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2007-09-13Regular September Term THE STATE OF TEXAS COUNTY OF CALHOUN Held September 13, 2007 BE IT REMEMBERED, that on this 13th day of September, A.D., 2007 there was begun and held in the Commissioners' Courtroom in the County Courthouse in the City of Port Lavaca, said County and State, at 10:00 A.M., a Regular Term of the Commissioners' Court within said County and State, and there were present on this date the following members of the Court, to -wit: Michael J. Pfeifer County Judge Roger C. Galvan Commissioner, Precinct 1 Vern Lyssy Commissioner, Precinct 2 Neil E. Fritsch Commissioner, Precinct 3 Kenneth W. Finster Commissioner, Precinct 4 Wendy Marvin Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge of Allegiance. MEMORIAL MEDICAL CENTER— MONTHLY FINANCIAL REPORT: Jamie Jacoby, Financial Officer for Memorial Medical Center reported on the monthly financial report for the month of July 2007, also present was Buzz Currier, Hospital Administrator. MEMORIAL MEDICAL godil CENTER 815 N. Virginia Street Port Lavaca, TX 77979 (361) 552-6713 CFO REPORT AUGUST 2007 There are two issues that need attention this month. Budget Amendment: I have attached a budget amendment request which details the changes by department. In August of 2006, in order to remain competitive in the market, nursing staff wages were raised by 8%. The 2007 budget had been completed at that time so it did not reflect that increase in wage level. The amendment to salary in the clinical departments is to reflect that increase. Other changes to salaries are the addition of a Director of Nurses. The cost of the additional position is $80,000 which is the pay of the Director of Clinical Services. Physical "therapy salaries are removed from the physical therapy contract amount. This is a wash, but it creates additional payroll tax expenses and retirement costs. The health care costs have been adjusted upward to reflect the reality of our costs at this point. The upgrade to the CT scanner requires an adjustment to lease expense and maintenance expense. There is a related reduction in capital lease and interest expense. Server Replacement: The large server that is used to operate and store our information system data is at, or near, capacity in several of the partitions. I have included an analysis of the available space by partition so that you can see the problem. This is a replacement that our IT vendor, CPSI, has recommended, but we have delayed until truly necessary. The cost is $58,482'to replace the server. This should be adequate space for two to three years. CASH Cash increased during July by $6,445 to end the month with a cash balance of $2,715,752. This represents 48 days of cash on hand. RECEIVABLES Receivables decreased during July by $78,030. The days of revenue in gross patient receivables are 43.9. CURRENT LIABILITIES Current liabilities decreased by $48,132 during the month. CURRENT RATIO The current ratio at July 31 was 3:1. REVENUES Revenues for July were $3,740,280. This is above budget year-to-date by $1,851,273 and exceeds the prior year. Net revenues are $1,721,476. Medicare contractual adjustments exceed budget year-to-date by $1,713,453. EXPENSES Expenses for July were $1,784,617 which exceeds budget. Year-to-date expenses are over budget by $524,229. NET The net operating loss for July was $63,141, and year-to-date gain of $650,983; and the net loss after depreciation was $155,507, and year-to-date gain of $24,374. Respectfully sub itted, 4inciaIY6 k,.g. CPA Chief fficer GRAPHIC BALANCE SHEET CASH 2O06-2007 $4,000,000 y $3,000,000 LL' $2,000,000 O $1,000,000 $0 .( /� S� yp .L y� y� q.� p ry p� N W �9 N 9L -V 'f Zi � `J 4, `L^ MONTH 2006 t2007 $700,000 $600,000 y $500,000 j$400,000 $300,000 0 $200,000 $100,000 $0 f' ��k �Y`F� h 3b $ ✓ t INVENTORIES 2006-2007 MONTH zoos tzoo7 PLANT AND EQUIPMENT 2006.2007 $7,000.000 $6,000,000 � $5,000,000 J $3,000,000 $1,000,000 MONTH 2006 t2007 LONG-TERM LIABILITIES 2006-2007 $1,000,000 $800,000 y � $600000 J p $400,000 $200,000 $0 .6 V� q.p � q NV' �L N V rYi M MONTH 2006 �-2007 ACCOUNTS RECEIVABLE 2006-2007 $5,000,000 y $4,000 000 J$3,000 Ooo �o $2,000 000 � $1,000,000 $0 MONTH 2006—5-2007 RR �T�;"� �rin4ti� � �Y" PREPAID EXPENSES 2006-2007 $700,000 _ $600,000 -"��Rt��,k4l y $500,000 � $200000 �1 `G CL �T MONTH zoos �—zoo7 CURRENT LIABILITIES 2006-2007 $3,500 000 y $2,500 000 JO $1.500,000 xa 1Q �l`y. MONTH 2006—Y-2007 FUND BALANCES 2006-2007 $10,000000 � $9,600 000 ��'��..� j s. $9,200 000 12 � p $s,000 000 ,,,-xw. �, ;u''Y,,"�i"t aF5 r $6,800 000 � "�''T $8,600,000ry..: �.y,.eq N �L�N �T `2 "C MONTH 200fi—0-2007 /' P A GRAPHIC PROFIT AND LOSS STATEMENT INPATIENT REVENUE 2006-2007 $1,200,000 $1 000 000 $600 000 $600 000 J 0 $a06 000 $206 000 $0 y "1t, gA �p'�,+�sr`�W "ie It MONTH Zoos �—zoo7 s a 41 "n G4j_t.M �3 Ye'it i" t u C%s�"'/�1;.NKi ae P fr^ A KY4 REVENUE DEDUCTIONS 2006-2007 $z,50o 000 $2,000000 a $1,500006 J t ✓`i�ry �' siE`` JO $1000000 a fr^� 'mga MONTH 2006 t 2007 OPERATING EXPENSE 2006.2007 $2 000,000 4 $1500000"'IN §khE-`.trm «. $0 �Y gs .p q9? �✓r Y < 9�t `ts 4T � �o MONTH 2006 -�2007 NET GAIN(LOSS) 2006-2007 $a0o 000 $300 000 $zoo 000 rc $100 000 $0 0 ($100000) ($200 000) ($300 000) ($400,000) MONTH 2006 —B— 2007 zs r ,p srrs ti i�5 h OUTPATIENT REVENUE 2006.2007 $3,000,000 K $2.000,000 g$71500.000 MONTH Zoos t2ao7MAR OTHER REVENUE 2006.2007 $80,000 $70,000 w $60,000 rc $50,000 � $40,000 O $30,000 O $20,000 $70,000 1%, 4? `2 Q'c MONTH 2006 f 2007 NON -OPERATING EXPENSE 2006-2007 $140.00o $120,000 y $100,000 $80,000 JO $60,000 � $40,000 $20,000 $0w� �e y ry yvr �Y KY 'C lb� 4'c MONTH 2006 t2007 �u>hr ors. •, .a. REVENUE &EXPENSE 2006-2007 $2.250,000 ro" a $1,750,000 a$7,500,000 $7,250,000 c 4� $7,000,000 �a�C9a-'Qs v'9s 4r'�e �>'9°`v>d"ro> gyro> MONTH REVENUES —®—EXPENSES NET GAIN1(LOSS) YTD CHANGE IN INVESTMENT: Accounts Receivable- (Incr) Decr Current Liabilities- Incr (Decr) Prepaid Expense- (Incr) Decr Inventory (Incr) Decr Long Term Liabilities Incr (Decr) TOTAL INVESTMENT CHANGE (INCR) DECK PLUS: Depreciation Total Cash- Incr (Decr) LESS: Equipment Purchases NET CASH- ]NCR (DECR) MEMORIAL MEDICAL CENTER YEAR-TO-DATE SUMMARY JULY 31, 2007 (627,524) 725,032 (61,930) 73,836 (17,889) 24,374 91,526 115,900 766,883 766,883 (61,204) 705,680 1 Nl y N W � b � O � O � O Q p o Up oU 9 L r V N O L O � O � O � O � O r 2 MEMORIAL MEDICAL CENTER PORT LAVACA, TEXAS PHYSICIAN'S ANALYSIS REPORT JULY 31, 2007 YTD YTD YTD REVENUE CONTRACTUAL WRITE-OFF NET REVENUE NAME MONTH YTD AMOUNT AMOUNT GENERATED PERCENT WILLIAM, G.A. 114,960.57 588,753.73 74,796.19 41,212.76 472,744.78 80% LIN, M.S. 157,005.40 1,045,381.81 425,917.92 73,176.73 546,287.16 52% WRIGHT 13,908.20 37,363.60 16,358.11 2,615.45 18,390.04 49% MCFARLAND, T.R. 340,355.94 2,020,487.90 606,090.56 141,434.15 1,272,963.19 63 % GRIFFIN, JEANNINE 16,638.99 142,720.66 7,371.82 9,990.45 125,358.40 88% BUNNELL, D.P. 314,907.65 2,391,088.77 1,240,676.94 167,376.21 983,035.62 41% NIRATSUWAN 109,026.11 834,100.14 207,721.92 58,387.01 567,991.21 68% ARROYO-DIAZ, R. 146,267.31 1,047,013.74 383,188.37 73,290.96 590,534.41 56% CROWLEY, W 353,086.89 2,504,939.19 762,097.19 175,345.74 1,567,496.25 63 % CUMMINS, M. 612.80 217,409.42 17,887.24 15,218.66 184,303.52 85% RUPLEY, M. 4,455.42 130,003.35 11,435.82 9,100.23 109,467.29 84% LEE,J 106,656.64 917,174.85 250,819.07 64,202.24 602,153.54 66% LE, NHI 87,802.18 344,410.65 127,901.43 24,108.75 192,400.48 56% SHAFFER, C. 42,460.89 434,071.88 153,399.16 30,385.03 250,287.69 58% STEINBERG, R. 9,669.40 85,370.90 14,400.62 5,975.96 64,994.32 76% RAMOS LABORATORY 3,168.14 19,273.20 0.00 1,349.12 17,924.07 93% VISITING PHYSICIANS 790,051.50 4,413,963.57 1,819,481.69 308,977.45 2,285,504.43 52% ER PHYSICIANS 928,792.64 6,292,578.59 1,024,333.17 440,480.50 4,827,764.92 77% NO LOCAL PHYSICIAN 847.06 4,500.12 327.34 315.01 3,857.77 86% OTHER 199,606.75 1,755,761.81 287,990.08 93,690.89 1,374,080.84 78% TOTAL 3,740,280.48 25,226,367.88 7,432,194.64 1,736,633.31 16,057,539.92 64% 3 0 MEMORIAL MEDICAL CENTER BALANCE SHEET 08/14/07 01:29 PM AS OF: 07/31/07 THIS YEAR LAST YEAR LAST MONTH 07/31/07 07/31/06 06/30/07 CURRENT ASSETS CASH OPERATING FUND 795,573.90 1,191,159.13 89,185.41 CERTIFICATE OF DEPOSIT 1,900,000.00 2,000,000.00 2,600,000.00 IMPREST CASH ACCOUNT 5,000.00 5,000.00 5,000.00 PETTY CASH 625.00 625.00 625.00 MMP BOND PROCEEDS .00 Do .00 MMP HOSPITAL PORTION .00 .00 .00 RESTRICTED DONATION 14,516.95 14,226.78 14,460.51 MMP BOND SINKING FUND/INTEREST 36.21 36.21 36.21 TOTAL CASH .............................. 2,715,752.06 3,211,047.12 2,709,307.13 ACCOUNTS RECEIVABLE PATIENT ACCOUNTS RECEIVABLE 5,275,195.44 4,374,949,74 5,387,494.00 ALLOWANCE FOR BAD DEBT (2,138,046.63) (1,577,046.63) (2,138,046.63) PLAZA SPECIALTY CLINICS RECEIVABL 420.20 420.20 420.20 MISC ACCOUNTS RECEIVABLE 191,267.27 127,371.44 156,998.01 THIRD PARTY RECEIVABLE 947,469.31 57,588.99 947,469.31 TIF GRANT .00 .DO .00 TOTAL ACCOUNTS RECEIVABLE ............... 4,276,305.59 2,983,283.74 4,354,335.69 INVENTORIES RADIOLOGY --FILM 2,406.72 2,665.64 2,659.05 LABORATORY 90,788.80 89,631.71 96,896.66 CENTRAL SUPPLY 91,009.14 74,932.90 177,928.32 SURGERY 106,135.57 108,318.84 115,889.77 DIETARY 9,661.73 10,816.51 12,220.62 MAINTENANCE 8,443.72 3,659.22 3,659.22 PHARMACY 201,482.37 167,758.41 199,247.34 TOTAL INVENTORY ...................... 509,928.05 457,793.23 608,500.98 PREPAID EXPENSES PREPAID INSURANCE 13,269.37 62,446.48 13,829.65 PREPAID EXPENSES 136,474.92 34,048.16 93,273.00 TOTAL PREPAID EXPENSES .................. 149,744.29 96,494.64 107,102.65 TOTAL CURRENT ASSETS .................... 7,651,729.99 6,748,608.73 7,779,246.45 PROPERTY, PLANT, & EQUIPMENT LAND BUILDINGS FIXED EQUIPMENT MAJOR 140VABLE EQUIPMENT MEMORIAL MEDICAL PLAZA REPORTABLE BOND ISSUARNCE COST CONSTRUCTION IN PROGRESS LESS: ACCUMULATED DEPRECIATION TOTAL PROPERTY, PLANT, & EQUIP 32,142.60 32,142.60 32,142.60 8,930,984.87 8,904,489.87 8,930,984.87 3,278,527.41 3,278,527.41 3,278,527.41 9,639,480.24 10,268,132.55 9,626,255.24 900,501.27 900,501.27 900,501.27 .00 .00 .00 .00 .00 .00 (18,505,966.42) (17,971,652.041 (18,413,600.60) 4,275,669.97 5,412,141.66 4,354,810.79 0 MEMORIAL MEDICAL CENTER BALANCE SHEET 08/14/07 01:29 IN AS OF: 07/31/07 THIS YEAR LAST YEAR LAST MONTH 07/31/07 07/31/06 06/30/07 CURRENT LIABILITIES ACCOUNTS PAYABLE 395,439.23 371,802.03 213,112.60 ACCRUED PAYABLES 100,611.49 113,852.77 169,660.19 ACCRUED PAYROLL 635,816.71 493,200.00 569,913.82 ACCRUED RETIREMENT 36,118.56 36,109.37 36,118.51 ACCRUED STATE SALES TAX 5.22 (465.31) 783.14 THIRD PARTY PAYABLES .00 .00 .00 RETENTION -CONSTRUCTION IN PROGRES .00 .00 .00 UNEARNED INCOME INDIGENT HEALTH 806.483.52 .00 1,016,659,53 ACCRUED VACATION/HOLIDAY/SICK 336,496.45 292,330.45 336,496.45 CAPITAL LEASES OBLIGATION 244,064.51 341,504.03 260,423.65 MMP BONDS .00 .00 .00 REPORTABLE BOND DISCOUNT .00 .00 .00 HOST OBLIGATION FOR BONDS .00 .DO .00 TOTAL CURRENT LIABILITIES ............... _______________ 2,555,035.69 _______________ 1,648,333.34 _______________ 2,603,167.89 LONG TERM LIABILITIES MNP BONDS .00 .00 .00 LONG TERM LEASE 119,137.32 633,967.68 122,155.56 TOTAL LONG TERM LIABILITIES ............. _______________ 119,137.32 _______________ 633,967.68 _______________ 122,155.56 TOTAL LIABILITIES ....................... 2,634,173.01 2,282,301.02 2,725,323.45 RETAINED EARNINGS GENERAL FUND BALANCES 9,228,852.49 9,142,548.04 9,228,852.49 YEAR-TO-DATE GAIN/LOSS 24,374.46 --------------- 735,901.33 -------- .------ 179,881.30 ------------- - TOTAL GENERAL FUND BALANCE .............. 9,253,226.95 9,878,449.37 9,408,733.79 TOTAL UNRESTRICTED LIABILITIES.......... 11,927,399.96 12,160,750.39 12,134,057.24 RESTRICTED FUND ASSETS MEMORIAL FUND 18,253.71 17,897.84 18,182.55 FORMOSA TRUST 533,637.41 533,637.41 533,637.41 TOTAL RESTRICTED FUND ASSETS............ 551,091.12 ------ 551,525.25 551,819.96 RESTRICTED FUND LIABILITIES RESTRICTED FUND BALANCE FORMOSA TRUST BALANCE TOTAL RESTRICTED FUND LIAB.............. 18,253.71 17,887.84 18,182.55 533,637.41 533,637.41 533,637.41 .------------ 551,891.12 __ --------------- ....._---____- 551,525.25 551,B19.96 5 Operating Revenue Inpatient Revenue: Medicare Medicaid Other Total lP Revenue YTD IF Revenue Variance Outpatient Revenue Medicare Medicaid Other Total OP Revenue YTD OP Revenue Variance Total Operating Revenue YTD Total Revenue Variance Revenue Deductions Medicare Cont. Adj. Medicare Pass-thru Medicaid Cont. Adj. Indigent/Charity Cont. Adj. Bad Debt Expense Other Deductions Total Rev Deductions MEMORIAL MEDICAL CENTER OPERATING STATEMENT For the 7 Months Ending July 31, 2007 ---------------- SINGLE MONTH --- Current Budget Prior Year 518,639 503,096 474,157 161,230 121,206 59,736 321,720 258,728 246,420 1,001,589 883,032 780,313 973,086 1,136,805 929,893 95,879 329,334 140,672 1,669,726 990,129 1,205,194 2,738,692 2,456,267 2,275,759 3,740,281 3,339,299 3,056,072 (1,139905) (781,771) (478,011) 34,564 21,667 103,638 (274,928) 1237,930) (214,435) (118,770) (142.758) (131,303) 1266,753) (200,541) (161,672) (302,570) (210,738) (177,038) (2,067,368) (1,552,073) (1,058,621) Deducts as % of Oper Revenue Payments as % of Oper Revenue Other Revenue Cafeteria Sales 9,476 8,333 9,053 Interest Income 20,976 3,600 3,440 Interest from Bonds 56 0 18 Interest from Hoop Portion 0 0 0 Mall Rental 97 - 0 0 Miscellaneous Income 17,958 12,167 2,751 Total Other Revenue 48,563 24,100 15,263 Net Revenue 1,721,477 1,811,327 2,012,714 - YEAR TO DATE --- ---- ------------------ Current YTD Budget YTD Prior YTD 3,847,954 3,521,673 3,662,994 986,684 848,463 695,887 2,139,062 1,811,099 1,764,019 6,973,700 6,181,225 6,002,900 792,475 970,800 7,132,246 7,957,633 6,511,340 800,131 2,306,337 1,339,037 10,320,291 6,930,900 8,734,821 18,252,668 17,193,970 16,585,198 1,058,798 1,667,470 25,226,368 23,375,095 22,588,098 1,851,273 2,638,270 (7,185,851) 15,472,398) (4,919,312) 315,661 151,667 325,467 11,632,976) (1,665,5121 (i,453.068) (793,241) (999,30B) (979,310) (1,736,633) (1,403,7891 (1,277,213) (1,648,892) 11 a75, 1 CS) (1,42.9,1391 (12,681,9321, (10,864,509) (9,732,1574) 51.52% 47. 13%1 F 53%1. 48.48% 52.87% F 55.47% 60,704 58,333 62,022 69,076 25,200 25,568 201 0 123 0 0 0 308 0 115 01,167 85,167 67,139 191,456 108,700 154,967 12, 735,892 12,679, 286 13,010,490 Page 1- L Operating Expense Salaries Employee Benefits Professional Fees Plant Operation Hospital General Other Operating Expenses Total Operating Expense Net Operating Gain/(Loss) Non -Operating Expense Depreciation Cost Report Settlement Contribution to County Total Non -Operating Expense Total Operating Gain/(Loss) County Subsidy Net Gain/(Loss) after Subsidy MEMORIAL MEDICAL CENTER OPERATING STATEMENT For the 7 Months Ending July 31, 2007 ----- ---------- SINGLE MONTH -- --------------- Current Budget Prior Year 738,422 681,815 660,081 219,153 178,147 203,638 222,062 229,047 223,658 56,620 70,898 71,664 (12,838) 29,896 23,989 561,198 458,054 500,685 1,784,617 1,647,858 1,683,715 (63,141) 163,469 328,998 92,366 105,933 105,538 0 0 0 0 0 0 92,366 105,633 105,538 (155,507) 57,635 223,461 0 0 0 1156,507) 57,635 223,461 -------------------- YEAR TO DATE --- --- Current YTD Budget YTD Prior YTD 4,953,393 4,772,704 4,578,552 1,587,234 1,247,028 1,265,769 1,569,052 1,603,330 1,656,203 372,578 496,288 484,331 170,485 209,275 233,835 3,417,792 3,207,680 3,303,392 12,060,634 11,536,305 11,522,083 524,229 538,452 675,358 1,142,981 1,488,408 650,983 740,833 752,507 0 0 0 0 0 0 650,983 740,833 752,507 24,374 402,147 735,900 0 0 0 24,374 402,147 735,900 Page -1- 7 W J m W U W w F- Z 0 U a LL 0 U Z Q o -o O o L() 0 00 o f- o o J O O LO m m N V O CO N N I t N O H � m V M P- C) m It M O N C4 L(5 C`M o 00 c- o CO a N o G) p <-N O)Nm, P�00, 00 NO N O CA O , f- 00 CO W CO r- CD Ln V O N O) w CN c V 0 LO o N o tl- V' LO c- Ih CA N O LO O) 00 O) 00 N O 00 CO 00 O N CA co O r-- � N 7 0) o CO o N o Lo o U-) o O) o �C�Or�eM-�� W N 0) CD 0 O N 0 w co CNN CO 00 o N o CD o O o I� 0 00 0 V, O M O M LO N CO m 00 O, CO N CO NON h� O N CO CA V CO M N 1- r m 00 Ln N N N N) M Ln o LO c O CO m M CD V IIt m M N co m CDm m w N LO O V CA N LO p V' co c- N Ln r-: co N N. co co r 7 N._ __.CO .. N O � N C C Q G C C W U❑ 0 D U U V U U Q N vav Q C) N vIL�aQa. W N W N a) <d p j > F of 2i m () a N co rn O C6 co V 7 Lel MEMORIAL MEDICAL CENTER PATIENT STATISTICS JULY 2007 THIS MONTH THIS YEAR LAST YEAR THIS MONTH LAST YEAR TO DATE TO DATE PATIENTS ADMITTED 111 118 816 835 ADMISSIONS FROM ER 24 30 188 158 AVERAGE LENGTH OF STAY 3.86 3.36 3.62 3.65 PATIENT DAYS OF SERVICE 429 396 2,956 3,051 PERCENT OF OCCUPANCY* 55.35% 51.10% 55.77% 57.57% AVERAGE DAILY CENSUS 13.84 12.77 13.94 14.39 MAXIMUM ON ANY ONE DAY 20 24 25 24 MINIMUM ON ANY ONE DAY 9 5 5 4 ADJUSTED PATIENT DAYS 1,602 1,551 10,677 11,500 SWING BED ADMISSIONS 1 6 12 31 SWING BED DAYS 1 34 80 217 ICU PATIENTS ADMITTED 27 30 182 223 ICU PATIENT DAYS 56 70 454 518 OB'S ADMITTED 16 12 94 93 OB DAYS OF SERVICE 59 29 226 208 PEDIATRIC ADMISSIONS 0 0 16 7 PEDIATRIC DAYS OF SERVICE 0 0 31 20 NEWBORNS FOR MONTH 10 11 67 82 AVERAGE LENGTH OF STAY 1.60 2.09 2.03 2.09 DAYS OF SERVICE 16 23 136 171 MEDICARE PATIENTS ADMITTED 63 69 418 446 AVERAGE LENGTH OF STAY 3.84 3.80 4.39 4.41 DAYS OF SERVICE 242 262 1,835 1,966 MEDICAID PATIENTS ADMITTED 17 11 125 124 DAYS OF SERVICE 64 24 344 305 DEATHS 3 5 31 25 AUTOPSIES 0 0 1 1 0190910:l'1 INPATIENT PROCEDURES 11 7 69 74 OUTPATIENT PROCEDURES 101 97 593 749 CESAREAN SECTIONS** 0 5 14 30 TOTALS 112 109 676 853 *Based on 25 beds Q THIS MONTH THIS YEAR LAST YEAR THIS MONTH LAST YEAR TO DATE TO DATE OUTPATIENT VISITS 1,310 1,376 8,921 12,036 EMERGENCY ROOM VISITS 822 743 5,894 5,302 TOTALS 2,132 2,119 14,815 17,338 LABORATORY: INPATIENT PROCEDURES 6,222 3,702 33,261 29,455 OUTPATIENT PROCEDURES 19,941 17,113 116,241 128,805 TOTALS 26,163 20,815 149,502 158,260 RADIOLOGY: INPATIENT PROCEDURES 80 70 743 656 OUTPATIENT PROCEDURES 853 557 5,843 4,587 BONE DENSITY 28 23 195 178 NUCLEAR MEDICINE 87 59 458 682 ULTRASOUNDS 170 134 1,097 1,081 CT SCANS 252 235 1,616 1,677 MAMMOGRAPHY 108 108 758 600 MRI 125 121 816 823 TOTALS 1,703 1,307 11,526 10,284 PHARMACY IV SOLUTIONS DISPENSED 1,233 1,028 8,027 8,172 DRUGS DISPENSED 9,252 8,878 74,328 63,406 HIGH COST DRUGS DISPENSED 1,432 1,578 13,561 7,781 TOTALS 11,917 11,484 95,916 79,359 RESPIRATORY THERAPY: INPATIENT PROCEDURES 996 1,535 9,591 13,473 OUTPATIENT PROCEDURES 422 539 3,443 4,734 STRESS TESTS 5 6 45 77 EKGS 202 193 1,410 1,347 EEGS - 4 3 23 21 TOTALS 1,629 2,276 14,512 19,652 PHYSICAL THERAPY INPATIENT PROCEDURES 269 269 1,721 1,993 OUTPATIENT PROCEDURES 1,618 2,188 12,069 16,904 HOME HEALTH VISITS 138 190 825 800 TOTALS 2,025 2,547 14,615 19,697 10 THIS MONTH THIS YEAR LAST YEAR THIS MONTH LAST YEAR TO DATE TO DATE HOME HEALTH CARE MEDICARE VISITS 695 721 5,107 5,424 OTHER VISITS 41 19 153 122 ST/SS 0 4 2 5 7 TOTALS 736 742 5,265 5,553 DIETARY: MEALS SERVED TO PATIENTS 1,309 1,230 9,154 10,093 MEALS SERVED IN CAFETERIA 3,756 3,740 23,744 26,259 TOTALS 5,065 4,970 32,898 36,352 DIETITIAN CONSULTS COST PER PATIENT DAY W/O DEPR 4,159.95 4,251.81 4,080.02 3,776.49 INCOME PER PATIENT DAY 4,012.77 5,082.61 4,308.49 4,264.34 BREAKEVEN W/O DEPRECIATION 14.33 10.28 13.16 12.53 AVERAGE DAILY CENSUS 13.84 12.77 13.94 14.39 PATIENTS ABOVE / BELOW BREAKEVEN (0.49) 2.49 0.78 1.86 COST PER ADJ. PT. DAY W/O DEP. 1,113.97 1,085.62 1,129.58 1,749.22 INCOME PER ADJ. PT. DAY 1,074.56 1,297.75 1,192.83 1,975.18 11 B MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L E M O N T H ---------- ACTUAL BUDGET $ VARIANCE % VAR OB NURSING STATION REVENUE 08/14/07 01:30 PM ------------ Y E A R T O D A T E ------------ ACTUAL BUDGET $ VARIANCE % VAR ROUTINE REVENUE 29,076.00 11,816.42 17,259.58 146.06 112,182,2E 82,714.94 29,467.31 35.62 TOTAL REVENUE, 29,076.00 11,816.42 17,259.58 146.06 112,182.25 82,714.94 29,467.31 35.62 EXPENSES SALARIES 35,335,72 20,302.34 (7,033.38) (24.85) 200,814.33 198,116.30 (2,698.03) (1.36) OTHER EXPENSES 6,670.05 6,513.50 (156.55) (2,49) 61,468.94 46,604.50 (14,864.44) (31.89) TOTAL EXPENSES 42,005.77 34,815.84 (7,189.93) (20.65) 262,283.27 244,720.80 (17,562.47) ------- (7.17) _ NET GAIN/ILOSS ............ (12,929.77) ------- (22,999.42) -_-.._.._ 10,069.65 43,7E _______----- (150,101.02) -----_______ (162,005.86) _._-._ 11,904.84 7.34 MED/SURG NURSING STATION REVENUE ROUTINE REVENUE 153,060.00 135,221.67 17,838.33 13.19 1,122,960.00 946,551.69 176,408.31 18.63 TOTAL REVENUE. 153,060.00 135,221.67 17,838.33 13.19 1,122,960.00 946,551.69 176,408.31 18.63 EXPENSES SALARIES 104,689.41 85,105,33 (19,584.08) (23.01) 646,775.55 595,737.31 Mo038.24) (0.56) OTHER EXPENSES 17,277.82 23,986.83 6,709.01 27.96 150,119.56 168,197.77 18,078.21 10.74 TOTAL EXPENSES 121,967.23 109,092.16 (12,875.07) (11.80) 796,895.11 763,935.00 (32,960.03) (4.31) NET GAIN/(LOSS ____ 31,092.77 _____________ 26,129.51 -------------- 4,963.26 18.99 .___-_____.___ 326,064.89 ____..___.__- 182,616.61 ._-.-_.._.--. 143,448.28 78.55 ICU NURSING STATION REVENUE INPATIENT REVENU 71,500.00 B2,019.42 (10,519.42) (12.82) 559,000.00 574,135.94 (15,135,94) (2.63) OUTPATIENT REVEN .00 274.33 (274.33) (100.00) 1,300.00 1,920.31 (620.31) (32.30) TOTAL REVENUE. 71,500.00 82,293.75 (10,793.75) (13.11) 560,300.00 576,056.25 (15,756.25) (2.73) EXPENSES SALARIES 38,944.80 48,166,50 9,221.70 19.14 349,676.10 337,165.5E (12,510.60) (3.71) OTHER EXPENSES 18,528.49 17,764.17 (764.32) (4.30) 106,731.30 124,349.19 17,617.89 14.16 TOTAL EXPENSES 57,473.29 65,930.67 8,457.38 12.82 456,407.4E 461,514.69 5,107,29 1.10 -------------- NET GAIN/(LOSS 14,026.71. ------------- 16,363.08 _________ (2,336.37) (14.27) _____________ 103,892.60 114,541.56 (10,648.96) (9.29) NURSERY NURSING STATION REVENUE ROUTINE REVENUE 12,191.50 7,689.92 4,501.58 58.53 101,173.00 53,829.44 47,343.56 87.95 TOTAL REVENUE. 12,191.50 7,689.92 4,501.58 58.53 101,173.00 53,829.44 47,343.56 87.95 EXPENSES - SALARIES 10,677.67 9,488.7E (1,188.92) (12,52) 80,266.81 66,421.25 (13,845.56) (20.84) OTHER EXPENSES 4,413.73 2,547.92 (1,865.81) (73.22) 16,422.52 17,835.44 1,412.92 7.92 TOTAL EXPENSES 15,091.40 12,036.67 (3,054.73) (25,37) 96,689.33 84,256.69 (12,432.64) (14.75) ..._. NET GAIN/(LOSS (2,899.90) (4,346.751 .-------- 1,446.85 33.28 ______________ 4,483.67 ______________ (30,427.25) ----------- 34,910.92 — 114.73 12 ACTUAL SURGERY AND RECOVERY ROOM REVENUE INPATIENT REVENU 31,666.00 OUTPATIENT RNVEN 122,805.75 TOTAL REVENUE. 154,471.75 EXPENSES SALARIES 48,038.45 LEASE AND RENTAL 710.75 OTHER EXPENSES 35,956.37 TOTAL EXPENSES 84,705.57 ____---.---- NET GAIN/(LOSS 69,766.18 SWING BED REVENUE ROUTINE REVENUE TOTAL REVENUE. EXPENSES SALARIES OTHER EXPENSES TOTAL EXPENSES NET GAIN/REVEN OBSERVATION REVENUE REVENUE INPATIENT REVENU 2,540.00 OUTPATIENT BEVEN .00 TOTAL REVENUE. 2,540.00 LABOR AND DELIVERY REVENUE INPATIENT REVENU 61,586.00 OUTPATIENT REVEN 6,022.25 TOTAL REVENUE, 67,608.25 EXPENSES SALARIES 10,803.21 OTHER EXPENSES 1,018.79 TOTAL EXPENSES 11,822.00 ------------- NET GAIN/(LOSS 55,786.25 MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT FOR THE 7 MONTHS ENDING 07/31/07 SINGLE MONTH ---------- BUDGET 8 VARIANCE % VAR 34,515.26 (2,049.26) (8.25) 120,510.31 2,295.44 1.90 155,025.57 (553.92) (.35) 44.139.33 (3,899.121 (8,83) 37.50 (673.25) (1795.33) 27,389.95 (8,566.38) (31.27) 71,566.82 (13,138.751 (18.35) 83,458.75 (13,692.57) (16.40) 350.00 2,682.75 350.00 2,682.75 .00 .00 .00 .00 .00 .00 350.00 2,682.75 08/14/07 01:30 P14 ------------ Y E A R T O D A T E ----------- ACTUAL BUDGET $ VARIANCE % VAR 191,259.55 241,606.82 795,250.95 843,572.17 986,510.50 1,085,178.99 331,323.06 308,975.31 5,392.50 262.50 207,333.58 191,729.93 544,049.14 500,967.74 442,461.36 584,211.25 (2,332.75) (86.95) 12,600.00 (2,332.75) (86.95) 12,600.00 .00 .00 (4.10) .Do .00 .00 .00 .00 (4.10) (2,332.75) (86.95) 12,604.10 3,974.25 (1,434.25) (36.06) 363.59 (363.59) (100.00) 4,337.84 (1,797.84) (41,44) 5,000.00 56,586.00 1131.72 541.67 5,480.58 1011.79 5,541.67 62,066.59 1119.99 9,470.33 (1,332.88) (14.07) 4,154.82 3,136.03 75.47 13,625.15 1,803.15 13.23 (8,083.48) 63,869.73 790.12 17, 880.00 6,500.00 24,380.00 335,900,75 56,311.75 392,212.50 58,646.40 8,314.92 66,961.32 325,251.18 (50,347.27) (20.83) (48,321.22) (5.72) (98,668.49) (9.09) 122,347.75) (7.23) (5,130.00) (1954.28) (15,603.65) (8,13) (43,081.40) (8.59) (141,749.89) (24.26) 18,779.25 (6,179.25) (32.90) 18,779.25 (6,179.25) (32.90) .00 4.10 .00 .00 .00 .00 .00 4.10 ,00 18,779.25 (6,175.15) (32.88) 27,819.75 2,545.13 30,364.88 35,000.00 3,791.69 38,791.69 66,292.31 29,083.74 95,376.05 (56,584.36) 19,939.75) (35.72) 3,954.87 155.38 (5,984.88) (19.70) 300,900.75 859.71 52,520.06 1385.13 353,420.81 911.07 7,645.91 11.53 20,768.82 71.41 28,414.73 29.79 381,835.54 674.80 13 MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L E M 0 N T H ---------- ACTUAL BUDGET $ VARIANCE 4 VAR CENTRAL SUPPLY REVENUE 08/14/07 01:30 PH ----------- Y E A R T O D A T 2 ------------ ACTUAL BUDGET $ VARIANCE % VAR INPATIENT REVENU 16,625.50 2,761.33 13,864.17 502.08 122,873.86 19,329.31 103,544.55 535.68 OUTPATIENT REVEN 11,917.50 814.09 11,103.41 1363.90 65,174.40 5,698.63 59,475.77 1043.68 TOTAL REVENUE. 28,543.00 3,575.42 24,967.58 698.31 188,049.26 25,027.94 163,020.32 651.35 EXPENSES SALARIES 1,890.91 1.493.16 (397.75) 126.63) 10,692.94 10,452.12 (240.82) (2.30) OTHER EXPENSES 99,256.12 2,257.75 (96,998.37) (4296.24) 154,B21.64 15,004.25 (139,017.39) (879.62) TOTAL EXPENSES 101,147.03 3,750.91 (97,396.121 (2596.59) 165,514.58 26,256.37 (139,258.21) .-.-._____--- (530.37) .............. NET GAIN/(LOSS (72,604.03) __-_.__ (175.49) ---- --.--..-... (72,428.54)(41272.17) - -------------- 22,533.68 -------------- (1,228.43) 23,762.11 1934.34 PHARMACY AND IV THERAPY REVENUE INPATIENT REVENU 200,871.43 206,589.08 (5,717.65) (2.76) 1,470,251.14 1,446,123.56 24,127.58 1.66 OUTPATIENT REVEN 119,250.3E 136,322.74 (17,072.36) (12.52) 994,369.31 954,259.18 30,110.13 3.15 TOTAL REVENUE. 320,121.81 342,911.82 (22,790.01) (6.64) 2,454,620,45 2,400.382.14 54,237.71 2.25 EXPENSES SALARIES 16,061.00 13,011.17 (3,051.83) (23.45) 92,641.56 91,078.19 (1,563,37) (1.71) PROFESSIONAL FEE 9,167.04 8,416.67 (750.37) (8.91) 64,169.2B 58,916.69 (5,252,59) (8.91) EXPENSES 34,031.24 56,619.58 22,588.34 39.89 331,762.15 396,337.06 64,574.91 16.29 TOTAL EXPENSES 59,261.28 78,047.42 18,786.14 24.07 48B,572.99 546,331.94 57,758.95 -..._________- 10.57 ______________ NET GAIN/(LOSS 260,860.53 __._-___ 264,864.40 - (4,003.87) (1.51) ------------- 1,966,047.46 ----- .-------- 1,854,050.80 111,996.66 6.04 CIF INFUSION THERAPY REVENUE INPATIENT RRVENU .00 .00 .00 .00 .00 .00 .00 .00 OUTPATIENT REVEN .00 .00 .00 .00 .00 .00 .00 .00 TOTAL REVENUE. .00 .00 .00 .00 .00 .00 .00 .00 EXPENSES SALARIES .00 .00 .00 .00 .00 .00 .00 .00 OTHER EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 TOTAL EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 ___________ NET GAIN/(LOSS - .00 -------. ---- .00 ------------- .00 .00 ________- --- .00 -------------- .00 .00 .00 im, MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L E M 0 N T H ---------- ACTUAL BUDGET $ VARIANCE % VAR EMERGENCY ROOM REVENUE 08/14/07 01:30 PM ------------ Y B A R T O D A T R ------------ ACTUAL BUDGET $ VARIANCE I VAR INPATIENT REVENU 25,114.75 14,900.58 10,214.17 68.54 16C,070.50 104,304.06 55,766.44 53.46 OUTPATIENT REVEN 314,669.7E 211,483.34 103,186.41 48.79 1,956,906.00 1,480,383.38 476,522.62 32.18 TOTAL REVENUE. 339,784.50 226,383.92 113,400.58 50.09 2,116,976.50 1,584,687.44 532,289.06 33,58 EXPENSES SALARIES 76,464.32 71,373.59 (5,090,73) (7.13) 531,963.33 499,615.13 (32,348.20) (6.47) PROFESSIONAL FEE 83,703.20 78,110.00 (5,593.20) (7.16) 578,707.69 546,770.00 (31,937.69) (5.84) LEASE & RENTAL 2,153.90 2, 258. 33 104.43 4.62 15,546.03 15,808.31 262.28 1.65 OTHER EXPENSES 16,910.10 20,171.00 3,360.90 16.66 114,377.38 141,197.00 26,819.62 18.99 TOTAL EXPENSES 179,131.52 171,912.92 (7,218.60) (4.19) 1,240,594.43 1,203j390.44 (37,203.99) (3.09) NET GAIN/(LOSS -------------- 160,652.98 ------------- 54,471.00 -------------- 106,181.98 194.93 -------------- 876,382.07 -------------- 381,297.00 -------------- 495,085.07 129.84 ER PHYSICIANS REVENUE INPATIENT REVENU 12,192.00 9,559.92 2,632.08 27.53 87, 761.25 66,919.44 20,841.81 31.14 OUTPATIENT REVEN 193,306.00 170,593.26 12,712.74 7.45 1,311,524.75 1,194,152.82 117,371.93 9.82 TOTAL REVENUE. 195,498.00 180,153.18 15,344.82 8.51 1,399,286.00 1,261,072.26 13B,213.74 10.96 EMERGENCY MEDICAL SERVICE REVENUE INPATIENT REVENU .00 .00 .00 .00 .00 .00 .00 .00 OUTPATIENT DEVER .00 .00 .00 .00 .00 .00 .00 .00 TOTAL REVENUE. .00 .00 .00 .00 .00 .00 .00 .00 EXPENSES SALARIES .00 .00 .00 .00 .00 .00 .00 .00 LEASE & RENTAL .00 .00 .00 .00 .00 .00 .00 .00 OTHER EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 CITY SUBSIDY ,00 .00 .00 .00 .00 .00 .00 .00 COUNTY SUBSIDY .00 .00 .00 .00 .00 .00 .00 .00 TOTAL EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 NET GAIN/(LOSS ------- .00 .00 --- ------------ .00 .00 ............_ .00 -------------- .00 -- _.-..._ ... .00 .00 LABORATORY & PATHOLOGY REVENUE INPATIENT REVENU 130,904.25 110,312.25 20,592.00 18.66 782,149.23 772,185.75 9,963.48 1.29 OUTPATIENT REVEN 366,722.67 345,207.84 21,514.83 6.23 2,506,450.40 2,416,454.88 89,995.52 3.72 TOTAL REVENUE. 497,626.92 455,520.09 42,106.83 9.24 3,288,599.63 3,188,640.63 99,959.00 3.13 EXPENSES SALARIES 43,307.02 45,104.75 1,797.73 3.98 299,427.17 315,733.25 16,306.08 5.16 LEASE & RENTAL 3,843.15 7,142.92 3,299.77 46.19 30,243.62 50,000.44 19,756.82 39.51 OTHER EXPENSES 68,644.42 64,507.35 (4,137.07) (6,41) 470,520.93 451,551.45 (18,969.48) (4.20) TOTAL EXPENSES 115,794.59 116, 755.02 960.43 .82 800,191.72 817,28514 17,093.42 2.09 NET GAIN/(LOSS 381,832.33 338,765.07 ---....... 43,067.26 12.71 -------------- 2,488,407.91 --------" 2,371,355.49 117,052.42 .-- 4.93 15 MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L E M 0 N T H ---------- ACTUAL BUDGET $ VARIANCE % VAR BLOOD BANK REVENUE O8/14/07 01:30 PM ------------ Y E A R T O D A T 2 ----------- ACTUAL BUDGET $ VARIANCE ° VAR INPATIENT REVENU 24,265.25 17,318.33 6,946.92 40,11 142,217.75 121,228.31 OUTPATIENT REVEN 9,961.00 7,831.92 2,129.08 27.18 75,800.75 54,923.44 TOTAL REVENUE. 34,226.25 25,150.25 9,076.09 36.08 218,018.50 176,051.75 EXPENSES EXPENSES 10,094.21 7,042.08 (3,052.13) (43.34) 66,116.36 49,294.56 TOTAL EXPENSES 10,094.21 7,042.08 (3,052.13) (43.34) 66,116.36 49,294.56 NET GAIN/(LOSS 24,132.04 10,108.17 6,023.87 33.26 151,902.14 126,757.19 OCCUPATIONAL MEDICINE REVENUE INPATIENT REVENU .00 .00 .00 OUTPATIENT REVEN .00 .00 .00 TOTAL REVENUE. .00 .00 .00 EXPENSES PROFESSIONAL FEE .00 .00 .00 OTHER EXPENSES .00 .00 .00 TOTAL EXPENSES .00 .00 .00 NET GAIN/(LOSS .00 .00 00 SAFETY TESTING REVENUE OUTPATIENT REVEN .00 .00 .00 TOTAL REVENUE. .00 .00 .00 EXPENSES SALARIES .00 .00 .00 OTHER EXPENSES .00 .00 .00 TOTAL EXPENSES .Do .00 .00 -------------- NET LAIN/(LOSS ______--- .00 .00 -- ---- ---- .00 ELECTROCARDIOLOGRAPHY (EKG) REVENUE INPATIENT REVENU 20,468.25 15,888.00 4,580.25 OUTPATIENT REVEN 52,721.00 40,230.00 12,491.00 TOTAL REVENUE. 73,189.25 56,118.00 17,071.25 EXPENSES EXPENSES 1,418.81 1,977.51 558.70 TOTAL EXPENSES 1,410.81 1,977.51 558.70 NET GAIN/(LOSS 71,770.44 54,140.49 17,629.95 20,989.44 17.31 20,977.31 38.26 41,966.75 23.83 (16,821.80) (34.12) (16,821.80) (34.12) 25,144.95 1933 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 00 Do ...... .00 ------- .00 Da .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 .00 ao .00 .00 .00 .00 .00 .00 .00 00 .00 .00 00 29,82 117,673.25 111,216.00 6,457,25 5.80 31.04 333,680.45 281,610.00 52,070.45 18.49 30.42 451,353.70 392,826.00 58,527.70 14.89 28.25 12,975.65 13,842.57 866.92 6.26 28.25 12,975.65 13,842.57 866.92 6.26 32.56 438,378.05 379,983.43 59,394.62 15.67 16 MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT 08/14/07 01:30 PM FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L E M O N T H---------- ------------ Y E A R T O D A T 2 ----------- ACTUAL BUDGET $ VARIANCE % VAR ACTUAL BUDGET $ VARIANCE % VAR RADIOLOGY REVENUE INPATIENT REVENU 10,780.25 11,671.16 (890.91) (7.63) 96,974.50 81,698.12 15,276.38 18.69 OUTPATIENT REVEN 162,842.00 119,918.08 42,923.92 35.79 1,054,362.78 839,426,56 214,936.22 25.60 TOTAL REVENUE. 173,622.25 131,589.24 42,033.91 31.94 1,151,337.28 921,121.68 230,212.60 24.99 EXPENSES SALARIES 57,223.58 54,007.42 (3,216.16) (5.95) 387,899.97 378,051.94 (9,848.03) (2.60) PROFESSIONAL FEE 5,575.00 3,873.75 (1,701.25) (43,91) 39,675.00 27,116.25 (12,558.75) (46.31) OTHER EXPENSES 22,529.76 21,562.66 (967.101 (4.40) 162,231.02 150,938.62 (11,292.40) (7.4B) TOTAL EXPENSES 85,328.34 79,443.83 (5,884.51) (7.40) 589,805.99 556,106.81 (33,699.18) _... (6.05) NET GAIN/ILOSS _____________ 88,293.91 _____________ 52,145.41 ___ --------- 36,148.50 69.32 -------------- 561,531.29 -------------- 365,017.87 196,513.42 53.83 NUCLEAR MEDICINE REVENUE INPATIENT REVEINI 3,321.00 9,677.01 (6,356.01) (65.681 24,372.45 67,739.07 (43,366.62) (64.02) OUTPATIENT REVEN 37,371.75 48,112.09 (10,740.34) (22,32) 186,630.00 336,784.63 (150,154.63) (44.58) TOTAL REVENUE. 40,692.75 57,789.10 (17,096.35) (29,58) 211,002.45 404,523.70 (193,521.25) (47.83) EXPENSES OTHER EXPENSES 4,672.51 5,101.75 429.24 8.41 24,8B1.75 35,712.25 10,830.50 30.32 TOTAL EXPENSES 4,672.51 5,101.75 429.24 8.41 24,881.75 35,712.25 10,830.50 30.32 ______________ NET GAIN/(LOSS 36,020.24 _____________ 52,687.35 ----- _----- (16,667.11) ___ (31.63) 186,120.70 -------------- 368,811.45 ----------- (182,690.75) (49.53) ULTRASOUND REVENUE INPATIENT REVENU 11,114.75 6,475.75 4,639.00 71.63 52,389.00 45,330.25 7,058.75 15.57 OUTPATIENT RIVEN 59,907.75 53,433.59 6,474.16 12.11 394,607.23 374,035.13 20,572.10 5.50 TOTAL REVENUE, 71,022.50 59,909.34 11,113.16 18.54 446,996.23 419,365.38 27, 630. 85 6.58 EXPENSES LEASE 6 RENTAL .00 .00 .00 .00 .00 .00 .00 .00 OTHER EXPENSES 2,737.65 3t530.42 792.77 22.45 20,353.25 24,712.94 4,359.69 17.64 TOTAL EXPENSES 2,737.65 3,530.42 792.77 22.45 20,353.25 24,712.94 4,359.69 17.64 NET GAIN/(LOSS -------------- 68,284.85 _____________ 56,378.92 __.____- 11,905.93 - 21.11 -------------- 426,642.98 ...... .------- 394,652.44 ............ 31,990.54 8.10 CT SCAN REVENUE INPATIENT REVENU 42,358.75 35,913.58 6,445.17 17.94 276,177.75 251,395.06 24,782.69 9.85 OUTPATIENT SEVEN 290,680.25 251,823.26 38,856.99 15.43 1,832,294.50 1,762,762.82 69,531.68 3.94 TOTAL REVENUE. 333,039.00 287,736.84 45,302.16 15.74 2,108,472.25 2,014,157.88 94,314.37 4.68 EXPENSES LEASE 4 RENTAL 23,984.00 .00 (23,984.00) .00) 167,888.00 .00 (167,888.00) .00 OTHER EXPENSES 19,780.48 13,033.33 (6,747.15) (51.76) 87,663.36 91,233.31 3,549.95 3.89 TOTAL EXPENSES 43,764.4E 13,033.33 (30,731.15) (235.79) 255,571.36 91,233.31 (164,338.05) (180.12) NET GAIN/(LOSS ___........ 289,274.52 ........._.. 274,103.51 -------------- 14,571.01 5.30 __.---------- 1,852,900.89 ----------- 1,922,924.57 -- _._.__-__---. (70,023.68) (3.64) 17 MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT 08/14/07 01:30 IN FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L E M O N T H--------------------- Y E A R T O D A T E ------------ ACTUAL BUDGET $ VARIANCE % VAR ACTUAL BUDGET $ VARIANCE % VAR MAMMOGRAPHY REVENUE INPATIENT NEVER 115.50 27.58 87.92 318,78 462.00 193.06 268.94 139.30 OUTPATIENT REVEN 12,584.00 9,297.75 3,296.25 35.49 80,557.75 65,014.25 15,543.50 23.90 TOTAL REVENUE. 12,699.50 9,315.33 3,384.17 36.32 81,019.75 65,207.31 15,812.44 24.24 EXPENSES OTHER EXPENSES 3,782.86 2,561.92 (1,220.94) (47.65) 23,096.56 17,933.44 (5,163.12) (28.79) TOTAL EXPENSES 3,782.86 2,561.92 (1,220.94) (47,65) 23,096.56 17,933.44 (5,163.12) ------------ . (28.79) _ NET GAIN/(LOSS ___________ 8,916.64 _____________ 6,753.41 ______________ 2,163.23 32.03 ______---- 57,923.19 --- -------------- 47,273.87 10,649.32 22.52 MRI REVENUE INPATIENT REVENU 14,568.25 11.060.84 3,507.41 31.71 70,561.50 77,425.88 (6,864.38) (8.06) OUTPATIENT RIVEN 168,198.75 146,488.83 21,709.92 14.82 954,998.50 1,025,421.81 (70,423.31) (6.86) TOTAL REVENUE. 182,767.00 157,549.67 25,217.33 16.00 1,025,560.00 1,102,847.69 (77,287.69) (7,00) EXPENSES OTHER EXPENSES 9,418.56 11,962.66 2,544.10 21.26 69,420.38 83,738.62 14,318.24 17.09 TOTAL EXPENSES 9,418.56 11,962.66 2,544.10 21.26 69,420.38 83,738.62 14,31B.24 17.09 ______________ NET GAIN/(LOSS 173,34B.44 __---- .------ 145,587.01 ------------ 27,761.43 19.06 ______--. 956,139.62 --- -------------- 1,019,109.07 ...________-.- (62,969.45) (6.17) ANESTHESIA REVENUE INPATIENT NEVER 23,540.00 25,655.58 (2,115.58) (B.24) 148,058.75 179,589.06 (31,530.31) (17,55) OUTPATIENT RRVEN 65,500.25 80, 049.83 (14,549.58) (18,17) 462,793,50 560,348.81 (97,555.31) (17.40) TOTAL REVENUE. 89,040.25 105,705.41 (16,665.16) (15.76) 610,852.25 739,937.87 (129,085.62) (17.44) EXPENSES PROFESSIONAL FEE 37,307.72 40,416.67 3,108.95 7.69 289,807.90 282,916.69 (6,991.21) (2,43) LEASE & RENTAL .00 9.25 9.25 100.00 .00 64.75 64.75 100.00 OTHER EXPENSES 1,850.10 5,014.99 3,164.89 63.10 13,455.01 35,104.93 21,649.92 61.67 TOTAL EXPENSES 39,157.82 45,440.91 6,283.09 13.82 303,262.91 318,0B6.37 14,823.46 4.66 NET GAIN/(LOSS 49,882,43 _____ 60,264.50 ______________ (10,382.071 (17.22) --------- ..--- 307,569.34 -------------- 421,851.50 --- .------____ (114,262,161 (27,08) DIALYSIS UNIT REVENUE OUTPATIENT RIVEN 494,801.00 412,758.83 82,042.17 19.87 3,371,883.96 2,889,311.81 482,572.15 16.70 TOTAL REVENUE. 494,801.00 412,758.83 82,042.17 19.87 3,371,883.96 2,889,31131 482,572.15 16.70 EXPENSES SALARIES 36,662.27 31,201.91 (5,460.36) (17,5D) 249,159.42 218,413.37 (30,746.05) (14.07) OTHER EXPENSES 73,410.11 69,661.95 (3,748,26) (5.38) 481,602.34 487,632.95 6,030.61 1.23 TOTAL EXPENSES 110,072.38 100,863.76 (9,208.62) (9,12) 730,761.76 706,046.32 (24,715,44) ._...... (3.50) NET GAIN/(LOSS .............. 384,72B.62 ............. 311,895.07 .............. 72,833.55 23.35 _. 2,641,122.20 ______ 2,183,265.49 ------ 457,856.71 20.97 IN MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT 08/14/07 01:30 PM FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L E M 0 N T H---------------------- Y E A R T O D A T 2 ------------ ACTUAL BUDGET $ VARIANCE % VAR ACTUAL BUDGET $ VARIANCE % VAR CARDIOPULMONARY REVUE INPATIENT RRVENU 74,309.50 90,685.58 (24,376.08) (24.70) 780,251.10 690,799.06 89,452.04 12.94 OUTPATIENT SEVEN 34,016.00 36,189.33 (2,173.33) (6.00) 179,434.00 253,325.31 (73,091.31) (29.16) TOTAL REVENUE. 108,325.50 134,874,91 (26,549.41) (19.68) 959,685.10 944,124.37 15,560.73 1.64 EXPENSES SALARIES .00 .00 .00 .00 .00 .00 .00 .00 LEASE 6 RENTAL 1,501.97 658.08 (843.89) (128.23) 6,127.70 4,606.56 (1,521.14) (33.02) OTHER EXPENSES 32,347.78 35,766.08 3,418.30 9.55 234,610.78 250,362.56 15,151.78 6.29 TOTAL EXPENSES 33,849.75 36,424.16 2,574.41 7.06 240,738.48 254,969.12 -------------- 14,230.64 ------._.-____ 5.58 ______________ NET GAIN/(LOSS 74,475.75 _____________ 98,450.75 ______________ (23,975.00) (24.35) _______------ 718,946.62 609,155.25 29,791.37 4.32 CARDIAC REHAB REVENUE INPATIENT REVENU .00 .00 .00 .00 .00 .00 .00 .00 OUTPATIENT SEVEN .00 .00 .00 .00 .00 .00 .00 .00 TOTAL REVENUE. .00 .00 .00 .00 .00 .00 .00 .00 EXPENSES SALARIES .00 .00 .00 .00 .00 .00 .00 .00 OTHER EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 TOTAL EXPENSES .00 .00 .00 .00 .00 ._.. .00 ----- .----- .00 .... .00 NET GAIN/(LOSS -_- .00 ----------- .00 __ ______________ .00 .00 -------------- .00 --------- .00 .00 .00 OCCUPATIONAL THERAPY REVENUE INPATIENT REVENU .00 263.58 (263.58) (100,00) 2,173.75 1,845.06 328.69 17.91 OUTPATIENT REVEN 732.00 640.34 91.66 14.31 3,637.75 4,482.38 (844.63) (18.84) TOTAL REVENUE. 732.00 903.92 (171.92) (19.01) 5,811.50 6,327.44 (515.94) (8.15) EXPENSES SALARIES .00 .00 .00 .00 .00 .00 .00 .00 OTHER EXPENSES .00 216.92 216.92 100.00 2,41B.70 1,518.44 (900.26) (59.28) TOTAL EXPENSES .00 216.92 216.92 100.00 2,418.70 1,518.44 (900.26) (59,28) . NET CAIN/(LOSS _...-._---- 732.00 --------- _--- 687.00 _____________ 45.00 6.55 -__________1 3,392.80 ____._....... 41809.00 ....__._____ (1,416.20) (29.44) PHYSICAL THERAPY REVENUE INPATIENT REVENU 28-,584.75 23,352.25. 5,232.50 22.40 179,688.75 163,465.75 16,223.00 9.92 OUTPATIENT REVEN 121,649.75 161,232.51 (39,582.76) (24.55) 955,286.75 1,128,627.57 (173,340.82) (15.35) TOTAL REVENUE. 150,234.50 184,584.76 (34,350.26) (18.60) 1,134,975.50 1,292,093.32 (157,113.82) (12.15) EXPENSES - - PROFESSIONAL FEE 34,965.30 49,110.83 14,145.53 28.80 269,923.46 343,775.81 73,852.35 21.48 OTHER EXPENSES 14,001.78 7,085.58 (6,916.20) (97.60) 60,791.16 19,599.06 (11,192.10) (22.56) TOTAL EXPENSES 48,967.OB 56,196.41 7,229.33 12.86 330,714.62 393,374.87 62,660.25 - 15.92 ______________ NET CAIN/(LOSS 101,267.42 _____________ 128,388.35 ______________ (27,120.93) (21.12) ------------- 804,260.88 ----- --- 898,718.45 _ _______.___ (94,457.57) (10.51) 19 MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT 08/14/07 01:30 PM FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L E M 0 N T H--------------------- Y E A R T O D A T E ------------ ACTUAL BUDGET $ VARIANCE 4 VAR ACTUAL BUDGET $ VARIANCE % VAR HOME HEALTH CARE REVENUE INPATIENT REVENO .00 .00 .00 .00 702.50 .00 702.50 .00 OUTPATIENT SEVEN 103,517.00 102,111.33 1,405.67 1.37 687,997.90 714,779.31 (26,781.41) (3.74) TOTAL REVENUE. 103,517.00 102,111.33 1,405.67 1.37 688,700.40 714,779.31 (26,078.91) (3.64) EXPENSES SALARIES 34,124.75 32,684.58 (1,440.17) (4.401 217,684.29 228,792.06 11,107.77 4.85 LEASE & RENTAL 2,431.70 2,272.08 (159.62) (7.02) 16,945.23 15,904.56 (1,040.67) (6.54) OTHER EXPENSES 16,296.88 15,352.92 (943.96) (6.14) 108,108.58 107,470.44 (638.14) (.59) TOTAL EXPENSES 52,853.33 50,309.58 (2,543,75) (5.05) 342,738.10 352,167.06 9,428.96 2.67 NET GAIN/(LOSS 50,663.67 51,801.75 (1,138.08) (2.19) 345,962.30 362,612.25 (16,649.95) (4,59) HOSPICE REVENUE OUTPATIENT REVEN .00 .00 .00 .00 .00 .00 .00 .00 TOTAL REVENUE. .00 .00 .00 .00 .00 .00 .00 .00 EXPENSES SALARIES .00 .00 .00 .00 .00 .00 .00 .00 PROFESSIONAL FEE .00 .00 .00 .00 .00 .00 .00 .00 OTHER EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 TOTAL EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 NET GAIN/(LOSS ____________ .00 __________ __ ______________ .00 .00 .00 -------------- .00 -------------- .00 ...... .00 .00 PRIMARY HEALTH CARE REVENUE OUTPATIENT REVEN .00 .00 .00 .00 .00 .00 .00 .00 TOTAL REVENUE. .00 .00 .00 .00 .00 .00 .00 .00 EXPENSES SALARIES .00 .00 .00 .00 .00 .00 .00 .00 OTHER EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 TOTAL EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 -------------- NET GAIN/(LOSS .00 ------------- ------------- .00 .00 .00 .......------- .00 ______________ .00 ______________ .00 .00 NEW VIEW REVENUE OUTPATIENT SEVEN .00 .00 .00 .00 .00 .00 .00 .00 TOTAL REVENUE. .00 .00 .00 .00 .00 .00 .00 .00 EXPENSES SALARIES .00 .00 .00 .00 .00 .00 .00 .00 PROFESSIONAL FEE .00 .00 .00 .00 .00 .00 .00 .00 OTHER EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 TOTAL EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 ......_...... NET GAIN/(LOSS .00 ----------- .00 __._.__...-.. .00 .00 _.._._-__- .00 ___...... .00 .-._.. ___.. .00 .00 20 MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT FOR THE 7 MONTHS ENDING 03/31/07 --------- S I N G L E M O N T H ---------- ACTUAL BUDGET $ VARIANCE % VAR CHEMICAL DEPENDENCY REVENUE 08/14/07 01:30 PM ------------ Y E A R T O D A T E ------------ ACTUAL BUDGET $ VARIANCE % VAR OUTPATIENT REVEN .00 .00 .00 .00 .00 .00 .00 .00 TOTAL REVENUE. .00 .00 .00 .00 .00 .00 .00 .00 EXPENSES SALARIES .00 .00 .00 .00 .00 .00 .00 .00 PROFESSIONAL FEE .00 .00 .00 .00 .00 .00 .00 .00 OTHER EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 TOTAL EXPENSES .00 .00 .00 .DO .00 .00 -- -------------- .00 .00 -------------- NET GAIN/(LOSS .00 ------------ .00 -------------- .00 .00 -------------- .00 ------------ .00 .00 .00 DIETARY REVENUE INPATIENT REVENU .00 .00 .00 .00 .00 .00 .00 .00 OUTPATIENT REVEN .00 48.33 (48.33) (100.00) 250.00 338.31 (88.31) (26.10) TOTAL REVENUE. .00 48.33 (48.33) (100.00) 250.00 338.31 (88.31) (26.10) EXPENSES SALARIES 12,874.46 15,015.16 2,140.70 14.25 102,561.08 105,106.12 2,545.04 2.42 PROFESSIONAL FEE 1,462.84 1,692.42 229.58 13.56 11,133.84 11,846.94 713.10 6,01 OTHER EXPENSES 21,518.88 19,443.59 (2,075.29) (10,67) 126,048.11 136,105.13 10,057.02 7.38 TOTAL EXPENSES 35,956.18 36,151.17 294.99 .81 239,743.03 253,058.19 .