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2012-12-27 Regular December Term Held December 27,2012 THE STATE OF TEXAS COUNTY OF CALHOUN ~ ~ ~ BE IT REMEMBERED, that on this 27'h day of December, A.D., 2012 there was begun and holden 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 Roger C. Galvan Vern Lyssy Neil Fritsch Kenneth W. Finster Suzana Eckermann County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation and Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas Flag. Kenneth W@ Finster County Commissioner County of Calhoun Precinct 4 December 20, 2012 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 December 27, 2012. . Discuss and take necessary action to approve Final Plat of the 4th St. RV Park in Port O'Connor, Texas. Sincerely, ~U/.4 Kenneth W. Finster KWF/at P.O. Box 177' Seadrift, TX 77983 . email: kenny.finstel'@calhouncotx.org' (361) 785-3141 . Fax (361) 785-5602 FINAL PLAT OF THE 4TH STREET RV PARK IN PORT O'CONNOR, TEXAS: Jodi Weaver: Re-platting Lots 1, 2 (became Lot A) and Lots 10, 11 and 12 (became Lot B). A Motion to approve the final plat of the 4'h Street RV Park in Port O'Connor was made by Commissioner Finster and seconded by Commissioner Lyssy. 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'ow J 1 1 1 1 f;~ r '" t I: ,I 11. 1 1 1 1 1 1 1 1 J J hP=1~ !~ ~ "i E-< E- n;e; ;3 ill '""" , !~. , o II il Ii i! . .1 ~ I Ii ~ ,I 1: ~ (~~ -1 " ; J "~.I' ''I I"' i, :),':1 I', Ii I E-< "'-:<:':~;:IJ~..~"r S 1"'_f."J .-"<,:1 ., ",--...._j, , 1- . I , ~ ! ~ ! ----I------3nN3^V-------NOS~3333r------- .. : -- =--=- :~- ;,:":~:.~"-..::. ~ '."1 , . - II II I ~ , , !I " ili III ;11 I" II! '" " I' ~, lIi diP ~ b ; ~ f illl, .__.; dl ,,' !Ii , i II i! II I I Kenneth W.. Finster County Commissioner County of Calhoun Precinct 4 December 20, 2012 Honorable Michael Pfeifer Calhoun County Judge 211S,Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioner's Court Agenda for December 27, 2012. .. Discuss and take necessary action to accept letter of resignation of Precinct 4 Justice of the Peace Peggy Dworaczyk effective December 31, 2012. Sincerely, ~w.4 Kenneth W. Finster KWF/at P.O, Box 177 ' Seadrift, TX 77983 . email: kenny.finstel'@calhnuncotx.ol'g' (361) 785-3141 . Fax (361) 785-5602 LETTER OF RESIGNATION FROM PRECINCT #4 JUSTICE OF THE PEACE PEGGY DWORACZYK EFFECTIVE DECEMBER 31, 2012: Commissioner Finster: The letter before you was sent to me by Judge Dworaczyk tendering her resignation effective December 31, 2012, A Motion to accept her resignation and continue the rental of her property [office space for Precinct 4] on a month-to-month basis until the County can find another secure location was made by Commissioner Finster and seconded by Commissioner Galvan. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, DECEMBER 19,2012 TO WHOM IT MAY CONCERN: I, PEGGY DWORACZYK, JUSTICE OF THE PEACE, PCT #4 AM TENDERING MY RESIGNATION, EFFECTIVE DECEMBER 31,2012. tJI~ RATIFY AGREEMENT FOR THE ASSESSMENT AND COLLECTION FUNCTION OF THE COUNTY OF CALHOUN TO BE PERFORMED BY THE CALHOUN COUNTY APPRAISAL DISTRICT FOR THE YEAR 2013: Judge Pfeifer: This is the same agreement that we have every year with them, A Motion to approve the ratify agreement for the assessment and collection function of the County of Calhoun to be performed by the Calhoun County Appraisal District for the year 2013 was made by Commissioner Fritsch and seconded by Commissioner Lyssy. Commissioner Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Commissioner Galvan abstained from the vote, Motion was passed with a vote of four (4) in favor and one (1) abstained vote, Agreement for the Assessment and Collection Functions of the County of Calhoun To Be Performed by the Calhoun County Appraisal District This agreement made and entered into on this the 22nd day of December, 20 II by and between the County of Calhoun (hereinafter referred to as "County") and the Calhoun County Appraisal District (hereinafter referred to as "District") as duly authorized by the governing body of each party to the contract. Purpose and Authoritv The parties to this agreement wish to enter into an agreement whereby the assessment and collection of property taxes for the County of Calhoun (County) will be performed by the Calhoun County Appraisal District (District), The parties enter into this agreement in order to eliminate duplication of services for the assessment and collection of taxes and to promote governmental efficiency; and The parties enter into this agreement pursuant to the authority granted by section 6.23 and 6,24, Property Tax Code and Art. 4413 (32c) V.A.T.S. otherwise known at the Interlocal Cooperation Act. In consideration of the premises and of the terms, provisions, and mutual promises herein contained, it is mutually agreed as follows: Leneth of Contract Period This contract shall be effective January 1,2012 through December 31, 2012 and upon ratification by the goveming bodies each year, shall continue in full force and effect from year to year until such time as either party hereto, by written notice to the other, may terminate the same at the end of the contract year, such termination to be effective only if provided to the other party on or before September 1 of the year in which the party intends for the contract to terminate, Name of Office The consolidated office conducting the assessment and collection functions (receipts, statements, and correspondence) shall be referred to as the Calhoun County Consolidated Tax Office, Page 1 of7 Assessment Services to be Performed The District shall perform, through a Texas Department of Licensing and Regulations registered Of certified assessor, all the functions of assessment of ad valorem property taxes for the County as defined in the Definitions section of this contract and as provided under the Property Tax Code and the Property Tax Assistance Division rules, including the calculation and publication ofthe effective tax rate of the County according to section 26.04 and the guidelines established by the Property Tax Assistance Division, In the event that the County proposes to adopt a tax rate exceeding the limits of section 26.05( c) and necessitating further publication of hearings per section 26.06, the costs will be a direct expense to the County, However, if the County fails to adopt its tax rate by September 30, or if the County's adopted tax rate is rolled back, the costs for additional publications and notices will be the responsibility ofthe County and any additional assessing costs incurred by the District for late and separate tax bill processing or issuance of corrected bills associated therewith shall be strictly accounted for by the District and shall be,payable by the County upon submission of that accounting by the District, Should the County offer discounts to its taxpayers under section 31.05(b) or 31.05( c), or both, the District agrees that if a consolidated billing system is utilized by the District that, upon request or attempted remittance by a taxpayer of taxes imposed by the County, the District will generate a separate billing for that account so that such remittance by taxpayer will not constitute a partial payment under section 31.07. Collection Services to be Performed The District shall perfofm through a Texas Department of Licensing and Regulations registered or certified collector, all the functions of collection of ad valorem property taxes for the County as defined in the Definitions section of this contract and as provided under the Property Tax Code and the Property Tax Assistance Division rules, including required reports to the County, notices to taxpayers including the 33,07 collection cost penalty notice, issuance of refunds , under section 31.11 with submission to the County for approval of any refund request exceeding $500 and tax certificate issuance; however County agrees to transfer authority for performance of the taxing unit's auditor function under section 31,11 to be performed by the District's Chief Appraiser. District agrees to administer and collect vehicle inventory tax as defined in 23.121 of the tax code in the same manner as it performs all other collection activities for the County. Any additional fees or penalties collected for the vehicle inventory tax will be deposited in the operating account of the District as miscellaneous fees, Page 2 of7 Any fines imposed upon a dealer for failure to file tax statements shall be remitted to the taxing entities, pro rata, Deposits to the County's designated depository at the time of collection will be deposited weekly unless a sum of$100,000 is collected for the County, in which case an additional deposit shall be made to the County's depository, It is understood that acceptance by a collector of a check or money order constitutes payment of a tax as of the date of acceptance only if the check or money order is duly paid or honored. Section 31,06. The County agrees to deliver or make available to the District all delinquent and other tax records necessary for the performance of the District's duties under this contract. At any time the County may have access to these records, and will be provided with a complete set of records on computer tape or disc if and when the County may wish to terminate this contract agreement. Furthermore, District agrees to protect against loss of records by providing for duplicate record storage at periodic intervals, weekly, and agrees to make accessible on computer tape, disc or printout, the delinquent records to any delinquent tax attorney operating in behalf of the County. In addition, the District's collector will be bonded in the amount of $100,000, payable to the governing body of the County. The District shall also provide for an independent audit of its collection operation annually (December 31) to be contracted by the District with final reports from auditing firm to the County, Payment of Services In consideration for the functions of assessing and collecting services to be performed as specifically provided in this contract and according to the Property Tax Code and the Property Tax Assistance Division rules, and as included in Exhibit A of this contract, the County agrees to pay to the District their prorata share ofthe actual costs incurred by the District for the assessing and collection functions based on an audit of actual costs incurred, The accounting period of such costs shall be from January 1 through December 31 of each year, Prior to April 1 of each year beginning in 1990 and after an accounting of costs are received from the District's auditors any excess of monies retained by the District shall be paid to the County. Conversely, any cost ofthe District in excess of the amount withheld from the County will be paid to the District by the County, Delinouent Taxes The County retains the right to contract with a delinquent tax attorney of its choice and will provide by official action an additional penalty of 15% to defray the cost of collection. Compensation to attorneys contracted to County shall be paid by the County, Page 3 of7 The County may authorize, by order oftheir governing body, the District to contract with a competent attorney under section 6.30 and 6,24(b) to enforce the collection of delinquent taxes tor the County's delinquent accounts. The attorney's compensation under the contract shall not exceed that set forth in section 6.20 of the amount of taxes, penalty and interest collected. The District further agrees that such fee as specified herein as attorney's fees will be paid from the delinquent taxes, penalties and interest collected for the County by said private legal counsel. District shall make available the delinquent tax records to the specified attorney by July I st of each year the contract remains in effect and each year the attorney is contracted to perform these functions. The District further agrees that these records will be provided to the attorney contracted with in the form of duplicate computer tapes or discs. Other Provisions and Definitions The District shall not be liable to the County on account of any failure to collect taxes nor shall the collector be liable unless the failure to collect taxes results from some failure on his or her part to perform the duties imposed upon him or her by law and by this agreement. All expenses incurred by the District for the assessment and collection of taxes shall be clearly kept on the books and records of the District. The County or its designated representatives are authorized to examine the records to be kept by the District at such reasonable intervals as the County deems fit. Such books and records will be kept in the offices of the District. In the event a contract dispute arises between the parties herein named to the contract, a mutually agreed upon third party will be named to act as independent arbitrator whose compensation will be paid in equal parts by both parties to the contract, whose decision regarding the dispute will be a binding decision on both parties to the contract. For the purposes of this agreement, the term "assessment" shall include the following: submission to the County's governing body the appraised, assessed and taxable value of new properties and of all properties in the unit, calculation and publication of the effective tax rate calculation, application of the unit's adopted tax rate to the values on the appraisal roll and submission ofthis roll to the governing body for approval and creation of the County's tax roll, proration oftaxes, maintenance of the integrity of the tax roll through correction of clerical error in the tax rolls, and all other assessment duties mandated under the Property Tax Code; the term "collection" for purposes of this agreement shall include the collection of tax liabilities, issuance of refunds, monthly, annual and other collection reports as provided by this contract, required notices to t4xpayers including the collection cost penalty notice section 33.07, Property Tax Code, deposits to the County's Page 4 of? designated depository at intervals as specified herein, issuance of tax certificates and all other collection functions mandated by the Property Tax Code, For the purposes of assessment and collection the County is defined to include the jurisdictions that the County is presently assessing and collecting for as follows: Calhoun County Calhoun County Navigation District Water Control and Improvement District #1 Drainage District No.6 Drainage District No.8 Drainage District No. 10 Drainage District No, II Port O'Connor Municipal Utility District Exhibit "A" Basis of Annual Charge for Tax Assessment and Collection I. Expenses of the tax collection office of the Calhoun County Appraisal District used to determine the annual charges to the County for assessment of property and the collection of taxes thereof are: Pavroll AlI salaries and other payroll expenses charged to the District's tax collection office such as insurance, payroll taxes, workmen's compensation, health insurance, etc. Purchased and Contracted Services AlI expenses incurred by the District's tax collection office for services rendered by firms, individuals, or professionals which are independent of the District such as maintenance contracts, publications, legal fees, upkeep of grounds and buildings, utilities, rentals, and all other purchased and contracted services not mentioned above. (Excludes fees of delinquent tax attorney). Supplies and Materials All expenditures for supplies and materials necessary for the operation and maintenance of furniture, data processing equipment, janitorial, buildings and grounds, books, office supplies, printings, and all other material and supplies not mentioned above, Page 5 of7 Other Ooerating Exoenses Expenditures necessary for the operation of the tax office such as travel, subsistence, insurance, bonding expense, fees and dues, and other miscellaneous expenses not mentioned above, Caoital Outlay All expenditures for furniture, and equipment necessary in the operation of the tax office. ' The foregoing expenses will be based upon the actual amounts expended by the Appraisal District in the immediate past fiscal year ending December 31 of the calendar year in which each statement for services is submitted. II. The following factors and formula will be used in determining the total yearly cost to the County for assessment and collection. Factors: a. Total current tax levy in Calhoun County by all jurisdictions. b. Current tax levy of County and all jurisdictions presently receiving assessment and collection service from County. c. Sum ofthe costs and expenditures delineated in section I ofthis Exhibit. Formula: (B - A) x C = County's cost Page 6 of7 . Approval of Calhoun County Tax Assessor/Collector I, Gloria Ochoa, do hereby approve the consolidation of the functions of assessment and collection as set forth in this contract and authorized by section 6.24(b) Property Tax Code and Art. 4413(32c) V,A.T.S. otherwise known as the lnterlocal Cooperation Act. ~a~ Tax Assessor/Collector Calhoun County Texas' Executed in Port Lavaca Texas on the date and year first written above. Attest: Secretary, Board of Directors Calhoun County Appraisal District Chairman, Board of Directors Calhoun County Appraisal District Attest: Anita Fricke, Calhoun County Clerk By: Deputy Clerk Page 70f7 Approval of Calhoun C(ll1llty Tax Assessor/Colle,ctor I, Gloria Ochoa, do hereby approve the consolidation of,the functiqns of assessment and collection as setforth in this contract and authorized by section 6,24(b) Property Tax Code and Art, 4413(32c) VAT;S, othetWise ImoWn as the Interlocal Cooperation Act. d~ ax Assessor/Collector Calhoun COl1lliy Texas Executed in Port Lavaca Texas on the dl\te and year firs~ written above, Attest: Anita Fricke, CalhoUn County Clerk A-'~J~ By: Del"lity'Clerk ~, Page 7 of7 ORDER SETTING DAY OF WEEK, LOCATION AND ALTERNATE LOCATION OF REGULAR TERM FOR COMMISSIONERS' COURT FOR THE 2013 CALENDAR YEAR: A Motion to approve the order setting the day of the week, location and alternate location of regular term for Commissioners' Court for the 2013 calendar year was made by Commissioner Finster and seconded by Commissioner Fritsch. Judge Pfeifer: Read from the order: The regular term will be the second and fourth Thursday of each month and the location will be the Commissioners' Courtroom located in the County Courthouse, 211 S. Ann Street, Port Lavaca Calhoun County, Texas. The first alternate location of such meetings will be the Bauer Exhibit Building, County Road 101, Port Lavaca, Calhoun County, Texas. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, ORDER SETTING DAY OF WEEK, LOCATION AND ALTERNATE LOCATION OF REGULAR TERM FOR COMMISSIONERS' COURT FOR 2013 CALENDAR YEAR Motion by Commissioner Finster, seconded by Commissioner Fritsch, and carried, that the fol1owing order be entered: At a regular term of the Commissioners' Court in and for Calhoun County, Texas, held in the regular meeting of said Court in the County Courthouse in Port Lavaca, Texas, on the 27th day of December, 2012, with County Judge Michael J. Pfeifer presiding, and Commissioners Roger Galvan, Vern Lyssy, Neil Fritsch, and Kenneth Finster present, and with Deputy County Clerk Suzana Eckermann in attendance, there having come on for hearing the matter of detelmining the day of week and location of the regular term of Calhoun County Commissioners' Court for the calendar and fiscal year, 2013, it was ordered that the regular term should be the second and fourth Thursday of each month, The location of such meetings will be the Commissioners' Courtroom located in the County Courthouse, 211 S. Ann Street, Port Lavaca, Calhoun County, Texas, The first alternate location of such meetings will be the Bauer Exhibit Building, County Road 101, Port Lavaca, Calhoun County, Texas. IT IS SO ORDERED this 27th day of December, 2012, COMMISSIONERS' COURT OF CALHOUN COUNTY, TEXAS BY:~~~~ MIChael J. Pti ifer ounty Judge ATTEST: ANITA FRICKE, County Clerk By: ~ ~~ , Deputy Clerk ..c:.@L" "~,,~:.:::c~,,,~~~,~,~,T.:._~~;.~; I" ~q;r' ...S7N E'i1r., ~ co_-~-I(Il_ "'\" ~/"" '''T.__.,.,'.,', .}) !'"OOOSl1:RVIUE OI&Tl;tlaUTORS~. Calhoun County Adult Detention Center 302 West Live Oak Street Port Lavaca TX 77979 Customer # 318222 12-4-2012 Ben E. Keith Foods would like to offer a one year extension on the current bid for Calhoun County Adult Detention Center. If this extension is agreeable please let me know so we input the new dates on the current bid parameters. Thank you for your business and continued loyalty to Ben E Keith Foods Matthew Brown District Sales Manager 361-510-9620 rmbrown@benekeith,com APPROVE THE FIRST OF TWO EXTENSIONS OF THE CALHOUN COUNTY ADULT DETENTION CENTER FOOD CONTRACT WITH BEN E KEITH FOR THE PERIOD BEGINNING JANUARY 1, 2013 AND ENDING DECEMBER 31, 2013 AND AUTHORIZE THE COUNTY JUDGE TO SIGN ALL NECESSARY DOCUMENTS AND CONTRACT: A Motion to approve the first of two extensions of the Calhoun County Adult Detention Center Food Contract with Ben E Keith for the period beginning January 1, 2013 and ending December 31, 2013 and authorize the County Judge to sign all necessary documents and contract was made by Commissioner Galvan and seconded by Commissioner Fritsch. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted In favor. r CONTRACT FOR FOOD SERVICES CALHOUN COUNTY ADULT DETENTION CENTER STATE OF TEXAS COUNTY OF CALHOUN This agreement is by and between ~'N, C- k'e ,<tTt NQme of Company hereinafter called "provider" and Calhoun County acting through their Adult Detention Center hereinafter called the" Jail" and is to provide for the furnishing of food and food stuffs to the Jail. The effective date of this agreement Is January 1 . 2012 and is for a period of one year from that date. This agreement will end on December 31 , 2012. This agreement has the option to renew yearly, for up to two additional years, Each of the two optional renewals must be approved by Commissioners' Court prior to the end date of the preceeding contract. The food and non-food items to be provided are set out in the attached Food Bid Pricing List and said prices will be honored for the one year period. Any items ordered not on the attached Food Bid Pricing List shall be provided at Cost Plus I fl. D ' % basis. The Jail agrees to pay for said food, non-food items or goods upon presentation of an invoice and verification that said food, non-food items or goodS have been delivered and received. provider will use its best efforts to provide quality products and good and healthy food but makes no warranties express of implied about their fitness for use. Provider will provide products that are needed for inmates with high blood pressure, diabetiCS or for religious reasons, Deliveries will be made at specific times (at least twice a week) and in sufficient quantities to ensure that there will be sufficient food on hand at the Jail to make and provide all meals. Deliveries will be made between Monday and Friday between the hours of 7:00 a,m. to 10:00 a.m. and 1 :00 p,m, to 4 p,m. in order not to disrupt the jail kitchen in preparing meals, Should an ordered item not arrive as ordered, or a wrong item is delivered, provider will deliver the correct or substitute item within 24 hours from the date the missing item was supposed to be delivered, A sales representative from the provider shall contact the Jail Administrator or Jail Cook monthly In person, to discuss any issues or new products offered, Pag&lof2 , 2011 , SIGNED AND ACCEPTED this the J. Q~ day of 1) e.ce-m be.