0 6 0 111 $12,366.67 0 9 1 110 $9,677.53 YTD PATIENT SAVINGS Monthly Avg December 2018 Active 3 10 0 103 $25,570.31 0 87 -5'7- Commissioners' Court — NOVEMBER 06, 2019 6. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 06) On proposal from G & W Engineers, Inc. for expanded engineering services to include an entire HVAC system evaluation for the Memorial Medical Center facility and authorize the County Judge to sign. (RM) Scott Mason and Jonathan Parker of G&W Engineers, Inc. gave presentation. RESULT: APROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Syma, Reese Page 4 of 16 Memorial Medical Center Calhoun County, Texas Document Reference #: 5310.012-P102819 October 29`h, 2019 ...............Everett Wood._ Calhoun County 211 S. Ann Street Port Lavaca, Texas 77979 HVAC System evaluation for Subject: PROPOSAL for Expanded Engineering Services including Entire the Memorial Medical Center Facility, Mr. Everett Wood, After discussisions with yourself, it has been determined that theptember 4`h, 2019 is original proposal and scope of work in $7,550.00 signed and dated Ss not adequate for the quantity of repairs the amount and code issues that possibly need to be addressed at the facility. The original scope of project was for the replacement of in-kind/equivalent equipment of two (2) water cooled chillers and associated equipment. As stated, and directed, G&W has prepared this proposal to replace and void the original agreement. Thus, after acceptance of this proposal's submission to the public record, Document reference number 5310.006 signed and dated by Richard H. Meyer, County Judge on September 4t', 2019 is void. This proposal expands upon the services rendered by G&W and includes a report based on an entire HVAC evaluation of the Hospital and a due diligence assessment of the HVAC system for the Port Lavaca Memorial Hospital. NEW SCOPE OF PROJECT (Equipment and Infrastructure to be evaluated): The existing equipment on the roof includes the following: Seven (7)a r handlers which include the areas o ER o Recovery o Lab o Surgery o Labor o Delivery Four (4) package units The equipment internal to the building to be evaluated is as follows: - Six (6) air handlers for the areas of: o Pharmacy o ICU o Radiology �l „4ENGINEERS x INC, o Patient Areas And finally, the central plant equipment to be evaluated is as follows: Two (2) water cooled centrifugal chillers Two (2) cooling towers Chilled and condenser water pumps SCOPE OF ENGINEERING SERVICES (Study and Report Services): p.2of3 Mechanical o Performing site investigation of the building to determine type, visual condition, and major deficiencies of the existing HVAC systems. o Run Cooling load of each major area to size new proposed equipment o Evaluate medical areas to determine HVAC compliance with current code requirements related to the replacement of the equipment. o Preparing a report of findings and budgetary construction costs to replace/repair the existing HVAC system. Conducting a field survey to determine existing conditions of the HVAC system o CLIENT will provide available existing drawings Preparing a written report of findings, descriptions, deficiencies, and recommendations of the existing HVAC system. Report will include a statement of probable construction costs based on the recommendations cited in the report. o A Draft Report will be issued for review and comment prior to submission of the Final Report. EXCLUDED: The preparation of Construction Documents (Plans and Specifications and As - Built Drawings are excluded from this proposal). o EXCLUDED: A future design package will be required to make recommended changes. A proposal fee will be issued once the scope of the work is known. This also includes an Application for "Minor Work" to the Texas Health and Human Services Department and Construction Administration of the Contractor and final inspection by the State. ENGINEERING SERVICES FEE(S): G&W Engineers, Inc. propose the following fee for Professional Engineering services sub -contracted by Alderson and Associates Inc. Hospital HVAC Heat load evaluation .............................................. $ 7,500.00 Code compliance study/evaluation................................................. $ 301000 00 TOTAL.................................................................................. P,3of3 • • ••• please sign and return Jonathan Parker, P.E. iaarker n gwengineers.com O: (361) 552-4509 C: (361) 441-9433 G&W Engineers, Inc. Jonathan T. Parker, P.E. Accepted By (Signature): L LIZ Lead Mechanical Engineer t Printed Name /Title: , a ,4a•, Y, !jT e j e r �ss•:9 CONTRACT TERMS AND CONDITIONS �Y Check here'rf purchase order is required. 1. Later charges are assessed at a 1.51/^per month from date of invoice or 18%per year. All collection costs, including attorney's fees and any court fees are to be paid by CLIENT. 2. If the invoice is not paid in thirty (30) days ENGINEER may terminate the contract without waiving any claim or right against the client and without any liability whatsoever to the ENGINEER. 3. Obligations of the CLIENT to pay the ENGINEER are not contingent on CLINET obtaining any approvals, acceptances, permits, or reimbursements form any parties, individuals, organizations, or agencies. 4. if ENGINEER is ordered to stop work after agreement to this proposal, the ENGINEER will be paid the ENGINEER's standard hourly billing rates, up to the limit of the quoted fee. 5. All ENGINEER's documents: original drawings, estimates, specifications, field notes, reports and data are the sole and exclusive property of the ENGINEER as instruments of service. All ENGINEER's documents are copyrighted. All Rights reserved. 6. Estimates of Construction Cost, if any, represent our best judgment as design professionals familiar with the construction industry. However, it is recognized, that neither the ENGINEER nor the CLIENT has control over the cost of labor, materials or equipment; over the contractor's methods of determining bid prices; or over competitive bidding, market or negotiating conditions. Accordingly, we cannot and do not warrant or represent that buds or negotiated prices will not vary from the estimate. G & W �1C�i��'€�i= RS1 1 C �. 205K Uve (Dab. Pot ? of a a, TX 77970 P- PG1)rE2 4509 Texas Firin Registration No. F04188 Memorial Hospital Calhoun County, Texas 5310.006 August 28, 2019 Everett Wood Calhoun County 211 S. Ann Street Port Lavaca, Texas 77979 VIA: Everett.wood@calhouncotx.org Regarding: Calhoun County Memorial Hospital HVAC replacement Dear: Mr. Everet Wood, The following is G&W Engineers, Inc.'s proposal for the Professional and Technical Services for the replacement of the Heating, Ventilation, and Air Conditioning (HVAQ system at the Calhoun County Memorial Hospital, located in Port Lavaca, Texas. SCOPE OF PROJECT: t during the any and all roof repareplacement of tirs of the Calhoun Countychillers Mmorial Hospital located n Port Lavaca,rTe as, of SCOPE OF MECHANICAL: 1. Walk through the existing HVAC system to review of existing system to familiarize ourselves with the Hospital's roofing and HVAC system. 2. Review technical documents regarding the replacement of an "In -Kind" Compressor, water cooler, air -handler and piping, compared to the working layout. 3. Review Current HVAC/Roof study completed by Intalere, titled: "Memorial Medical Center, Port Lavaca, TX, Facility Infrastructure Conditions Assessment" to determine the most effective route to proceed in the replacement of any needed repairs or additions based on our +40 years of professional engineering) technical, and project management experience. 4. Provide technical support for selection and installation of equipment. a. i.e., Provide recommended Specifications for the "In -kind" replacement of existing Compressors, Cooling towers, air handlers, and mechanical piping if need be. P.7. of 3 ENGINEERS 1 N C , ASSUMPTIONS &EXCEPTIONS: ons, G&W Engineers, Inc. is to be 1. For the pose of this document, contract terms, and epresented by the term ` ENGNEEEW' and CALHOUN COUNTY to be represented by the term "CLIENT". 2. If construction and/or planning of project is phased for a period longer than six (6) months, the cost of construction installation and engineering fees may increase: 3. This project will be designed as a single project with a single bid phase and single Engineering phase. 4. Our work does not include any upgrades of any other items in the area other than what is denoted within this document. 5. This project does not include any drawings to be submitted to the CLIENT other than those provided by any sub -contractor and/or vendor for equipment drawings. 6. Any mechanical piping changes that arise and are needed, shall require a new proposal from ENGINEER provided to and approved by CLIENT. 7. All drawings,.if any, will be produced in AutoCAD format and provided to the client in PDF format unless otherwise discussed, S. Any and all drawings of the existing system, data sheets, and specifications relating to the existing equipment and/or future requested equipment that is not noted in this document shall be provided to ENGINEER by CLIENT. 9. Removal of any above or underground piping is excluded from the scope and any demolition drawings are not included. 10. All electrical items and instrumentation required for the Chiller systems and services therein are not included in this proposal and is expected to be completed by CLIENT and or equipment vendors. 11. Detailed cost estimation, procurement, and or equipment proposals are not required by the ENGINEER and are expected to be sought after by CLIENT. 12. Field work to be scheduled in advance at mutually agreed times. A knowledgeable person will be assigned to ENGINEER while at the CLIENT's facility and to provide access to all necessary areas. 13. Re -design services are not included. 14, We have not included the cost of any outside consultants. All engineering work will be performed by ENGINEER. Lk P 1FEE: G&W Engineers, Inc. propose the following fee for Professional Engineering services: Walk through ................................. ' .... $ 2,000.00 Teclmrcal Specifications and Recommendations ................ • •. • • • •: $ 31J50.00 Review / Specification Changes .......................................... $ 580000 0.00 rOTAL....................................................................... Our usual conditions are attached, which you should read carefully. If any changes need to be made to the Scope of work, please mark any changes and send back for approval. If our proposal is satisfactory to you, please sign and return it to our office, or scan and email direct to the following: Jonathan Parker.P`E. a { Sincerely, G&W Engineers, Inc. Jonathan T. Parker, P.E. Lead Mechanical Engineer Accepted By Printed Name O: (361) 552-4509 C: (361) 441-9433 Checl< here if purchase order is required. 1. Payment terms are net thirty (30) days. 2. Obligations of the CLIENT to pay the ENGINEER are not contingent on CLIENT obtaining any approvals, acceptances, permits, or reimbursements form any parties, individuals, organizations, or agencies. 3. All ENGINEER'S documents: original drawings, estimates, specifications, field notes, reports and data are the sole and exclusive property of the ENGINEER as instr unents of service. All ENGINEER's documents are copyrighted. All Rights reserved. 4. Estimates of Construction Cost, if any, represent our best judgment as design professionals familiar with the construction industry. However, it is recognized, that neither the ENGINEER nor the CLIENT has control over the cost of labor, materials or equipment; over the contractor's methods of determining bid prices; or over competitive bidding, market or negotiating conditions. Accordingly, we cannot and do not warrant or represent that bids or negotiated prices will not vary from the estimate. CERTIFICATE OF INTERESTED PARTIES Complete Nos. 1- 4 and 6 if there are interested parties. Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties. t. Name of business entity tiling form, and the city, state and country of the business entity's place of business. G&W Engineers, Inc. Port Lavaca, TX United States F Name of gowennnienud entity or state agency t at is a pang to the contract for w ich the form is being filed. Calhoun County, Texas 3 Provide the identification number used by the governmental entity or state agency to track or Id description of the services, goods, or other property to be provided under the contract. 5310 Memorial Medical Center RoofIHVAC - Technical Services Name of Interested Party Novian, Brian Danysh, Henry Sappington, Michiai Gohlke, Anthony Gann, David Tuch, Elton 5 Check only If there Is NO Interested Party. ❑ UNSWORN DECLAI My name ist' My address I`-'e tl i�tr o pd (street) FORM 1295 loft. OFFICE USE ONLY CERTIFICATION OF FILING Date Acknowledged: the contract, and provide a City, State, Country (place of business) Port Lavaca, TX United States X Port Lavaca, TX Unite4Statesx rt Lavaca, TX Unitert Lavaca, TX Unitert Lavaca, TX Unitrt Lavaca, TX Unit and my date of bldh Is �. J � state (zip code) (country) (city) (state) I declare under penalty of perjury that the foregoing is true and correct. —V Executed in �`" r' County, State of (month) (year) Signature of outhonzed d agent f contracting business entity (De Texas CERTIFICATE OF INTERESTED PARTIES Complete Nos. 1 - 4 and 6 if there are interested parties. Complete Nos, 11 2, 31 5, and 6 if there are no interested parties. Name of business entity filing form, and the city, state and country of the business entity's place of business. G&W Engineers, Inc. Port Lavaca, TX United States ..,_»,e M ....,,nrnmental entity or state agency that is a party to the contract for which the form is being hletl. Calhoun County, Texas FORM 1295 loft OFFICE USE ONLY CERTIFICATION OF FILING Certificate Number: Date Filed: 08/29/2019 Date Acknowledged: g Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 5310 Memorial Medical Center Roof/HVAC - Technical Services 4 Name of Interested Party Novian, Brian Danysh, Henry Sappington, Michial Gohlke, Anthony Gann, David Tuch, Eiton Check only if there is NO Interested Party. 6 UNSWORN DECLARATION My name is My address is (street) City, State, Country (place of business) (check Port Lavaca, TX United States X Port Lavaca, TX United States X Port Lavaca, TX United States X Port Lavaca, TX United States X Port Lavaca, TX United States X I declare under penalty of perjury that the foregoing is true and correct. Executed in Port Lavaca, TX United States I X and my date of birth is (city) (state) (ziP code) (country) State of , on the _day of , 20_. (month) (year) Signature of authoriz(oeclerani) (contracting business entity by Texas Commissioners' Court—NOVEMBER06, 2019 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.07) On a proposal from G&W Engineers, Inc. for Chocolate Bayou Bulkhead and Boat Ramp Improvements for Army Corps of Engineers Permits in the amount of $3,600.00 and authorize Commissioner Hall to sign. (DH) RESULT: APROVED [U MOVER: Gary Reese, G SECONDER: Clyde Syma, C AYES: Judge Meyer, M )US] sinner Pct 4 ner Pct 3 issloner Hall, Syma, Reese Page 5 of 16 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM (361)552-9242 Fax (361)55M734 Dear Judge Meyer, Please place the following item on the Commissioners' Court Agenda for November 6th, 2019. • Consider and take necessary action on approval G&W Proposal —Chocolate Bayou, Bulkh and Boat Ramp Improvements for Army Corps of Engineers Permits in the en, of $3,600.00 and allow Commissioner Hall to sign Since y, David E. Hall DEH/apt i .�ENGINEERS, INC* October 09, 2019 Calhoun County Precinct #1 202 S. Ann Street Port Lavaca, Texas 77979 Attn: Commissioner David Hall G&W Engineers is pleased to submit this proposal for Technical Services associated with the Chocolate Bayou, Bulkhead and Boat Ramp Improvements in Calhoun County Precinct #1. We understand the Scope of Work to be as follows: 1. Prepare and submit ENG Form 4345, and required plans to the appropriate US Army Corps of Engineers (USACE) regulatory office. See "Exclusions" below. Clarifications: 1. The professional engineering services fee provided is based on the above Scope of Work. Any additions and/or changes to the Scope of Work will require additional funding. Any additions and/or changes will be estimated based upon the current rate schedule. 2. Any fees (if any) incurred by public entities are not included within the scope of this project. Exclusions: 1. All communication with the USACE, as well as requests for additional information, public notice comments and responses, and any modifications to the project by the USACE or other entities, following the initial submission of the application and plans, are not included in this Scope of work and will be performed on a time and material basis as requested by the USACE and authorized by the owner. 2. Wetlands delineation and applicable wetlands mitigation planning (if required) are not included within this Phase 1 Scope of Work. G&W Engineers, Inc. proposes to perform this Scope of Work for a total estimated cost NTE of me erial basis and fees will be upon the currh r0 t rate edule.0,00, Work alAny costor estimatedtol be perfmed on a be r be over andabovethis amount shall be authorized d by he owner prior to continuation of work. Consulting Planning aurveyn�y t p.2of2 If this proposal meets with your approval, please sign below and return to G&W Engineers, Inc. as acknowledgement of Notice to Proceed with the project. We appreciate the opportunity to work with you on this project. Sincerely, G&W Engineers, Inc. Printed Name e Titl File: 9115-025A-10.09.2019 Date Commissioners' Court - NOVFMBER 06, 2019 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NOR 08) (GR) On a proposal from G&W Engineers, Inc. for Chocolate Bayou Bulkhead and Boat Ramp Improvements Engineering for TPWD Grant in the amount of $20,000 and authorize Commissioner Hall to sign. (DH) DERRff Page 6 of 16 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM (361)552-9242 Fax (361)553-8734 Dear Judge Meyer, Please place the following item on the Commissioners' Court Agenda for November 6th, 2019. • Consider and take necessary action on approval G&W Proposal —Chocolate Bayou, Bulkh d and Boat Ramp Improvements Egineering for TPWD Grant in the amount of ,000,00 and allow Commissioner Hall to sign Since y, David E. Hall DEH/apt Exclusions (continuedi: 3. It is understood that expanding the existing bulkhead area and widening of the boat ramp may require notification to the U.S. Army Corps of Engineers (USACE). All applicable USACE communication, permitting (if required), etc, shall be the responsibility of Calhoun County Precinct #1 and is not included within this Scope of Work, but can be provided as an additional service if so desired. G&W Engineers, Inc, proposes to perform this Scope of Work for a total estimated cost not to exceed of $ 20,000.00. Work shall be performed on a time and material basis and fees will be based upon the current rate schedule. Any costs estimated to be over and above this amount shall be authorized by the owner prior to continuation of work. A breakdown of estimated fees are as follows: Standard Services (Scone of Workl $ 2,000.00 Geotechnical Investigation Perform site topography and applicable water depths $ 2,000.00 Engineering/design/construction plans $ 14,000.00 Specifications Bidding & Contract Phase $ 25000000 TOTAL: $ 20,000.00 Additional Services (As reauestedlauthorizedl Construction oversite and/or observations Current Rate Schedule USACE permitting activity Current Rate Schedule If this proposal meets with your approval, please sign below and return to G&W Engineers, Inc. as acknowledgement of Notice to Proceed with the project. We appreciate the opportunity to work with you on this project. Sincerely, n � ` Scott P. Mason, P.E. Lead Project Engineer G&W Engineers, Ina Name Title Date G 8c W ENGINEERS, IN . PROPOSED SITE IMPRovtmtiv is CALHOUN COUNTY, TEXAS ENGI EERI G e svnvcnrvu - • •-•^••••- 205 W. LIVE OAK STREET Tt715F�f�AWWI l 7RtitMlfdnRVFt12l' ?IANIWN<< • � PORT LAVACA, TEXAS 77979 nN i� Ht t�R w I +it f oSES C7Nt Y AND SIInrA n No r w. TBPE FIRM P-04188 13l f CJl`�,ID£R U 0.N APFRC?V71� UL51{ rV I{ilS (361) 552-4509: PORT LAVACA DRAWINO IA No-f f OR C)NSIWIR It( Iff commissioners' Court—NOVEMBER06, 2019 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. SO To accept a CEPRA grant from the Texas General Land Office in the amount of $105,000 for the engineering of the Magnolia Beach Erosion Project and authorize Commissioner Hall to sign all pertinent documents and matching funds in the amount of $70,000 to be paid from GOMESA funds. (DH) ?SUET: OVER: CONDER: fES: 1 t4 call, Syma, ReeSE Page 7 of 16 David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax(361)553-8734 Please place the following item on the Commissioners' Court Agenda for November 6th, 2019. • Consider and take necessary action on accemptance of CEPRA grant from Texas General Land fice in the amount of $105,000.00 for engineering of Magnolia Beach Erosion r and allow Commissioner Hall to sign all pertinant documents and matching fu ds in the amount of $70,000.00 to paid from GOMEA funds. Sincerely, David E. Hall EPA tANO TExASSRGEpNe RALL NDMMIsOHICE GF,OGE October 25, 2019 David Hall Calhoun County Commissioner, Pct. 1 305 Henry Barber Way Port Lavaca, TX 77979 Dear Mr. Hall, The Calhoun County Magnolia Beach Erosion project submitted to the Texas General Land Office (GLOB bor een s lice cons d as a Cycle 11 prIderation uo tY pr Ject. Thgh the Coastal I e project goal summaryBrosion Planning andsfor this Act (CEPRA) as phas roject was received and evaluated by the GLO, and funding for the amount of $10 000 ately to ces mv been awaeded' al suerstanbm ssion,the overa ll t at Cos scop of work may need r Construction and rt belscaled approp changed since the origm artner funding. available CEPRA and p cooperation A CEPRA project manager will be contacting you shortly t t develop a project agreement and to confirm cost -shale and budgets, which at this time are preliminary estimates. to ect time, quarterly to ensure that yourleted to ects can be successfully and expeditiously comp Once the project begins, we will be reviewing project project and all other Cycle 11 priority projects 20214 before the end of the biennium Angus' s coast. If you We look forward to working with You to restore 453--2482 o kevic out* n f ae¢I° texasa�ov• ve any questions, please feel free to contact the at (512) Sincerely, Kevin Frenzel, P.G. Manager - CEPRA Coastal Resources Texas General Land Office 1700 North Congress Avenue, Austin, Texas 78701.1495 p,0. Box 12873, Austin, Texas 78711-2873 512AO6 S001 glo.texas.gov Commissioners' Court—NOVEMBER 06, 2019 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO, 10) On Port Alto Shoreline Restoration Construction Services FNI Project No. CCY17350 and authorize Commissioner Syma to sign the Professional Service Agreement with Feese and Nichols. (CS) No Action Taken Page 8 of 16 Clyde Syma Calhoun County Commissioner, Precinct 3 24627 State Hwy, 172~01MA, Port lavacajenxas779 al Officotx o61) 893.5346 — Fax Ml) 893-5309 Email' ^ „ v October 31, 2019 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for November 6, 2019. • Please Consider and Take Necessary Action on Port Alto Shoreline Restoration Construction Services FNI Project No. CCY17350 and authorized Commissioner Syma to sign the Professional Service