------------- 13,315.16 5.26 -------------- NET GAIN/(LOSS (35,856.18) ------------- (36,102.84) -------------- 246.66 .68 ---- I --------- (239,493.03) -------------- (252,719.88) 13,226.85 5.23 MEDICAL RECORDS EXPENSES SALARIES 23,689.94 16,762.41 (6,927.53) (41.32) 147,982.37 117,336.87 (30,645.50) (26,11) LEASE & RENTAL 3,371.29 2,317.75 (1,053.54) (45.45) 18,264.06 16,224.25 (2,039.81) (12.57) OTHER EXPENSES 4,792.06 3,094.84 (1,687.22) (54.51) 21,421.21 21,663.88 242.67 1.12 TOTAL EXPENSES 31,843.29 22,175.00 (9,668.29) (43.59) 187,667.64 155,225.00 (32,442.64) (20.90) CARE PROGRAM EXPENSES OTHER EXPENSES 13.67 483.34 469.67 97.17 5,357.87 3,383.38 (1,974.49) (58.35) TOTAL EXPENSES 13.67 483.34 469.67 97.17 5,357.87 3,383.38 (1,974.49) (58.35) MAINTENANCE EXPENSES SALARIES 11,129.39 15,595,83 4,466.44 28.63 75,293.69 109,170.81 33,877.13 31.03 OTHER EXPENSES (3,586.88) 1,923.92 5,510.80 286.43 5,227.17 13,467.44 8,240.27 61.18 TOTAL EXPENSES 7,542.51 17,519.75 9.977.24 56.94 80,520.85 122,638.25 42,117.40 34.34 PLANT OPERATIONS EXPENSES LEASE & RENTAL 45.00 45.00 .00 .00 315.00 315.00 .00 .00 ELECTRICITY 43,978.66 44,515.25 536.59 1.20 234,103.69 311,606.75 77,503.06 24.87 WATER & SEWER 6,243.50 7,416.67 1,173.17 15.81 33,446.15 51,916.69 18,470.51 35.57 GAS 2,741.44 9,583.33 6,841.89 71.39 29, 105.58 67,083.31 37,977.73 56,61 OTHER EXPENSES 3,611.77 9,379.76 5,767.99 61.49 75,607.50 65,658.32 (9,949.18) (15.15) TOTAL EXPENSES 56,620.37 70,940.01 14,319.64 20.18 372,577.92 496,580.07 124,002.15 24.97 21 MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L E M O N T K ---------- ACTUAL BUDGET $ VARIANCE - % VAR GROUNDS EXPENSES SALARIES .00 .00 OTHER EXPENSES 249.54 70.83 TOTAL EXPENSES 249.54 70.83 TRANSPORTATION EXPENSES SALARIES 1,300.61 1,443.58 OTHER EXPENSES 600.6B 520.00 TOTAL EXPENSES 1,901.29 1,963.5B HOUSEKEEPING EXPENSES SALARIES 23,387.87 21,712.50 OTHER EXPENSES 6,097.23 6,268.08 TOTAL EXPENSES 29,485.10 27,980.58 LAUNDRY EXPENSES OUTSIDE SERVICES 9.40 .00 OTHER EXPENSES .00 .00 TOTAL EXPENSES 8.40 .00 SECURITY EXPENSES SALARIES 5,894.12 5,770.34 OTHER EXPENSES 429.39 604.74 TOTAL EXPENSES 6,323.51 6,375.08 PERFORMANCE IMPROVEMENT EXPENSES SALARIES 6,848.55 6,108.33 OTHER EXPENSES 578.85 575.58 TOTAL EXPENSES 7,427.40 6,683.91 SOCIAL WORKER/DISCHARGE PLANNI EXPENSES SALARIES 5,314.29 4,757.33 OTHER EXPENSES 425.60 496.84 TOTAL EXPENSES 5,739.89 5,254.17 CALHOUN COUNTY INDIGENT EXPENSES SALARIES 4,275.52 3,845.75 OTHER EXPENSES 21.21 294.17 COUNTY OFFSET (3,749.84) (4,139.92) TOTAL EXPENSES 547.89 .00 08/14/07 01:30 PM ---------- Y E A R T O D A T E ------------ ACTUAL BUDGET $ VARIANCE 4 VAR .00 .00 .00 .00 .00 .00 (178.71) (252.30) 6,289.62 495.81 (5,793.81) (1168,55) (178.71) (252.30) 6,299.62 495.81 (5,793.81) (1169.55) 142.97 9.90 9,012.00 10,105.06 1,093.06 10.81 (80.68) (15.51) 3,669.69 3,640.00 (29.69) (.81) 62.29 3.17 12.681.69 13,745.06 1.063.37 7.73 (1,675.37) (7.71) 155,426.77 151,987,50 (3,439.27) (2.26) 170.85 2.72 50.700.12 43,876.56 (6,B23.56) (15.55) (1,504.52) (5.31) 206,126.89 195,864.06 (10,262.93) (5.23) (8.40) .00) 77.70 .00 (77.70) .00 .00 .00 .00 .00 .00 .00 (8.40) .00) 77.70 .00 (77.70) .00 (123.78) (2.14) 42,583.97 40,392.38 175.35 28.99 3,671.64 4,233.18 51.57 .80 46,255.61 44,625.56 (740.22) (12,11) 46,232.55 42,758.31 (3.27) (.56) 4,194.87 4,029.06 (743.49) (11.12) 50,427.42 46,787.37 (556.96) (11.70) 38,434.52 33,301.31 71.24 14.33 5,394.61 3,477.88 (485.72) (9.24) 43,829.13 36,779.19 (429.77) (IIJ7) 27,522.73 26,920.25 272.96 92.78 13.90 2,059.19 (391.08) (9.44) (27,205.35) (28,979.44) (547.89) .00) 331.28 .00 (2,191.59) (5.42) 561.54 13.26 (1,630.05) (3.65) (3,474.24) (8.12) (165.81) (4,11) (3,640.05) (7.77) (5,133.21) (15.41) (1,916,73) (55,11) (7,049.94) (19.16) (602.98) (2.23) 2,045.29 99.32 (1,774.09) (6.12) (331.28) .00 22 MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT 08/14/07 01:30 PM FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L E M 0 N T H---------- ----------- Y E A R T O D A T 2 ------------ ACTUAL BUDGET $ VARIANCE % VAR ACTUAL BUDGET $ VARIANCE % VAR BUSINESS OFFICE EXPENSES SALARIES 20,227.73 19,870.25 (357.48) (1.79) 135,812.00 139,091.75 3,279.75 2.35 LEASE 6 RENTAL 942.00 791.67 (150.33) (10.90) 7,350.B1 5,541.69 (1,809.12) (32.64) COLLECTION EXPEN 2,441.1E 4,650.42 2,209.24 47.50 54,897.24 32,552.94 (22,344.30) (68.63) OTHER EXPENSES 8,984.16 10,266.73 1,282.57 12.49 58,848,47 71,867.11 13,018.64 18.11 TOTAL EXPENSES 32,595.01 35,579.07 2,984.00 8.39 256,908.52 249,053.49 (7,855.03) (3.15) COMMUNICATIONS EXPENSES SALARIES 10,289.10 9,582,41 (706.69) (7.37) 60,065.55 -67,076.87 7,011.32 10.45 OTHER EXPENSES 931.59 942.08 10.49 1.11 7,672.77 6,594.56 (1,078.21) (16.34) TOTAL EXPENSES 11,220.69 10,524.49 (696.20) (6.61) 67,738.32 73,671.43 5,933.11 8.05 DATA PROCESSING EXPENSES SALARIES 7,044.96 9,470.42 2,425.46 25.61 55,542.83 66,292.94 10,750.11 16.21 OTHER EXPENSES 14,216.03 11,460.25 (2,755.70) (24,04) 101,319.63 80,221.75 (21,097,88) (26.29) TOTAL EXPENSES 21,260.99 20,930.67 (330,32) (1.57) 156,862.46 146,514.69 (10,347.77) (7.06) NURSING ADMINISTRATION EXPENSES SALARIES 15,891.46 9,794.17 (6,097.29) (62.25) 76,763.04 68,559.19 (0,203.85) (11.96) OTHER EXPENSES 2,057.44 1,634.92 (422.52) (25.84) 18,610.39 11,444.44 (7,165.95) (62.61) TOTAL EXPENSES 17,948.90 11,429.09 (6,519.81) (57.04) 95,373.43 80,003.63 (15,369.80) (19.21) HOUSE SUPERVISOR EXPENSES SALARIES .00 .00 .00 .00 .00 .00 .00 .00 OTHER EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 TOTAL EXPENSES .00 .00 .00 .OD .00 .00 .GO .00 INFECTION CONTROL EXPENSES SALARIES 5,603.13 5,311.75 (291.38) (5.48) 38,810.72 37,182.25 (1,628.47) (4.37) OTHER EXPENSES 1,007.31 727.16 (280.15) (38.52) 9,040.59 5,090.12 (3,950,47) (77.61) TOTAL EXPENSES 6,610.44 6,038.91 (571.53) (9.46) 47,851.31 42,272.37 (5,578.94) (13.19) EDUCATION EXPENSES .. SALARIES 5,005.60 4,300.00 (705.60) (16.40) 34,552.92 30,100.00 (4,452.92) (14.79) OTHER EXPENSES 439.86 1,097.92 65B.06 59.93 9,930.84 7,685.44 (1,245.40) (16.20) TOTAL EXPENSES 5,445.46 5,397.92 (47.54) (.881 43,483.76 37,785.44 (5,698.32) (15.08) ACCOUNTING EXPENSES SALARIES 5, 802.35 5,992.66 190.31 3.17 45,3B6.66 41,948.62 (3,438,04) (8.19) OTHER EXPENSEES 3,462.58 4,180.08 717.50 17.16 23,976.62 29,260.56 5,2B3.94 18.05 TOTAL EXPENSES 9,264.93 10,172.74 907.81 8.92 69,363.28 71,209.18 1,845.90 2.59 REVENUE MANAGEMENT EXPENSES SALARIES 4,874.00 5,045.00 171.00 3.38 34,723.95 35,315.00 591.05 1.67 OTHER EXPENSES 9,604.04 7,406.75 (2,197.29) (29,66) 57,466.35 51,847.25 (5,619.10) (10.83) TOTAL EXPENSES (14,478,04) (12,451.75) (2,026.29) (16.27) (92,190.30) (87,162.25) (5,028.05) (5.76) 23 MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT 08/14/07 01:30 PM FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L E M 0 N T H---------- ------------ Y E A R T O D A T E----------- ACTUAL BUDGET $ VARIANCE % VAR ACTUAL BUDGET $ VARIANCE % VAR ADMINISTRATION EXPENSES SALARIES 22,134.89 24,789.59 2,654.70 10.70 166,951.66 173,527,13 6,575.47 3.78 LEASE & RENTAL 2,323.50 1,214.75 (1,108.75) (91.27) 13,976.45 8,503.25 (5,473.20) (64.36) OTHER EXPENSES 19,044.14 29,184.59 10,140.45 34.74 141,993.77 204,292.13 62,298.36 30.49 TOTAL EXPENSES 43,502.53 55,188.93 11,686.40 21.17 322,921.88 386,322.51 63,400.63 16.41 BUSINESS DEVELOPMENT EXPENSES SALARIES 4,205.13 4,151.83 (53.30) (1.28) 28,747.42 29,062.81 315.39 1.OB OTHER EXPENSES 516.06 336.66 (179.40) (53.28) 2,548.40 2,356.62 (191,78) (8.13) TOTAL EXPENSES 4,721.19 4,4BB.49 (232.70) (5.18) 31,295.92 31,419.43 123.61 .39 HOSPITAL GENERAL EXPENSES WORRMANS COMP IN 10,330.33 7,173.00 (3,157.25) 144.01) 70,923.82 50,211.56 (20,712.26) (41.241 UNEMPLOYMENT INS (13,65) 3,041.50 3,055.15 100.44 (20,556.32) 21,290.50 41,846.82 196.55 PROF LIABILITY I 6,848.28 9,493.92 2,645.64 27.86 55,557.44 66,457.44 10,900.00 16.40 LEASE & RENTAL 958.60 1,094.83 136.23 12.44 7,350.50 7,663.81 313.31 4.08 OTHER EXPENSES (31,010.68) 9,024.76 40,035.44 443.61 56,805.86 63,173.32 6,367.46 10.07 TOTAL EXPENSES (12,887.12) 29,828.09 42,715.21 143.20 170,081.30 208,796.63 38,715.33 18.54 HUMAN RESOURCES/PUBLIC RELATIO EXPENSES SALARIES 3,868.36 3,875.00 6.64 .17 26,031.64 27,125.00 1,093.36 4.03 OTHER EXPENSES 1,728.00 5,094.67 3,366.67 66.08 33,163.07 35,662.69 2,499.62 7.00 TOTAL EXPENSES 5,596.36 8,969.67 3,373.31 37.60 59,194.71 62,787.69 3,592.98 5.72 PURCHASING EXPENSES SALARIES 8,280.64 8,299.25 18.61 .22 58,958.33 58,094.75 (863.58) (1.48) OTHER EXPENSES 1,537.25 1,555.34 18.09 1.16 11,021.04 10,881.38 (133.66) (1.22) TOTAL EXPENSES 9,817.89 9,054.59 36.70 .37 69,979.37 68,982.13 (997.24) (1.44) AUXILLARY EXPENSES SALARIES .00 .00 .00 .00 .00 .00 .00 .00 EXPENSES 2.57 10,00 7.43 74.30 152.04 70.00 (82.04) (117,20) TOTAL EXPENSES 2.57 10.00 7.43 74.30 152.04 70.00 (82.04) (117,20) PLAZA SPECIALTY CLINICS SALARIES .00 .00 .00 .00 .00 .00 .00 .00 EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 TOTAL EXPENSES .00 .00 .00 .00 .00 .00 .00 .00 24 MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L E 14 0 N T H ---------- ACTUAL BUDGET $ VARIANCE % VAR MEMORIAL MEDICAL PLAZA REVENUE 08/14/07 01:30 PM ------------ Y E A R T O D A T E ------------ ACTUAL BUDGET $ VARIANCE k VAR RENTALS 96.50 .00 96.50 .00 308.00 .00 308.00 .00 TOTAL REVENUE. 96.50 .00 96.58 .00 308.00 .00 308.00 .00 EXPENSES SALARIES........ 2,849.34 2,805.16 (44.18) (1.57) 18,572.55 19,636.12 1,063.57 5.41 OTHER EXPENSES.. 874.37 1,352.74 478.37 35.36 6,173.96 9,469.18 3,295.22 34.79 TOTAL EXPENSES 3,723.71 4,157.90 434.19 10.44 24,746.51 29,105.30 4,358.79 14.97 -------------- --------------------- ------------------- -------------- .------------- NET GAIN/(LOSS (3,627.21) (4,157.90) 530.69 12.76 (24,438.51) (29,105.30) 4,666.79 16.03 SUBTOTAL GAIN/ 2,148,998.93 1,827,040.73 321,958.10 17.62 14,535,035.24 12,787,985.23 1,747,050.01 13.66 OTHER OPERATING EXPENSES REVENUE DEDUCTIONS MEDICARE CONTR A (1,139,904.79) (781,771.17) (358,133,62) (45.81) (7,185,851.41) (5,472,398.19) (1,713,453.22) 131.31) MEDICAID CONTR A (274,928.30) (237,930.34) (36,997.96) (15.54) (1,632,975.98) (1,665,512.38) 32,536,40 1,95 INDIGENT CONTR A (18.158.93) (142,758.25) 124,599.32 87,27 (234,246.14) (999,307.75) 765,061.61 16.55 CHARITY CARE (100,610.88) .00 (100,610.88) .00) (558,994.44) .00 (558,994.441 .00 BAD DEBT EXPENSE 1265,752.52) (200,541.33) (65,211.19) (32.51) (1,736,633.31) (1,403,789,31) (332,844,00) (23.71) OTHER DEDUCTIONS (302,576.09) (210,738.33) (91,837.76) (43,57) (1,648,891.51) (1,475,168.31) (173,723.20) (11.77) TOTAL REVENUE (2,101,931.51) (1,573,739.42) (528,192.09) (33.56) (12,997,592.79) (11,016,175.94) (1,981,416.85) (17.98) EMPLOYEE BENEFITS FICA .00 .00 .00 .00 .00 .00 .00 .00 RETIREMENT 32,559.22 28,704.42 (3,854.80) (13.42) 236,790.18 200,930.94 (35,859.24) (17,84) HOSPITALIZATION 128,654,45 90,240.00 (38,414.45) (42.56) 939,242.16 631,680.00 (307,562.16) (48.68) LIFE INSURANCE 1,288.32 1,233.33 (54.99) (4.45) 81699.09 8,633.31 (65.78) (.76) DENTAL INSURANCE 402.36 3,760.00 3,357.64 09.29 18,343.41 26,320.00 7,976.59 30.30 LONG TERM DIS 2,337.28 2,350.00 12.72 .54 16,289.33 16,450.00 160,67 .97 PAYROLL CLEARING (696,67) .00 696.67 .00 984.31 .00 (984.31) .00 TOTAL EMPLOYEE 164,544.96 126,287.75 (38,257.21) 130.29) 1,220,348.48 884,014.25 (336,334.23) (38,04) TOTAL OTHER OF 2,266,476.47 1,700,027.17 (566,449.30) (33.32) 14,217,941.27 11,900,190.19 (2,317,751.08) (19.41) OTHER REVENUE MEDICARE PAS9-TH 34,564.00 21,666.67 12,897.33 59.52 315,660.80 151,666.69 163,994.11 108,12 CAFETERIA SALES 9,476.49 8,333.33 1,143.16 13.71 60,703.52 58,333.31 2,370.21 4.06 INTEREST INCOME 20,976.09 3,600.00 17,376.09 402.66 69,076.12 25,200.00 43,876.12 174.11 INTEREST INCOME 56.44 .00 56.44 .00 200.75 .00 200.75 .00 INTEREST INCOME .00 .00 .00 .00 .00 .00 .00 .00 MISCELLANEOUS IN 17,957.79 12,166.67 5,791.12 47.59 61,167.46 85,166.69 (23,999.23) (28.17) TOTAL OTHER RE 83,030.81 45,766.67 37,264.14 81.42 506,808.65 320,366.69 186,441.96 58.19 ------------- ------------- -------'------ --------.-----. -------------- . NET OPERATING (34,446.83) 172,780.23 (207,227.06) (119.93) 823,902.62 1,208,161,73 (384,259.11) (31.80) 25 MEMORIAL MEDICAL CENTER DEPARTMENTAL INCOME STATEMENT FOR THE 7 MONTHS ENDING 07/31/07 --------- S I N G L B M 0 N T H ---------- ACTUAL BUDGET $ VARIANCE % VAR NON-OPRRATING EXPENSE DEPRECIATION -LAN .00 .00 .00 .00 DEPRECIATION-BUI 27,334.25 105,833.33 78,499.08 74.17 DEPRECIATION -FIX 8,929.31 .00 (8,929,31) .00) DEPRECIATION-MAJ 56,102.26 .00 (56,102.26) .00) DEPRECIATION-POR .00 .00 .00 .00 CONTRIBUTION TO .00 .00 .00 .00 TOTAL NON-OPER 92,365.82 105,833.33 13,467.51 12.72 TOTAL OPERATIN ______________ (126,812.65) _____________ 66,946.90 ______________ (193,759.55) (289.42) COUNTY SUBSIDY .00 .00 .00 .00 NET GAIN/(LOSS -------------- (126,812.65) ------------- 66,946.90 -------------- (193,759.55) (289,42) 08/14/07 01:30 PM ----------- Y E A R T O B A T E ------------ ACTUAL BUDGET $ VARIANCE % VAR .00 .00 .00 .00 191,339.75 740,833.31 519,493.56 74.17 62,754.24 .00 (62,754.24) .00 396,889.05 .00 (396,889.051 .00 .00 .00 .00 .00 .00 .00 .00 .00 650,983.04 740,833.31 89,850.27 12.12 ----------- 172,919.50 ---_-------- 467,328.42 ___________-_ (294,408.84) (62.99) .--_-_.--- 172,919.58 -------------- 467,328.42 --_____-----_ (294,408.84) (62.99) w MEMORIAL MEDICAL CENTER CAPITAL EQUIPMENT ADDITIONS FOR FISCAL YEAR 2007 BUILDING MEMORIAL EQUIPMENT IMPROVEMENTS MEDICAL DESCRIPTION AMOUNT HOSPITAL PLAZA JANUARY Zeiss Scope (Surgery) $ 7,000.00 Zeiss Scope (Surgery) $ 7,000.00 Zeiss S3 scope (surgery) $ 10,300.00 Boller (Facilities) $ 9,860.00 $ 34,160.00 $ - $ - FEBRUARY MARCH APRIL Total Bed Frame (ICU) 13,819.00 $ 13,819.00 $ May June JULY Mobile X-Ray Machine (Radiology) 27,388.42 $ 27,388.42 $ - $ - AUGUST SEPTEMBER $ $ $ OCTOBER NOVEMBER DECEMBER SUBTOTALS $ 75,367.42 $ - $ 27 noenm rnrnic T 76ae7 d9 SUMMARY OF INDIGENT, CHARITY AND BAD DEBT CLASS "O" AND "X" Jul-06 REFERRAL $ 120,654.65 CHARITY $ 79,717.70 2006 YTD $ 610,968.47 Jul-07 $ 119,448.36 $ 100,610.88 2007 YTD $ 564,911.24 INDIGENT $ 11,854.95 $ 1,088,647.89 $ 210,176.01 $ 952,047.04 W MEMORIAL MEDICAL CENTER ACCOUNTS PAYABLE BOARD OF TRUSTEES APPROVAL LIST FOR JULY 2007 DATE APPROVED A/P & PATIENT BY COUNTY AUDITOR REFUNDS 7/3/2007 (weekly) $ 280,258.53 7/11/2007 (weekly) $ 232,867.48 7/18/2007 (weekly) $ 230,222.34 7/25/2007 (weekly) $ 257,022.54 7/26/2007 (refunds) $ 1,082.37 TOTAL $ 1,001,453,26 29 RUN DATE:08/07/07 MEMORIAL MEDICAL CENTER PAGE 1 TIIE:19:09 CHECK REGISTER GLCKREG 07/03/07 THRU 07/03/07 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 122667 07/03/07 62.00 ADEN A/P 122669 07/03/07 179.94 AMERAPRODUCTS, INC A/P 122669 07/03/07 49.35 ACE HARDWARE - PORTER'S A/P 122670 07/03/07 18,458.32 AMERISOURCEBERGEN DRUG Alp 122671 07/03/07 48.81 AIRGAS-SOUTHWEST Alp 122672 07/03/07 112,58 CARDINAL HEALTH A/P 122673 07/03/07 416.26 NADINE ARNOLD A/P 122674 07/03/07 138.00 ASCENT HEALTHCARE SOLUT A/P 122675 07/03/07 1,154.00 AT&T Alp 122676 07/03/07 391.00 AWESOME PAGING INC Alp 122677 07/03/07 3,441.64 BANK OF AMERICA N1 A/P 122678 07/03/07 47.08 BANK OF AMERICA A/P 122679 07/03/07 2,299,13 BAXTER HEALTHCARE CORP A/P 122680 07/03/07 3,400.45 BECKMAN COULTER INC A/P 122681 07/03/07 23.28 BARBARA BEARD, LMSW-ACP Alp 122682 07/03/07 611.00 BOSTON SCIENTIFIC CORPO A/P 122683 07/03/07 240.00 STEPHANIE CAVAZOS, L.M. A/P 122684 07/03/07 12,820.00 CALHOUN COUNTY A/P 122685 07/03/07 96.03 RUBY CAM A/P 122686 07/03/07 181.65 CERTIFIED LABORATORIES A/P 122687 07/03/07 906.66 CINGULAR WIRELESS A/P 122689 07/03/07 137.50 COVER ONE Alp 122689 07/03/07 695.55 THE COUNCIL COMPANY A/P 122690 07/03/07 349.02 CPSI A/P 122691 07/03/07 4,853.54 DADE BEERING A/P 122692 07/03/07 150.35 HELEN DAVIS A/P 122693 07/03/07 75.00 RITA DAVIS A/P 122694 07/03/07 166.00 AM DAY Alp 122695 07/03/07 25.00 JANETTE DEBORD A/P 122696 07/03/07 125.75 DELL FINANCIAL SERVICES A/P 122697 07/03/07 75.13 KATHERINE DIETZEL A/P 122698 07/03/07 293.50 DIE PAPER & PACKAGING A/P 122699 07/03/07 39.49 ENTERPRISE RENT -A -CAR A/P 122700 07/03/07 15.52 MIA FARIAS Alp 122701 07/03/07 24.13 FEDERAL EXPRESS CORP, A/P 122702 07/03107 1,982.85 FISHER HEALTHCARE Alp 122703 07/03/07 36.00 JOYCE FLANNIGAN Alp 122704 07/03/07 1,288.32 FORT DEARBORN LIFE INC A/P 122705 07/03/07 28.04 FLOW TEE, INC. A/P 122706 07/03/07 4,396.65 FRESRNI_US USA MANUFACTU A/P 122707 07/03/07 39.00 G T PICKUP & DELIVERY A/P 122708 07/03/07 2,023.30 GREAT AMERICAN LEASING Alp 122709 07/03/07 29.10 BETTY GARZA A/P 122710 07/03/07 3,227.05 GE HEALTHCARE FIN SRVS A/P 122711 07/03/07 15.98 H E BUT? GROCERY A/P 122712 07/03/07 254.00 hcPRO A/P 122713 07/03/07 134.35 SALLY J HICKL A/P 122714 07/03/07 81.67 PAT HRANICKY A/P 122715 07/03/07 138.98 INFOLAB INC A/P 122716 07/03/07 600.00 INSTRUMENTATION LABORAT 30 RUN DATE:08/07/07 MEMORIAL MEDICAL CENTER TIME:19:09 CHECK REGISTER 07/03/07 TEND 07/03/07 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 122717 07/03/07 643.00 J E J HEALTH CARE SYSTE A/P 122718 07/03/07 192.76 JAMIE JACOBY A/P 122719 07/03/07 406.50 ECI USA A/P 122720 07/03/07 770.00 RAW -TV A/P 122721 07/03/07 237.23 KIMBERLY CLARK A/P 122722 07/03/07 67.00 KEY SURGICAL INC A/P 122723 07/03/07 60.00 KROLL LABORATORY SPECIA A/P 122724 07/03/07 137.05 ERAMRS A/P 122725 07/03/07 4,583.52 LDKER PHARMACY MANAGEME A/P 122726 07/03/07 100.00 MEMORIAL MEDICAL CENTER A/P 122727 07/03/07 38,974.00 MEMORIAL MEDICAL CENTER A/P 122728 07/03/07 210.00 MEDICAL INSTRUMENTS A L A/P 122729 07/03/07 51.50 MALLINCKRODT INC A/P 122730 07/03/07 64.04 CARRIE LYNN MARSHALL An 122731 07/03/07 171.80 JANB MCCARN A/P 122732 07/03/07 2,700.00 NED ASSETS ANALYTICAL S A/P 122733 07/03/07 136.50 MEDTRONIC USA, INC. A/P 122734 07/03/07 485.07 MERRY X-RAY- SAN ANTONI A/P 122735 07/03/07 31.26 MC AUXILIARY A/P 122736 07103/07 119.95 LINDA MEYER A/P 122737 07/03/07 60.00 MITEI PAYEE A/P 122738 07/03/07 271,25 MICRO ASSIST, INC A/P 122739 07/03/07 13,225.00 MOBILE X-RAY SOLUTIONS A/P 122740 07/03/07 101.41 MOLDED PRODUCTS A/P 122741 07/03/07 2,241.28 NATIONAL BENEFITS PARTN A/P 122742 07/03/07 3,260.00 NUTRITION OPTIONS A/P 122743 07/03/07 360.00 MARY NEVAREE, LSW-BSW A/P 122744 07/03/07 3,496.10 OWENS R MINOR A/P 122745 07/03/07 127.72 PERFORMANCE FOOD GROUP- . > ..._ C -. TIGER ➢IRECT, INC. DEBRA TRBMMELL A/P 122766 07/03/07 85.00 TRIPLE D SECURITY CORPO A/P 122767 07/03/07 3,113.70 UNIFIRST HOLDINGS, L.P. PAGE 2 GLCKREG 31 RUN DATE:08/07/07 MEMORIAL MEDICAL CENTER TIME:19:09 CHECK REGISTER 07/03/07 THEO 07/03/07 BANK --CHECK ---------------------------------------------------- CODE NOMEER DATE AMOUNT PAYEE A/P 122768 07/03/07 165.19 UNITED STATES SURGICAL A/P 122769 07/03/07 154.72 ELVA VELA A/P 122770 07/03/07 75.49 VERIZON SOUTHWEST A/P 122771 07/03/07 89.50 VERIZON WIRELESS A/P 122772 07/03/07 128.10 WALMART COMMUNITY LIP 122773 07/03/07 1,149.81 WASTE MANAG8M8NT VP 122774 07/03/07 44.14 ELIZABETH WESTBROOK A/P 122775 07/03/07 132.93 GRAINGER A/P 122776 07/03/07 1,025.00 CHRISTINA ZAPATA-ARROYO A/P 122777 07/03/07 48.19 LIN MHGWEI TOTALS: 280,258.53 PAGE 3 GLCKREG 32 RUN DATE:08/07/07 MEMORIAL MEDICAL CENTER TI1E:19:09 CHECK REGISTER 07/11/07 THRU 07/11/07 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 122778 07/11/07 100.00 AERMM/AEA A/P 122779 07/11/07 13.98 ACE HARDWARE - PORTER'S A/P 122780 07/11/07 7,390.31 AMBRISOURCEBERGEN DRUG A/P 122781 07/11/07 341.00 ANITA FRICKE - COUNTY C A/P 122782 07/11/07 2,510,50 ALCM LABORATORIES INC A/P 122793 07/11/07 1,614.83 AIRGAS-SOUTHWEST A/P 122784 07/11/07 142.04 ABASON APPLIANCE SERVIC A/P 122785 07/11/07 652.15 CARDINAL HEALTH A/P 122786 07/11/07 268.35 AQUA BEVERAGE COMPANY A/P 122787 07/11/07 100.00 ARA14SCO A/P 122788 07/11/07 312.12 ARROW INTERNATIONAL INC A/P 122789 07/11/07 138.00 ASCENT HEALTHCARE SOLDT A/P 122790 07/11/07 837.18 BAXTER HEALTHCARE CORP A/P 122791 07/11/07 101.54 BARNES DISTRIBUTION A/P 122792 07/11/07 76.90 BOUND TREE MEDICAL, LLC A/P 122793 07/11/07 77.03 BOSTON TEXTILE CO, INC A/P 122794 07/11/07 1,578.00 CAL CON FEDERAL CREDIT A/P 122795 07/11/07 5.00 CALHOUN COUNTY WASTE MG A/P * 122796 07/11/07 150.84 RUBY CANTU A/P 122802 07/11/07 7,884.62 GREGORY COWART, CRNA A/P 122803 07/11/07 2,040.00 CLIA LABORATORY PROGRAM A/P 122804 07/11/07 1,166.94 CONNED CORPORATION A/P 122805 07/11/07 517.47 THE COUNCIL COMPANY A/P 122806 07/11/07 1,490.04 CPSI A/P 122807 07/11/07 122.75 DONNA DAVIS A/P 122808 07/11/07 57.23 HELEN DAVIS A/P 122809 07/11/07 226.36 DELL FINANCIAL SERVICES A/P 122810 07/11/07 121.44 KATHERINE DIETZEL A/P 122811 07/11107 91.48 DIE PAPER & PACKAGING A/P 122812 07/11/07 2,741.44 ENPEX A/P 122813 07/11/07 74.91 BEE, INC. A/P 122814 07/11/07 72.07 FEDERAL EXPRESS CORP. A/P 122815 07/11/07 3,130.00 FAANAM STREET FINANCIAL A/P 122816 07/11/07 6,876.13 FISHER HEALTHCARE A/P 122817 07/11/07 44.00 JOYCE FLANNIGAN A/P 122818 07/11/07 400.00 FORT BEND SERVICES, INC A/P 122819 07/11/07 549.14 FRESENIUS USA MANUFACTU A/P 122820 07/11/07 1,591.41 GE MEDICAL SYSTEMS A/P 122821 D7/11/07 301.50 GARDENLAND NURSERY ALP 122922 07/11107 87.30 BETTY GARZA A/P 122823 07/11/07 108.00 GENEVIEVE SUTHERLAND A/P 122824 07/11/07 047.41 GULF COAST PAPER COMPAN A/P 122825 07/11/07 3,500.00 LLOYD LAMB GOBER, NO P. A/P 122826 07/11/07 6.58 H E BUTT GROCERY A/P 122827 07/11/07 228.33 HEALTH CARE LOGISTICS I A/P 122828 07/11/07 97.00 SALLY J HICHL A/P 122829 07/11/07 214.32 HOMEWOO➢ SUITES HOTEL A/P 122830 07/11/07 93.51 PAT HRAFRcKY A/P 122831 07/11/07 148.52 IMNOCOR, INC A/P 122832 07/11/07 416.66 INFOLAB INC PAGE 1 GLCKREG 33 RUN DATR:08/07/07 MEMORIAL MEDICAL CENTER TIMR:19:09 CHECK REGISTER 07/11/07 THRU 07/11/07 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P Alp Alp A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P Alp Alp LIP Alp A/P A/P Alp A/P A/P A/P A/P 122833 07/11/07 2,346.22 122834 07/11/07 050.00 122835 07/11/07 96.98 122836 07/11/07 29,804.00 122837 07/11/07 $07.90 122838 07/11/07 375.00 122839 07/11/07 3,809.78 12294D 07/11/07 5,384.62 122841 07/11/07 18.30 122842 07/11/07 360.24 122843 07/11/07 1,340.04 122844 07/11/07 25,249.75 122845 07/11/07 194.50 122846 07/11/07 256.65 122847 07/11/07 91.00 122848 07111/07 5,384.62 122849 07/11/07 28.62 122850 07/11/07 1,562,22 122851 07/11/07 68.25 122852 07/11/07 96.00 122853 07/11/07 4,646.28 122854 07/11/07 69,74 122855 07111/07 89.24 122956 07/11/07 212.74 122857 07111/07 7,438.90 122858 07/11/07 631.00 122859 07/11/07 2,900.00 122860 07/11/07 406.50 122861 07/11/07 149.44 122862 07/11/07 307.20 122863 07/11/07 70.50 122864 07/11/07 1,050.00 122965 07/11/07 25.46 122866 07/11/07 111.20 122867 07/11/07 166.15 122868 07/11/07 82.45 122869 07/11/07 3.88 122870 07/11/01 233.96 122871 07111/07 138.46 122872 07/11/07 3,863.78 122873 07/11/07 1,192.50 122814 01/W.07 765..00 122875 07/11/07 10,130.47 122876 07/11/07 836.45 122877 07/11/07 150.00 122878 07/11/07 23,984.00 122879 07/11/07 10,000.00 122880 07/11/07 117.89 122881 07/11/07 129.90 122882 07/11/07 417.00 122893 07/11/07 22,186.95 INSTITUTIONAL TRUST COM INSTRUMENTATION LABORAT INTEGRA, LIFESCIENCES CO PTA RESOURCES, INC RCI USA VICKY KALISEK LAECORP OF AMERICA HOLD LAKESIDE ANESTHESIA PLL LANGUAGE LINE SERVICES LIPPINCOTP WILLIAMS & W LIFELINE SYSTEMS INC MEMORIAL MEDICAL CENTER MALLINCKRODT INC REBECCA NALONE MARKET POINT TERRY W MCCLAIN CRNA JANE MCCARN MEDRAD INC MEDTRONIC USA, INC. MESA LABORATORIES INC MERRY X-RAY- SAN ANTONI ME AUXILIARY LINDA MEYER NURSES CHOICE CORPORATI OWENS & MINOR PARRISH MOODY & FIXES, PREMIER SLEEP DISORDERS POWDERHORN INDUSTRIES I PROGRESSIVE DYNAMICS QUEST DIAGNOSTICS R G & ASSOCIATES INC RADIOLOGY UNLIMITED RECEIVABLE MANAGEMENT, RESPONSIVE PROVIDERS IN MARIA D RESENDEZ REGINA JOHNSON LISA SOCORRAS STRYKER SALES CORP ANGELA R STRAUSS SYSOO - SAN ANTON1O, LP SOLUCIENT, LLC NICK STEPHENS TEAM REHAB TLC STAFFING TCDRS TOSHIBA AMERICA MEDICAL TOSHIBA AMERICA MEDICAL TEXAS GUARANTEED STUDEN TEXAS WIRED MUSIC INC THE T SYSTEM, INC. 3M PDL7478 PAGE 2 GLCEEEG 34 RUN DATE:08/07107 MEMORIAL MEDICAL CENTER TINE:19:09 CHECK REGISTER 07/11/07 THRU 07/11/07 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 122884 07111/07 2,561.92 TRI-STATE HOSPITAL SUPP A/P 122885 07111/07 515.00 TORCH MANAGEMENT SERVI Alp 122986 07/11/07 12.28 UNIFIRST HOLDINGS A/P 122887 07/11/07 42.95 UNIFORM ADVANTAGE A/P 122888 07/11/07 7,176.42 UNIFIRST HOLDINGS, L.P. A/P 122889 07/11/07 233.62 UNITED PARCEL SERVICE A/P 122890 07/11/07 165.19 UNITED STATES SURGICAL A/P 122891 07/11/07 195.50 UNITED WAY OF CALHOUN C A/P 122892 07/11/07 63.54 ELVA VELA A/P 122893 07/11/07 104.66 VERIZON SOUTHWEST A/P 122894 07/11/07 107.64 WALMART COMMUNITY A/P 122995 07/11/07 23.77 ELIZABETH WESTBROOK A/P 122896 07/11/07 150.00 K-RITE INC A/P 122897 07/11/07 53.88 RADIOLOGY UNLIMITED A/P 122898 07/11/07 132.26 ACCENT INSURANCE RECOVE A/P 122899 07/11/07 13.30 REGIONAL CARE INC A/P 122900 07/11/07 48.04 PORT LAVACA CLINIC ASSO A/P 122901 07/11/07 109.45 WPS/TRICARE TOTALS: 232,967.48 PAGE 3 GLCKREG 35 RUN DATE:08/07107 MEMORIAL MEDICAL CENTER PAGE 1 TIME:19:10 CHECK REGISTER GLCKREG 07/18/07 THRU 07/18/07 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 122902 07118/07 5,95 AORN A/P 122903 07/18/07 155.51 ACE HARDWARE - PORTER'S Alp 122904 07/18/07 .00 VOIDED A/P 122905 07/18/07 25,873.99 AMHRISOURCEBERGEN DRUG A/P 122906 07/18/07 2,400.00 ADVANCED HEALTH EDUCATI A/P 122907 07/18/07 292.25 ASPEN SURGICAL PRODUCTS A/P 122909 07/18/07 65.33 AIRGAS-SOUTHWEST A/P 122909 07/18/07 230.70 ALIMED INC. Alp 122910 07/18/07 966.00 CARDINAL HEALTH A/P 122911 07/18/07 1,199.81 CARDINAL HEALTH Alp 122912 07/18/07 116.87 AMPEC A/P 122913 07/18/07 472.00 APIC A/P 122914 07/18/07 16.99 AQUA BEVERAGE COMPANY Alp * 122915 07/18107 10.00 AWESOME PAGING INC A/P 122919 07/18/07 1,304.00 C R BARD INC A/P 122919 07/18/07 1,016.10 BAXTER HEALTHCARE CORP A/P * 122920 07/18/07 13.27 HARMS DISTRIBUTION A/P 122923 07/18/07 789.00 BOSTON SCIENTIFIC CORPO A/P 122524 07/18/07 11.64 OANICE COBOS A/P 122925 07/18/07 213.89 RUBY CAM A/P 122926 07/18/07 420.00 CARROLL SIGN MASTERS A/P 122927 07/18/07 221.00 CYGNUS MEDICAL A/P 122928 07/18/07 150.00 COlII=TY PATHOLOGY ASS A/P * 122929 07/18/07 557,97 COLLECTIONS INCORPORATE A/P 122935 07/18/07 106.00 COMPUTER COMMAND CORPOR A/P 122936 07/18/07 436.00 COOK MEDICAL INCORPORAT A/P 122937 07118/07 19.78 THE COUNCIL COMPANY A/P 122938 07/18/07 13,454.32 CPSI A/P 122939 07/18/07 651.60 DADE BEHRING A/P 122940 07/18/07 85.09 DONNA DAVIS A/P 122941 07/18/07 105.73 HELEN DAVIS A/P 122942 07/18/07 33.57 DIM EXPRESS (USA) INC. Alp 122943 07/19/07 194.25 DI-CHEM, INC. A/P 122944 07/18/01 72.65 KATHERINE DIETZEL A/P 122945 07/19/07 81.50 DIE PAPER & PACKAGING A/P 122946"07/18/07 ' 46.99 ELF POWER DEVICE INNOVA A/P 122947 07/18/07 50.47 EDWARDS LIFESCIENCES A/P 122948 07/18/07 16.60 MONICA ESCALARTE A/P 122949 07118/07 196.48 EMPI Alp 122950_vJ181.07 4q.L7-EEDEBAL�J(PBESSSORP A/P * 122951 07/10/07 11,125.12 FISEER HEALTHCARE A/P 122954 07/18/07 5,671.21 FRESENIUS USA MANOFACTU Alp 122955 07/18/07 1,015,00 GE MEDICAL SYSTEMS A/P 122956 07/18/07 32.50 BETTY GARZA A/P 122957 07/18/07 24,956.71 GE HEALTHCARE FIN SRVS A/P 122958 07/18/07 69.87 GETINGE USA A/P * 122959 07/18/07 726.51 GOLF COAST PAPER COMPAN A/P 122965 07/18/07 2.18 H E BUTT GROCERY Alp 122966 07/18/07 3,356.00 HEALTH FORCE MEDICAL A/P 122967 07/18/07 156.60 HENRY SCHEIN INC. 36 RUN DATE:08/07/07 MEMORIAL MEDICAL CENTER PAGE 2 TI33:19:10 CHECK REGISTER GLCKRBG 07/18/07 THRU 07/19/07 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 122960 07/18/07 141.14 SALLY J HICKL A/P 122969 07/18/07 99.13 PAT HRANICRY A/P 122970 07/18/07 5,334.15 IKON FINANCIAL SERVICES A/P 122971 07/18/07 318.45 INFOLAB INC A/P 122972 07/18/07 151.00 INTEGRATED MEDICAL SYST A/P 122973 07/18/07 118.50 INTOXIMBTERS A/P 122974 07/18/07 29.10 JAMIE JACOBY A/P 122975 07/18/07 202.81 JACK L. MARCUS, INC A/P 122976 07/18/07 203.00 RCS USA Alp 122977 07/19/07 333.60 KIMBERLY CLARK A/P 122978 07/18/07 597.91 LANDAUER Alp 122979 07/18/07 4,503.52 LUKER PHARMACY HAMACHER A/P 122980 07/18/07 500,00 MEMORIAL BERMANN HOSPIT A/P 122981 07/18/07 43,253.55 MEMORIAL MEDICAL CENTER A/P 122982 07/18/07 43.17 JANE MCCARN A/P 122983 07/18/07 273.11 MEDRAD INC Alp 122984 07/18/07 122.95 NEGADYNE MEDICAL A/P 122985 07/18/07 976.42 MERRY X-RAY- SAN ANTONY A/P 122986 07/18/D7 33.27 MMC AUXILIARY A/P 122987 07/18/07 79.54 LINDA BEYER A/P 122980 07/18/07 2,028.45 PER -SE TECHNOLOGIES A/P 122989 07/18/07 .00 VOiDED A/P 122990 07/18/07 3,979.73 OWENS & MINOR Alp 122991 07/18/07 19.30 PILLING NECK A/P 122992 D7/18/07 124.38 PORT LAVACA FORD A/P 122993 07/18/07 1,200.00 U S POSTAL SERVICE A/P 122994 07/18/07 502.20 QUILL CORPORATION Alp 122995 07/18/07 320.00 RADIOLOGY UNLIMITED A/P 122996 07/18/07 170.91 RELIANT ENERGY SOLUTION A/P 122997 07/18/07 1,076,00 SANOFI PASTEUR INC Alp 122998 07/10/07 119.96 SEARS A/P 122999 07/18/07 115.36 SHERWIN WILLIAMS A/P 123000 07/18/07 2,968.00 SO TEX BLOOD & TISSUE C A/P 123001 07/18/07 380.50 SPECTRA LABORATORIES Alp 123002 07/18/07 312.60 ST JOHN RECORD PROGRAMS Alp 123003 07/10/07 170.00 LARA SUDIK A/P 123004 07l18/07 6,267.38 SYSCO - SAN ANTONIO, LP A/P 123005 07/18/07 784.02 STATE COMPTROLLER A/P 123006 07/18/07 2,504.16 TEXAS EMERGENCY ROOM BE A/P 123007 07/18/07 100.00 TSMSS A/P 123008 07/18/07 593.68 TRI-ANIM HEALTH SERVICE A/P 123009 07/18/07 1,261.10 TRI-STATE HOSPITAL SUPP Alp 123010 07/18/07 73.93 UNIFORM ADVANTAGE A/P 123011 07/18/07 1,451.37 UFFIRST HOLDINGS, L.P. Alp 123012 07/18/07 143.56 BLVA VELA A/P 123013 07/18/07 874.31 VERIZON SOUTHWEST Alp 123014 07/18/07 11.00 THE VICTORIA ADVOCATE A/P 123015 07/18/07 115.06 WALMART COMMUNITY A/P 123016 07/18/07 297.98 WATERMARK GRAPHICS INC A/P 123017 07/18/07 23.28 ELIZABETH WESTBROOK A/P 123018 07/18/07 37,454.65 DR. JOHN WRIGRT 37 RUN DATE:08/07/07 MEMORIAL MEDICAL CENTER TIME:19:10 CHECK REGISTER 07/18/07 THRU 07/18/07 BANK --CHECK------•-----_-_-•-------- ------------- CODE NUMBER DATE AMOUNT PAYEE A/P 123019 07/19/07 8,001.00 WINTHROP RESOURCES CORP VP 123020 07/18/07 30.05 ZIMMER US, INC. A/P 123021 07/18/07 45,00 RADIOLOGY UNLIMITED A/P 123022 07/18/07 44.47 BECK WENDY TOTALS: 230,222.34 PAGE 3 GLCKREG a] RUN DATR:08/07/07 MEMORIAL MEDICAL CBNTER TIME:19:10 CHECK REGIMR 07/25/07 THRU 07/25107 Bw--CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE A/P 123023 07/25/07 436.99 ACE HARDWARE - PORTER'S A/P 123024 07/25/07 374.95 ALPION LUMBER A/P 123025 07/25/07 .00 VOIDED A/P 123026 07/25/07 12,641.46 AMERISOURCEBERGEN DRUG A/P 123027 07/25/07 176.56 APPLIED MEDICAL A/P 123028 07/25/07 4,173.06 AFLAC A/P 123029 07/25/07 686.00 AMERICAN KIDNEY FUND A/P 123030 07/25/07 88.50 AQUA BEVERAGE COMPANY A/P 123031 07/25/07 455.12 ARROW INTERNATIONAL INC A/P 123032 07/25/07 1,154.00 AT&T A/P 123033 07/25/07 657.55 BARTER HEALTHCARE CORP A/P 123034 07/25/07 746.97 BECKMAN COULTER INC A/P 123035 07/25/07 23.28 BARBARA BEARD, LMSW-ACP A/P i 123036 07/25/07 63.04 BIODEX MEDICAL SYSTEMS A/P 123019 07/25/07 66.50 BOSTON TEXTILE CO, INC A/P 123040 07/25/07 1,578.00 CAL COX FEDERAL CREDIT A/P 123041 07/25/07 1,030.00 CAD SOLUTIONS, INC A/P 123042 07/25/07 177.03 RUBY CANTU A/P 123043 07/25/07 7,884.62 GREGORY COWART, CRNA A/P 123044 07/25/07 18.29 CINGULAR WIRELESS Alp 123045 07/25/07 6,243.50 CITY OF PORT LAVACA A/P 123046 07/25/07 414.67 COLBY MANUFACTURING CDR A/P 123047 07/25/07 750.00 COLDWELL BANKER RUSSBLL A/P 123049 07/25/07 235.33 THE COUNCIL COMPANY A/P 123049 07/25/07 62.95 DJO,LLC A/P 123050 07/25/07 4,938.76 DADE SEBRING A/P 123051 07/25/07 309.71 HELM DAVIS Alp 123052 07/25/07 135.00 RITA DAVIS A/P 123053 07/25/07 71.54 KATHERINE DIETZEL A/P 123054 07/25/07 253.60 DIVBRSIFIED BUSINESS BY Alp 123055 07/25/07 56.96 DOMINO'S PIZZA A/P 123056 07/25/07 8.40 DOWNTOWN CLEANERS A/P 123057 07/25/07 394.00 EAGLE FIRE & SAFETY INC A/P 123058 07125/07 129.50 ECOLAB A/P 123059 07/25/07 24.13 FEDERAL EXPRESS CORP. Alp 123060 07/25/07 1,272.78 FISHER HEALTHCARE A/P 123061 07/25/07 562.71 FORT DEARBORN LIFE INSU A/P 123062 07/25/07 65.00 G T PICKUP & DELIVERY A/P '123063 07/25/07 119.76 GARDENLAND NURSERY 8/F 12,3064 07/25/07 18,.92 BETTY MZA A/P 123065 07/25/07 352.50 GERBER PRODUCTS COMPANY A/P 123066 07/25107 736.88 GULF COAST PAPER COMPAN A/P 123067 07/25/07 116.40 SALLY J HICKL A/P 123068 07/25/07 109.85 PAT HRANICKY A/P 123069 07/25/07 1,127.00 IKON FINANCIAL SERVICES A/P 123070 07/25/07 2,414.61 INSTITUTIONAL TRUST COX A/P 123071 07/25/07 6,900.00 INTEGRATED REVENUE MAMA Alp 123072 07/25/07 199.82 IVANS A/P 123073 07/25/07 82.91 JACK L. MARCUS, INC A/P 123074 07/25/07 5,384.62 LAKESIDE ANESTHESIA PLL PAGE 1 GLCKREG 39 RUN DATE:08/07/07 MEMORIAL MEDICAL CENTER TIME:19:10 CHECK REGISTER 07/25/07 TEED 07/25/07 BANK --CHECK ------------------------------------------ CODE NUMBER DATE AMOUNT PAYEE A/P 123075 07/25/07 29,308.59 MEMORIAL MEDICAL CENTER A/P 123076 07/25/07 36.86 TERRY W. MADDUX A/P 123077 07/25/07 137.07 MARRETIM A/P 123078 07/25/07 1,430.61 MAR CDR PURIFICATION A/P 123079 07/25/07 5,384.62 TERRY W MCCLAIIi CRNA A/P 123080 07/25/07 38.32 JAHE MCCARN A/P 123091 07/25/07 99.45 MEDIBADGE A/P 123092 07/25/07 1,831.79 MEDRAD INC A/P 123083 07/25/07 103.65 MEMORIAL MEDICAL CENTER A/P 123084 07/25/07 573.85 METLIFE AN 123085 07/25/07 7,066.77 MERRY X-RAY- SAN ANTONL A/P 123086 07/25/07 51.90 LINDA MEYRR A/P 123087 07/25/07 117.34 MICROTEK MEDICAL INC A/P 123088 07/25/07 1,210.10 MUSTAIN & ASSOCIATES A/P 123089 07/25/07 231.00 HARVEY OLASCUAGA ALP 123090 07/25/07 158.24 ON -SITE TESTING SPECIAL A/P 123091 07/25/07 3,521.37 OWENS & MINOR A/P 123092 07/25/07 1,603.30 PC MALL A/P 123093 07/25/07 57,48 PITNEY BOWES INC A/P 123094 07/25/07 88.56 PROGRESSIVE DYNAMICS A/P 123095 07/25/07 223.20 QUILL CORPORATION A/P 123096 07/25/07 161.85 R G & ASSOCIATES INC A/P 123097 07/25/07 5,500.00 RADIOLOGY UNLIMITED A/P 123098 07/25/07 17.34 RELIANT ENERGY SOLUTION A/P 123099 07/25/07 166.15 MANIA D RESENDEZ A/P 123100 07/25/07 81.00 REGINA JOHNSON A/P 123101 07/25/07 10,366.00 RCH PROTECT COOPERATIVE A/P 123102 07/25/07 50.08 RYAN HERCO PRODUCTS CDR A/P 123103 07/25/07 436.22 SHERWIN WILLIAMS A/P 123104 07/25/07 138.46 ANGHLA K STRAUSS A/P 123105 07/25/07 304.91 SUN COAST RESOURCES, IN A/P 123106 07/25/07 4,655.59 SYSCO - SAN WMNIO, LP A/P 123107 07125/07 190.00 NICK STEPHENS A/P * 123109 07/25/07 10,275.19 TEAM REHAB A/P 123113 07/25/07 1,917.24 TLC STAFFING A/P 123114 07/25/07 83,328.00 TEXAS EMERGENCY ROOM BE A/P 123115 07/25/07 117.55 TEXAS GUARANTEED STUDEN A/P 123116 07/25/07 207.12 TIGER DIRECT, INC. A/P 123117 07/25/07 679,75 TRI-STATE HOSPITAL SUPP A/P 123118 07/25/07 36.14 UNIFIRST HOLDINGS A/P 123119 07/25/07 233.79 UNIFORM ADVANTAGE ALP 123120 07J25/0-14928-A9. UNIVERSAL HOSPITAL SERV A/P 123121 07/25/07 199.50 UNITED WAY OF CALHOUN C A/P 123122 07/25/07 140.17 ELVA VELA A/P 123123 07/25/07 1,782.44 VERIZON SOUTHWEST A/P 123124 07/25/07 58.84 WALMART COMMUNITY A/P 123125 07/25/07 56.26 ELIZABETH WESTBROOK A/P 123126 07/25/07 820.67 GRAINGER A/P 123127 07/25/07 182.99 AMBER WRIGHT A/P 123128 07/25/07 93.00 ZIMMER US, INC. TOTALS: 257,022.54 PAGE 2 GLCRREG RDA DATE:08/07107 MEMORIAL MEDICAL CENTER TTM8:19:10 CBECK REGISTER 07/26/07 TBRU 07/26/07 BANK"CRECK•_.._____- CODE NOMBiER DATE AMOUNT PAYEE _____________________________________________________ A/P 123129 07/26/07 292.97 AFLAC A/P 123130 07/26/07 789.40 UNITED HEALTHCARE TOTALS: 1,082.37 PAGE 1 GLCKREG 41 Finamcial Glass "E", Referral'Ac 9' is $ 103,245 4 Financial Glass "I" - I0ouse Accounts Financial Glass "0" -,Referral Accounts $ $71862$6 Finaneial Mss w - Referral Accounts $ aliss5 50 Cal $ 307,631.24,, Charity for the month of July 2007 $ 100,61088 Charity For The Ysai Of'2007 1$ 564,91124 42 CIHCP MONTHLY FINANCIAL/ACTIVITY REPORT COUNTY NAME Calhoun REPORT MONTHNEAR August-2007 I. Application / Case Data CASES 1. Applications Approved During Report Month 24 2. Applications Denied During Report Month 10 3. Active Cases Denied During Report Month 26 II. Creditable Expenditures During Report Month 1. Physician Services $ 15,903.79 2. Prescription Drugs $ 31,733.97 3. Hospital, Inpatient Services $ 84,646.18 4. Hospital, Outpatient Services $ 77,383.81 5. Laboratory / X-RayServices $ 508.26 6. Skilled Nursing Facility Services $ - 7. Family Planning $ - Subtotal $ 210,176.01 CIHCP Refund $ - Equals = REPORT MONTH TOTAL $ 210,176.01 FISCAL YEAR TOTAL $952,047.04 L (tl 4AUL&� 8/13/2007 Signature of Person Submitting Report Date Print Name and Title Monica Escalante CIHCP Coordinator 43 PUBLIC HEARING ON THE MATTER OF A CHANGE IN REGULATIONS FOR APPLYING, 2, 4-D TO CROPLANDS: Judge Pfeifer opened the Public Hearing regarding the change in regulations for applying 2, 4-D to croplands at 10:10 a.m. Leslie Smith, with the Texas Department of Agriculture -Pesticide Program Division and Phoenix Rogers, Calhoun County Extension Agent spoke to the Court in regards to this matter. Also present were members of the Calhoun County Row Crop Committee and Calhoun County Cattleman's Association and they are in favor of a change in regulations for applying 2, 4-D to croplands. Judge Pfeifer closed the Public Hearing at 10:15 a.m. CHANGE IN REGUALTIONS FOR APPLYING 2, 4-D TO CROPLANDS: A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch to approve to deregulating Calhoun County in relation to Texas Department of Agriculture regulated herbicides. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. APPROVAL OF MINUTES: Sam Ayers, John Gustianis and Barbara Evans spoke to the Court in regards to the Caracol Subdivision, each of these individuals own property next to the Subdivision. A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch that the minutes of July 26, 2007, August 9, 2007, August 20, 2007 and August 27, 2007 meetings be approved as presented with one exception an amendment to the Minutes of July 26, 2007. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Commissioner, Precinct 2 Neil U. Fri sch Commissioner, Precinct 3 4i�_ Lv _Z� enneth W. Finster Commissioner, Precinct 4 endy Marvin Deputy CountyJerk Calhoun County Commissioners' Court Minutes of meeting July 26, 2007 Samuel R. Ayers spoke to the Court after Ann Marie Odefey addressed the Court on behalf of Blackberry Island, L.P. Mr. Ayers asked the Court what he should in the event the drainage lines to the canals in the Caracol Subdivision become clogged or plugged up. Commissioner Finster told him that he should call either the Commissioner of Precinct 4 or the Homeowners Association of the Subdivision and that one or the other would take care of such a problem. Mr. Ayers then asked if he and his neighbors still had access and use of the remaining easement not conveyed to Blackberry Island, L.P. Mr. Ayers was told by Commissioner Finster that they had as much right to access and use of this easement that remains as any other member of the public with any restrictions on usage required by the Corps of Engineers. FINAL PLAT OF OUTLOT 2, OUTBLOCK 32, PORT O'CONNOR TOWNSITE OUTLOTS RESUBDIVISION NOA: John Barrow spoke to the Court in regards to this agenda item, he is a property owner on Bay Ave. He stated that he had spoke with Mr. Miller the developer of this project and he has said there would never be a through street on these two lots and also that Mr. Miller has followed through with everything he has said he would do . Judge Pfeifer advised Mr. Barrow that he cannot guarantee that there will never be a through street on Bay Ave because of the fact that property can be sold and re -plated. A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy to approve the final plat of Outlot 2, Outblock 32, Port O'Connor Townsite Outlots Resubdivision No. 1 with one change that Bay St. should actually be Bay Ave. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. VOLUNTARY TERM LIFE INSURANCE FOR CALHOUN COUNTY EMPLOYEES: A Motion was made by Commissioner Galvan and seconded by Commissioner Lyssy to approve GSM offering Voluntary Term Life Insurance to the Employees of Calhoun County. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. TEXAS DEPARTMENT OF STATE HEALTH SERVICES CONTRACT NO.2008.024225 FOR THE TIME PERIOD SEPTEMBER 01, 2007 THROUGH AUGUST 31, 2008 AND FUNDED AT $12,029: A Motion was made by Commissioner Galvan and seconded by Commissioner Lyssy to approve the Texas Department of State Health Services Contract No. 2008-024225 for the time period September 01, 2007 through August 31, 2008 and funded at $12,029. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. DEPARTMENT OF STATE HEALTH SERVICES This contract, number 2008-024225 (Contract), is entered into by and between the Department of State Health Services (DSHS or the Department), an agency of the State of Texas, and CALHOUN COUNTY HEALTH DEPARTMENT (Contractor), a Government Entity, (collectively, the Parties). 1. Purpose of the Contract. DSHS agrees to purchase, and Contractor agrees to provide, services or goods to the eligible populations as described in the Program Attachments. 2. Total Amount of the Contract and Payment Method(s). The total amount of this Contract is $12,029.00, and the payment method(s) shall be as specified in the Program Attachments. 3. Funding Obligation. This Contract is contingent upon the continued availability of funding. If funds become unavailable through lack of appropriations, budget cuts, transfer of funds between programs or health and human services agencies, amendment to the Appropriations Act, health and human services agency consolidation, or any other disruptions of current appropriated funding for this Contract, DSHS may restrict, reduce, or terminate funding under this Contract. 4. Term of the Contract. This Contract begins on 09/01/2007 and ends on 08/31/2008. DSHS has the option, in its sole discretion, to renew the Contract as provided in each Program Attachment. DSHS is not responsible for payment under this Contract before both parties have signed the Contract or before the start date of the Contract, whichever is later. 5. Authority. DSHS enters into this Contract under the authority of Health and Safety Code, Chapter 1001. 6. Documents Forming Contract. The Contract consists of the following: a. Core Contract (this document) b. Program Attachments: 2008-024225-001 SDI - FEE FOR SERVICE c. General Provisions (Subrecipient) d. Solicitation Document(s), and e. Contractor's response(s) to the Solicitation Document(s). f. Exhibits Any changes made to the Contract, whether by edit or attachment, do not form part of the Contract unless expressly agreed to in writing by DSHS. and Contractor and incorporated herein. 