-.... PROVIDER: MJ~~~ SI~n.ture J , ,fcL...l,l>JA; ~""''' Typed or I>rinte~ Nam. CALHOUN COUNTY, TEXAS 1.,-)0' {(~(A G- ' Mailing A.ddress ~ A"",~ ~ 'T( City, Stat., Zip Cod. ' 752/$ 21'1 5 Ann st, a'd Floor, Ste 301 Port Lavaca, TX 77979 pag.2012 I H S Indigent Healthcare Solutions December 3, 2012 Monica Escalante Director Calhoun County IHC 815 N. Virginia Port Lavaca, Texas 77979 Re: Renewal MOU Dear Monica: Per our conversation, I have enclosed two copies ofthe Memorandum of Understanding to renew our current agreements for two more years, Please have the Judge sign both copies and return one copy back to us, I have included a return envelope for your convenience. If you need anything else, please do not hesitate to call me toll free at 1- 800-834-0560. Thank you for your business and we look forward to serving you for years to come, Thank you, ,,"/'_ (.:V1)i11/ll;; , ,fL../,)i/ k P/,_v l J~/ f.t r. Tonya Robison 2040 North Loop 336, Suite 304 Conrae, Texas 77304 (936) 756,6720 (936) 756,6741 Fax An Informationl . Affiliated Company CapItal MEMORANDUM OF UNDERSTANDING BETWEEN INDIGENT HEALTHCARE SOLUTIONS AND CALHOUN COUNTY EXTENDING CURRENT AGREEMENT BY TWO YEARS AND AUTHORIZE COUNTY JUDGE TO SIGN: Commissioner Fritsch: This is the same agreement that we have had in the past. Judge Pfiefer: The County uses it as much as the hospital does. Cindy Mueller: The Auditor's office uses it often. A Motion to approve the Memorandum of Understanding between Indigent Healthcare Solutions and Calhoun County extending the current agreement by two years and authorize the County Judge to sign was made by Commissioner Finster and seconded by Commissioner Fritsch, Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Memorandum Of Understanding This Memorandum of Understanding (MOU) is by and between Indigent Healthcare Solutions, hereinafter called "IHS" and Calhoun County, hereinafter called "Client". This MOU is intended to document that both parties intend to extend for an equal period of time and for equal cost considerations the following documents which are effective until February 1, 2013. . Data Processing Services Agreement . Attachment A To The Data Processing Services Agreement . Attachment B Non Exclusive License Agreement . Schedule A To Non Exclusive License Agreement . Business Associate Agreement . Addendum to Data Processing Services Agreement (Red Book Codes) . Addendum to Data Processing Services Agreement (CPT Codes) Such an extension is provided for in Section 2 "TERM" of the Data Processing Services Agreement. Upon execution of this MOU by both parties, the aforementioned documents shall be extended for a period of two (2) years beginning February 1, 2013 until February 1,2015. This MOU shall become effective when executed and except as modified herein, all of the Terms and Conditions of the listed agreements shall remain in full force and affect. Client IHS Yl\wtJ~ ft~ ~ ~ Honorable Micliael felfer Robert Baird County Judge President !:l-J.iJ I~, 2012 (Z 13- ,2012 Decembel' 3, 2012 Data Processing Services Agreement, THIS AGREEMENT is entered into and executed on the date set forth below, by and between n_...... _ifI lift1ll1tlillliti;l SolUtions, Ltd. ("!HS"), having offices located at 2040 North Loop 336, Suite '304, COllroe, Texas 77304, and Calhoun Countv ("County") with administrative offices located at Calhoun County Courthouse, Port Lavaca, Texas, 77979: Check one: Onsite Installation X Hosted Installation WHEREAS, the Commissioners Court Of the Connty has determined that a public necessity exists to preserve, store, process, retrieve and organize certain data and inf9rmation of the County in order to prevent material losses to the County and to comply with the tenn~ and conditions of the Texas Indigent Health Care and Treatment Act, Texas Health & Safety Code, Subtitle C, Chapter 61 (the "Act"); WHEREAS the Commissioners Court of the Connty has determined that it needs to contract for data processing services; and WHEREAS, the Commissioners Court of the County has determined that such data processmg services would be best provided by IHS; and WHEREAS, IHS is willing to enter into this agreement upon the terms and conditions hereinafter set forth: NOW, THEREFORE, for and in consideration of the premises stated above and of the mutual covenants, agreements, and promises hereinafter set forth, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows: I, AGREEMENT TO PROVIDE SERVICES The County agrees to retain IHS as an independent contractor, and IHS agrees to 'provide service to the County upon the terms and conditions .hereinafter stated. 2. TERM This Agreement shall have an Initial Term of Two (1"> years commencing on Februarv 1, 20 II. and continuing to and including Februarv 1,2013, ' This Agreement shall automatically renew for successive Renewal Terms of term equal to the Initial Term unless either party notifies the other in writing no later than Ilinety (90) days before the end of the Initial Term or the thell- current Renewal Term, as applicable, either (a) that the Agreement shall terminate at the end of the said applicable Term instead of being renewed; or (b) requesting a Renewal Term oftesser duration, which request shall be subject to the agreement of the other party; provided, however, that the total duration of this Agreement shall not exceed twenty-five (25) years as provided by Texas Local Government Code section 271.009, or such other total term as permitted from time to time under applicable law, ' IHS Data Processing Service Agreement (Rev,120205swro.120205))VIOswm82607 , 'Page I of 12 ~,. 3, POST-EXPIRATION ASSISTANCE, Upon tennination of this Agreement in part or in full by action ofthe terms herein or upon action of the parties,lHS will. assist in the transferal of the County's data files in t~e'possession of illS pursuant t~ this Agreement, including conversion of such data to another data format usable by the County; provided, however, that use of such format does uot violate the proprietary rights oflHS or any third party,' ' The County shall he responsible for reasonable fees to abd costs incurred by IHS for such transferal or reformatting' of data, at IHS's then-prevailing rates for time and materials, and any co~ts 'and expenses of associated travel, including reasonable per diem expenses, The County,shalI specify in writing to IHS what data records County desires to be converted, the format requested, and the ll1,edia on whic~ the converted data is requested to be written or recorded; provided, that IHS and County shall mutu'~lIy agree on the data to be converted, the format of such converted data, and th,e media on which such converted data shall be written or recorded, If this Agreement has been tenninated under Section 6 on the basis that funds have not been appropriated, IHS shall have no obligation hereunder to. provide such transferal!or conversiGn assistance to the County unless and until.the County certifies in writing that funds are available for such services from current sour~es and the CouQty is committed to pay IHS for such services from such currerit sources. . ,! i , The County shall be solely responsible for, obtaining and for the costs of any applicable third party licenses that may be required to accomplish or pennit the conversion to the agreed format and using the agreed media, 4., AUTHORIZATION ' . i . , The County Judge of the County certifies that all appropriate steps to legaBy enier into this Agreement have been taken on,hehalf of the County, that the matter has heen approved by the Commissioners Court and that the terms of this Agreement 'are understood and agreed by County, Moreover, the County Judge certifies that all laws, rules and regulations as well as any local governmental rules wef(~ followed with regard to acceptance of this contract and. that this agreement meets all standards for,governm~ntal'contracts. . 5; BREACH, INVALIDATION OR EARLY TERMINA nON This Agreement shall automatically terminate upon the -occurrence of anyone or more of the following, .whether or not notice is given to County, unless IHS in its sole di~cretion elects to continue to provide the SelVices under the terms of this Agreement: (i) any attempt or offer by County to transfer, sublicense or asSign, or any aotual transfer, sublicense or assignment of, this Agreement, the License Agreement, or any rights or obligations ari'sing under either of these; (ii) because ofaoy change in applicable law or regulation, or order of any court, regulatory agency or other instrumentality of government having jurisdiction~and authority, which change or order has or likely will have the effect, as determined in the sole judgment of IHS, of substantially altering, or making impraoticable IHS' performance of, the material tenns and conditions of this Agreeme.nt or the License' Agreement; or (Hi) any assignment or transfer, whether actual or constructive, by operation of law or lawful order, including' but not limited to a receiyer or truste~ in bankruptcy-taking possession, or an assignment for the benefit of creditprs. His shall have the right to tenninate this Agr~ement immediately upon the material breach of this Agreement or'Qf the License Agreement by County or any of its officers,{elected officials, employees, agents or.other representatives, by the giving of written notice to County, stati.ng the rea'~ons for such tennination. IHS reserves the right immediately to terminate this Agreement ifany claims for copyright or patent infringement, or infringement or misappropriation of intellectual proPtrty .or intellectual, property rights, or for unfair competition or trade practices, or other misuse, relating to the prbgrams or any part thereof, are asserted against IHS. any . relevant Hcensor'of IHS, or the County or any of County's employees, officers, agents or r~presentatives. Such detennination shall be in the sole discretion of IHS.' Termination .on this basis shall be effective on notice in writing to County by.IHS, stating the reason for such tenninati~m. In the event of such termination, IHS will make a good faith effort to assist County io arrange for substitute: services; and IHS shall have the option, in lieu of such tennination, to offer to provide reasonable substitute. services' on terms and conditions (if different than thos"e specified in this Agreement with regard to obligations oflHS other than as to specific equipment, software and other materials) to be agreed by the parties, i ' ,IHS Data Processing Service Ag:eement (Rev ,120205sw~.120205))VIO~wro82607 Page 2 of ]2, The License Agreement shaH terminate~ without nece~sity of notice to County~ upon tennination or expiration ofthis Agreement, unless otherwise expressly agreed in writi"ng by IHS. If this Agreement is terminated or invalidated pursuant to Section 6 (except as otherwise expressly provided in this Agreement for termination under such section) or by Countyts breach, including but not limited to breach of the terms of any software or other license applicable to equipment or software used or provided by IHS in providing the Service, or invalidated by operation of law or lawful order, lHS shall have no duty to assist County as described by Section 3, In the event of termination for any reason p'nor to the Expiration Date of the term hereof Of any renewals thereof, lHS shall have the right immediately to reclaim possession of any of its property in the possession or under the control of the County (or any of its employees, officers, elected officials~ agents or other representatives)~ including lHS programs (including but not limited to the Pfograms specifically licensed in the Non-Exclusive License Agreement, Attachment B hereto ("License Agreement")), data, and related documentation Of other support materials, and County shall have a duty to immediately return all such items and any and all copies of such items in its possession or under its control to IHS, and shall immediately refrain from using same; and in addition County promptly shall identify to IHS in writing any persons or entities, including County's employees, officers~ elected officials, agents or representatives as well as third parties, that the County or any of its employees, officers, elected officials~ agents or representatives know or reasonably suspect still possess or are using in whole or part any such lHS Property, 6, SUBJECT TO APPROPRIA nON This Agreement shall continue in force as set forth in Paragraph 2 above, subject only to the following limitation: The obligation of the County to make payments under this Agreement is subject to annual appropriation by the County in its budget of funds to make such payments:! In the event funds for this Agreement are or become unavailable due to non-appropriation, this Agreement will thereupon terminate without penalty to or further obligation hereunder of either party, as of the last date for which funds have been appropriated; provided, that the County will remain responsible for costs and fees accrued hereunder for periods prior to such non-appropria~ion tennination; and provided~ further, that any assistance provided to County by IRS in the transferal of County data, including hut not limited to any conversion or formatting of data, shall bc provided hy IHS under the provisions of Section 3, and County's obligation there under to pay for such services shall not be excused by reason of the non-appropriation of funds for the Agreement as a whole, County certifies that it has available funds for paymel1t of this Agreement during the initial fiscal year ofthe County in the Initial Term hereof, Further, County agrees that it will notify IHS at ieast ninety (90) days prior to the end of its fiscal year if it does not intend to make such apptopriation for the coming fiscal year. If this Agreement is not terminated pursuant to this section, then on or before ten (IO) days before the beginning of each County fiscal year during the applicable term hereof, the County shall provide written certification that adequate funds have been appropriated by the County for the payment in full required under this Agreement for such fiscal year. 7. SERVICES During the Initial Term or any Renewal Term hereot\ IHS shall provide data processing services to the County and its various specified departments, as described in Attachment A hereto ("Scope of Services and Schedule of Equipment") (the "Services"). IHS shall render the Services to the County as may be reasonably requested from time to time by the County, The Services will be provided either by utilizing equipment specified in Attachment A that is installed and operated by IRS on the premises ofthe County, as contemplated helow in this Section 7 and in Section 16, or by Hosted Services based on servers lopated at an IHS site. The County has the right to permit access and use of the Program(s) by authorized County employees, up to the User Number specified in Attachment A hereto; provided~ that no more than the Concurrent User Number may access or use the Program(s) at any given time, The Client shall assign a unique User Identification Number to each authorized User, and shall provide to IHS a list of authorized Users and their User Identification Numbers upon IHS Data Processing Service Agreement (Rev,12020Skwf9-12020S))vl0swffiS2601 Page 3 of 12 request by IHS. '" , "I' , , "User" shall mean a County employee who is authorized to access and use the Services. . .. ~ , ' "U~er Number" shal-J mean the inaximum nurriber 9f County employees who are authorized, to access and ~se the Services, i.e.;the maximum number of Users. , . "Concurrent -'t..!ser Number" shall mean the maximum number of Users who are authorized to access and use the Services at any given time. IHS agrees to provide training to the County's personn"el in the various County departments utilizing ihe Services ,hereunder, when, in'the opinion of both parties, it w.1l furtber the intent of this Agreement and facilitate and expedite the provision of the Services; provided, that oJly th, initial orientation describ,d below is included as part of the Monthly Fee, , Th.e County acknowledges that certain computer programs will be utilized or otherwise made available bY IHS in its provision of the S'erv'ices hereunder, and that these programs (the "Programs") and their use by the County or on its behalf or for its benefit shall be governed by the companion License Agreement (Attachme;'t B), which is hereby incorporated into this Agreement, and by other applicable terms of this Agreement. In the event of a conflict betwee;n the terms of this Agreement or any amendme~t hereto and the License Agreement as it may be amended from time to time, the tenns of the License Agreement shall control. ! Initial Installation of the IHS Programs by lHS for the Services shall occur after an initial orientation of appropriate County personnel hy lHS, to be arranged as specified in Section 17.E below, As contemplated in Section 17.E, the initial orientation shall be at no additional charge to the "County ifit is performed at IHS's offices in Conroe, Texas, or at a location in County's offices; but if the County ejects to have such initial orientation at another location, or additional orientation sessions, the County s"hall he responsible for fees and reasonable costs associated with the provision of such orientation, regardless of location, at IHS's then-prevailing time and materials rates, Including costs and expenses ofIHS travel and reasonable per dielJl expenses. ~ , Initial Installation of the Programs and equipment for the Services ,shall be performed at no additional cost to the Coumy. ' iHS will provide a server on which IHS Programs will be installed and operated by IHS 'that will bc connected to the County's ~etwork as appropriate. for access by the County, That servennay be located at a site on County's premises ("Onsite Installation") or at a remote site ?fIHS's choos,ing ("Hosting Site"), as sPf::cified'in Attachment A hereto, ' For aosite Installation. After Initial Installation, ,access and maintenance of the Programs by IH~ for Ousite -' Installation 'will be by remote access. The County sltall be responsible for the provision of satisfactory remote access by lHS, as contemplated in Section t'7,F belm.!, After Initial Installation, any trips 'by lHS to the Onsite ' Instailation site that may be required for maintenance, upgrades or other purposes $hall be billed to the County on a time and materials basis, including costs and expenses of IHS travel and reasonable per diem expensesJ and the County agrees to pay such charges, .costs and expenses, The County will be responsible for all data hackup for O~site Installations, as provided in Section 17.C. . For Remote Installation. In the even Hosting has been, selected by CountYJ IHS will provide the Services utiliZing ,server(s) located at lHS site(s) ("Hosted Services") rather than at a County site, Access to the Hosted Services by the Comity will be via the Internet accessible from C9urity workstations or other appropriate computer equipment, as applicable, IHS will provide security and access limi~ation at the Hosting installation site(s) in the form of the methods and procedures stated in Attachment A hereto as part of the Hosted Services, at no additional cost to the County, IHS will be responsible for data backup, The County will be responsible for obtaining and maintaining suitable Internet access via a reliable and coinpetent Internet Service Provider (UISP") or other suitable access lHS Data Processing Service Agreement (Rev.~2020SSWI9-12020S))vlOSWRJ82607 Page 4 of 12 .! ,provider or method (such as a virtual private network), and for providing and maintaining suitable internal local area networks and other infrastructure suitable to achieve'such Internet access from the workstations or other locations from which the County will access the Hosted Services, . , . i The County is responsible for all costs related to achieving such Internet access to the Hosted Services server(s), . including but not limited to any costs of equipment,_,equipment and software installation and maintenance required to achieve such Internet access, and the costs of service by its ISP or other means of Internet acc~ess. The ISP (or other method of Internet access) must provide rcl.iable Internet access, with the minimum performance criteria identified in Attachment A, The County shall identify its proposed ISP (or other method of Internet access) and , provide appropriate supporting detail and technical specifications about the ISP (or other method of access) service to IHS for approval, the giving or denying of which shall be based on IHS's best professional judgment. If, in IHS's sole judgment, the County's proposed ISP (or other method oflnternet access) has capabilities inadequate to pennit appropriatelyreliahie, accurate and fast access to th+ Hosted Services, or if an ISP (9r other method) used by the , County, eVen ,if previously approved by IHS, has ,Provided inadequate or unreliable access, on written requcst by IHS, the County agrees promptly to replace the ISP (or other method) with another having suitable capability and performance record, subject to IHS's approval. ' If, h'aving elected Hosted Services against IHS's adJice to do so'hased on lHS's assessment that available ISPs (or other methods) will not provide the County with adequate access to Hosted Services, or if available ISPs (and other methods) lack or have shown by performance to lack ability to provide adequate and reliable access to Hosted Services, IHS may request in writing that the County.j convert to an Onsite" Installation; if the County elec.ts not to do so, IRS may at its sole discretion tenninate this Agre~ment without penalty or further obligation to the .County, other than the obligation to retum the County's data to it and to assist the County with data conversion specified in Section 3. Conversion to an Onsite Installation, if elected by the County will be at the County's expense, with'costs of IHS-provided equipment (including Onsite setver(s)) and Onsite Initial Installation at County expense, at IHS's then-prevailing rates for labor and equipnfeni, and including per diem -and reasonable travel expenses for any IHS personnel visits to the new site. ! , , , 8. SPECIAL SERVICES, IRS will ftom time to time provide the County with such special services or supplies outside the slated scope of the Services but related thereto as may reasonably be '/cequested or approved by the County, and for which special, servi~es funds have been appropriated, including but1not limited to: special data e~try services, such as conver~ion, program and test data keypunching, and, other data entry; computer run~; or industrial or systems' erigineering services: provided, that the County and IHS agree upon the fees and costs therefore, that the County approves, in writing, payment for such special services, and certifies in writing that appropnated funds are available to pay for such special services. Special services shall incJ~de conversion, .formatting or other handling of data to be maintained or utilized by IRS under this Agreement, Whether such datais provided to IRS by County or on County's behatfbya previous or exis,ting third-party County service provider, as may be reasonable or necessary. ' for any custom programming (i.e" any prograt11ming or other services not identified in Attach~ent A) that is requested by County and which IHS agrees to prJvide; IRS shall provide County ,an estimate of tbe time and materials, and any other anticipated costs and expenses (such as travel), likely to he 'required to accomplish the requested custom programming, based 0J.1 IHS' then-prevailing rates for such custom programming services. County shall have the option thereafter to, have the custom programming performed, Upon County providing a writtl'n certification that apptoprlated funds are avail~ble flom current sources to pay for such custom programming' services, IHS shall perform such services. IHS shdn bill County, and County agrees to pay, for the actual time, materil;lIs 8pd other costs and expenses incurred inperfonning the custom programming, at IHS' then-prevailing rates. . The County is responsible that its networks, databa\es and.other records; its workstations or other computers or equipment of any kind used by County staff or others to access, send, receive, print, write or re:cord, manipulate, store,. backup (see section 17,C), restore (see section 17,C), or otherwise use (collectively hereinafter "Access") individually, identifiahle health information ("lIHI"; also referred to as protected health information, "PHI"); its security and security procedures and controls; and Access and authorization procedures and controls; and any other . II . ., IHS Data Processing Service Agreement (Re.v,12020Slwl9-120205))vlOswro82601 Page 5 of 12 relevant County functions or procedures ~oncerning 'such data or Access thereto, are compliant with the Heath Insurance Portability and Accountability Act ("HlPAA!'), 29 U,S,C, " 1181, et seq" and all applicable regulatory rules or guidelines implementing HIP AA ("HIP AA Regulations") (both collectively "HIP AA" unless otherwise stated), as the statute or such regulatory rules or guidelines may be amended from time to time, and including any successor statutes or regulatory rules or guidelines. IH? is providing the Programs on an uas is" basis. If additional equipment, software or other programming beyond the Programs "as is" status, or procedures are required so that the data processing services provided hy IHS hereunder kor the County may be achieve compliance with HIP AA, considering the County's network, operating systems, and equipment and their configuration, deployment and other characteristics, the County's programt applications and data access practices and procedures, staffing, Access and other security rules and procedures, or other relevant f~ctors, comply with HIP AA, County shall be responsihlc for the costs of compliance by IHS, on a time and 'materials basis at IHS' then-prevailing rates, and, costs and 'expenses of atiy associated IHS travel, including reasonable per diem expenses. If IHS is requested to provide assistance to Courtty'to respond to any request made under the Texas Public Information Act, IHS shall be compensated by County for any such assistance that is outside the scope of the standard reporting specified in Attachment A, on a tim~ and materials basis at IHS' then~prevailing rates. 