Agreement with Freese and Nichols. mcerel , Clyde Syma Commissioner Pct. 3 PROFESSIONAL SERVICES AGREEM T SK AUTHORIZATION Clyde Syma, Precinct 3 Commissioner Calhoun County 24627 state Highway 172 Port Lavaca, TX 77979 Project Name: Port Alto Shoreline Restoration Construction Services Description of Services; see Attachment SC. Deliverables: See Attachment SC. Calhoun County Task Authorization No. 3 FNIProject No* CCY17350 Master Agreement Executed an May 13, 2016 and expires on December 31, 2020 Schedule: See Attachment SC. Compensation shall be: Not -to -Exceed $29,635.00 in accordance with Attachment CO All other provisions, terms and conditions of the Professional Services Agreement which are not expressly amended shall remain in fuli force and effect. FREESE AND HOLS, INC. CALHOUNCOUNTY BY: BY: zz�lv 1 Robert W. Chambers PG Print Name Print Name TITLE: Vice President TITLE: DATE: DATE: lQ d. FNI shall advise Client as to the necessity of Client's providing or obtaining data or services from others and assist Client in connection with any such services. Geotechnical investigation and boundary surveying is not included in Basic Services. DESIGN PHASE: FNI shall provide professional services in this phase as follows: 1. An updated field topographic survey will be conducted to quantify current conditions of the aismith Marine, borrow areas and the fill areas. This field survey effort will be performed ndNt is necessary to The previous topographic survey was collected prior to Hurricane Harvey, collect updated survey information to provide current Information needed to update the bid documents. This survey effort will include c to of priv to property y ertric survey, establishment/recovery of project benchmarks, and location of private property tines near borrow sites, to clearly delineate where work is to be done. 2. Update drawings and specifications. FNI anticipates that updates may be required to: a. Temporary erosion control plan b. Cut/fill quantities c. Location of known pipelines and property boundaries d. Project control (post survey) e. Bid specifications 3. Furnish such information necessary to utility companies whose facilities may be affected or services may be required for the Project. 4. Prepare revised opinion of probable construction cost. S. Prepare bidder's proposal forms (project quantities) of the improvements to be constructed. 6. Provide design submittals at 90% and 100% design milestones. 7. Furnish Client three (3) sets of printed copies and one (1) electronic copy (.pdf format) of drawings, specifications, and bid proposals marked "Preliminary" for approval by Client, for each design submittal as described above. Upon final approval by Client, FNI will provide Client one (1) set of reproducible "Final" drawings and one (1) loose set of specifications for reproduction by Client. 8. FNI staff shall attend meetings with County or their representatives. This Scope of Services includes weekly half-hour meetings for a 4-week period, plus two additional one -hour meetings. If additional meetings are required, those meetings will constitute an Additional Service. C construct CONSTRUCTION PHASE al GENERA esentatRon services as desclribed below, will d with the performance of ion se repr FNI will endeavor to protect Client in providing these services. However, it is understood that FNI does not guarantee the Contractor's performance, nor is FNI responsible for supervision of the the means, methods, Contractor's operation and employees. FNI shall not be responsible for techniques, sequences or procedures of construction selected by the Contractor, or any safety precautions and programs relating in any way to the condition of the premises, the work of the Contractor or any Subcontractor. FNI shall not be responsible for the acts or omissions of any person (except its own employees or agents) at the Project site or otherwise performing any of the work of the Project. These services are based on the use of FNI standard General Conditions for construction projects, ired by use of other general conditions or contract administration Modifications to these services requ procedures are an additional service. if general conditions other than FNI standards are used, the Client agrees to include provisions in the construction contract documents that will require the construction contractor to include FNI and their subconsultants on this project to be listed as an additional insured on contractor's insurance policies. 1. 2. 3. 4. Assist Client in conducting pre -construction conference with the Contractor. ffie Based on FNI'$ observations as aedocumentation srienced and lubmitdted by Contractor lde ermine the the Payment Requests and supporting amount that FNI recommends Contractor be paid on monthly and final estimates, pursuant to the General Conditions of the Construction Contract. Make up to two site visits to the construction site (as distinguished from the continuous services of a Resident Project Representative) to observe the progress and the quality of work and to attempt to determine in general if the work is proceeding in accordance with the Construction Contract Documents. In this effort FNI will endeavor to protect the Client against defects and deficiencies in the work of Contractors and will report any observed deficiencies to Client. Visits to the site in excess of the specified number are an Additional Service. Notify the Client of non -conforming work observed on site visits. Review quality related documents provided by the contractor such as test reports, equipment installation reports or other documentation required by the Construction contract documents, interpret the drawings and specifications for Client and Contractor($). Investigatlons, analyses, and studies requested by the Contractor(s) and approved by Client, for substitutions of equipment and/or materials or deviations from the drawings and specifications is an additional service. Ci Establish procedures for administering constructive changes to the construction contracts. Process contract modifications and negotiate with the contractor on behalf of the Client to determine the cost and time impacts of these changes. Prepare change order documentation for approved changes for execution by the Client. Documentation offieldorders, where costtoClient is not impacted, will also be prepared. Investigations, analyses, studies or design for substitutions of equipment or materials, corrections of defective or deficient work of the contractor or other deviations from the construction contract documents requested by the contractor and approved by the Client are an additional service. Substitutions of materials or equipment or design modifications requested by the Client are an additional service. Prepare SC-4 8. Conduct, in company with Client's representative, a final review of the Project for conformance with the design concept of the Project and general compliance with the Construction Contract Documents. Prepare a list of deficiencies to be corrected by the contractor before recommendation of final payment. Assist the City in obtaining legal releases, permits, warranties, spare parts, and keys from the contractor. Review and comment on the certificate of completion and the recommendation for final payment to the Contractor(s). Visiting the site to review completed work in excess of one trip is an Additional Service. ARTICLE II SPECIAL SERVICES: FNI shall render the following professional services, which are not included in the Basic Services described above, in connection with the development of the Project: 1. None Identified ARTICLE III ADDITIONAL SERVICES: Any services performed by F.NI that are not included in the Basic Services or Special Services described above are Additional Services, Additional Services to be performed by FNI, if authorized by Client, may include the following: Geotechnical Investigation — It is our understanding this will be provided by others. A geotechnical • a detailed examination of the existing sediment borrow areas engineer may be required to provide relative to the placement areas. This effort will provide depth and quality of borrow material, and how it compares to areas of placement. This may be avoided with written permission from Owner with a full understanding of the risks. • Boundary Survey A new magnetometer survey and probing to field locate all existing gas mains in proximity to the project area. • Floodplain Study • Easement Designation • aining Walls, foundations, breakaway wall design, and anchoring Structural design (including site Ret analysis) • Design services necessary to relocate the borrow site due to conflicts with gas pipelines, conflicts with property boundaries, conflicts with project access due to existing infrastructure, and/or maintaining compliance with existing Section 10/404 permits. • Permit Fees Storm Water Pollution Prevention Plan Development and Permitting • Environmental studies including endangered species investigation, wetland determination, archeological investigation, section 10/404 CWA permitting, and Phase 1 ESAS • Construction staking ssociated with issues that may arise during construction. Should any Unanticipated engineering services a • of these services be desired or required, an additional scope and fee proposal may be necessary. • Once design is reviewed and approved by owner, any modifications to such plans may be considered as additional services. ARTICLE IV TIME OF COMPLETION: FNI is authorized to commence work on the Project upon execution of this Agreement and agrees to complete the services in accordance with the following schedule: Review Existing Bid Documents — 30 days from notice -to -proceed. • survey —60 days from notice-to-proceedbe onstruction documents will u 30 Update Construction Documents — draft csubmitted to Client within y days from completion of survey. Final construction documents will be submitted to Client within 14 days of receipt of comments or approval from Client. Construction Phase services and project management will occur from notice -to -proceed for the full duration of construction activities If FNI's services are delayed through no fault of FNI, FNI shall be entitled to adjust contract schedule f days of delay. These delays may include but are not limited to delays in Client consistent with the number othe flow of information to be provided to FNI, governmental approvals, etcw or regulatory reviews, delays1 compensation as outlined on the face of this Agreement and in These delays may result in an adjustment Attachment CO. ARTICLE V RESPONSIBILITIES OF CLIENT: Client shall perform the following in a timely manner so as not to delay the services of FNI: change ders may o be ed uring A The responsibility for expects thatcosts 0f change ngero des willbebe determined onuthe dbasis ofnappl applicable contractual obligations and professional liability standards. FNI will not be responsible for any change conditins, changes made by or due to the or Contractor order costs nge order costs not caused byo othe negligent errors or omissionsCof tNoth ng in this or any provision creates a presumption that, or changes the professional liability standard for determining if, FNI is liable for change order costs. It is recommended that the Client budget a minimum of 5%for new construction and a minimum of 10 for construction that includes refurbishing existing structures. B, Designate in writing a person to act as Client's representative with respect to the services to be rendered under this Agreement. Such person shall have contract authority to transmit instructions, receive information, interpret and define Client's policies and decisions with respect to FNI's services for the Project. C, Provide all criteria and full information