92648-I 7. Conflicting Terms. In the event of conflicting terms among the documents forming this Contract, the order of control is first the Core Contract, then the Program Attachment(s), then the General Provisions, then the Solicitation Document, if any, and then Contractor's response to the Solicitation Document, if any. 8. Pavee. The Parties agree that the following payee is entitled to receive payment for services rendered by Contractor or goods received under this Contract: Name: CALHOUN COUNTY Address: COURTHOUSE ANNEX 117 W ASH ST PORT LAVACA, TX 77979-2912 Vendor Identification Number: 17460019239004 9. Entire Agreement. The Parties acknowledge that this Contract is the entire agreement of the Parties and that there are no agreements or understandings, written or oral, between them with respect to the subject matter of this Contract, other than as set forth in this Contract. By signing below, the Parties acknowledge that they have read the Contract and agree to its terms, and that the persons whose signatures appear below have the requisite authority to execute this Contract on behalf of the named party. DEPARTMENT OF STATE HEALTH SERVICES Signature of Authorized Official Date Bob Burnette, C.P.M., CTPM Director, Client Services Contracting Unit 1100 WEST 49TH STREET AUSTIN, TEXAS 78756 (512)458-7470 Bob.Bumette@dshs.state.tx.us CALHOUN COUNTY HEALTH DEPARTMENT I 0 I1.I .ram 1 _ 1 September 13, 2007 Date Michael J. Pfeifer, County Judge Printed Name and Title 211 S. Ann Street, Suite 301 Address Port Lavaca TX 77979 City, State, Zip 361-553-4600 Telephone Number calhoun@tisd.net E-mail Address for Official Correspondence 92648-1 FISCAL YEAR 2008 PERFORMANCE CONTRACT GENERAL PROVISIONS (Core/Subrecipient) TABLE OF CONTENTS ARTICLE I COMPLIANCE AND REPORTING 1.01 Compliance with Statutes and Rules 1.02 Compliance with Requirements of Solicitation Document 1.03 Reporting 1.04 Client Eligibility 1.05 Applicable Contracts Law and Venue for Disputes 1.06 Applicable Laws and Regulations Regarding Funding Sources 1.07 Statutes and Standards of General Applicability 1.08 General Provisions Applicable to Interagency & Interiocal Contracts ARTICLE II SERVICES 2.01 Education to Persons in Residential Facilities 2.02 Disaster Services 2.03 Consent to Medical Care 2.04 Telemedicine Medical Services 2.05 Fees' for Professional Health Services 2.06 Cost Effective Purchasing of Medications ARTICLE III FUNDING 3.01 Debt to State and Corporate Status 3.02 Application of Payment Due 3.03 Use of Funds 3.04 Use for Match Prohibited 3.05 Program Income 3.06 Nonsupplanting ARTICLE IV PAYMENT METHODS AND RESTRICTIONS 4.01 Payment Methods 4.02 Billing Submission 4.03 Final Billing Submission 4.04 Working Capital Advance 4.05 Financial Status Reports (FSRs) 4.06 Third Party Payors 5 5 5 6 6 0 7 7 7 7 R ARTICLE V TERMS AND CONDITIONS OF PAYMENT 9 5.01 Prompt Payment 9 5.02 Withholding Payments 9 5.03 Condition Precedent to Requesting Payment 9 5.04 Acceptance as Payment in Full 10 ARTICLE VI ALLOWABLE COSTS AND AUDIT REQUIREMENTS General Provisions (Core Subrecipient 2008) Table of Contents 6/12/2007 10 6.01 Independent Audit 10 6.02 Allowable Costs 10 6.03 Submission of Audit 11 ARTICLE VII CONFIDENTIALITY 12 7.01 Maintenance of Confidentiality 12 7.02 Use of PHI 12 7.03 Disclosure to Department 12 7.04 Department Access to PHI 12 7.05 Exchange of Client -Identifying Information 12 7.06 Security of Patient or Client Records 13 7.07 HIV/AIDS Model Workplace Guidelines 13 ARTICLE VIII RECORDS RETENTION 13 8.01 Retention 13 ARTICLE IX ACCESS AND INSPECTION 14 9.01 Access 14 9.02 State Auditor's Office 14 9.03 Responding to Deficiencies 14 ARTICLE X NOTICE REQUIREMENTS 15 10.01 Child Abuse Reporting Requirement 15 10.02 Significant Incidents 15 10.03 Litigation 15 10.04 Action Against Contractor 15 10.05 Insolvency 16 10.06 Misuse of Funds 16 10.07 Criminal Activity and Disciplinary Action 16 10.08 Retaliation Prohibited 16 10.09 Documentation 16 ARTICLE XI ASSURANCES AND CERTIFICATIONS 16 11.01 Certification 16 11.02 Child Support Delinquencies 17 11.03 Authorization 17 11.04 Gifts and Benefits Prohibited 17 11.05 Ineligibility to Receive the Contract 18 11.06 Antitrust 18 11.07Initiation and Completion of Work 18 ARTICLE XII GEN. BUS. OPERATIONS OF CONTRACTOR 18 12.01 Board Training 18 12.02 Duty of Compliance 18 General Provisions (Core Subrecipient 2008) Table of Contents 6/12/2007 2 12.03 Management and Control Systems 19 12.04 Insurance and Bonding 19 12.05 Fidelity Bond 19 12.06 Liability Coverage 20 12.07 Overtime Compensation 20 12.08 Program Site 20 12.09 Cost Allocation Plan 20 12.10 Reporting for Unit Rate and Fee for Service Contracts 21 12.11 Historically Underutilized Businesses (HUBS) 21 12.12 Buy Texas 21 12.13 Contracts with Subrecipient Subcontractors 21 12.14 Status of Subcontractors 22 12.15 Incorporation of Terms 22 12.16 Independent Contractor 22 12.17 Authority to Bind 22 12.18 Tax Liability 22 12.19 Notice of Organizational Change 23 12.20 Quality Management 23 12.21 Equipment and Controlled Assets Purchases 23 12.22 Supplies 23 12.23 Changes to Equipment List 23 12.24 Property Inventory and Protection of Assets 24 12.25 Bankruptcy 24 12.16 Title to Property 24 12.27 Property Acquisitions 24 12.28 Disposition of Property 24 12.29 Closeout of Equipment 25 12.30 Assets as Collateral Prohibited 25 ARTICLE XIII GENERAL TERMS 25 13.01 Assignment 25 13.02 Lobbying 25 13.03 Conflict of Interest 25 13.04 Transactions Between Related Parties 25 13.05 Intellectual Property 25 13.06 Other Intangible Property 27 13.07 Severability and Ambiguity 28 13.08 Legal Notice 28 13.09 Successors 28 13.10 Headings 28 13.11 Parties 28 13.12 Survivability of Terms 28 13.13 Direct Operation 28 13.14 Customer Service Information 28 13.15 Amendment 28 13.16. Contractor's Notification of Change to Certain Contract Provisions 29 General Provisions (Core Subrecipient 2008) Table of Contents 6/12/2007 3 13.17 Contractor's Request for Revision of Certain Contract Provisions 29 13.18 Immunity Not Waived 30 13.19 Hold Harmless 30 13.20 Waiver 30 13.21 Contracting with Executive Head of State Agency 30 13.22 Technology Accessibility 31 ARTICLE XIV BREACH OF CONTRACT AND REMEDIES FOR NON-COMPLIANCE 31 14.01 Actions Constituting Breach of Contract 31 14.02 General Remedies and Sanctions 32 14.03 Notice of Remedies or Sanctions 34 14.04 Emergency Action 35 ARTICLE XV CLAIMS AGAINST THE DEPARTMENT 35 15.01 Breach of Contract Claim 35 15.02 Notice 35 15.03 Sole Remedy 36 15.04 Condition Precedent to Suit 36 15.05 Performance Not Suspended 36 ARTICLE XVI TERMINATION 36 16.01 Expiration of Contract or Program Attachment(s) 36 16.02 Effect of Termination 36 16.03 Acts Not Constituting Termination 36 16.04 Termination Without Cause 37 16.05 Termination For Cause 37 16.06 Notice of Termination 39 ARTICLE XVII VOID, SUSPENDED AND TERMINATED CONTRACTS 39 17.01 Void Contracts 39 17.02 Effect of Void, Suspended or Involuntarily Terminated Contract 39 17.03 Appeals Rights 39 ARTICLE XVIII CLOSEOUT AND CONTRACT RECONCILIATION 39 18.01 Cessation of Services at Closeout 39 18.02 Administrative Offset 40 18.03 Deadline for Closeout 40 18.04 Payment of Refunds 40 18.05 Disallowances and Adjustments 40 18.06 Contract Reconciliation 40 General Provisions (Core Subrecipient 2008) Table of Contents 6/12/2007 4 Fiscal Year 2008 Performance Contract General Provisions (Core/Subrecipient) ARTICLE I COMPLIANCE AND REPORTING Section 1.01 Compliance with Statutes and Rules. Contractor shall comply, and shall require its subcontractor(s) to comply, with the requirements set forth in the Department's rules of general applicability and other applicable state and federal statutes, regulations and rules as such statutes, regulations and rules currently exist and as they may be lawfully amended. The Department rules are set forth in the Texas Administrative Code, Title 25 (Rules). To the extent this Contract imposes a higher standard, or additional requirements beyond those required by applicable statutes, regulations or the Rules, the terms of the Contract shall control. Section 1.02 Compliance with Requirements of Solicitation Document. Except as specified in these General Provisions or the Program Attachment(s), Contractor shall comply with the requirements, eligibility conditions, assurances, certifications and program requirements of the Solicitation Document (including any revised or additional terms agreed to in writing by Contractor and DSHS prior to execution of this Contract) for the duration of this Contract or any subsequent renewals. The Parties agree that the Department has relied upon the Contractor's response to the Solicitation Document. The Parties agree that any misrepresentation contained in the Contractor's response to the Solicitation Document shall constitute a breach of this Contract. Section 1.03 Reporting. Contractor shall submit reports in accordance with the reporting requirements established by the Department and shall provide any other information requested by the Department in the format required by DSHS. Failure to submit a required report or additional requested information by the due date specified in the Program Attachment(s) or upon request constitutes a breach of contract, may result in delayed payment, and may adversely affect evaluation of Contractor's future contracting opportunities with the Department. Section 1.04 Client Eligibility. Where applicable, financial eligibility criteria, financial assessment procedures, and standards developed by the Department shall be utilized by Contractor to determine client eligibility. Section 1.05 Applicable Contracts Law and Venue for Disputes. Regarding all issues related to contract formation, performance, interpretation, and any issues that may arise in any dispute between the Parties, the Contract shall be governed by, and construed in accordance with, the laws of the State of Texas. In the event of a dispute between the Parties, venue for any suit shall be Travis County, Texas. General Provisions (Core Subrecipient 2008) 6/12/2007 Section 1.06 Applicable Laws and Regulations Regarding Funding Sources. Where applicable, federal statutes and regulations, including federal grant requirements applicable to funding sources, shall apply to this Contract. Contractor agrees to comply with applicable laws, executive orders, regulations and policies as well as Office of Management and Budget (OMB) Circulars, the Uniform Grant and Contract Management Act of 1981 (UGMA), TEx. Gov'T. CODE ch. 783, as amended, and Uniform Grant Management Standards (UGMS) as amended by revised federal circulars and incorporated in UGMS by the Governor's Budget and Planning Office. UGMA is located on the Internet at htti)://tlo2.tic.state.tx.us/statutes/statates.htn-fl; the UGMS are located on the Internet at htto://www.govemor.state.tx.us/divisions/state rg dnts/guidelines/files/tiGMS062004 .doe. Contractor also shall comply with all applicable federal and state assurances contained in UGMS, Part III, State Uniform Administrative Requirements for Grants and Cooperative Agreement §_.14. Section 1.07 Statutes and Standards of General Applicability. It is Contractor's responsibility to review and comply with all applicable statutes, rules, regulations, executive orders and policies. To the extent applicable to Contractor, Contractor agrees to comply with the following: a) The following statutes and DSHS policy that collectively prohibit discrimination on the basis of race, color, national origin, limited English proficiency, sex, sexual orientation (where applicable), disabilities, age, substance abuse or religion: 1) Title VI of the Civil Rights Act of 1964, 42 U.S.C.A. §§ 2000d et seq.; 2) Title IX of the Education Amendments of 1972, 20 U.S.C.A. §§ 1681- 1683, and 1685-1686; 3) Section 504 of the Rehabilitation Act of 1973, 29 U.S.C.A. § 794(a); 4) the Americans with Disabilities Act of 1990, 42 U.S.C.A. §§ 12101 et seq.; 5) Age Discrimination Act of 1975, 42 U.S.C.A. §§ 6101-6107: 6) Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970, 42 U.S.C.A. § 290dd (b)(1); 7) 45 CFR Parts 80, 84, 86 and 91; 8) U.S. Department of Labor, Equal Employment Opportunity E.O. 11246, as amended and supplemented; 9) TEx. LAB. CODE. ch. 21; and 10) DSHS Policy AA-5018, Non-discrimination Policy for DSHS Programs; b) Drug Abuse Office and Treatment Act of 1972, 21 U.S.C.A. §§ 1101 et seq., relating to drug abuse; c) Public Health Service Act of 1912, §§ 523 and 527, 42 U.S.C.A. § 290dd- 2, and 42 C.F.R. pt. 2, relating to confidentiality of alcohol and drug abuse patient records; d) Title VIII of the Civil Rights Act of 1968, 42 U.S.C.A. §§ 3601 et seq., relating to nondiscrimination in housing; e) Immigration Reform and Control Act of 1986, 8 U.S.C.A. § 1324a, regarding employment verification; 0 Pro -Children Act of 1994, 20 U.S.C.A. §§ 608.1-6084, regarding the non- use of all tobacco products; g) National Research Service Award Act of 1971, 42 U.S.C.A. §§ 289a-1 et seq., and 6601 (P.L. 93-348 and P.L. 103-43), as amended, regarding human General Provisions (Core Subrecipient 2008) 6/12/2007 2 subjects involved in research; h) Hatch Political Activity Act, 5 U.S.C.A. §§ 1501-1508 and 7321-26, which limits the political activity of employees whose employment is funded with federal funds; i) Fair Labor Standards Act, 29 U.S.C.A. §§ 201 et seq., and the Intergovernmental Personnel Act of 1970, 42 U.S.C.A. §§ 4701 et seq., as applicable, concerning minimum wage and maximum hours; j) TEx. Gov'T CODE ch. 469 (Supp. 2004), pertaining to eliminating architectural barriers for persons with disabilities; k) Texas Workers' Compensation Act, TEx. LABOR CODE, chs. 401-406 28 TEx. ADmim CODE pt. 2, regarding compensation for employees' injuries; 1) The Clinical Laboratory hnprovement Amendments of 1988, 42 USC § 263a, regarding the regulation and certification of clinical laboratories; m) The Occupational Safety and Health Administration Regulations on Blood Borne Pathogens, 29 CFR § 1910.1030, or Title 25 Tex. Admin Code ch. 96 regarding safety standards for handling blood bome pathogens; n) Laboratory Animal Welfare Act of 1966, 7 USC §§ 2131 et seq., pertaining to the treatment of laboratory animals; o) Environmental standards pursuant to the following: 1) Institution of environmental quality control measures under the National Environmental Policy Act of 1969, 42 USC §§ 4321-4347 and Executive Order 11514 (35 Fed. Reg. 4247), "Protection and Enhancement of Environmental Quality;" 2) Notification of violating facilities pursuant to Executive Order 11738 (40 CFR Part 32), "Providing for Administration of the Clean Air Act and the Federal Water Pollution Control Act with respect to Federal Contracts, Grants, or Loans;",3) Protection of wetlands pursuant to Executive Order 11990, 42 Fed. Reg. 26961; 4) Evaluation of flood hazards in floodplains in accordance with Executive Order 11988, 42 Fed. Reg. 26951 and, if applicable, flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234); 5) Assurance of project consistency with the approved State Management program developed under the Coastal Zone Management Act of 1972, 16 USC §§ 1451 et seq; 6) Federal Water Pollution Control Act, 33 USC §1251 et seq.; 7) Protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, 42 USC §§ 300f- 300j; 8) Protection of endangered species under the Endangered Species Act of 1973, 16 USC §§ 1531 et seq.; 9) Conformity of federal actions to state clean air implementation plans under the Clean Air Act of 1955, 42 USC §7401 et seq.; 10) Protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, 42 USC §§300f-330j; 11) Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§ 1271 et seq.) related to protecting certain rivers system; and 12) Lead - Based Paint Poisoning Prevention Act (42 U.S.C. §§ 4801 et seq.) prohibiting the use of lead -based paint in residential construction or rehabilitation; p) Intergovernmental Personnel Act of 1970 (42 USC §§4278-4763 regarding personnel merit systems for programs specified in Appendix A of the federal Office of Program Management's Standards for a Merit System of Personnel Administration (5 C.F.R. Part 900, Subpart F); q) Titles II and III of the Uniform Relocation Assistance and Real Property General Provisions (Core Subrecipient 2008) 6/12/2007 3 Acquisition Policies Act of 1970 (P.L. 91-646), relating to fair treatment of persons displaced or whose property is acquired as a result of Federal or federally -assisted programs; r) Davis -Bacon Act (40 U.S.C._ §§ 276a to 276a-7), the Copeland Act (40 U.S.C. § 276c and 18 U.S.C. § 874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§ 327-333), regarding labor standards for federally - assisted construction subagreements; s) National Historic Preservation Act of 1966, §106 (16 U.S.C. § 470), Executive Order 11593, and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§ 469a-1 et seq.) regarding historic property to the extent necessary to assist DSHS in complying with the Acts; t) Financial and compliance audits in accordance with Single Audit Act Amendments of 1996 and OMB Circular No. A-133, "Audits of States, Local Governments, and Non -Profit Organizations;" and u) requirements of any other applicable statutes, executive orders, regulations and policies. If this Contract is funded by a grant, additional requirements found in the Notice of Grant Award are imposed on Contractor and incorporated herein by reference. Section 1.08 General Provisions Applicable to Interagency and Interlocal Contracts. Certain sections or portions of sections of these General Provisions shall not apply to Contractors that are State agencies or units of local government; and certain additional provisions shall apply to such Contractors. a). The following sections or portions of sections of these General Provisions shall not apply to interagency or Interlocal contracts: 1) Hold Harmless; 2) Independent Contractor (delete the third sentence in its entirety; delete the word "employees" in the fourth sentence; the remainder of the section applies); 3) Insurance and Bonding; 4) Liability Coverage; 5) Fidelity Bond; 6) Board Training; and 7) Historically Underutilized Businesses (Contractor, however, shall comply with HUB requirements of other statutes and rules specifically applicable to that entity). b) The following additional provisions shall apply to interagency contracts: 1) This Contract is entered into pursuant to the authority granted and in compliance with the provisions of the Interagency Cooperation Act, Gov. Code Chapter 771. 2) The parties hereby certify that (1) the services specified are necessary and essential for the activities that are properly within the statutory functions and programs of the affected agencies of State government; (2) the proposed arrangements serve the interest of efficient and economical administration of the State government, and (3) the services, supplies or materials contracted for are not required by Section 21 of Article 16 of the General Provisions (Core Subrecipient 2008) 6/12/2007 4 Constitution of the State of Texas to be supplied under contract given to the lowest responsible bidder. 3) DSHS certifies that it has the authority to enter into this Contract granted in Health and Safety Code Chapter 1001, and Contractor certifies that it has specific statutory authority to enter into and perform this Contract. (c) The following additional provisions shall apply to interlocal contracts: 1) This Contract is entered into pursuant to the authority granted and in compliance with the provisions of the Interlocal Cooperation Act, Gov. Code Chapter 791. 2) Payments made by DSHS to Contractor shall be from current revenues available to DSHS. 3) Each party represents that it has been authorized to enter into this Contract. (d) Contractor agrees that Contract Revision Requests, when signed by a duly authorized representative of Contractor, shall be effective as of the effective date specified by the Department, whether that date is prior to or after the date of any ratification by Contractor's governing board. ARTICLE II SERVICES Section 2.01 Education to Persons in Residential Facilities. If applicable, Contractor shall ensure that all persons, who are housed in Department licensed and/or funded residential facilities and who are twenty-two (22) years of age or younger, have access to educational services as required by TEx. EDuc. CODE § 29.012. Contractor shall notify the local education agency or local early intervention program as prescribed by TEx. EDuc. CODE § 29.012 not later than the third calendar day after the date a person who is twenty-two (22) years of age or younger is placed in Contractor's residential facility. Section 2.02 Disaster Services. In the event of a local, state, or federal emergency, including natural, man-made, criminal, terrorist, and/or bioterrorism events, declared as a state disaster by the Governor, or a federal disaster by the appropriate federal official, Contractor may be called upon to assist DSHS in providing services, as appropriate, in the following areas: community evacuation, health and medical assistance; assessment of health and medical needs; health surveillance; medical care personnel; health and medical equipment and supplies; patient evacuation; in -hospital care and hospital facility status; food, drug, and medical device safety; worker health and safety; mental health and substance abuse; public health information; vector control and veterinary services; and victim identification and mortuary services. Disaster services shall be carried out in the manner most responsive to the needs of the emergency, be cost effective, and be least intrusive on the primary services of the Contractor. Section 2.03 Consent to Medical Care. If Contractor provides medical, dental, psychological or surgical treatment to a minor under this Contract, either directly or through contracts with subcontractors, the treatment of a minor shall be provided only if consent to treatment is obtained pursuant to TEx. FAM. CODE, Chapter 32 General Provisions (Core Subrecipient 2008) 6/12/2007 5 relating to consent to treatment of a child by a non -parent or child or pursuant to other state law. If requirements of federal law relating to consent directly conflict with TEx. FAM. CODE, Chapter 32, federal law shall supersede state law. Section 2.04 Telemedicine Medical Services. Contractor shall ensure that if a provider uses telemedicine/telepsychiatry that the services are implemented in accordance with written procedures and using protocol approved by the Contractor's medical director and utilizing equipment that complies with the equipment standards as required by the Department. Procedures of telemedicine service provision must include the following requirements: a) clinical oversight by the Contractor's medical director or designated physician responsible for medical leadership; b) contraindication considerations for telemedicine use; c) qualified staff members to ensure the safety of the individual being served by telemedicine at the remote site; d) safeguards to ensure confidentiality and privacy in accordance with state and federal laws; e) use by credentialed licensed providers providing clinical care within the scope of their licenses; f) demonstrated competency in the operations of the system by all staff members who are involved in the operation of the system and provision of the services prior to initiating the protocol; g) priority in scheduling the system for clinical care of individuals; h) quality oversight and monitoring of satisfaction of the individuals served; and i) management of information and documentation for telemedicine services that ensures timely access to accurate information between the two sites. Telemedicine Medical Services does not include treatment services provided by electronic means under Rule §448.911. Section 2.05 Fees for Personal Health Services. Contractor may develop a system and schedule of fees for personal health services in accordance with the provisions of Health and Safety Code § 12.032, DSHS Rule § 1.91 covering Fees for Personal Health Services, and other applicable laws or grant requirements. The amount of a fee shall not exceed the actual cost of providing the services. No patient may be denied a service due to inability to pay. Section 2.06 Cost Effective Purchasing of Medications. Contractor shall make needed medications available to clients at the lowest possible prices and use the most cost effective medications purchasing arrangement possible. ARTICLE III FUNDING Section 3.01 Debt to State and Corporate Status. Pursuant to TEx. GOV'T. CODE § 403.055, the Department will not approve and the State Comptroller will not issue payment to Contractor if Contractor is indebted to the State for any reason, General Provisions (Core Subrecipient 2008) 6/12/2007 6 including a tax delinquency. Contractor, if a corporation, certifies by execution of this Contract that it is current and will remain current in its payment of franchise taxes to the State of Texas or that it is exempt from payment of franchise taxes under Texas law (Texas Tax Code §§171.001 et seq, as amended). Contractor, if a corporation, further certifies that it is and will remain in good standing with the Secretary of State's office. A false statement regarding franchise tax or corporate status is a material breach of this Contract. If franchise tax payments become delinquent during the Contract term, all or part of the payments under this Contract may be withheld until Contractor's delinquent franchise tax is paid in full. Section 3.02 Application of Payment Due. Contractor agrees that any payments due under this Contract will be applied towards any debt, including but not limited to delinquent taxes and child support that is owed to the State of Texas. Section 3.03 Use of Funds. Contractor agrees that it shall expend Department funds only for the provision of approved services and for reasonable and allowable expenses directly related to those services. Section 3.04 Use for Match Prohibited. Contractor agrees funds provided through this Contract shall not be used for matching purposes in securing other funding unless directed or approved by the Department in writing. . Section 3.05 Program Income. Gross income directly generated from Department funds through a project or activity performed under a Program Attachment and/or earned only as a result of a Program Attachment during the term of the Program Attachment are considered program income. Unless otherwise required under the terms of the grant funding this Contract, the addition alternative, as provided in UGMS § 25(g)(2), for the use of program income shall be used by Contractor to further the program objectives of the state or federal statute under which the Program Attachment was made, and it shall be spent on the same Program Attachment project in which it was generated. Contractor shall identify and report this income in accordance with the Compliance and Reporting Article of these General Provisions and the Special Provisions of the Program Attachment(s). Contractor shall expend program income during the Program Attachment term and may not carry forward to the succeeding term. Program income not expended in the term in which it is earned shall be refunded to DSHS. DSHS may base future funding levels, in part, upon Contractor's proficiency in identifying, billing, collecting, and reporting program income, and in utilizing it for the purposes and conditions set forth in this Contract. Section 3.06 Nonsupplanting. Contractor shall not supplant (i.e., use funds from this Contract to replace or substitute existing funding from other sources that also supports the activities that are the subject of this Contract) but rather shall use funds from this Contract to supplement existing state or local funds currently available for a particular activity. Contractor shall make a good faith effort to maintain its current level of support. Contractor may be required to submit documentation General Provisions (Core Subrecipient 2008) 6/12/2007 7 substantiating that a reduction in local funding, if any, resulted for reasons other than receipt or expected receipt of funding under this Contract. ARTICLE IV PAYMENT METHODS AND RESTRICTIONS. Section 4.01 Payment Methods. Except as otherwise provided by the Special Provisions of this Contract, the payment method for each program shall be one of the following methods: (a) cost reimbursement. This payment method is based on an approved budget in the Program Attachment(s) and successful submission of a request for reimbursement; N unit rate. This payment method is based on the set unit rate stated in the Program Attacbment(s) and successful submission of all required forms; or (c) fee -for -service. This payment method is based on the agreed fee stated in the Program Attachment(s) and successful submission of all required forms. Section 4.02 Billing Submission. Contractors shall bill the Department in accordance with the Program Attachment(s) in the form and format prescribed by DSHS. Unless otherwise specified in the Program Attachment(s), Contractor shall submit requests for reimbursement or payment monthly within thirty (30) calendar days following the end of the month covered by the bill. Section 4.03 Final Billing Submission. Unless otherwise provided by the Department, Contractor shall submit a reimbursement or.payment request as a final close-out bill not later than sixty (60) calendar days following the end of the term of the Program Attachment for goods received and services rendered during the term. If necessary to meet this deadline, Contractor may submit reimbursement or payment requests by facsimile transmission. Reimbursement or payment requests received in DSHS's offices more than sixty (60) calendar days following the end of the applicable term will be denied. Consideration of requests for an exception will be made on a case -by -case basis subject to the availability of funding. Section 4.04 Working Capital Advance. If allowed under the Contract, a single one-time working capital advance per term of the Program Attachment may be granted at the Department's discretion. Contractor must submit documentation to the Division Contract Management Unit assigned to the Program Attachment to justify the need for a working capital advance. The working capital advance must be liquidated as directed by the Department. The requirements for the documentation justifying the need for an advance and the directions for liquidating the advance are found in the Contractor's Financial Procedures Manual located at imp://www.dshs.state.tx.us/contracts. Section 4.05 Financial Status Reports (FSRs). Except as otherwise provided, for contracts with categorical budgets, Contractor shall submit quarterly FSRs to Accounts Payable by the thirtieth calendar day of the month following the end of each quarter of the Program Attachment term for Department review and financial assessment. The final FSR must be submitted not later than 60 days following the General Provisions (Core Subrecipient 2008) 16/12/2007 8 end of the applicable term. Section 4.06 Third Party Payors. A third party payor is any person or entity who has the legal responsibility for paying for all or part of the services provided, including commercial health or liability insurance carriers, Medicaid, or other federal, state, local, and private funding sources. Except as provided in the Contract, Contractor shall screen all clients and shall not bill the Department for services eligible for reimbursement from third party payors. Contractor shall: (a) enroll as a provider in Children's Health Insurance Plan and Medicaid if providing approved services authorized under the Contract that may be covered by those programs, and bill those plans for the covered services; (b) provide assistance to individuals to enroll in such programs when the screening process indicates possible eligibility for such programs; (c) allow clients that are otherwise eligible for Department services, but cannot pay a deductible required by a third party payor, to receive services up to the amount of the deductible and to bill the Department for the deductible; (d) not bill the Department for any services eligible for third party reimbursement until all appeals to third party payors have been exhausted; (e) maintain appropriate documentation from the third party payor reflecting attempts to obtain reimbursement; (f) bill all third party payors for services provided under this Contract before submitting any request for reimbursement to Department; and (g) provide third party billing functions at no cost to the client. ARTICLE V TERMS AND CONDITIONS OF PAYMENT Section 5.01 Prompt Payment. Upon receipt of a timely, undisputed invoice pursuant to this Contract, Department will pay Contractor. Payments and reimbursements are contingent upon a signed Contract and will not exceed the total of authorized funds under this Contract. Contractor is entitled to payment or reimbursement only if the service, work, and/or product has been authorized by the Department and performed or provided pursuant to the Contract. If those conditions are met, Department will make payment in accordance with the Texas prompt payment law (TEx. GOVT. CODE, Chapter 2251). Contractor must comply with TEx. GOV'T. CODE, Chapter 2251 regarding its prompt payment obligations to subcontractors. Payment of invoices by the Department shall not constitute acceptance or approval of Contractor's performance, and all invoices and Contractor's performance is subject to audit or review by the Department. Section 5.02 Withholding Payments. Department may withhold all or part of any payments to Contractor to offset reimbursement for any ineligible expenditures or overpayments that Contractor has not refunded to Department, or if financial status report(s) required by the Department are not submitted by the date(s) due. Department may take repayment from funds available under this Contract, active or expired, in amounts necessary to fulfill Contractor's repayment obligations. Section 5.03 Condition Precedent to Requesting Payment. Contractor shall disburse program income, rebates, refunds, contract settlements, audit recoveries, and interest earned on such funds before requesting cash payments including any General Provisions (Core Subrecipient 2008) 6/12/2007 9 advance payments from Department. Section 5.04 Acceptance as Payment in Full. Except as permitted in the Fees for Personal Health Services section, Contractor shall accept reimbursement or payment from DSHS as payment in full for services or goods provided to clients, and Contractor agrees to not seek additional reimbursement or payment for services or goods from clients. ARTICLE VI ALLOWABLE COSTS AND AUDIT REQUIREMENTS Section 6.01 Independent Audit. If Contractor within Contractor's fiscal year expends a total amount of at least $500,000 in state funds awarded or at least $500,000 in federal funds awarded, Contractor must have a single audit or program - specific audit in accordance with the Office of Management and Budget (OMB) Circ. No. A-133, the Single Audit Act of 1984, Pub. L. 98-502, 98 Stat. 2327, and the Single Audit Act Amendments of 1996, Pub. L. 104-156, 110 Stat. 1396. The $500,000 federal threshold amount includes federal funds passed through by way of state agency awards. The audit shall be conducted by an independent certified public accountant and in accordance with applicable OMB Circulars, Government Auditing Standards, and Uniform Grant Management Standards (UGMS) located on the Internet at httu://www. governor. state.tx.us/divisions/state¢rants/guidelines/files/UGMS062004 .doe. Contractor shall procure audit services in compliance with state procurement procedures, as well as with the provisions of UGMS. Contractor, unless Contractor is a local government, shall not use the same accountant or accounting firm to conduct the independent audit for more than five consecutive years. Section 6.02 Allowable Costs. For services satisfactorily performed pursuant to this Contract, DSHS will reimburse Contractor for allowable costs. Contractor must have incurred a cost within the applicable term to be eligible for reimbursement under this Contract and prior to claiming reimbursement. DSHS shall determine whether costs submitted by Contractor are allowable and reimbursable. If DSHS has paid funds to Contractor for unallowable or ineligible costs, Contractor shall return the funds to DSHS within thirty (30) calendar days of written notice. DSHS may withhold all or part of any payments to Contractor to offset reimbursement for any ineligible expenditures that Contractor has not refunded to DSHS, or if financial status report(s) required under the Financial Status Reports Section are not submitted by the date(s) due. DSHS may take repayment from funds available under any term of the Contract, active or expired, in amounts necessary to fulfill Contractor's repayment obligations. Applicable cost principles, audit requirements, and administrative requirements include: General Provisions (Core Subrecipient 2008) 6/12/2007 10 Applicable Entity Applicable Cost Principles Audit Requirements Administrative Requirements State, Local and OMB Circular A-87 OMB Circular A-133 UGMS, OMB Tribal and UGMS Circular A-102, . Governments and applicable Federal awarding agency common rule Educational OMB Circular A-21 OMB Circular A-133 OMB Circular Institutions and UGMS A-110 and applicable Federal awarding agency common rule Non -Profit OMB Circular A-122 OMB Circular A-133 UGMS; OMB Organizations and UGMS Circular A-110 and applicable Federal awarding agency common rule For -profit 48 C.F.R. Part 31, Program audit UGMS and Organization other Contract Cost Principles conducted by an applicable than a hospital and Procedures, or uniform independent certified Federal awarding an organization cost accounting standards public accountant in. agency common named in OMB that comply with cost accordance with rule Circular A-122 as principles acceptable to the Governmental not subject to that federal or state awarding Auditing Standards. circular. agency OMB Circulars will be applied with the modifications prescribed by UGMS with effect given to whichever provision imposes the more stringent requirement in the event of a conflict. Section 6.03 Submission of Audit. Within thirty (30) calendar days of receipt of the audit reports required by this section, Contractor shall submit one copy to the Department's Contract Oversight and Support Section, and one copy to the Texas Health and Human Services Commission (HHSC), Office of Inspector General (OIG), at the following addresses: Department of State Health Services Contract Oversight and Support, Mail Code 1326 1100 West 49 h St. Austin Texas 78756-3199 Texas Health and Human Services Commission Office of Inspector General Compliance/Audit Mail Code 1326 General Provisions (Core Subrecipient 2008) 6/12/2007 11 P.O. Box 85200 Austin, Texas 78708-5200 ARTICLE VII CONFIDENTIALITY. Section 7.01 Maintenance of Confidentiality. Contractor must maintain the privacy and confidentiality of information and records received during or related to the performance of this Contract, including patient and client records that contain protected health information (PHI), and any other information that discloses confidential personal information or identifies any client served by DSHS, in accordance with applicable federal and state law and Rules, including but not limited to 7 CFR Part 246; 42 CFR Part 2, 45 CFR Parts 160 and 164; Health and Safety Code Chapters 12, 47, 81, 82, 85, 88, 92, 161, 181, 241, 245, 251, 534, 576, 577, 596, 611, and 773; and Occupations Code, Chapters 56 and 159 and all applicable Rules. Section 7.02 Use of PHI. If Contractor is subject to HIPAA privacy regulations at 45 CFR Parts 160 and 164, Contractor may receive, use and disclose PHI, as defined in 45 CFR §164.501, only to carry out Contractor's duties under this Contract in accordance with the regulations. When using or disclosing PHI or when requesting PHI from another entity, Contractor must make reasonable efforts to limit the PHI to the minimum necessary to accomplish the intended purpose of the use, disclosure or request. Section 7.03 Disclosure to Department. Contractor is required to disclose PHI of patients or clients provided services funded through this Contract and other confidential information to Department upon request, or as otherwise required in other contract provisions or laws governing the release of client records or other confidential information. Section 7.04 Department Access to PHI. Contractor shall cooperate with Department to allow Department to request, collect and receive PHI under this Contract, without the consent of the individual to whom the PHI relates, for funding, payment and administration of the grant program, and for purposes permitted under applicable state and federal confidentiality and privacy laws, including the Health Insurance Portability and Accountability Act (HIPAA) and the Privacy Standards adopted to implement HIPAA at 45 C.F.R. pts. 160 and 164, at § 164.512, and TEx. Occ. CODE ch. 159, at §§ 159.003 and 159.004. Section 7.05 Exchange of Client -Identifying Information. Except as prohibited by other law, Contractor and DSHS shall exchange PHI without the consent of clients in accordance with 45 CFR § 164.504(e)(3)(i)(B), Health and Safety Code § 533.009 and Rule Chapter 414, Subchapter A or other applicable law or rules. Contractor shall disclose information described in Health and Safety Code § 614.017(a)(2) relating to special needs offenders, to an agency described in Health and Safety Code §614.017(c) upon request of that agency, unless Contractor documents that the information is not allowed to be disclosed under 45 CFR Part General Provisions (Core Subrecipient 2008) 6/12/2007 12 164 or other applicable law. Section 7.06 Security of Patient or Client Records. Contractor must maintain patient and client records in compliance with state and federal law relating to security and retention of medical or mental health and substance abuse patient records. Department may require Contractor to transfer original or copies of patient and client records to Department, without the consent or authorization of the patient or client, upon termination of this Contract or a Program Attachment to this Contract, as applicable, or if the care and treatment of the individual patient or client is transferred to another entity. Prior to providing services funded under this Contract to a patient or client, Contractor shall attempt to obtain consent from the patient or client to transfer copies of patient or client records to another entity funded by DSHS upon termination of this Contract or a Program Attachment to this Contract, as applicable, or if care or treatment is transferred to another DSHS- funded contractor. Section 7.07 HIV/AIDS Model Workplace Guidelines. If providing direct client care, services, or programs, Contractor shall implement Department's policies based on the HIV/AIDS (human immunodeficiency virus/acquired immunodeficiency syndrome) Model Workplace Guidelines for Businesses, State Agencies, and State Contractors, policy No. 090.021, and Contractor shall educate employees and clients concerning HIV and its related conditions, including AIDS, in accordance with the TEx. HEALTH & SAFETY CODE § 85.112-114. A link to the Model Workplace Guidelines can be found at http://www.dshs.state.tx.us/hivstdipolicy/pdf/090021.pdf. ARTICLE VHI RECORDS RETENTION. Section 8.01 Retention. Contractor shall retain records in accordance with the Department's State of Texas Records Retention Schedule, located at http://www.dshs.state.tx.us/records/schedules.shtm, Department Rules and other applicable state and federal statutes and regulations governing medical, mental health, and substance abuse information. At a minimum Contractor shall retain and preserve all other records, including financial records that are generated or collected by Contractor under the provisions of this Contract, for a period of four (4) years after the termination of the Contract. If services are funded through Medicaid, the federal retention period, if more than four (4) years, shall apply. Contractor shall retain all records pertaining to this Contract that are the subject of litigation or an audit until the litigation has ended or all questions pertaining to the audit are resolved. Legal requirements for Contractor may extend beyond the retention schedules established in this section. Contractor shall retain medical records in accordance with Tex Admin Code Title 22, Part 9, §165.1(b) and (c) or other applicable statutes and regulations governing medical information. Contractor shall ensure that this provision concerning records retention is included in any subcontract it awards. If Contractor ceases business operations, it shall ensure that records relating to the Contract are securely stored and are accessible by the Department upon Department's request for at least four years from the date General Provisions (Core Subrecipient 2008) 6/12/2007 13 Contractor ceases business or from the termination date of the Contract, whichever is sooner. Contractor shall provide the name and address of the parry responsible for storage of records to the Division Contract Management Unit assigned to the Program Attachment. ARTICLE IX ACCESS AND INSPECTION. Section 9.01 Access. In addition to any right of access arising by operation of law, Contractor, and any of Contractor's affiliate or subsidiary organizations or subcontractors shall permit the Department or any of its duly authorized representatives, as well as duly authorized federal, state or local authorities, including the Comptroller General of the United States, Office of the Inspector General at HHSC (OIG), and the State Auditor's Office (SAO), unrestricted access to and the right to examine any site where business is conducted and all records (including client and patient records, if any), books, papers or documents related to the Contract. If deemed necessary by the Department or the OIG, for the purpose of investigation or hearing, Contractor shall produce original documents related to the Contract. Further, Contractor will ensure that information collected, assembled or maintained by the Contractor relative to this Contract is available to the Department for the Department to respond to requests that it receives under the Public Information Act. The Department and HHSC will have the right to audit billings both before and after payment. Payments will not