9. OWNERSHIP AND CONFIDENTIALITY The County's data files and the data contained therein sball be and remain the County's property, All the existing data and data files of the County shall be retume~ to it'by lHS at the Expiration Date or upon earlier tennination of this Agreement. The County's data shall not be utilized by IHS for any purpose other than that of rendering services to the County under this Agreement and will not be disclosed, sold, assigned, leased, or disseminated to third parties, by IHS, or commercially used or exploited by or on behalf oflHS, its employees or agents, 10, PROTECTION OF COUNTY DATA IHS shall establish and maintain reasonable safeguards against the destruction or loss of the County's data in the possession of lHS, which safeguards shall at least meet the standards of safety maintained by the County for like data, As provided in Section 17,C below, for Onsite.lnstallations, the County shall be responsible for daily and monthly backup of data, ll. MONTHLY FEES; INTEREST; TAXES Commencing on February I, 20 II, and on the first day of each succeeding mo~th thereafter during the term of this Agreement or extension hereto, the County shall pay to IHS at its office in Montgomery County, Texas, as advance montWy fees for the Service, the sum of One Thous'and, Three Hundred Ei.htv-Ei.ht Dollars ($1.388,00) (the "Monthly Fee"). In the event the County elects to add . additional eq~ipment or software, or to request substitute equipment or software, during the term of the Agreement, lHS shall provide it, subject to availability and there being appropriated funds certified by the County in writing and sufficierit to cover associated additional or increased costs and fees associated with such additional or replacement equipment and software. IRS may require an initial fee for the costs of providing the requested additional equipment or software, The Monthly Fee applicable thereafter may be increased by IRS as necessary to reflect any additional cost to IHS of providing, installing, maintaining, repairing and, as appropriate, operating each requested additional1device and any associated software or licenses. Timely payment in full of fees and other costs when due is a material obligation of the County, Payments a.re due within thirty (30) days of invoice by IHS, Amounts due and payable by County but not timely received by IHS shall .accrue eight percent interest from the first day past due ,until paid. County shall be responsible for any and all taxes or levies 'of any kind or character whatever that may be assessed or due on account of the Services, except any receipts taxes or income taxes ofIHS. lfCounty claims exemption from any particular tax or taxes, such as sales taxes,. County must provide lHS with a copy of the applicable tax exemption certificate. . . IHS Data Processing Service Agreement (Rev.120105swl9-12020'5))vIOswm82607 Page 6 of 12 12. TERMINATION Except as otherwise provided herein for immediate,! tennination by IRS, if the County defaults in any required payments to IHS, or fails to perform any other materi~1 obligation hereu,nder, IHS shall notify the County in writing of such default, including a hrief statement of the facts constituting the claimed default If the County does not cause such default to be remedied within a reasonable amount oftirne after receipt of such written notice, IHS shall have the right to terminate this Agreement with no further written notice to County and without penalty to IHS, Such tennination for default will not relieve the C~)Unty of its obligation to pay all fees and costs accrued or .otherwise due and payable 'under this Agreement as of the date of such termination; and shall not operate to waive ,or diminish any other rights of IHS hereunder, or to o~tain such other relief at law or in equity to which it may be 'ent,itled, If IHS defaults in its obligations hereunder, County shall notifY IHS in writing of such claimed default, inclQding a statement of the facts asserted as the'hasis for such claimed default IRS shall have a reasonable time after receipt of such written notice to r-eview the County's claim and ~espond to County with an estimate of the time required to cure the claimed default IRS shall then cause 'such default to be remedied within the estimated time, If timely cure is ' not made by IRS, the County shall have the right by further written notice to IRS to tenninate this Agreement;, provided, that such tennination shall ,not opera~e to excuse Count>y of payment for all costs and fees accrued hereunder prior to such tennination. This. agreement may be cancelled anytime lifter ,the expiration of initial 2 year period described in paragraph two of this agreement "iHh 90 day notic,," 13.. TIME REQUIREMENTS , IRS is not required to devote its efforts exclusively to the performance of ihis, Agreement, and IHS shall not be prohibited from engaging in other employment or transacting other business related to its field of endeavor and expertise. 14. INDEPENDENT CONTRACTOR The parties contemplate and intend that the relationship of IRS to County at all times during the term of this Agreement and any extensions thereof shall be that of an independent contractor and not an employee of the County; and "nothing in this Agreement ~r any Jicense~ docu~ent or attachment made a part hereof, nor" any oral agreement, . discussion or representation between the parties, shall be construed or applied to create any relationship between the" parties other than that ofIHS as an independent contlactor,IHS shall provide its own persolll1el fol' the completion of its services hereunder and agrees to properly insure them. Other than as may be expressly provided herein to the contrary, IHS is and shall be the sole and exclusive owner of any and all work product or intellectual property it may ~reate or cause tc! be created for or in relation to its provision of the Services to the County. ~ 15. NOTICE ,I, Any notice required to be given hereunder shall be ih writing, and shall be deemed delivered (i) three (3) business days after deposit in the V,S, Mail, postage prepaid, sent hy registered mail, (ii) one (I) business day after being sent for overnight delivery by a "reputable commercial - courier, or (Hi) upon hand delivery, or receipt of facsimile "transmission, to the address or facsimile number designated in this Agreement and" to the attention of the person named herein as designated for receipt of notice by the receiving party, ~r to such other address, facsimile number o~ person as the receiving party may designate in wriling to the sending party from time to time, ' , Ino IRS: INDIGENT HEALTHCARE SOLUTIONS 2040 Loop 336 - Suite 304 i Conroc,.Texas 77304 If to Countv: Alln: Calhoun Countv Iudoe Calhoun County Courthouse Port Lavaea, TX 77979 IHS Data Processing Service Agreement (Rcv"12020~SWI9,.12020j))Vloswro82607 Page70f 12 16, SITE ENVIRONMENT; COUNTY LIABILITY FOR DAMAGE TO EQUIPMENT OR SITE ENVIRONMENT ~ The County shall provide a suitable installation and. operation environment (the ASite Environment) for the computers and other equipment utilized by IHS in connection with this Agreement, in accordance with the applicable equipment manufacturerls requirements, a copy of which is available to the County upon request, and with any other requirements specified in Attachment C hereto ("Statement of Site Environment Requirements and Acknowledgment of Responsibility for Site Environmept"), In the event the County does not provide or maintain the required Site Environment at any time during the tenn of this Agreement or any extensions thereof. IHS is authorized at its sole option either to terminate this Agreement by giving ten (10) days written notice, or to take such steps as may be reasonable or necessary under the circumstances, as detennined by IHSin its sole judgment, to provide, restore or maintain the Site Environment, and the County shall reimburse IHS for all incurred costs of such provision, restoration or maintenance of the Site or any substitute Site. If the County's officers, employees, or other agents or representatives misuse Of in any way abuse or damage, by negligence or otherwise, equipment, software or documentation provided or operated by IHS in providing the Service, the County will be responsible for all costs associatcd with repair or replacement, as such repair' or replacement is determined by IHS in its sole discretion to be needed or appropriate, In the event IHS provides compnters or other equipment installed at a locationlon County property, then County will provide insurance coverage for loss Of damage of such equipment and software, or related documentation, and also shall be responsible for all costs associated with repair or replacement. Notwithstanding the County's financial responsibility for any such repairs or replacements called for in this sectioll, IHS shall be and remain the owner of such equipment, software, documentation and associated licenses. Prior to the installation or operation of any computer equipment and related software by IHS for the provision of the Services, the County will execute a copy of Attachment C, which is hereby incorporated into this Agreement. 17. COUNTY ASSISTANCE The County agrees to cooperate fully with IHS in the provision of the Services, and to make personnel available for the purpose of installation and training. Failure hy Co~nty to make reasonable efforts to facilitate IHS' delivery of the Services shall not be a basis in wholc or part for alleging non-performance by IHS, The following is intended to supplement and clarify the obligation of County to provide reasonable assistance to lHS in its provision of the Service, but in no way to limit or waive County responsibilities elsewhere stated or implied in this Agreement. , A. County agrees to appoint a Services Coordinator and to notity IHS of such appointment in writing withiu seven (7) days of executing this Agreemimt. The Services Coordinator shall be IHS' contact person for providing the Service and for administering the License Agreement, aud shall be responsible for coordination between the County and IHS pertaining to the Service, including but not limited to coordination and prioritization of day-to-day ~ervices by IHS and County requests for services or special services. B, County will make reasonable efforts to ensure that appropriate persons from all affected County offices and departments will attend any applicable training sessions, It shall be the responsibility of the Services Coordinator to announce and otherwise communicate to County's personnel information and notices concerning applicable scheduled training and ihstallation, maintenance, or repair activities. C. For Onsite Installations, the County shall be solely responsible to provide daily and monthly backnp of all data. IHS initially will provide seventeen (17) data tapes suitable for such backup, including five (5) tapes for daily weekday backup, and twelve (12) tapes forindividual monthly backup, After the first twelve months, the County will purchase and use n~w tapes for each succeeding twelve-month period or part thereof to ensure the reliability of the tapes in use; and the County will retain the old tapes as needed to maintain hackup data for the prior year, The parties agree this approach will be the most appropriate to ensure that PHI data will be suitably protected and preserved, It will be the County's responsibility to ensure that daily and monthly backups are timely performed and have integrity; that the backup tapes are IHS Data Processing Service Agreement (Rev,120205swf9.12020S))VIOSWmS2607 Page80f 12 properly stored and maintained; and that the rotation of weekly and'monthly tapes occurs in proper order and that stored backup data is not inadvertentiy or prematurely over'written or erased. The County will be responsible for any costs associated with th~ acquisitionl installation or operation of backup equipment or software, and for any costs of r.estoring data. IHS will not be responsible or liable in any way for Joss of data or compromise of data quality or accuracy caused in whoie or part by the failure of the County properly to perform backup or for the failur~ of integrity of such backup data or tapes, . D: For Hosted Services, IRS will be responsible to conduct daily and monthly backup of County data kept on the Hosted Services server(s); by means consistent with-industry standards, or as may.be otherwise. specifically described in Attachment A, ,: Couniy shall cooperate fully With IRS in efJorts by LHS to maintain any copyrights, tradema,ks or service marks, patents, trade secrets or other intellectual property or 'proprietary information in the Programs or other materials, equipment, software, or data provided or utilized by IHS in provision of the Services 'hereunder, including but not limited to directly assisting [HS as'lHS may reasonably request, and in taking all actions and executing all documents necessary to the reasonable efforts of IRS to maintain and protect such intellectual prop'etty. Failure of County to provide such assistance shall constitute a material hreach of this Agreement. Initial Installation of the Programs shall occur after an' initial orientation of appropriate County personnel by IRS, IHS offers an initial orientation to County atits offices in Comoe, Texas, without, additional charge, IfCounty'chooses to have the inWa) orientation at another location; it shall cooperate with lHS to schedule !he orientation at a mutually conv~nient time and location, and County shali reimburse IRS for costs and expenses incurred by IHS personnel in travei to and from such other location, including without lit11itation, travel costs and expenses and reason,able per diem expenses, and shall pay IHS a reasonable feel at IHS' then-prevailing rates for time (it1clu~ing travel) and materials, for such l?rientation services. IHS a~cess to Ougite Installations. In ord~r that lfIS may' provide r~mote support and maintenance for Oosite Installations, County shan be respons"ible for providing, at County's expense, suitable remote electronic access for IHS to the Programs, the server on which they are installed, and the applicable ,County network,. including providing suitable access equipment as may be necessary, and any assistance that may be required from time to time to accomplish .such access. For the purposes of this provision, unless otherwisf:! expressly agreed by IHS in writing, "suitable remote electronic acces's" shaH mean remote access . using "suitable access equipment" and wit~ the cooperation and assistance of County: The parties agree that a virtual private network ("VPN"), if available, would be the preferred method for such lHS remo,te ele~tronic maintenance access because it 'would provide the currently most assured secure access considering HIP AA -requirements and the confidential natOre of heaJth care data, including PHI. Thus, fot the purposes of this provision, "suitable access equipment" shall mean, at a minimum, provision by County . ofa Web port, an FTPport, and a Telnet po1t, for the use oflHS, and, ifpracticahle for County to provide, also a virtual private network accessible b~ IRS, If County fails 6r refuses for any reason to provide . suitable'remote electronic access to IHS including suitable access equipment, County agrees that it shall be responsible for paying, and shall pay, service fees and costs for any services provided by IHS that require on-site access by,lHS, at IRS then-prevai1,ing rates for time (including travel time) and materials, and including costs and expenses of travel for U'\,S personnel providing such services, G. Each year, IHS holds an annual Customer Advisory Committee meeting. All customers of record ~re inviied and are strongly encouraged to attend. (Attendance is. at ,the client's expense.) Software performance is discussed, new software fel\tures and/or enhancements are demonstrated, and clients are asked to identify any 'improvements, modifications, or enhancements they may desire. Based on the clients' 'interests and priorities of those in dttendance, IHS identifies improvements, modifications and/or enhancements it will seek to make to the IHS Programs over the next year. Such improvements, modifications and/or enhancements wiJ1 be-provided in new .softwar~ releases. E. F, I IHS Data Processing Service Agreement Page 9 of 12'. (Rev.120205swf9-120205))vIOswmS2607 j , H. County agrees to provide IHS with suitable workspace at or riear the Site, including appropriate furnishings and the use of a telephone. ' , , ' 18. ASSIGNMENT This ~greement shall be binding upon the ~uccessors apd assigns of eaeh party, Other than IHS' granting a Uniform Conupercial Code security interest to a third party lender in the accounts receivable/contract rig'hts to receive money un~er this Agreement and in any ,equipment, software or other materials furnished by IHS to County, or an assIgnment or transfer by IHS of all or substantially a!' of IHS' business or assets to a third party which expressly agr~es ~o assume the du~ies and responsibiliti~s of this Agreement, neither party may assign an or any of its rights or obhgaJ!Ons hereunder w~thoutthe express wntten consent of the non-assigning party. ,~ ': 19. ENTIRE AGREEMENT This ~gree~ent is the entire agreement between the. parties. concerning the subject matter hereof, hut may be amended from time to time only by a writing duly execJted by both parties, , 20. APPLICABLE LAW; VENUE , This Agreement shall be eonstrued under the laws ofth~ State of Texas, its ehoiee oflaws provisions excepted, and the invalidity of any portion shall not invalidate the rell)ainder of the agreement, but sueh remainder shall be given full. foree and effeet'if praeticable, Jurisdict,ion and ve'lue shall lie (in the state distriet eourts of Travis County or Wharton County, Texas, or the federal district courts of the Western Di~trict of Texas, Austin Division. 21, INDEMNITY TO THE EXTENT PERMITTED BY LAW, COUNTY SHALL INDEMNIFY AND HOLD IRS HARMLESS FROM ANY AND ALL CLAIMS,SUITS AND"IPROCEEDINGS OF ANY KIND OR CHARACTER (HEREIN,"CLAIMS"), INCLUDING BUT NOT t1MITED TO CLAIMS CONCERNING PROPERTY 'DAMAGE, PERSONAL INJURY OR DEATH, OR INFRINGEMENT OF INTELLECTUAL PROPERTY, ASSERTED AGAINST IRS BY ANY PERSON (INCLUDING ANY THIRD PARTY; OR ANY COUNTY OFFICER, OFFICIAL, EMPLOYEE, AGENT _ OR OTHER REPRESENTATIVE (HEREIN, ALL COLLECTIVELY "COUNTY PERSONNEL"), OR 4NY P,ERSONS AUTHORIZED OR PERMITTED BY COUNTY TO BE PRESENT ON THE SITE OR TO USE OR ACCESS ANY EQUIPMENT, SOFTWARE OR ASSOCIATED DOCUMENTATION PROVIDED BY IHS OR OTHERWISE USED BY IHS IN THE PROVISION OF THE SERVICE (COLLECTIVELY, I "COUNTY ,GUESTS"), OR ANY IRS PERSONNEL), ARJSING IN WHOLE OR PART FROM ANY ACT OR OMISSION BY COUNTY OR ANY COUNTY PERSONNEL OR COUNTY GUESTS; provided, that th~ County shall have no opligation hereunder to. IRS for any third party CI,aims of intellectual property infringement either (i) arising from use by County Personnel or Guests of equipment' or software provided' by IHS for provision of the Services, 'where the acts of such, County Personnel or Guests are in striet aceord with the tenns of this AgreCl1jent, ineluding full eompliance with the tenns of any third party or IHS licenses appiicabJe to such equipment or software, or (ii) for acts or omissions ofIHS or IHS personnel. INTELLECTUAL PROPERTY RIGHTSR~TAINED; CONFIDENTIALITY; OPEN RECORDS , ' REQUESTS . , No rights to use or possess any intellectual property o~ IHS or any third party are granted or transferred to. the County by this Agreement except as expressly provided h~rein or in any license agreements expressly made a part of this Agreement. ' 22, Each party shall keep strietly confidential the proprietary -or other confidential infonnation of the other that may he acquired or R,rovided in the course of perfonnance of thisJAgreement. Each party shall promptly notify the other in writing of any discovered cumpromise of sueh confidel)tiality. CpUNTY SHALL USE REASONABLE EFFOTS TO ENSURE THAT NO UNAUTHORIZED COPIES OF OR ACCESS TO SOFTWARE AND OTHER INTELLECTUAL PROPERTY PROVIDED BY IRS IN THE PROVISION OF THE SERVICE IS OBTAINED BY UNAUTHORIZED PERSONS, ' , .IHS Data Processing Service Agreeme'!t (Rcv.120205swf9-12'0205)jvl05wftl1l2601 ,I Page 10 of 12 COUNTY SHALL IMMEDIATELY INFORM IHS IN WRITING OF ANY REQUEST UNDER THE TEXAS PUBLIC INFORMATION ACT ("TPIA") FOR INSPECTION OR COPYING OF ANY INFORMATION, DATA, SOFTWARE OR ,OTHER INTELLECTUAL PROPERTY OR MATERIALS OF IHS OR ANY OF ITS SUPPLIERS BEING USED IN THE PROVISION OF THE SERVICE OR OTHERWISE LICENSED TO COUNTY BY IHS, AND SHALL TIMELY INITIATE THE REVIEW PROCESS OF THE TEXAS ATTORNEY GENERAL UNLESS EXPRESSLY RELEASED IN WRITING BY IHS FROM THIS OBLIGATION, In the event that disclosure is ultimately required, licensee shalll'provide, along with access to or any copies of such disclosed materials, a written notice to the recipient that the materials are owned by or licensed to IHS, and are protected by the federal Copyright Act; that recipient' is not by virtue of disclosure under the TPIA thereby authorized to use, copy, or disseminate the materials without the express written consent of IRS; and that any unauthorized use, copying or dissemination may constitute a violation of federal copyright or other laws, and could therefore subject the recipient to civil or criminal penalties, THIS IS A MATERIAL OBLIGATION OF THE COUNTY, AND, ANY FAILURE OF THE COUNTY TO COMPLY, FOR WHATEVER REASON, IS GROUNDS FOR IMMEDIATE TERMINATION BY IHS OF THIS AGREEMENT AND ANY ASSOCIATED LICENSES. 23, DISCLAIMER OF WARRANTIES; NO IMPLIED WARRANTIES IHS EXPRESSLY DISCLAIMS ANY AND ALL i~ WARRANTIES NOT EXPRESSLY PROVIDED IN THIS AGREEMENT, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR WARRANTIES OF FITNESS OF USE FOR A PARTICULAR PURPOSE. lHS MAKES NO REPRESENTATIONS REGARDINGiTHE PERFORMANCE OF OR FITNESS FOR USE FOR ANY PURPOSE OF ANY EQUIPMENT OR SOFTWARE EXCEPT AS EXPRESSLY STATED IN THIS AGREEMENT, NO ADVICE OR REPRESENTATIONS BY IHS OR lHS PERSONNEL SHALL CREATE ANY SUCH WARRANTY. IHS DOES NOT MAKE ANY WARRANTY THAT THE SERVICE WILL BE ACCURATE, UNINTERRUPTED OR ERROR-FREE; AND IN PARTICULAR DOES NOT WARRANT THAT ANY INFORMATION, DATA, SOFTWARE ORj EQUIPMENT USED TO PROVIDE OR ACCESSIBLE THROUGH THE SERVICE WILL BE AT ALL TIMES FREE OF VIRUSES, WORMS, TROJAN HORSES OR OTHER HARMFUL COMPONENTS. COUNTY ISi,SOLEL Y RESPONSIBLE FOR THE ACCURACY OF ANY AND ALL DATA THAT IS THE SUBJECT MATTER OF THE SERVICES, AND IHS MAKES NO REPRESENTATIONS OR WARRANTIES ABOUT SUCH DATA, ,'I 24. DISCLAIMER AND LIMITATION OF LIABILITY NEITHER IHS NOR ANY OF ITS OFFICERS, EMPLOYEES, AGENTS OR REPRESENTATIVES SHALL BE LIABLE FOR ANY DIRECT, INDIRECT, SPEciAL, CONSEQUENTIAL, INCIDENTAL, PUNITIVE OR EXEMPLARY DAMAGES THAT RESULT OR ARISE FROM COUNTY'S USE OF THE SERVICE, THE COUNTY'S SOLE REMEDY FOR BREACH OF THIS AGREEMENT BY IHS SHALL BE TERMINATION AS PROVIDED IN SECTION 12 HEREOF, 25. FORCE MAJEURE IHS shall not be responsible for perfol1nance hereunder, and its obligation to perform the, Services shall be suspended, for the duration of any events of force majeure, including but not limited to: Acts of God including fire, explosiont stonn and other weather events; cable or power outages, cable cuts or other loss of ~ecessary connectivity, including failure of networks; failure or loss of,any third party supplies, or termination or recision of any third party licenses necessary for the provisiot1 . of the Services; terrorism, vandaJism, sabotage, theft of components, hacking or other interference with software or operating system or network operations, including worms, viruses, Trojan horses or other harmful agents,'!or interference with, alteration or destruction of County data; any action, law, order regulation, directive, Of request of the United States government or of any state or local government, or of any agency, commission, court, regulatory body or other instrumentality of such government. or of any civil or military authority; war, national emergency or civil insurrection, riot or other civil disorder; strike. work stoppage or lockout; or any other event outside the control of IHS or its reasonabl~ ability to have avoided or prevented-; and such excuse by reason of force .majeur~ shall last until IHS by the exercise of reasonable diligence might remove, avoid or otherwise cure such impedimerit. 