as to Client's requirements for the Project, including design and mance objectives andand anya abudgetary limitations; cand furnish copies of all design flexibility constrints, space, ign andconst construction expandability, standards which Client will require to be included in the drawings and specifications. D. Assist FNI by placing at FNI's disposal all available information pertinent to the Project including previous reports and any other data relative to design or construction of the Project. E. Arrange rra a for rr cress to and dm for FNI to upon public and private property as perfor SC-6 Examine all studies, reports, sketches, drawings, specifications, proposals and other documents presented by FNI, obtain advice of an attorney, insurance counselor and other consultants as Client deems appropriate for such examination and render in writing decisions pertaining thereto within a reasonable time so as not to delay, or cause rework in, the services of FNI. l subsurface ut not mited G blor ngshtelst pits, soil resistivity make r surveys, ande to have made lother subsurface xplof at ons, Clli enshall also' make or s resulting from such investigations. All arrange to have made the interpretations of data and report costs associated with such investigations shall be paid by Client. ating and ng s as may H required for the Project, such legalservicesent asClientt may require or FNI may rinsurance easonably onablyrequest with regard to legal issues pertainingto the Project including any that may be raised by Contractor(s), such auditing service as Client may require to ascertain how or for what purpose any Contractor has used the moneys paid under the construction contract, and such inspection services as Client may require to ascertain that Contractor(s) are complying with any law,, ule, regulation, ordinance, code or order applicable to their furnishing and performing the work. I. If Client designates a person to serve in the capacity of Resident Project Representative who is not FNI or FNI's agent or employee, the duties, responsibilities and limitations of authority of such Resident Project Representative(s) will be set forth in an Attachment attached to and made a part of this Agreement before the Construction Phase of the Project begins. Said attachment shall also set forth appropriate Construction defined in Attachment f'SC, Article the D, together Phase General w thsu suchadjustmentRepresentation t fcompensation as appropriate. ), Attend the pre -bid conference, bid opening, preconstruction conferences, construction progress and other job -related meetings and substantial completion inspections and final payment Inspections. K. Give prompt written notice to FNI whenever Client observes or otherwise becomes aware of any development that affects the scope or timing of FNI's services, or any defect or nonconformance of the work of any Contractor. L, Furnish, or direct FNI to provide, Additional Services as stipulated in Attachment SC, Article III of this Agreement or other services as required. M. Bear all costs incident to compliance with the requirements of this Article V. ARTICLE VI DESIGNATED REPRESENTATIVES: FNI and Client designate the following representatives: Client's Designated Representative Clyde SYma Ihoun County Commissioner Precinct 3 24627 State Highway 172 Port Lavaca, TX 77979 Phone: 361-893-5346 Email: Clyde.Syma@calhouncotx.org Client's Accounting Representative FNi's Designated Representative— FNI's Accounting Representative — Cynthia Mueller 202 S. Ann, Suite B Port Lavaca, TX 77979 361,553,4610 cindy.mueller@calhOuncotx.org Juan Moya 10431 Morado Circle 65-5 300 Austin, Texas 78759 512-617-3134- 1 u a n.moya @freese. co m Kelly Shriver 4055 International Plaza, Ste. 200 Fort Worth, TX 76109 817-735-7351 KJS@freese.com Commissioners' Court- NOVEMBER 06, 2019 il. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) To transfer $29,635 from GOMESA funds to the port Alto Shoreline Restoration Construction FNI project No. CCY17350 for services provided by Freese and Nichols post Hurricane Harvey. (CS) No Action Taken Page 9 of 16 Clyde Syma Calhoun County Commissioner, Precinct 3 24627 State Hwy, 172-011via, Fort Lavaca, Texas 77979 � Office (361) 893-534G N Fax (36D 893-5309 Email: cl des a(@calhouncotx or9 j October 31, 2019 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for November 6, 2019. Please Consider and Take Necessary Action on transfer of $29,635.00 from the GOMESA Funds to the Port Alto Shoreline Restoration Construction FNI Project No. CCX17350. For services provided by Freese and Nichols post Hurricane Harvey. Sx1t Sincerely, Clyde Syma Commissioner Pct. 3 Commissioners` Court — NOVEMBER 0612019 12. CONSIDER AND TAKE NECESSARY ACTION (ITEM NO. 12) To appoint Commissioner Gary Reese to the Foreign Trade Zone Board with the Port of Port Lavaca and Point Comfort to replace Kenneth Finster. (RM) T; APROVED [UNANIMOUS] R; Richard Meyer, County Judge JDER% David Hall, Commissioner Pct 1 Judge Meyer, CommissionerHall, Syma \INED: Gary Reese, Commissioner Pct 4 Page 10 of 16 Commissioners' Court —NOVEMBER06, 2019 13, CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) To declare items located in the County ClerWs office as Waste and authorize The County Clerk to dispose of same. (RM) ( List) RESULT: APROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct,1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Syma, Reese Page 11 of 16 Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Calhoun County Clerk Requested By: Anna M Goodman Commissioners' Court: 111612019 Inventory Serial No. Number Description HP Prodesk 600 panice's Old Computer) MXL5241TS1 HP Prodesk 600 (Cathy's Old Com uter) MXL44015N0 HP Prodesk 600 (Front Office Old Computer) 1vIXL6430LST HP Prodesk 400 (Karina's Old Computer) Counter Old MXL6430L6X HP Prodesk 400 (Front Reason for Waste�uispos Re laced not Salvageable Replaced not Salvageable Replaced not Salvageable Replaced not Salvageable RP.nlaced not Salvageable Declaratio (003).Doc Pa€ Commissioners' Court — NOVEMBER 06, 2019 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) To declare items located in the County Courtmat-Law ice as Waste and authorize the Judge to dispose of same. (RM) (seelist) 2ESULT: APPROVED [UNANIMOUS] OVER: Gary Reese, Commissioner Pct 4 SECONDER; Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Syma, Reese Page 12 of 16 Inventory Number Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Requested By: 009 HP Compaq Elite 30o Conv. Microtowe 17" Court at Law No. 1 Shelley Stingley GI] fN� 3 Cason for Waste vec=® uter i approximately 10 s old �obsnlete (IT is Yr3n Aal a1- harrlr9��a 6 Obsolete - uses Pin Commissioners' Court — NOVEMBER 06, 2019 15, CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 15) To declare vehicles from the Sheriff's Office fleet as Surplus/Salvage and authorize them to be sold at auction. Proceeds to be deposited in the Sheriff's Office Account, (RM) (see list) RESULT: APPROVED [UNANIMOUS] MOVER: Clyde Syma, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 Commissioner Hall, Syma, Reese AYES% Judge Meyer, Page13of16 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PT1ONE Nvivim R (361) 553-4646 FAX NUMBER (361) 5534668 MEMO TO: RICHARD MEYERS, COUNTY JUDGE SUBJECT: TRANSFER VEHICLES FROM FLEET TO SURPLUS SALVAGE DATE: NOVEMBER 6, 2019 Please place the following item{s) on the Commissioner's Court agenda for the dates} indicated: AGENDA I'OR NOVEMBER 6, 2019 • Consider and take necessary action to put the following vehicles on surplus salvage list: • 2011 CHEVY TAHOE VIN#1GNLC2EOXBR345096 (OSG K-92) • 2007 FORD F150 VIN#IFTPW14VX7KC78265 (UNIT 38) 2010 FORD EXP VIN# JFMPU155066A23875 (UNIT 22) 2001 CHEVY TAHOE VIN#1GNEC13T51R219842 (UNIT 32) 2000 FORD EXP VIN#BTJ7185 (TXLP) (UNIT 37) 2009 DODGE PICKUP VIN4ID3HBl8P19S761598 (FROM PCT. 2) These vehicles will be going to auction and sold. Proceeds will go back into the Sheriff's Office account. Sincerely,. f' 3 41 oa Commissioners' Court— NOVEMBER 06; 2019 1.6. Accept reports from the following County Offices: 1. County Tax Assessor -Collector — September ZM9 Page 14 of 16 FO O 00 (M O N 0) N 07 z O O M lO O O h W M O O M I� IVh N %e M, f� h O 1� co (0 N N 0) N N O O) 0) w n O N t� I O N n N O O W ct N eF O f� co O 9i O O 2 N O h r O W r O N N 00 00 Ih O N O r w I% r f� i� h (D N O LO cn M r V) IrIII n � N N r D r Rl m ❑ f9 Vi VT (A EH dT <H V)i VH N! to 6eT (fl fA (A vi Qw tH dJ en fA to 0i V! to 6c! fA N O r 0 !� I� O O M r O O a Qi O z h O1 C � C O (4 06 00 O N C O 0. p W M M O N N M h 4e d w F i' w N Ntv"t r M N J J d' 2 O h U ZO 0) :A HT 49 EA (H (A M [fl tof9 Op fA (A 0) fA VT fR f9 N i N w �O� WF oc rOOi, IV F 0-C aN UQm 0N °tloHm um�IV NIVO 0 a 0 w(I aoWa" wwUQLL~ rvac,N LLI LLLL LL � O W12 2 NLL 00 0 O N j O 0Z'Jm0 y 'O LL CCN O ! NO m ~ p w10 w O a IIII, o Co Q O ° U¢N a CD Q0 w 0 UO N C Q C Y O d m O z 5 O O O d a w U> m � m M, a a cd m vxjFV Q d z F. 0 LL a) LLrrN z z0 Z p p paa c00c0 U pc w e Zc i❑❑ UU_° o(0 ti i Um w iooo Z o 0 ` co 0) 0 LO) IV aa (L 'o a0 0LU It=i= aaaaI02 a a a�a�IV oa aa d m y 0 c Km:: �'N�roro0 v0oo _a HaQQOp a,0 CD Q 2 0) t-m I- () Cv ! ` z i i R r , . ,� ) 44 P „ , , . ■ CO) co ® - ® - ® - - ® ® - ® - ' §\§ § ' ] & �f 7kk K - - --- --- ® - - - - - k § ) t5 LL ( 2 § �§) c / \® !{J;&0 &£ ) \mo )§_ a / CO)@ §) /§ £»�t7F—< ; /w q 2 aj{a3s2f))k BB �) J§ /§ k 6 ©777�/\\\\/ }) N® )/ f f $|)(m) „��� (/ 2/ $3a222&)§]]/ kj/ §) ]/ k/ / CL &`#a-2J]aaa __ _ _ ��f5§$a) w/ «z£z ) f _ mo �■� fa$ | - a E r` ! j Jd! Aƒd / ƒ 7 0 ! Commissioners' Court— NOVFMBER 06, 2019 17. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 17) On any necessary budget adjustments. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Syma, Reese Page 15 of 16 Rim m v= m I� m ME v= awl OR to p 0 o o e p aNEW ONE m �= m T �= Z .� I= m c Z - 7J o -I ZRIM A ORIM m= m Z= m Z= � mn a �_ -IONE ° o Z =_ o Z= a z a=_ z a= 3= �_ o mon =RIM z o mon =_ 3 m (I_ m 3 aMR MR 0 0= p 3e 3' v=_ 3= c m r= 2Us y Ron z a p Ze pRRMn n C 0= m C CIE a n Z o � c`O`°o z c 0' c m= m n a -zi N= azz y mm N �= 3 0 zz � X= m Z Zi 1 O@ L M,= z H L Z' C q�Old RIMN m . 