foreclose the right of Department and HHSC to recover excessive or illegal payments. Contractor will ensure that this provision concerning the right of access to, and examination of, information related to the Contract is included in any subcontract it awards. Section 9.02 State Auditor's Office. Contractor shall, upon request, make all records, books, papers, documents, or recordings related to this Contract available for inspection, audit, or reproduction during normal business hours to any authorized representative of the SAO. The Contractor understands that the acceptance of funds under this Contract acts as acceptance of the authority of the SAO, or any successor agency, to conduct an audit or investigation in connection with those funds. The Contractor further agrees to cooperate fully with the SAO or its successor in the conduct of the audit or investigation, including providing all records requested, and providing access to any information the SAO considers relevant to the investigation or audit. Contractor will ensure that this provision concerning the authority to audit funds will apply to funds received indirectly by subcontractors through the Contractor, and the requirement to cooperate, is included in any subcontract it awards. Section 9.03 Responding to Deficiencies. Any deficiencies identified by DSHS or HHSC upon examination of Contractor's records will be conveyed in writing to Contractor. Contractor will submit, by the date prescribed by DSHS, a resolution to the deficiency in a program review or management or financial audit to the satisfaction of DSHS. A DSHS or HHSC determination of either an inadequate or inappropriate resolution of the findings may result in contract remedies or sanctions under the Breach of Contract and Remedies for Non -Compliance Article of these General Provisions (Core Subrecipient 2008) 6/12/2007 14 General Provisions. ARTICLE X NOTICE REQUIREMENTS. Section 10.01 Child Abuse Reporting Requirement. This section applies to mental health and substance abuse contractors and contractors for the following public health programs: HIV/STD; Family Planning (Titles V, X and XX); Primary Health Care; Maternal and Child Health; and WIC Nutrition Services. Contractor shall make a good faith effort to comply with child abuse reporting guidelines and requirements in TER. FAM. CODE ch. 261 relating to investigations of reports of child abuse and neglect. Contractor shall develop, implement and enforce a written policy that includes at a minimum the Department's Child Abuse Screening, Documenting, and Reporting Policy for Contractors/Providers and train all staff on reporting requirements. Contractor shall use the Checklist for Monitoring as required by the Department located at www.dshs.state.tx.us/childabusereporting. Contractor shall retain reporting documentation on site and make it available for inspection by DSHS. Section 10.02 Significant Incidents. In addition to notifying the appropriate authorities, Contractor shall report to the Division Contract Management Unit assigned to the Program Attachment, significant incidents involving substantial disruption of program operation or potentially affecting Department funded clients or participants within seventy-two (72) hours of discovery. Section 10.03 Litigation. Contractor shall notify the Division Contract Management Unit assigned to the Program Attachment of litigation related to or affecting this Contract and to which Contractor is a party within seven (7) calendar days of becoming aware of such a proceeding. This includes, but is not limited to an action, suit or proceeding before any court or governmental body, including environmental and civil rights matters, professional liability, and employee litigation. Notification shall include the names of the parties, nature of the litigation and remedy sought, including amount of damages, if any. Section 10.04 Action Against the Contractor. Contractor shall notify the Division Contract Management Unit assigned to the Program Attachment if Contractor has had a contract suspended or terminated for cause by any local, state or federal department or agency or nonprofit entity. Such notification shall include the reason for such action that includes the name and contact information of the local, state or federal department or agency or entity, the date of the contract, and the contract or case reference number. If the Contractor, as an organization, has surrendered its license or has had its license suspended or revoked by any local, state or federal department or agency or non-profit entity, it shall disclose this information to the Department by submitting a one page description of the reason(s) for such action that includes the name and contact information of the local, state or federal department or agency, or entity, the date of the license action, and a license or case reference number. General Provisions (Core Subrecipient 2008) 6/12/2007 15 Section 10.05 Insolvency. Contractor shall notify in writing the Division Contract Management Unit assigned to the Program Attachment of Contractor's insolvency, incapacity, or outstanding unpaid obligations to the Internal Revenue Service (IRS) or Texas Workforce Commission (TWC) within three (3) working days of the date of determination that Contractor is insolvent, incapacitated, or the date Contractor discovered an unpaid obligation to the IRS or TWC. Contractor shall notify in writing the Division Contract Management Unit assigned to the Program Attachment of its plan to seek bankruptcy protection within three (3) working days of such action by the Contractor's board of directors. Section 10.06 Misuse of Funds. Contractor shall report to the Division Contract Management Unit assigned to the Program Attachment and to the State Auditor's Office (SAO), any knowledge of debarment, suspected fraud, program abuse, possible illegal expenditures, unlawful activity, or violation of financial laws, rules, policies and procedures related to performance under this Contract. Contractor shall make such report no later than three (3) working days from the date that the Contractor has knowledge or reason to believe such activity has. taken place. Contractor shall make the report to the SAO at (800) TX -AUDIT, or by Internet at http://www.sao.state.tx.us. Section 10.07 Criminal Activity and Disciplinary Action. Contractor shall notify in writing the Division Contract Management Unit assigned to the Program Attachment if it has reason to believe Contractor, or a person with ownership or controlling interest in the organization or who is an agent or managing employee of the organization, an employee or volunteer of Contractor, or a subcontractor has engaged in any activity that would constitute a criminal offense equal to or greater than a Class A misdemeanor or if such activity would reasonably constitute grounds for disciplinary action by a state or federal regulatory authority, or has been placed on community supervision, received deferred adjudication, or been convicted of a criminal offense relating to involvement in any financial matter, federal or state program or felony sex crime. Contractor shall make the reports required by this section no later than three (3) working days from the date that the Contractor has knowledge or reason to believe such activity has taken place. Section 10.08 Retaliation Prohibited. Contractor shall not retaliate against any person who reports a violation of, or cooperates with an investigation regarding, any applicable law, rule, or standard to the SAO, the Department, another state agency, or any federal, state or local law enforcement official. Section 10.09 Documentation. Contractor shall maintain appropriate documentation of all notices. ARTICLE XI ASSURANCES AND CERTIFICATIONS. Section 11.01 Certification. Contractor certifies by execution of this Contract to the following: General Provisions (Core Subrecipient 2008) 6/12/2007 16 a) it is not ineligible for participation in federal or state assistance programs; b) neither it, nor its principals, are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal or state department or agency; c) it has not knowingly failed to pay a single substantial debt or a number of outstanding debts to a federal or state agency; d) it is not subject to an outstanding judgment in a suit against Contractor for collection of the balance of a debt; e) it is in good standing with all state and/or federal agencies that have a contracting or regulatory relationship with Contractor; and f) that no person who has an ownership or controlling interest in Contractor or who is an agent or managing employee of Contractor has been convicted of a criminal offense related to involvement in any program established under Medicare, Medicaid, or a federal block grant. Where Contractor is unable to certify to any of the statements in this Article, Contractor shall submit an explanation to the Division Contract Management Unit assigned to the Program Attachment. If Contractor's status with respect to the items certified above changes during the Contract, Contractor shall immediately notify the Division Contract Management Unit assigned to the Program Attachment. Section 11.02 Child Support Delinquencies. As required by TEX.FAM.CODE § 231.006, a child support obligor who is more than thirty (30) calendar days delinquent in paying child support and a business entity in which the obligor is a sole proprietor, partner, shareholder, or owner with an ownership interest of at least twenty-five percent (25%) is not eligible to receive payments from state funds under a contract to provide property, materials, or services or receive a state -funded grant or loan. If applicable, Contractor agrees to maintain its eligibility to receive payments under this Contract, certifies that it is not ineligible to receive the payments specified in this Contract, and acknowledges that this Contract may be terminated and payment may be withheld if this certification is inaccurate. Section 11.03 Authorization. Contractor certifies that it possesses legal authority to contract for the services set forth in this Contract and that a resolution, motion or similar action has been duly adopted or passed as an official act of the Contractor's governing body, authorizing the binding of the organization under this Contract including all understandings and assurances contained in this Contract, and directing and authorizing the person identified as the authorized representative of the Contractor to act in connection with the Contract and to provide such additional information as may be required. Section 11.04 Gifts and Benefits Prohibited. Contractor certifies that it has not given, offered to give, nor intends to give at any time hereafter, any economic opportunity, present or future employment, gift, loan, gratuity, special discount, General Provisions (Core Subrecipient 2008) 6/12/2007 17 trip, favor, service or anything of monetary value -to a DSHS or HHSC official or employee in connection with this Contract. Section 11.05 Ineligibility to Receive the Contract. Pursuant to TEX. Gov'T. CODE Section § 2155.004 and federal law, Contractor is ineligible to receive this Contract if the Contract includes financial participation by a person who received compensation from DSHS to participate in developing, drafting or preparing the specifications, requirements, statement(s) of work or Solicitation Document on which this Contract is based. Contractor certifies that neither Contractor, nor its employees, nor anyone acting for the Contractor has received compensation from DSHS for participation in the development, drafting or preparation of specifications, requirements or statement(s) of work for this Contract or in the Solicitation Document on which this Contract is based. Contractor further certifies that the individual or business entity named in this Contract is not ineligible to receive the specified Contract. Contractor acknowledges that this Contract may be terminated and payment withheld if these certifications are inaccurate. Section 11.06 Antitrust. Pursuant to 15 U.S.C.A. Sec. 1, et seq. and TEX. Bus. & COMM. CODE Section § 15.01, et seq. Contractor certifies that neither Contractor, nor anyone acting for the Contractor has violated the antitrust laws of this state or federal antitrust laws, nor communicated directly or indirectly regarding the bid with any competitor or any other person, engaged in such line of business for the purpose of substantially lessening competition in such line of business. Section 11.07 Initiation and Completion of Work. Contractor certifies that it shall initiate and complete the work under the Contract within the applicable time frame prescribed in the Contract. ARTICLE MI GENERAL BUSINESS OPERATIONS OF CONTRACTOR. Section 12.01 Board Training. If they have not already done so within the preceding two (2) years, a majority of the board of directors of Contractor shall review the Department's board training in the format provided by the Department and shall verify in writing to the DSHS Contract Oversight and Support Section that the review took place. Written verification shall be submitted no later than the end of the first quarter of the Contract and shall be in the form required by the Department. This review shall be completed at least every two (2) years of consecutive funding from the Department, except that each member of the governing board of a Contractor that provides mental health services shall complete the board training review initially and then annually. The training may be viewed through the Contractor Board Training link on the DSHS website at hq://www.dshs.state.tx.us/contractor.shtm. Section 12.02 Duty of Compliance. Contractor and its governing board, shall bear full responsibility for the integrity of the fiscal and programmatic management of the organization. This provision applies to all organizations, including Section General Provisions (Core Subrecipient 2008) 6/12/2007 18 501(c)(3) organizations as defined in the Internal Revenue Service Code as not -for - profit organizations. The responsibility of Contractor's governing board shall include: accountability for all funds and materials received from Department; compliance with Department Rules, policies, procedures, and applicable federal and state laws and regulations; and correction of fiscal and program deficiencies identified through self -evaluation and Department's monitoring processes. Further, Contractor's governing board shall ensure separation of powers, duties, and functions of board members and staff. Staff members, including the executive director, shall not serve as voting members of the Contractor's governing board. Ignorance of any Contract provisions or other requirements contained or referenced in this Contract shall not constitute a defense or basis for waiving or appealing such provisions or requirements. Section 12.03 Management and Control Systems. Contractor shall maintain an appropriate contract administration system to insure that all terms, conditions, and specifications are met. Contractor shall develop, implement, and maintain financial management and control systems that meet or exceed the requirements of UGMS and adhere to procedures detailed in Department's Contractor's Financial Procedures Manual available at the Department's web site: http://www.dshs.state.tx.us/contracts. Those requirements shall include at a minimum: a) financial planning, including the development of budgets that adequately reflect all functions and resources necessary to carry out authorized activities and the adequate determination of costs; b) financial management systems including accurate, correct, and complete accounting records that identify the source and application of funds provided under each Program Attachment of this Contract, and that support the information contained in required financial reports; and cost source documentation; and c) effective internal and budgetary controls; determination of reasonableness, allowableness, and allocability of costs; timely and appropriate audits and resolution of any findings; billing and collection policies; and a mechanism capable of billing and making reasonable efforts to collect from clients and third parties. Section 12.04 Insurance and Bonding. Contractor shall maintain insurance or other means of replacing assets purchased with Department funds. Section 12.05 Fidelity Bond. Contractor is required to carry a fidelity bond or insurance coverage equal to the amount of funding provided under this Contract up to $100,000 that covers each employee of Contractor handling funds under this Contract, including person(s) authorizing payment of such funds. The fidelity bond or insurance shall provide for indemnification of losses occasioned by: (1) any fraudulent or dishonest act or acts committed by any of Contractor's employees, either individually or in concert with others, and/or (2) failure of Contractor or any of its employees to perform faithfully his/her duties or to account properly for all General Provisions (Core Subrecipient 2008) 6/12/2007 19 monies and property received by virtue of his/her position or employment. Section 12.06 Liability Coverage. Contractor shall also maintain liability insurance coverage, referred to in TEx. GOVT. CODE § 2261.102, as "director and officer liability coverage," where Contractor is a legal entity that is required to have directors and/or officers. This provision applies to entities that are organized as non-profit corporations under the Texas Non -Profit Corporation Act; for -profit corporations organized under the Texas Business Corporations Act; and any other legal entity that is required under Texas law to have directors and/or officers. Contractor shall maintain liability insurance coverage in an amount not less than the total value of this Contract and that is sufficient to protect the interests of Department in the event an actionable act or omission by a director or officer of Contractor damages Department's interests. Section 12.07 Overtime Compensation. Except as provided in this section, Contractor shall not use any of the funds provided by this Contract to pay the premium portion of overtime. Contractor shall be responsible for any obligations of premiumovertime pay due' employees. Premium overtime pay is defined as any compensation paid to an individual in addition to the employee's normal rate of pay for hours worked in excess of normal working hours. Funds provided under this Contract may be used to pay the premium portion of overtone only under the following conditions: 1) with the prior approval of DSHS; 2) temporarily, in the case of an emergency or an occasional operational bottleneck; 3) when employees are performing indirect functions, such as administration, maintenance, or accounting; 4) in performance of tests, laboratory procedures, or similar operations that are continuous in nature and cannot reasonably be interrupted or otherwise completed; or 5) when lower overall cost to DSHS will result. Section 12.08 Program Site. All Contractors shall ensure that the location where services are provided is in compliance with all applicable local, state and federal zoning, building, health, fire, and safety standards. Section 12.09 Cost Allocation Plan. Contractor shall submit a Cost Allocation Plan in the format provided in the Department's Contractor's Financial Procedures Manual to the Department's Contract Oversight and Support Section at Mail Code 1326, 1100 W. 49ffi. St. Austin, Texas 78756, except under the circumstance where a Contractor has a current Cost Allocation Plan on file with the Department. Contractor shall implement and follow the applicable Cost Allocation Plan. If Contractor's plan is the same as in the previous year, by signing this Contract, Contractor certifies that its current Cost Allocation Plan for the current year is the same as that submitted to DSHS for the previous year. In the event that the Cost Allocation Plan changes during the Contract term, Contractor must submit a new Cost Allocation Plan to the Contract Oversight and Support Section within 30 calendar days after the effective date of the change. Cost Allocation Plan must comply with the guidelines provided in the Department's Contractor's Financial Procedures Manual located at http://www.dshs.state.tx.us/contracts. General Provisions (Core Subrecipient 2008) 6/12/2007 20 Section 12.10 Reporting for Unit Rate and Fee For Service Contracts. Contractor shall submit reports concerning unit rate and fee -for -service contracts to the Department in accordance with the requirements stated in the Department's Contractor's Financial Procedures Manual located at hgp://www.dshs.state.tx.us/contracts. Section 12.11 Historically Underutilized Businesses (HUBs). If Contractor was not required to submit a HUB subcontracting plan and if subcontracting is permitted under this Program Attachment, Contractor is encouraged to make a good faith effort to consider subcontracting with HUBS as set forth in TEX. GOV'T CODE ch. 2161 and 1 TEX ADM. CODE § 111.12. Contractors may obtain a list of HUBs at http://www.tbpe.state.tx.us. If Contractor has filed a HUB subcontracting plan, the plan is incorporated by reference in this Contract. If Contractor desires to make a change in the plan, Contractor must obtain prior approval from the Department's HUB Coordinator of the revised plan before proposed changes will be effective under the Contract. Contractor agrees to make a good faith effort to subcontract with HUBS during the performance of this Contract and will report HUB subcontract activity to the Department's HUB Coordinator by the 15'h day of each month for the prior month's activity, if there was any such activity, in accordance with I TEX. ADM CODE §I11.16(c). Section 12.12 Buy Texas. Contractor shall purchase products and materials produced in Texas when the products and materials are available at a price and time comparable to products and materials produced outside of Texas as required by TEx. Gov'T CODE § 2155.4441. Section 12.13 Contracts with Subrecipient Subcontractors. Contractor may enter into contracts with subrecipient subcontractors unless restricted or otherwise prohibited in a specific Program Attachment(s). Prior to entering into an agreement equaling $25,000 or twenty-five percent (25%) of a Program Attachment amount, whichever is greater, Contractor shall obtain written approval from DSHS. Contracts with subcontractors shall be in writing and include the following: a) Name and address of all parties; b) A detailed description of the services to be provided; c) Measurable method and rate of payment and total amount of contract; d) Clearly defined and executable termination clause; e) Beginning and ending dates that coincide with the dates of the applicable Program Attachment(s) or cover a term within the beginning and ending dates of the applicable Program Attachment(s); f) Access to inspect the work and the premises on which any work is performed, in accordance with the Access and Inspection Article in these General Provisions; and General Provisions (Core Subrecipient 2008) 6/12/2007 21 g) A copy of these General Provisions and a copy of the Statement of Work and any Special Provisions. in the Program Attachment(s) applicable to the subcontract. Contractor is responsible to DSHS for the performance of any subcontractor. Contractor shall monitor both financial and programmatic performance and maintain pertinent records that shall be available for inspection by DSHS. Contractor shall ensure that subcontractors are fully aware of the requirements placed upon them by state/federal statutes and regulations and under this Contract. Contractor shall not contract with a subcontractor, at any tier, that is debarred or suspended or excluded from or ineligible for participation in federal assistance programs. Section 12.14 Status of Subcontractors. Contractor shall require that all subcontractors certify that they are in good standing with all state and federal funding and regulatory agencies; are not currently debarred, suspended, or otherwise excluded from participation in federal grant programs; are not delinquent on any repayment agreements; have not had a required license or certification revoked; and have not had a contract terminated by the Department. Contractors shall further require that subcontractors certify that they have not voluntarily surrendered within the past three (3) years any license issued by the Department. Section 12.15 Incorporation of Terms. Contractor shall ensure that all written agreements with subrecipient subcontractors incorporate the terms of this Contract, and provide that the subcontractor is subject to audit by DSHS, HHSC and the SAO. Section 12.16 Independent Contractor. Contractor is an independent contractor. Contractor shall direct and be responsible for the performance of its employees, subcontractors, joint venture participants or agents. Contractor is not an agent or employee of the Department or the State of Texas for any purpose whatsoever. For purposes of this Contract, Contractor acknowledges that its employees, subcontractors, joint venture participants or agents will not be eligible for unemployment compensation from the Department or the State of Texas. Section 12.17 Authority to Bind. The person or persons signing and executing this Contract on behalf of Contractor, or representing themselves as signing and executing this Contract on behalf of Contractor, warrant and guarantee that they have been duly authorized by Contractor to execute this Contract for Contractor and to validly and legally bind Contractor to all of its terms. Section 12.18 Tax Liability. Contractor shall comply with all state and federal tax laws and is solely responsible for filing all required state and federal tax forms and making all tax payments. In the event that the Department discovers that Contractor has failed to remain current on a delinquent liability to the IRS, the Contract will be subject to remedies and sanctions under this Contract, including immediate termination at the Department's discretion. In the event of Contract General Provisions (Core Subrecipient 2008) 6/12/2007 22 termination under this section, the Department will not enter into a Contract with Contractor for three (3) years from the date of termination. Section 12.19 Notice of Organizational Change. Contractor shall submit written notice to the Division Contract Management Unit assigned to the Program Attachment within ten business days of any change to the following: Contractor's name; contact information; key personnel, officer, director or partner; organizational structure; legal standing; or authority to do business in Texas. A change in Contractor's name requires an amendment to the Contract in accordance with the Amendments section of these General Provisions. Section 12.20 Quality Management. Contractor shall comply with quality management requirements as directed by the Department. Section 12.21 Equipment and Controlled Assets Purchases. Equipment means an article of nonexpendable, tangible personal property having a useful lifetime of more than one year and an acquisition cost of $5,000 or more. Contractor must inventory equipment, and controlled assets, which include firearms regardless of the acquisition cost, and the following assets with an acquisition cost of $500 or more: desktop and laptop computers, non -portable printers and copiers, emergency management equipment, communication devices and systems, medical and laboratory equipment, and media equipment. Contractors on a cost reimbursement payment method shall comply with the requirements of the provisions in this Article concerning equipment. If purchase of equipment is approved in writing by the Department, Contractor is required to initiate the purchase of that equipment in the first quarter of the Contractor Program Attachment term, as applicable. Failure to initiate the purchase of equipment may result in loss of availability of funds for the purchase of equipment. Requests to purchase previously approved equipment after the first quarter of the Program Attachment must be submitted to the Division Contract Management Unit assigned to the Program Attachment. Section 12.22 Supplies. Supplies are defined as consumable items necessary to carry out the services under this Contract including medical supplies, drugs, janitorial supplies, office supplies, patient educational supplies, software, and any items of tangible personal property other than those defined as equipment above. Section 12.23 Changes to Equipment List. All items of equipment purchased with funds under this Contract shall be itemized in Contractor's equipment list as finally approved by the Department in the executed Contract. Any changes to the approved equipment list in the executed Contract shall be approved in writing by Department prior to purchase of equipment. Contractor shall submit to the Division Contract Management Unit assigned to the Program Attachment, a written description including complete product specifications and need justification prior to purchasing any item of unapproved equipment. If approved, Department will acknowledge its approval by means of a written amendment or by written acceptance of Contractor's Contract Revision Request, as appropriate. General Provisions (Core Subrecipient 2008) 6/12/2007 23 Section 12.24 Property Inventory and Protection of Assets. Contractor shall maintain a nonexpendable personal property (equipment and controlled assets) inventory and submit an annual cumulative report to the Department's Contract Oversight and Support Section, Mail Code 1326, 1100 W. 49 St., Austin, Texas 78756, no later than October 15a' of each year. The form for this report (Form GC- 11) is located on the DSHS website at http://www.dshs.state.tx.us/contracts/forms.shtrn. Contractor shall administer a program of maintenance, repair, and protection of assets under this Contract so as to assure their full availability and usefulness. In the event Contractor is indemnified, reimbursed, or otherwise compensated for any loss of, destruction of, or damage to the assets provided under this Contract, it shall use the proceeds to repair or replace said assets. Section 12.25 Bankruptcy. In the event of bankruptcy, Contractor shall sever Department property, equipment, and supplies in possession of Contractor from the bankruptcy, and title shall revert to Department. Section 12.26 Title to Property. At the conclusion of the contractual relationship between the Department and the Contractor, for any reason, title to any remaining equipment and supplies purchased from funds under this Contract reverts to Department. Title may be transferred to any other party designated by Department. The Department may, at its option and to the extent allowed by law, transfer the reversionary interest to such property to Contractor. Section 12.27 Property Acquisitions. Department funds may not be used to purchase buildings or real property. Any costs related to the initial acquisition of the buildings or real property is not allowable. Section 12.28 Disposition of Property. Contractor shall follow the procedures in the American Hospital Association's (AHA's) "Estimated Useful Lives of Depreciable Hospital Assets" in disposing, at any time during or after the Contract term, of equipment or controlled assets purchased with the Department funds, except when federal or state statutory requirements supersedes, or when the equipment requires licensure or registration by the state, or when the acquisition price of the equipment or controlled asset is equal to or greater than $10,000. All other equipment and controlled assets not listed in the AHA reference (other than equipment that requires licensure or registration or that has an acquisition cost equal to or greater than $10,000) shall be controlled by the requirements of UGM. If, prior to the end of the useful life, any item of equipment is no longer needed to perform services under this Contract, or becomes inoperable, or if the equipment requires licensure or registration or had an acquisition price equal to or greater than $10,000, Contractor shall request disposition approval and instructions in writing from the Deyartment's Contract Oversight and Support Section, Mail Code 1326, 1100 W. 49 St., Austin, Texas 78756. After an item reaches the end of its useful life, Contractor must ensure that disposition of any equipment is in accordance with Generally Accepted Accounting Principles, and any applicable federal guidance. General Provisions (Core Subrecipient 2008) 6/12/2007 24 Section 12.29 Closeout of Equipment. At the end of the term of a Program Attachment that has no additional renewals or that will not be renewed (Closeout), Contractor shall submit to the Divisions Contract Management Unit assigned to the Program Attachment, an inventory of property purchased with Department funds and request disposition instructions for such property. All property purchased with Department funds shall be secured by the Contractor at the time of Closeout and shall be returned to the Department as required by the Department's disposition instructions or at the request of the Department at the Contractor's expense. Section.12.30 Assets as Collateral Prohibited. Contractors on a cost reimbursement payment method shall not encumber property purchased with Department funds without prior written approval from the Department. ARTICLE XIII GENERAL TERMS. Section 13.01 Assignment. Contractor will not transfer, assign, or sell its interest, in whole or in part, in this Contract, or in any equipment purchased with funds from this Contract, without the prior written consent of the Department. Section 13.02 Lobbying. Contractor shall comply with GOV. CODE §556.0055, which prohibits contractors who receive state funds from using those funds to pay lobbying expenses. Further, Contractor shall not use funds paid under this Contract to pay any person for influencing or attempting to influence an officer or employee of any agency, federal or state, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with the awarding of any contract or the extension, continuation, renewal, amendment, or modification of any contract (31 U.S.C.A. § 1352, as amended, and UGMS). If at any time this Contract exceeds $100,000 of federal funds, Contractor shall file with the Division Contract Management Unit assigned to the Program Attachment a declaration containing the name of any registrant under the Lobbying Disclosure Act of 1995 who has made lobbying contacts on behalf of Contractor in connection with the Contract, a certification that none of the funds provided by Department have been or will be used for payment to lobbyists, and disclosure of the names of any and all registered lobbyists with whom Contractor has an agreement. Contractor shall file the declaration, certification, and disclosure at the time of application for the Contract; upon execution of the Contract unless Contractor previously filed a declaration, certification, or disclosure form in connection with the award; and at the end of each calendar quarter in which there occurs any event that materially affects the accuracy of the information contained in any declaration, certification, or disclosure previously filed. Contractor shall require any person who requests or receives a subcontract to file the same declaration, certification, and disclosure with the Division Contract Management Unit assigned to the Program Attachment. Contractor shall also comply, as applicable, with the lobbying restrictions and requirements in OMB Circulars A-122 Attachment B paragraph 25; A-87 Attachment B section 27; A-110 section_.27 and A-21 paragraphs 17 and 24. Contractor shall include this provision in any subcontracts. General Provisions (Core Subrecipient 2008) 6/12/2007 25 Section 13.03 Conflict of Interest. Contractor represents to the Department that it does not have nor shall it knowingly acquire any financial or other interest that would conflict in any manner with the performance of its obligations under this Contract. Potential conflicts of interest include, but are not limited to, an existing or potential business or personal relationship between Contractor, its principal (or a member of the principal's immediate family), or any affiliate or subcontractor and Department or HHSC, their commissioners, officers or employees, or any other entity or person involved in any way in any project that is the subject of this Contract. Contractor shall establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest or personal gain. Section 13.04 Transactions Between Related Parties. Contractor shall identify and report to DSHS any transactions between Contractor and a related party that is part of the work that the Department is purchasing under this Contract before entering into the transaction or immediately upon discovery. Contractor shall submit to the Division Contract Management Unit assigned to the Program Attachment the name, address and telephone number of the related party, how the party is related to the Contractor and the work the related party will perform under the Contract. A related party is a person or entity related to the Contractor by blood or marriage, common ownership or any association that permits either to significantly influence or direct the actions or policies of the other. The Contractor, for purposes of reporting transactions between related parties, includes the entity contracting with the Department under this Contract as well as the chief executive officer, chief financial officer and program director of the Contractor. Contractor shall comply with TEx. GOV'T CODE ch. 573. Contractor shall maintain records and supply any additional information requested by the Department, regarding a transaction between related parties, needed to enable the Department to determine the appropriateness of the transaction pursuant to applicable state or federal law, regulations or circulars, which may include 45 C.F.R. part 74, OMB Circ. No. A- 110 (Rev. 11/19/93, as further amended 09/30/99), 2 CFR §215.42, and UGMS. Section 13.05 Intellectual Property. Texas Health and Safety Code §12.020 authorizes DSHS to protect intellectual property developed as a result of this Contract. (a) "Intellectual property" means created property that may be protected under copyright, patent, or trademark/service mark law. (b) For purposes of this Contract intellectual property prepared for DSHS use, or a work specially ordered or commissioned through a contract for DSHS use is "work made for hire." DSHS owns works made for hire unless it agrees otherwise by contract. To the extent that title and interest to any such work may not, by operation of law, vest in DSHS, or such work may not be considered a work made for hire, Contractor irrevocably assigns the rights, title and interest therein to DSHS. DSHS shall have the right to obtain and hold in its name any and all patents, copyright, registrations or other such protections as may be appropriate to the subject matter, and any extensions and renewals thereof. General Provisions (Core Subrecipient 2008) 6/12/2007 26 Contractor must give DSHS and the State of Texas, as well as any person designated by DSHS and the State of Texas, all assistance required to perfect the rights defined herein without charge or expense beyond those amounts payable to Contractor for goods provided or services rendered under this Contract. (c) If federal funds are used to finance activities supported by this Contract that result in the production of intellectual property, the federal awarding agency reserves a royalty -free, nonexclusive, and irrevocable license to reproduce, publish, or otherwise use, and to authorize others to use, for federal government purposes (1) the copyright in any intellectual property developed under this Contract, including any subcontract and (2) any rights of copyright to which a Contractor purchases ownership with contract funds. Contractor shall place an acknowledgment of federal awarding agency grant support and a disclaimer, as appropriate, on any publication written or published with such support and, if feasible, on any publication reporting the results of or describing a grant - supported activity. An acknowledgment shall be to the effect that "This publication was made possible by grant number from (federal awarding a enc " or "The project described was supported by grant number from (federal awarding -agency)" and "Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the (federal awarding agency)." (d) In the event the terms of a federal grant award the copyright to Contractor, DSHS reserves a royalty -free, nonexclusive, worldwide and irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, for DSHS, public health, and state governmental noncommercial purposes (1) the copyright, trademark, service mark, and/or patent on an invention, discovery, or improvement to any process, machine, manufacture, or composition of matter; products; technology; scientific information; trade secrets; and computer software, in any work developed under a grant, subgrant, or contract under a grant or subgrant; and (2) any rights of copyright, service or trade marks or patents to which a grantee, subgrantee or a Contractor purchases ownership with contract funds. (e) If the results of the contract performance are subject to copyright law, the Contractor cannot publish those results without prior review and approval of DSHS. Contractor shall submit requests for review and approval to the Division Contract Management Unit assigned to the Program Attachment. Section 13.06 Other Intangible Property. At the conclusion of the contractual relationship between Department and the Contractor, for any reason, Department shall have the sole ownership rights and interest in all non-copyrightable intangible property that was developed, produced or obtained by Contractor as a specific requirement under the Contract or under any grant that funds this Contract, such as domain names, URLs, etc. Contractor shall cooperate with Department and perform all actions necessary to transfer ownership of such property to the Department or its designee, or otherwise affirm Department's ownership rights and interest in such property. This provision shall survive the termination or expiration of the Contract. General Provisions (Core Subrecipient 2008) 6/12/2007 27 Section 13.07 Severability and Ambiguity. If any provision of this Contract is construed to be illegal or invalid, the illegal or invalid provision will be deemed stricken and deleted to the same extent and effect as if never incorporated, but all other provisions will continue. Parties represent and agree that the language contained in this Contract is to be construed as jointly drafted, proposed and accepted. Section 13.08 Legal Notice. Any notice required or permitted to be given by the provisions of this Contract shall be deemed to have been received by a Party on the third business day after the date on which it was mailed to the Party at the address first given above (or at such other address as the Party shall specify to the other Parry in writing) or, if sent by certified mail, on the date of receipt. Section 13.09 Successors. The Contract shall be binding upon the Parties and their successors and assignees, except as expressly provided in this Contract. Section 13.10 Headings. The articles and section headings used in the Contract are for convenience of reference only and shall not be construed in any way to define, limit or describe the scope or intent of any provisions. Section 13.11 Parties. The Parties represent to each other that they are entities fully familiar with transactions of the kind reflected by this document, and are capable of understanding the terminology and meaning of its terms and conditions and of obtaining independent legal advice pertaining to this Contract. Section 13.12 Survivability of Terms. Termination or expiration of this Contract or a Program Attachment for any reason shall not release either party from any liabilities or obligations set forth in this Contract that (a) the parties have expressly agreed shall survive any such termination or expiration, or (b) remain to be performed or (c) by their nature would be intended to be applicable following any such termination or expiration. Section 13.13 Direct Operation. The Department may temporarily assume operations of a Contractor's program or programs funded under this Contract when the continued operation of the program by Contractor puts at risk the health and safety of clients and/or participants served by the Contractor, and there are no reasonable alternatives available. Section 13.14 Customer Service Information. If requested, Contractor shall supply such information as required by the Department to comply with the provisions of TEX. GOV'T CODE ch. 2114 regarding Customer Service surveys. Section 13.15 Amendment. Parties agree that the Department may unilaterally reduce funds pursuant to the terms of this Contract without the written agreement of Contractor. All other amendments to this Contract must be in writing and agreed to by both Parties, except as otherwise specified in the Contractor's Notification of Change to Certain Contract Provisions section or the Contractor's Request for Revision to Certain Contract Provisions section of these General Provisions. General Provisions (Core Subrecipient 2008) 6/12/2007 28 Contractor's request for certain budget revisions or other amendments must be submitted in writing, including a justification for the request, to the Division Contract Management Unit assigned to the Program Attachment; and if a budget revision or amendment is requested during the last quarter of the Contract or Program Attachment term, as applicable, Contractor's written justification must include a reason for the delay in making the request. Revision or amendment requests may be granted at the discretion of DSHS. Except as otherwise provided in this Article, Contractor shall not perform or produce, and DSHS shall not pay for the performance or production of, different or additional goods, services, work or products except pursuant to an amendment of this Contract that is executed in compliance with this Section; and DSHS may not waive any term, covenant, or condition of this Contract unless by amendment or otherwise in compliance with this Section. Section 13.16 Contractor's Notification of Change to Certain Contract Provisions. The following changes may be made to the Contract without a written amendment or the Department's prior approval: 1) Contractor's contact person and contact information. 