26, NO WAIVER OF RIGHTS No term or provision of this Agreement shall be deemed to be waived and no consent to any breach or default shall IHS Data Processing Service Agreement (llev,12020Sswf9.12020S))vlOswI082607 Page 11 of 12 be deemed unless such waiver. or consent be in writing signed by the party against which such waiver or consent is ass~rted; the terms of this Agreement shaH not be deemed to. be' amended by any such waiver or consent unless in a writing expressly stating such amendment; and 'any waiver by either party, whether express or implied, shall not ,imply a consent or w:aiver of any terni or'provisionon!any other occasion, or any consent to any different breach or default, . .27. LIMITATIONS; ATTORNEYS FEES Any claim concerning the performance of any provision of this Agreement mllSt be brought within one '( I) year of tlie occurrence of the event complained of, whether act br omission, or be barred. . . ~ 28. CONSTRUCTION: , . Descriptive headings or captions in this Agreement 'aTeffor convenience only and shall not affect the construction or application of this Agreemeot. Words having established technical or trade meanings in the industry shall he so co.nstrued. Listings of items shall not be exclusive unle'ss expressly so stated, but shall include other items, whether similar or dissimilar to those explicitly listed, as the cohtext reasonably requires. No rule,ofconstruction requiring interpretation against the drafting party shall be applied or given effect, Words of any gender used herein shall be deemed to include words of any other genderj and usel of the singular or the plural herein shaH include the other, . unless context requires otherwise. I APPROVALS 'I IN WITNESS WHEREOF, we have executed this Agreement as of the L day of ! . ::~'~~1Y NAME PRINTED: Ron, Michael Pfeifer TITLE: COUNTY JUDGE r . ~ ~-\I\-'\\ _. . DATE: , ' iHS. ~ BY:,~ "J NAME PRINTED: Robert Baird' ,~ TITLE: PRESIDENT Iz.. IIJ I/o DATE: , ~ IRS Data Processing Service Agreement (Rl:V.] 20205swl9-120205))v JO~wm82607 , " ;::e..br....,.M , , 20.1t-. 1 I i I I Page 12 of 12 , lHS No, L ONSITE: ]_ HOSTED) , ATTACHMENT A TO DATA PROCESSING SERVICES AGREEMENT Scope of Services (Pro!!ramS'), Fees and Schedule of Equipment RE: Data Processing Services Agreement bet'feen IHS and Calhoun County, Texas ("CountyH). I The following Programs will be provided by IHS for the Services to the specified County offices or departments, subject to the terms and conditions of the Services Agreement and the companion License Agreement (Attachment B to the Services Agreement): I! SERVICES: SOFTVVARE [DeDartment 11: . Vendor Management . Annual updates for CPT . Client Management codes . Invoice entry for . Client listings prescriptions . Termination listings . Invoice entry for anesthesia . Explanation of benefits . Invoice entry for physician (EOB) reporting services . General Ledger totals report . Invoice entry for in-patient . Source totals reports care . Pending invoice listings' . Invoice entry for out-patient . Hospital utilization by days care . Amounts paid on clients . Monthly updates for Red . CPT usage reports Book / NDC drug codes . DRG Code Management FEES AND USER NUMBERS Monthly Fees are due and payable in the offices oflHS in Comoe, Texas, on or before of the first day of each calendar month during the term ofthe Service"s Agreement, applicahle to the Services for that calendar month; provided, that the first payment in the Initial Term or any Renewal Term shall be equal to two (2) months' fees for the applicable term, that is, for the;first and last month of that term, All payments must be in U.S. dollars, by check, money order, cashiers check or wire transfer. TOTAL MONTHLY FEE of One Thousand, Three Hundred Eighty-Eight Dollars ($ 1.388.00) for the following County offices and departmehts, inclusive: , Calhoun County. Texas Data Processing Services Agreement ATTACHMENT A Rev. 120205-vl~hoslcd-120205 Page I or 3 " SCHEDULE bF EOUlPMENT INSTALLATION OF'PROGRAMS WILL BE , _ ONSITE (on Client's pre;mses) _X_ HOS,TED (Internet or other remote access) IHS will utilize.the following eqnipment (computers, servers, other) or its functional equivalent as part of the Services specified in the Services Agreement. Unless otherwise expressly stat~d in a writing executed by IHS, the County shan have and acquire no right, title or interest in Of to any equipment Of hardware of any kind that is provided by or for lHS ("IHS Equipment"); or in or to any software provided by or for IHS additional to the Programs identified above (includiJg but not limited to operating systems or other , software for IHS Equipment) ("Other IHS Software"), whether such IHS Equipment or Other IHS Software is owned or leased by IHS or merely licensed to IHS; and all right, title,and interest in and to such IHS Equipment and Other IHS Software shall remain sol~ly in IHS 'amI/orin those third parties who loase or 'license such equipment or software to IHS, IHS reserves the right to substitute, replace or modify any IHS Equipment or Other IHS Software from time to time, at IHS 's sole discretion, SERVER and characteristics: ' Model: IBM 270 Operating system version/release! AIX Unix V5 or later SITE LOCATION: ILand Internet Soluti~ns Corporation, Dallas, Texas FOR HOSTED SERVICES ONLY: IHS 'will provide the following security at the remotejnstaHation site and/or for the remote installation server: fire)Nal1; virus protection; master login passwbrdN and specific User login password-limited access. IHS will perform daily and monthly data backup, ' , , ~ .I CLIENT-SUPPLIED EOUlPMENT - MINIMUM SPECIFICATIONS The following are the suggested minimum specificati?ns for Client-supplied equipment, to ensure compatibility with the IHS Programs and satisfactory 'performance: I I WORKST A nONS: 2.0 GHz Intel Pentium PC 17 inch monitor or LCD Windows XP Pro or 2000 Pro 256 MB RAM CD driv~ Internet Explorer 6,0 or later 30 GB hard drive 100 base- T Ethernet card Internal NETWORK: 100 base-T compliant Data Processing Services Agreement A IT ACHMENT ~ Rev. 120205~vl-hosled.12020S Page 2 of ,3 I' I REOUIREMENTS AND SPECIFICATIONS REGARDING CLIENT ImMOTE ACCES'S , ISP Requirements: High,Speed Internet' COUNTY By:, Print name: Hon, Michael Pfeifer Title: County Judge ,Date: --1-1 Ii ~l\ Data Processing Services Agreement A IT ACHMENT A APPRO V ALS: By: 'IRS ' ~'X':b -:::>~~ Print name: " Robert Baird Title: President Date: 1'211S-//0 Rev. t20205-vl'-hosted.120205 ~ I I I I I I I I i I i Page 3 9f 3 ATTACHMENT B TO DATA P~OCESSING SERVICE AGREEMENT NONEXCLUSIVE LICENSE AGREEMENT " " I~digent Healthcare SolutioJ?s ("IHS"), with 1ffices located at 2040 North Loop 336, Suite 304, Comoe, Texas 77304, for good and valuable consideration, hereby grants a royalty-free, non-," exclusive, limited license ("License") to:', I ' , , Calhoun County (LICENSEE NAME) Port Lav4ca, Texas, 77979 (CITY. STATE, ZIP CODE) ("Licensee") to use certain software programs and related materials,("Programs") for the designated' processing system identified in the attached Schelinle A, subj~ct to the tenns and conditions hereof, Programs shall include executable modules fot eaph software program identified in any Sche~ule to this Agreement, one (1) set ofnser's manuals and relaled documentation, in machine readable or printed fonn, I I Check one: Onsite Installation" - ij ." 'II Hosted InstaUation ( L1CBNSEB ACKNOWLEDGES THAT LICENSEE HAS READ 1HIS LiCENSE AGREEMENT, UNDERSTANDS IT AND AGRBES T6 BB BOUND BY ITS TBRMSAND CONDITIONS. LICENSEEFURlHER AGREES THAT THIS AGREEMENT IS THE COMPLETE AND EXCLUSIVE STATEMENT OF THE UCENSE AGREEMENT BETWEEN lHSANDTHE LICENSEE AS CONCERNS THE L1CE~SE OF THE PROGRAMS AND NO V ARIA TIONS IN THE TERMS AND CONDITIONS OF THIS AGREEMENT SHALL HAVE ANY EFFECT UNLESS AGREED TO IN WRrrlNG IN ADVANCE BY IHS. THlS AGREEMENT SUPERSEDES ANY PROPOSAL OR PRIOR AGREEMENT ORAL OR WRITTEN, OR ANY omER COMMUNICATION BETWBEN IHS AND LICENSEE RELA TIN(ho THIS LICENSE AGREBMBNT, :~A"W >>-N4~ Hon, Michael Pfeifer [print name] .Date: \_I.J~ ,I 'I ForlHS Use ONLY Rev 12020SswCVaCllellt.12020S r . TERMS AND CONDITIONS I. LICENSE Licensee acknowledges that it shall be a, licensee of Indigent Healthcare Solutions ("IHS") under the terms and. conditions of this License Agreement, and that Licensee obtains hereby only a non-exclusive, limited license to use or access the Programs. Licensee has the right to permit access and use of the Program(s) by authorized Licensee employees, up to the User Number and Concurrent User Number specified in Schedule A hereto; provided, thatoo more than the Concurrent User Number may access or use the Program(s) at any given lime. Licensee shall assign a unique User Identification Number to each authorized User, and shall provide to IHS a list of authorized Users and their User Identification Numbers upon request by IHS, As specified in Schedule A hereto, IHS shall provide the Programs or access to them to Licensee based either on installation"ofthe Programs by IHS (i) at a location on the Licensee'spremises ("Onsite"Installation") or(ii) ata location remote from Licensee's premises ("Hosted Services Site"). For Hosted Services, access to and use of the Programs by Licensee shall be accomplished by Licensee's use of the Internet (World Wide Web) or other remote communication means, procedures or networks., utilizing computers, workstation.s or other equipment of Licensee; and Licensee shan be solely responsible for providing and for the costs of accomplishing such access, includingwithoutlimitation costs of an Internet Service Provider. IHS may from time to time require that Licensee meet certain requirements and specifications regarding the means of accomplishing such access. All rights, title and interests in and to the Programs licensed under this License Agreement remain with IHS and do not pass to Licensee in whole. or any part. Licensee acknowledges that the Programs contain valuable proprietary information and trade secrets, the unauthorized disclosu~e of which would cause competitive and actual hann to IHS, For the purposes of this License, the term "Programs" shall includc, any and all software or other intellectual prop.erty licensed for use by Licensee hereunder, as identified in Schedule A hereto, including also any and all documentation or other materials in whatever form and on whatever media stored, that describe, relate to or concern lhe Programs, Licensee may noltransfer the Programs electronically IHS License Agreement from one computer to another over a network or by other means, or access and use the Programs by remote means other than as expressly authorized herein; and for installalion on server(s) localed other than on IHS premises or other IHS Hosted Services Sites ("Onsite Installation"), the Programs may be instal1ed on only one (I) computer or server at any given time. Licensee is licensed to use the Program solely for the internal purposes of its own business. Licensee agrees that Licensee will not permit the Programs to be used or accessed either directly or indirectly by Licensee's employees or any other person or entity through a timesharing service, service bureau arrangement or otherwise, other than as expressly permitted in this License or in the companion Data Processing Services Agreement ("Services Agreemcnt"), and that Licensee shall ensure that only authorized Users may use or access the Programs. Licensee may not grant sublicenses or other rights in the Programs to others, or assign or transfer this license to any third party. Licensee may neit grant, allow or provide access to the Programs to, or use of the Programs by, unauthorized third parties, Licensee shaH comply strictly with the provisions of any IRS or third party license or other agreement regarding or applioable to any third party intellectual property, including without limitation applications, operating systems, or other software of any kind, or documentation thereof, utilized by Licensee in its use of the Programs, or by IHS in the provision of any services to Licensee related to or depending on the Programs. IHS shall have the right immediately to terminate this License if Licensee violates any of its provisions. Licensee recognizes and .agrees that the Programs and all portions, reproductions, modifications and improvements thereof, whether provided to Licensee by IRS orby any third party, (i) are considered by IRS to be confidential and trade secrets; (ii) are provided to Licensee in strictest confidence; and (Hi) are and remain the exclusive property and proprietary information of IHS, Title and full ownership rights, including copyrights or patents, in the Programs and any modifications or improvements provided or developed by IHS or on its behalf are and shall remain the sole property of IHS or, if licensed to IHS, of the relevant licensor as the rclevant license may provide; and Rev.120205swfVBClicnt-120205 Page20f7 Licensee acquires no ownership, rights, ~itle or othe} interest in or to the Programs hereunder other than as. expressly proyided. Licensee is not granted the right to cre~te ~erivative works to the Pro~~ams;,bu~ any and a.lI~ denvahve.works of the Programs, Ifand bytwhomever'l created, shall. be the sole ,property of IHS or IHS'. licensor, as the case may be. ' .Licensee ~grees not remoye or .destr:oy any co~yright; ~ trademark, patent, or other deslgnahons or notices, or ~ . other proprietary or confidential legends or markings. placed upon or contained within the Programs, or from any copies thereof. . 2. TERM , This license shall be in effect from th.edate of execution, of. the associated IHS Data ~Processing Services Agreement until. termination of. that Services ~ Agreement, or until terniination of this License as I' s~ecified herein, whichever is earlier, unless oth'erwise I- expressly agreed in writing by IHS. Upon termination or expiration of this License on any I b~sis, all rights of Licensee and obligations of IH~ hereunder shall immediately terminate. Licensee shall nonetheless have acontinuingobtigation to maintain the confidentiality ofIHS' proprietary information, tO,return or de-stray all copies of the Programs in Licensee's possession or un'der its control or right of control, as required herein" to indemnify IHS as provided hereunder, and to pay any fees or costs accrued and owing hereunder or under the Servi~es Agreement as of j such termination. 3. PAYMENTS All license fees and any first year support fees, along with 'any installation and training fees, whether. specified herein or in an associated contract for services by IRS, sh~J1 b~ paid to IHS upon mutual execution of this License Agreement. Any other sums due hereunder shall be payable within ten. (10) days of Licensee's receipt oflHS' invoice therefor. Any past due amounts sha~1 bear interest from the date when due until paid at the highest rate allowable by law. All payments due hereundersIJall be ~ade in law'ful money of the' United States of America, and shall be made to IHS at its 1 address specified above or at such address as may from time to time be designated ,by IHS in writing. In addition to the fees, chargesj expenses and other amounts due and payable under this License Agreement, Licensee shall pay any ,and all local, state, A. federal, and other sales, use, excise, priyilege or gross ~ receipts taxes and duties, tariffs, assessme~ts or levies, however designa'ted, assessed or levied, resulting from this, Licen,se or any activities conducted hereunder (exclusive of taxes based' on' IHS' net income)' provided: that if Licensee claims legal exemption fro~ any tax or taxes, s,uch as sales tax, it shall promptly provide IHS with a copy of ..the applicable. tax exemption certificate. h. 4. SECURITY AND CONFIDENTIALITY' NO REPRODUCTION; RlGilT T~ INJUNCTIVE RELIEF Licensee shall take all reasonable steps necessary to ensure that the Programs, or any portion thereof, that are stored, written or recorded on magnetic tape, disk or memory or in any other for-m, are not made available, and access is not-provided or permitted, by the Licensee or by any of its employees, officers, principals, agents or representatives to any organizations or individuals not licensed hereunder to make use thereot: Licensee recognizes. the proprietary nature.o'fthe Programs and agrees as follows: a. To use and access the Programs solely attheplace of installation specified in Schedule A, to. this License Agreement. b. To make no copies or duplicate the Programs or any component thereof"by any means.for any purpose whatsoever without prior wri tten consent oflH S, except as. may reasonably be required for archival or security storage purp,oses. c. To instruct its employees having access to the , Programs not to copy or duplicate the Programs and not , to provide same to any third party, and to enforce these requirements. \ d. To effect security me'asures that are reasonably calculated .to safeguard the Programs fro.m theft or unauthorized access. e, To maintain and reproduce IHS' copyright notic~, and any other notices, legends or designations on all materials or copies ~et'ated to or pa~ of the Programs on , which IHS displays' such copyright or other notice,- 'legend or designation, including 'any copies made. pursuant to this License Agreement. ' f. Licen~ee shall not 'copy, reproduce, reverse assemble, r_everse compile, compare, modify, merge, transfer or distribute the Programs or allow any other person to do so in any way-or manner without the prior written authorization of IRS. g, CONSENT TO INJUNCTION AND WAIVER OF LEGAL RIGHTS, Any modifications or, enhancements to the Programs, or any other Program~ related material provided by IHS to the Licensee, shall' be subject to all conditions and restrictions contained in this Agreement. Licensee acknowledges that IHS has " , I I i I I , I 'I I i , , i 'I I , 1 I I I IHS License Agl'eement Rev. 120205swfV8Clicnt-12020S I Page 3 of7. gone to considerable time, trouble and expense to develop the Programs and that IHS would s'uffer great and irrep,arable harm and damage, including competiti ve disadvantage, by any unauthorized copying, ,reproduction, dissemination, or other unauthorized use, ,~ of the Programs. Licensee further acknowledges that such action may cause significant commercial da~ages to IHS which may be difficult or impossible to quantify. Therefore, Licensee agrees that, in addition to any other legal or equitable remedy' available to IRS. IHS shall be entitled to equltablereliefincludlng but not limited to temporary restraining orders entered wlthoutnotice to Licensee or a prior opportunity for Licensee to dcfend,'and preliminary and permanent injunctions, to compel strict compliance with the' terms of this License. Licensee hereby e~pres~ly waives arty right it may have to ,~equl"re IUS to post a bond or other security as a prerequisite to obtaining equitable or legal reHef, or to re'quest to a court of competent jurisdiction that a ~ond be imposed- for any such relief. Licensee also waives any right to proof of actual or impending actual damage as a prerequisite to IRS obtaining equitable relief. 5. LIMITA nON OJi1 LIABILITY IRS. liability for damages to Licensee. its employees, officers, elecle-d officials or principals. agents or representatives for any cause. claim or action of any kind or character whatsoev.er related to ,this License or arising from or related to the use of the Programs'by or on. behalf of Licensee o~ access to the Programs provided or permitted by Licensee or its employees, officers, elected officHlIs or principals, agents or. representatives.. and regardless of the form bf action, whether in contract or in tort, including negligence, shall be strictly limited. This limitation oftiability will ~ot apply to claims for patent and copyright infringement. Notwithstandin'g anything herein to the contrary.! in no event will IHS be 'liable, for, any lost profits: lost savings, or other actual. special. incidental or consequential damages, or for punitive or exemplary damages, even if IHS has been made aware of the possibility"of such "damages, or for any claim against Licensee, its employees, officers, elected officials', agents or 'representatives by any other party, arising or made in COTI1~ection with the 'delivcry, installation, testing, use, performance or nonperformance of the Programs, or ac'cess to the Programs, or for a!1y act or failure to act of IHS, arising out of, related to or, in connection with the, delivery, installation, testing, use, performance or nonperformance of the Program's, or access to the Programs, or IHS' performance or nonperformance under or related to this Licen-se Agreement. 6, TERMINAnON Upon termination of this License for any reason. Licensee shall'promptly uninstall, delete or otherwise permanently remo~e all copies of the Progr~ms from any and all computers and, storage devices or media of any kind in License~'s possession or under its control or right of control on which a copy m'ay reside .