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Approval of bills and payroll. (RM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct i SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Syma, Reese County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDERS Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Syma, Reese ADJOURNED: 10:43 A.M. Page 16 of 16 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR -- November 06, 2019 TOTALS TO BE APPROVED -TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 3973528.23 TOTAL TRANSFERS: BETWEEN FUNDS( $ TOTAL NURSING HOME UPL EXPENSES $ 673,650.32' TOTAL INTER -GOVERNMENT TRANSFERS $ GRAND TOTAL DISBURSEMENTS APPROVED November 06, 2019 $ 1,071,178.55 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---November 06,201 PAYABLES AND PAYROLL 11/1/2019 Weekly Payables 387,328.15 11/1/2019 Patient Refunds 32216.07 11/1/2019 Allyson Swope -Contract Employee 23196.00 11/1/2019 Sparklight-Phones 73,42 11/4/2019 McKesson-340B Prescription Expense 3,570.93 11 /4/2019 Amerisource Bergen-340B Prescription Expense 1,011.99 Prosperity Electronic Bank Payments 10/28-11/1/19 Pay Plus -Patient Claims Processing Fee 131.67 TOTAL TRANSFERSBETWEEN FUNDS`; $ NURSING HOME UPL EXPENSES 11/4/2019 Nursing Home UPI-Cantex Transfer 493,383.63 11/4/2019 Nursing Home UPI-Nexion Transfer 533646,36 QIPP/INTEREST/RECOUP CHECKS TO MMC 11/4/2019 Ashford ,231.75 11/4/2019 Broadmoor 31 11/4/2019 Crescent 4,231,75 777.3 11/4/2019 Fort Bend 9 5157 48 11/4/2019 Solera ,994.53 48 11/4/2019 Golden Creek 11/4/2019 Gulf Pointe 4,994,53 ,110.30 11/4/2019 Ashford -to reclaim misidentified deposit not due to Ashford 11,728.00 TOTAL NURSING HOME UPL EXPENSES $ 673,660.32 TOTALlNTER-GOVERNMENT TRANSFERS $ Page 1 of 14 10/3 I d 1 2019 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 10:26 ap_open_invoice.template ii rutfatr€sat� Ca+sesty 3ru;or Due Dates Through: 11/13l2019 Vendor# Vendor !tame Class Pay Code A1680 AIRGAS USA, LLC -CENTRAL DIV ,/ M Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9094095472 r1 10/23/20 10/14/20 11/08/20 259.08 0.00 0,00 259.08 OXYGEN Vendor Totals Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC -CENTRAL DIV 259.08 0.00 0.00 259.08 Vendor# Vendor Name Class Pay Code B1150 BAXTER HEALTHCARE w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 64664242 ✓ 10/23/20 10/16/20 11/10/20 128.40 0.00 0.00 128.40 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1150 BAXTER HEALTHCARE 128.40 0.00 0,00 128.40 Vendor# Vendor Name Class Pay Code M2485 BAYER HEALTHCARE e/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 6007955311 ✓ 10/29/20 10/16/2010/29120 1,727.40 0.00 0.00 1,727.40 SUPPLIE S Vendor Totals Number Name Gross Discount No -Pay Net M2485 BAYER HEALTHCARE 11727,40 0.00 0.00 11727.40 Ventlor# 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 5413737 ,/10/21/20 10/13/20 11/07/20 5,016,58 0.00 0.00 5,016.58 1/ S PPLIES 108034628 V 10121/20 10/15/20 11109/20 11288.45 0.00 0.00 11288.45 WZ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 61305.03 0.00 0.00 61305,03 Vendor# Vendor Name Class Pay Code 10926 CAITLIN CLEVENGER Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 100319 10129120 10/03119 10103120 8.87 0.00 0.00 8.87 TRAVEL TOT BANK tgjZ7--{017r, 11 q) Vendor Totals Number Name Gross Discount No -Pay Net 10926 CAITLIN CLEVENGER 8,87 0.00 0.00 8,87 Vendor# Vendor Name Class Pay Code C1326 CARDINAL HEALTH 414, INC. L/ w Invoice# Comment Tran Dt Inv Dt Due Dt Check D* Pay Gross Discount No -Pay Net 8002061092 ✓ 10/29/20 09/30/20 10/25/20 304.12 0.00 0.00 304.12 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net C1325 CARDINAL HEALTH 414, INC. 304.12 0.00 0.00 304.12 Vendor# Vendor Name Class Pay Code 12768 CHEMAQUA Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 3711271 10/29120 10/10120 10/20120 500.00 0,00 0,00 500.00 ✓ file:///C:/UsersAnmcl<issack/epsihnemmed.cpsiuet.comht88150/data_5/tmp_cw5report9... 10/31 /2019 Page 2 of 14 WATER TREATMENT Vendor Totals Number Name Gross Discount No -Pay Net 12768 rCHEMAQUA 500.00 0.00 0.00 500.00 Vendor# Vendor Name Class Pay Code C1730 CITY OF PORT LAVACA ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 101619 10/29/20 10/16/20 11/01/20 51873.29 0.00 0.00 51873,29 V WATER ik" 101619A 10/29120 10116/20 11106/20 100 0.00 0.00 10�99 ra,b3 WATER i"ut6 Ja �vtdioA, l7dan'u' 101619E 10/30/20 10/16/20 11/05/20 i 3 a- yr; 32� 0.00 0.00 324.g6 13a. f5S Vendor Totals Number Name //// Gross Discount No -Pay Net 1� C1730 CITY OF PORT LAVACA V 1 W4-%' 6.29.08 0.00 0.00 6129/108 �// 0%T7 Vendor# Vendor Name Class Pay Code 11126 COLA RESOURCES, INC. ✓ - Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net CRIO9672019 10/29120 10/15120 10115/20 249.00 0.00 0.00 249.00 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 Corte 12536 COMMAND ELECTRIC LLC / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 103019 10/30/20 10130/20 10130120 41424,00 0.00 0,00 4.424.00 `fvu�R�l+oet �^aY�lxttr parWnyt-r,{- 'U'w�•ts ana �on{wlh Vendor Totals Number Name Gross Discount No -Pay Net 12536 COMMAND ELECTRIC LLC 41424.00 0,00 0.00 4,424.00 Vendor# Vendor Name / Class Pay Code L1430 CONMED LINVATEC y M Invoice# /Comment Tran Dt Inv Dt Due Dt Check D� Pay Gross Discount No -Pay Net 3221530 �/ 10/23/20 10/09/20 10/30/20 37.60 0.00 0.00 37.60 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net L1430 CONMED LINVATEC 37.60 0.00 0.00 37.60 Vendor# Vendor Name Class Pay Code . 12884 CUSTOMIZED COMMUNICATION INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 124803 10/29/20 10/07120 11/07/20 566.26 0.00 0.00 566.26 THE GIFT OF MOTHERHOOD I Vendor Totals Number Name Gross Discount No -Pay Net 12884 CUSTOMIZED COMMUNICATION INC 566.26 0.00 0.00 566.26 Vendor# Vendor Name Class Pay Code 10284 CYTO THERM L.P. Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 288271 10/22120 10/02120 10122/20 233.03 0,00 0.00 233.03 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10284 CYTO THERM L.P, 233.03 0.00 0.00 233.03 Vendor# Vendor Name / Class Pay Code 12612 DASHBOARD MD f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net file:///C:/Usershnmckissack/cpsi/memmed.cpsiuet.com/u88150/data_5/tmp_cw5report )... 10/3112019 Page 3 of 14 8864 10/30/20 10/30/20 10/30/20 53425.00 0.00 0,00 51425,00 NIGHTLY DATA LOAD LADT 5C Vendor Totals Number Name Gross Discount No -Pay Net 12612 DASHBOARD MD 51425,00 0.00 0.00 5,425.00 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 5867120 ✓ 10/22/20 10/14/20 11/08/20 169.39 0.00 0.00 169,39 SUPPLIES 5868380 10123/20 10/16120 11110120 105.21 0.00 0.00 105.21 SUPPLIES 5868370 10/23/20 10/16/20 11110120 68.00 0.00 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66826677 10129/20 10/07/20 10/22/20 260.97 SUPPLIES Vendor Totals Number Name Gross M2178 MCKESSON MEDICAL SURGICAL INC 400.67 Vendor# Vendor Name / Class Pay Code M2470 MEDLINE INDUSTRIES INC M Invoice# Comment Tran D[ Inv Dt Due Dt Check D Pay Gross 0.00 t1065.17V No -Pay Net 0.00 11416.56 No -Pay Net 0.00 70.75 No -Pay Net 0.00 70.75 No -Pay Net 0.00 43,500.00 No -Pay Nel 0.00 43,500.00 No -Pay Nel 0.00 148.00 Discount No -Pay Nel D.00 0.00 148.00 Discount No -Pay Net 0.00 0.00 520.41 0.00 0.00 42.00 0.00 0.00 84.00 Discount No -Pay Net 0.00 0.00 646.41 Discount No -Pay Net / 0.00 0.00 139.70 Ve 0.00 0.00 260.97 Discount No -Pay Net 0.00 0.00 400.67 Discount No -Pay Net file;///C:/Users/mmckissacldcpsi/memmed.cpsinet. corn/u8815O/data_5/tmp_cw5repot•t9... 10/31 /2019 Page 6 of 14 7889443820 ✓ 10109120 10/09/20 11/08120 17.44 0.00 0.00 17.44 SUPPLIES 1890242459 z 10/16/20 10/16/20 11/10/20 474.59 0.00 0.00 474.59 ✓ SUPPLIES / 1890187445 ✓/10/16/20 10/16/2011/10120 31081,90 0,00 0,00 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10/2912010/2412011/03/20 105.77 0.00 0.00 INVENTORY 4843240 / 10/29/20 10/28/20 11/07/20 12.99 0.00 0.00 INVENTORY 4843863 r// 10/29/20 10/28/20 11/07/20 68,21 0.00 0.00 INVENTORY 4843236 Z 10/29/20 10/28/20 11/07/20 57,24 0.00 0.00. INVENTORY 4843239 ✓/ 10/29/20 10/28120 11/07/20 11181.25 0.00 0.00 /INVENTORY 4843237 v' 10/29/20 10/28/20 11/07/20 11019.67 0,00 0.00 INVENTORY 4842086 z 10/29120 10/28120 11/07/20 13.12 0.00 0.00 4843238 /INVENTORY i/ 1 0/29/20 10128120 11/07/20 11188.85 0,00 0.00 - INVENTORY Vendor Totals Number Name Grass Discount No -Pay 10536 MORRIS & DICKSON CO, LLC 26,902.17 0.00 0.00 Vendor# Vendor Name / Class Pay Code A2252 NADINE GARNER �/ w Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 102419 10/29/20 10124120 10/24120 29.46 0.00 0.00 TRAVEL TO GIVE FLU SHOTS Vendor Totals Number Name Gross Discount No -Pay A2252 NADINE GARNER 29.46 0.00 0.00 1,404.88 1,632,52 t/ 5.29 75.98 2,609.38 386.26 3,774.28 105.77 12,99 68.21 57.24 1,181.25 1,019.67n.� 1,188.85 Net 26,902.17 Net 29.46 Net 29.46 file:/!/C:/Users/nuncicissack/cpsi/memmed.cpsinet.com/u8815O/data_5/tmp_cw5report9... 10/31 /2019 Page 9 of 14 Vendor# Vendor Name / Class Pay Code 01500 OLYMPUS AMERICA INC ,/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 98280141 10130120 10115120 11/09/20 236.74 0.00 0,00 236.74✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 236.74 0.00 0,00 236.74 Vendor# Vendor Name Class Pay Code 01416 ORTHO CLINICAL DIAGNOSTICS we/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1851177011 y// 10/2212010/0912011/08/20 11530,83 0.00 0.00 11530.83 ✓ SUPPLIES 1851184424 1/ 10/29120 10/14/20 11/13/20 755.37 0.00 0.00 755.37 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 21286.20 0,00 0.00 21286.20 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 102919 10/29120 10129/20 10129/20 1,582.50 0.00 0.00 11582.50 CONTRACT EMPLOYEE t 101 5^ 10' u I w 1c) Vendor Totals Number Name Gross Discount No -Pay Net 11069 PABLOGARZA 1,582.50 0.00 0.00 1.582.50 Vendor# Vendor Name Class Pay Code P1800 PITNEY BOWES INC ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1014108435/ 10/21/20 10/10/20 11/09/20 187.50 0,00 0.00 187,50 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net P1800 PITNEY BOWES INC 187.50 0.00 0.00 187.50 Vendor# Vendor Name Class Pay Code P2200 POWER HARDWARE we/ W Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 651181 V// 10/29/20 10/24/20 11/03/20 16.17 0.00 0.00 16.17✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net P2200 POWER HARDWARE 16.17 0.00 0,00 16,17 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 997102349 10/22/20 10/08/20 11/07120 11693,49 O.00 0.00 1,693.49 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10896 QIAGEN INC 11693.49 0.00 0.00 1.693.49 Vendor# Vendor Name Class Pay Code 11080 RADSOURCE ✓ Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net SC59722 V/10/29/20 10/15/20 11/09/20 11625.00 0.o0 0,00 1,625.00 ✓ RADIOLOGY SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 11080 RADSOURCE 1.625.00 0.00 0.00 11625.00 file:///CaUset•shnmckissack/epsi/memmed.cpsinet. cons/u88150/data_5/tmp_ew5repolrt9... 10/31(2019 Page 10 of 14 Vendor# Vendor Name Class . Pay Code 10927 ROSHANDATHOMAS / Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 102519 1012912010/25/2010/25120"����, 70.47 0.00 1, 0.00 70.47 MMC ADVOCACYrrORCH AWAM Vavxt,c m rr y 4n. 4w jb* Kott. 7 10 l t7 I t y Vendor Totals Number Name Gross Discount No -Pay Net 10927 ROSHANDATHOMAS 70.47 0.00 0.00 70.47 Vendor# Vendor Name Class Pay Code 30900 SAM'S CLUB DIRECT ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 007752 10/30/20 09/22/20 11/08/20 64.90 0.00 0.00 64.90 SUPPLIES 008328 10/30120 09/24/20 11/08/20 81.83 0.00 0.00 - 81.83 SUPPLIES 001734 10/30/20 10/16/20 11108/20 67.12 0.00 0.00 67A2 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net S0900 SAM'S CLUB DIRECT 213.85 0.00 0.00 213.85 Vendor# Vendor Name Class Pay Code S1800 SHERWIN WILLIAMS r/ W Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 12534 r/ 10/29/20 10/24/20 11/08/20 111.73 0.00 0.00 111.73 / SUPPLIES 14100 ✓ 10/30/20 10128/20 11/12/20 25.98 0.00 0.00 25.98 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net S1800 SHERWIN WILLIAMS 137.71 0.00 0.00 137.71 Vendor# Vendor Name Class Pay Code S1860 SHIP SHUTTLE TAXI SERVICE W Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 848998 10/29/20 10/22/20 10/22120 8.00 0.00 0.00 8.00 TRANSFER 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 DI Due Dt Check D Pay Gross Discount No -Pay Net 103019 10/29/20 10130/20 10/30/20 393.14 0.00 0.00 393.14 CONTRACT EMPLOYEE Vendor Totals Number Name Gross Discount No -Pay Net K0536 SHIRLEY KARNEI 393.14 0.00 0.00 393.14 Vendor# Vendor Name Class Pay Code S2362 SMITH & NEPHEW Invoice# c mment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 923573839 10/2312010114/20 10/30/20 446.75 0.00 0.00 446.75 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net S2362 SMITH & NEPHEW 446.75 0.00 0.00 446.75 Vendor# Vendor Name Class Pay Code S3940 STERIS CORPORATION ✓ M Invoice# /Comment Tran Dt Inv Dt Due Dt Check D+ Pay Gross Discount No -Pay Net 8388582 ✓ 10/29120 10/08/20 11/02/20 268.38 0.00 0.00 268.38 file:///C:/Users/mmcicissack/cpsi/memmed.cpsinet. com/u88150/data_5/tmp_cw5report9... 