2) Contact information for key personnel, as stated in the application. 3) Cumulative budget line item transfers that exceed 10% among direct cost categories other than the equipment category, of cost reimbursement contract Program Attachments of less than $100,000, provided that the total budget amount is unchanged. 4) Minor corrections or clarifications to the Contract language that in no way alter the Contract scope of work, objectives or performance measures. 5) A change in the Contractor's share of the budget concerning non-DSHS funding other than program income and match, regardless of the amount of the change, provided that in changing the budget, Contractor is not supplanting DSHS funds. Contractor within ten days shall notify in writing the Division Contract Management Unit assigned to the Program Attachment of any change enumerated in this section. The notification may be by letter, fax or email. Section 13.17 Contractor's Request for Revision of Certain Contract Provisions. The following changes to the Contract may be made through a Contractor's Revision Request, rather than through the amendment process: 1) Cumulative budget line item transfers among direct cost categories other than the equipment category that exceed 10% of cost reimbursement contract Program Attachments of $100,000 or more, provided that the total budget amount is unchanged. 2) Line item transfer of funds for direct payment of training allowances for any cost reimbursement contract. 3) Change in clinic hours or location. 4) Change in equipment list substituting an item of equipment equivalent to an item of equipment on the approved budget, (Ex. purchase of XYZ brand computer General Provisions (Core Subrecipient 2008) 6/12/2007 29 instead of approved ABC brand computer with essentially identical features as the XYZ computer). 5) Changes in the equipment category of a previously approved equipment budget (other than acquisition of additional equipment, which requires an amendment to the Contract). 6) Changes specified in applicable cost principles as requiring prior approval, regardless of dollar threshold. 7) Changes to community sites, independent school districts or schools, in substance abuse Program Attachments. In order to request a revision of any of the enumerated provisions, Contractor shall obtain a Contract Revision Request form from the DSHS website and complete the form as directed by the Department. Two copies of the completed form must be signed by Contractor's representative who is authorized to sign contracts on behalf of Contractor, and both original, signed forms must be submitted to the Division Contract Management Unit assigned to the Program Attachment. Any approved revision will not be effective unless signed by the DSHS Director of Client Services Contracting Unit. A separate Contractor Revision Request is required for each Program Attachment to be revised. Circumstances of a requested contract revision may indicate the need for a Contract amendment with written justification rather than a contract revision. Section 13.18 Immunity Not Waived. THE PARTIES EXPRESSLY AGREE THAT NO PROVISION OF THIS CONTRACT IS IN ANY WAY INTENDED TO CONSTITUTE A WAIVER BY DEPARTMENT OR THE STATE OF TEXAS OF ANY IMMUNITIES FROM SUIT OR FROM LIABILITY THAT DEPARTMENT OR THE STATE OF TEXAS MAY HAVE BY OPERATION OF LAW. Section 13.19 Hold Harmless. Contractor, as an independent contractor, agrees to hold Department, the State of Texas, individual state employees and officers, and the federal government harmless and to indemnify them from any and all liability, suits, claims, losses, damages and judgments, and to pay all costs, fees, and damages to the extent that such costs, fees, and damages arise from performance or nonperformance of Contractor, its employees, subcontractors, joint venture participants or agents under this Contract. Section 13.20 Waiver. Acceptance by either party of partial performance or failure to complain of any action, non -action or default under this Contract shall not constitute a waiver of either party's rights under the Contract. Section 13.21 Contracting with Executive Head of State Agency. If Contractor currently or subsequently employs a current or former executive head of DSHS, Texas Department of Health, Texas Department of Mental Health and Mental Retardation or Texas Commission on Alcohol and Drug Abuse, Contractor shall submit the following information to the Division Contract Management Unit assigned to the Program Attachment: General Provisions (Core Subrecipient 2008) 6/12/2007 30 (a) Name of Executive; (b) Name of State Agency; (c) Date of Separation from State Agency, if separated; (d) Date of Employment with Contractor; and (e) Other information as required by DSHS to comply with TEx. GOVT. CODE § 669.003. Section 13.22 Technology Accessibility. If performance under this Contract includes the development, modification or maintenance of a website for DSHS or for the public on behalf of DSHS, Contractor expressly acknowledges that state funds may not be expended in connection with the purchase of an automated information system unless that system meets certain statutory and regulatory requirements relating to accessibility by persons with blindness, visual impairments, visual accuity less than 20/70, deafness, diminishing hearing, inability to speak or a lack of fine motor control (collectively "affected persons"). Accordingly, Contractor represents and warrants to DSHS that the technology provided to DSHS for purchase is capable, either by virtue of features included within the technology or because it is readily adaptable by use with other technology, of a. Providing equivalent access for effective use by affected persons; b. Presenting information, including prompts used for interactive communications, in formats intended for use by affected persons; and c. Being integrated into networks for obtaining, retrieving, and disseminating information used by affected persons. For purposes of this section, the phrase "equivalent access" means a substantially similar ability to communicate with or make use of the technology, either directly by features incorporated within the technology or by other reasonable means such as assistive devices or services that would constitute reasonable accommodations under the Americans with Disabilities Act or similar state or federal laws. Examples of methods by which equivalent access may be provided include, but are not limited to, keyboard alternatives to mouse commands and other means of navigating graphical displays, information retrieval provided in an enhanced auditory fashion, voice commands, touch screen capacity, and customize display appearance. ARTICLE XIV BREACH OF CONTRACT AND REMEDIES FOR NON-COMPLIANCE. Section 14.01 Actions Constituting Breach of Contract. Actions or inactions that constitute breach of contract include, but are not limited to, the following: General Provisions (Core Subrecipient 2008) 6/12/2007 31 a) failure to properly provide the services and/or goods purchased under this Contract; b) failure to comply with any provision of this Contract, including failure to comply with all applicable statutes, rules or regulations; c) failure to pay refunds or penalties owed to the Department; d) failure to comply with a repayment agreement with the Department or agreed order issued by the Department; e) failure by Contractor to provide a full accounting of funds expended under this Contract; f) discovery of a material misrepresentation in any aspect of Contractor's response to the Solicitation Document; g) any misrepresentation in the assurances and certifications in the Contractor's application or response to the Solicitation Document or in this Contract; or h) Contractor is on or is added to the Excluded Parties List System (EPLS). Section 14.02 General Remedies and Sanctions. The Department will monitor Contractor for both programmatic and financial compliance. The remedies set forth below are available to the Department against Contractor and any entity that subcontracts with. Contractor for provision of services or goods. HHSC OIG may investigate, audit and impose or recommend imposition of sanctions to Department for any breach of this Contract and may monitor Contractor for financial compliance. The Department may impose one or more sanctions for each item of noncompliance and will determine sanctions on a case -by -case basis. Contractor is responsible for complying with all of the terms of this Contract. The listing of or use of one or more of the remedies listed below does not relieve Contractor of any obligations under the Contract. A state or federal statute, rule or regulation, or federal guideline will prevail over the provisions of this Article unless the statute, rule, regulation, or guideline can be read together with the provision(s) of this Article to give effect to both. If the Contractor breaches this Contract by failing to comply with one or more of the terms of this Contract, including but not limited to compliance with applicable statutes, rules or regulations, the Department may take one or more of the actions listed below: General Provisions (Core Subrecipient 2008) 6/12/2007 32 a) terminate the Contract or a Program Attachment of the Contract as it relates to a specific program type. In the case of termination, the Department will inform Contractor of the termination no less than thirty- one (31) calendar days before the effective date of the termination in a notice of termination. The notice of termination will state the effective date of the termination, the reasons for the termination, and, if applicable, alert the Contractor of the opportunity to request a hearing on the termination pursuant to TEX. GOV'T CODE ch. 2105 regarding administration of Block Grants. The Contractor agrees that it shall not make any claim for payment or reimbursement for services provided from the effective date of termination; b) suspend all or part of this Contract. Suspension is, depending on the context, either (1) the temporary withdrawal of Contractor's authority to obligate funds pending corrective action by Contractor or its subcontractor(s) or pending a decision to terminate or amend the Contract, or (2) an action taken by a suspending official in accordance with Department rules to immediately exclude a person from participating in contract transactions for a period of time, pending completion of an investigation and such legal or debarment proceedings as may ensue. Contractor may not bill DSHS for services performed during suspension, and Contractor costs resulting from obligations incurred by Contractor during a suspension are not allowable unless expressly authorized by the notice of suspension; c) deny additional or future contracts or renewals with Contractor; d) reduce funding if the Contractor fails to provide services or goods consistent with performance expectations described in the Contract; e) disallow (deny both use of funds and matching credit for) all or part of the activities or action not in compliance; f) temporarily withhold cash payments. Temporarily withholding cash payments, means the temporary withholding of a working capital advance, if applicable, or reimbursements or payments to Contractor for proper charges or obligations incurred, pending resolution of issues of noncompliance with conditions of this Contract or indebtedness to the United States or to the State of Texas; g) permanently withhold cash payments. Permanent withholding of cash payment means that Department retains funds billed by Contractor for (1) unallowable, undocumented, disputed, inaccurate, improper, or erroneous billings; (2) material failure to comply with Contract provisions; or (3) indebtedness to the United States or to the State of Texas; h) declare the Contract void upon the Department's determination that the Contract was obtained fraudulently or upon the Department's determination that the Contract was illegal or invalid from the Contract's inception and demand repayment of any funds paid under the Contract; General Provisions (Core Subrecipient 2008) 6/12/2007 33 i) request that Contractor be removed from the Centralized Master Bidders List (CMBL) or any other state bid list, and bar it from participating in future contracting opportunities with the State of Texas; j) delay contract execution with Contractor while other imposed or proposed sanctions are pending resolution; k) place Contractor on probation. Probation means that Contractor will be placed on accelerated monitoring for a period not to exceed six (6) months at which time items of noncompliance must be resolved or substantial improvement shown by Contractor. Accelerated monitoring means more frequent or more extensive monitoring will be performed by Department than would routinely be accomplished; 1) require Contractor to obtain technical or managerial assistance; m) establish additional prior approvals for expenditure of funds by Contractor; n) require additional, more detailed, financial and/or programmatic reports to be submitted by Contractor; o) demand repayment from Contractor; p) reduce the funding amount for failure to achieve or maintain the proposed.level of service, to expend funds appropriately and at a rate which will make full use of the award, or to provide services or to achieve local match, if required; q) pursue a claim for damages as a result of breach of contract; r) require removal of any officer, board member or employee of the Contractor who has been convicted of the misuse of state or federal funds, fraud or illegal acts that are in contraindication to continued obligations under this Contract, as determined by DSHS; s) withhold any payments to Contractor to satisfy any recoupment or penalty imposed by DSHS, and take repayment from funds available under this Contract, active or expired, in amounts necessary to fulfill Contractor's repayment obligations; t) reduce the Contract term; u) recoup improper payments when it is verified that the Contractor has been overpaid because of improper billing or accounting practices or failure to comply with Contract terms; or v) impose other remedies provided by law. Section 14.03 Notice of Remedies or Sanctions. Department will formally notify Contractor in writing when a remedy or sanction is imposed (with the exception of accelerated monitoring, which may be unannounced), stating the nature of the remedies and sanction(s), the reasons for imposing them, the corrective actions, if any, that must be taken before the actions will be removed and the time allowed for completing the corrective actions, and the method, if any, of requesting reconsideration of the remedies and sanctions imposed. Contractor is required to file, within fifteen (15) calendar days of receipt of notice, a written response to Department acknowledging receipt of such notice. If requested by the Department, General Provisions (Core Subrecipient 2008) 6/12/2007 34 the written response shall state how Contractor shall correct the noncompliance or demonstrate in writing that the findings on which the remedies or sanction(s) are based are either invalid or do not warrant the remedies or sanction(s). If Department determines that a remedy or sanction is warranted, unless the remedy or sanction is subject to review under a federal or state statute, regulation or guideline, Department's decision is final. Department shall provide written notice to Contractor of Department's decision. If required by the Department, Contractor shall take corrective action. Section 14.04 Emergency Action. In an emergency, Department may immediately terminate or suspend all or part of this Contract, temporarily or permanently withhold cash payments, deny contract renewal or future contract awards, or delay contract execution by delivering written notice to Contractor, by any verifiable method, stating the reason for the emergency action. An "emergency" is defined as the following: a) Contractor is noncompliant and the noncompliance has a direct adverse impact on the public or client health, welfare or safety. The direct adverse impact may be programmatic or financial and may include failing to provide services, providing inadequate services, providing unnecessary services, or utilizing resources so that the public or clients do not receive the benefits contemplated by the scope of work or performance measures; or b) Contractor is expending funds inappropriately. Whether Contractor's conduct or noncompliance is an emergency will be determined by Department on a case -by -case basis and will be based upon the nature of the noncompliance or conduct. ARTICLE XV CLAIMS AGAINST THE DEPARTMENT. Section 15.01 Breach of Contract Claim. The process for a breach of contract claim against the Department provided for in Chapter 2260 of Texas Government Code and implemented in the rules at 25 TAC §§1.431-1.447 shall be used by DSHS and Contractor to attempt to resolve any breach of contract claim against DSHS. Section 15.02 Notice. Contractor's claims for breach of this Contract that the parties cannot resolve in the ordinary course of business shall be submitted to the negotiation process provided in Chapter 2260, subchapter B, Texas Government Code. To initiate the process, Contractor shall submit written notice, as required by subchapter B, to DSHS's Office of General Counsel. The notice shall specifically state that the provisions of Chapter 2260, subchapter B, are being invoked. A copy of the notice shall also be given to all other representatives of DSHS and Contractor. Subchapter B is a condition precedent to the filing of a contested case proceeding under Chapter 2260, subchapter C, Texas Government Code. General Provisions (Core Subrecipient 2008) 6/12/2007 35 Section 15.03 Sole Remedy. The contested case process provided in Chapter 2260, subchapter C, Texas Government Code, is Contractor's sole and exclusive process for seeking a remedy for any and all alleged breaches of contract by DSHS if the parties are unable to resolve their disputes under this Article. Section 15.04 Condition Precedent to Suit. Compliance with the contested case process provided in Chapter 2260, subchapter C, Texas Government Code, is a condition precedent to seeking consent to sue from the Legislature under Chapter 107 of the Civil Practices and Remedies Code. Neither the execution of this Contract by DSHS nor any other conduct of any representative of DSHS relating to this Contract shall be considered a waiver of sovereign immunity to suit. Section 15.05 Performance Not Suspended. Neither the occurrence of an event nor the pendency of a claim constitutes grounds for the suspension of performance by Contractor, in whole or in part. ARTICLE XVI TERMINATION. Section 16.01 Expiration of Contract or Program Attachment(s). Contractor's service obligations set forth in each Program Attachment shall end upon the expiration date of that Program Attachment unless extended or renewed by written amendment. Prior to completion of the term of all Program Attachments, all or a part of this Contract may be terminated with or without cause as set forth below. Section 16.02 Effect of Termination. Termination is the permanent withdrawal of Contractor's authority to obligate previously awarded funds before that authority would otherwise expire or the voluntary relinquishment by Contractor of the authority to obligate previously awarded funds. Contractor costs resulting from obligations incurred by Contractor after termination of an award are not allowable unless expressly authorized by the notice- of termination. Upon termination of this Contract or Program Attachment, as applicable, Contractor shall cooperate with DSHS to the fullest extent possible to ensure the orderly and safe transfer of responsibilities under the Contract or Program Attachment, as applicable, to DSHS or other entity designated by DSHS. Upon termination of all or part of this Contract, Department and Contractor will be discharged from any further obligation created under the applicable terms of this Contract or the Program Attachment, as applicable, except for the equitable settlement of the respective accrued interests or obligations incurred prior to termination and for Contractor's duty to cooperate with DSHS. Termination does not, however, constitute a waiver of any remedies for breach of this Contract. In addition Contractor's obligations to retain records and maintain confidentiality of information shall survive this Contract Section 16.03 Acts Not Constituting Termination. Termination does not include: (1) withdrawal of funds awarded on the basis of the Contractor's underestimate of the unobligated balance in a prior period; (2) withdrawal of the unobligated balance at the expiration of the term of a Program Attachment; (3) refusal to extend a Program Attachment or award additional funds to make a General Provisions (Core Subrecipient 2008) 6/12/2007 36 competing or noncompeting continuation, renewal, extension, or supplemental award; or (4) voiding of a contract upon determination that the award was obtained fraudulently, or was otherwise illegal or invalid from inception. Section 16.04. Termination Without Cause. a) Either Party may terminate this Contract or a Program Attachment, as applicable, with at least thirty (30) calendar days prior written notice to the other Party, except that if Contractor seeks to terminate a Contract or Program Attachment that involves residential client services, Contractor must give the Department at least ninety (90) calendar days prior written notice. and must submit a transition plan to ensure client services are not disrupted. b) The Parties may terminate this Contract or a Program Attachment by mutual agreement. c) Either Party may terminate this Contract or a Program Attachment with at least thirty (30) calendar days prior written notice to the other Party in the event funds become unavailable through lack of appropriations, budget cuts, transfer of funds between programs or health and human services agencies, amendments to the Appropriations Act, health and human services consolidations, or any disruption of current appropriated funding for this Contract or Program Attachment d) Department may terminate this Contract or a Program Attachment immediately when, in the sole determination of Department, termination is in the best interest of the State of Texas. Section 16.05 Termination For Cause. Either Party may terminate for material breach of this Contract with at least thirty (30) calendar days written notice to the other Party. Department may terminate this Contract, in whole or in part, for breach of contract or for any other conduct that jeopardizes the Contract objectives, by giving at least thirty (30) calendar days written notice to Contractor. Such conduct may include one or more of the following: (a) a court of competent jurisdiction finds that Contractor has failed to adhere to any laws, ordinances, rules, regulations or orders of any public authority having jurisdiction; (b) Contractor fails to communicate with Department or fails to allow its employees or those of its subcontractor to communicate with Department as necessary to the performance of this Contract; (c) Contractor breaches a standard of confidentiality with respect to the services provided under this Contract; (d) Department determines that Contractor is without sufficient personnel or resources to perform under this Contract or that Contractor is otherwise unable or unwilling to fulfill any of its requirements under the Contract or exercise adequate control over expenditures or assets; General Provisions (Core Subrecipient 2008) 6/12/2007 37 (e) Department determines that Contractor, its agent or another representative offered or gave a gratuity (e.g., entertainment or gift) to an official or employee of DSHS or HHSC for the purpose of obtaining a contract or favorable treatment; (f) Department determines that the Contract includes financial participation by a person who received compensation from DSHS to participate in developing, drafting or preparing the specifications, requirements or statement(s) of work or Solicitation Document on which this Contract is based in violation of Gov. Code §2155.004; (g) Contractor appears to be financially unstable. Indicators of financial instability may include one or more of the following: 1. Contractor fails to make payments; 2. Contractor makes an assignment for the benefit of its creditors; 3. Contractor admits in writing its inability to pay its debts generally as they become due; 4. if judgment for the payment of money in excess of $50,000 (which is not covered by insurance) is rendered by any court or governmental body against Contractor, and Contractor does not (a) discharge the judgment or (b) provide for its discharge in accordance with its terms, or (c) procure a stay of execution within thirty (30) calendar days from the date of entry of the judgment, and within the thirty (30)-day period or a longer period during which execution of the judgment has been stayed, appeal from the judgment and cause the execution to be stayed during such appeal while providing such reserves for the judgment as may be required under generally accepted accounting principles; 5. a writ or warrant of attachment or any similar process shall be issued by any court against all or any material portion of the property of Contractor, and such writ or warrant of attachment or any similar process is not released or bonded within thirty (30) calendar days after its entry; 6. Contractor is adjudicated bankrupt or insolvent; 7. Contractor files a case under the Federal Bankruptcy Code or seeks relief under any provision of any bankruptcy, reorganization, arrangement, insolvency, readjustment of debt, dissolution, receivership or liquidation law of any jurisdiction, whether now or hereafter in effect, or consents to the filing of any case or petition against it under any such law; 8. any property or portion of the property of Contractor is sequestered by court order and the order remains in effect for more than thirty (30) calendar days after Contractor obtains knowledge thereof; 9. a petition is filed against Contractor under any state reorganization, arrangement, insolvency, readjustment of debt, dissolution, receivership or liquidation law of any jurisdiction, whether now or hereafter in effect, and such petition is not dismissed within thirty (30) calendar days; 10. Contractor consents to the appointment of a receiver, trustee, or liquidator of Contractor or of all or any part of its property; or General Provisions (Core Subrecipient 2008) 6/12/2007 38 (h) Contractor's management system does not meet the UGMS management standards. Section 16.06 Notice of Termination. Either Party may deliver written notice of intent to terminate by any verifiable method. If either Party gives notice of its intent to terminate all or a part of this Contract, Department and Contractor will attempt to resolve any issues related to the anticipated termination in good faith during the notice period. ARTICLE XVII VOID, SUSPENDED, AND TERMINATED CONTRACTS. Section 17.01 Void Contracts. Department may hold this Contract void upon determination that the award was obtained fraudulently or was otherwise illegal or invalid from its inception. Section 17.02 Effect of Void, Suspended, or Involuntarily Terminated Contract. A Contractor who has been a party to a contract with DSHS that has been found to be void, suspended, or terminated for cause is not eligible for expansion of current contracts, if any, or new contracts or renewals until the Department has determined that Contractor has satisfactorily resolved the issues underlying the suspension or termination. Additionally, if this Contract is found to be void, any amount paid is subject to refund. Section 17.03 Appeals Rights. Pursuant to Gov. Code §2105.302, after receiving notice from the Department of termination of a contract with DSHS funded by block grant funds, Contractor may request an administrative hearing under Gov. Code Chapter 2001. ARTICLE XVIII CLOSEOUT AND CONTRACT RECONCILIATION Section 18.01 Cessation of Services At Closeout. Upon expiration of the Contract or Program Attachment, as applicable, (and any renewals of the Contract or Program Attachment) on its own terms, Contractor shall cease services under the Contract or Program Attachment and shall cooperate with DSHS to the fullest extent possible to ensure the orderly and safe transfer of responsibilities under the Contract to DSHS or other entity designated by DSHS. Upon receiving notice of Contract or Program Attachment termination or non -renewal, the Contractor agrees to immediately begin to transition recipients of services to alternative service providers, as needed. Contractor also agrees to completely cease providing services under the Contract or Program Attachment by the date specified in the termination or non -renewal notice. Contractor shall not bill DSHS for services performed after termination or expiration of the Contract or Program Attachment, or incur any additional expenses once the Contract or Program Attachment is terminated or has expired. Upon termination, expiration or non -renewal of this Contract or a Program Attachment, Contractor shall immediately initiate Closeout activities described in General Provisions (Core Subrecipient 2008) 6/12/2007 39 this Article. Section 18.02 Administrative Offset. The Department shall have the_ right to administratively offset amounts owed by Contractor against billings. Section 18.03 Deadline for Closeout. Contractor shall submit all financial, performance, and other Closeout reports required under the Contract within sixty (60) calendar days after the Contract or Program Attachment end date. Unless otherwise provided under the Final Billing Submission section of the Payment Methods and Restrictions Article, the Department is not liable for any claims that are not received within sixty (60) calendar days after the Contract or Program Attachment end date. Section 18.04 Payment of Refunds. Any funds paid to the Contractor in excess of the amount to which the Contractor is finally determined to be entitled under the terms of the Contract constitute a debt to the Department and will result in a refund due. Contractor shall pay any refund amount due within the time period established by the Department. Section 18.05 Disallowances and Adjustments. The Closeout of the Contract or Program Attachment does not affect the Department's right to disallow costs and recover funds on the basis of a later audit or other review or the Contractor's obligation to return any funds due as a result of later refunds, corrections, or other transactions. Section 18.06 Contract Reconciliation. If Contractor is required to annually reconcile multi -year contracts, Contractor, within 60 calendar days after the end of each year of the Contract, shall submit to the Division Contract Management Unit assigned to the Program Attachment all financial and reconciliation reports required by Department in forms as determined by Department. Required reconciliation forms and reports may include the following: Cash Match Participation Form, In - kind Match Participation Form, Program Income Report, Equipment Inventory, Controlled Items Inventory, Contractor's Release Agreement, and Reconciliation Refund Remittance Form. Any additional forms or reports required by Department shall be posted on the DSHS website prior to the reconciliation period. Unless otherwise directed by Department, all forms and reports must be submitted in hard copies, with original signatures if required, to DSHS by the due date. General Provisions (Core Subrecipient 2008) 6/12/2007 40 CONTRACT NO. 2008-024225 PROGRAM ATTACHMENT NO. 001 PURCHASE ORDER NO. 0000331975 CONTRACTOR: CALHOUN COUNTY HEALTH DEPARTMENT DSHS PROGRAM: SDI - FEE FOR SERVICE TERM:09/01/2007 THRU:08/31/2008 SECTION I. STATEMENT OF WORK: Contractor shall work collaboratively with DSHS to pilot tools, processes and activities which are designed to integrate delivery of identified services and to streamline and simplify contract administration. Contractor shall use funds provided by this Attachment to provide and assure integration of one or more of the following services: • Primary Health Care; • Title V Maternal and Child Health and Dental Services (Fee -for -Service); • Title V Maternal and Child Health and Prenatal Services (Fee -for -Service); • Title V Family Planning (Fee -for -Services); • Title XX Family Planning; and • Tuberculosis Elimination. These services and standards are further described in the "Service Delivery Integration (SDI) Policies and User Manual" Fiscal Year 06-2, or latest revision. Where applicable, Contractor shall provide integration with the following services: • Title V Maternal and Child Health Services (Part B/Population-Based, and Children with Special Health Care Needs); • Title X Family Planning; • Special Supplemental Nutrition Program for Women, Infants and Children (WIC); • Title XIX Family Planning; • Title XIX Texas Health Steps; • Medical Transportation; • Medically Dependent Children's Program; and • Children's Health Insurance Program (CHIP). In -scope programs include: Title V Maternal and Child Health, Prenatal, Dental, Dysplasia, and Family Planning PROGRAM ATTACHMENT — Page 1 • Title V Maternal and Child Health Prenatal; Title X Family Planning; • Title XX Family Planning; • Primary Health Care; and • Tuberculosis Elimination. Contractor shall utilize fee -for -service rates for all contractor payments except Title X. Contractor shall participate collaboratively with DSHS in the development, modification and evaluation of activities, tools, and processes, which facilitate integration of: • Intake and eligibility determination; • Billing and client fees; • Uniform contract requirements; • Reporting; • Clinical standards; • Contract monitoring; • Policy development; and • Automated information systems. Contractor shall enter client data and billing information into DSHS SDI Integrated Eligibility, Billing and Reporting System (SIEBRS) as described in the "SDI Policies and Users Manual" Fiscal Year 06-2, or latest revision, for the activities funded by this Attachment. Contractor shall comply with all applicable federal and state laws, rules, regulations, standards, and guidelines in effect on the beginning date of this contract Attachment unless amended, including, but not limited to: • Sterilizations, 42 CFR Part 50, Subpart B; and • Texas Tuberculosis Code, Health and Safety Code, Chapter 13, subchapter B. The following documents are incorporated by reference and made a part of this contract Attachment: ➢ DSHS FY08 Primary Health Care Competitive Application and any revisions; ➢ Contractor's FY08 Primary Health Care Competitive Application and any revisions; ➢ DSHS FY08 Competitive RFP for Title V Maternal and Child Health and Dental Services; ➢ Contractor's FY08 Competitive Application for Title V Maternal and Child Health Health and Dental Services and any revisions ➢ DSHS FY08 Title V, Title X and/or Title XX Family Planning Contract Continuation Renewal Application and any revisions; ➢ Contractor's FY08 Family Planning Contract Continuation /Renewal Application and any revisions; ➢ DSHS FY08 Contract Application for Title V Maternal and Child Health Prenatal Services and any revisions; PROGRAM ATTACHMENT — Page 2 ➢ Contractor's FY08 Contract Application for Title V Maternal and Child Health Prenatal Services and any revisions. SDI Attachment ➢ DSHS Associateship for Family Health (AFH) FY08 Competitive Request Proposal (RFP) for the In -Scope Programs; ➢ Contractor's AFH FY08 Competitive RFP, Component II, Attachment H; Manuals ➢ DSHS "SDI Policies and Users Manual" Fiscal Year 06-2, or latest revision, including "SDI: Clinic Operations and Medical Standards"; Quality Management ➢ Department of State Health Services Standards for Public Health Clinic Services, revised August 2004, or latest revision; ➢ DSHS Core Tool On -Site Evaluation Report, revised for 2007, and Core Tool Monitoring Instructions, FY07, or latest revision; ➢ DSHS Service Delivery Integration (SDI) On -site Evaluation Report, revised for 2007 and Service Delivery Integration Tool Instructions, revised for 2007 or latest revision; DSHS Service Delivery Integration (SDI) Clinical Record Review Tool, revised for 2007, or latest revision; and ➢ DSHS Service Delivery Integration (SDI) Eligibility and Billing Record Review Tool, revised for 2007, or latest revision Within thirty (30) days of receipt of an amended standard(s) or guideline(s), Contractor shall inform DSHS Program, in writing, if it will not continue performance under this Attachment in compliance with the amended standard(s) or guideline(s). Contractor may terminate the Attachment immediately or within a reasonable period of time as determined by DSHS. Contractor shall coordinate its services with existing Federally Qualified Health Centers (FQHCs) located in its county(ies) or examine seeking designation as an FQHC if no FQHC is currently available within its county(ies). A Contractor that is designated as a FQHC shall operate extended weekend and evening hours Contractor shall perform no elective abortion procedures, shall neither contract with nor provide funds to any individual or entity for the performance of elective abortions, and shall submit no claims to DSHS for reimbursement of direct or indirect costs (including overhead, rent, phones, and utilities) of abortion procedures. If Contractor is affiliated with an entity that performs elective abortion procedures or becomes affiliated with an entity that performs elective abortions at any time during the term of this contract, 1. Contractor and its abortion -services affiliate must be legally separate corporations, with separate articles of incorporation and separate bylaws. If Contractor is a State or local governmental entity, the abortion -services affiliate must be a legally separate organization PROGRAM ATTACHMENT — Page 3 with a separate governing structure. 2. Contractor and its abortion -services affiliate must have easily distinguishable names. 3. Contractor and its abortion -services affiliate must have separate boards of directors or governing bodies which meet separately and maintain separate records. 4. Contractor may not transfer any funds distributed under DSHS Strategy B.1.3 to its abortion - services affiliate. Contractor must assure that its affiliated entity apportions fair value for any shared expenses or costs (including overhead, rent, phones, equipment, and utilities) in accordance with generally accepted accounting principles. 5. Contractor shall assure that any person employed part-time by Contractor and by its abortion - services affiliate shall contemporaneously maintain accurate time records, similar to time records maintained by attorneys, though not necessarily by means of an automatic recording device such as a "time clock", that clearly reflect the work performed for each employer. 6. If Contractor and its abortion -services affiliate are located at the same physical location, Contractor shall assure that the existence and separate nature of the affiliate relationship are clearly reflected by appropriate signage in areas accessible to the public. 