(hereinafter, "delete"); and deliver to IHS all copies.of the Programs including all materials related thereto thai are in Licensee's possession or under its control or right of control, whether or not provided by IHS hereunder, or copied or created by Licensee or its employees, agents or representatives, in whatever form and on whatev-er medium made, recorded or stored; together with all 'portions, reproductions.. and" modifications thereof, pertaining to the Programs; and shall also warrant in writing to IRS that all copies thereof have been deleted from allofLicensee's equipment(or other equipment in Licensee's possession or under its_control or right of control) and either destroyed or returned to IHS as require~ hereunder. Within ten (10) days of request by IHS, Licensee shall certify in writing, to I;HS that, to the best of Licensee's knowledge, the original and all copies, in whole or part, of the Programs, in Licensee's possession or under its control or right of control, including all related materials and copies, have been c;leleted, destroyed ,or returned to IHS In addition, all documentation, listings, notes or other written material pert~ining to the Programs shall be returned to IRS 9r deleted or destroyed. and. so certified in writing by Liceusee. ,j I IHS shall have the right to terminate this License Agreement, by giving written noticeofsuch termination to Licensee, in the event that the Licensee (i) fails to pay IHS in' full any sums due and payable hereunder within ten (10) days after their due date, (ii) fails to comply fully....with any of the Licensee's obliga~ions hereunder,with respect/to proprietary informl\tion or confideptiality, or (iii) fails to perform or comply fully with any other material term or obligation set forth in this License Agreement-. IRS' right oftermination shall be in addition to any oth,er right or remedy it may have ,at law or in equity. This License s,hall immediately and automatically termi~~te upon any offer or attempt of Licensee to: assign, sublic.ense or otherwise transfer it in whole or part, or any rights gra-~ted h~rein, to any third party, or to assign, condition or avoid .any bbligations impose~ IHS License Agreement Rev.120205swryRClient.12020S ,Page 4 of 7 herein, without the express written consent oflHS' or upon any such assignmen't or transfer, condition' or avoidance, or right or option thereto, of any kind,actual or constructive, whether by operation of law, lawful order or otherwise, including without limitation appointment of a 'receiver or a trustee in b~nkrup.tcy or an assignment in favor of Licensee's creditors. IHS reserves the right immediately to terminate this ~ License if any claims for copyright or patent" infringement, or infringement or misappropriation of any intellectual property rights, or for unfair competition or trade practices or other misuse, relating ~ to the Programs or any part thereof, are asserted against ~ IHS, any relevant IHS licensor, or Licensee or any of Licensee's employees, officers, agents or representatives, Such determination shall be in the sole discretion of IHS. Termination on this basis shall be effective on notice in writing to Licensee by IHS, stating the reason for such termina,tion. 7, NO WARRANTY IHS PROVIDES THE PROGRAM TO LICENSEE "AS IS", illS MAKES NO WARRANTIES EITHER EXPRESS OR IMPLIED, AS TO ANY MATTER WHATSOEVER, INCLUDING, WITHOUT LIMIT A TION, THE CONDITION OR FUNCTIONALITY OF THE PROGRAMS, THEIR MERCHANTABILITY, OR THEIR FITNESS FOR USE FOR ANY PARTICULAR PURPOSE, IHS DOES NOT WARRANT THAT THE FUNCTIONS CONT AINED OR PROVIDED IN THE PROGRAMS WILL MEET THE LICENSEE'S REQUIREMENTS OR THAT THE OPERATION OF THE PROGRAMS WILL BE UNINTERRUPTED OR ERROR FREE,OR THAT THE PROGRAMS OR THEIR OPERATIONS OR OUTPUT PRODUCTS OR FILES WILL BE FREE FROM VIRUSES, WORMS, TROJAN HORSES OR OTHER HARMFUL AGENTS, IHS DOES NOT WARRANT, AND EXPRESSLY DISCLAIMS, ANY AND ALL RESPONSIBILITY FOR THE ACCURACY OF ANY INFORMATION OR DATA PROVIDED BY LICENSEE FOR USE WITH OR BY THE PROGRAMS, OR ON WHICH THE PROGRAMS OPERATE, 8. INDEMNIFICATION IHS agrees to indemnify Licensee and to hold it harmless from any damages finally awarded as result of any clair.n of infringement of a United States patent or copyright asserted against Licensee by reason of Licensee's authorized use orthe Programs as delivered by IHS or access to the Programs as provided by IHS; IHS License Agreement provided, that ms is given prompt notice by Licensee in writing of any such claim and the right to defend or settle, at IHS' expense and .in its sole discretion, any such claims; and further provided, that Licensee fully cooperates with IHS in connection with the defense or settlement of such claims. IHS shall not be obligated to defend such claims but may do so at its sole election. TO THE EXTENT PERMITTED BY 'LAW, LICENSEE AGREES TO INDEMNIFY AND,HOLD HARMLESS IHS, ITS OFFICERS, DIRECTORS, EMPLOYEES, AGENTS AND REPRESENT A TIVES AND ITS THIRD PARTY LICENSORS IF ANY' WHICH PROVIDE OR LICENSE TO 'IHS ANY ,SOFTWARE OR OTHER PRODUCTS OR MATERIALS USED BY IHS IN THE PROVISION OF THE SERVICES CALLED FOR IN THE ASSOCIATED DATA PROCESSING SERVICES AGREEMENT, OR LICENSED HEREUNDER BY IHS, FOR ANY AND ALL CLAIMS OF INTELLECTUAL PROPERTY INFRINGEMENT, INCLUDING BUT NOT LIMITED TO COPYRIGHT, TRADEMARK,OR PA TENT INFRINGEMENT, OR FOR UNFAIR COMPETITION, OR FOR ,MISAPPROPRIATION OR UNAUTHORIZED DISCLOSURE OR USE OF TRADE SECRETS OR OTHER PROPRIETARY OR CONFIDENTIAL INFORMATION, WHERE SUCH CLAIM, IN WHOLE OR PART, ARISES FROM OR IS ASSERTED TO BE A RESULT OF THE ACTS OR OMISSIONS OF LICENSEE, ITS OFFICERS, ELECTED OFFICIALS, EMPLOYEES, AGENTS OR OTHER REPRESENT A TIVES, AND WHEitE SUCH ALLEGED ACTS OR OMISSIONS 'DO NOT COMPLY STRICTLY WITH, OR ARE INC.oNSISTENT WITH, THE TERMS AND CONDITIONS OF THIS LICENSE AGREEMENT, OR WITH THE TERMS AND'CONDITIONS OF ANY IHS OR THIRD PARTY LICENSE OR OTHER AGREEMENT APPLICABLE TO INTELLECTUAL PROPERTY UTILIZED BY LICENSEE IN ITS USE OF THE PROGRAMS, OR UTILIZED BY IHS IN THE PROVISION OF SERVICES TO LICENSEE RELATED TO OR ,DEPENDENT ON THE PROGRAMS, FOR THE PURPOSES OF THIS PROVISION, "INTELLECTUAL PROPERTY" SHALL INCLUDE ANY AND ALL INTELLECTUAL PROPERTY, INCLUDING WITHOUT LIMIT A TION DA T A BASES, APPLICATIONS, OPERATING SYSTEMS OR OTHER SOFTW ARE OF ANY KIND, AND ANY DOCUMENTATION THEREOF, Rev. 120205s~fV8Client.120205 Page 5 of7 , I I 9, REMEDIES Licensee acknowledges and agrees that because of the unique nature orlhe Programs irreparable harm to IHS will be caused by a breach by Licensee of its obligations under this License Agreement, that monetary damages will be inadequate to compensate fRS for such harm, and that injunctive reliefdirecled against Licensee and in favor o'f IHS is an appropriate remedy to' enfo.rce the provisions of this License. Su~h I injunctive or other equitable relief shall be cumulative ;, of and shall not preclude or waive any other relief or remedies at law or' in equity to which IHS ~ay be entitled. Licensee's exclusive remedy hereunder is termination ofrhis License Agreement. 10. MISCELLANEOUS a. Asslgnmen't.. Liccnsee1s rights in and- to the Programs granted in this License may not b,e assigned, sublicensed, or transferred v~luntarily by Licensee or by operation of law or otherwise, without J.HS' prior written consent and the execution of a new License Agreement. b. Notices. Any notice to be delivered pursuant to ,this License Agre~ment shall be deemed delivered upon service, if served personally, or three (3) days after deposit in the United States mail if mailed by first class mail, postage prepaid, registered or certified, and addressed to the person designated for receipt of notice hereunder, at the address set forth on the first page of '1 . this Licepse Agreement or at such other address as shall '!, be specified from time to time in writing by t~e receiving party. c. Severability. In the event that any provision of this License Agreement.is determined to be invalid or unenforceable, the remainder of this License Agreement shall be valid and enfo~ceable to the maximum extent permitted by applicable law. d. Excl~slve Agreement; Modification. This License Agreement constitutes the complete and exclusive statement of the agreement of the parties, relative to the licensing of use of the Programs, and supersedes all oral or written proposals or understandings concerning such subject matter. This, License Agreement may be modified only pursuant to a writing executed by both parties. Sh.ould Licensee elect to issue a purchase order or any similar docume.nt for its own internal purposes, this License Agreement shaU control any conflict _ between the terms and con-ditions of the said order form. IHS License Agreement e. Pu~lic Information Act req'uest. Should Lic~nsee receive a request under the Texas Public rInformation Act (open records act) for disclosure, access to, or copying of any proprietary information provided by or belonging to IHS or any of its licensors, including but not limited to disclosure of., access to, ot a copy of the Programs 'or any part thereof:. Licensee shall'imml?diately notify IHS, including' no~ice in writing and a copy of the said request, so that IHS may determine what s'teps it may wis~ to take to protect such information. Unless IllS expressly states.to Licensee in writing that it wishes 'to forgo seeking exemption or exception from such disclosure, Licensee shall have the duty hereunder timely to take all requ ired steps to initiate theprocess by which to request an opinion from the Texas Attorney General concerning whether such information must be. disclosed. Thereupon, Licensee shall promptly notify IRS that such request has been made by Licensee, ~o that IHS may, .at its op_tion and to the extent permitted bY,: law, supplement Licensee's request. . In the event that disclosure' is ultimately required, Licensee shall provide to th~ recipient, along with access to or any copies of such disclosed materials, a\ notice that th~ materials are owned by or licensed to IHS, are protected under the federal Copyright Act and other laws, arid that recipient is not by virtue of disclosure under the Texas Public Information Act (or any successor statute) thereby authorized to 'use, copy, or disseminate the mat7rials without the ~xpress'written consent of.IHS; and that any unauthorized use, copying or dissemination' may constitute a violation of fede.ral copyright or other laws, and could therefore subject the recipient'or,others to civ"il or criminal penalties. FAILURE OF LICENSEE TO COMPLY FULLY WlTH THEOBLIo'ATlONS OFTHlS SUBSECTION SHALL BE !\ MATERIAL BREACH OF THIS LICENSE AGREEMENT AND SHALL CONSTITUTE GROUNDS FOR THE IMMEDIA TE ,TERMINATI()N OF THIS LICENSE AGREEMENT' BY IHS, WITHOUT 'pENALTY THEREFOR OR FURTHER OBLIGATION TO LICENSEE, Such tennination shall not relieve Licensee from the obligation to pay any outstanding fees Of costs hereunder, or other obligations hereunder t~at sllrvive termination. f. ' Costs; Attorneys' Fees. I~ the event any action or claim is brought by IHS to interpret, apply or enforce this License Agreement, IHS shall be entitled to recover its costs of such action, or costs of alternative Rev.12020SswfV8Clicnt-120205 Page 6 of7 dispute resolution or settlement including, without limitation, attorneys fees, expert fees, and court costs. g. Survivability. The obligations of Licensee, for example, regarding protection and confidentiality of the Programs, consent to injunction, limitation of liability, remedies, cooperation, governing law and-t. forum selection, payment of accrued fees and costs, and q the, parties' obligations of indemnification and hold. harmless set forth herein, shall survive any termination. of this License Agreement. h. Governing Law. This License Agreement '\ shall be governed by and enforced in accordance with the laws of the State of Texas, without giving effect to its choice of laws provisions. I. Forum Selection. Any suit brought by or;j against IHS under, concerning or related to this License Agreement may be brought only in the State of Texas and jurisdiction and venue for any action arising under or concerning this License Agreement or the related Data Processing Services Agreement shall be and lie ~ exclusively in the slate and county courts of Travis jl County, Texas, or, the United States District Courts of the Western District of Texas, Austin Division. j. No Waiver of Rights. No term or provision. of this Agreement shall be deemed to be waived and no consent to any breach ordefaultshall be deemed unless such waiver orconsent be in writing signed by the party against which such waiver or consent is asserted; the terms of this Agreement shall not be deemed to be amended by any such waiver or consent unless in a writing expressly stating such amendment; and any waiver by either party, whether express or implied, shall not imply a consent or waiver of any term or provision on any othe~ occasion, or any consent to any different breach or default. k. Construction. Descriptive headings or captions in this License Agreement are for convenience only and shall not affect the construction or application of this License Agreement. Words having established technical or trade meanings in the industry shall be so construed. Lists of items shall not be exclusive unless expressly so stated, but shall include other items, whether similar or dissimilar to those explicitly listed, as the context reasonably requires. No rule of construction requiring interpretatioll against the drafting party sha1l be applied or given effect. Words of any gender used herein shall be deemed to include words of any other gender, and use of the singular or the plural herein shall include the other, unless context requires otherwise. 1. Cooperation. Licensee shall cooperate fully with IRS in the maintenance and protection by IHS of any intellectual property ownership or other rights or ' interest of IHS in the Programs or other intellectual property or interests therein that are the subject matter of this License. , APPROVALS IN WITNESS WHEREOF, we have excc~ted this License Agreement asofthe -.J_ day 0[ J t.b (u..a.r1f-' 20J.!.. Calhoun County, Texas BY: M. \1 ~~Ts~ _naQj.A / _ NAME~~:r;z;:- County Judge TITLE: DATE: \-14--1\ IHS License Agreement IHS BY: :{0 ..:"J ~ <;;:-",~ ~ Robert Baird NAME PRINTED: TITLE: President DATE: 12/1S-/1" Rev.12020SswfV8Clieru.12020S Page 7 of7 SCHEDULE A , TO NONEXCLUS"!E LICENSE AGREEMENT ,CLIENT: Calhoun COllntv, Texas CLIENT OFFICES OR DEPARTMENTS: Callioun County !HC INSTALLATION TYPE: (Check one) ~ '_ ONSITE; see Data Processing Services Agreement Attachment A _X_ REMOTE; see Data Processing Services Agreement Attachment A LICENSE TERM: Commensurate with tcnn ot-companian-Data Processing Services Agreetpent ~ . . i 'LICENSING FEES: Included with fees stated in, Data Processing Services Agreement, Attachment A SOFfWAR.E: Calhoun CountvIHC: Vendor Management Client Management Invoice enh"y for prescriptions Invoice entry for anesthesia Invqice eony for physician services Invoice entry for in- patient care Invoice entry for out- patient care MOIithly updates for Red Book / NDC drug codes' . Ar1rlual updates for CPT codes Client'listings Tennination listings Exp!anati~n of benefits (EOB) reporting General Ledger totals report Source totals reports Pending invoice listings Hospital utilization by , days Amounts paid on clients CPT usage reports DRG Code Management ')1 Concurrent (Web) User No, (Maximum) = 2 CC Users ACCESS For requirements regardiog client-provided remote maii>tenance access to IHS for Onsite installations, or Client obligations regarding access for Hosted Services, see Data Processing Services Agreement Attachment A CLIENT IHS ~ . ... By: -~ By: ~ ' Name: Robert Baird Title: County JudS!e Title: President Rev120205Rvl~120205 SCHEDULE A to IHS Nonexclusive License Agreement Page) of1 i I I, ** Addendum to Data Processine Services Aereement ** In accordance with the Terms and Conditions of the Data Processing Services Agreement Contract between Callioun County. Texas and Indigent Healthcare Solutions Ltd, (IHS), this Addendum shall document the additidn, upgrade, and / or modification in services, hardware ownership, maintenance and monthly billing to Callioun County for Indigent Health Care ,Services, ~ For the monthly consideration of $100.00, IHS shall install and update the , automated Red Book1:M codes for Callioun County. , I This Addendum shall become effective when executed and except as modified herein, all ofthe Terms and Conditions ofthe aforementioned Data Processing Services Agreement shall remain in full force and effect. I ! , Callioun County, Texas Indigent Healthcare Solutions Ltd. By: ~.;." _,~ Name: Robert Baird Title: President . ~ Date: '"2./' ~ ( , 0 , , , :j, i" i I I December 13, 2010 ** CPT Addendum to Data Processinl! Services Al!reement ** I " , . , In accordance with the Terms and Conditions of the DataProcessing Services Agreement between Calhoun County. Texas herein after referred to as "Client" and Indigent Healthcare Solutions Ltd., this Addendum shall document IHS' licensing to Client updated versions of the Physicians' Curreht Procedural Terminology CPTTM codes a product of the American Medical Association (AMA), a coding work ofnomenclattire and codes for the reporting of physician services: ,i I i I I ! For the consideration of$10.00 per con~urrentuser, per month, IHS will install and , . update the most recent CP,'J'rM codes for the'Client Indigent Health Care Office. # Concurrent Users 2 Monthly License $20,00 CPTTM codes are a copyrighted product of the American Medical Association (AMA). All notices of proprietary rights; includingjtrademark and copyright in CPT must appear on all permitted backup copies This Addendum is nontransferable, nonexclusive, and is for the sole purpose of internal use by Client, and only in the United States. . ~ CPTTM codes may not be used in any public electronic bulletin board, or public computer based information system (including the Irlternet and World Wide Web unless subject to the provisions ofthis Addendum). Client may not create a derivative product of the CpyrM codes and selling, leasing or licensing it or otherwise making the Electrhnic Product or any portion thereof available to any unauthorized party, I Client may only make copies of the Electronic Product for back up and / or archival ~ . . purposes. : Client should ensure that anyone who has authorized access to the electronic product complies with the provisions of this agreement and the Non Exclusive License Agreement. December 13, 2010 " I ** CPT Addendum to Data 'Processinl! Services Al!Ceement ** i. If any provision ofthis Addendum is detenuined to violate any law or is unenforceable the remainder of the Addendum shall remain in full force and effect. , . .., This Addendum shall become effective wheh executed a~d except as modified herein, all ofthe Tenus and Conditions of the aforementioned Data Processing Services Agreement shall remain in full force and effect. ' , Client Si~~~~~ Hon. Michael Pfeifer Name Date \'\"\~\\ , . Decemhe.. 13, 2010 I I i I Indigent Healthcare Solutions ~ . , 'I ~l~~ Signature ~~. Robert Baird Name' 1"'2, I /'5- / ({j Date BUSINESS ASSOCIATE AGREEMENT (Intended to be an Amendm4nt or Addendum to an Agreement For Services Involving the Use, Creation' or Transmission of Protected Health Information) This Business Associate Agreement ("Agreement") effective on February 1, 2011, ("Effective Date") is entered into by and between Indigent Healthcare Solutions Ltd. (the "Business Associate") and Calhoun County, (the "Covered Entity"), REtITALS A, The purpose of this Agreement is to comply with the Standards for Privacy of Individually Identifiable Health Information ("protected health information") published on I)ecember 28, 2000 by the Secretary of the U.S. Department of Health and Human Services ("HHS") to amend 45 C.F.R. Part 160 and Part 164 (the "Privacy Regulation") under the Health Insurance Portability and Accountability Act of 1996 ("HIP AA"). B. [The parties have a prior agreement (the "Data Processing Service Agreement" DPSA) under which the Business Associate regularly uses protected health information (PHI) in its performance of services for the Covered Entity] C. This Agreement sets forth the terms and conditions pursuant to which protected health information that is provided by, or created or received by, the Business Associate from or on behalf of the Covered Entity will be handled. NOW, THEREFORE, in consideration of the foregoing and of the mutual covenants and agreements ,hereinafter addressed, the, parties agree as follows: 1. Services, The Business Associate provides services for the Covered Entity that involve the use of protected health information, Except as otherwise specified herein, the Business Associate may make any and a,lI uses of protected health information necessary to perform its obligations under t,he DPSA between the parties. Additionally, Business Associate may disclose protected Iiealth information for the purposes authorized by this Agreement only (a) to its employees, subcontractors and agents, in accordance with Section 2( d), or (b) as directed by the Covered Entity. 2. Responsibilities of Business Associate. With regard to its use of protected health information, the Business Associate hereby agrees to do the following: (a) Use the protected healt~ information only as permitted or required by , this Agreement or as otherwise required by'law; (b) Report to the designated privacy officer of the Covered Entity, in writing, any use of the protected health information that is not permitted or required by December 13, 20iO -Indigent Helllthcare Solutions, Conroc, Texas (800) 834-0560 1 thi~ Agreement of which Business Associate becomes aware within fifteen (15) !fays of the Business Associate's discover,y of such, unautliorized use; " , ,,(c) Use reasonable efforts to Laintain the security ofthe protected health information and to prevent unauthoriied use~of such protected health informationr , ~, ' , (d) Require all ofits employees, representatives, subcontractors or agents Jhat receive or use or have access to protected health information under this Agreement to agree to adhere to the same'restrictions and conditions on the use of protected health' information that apply herein, including the obligation to return or destroy the protected health information; , (e) Make available all records, books, agreements, policies and procedures relating to the use, and/or disclosure of protected' health information to the Secretary of HHS for purposes of determining the Covered Entity's compliance with the Privacy , , Regulation, subject to attorney-client and othrr applicable legal Jlrivileges; , , (t) Within forty five (45) day~ of receiving a written request fro~ the Covered Entity, provide to the Covered Entitt such information as is requested by the Covered, Entity to permit the Covered Entity to respond to a request by the subject individual for amendment and accounting pu~poses of the disclosures of the individual's protected health information hi accordance with 45 C,F.R. ~164.526 and ~164.528. Covered Entity shall reimburse business Associate for reasonable fees associated with providing said information; (g) Return to the Covered Entity or destroy, as requested by the Covered Entity, within thirty (30) days of the termination of this Agreement, the protected health information in Business Associate's possession and retain no copies. ' 3. ' Responsibilities of the Covered :Entitv, With regard to the use of protected health information by the Business Associate,1the Covered Entity hereby agrees: , (a) To inform the Business A~~ociate of any changes in the form of notice of privacy practices.that the Covered Entity prorides to individuals pursuant to 45 C.F,R, ',' ~164.s20 and provide'the Business Associate'lI copy of the notice currently in use; , , , ,(b) To inform the Business ASsociate of any' changes in, or withdrawal of, the consent or authorization provided to the Covered Entity by individuals whose protected health information may be used by Business Associate under this Agreement pursuant to 45 C.F.R. ~164.506 or ~164.508; and (c) To notify the Business Associate, in writing and in a timely manner, of , any restrictions on the use of protected health information agreed to by the Covered Entity, as provided for in 45 C.F.R. ~164.522. , ~ " , , ~ ' December 13,2010 -Indigent Heallhcare Solutions, Conroc, Texas (800) 834.(1560 " ~ :! '2 4. Mutual Representation and Warranty. Each party represents and warrants to the other party that all of its employees, agents, representatives and members of its work force, who services may be used to fulfill obligations under this Agreement, are or shall be appropriately informed of the terms of this' Agreement. ' 5. Termination. As provided for under 45 C.F.R. ~164.504(e)(2)(iii), the Covered Entity may immediately terminate this Agreement if it determines that the Business Associate has breached a material ,provision of this Agreement. Alternatively, the Covered Entity may choose to: (i) provide the Business Associate with thirty (30) days written uotice of the existence of an alleged material breach; and (ii)afford the Business Associate an opportunity to cure said alleged material breach upon mutually agreeable terms, Failure to cure in the manner set fOl'th in this paragraph is grounds for the immediate termination of this Agreement. If termination is not feasible, the Covered Entity shall report the breach to the Secretary of HHS.' This Agreement will automatically terminate without any further action of the ;parties upon the termination or expiration of the DPSA. 6. Amendment. This AgreemeJt may not be modified or amended, except in writing as agreed to by each party. I , 7. No Third Party Beneficiaries. c Nothing expressed or implied in this Agreement is intended to confer, nor anythi~g herein shall confer, upon any person other than the parties hereto any rights, remedies; obligations, or liabilities whatsoever. 8. Notices. Any notices to be given hereunder shall be made via U.S. mail or express courier, or hand delivery to the other party's address given below as follows: If to Business Associate: Illdigent Healthcare Solutions 2040 Loop 336 - Suite 304 Conroe, TX 77304 If to Covered Entity: Calhoun County Calhoun County Courthouse Port Lavaca, Texas 77979 IN WITNESS WHEREOF, the parti\Js hereto hereby set their hands and seals as of the _ day of ,20_. IN PRESENCE OF: Business Associate B~:~~"'t ) Name: Robert Baird Title: President Date: I?- / /",) , 2010 December 13, 2010 - IndIgent Healthcare Solutions, Conroe, Texas (800) 834...