10131 /2019 Page I 1 of 14 REPAIR STERLIZER Vendor Total: Number Name Gross S3940 STERIS CORPORATION 268.38 Vendor# Vendor Name Class Pay Code S2830 STRYKER SALES CORP V// M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 900498291 r/ 10/29/20 10/16/20 10/21/20 11460.72 SUPPLIES 900496691 t/ 10129120 10116120 10/29/20 730.36 SU/pPLIES 900502856 ✓ 1 0/29120 10M7120 10129/20 47.40 SUPPLIES Vendor Totals Number Name Gross S2830 STRYKER SALES CORP 21238.48 Vendor# Vendor Name Class Pay Code 10735 STRYKER SUSTAINABILITY Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 3732740 ✓ 10/28/20 08/28/20 09/27/20 409,92 Vendor Total= -Number Name Gross 10735 STRYKER SUSTAINABILITY 409.92 Vendor# Vendor Name ✓ Class Pay Code 12440 SUN LIFE ASSURANCE COMPANY Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 101819 10130120 10118/20 10/18/20 21263.19 INSURANCE. N/itliM Vendor Totals Number Name Gross 12440 SUN LIFE ASSURANCE COMPANY 2,263.19 Vendor# Vendor Name / Class Pay Code 12476 SUN LIFE FINANCIAL ,J Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 102319 10/30/20 10/23/20 10/23/20 11, 978,65 INSURANCE . Wu Vendor Totals Number Name Gross 12476 SUN LIFE FINANCIAL 11,978,65 Vendor# Vendor Name Class Pay Code 11944 TALX CORPORATION Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Gross 1000917195 . 10/16/20 10/08/20 11/07/20 91,99 EMPLOYEE VERIFICATIONS Vendor Totals Number Name - Gross 11944 TALX CORPORATION 91.99 Vendor# Vendor Name Class Pay Code 11140 TEXAS ADVANTAGE COMMUNITY BANK Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 101519 10129/2010115/2010131120 31690.52 LOAN PAYMENT Vendor Totals Number Name Gross 11140 TEXAS ADVANTAGE COMMUNITY BANK 31690.52 Vendor# Vendor Name Class Pay Code 11038 THE INLINE GROUP ,/ / Discount No -Pay Net 0.00 0.00 268.38 Discount No -Pay Net 0.00 0.00 1,460.72 0.00 0.00 730,36 V/ 0.00 0.00 47.40 Discount No -Pay Net 0.00 0.00 21238.48 Dlscount No -Pay Nef 0.00 0.00 409.92 Discount No -Pay Net 0.00 0.00 409.92 Discount No -Pay Net 0.00 0.00 2,263.19 Discount No -Pay Net 0.00 0.00 21263.19 Discount No -Pay Net 0.00 0.00 11,978.65 Dlscount No -Pay Net 0.00 0.00 11,978.65 Discount No -Pay Nel 0.00 0.00 91.99 Discount No -Pay Net 0.00 0.00 91.99 Discount No -Pay Net 0.00 0.00 3,690.52 Discount No -Pay Net 0.00 0.00 3,690.52 file:///C:lUsers/mmckissack/cpsi/memmed.cpsinet.conl/u8 8150/ctata_5/tmp_cw5report9... 10/31 /2019 Page 12 of 14 Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 39443 10/29/20 10/19/20 11103/20 2,500.00 0.00 0.00 21500.00 / CANIDATE SOURCING SERVI( v Vendor Totals Number Name Gross Discount No -Pay Net 11038 THE INLINE GROUP 21500.00 0.00 0.00 21500.00 Vendor# Vendor Name Class Pay Code 11169 TXU ENERGY Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 055477329709 / 10/29120 10/21/20 11/11/20 32,738.62 0.00 0.00 32,738,62 i/% ELECTRICITY Vendor Totals Number Name Gross Discount No -Pay Net 11169 TXU ENERGY 32,738.62 0.00 0.00 32,738,62 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 8400313589 7 10/21/20 10/14/20 11/08/20 1*516.94 0,00 0.00 1*516.94 L� SU/ePLIES 8400313557 ,J 10/21/20 10/14/20 11/08/20 47.15 0.00 0.00 47.15 SUPPLIES 8400313558 ✓/10/21/20 10/14/20 11/08/20 65.71 0.00 0,00 65.71 LA NDRY 8400313897 10/21/20 10/17/20 11/11/20 120,39 0.00 0.00 120.39 LAUNDRY 8400313899 10/21120 10117/20 11111/20 216.53 0.00 0.00 216.53 LAUNDRY 8400313898 v1 10/21120 10/17120 11111/20 200,56 0.00 0,00 200.56 LAUNDRY 8400313934 V/ 10121/20 10/17120 11111120 11226.07 0.00 0.00 11226,07 LAUNDRY 8400313920 L/ 10121120 10117120 11111/20 97,69 0.00 0.00 97.69 LAUNDRY 8400313894 ✓ 10/21/20 10/17120 11/11/20 18.62 0.00 0.00 18.62 LAU DRY 8400313900 10/21/20 10/17120 11/11/20 175.83 0.00 0.00 175.83 LAU/NDRY 8400313960 ✓ 10/21/2010/1712011/11/20 145.38 0.00 0.00 145.38 LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 3,830.87 0.00 0.00 3t830.87 Vendor# Vendor Name Class Pay Code U1056 UNIFORM ADVANTAGE W Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 10186108 ✓ 10129120 10/11/20 10/26120 49.97 0.00 0.00 49.97 U0 FORM IRENE VENECIA 10206673 �/ 10129120 10/17/20 11/01/20 185.83 0.00 0.00 185.83 UNIFORM PATRICIA BRISENIC 10221541 ✓ 10/29/2010/2212011/06120 96.97 0.00 0.0o 96.97 UNIFORM VILMA PINA 10221027 V/00� 10129/20 10/22/20 11/06120 172.86 0.00 0.00 172.86 UNIFORM DAWN MCCLELLAN 10221557 //10/29/2010/22/2011/06/20 185.92 0.00 0.00 185.92 UNIFORM BRITTANY NAVARR file:///C:/Users/mmcldssacldcpsihnemmed.cpsinet.com/u88150/data_5/hnp_cw5report9... 10/31 /2019 Page 13 of 14 Vendor Totals Number Name Gross Discount No -Pay U1056 UNIFORM ADVANTAGE 691,55 0.00 0.00 Vendor# Vendor Nf me Class Pay Code U1350 UPS +� W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 0000778941429 10129120 10/19/20 10/19120 216,57 0.00 0.00 SHIPPING Vendor Totals Number Name Gross Discount No -Pay U1350 UPS 216.57 0.00 0,00 Vendor# Vendor Name / Class Pay Code 12208 WAGEWORKS d Invoice# Com ent Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay INV1697212 10/29120 10115/20 10115/20 543,50 0,00 0.00 ADMIN FEE AND COMPLIANCE Vendor Totals Number Name Gross Discount No -Pay 12208 WAGEWORKS 543,60 0.00 0.00 Vendor# Vendor Name Class Pay Code // W1005 WALMART COMMUNITY vW Invoice# Comment Tran Dt Inv Dt Due Dt Check D+ Pay Gross Discount No -Pay 006962 10/29/20 09/18/20 11/11/20 500.88 0.00 0.00 SUPPLIES `9) V1210 F jeLr 'f V � M N 04'k, ✓ 006961 10/29120 09/18120 11/11120 5.96 0.00 0.00 SUPPLIES 007656 10/29/20 09/23/20 11/11/20 14.34 0.00 0.00 SUPPLIES 006379 10/2912010101/2011/11/20 29.48 0.00 0.00 SUPPLIES 002009 10/29/20 10/01/20 11111 /20 19.78 0.00 0.00 SUPPLIES 005994 10/30/2009/17/2011/11/20 7.94 SUPPLIES 006960 10/30/20 09/18/20 11/11/20 3.88 SUPPLIES Vendor Totals Number Name - Gross W1005 WALMART COMMUNITY 582.26 Vendor# Vendor Name / Class Pay Code 11110 WERFEN USA LLC v Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross 9110720236 ,� 10/29/20 09/10/20 10/05/20 136,76 SUPPLIES 9110720542 10/29/20 09/10/20 10/05/20 21184.71 SU�PL16S 9110730115 7 10/29/20 10102/20 10/27/20 891.40 SUPPLIES Vendor Total: Number Name Gross 11110 WERFEN USA LLC 31212.87 Vendor# Vendor Name Class Pay Code 11166 WEST INTERACTIVE SERVICES CORP Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross INVO02151644 10/29/20 09/30/20 09/30/20 537.98 HOUSE CALLS 0.00 0.00 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 0.00 0.00 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0,00 Nel 691.55 Net 7 ✓ 216.5 Net 216.57 Net 543.50 ✓ Net 543.50 5.96 14.34 / 29.48✓/ 19.78 V/ Net 582.26 Net 136.76 2,184.71 891.40 ✓ Net 3,212.87 Net 537.98 / Yile:///C:/Users/mmcl<issack/cpsi/memmed.cpsinet.com/u88150/data_5/tmp_cw5report9... ]0/31/2019 Page 14 of 14 Vendor Total=Number Name 11166 WEST INTERACTIVE SERVICES CORP Report Summary Grand Totals: Gross Discount 387,568.46 0.00 b9osd�r� .� Olv NOV 0i2019 COlwry AC71 .� CHOUY )IT'(3Y2 Cowgr Y, `r,61',S Gross Discount No -Pay Net 537.98 0.00 0.00 537.98 No -Pay Net 0.00 387,568.46 �9 'Z C9YYec.`i'i� � �b12�1`1.17$i t b>058."1 I 3g-7) u 41IF file:/(/C:/Userslmmckissack/cpsi/memmed.cpsinet.comht88150/data_5ltmp_cw5report9... 10/31 /20 ] 9 ra NOV 01 2019 MEMORIAL MEDICAL CENTER 1/01/201� .y 0 CCa#9{11E-1i- coula 'LUfftltor AP Open Invoice List 8;q1 ap_open_invoice.lemplate Dates Through: Vendor# Vendor Name Class Pay Code 10958 ALLYSON SWOPE Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 103119 11/01/20 10/31/20 10/31120 2,196.00 0.00 0.00 CONTRACT EMPLOYEE 00111_lola`Illy� Vendor TotalE Number Name Gross Discount No -Pay 10958 ALLYSON SWOPE 2,196.00 0,00 0.00 Grand Totals: Gross 2,196.00 F.BYROVk:B ON NOV 0 1 2019 COCENTy AUD1T012 CALHCUpd COUN"Y, TLXAS Report Summary Discount No -Pay 0.00 0.00 Page 1 of I Nel 2,196.00 Net 2,196.00 Nel 2,196.00 file:/!/C:/Users/mmckissacldcpsilmemmed.cpsinet.com/u88150/data_5/hnp_cw5report33... 1 ]/1/2019 RUN Dk ' D%3 /19 TINE:ft } tiJ 0 I L01 PATIENT Nutkaigh' E li<xfiAPE6-RI144Csty .E4xstEi#ns� ARID=0001 TOTAL TOTAL API'3O"v"GI) ON NOV 0 1 2019 COUNTY AUDI 01t CAY.4IOUN COUNTY, TEXAS M1fEM1fORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=0001 DATE 102919 012519 102919 102919 102919 102919 102919 102919 102919 102919 102919 102919 102919 102919 102919 102919 102919 102919 102919 102919 102919 102919 102919 PAY PAT AtdOUNT CODE TYPE DESCRIPTION _______________________ . 71.75 2 REFUND FOR 30.00 ✓ 2 REFUND FOR 763.10 +/ 1 REFUND FOR 187.75 2 REFUND FOR 21*30 ✓ 2 REFUND FOR 273.53 ✓ 2 REFUND FOR 10.00 ✓ 3 REFUND FOR 146.08 2 REFUND FOR 21.00 ✓ 5 REFUND FOR 101.56 ✓ 2 REFUND FOR 50.00 2 REFUND FOR 431.43 ✓ 2 REFUND FOR 25.00 2 REFUND FOR 92.60 ✓ 3 REFUND FOR 19.17 ✓ 2 REFUND FOR 35.04 ✓ 2 REFUND FOR 146.12, 2 REFUND FOR 14.00 ,/ 5 REFUND FOR 67.66 ✓3 REFUND FOR 978.25t/ 3 REFUND FOR 96.02 ✓2 REFUND FOR 190'35 2 REFUND FOR 74.36 REFUND FOR PAGE i APCDEDIT GL NUf9 --------- III. 3216.07 , I I....__ 3216.07 Page I of I ftta MEMORIAL MEDICAL CENTER ^_tzl ¢.1:iinbiQae y fala (i#tea' e AP Open Invoice List 12:58 Dates Through: ap_open_invoice.lemplate Vendor# Vendor Name Class Pay Code C1010 SPARKLIGHT W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net, 092019 10131t20 09/20120 09120/20 73.42 0.00 0.00 73.42 PHONES Vendor TotalENumber Name Gross Discount No -Pay Net C1010 SPARKLIGHT 73.42 0.00 0.00 73.42 Report Summary Grand Totals: Gross Discount No -Pay Net 73.42 0.00 0.00 73.42 p_PPAOVED j ON Nov 0 1 2P' COUNq'Y AUDITOR CA1,110UN COUNTY, TgysX Lf; file:/1/CaUsers/mmchissacklcpsUmemmed.opsinet.com/u88I SOa/data_5/hnp_c1��Srepotl7... 11/1/2019 1 No 0o t Q X Q «; g X c QQQQ z a kQfa S� Uzi s ¢._ N O 1LL O to Q� U O EV Q� au 0 m O M Z Eo O O a o a c r F" u p c ¢ o n W ¢ inw w G°took � LLEa o v u 2y LL �p a VJ ¢ n q�$� 6z o Z� iryry% n II N Foot ml a ® ¢ DO .. z¢ ��[U W J ¢ 8 z o z UI � o m E 0 0 m N C6 M Lq a m 7 N C4 M :V J r l p u) in It m N a W O N � ° ^ ti E y a n E U N x ®c�< >'g �O z 3�»S O.LL •- M � W O N N O M M Ww 0 0 O N n M N d N M d O W N N N N O N lh h N O h m M 0 0 N N N N W W W Oct m ° ro m � § � \ \) \ k \ ) k§! !( It j AmerisourceBergenSTATEMENT• AMERISOURCEBERGEN DRUG CORP 12727 WEST AIRPORT BLVD SUGAR LAND TX 77478-6101 866451.9655 AMERISOURCEBERGEN DRUG CORP PO Box 905223 CHARLOTTE NC 28290-5223 ccount Activity Number: 58535028 Date: 11-01-2019 1 of 1 WALGREENS k12494 340B MEMORIAL MEDICAL CENTER 13D2 N VIRGINIA ST PORT LAVACA TX 77979-2509 ACCOUNT: 100135284/037028186 Not Yet Due: 0.00 Current: 1,011,99 Past Due: 0.00 Total Due: 1,011.99 Account Balance: 1,011.99 Activity Due Reference Purchase Order Activity Amount Date Date Number Number Type 10-28-2019 11.08.2019 3029281145 151801 Invoice 431.40 10.29.2019 11.08-2019 3029377107 151856 Invoice 574.03 10.30.2019 11-08-2019 3029439357 151892 Invoice 6,56 Thank You for Your Payment Date Payment Number Amount 11-01.2019 (479.77) Reminders Due Date Amount 11.08.2019 9 Total Due: 11,,011.