7. Contractor and its abortion -services affiliate must each maintain records adequate to show compliance with the foregoing requirements. SECTION H. PERFORMANCE MEASURES: Performance measures set out in the "SDI Policies and Users Manual" and Contractor's response to the Competitive and/or Renewal Applications for as approved by DSHS, will be utilized to assess, in part, the Contractor's effectiveness in providing services described in this contract Attachment, without waiving the enforceability of any of the other terms of this contract. Contractor shall provide services to unduplicated clients who live or receive services in the following county(ies)/area: Calhoun. SECTION M. SOLICITATION DOCUMENT: DSHS RFP # CHS-0172.1 SECTION IV. RENEWALS: DSHS may renew this contract for two renewal periods if funds are available. SECTION V. PAYMENT METHOD: Fee -for -Service SECTION VI. BILLING INSTRUCTIONS: Contractor shall enter and transmit client data and billing information into DSHS SIEBRS as described in the "SDI Policies and Users Manual" for the activities funded by this Attachment. DSHS will batch the electronic transmissions and generate and process a weekly payment voucher for Contractor. Payments are contingent upon a signed Contract and will not exceed the total of authorized funds under this Contract. Contractor is entitled to payment only if the service, work, PROGRAM ATTACHMENT — Page 4 and/or product has been authorized by the Department and performed or provided pursuant to the Contract. If those conditions are met, DSHS will make payment in accordance with the Texas prompt payment law (Tex. Gov't. Code, Chapter 2251). Contractors must comply with Tex. Gov't. Code, Chapter 2251 regarding its prompt payment obligations to subcontractors. Payment by DSHS shall not constitute acceptance or approval of Contractor's performance and Contractor's performance shall be subject to audit or review by DSHS. SECTION VII. BUDGET SOURCE OF FUNDS: State Contractor shall adhere to the current schedule of allowable services and rates as referenced in the Policies and Procedures Manual for Title V Child Health and Dental. Total payments will not exceed $12,029.00. SECTION VIII. SPECIAL PROVISIONS: General Provisions, Compliance and Reporting Article, section 1.03 is revised to include: Contractor shall submit reports in the standard format provided by the DSHS Program only for any performance goals or activities not captured or reported in SIEBRS. General Provisions, Services Article, Section 2.05 is revised to include: Contractor shall implement a sliding fee scale that includes adjustments for family size and income for the provision of public health services. The sliding fee scale shall be based on the cost of the services provided and the Federal Poverty Guidelines, which are published annually by the U.S. Department of Health and Human Services. DSHS will provide the revised Federal Poverty Guidelines to Contractor along with guidance on adjusting the sliding fee scale. Contractor shall be responsible for the development and implementation of policies and procedures for charging, billing and collecting fees. These policies and procedures shall be reviewed by Contractor's policy board or advisory committee. Contractor shall assess and document each prospective client's eligibility or potential eligibility for third party reimbursement. In accordance with the SDI Policies and Users Manual, Contractor may assess a co -pay from clients provided services under this Attachment. A co -pay shall not be assessed from a client whose family income is at or below 100% of the most recently defined federal poverty level. A co -pay assessment may not exceed 25% of the amount DSHS pays for the provision of a given service. A client shall not be denied services due to inability to pay. General Provisions, Services Article is revised to include: Pharmacy. If Contractor is dispensing and/or providing prescribed medications, e.g. birth control pills, antibiotics, etc. on site, it shall have, at a minimum, a Class D pharmacy license PROGRAM ATTACHMENT — Page 5 as provided by the Texas Pharmacy Act, Occupations Code, Chapter 560, or shall dispense and/or provide such medications in compliance with other pharmacy statutes with prior approval from DSHS. General Provisions, Funding Article, section 3.05 is replaced with the following: Gross income directly generated from Department funds through a project or activity performed under a Program Attachment and/or earned only as a result of a Program Attachment during the term of the Program Attachment are considered program income. Program income shall be used by Contractor to further the program objectives of the state or federal statute under which the Program Attachment was made, and it shall be spent on the same Program Attachment project in which it was generated. Contractor shall identify and report all program income utilizing SIEBRS, which is the DSHS Program's automation system, as described in the "SDI Policies and Users Manual." These program income provisions shall not be construed to apply to funds raised by Contractor from fund-raising activities or donations. Fund raising includes membership drives or special events used to raise program funds. Donations include monies donated to the program by individuals and private groups, such as churches or other organizations. General Provisions, Payment Methods and Restrictions Article, Section 4.02 is replaced with the following: Contractor's contract amount under this Attachment is a ceiling against which it may bill, on a fee -for -service basis, according to the Medicaid rates incorporated into SIEBRS for the provision of allowable services to eligible clients. Only allowable services provided to eligible clients may be billed against this ceiling. The current schedule of Medicaid rates may be modified at the sole discretion of the State Medicaid Agency. DSHS must provide thirty (30) days written notice to Contractor should the modification include a reduction in rates. Notification of an increase in rates does not require written notification. The notice will provide Contractor with an opportunity to terminate this Attachment should the modification include a reduction in rates. Contractor shall have thirty (30) days from receipt of this notice to exercise the option for termination. If Contractor does not exercise the option during the thirty (30) day time period, Contractor shall be deemed to have waived the option. Contractor shall bill DSHS in accordance with the SDI Policies and User Manual. Contractor shall submit billing information, utilizing DSHS SIEBRS, within sixty (60) calendar days following the delivery date of service. General Provisions, Terms and Conditions of Payment Article, Section 5.01 is replaced with the following: Contractor shall enter and transmit client data and billing information into DSHS SIEBRS as described in the "SDI Policies and Users Manual" for the activities funded by this Attachment. DSHS will batch the electronic transmissions and generate and process a PROGRAM ATTACHMENT — Page 6 weekly payment voucher for Contractor. Payments are contingent upon a signed Contract and will not exceed the total of authorized funds under this Contract. Contractor is entitled to payment only if the service, work, and/or product has been authorized by the Department and performed or provided pursuant to the Contract. If those conditions are met, DSHS will make payment in accordance with the Texas prompt payment law (TEx. GOV'T. CODE, Chapter 2251). Contractors must comply with TEx. GOv'T. CODE, Chapter 2251 regarding its prompt payment obligations to subcontractors. Payment by DSHS shall not constitute acceptance or approval of Contractor's performance and Contractor's performance shall be subject to audit or review by DSHS. General Provisions, Terms and Conditions of Payment Article, Section 5.04 is replaced with the following: Contractor shall accept reimbursement or payment from DSHS and any applicable fees from clients for clinical health services as payment in full for services or goods provided to clients. Contractor agrees to not seek additional reimbursement or payment for services or goods from clients other than applicable fees for clinical health services. General Provisions, Access and Inspection Article, Section 9.01 is revised to include: Contractor shall allow DSHS to conduct on -site quality assurance reviews as deemed necessary by DSHS. Unsatisfactory review findings may result in implementation of General Provisions, Breach of Contract and Remedies for Non -Compliance Article. General Provisions, Assurances and Certifications Article, Section 11.01, is revised to include: If appropriate, Contractor certifies that neither the Contractor, nor any individual who has a direct or indirect ownership or controlling interest of 5% or more of the Contracting Agency, nor any officer, director, agent or managing employee (e.g. general manager, business manager, administrator, director, or like individual who exercises operational or managerial control over the Contractor or who directly or indirectly conducts the day-to-day business of the Contractor is an entity or individual who: • Has been convicted of any offense under 42 U.S.C. § 1320a-7(b)(1)-(3); • Has had a civil monetary penalty assessed under 42 U.S.C. § 1320a and/or 42 U.S.C. § 1320a-8; or, • Has been excluded from participation in a program under 42 U.S.C. § 1395 et seq.; or under a State health care program. If the foregoing statement is not true, Contractor shall submit a disclosure/ownership form to DSHS. Contractor shall immediately notify DSHS in writing, in the event that the foregoing statement changes during the term of this Attachment. A false statement regarding Contractor's status will be treated as a material misrepresentation. General Provisions, General Business Operations of Contractor Article, Section 12.19 is revised PROGRAM ATTACHMENT — Page 7 to include: Contractor shall notify the Performance Management Unit, Contract Management Branch, of any clinic site information changes, e.g., changes in contact person, hours of operation, address, Texas Provider Identification (TPI) number, and the closure, relocation, and/or opening of new clinic sites. SECTION IV. BUDGET: Contractor shall adhere to the current schedule of allowable services and rates as referenced in this contract Attachment. Contractor may bill up the maximum amount specified below for each of the services funded by this contract Attachment. TITLE V MATERNAL AND CHILD HEALTH DENTAL FEE -FOR -SERVICE Payments for Title V Maternal and Child Health Dental Fee -For -Service will not exceed: $00.00. TITLE V FAMILY PLANNING FEE -FOR -SERVICES Payments for Title V Family Planning Fee -For -Services will not exceed: $12,029.00. TITLE XX Payments for Title XX Family Planning services will not exceed: $00.00. PRIMARY HEALTH CARE Payments for Primary Health Care services will not exceed: 00.00. TUBERCULOSIS ELIMINATION Payments for Tuberculosis Elimination Fee -For -Service will not exceed: $00.00. Total payments will not exceed: $12,029.00. PROGRAM ATTACHMENT — Page 8 INSTRUCTIONS FOR COMPLETING UISCLUSUHE OF OWNERSHIP AND CONTROL INTEREST STATEMENT Completion and submission of this form is a condition of participation, certification, or recertification under any of the programs established by titres V, XVIII, XIX, and XX, or as a condition of approval or renewal of a contractor agreement between the disclosing entity and the Department of State Health Services (DSHS) under any of the above -tilled programs, a full and accurate disclosure of ownership and financial interest is required. Failure to submit requested information may result in a refusal by DSHS to enter into an agreement or contract with any such institution or in termination of existing agreements. SPECIAL INSTRUCTIONS FOR TITLE XX PROVIDERS All titre XX providers must complete part 11 of this form. Only those title XX providers rendering medical, remedial, or health related homemaker services must complete parts II and III. Title V providers must complete parts II and III. General Instructions For definitions, procedures and requirements, refer to the appropriate Statutes or Regulations: Titre V - 42 USC §1397d Tille XVIII - 42CFR 420.200 - 206 Title XIX - 42CFR 455.100 - 106 Tille XX- 42 USC §1397d Please answer all questions as of the current date. If the yes block for any item is checked, list requested additional information under the Remarks section on page 2, referencing the item number to be continued. If additional space is needed, use an attached sheet. Return the original to DSHS and retain a copy for your files. This form is to be completed annually. Any substantial delay in completing the form should be reported to the State survey agency. DETAILED INSTRUCTIONS These instructions are designed to clarify certain questions on the form. Instructions are listed in question order for easy reference. No instructions have been given for questions considered self-explanatory. IT IS ESSENTIAL THAT ALL APPLICABLE QUESTIONS BE ANSWERED ACCURATELY AND THAT ALL INFORMATION BE CURRENT. Item I - Under identifying information specify in what capacity, the entity is doing business as (DBA), example, name of trade or corporation. Item II - Self-explanatory. Item III - List the names of all individuals and organizations having direct or indirect ownership interests, or controlling interest separately or in combination amounting to an ownership interest of 5 percent or more in the disclosing entity. Direct ownership interest is defined as the possession of stock, equity in capital or any interest in the profits of the disclosing enfity. A disclosing entity, is defined as a Medicare provider or supplier, or other entity, that furnishes services or arranges for furnishing services under Medicaid or the Maternal and Child Health program, or health related services under the social services program. Indirect ownership interest is defined as ownership interest in an entity that has direct or indirect ownership interest in the disclosing entity. The amount of indirect ownership in the disclosing enfity that is held by any other entity is determined by multiplying the percentage of ownership interest at each level. An indirect ownership interest must be reported if it equates to an ownership interest of 5 percent or more in the disclosing entity. Example: if A owns 10 percent of the stock in a corporation that owns 80 percent of the stock of the disclosing entity, Ns interest equates to an 8 percent indirect ownership and must be reported. Controlling interest is defined as the operational direction or management of a disclosing entity which may be maintained by any or all of the following devices: the ability or authority, expressed or reserved, to amend or change the corporate identity, (i.e., joint venture agreement, unincorporated business status) of the disclosing entity; the ability or authority to nominate or name members of the Board of Directors or Trustees of the disclosing enfity; the ability or authority, expressed or reserved, to amend or change the by-laws, constitution, or other operating or management direction of the disclosing entity; the right to control any or all of the assets or other property of the disclosing entity upon the sale or dissolution of that entity; the ability or authority, expressed or reserved, to control the sale of any or all of the assets, to encumber such assets by way of mortgage or other indebtedness, to dissolve the entity, or to arrange for the sale or transfer of the disclosing entity to new ownership or control. - Items IV - VII - Changes in Provider Status Change in provider status is defined as any change in management control. Examples of such changes would include: a change in Medical or Nursing Director, a new Administrator, contracting the operation of the facility to a management corporation, a change in the composition of the owning partnership which under applicable State law is not considered a change in ownership, or the hiring or dismissing of any employees with 5 percent or more financial interest in the facility, or in an owning corporation, or any change of ownership.. For Items IV - VII, if the yes box is checked, list additional information requested under Remarks. Clearly identify which item is being continued. Item IV - (a & b) If there has been a change in ownership within the last year or if you anticipate a change, indicate the date in the appropriate space. Item V - If the answer is yes, list name of the management fine and employer identification number (EIN), or the name of the leasing organization. A management company is defined as any organization that operates and manages a business on behalf of the owner of that business, with the owner retaining ultimate legal responsibility for operation of the facility. Item VI - If the answer is yes, identify which has changed (Administrator, Medical Director, or Director of Nursing) and the date the change was made. Be sure to include name of the new Administrator, Director of Nursing or Medical Director, as appropriate. Item VII - A chain affiliate is any free-standing health care facility that is either owned, controlled, or operated under lease or contract by an organization consisting of two or more free-standing health care faclites organized within or across State lines which is under the ownership or through any other device, control and direction of a common party. Chain affiliates include such facilities whether public, private, charitable or proprietary. They also include subsidiary organizations and holding corporations. Provider -based fadlilies, such as hospital -based home health agencies, are not considered to be chain affiliates. Item VIII - If yes, list the actual number of beds in the facility now and the previous number. DEPARTMENT OF STATE HEALTH SERVICES 93856 DISCLOSURE OF OWNERSHIP AND CONTROL INTEREST STATEMENT I. Identifying Information Name of Entity: CALHOUN COUNTY HEALTH D/B/A Provider No.: endor No.: elephone No. DEPARTMENT 02h%U0i6 17460019239 36'2-c(7Zr Street Address: ity, County, State: ip Code: t � - c,v Asti S Po,+ L-a'ar: 6oh000l- u I '771?9 11. Answer the following questions by checking 'Yes" or "No." If any of the questions are answered "Yes," list names and addresses of individuals or corporations under Remarks on page 2. Identify each item number to be continued. (a) Are there any individuals or organizations having a direct or indirect ownership or control interest of 5 percent or more in the institution, organization, or agency that have been convicted of a criminal offense related to the involvement of such persons, or organizations in any of the programs established by fides XVIII, XIX, or XX? Yes —No (b) Are there any directors, officers, agents, or managing employees of the institution, agency or organization who have ever been convicted of a criminal offense related to their involvement in such programs established by titles XVIII, XIX, or XX? Yes No (c) Are there any individuals currently employed by the institution, agency, or organization in a managerial, accounting, auditing, or similar capacity who were employed by the institution's, organization's, or agency's fiscal intermediary or carder within the previous 12 months? (Title XVIII providers only) Yes No III. (a) Ust names, addresses for individuals, or the El for organizations having direct or indirect ownership or a controlling interest in the entity. (See instructions for definition of ownership and controlling interest.) List any additional names and addresses under "Remarks" on page 2. If more than one individual is reported and any of these persons are related to each other, this must be reported under Remarks. Name /,/aA/J�i- Address (b) Type of Entity: Sole Proprietorship _ Partnership _ L A Corporation Unincorporated Associations ther(Sped Locy,l rd,ou0�Mt9i �aa Tu// uvir {" (c) If the disclosing entity is a corporation, list names, addresses of the Directors, and EINs for corporations under Remarks. Yvlh EIN # Check appropriate box for each of the following questions: (d) Are any owners of the disclosing entity also owners of other Medicare/Medicaid facilities? (Example: sole proprietor, partnership or members of Board of Directors.) If yes, list names, addresses of individuals and provider numbers. Yes _ No ✓ Name Address Provider Number Page 1 DEPARTMENT OF STATE HEALTH SERVICES IV. (a) Has there been a change in ownership or control within the last year? / Yes_ No (_/ If yes, give date__ - (b) Do you anticipate any change of ownership or control within the yeaR Yes_ NcLLZ If yes, when? (c) Do you anticipate filing for bankruptcy within the year? Yes_ No If yes, when? V. Is this facility operated by a management company, or leased in whole or part by another organization? If yes, give date of change in operations Yes_ No C-" VI. Has there been a change in Administrator, Director of Nursing, or Medical Director Yes_ No_ within the last yeaR VIL (a) Is this facility chain affiliated? (If yes, list name, address of Corporation, and EIN) Yes_ No-('--� Name EIN # (b) If the answer to Question VII(a) is No, was the facility ever affiliated with a chain? (If yes, list Name, Address of Corporation, and EIN) Name EIN # Yes_ No V Address Vill. Have you increased your bed capacity by 10 percent or more or by 10 beds, whichever is greater, within the last 2 years? / Yes —No-r—/ If yes, give year of change Current beds Priorbeds WHOEVER KNOWINGLY AND WILLFULLY MAKES OR CAUSES TO BE MADE A FALSE STATEMENT OR REPRESENTATION OF THIS STATEMENT, MAY BE PROSECUTED UNDER APPLICABLE FEDERAL OR STATE LAWS. IN ADDITION, KNOWINGLY AND WILLFULLY FAILING TO FULLY AND ACCURATELY DISCLOSE THE INFORMATION REQUESTED MAY RESULT IN DENIAL OF A REQUEST TO PARTICIPATE OR WHERE THE ENTITY ALREADY PARTICIPATES, ATERMINATION OF ITS AGREEMENT OR CONTRACT WITH DSHS Name ofAutlrabmdRapresenfadveCrYpeM T,Ne Calhoun County Judge Signature � ��}� � � Date 9-13-07 Remarks: HEAR PRESENTATION FROM CALHOUN COUNTY CONSTABLES ON JOB DESCRIPTIONS AND DUTIES: Kenneth Wenske, Calhoun County Constable Precinct #2 presented a presentation in regards to the job descriptions and duties of County Constables and he stated that all the Constables were in favor of this report being presented to the Court. AWARD BIDS FOR FUEL TO BE DELIVERED AND FUEL ON AUTOMATED CARD SYSTEM FOR THE PERIOD SEPTEMBER 16, 2007 THROUGH OCTOBER 15, 2007: The County Auditor read the following fuel bids, which were opened by Peggy Hall and Susan Riley for the period beginning September 16, 2007 and ending October 15, 2007. After reviewing said bids, a Motion was made by Commissioner Galvan and seconded by Commissioner Lyssy to accept the only bid submitted by Sun Coast Resources for the automated card system fuel and for fuel to be delivered as the low bidders. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. mow mma W 'J`� Z 0 0 Z cm rma 2C Omni cc rma 0 w m w J w Y J m J w Z) U- G w O O N N O O (R f9 13 0 7 � U U ? U ? 0 Z Z Z N w W o O _ VJ a O N O O E' O F IL s v a:9Z a`d m @2 m N CO w U U j ? O U O w U Q J_ H O J O w U WC m Z w Z:)m O CO d J d n W cOi LL m 2 w cc a vi m v m W 3 o c Z o m e o 0 0 o ¢ 0 6 B m m kbc W e6iJ O O o = N N N n Wa � O O C m r r CO O O N = N O � m W � O O N N O G w W 0 o > > U U Z u Z O Z Z Z i W 0 W o O O = y d x a V F N y x V F V � a`wy a`v U w U Z cr 7 O LLI Z 0 N W W O J o W m w U aw[ < a O Z Z) m O Q J a w g v CC W ¢ a ra p m o a 0 Z; C� o C 6 S m � W y 0 2 661 a coo 0 ■ % al GOD 0INC ( � 2! } ) LAJ [Elm � } � § § � U d � z z 6w Um 0 0 U) \ \ / Z m p m m■ .� _ , _ \ § M \ \ O \ \ k / D } G \ m / 5 m C.)/ §) S§a w ` 2 LL § � § Z § § k■caLu G■` rma � co ■�/ ■§} Q wE-a� La e . 08/22/2007 08:27 3615534614 CAL CO TREASURER PAGE 02/03 CALROUN COUNTY, TEXAS BID SHEET - FUEL -AUTOMATED CARD SYSTEM INVITATION TO BID RIMER SUN COAST RESOURCES no S WELLS EDNA TX M57 BID ITEM FUEL -AUTOMATED CARD SYSTEM PERIDO fm SEPTEM13ER 10, 2007 PERIOD TO: OCTOBER 15, 2007 YOU ARE INVITED TO SUBMIT BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTY JUDGE, 217 S ANN ST, 3RD FLOOR, ROOM 301, PORT LAVACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED 91D- ,FUEL-AU70MATED CARD SYSTEM BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: 10:00 AM, THURSDAY, SEPTEMSER 6, 2007 BIDS WILL BE AWARDED AT THE COURT MEETING ON: THURSDAY, SEPTEMBER 13, 2007 BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY, THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. B/D /TEMC FU$L^AUTOMATED CARD SYSTEM DEPAIPTffEA/T• VARIOUS DELNEIPY FOB BIDDER'$ F'U12L PUMP LOCATION -PORT LAVACA, TX DEST/N.4T/ON VARIOUS sPECIF-tCAnorts DIESEL IFUEL FREE FROM WATER AND SUSPENDED MATTER Price DOES NOT INCLUDE State Tax of $0.20 Aw GALLON .+( -Ll00 ----------------------------------------------- spr-om ATIONs.: REGULAR UNLEADED GASOLINE DATE OF DR _ ANIHORIIED I PRINT NAME: FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVERAGE METHOD) Price DOES NOT INCLUDE State Tax of $0.20 If GALLON U & RE TIRE PLEASE LIST ANY EXCEPTIONS TO THE ABOVE SPECIRCATINN& All TuffRONE Tuesday, August 21, 2007 11111110 RINIMASTAES011110ES 08/22/2007 F18, 27 3615534614 CAL CO TREASURER PAGE 031`03 CAWOUN COUNTY, TEXAS B01 SNEET- INVITATION TO BID BIDDER SUN COAST RESOURCES M8 S WEDS EDNA TX 77057 M ITEM IUEL-PUR ED Pon MNL SEPTEMBER 16, 2007 TIM Tg: OCTOBER 16, 2007 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL J PFEIFER, CALHOUN COUNTYJUDGE, 211 S ANN St 3RD FLOOR, ROOM 301, PORT LA VACA TX 77979 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- FUEL -BULK OELNEREO Y BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: 10:00 AM, THURSDAY, SEPTEMBER 6, 2007 BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, SEPTEMBER 13, 2007 BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN EMPLOYMENT OR THE PROVISION OF SERVICES. D/D ITEM; FUEL -BULK DELIVERED DEPAR ME117: VARIOUS DELIVERY FOB COUNTY FUEL TANKS EST/NATION VARIOUS ----------------------------------------------- SPPPPECIFICATIONs: DIESEL FUEL DELIVERY MUST BE MADE WITHIN 24 HOURS AFTER RECEIVING ORDER FROM PRECINCT FREE FROM WATER AND SUSPENDED MATTER Price DOES NOT INCLUDE State Tax of $0.20 AU 0 AW GALLON 0?1 yP ----------------------------------------------- sPEcmcArioNs: REGULAR UNLEADED GASOLINE DELIVERY MUST BE MADE WITHIN 24 HOURS AFTER RECEIVING ORDER FROM PRECINCT FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVERAGE METHOD) Price DOES NOT INCLUDE State Tax of $0.20 All/ AUAW GALLON a, yP / ,, RATE OF 7 III IPIAUhILY r PLEASE LIST ANY EXCEPTIONS TO THE ABOVE SPWCATIRNS: Tuesday, August 21, 2007 86NER S0ICRRST RESOMCES PUBLIC HEARING ON THE MATTER OF THE AD VALOREM TAXATION OF GOODS IN TRANSIT: Judge Pfeifer opened the Public Hearing regarding the Ad Valorem Taxation of Goods in Transit at 11:10 a.m. There were no public comments. Judge Pfeifer closed the Public Hearing at 11:12 a.m. AD VALOREM TAXATION OF GOODS IN TRANSIT: A Motion was made by Judge Pfeifer and seconded by Commissioner Lyssy to approve the Ad Valorem Taxation of Goods in Transit and authorize Judge Pfeifer to sign. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. AN ORDER TO TAX TANGIBLE PERSONAL PROPERTY IN TRANSIT WHICH WOULD OTHERWISE BE EXEMPT PURSUANT TO TEXAS TAX CODE SECTION II.253 WHEREAS, The 80'h Texas Legislature in Regular Session has enacted House Bill 621 to take effect on January 1, 2008, which added Tex. Tax Code §II.253 to exempt from taxation certain tangible personal property held temporarily at a location in this state for assembling, storing, manufacturing, processing or fabricating purpose (goods -in - transit) which property has been subject to taxation in the past; and WHEREAS, Tex. Tax Code §II.2350) as amended allows the governing body of a taxing unit, after conducting a public hearing, to provide for the continued taxation of such goods -in -transit; and WHEREAS, The Commissioners' Court of Calhoun County, having conducted a public hearing as required by Section 1-n (d), Article VIII, Texas Constitution, is of the opinion that it is in the best interests of the district to continue to tax such goods -in - transit; NOW THEREFORE, BE IT ORDERED BY THE COMMISSIONERS' COURT FOR CALHOUN COUNTY THAT: The goods -in -transit, as defined Tex. Tax Code II.253(a)(2), as amended by House Bill 621, enacted by the 801h Texas Legislature in Regular Session, shall remain subject to taxation by Calhoun County, Texas. Dated this 13'h day of September, 2007. Michael J. Pfeifer, County #ud Calhoun County, Texas Attest: Anita Fricke, County Clerk By: WencVy Marvin, Deputy ACCEPT SALARIES OF COUNTY AUDITOR AND ASSISTANTS FOR FISCAL YEAR 2008 FROM DISTRICT JUDGES: A Motion was made by Judge Pfeifer and seconded by Commissioner Fritsch to accept the Salaries of the County Auditor and Assistants for fiscal year 2008 from the District Judges. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. STATE OF TEXAS COUNTY OF CALHOUN IN THE DISTRICT COURT OF CALHOUN COUNTY, TEXAS WHEREAS, on August 17, 2007 at a public hearing held for the purpose of setting the salaries of the County Auditor and Assistants for fiscal year 2008, and for the purpose of approving the number of assistants for the Auditor's Office for fiscal year 2008; and WHEREAS, the following base salary amounts were approved for fiscal year 2008 at the close of the public hearing: County Auditor $ 53 828 First Assistant Auditor $ 41,025 Assistant Auditor $ 31,580 Assistant Auditor $ 31,580 Assistant Auditor $ 31,580 FURTHER, any fiscal year 2008 salary increases and longevity approved by Commissioners Court for County Officials and Employees are approved for the County Auditor and Assistant Auditors in like percent and amount and upgrades or reclassifications of job grades and/or clusters approved by Commissioners Court for other County Employees are approved for such like and similar jobs for assistant auditors and the filling of vacant positions and those becoming vacant are approved at the rates and levels consistent with personnel policies and guidelines adopted by Commissioners Court for other County Employees. We, the undersigned, being a majority of the District Judges of Calhoun County, Texas do hereby ratify the approval action on August 17, 2007 by the District Judges at the close of the public hearing held for the purpose of setting salaries and approving the number of assistants for the County Auditor's Office for fiscal year 2008. Kelly, JGdge, 24 Williams, Judge, 135" Judicial District Judge, 267th Judicial District MFD K14 VTR° A AUG 2 RAMELA ART E DISTRICT CLERK CALHOUN CO TEXAS DETERMINE AND SET MONTHLY LONG DISTANCE PHONE CHARGES FOR 24TH JUDICIAL DISTRICT COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENT (ADULT PROBATION): A Motion was made by Judge Pfeifer and seconded by Commissioner Lyssy to keep the monthly charge of $128 for the long distance phone charges and with the option that the 24th Judicial District Community Supervision and Corrections Department (Adult Probation) can provide their own phone service. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. SET DATE FOR SECOND COURT DATE IN SEPTEMBER AND TO RESET DATE FOR WORKSHOP FOR DEPARTMENT HEADS TO DISCUSS AND ADOPT CALHOUN COUNTY EMPLOYEE MANUAL: A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch to set October 1, 2007 as the date for the second Court date in September and at this time the reset date for the workshop for discussion and adoption of the Calhoun County Employee Manual will not be set. Department Heads will have until October 15, 2007 to turn in questions regarding the manual and then a date will be set. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. EXCUTIVE SESSION: The Court, being in open session, in compliance with the pertinent provisions of the Vernon's Texas Code Annotated, Government Code, Section 551, Subchapter D, the County Judge as presiding officer, publicly announced at 11:25 a.m. that a closed session would now be held under the provision of Section 551.071; a governmental body may conduct a closed meeting for the purpose of private consultation between the governing body and it's attorney when the governing body seeks the attorney's advice with respect to pending or contemplated litigation, settlement offers, and matters where the duty of the governing body's counsel to his client pursuant to the Code of Professional responsibility to the State Bar of Texas conflicts with the Act. The Court then went into closed session. At the end of the closed session, the meeting was reopened to the public at 12:25 p.m. No action was taken at this time. ACCOUNTS ALLOWED — COUNTY: Claims totaling $1,266,988,48 were presented by the County Treasurer and after reading and verifying same, a Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch that said claims be approved for payment. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. PAYROLL: A Motion was made by Commissioner Galvan and seconded by Commissioner Fritsch to approve payroll for August 10, 2007 in the amount of $206,624.83 and for August 24, 2007 in the amount of $207,160.37. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. The Recessed until 2:30 pm CALHOUN COUNTY PAYROLL 2007 MONTH / AUGUST Payroll dated 08-10-07 $2069624.83 Payroll dated 08-24-07 $2079160.37 APPROVED TOTAL PAYROLL $413,785.20 The items listed above have been pre -approved by all Department Heads and I certify that funds are available to pay the obligations. I certify that the above is true and correct to the best of my knowledge this the day of 2007. RHONDA S. KOKENA, CALHOUN COUNTY TREASURER ACCEPTED AND APPROVED THIS THE DAY OF , 2007 IN THE CALHOUN COUNTY COMMISSIONERS' COURT, PORT LAVACA, TEXAS 77979. Court was back in Session at 2:30 pm ALLOW PRECINCT #2 TO APPLY FOR CREDIT WITH COASTAL DIESEL INJECTION: A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy to approve Precinct #2 to apply for credit with Coastal Diesel Injection. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. VERIZON TO CONSTRUCT A COMMUNICATION LINE WITHIN THE RIGHT-OF-WAY OF A COUNTY ROAD IN CALHOUN COUNTY PRECINCT #4 IN SEADRIFT: A Motion was made by Commissioner Finster and seconded by Commissioner Lyssy to allow Verizon to construct a communication line within the right-of-way of a County Road in Calhoun County Precinct #4 in Seadrift. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. AUTHORIZE COMMISSIONER NEIL E. FRITSCH TO ACCEPT AND SIGN THE RELEASE OF ALL PROPERTY DAMAGE CLAIM FOR CLAIM NO.01X6522 FROM DIEBEL OIL COMPANY, INC. AND FEDERATE MUTUAL INSURANCE CO: A Motion was made by Commissioner Lyssy and seconded by Commissioner Finster to authorize Commissioner Neil E. Fritsch to accept and sign the release of all property damage claim for Claim No. 01X6522 from Diebel Oil Company, Inc. and Federate Mutual Insurance Co. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. 09/19/2007 15:00 13618935309 CALHOUN COUNTY PCT 3 PAGE 02 wul-�vcirVa U/LVVr 3: 1P V{P Jt'l9 V `H MUUIY IUUNIY r-uI J rHUC Oz l vltl: fuaozay"G i[1S'yi all(-r3 1-0 k''Ufk YJJ^PGuu ragtl G RELEASE OF ALL PROPERTY DAMAGE CLAIMS FOR AND IN CONSIDERATION of the paymenl et ;his time or the surr of Two thousand and six hundred ana fifty dolars and 77/tOC--"----------------- -------- ---- Dollars ($ 265i?.77 i, the roceipt of which i> hereby acknowledged, the undersigned does hereby release, acquit and forever discharge Diebsl Oil Company no and Federateo Mutual Insurunce ompany and all ether persona, firms and corperaiions of and frorn any and all actions, causes of action, claims, dernarids, damages, cos; and expenses on account of, or in any way growing out of an accident or event which occurred or, or about the _ 92 day of August 200'7 at or near Calhoun, County Precinct 46 Properly owned by the undersigned was gamarged n- deFi It is undersiood and agreee tha: this is a oorrvprornise selllernant and same .s not i> be cors-.rued as an admission of Iiab:Uty on the pan cf the persor or persons herein released nor ahall It -.is settiamert and release be Construed as at waiver by or estoppel of the person G' persons herein released io assert and prosecute a clair,, or action for any damages sustained by such persor or persons ansing out of Ines aaode�it Or event. I; s funner understood ihaf the person or parsons heren released hasihave not given permissior :n writing or otherwise IC in s release. This Release contains the ENTIRE AGAEEMENT oetween tha dames hw&!o, and the terms of ?his Release are comractuai and not a more recital, WITNESS the hand and seal of the undarsigned this the -�—' cay of 7007 IN PRESENCE CF: F23-e33 Fd o� ij5 CAUTION! READ BEFORE SIGNING �xv vv (5 egll x{ i Notary Public, State of Texas om •N.� n. My Cmission Eupires SEPTEMBER 1d, 200B E n who, with the intent to injure, defraud or deceive nce company, submits a statement of claim or containing false, incomplete or misleading may be subject to criminal and.!or civil penalties. Claim No. Of - x 1 6c22 Doc. Type: Releasarfrust/Proof 2008INDIGENT DEFENSE GRANT PROGRAM AND APPROVE RESOLUTIONIINTERNET SUBMISSION FORM: A Motion was made by Commissioner Lyssy and seconded by Commissioner Fritsch to approve the 2008 Indigent Defense Grant Program and approve Resolution/Internet Submission Form and authorize Judge Pfeifer to sign. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. 2008 Calhoun County Resolution Indigent Defense Grant Program WHEREAS, under the provisions of the Fair Defense Act, 77th Regular Session, counties are eligible to receive grants from the Task Force on Indigent Defense to provide improvements in indigent defense services in the county; and WHEREAS, this grant program will assist the county in the implementation of the provisions of the Fair Defense Act and the improvement of the indigent criminal defense services in this county; and WHEREAS, Calhoun County Commissioners Court has agreed that in the event of loss or misuse of the funds, Calhoun County Commissioners assures that the funds will be returned in full to the Task Force on Indigent Defense. NOW THEREFORE, BE IT RESOLVED and ordered that the County Judge of this county is designated as the Authorized Official to apply for, accept, decline, modify, or cancel the grant application for the Indigent Defense Formula Grant Program and all other necessary documents to accept said grant; and BE IT FURTHER RESOLVED that the County Judge is designated as the Program Director and contact person for this grant and the County Auditor is designated as the Financial Officer for this grant. Adopted this 13'h day of September, 2007 mt viv l.-I- Michael Pfeifer, C ty J ge Attest: County Clerk By: Wen Marvin, Deputy Internet Submission Form After submitting the formula grant application on-line, the following Internet submission confirmation number was received 4200802920070914. This grant application submission was in accordance with the Commissioners Court Resolution above. Michael Pfeifer, o ty u e DECLARE ALL PURCHASES ASSOCIATED WITH THE ROEMERVILLE ROAD REPAIR AN EMERGENCY: A Motion was made by Commissioner Finster and seconded by Commissioner Fritsch to declare all purchases associated with the Roemerville Road repair an emergency. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. AUTHORIZE PRECINCT #4 COMMISSIONER TO CONTINUE WITH A LEASE PURCHASE FOR AN EXCAVATOR THROUGH HGAC: A Motion was made by Commissioner Finster and seconded by Commissioner Fritsch to authorize Commissioner Finster to continue with a lease purchase for an excavator through HGAC and authorize Commissioner Finster to sign all documents. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. INTERLOCAL AGREEMENT FOR ANIMAL CONTROL SERVICES WITH THE CITY OF PORT LAVACA FOR FISCAL YEAR 2007 AND AUTHORIZE PAYMENT OF PURCHASE ORDER #067189 IN THE AMOUNT OF $60,000: A Motion was made by Commissioner Galvan and seconded by Commissioner Lyssy to enter into an Interlocal Agreement for Animal Services with the City of Port Lavaca for fiscal year 2007 and authorize payment of Purchase Order #067189 in the amount of $60,000. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. INTERLOCAL AGREEMENT FOR ANIMAL CONTROL SERVICES STATE OF TEXAS COUNTY OF CALHOUN THIS CONTRACT AND AGREEMENT, entered into on this 1 st day of January, 2007, by and between the CITY of PORT LAVACA, Texas, a municipal corporation of Calhoun County, by and through their duly authorized City Manager or Mayor, and by and between the COUNTY OF CALHOUN, through its duly authorized County Judge, such governments acting herein under the authority and pursuant to the terms of the Texas Government Code, Section 791.001 et seq., known as the "Interlocal Cooperation Act." WITNESSETH: WHEREAS, the County of Calhoun desires to secure for unincorporated areas of the County the benefits of Animal Control and WHEREAS, the City of Port Lavaca, Texas being in possession of equipment, trained personnel and licensed facilities for the use in small animal control; and WHEREAS, City has authority to enter into contracts providing for small animal control services for citizens outside of its respective jurisdictional limits; and WHEREAS, County is desirous of obtaining said animal control services to protect the health and safety of residents in the unincorporated areas of County; and WHEREAS, for the small animal control services rendered hereunder, the County of Calhoun shall pay to City the amount of ($60,000) for the below described small animal control services in the unincorporated areas of Calhoun County and NOW, THEREFORE, for and in consideration of the mutual benefit to be derived by each of the parties hereto, said parties agree and covenant as follows: Page 1 of 4 PART SERVICES AND CONDITIONS 1.1 The City will provide personnel, equipment and facilities for the control, impoundment and euthanasia of animals according to the laws of the State of Texas. 1.2 The City shall maintain its equipment and facilities in accordance with all laws applicable to such and shall train its Animal Control Officer as required by law, all of which are at City expense. 1.3 The City shall respond to calls from County residents and the Calhoun County Sheriff s Office for detainment, impoundment and euthanasia of small animals. 1.4 The City of Port Lavaca shall maintain applicable insurance coverage on each of its motor vehicles and personnel. PART II INDEMNITY CLAIMS 2.1 All claims for workers compensation benefits arising out of this agreement shall be the sole responsibility of the parry who is the general employer of the employee filing such claim. 2.2 At no time shall the employees of a responding party be considered to be borrowed servants or on loan to the requesting parry under this agreement. PART III Pf", Tic 3.1 This agreement shall terminate December 31, 2007, provided that it shall automatically be renewed for a one year period unless any party hereto shall give all of the other parties written notice on or before ninety (90) days prior to the renewal date, at which time this agreement shall terminate only as to the terminating party. 3.2 Notwithstanding the above, all rights, duties, and responsibilities of the other nonterminating parties are unaffected for the remainder of the term or any renewal thereof. Page 2 of 4 3.3 This agreement shall renew itself automatically from year to year absent said notice. Ind NOTICE OF TERMINATION: 4.1 The parties hereto may terminate their interest under the agreement without recourse or liability for breach or damages, upon ninety (90) days written notice of their intent to terminate to the other parties. 4.2 Notwithstanding the above, all rights, duties, and responsibilities of the other nonterminating parties are unaffected for the remainder of the term. a t VA ENTIREMENT AGREEMENT It is the intent of the parties that this contract cover small animals such as dogs, cats, etc. Large animals, like livestock, are not covered by this contract. This agreement shall take the place of and supersede any previous agreements; it shall only be amended in writing and signed by all parties. IN WITNESS THEREOF, all parties have caused the agreement to be duly executed on the date given. Page 3 of 4 ATTEST BARBARA GIBSON CITY SECRETARY CITY OF PORT LAVACA COUNTY OF CALHOUN COUNTYJUDGE Page 4 of 4 FlIN1191 INTERLOCAL AGREEMENT FOR FIRE SERVICES WITH THE CITY OF PORT LAVACA AND AUTHORIZE PAYMENT OF PURCHASE ORDER #067190 IN THE AMOUNT OF $75,000: A Motion was made by Commissioner Galvan and seconded by Commissioner Lyssy to enter into an Interlocal Agreement for Fire Services with the City of Port Lavaca and authorize payment of Purchase Order #067190 in the amount of $75,000. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. INTERLOCAL AGREEMENT FOR FIRE SERVICES STATE OF TEXAS COUNTY OF CALHOUN THIS CONTRACT AND AGREEMENT, entered into on this 1" day of Janua 2007, by and between the CITY of PORT LAVACA, Texas, a municipal corporation of Calhoun County, by and through their duly authorized City Manager or Mayor, and by and between the COUNTY OF CALHOUN, through its duly authorized County Judge, such governments acting herein under the authority and pursuant to the terms of the Texas Government Code, Section 791.001 et seq., known as the "Interlocal Cooperation Act." WITNESSETH: WHEREAS, the County of Calhoun desires to provide for fire protection for life and property of its residents; and WHEREAS, the City of Port Lavaca, Texas being owners of certain trucks and other equipment designed for and capable of being used in the protection of persons and property from and in the suppression and the fighting of fires and has assigned individuals trained in the use of such equipment, the same being and composing fire departments of each of the parties hereto; and WHEREAS, the parties have authority to enter into contracts providing for the use of fire trucks and other fire protection and fire fighting equipment for citizens outside of their respective jurisdictional limits; and WHEREAS, the parties are desirous of obtaining additional, secondary service for their citizens in the event of an emergency whereby the fire department of a particular party would need additional assistance; and WHEREAS, for the fire services to be rendered hereunder, the County of Calhoun shall provide funds ($75,000.00) for the use of fire trucks and other fire protection and firefighting equipment for citizens outside the respective limits of the City of Port Lavaca, Texas and NOW, THEREFORE, for and in consideration of the mutual benefits to be derived by each of the parties hereto, said parties agree and covenant as follows: PART SERVICES AND CONDITIONS The City of Port Lavaca and the County of Calhoun agree to provide fire suppression services and to dispatch equipment and/or personnel in accordance with and subject to the terms and conditions hereinafter set forth. It is specifically agreed that: 1.1 The City of Port Lavaca agrees to furnish emergency fire suppression services upon a request for assistance from the 911 dispatcher or county volunteer fire departments within the County. 1.2 Each party's Fire Chief or their designate shall be the sole judge of the type and amount of equipment and manpower dispatched in response to a request for assistance. Responding party forces will work under the authority of the requesting party upon arrival at the scene. 1.3 Any request for aid hereafter shall include a statement of the amount and type of equipment and number of personnel requested, and shall specify the location to which the equipment and personnel are to be dispatched, by the amount and type of equipment and number of personnel to be furnished shall be determined by the representative of the responding party. 