()S60 3 Kenneth W.. Finster County Commissioner County of Calhoun Precinct 4 December 17, 2012 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 December 27, 2012. .. Discuss and take necessary action to have $12,500 (trade-in value of2009 Chevrolet Pickup Asset #24-0390) moved from Dept. 520 to Precinct 4 2012 budget. Sincerely, ~w.J~ Kenneth W, Finster KWF/at P.O, Box 177 . Seadrift, TX 77983 . email: kenlly,tillster@calhnullcotx,nrg' (361) 785-3141 . Fax (361) 785-5602 MOVE $12,500 (TRADE-IN VALUE OF 2009 CHEVROLET PICKUP ASSET #24-0390) MOVED FROM DEPT 520 TO PRECINCT 4 2012 BUDGET: A Motion to move $12,500 from Dept 520 to Precinct 4 2012 budget was made by Commissioner Galvan and seconded by Commissioner Lyssy. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Kenneth W.. Finster County Commissioner County of Calhoun Precinct 4 December 17,2012 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 December 27, 2012, .. Discuss and take necessary action to have auction proceeds of $29,070 added to the 2013 budget. S incerel y, ~w.J~ Kenneth W. Finster KWF/at P.O. Box' 177 . Seadrift, TX 77983 . email: kellny.fillster@calhollncotx.ol'g . (361) 785-3141 . Fax (361) 785-5602 HAVE AUCTION PROCEEDS OF $29,070 ADDED TO ROAD AND BRIDGE PRECINCT #4 2013 BUDGET: A Motion to have Auction Proceeds of $29,070 added to Road and Bridge Precinct #4 2013 budget was made by Commissioner Lyssy and seconded by Commissioner Fritsch, Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that Calhoun County Commissioners' Court will hold a public hearing in the Commissioners' Courtroom, 211 S. Ann Street, in Port Lavaca, Texas, at 10:00 a.m. on December 27,2012 on the matter of amending the 2012 and 2013 Calhoun County Budgets, The public shall have the right to be present and participate in such hearing, Michael J. Pfeifer Calhoun County Judge PUBLIC HEARING ON THE MATTER OF AMENDING THE 2012 AND 2013 CALHOUN COUNTY BUDGETS: The Public Hearing began at 10:10 A,M. Lucy DiD: Read from Amendment Approval List Amendments to the 2012 budget ending line total fund balance increases/decreases Grand Total: ($62,337) General Fund: Total Amount: ($60,647) o Other Financing Amendment Number 3255: $12,500 o Other Financing Amendment Number 3256: $1,063 o Other Financing Amendment Number 3257: $157 o Other Financing Amendment Number 3258: $111 o Road and Bridge - Precinct #1 Amendment Number 3256: ($1,063) o Road and Bridge - Precinct #2 Amendment Number 3254: $0 o Road and Bridge - Precinct #4 Amendment Number 3255: ($12,500) o Sheriff Amendment Number 3257: $157 o Transfers Amendment Number 3261: $(60,647) o Waste Management Amendment Number 3258: ($111) Juvenile Case Manager Fund: Totai Amount: ($1,690) o No Department Amendment Number 3260: ($3,275) o Revenue Amendment Number 3260: $1,585 Cap, Proj, - ClAP Coastal Improvements: Total Amount: $0 o No Department Amendment Number 3261: $0 Amendments to the 2013 budget ending line total fund balance increases/decreases Grand Total: ($1,236) General Fund: Total Amount: ($1,236) o Commissioners Court Amendment Number 3264: ($1,236) o Jail Amendment Number 3263: ($0) o Administrative Clerk Expenditure: $35,872 o Assistant Jail Administrator Expenditure: ($38,008) o Corporals Expenditure: $145,624 o Jailer Expenditure: ($143,488) o Other Financing Amendment Number 3262: ($29,070) o Road and Bridge - Precinct #4 Amendment Number 3262: $29,070 Judge Pfeifer: Explain what is going on with the jailers? Cindy Mueller: That is a request from Sheriff Elect Aleman to change some of the positions in the jail. Judge Pfeifer: Does that go along with the salary order? Cindy Mueller: Yes; that is the reason that it is put in at this time No comments from the public. The Public Hearing ended at 10: 16 A,M. c c ~Q c .... =N ", ~1Il 0 :c: aO ~ =z ~I- =z =w ~:!: =1- =D:: =<1: =1I. =w ~Cl ~z ~i3 ~z =<1: =z =- =11. ~D:: =w ~ =3: =1- ~ ~o ..J ~w ~ ~:!: =<1: l.U ~z Bj ~I- (!) =z ~ =w =:!: =1- ~ =D:: ~<I: ~ =1I. =w ~C1 !;: Q 1;; D. D. CI: III CI: 0 ~ f'l Cl . ., N 'II: I- III III III CI: ~ ;:) ~ U ii: => III :z: U ~ Cl Cl N I&. 0 III ;:) ... ~ z . III Q ~ l- ll: 01- I&.ll: I-U 1II:iE 8:iE ;:)0 III U l- N III ... III ;:) j:;; III .., r! N Q N f'l CI: ... Ii! Z III 0 III ~ :iE ;:) III Z ll: l- I- Z Z III III :iE :iE Q Q Z Z III III :iE :iE CI: CI: ~ U :iE :iE 0 U N ... M ... - N ... !;: Q 1;; D. D. CI: III CI: iii Q III III U 0 ll: D. Z 0 j: U ;:) CI: N ... Cl N > 0 Z ll: 0 I&. 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Q Q Z Z III III :! :! ca: ca: ~o a... ~It) ~o az ~t- az alii ~:E at- all:: aCl: all. alii r ~'It a'll: ~t- au ~z ~C3 alii all:: all. ~w at=) ~Q ~ii2 ~a1 ~Q az ~Cl: ~Q aCl: ao ~Il:: alii ~:E aCl: ~z ~t- az alii a:E at- all:: ~Cl: =Il. alii ~Q l;; U :! :! 0 U N ... j;; ~ N ... ~ Q III > 0 II:: a. a. ca: ~ III Q III III U 0 II:: a. z 0 i= u :;) ca: N N CD ... N Cl l'? N &: Z III 0 iii ~ :! :;) III Z II:: l- I- Z Z III III :! :! Q Q Z Z III III :! :! ca: ca: N ;; N '" N ~ W D E w u w o ,;; ro '0 00 W C '0 ~ <0- ~ ~ ~ N - 0 '" N '" W It) 0> c;) ro ~ a. '" .. ~ co ~- ~ ~ c .. c .. - .l!! ~ '" <:: ~ (!) MATTER OF AMENDING THE 2012 AND 2013 CALHOUN COUNTY BUDGETS: A Motion to amend the 2012 and 2013 Calhoun County Budgets was made by Commissioner Galvan and seconded by Commissioner Fritsch. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. EXECUTIVE SESSION: The Commissioners Court shall go into Executive Session as authorized by V,T.c.A. Government Code Chapter 551. Following is the subject matter of the Executive Session and the Specific Section of the Open Meetings Act permitting discussion/deliberation in Executive Session. (a) Section 551.087 (1) To discuss or deliberate regarding commercial or financial information the the governmental body has received from a business prospect that the governmental seeks to have locate, stay, or expand in or near the territory of the governmental body and with which the governmental body Is conducting economic development negotiations; or (2) To deliberate the offer of a financial or other incentive to a business prospect described by Subdivision (1) Executive Session began at 10:18 A.M, Executive Session ended at 11:30 A,M. MATTERS DISCUSSED IN EXECUTIVE SESSION: Excelerate Energy LP presented plans concerning a potential investment of up to approximately $3,6 billion in two parts of up to approximately $1.8 billion each which include a floating liquefaction storage offloading vessels project that would include up to two vessels, jetty, onshore support facilities, pipeline laterals and other parts of the Project at a site at Lavaca Bay, Excelerate intends to request that the County designate a reinvestment zone for the Project in the first quarter of 2013. A Motion to accept the statement of intent concerning future tax abatement for Excelerate Energy, LP with the appropriate changes In [section] (2) with the words "may consider an amendment of the Guidelines to provide for deferred commencement of the tax abatement period" and allow Judge Pfeifer to sign was made by Commissioner Lyssy and seconded by Commissioner Fritsch. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, STATEMENT OF INTENT CONCERNING FUTURE TAX ABATEMENT FOR EXCELERATE ENERGY, L.P. WHEREAS, on December 27, 2012, Excelerate Energy L.P. (together with its affiliates, hereinafter "Excelerate") presented plans to the Commissioners' Court of Calhoun County, Texas (the "County"), concerning a potential investment of up to approximately $3.6 billion in two parts of up to approximately $1.8 billion each; and, WHEREAS, the plans presented by Excelerate included a floating liquefaction storage offloading vessels project that would include up to two vessels, jetty, onshore support facilities, pipeline laterals, and associated improvements, infrastructure, derivative units, process auxiliaries, upgrades, revamps, and modifications (the "Project"), with the Project containing two parts, each of which is associated with a vessel; and, WHEREAS, on June 23, 2011, the County adopted guidelines for the granting of tax abatement (the "Guidelines"); and, WHEREAS, Excelerate has commenced a feasibility study for the development and constmction of the Project at a site at Lavaca Bay; and, WHEREAS, in the first quarter of 2013, Excelerate intends to request that the County designate a reinvestment zone for the Project, amend the Guidelines to permit deferred commencement of tax abatement periods, and grant tax abatement under one or more agreements (hereinafter collectively, the "Agreement") for the Project hefore the end of the first quarter of2013; and, WHEREAS, in the event that Excelerate seeks tax abatement, it is anticipated the County would require celtain cash donations be made to the County as part of the Agreement; NOW THEREFORE, let it be KNOWN to all: I, Excelerate intends to make a final investment decision concerning the Project in the future, and before the end of the first qnarter of2013, Excelerate fUlther intends to seek designation ofa reinvestment zone, tax abatement regarding the Project with the County, and an amendment of the Guidelines to provide for deferred commencement of the tax abatement. - I - 2. The County has adopted Guidelines for the granting of tax abatement dated June 23, 2011, and will uegotiate in good faith with Excelerate regarding tax abatement for the Project pursuant to the Guidelines, which Guidelines provide that the County may provide tax abatement for up to 100% of the project investment for up to 10 years, and may consider an amendment of the Guidelines to provide for defen-ed commencement of the tax abatement period, 3. Excelerate commits that if the County grants tax abatement for the Project, it will negotiate in good faith to make certain cash donations as part of the Agreement. 4, The County and Excelerate intend to continue to negotiate in good faith regal'ding all other terms of the anticipated Agreement to be requested by Excelerate and considered by the County on or before the end of the first quarter of2013. 5, The County and Excelerate agree that this document is merely a Statement of futent of how the parties intend to proceed in the negotiation of the Agreement and they agree to continue to negotiate the Agreement in good faith pursuant to the terms herein, PASSED, ADOPTED AND APPROVED, by a vote of -5- for and ~ against on this the 27th day of December, 2012, COUNTY: COMMISSIONERS COURT CALHOUN COUNTY, TEXAS ~~t'ifJt~~ ATTEST: Anita Fl'icke, County Clerk By: 'ib. "''<:)-'" ~d"-.c~Deputy Agreed to by: t ,. N 6R. 1""""-:':> 1"i:\" \J I R12<::'io R - 2- EXECUTIVE SESSION: The Commissioners Court shall go into Executive Session as authorized by V.T.C.A, Government Code Chapter 551. Following is the subject matter of the Executive Session and the Specific Section of the Open Meetings Act permitting discussion/deliberation in Executive Session. Section 551.072: A government body may conduct a closed meeting to deliberate the purchase, exchange, lease, or value of real property if deliberation in an open meeting would have a detrimental effect on the position of the governmental body in negotiations with a third party, This agenda item was passed, MATTERS DISCUSSED IN EXECUTIVE SESSION: This Agenda item was passed. COUNTY REPORTS: The following monthly reports were presented: 1) Justices of Peace: Justice of the Peace #1: November 2012 2) Calhoun County Extension Service: November 2012 A Motion to accept the County Reports was made by Judge Pfeifer and seconded by Commissioner Finster. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. ENTER COURT NAME: ENTER MONTH OF REPORT ENTER YEAR OF REP~ORT CODE CASH BONDS ADMINISTRATION FEE - ADMF BREATH ALCOHOL TESTING - BAT , CONSOLIDATED COURT COSTS - CCC ' COURTHOUSE SECURITY, CHS CJP MVF. CIVIL JUSTICE DATA REP FEElCJDR CORRECTIONAL MANAGEMENT INSTITUTE - CMI CR CHILD SAFETY' CS CHILD SEATBELTFEE - CSBF CRIME VICTIMS COMPENSATION - CVC DPSC/FAILURE TO APPEAR - OMNI- DPSC FUGITIVE APPREHENSION - FA GENERAL REVENUE - GR CRIM - IND LEGAL SVCS SUPPORT -IDF JUVJ;NILE CRIME 8. DELINQUENCY - JCD JUVENILE CASE MANAGER FUND - JCMF JUSTICE COURT PERSONNEL TRAINING - JCPT JUSTICE COURT SECURITY FUND - JOSF JUROR SERVIOE FEE - JSF LOCAL ARREST FE_~S . LAF LEMI LEPA LEOC 'OCl , PARKS & WILDLIFE ARREST FEES - PWAF STATE ARRE:ST FEES. SAR" ~ SCHOOL OROSSING/CHILD SAFETY FEE - SCF -- SUBTITLE C, SUBC TABC ARREST FJ;E$. TAF TECHNOLOGY FUND-TF TRAFFIC - TFC TIME PAYMENT - TIME LOCAL & STATE WARRANT FEES - WRNT COLLECTION SERVICE FEE,MVBA - OSRV DEFENSIVE DRIVING COURSE - DOC DEFERRED FEE;. OFF DR'IVING ExAM FEE~ PROV Dl,; FILING FEE - FFEE FILING FEE SMALL CLAIMS - FFSO COPIES/OERTIFED COPIES - CC - iNDIGENT-FEE - CIEf-cifJNOF JUDG-E PAY RAISE FEE, - JPAY SERVICE FEE - SFEE ' OUT-OF-COUNTY SERVICE FEE, J;XPUNGEMENT FEE - EXPG EXPIRED RENEWAL - EXPR ABSTRAOT OF JUDGEMENT - AOJ ALL WRIl:S - WOP I WOE OPS- FTA FINE. DPSF LOCAL FINES, FINE ' LlCENSE:& WEIGHT FEES-. LWE PARKS & WILDLIFE FINES - PWF ' SEATBEL T/UNRESTRAINED CHILD FINE - SEAT 'OVERPAYMENT ($10 & OVER) - OVER 'OVERPAYMENT (LESS THAN'$10) - OVER RESTITUTION - REST PARKS & WILDLlFE-WATER,SAFETY FINES-WSF WCR TOTAL-ACTUAL MONEY RECEIVED TYPE: TOTAL WARRANT FEES ENTER LOCAL WARRANT FEESI ' STATE WARRANT FEES DUE TO OTHERS: DUE To_GOI80 - 50% of Fine:on JV cases DUE TO DA RESTITUTION FUND REFUND OF OVERPAYMENTS OUT~OF.COUNTY_SERVICE FEE _ CASH BONDS TOTAL DUE TO OTHERS TREASURERS RECEIPTS FOR MONTH: TOTAL-TREAS. RECEIPTS JUSTIOE OF PEACE NO. 1 NOVEMBER 201-2- AMOUNT 0,00 Revised 7/13/2011 2,202, ~ 0 0,00 -i21.54 ,0,00 . -:'oj;}Q "2.46 0.50 0,'00, 0,'00 0,00 00 0;00 ,109,30 _,-9:50 6_~:_?~ -'2.00 0,00 218.54 7,18 0.00_ 0.00 0.00 Q,Q(f -9,00 26~-,$!3 :,0.00 735.25 '-'-0,00 ~22:2,~4 t~:A9 637.94 755,28 2, -'P,OO: .0,00 -:6,00 361,11 -75;(;>9_ ~0-,6o.: --9.00 -:0.00 - ,Q,OO O,QQ 215.QO ':0.1;>0 :0,90 '-o.J)O 0,00 -a,'oq ,Q:09 '$13,925,80 AMOUNT 755,28 385.91: IRECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT $3139.31': RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT AMOUNT 0,00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT 0,00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT 0,00 PLEASE INCLUDE O.R. REQUESTING DISBURSEMENT _ :, 0,00. PLEASE INCLUDE O.R. REQUESTING DISBURSEMENT - - 0.00 PLEASE INCLUDE O.R. REQUESTING DISBURSEMENT (IF REQUIRED) $0,00 AMOUNT 13,925.60. Calculate from ACTUAL Treasurer's Receipts $13,925.60 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/13/2012 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2012 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45011 FINES 5,681.20 CR 1000-001-44190 SHERIFF'S FEES 901,37 ADMIN/STRA T/VE FEES: DEFENSIVE DRIVING 29,70 CHILD SAFETY 0,00 TRAFFIC 73.49 ADMINISTRATIVE FEES 2,868,50 EXPUNGEMENT FEES 0,00 MISCELLANEOUS 0,00 CR 1 000-001-44361 TOTAL ADMINISTRATIVE FEES 2,971,69 CR 1000-001-44010 CONSTABLE FEES-SERVICE 75,00 CR 1000-001-44061 JP FILING FEES 25,00 CR 1000-001-44090 COPIES I CERTIFIED COPIES 0,00 CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0,00 CR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0,00 CR 1000-999-20741 DUE TO STATE-DRIVING EXAM FEE 0,00 CR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0,00 CR 1000-999-20745 DUE TO STATE-CHILD SEATBEL T FEE 0,00 CR 1000-999-20746 DUE TO STATE-OVERWEIGHT FINES 0,00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1,198,69 TOTAL FINES, ADMIN, FEES & DUE TO STATE $10,852,95 CR 2670-001-44061 COURTHOUSE SECURITY FUND $0,00 CR 2720-001-44061 JUSTICE COURT SECURITY FUND $0,00 CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND $222,54 CR 2699-001-44061 JUVENILE CASE MANAGER FUND $66,59 STA TE ARREST FEES DPS FEES 127,05 P&W FEES 0,00 TABC FEES 0,00 CR 7020-999-20740 TOTAL STATE ARREST FEES 127,05 CR 7070-999-20610 CCC-GENERAL FUND 24.45 CR 7070-999-20740 CCC-STATE 220,09 DR 7070-999-10010 244,54 CR 7860-999-20610 STF/SUBC-GENERAL FUND 36,76 CR 7860-999-20740 STF/SUBC-STATE 698.49 DR 7860-999-10010 735,25 CR 7950-999-20610 TP-GENERAL FUND 318,97 CR 7950-999-20740 TP-STATE 318,97 DR 7950-999-10010 637,94 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN, FUND 0,30 CR 7480-999-20740 CIVIL INDIGENT LEGAL-STATE 5,70 DR 7480-999-10010 6,00 Page 1 of2 MONTHL Y REPORT OF COLLECTIONS AND DISTRIBUTIONS 12/13/2012 CR 7865-999-20610 CR 7865-999-20740 CR 7970-999-20610 CR 7970-999-20740 CR 7505-999-20610 CR 7505-999-20740 CR 7857-999-20610 CR 7857-999-20740 CR 7856-999-20610 CR 7856-999-20740 Revised 7/13/2011 COURT NAME: JUSTICE OF PEACE NO.1 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2012 DR 7865-999-10010 CRIM-SUPP OF IND LEG SVCS-GEN FUND CRIM-SUPP OF IND LEG SVCS-STATE 109,30 TL/FTA-GENERAL FUND 52.86 TUFTA-STATE 105,72 10,93 98,37 DR 7970-999-10010 158,58 JPAY - GENERAL FUND 36,11 JPAY - STATE 325,00 DR 7505-999-10010 361.11 JURY REIMB, FUND- GEN, FUND 21,85 JURY REIMB. FUND- STATE 196,69 DR 7857-999-10010 218,54 CIVIL JUSTICE DATA REPOS,- GEN FUND CIVIL JUSTICE DATA REPOS,- STATE 0,25 2,21 DR 7856-999-10010 2.46 TOTAL (Distrib Req to Oper Acct) $13,742,85 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD DA - RESTITUTION REFUND OF OVERPAYMENTS OUT-OF-COUNTY SERVICE FEE CASH BONDS PARKS & WILDLIFE FINES WATER SAFETY FINES 0,00 0,00 0,00 0,00 0,00 182,75 0,00 TOTAL DUE TO OTHERS $182,75 TOTAL COLLECTED-ALL FUNDS LESS: TOTAL TREASUER'S RECEIPTS OVER/(SHORT) $13,925.60 $13,925.60 $0,00 Page 2 012 )f TEXAS A&M "1,l)ll~ r~~ ".~l EXTENSION Calhoun County Extension Office November 2012 Report to Commissioner's Court November 3'd - Aggiefest Livestock Judging Contest Charles traveled with the Livestock Judging Team to College Station to compete in the Aggiefest Livestock Judging competition, The team represented Calhoun County very well by placing two individuals in the top ten within their age divisions, The Senior team placed 11th out of over 100 teams, November 1" - Junior Livestock Committee Meeting Charles coordinated the meeting of the Junior Livestock Committee. The committee discussed changes they would like to see in the Livestock Show to help make the show better for all parties involved, Topics included changing the format of the judges used, utilizing a different computer program to run the show and others, The committee tabled the discussions and will resume talks at the January meeting. November 8 - Calhoun County Fair Board Meeting Charles attended the Calhoun County Fair Board meeting. This meeting served as a recap on the fair and to look into ways to increase attendance at next year's fair. November 12 - Clothing and Textiles Meeting The Clothing and Textiles group met and worked on their projects. 16 youth participated in this meeting and constructed homemade aprons to use, This program area has really gained traction in Calhoun County thanks to a great parent leader who has taken ownership in the program. November 13 - Coastal Bend Classic Meeting Charles attended the meeting for the last minute preparations on the Coastal Bend Classic. The CBC is a multi-species clinic and prospect show, Top notch industry leaders come to Sinton, Texas to provide clinics on best management practices to use when raising livestock, After the clinic, patticipants show their livestock to gain in ring experience. November 16~ 18 - District 11 Crossroads Charles traveled with Calhoun County youth to attend the District II Crossroads in Corpus Christi. This program allowed youth to gain insight on careers in different fields, Oil field, gas field, marine biology, culinary, and animal science careers were explored to give youth a better idea of what those careers entail. The program was a success and the youth came away with a positive experience. November 26 - Council and PALA Meeting Charles held the monthly meeting of the Calhoun County 4-H Council and PALA meeting. P ALA discussed the upcoming raffle fundraiser that will take place in the spring. In addition, the Council planned their Christmas Party that will take place on December 20, November 27 - Effective Teaching Training Charles attended the Effective Teaching Training in Rosenberg, TX to leam more about habits of effective teachers, Dr. Lance Keith of West Texas A&M University discussed effective teaching styles that appeal to multiple types ofleaming. The program provided tools to take back to counties in order to make agents into more effective teachers, November 28 - Major Show Entry Night Major Show entry night for 4-H members occurred on November 28th at the Extension Office, Families will be exhibiting Breeding Goats, Steers, Hogs, and Broilers at the upcoming 2013 Major Shows, November 29 - Swine Validation Charles served on the swine validation committee for Calhoun County. The agent helped validate twelve barrows and gilts for the upcoming spring major shows. The committee consisted of Jimmy Hayes, AST Leslie Harris and CEA Charles Seely, Upcomina Events December 1 - 011 Food Show December 1 - Coastal Bend Classic December 4 - Youth Board Meeting December 5 - Consumer Decision Making Meeting December 10 - Beef Quizbowl Meeting December 11 - Clothing and Textiles Meeting December 12 - Extension Open House December 17 - PALA Meeting December 20 - 4-H Council Christmas Party December 22- January 1 - Agent Vacation Travel In County Errands and Other - 65mi Out of County 11/3 - College Station - Aggiefest Judging Contest -189,94mi 11/16 - Corpus Christi - District 11 Crossroads - 159.4mi 11/27 - Rosenberg - Effective Teaching Conference - 350.98mi Personal Vehicle N/A Total Miles Driven 765 miles Contacts Site - 230 Telephone - 160 Email - 450 1,052 Total Contacts CJJ9 Charles Seely CEA 4-H and Youth Development Calhoun County Mail- 212 ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled 590,53 Selected maior activities since last report- October 2012 October 1: Texas Extension Education Association meets for their monthly meeting, At the meeting we discussed the upcoming pecan sale, Along with getting ready for the fair and working the exhibit hall. Attended an intercostals 4-h meeting at Port O'Connor Elementary to promote the food show and food challenge, October 9: Attended Marniners 4-H Meeting at Our Lady of the Gulf Catholic church, Did a cooking demonstration with the group, October 11: Participated in a Iync meeting over program planning which included our plans for the 2013 year. Ocotber 13-0cotber 21 2012 Calhoun County Fair took place, The event was a great event this year many of our youth also entered their items into baked goods and clothing and textile. Also, during the silent auction several of our 4-h kids baked items sold for a total of over $400,00, October 24-25: Helped with Victoria farm and ranch where I did a presentation for farm in my lunch box to over four hundred third graders, Ocotber 25: Went to Port O'Connor for a food and nutrition project meeting where kids had a food challenge and made grilled cheese and cheese dip, Ocotober 29: Went to Port O'Connor for a food and nutrition project where kids had a food challenge meeting and went over basic nutrition and vitamins found in various foods, Direct Contacts: Phone: E-maiIlLetters:30 105 Office: 33 Site:2 Website:O Volunteers:O Maior events for next month - November 2012 Car Seat Training in Corpus Foundation in College Station Seabreezee Apartments JR Elementary First Methodist Church Travel(Personal Vehicle) In County Mileage: Wal-Mart (3): 13,02 10/9,10/25,10/29 Port O'Connor Elementary: 136,32(3) 10/1,10/25,10/29 Our Lady of the Gulf: 9,68 2) 10/9 County Court house: 3,50 Out of County Mileage: Corpus Christi:180,27 Victoria County: (2) 104,56,Oct 24,25 Wharton County: 143,18 Tina Trevino ~ ~ Name Calhoun County Countv Extension Aoent-Familv and Consumer Science Title November 2012 Date (Month-Year) Texas A&M AgriUfe Extension Services' College Station, Texas .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... .... 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S m '" S ~ ~ Vi ~ "''''", NO - zO m Z "'0 vi~ n - On em ::j Extension Activity Report to County Commissioners Court Selected major activities for the month of November 2012- 11/6,7 - Attended the District 11 Ag, Agent's Retreat, 11/8 - Attended Riparian workshop put on by GBRA and NRCS to better serve landowners with streamside properties, 11/13-16 - Attended AgriLife Extension Foundations, for new agents, in Coilege Station, 11/27 - Attended District 11 shooting sports meeting to increase the quality of our 4-H shooting sports Programs. 