$ Terms: Monda - Friday due in 7 days /PPROVED ON NOV Alt 2019 COUNTY AUDITOR CALAOLT[d CO[JNTY, TLSiAti ON NO No 2 2 20 \ NiNo CD k / �� Memorial Medical Center Nursing Home UPL Weekly Cantex Transfer Prosperity Accounts 11/4/2019 Nursln Home Account umber revmm B Balance ansfel.0ut amlwCln Pennin D ollls m ing eetlnnlnp AmountTransferred Balance u111n N 043.66 x 19],13]AS 197,037.45 135,643.66 - 135, 92,641052 ._ Bank Balance 135,>43.66 - Variance Leave In Balance 10.0 QIPP Yr l Adjustment 122,65 Rousing Information for Ashford Gardena: "� AMC Portion QIPPI / Ashford Health Care Center lid Co MMC Portion QIPP 203,Upse 314109,10 V JP Morgan Chafe Bank October interest 42,40 r/ ABA ... November Interest Ace December Interest / Redalm MlsldencIfied Deposit 12,228.00V t - Adjust Balancefnansfer Amt 92,641.524� 021_.. MM 225,039.78 24,939.78 ✓88,259.54 / 293,)65.94 ✓ 293,665.94 4/ 114, )39.01 116,31649 �l6.11649 1/ 11).124.66 329,]I9.51 ✓329.619.514/ lOB,iJ).]2 3/ ' olnfwmae'en/or Crnnnt/folero of Wefr Noufton/fart Gerd/Broatlmoar: Contr Heoim Car<Centen nl t(C Aorpan ChweBontSO a .onNm anrn of overfs,Op0 min 6r vans)erred to menurslnP name. Hare 2: Foah Acmunthu a Wfe a4'anee o/$IOO thot.NAlCdepwitrd to openottoune 1:\NN WeetN Tranrfera\NN UPl Tranrtm Summary\2019\November\HN UPt Tnmfer summary 3l-Ll9.a Bank Balance Valiance Leave In Balance QIPPYr I Adjustment MMC Padlon QIPP I MMC portion QIPP 2,3,Iapae October Interest November Interest Decemberinteresl Adjust Balancefrransler Aml Bank Balance Variance Leave In Balance QIPPYr (Adjustment MMC Portion QIPP 1 MMC Portion QIPP 213,tapfe Ocoher Mtemsit November interest December Interest Atljus[0alance/rranslerAmt Benk Balance Variance leave In Belan<e QIPPYr I Adjustment MMC Portion QIPP 1 MMC Portion QIPP 2,3,Iapse October Interest November Interest December Interest Atllun Balance/rmnslcr Amt 88,358.54 fl8,35fl.54 ✓ 00.00 .53 I 4,)39.84 1/ 48.32 83,43i.86 114,339.81 1I4.339Al 00.00 / ).53 3,491.54 51.9) 130,6)i.]e Y V` 11),224.66 / 13J,224.fi6 00.04 35.00 9,954A4 V 22.52 10],11E.66 83,932.86 110,6)2.18 10],112.66 lOB.6J7.72 / 99,523.83 Dank Balance 100,617.72 a� Verlance Leave In Balance100.00 QIPP Yrl Adjustment 17.53 ✓/ Humana Recoup taken from MMC MMC Portion QIPP I MMCPonion QIPP2,3,Wpse 8,977.001/ October Interest 59.39 / November interest December interest Adjust BaleneaRransfer Amt 99,521111\ 3 TOTAI TRANSfF 5 9931836C Approved: Blame Moore, CFO 11/4/2019 APPROVED 92 a 6/f 1"" 52 + ON 8 3 a 4 3 2 0 6 Nov u 4 2019 110a672=1 1 0 7 a 1 1 2° 6 6' T COUNTY AUDITOR 9 91 52. 3 a B I + CALHOUN COUNTY, TEXAS 493a2i3�G� %.• 1:\NHW k ramfeis\8 kDwload Work5heets\2019\November\NHB 0-28.19hn 11,3419 alit Pagel MMC PORTION _r .. _,., . - ... , ...._..� .,_ ..e WPP/Comp Yr 1 ffm:.. Transfer -Out hanilerin WPP/Compl 213,Lapee Adjustment QIPPTI NH PDRTON 10/20/2019 NOVITAS SOLUTION HCCUIMPMT 67542342000OISS TRN*1*EFT6897000*1205 - 70193.01 - 7,183.01 10/29/2019 Amedgroup TXSC HCCUIMPMT 3111442737111000 TRN*l*311144273)ti)526 - 23.38 - 23,38 10/29/2019 AMERIGROUPCORPO E-PAYMENTEES19328221110001SAt00t 4000 1- 624463.49 62,21e.20 245,29 31,231.75 81,231.75 10/29/2019 UHC COMMUNITY PL HCCUIMPMT 746003411910000 TAN91020191026112001 - 11608,88 - 10608,88 10/29/2019 UHCCOmmuniNPIHCCUIMPMT74E003411910000TRN*1*2019102614900533 - 64190.50 - 61190.50 10/29/2019 AARP Supplements HCCUIMPMT74WO3411124394 TEN*1*147955I350t1362: - 16.00 - 16.00 10/30/2019 WIRE OUT ASHFORD HEALTH CARE CENTER LTD 197,037.45 / - ' 10/30/2019 UniteNsalmcare HCCUIMPMT 746003411 1243M TRN• 1* 14MA29950141128 - ✓ >IS.ED - )15.00 10/30/2019 UHC COMMUNITY PI HCCUIMPMT 746003411910000 TRN* 1020191027170004 - 110.40 - 118,40 10/31/2019 Accr Earning Pvmt Added to Account - 42AO ' 10/31/2019 ACH Deposit MANAGEANDNU1718 MNS PMNT 000000000000D9341 - 5,921AS - 50921.45 10/31/2019 ACH Deposit UHC COMMUNITY PL HCUIMPMT 746003411910000 10782.20 - 14782.20 11/1/2019 Deposit - 484474.73 - 48,474,73 11/1/2010 ACH Deposit UHC COMMUNITY PL HCCUIMPMT 746003411910000 - 1,104.22 - 1,104.22 19>037.05 135613.66 62AISIZO 245,29 31*231,75 104,369.5E MMC PORTION - QIPP/Come rl Transfer -Out T(a0114L1.9 Adjustment WDP/COmpl 2,3,laple Adjustor QIPPTI NHPORTION 10/28/2019 UNREOHEtLT REHCCUIMPMT246003411124384TRNe1*ITR45031635*14 - 1,705.00, - 1,705.00 10/2812019 UHCCOMMUNITYPLHCCUIMPMT746003411910000TRN*t*20191025I57000 - 1,966.82 - 1,966.82 10/28/2019 UXCCOMMUNIWPLHC IMPMT746003411910000TRN*1*20191025139001 535A5 535.45 10/2812019 NOVITASWCUTIONHCCUIMPMT67635742000O153TRNtl*EFT5358441.1205 - 8,075.3E 81075.32 10/29/2019 AMERIGROUPCORPOE-PAYMENTEE519328251130001SA*00* *00* ' - 945$4,73 98519,68 35.05 41377,37 4,777.37 10/2912019 UnitedHeallhcare HCCUIMPhiT746003411124384TRN*1*1479720760*141128 - 468.00 - 468,00 10/29/2019 UHC Community PI HCCUIMPMT 74WO3411910000 TRN*1*3019102614901055 - /41LS0.00 - 4,150.00 20/30/2019 WIRE OUT CANTEX HEALTH CARE CENTERS 111 2244939.78 10/30/2019 ✓✓✓ 79,94 - 73.94 10/3012019 NOVITAS SOLUTION HCCUIMPMT 676357420000139 TRN*1*E9536150501205 - 220.28 - 220,20 10/31/2019 Accr Earning Pymt Added to Account - 48.32 ' 10/31/2019 ACH Deposit UnitedHeallhcare HCCUIMPMT 746003411124384 - 9,668.00 - 94668.00 10/31/2019 ACH Deposit UHC COMMUNITY PL HCCUIMPMT 746003411910000 - 44232.26 4,232.26 10/31/2019 ACH Deposit NOWTAS SOLUTION HCCUIMPMT 676357420000 WS - 12,825.14 - 12,825.14 11/1/2019 Deposit - 7,428.61 - 7,428.61 II/l/2019 ACH Deposit UnitedHealthcare HCCUIMPMT 74WO3411124304 - 7,343.00 - 74343.00 11/1/2019 ACH Deposit UHC COMMUNITY PL HCUIMPMT 7460034 It 910000 - 14882.20 - 14882.20 12/1/2019 ACH Deposit UHC COMMUNITY PL HCCUIMPMT 746003411910000 4 18,063A7 196081.47 jcUld 234.939.J8 88,258.54 9519.68 35,05 4,1)).37 030432.86 MMC PORTION QIPP/Comp Yr 1 Ttander0ut Tram QIPP/Dompl i,3,tapse Adjustment QIPPTI IMPOSITION 10/28/2019 UHC COMMUNITY PL HCCUIMPMT 746001421910000 TRN* 1920191025157000 - 2,676.3E - 2,676.32 10/2812019 UHC COMMUNITY Pt HCCUIMPMT 746003411910000 TRN* 1420191025147001 - 27,467.82 - 270467.82 10/28/2019 NOVITAS SOLUTION HCCUIMPMT 67023420000153 111111*1*EF553504301205 - $0178.75 - 5,178.75 10/28/2019 HUMANA CHA DISS HCCUIMPMT 3908" 4200001296 TRN*1*01484010079803 60291,79 - 6,291.79 1012912019 AMERIGROUP CORED&PAYMENT EE51932824111000 I5A*00* *00* q 7,030.12 64995,07 - 35.05 3525,06 30S1S.06 10/29/2019 UHC COMMUNITY PL HCCUIMPMT 746003411910000 TRN* 1920191026166000 / 21120:99 - 24120.99 10/30/2019 WIRE OUT CANTEX HEALTH CARE CENTERS III 293t66S.94- 10/30/2019 HHP EFPAYMENT 3908"91000012741642 DISDATA-TRN*1*001270417039256* - 5,710.33 - 54710,33 10/30/2019 UnitedHeallhcare HCCUIMPMT746003411124304 TRN* 1*148008B692*141128 - 9,250.00 - 9,250.00 10/30/2019 HEALTH HUMAN SVC HCCUIMPMT 174600341130082 TRN*100SO67984166986 - 33 - 3,334A5 10/31/2019 Accr Earning Paint Added to Account - $1.97 10/31/2019 ACH Deposit UnitedHeallhcare HCCUIMPMT 7460034111243" - 8,880.00 - 8,00m 10/32/2019 ACH Deposit UHC COMMUNITY PL HCCUIMPMT 74600341X 910000 - 2,005.34 - 2,005.34 10/31/2019 ACH Deposit NOVITAS SOLUTION HCCUIMPMT 676325420000165 - 105,61 105.61 11/1/2019 Deposit - 5,474.89 - 5,474.99 11/1/2019 ACH Deposit UHC COMMUNITY PL HCUIMPMT 74600U 11910000 - 60164.06 - 60164.06 12/1/2019 ACH Deposit UHC COMMUNITY PL HCCUIMPMT 746003411910000 - 17,659.05 - 174659.05 1111/2019 ACH Deposit NOVITAS SOLUTION HCCUIMPMT 676323420000144 4838.32 / - 40838.32 293,665.94 114,239.81 V 61995,07 35,05 30515,06 110,67I.78 MMC PORTION WPPleomp Tri TfanderUut Trinderin QIPP/Compl Z219t pie Adjustment QIPPTI NHPORTION 10/28/2019 UnitedHeallhcare HCCUIMPMT 746003411124384 TRN*1* 14792213570141129 - %450.00 - 90450.00 10/28/2019 UHC COMMUNITY In. HCUIMPMT 746003411910000 TRN* 1e 2019102S104002 - 13,495.36' - 13,495.36 10/28/2019 NOVITAS SOLUTION HCCUIMPMT 675663420000153 TRN*1*EFT$357996.1205 - 12,829.20 12,829.28 10/29/2019 AMERIGROUP CORPO E-PAYMENT EES19328211110001SF*00* stair e - 194978.96 391908.80 70,08 91989.40 9,989.48 10/29/2019 UnitedHeallhcare HCUIMPMT746003411124384 TRN* 1014797221910141128 - 7,877,00 - 74877A0 10/29/2019 UHC Community PI HCCUIMPMT746003411910000 TRN*1*201910261490076E - 14037.50 1,037.50 10/29/2019 HEALTH HUMAN SVC HCCUIMPMT 174600341130062 TRN t1*OSD67253173057 164813.18 - 16,013.18 10/30/2019 WIRE OUT CANTEX HEALTH CARE CENTERS III 1164216.49✓ 10/30/2019 UHCCOMMUHIIY PLHCCUIMPMT746003411910000TRNt1*20191427132001 - 6,930.87 - 64930.87 10/30/2019 NOVITASSOLUTION HCUIMPMT675663420000139THN*2*EFT5360945el2O5 - 366,90 - 366.98 10/32/2019 Arcs Earning Pymt Added to Account - 22.52 - 10/31/2019 ACH Deposit UHC COMMUNITY PL HCCUIMPMT 746003411910000 - 124595.26 - 12,595.26 10/31/2019 ACH Deposit NOVITAS SOLUTION HCCUIMPMT 67566342000O165 - 219,99 219,99 11/l/2019 Deposit �0507.76 / 15,507,76 1160216.49 117,124.66 191900.88 70,08 9,989.48 1070112,66 l:\NH Weekly Iransters\Bank Dowlold Wotksheaes\2019\November\NH Bank Download 10.28.19 thou 11-3-19.risa 10/28/2019 UHC COMMUNITY PL HCCLAIMPMT 74600M 11910000 TAN•1#2019101515700 10/28/2019 UHC COMMUNITY PL HCCLUMPMT 74600M 1192MO TRN• 1020191025147000 10/29/2019 MANAGEANDNCT1718 MNS PMNT000000000002491410246295 10/29/2019 AMERIGROUP CORPO E-PAYMENT EC51932023111000 ISA•00• •00• 10/30/2019 WIRE OUT CM AE% HEALTH CARE CENTERS III 10/31/2019 Accr timing PIMA Added to Aecount 10/31/2019 Check 067 10/31/2019 ACH Deposit UnitedHealtllcare HCCLAIMPMT 7460034111243M 10/31/2019 ACH Deposit UHC Community Pi HCCLAIMPMT 746003411910000 10/31/2019 ACH Deposit HEALTH HUMAN SVC HCCIAIMPMT 1)460034113W 2 11/1/2019 Deposit 11/l/2019 ACH Deposit MANAGEANDNU1718 MNS PMNT OO000000DOD249241 11/1/2019 ACH Deposit UnitedHealthcare HCO.MMPMT 74W3411124384 T0TA15 wge z MMC PORTION QIPP/Comp Yr1 Transfer Out Transfer-InOIPP/CPmpl 2034tapra AdjustmentDIPPTI NNPORTION 0 14,522.72 - 14,522.72 - 17,310.05 - 17,310.05 1,514.66 - 1,514.66 • 170989.04 17,953.99 35.05 8,994.5E 8,994.52 $9.39 24769.44 ✓ ' 60870.00 - 6,07O.00 3,280.00 - 31280.00 1,445.36 1,445.36 13,986.50 - 13o98G.SD 2,340.00 - 2,340.00 296260.00 294260.00 3E951951 Io85))TE 17,953,99 35,05 84994.52 990523.81 3,162p39.17 563,044,39 116595.8E 420,52 58,508.17 SOS,Il3.62 1 11/4/2019 Treasury Center Quick View DDA Data feporled as of Nov 4, 2019 8: Account Number Current Balance Available Balance Collected Balance Prior Day Balance RIAL MEDICAL —- -'-�-- - - -. -- CENTER -OPERATING MEMORIAL MEDICAL CENTER - CLINIC SERIES 2014 dim MEMORIAL MEDICAL CENTER -PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL $135,743.66 S136.179.51 S135,743.66 $86,164.71 CENTER! NH ASHFORD '4403 MEMORIAL MEDICAL $88,358.54 $89,058.54 $86,368,54 $53,623.26 CENTER/NH BROADMOOR *4411 MEMORIAL MEDICAL $114,339.81 $129,866.81 $114,339.81 $80,203,49 CENTER / NH CRESCENT *4438 MEMORIAL MEDICAL $108,677.72 $120,977.72 $108,677.72 $63,091.22 CENTER / SOLERA AT WEST HOUSTON '4446 MEMORIAL MEDICAL $117,224.66 $122,909.16 $117,224,66 $1014716.90 CENTER / NH FORT BEND goo MEMORIAL MEDICAL! NH GOLDEN CREEK HEALTHCARE low CAL CO INDIGENT HEALTHCARE 41111111110 MMC -NH GULF POINTE ismommomw PLAZA -PRIVATE PAY MMC -NH GULF POINTE PLAZA - MEDICARE/MEDICAID indicates re. Page generated on 11r041201 J at 8'. Copyright 2019 Prosparny Bank. hops:!/prosperity.olbanking.wm/onlineMessenger 1/1 Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 11/4/2019 Previous Amount to Be Account Beginning Pending Transferred to Nursm Home Number Balance mmsfer-0Out ,Transfenln Oe osits Toda's Be Innln Balance Nursin Home _ --- 134,98261 134,882.61 9],]80.69 - - 9],880.69 53,646.36 Bank Balance 9],880.69 Foutlna (n/armation /or Golden Geek Nexion Health of Golden Creek Wells Fargo Bank, N.A. ABA Acco_., Note: On1Y balances ofaver$6,000 will he cronsferred ro fhe nursing home. Note 2: Each aacovnt hos o 6Pse be/ante of $1W thot MMC deposlMd m open ocmunr. is\NN lVeeYly Translers\NH UPt Tranaks 9ammary\1019\November\NH UPL transfer Summary lli-39 -.aba Variance Leave in Balance 100.00 QIPP Yrl Adjustment 1]4,60✓/ QIPP Comp 1 23,241,63 QIPP 2A.Lapse 20,694,0] October interest 24,M Novemberinterest 0ecemberinterest - Adju$t Balance/TransferAmt 63,646.36 '1'O` Approved: Ofana Moore, CfO il/4/1019 A�aPROVGLt ODI NOV 0 4 2019 COIIN'17 AUDC'POR CAIdiOUN COUN17,'PPXA6 Adju$t Balance/TransferAmt 63,646.36 '1'O` Approved: Ofana Moore, CfO il/4/1019 A�aPROVGLt ODI NOV 0 4 2019 COIIN'17 AUDC'POR CAIdiOUN COUN17,'PPXA6 MMC PORTION I QIPP/COMP QIPP VRI NH Transler0ul Transfer4n QIPP/COMP2 2,311apse Ad/ustment QIPPTI PORTION 10/28/2019 NOVITASSOIUTION HCCIAIMPMT67609]4]0000153TBN'1•En5358034 - 8,310.62 - 8.310.62 10/30/2019 WIRE OUT NEMON HEALTH AT GOLDE14UEEK 134,892.61 ' I/30/2019 TSYS/iPAN5LIP5T BNCD STl1AT Sd368d0558]69l]95436945558]69l)GO - 1,500.00 - 1.500.00 10/31/2019 Accr Earnlne PYmt Added to Account - 14.04 ' 111112019 Deposit - 22,967.07 22,067.01 ll/1/2019 ACH Deposit Centeno Neansleme CCD+ 3808046331IW20310200 - 23,241.63 23,242.63 230241.63 - Il/l/1019 ACH Deposit Centeno Alanaeeme CCD+ 308884633110020810144 1]3].33 / 41,388.13 349,20 20A68.61 20,80.67 13999161 9],]80,69 23,241.63 41,388.13 349.20 4.3,110.30 53,646.36 1114/2019 Treasury Center Quick View Data reported its of Noy 4, 2019 8 Account Number Current Balance Available Balance Collected Balance Prior Day Balance MEMORIAL MEDICAL 440w~ 601111MIll CENTER - OPERATING ftORIAL MEDICAL CENTER - CLINIC SERIES MEMORIALMEMORIAL MEDICAL CENTER - PRIVATE WAIVER CLEARING Iowa MEMORIAL MEDICAL CENTER I NH ASHFORD MEMORIAL MEDICAL BROADMOOR MEDICAL CENTER t NH CRESCENT MEMORIAL CAL CENTER I . . WEST . . . CENTER / NH FORT BEND MEMORIAL44454 •ICAL $97,880,69 $97t88O.69:r. GOLDENNH HEALTHCARE CAL . INDIGENT HEALTHCARE AMP MMC -NH GULF POINTE vow PLA7A - PRIVATE PAY "Mc NH GULF POINTE PLAZA- WNW MEDICAREIMEDICAID i ndinates.a. Paye yanara�ed on 11r041201�J at 8� Copyright 2019 ProsperilY Bank. hops:!