1.4 The responding party shall report to the officer in charge of the requesting party at the location to which the equipment and/or personnel is dispatched and there to render the assistance required. 1.5 A responding party shall be released by the requesting party when such services of the responding party are no longer required or when the responding party is needed within the area that it normally provides fire protection services for. The authorized official of the responding party, once determining that the health, safety and welfare of the responding party's personnel shall be endangered by any order of the requesting party, may withdraw all of responding party's personnel from the scene. 1.6 Although the City of Port Lavaca will endeavor to respond to all requests for assistance, nothing herein is to be interpreted as imposing any duty or obligation upon any party to respond to any fire emergency. The provision of fire protection service to each party's own area of responsibility shall always remain the primary function of that party's department. 1.7 In the event the City of Port Lavaca cannot or is unable to respond to a request for assistance, that party shall immediately notify the party requesting such assistance. 1.8 The parties' Fire Chief, in accordance with the terms of this agreement, shall consult as necessary with respect to the implementation of additional policies and procedures for improving the provision of fire protection services by each party in response to requests for assistance. 1.9 The City of Port Lavaca shall maintain applicable insurance coverage on each of its motor vehicles and personnel. PART 2 INDEMNITY CLAIMS: 2.1 All claims for workers compensation benefits arising out of this agreement shall be the sole responsibility of the party who is the general employer of the employee filing such claim. 2.2 At no time shall the employees of a responding party be considered to be borrowed servants or on loan to the requesting party under this agreement. PART 3 TERM: 3.1 This agreement shall terminate December 31, 2007, provided that it shall automatically be renewed for a one year period unless any parry hereto shall give all of the other parties written notice on or before ninety (90) days prior to the renewal date, at which time this agreement shall terminate only as to the terminating party. 3.2 Notwithstanding the above, all rights, duties, and responsibilities of the other nonterminating parties are unaffected for the remainder of the term or any renewal thereof. 3.3 This agreement shall renew itself automatically from year to year absent said notice. PART 4 NOTICE OF TERMINATION: 4.1 The parties hereto may terminate their interest under the agreement without recourse or liability for breach or damages, upon ninety (90) days written notice of their intent to terminate to the other parties. 4.2 Notwithstanding the above, all rights, duties, and responsibilities of the other nonterminating parties are unaffected for the remainder of the term. PART 5 ENTIRE AGREEMENT: This agreement shall take the place of and supersede any previous agreements; it shall only be amended in writing and signed by all parties. IN WITNESS THEREOF, all parties have caused the agreement to be duly executed on the date above written. ATTEST a9—dZ00 DATE CITY SECRETAR OF PORT LAV WHITLOW DA YOR COUNTY OF CALHOUN 1_1MUM COUNTY JUDGE COUNTY REPORTS: The Extension Service, JP 1 and 3 presented their monthly reports for the month of August 2007, County Treasurer for the month of July 2007, District Clerk for the months of May 2007, June 2007 and July 2007 and the County Tax Assessor/Collector presented Amended August 2005 report and monthly reports for the month of September 2005, May 2007 and July 2007 after reading and verifying same, a Motion was made by Judge Pfeifer and seconded by Commissioner Finster that said reports be accepted as presented. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Texas Cooperative Calhoun County Extension Office EXTENSION186 CR 101 (physical) • P.O. Box 86 (mailing) • Port Lavaca, TX 77979 The Te ARM I In''.iN Secrom (361) 552-9747 • (361) 552-6727 (fax) • http://calhoun-tx.tamu.edu EXTENSION AGENT ACTIVITY REPORT TO CALHOUN COUNTY COMMISSIONERS' COURT Activity Report For. Bethany I. Bowman, B.S. County Extension Agent Family & Consumer Sciences Selected Major Activities Since Last Report Month August 2007 * Denotes Night OR Weekend Activity 276.0 Miles Driven RECEIVED Date Activity Report 07 2007 8/1-8/3 *Attend/Host state meeting of TAE4-HA in Corpus Chrisf0i4f Wdi mmittee and business meetings, coordinate awards luncheon, and professional development workshops. 8/6 Travel to La Grange to attend New Agent Training 101: Interpretation and Program Planning workshop. Training was hosted by Dr. Darrell Dromgoole, Dr. Elaine Fries, Logan Respess, CEA-AG/NR and Jerry Gray, CEA-AG/NR. 8/7 General office management. Return e-mail and phone inquiries. Finalize interpretation piece for BLT/YMCA Cool Kids Cooking Camp. Meet with office manager to coordinate efforts to secure temporary replacement while office manager is out on maternity leave. Finalize monthly reports. 8/8 General office management. Return e-mail and phone inquires complete monthly reports. Travel to Victoria to order 4-H awards for achievement night August 14, 2007. Continue work on 4-H 2O07-2008 Handbook. 8/9 Continue working with 4-H and Youth Development Coordinator to ensure 4-H activities continue. Continue preparations for upcoming 4-H Achievement Night. Phone conference with Aging and Gerontology Specialist regarding 2008 Healthy Aging Conference. Begin working with CEA-AG/NR on plan of action regarding hiring of new 4-H and Youth Development Coordinator. 8/10 General office management. Return phone and e-mail inquiries. Continue work on general office organization and inventory. 8/13 Participate in online conference regarding evaluations instruments for programming. Office conference. 8/14 SICK DAY 8/15 Attend reporting system training in Victoria. 1/Q SICK DAY 8/16 Meet with local 4-H member to practice interviewing and public speaking skills. Meet Date Activity Report with part-time secretary to finalized inventory, begin preparations for 2008 4-H enrollment, finalized 2008 4-H Handbook and begin rescreening process for all 4- H/Extension volunteers. 8/17 General office management. Returned e-mail and phone inquires updated monthly reports. Exit interview with 4-H and Youth Development Coordinator. Submit positions announcements to Port Lavaca Wave, Victoria Advocate, Texas A&M University, Texas A&M University Kingsville, Texas State University, and Sam Houston State University. 8/20 Interview potential temporary associate for Office Manager position. Continue working on rescreening of volunteers and 2008 4-H Enrollment. 8/22 General office management. Continue working with Extension office support staff on implementation of new procedures regarding, filing, workload management, inventory and cash management. Meet with Judge Pfeifer to discuss 4-H f? Youth Development applicants. Contact individuals regarding State Fair Livestock Show entries. 8/23 Meet with 4-H Council President to begin planning for 2007-2008 4-H year. Planned upcoming 4-H Council meeting, Parent Adult Leaders meeting, community service project, events for fair and national 4-H week. Met with part-time secretary to working preparations for upcoming 4-H year. 8/24 Continued work on 4-H planning. 1/9 DAY ANNUAL LEAVE 8/27 ANNUAL LEAVE 8/28 Travel to Rosenberg, Texas Fort Bend County Extension Office with Ag Agent to attend New Extension Agent Training and Orientation (NEATO). Training covered the following topics: Working with master volunteers, rules and guidelines for Texas Cooperative Extension identity use, working with FCS committees and task forces. 8/29 Continue NEATO in Rosenberg, Texas. Training topics included the following: Working with Youth Boards, AG/NR Committees, marketing and interpretation of Extension programs. 8/30 Attend on-line conference for Family Resources Development and Management program updates. Prepared for Thursday, August 30, 2007 4-H Council meeting. General office management. Return e-mail and phone inquiries. *4-H Council and Parent Adult Leaders meeting. 8/31 ANNUAL LEAVE Date Activity Report 15 — Office Visits — FCS Newsletters 120 — Phone Calls — 4-H Newsletters 140 — E-Mail & Correspondence - - News Releases — Upcoming Events For September 2007 Date Upcoming Event 8/11-8/13 Attend State Meeting for Texas Extension Education Association in Tyler, Texas 8/18-8/20 Attend Fall Faculty Conference at Jackson County Extension Office 8/28-8/29 Attend State Fair as advisor to Ms. Kayla Hahn D-11 4-H County Council President. Extension programs serve people of all ages regardless of socioeconomic level, race, color, sex, religion, disability, or national origin. The Texas AbM University System, U.S. Department of Agriculture, and the County Commissioners Courts of Texas Cooperating. —Bethany Ifiesta Bowman County Extension Agent Family & Consumer Sciences Calhoun County Q/,no 7 Date Texas Cooperative Extension Texas A&M University System Monthly Schedule Of Travel Calhoun County Extension Agent Family b? Consumer Sciences Name: Bethany Bowman Title: CEA- Family b Consumer Sciences County: Calhoun County Month: Ausi st 2007 Date Travel Description Miles Meals Lodging 3-Aug Attend/Host state meeting of TAE4-HA in Corpus Chdsti. Attend committee and business meetings, coordinate awards luncheon, live auction, silent auction and professional development workshops. (CT) 98.7 6-Aug Travel to La Grange to attend New Agent Training 101: Interpretation and Program Planning workshop. Training was hosted by Dr. Darrell Dromgoole, Dr. Elaine Fries, Logan Respess, CEA-AG/NR and Jerry Gray, CEA-AG/NR. 208.0 8-Aug Travel to Victoria to order 4-H awards for achievement night August 14, 2007 68.0 15-Aug Attend reporting system training in Victoria. (CT) 68.0 28-Aug Travel to Rosenberg, Texas Fort Bend County Extension Office with fig Agent to attend New Extension Agent Training and Orientation (NEATO). Training covered the following topics: Working with master volunteers, rules and guidelines for Texas Cooperative Extension identity use, Iworking with FCS committees and task forces. (CT) 210.5 TOTALI 276.01 $0.00 $0.00 ** CT Denotes Use of County Vehicle I hereby certify that this is a true and correct report of travel (mileage) and other expenses incurred by me in performance of my official duties for month s o 9 Bethany Inesta Bowman Date County Extension Agent FamiN 9 Consumer Sciences Calhoun County 1,036.25 105.46 25.30 0.00 0.71 0.00 0.00 21.30 0.00 7.10 0.00 0.00 0.71 2.86 75.90 0.00 0.00 0.00 0.00 0.00 0.00 0.00 129.63 414.12 0.00 106.88 43.28 106.75 39.75 8.00 0.00 0.00 30.00 0.00 0.00 60.00 0.00 225.00 0.00 0.00 10.00 84.00 5.00 0.00 1,441.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT 0.00 PLEASE INCLUDE P. O. REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE P. O. REQUESTING DISBURSEMENT 0,00 PLEASE INCLUDE P. O. REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE P. O. REQUESTING DISBURSEMENT 0.00 PLEASE INCLUDE P.O. REQUESTING DISSURBEMENT(IF REQUIRED) MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 9/5/2007 COURT -NAME: JUSTICE OF PEACE NO. 1 - HOPE KURTZ MONTH OF REPORT: AUGUST YEAR OF REPORT: 2007 ACCOUNT NUMBER ACCOUNTNAME AMOUNT OR 1000-001-45011 FINES 1,441.00 OR 1000-001-44190 SHERIFF'S FEES 135.50 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 30.00 CHILD SAFETY 0.00 TRAFFIC 43.28 ADMINISTRATIVE FEES 10.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 OR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 83.28 OR 1000-001-44010 CONSTABLE FEES -SERVICE 225.00 OR 1000-001-44061 JP FILING FEES 65.00 OR 1000-001-46010 INTEREST 0.00 OR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.00 OR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 OR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 OR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 0.00 TOTAL FINES, ADMIN. FEES & DUE TO STATE $1,949.78 CR 2670-001-44061 COURTHOUSE SECURITY FUND $105.46 OR 2720-001-44061 JUSTICE COURT SECURITY FUND $25.30 OR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $106.88 OR SCHOOL CROSSING FUND $0.00 OR 7541-999-20747 DUE TO PARKS & WILDLIFE 0.00 OR 7541-999-20748 DUE TO P & W - WATER SAFETY 0.00 TOTAL DUE TO TX PARKS & WILDLIFE $0.00 STATE ARREST FEES DPS FEES 33.88 P&W FEES 0.00 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 33.88 OR 7070-999-20610 - CCC-GENERALFUND 106.89 OR 7070-999-20740 CCC-STATE 962.04 OR 7860-999-20610 STF/SUBC-GENERAL FUND 20.71 OR 7860-999-20740 STF/SUBC-STATE 393.41 CR 7950-999-20610 TP-GENERAL FUND 53.38 CR 7950-999-20740 TP-STATE 53.37 OR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.40 OR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE - 7.60 OR 7970-999-20610 TLIFTA-GENERAL FUND 0.00 OR 7970-999-20740 TL/FTA-STATE 0.00 OR 7505-999-20610 JPAY-GENERALFUND 12.60 OR 7505-999-20740 JPAY - STATE 71.40 OR 7857-999-20610 JURY REIMBURSEMENT FUND- GEN FUND 7.59 CR 7857-999-20740 JURY REIMBURSEMENT FUND- STATE 68.31 TOTAL COURT COSTS & ARREST FEES $1,791.58 DR 7541-999-20759 JP1 CLEARING ACCT $3,979.00 DUE TO OTHERS (Purchase Orders AHchd) CALHOUN COUNTY ISD 0.00 CA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS - 0.00 TOTAL DUE TO OTHERS $0.00 TOTAL COLLECTED -ALL FUNDS $3,979.00 LESS: TOTAL TREASUER'S RECEIPTS $3,979.00 Revised 4/23/07 OVER/(SHORT) $0.00 09/05/2007 Money Distribution Report Page 1 JUDGE HOPE D. KURTZ - AUGUST REPORT -----------------------------------------------------------------------------------------------.------------------------------------- Receipt Cause/Defendant Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount TotaL 3680890 JC-07-020 08/01/2007 SFEE 75.00 INDF 2.00 FFEE 15.00 � � � � 92.00 GROSS, L.E Personal Check 3680891 2007-0406 08/01/2007 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 IF 4.00 SUBC 30.00 I 205.00 BARDEN, LEE S I JCSF 1.00 JSF 3.00 FINE 111.00 JPAY 4.00 Money Order 3680892 2007-0221 08/01/2007 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 165.00 KOEDYKER, ROGER W I JCSF 1.00 JSF 3.00 FINE 71.00 JPAY 4.00 Cred-Card/Trnsfr 3680893 2007-0324 08/01/2007 CCC 12.18 CHS 1.22 SAF 1.53 TIME 7.62 TF 1.22 JCSF 0.31 25.00 WINEFELDT, MELISSA LYNN JSF 0.92 Cash 3680894 2007-0057A 08/03/2007 JCPT 0.80 CVC 6.15 CCC 6.97 FA 2.05 JCD 0.21 CHS 1.23 50.00 LOPEZ, PATSY MARTINEZ CMI 0.21 WRNT 20.49 I TIME 10.25 TF 1.64 Cash 3680895 2007-0440 08/06/2007 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 305.00 SALAS, MAGI ANNETTE I FINE 244.00 I JPAY 4.00 JaiL Credit 3680896 2007-0038 08/06/2007 CCC 40.00 CHS 4.00 SAF 5.00 WRNT 50.00 TF 4.00 DPSC 30.00 385.00 DELGADO, CASSANDRA DANIEL JCSF 1.00 I JSF 3.00 FINE 244.00 JPAY 4.00 Jail Credit 3680897 2007-0443 08/06/2007 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 305.00 DELGADO, CASSANDRA DANIEL I FINE 244.00 JPAY 4.00 Jail Credit 3680898 2007-0442 08/06/2007 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 200.00 DELGADO, CASSANDRA DANIEL FINE 139.00 JPAY 4.00 Jail Credit 3680899 2007-0441 08/06/2007 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 200.00 SALAS, MAGI ANNETTE I FINE 139.00 JPAY 4.00 Jail Credit 3680900 2007-0193 08/08/2007 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 104.00 RACKARD, RICHARD VENNARD ( JCSF 1.00 JSF 3.00 DDC 10.00 JPAY 4.00 Cash 3680901 2007-0323 08/08/2007 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 135.00 CASTANEDA, KAREN SUE FINE 74.00 I JPAY 4.00 I I. Money Order 3680902 2007-0307 08/08/2007 CCC 40.00 CHS 4.00 SAF 5.00 IF 4.00 JCSF 1.00 JSF 3.00 86.00 NGUYEN, TONY ANTHONY FINE 25.00 JPAY 4.00 Personal Check 3680903 2007-0324 08/09/2007 CCC 4.87 CHS 0.49 SAF 0.61 TIME 3.05 TF 0.49 JCSF 0.12 10.00 WINEFELDT, MELISSA LYNN I JSF 0.37 Cash 3680904 2007-0057A 08/10/2007 JCPT 0.77 CVC 5.78 CCC 6.55 FA 1.93 JCD 0.19 CHS 1.16 50.00 LOPEZ, PATSY MARTINEZ CMI 0.19 I WRNT 19.26 TIME 9.63 I TF 1.54 FINE. 3.00 Cash 3680905 2007-0326 08/10/2007 CCC 15.62 CHS 1.56 SAF 1.95 TIME 9.75 IF 1.56 JCSF 0.39 50.00 PINA, ROBIN ANDREA JSF 1.17 I FINE 18.00 Cash 3680906 2007-0375 08/10/2007 TFC 2.26 CCC 30.22 CHS 3.02 SAF 3.78 TF 3.02 SUBC 22.67 68.00 PADRON, JESSICA MANE JCSF 0.76 I JSF 2.27 Cash 3680907 2007-0378 08/13/2007 TFC 1.68 CCC 22.61 CHS 2.26 SAF 2.83 TIME 14.13 TF 2.26 65.00 CUMPIAM, REBECCA I SUBC 16.96 JCSF 0.57 JSF 1.70 Cash 09/05/2007 Money Distribution Report Page 2 JUDGE HOPE D. KURTZ - AUGUST REPORT -------------------------------------------------------- Receipt Cause/Defendant Code Amount Code --------------------------------------------------------------------------- Amount Code Amount Code Amount Code Amount Code Amount Total 3680908 2007-0369 08/13/2007 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 135.00 ZUFELT, TROY GLENN JCSF 1.00 JSF 3.00 FINE 41.00 I JPAY 4.00 Money Order 3680909 2007-0449 08/13/2007 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 135.00 BURKE, JUSTIN AGUSTUS JCSF 1.00 JSF 3.00 FINE 41-00 JPAY 4.00 Cash 3680910 2007-0306 08/15/2007 FINE 56.00 JPAY 4.00 ( 60.00 BARNES, EARLINE MARIE Cash 3680911 2007-0049 08/15/2007 CCC 18.96 CHS 1.89 SAF 2.37 TF 1.89 JCSF 0.47 JSF 1.42 31.00 BALDERA, JESSICA NICOLE JPAY 4.00 Cash 3680912 2007-0436 08/16/2007 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 ( JCSF 1.00 JSF 3.00 200.00 FALTESEK, BOBBY LEE I FINE 139.00 JPAY 4.00 Personal Check 3680913 2007-0435 08/16/2007 CCC 40-00 CHS 4.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 200.00 KREMLING, JUSTIN GENE I FINE 139.00 JPAY 4.00 Cash 3680914 2007-0324 08/16/2007 CCC 9.76 CHS 0.97 SAF 1.22 TIME 6.10 TF 0.97 JCSF 0.25 20.00 WINEFELDT, MELISSA LYNN JSF 0.73 Cash 3680915 2007-0341 08/17/2007 JCPT 1.29 CVC 9.37 TFC 1.87 CCC 10.62 FA 3.12 JCD 0.31 50.00 DOMINGUEZ, PAUL ANTHONY I CHS 1.87 CMI 0.31 I SAF 3.12 TIME 15.62 I TF 2.50 Cash 3680916 2007-0333 08/17/2007 CCC 12.21 CHS 1.22 SAF 1.52 TIME 7.62 ( TF 1.22 JCSF 0.30 25.00 TAMEZ, JOHN JAMES JSF 0.91 Cash 3680917 2007-0471 08/17/2007 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 135.00 HENKE, MELVIN JOHN I JCSF 1.00 JSF 3.00 FINE 41.00 JPAY 4.00 Money Order 3680918 2007-0430 08/18/2007 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 100.00 FLOWERS, ERIK WAYNE FINE 43.00 Cash 3680919 2007-0434 08/18/2007 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 80.00 GALLOWAY, JOSHUA EUGENE FINE 23.00 Cash 3680920 2007-0467 08/18/2007 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 205.00 RODRIGUEZ, ZARAGOZA GUS JCSF 1.00 JSF 3.00 FINE 111.00 I JPAY 4.00 Cash 3680921 2007-0476 08/18/2007 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 135.00 DANIEL, TONY WAYNE JCSF 1.00 JSF 3.00 FINE 41.00 JPAY 4.00 Cash 3680922 2007-0428 08/21/2007 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 104.00 TREVINO, FREDDY RAY JCSF 1.00 JSF 3.00 DOC 10.00 JPAY 4.00 Cash 3680923 2007-0448 08/22/2007 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 SUBC 30.00 135.00 ANSELMO, CAMPOS JCSF 1.00 JSF 3.00 FINE 41.00 I JPAY 4.00 Cash 3680924 JC-07-021 08/22/2007 I INDF 2.00 FFEE 15.00 I 17.00 CAPITAL ONE BANK Personal Check 3680925 2007-0427 08/22/2007 CCC 40.00 CHS 4.00 SAF 5.00 TF 4.00 JCSF 1.00 JSF 3.00 145.00 HUFF, DELLA FINE 84.00 JPAY 4.00 Cash Page 3 Total 92.00 5.00 5.00 25.00 20.00 30.00 50.00 145.00 ELLIS, BOBBY JUSTIN i FINE 84.00 JPAY 4.00 I I I I I Personal Check 3680934 2007-0419 08/27/2007 I TFC 3.00 I CCC 40.00 I CHS 4.00 I SAF 5.00 I IF 4.00 I SUBC 30.00 I 104.00 BAKER, WESLEY ROBERT I JCSF 1.00 I JSF 3.00 I DDC 10.00 I JPAY 4-00 Cash I I I I I I 3680935 2007-0446 08/27/2007 I TFC 3.00 I CCC 40.00 I CHS 4.00 I SAF 5.00 I TF 4.00 I SUBC 30.00 135.00 TAYLOR, TERESA I JCSF 1.00 I JSF 3.00 I FINE 41.00 I JPAY 4.00 Cash I I I I 3680936 JC-07-023 08/27/2007 I SFEE 75.00 I INDF 2.00 I FFEE 15.00 I I GROSS, L.E I I I Personal Check I I I I I 3680937 2007-0057A 08/28/2007 FINE 50.00 LOPEZ, PATSY MARTINEZ Cash I I I I 3680938 2007-0333 08/31/2007 I CCC 12.18 I CHS 1.22 I SAF 1.53 I TIME 7.62 I TF 1.22 TAMEZ, JOHN JAMES I JSF 0.92 Cash I I I I I 3680939 2007-0324 08/31/2007 I FINE 5.00 I I I I I WINEFELDT, MELISSA LYNN I I I I Cash I I I I I I 3680940 2007-0480 08/31/2007 CCC 40.00 I CHS 4.00 I SAF 5.00 I TF 4.00 I JCSF 1.00 GOMEZ, DWAYNE WILLIAM FINE 53.00 I JPAY 4.00 I I I I Cash I I I I I I 3680941 JC-07-011 08/31/2007 AOJ 5.00 I I ( I I MENDOZA, JESSE & SYLVIA I I I I I I Cash I I I I I 3680942 2007-0359 08/31/2007 I FINE 100.00 I I I I I KNOBLES, DEBORAH SUE I I I I I I Comm Service ( I I I I 3680943 2007-0045 08/31/2007 I FINE 50.00 I I I I I COLE, PAUL HOWARD Cash I I I I I 09/05/2007 Money Distribution Report JUDGE HOPE D. KURTZ - AUGUST REPORT ------------------------------------------------------------------------------------------------------------------------- Receipt Cause/Defendant I Code Amount I Code Amount I Code Amount I Code Amount I Code Amount I Code Amount I I I I I I I 3680926 JC-07-022 08/23/2007 I SFEE 75.00 INDF 2.00 I FFEE 15.00 I I I COUNTRYWIDE HOME LOANS, INC. I I I I I Personal Check I I I I I 3680927 2007-0324 08/23/2007 CCC 0.98 I CHS 0.10 I SAF 0.12 I TIME 0.61 I TF 0.10 I JCSF 0.02 WINEFELDT, MELISSA LYNN I JSF 0.07 I FINE 3.00 I I I ( I Cash I I I I I 3680928 2007-0191 08/23/2007 I CCC 0.98 I CHS 0.10 I SAF 0.12 I TIME 0.61 I TF 0.10 I JCSF 0.02 ERVIN, SHARON DENISE I JSF 0.07 I FINE 3.00 I I I I I Cash I I I I I I 3680929 2007-0400 08/23/2007 I CCC 12.21 I CHS 1.22 I SAF 1.52 I TIME 7.62 I TF 1.22 I JCSF 0.30 GREEN, DUSTIN WAYNE I JSF 0.91 I I I I I Cash I I I I I I 3680930 2007-0375 08/24/2007 I TFC 0.68 I CCC 8.89 I CHS 0.89 I SAF 1.11 I IF 0.89 I SUBC 6.66 PADRON, JESSICA MANE I JCSF 0.22 I JSF 0.66 Cash I I I I I I 3680931 2007-0331 08/24/2007 TFC 0.79 I CCC 10.44 ( CHS 1,04 I SAF 1.30 I TIME 6.52 I TF 1.04 DANIELS, RICHARD LEE I SUBC 7.83 I JCSF 0.26 I JSF 0.78 I I I I Cash 3680932 2007-0326 08/24/2007 I FINE 50.00 I I I I I I PINA, ROBIN ANDREA I I I I I I Cash I I I I I 3680933 2007-0447 08/24/2007 I CCC 40.00 I CHS 4.00 I SAF 5.00 I TF 4.00 I JCSF 1.00 I JSF 3.00 92.00 50.00 I I JCSF 0.31 I 25.00 I I 5.00 I I JSF 3.00 I 114.00 I I 5.00 100.00 50.00 09/05/2007 Money Distribution Report Page 4 JUDGE HOPE D. KURTZ - AUGUST REPORT ------------------------- Receipt Cause/Defendant ____________________________________________________________________ Code Amount Code Amount Code Amount Code Amount Code Amount Code Amount Total 3680944 2007-0399 08/31/2007 EXRF 10.00 I 10.00 NAVARRO, RAYMOND JR Cash I I I I 09/05/2007 Money Distribution Report Page 5 JUDGE HOPE D. KURT2 - AUGUST REPORT The following totals represent - Cash and Checks Collected Type Code Description Count Retained Disbursed Money -Totals The following totals represent - Cash and Checks Collected COST CCC CONSOLIDATED COURT COSTS 37 99.63 896.62 996.25 COST CHS COURT HOUSE SECURITY 37 101.46 0.00 101.46 COST CMI CMI 3 0.08 0.63 0.71 COST CVC CVC 3 2.13 19.17 21.30 COST DPSC DPS OMNIBASE FEE 0 0.00 0.00 0.00 COST FA FA 3 0.71 6.39 7.10 COST .JCD JCD 3 0.08 0.63 0.71 COST JCPT JCPT 3 0.29 2.57 2.86 COST JCSF JUSTICE COURT SECURITY FUND 34 24.30 0.00 24.30 COST JSF JUROR SERVICE FUND 34 7.29 65.61 72.90 COST SAF DPS 35 99.71 24.92 124.63 COST SUBC SUBTITLE C 15 19.21 364.91 384.12 COST IF TECHNOLOGY FUND 37 102.88 0.00 102.88 COST TFC TFC 16 40.28 0.00 40.28 COST TIME TIME PAYMENT FEE 14 53.38 53.37 106.75 COST WRNT WARRANT FEE 2 39.75 0.00 39.75 FEES AOJ ABSTRACT OF JUDGEMENT 1 5.00 0.00 5.00 FEES DOC DEFENSIVE DRIVING 3 30.00 0.00 30.00 FEES EXRF EXPIRATION RENEWAL FEE 1 10.00 0.00 10.00 FEES FFEE FILING FEE 4 60.00 0.00 60.00 FEES INDF INDIGENT FEE 4 0.40 7.60 8.00 FEES JPAY DISTRICT JUDGE PAY RAISE 20 12.00 68.00 80.00 FEES SFEE SERVICE FEE 3 225.00 0.00 225.00 FINE FINE FINE 26 1,370.00 0.00 1,370.00 Money Totals 48 2,303.58 1,510.42 3,814.00 The folLowing totals represent - Jail Credit and Cortmunity Service COST CCC CONSOLIDATED COURT COSTS 5 20.00 180.00 200.00 COST CHS COURT HOUSE SECURITY 5 20.00 0.00 20.00 COST CHI CMI 0 0.00 0.00 0.00 COST CVC CVC 0 0.00 0.00 0.00 COST DPSC DPS OMNIBASE FEE 1 9.90 20.10 30.00 COST FA FA 0 0.00 0.00 0.00 COST JCD JCD 0 0.00 0.00 0.00 COST JCPT JCPT 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 5 5.00 0.00 5.00 COST JSF JUROR SERVICE FUND 5 1.50 13.50 15.00 COST SAF DPS 5 20.00 5.00 25.00 COST SUBC SUBTITLE C 0 0.00 0.00 0.00 COST TF TECHNOLOGY FUND 5 20.00 0.00 20.00 COST TFC TFC 0 0.00 0.00 - 0.00 COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00 COST WRNT WARRANT FEE 1 50.00 0.00 50.00 FEES AOJ ABSTRACT OF JUDGEMENT - 0 0.00 0.00 0.00 FEES DDC DEFENSIVE DRIVING 0 0.00 0.00 0.00 09/05/2007 Money Distribution Report Page 6 JUDGE HOPE D. KURTZ - AUGUST REPORT The following totals represent - Jail Credit and Community Service Type Code Description Count FEES EXRF EXPIRATION RENEWAL FEE 0 FEES FFEE FILING FEE 0 FEES INDF INDIGENT FEE 0 FEES JPAY DISTRICT JUDGE PAY RAISE 5 FEES SFEE SERVICE FEE 0 FINE FINE FINE 6 Credit Totals 6 The following totals represent - Credit Card Payments and Transfers COST CCC CONSOLIDATED COURT COSTS 1 COST CHS COURT HOUSE SECURITY 1 COST CMI CMI 0 COST CVC CVC 0 COST DPSC DPS OMNIBASE FEE 0 COST FA FA 0 COST JCD JCD 0 COST JCPT JCPT 0 COST JCSF JUSTICE COURT SECURITY FUND 1 COST JSF JUROR SERVICE FUND 1 COST SAF DPS 1 COST SUBC SUBTITLE C 1 COST IF TECHNOLOGY FUND 1 COST TFC TFC 1 COST TIME TIME PAYMENT FEE 0 COST WRNT WARRANT FEE 0 FEES AOJ ABSTRACT OF JUDGEMENT 0 FEES DDC DEFENSIVE DRIVING 0 FEES EXRF EXPIRATION RENEWAL FEE 0 FEES FFEE FILING FEE 0 FEES INDF INDIGENT FEE 0 FEES JPAY DISTRICT JUDGE PAY RAISE 1 FEES SFEE SERVICE FEE 0 FINE FINE FINE 1 Credit Totals 1 The following totals represent - Combined Money and Credits COST CCC CONSOLIDATED COURT COSTS 43 COST CHS COURT HOUSE SECURITY 43 COST CMI CMI 3 COST CVC CVC 3 COST DPSC DPS OMNIBASE FEE 1 COST FA FA 3 COST JCD JCD 3 COST JCPT JCPT 3 COST JCSF JUSTICE COURT SECURITY FUND 40 Retained Disbursed Money -Totals 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 . 3.00 17.00 20.00 0.00 0.00 0.00 1,110.00 0.00 1,110.00 1,259.40 235.60 1,495.00 4.00 36.00 40.00 4.00 0.00 4.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1.00 0.00 1.00 0.30 2.70 3.00 4.00 1.00 5.00 1.50 28.50 30.00 4.00 0.00 4.00 3.00 0.00 3.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.60 3.40 4.00 0.00 0.00 0.00 71.00 0.00 71.00 93.40 71.60 165.00 123.63 1,112.62 1,236.25 125.46 0.00 125.46 0.08 0.63 0.71 2.13 19.17 21.30 9.90 20.10 30.00 0.71 6.39 7.10 0.08 0.63 0.71 0.29 2.57 2.86 30.30 0.00 30.30 09/05/2007 Money Distribution Report Page 7 JUDGE HOPE 0. KURTZ - AUGUST REPORT The following totals represent - Combined Money and Credits Type Code Description Count Retained Disbursed Money-TotaLs COST JSF JUROR SERVICE FUND 40 9.09 81.81 90.90 COST SAF DPS 41 123.71 30.92 154.63 COST SUBC SUBTITLE C 16 20.71 393.41 414.12 COST TF TECHNOLOGY FUND 43 126.88 0.00 126.88 COST TFC TFC 17 43.28 0.00 43.28 COST TIME TIME PAYMENT FEE 14 53.38 53.37 106.75 COST WRNT WARRANT FEE 3 89.75 0.00 89.75 FEES AOJ ABSTRACT OF JUDGEMENT 1 5.00 0.00 5.00 FEES DDC DEFENSIVE DRIVING 3 30.00 0.00 30.00 FEES EXRF EXPIRATION RENEWAL FEE 1 10.00 0.00 10.00 FEES FFEE FILING FEE 4 60.00 0.00 60.00 FEES INDF INDIGENT FEE 4 0.40 7.60 &00 FEES JPAY DISTRICT JUDGE PAY RAISE 26 15.60 88.40 104.00 FEES SFEE SERVICE FEE 3 225.00 0.00 225.00 FINE FINE FINE 33 2,551.00 0.00 2,551.00 Report Totals 55 3,656.38 1,817.62 5,474.00 09/05/2007 Money Distribution Report Page 8 _______________________________________________________________________________________________________ JUDGE .HOPE D. KURTZ - AUGUST REPORT DATE PAYMENT -TYPE FINES COURT -COSTS FEES BONDS RESTITUTION OTHER TOTAL 00/00/0000 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09/01/1991 Cash & Checks Collected 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09/01/1993 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09/01/1995 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09/01/1997 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09/01/1999 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09/01/2001 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09/01/2003 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01/01/2004 Cash & Checks Collected 1,370.00 2,026.00 418.00 0.00 0.00 0.00 3,814.00 Jail Credits & Comm Service 1,110.00 365.00 20.00 0.00 0.00 0.00 1,495.00 Credit Cards & Transfers 71.00 90.00 4.00 0.00 0.00 0.00 165.00 Total of all Coltections 2,551.00 2,481.00 442.00 0.00 0.00 0.00 5,474.00 TOTALS Cash & Checks Collected 1,370.00 2,026.00 418.00 0.00 0.00 0.00 3,814.00 Jai[ Credits & Comm Service 1,110.00 365.00 20.00 0.00 0.00 0.00 1,495.00 Credit Cards & Transfers 71.00 90.00 4.00 0.00 0.00 0.00 165.00 Total of all Collections 2,551.00 2,481.00 442.00 0.00 0.00 0.00 5,474.00 09/05/2007 Money Distribution Report Page 9 JUDGE HOPE D. KURTZ - AUGUST REPORT ______________________________________________________________________________________________ ___ E PAYMENT -TYPE FINES COURT -COSTS FEES BONDS RESTITUTION OTHER State of Texas Quarterly Reporting Totals Description Count Collected Retained Disbursed State Comptroller Cost and Fees Report Section I: Report for Offenses Committed 01-01-04 Forward 53 1,068.93 106.92 962.01 09-01-01 - 12-31-03 0 0.00 0.00 09-01-99 - 08-31-07 0 0.00 09-01-97 - 08-31-99 0 0.00 0.00 0.00 09-01-95 - 08-31-97 0 0.00 - 0.00 0.00 09-01-91 - 08-31-95 0 0.00 0.00 0.00 Bail Bonds Fee 0 0.00 0.00 0.00 DNA Testing Fees 0 0.00 0.00 0.00 EMS Trauma Fund (EMS) 0 0.00 0.00 0.00 Juvenile Probation Diversion Fees 0 0.00 0.00 0.00 0.00 Jury Reimbursement Fee 35 75.90 0.00 0.00 State Traffic Fees 16 414.12 7.60 68.30 20.70 393.42 Section II: As Applicable State Police Officer Fees Failure to Appear/Pay Fees Judicial Fund - Connt County Court Judicial Fund - Statutory County Court Motor Carrier Weight Violations Time Payment Fee Driving Record Fees Judicial Support Fees Report Sub Total 36 0 0 0 0 14 0 21 175 129.63 0.00 0.00 0.00 0.00 106.75 0.00 84.00 1,879.33 103.72 0.00 0.00 0.00 0.00 53.41 0.00 12.60 304.95 25.91 0.00 0.00 0.00 0.00 53.34 0.00 71.40 1,574.38 State Comptroller Civil Fees Report CF: Birth Certificate Fees CF: Marriage License Fees CF: Declaration of Informal Marriage CF: Nondisclosure Fees CF: Juror Donations CF: Justice Court Indig Filing Fees CF: Stat Prob Court Indig Filing Fees CF: Stat Prob Court Judic Filing Fees CF: Stat Cnty Court Indig Filing Fees CF: Stat Cnty Court Judic Filing Fees CF: Cnst Cnty Court Indig Filing Fees CF: Cnst Cnty Court Judic Filing Fees CF: Dist Court District & Family Law CF: Dist Court Other Divorce/Family Law CF: Dist Court Indig Filing Fees CF: Family Protection Fee CF: Judicial Support Fee Report Sub Total 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 4 0.00 0.00 0.00 0.00 0.00 8.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 0.00 0.00 0.00 0.00 0.00 0.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.40 0.00 0.00 0.00 0.00 0.00 7.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7.60 Total Due For This Period 179 1,887.33 305.35 1,581.98 THE STATE OF TEXAS Before me, the undersigned authority, this day County of Calhoun personally appeared Hope D. Kurtz, Justice of the Peace Precinct 1, Calhoun County, Texas, who being duly sworn, deposes and says that the above and foregoing report is true and correct. TOTAL 09/04/2007 Money Distribution Report Page 1 JUDGE GARY W. NOSKA JPN3 AUGUST' 07 MONTHLY REPORT ------------------------------------------------------------------------------------------------------------------------------------ Receipt Cause/Defendant Code Amount Code Amount I Code Amount Code Amount Code Amount Code Amount TotaL 0043217 2007-31381 08/01/2007 JSF 3.00 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 305.00 MENDOZA, MAURICIO AMAYA SUBC 30.00 I JCSF 1.00 I FINE 211.00 JPAY 4.00 Money Order 0043218 2007-31382 08/01/2007 JSF 3.00 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 145.00 MENDOZA, MAURICIO AMAYA I SUBC 30.00 I JCSF 1.00 I FINE 51.00 I JPAY 4.00 Money Order 0043219 2007-31191 08/01/2007 JSF 3.00 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 TIME 25.00 230.00 GONZALEZ, ENRIQUE TF 4.00 SUBC 30.00 I JCSF 1.00 I FINE 111.00 JPAY 4.00 Cred-Card/Trnsfr 0043220 2007-31079 08/03/2007 FINE 25.00 25.00 FURRH, MICHEAL ANDREW Money Order 0043221 2007-31361 08/03/2007 JSF 0.65 TFC 0.65 CCC 8.70 CHS 0.87 LAF 1.09 TIME 5.43 25.00 WITT, WILLIAM STEPHEN TF 0.87 I SUBC 6.52 JCSF 0.22 Cash 0043222 2007-31270 08/06/2007 FINE 100.00 100.00 LONGSWORTH, BERTHA S. Money Order 0043223 2007-31067 08/06/2007 FINE 46.00 JPAY 4.00 50.00 GONZALES, SARA ANNA MARIA Money Order 0043224 2007-31187 08/07/2007 FINE 101.00 101.00 DELGADO, SALLY CHAVEZ Money Order 0043225 2007-31233 08/07/2007 JSF 0.40 TFC 0.39 CCC 5.22 CHS 0.52 LAF 0.65 TIME 3.26 50.00 MOORE, JAMES LASHAWN TF 0.52 SUBC 3.91 JCSF 0.13 I FINE 35.00 Money Order 0043226 2007-31351 08/13/2007 JSF 3.00 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 IF 4.00 104.00 STANTON, DARRIN BRIAN I SUBC 30.00 JCSF 1.00 I DOC 10.00 I JPAY 4.00 Money Order 0043227 2007-31380 08/13/2007 JSF 3.00 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 IF 4.00 594.00 SHACKLEFORD, GUY I SUBC 30.00 JCSF 1.00 FINE 500.00 JPAY 4.00 Cash - 0043228 2007-31383 08/13/2007 JSF 3.00 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 IF 4.00 195.00 ZERON, ORLANDO SUBC 30.00 JCSF 1.00 SEAT 101.00 I JPAY 4.00 Cash 0043229 2007-31301 08/15/2007 FINE 111.00 111.00 HINES, GREGORY ROBERT Cash 0043230 2007-31230 08/16/2007 JSF 1.32 TFC 1.30 CCC 17.39 CHS 1.74 LAF 2.17 TIME 10.87 50.00 ADAMS, JARED DAVID 233 ALCO TF 1.74 SUBC 13.04 JCSF 0.43 Cash 0043231 2007-31369 08/16/2007 JSF 3.00 TFC 3.00 CCC 40.00 CHS 4.00 SAF 5.00 IF 4.00 125.00 ARRIAGA, JUANA SANTILLAN SUBC 30.00 JCSF 1.00 FINE 31.00 I JPAY 4.00 Money Order 0043232 2007-31270 08/17/2007 FINE 50.00 50.00 LONGSWORTH, BERTHA S. Money Order 0043233 2007-31361 08/17/2007 JSF 0.63 TFC 0.66 CCC 8.69 CHS 0.87 LAF 1.09 TIME 5.44 25.00 WITT, WILLIAM STEPHEN I TF 0.87 SUBC 6.53 JCSF 0.22 Cash 0043234 2007-31103 08/17/2007 JSF 0.64 TFC 0.66 CCC 8.69 CHS 0.87 LAF 1.09 TIME 5.44 25.00 QUINTANILLA, JESUS GUADALUPE I TF 0.87 I SUBC 6.53 I JCSF 0.21 Cash 09/04/2007 Money Distribution Report Page 2 JUDGE GARY W. NOSKA JP#3 AUGUST- 07 MONTHLY REPORT --------------------------------------------------------------------------------------------------------------------------- Receipt Cause/Defendant I Code Amount I Code Amount i Code Amount i Code Amount I Code Amount I Code Amount 1 I I I I 0043235 2007-31360 08/20/2007 I JSF 3.00 I TFC 3.00 I CCC 40.00 I CHS 4.00 I LAF 5.00 I IF 4.00 1 ANGUTANO, JAVIER ELIAS I SUBC 30.00 I JCSF 1.00 I FINE 41.00 I JPAY 4.00 I I I Cash I I I I I I I 0043236 2007-31154 08/21/2007 I JSF 3.00 I TFC 3.00 I CCC 40.00 I CHS 4.00 I SAF 5.00 I TIME 25.00 1 LEWIS, ROBBY BRENT I TF 4.00 I SUBC 30.00 I JCSF 1.00 I FINE 201.00 I JPAY 4.00 I I Money Order I I I I I I I 0043237 2007-31371 08/22/2007 I JSF 3.00 I TFC 3.00 I CCC 40.00 I CHS 4.00 I SAF 5.00 I IF 4.00 1 MENDEZ, ANDREW I SUBC 30.00 I JCSF 1.00 I FINE 41.00 I JPAY 4.00 I I I Cash I 1 1 0043238 2007-31367 08/23/2007 I JCPT 2.00 I CVC 15.00 I CCC 17.00 .DEAN, ROBERT LEE I CHI 0.50 1.WRNT -50.00 1 IF 4.00 Money Order I I I 0043239 2007-31081 08/23/2007 I JSF 3.00 I CCC 40.00 I CHS 4.00 DEAN, ROBERT LEE.. I DPSC 30.00 I JCSF 1.00 I FINE 244.00 Money Order 1 0043240 2004 28813A 08/23/2007 I TFC 3.00 I CCC 40.00 I CHS 3.00 MARTINEZ JAMES EDWARD I SUBC 30.00 I FINE 273.00 I CSRV 129.90 �a t4 aa,,�r�a1t I I I 0043241 2004-28813 08/23/2007 I TFC 3.00 I CCC 40.00 I CHS 3.00 MARTINEZ, JAMES EDWARD I IF 4.00 I DPSC 30.00 I SUBC 30.00 WIN- 0043243 2007 31368 08/23/2007 1 JSF 3.00 I TFC 3.00 I CCC 40.00 OLIVERA, BENITO GARCIA I SUBC 30.00 I JCSF 1.00 I FINE 51.00 Cash 0043244 25882 08/27/2007 I FINE 25.00 I I WILLIAMS, MICHEAL R. I I I Cash 0043245 2007-29015 08/27/2007 I CVFF 15.00 1 CIFF 2.00 I SF 75.00 1 TARGET NATIONAL BANK FKA RETAILEI I I I Personal Check I 1 FA 5.00 I JCD 0.50 I CHS 3.00 DPSC 30.00 I FINE 295.00 I CSRV 126.60 LAF 5.00 I TIME 25.00 I IF 4.00 CSRV 123.00 1:WRNT <50.00 1 JPAY 4.00 WRNT 50.00 I I IF 4.00 I 1 DPSC 30.00 SAF 5.00 I I WRNT 50.00 I I TIME 25.00 FINE 50.00 I CSRV 72.00 1 CHS 4.00 JPAY 4.00 0043246 2007-31444 08/27/2007 I JSF 3.00 I TFC 3.00 I CCC 40.00 I CHS GADEKE, GARRISON CARL 1 SUBC 30.00 I JCSF 1.00 I FINE 71.00 I JPAY Money Order I I I 0043247 21424 08/27/2007 I JCPT 1.00 I CVC 75.00 I CCC 17.00 I FA MARTIN, MARCUS JOHN I LAF 5.00 I FINE 253.75 1 I Jail Credit I I I I SAF 5.00 I IF 4.00 I 4.00 1 LAF 5.00 I IF 4.00 I I I I 4.00 I Total 135.00 320.00 135.00 548.60 533.00 562.90 312.00 145.00 25.00 92.00 165.00 5.00 1 JCD 0.25 1 CHS 3.00 1 300.00 0043248 21423 08/27/2007 I JCPT 1.00 1 CVC 15.00 1 CCC 17.00 I FA 5.00 I JCD 0.25 1 CHS 3.00 1 300.00 MARTIN MARCUS JOHN'.- 1 LAF 5.00 I WRNT 50400:.1 FINE 203.75 1 I I I 0043249 2004-28735A 08/28/2007 1 TFC 3.00 1 CCC 40.00 1 CHS 3.00 1;WRNT 50:00:g1 TF 4.00 1 DPSC 30.00 1 562.90 JACKSON, ,DOUGLAS BRYAN JR. 1 SUBC 30.00 I FINE 273.00 I CSRV 129.90 I 1 I Personal Check I I I I 1 I 0043250 2004-28735 08/28/2007 1 TFC 3.00 1 CCC 40.00 I CHS 3.00 1 LAF 5.00 1 WRNT 50.00 1 IF I 4.00 1 279.50 JACKSON, DOUGLAS BRYAN JR. 1 DPSC 30.00 I SUBC 30.00 I FINE 50.00 I CSRV 64.50 1 I 1 Personal Check I I I I I I I 0043251 2006-30628 08/28/2007 1 JCPT 2.00 1 CVC 15.00 I CCC 17.00 1 FA 5.00 1 JCD 0.50 1 CHS 3.00 1 548.60 MANCERA, FIDEL 1 CHI 0.50 1 WRNT 50.00 1 TF 4.00 1 DPSC 30.00 1 FINE 295.00 I CSRV 126.60 I Personal Check I I 1 1 0043252 2006-30453 08/28/2007 1 JSF 4.00 1 TFC 3.00 1 CCC 40.00 1 MANCERA, FIDEL 1 TIME 25.00 1 IF 4.00 I DPSC 30.00 1 Personal Check 1 CSRV 84.00 1 JPAY 4.00 1 I 0043253 2007-31238 08/28/2007 I JSF 3.00 1 TFC 3.00 1 CCC 40.00 1 GARCIA, GILBERTO RAMIREZ 1 IF 4.00 I SUBC 30.00 I JCSF 1.00 1 Cred-Card/Trnsfr 1 1 I I CHS 3.00 SUBC 30.00 CHS 4.00 FINE 111.00 SAF 5.00 1 WRNT 50.00 1 414.00 JCSF 1.00 I FINE 131.00 I SAF 5.00 1 TIME 25.00 1 230.00 JPAY 4.00 1 I I I 09/04/2007 Money Distribution Report Page 3 JUDGE GARY W. NOSKA JP#3 AUGUST' 07 MONTHLY REPORT ------------------------------------------------------------------------------------------------------------------------------------ Receipt Cause/Defendant Code Amount I Code Amount I Code Amount I Code Amount I Code Amount Code Amount Total 0043254 2007-31233 08/29/2007 FINE 100.00 100.00 MOORE, JAMES LASHAWN Money Order 0043255 2007-29907 08/29/2007 CVFF 15.00 CIFF 2.00 SF 75.00 92.00 LEWIS, PENNY Personal Check 0043256 2007-31079 08/30/2007 FINE 76.00 JPAY 4.00 80.00 FURRH, MICHEAL ANDREW Money Order 0043257 2007-31423 08/30/2007 JSF 3.00 TFC 3.00 CCC 40.00 CHS 4.00 LAF 5.00 TF 4.00 145.00 PAEZ, SENDY ISABEL I SUBC 30.00 JCSF 1.00 FINE 51.00 JPAY 4.00 Cash 09/04/2007 Money Distribution Report Page 4 JUDGE GARY W. NOSKA JP#3 AUGUST' 07 MONTHLY REPORT ------------------------------------------------------------------------------------------------------------------------------------ The following totals represent - Cash and Checks Collected Type Code Description Count Retained Disbursed Money -Totals The following totals represent - Cash and Checks Collected COST CCC CONSOLIDATED COURT COSTS 23 72.27 650.42 722.69 -y COST CHS COURTHOUSE SECURITY 23 71.87 0.00 71.87 'l- '72 $ COST CMI CORRECTIONAL MANAGEMENT INSTITUTE 2 0.10 0.90 1.00 COST CVC COMPENSATION TO VICTIMS OF CRIME 2 3.00 27.00 30.00 COST DPSC OMNI 6 59.40 120.60 180.00 COST FA FUGITIVE APPREHENSION 2 1.00 9.00 10.00 COST JCD JUVENILE CRIME AND DELINQUENCY 2 0.10 0.90 1.00 COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 2 0.40 3.60 4.00 COST JCSF JUSTICE COURT SECURITY FUND 19 15.21 0.00 1 15. 21 % ot.O� COST JSF JUROR SERVICE FUND 19 4.67 41.97 46.64 4- L•9 O FEE 17 45 0 COST SAF OPgRIFF'S 28.00 7.00 35.004_ �� • pO � COST SUBC SUBTITLE 20 24.33 462.20 486.53'I"gy gS l COST TF TECHNOLOGY FUND 23 76.87 0.00 76 87 � 8' o o -_ ,7y U (- COST TFC TFC 20 48.66 0.00 48.66 'l" 6 .co COST TIME TIME PAYMENT FEE 8 52.72 52.72 105.44 4-56.00 00ST WRNT WARRANT FEE 5 250.00 0.00 250.00 FEES CIFF CIVIL INDIGENT FILING FEE 2 0.20 3.80 4.00 FEES CSRV COLLECTION SERVICE FEE 6 654.60 0.00 654.60 FEES CVFF CIVAL FILING FEE 2 30.00 0.00 30.00 FEES DDC DEFENSIVE DRIVING 1 10.00 0.00 10.00 7 p c7 FEES JPAY DISTRICT JUDGE PAY RAISE FEE 16 9.60 54.40 64.00h' FEES SF SERVICE FEE 2 150.00 0.00 150.00 FEES WRNT WARRANT FEE 1 50.00 0.00 50. 00 FINE FINE FINE 26 3,206.00 0.00 _ 3,206.004 a-ID-OO- 314 FINE SEAT SEATBELT FINE 1 50.50 50.50 101.00 Money Totals 34 4,915.59 1,485.01 6,400.60 6 S6 0 •(v 0 The following totals represent - Jail Credit and Community Service COST CCC CONSOLIDATED COURT COSTS 4 11.40 102.60 114.00 COST CHS COURTHOUSE SECURITY 4 12.00 0.00 12.00 COST CMI CORRECTIONAL MANAGEMENT INSTITUTE 0 0.00 0.00 0.00 COST CVC COMPENSATION TO VICTIMS OF CRIME 2 3.00 27.00 30.00 COST DPSC OMNI 2 19.80 40.20 60.00 COST FA FUGITIVE APPREHENSION 2 1.00 9.00 10.00 COST JCD JUVENILE CRIME AND DELINQUENCY 2 0.05 0.45 0.50 COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 2 0.20 1.80 2.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00 COST LAF SHERIFF'S FEE 2 10.00 0.00 10.00 COST SAF DPS 1 4.00 1.00 5.00 COST SUBC SUBTITLE C 2 3.00 57.00 60.00 COST IF TECHNOLOGY FUND 2 8.00 0.00 8.00 COST TFC TFC 2 6.00 0.00 6.00 COST TIME TIME PAYMENT FEE 1 12.50 12.50 25.00 09/04/2007 Money Distribution Report JUDGE GARY W. NOSKA JP#3 AUGUST' 07 MONTHLY REPORT ------------------------------------------------------------------------------------------------------ The following totals represent - Jail Credit and Community Service Type Code Description Count Retained Disbursed Money -Totals COST WRNT WARRANT FEE 3 150.00 0.00 150.00 FEES CIFF CIVIL INDIGENT FILING FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICE FEE 2 201.90 0.00 201.90 FEES CVFF CIVAL FILING FEE 0 0.00 0.00 0.00 FEES DOC DEFENSIVE DRIVING 0 0.00 0.00 0.00 FEES JPAY DISTRICT JUDGE PAY RAISE FEE 0 0.00 0.00 0.00 FEES SF SERVICE FEE 0 0.00 0.00 0.00 FEES WRNT WARRANT FEE 0 0.00 0.00 0.00 FINE FINE FINE 4 780.50 0.00 780.50 FINE SEAT SEATBELT FINE 0 0.00 0.00 0.00 Credit Totals 4 1,223.35 251.55 1,474.90 The following totals represent - Credit Card Payments and Transfers COST CCC CONSOLIDATED COURT COSTS 2 8.00 72.00 80.00 COST CHS COURTHOUSE SECURITY 2 8.00 0.00 8.00 COST CHI CORRECTIONAL MANAGEMENT INSTITUTE 0 0.00 0.00 0.00 COST CVC COMPENSATION TO VICTIMS OF CRIME 0 0.00 0.00 0.00 COST DPSC OMNI 0 0.00 0.00 0.00 COST FA FUGITIVE APPREHENSION 0 0.00 0.00 0.00 COST JCD JUVENILE CRIME AND DELINQUENCY 0 0.00 0.00 0.00 COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 2 2.00 0.00 2.00 COST JSF JUROR SERVICE FUND 2 0.60 5.40 6.00 COST LAF SHERIFF'S FEE 0 0.00 0.00 0.00 COST SAF DPS 2 8.00 2.00 10.00 COST SUBC SUBTITLE C 2 3.00 57.00 60.00 COST TF TECHNOLOGY FUND 2 8.00 0.00 8.00 COST TFC TFC 2 6.00 0.00 6.00 COST TIME TIME PAYMENT FEE 2 25.00 25.00 50.00 COST WRNT WARRANT FEE 0 0.00 0.00 0.00 FEES CIFF CIVIL INDIGENT FILING FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICE FEE 0 0.00 0.00 0.00 FEES CVFF CIVAL FILING FEE 0 0.00 0.00 0.00 FEES DDC DEFENSIVE DRIVING 0 0.00 0.00 0.00 FEES JPAY DISTRICT JUDGE PAY RAISE FEE 2 1.20 6.80 8.00 FEES SF SERVICE FEE 0 0.00 0.00 0.00 FEES WRNT WARRANT FEE 0 0.00 0.00 0.00 FINE FINE FINE 2 222.00 0.00 222.00 FINE SEAT SEATBELT FINE 0 0.00 0.00 0.00 Credit Totals 2 291.80 168.20 460.00 The following totals represent - Combined Money and Credits COST CCC CONSOLIDATED COURT COSTS 29 91.67 825.02 916.69 COST CHS COURTHOUSE SECURITY 29 91.87 0.00 91.87 COST CMI CORRECTIONAL MANAGEMENT INSTITUTE 2 0.10 0.90 1.00 Page 5 09/04/2007 Money Distribution Report - ----------------------------------------------------------------------------------------------------------------------- JUDGE GARY W. NOSKA JP#3 AUGUST' 07 MONTHLY REPORT The following totals represent - Combined Money and Credits Type Code Description Count Retained Disbursed Money -Totals COST CVC COMPENSATION TO VICTIMS OF CRIME 4 6.00 54.00 60.00 COST DPSC OMNI 8 79.20 160.80 240.00 - COST FA FUGITIVE APPREHENSION 4 2.00 18.00 20.00 COST JCD JUVENILE CRIME AND DELINQUENCY 4 0.15 1.35 1.50 COST JCPT JUDICIAL AND COURT PERSONNEL TRAINING 4 0.60 5.40 6.00 COST JCSF JUSTICE COURT SECURITY FUND 21 17.21 0.00 17.21 COST JSF JUROR SERVICE FUND 21 5.27 47.37 52.64 COST LAF SHERIFF'S FEE 15 56.09 0.00 56.09 COST SAF DPS 10 40.00 10.00 50.00 COST SUBC SUBTITLE C 24 30.33 576.20 606.53 COST TF TECHNOLOGY FUND 27 92.87 0.00 92.87 COST TFC TFC 24 60.66 0.00 60.66 COST TIME TIME PAYMENT FEE 11 90.22 90.22 180.44 COST WRNT WARRANT FEE 8 400.00 0.00 400.00 FEES CIFF CIVIL INDIGENT FILING FEE 2 0.20 3.80 4.00 FEES CSRV COLLECTION SERVICE FEE 8 856.50 0.00 856.50 FEES CVFF CIVAL FILING FEE 2 30.00 0.00 30.00 FEES DDC DEFENSIVE DRIVING 1 10.00 0.00 10.00 FEES JPAY DISTRICT JUDGE PAY RAISE FEE 18 10.80 61.20 72.00 FEES SF SERVICE FEE 2 150.00 0.00 150.00 FEES WRNT WARRANT FEE 1 50.00 0.00 50.00 FINE FINE FINE 32 4,208.50 0.00 4,208.50 FINE SEAT SEATBELT FINE 1 50.50 50.50 101.00 Report Totals 40 6,430.74 1,904.76 8,335.50 Page 6 09/04/2007 Money Distribution Report Page 7 JUDGE GARY W. NOSKA JP#3 AUGUST' 07 MONTHLY REPORT DATE PAYMENT -TYPE 00/00/0000 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 09/01/1991 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 09/01/1993 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 09/01/1995 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 09/01/1997 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 09/01/1999 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 09/01/2001 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 09/01/2003 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections 01/01/2004 Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections TOTALS Cash & Checks Collected Jail Credits & Comm Service Credit Cards & Transfers Total of all Collections FINES COURT -COSTS FEES BONDS RESTITUTION OTHER TOTAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.50 142.50 0.00 0.00 0.00 0.00 600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 457.50 142.50 0.00 0.00 0.00 0.00 600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.00 0.00 0.00 0.00 0.00 0.00 25.