11/29 - Attended an "Effective Teaching" workshop in Corpus Christi Direct Contacts- 30 Office -7 Total-17 Phone-6 Site-4 Mileage Personal in County - 36,8 Out of County- 427,0 Total - 463,8 Total- 463,B Major events for next month- December 2012 12/1- Coastal Bend Classic; livestock show and clinic, 12/6,7 - Plant Protection conference in College Station. Ryan Damborsky Name Calhoun Cou nty CEA-Ag/Natural Resources Title November 2012 Date ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled 482,9 Selected maior activities since last report November 8-10: Conference for the Advancement of Science Teaching 2012 (CAST): This conference for Texas Science teachers was held in Corpus Christi with 4,145 teachers attending and another 900 exhibitors present. Cummins joined the Jefferson & Chambers Counties Sea Grant Agent Looney to pass out materials and curriculum. Their participation contributed greatly to the enjoyment and professional growth of the teachers who stopped by the Texas Sea Grant booth during the 3-day event. November 13: Mariner 4-H Club tour ofGBRA facility: Cummins took 11 students from Our Lady of the Gulf (OLG) on a tour of the surface water plant outside of Port Lavaca, Chief Operator Stephanie Shelly explained the process through which Port Lavaca gets its drinking water and showed the students the various stages including the settling tanks and filter room. Education and career information were also highlighted to help the youth learn more about potential employment oppOltunities. November 13: San Antonio Bay Foundation Board Luncheon: In lieu ofthis quarter's meeting, the board of which Cummins is a member, interviewed and hired a new executive director for the Foundation. At the luncheon, the retiring director Tommie Streeter-Rhoad was honored and the new director Dan Alonzo was welcomed aboard. The mission of the Foundation is to foster and steward the natural resources of the San Antonio Bay estuarine system for optimal benefit of marine life, coastal wildlife and the people who use it for recreation and their livelihoods. November 14: G3 class at Travis: Cummins spoke to fourteen 6th graders about recycling and marine debris. Plastic was of particular concern to the students as it impacts marine life unnecessarily. Monofilament line is a special class of plastic that can be recycled, This year, Cummins has sent 62.5 pounds of used fishing line to Berkeley for recycling, November 16: Mangrove moving day @ OLG: Under the direction of P.E. teacher Gayln Franke and Cummins, 57 students helped move the mangrove seedlings from behind the convent to the front of St. Jude Hall. A total of 408 pots were moved to risers that were built by Cummins and volunteer Charlie Jones. Signage has been placed to help inform interested people about the Mangroves for Marshes service learning project that is being conducted by Texas Sea Grant. November 27: South Region Teaching Effectiveness workshop: Cummins attended a required training session in Rosenberg given by Dl'. Lance Keith from West Texas A&M University. The four-hour course was a good review of writing objectives, teaching to different learning styles and the characteristics of effective teachers. Direct Contacts by: Office: 15 Site: 261 Phone: 57 E-mail/Letters: 1,455 Newsletters: 1 ,696 Volunteers: 0 Maior events for next month - December 2012 December 6: 6th grade field trip to Aransas Pass for mangrove project December 11: Mariner 4-H club December 12: Extension Holiday Open House December 17-21: Annual leave December 24-25: County Christmas holidays Rhonda Cummins Name Calhoun County CEA - CMR Title November 2012 Date (Month-Year) Texas A&M AgriLife Extension' The Texas A&M University System' College Station, Texas PRE~APPROVE EXPENDITURES BY INCUMBENT COUNTY OR PRECINCT OFFICER(S) UNDER COUNTY'S POLICY OF COMPLIANCE WITH LGC 130.908: Estimated expenditures in the amount of $35,446,66 were presented by Calhoun County Adult Detention Center and estimated expenditures in the amount of $21,171.18 were presented by Calhoun County Sheriff's Office and after reading and verifying same a Motion was made by Commissioner Finster and seconded by Commissioner Fritsch to pre-approve the expenditures. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, Calhoun County Adult Detention Center Bills to be approved on December 27,2012 Vendor Description Amount Port Lavaca Family Dentistry Inmate Medicai 1209,00 Ricoh USA, Inc Copier Rental 162,00 Stericycle Mlsc Service 165,50 Safariland Capltai Outlay 170,00 U,S, Diary Office Supplies 543,14 Cintas First Aid & Safety Infirmary Supplies 335,97 Ben Keith Co Groceries 8396,06 Ben Keith Co Mlsc Supplies 633,55 Calhoun County Health Department Physicals 2150,00 Coastal Medical Clinic Inmate Medical 3500,00 Gulf Coast Paper Misc Supplies 77.28 Pitney Bowes Postage 130,50 Radiology Unlimited Inmate Medical 520,00 Tlmeco Misc Service 228,00 Keep-U-Neat Cleaners Uniforms 118,00 Amsterdam Office Supplies 400.00 Memorial Medical Center Inmate Medical 13450,00 CMI,lnc Law Enforcement Supplies 299,00 Matera Inmate Supplies 500,00 Matera Misc Supplies 800,00 Hill Country Dairy Groceries 842,66 HEB Groceries 400 Wal-Mart Groceries 150,00 Wal-Mart Mlsc Supplies 100,00 Wal-Mart Office Supplies 150,00 Calhoun County Adult Detention Center Bills to be approved on December 27, 2012 Downtown Cieaners Uniforms Total 16,00 35446.66 Calhoun County Sheriff's Office Bills to be approved on December 27,2012 Vendor Description Amount Aqua Beverage Company Mise Supplies 123,17 Pitney Bowes Postage 130.50 CMI,lnc, Law Enforcement Supplies 299,00 Texas Health Center Drug Testing 55,00 Firestone of Port Lavaca Vehicle Repairs 2591,22 American Tire Distributors Tires 861,08 Timeco Mise Service 228.00 Announcements Plus Too Office Supplies 123.98 Keep-U-Neat Cleaners Uniforms 148,00 Cintas First Aid & Safety Misc. Supplies 593.72 Port Lavaca Auto Group Vehicle Repairs 155,33 WatchGuard Vehicle Repairs 173,00 Sprint Telephone Services 2567,07 LEA/AID Acquisition Company Law Enforcement Supplies 3195,00 Credit Card Center Law Enforcement Supplies 243,92 Credit Card Center Capital Outlay 3403,70 Memorial Medical Center Blood Collections 22,00 G,T, Distributors Capital Outlay 2550,35 Shell Fuel 828,28 Exxon Fuel 2728,86 Everett Wood Mlsc Service 150,00 Total 21171.18 BILLS: Claims for Memorial Medical Center Operating Fund totaling $1,173,158.90 and for Indigent Healthcare totaling $38,468.42 for a total amount of $1,211,627.32 were presented by Memorial Medical Center and after reading and verifying same a Motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve the bills and that all said claims are approved for payment. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted In favor, Claims for vendor disbursements in the amount of $888,797,32 and transfers between funds: transfer from Money Market Account to Operating Account in the amount of $3,484,994,00, County of Calhoun Refinancing I&S Series 2012 in the amount of $2,552,11 and Calhoun County Indigent Healthcare Fund in the amount of $38,468.42 total transfer between funds in the amount of $3,526,014,53 for a total amount for approval will be $4,414,811.85 were presented by the Calhoun County Treasure's Office and after reading and verifying same a motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve the bills and that all said claims are approved for payment. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Claims totaling $23,401.14 were presented by the Calhoun County Sheriff's Office and Jail and after reading and verifying same a motion was made by Commissioner Fritsch and seconded by Commissioner Lyssy to approve the bills and that all said claims are approved for payment. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor, MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ----- December 27.2012 MEMORIAL MEDICAL CENTER OPERATING FUND MEMORIAL MEDICAL CENTER WEEKLY CHECKS Date Approved bv Countv Auditor (See attached lists) 11/2/2012 Weekly Payables 11/7/2012 Weekly Payables 11/8/2012 Weekly Payables 11/14/2012 Weekly Payables 11/14/2012 Patient Refunds 11/21/2012 Weekly Payables 11/26/2012 Weekly Payables 11/28/2012 Weekly Payables 11/28/2012 Patient Refunds Total Payables and Patient Refunds MEMORIAL MEDICAL CENTER PAYROLL Date of Pavroll Run & Date Liabilitv Called In (See attached lists) 11/6/2012 Net Payroll 11/7/2012 Net Payroll 11/9/2012 Net Payroll 11/13/2012 Payroll Liabilities 11/12/2012 Net Payroll 11/19/2012 Net Payroll 11/27/2012 Payroll Liabilities Total Net Payroll and Payroll Liabilities GRAND TOTAL OPERATING FUND APPROVED INDIGENT HEAL THCARE FUND EXPENSES $ 21,923,63 85,853.47 29,623,50 145,005,75 5,900,73 162,891,36 7,786.43 130,208,86 7,191.28 $ 215,807,07 209,57 2,732,65 70,568,96 4,367,50 213,349,96 69,738,18 $ 596,385.01 $ 576,773.89 $ 1,173,158.90 $ 38,468.42 IGRAND TOTAL BILLS APPROVED 12/27/2012 $ 1,211,627.321 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---- December 27.2012 INDIGENT HEAL THCARE FUND: INDIGENT EXPENSES Calhoun County Home Health Coastal Medical Clinic Community Pathology Associates Discovery Medical Network, Inc, HEB Pharmacy Mau-Shong Un MD Memorial Medical Center (In-palient $2,716,56 Out,patient $12,060,76 ER $7,482,72) Port Lavaca Clinic Port Lavaca Vision Source Ahmad I. Qadri MDPA Radiology Unlimited PA Victoria Orthopedic Center Victoria Surgical Associates Victoria Kidney Dialysis SUBTOTAL Memorial Medical Center (Indigent Healthcare Payroll and Expenses) 1,088.12 1,715.27 57,74 103,17 1,371,82 46,73 22,260,04 1,716,14 170,00 33,27 421,54 54.41 742,75 29,781.00 8,687.42 38,468.42 TOTAL APPROVED INDIGENT HEALTH CARE FUND EXPENSES **$430.00 in Co-Pays were collected by Memorial Medical Center in November @!HS Source Totals Report Issued 12/21/2012 Calhoun Indigent Health Care 11-1-12 through 11-30-12 For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 02 Prescription Drugs 05 Lab/x-ray 08 Rural Health Clinics 10 Optional Services - Home Heait 13 Mmc - Inpatient Hospital 14 Mmc - Hospital Outpatient 15 Mmc - Er Bills 10,458.00 1,382.31 606,00 4,252,31 4,680,00 4,851.00 35,221.00 22,008.00 2,583,36 1,371.82 57.74 2,419.92 1,088.12 2,716.56 12,060.76 7,482.72 Expenditures Reimb/Adjustments B3,531 ,71 -73.09 29,854.09 -73.09 Grand Total 83,458.62 29,781.00 Fiscal Year 460,637.85 APPROVED BY DEe 2 1 2012 Payroll/Expenses 8,687.42 CALHOUN COUNl"'l AJJDlTOR V/'VWl~CA.J Yf4c../cfcub , Calhoun County Indigent Coordinator 800 12212012 01 CALHOUN COUNTY, TEXAS DATE: 12/21/2012 CC Indigent Health Care VENDOR # 852 ACCOUNT NUMBER DESCRIPTION OF GOODS OR SERVICES 1000-800-98722-999 Transfer to ay bills for Indigent approved b Commissioners Court on for a total of $38,468.42 1000-001-46010 COUNTY AUDITOR APPROVAL ONLY APPROVED BY DEe 2 j 2012 CI\I.HClUN COUN", AUDITOR QUANTITY Health Care 12/27/2012 November Interest $ 0 . 0 0 THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION. DEPARTMENT HEAD DATE I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD CONDITION AND REQUEST THE COUNTY TREASURER TO PAY THE ABOVE OBLIGATION, BY: DEP 12/21/12 DATE TOTAL PRICE $38,468.42 $0,00 $38,468.42 2011 Calhoun Indigent Care Patient Case load Approved Denied Removed Active Pending Jan 7 22 10 152 Feb 9 13 17 156 Mar 32 33 26 153 Apr 8 19 28 164 May 6 19 16 149 Jun 25 21 23 146 Jul 1 19 5 140 Aug 1 13 39 108 2 Sept 2 43 32 79 11 Oct 8 15 27 62 16 Nov 7 8 21 47 15 Dee 1 24 27 30 14 YTD 107 249 271 1386 58 12 Mo Avg 9 21 23 116 5 2012 Calhoun Indigent Care Patient Caseload Approved Denied Removed Active Pending Jan 4 10 2 37 9 Feb 1 17 2 36 11 Mar 4 16 3 38 20 Apr 1 15 3 39 21 May 3 11 3 40 17 Jun 10 12 5 46 15 Jul 6 15 5 48 22 Aug 10 21 1 59 20 Sept 5 17 4 59 19 Oct 7 18 5 61 34 Nov 4 15 9 57 30 Dee YTD 55 167 42 520 218 Monthly Avg 5 15 4 47 20 RUlI DA?E, 12/12/12 TIfffi, 16,00 MEMORIAL Iffi01CAL CElITER RECEIPTS PROM 11/01/12 TO I1/JO/12 G/L IIUl~BER RECEIPT PAY DATE MUt~BER TYPE PAlER CASH A~OUlIT _n _ _ _ __ _ u. _ u __ _~__ __~____ _ _.< __ _ n ___n _ _ n +__u _ _ _ n _U _ _ _ ____u __ __on _ _~___ _n _ u__ n~____ - __.. - -- - --- _n --- - - - -. - - - - -- .--- --. RECEIPT AMOUlIT MUMBER IlAME DISC COLL GL CASH DATE 1IIIT COOE ACCCUtlT PAGE 102 RCMREP 50240,000 11/01/12 10,00 JJG 2 50240,00011/02/12 10,00 DYT 2 50240,00011/02/12 10,00 KRR 2 50240,000 11/05/12 10,00 DYT 2 50240,00011/05/12 10,00 JJG 2 50240,00011/07/12 10,00 HEll 2 50240,00011/07/12 10.00 oyr 2 50240,00011/00/12 10,00 EGH 2 50240,00011/00/12 10,00 OYT 2 5024Q.OOOll{00/12 10.00 JJG 2 50240,00011/00/12 10,00 DYT 2 50240,000 11/00/12 10,00 OYT 2 50240,00011/00/12 10,00 CAM 2 50240,00011/09/12 10,00 DYT 2 50240,00011/09/12 10,00- CAM 2 50240.00011/09/12 10,00 DYT 2 50240,000 11{09/12 10,00 OYT 2 50240,000 11/12/12 10.00 DYT 2 50240.00011/12/12 10,00 DYT 2 50240,00011/12/12 10.00 DYT 2 50240,00011/12/12 10,00 DYT 2 5024D,OOOl1{13/12 10,00 DIT 2 50240.00011/13/12 10,00 DIT 2 50240,00011/13/12 10,00' OYT 2 50240,000 11/13/12 10,00 EGH 2 50240,000 11/l4/12 10,00 BEH 2 50240,000 11/l4/12 10,00 DIT 2 50240,00011/14/12 10,00 DYT 2 50240,000 11{15/12 10,00 CAM 2 50240,000 11/15{12 10,00 OYT 2 50240,00011/15/12 10,00 DYT 2 50240,00011/15/12 10,00 JJG 2 50240,000 11{16/12 10,00 DYT 2 50240,00011/16/12 10,00 OYT 2 RUlI DATE, 12/12/12 !fBi, 16,OB MENDRIAL MEDICAL CEt/TER RRCEIP'!S FROM 11/01{12 TO 11/30/12 PAGE 103 RC1,RRP G/L NUMBER RRCEIP'! PAY DATE NUMBER TYPE PAYER CASH A.lIOUNl' RECEIPT AHOUIIT IIU)IBER llAllE DISC COLt GL CASH DATE INIT COOE ACCOUlIT _ _ _ _ _ _ .._._._._.. ___. ._n_._ _ _ __.+ _ _ ____ __ _____ _ _ _ _ un.__ n___u __0 _ _ h __u____u _ _ n _ ... _ +._ _ _ _ _ _n ____ _ _________. ._._ _ u__ _ __ +u._ 30240,00011/19/12 10,00 KRR 2 30240,00011/19/12 10,00 DYT 2 50240,00011/20/12 10,00 DYT 2 50240,000 11{20/12 10,00 DYT 2 30240,00011/26/12 10,00 DYT 2 30240,00011/21/12 10,00 DYT 2 50240,00011/21/12 10,00 DYT 2 50240,000 11/29{12 10,00 DYT 2 50240,000 11/29{12 10,00 ~1R 2 50240,00011/30/12 10,00 DYT 2 50240,000 11/30/12 10,00 KRR 2 50240,00011/30/12 10,00 DYT 2 50240,00011/30/12 10,00 DYT 2 MEMORIAL MEDICAL CENTER Port Lavaca, Texas MANUAL JOURNAL ENTRIES MONTH OF NOVEMBER, 2012 Page_of_ " Debit Credit Acct# JE# Description Check # Amount Amount 10255000 Indigent Healthcare 8,687.42 40450074 Reimbursement - Calhoun Cty 6,751,94 40015074 Benefits - FICA 333,16 40025074 Benefits - FUTA - 40040074 Benefits - Retirement 370,71 60320000 Benetits - Insurance 1,215,35 40220074 Sunplies - General 3.90 40225074 Supplies - Office 9,61 40230074 Forms - 40610074 Continuing Education - 40510074 Outside SeNices - 40215074 Freiaht 2,75 40600074 Miscellaneous - r - , BY .. , ~ 1Jt:\, I t LU IL CALHOUN COUNTY < , TOTALS 8,687.42 8,687.42 -I -I J ..j ./ ./ ..j EXPLANATION FOR ENTRY 9u ~f~ct REVERSING: YES NO V JE # III ;}l 5 Indigent Heaithcare Program Incurred by MMC NOVEMBER, 2012 Indigent H'care Coordinator Salary # 40000074 # 40000074 # 40000074 (# 40010074) 1-Nov 15-Nov 29-Nov $2,090.85 2,245.11 1,845.74 570.24 6,751.941 370.71 I Benefits: #40040074 FiCA #40015074 1-Nov 110.45 # 40015074 15-Nov 110.63 #40015074 29-Nov 112.081 333.161 FUTA 1-Nov 15-Nov I Other Benefits (18 %) # 63200000 I 1,215.351 General Supplies # 40220074 I 3.90 I Office Supplies # 40225074 I 9.611 Fonns #40230074 I Continuing Education #40610074 I Outside Services #40510074 I Freight #40215074 I 2.751 Travel #40600074 I RUN DATE: 12/01/12 MEt~ORIAL MEDICAL eENTR.1I. PAGB 1 TIHE: 16:51 GL DETAIL REPORT - COST CE!ITER SRQUENCE GLGLDC l1lR: 11/01/12 - 1:/30/12 lICCT Ji'lIMBBR & DESC DATE 1100 REFERENCE JOORNfiL CS#/'AT/SRQ ACTIVITY BI\LANCE 401)00074 SALARIES REG PROD -CALHOUN C 40000074 SAlJ\RIES REG PROD -CilLHO DEGINNING Ep1l\NCE AS DP: 11/0:/12 44,317.6'1 11/01/12 REVERSE ACCRUAL PR 192626 355 -1,B24.29 11/01i12 PAY-P.10/19/12 11/01/12 PR 192641 42 2,091),85...-' 11/15/12 PAY-P,l1/02/12 11/15/12 PR 192649 41 2,236.41/ 11/29/12 PAY-P,l1/16/1? 11/29/12 PR 192658 4J 1,845.74/ 11/30/12 Accrual--Days:: 1 PH 192658 361 131.84 11/30 AClIVITY/"D EALffilCE 4,4[10.61 48,79B.2B 40005014 SALARIES OVERTUIE -CALBO EEGINNING El\1fuVCE AS OF, 11/01/12 123,39 11/15/12 PAY-P,l1/02/12 11/15/12 PR 192649 II 8.64.// 11/30 AC1IVI'I'ljRND BAIllNCE 8.\< 132.03 10010014 SAIJ\RlRS P'l1l/m -CALHO BEGINJiH1G BALANCE AS OF; 11/01/12 3,460.16 11/01/12 Auto PR Bene Accrual Re PR 192625 83 -892.00 11/01{12 REVERSB ACCRUAL PR 192626 439 -217.42 11/01/12 Auto PH Bene Accrual PR 192640 B1 9]2.10 11/01/12 PAY-P,10/19/12 11/01/12 PR 192141 87 151,g2F 11/15/12 Auto PR Bene Accrual Re FR 192640 83 -912,10 11{15/12 Auto PR Bene Accrual PR 192648 B1 1/034.12 11/29/12 Auto PR Bene Accrual Re PR 192648 83 -l,084.l2 'c.l/29/12 Auto PR Bene Accrual PR 192657 81 E37.81 11/29/12 PAY-P.11/16/12 11/29/12 PR 192658 84 418.32/ n/30/12 Accrual--Days=: 1 PR 192658 443 29.88 11/30 .;emITY/END BIlLANCE 268.51 3,729.2'} 40015074 FICA -CALHO BEGINllnlG BALANCE JIll OF: 11/01/12 88.21 11/01/12 REVERSE ACCRUAL PR 192626 121 -81.37 11/01/12 REVERSE ACCRUAL PH 192626 m -19.76 U/Ol/12 PAY-P.10/19/12 11/01/12 PR 192641 331 20,93' ,'-' U/Ol/12 PAY-P.10/19/12 11/01/12 PR 192641 31E 89,52""'- '!)' 1I/15/12 PAY-P.11/02/12 11/15/12 PR 192149 334 20.97/ /j/) U/15/12 PAY-P.11/02/12 11/15/12 PR 192649 365 E9,16/ 1I/29/12 PAY-P,l1/16/12 11/29/12 PR 192158 489 21.24-" 11/29/11 PAY-P,11/11/12 11/29/12 FR 192658 520 90.84/ 11/30/12 Accrual--Days" 1 PH 192658 633 6.49 n{30/12 Accrual--Days" 1 PR 192658 m 1.52 11/30 AClIVITY/END &ALIINCE 23'/,04 321,25 40025074FUT BEGINtlTh'G AND ENDING BALANCE: 4.73 40040074 RETIRRHENT -CAUlG BRGrnNI~'G BALANCE AS OF: 11/01/12 93.10 11/01/12 REVERSB ACCRUAL PH 19"626 811 -115.70 11/01/12 PAY-P,10/19/12 11/01/12 PR 192641 lJO 122,98......... 11/15/12 PAY-P.11/02/12 11/15/12 FR 192649 427 123.16/ RUN DATE: 12/07i12 TIME: 16:57 16NORIA1 MEDICAL CENTER G!. DETAIL REPORT - COST C!iliTER SEQ'JENC3 rOR: 11/01/12 - 11/30/12 PAGE 2 GLGLlIC ACcr NlIKBER & m:sc 40040014 RSTIREHENT DATE MfW,O R3FERErlCE -CALHOUN C 11/29/12 PAY-P.ll/16/12 11/29/12 11/3n/12 Accrual--Days= 1 11/30 AClIVITY/END B/llilJ1ICE JOURNAL CSI/BAT/SEQ ACTIVITY " PR 192658582 192658821 11.4.57/ 8,90 263.91 BAIlINCE A,\ ...,,0' .., 362,01 411215014 FREIGHT -CALHO BEGINNllffi BALi'J./CB AS OF; 11/01/12 11/27/12 UPS 0000778941462 PJ 556 1165 J2 11/30 AClIVITY/END EALANCB 2.15/ 2.75 .00 2.75 40220074 SUPPLIES GEnERAL -CALllO EEGINNIEG EII11lIICE AS OF: 11/01/12 ./ .00 11/JO/12 A<FW-TRAII/RXP.REPORT 000000 101 90 26 3.90 11/30 Acrlum/END EALAllCR 3.90 3.90 40225014 OFF!CI! SUPPLIES -CALllO "GIIDlING BAL!\llCE AS OF: 11/01/12 9,61/ -5,09 11/30/12 AUTO-TRAN/BXP.RIIORT 000000 14~ 90 0 52 11/30 ACTIVITY/END BALANCE 9.61 4.52 4Qt!500'/4 REHlBURSEf.mN'l' BEGINNING llND HRDIUG Bl\IJ'.NCE: -46,296.15 COST CENTER TOTAL; 5,274.97 ENDIUG BALMIeR GRAND TOTAL: 1,066,59 GRA.1D TOTAL Ac.mITY, 5,214.91 RUN DATE: 11/01/12 TIME: 16:19 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/13/12 PAGE: 1 APOPEN VENDn.NAME...........................CLS.INVOICEn.......,.TAN DT.INV DT.DUE DT,CK DT..PC......,GROSS,....DISC,.....NO-PAY....,...NET C1871 COLLECTIONS INCORPORATED COLLECTIONS 9/1 - 9/30 \i SEPT2012 103112 093012 103012 336.17 .00 336.17 ,/ COLLECTIONS SEPT2012-1 103112 093012 103012 253.49 .00 253,49 '1'O'1'A1I8...................................... .1 589.66 .00 589.66 10441 ~mlC EMPLOYEE BENEFITS / ADlUN FEES 18286 103112 102912 102912 15922.00 .00 15922.00 TOTALS...................................... ,I 15922.00 .00 15922.00 10536 MORRIS & DICKSON CO, LLC PHARMACEUTICALS 3956746 103112 103012 111012 142.03 .00 142.03./ PHARMACEUTICALS 3956747 103112 103012 111012 798.29 .00 798,290/ PHARMACEUTICALS 3959587 103112 103112 111012 40.32 .00 40.32 / PI\lOOIACEUTICALS 3959588 103112 103112 111012 40.32 .00 40.32/ PHARI~CEUTICALS 3959589 103112 103112 111012 28.95 .00 2B.95/ PHARMACEUTICALS 3959590 103112 103112 111012 75.14 .00 75.14/ PHARMACEUTICALS 3960743 103112 103112 111012 785.20 .00 785.20 v TOTALS......................................, : 1910.25 .00 1910.25 N1225 NUTRITION OPTIONS DIETICIAN W 24211 103112 103012 103012 3000.00 .00 3000.00 V TOTALS.............................,......... : 3000.00 .00 3000.00 U1350 UPS FREIGHT CHARGES Ii 0000778941422 103112 102012 103112 501. 72 .00 501,72' TOTALS......... .............. ............ ....: 501.72 .00 5Q1.72 GRAND TOTALS.................................I 21923,63 .00 21923.63 ,i~PPfUJ"iE.D C KS4f IS/J(,tj/ 10 :i1 /sd~ 1./,) MOH n #J ')~YI") ill'_ .' '-" i~ f~.. .- . "~l'"'''' nJ"'T""" COIl,h" ~ v Y~l\!' y~ ~ ~J'~~~ \ ?~e\~ef e W"ilc\'\se\.c COHn\') j~. r'a\nOI.l\\ I'? / } -----~ \.,0 ~\_ ,._- - '''=\" 1--- 08:t\~."-,_.-.- RUN DATE: 11/07/12 TIHE: 11:22 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/20/12 PAGE, 1 APOPEN VEND#.NAI~E............"..,.,........CLS.INVOICE#....,....THE DT.INV DT.DUE DT.CK DT..PC....,..GROSS..."DISC...,..NO-PAY.,......NET A1680 AIRGAS-SOUT~reST I~EDICAL GAS H 9009483506 102312 101512 111412 267.65 .00 267.65 ,/ TOTALS......,..,............................ .: 267.65 .00 267.65 Al715 ALCO SALES & SERVICE CO SUPPLIES MEDSURG II 2475984-IN 110612 103012 112012 338,88 .00 338,88 ./ TOTALS.,..,....,............................. , 338.88 .00 338.88 A1645 ALCOM LABORA'l'ORIES INC / LENSES II 14286659 102512 101812 111712 1564.50 .00 1564.50 TOTALS....,..........................,.,..... , 1564.50 .00 1564.50 10668 ALLIED FIRE PROTECTION SA, DEPT REPAIR PLANT OPS S1480301 102312 101712 111612 300.00 .00 30Q.00 / TOTALS....,....,.....................,....... , 300.00 .00 30Q.OQ D1125 AllY DAY TRAVEL EXPENSE NURSING AD il 24213 110612 110512 110512 191.66 ,00 191.66 /' TOTALS..............,..................,..... : 191.66 .00 191.66 All76 ARTHROCARE HEDlCAL CORPORA 221. 70 ) SUPPLIES SURGERY II 91033379 102512 101712 111612 221,70 .00 TOTALS.................. I....................: 221,70 .00 221.70 B1075 BAXTER HEALTHCARE CORP 268.64/ SUPPLIES CS INV II 38556403 102912 101812 111712 268.64 .00 PIlA!llIACEUTICALS 38556172 103112 101812 111712 447.96 .00 447.96 ...- TOTALS........... to...... to.......o..........: 716.60 .00 716.60 10522 BIONET INC / SUPPLIES PROSTHETICS 04-634314 102212 101512 111412 9464.00 .00 9464.00 TOTALS....,...,..,............,.....,....,... , 9464.00 .00 9464.00 C1030 CAL COH FEDERAL CREDIT UNI EHPLOYEE DEDUCTION II 18289 110612 110612 110612 25.QO .00 25.00 /' - TOTALS..,.."...................,............ , 25.00 .00 25.00 A1825 CARDINAL HEALTH SUPPLIES NUC lIED H 08108286 103112 103112 103112 1058,82 .00 1058.82 ./ TOTALS.........,.............,............... , 1058.82 .00 1058.82 1035Q CENTURION IIEDICAL PRODUCTS 828.44/ SUPPLIES VARIOUS 91134240 102612 101712 111612 828.44 .00 TOTALS......,..........,....,.............,.. : 828.44 .00 828.44 C1611 CITIZENS NEDlCAL CENTER 120.00 I CONTINUING EDUCATION w 24214 110612 080212 090112 120.00 .00 TOTALS.....,...,.......,...........,......... , 120.00 .00 120.00 C2155 COOK HEDlCAL INCORPORATED 61.83/ SUPPLIES CS INV V3000203-N 102512 101712 111612 61.83 .00 RUN DATE' 11/07/12 TII4E: 11,22 folEMORIAL folEDICAL CENTER AP OPEfol INVOICE LIST THRU DUE DATE OF 11/20/12 PAGE. 2 APOPEN VEND#.~IE.,.................,.......CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC,..,.,.GROSS....,DISC......NO-PAY,.......NET TOTALS...,.........................,......... , 61.83 .00 61.83 C251Q CPSI EBOS 14 758711 103112 102212 102212 327.10 .00 327.10,...- STATEIIENT PROCESSING 759499 103112 102512 102512 56.40 .00 56,40"""- TOTALS.,...........,.................,....... . 383,50 .00 383,50 10368 DEWITT POTH & SON OFFICE SUPPLIES CS INV 346308-0 101512 100812 111512 39.25 .00 39.25 ......- OFFICE SUPPLIES ER 346323-0 101512 100812 111512 17.53 ,00 17.53/ OFFICE SUPPLIES DIETARY 346326-0 101512 100812 111512 57.16 .00 57.16/ OFFICE SUPPLIES DIETARY 346326-1 101512 101012 111512 59.56 .00 59.56/ OFFICE SUPPLIES 346511-0 101512 101012 111512 202.75 .00 202.75 .... OFFICE SUPPLIES ADNIN 346513-0 101512 101012 111512 165.81 .00 165.81 ..... OFFICE SUPPLIES CS INV 346580-0 101512 101012 111512 228.48 .QO 228.48/ OFFICE SUPPLIES OB 347465-0 102512 101712 111512 36.90 .00 36,90/ OFFICE SUPPLIES AP 347468-0 102512 101712 111512 67.55 .00 67.55/ OFFICE SUPPLIES WONEN CLI 347470-0 102512 101712 111512 76.48 .00 76.48/ OFFICE SUPPLIES LAB 347473-0 102512 101712 111512 156.73 .00 156.73/ OFFICE SUPPLIES VARIOUS 347500-0 102512 101712 111512 299.74 .00 299.74/ OFFICE SUPPLIES ADNIN 347577-0 102512 101712 111512 39.35 .00 39.35/ OFFICE SUPPLIES LAB 347852-0 102512 102212 111512 32.49 .00 32.49/ OFFICE SUPPLIES PFS 347855-0 102512 102212 111512 33.71 .00 33.71 ......