/prosperity.olbanking.wMonlineMessenger Ili Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity Accounts 11/4/2019 Account Barrel pirrawro trials Trainfluffed to fractionate IfIl"011 vallArce cartkowplel Career Opp x.x.«v,.claw .� me.financial trolintown MMCPMIMWPPI Precious lots M antountorat ««u.t a„waH perel n«.n u.MHr.at. xunI If irturrober "lance . mi.�0ht ...,,n.,<. rr.0....a �., Parecord,.a, ... �w .,u.r. Mu Rome ,a.a.,aa a„as.9r ,,.,, H„x n..n.n<r variance searit In frontier Hill w, tintterest ai.� e.o�«ne�mr..am. / .e w..M.one 00 m<ivma APPROVED ON NOV o 4 2ois COUNTY AUDITOR CALTiOUN COUNTY. TEXAS MMC PORTION 'y't" "' �*"M1 Nit Transfer -Out TrapsjJg QIPP/Comps QIPP/Comp2 gIPP/Camps gIPP/Wpse QIPP TI PORTION 30/31/2019 Attr Earning Pymt Added to Actount 0.04 11/1/2019 AC1 Daa00t Cenlene Manaleme CCD+ 3e9694633110020810226 12,273.83 120273,83 12,2)3.83 l2,373.87 li,273.83 12,273.83 Id 7 .,a MMC PORTION - .7 Qti1 $. NH Transfer-0ut Transier"In QIPP/Compl QIPP/Camp2 QIPP/Camp3 QIPP/Eapse QIPPTI PORTION 30130/2019 IVIRE OUT HMG SERVICES. U.0 134,265.96 10/31/2019 Attr Earning Pymt Added to Attount 34.72 134265.96 34.72 334,265.96 12.308.69 12,2)3.83 11,3)3.83 11/4/2019 Treasury Center Quick View DDA Data reported as of Nov 4. 2019 8: Account Number Current Balance Available Balance Collected Balance Prior Day Balance Nano MEMORIAL MEDICAL CENTER -OPERATING MEMORIAL MEDICAL CENTER - CLINIC SERIES IEEEEENNWW 2014 am MEMORIAL MEDICAL CENTER - PRIVATE ONMENNOW WAIVER CLEARING MEMORIAL MEDICAL CENTER INH ASHFORD MEMORIAL MEDICAL CENTER/NH snow GOMM& BROADMOOR MEMORIAL MEDICAL CENTER INH CRESCENT 400 MEMORIAL MEDICAL CENTER I SOLERA AT WESTHOUSTON MEMORIAL MEDICAL CENTER INH FORT BEND MEMORIAL MEDICAL / NH GOLDEN CREEK GOMM HHEEAALTTHCARE 0CAL CO INDIGENT HEALTHCARE *5433 MMC-NH GULF POINTE $12,374.00 $12,374.00 $12,374.00 5100,17 PLAZA - PRIVATE PAY '5441 MMC -NH GULF POINTE $134.72 $134.72 $134,72 5134.72 PLAZA - MEDICAREIMEDICAID indicates rei Page generated on 11104/2019 at 8: Copyright 2019 Prosperity Banh. hops://prosperity.olbanking.wmlonlineMessenger 1/1 b MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating 1114/19 Date Requested: A Y .---. APPROVED ON E NOV 0 4 2019 E _ CODNTYAUDITOR HOUN COUWY TEXAS POR ACCT. USE ONLY �irnprest Cash �A/P Check Mail Check to Vendor Return Check to Dept GAL AMOUNT $31,231.75 G/L NUMBER: 21000012 EXPLANATION: ASHFORD- To transfer funds for Camp 2,3,Lapse and Year 1 Adjustment- OIPP payment. REQUESTED 6Y: Sarah L. Hentlerson AUTHORIZED BY: MEMORIAL, MEDICAL CENTER CHECK REQUEST Memorial Medical Center Operating Date Requested: AMOUNT 54,777.37 APPROVED ON Nov o a 2019 COUNTY AUDITOR CALROUN COUNTY, TEXAS t t/4/19 FOR ACCT, USE ONLY Imprest Cash �A/P Check ❑Mail Check to Vendor Return Check. to Dept GJL NUMBER: 21000009 EXPLANATION: BROADMOOR- To transfer funds for Comp 2,3,Lapse and Year 1 Adjustment- OIPP payment. REQUESTED B'!: Sarah L. Henderson AU rHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating 11/4119 Date Requested: A Y — APPROVED ON E E NOV 0 4 2019 I USE ONLY �Irnprest Cash �A/P Check Mail Check to Vendor Return Check to Dept FORACCT COUNTY AUDITOR AMOUNT $3,515.07 CALROUN COUNTY TEXAS : 21000010 EXPLANATION: CRESCENT- To transfer funds for Comp 2,3,Lapse and Year 1 Adjustment- OIPP payment. REO.UC-STED BY: Sarah L. Henderson AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Operating Date Requested: 1114119 AMOUNT $g,g89.48 FOR ACCT. USE ON LY nImprest Cash APPROVED ON []A/P Check NOV 0 4 2019 Mail Check to Vendor Return Check to Dept COUNTY AUDITOR CALHOUN W[1N /L�TEXAS NUMBER: 21000008 EXPLANATION: FORT BEND- To transfer funds for Comp 2,3,Lapse and Year 1 Adjustment- OIPP payment. REQUESTED 8YSarah L. Henderson AUTHORIlED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating Date Requested: A AMOUNT $9,994,53 1 t14/19 FOR ACCT. USE ONLY APPROVHIT ON �lrnprestCash F]A/P Check NOV 0 4 2019 Mail Check to Vendor COUNTY AUDITOR Return Check to Dept CALHOUN COUNTY, TGXAB G/L NUMBER: 21000011 EXPLAtdATION: SOLERA-To transfer funds for Comp 2,3,Lapse and Year 1 Adjustment- QIPP payment. REQUESTL'D BY: Sarah L. Henderson AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating Date Requested: A "PROVED ON y NOV n 4 2019 E COUNTY AUDITOR CALITOUN COUNTY, TEXAS E FOR ACCT. USE ON LY irnprest Cash �A/P Check Mail Check to Vendor Return Check to Dept AMOUNT $44,110.30 G/I. NUMBER: 21000013 EXPLANATION: GOLDEN CREEK- To transfer funds for Comp 1, Comp 2,3,Lapse and Year 1 Adjustment- OIPP payment. REQUESTED BY: Sarah L. Henderson AUTHORIZED t3Y: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating 11/4/19 _ Date Requested: _ A FOR ACCT. USE ONLY Y ---"— e. APPROVED I-1ImprestCash ON _ �A/P Check E NOV 0N 1Qf�l F]Mail Check to Vendor E _._ _-_ COUNTY AUUI'I'OR Return Check to Dept CALHOUN CO1JNTY, TEXA.., AMOLIN"f $12'273.83 G/L NUMBER: 21000014 EXPLANATION: GULF POINTE• To transfer funds for Comp 1- OIPP payment. REQUESTED BY: Sarah L. Henderson AUTHORI7L'D Bl': MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Operating Date Requested: A Y E E AMOUNT APPROVED ON NOV 0 4 2019 -- COUNTY AUDITOR $11,728.00 CALI;OUN COUNTY, TEXAS G/L NUMBER: EXPLANATION: TO RECLAIM MISIDENTIFIED DEPOSITNOT:DUE TO ASHFORD REQUESTED BY: Sarah L. Henderson AUTHURIZ.ED eY: FOR ACCT. USE ONLY Imprest Casli �A/P Check Mail Check to Vendor Return Check to Dept Sarah Henderson From: Simms, Tracy M. <TSimms@cantexcc.com> Sent: Monday, October 28, 2019 12:13 PM To: Sarah Henderson; Caitlin Clevenger; Faren Gonzales Cr Diane C. Moore Subject: RE: Attached Image Withholding would be the easiest method for us. Tmcv Simms, Accounts Receivable hfannger Caltex Covdnuing Cave Network, Wbere we are Conunrtted to Excellence 2537 Golden Bear Drive Carrollton, TX 75006 Tel: 214-954-4114, x115 Fax: 214-871-3057 t5immsO Cantexcc com From: Sarah Henderson [mailto:shenderson@mmcportlavaca.com] Sent: Monday, October 28, 2019 12:06 PM To: Simms, Tracy M.; Caitlin Clevenger; Faren Gonzales Cc: Diane C, Moore Subject: RE: Attached Image Hi Tracy, Thank you for letting us know about this. We will find out who it should go to. Would ya'll prefer to cut a check to MMC or have the amount withheld from next week's wire transfer and we can cut the check out of the Ashford account on our end? Thank you, �w�xa/ r�'Niru/erGaie Senior ACC011ntent Memorial Medical Center 81S N Virginia St. Port Lavaca TX 77979 shendersongiiiincportlayaca com 361-552-0342 From: Caitlin Clevenger Sent: Monday, October 28, 2019 11:46 AM To: Sarah Henderson <shenderson@mmcportlavaca.com>; Faren Gonzales <Fagonzales@mmcportlavaca.com> Subject: FW: Attached Image caauyv c>"anp�r Memorial Medical Center Accountant 815 N Virginia. St Port Lavaca, TX 77979 Ply 361.552,0272 Fax: 361.551.4504 From: Simms, Tracy M. [mailto:TSimms@cantexcc.coml Sent: Monday, October 28, 201911:25 AM To: Caitlin Clevenger <ccleveneer@mmcoortlavaca.com> Cc: Miller, Sara <smiller@cantexcc.com> Subject: FW: Attached Image This payment does not belong to Ashford. They did have a patient with the same last name but I believe the payment is for another Trace Sinnns, Accounts Receivable M1lanager Cantex Continuing Care Network, tlibere ute are Committed to Excellence 2537 Golden Bear Drive Carrollton, TX 75006 Tel: 214-954-4114, s115 Fax: 214-871-3057 tsimms@cantexcg.com From: accountinocanonCa�cantex.local[mailto:accountinocanonCalcantex.local] Sent: Monday, October 28, 2019 10:58 AM To: Simms, Tracy M. Subject: Attached Image QA ]-IIPAA Disclaimer The information contained in this a -mail is considered privileged and confidential and is a part of our overall quality assurance program. The information may contain protected health information as defined by HIPAA. It is the policy of the Company to maintain our residents' health information. Recipients of this message have been categorized as appropriate to have access to protected health information in order to carry out their duties. If you Have received this e-mail message in error, please contact us immediately. This document may not be reproduced, copied, distributed, published, modified, or furnished to third parties, without the prior written consent of the author at Cantex Continuing Care Network, QA HIPAA Disclaimer The information contained in this a -mail is considered privileged and confidential and is a part of our overall quality assurance program. The information play contain protected health inforlllation as defined by HIPAA. It is the policy of the Company to maintain our residents' health information. Recipients of this message have been categorized as appropriate to have access to protected health information in order to carry out their duties. if you have received this e-mail message in error, please contact us immediately. This document may not be reproduced, copied, distributed, published, modified, or furnished to third parties, without the prior written consent of the author at Cantex Continuing Care Network. November 6, 2019 2019 APPROVAL LIST -2019 BUDGET BALANCE BR011G11T FORWARD FROM APPROVAL LIST REPORT PAGE FICA MEDICARE FWH NATIONWIDE RETIREMENT SOLUTIONS OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT AT&T MOBILITY CAVALLO ENERGY TEXAS LLC CENTERPOINT ENERGY CITY OF POINT COMFORT FRONTIER COMMUNICATIONS GBRA JACKSON ELECTRIC COOP, INC. JAMES WALTHER REPUBLIC SERVICES #847 RENETTE TODD SILVERBACK SOLUTIONS TEXAS WAVENET WIRELESS VICTORIA ELECTRIC CO-OP WEX BANK S.O. REIMBU RB2 z6 $200,408.15 P/R $ 47,638.24 P/R $ 11,298.96 P/R $ 34,260.98 P/R $ 3,918.48 P/R $ 2,406.54 A/P $ 1,428.46 A/P $ 26,090.61 A/P $ 64.75 A/P $ 87.47 A/P $ 220.25 A/P $ 48.24 A/P $ 493.37 RSEMENT A/P $ 248.41 A/P $ 937.90 RSEMENT A/P $ 48.61 A/P $ 260.00 A/P $ 74.99 A/P $ 15035,18 A/P $ 197.96 TOTAL VENDOR DISBURSEMENTS: $ 331,167.55 TOTAL AMOUNT FOR APPROVAL: $ 331,167.55 � J K Or o xOz x� �r o o H H o o H N A O O °m a M 0 N b b J g o 50 c Mom( (Hi) do A . op sl a u O S8 0 H r r m E n c m O 4 O � C y H c" O - H O y { � z N O O n � � Z � � 7� y _•zj av �y �vDp�, �u�O. 3 Ono inn nA tt7J >z >z CH toNy DGa7� DA D7O Sm cn 0c" �D i3a �Z CC O m z C C C.b H yzC H C H �j CH NyCCC �y Ny MH 5-ai C7 uyH yDH O-D-1 Cams "i Dor {Nror Norro� n �o,o nwo moo Oho �o tr-•oo roo i;3O_ `aZ;3 a soss$aso 0 o A A w w A T N O N Fi I m m m yC r o n Mw � Nb O Q y y y U nO 00 00 oo nO � � �n �n �n A� A� A� A� n� (]0 �n [7r� i o y a �yM NEl Ff r n �' n rn n m n rn C� m r~ n p zo yrn m -arn �m y �m m orn Am gm m rn 3m �m gm .<m bm -� �3 �y y� y m� ON trlrr� � Fn� O� mtiy �� y ON rnOH Oy m �v7� 7 yny_ �� o ny c n.. yyo A e yo u �� -U ru yw i ru ro r°o Y Z C: cry 3 3 m ym go 'jyTy� o�> 3 z> by C yc9i £R Coil I�*1 m M l�*1 W a N VCJ o O N o y o m N 6/ to [tl tH0 W A A � g z�z°z C u H J w o A 0 0 0 �t om oM °zM oz oz oyp z Z Z N A A b N 4 N n t0' � O o �o z p� tin A x j -off ro0 Q z ' e � � � H O � �d � 7 A f% H N O I o y M N� o M A y O o � o Z y ro y O H ti A M O O N C O O O O O O to N N to to to u � 20 [CA .7z.�7C 75y MG y fir' 0 zZ Z -IZ -iZ f� Cl. 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