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.00 0.00 0.00 0.00 0.00 0.00 25.00 3,282.00 2,131.00 962.60 0.00 0.00 0.00 6,375.60 323.00 350.00 201.90 0.00 0.00 0.00 874.90 222.00 230.00 8.00 0.00 0.00 0.00 460.00 3,827.00 2,711.00 1,172.50 0.00 0.00 0.00 7,710.50 3,307.00 2,131.00 962.60 0.00 0.00 0.00 6,400.60 780.50 492.50 201.90 0.00 0.00 0.00 1,474.90 222.00 230.00 8.00 0.00 0.00 0.00 460.00 4,309.50 2,853.50 1,172.50 0.00 0.00 0.00 8,335.50 09/04/2007 Money Distribution Report Page 8 JUDGE GARY W. NOSKA JP#3 AUGUST' 07 MONTHLY REPORT ------------------------ DATE PAYMENT -TYPE ---------------------------------------------------------------------- FINES COURT -COSTS FEES BONDS RESTITUTION State of Texas Quarterly Reporting Totals Description Count Collected Retained Disbursed State Comptroller Cost and Fees Report Section 1: Report for Offenses Committed 01-01-04 Forward 36 898.69 134.87 763.82 09-01-01 - 12-31-03 0 0.00 0.00 0.00 09-01-99 - 08-31-01 0 0.00 0.00 0.00 09-01-97 - 08-31-99 0 0.00 0.00 0.00 09-01-95 - 08-31-97 0 0.00 0.00 0.00 09-01-91 - 08-31-95 0 0.00 0.00 0.00 Bail Bonds Fee 0 0.00 0.00 0.00 DNA Testing Fees 0 0.00 0.00 0.00 EMS Trauma Fund (EMS) 0 0.00 0.00 0.00 Juvenile Probation Diversion Fees 0 0.00 0.00 0.00 Jury Reimbursement Fee 21 52.64 5.26 47.38 State Traffic Fees 22 546.53 27.34 519.19 Section I1: As Applicable State Police Officer Fees 9 45.00 36.00 9.00 Failure to Appear/Pay Fees 6 180.00 59.40 120.60 Judicial Fund - Count County Court 0 0.00 0.00 0.00 Judicial Fund - Statutory County Court 0 0.00 0.00 0.00 Motor Carrier Weight Violations 0 0.00 0.00 0.00 Time Payment Fee 10 155.44 77.73 77.71 Driving Record Fees 0 0.00 0.00 0.00 Judicial Support Fees 18 72.00 10.80 61.20 Report Sub Total 122 1,950.30 351.40 1,598.90 State Comptroller Civil Fees Report CF: Birth Certificate Fees 0 0.00 0.00 0.00 CF: Marriage License Fees 0 0.00 0.00 0.00 CF: Declaration of Informal Marriage 0 0.00 0.00 0.00 CF: Nondisclosure Fees 0 0.00 0.00 0.00 CF: Juror Donations 0 0.00 0.00 0.00 CF: Justice Court Indig Filing Fees 2 4.00 0.20 3.80 CF: Stat Prob Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Stat Prob Court Judic Filing Fees 0 0.00 0.00 0.00 CF: Stat Cnty Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Stat Cnty Court Judic Filing Fees 0 0.00 0.00 0.00 CF: Cnst Cnty Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Cnst Cnty Court Judic Filing Fees 0 0.00 0.00 0.00 CF: Dist Court District & Family Law 0 0.00 0.00 0.00 CF: Dist Court Other Divorce/Family Law 0 0.00 0.00 0.00 CF: Dist Court Indig Filing Fees 0 0.00 0.00 0.00 CF: Family Protection Fee 0 0.00 0.00 0.00 CF: Judicial Support Fee 0 0.00 0.00 0.00 Report Sub Total 2 4.00 0.20 3.80 Total Due For This Period 124 1,954.30 351.60 1,602.70 ------------------- OTHER TOTAL CALHOUN COUNTY, TEXAS CALHOUN COUNTY TREASURER'S REPORT MONTH OF: JULY 2007 BEGINNING ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE GENERAL AIRPORT MAINTENANCE $ 1 9937,331.16 $ 569,877.63 $ 1,537,518.02 $ 13,969,690.77 APPELLATE JUDICIAL SYSTEM 23,945.16 1,179.00 106.13 2,047.22 22,004.07 ANIMAL CONTROILCAWS 149.32 295.23 0.66 5.00 1,469.23 CHAMBER TOURISM CENTER 239.93 1.06 0.00 149.99 COUNTY CHILD WELFARE BOARD FUND 1,489.87 80.60 0.00 240.99 COURTHOUSE SECURITY 127,255.63 3,333.30 0.00 5.00 1,570.47 D.A. GUN VIOLENCE PROSECUTION PROG. 16,295rI3 72.22 130,583-93 DONATIONS 155,869.02 2,511.27 0.00 990.33 16,367.35 157,389.96 FAMILY PROTECTION FUND 1,322.70 35.96 0.00 JUVENILE DELINQUENCY PREVENTION FUND 7,705.66 34.15 1,358.56 GRANTS 13L311.88 4,688.55 0.00 0.00 7,739.81 HWY 87/FM1090 264,407.07 1,171.91 0.00 136,000.43 JUSTICE COURT TECHNOLOGY 19,585.45 1,011.58 3,851.13 265,578.98 JUSTICE COURT 13UILDING SECURITY FUND 2,916.18 217.00 16,745.90 LATERAL ROAD PRECINCT#1 3,725.85 16.51 0.00 3,133.18 LATERAL ROAD PRECINCT #2 _ 3,725.85 16.51 0.00 3,742,36 LATERAL ROAD PRECINCT#3 3,725.85 16.51 0.00 3,742.36 LATERAL ROAD PRECINCT #4 3,739.63 16.57 0.00 3,742.36 PRETRIAL SERVICES FUND 33,335.46 3,904.75 0.00 0.00 3,756.20 LAWLIBRARY 107,669.72 2,507.22 35.00 37,240.21 110,141.94 LAWENF OFFICERS STD. EDUC. (LEOSE) 11,878.58 52.65 POC COMMUNITY CENTER 25,761.20 114.18 0.00 11,931.23 RECORDS MANAGEMENT -DISTRICT CLERK 1,467.83 69.10 1,343.50 24,531.88 RECORDS MANAGEMENT -COUNTY CLERK 35,403.39 7,070.11 0.00 0.00 1,536.93 RECORDS MGMT & PRESERVATION 19,070.25 1,282.49 5.00 42,473.50 ROAD & BRIDGE GENERAL 755,749.29 34,252.94 0.00 20,347.74 ROAD & BRIDGE PRECINCT #3 12,261.66 54.35 790,002.23 ROAD MAINTENANCE PRECINCT #4 582.46 0.00 12,316.01 SHERIFF FORFEITED PROPERTY 1,150.18 2.58 5.10 0.00 585.04 TEAM COMPATIBILITY FUND -HAVA 8,000.00 0.00 0.00 1,155.28 CAPITAL PROJ-COURTHOUSE RENOVATION 222,096.41 984.38 0.00 8,000.00 CAPITAL PROJ-NEWEMS BLDG 19,196.25 445.00 222,635.79 CAPITAL PROJ-NEW JAIL BLDG 0.00 0.00 0.00 19,196.25 CAPITAL PROD -PARKING LOT 80,543.81 0.00 0.00 0.00 0.00 CAP PROJ-PCT 2-STORM REPAIRS 17,796.13 0.00 0.00 80,543.81 CAPITAL PROJ-RBINFRASTRUCTURE32,732.48 0.00 0.00 17,796.13 CAPITAL PROJSWAN POINT PARK 74,720.40 0.00 0.00 32,732.48 CAPITAL PROJ-AIRPORT IMPROVEMENT IT 59,566.32 0.00 0.00 74,720.40 CAPITAL PROJ-EMER COMM SYS 172,918.42 0.00 0.00 59,566.32 CAPITAL PROJ-MOLD REMEDIATION 858.83 0.00 172,919.42 CAP PROJ-HATERJUS PRK BOAT RAMPSTRM REP 33,148.15 0.00 0.00 0.00 858.93 CAP PROJ-PORT ALTO PURL BEACH -STORM REP 30,384.78 0.00 0.00 33,148.15 CAP PROD- CO CLERK'S RECORDS 22,907.25 0.00 30,384.78 CAP PROJ-DISTRICT CLERK'S RECORDS 62,758.75 0.00 0.00 22,907.25 CAPITAL IMPROVEMENT PROJECTS 11300,000.00 0.00 0.00 0.00 62,758.75 ARRESTFEES 1,012.56 528.68 0.00 1,541.24 1,300,000.00 BAIL BOND FEES (HE 1940) 1,050.00 1,770.00 2,820.00 0.00 0.00 CONSOLIDATED COURT COSTS (NEW) 21,705.52 14,500.56 36,206.09 ELECTIONS CONTRACT SERVICE 15,925.66 15,109.95 0.00 0.00 FINES AND COURT COSTS HOLDING FUND 8,455.31 0.00 31,035.61 INDIGENT CIVIL LEGAL SERVICE 223.00 359.00 0.00 582.00 8,455.31 JUDICIAL FUND(ST. COURT COSTS) 265.89 488.96 754.85 0.00 JUDICIAL SUPPORT FUND 2,876.90 3,015.67 5,892.57 0.00 JUROR DONATION -TX CRIME VICTIMS FUND 130.00 6.00 0.00 JUSTICE OF THE PEACE CLEARING 52,014.28 2,444.77 136.00 0.00 SUBTOTALS $ 18,951,537.46 $ 672,026.69 1,151.24 $ 1,595,329.18 53,307.81 $ 18,028,234.97 Page 1 of 3 COUNTY TREASURER'S REPORT MONTH Or: JULY2007 FUND OPERATING FUND -BALANCE FORWARD JUVENILE PROBATION RESTITUTION LIBRARY GIFT AND MEMORIAL MISCELLANEOUS CLEARING REFUNDABLE DEPOSITS STATE CIVIL FEE FUND JURY REIMBURSEMENT FEE SUBTITLE C FUND TIME PAYMENTS TRAFFIC LAW FAILURE TO APPEAR UNC! AIMFD PROPERTY BOOT CAMP/JJAEP JUVENILE PROBATION SUBTOTALS TAXES IN ESCROW BEGINNING FUND BALANCE $ 18,951,537.46 2,647.09 52,494.34 3,263.69 2,225.00 2,261.50 1,280.76 6,626.09 3,297.25 3,736.55 2,809.31 136,591.91 175,641.88 RECEIPTS $ 672,026.69 534.21 232.67 18,062.32 0.00 3,594.50 792.75 4,052.66 2,413.01 1,305.89 12.45 605AO 27352.41 DISBURSEMENTS $ 1,595,329.18 0.00 0.00 15,428.93 0.00 5,856.00 2,073.51 10,678.74 5,700.26 5,042.44 0.00 12,395.60 30,232.37 ENDING FUND BALANCE $ 18,028,234.97 3,181.30 52,727.01 5,897.08 2,225.00 0.00 0.00 0.00 0.00 0.00 2,821.76 124,801.71 173,261.92 $ 19,344,402.82 $ 731,484.96 $ 1,692,737.03 $ 18,393,150.75 TOTAL OPERATINGFUNDS 0.00 $ 19,344,40182 $ 731,484.96 $ 1,682,737.03 $ 18,393,150.75 COMB. HOSP. REV. & TAX CERTIF. OF OBLIG. CONSTRUCTION (JAIL) CONSTRUCTION (JAIL) SERIES 2003 -I & S CERT. OF OB-CRTHSE BEN. I&S FUND SERIES 2004 TOTAL OPER & OTHER CO. FUNDS 303,911.39 451,892.44 1,106,194.46 293,656.39 $ 21500 057.49 3,001.53 1,750.44 12,413.98 3,050.20 751701.11 0.00 0.00 0.00 0.00 S 1.682,737.03 306,912.91 453,642.88 1,118,608.44 296,706.59 S20 569 021.57 MEMORIAL MEDICAL CENTER OPERATING MEMORIAL RESTRICTED DONATION INDIGENT HEALTHCARE TOTALS $ 1,664,474.49 18,182.49 14,420.91 1,105,660.91 $ 2,066,530.76 71.16 56.44 504,775.44 $ 1,850,272.86 0.00 0.00 595,620.32 $ 1,880,732.39 18,253.65 14,477.35 1,014,916.03 $ 2,902,738.80 $ 2,571,433.80 $ 2,445,893.18 $ 2,928,279.42 DRAINAGE DISTRICTS NO. 6 NO.8 NO. 10-MAINTENANCE NO. 11-MAINTENANCE/OPERATING NO. 11-DEBT SERVICE NO. 11-RESERVE TOTALS $ 7,401.60 56,982.87 43,793.23 158,048.61 72,599.11 50,570.64 $ 40.84 238.58 192.48 1,909.43 487.95 197.92 $ - 0.00 0.00 604.75 0.00 0.00 $ 7,44144 57,221.45 43,985.71 159,353.29 73,086.06 50,768.56 $ 389,395.06 $ 3,067.20 $ 604.75 $ 391,857.51 CALHOUN COUNTY NAVIGATION DIST. MAINTENANCE AND OPERATING $ 163,178.56 $ 5,238.98 $ 4,751.45 $ 163,666.09 3,355,312,42 2,579 739.98 $ 2 451249.38 $ 348380302 TOTAL MMC, DRAINAGE DIST. & NAV. DIST. TOTAL ALL FUNDS I IIs 24,052,824.59 Page 2 of 3 COUNTY TREASURER'S REPORT MONTH OF: JULY2007 BANK RECONCILIATION LESS: CERTOF DEP/ FUND OUTSTNDGDEP/ PLUS:CHECKS BANK FUND BALANCE OTHERITEMS OUTSTANDING BALANCE OPERATING* $ 18,393,150.75 $ 17,858,503.20 $ 451,404.32 $ 986,051.87 COMB. HOSP. REV. & TAX CERTIF. OF OBLIG. 306,912.91 468.26 0.00 306,444.65 CONSTRUCTION (JAIL) ** 453,642.88 426,645.27 0.00 26,997.61 CONSTRUCTION (JAIL) SERIES 2003 - I & S 1,118,608.44 2,101.83 0.00 1,116,506.61 CERT. OF OB-CRTHSE BEN. 1&S FUND SERIES 2004 296,706.59 770.34 0.00 295,936.25 MEMORIAL MEDICAL CENTER: OPERATING 1,880,732.39 1,406,404.38 199,518.12 673,846.13 MEMORIAL 18,253.65 0.00 0.00 18,253.65 RESTRICTED DONATION 14,477.35 0.00 0.00 14,477.35 INDIGENT HEALTHCARE$$ 1,014,816.03 503,871.23 1,886.21 512,831.01 DRAINAGE DISTRICT: NO. 6 NO. 8 7,442,44 0.03 0.00 7,442.41 NO. 10 MAINTENANCE 57,221.45 43,985.71 0.04 0.00 57,221.41 NO. II MAINTENANCEIOPERATING 159,353.29 0.06 176.65 0.00 0.00 43,985.65 NO. 11 DEBT SERVICE 73,086.06 29.35 0.00 159,176.64 NO. 11 RESERVE 50,768.56 0.00 0.00 73,056.71 50,768.56 CALHOUN CO. NAVIGATION DIST: MAINTENANCFJOPERATING **** 163,666.09 0.00 0.00 163,666.09 TOTALS $ 24 OS 824.59 1 $ 20198 970.64 11$ 65 808.65 $ 4 506 662. * CDs - OPERATING FUND $17,652,105.39 / CD - 6 MILE PARK $67,482.25 ** CD - CONSTRUCTION (JAIL) $425,000 **** THE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRST NATIONAL BANK - PORT LAVACA. $ CD - MMC OPERATING FUND $1,400,000 $$ CD - INDIGENT HEALTHCARE FUND $500,000.00 THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LAVACA. ♦ CD - 7000567910 (held in heu of bond) CALHOUN COUNTY/ DH TEXAS DEVELOPMENT- $5,074,280.89 ♦ CD - 7000568755 (held in hen of bond) CALHOUN COUNTY/ DI-1 TEXAS DEVELOPMENT- $2,359,667.18 S.KOKENA TREASURER Page 3 of 3 GALNUUN COUNTY, 'TEXAS DISTRICT CLERK SUMMARY OF CASH TRANSACTIONS IN FEE ACCOUNT Remittance to County Treasurer: Road and Bridge General Fund: Fines Bond Forfeiture General Fund: District Clerk's Fees Sheriff's Fees Jury Fees Law Library Fund: C.J.P.F.: L.E.O.S.: C.V.C.A.: J.P.T.: C.S.: B.A.T.: C.R.F. : Fugitive Appr. Acct.: C.C.C.: Juv. Crime Prev.: Time Pay Fee: Civil Indigent Filing Fee: Abused Children's Fund: C.M.I.: A.J.S.F.: A�%1, 7007 Interest: REMITTANCES C Hay , 200 7) 2'l7. 33 FPA µs n 35F 441+.Oo 3KF 1% 57 MIS 14-S7 TOTAL REMITTANCE TO COUNTY TREASURER: Remittance to Others: Out -of -County Sheriff's Fees: State: C.A.R. Fund: TOTAL REMITTANCE TO OTHERS: TOTAL EXPENDITURES: ENDING BALANCE: TOTAL: Reconciliation With Cash in Bank: Balance in Checking Account: Outstanding Receipts: Outstanding Checks: Outstanding Criminal Receipts: TOTAL: Outstanding Checks: cKA wt _ Gall .,, _ w q4g 570. g0 _ �S7-S_00 ±Qz--311- 17 88 44.E 71L Ise µ.µl z,cl Its -on u+.3U- 7 -.D0 ?-[-IS i5 slG.?-1 25 07_1.3-3 830.00 _Z-4 '103. 33 -S 415.8z 10, 576. 28 S Oz4-.67 µ 5 8.00 57 9.49 s G71, 10 .. IN sIC.°IF '+7µ�Tera<r'+l -+e on AMELA MARTIN k,* i s 45 �y es - 2 DO DISTRICT CLERK LK 2s49iT W -i( n. �.Ll _4o.00 sK:�kz 4oT+Fy Gen_ 4. qq RECEIVED: TOTAL: 577.49 MICHAEL PFEIFER COUNTY JUDGE CALHOUN COUNTY, TEXAS DISTRICT CLERK SUMMARY OF CASH TRANSACTIONS IN FEE ACCOUNT RECEIPTS ray, Z007> District Clerk's Fees: Certified Copies Criminal Court Civil Court Stenographer Records Management Fund Courthouse Security Fund Civil Indigent Filing Fee Sheriff's Fees: Civil Court Civil Jury Jury Fees: Law Library Fees: C.J.P.F. L.E.O.S.: C.v.C.A.: J.P.T.: C.S.: B.A.T.: C.R.F.: Fugitive Appr. Acct.: C.C.C.: Juv. Crime Prev.: Time Pay Fee: Abused Children's Fund: C.M.I. A.J.S.F.: TOTAL FEES: Bond Forfeiture: Fines: Criminal Court C.A.R. Fund: State: Other Collections: Reimbursable Costs CK�Z342�w:ci�i+ ..,56?. eK-+2.34L- Ri-A.CIer"rus}F4 eVL,* Z 397 p ier— —V . ck T..&+ FKl• �.d1'�,•g8 DaILs C---. Co ni'in61C [k.ii t S94 �T•..^e+ G . Coni{n.61c nkA i4o0, k..ris e-. Cons+n610. eK!li too l iinr.i S L- . Gons+a6lt e1C*t.40 Z�Rn..:e r . Co�ns+F 61e cKA z-34S ePS cY.*Z4o5 aF4 .I TTIr' TOTAL CASH RECEIPTS: INTEREST EARNED: BEGINNING BALANCE: F fA 30.00 uS F 7tF.00 SR.F +8.20 _U-SF 48.22 REST O 34µ.10 zzs. 85 7e. . IS 140.00 2 ZI 774.A9 34-. 40 94.11 338 . 18 4.3s 10s. 71 8.48 2.0.00 S 7Z5.81 3 �IG0.30 Z Sy 0 73. 39 z3*.44 _I (P y 7S1. LI TOTAL RESOURCES: 5 019 5.8 Z. CALHOUN COUNTY, 'TEXAS DISTRICT CLERK SUMMARY OF CASH TRANSACTIONS IN FEE ACCOUNT Sy Remittance to County Treasurer: Road and Bridge General Fund: Fines Bond Forfeiture General Fund: District Clerk's Fees Sheriff's Fees Jury Fees Law Library Fund: C.J.P.F.: L.E.O.S.: C.V.C.A.: J.P.T.: C.S.: B.A.T.: C.R.F.: Fugitive Appr. Acct.: C.C.C.: Juv. Crime Prev.: Time Pay Fee: Civil Indigent Filing Fee: Abused Children's Fund: C.M.I.: A.J.S.F.: KOLY� 7-007 Interest: F FA 3S F 3KF 3SF KEST TOTAL REMITTANCE TO COUNTY TREASURER: Remittance to Others: Out -of -County Sheriff's Fees: State: C.A.R. Fund: TOTAL REMITTANCE TO OTHERS: TOTAL EXPENDITURES: ENDING BALANCE: TOTAL: Reconciliation With Cash in Bank: Balance in Checking Account: Outstanding Receipts: Outstanding Checks: Outstanding Criminal Receipts: TOTAL: Outstanding Checks: cK * 1S81 Csnllo y - v0 DID r.K.1 & 4.3 i arm K — Z. on �zotl��+l4 s4 ��2041 T r } - l00 00 eKAk z7.74� Luho cK.pN --I oo GK. L3-13y r 1\. 7 00 REMITTANCES (Junc, 7-007) 118 .S7 116.S7 zly S40. SL 71 4Z.1.9S 12 375 47 z4.00 Sg1.0(e 13.D4- rLA Z374- -rem T.+It- +0 0o APPROY�W J rK��e��onL -?.on PAMELA IN clL�z�4�P5 - so� DISTRICT CLERK sK z4.OA h{}Y i_- - -137 RECEIVED: TOTAL: S41 04 MICHAEL PFEIFER COUNTY JUDGE CALHOUN COUNTY, TEXAS DISTRICT CLERK SUMMARY OF CASH TRANSACTIONS IN FEE ACCOUNT RECEIPTS (G- un e.I 200 ) District Clerk's Fees: Certified Copies Criminal Court Civil Court Stenographer Records Management Fund Courthouse Security Fund Civil Indigent Filing Fee Sheriff's Fees: Civil Court Civil Jury Jury Fees: Law Library Fees: C. J. P. F. L.E.O.S.: C.V.C.A.: J.P.T.: C.S.. B.A.T.: C.R.F.: Fugitive Appr. Acct.: C.C.C.: Juv. Crime Prev.: Time Pay Fee: Abused Children's Fund: C.M.I. A.J.S.F.: TOTAL FEES: Bond Forfeiture: Fines: Criminal Court C.A.R. Fund: State: Other Collections: Reimbursable Costs CjC.#Z403 NidlarlCo, cC.dk 14Ocf - DPS e K.* zµ08 - A±b� Ge ierY l TOTAL CASH RECEIPTS: INTEREST EARNED: BEGINNING BALANCE:' 113.Q0 17q.08 z� I So. t4 Iz0.00 FPA 30.00 -TSF Zzz,no 3? F z7 in SS 27 08 �Sc�i • S62.3Z, z41. S8 �IG z..sO 280.00 334, S9 IS.O15 3 7. 74, 35a.1L 3.7G III. 41 3.77 � Lsst,sz 9Z.5R �Ixllpwv 10 939•G8 2V.SG 10 S76,ZS TOTAL RESOURCES: ZI.S% .sa CALHUUN COUNTY, TEXAS DISTRICT CLERK SUMMARY OF CASH TRANSACTIONS IN FEE ACCOUNT Remittance to County Treasurer: Road and Bridge General Fund: Fines Bond Forfeiture General Fund: District Clerk's Fees Sheriff's Fees Jury Fees Law Library Fund: C.J.P.F.: L.E.O.S.: C.v.C.A.: J.P.T.: C.S.. B.A.T.: C.R.F.: Fugitive Appr. Acct.: C.C.C.: Juv. Crime Prev.: Time Pay Fee: Civil Indigent Filing Fee: Abused Children's Fund: C.M.I.: A.J.S.F.: Hqv n"ZO07 Interest: 7 —4 52z..34 5 3 77. 50 i FPA 60.00 SS F 7. °16 00 a'RF 7C 3n SSF 75,30 REST ZO 57 TOTAL REMITTANCE TO COUNTY TREASURER: Remittance to Others: Out -of -County Sheriff's Fees: State: C.A.R. Fund: TOTAL REMITTANCE TO OTHERS: TOTAL EXPENDITURES: ENDING BALANCE: TOTAL: Reconciliation With Cash in Bank: Balance in Checking Account: Outstanding Receipts: Outstanding Checks: Outstanding Criminal Receipts: TOTAL: outstanding Checks: keu @Tiny , 7-007) rLA 2374, T rn TWg - 440.0n SK.ak L395 UPS- 7.eo s.KA ?!to* DOS- so 00 CK M L4o8y At y f._.._..1 - 13.57 e K'IF L�404 f. T:&SlArzn_112 81S.(7 il'.ik 24•IS y,,, Gnw ¢w�l _ 3 Y•I — �4ZD.Oo t ll�F 4 7 123.85 646.34 13 . Oct z.17.6 7 2-0 z30.00 lz. 4 c �o.UO 34.7 S1.CIS 3 41 us, DO 96a.W1 ZIT OZO. 36 33 315. SG I?_ ZgS.Z3 1a.767. 74 Z z 7.00 433.15 RECEIVED: PAMELA MARTIN I DISTRICT CLERK MICHAEL PFEIFER COUNTY JUDGE TOTAL• 11 433 1 CALHOUN COUNTY, TEXAS DISTRICT CLERK SUMMARY OF CASH TRANSACTIONS IN FEE ACCOUNT District Clerk's Fees: Certified Copies Criminal Court Civil Court Stenographer Records Management Fund Courthouse Security Fund Civil Indigent Filing Fee Sheriff's Fees: Civil Court Civil Jury Jury Fees: Law Library Fees: C.J.P.F. L.E.O.S.: C.V.C.A.: J.P.T.: C.S.. B.A.T.: C.R.F.: Fugitive Appr. Acct.: C.C.C.: Juv. Crime Prev.: Time Pay Fee: Abused Children's Fund: C.M.I. A.J.S.F.: TOTAL FEES: Bond Forfeiture: Fines: Criminal Court C.A.R. Fund: State: Other Collections: Reimbursable Costs Ck* L4-IS1 .Gene M1 TOTAL CASH RECEIPTS: INTEREST EARNED: BEGINNING BALANCE: RECEIPTS CJkly, 2.00-1) FPA Co.00 ;TSF ZS9.OD S2F LL SL asF zL.Lo QECT a.41 7 33S.W 415.74 IS.Lz 4L . sz 334. 48 4.G4 to( .08 4.L 4 ss.on 7 771. OZ 3Ttl37 zi 4zi.4s TOTAL RESOURCES: 33 15.5R SUMMARY TAX ASSESSOR-COLLECTOR'S MONTHLY REPORT FOR: AUGUST 2005 AMENDED Title Certificate Fees $ 9,451.00 Title Fees Paid TX001 $ 5,991.00 Title Fees Paid County Treasurer Salary Fund $ 3,460.00 Motor Vehicle Registration Collections $ 112,145.24 Disabled Person Fees $ 275.00 Postage $ 101.00 Paid TXDOT $ 107,404.74 Paid County Treasurer $ _ Paid County Treasurer Salary Fund $ 5,116.50 Motor Vehicle Sales & Use Tax Collections $ 546,611.03 Paid State Treasurer $ 546,511.03 Special Road/Bridge Fees Collected $ 17,248.00 Paid TXDOT - R/B Fees $ 517.44 Paid County Treasurer -RB Fees $ 16,730.56 Texas Parks & Wildlife Collections $ 2,210.00 Paid Texas Parks & Wildlife $ 1,989.00 Paid County Treasurer Salary Fund $ 221.00 State Beer & Wine Collections $ 1,173.00 Paid Tx Alcoholic Beverage Commission $ 1,143.75 Paid County Treasurer, Salary Fund - $ 29.25 County Beer .& Wine Collections $ 1,735.00 Paid County Treasurer, County Beer& Wine $ 1,648.25 Paid County Treasurer, Salary Fund - $ 86.75 Renewal Fees for County Beer & Wine $ 6.00 Paid County Treasurer - RenewalF $ 6.00 Additional Postage - Vehicle Registration $ - Paid County Treasurer - Additional Postage $ - Interest earned on P&W $ 10.75 and $ 10.75 Refund s . Accounts Paid County Treasurer- Int on P&W & Ref $ 10.75 Interest earned on Office Account $ 202.06 Paid county, Treasurer - Nev. East $ 0.47 Paid County Treasurer- all other districts $ 201.58 Business Personal Property - Misc. Fees $ 214.61 Paid Coqnty Treasurer - - $ 214.61 Special'Overpayments $ - Paid County Treasurer $ _ Overpayments $ 0.60 Current Tax Collections $ 30,882.34 Penalty and interest - CurrentRoll $ 5,902.76. - Discount for eadypayment oftaxes $ 28.79 Delinquent Tax Collections $ 15,866.08 Penalty & Interest - Delinquent Roll $ 4,930.50 Collections for Delinquent Tax Attorney $ 8,647.77 Advance - FM & L Taxes $ 38.72 Advance - County Advalorem Texas $ 52,592.45 Paid County Treasurer- Nay. East $ 361.65 Paid County Treasurer - all other Districts $ 4,560.66 Paid County Treasurer- Definq Tax Atty. Fee $ 8,647.77 Payment in Lieu of Taxes $ Paid County Treasurer- Navig. East $ _ Paid County Treasurer- All other Districts $ Boat/Motor Sales & Use Tax Collections $ 10,368.22 Paid State Treasurer $ 9,849.81 Paid County Treasurer, Salary Fund $ 518.41 SPecial Farmers Fees Collected $ 80.00 Paid State Treasurer, Fanners Fees $ 80.00 Hot Check Collection Charges $ Paid County Treasurers, Hot Check Charge $ - Overage on Collection/Assessing Fees $ - Paid County Treasurer, overage refundr $ _ Escheats $ _ Paid County Treasurer -escheats $ TOTAL $ 767,860.84 $ 767,860.84 TOTAL OF ABOVE RECEIPTS PAID TO COUNTY $-767,860.84 —� GLORIA A. OCHOA� Tax Assessor -Collector MICHAEL J. PFEIFER County Judge SUMMARY TAX ASSESSOR-COLLECTOR'S MONTHLY REPORT FOR: SEPTEMBER 2005 Title Certificate Fees (404) $ 6,577.00 Title Fees Paid TXD01 $ 3,557.00 Title Fees Paid County Treasurer Salary Fund $ 2,020.00 Motor Vehicle Registration Collections $ 71,704.60 Disabled Person Fees $ 215,00 Postage - $ 90.00 Paid TXDOT $ 68,837.20 Paid County Treasurer $ _ Paid County Treasurer Salary Fund $ 3,172.40 Motor Vehicle Sales & Use Tax Collections $ 319,656.08 Paid State Treasurer $ 319,666.08 Special Road/Bridge Fees Collected $ 10,792.00 Paid TXDOT - RIB Fees $ 323.76 Paid County Treasurer -RIB Fees $ 10,468.24 Texas Parks & Wildlife Collections $ 1,465.00 Paid Texas Parks & Wildlife $ 1,318.60 Paid County Treasurer Salary Fund $ 146.50 State Beer &Wine Collections $ 1,480.00 Paid Tx Alcoholic Beverage Commission $ 1,447.76 Paid County Treasurer, Salary Fund $ 32.25 County Beer & Wine Collections $ 332.50 Paid County Treasurer, County Beer & Wine $ 315.88 Paid County Treasurer, Salary Fund $ 16.62 Renewal Fees for County Beer & Wine $ 10.00 Paid County Treasurer - RenewalF $ 10.00 Additional Postage -Vehicle Registration $ - PaidCountyTreasurer- Additional Postage $ _ Interest earned on P&W $ 7.93 and $ 7.93 Refunds Accounts Paid County Treasurer- Int on P&W & Ref $ 7.93 Interest earned on Office Account $ 189.77 Paid county Treasurer -Nay. East $ 0.49 Paid County Treasurer- all other districts $ 189.28 Business Personal Property - Misc. Fees $ 31.85 Paid County Treasurer $ 31.85 Special Overpayments $ - PaidCountyTreasurer $ _ Overpayments $ 0.66 Current Tax Collections $ 21,343.61 Penalty and Interest - Current Roll $ 4,165.04 Discount for early payment of taxes $ _ Delinquent Tax Collections $ 15,731.10 Penalty & Interest- Delinquent Roll $ 4,670.83 Collections for Delinquent Tax Attorney $ 6,640.93 Advance - FM & L Texas $ 13.60 Advance- County AdValorem Taxes $ 41,312.64 Paid County Treasurer -Nay. East $ 282.10 Paid County Treasurer- all other Districts $ 4,293.10 Paid County Treasurer- Delinq Tax Atty. Fee $ 6,640.93 Payment in Lieu of Taxes $ _ Paid County Treasurer -Navig. East $ _ Paid County Treasurer- All other Districts $ _ Boat/Motor Sales & Use Tax Collections $ 4,321.28 Paid State Treasurer $ 4,105.22 Paid County Treasurer, Salary Fund $ 216.06 Special Farmers Fees Collected $ 75.00 Paid State Treasurer, Fanners Fees $ 75.00 Hot Check Collection Charges $ - Paid County Treasurers, Hot Check Charge $ Overage on Collection/Assessing Fees $ _ Paid County Treasurer, overage refunde $ _ Escheats $ _ Paid County Treasurer -escheats $ TOTAL $ 468,490.18 $ 468,490.18 TOTAL OF ABOVE RECEIPTS PAID TO COUNTY $ 468,490.18 GLORIA A. OCHOA Tax Assessor -Collector MICHAEL J. PFEIFER County Judge SUMMARY TAX ASSESSOR-COLLECTOR'S MONTHLY REPORT FOR: MAY 2007 Title Certificate Fees $ 8,801.00 Title Fees Paid TXDOI $ 6,466.00 Title Fees Paid County Treasurer Salary Fund $ 3,336.00 Motor Vehicle Registration Collections $ 123,049.70 Disabled Person Fees $ 360.00 Postage $ 172.00 Paid TXDOT $ 60,893.80 Paid County Treasurer $ 57,184.33 Paid County Treasurer Salary Fund $ 5,503.57 Motor Vehicle Sales & Use Tax Collections $ 461,328.40 Paid State Treasurer $ 461,328.40 Special Road/Bridge Fees Collected $ 19,040.00 Paid TXDOT-R/B Fees $ 571.20 Paid County Treasurer -RIB Fees $ 18,468.80 Texas Parks & Wildlife Collections - $ 2,425.00 Paid Texas Parks & Wildlife $ 2,182.60 Paid County Treasurer Salary Fund $ 242.50 State Beer &Wine Collections $ 1,787.75 Paid Tx Alcoholic Beverage Commission $ 1,755.60 Paid County Treasurer, Salary Fund $ 32.25 County Beer & Wine Collections $ 322.50 Paid County Treasurer, County Beer & Wine $ 306.37 Paid County Treasurer, Salary Fund $ 16.13 Renewal Fees for County Beer & Wine $ 8.00 Paid County Treasurer - Renewal F $ 8.00 Additional Postage- Vehicle Registration $ 8.25 Paid County Treasurer- Additional Postage $ 8.25 Interest earned on P&W $ 23.61 and $ 23.61 Refunds Accounts Paid County Treasurer- Int on P&W & Ref $ 23.61 Interest earned on Office Account $ 169.28 Paid county Treasurer - Nev. East $ 0.26 Paid County Treasurer- all other districts $ 169.02 Business Personal Property - Misc. Fees $ 69,77 Paid County Treasurer $ 69.77 Special Overpayments $ _- Paid County Treasurer $ _ Overpayments $ 14.75 Current Tax Collections $ 34,644.86 Penalty and Interest - Current Roll $ 4,176.16 Discount for early payment of taxes - $ _ Delinquent Tax Collections $ 4,031.02 Penalty & Interest - Delinquent Roll $ 2,085.86 Collections for Delinquent Tax Attorney $ 922.88 Advance -FM&LTaxes $ 87,16 Advance- County AdValorem Taxes $ 38,276.37 Paid County Treasurer -Nev. East $ 244.90 Paid County Treasurer- all other Districts $ 6,345.22 Paid County Treasurer- Delinq Tax Atty. Fee $ 922.88 Payment in Lieu of Taxes $ Paid County Treasurer- Navig. East $ Paid County Treasurer- All other Districts $ Boat/Motor Sales & Use Tax Collections $ 9,930.19 Paid State Treasurer $ 9,433.68 Paid County Treasurer, Salary Fund $ 496.61 Special Fanners Fees Collected $ 110.00 Paid State Treasurer, Fanners Fees $ 110.00 Hot Check Collection Charges $ 30.00 Paid County Treasurers, Hot Check Charge $ 30.00 Overage on Collection/Assessing Fees $ - Paid County Treasurer, overage refunde $ Escheats $ - PaidCountyTreasurer-escheats $ TOTAL $ 673,610.98 $ 673,610.98 TOTAL OF ABOVE RECEIPTS PAID TO COUNTY $ 673,610.98 OLORIA A. OCHOA Tax Assessor -Collector MICHAEL J. PFEIFER County Judge SUMMARY TAX ASSESSOR-COLLECTOR'S MONTHLY REPORT FOR: JULY 2007 Title Certificate Fees $ 6,825.00 Title Fees Paid TXD01 $ 4,225.00 Tite Fees Paid County Treasurer Salary Fund $ 2,600.00 Motor Vehicle Registration Collections $ 83,231.98 Disabled Person Fees $ 140.00 Postage $ 138.25 Paid TXDOT $ 79,606.34 Paid County Treasurer $ Paid County Treasurer Salary Fund $ 3,903.89 Motor Vehicle Sales & Use Tax Collections $ 484,857.67 Paid State Treasurer $ 484,657.57 Special Road/Bridge Fees Collected $ 12,712.00 Paid TXDOT-R/S Fees $ 12,330.64 Paid County Treasurer- RIB Fees $ 381.36 Texas Parks & Wildlife Collections $ 2,760.00 Paid Texas Parks & Wildlife $ 2,484.00 Paid County Treasurer Salary Fund $ 276.00 State Beer & Wine Collections $ 2,526.00 Paid Tx Alcoholic Beverage Commission $ 2,481.00 Paid County Treasurer, Salary Fund $ 44.00 County Beer& Wine Collections $ 440.00 Paid County Treasurer, County Beer & Wine $ 418.00 Paid County Treasurer, Salary Fund $ 22.00 Renewal Fees for County Beer & Wine $ 6.00 Paid County Treasurer- Renewal F $ 6.00 Additional Postage -Vehicle Registration $ - Paid County Treasurer -Additional Postage $ - Interest earned on P&W $ 89.50 and $ 89.50 Refund s Accounts Paid County Treasurer -Int on P&W & Ref $ 89.50 Interest earned on Office Account $ 810.75 Paid county Treasurer -Nov. East - $ 808.42 Paid County Treasurer- all other districts $ 2.33 Business Personal Property - Misc. Fees $ 168.96 Paid County Treasurer $ 158.96 Special Overpayments $ - Paid County Treasurer $ - Overpayments $ 0.72 Current Tax Collections $ 45,910.97 Penalty and Interest - Current Roll $ 7,939.35 Discount for early payment of taxes $ 15.79 Delinquent Tax Collections $ 2,697.65 Penalty & Interest - Delinquent Roll $ 1,138.89 Collections for Delinquent Tax Attorney $ 8,048.36 Advance - FM & L Taxes $ 7.92 Advance - County Advalorem Taxes $ 53,737.87 Paid County Treasurer - Nov. East $ 372.31 Paid County Treasurer- all other Districts $ 3,443.69 Paid County Treasurer- Delinq TaxAtly. Fee $ 8,048.36 Payment in Lieu of Taxes $ Paid County Treascrer-Navig. East $ _ Paid County Treasurer- All other Districts $ _ Boat/Motor Sales & Use Tax Collections $ 14,292.79 Paid State Treasurer $ 13,578.15 Paid County Treasurer, Salary Fund $ 714.64 Special Farmers Fees Collected $ 70.00 Paid State Treasurer, Fannere Fees $ 70.00 Hot Check Collection Charges $ 45.00 Paid County Treasurers, Hot Check Charge $ 45.00 Overage on Collection/Assessing pees $ _ Paid County Treasurer, overage refunde $ Escheats $ Paid County Treasurer -escheats $ TOTAL $ 674,728.74 $ 674,728.74 TOTAL OF ABOVE RECEIPTS PAID TO COUNTY $ 674,728.74 GLORIA.O H A- J Tax AssessorColl¢ctor MICHAEL J. PFEIFER County Judge COUNTY PROPERTY IN THE FOLLOWING DEPARTMENTS AS SURPLUSISALVAGE ANDIOR TRANSFER PROPERTY TO OTHER COUNTY DEPARTMENTS (SEE LISTS): A Motion was made by Judge Pfeifer and seconded by Commissioner Fritsch to accept County Property in the following Departments as surplus/salvage and/or transfer property to other to other County Departments (see attached lists). Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. MEMORANDUM TO: Adam Machicek Assistant Auditor FROM: CINDY RAINS Chief Juvenile Probat fficer MESSAGE: A fr' CALHOUN COUNTY Jhs�','cfz. JUVENILE PROBATION DEPARTMENT COURTHOUSE ANNEX 201 W. AUSTIN ST. PORT LAVACA, TEXAS. 77979. 361/553.4670 '3 DATE: 7/15/2007 I am responding to the request regarding inventory records and those items covered under the county's insurance policy. The following items below need to be removed from the inventory records for Dept. 740-Juvenile Probation. Thanks for your assistance in this matter. Description Invoice Number Explanation Chair 972-0056 Not in Dept. - Chief hired in 10/99 And has not purchased any single chair for more than $100.00. Chairs (4) 972-0005 Arm, Superior Brand Please declare Surplus/Salvage Computer 972-0055 Not in Dept. - Chief hired in 10/99 HP8560 (CCL) Chief Review all P.O.'s dated 11/8/99 w/Adam Machicek. No computer purchased by this dept. on that date. Computer Upgrade 972-0054 Please remove from inventory. The upgrade was provided for four existing computer towers at that time - Towers no longer in the dept. Copier 972-0041 This copier traded in on a Xerox Xerox 5034 432DC in March 2002. Desk 972-0003 Please declare Surplus/Salvage Indiana 30"x60" Typing Table 972-0011 Table located in DPS office. Please (3T) Remove from dept. inventory. Adam Machicek Page 2 August 15, 2007 Description Invoice Number Explanation Upgrade Kit 972-0020 Wheelwriter Typewriter previously surplus/salvaged - Please do same w/upgrade kit TEXAS DEPARTMENT OF PUBLIC SAFETY 1801 N. LAMAR BLVD, - BOX 1017, AUSTIN, TEXAS 71711-0011 5121424-2000 ° Sr x� Highway Patrol — Calhoun THOMAS A. DAMS, JR. 2275 Hwy. 35 N., Port Lavaca, TX 77979 COMMISSION DIRECTOR ERNEST ANGELO, JR. 361-552-4117/Fax 361-652-3383 CHAIRMAN DAMD McEATHRON ASST. DIRECTOR Commissioner Allan B. Polunsky August 22, 2007 To: Commissioners Court From: Calhoun Co. Highway Patrol Re: Fixed Asset Inventory Report Commissioners Court, Please remove the item listed below from the Fixed Asset Inventory Report Dept. #720 Highway Patrol Description: Printer (2) Detail: HP Laser Jet 1100 Serial # USLLE061.697 & USLG040043 Inventory # 585-0035 & 5850034 Request to salvage/surplus The following are old inventory that have not been in the office since before August of 2002 when I started here. Sgt. Garza does not know anything about them either so please remove from our Inventory. Description: Chair Detail: Secretarial w/rollers, black Inventory # 585-0024 Description: Chair Detail: Body Perfect Ergonomic, burgundy Inventory # 585-0031 Description: Radar Units (2) Detail: $1950 each Inventory # 585-0022 Serial # BEE 245-000406..7: Ant BEE 113000435 thru..8 eJek"(-�— L Adm. Asst. "I aIt I.Q I l.i. ou II01000wuD U. LMUUIN WUN I Y F'U I J I'HUt bL 3y CALHOUN COUNTY PRECINCT 3 LIST OF IT)EMS TO DECLARE SURLPUS/SALVAGE AUGUST 30, 2007 Description: Aerosol Generaitor Inventory:#23-0061 Reason: no longer works Description: Computer Inventory: #23-0164 Reason: no longer works Description: Docking Station Inventory: #23-0165 Reason: no longer works Description: Printer Inventory: #23-0166 Reason: no longer works Description: Radio (Junk) Inventory: #23-0046 Reason: no longer works Description: Radio (Junk) Inventory:#23-0088 Reason: no longer works Description: Radio (Junk) Inventory:#23-0133 Reason: no longer works Description: Spreader Box Inventory: 423-0048 Reason: no longer works Description: Tank Inventory: #23-0042 Reason: no longer works -1.�,.,,I 1,J. JU 1JUIujJ VJ �muulI IUUIYII r U 1 J fHUC U0 OLIVIA/PORT ALTO VFD LIST OF ITEMS TO DECLARE SURPLUS/SALVAGE AUGUST 30, 2007 Description: Generator Inventory: #544-0052 Reason: Transferred to Magnolia Beach Fire Dept. Description: Tank Inventory: 9544-0029 Reason: no longer usable 3�f w/ Z]i zuu � 10: Ou 1�0107JDJG7 UHLFIUUN UUUN I Y F'U I J HAUL U4 POINT COMFORT VFD LIST OF ITEMS TO DECLARE SURPLUS/SALVAGE AUGUST 30, 2007 Description: Educator Description: Red Light Inventory:.#545-0013 Inventory: #545-0016 Reason: no longer usable Reason: no longer has it Description: Flood Light Inventory: #545-0011 Reason: no longer usable Description: Hose Inventory: 4545-0017 Reason: no longer has it Description: Hose Inventory: #545-0021 Reason: no longer has it Description: Hose Inventory: #545-0019 Reason: no longer has it Description: Hose Inventory: #545-0020 Reason: no longer has it Description: Hose Inventory:#545-0018 Reason: no longer has it Description: Pagers (23) Inventory:#545-0025 Reason: no longer has them Description: Pagers (4) Inventory: #545-0031 Reason: no longer has them Description: radio Inventory: #545-0008 Reason: no longer has it Kenneth W. Finster 3 �{ County Commissioners°"� County of Calhoun Precinct 4 September 7, 2007 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioner's Court agenda for September 13, 2007. • Declare the following items surplus/salvage and remove from Precinct Four inventory. Description Inventory # 9 Ft. Bush Hog 22-0169 Chair 24-0049 Chair 24-0045 Chair 24-0197 Chair 24-0176 Chair 24-0263 Computer System 24-0245 Computer System 24-0320 Copier 24-0337 Document Work Center 24-0312 Drill Press 24-0118 Excavator 22-0190 Excavator 24-0293 Headache Rack 24-0286 Maintenance Dist. (Tar Pot) 24-0030 Mower 24-0221 Roller 24-0124 Roller 24-0126 Signmaker System 24-0267 Software — Signmaker 24-0272 Tank 24-0031 Tank 24-0070 Telephone System 24-0234 Toolbox 24-0285 Tractor 24-0017 Since y, W. lz; �G Kenneth W. Finster -- r_ .nn. 1.- Tv ---- n_ -T -. /I,,\noc=40, 3t4 DOWA O. GAWA EGEC 0XSADWI5gSTWAT0R 211 S. AjAWST (PO TGAVACA VC 77979 361-553-4440 (FAX— 361-553-4443 September 4, 2007 To: Commissioners Court From: Elections Administrator's Office Re: Fixed Asset Inventory Report Commissioners Court, Please remove the items listed below from the Fixed Inventory Report. -Surplus Items: Inv. No. #490-0016, 15 Roller shelves cabinet #499-0001, Storage cabinet 18'x36'x78' #490-0031, Pentium 100 Desktop computer #490-0035, Mid Tower Pentium computer #490-0092, Optiplex Gx620 Minitower computer #490-0027, Table 36 x 70 inches #490-0010, AIS-115 Optical scan tabulator #490-0033, telephone CT 10 SBCS The following are old inventory that has not been in the office since before I started here on November 2003. Don't have items: Inv. #490-0020, File Cabinet 4 drawers #490-0013, Modem cardinal fax #490-0012, Monitor acer color w/video card #490-0034, Rolling file datarack hanging file #499-0108, Adjustable stool #490-0030, Canon Typewriter #499-0061, Typing stand with rollers Thank you, ,,�Pt Y"Q' Dora O. Garcia, Elections Administrator Michael J. Pfeifer Calhoun 211 South Ann Street — Port Lavaca, Texas 77979 (361) 553-4600 — Fax (361) 553-4444 — Email: calhoun@tisd.net September 5, 2007 Adam Machicek Assistant Auditor On September 13, the following items in the County Judge's office are scheduled to be declared surplus/salvage: Chair, Rolling Arm, Walnut, top grain leather, inventory number 401-0004 Chair, Metal, slightly padded, top grain leather upholstery, inventory number 401-0029 Chair, metal w/arms, slightly padded, inventory number 401-0016 Chair, metal padded, inventory number 401-0028 Chairs (2) metal arm, slightly padded, top grain leather upholstery, inventory #401-0019 Chairs, (4) walnut, w/arms, executive top grain leather Inventory #401-0010 Chairs, (4) w/ arms, slightly padded, Taylor Brand, Inventory #401-0024 The following items are to be transferred to Code Enforcement: Storage Unit, Convertible Metal 28" X 18" X 76" Inventory 4401-0020 Storage Unit, Metal 75" X 17"X27" Inventory 9401-0018 Sincerely yours, Michael J. Pfeifer Calhoun County Judge 31-( Michael J. Pfeifer Calhoun 211 South Ann Street — Port Lavaca, Texas 77979 (361) 553-4600 — Fax (161) 553-4444 — Email: calhoun@tisd.net September 5, 2007 Adam Machicek Assistant Auditor On September 13, the following items in the Commissioners' Court Inventory are scheduled to be declared surplus/salvage: Bookshelf, Wood for Magazines, 16" X 50", Inventory #402-0019 Chairs, (8) Walnut, w/arms, padded Leather upholstery Inventory #402-0020 Chairs, (2) Metal, vinyl upholstery, Inventory #402-0013 Chairs (4) Executive w/arms, Walnut finish, Top Grain Leather Inventory #402-0001 Table, Metal Formica Top Inventory #402-0016 Table, Small Inventory 4402-0014 The following items are to be transferred to other departments: Chairs, (4) Walnut, warms, padded, leather upholstery, Inventory #402-0020 to Tax Assessor -Collector Chairs, (2) Executive W/arms, Walnut finish, top grain leather, Inventory number 402- 0001 to District Attorney Chairs, (2) Executive W/arms, Walnut finish, top grain leather, Inventory number 402- 0001 to Code Enforcement Sincerely yours, z hk I Michael J. Pfeifer Calhoun County Judge 117 W Ash St Phone (361) 552-9721 Port Lavaca, TX 77979 Fax (361) 552-9722 Bain C. Cate, M. D., Medical Director ww w.cchealthdept.com FIXED ASSET INVENTORY FOR SURPLUS/ SALVAGE ITEMS FROM CALHOUN COUNTY HEALTH DEPARTMENT TO REMOVE FROM INVENTORY Autoclaves (2) Inventory # 635-0176 Camera Polaroid Land SX-70 Inventory # 635-0080 Chair Posture Inventory # 635-0041 Chair Posture, Vinyl Upholstery Inventory # 635-0055 Chair Posture, Inventory # 635-0118 Chair Posture, Inventory # 635-0058 Chair Arm, Vinyl Upholstery Inventory # 635-0057 Chair Vinyl Upholstery Inventory # 635-0045 Computer Epox Pent M/B W/AMD 6-2/350 Inventory # 635-0188 Computer ATX PentII 350, 4.3 GIG, Vista 15-Inventory # 635-0185 Computer System Intel PII-266,64MB Inventory # 635-0183 Computer System Intel P3 1GIG Inventory # 635-0194 Copier Konica Royal 1290 Inventory # 635-0157 Cot Aluminum Folding W/Foam Inventory # 635-0073 Fax Machine Used Canon L5000 Inventory # 635-0182 File Cabinet Metal, 3 Drawers Inventory # 635-0169 Furnace 3-Ton Janitrol Inventory # 635-0159 Ice Box 2 Montgomery Wards Inventory # 635-0175 Projector Screen Portable Inventory # 635-0075 Redbat Surveillance Software, Hospital Version Not In Use Inventory # 635-0200 Redbat Syndrome Software, Public Health Version, Not In Use Inventory # 635-0199 Scale, Table Pedo Inventory # 635-0102 Software DBaseIV; DOS V1.1.5.25 Inventory # 635-0162 Software Wordstar Version 6.0 Inventory # 635-0163 Software Q&A 40. Integrated Inventory # 635-0168 Stepstool Inventory # 635-0112 Table Folding Inventory # 635-0064 Table Exam Inventory # 635-0068 Table 8'Folding Inventory # 635-0106 Typewriter from State of Texas Inventory # 635-0177 Typing Table Inventory # 635-0053 3V MEMO DATE: September 5, 2007 TO: Commissioner's Court and Auditor's Office MEMO: Calhoun County Court at law no. 1 Fixed Inventory Report Items to be included on Inventory list as of September 2007 ACQUIRED DESCRIPTION COST 31 Dec 06 Executive Chair (Judge's Office) $286.00 09 April 07 Hon Credenza w/ Knee Space $542.93 09 April 07 Hon Storage Cabinet $522.08 09 April 07 Tack Board/ attaches to Hon desk $83.19 09 April 07 Hon Stack on Storage Unit $436.39 Items to be Removed from Inventory list - Transferred to Pam Hartgrove CO'sAr;C� CkecV� 14 June 93 Executive 72x36 with 42x24 left Hand return $1,149.00 26 Nov 86 Table; freight damaged - :$100.00 DECLARE CERTAIN ITEMS OF COUNTY PROPERTY AS SURPLUSISALVAGE: A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to declare certain items of County Property as surplus/salvage. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. MEMORANDUM TO: Adam Machicek Assistant An for FROM: CINDY RAINS Chief Juvenile Proba ' fficer br f P{� CALHOUN COUNTY 1 JUVENILE PROBATION DEPARTMENT X T i i COURTHOUSE ANNEX 201 W. AUSTIN ST. PORT LAVACA, TEXAS 77979 361/553-4670 DATE: 8/23/2007 MESSAGE: I am responding to the request regarding inventory records and those items covered under the county's insurance policy. The following item needs to be removed from the inventory record for Dept. 750-Juvenile Boot Camp. Thanks for your assistance in this matter. Description Invoice Number Explanation Copier 973-0010 Copier Broken/Not Able to Repair - please declare surplus/salvage. Calhoun County Emergency Management F G�NGv mnNgCe�-r 211 South Ann Street, Suite 301 Port Lavaca, TY 77979-4249 * * Phone: 361-553-4400/Fax: 361-553-4444 e-mail: ;Herr:! (itisd.r cr DUN CO September 11, 2007 To: Commissioners Court Fr: Emergency Mgmt. Re: Fixed Asset Inventory Report Commissioners Court, Please remove the item listed below from the Fixed .Asset Inventory Report Dept #630 Emergency Management. Description: file cabinets Description detail: 4 drawers (box rollers) Inventory: #499-0048 Request to salvage Respectfully, Mary Ann Bonuz CC: Auditors Office/ Amy I , L 0 o w N NM N N M W N m M^ n m m o o M m v m N n m x 00 O O O N V C'1 O OJ O O O O O O O O O V O O O < P O V V V V Y a X U 00 ? O F� U s ¢ U n w 3 Op U w W W L LL oI� Q C7 C7 O O C7 of w Qe w N i a4 z aqz a> W o �o ti U of O a > _ wW =w M W leLL W m C¢7N Q J> J U I... .~7U XK W Q I- F¢- W f< F m UO w0 Q e U) �a lu 3 ww wD Ozir Z Z a uj Z x " W U J _ W F- U W O Z Z Z Z O N U m UU U m �] m Q S U U U = U U Z cc C C N N y C C C 7 ° 4 o _ ? 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J a J W LL O W J W J m N d O Z a W p Z = � o H N a a a a a a rc ■W p eia ¢ ¢ a ame O U U U U U U U U U a a 7 7 o s s s s s s o 0 ■ / \ 2 2 (\ Ld LU _: . ; r - () / 2 )_) \LLF \ / ( \\» � } -LU ( { {e - \ _ /}/ PZ /\ }} } ( \ & $ /) §){ ( \ mc 0 0 o N O O N N c0 O O O O O m N O O m of N T m N O N r N N N Ui B9 V3 fA fA � fA rK Ui Vi � V co m M M o N r m m N m 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 K] N N N N N h L6 N N M M M M M M M M M M M 5 N Y ti O Cl) O QQ W J X ❑ W W W W w V OM Q Q J Cdz V X K = W Z X Co b tOp N V 0 W p J J J J 3 Q U Z VJ J w w w w z p p 0 W W w O w rn w w J N L w J w cl ❑ W _Z Z N w C11 ¢'] 2 W z U U N W w Y W J J K U U LL W 0] W O O) O m m N N m O m O O N W L(1 N (p !O to N 9 a? N C C C C C C C C C C C N N N N N N N N N N N 0 0 O O O O 0 0 0 0 O m m a 50147 M W ci to t0 z N_ V O M y > LU F O O O m m L9 L? rn 2 O O O N `3 G m a BUDGET ADJUSTMENTS: A Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy that the following Budget Adjustments be approved as presented. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. 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Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Court was adjourned at 3:35 pm