- OFFICE SUPPLIES VARIOUS 348422-0 102912 102412 111512 219.57 .00 219,57/ OFFICE SUPPLIES PFS 348445-0 102912 102412 111512 22.11 .00 22.11/ OFFICE SUPPLIES ADMIN 348628-0 103112 102612 111512 183.45 .00 183.45/ OFFICE SUPPLIES ADMIN 348629-0 103112 102612 111512 34.45 .00 34.45/ OFFICE SUPPLIES HIN 348642-0 103112 102612 111512 116.23 .00 116.23 / OFFICE SUPPLIES VARIOUS 348904-0 103112 103012 111512 245.93 .00 245,93/ OFFICE SUPPLIES VARIOUS 349015-0 110612 103112 111512 308.11 .00 308.11/ TOTALS.......,.....,..,..........,.,....,.... , 2643.34 .00 2643.34 D1752 DLE PAPER & PACKAGING FORMS PFS l~ 6811 102212 101712 111612 79,95 .00 79.95 / TOTALS.......,.....,........,....,...,....... , 79,95 .00 79.95 E0500 EAGLE FIRE & SAFETY INC 127.75 / OUTSIDE SRV PLANT OPS 11 46499 102512 101812 111712 127,75 .00 TOTALS.............................,......... , 127.75 .00 127.75 10701 FAGAN ANSWERING SERVICE AN 77.00/ OUTSIDE SRV WOl~EN CLINIC 75399 110612 110212 110212 77.00 .00 TOTALS....................................... . 77.00 .00 77,00 Fl050 FASTENAL COl~PANY SUPPLIES.PLANT OPS M TXPOT1133E8 110612 100912 110812 28.39 .00 28.39 / TOTALS....................................... ; 28.39 .00 28.39 F1400 FISHER HEALTHCARE 138.75/ SUPPLIES LAB M 1830368 103112 101712 111612 138,75 .00 SUPPLIES LAB 264360 103112 101712 111612 370,18 .00 370,18 / RUN DATE. 11/07/12 TIm:. 11.22 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/20/12 PAGE. 3 APOPEN VEND#.NAlIE.....,.....................CLS.INVOICE#,..,.....TRN DT.INV DT,DUE DT.CK DT..PC.......GROSS.....DISC",.,.NO-PAY........NET SUPPLIES !.All 2664359 103112 101712 111612 55.10 .00 55.10/ TOTALS.......,......................,........ . 564.03 .00 564,03 G0120 GE MEDICAL SYSTEMS, INFO T 35.64 / SUPPLIES EKG 72042269 102512 102012 111912 35.64 .00 l1'O'l'ALS........... II II .,.. " ...... to ... II.. to.: 35.64 .00 35,64 G1001 GETINGE USA SUPPLIES SURGERY 7787375 lQ2512 101812 111712 54.75 ,00 54.75 ...--- 'l'OTALS. .,.. II......... II.... II.. 10..... II II..: 54.75 .00 54,75 G0401 GULF COAST DELIVERY OUTSIDE SRV VARIOUS 24210 103112 103112 111512 150.00 .00 .r 150.00/ TOTALS....."............................... .. 150.00 .00 150.00 A1292 GULF COAST HARDWARE / ACE DEPT REPAIR MED SURG \j 017999 102312 101812 111712 2.59 .00 2.59 -- DEPT REPAIR SURGERY 071927 102312 101612 111512 8.98 .00 8.98- DEPT REPAIR MED SURG 071989 102312 101812 111712 10.44 .00 10.44r' DEPT REPAIR MED SURG 071998 102312 101812 111712 r' 28.74 .00 28.74 DEPT REPAIR PT 072034 102312 101912 111812 6.99 .00 6.99/ TOTALS...,................................... . 57.74 .00 57.74 G1210 GULF COAST PAPER COMPANY SUPPLIES HOUSEKEEPING ~I 470679 102512 101612 111512 300.14 .00 300.14/ SUPPLIES HOUSEKEEPING 470690 102512 101612 111512 176.90 .00 176.90/ TOTALS.......,...,.,.................,...,... . 477.04 .00 477.04 H0030 H E BUTT GROCERY SUPPLIES DIETARY H 431834 102212 101812 111712 237.71 .00 237.71/ SUPPLIES DIETARY 434491 103012 101912 111812 82.00 .00 82.00"- TOTALS.......,..,..,.................,....... . 319.71 .00 319.71 H0947 HALL ;URELESS SUPPLIES PLANT OPS 10068405 102512 101612 111512 2.99 .00 2.99/ TOTALS...... II........... II ... to... .0..... ...: 2.99 .00 2,99 10415 INDEPENDENCE MEDICAL SUPPLIES CS INV 27398574 102912 101712 111612 55.82 .00 55.82 ,/ TOTALS.. II.. II I............... I" .... II.. II..: 55.82 .00 55.82 10609 LASHLEY SOUTH TEXAS LLC SUPPLIES PLANT OPS 196821-000 102612 101612 111512 175.00 .00 175.00/ TOTALS...................................... .1 175.00 .00 175.00 10578 LUllINAIIl ENERGY COMPANY LL FUEL 77949083 093012 093012 111612 2427.39 .00 2427.39 ,/ TOTALS............ II... ... It.......,... 1,.11 II 2427,39 .00 2427.39 M1511 ~UffiKETLAB, INC SUPPLIES ER W H684169 103112 100912 110812 138,71 ,00 138,71 / RUN DATE: 11/07/12 TUIE: 11:22 MEMORIAL MEDICAL CENTER AP OPEM IMVOICE LIST THRU DUE DATE OF 11/20/12 PAGE: 4 APOPEM VEND#.NAME.,..............,..........CLS.IMVOICE#.........TRN DT.IMV DT.DUE DT.CK DT.,PC.......GROSS.....DISC....,.MO-PAY..,.....MET TOTALS....,..........................,....... : 138.71 .00 138.71 H15DO MARKS PLUl4BING PAl\TS SUPPLIES lreDSURG M 1162285 102612 101712 111612 242.13 .00 242.13 ./ TOTALS....................................... : 242.13 .00 242.13 M2449 MEDISAFE AMERICA LLC 159,15/ SUPPLIES SURGERY II 31346 102612 101812 111712 159.15 ,00 TOTALS,...................................... : 159.15 .00 159,15 10784 ON ASSIGm!ENT STAFFING SRV 2592.00/ CONTRACT NURSE OAI-30029980 103112 081612 083112 2592 .00 .00 CONTRACT NURSE OAI-30030361 103112 083012 091412 739.50 .00 ./ 739.50 / CONTRACT NURSE OAI-30030362 103112 083012 091412 3612.00 .00 3612.00 CONTRACT NURSE OAI-30030573 103112 090612 092112 667.00 .00 667.00/ CONTRACT NURSE OAI-30031177 103112 092012 100512 2762.00 ,00 2762.00"-- CONTRACT NURSE OAI-30031178 103112 Q92012 100512 681.50 .00 681.50 --- TOTALS..................,.,...,...,..,....... : 11054. 00 .00 11054.00 01410 ON-SITE TESTING SPECIALIST / SUPPLIES LAB W 14714 103112 101612 111512 234.98 .00 234.98 TOTALS....................................... : 234.98 .00 234.98 10777 OSCAl\ TORRES PEST CONTROL SRV 196543 110612 110312 110312 250.00 ,00 250.00 /' PEST CONTROL SRV 196544 110612 110312 110312 45.00 ,00 45.00/' TOTALS....,..........,........,.............. , 295.00 .00 295.QO OM425 OlmNS & NINOR SUPPLIES SURGERY 2002855 102212 101612 111512 34.91 .00 34.91.---- SUPPLIES CS IMV 2002897 102212 101612 111512 76.85 .00 76.85 r SUPPLIES ER 2002935 102212 101612 111512 114.40 .00 114.40'- SUPPLIES IreD 8URG 2002979 102212 101612 111512 84.92 .00 84. 92--- SUPPLIES CS IMV 2003001 102212 101612 111512 6.51 .00 6.51/ SUPPLIES HOUSEKEEPING 2003049 102212 101612 111512 117.98 .00 117,98/ SUPPLIES VAl\IOUS 2003329 102212 101612 111512 441.52 .00 441.52/ SUPPLIES CS IMV 2004079 102612 101812 111712 18,10 .00 18.10 ./ SUPPLIES CS IMV 2004130 102612 101812 111712 33.18 .00 33,18/ SUPPLIES CS IMV 2004198 102612 101812 111712 39.30 .00 39,30/ SUPPLIES CS IMV 2004309 102612 101812 111712 4.59 .00 4.59/ SUPPLIES SURGERY 2004481 102612 101812 111712 3Q5,88 .00 305.88/ SUPPLIES VAl\IOUS 2004488 102612 101812 111712 1695,73 .00 1695.73 ...-- SUPPLIES VAl\IOUS 2000482 103112 101012 110912 5,57 .00 5.57"'-- SUPPLIES VAl\IOUS 2000692 103112 101012 110912 301.92 .00 301. 92 /' TOTALS........................,.............. , 3281,36 .00 3281. 36 P1100 PC CONNECTION SALES CORP 1389.08/ SUPPLIES IT M 49582592 102612 101712 111612 1389.08 .00 TOTALS....................................... : 1389.08 .00 1389.08 P2200 POWER ELECTRIC / DEPT REPAIR SURGERY W 160875 102312 101612 111512 10.78 .00 10.78 RUN DATE: 11/07/12 TIME: 11:22 NENORIAL NEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/20/12 PAGE: 5 APOPEN VEND".NAlIE........,.....,.....,......CLS.INVOICE".........TRN DT.INV DT.DUE DT.CK DT..PC......,GROSS..,..DISC....,.NO-PAY..,.....NET SUPPLIES PLANT OPS 160940 102312 101912 111812 4.99 .00 4,99/' DEPT REPAIR PT 160941 102312 101912 111812 .12.97 .00 12.97,/' TOTALS.........,............................. : 28.74 .00 28.74 R1050 R G & ASSOCIATES INC SUPPLIES PLANT OPS II 206545 102312 101812 111712 254.20 .00 254.20/' TOTALS............,..,......,............... .1 254.20 .00 254.20 001410 REBECCA IlALONE CONTRACT \'I "1 103112 110212 111612 612.50 .00 612.50/" TOTALS..."...."....,..........,..........,. : 612.50 .00 612.50 10528 RICK HIlRT TRAVEL EXPENSES ADMIN 24215 110612 110612 110612 543.93 .00 543.93 ,,/ TOTALS....,.......,....... ...................: 543.93 .00 543.93 S1405 SERVICE SUPPLY OF VICTORIA / SUPPLIES PLANT OPS \'I 700648608 110612 102912 111012 166.29 .00 166.29 TOTALS....,.......................,.......... : 166.29 .00 166.29 S1800 SHER\'IIN NILLIM4S DEPT REPAIR IlEDSURG \'/ 2762-3 102912 101712 111612 203.30 .OQ 2Q3.30 ,/ SUPPLIES PLANT OPS 2915-7 102912 102012 111912 27.49 .00 27.49/ TOTALS.........,..,.......................... : 230.79 .00 230.79 D0350 SIEIIENS HEALTHCARE DIAGNOS SUPPLIES LAB M 971383278 110612 092012 102012 291.74 .00 291,74/ TOTALS............................ ,..........1 291.74 .00 291. 74 10672 SIEMENS INDUSTRY, INC. 577 .02/ SUPPLIES LAB 900958878 103112 101912 111812 577.02 .00 TOTALS...... II....'..,....... ,.... to.. to.....: 577.02 .00 577.02 S2001 SIEMENS IlEDICAL SOLUTIONS 832.25/ SRV CONTRACT 10/18 - 11/1 M 95752454 103112 101812 111712 832.25 .00 TOTALS,...........,...........,.....,......,. : 832.25 .00 832.25 S2400 SO TEX BLOOD & TISSUE CENT SUPPLIES BLOOD BANK CREDI M 20124540 103112 1Q1712 111612 -3332.00 .00 -3332.00/ SUPPLIES BLOOD BANK 20124611 103112 101712 111612 13764.00 .00 13764. 00 /' TOTALS...............,........,.............. : 10432.00 .00 10432.00 S2548 SOUTHWEST TEXAS EQUIPMENT SUPPLIES PLANT OPS II 1074155 110612 100112 103012 44.96 .00 44.96 ,/ TOTALS............,..,........,............,. : 44.96 .00 44.96 S2951 SYSCO FOOD SERVICES OF SUPPLIES DIETARY N 211010953 110612 110112 112012 922.42 .00 922.42 ,/ TOTALS..................,............,...,... : 922.42 .00 922.42 T0500 TEM4 REHAB FINAL FOR OCTOBER W 24212 103112 110512 110512 16234.76 .00 16234.76 ,/ RUN DATE. 11/07/12 TUlE. 11.22 MEIIORIAL IlEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/20/12 PAGE. 6 APOPEN VEND#.NAlIE...,.........,........,... ,CLS.INVOICE#..,..... .TRN DT.INV DT.DUE DT.CK DT..PC...... ,GROSS.,. ..DISC..... .NO-PAY....... .NET TOTALS....,...................., .....,...,.... 16234.76 .00 16234.76 T1925 TEXAS DEPT OF STATE HEALTH 108.00/ OUTSIDE SRV LAB 24199 103112 101912 111812 108.00 .00 SUPPLIES LAB 24200 103112 101912 111812 172.5Q .00 172.50/ TOTALS.,...................................,. · 280.50 .00 280.50 T190D TEXAS ELECTRICAL SUPPLY 73.56 / SUPPLIES PLANT OPS II 27044 103112 101912 101912 73.56 ,00 SUPPLIES PLANT OPS 27074 103112 103012 103012 179.10 .00 179.10 / TOTALS.............,.......................,. : 252.66 ,00 252.66 T2303 TG EllPLOYEE DEDUCTION 11 18288 110612 110612 110612 130.56 .00 130.56 /' TOTALS...........,............,....,........ .. 130.56 .00 130.56 C2450 THE COUNCIL COllPANY OFFICE SUPPLIES SURGERY II 73956 101512 100512 111512 13.87 .00 13.87/ TOTALS................,....... I........,.....: 13.87 .00 13.87 S2679 THE ST JOHN COIIPANIES, INC OFFICE SUPPLIES LAB II 07934575 103112 08Q812 090712 215.74 .00 215,74 / TOTALS.. ,.....................,.....,.....,..: 215.74 .00 215.74 T3050 TRANS U. S. INC. DEPT REPAIR OP II 6959066Rl 110612 091112 101012 204.63 .00 204.6V' TOTALS...,.............................,..,.. · 204.63 .00 204.63 Ul054 UNIFIRST HOLDINGS LAUNDRY llAINTENANCE 11 8150587279 101612 101612 111512 35.91 .00 35.91/ TOTALS....................................... : 35.91 .00 35.91 Ul064 UNIFIRST HOLDINGS INC LAUNDRY HOSPITAL LINEN 8400134095 101612 101612 111512 905 ,86 .00 905,86 ,/ LAUNDRY HOUSEKEEPING 8400134096 101612 101612 111512 182.19 .00 182.19~ LAUNDRY PLAZA 8400134097 101612 101612 111512 159 .47 .00 159.47 LAUNDRY DIETARY 8400134098 101612 101612 111512 174.86 .00 174.86/ LAUNDRY OB 8400134099 101612 101612 111512 86,70 .00 86.70/ LAUNDRY HOUSEKEEPING 8400134100 101612 101612 111512 93.87 .00 93.87~ LAUNDRY HOSPITAL LINEN 8400134336 102312 101912 111812 689.22 .00 689.22 LAUNDRY SURGERY 8400134337 102312 101912 111812 348.59 .00 348.59 ,/ TOTALS.....,.....................,.......... .. 2640,76 .00 2640.76 U1200 UNITED AD LABEL CO INC 37.09/ SUPPLIES DIETARY II 712898819 110712 101012 110912 37.09 ,00 TOTALS....................................... : 37.09 .00 37.09 10172 US FOOD SERVICE SUPPLIES DIETARY 3619974 110612 110112 112012 231.73 .00 231.73/ SUPPLIES DIETARY 3619975 110612 110112 112012 40,38 .00 40.38 :/' SUPPLIES DIETARY 3619976 110612 110112 112012 3676,48 .00 3676.48 RUN DATE. 11/07/12 TIME. 11.22 MEMORIAL MEDICAL CENTER AP OPEM INVOICE LIST THRU DUE DATE OF 11/20/12 PAGE. 7 APOPEM VEND#,NAME..........,...........,... .CLS.INVOICE#....... ..TEN DT.INV DT.DUE DT.CK DT. .PC..... ..GROSS.... .DISC..... .NO-PAY....... .MET TOTALS.......................................: 3948.59 .00 3948.59 V0559 VERIZON WIRELESS BROADBAND CARDS 6800249115 103112 101612 111112 119.55 .00 119.55 /' TOTALS........................,.............. , 119.55 .00 119.55 10472 VISA MISC PURCHASES VARIOUS OCT2012 110612 102512 111912 6393,48 .00 6393.48 ./ TOTALS..;... ..................... ........ ....J 6393.48 .00 6393.48 10394 WILLIAM E HEIKAllP, TRUSTEE EMPLOYEE DEDUCTIOM 18290 110612 110612 110612 300.00 ,00 300.00/' TOTALS..,..............,.................... .. 300.00 .00 300.00 10429 WILLIAM E HEITKAMP, TRUSTE EMPLOYEE DEDUCTIOM 18291 110612 110612 110612 495.00 .00 495.00 ./ 'l'OTALS... 10. ...............,.. ............. ..J 495,00 .00 495.00 GRAND TOTALS.................................. 85853.47 ,00 85853.47 NO\! U 7 2012 .______________..eWO _________ ',' '(In':) I.l\\O~~\?\ B?t\\' J,'-"" 'f \e'l3,,"'\v~ e leW"\~ .----------- ----- \.,"', "\,r'v l\;~~j)\k~ ,," " C{(J#I>o{Pr.((P -!-o jJ /sD1/3 }~ V Michael J. Ofeifer calbO~JYJUnty Judge F'~."" /1 7/ J~ llJdl,,\.:j. .. VOID5 fl/.5o(PC(fj d- ()O(P<(9/ di /5/)& <73# RUN DATE.ll/08/12 TIME.16,20 MEMORIAL MEDICAL CENTER EDIT LIST FOR BATCH 556 1137 CRTi556 TRIIIlSAC'rION SEQUENCE PAGE 1 GLEDIT ACCOUNT A.H.A. SEQ. NUl1BER NUMBER TRIIIlS DATE JOURNAL AMOUNT SUB-LED REFERENCE IIENO G.L. ACCOUNT DESCRIPTION ~--_._------------------------------------------------------------------------------------------------------------------------------ 1 10000000 20000000 11/08/12 CD 11/08/12 CD 29,623.50CR T1724 29,623.50 T1724 A/PC150714 TOSHIBA AMERICA MEDICAL OPERATING -CASH A/PC150714 TOSHI8A AMERICA MEDICAL ACCOUNTS PAYABLE -A/P 30000000 3448 301428 - - - - - - - - - -R E C A P- - - - - . . - - - JOURNAL Yill0 COUNT DEBIT CD 1211 2 29,623.50 TOTAL 2 29,623.50 CREDIT 29,623.50 29,623.50 10 . (efICtC0 c..hecKS ,~e. -1-v L.0 r OYlj \J e.nd.o ,. Du...+ ACCOUNT TOTAL RECAP ON MEXT PAGE . ~/J"<'o-*rA.c.+ [\ :1- II ':? +' 5 D+ .5e("0d:e.. . --Y~rI\e..vt: \D( 'V ('('on _ "- ( ql S 7 1.\, r:D /\ff'(Do/e..d jU/I7/J2..j 3/IS/'2 (.Unci 7/1'--/rl.. +U I.0r0r>j VQ.-"clor-# ') CKld /5D7/t{ 'W"- 1/ l \ \ ~ \/\ fl 8 2012 .- "---~ Michael J. Pfeifer Calhoun COUf\ty Judge Dat.e:___.- RUN DATE: 11/14/12 TII'lE: 09:16 !lEMORIAL MEDICAL CEN'rER AP OPEN INVOICE LIST THRU DUE DATE OF 11/27/12 PAGE: 1 APOPEN VEND#.NAllE......................... ..CLS.INVOICE#........ ,TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ." .DISC..,. ..NO-PAy....... .NET A1645 ALCON LABORATORIES INC LENSES M 14330534 103112 102512 112412 159.00 .00 159.00/ LENSES 14330569 103112 102512 112412 318.00 ,00 318.00'/ SHIPPING CHARGES 14293937 110812 101812 111812 30.00 .00 30.00""- TOTALS.........,............................ .1 507.00 .00 507.00 10554 ALLIED WASTE SERVICES #847 WASTE PICK UP 0847-000475307 110812 102612 111512 1059.60 .00 1059.60 ,/ TOTALS....................................... : 1059.60 .00 1059.60 A1360 AMERISOURCEBERGEN DRUG COR PHARllACEUTICALS 1'1 706667101 110612 110212 112512 267.99 .00 267.99 ../ PHARMACEUTICALS 706667102 110612 110212 112512 67.20 .00 67.20 ,/ PHARMACEUTICALS 706746214 110612 11Q512 112512 89.33 .00 89.33./ PHARllACEUTICALS 706883876 110812 110712 112512 111. 75 .00 111.75/' TOTALS........."........."..............., .: 536.27 .00 536.27 A2218 AQUA BEVERAGE COMPANY 18.42/ SUPPLIES LAB !I 433145 111312 103112 112512 18.42 .00 TOTALS....................................... : 18.42 .00 18.42 B1075 BAXTER HEALTHCARE CORP 318.67 / SUP~LIES CS INV I! 38603969 103112 102612 112512 318.67 ,00 IV PUMPS OLD LEASE 34951804 111412 032612 042512 800.88 ,00 800.88,....- TOTALS..............,.....................,.. : 1119.55 .00 1119.55 B1800 BRIGGS HEALTHCARE OFFICE SUPPLIES COIDIUNICA II 6762864RI 103112 102612 112512 135.96 .00 135.96 ./ TOTALS....................................,.. : 135.96 .00 135.96 C1048 CALHOUN COUNTY VEHICLE INS 1'/ 24227 111212 111212 111212 1212.42 .00 1212.42 V TOTALS........,..................,........... : 1212.42 .00 1212.42 10350 CEN'rURION MEDICAL PRODUCTS SUPPLIES CS INV 91138275 102912 102312 112212 542.10 .00 542.10 .,.....- TOTALS....................................,.. : 542.10 .00 542.10 C2155 COOK MEDICAL INCORPORATED 175,Q9/ SUPPLIES ULTRASOUND V3026179-N 102912 102512 112412 175.09 .00 TOTALS........,..............,............,., : 175.09 .00 175.09 C2510 CPSI STATEMEN'r PROCESSING M 760290 111212 103112 103112 69.60 .00 69.60/ EBOS 760779 111212 103112 103112 293.20 .00 293.20/ OFFICE SUPPLIES PHARMACY 761413 111312 110512 110512 255,20 .00 255.201 TOTALS..,.,......... to.......................J 618,00 .00 618.00 10284 CYTO THEm! L.P. SUPPLIES LAB 283284 103112 102512 112412 295,04 .00 295.04 / TOTALS...... ...........,... ...... I.....'.. ,..1 295.04 .00 295.04 1036B DEWITT POTH & SOM 55.27 / OFFICE SUPPLIES LAB 349363-0 110812 110512 111512 55,27 .00 RUN DA~E: 11/14/12 ~Il1E: Q9.16 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIS~ ~HRU DUE DATE OF 11/27/12 PAGE: 2 APOPEN VENDn.NANE.....,............."..... ,CLS.INVOICEn........ .~RN DT.INV DT.DUE D~.CK DT, .PC...... . GROSS. .. ..DISC..... .NO-PAY....... .NET OFFICE SUPPLIES CS INV 349386-0 110812 110512 111512 320.61 .00 320.61~ OFFICE SUPPLIES NURSE ADM 349394-0 110812 110512 111512 17.3B .00 17.38 OFFICE SUPPLIES CS INV 349398-0 110812 110512 111512 lQ.16 .00 10.16/ OFFICE SUPPLIES WOMENS CL 349432-0 110S12 110612 111512 50.98 ,00 50,98 ,/ SUPPLIES ADI>lIN 349504-0 110812 110612 111512 169.92 ,00 169.92./ OFFTCE SUPPLIES CS INV 349641-0 111212 110712 111512 21.49 .OQ 21.49..-" OFFICE SUPPLIES AP 349797-0 111212 110812 111512 59.95 ,00 59.95 ,/ TOTALS.. ,... ..... II.. ,.............,...... ,..: 705.76 .00 705.76 01752 OLE PAPER & PACKAGING FORMS CS INV W 6821 102912 102312 112212 68.98 .00 68.98v' TOTALS...................... to... ,...........; 68.98 .00 68.98 FII00 FEDERAL EXPRESS CORP, SHIPPING CHARGES W 2-067-91392 110812 110112 111612 12.68 .00 12.6B ./ TOTALS.....................,................ .l 12.68 ,00 12.68 F1100 FISHER HEALTHCARE 916.66/ SUPPLIES LAB II 3144609 103112 102212 112112 916.66 .00 SUPPLIES LAB 3254126 103112 102312 112212 1175.02 .00 1175.02';/ SUPPLIES LAB 3359462 111312 102412 112312 96.27 .00 96.27 ~OTALS............................,.......... : 2187.95 .00 2187.95 1067B FIVl~ STAR STERILIZER SERVI 240.91/ IMS~RWIENT REPAIR SURGERY 2171 111312 110412 111912 240.91 .00 TOTALS...........................,........... , 240.91 .00 240.91 G0120 GE l1EDICAL SYSTEl1S, INFO T 176.28/ SUPPLIES ER 72044242 103012 102512 112412 176,28 .00 TOTALS..........................,............ . 176.28 .00 176.2B 111300 GRAINGER DEPT REPAIR WOMEN CNTR II 9959300774 103112 102412 112312 IB2.20 ,00 182.20 / DEPT REPAIR ICU 9960541440 103112 102512 112412 64.14 ,00 64.14,/ SUl'PLIES ADI>lIN 9961710812 110612 102612 112512 101.84 ,00 101.84 ,/ TOTALS............... to.................... ,.: 348.18 .00 348.18 A1292 GULF COA8T HARDWARE / ACE 15,371 DEPT REPAIR liED SURG 1/ 072114 lQ3112 102412 112312 15.37 .00 SUPPLIES PLANT OPS 072156 lQ3112 102512 112412 18,36 .00 18,36 SUPPLIES PLANT OPS 072157 103112 102512 112412 55.47 .00 55.47/-/ SUPiLIES PLANT OPS 072175 103112 102512 112412 6.9B .00 6.98.J SUPPLIES PLANT OPS 07122B 110812 091312 101212 21.13 .00 21.13 SUPPLIES PLANT OPS 071938 110812 101612 111512 .63 .00 .63 ,/ TOTALS...............................,....... : 117.94 .00 117.94 G1210 GULF COAST PAPER COMPANY 223.261 SUPPLIES HOUSEKEEPING M 474262 102912 102312 112212 223,26 .00 TOTALS......,.,.................,...,........ : 223.26 .00 223.26 H0030 H E BUTT GROCERY / SUPPLIES DIETARY II 439134 103012 102212 112112 133.84 .00 133.84 RUN DATE, 11/14/12 TmE, 09,16 HEHORIAL I1EDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/27/12 PAGE: 3 APOPEN VEND#.lWlE.............., .....,...,. .CLS.INVOICE#....... ..TRN DT.INV DT.DUE DT.CK DT. .PC.,..,. .GROSS.,.. .DISC..... .NO-PAY....... ,NET SUPPLIES DIETARY 442364 103012 102412 112312 18.09 .00 18.09/ SUPPLIES DIETARY 444273 103012 102512 112412 135.30 .00 135.30 ,/ SUPPLIES DIETARY 446421 103012 102612 112512 89.83 .00 89.83 V TOTALS...,................................... : 377.06 ,00 377 . 06 01240 HARVEY OLASCUAGA 30,63/ TRAVEL PHAmIACY Ii 24235 111312 102012 102012 30.63 .00 TOTALS......,..,.....................,....... , 30.63 .00 30.63 10298 HITACHI MEDICAL SYSTEMS 9166.67 ./ SRV CONTRACT 11/25 - 12/2 'PJIN0044421 103012 101512 112512 9166.67 ,00 TOTALS................................."... ., 9166.67 ,00 9166.67 I0950 INFOlAB INC SUPPLIES BLOOD BANK H 3180252 111312 102312 112212 873.42 .OQ 873.42 ::I SUPPLIES lAB 3180253 111312 102312 112212 1410.22 .00 141Q.22 SUPPLIES BLOOD BANK 3180686 111312 102312 112212 420.04 .00 ./ 420.04/ 8UPPLIES lAB 3183277 111312 103112 112712 377 .25 .00 377.25 TOTALS....,..........,......,............... .; 3080.93 .00 3080.93 J0150 J . J HEALTH CARE SYSTEHS, 42.00/ SUPPLIES SURGERY 908847145 103012 102212 112112 42.00 ,00 TOTALS....................................... : 42.00 ,00 42.00 10285 JM~ES A DAHIEL 750.00/ DECEMBER RENT 24223 110812 111512 111512 750.00 .00 TOTALS.................,......,............. .1 750.00 ,00 750.00 10507 JASON AHGLIN 57.72 ./ TRAVEL EXPENSE ADMIN 24231 111312 102212 102212 57.72 .00 TRAVEL EXPENSE ADMIN 24232 111312 102212 102212 185.06 .00 185.06'/ TRAVEL EXPENSE ADMIN 24233 111312 lQ2212 102212 159.84 .00 159.84 TRAVEL EXPENSE ADlUN 24234 111312 110912 110912 57.72 ,00 57.72/ TOTALS..,..,..........................,..... .1 460,34 ,00 460,34 R1070 KEY SURGICAL INC 39.00/ SUPPLIES SURGERY M 472857 102912 102212 112112 39.00 .00 TOTALS............... ..........,..... ,........: 39.00 .OQ 39.00 10141 LAWSON PRODUCTS SUPPLIES DIETARY 9301191254 110812 101912 111812 52,24 .00 52.24/ TOTALS..,........,.......................... .1 52.24 .00 52.24 lQ771 LCA BANK CORPORATION Il0NTLY PAYlIENT OCTOBER 24224 110812 111012 111012 1973.00 .00 1973.00/ SRV CONTRACT Hnl 5220762 110812 110112 111512 2423.33 .00 2423.33 ,/ TOTALS...............................,...... .1 4396.33 .00 4396.33 M2485 MEDRAD INC 1076.641 SUPPLIES CT SCAN 11 139364321 103112 102412 112312 1076.64 .00 TOTALS.....................,................. : 1076.64 .00 1076,64 M3656 MERIDIAH BIOSCIENCE 60.00/ SUPPLIES lAB 744266 103112 102212 112112 60.00 .00 RUN DATE: 11/14/12 Tl!IE: 09:16 ME~IORIAL I~DICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/27/12 PAGE: 4 APOPEN VENDff.NAI1E.,................,........CLS.INVOICEff.........TRN DT.INV DT.DUE DT,CK DT..PC....,..GROSS.,.,.DISC,.,...NO-PAY,...,...NET SUPPLIES LAll 744267 103112 102212 112112 3098.54 .00 3098.54 J TOTALS.......................................: 3158.54 .00 3158.54 N2659 MERRY X-RAY/SQURCEONE HEAL 1497.34/ SUPPLIES VARIOUS . ~l 478957 102912 102512 112412 1497.34 .00 TOTALS.............................."..,.... : 1497.34 .00 1497.34 ~12621 M!IC AUXILIARY GIFT SHOP El~PLOYEE PURCKASE IT 24236 111312 111312 111312 125.54 .00 125.54/ TOTALS...................................... .1 125.54 ,00 125.54 10441 lolMC EllPLOYEE BENEFITS 5419.71/ WEEKLY CLAIHS 18292 110812 110712 110712 5419.71 .00 llEEKLY CLAII~S 18293 110812 110812 110812 20185.90 .00 20185.90 /' llEEKLY CLAIllS 10294 111312 111212 111212 7916.15 ,00 7916.15./ llEEKLY CLAII~S 10297 111312 111312 111312 8038.80 ,00 8038,80./ TOTALS.. ............. .... to..................: 41560.56 ,00 41560.56 10536 lolORRIS & DICKSON CO, LLC PHAJlMACEUTICALS 3963596 110612 110112 112512 321.48 ,00 321.48....- PHARllACEUTICALS 3964527 110612 110112 112512 162.79 .00 162.79/ PHAJlMACEUTICALS 3965187 110612 110112 112512 257.98 .00 257.98/ PllARNCEUTICALS 3965188 110612 110112 112512 108.45 .00 100,45" PHARl'lACEUTICALS 3974915 110612 110512 112512 865,19 ,00 865.19" PHAJlMACEUTICALS 3974916 110612 110512 112512 3247.47 ,00 3247.47/ PHAJ~CEUTICAL CREDIT 8643 110612 110512 112512 -46.07 .00 -46.07 / PHAJlMACEUTICAL CREDIT CI!62276 110612 110512 112512 -,48 .00 -.48 PHARlUlCEUTICALS 3975479 110812 110512 112512 26,26 .OQ 26.26/ PHAJlMACEUTICALS 3979504 110812 110612 112512 780.62 .00 780.62/ PHARllACEUTICALS 3979505 110812 110612 112512 1534.11 .00 1534.11 ./ PHAJlMACEUTICALS 3983335 110812 110712 112512 5.16 .00 5.16) PHAJlMACEUTICALS 3983336 110812 110712 112512 255.25 ,00 255.25 } WEEKLY CLAIIIS 3984354 110812 110712 112512 2360.22 .00 2360.22 PHARllACEUTICALS 3984355 110a12 110712 112512 484.26 .00 ./ 484.26./ SPLITBILL LIC FEE OCTOBER 8950 110812 110612 112512 10QO.00 .00 1000.00./ PHARllACEUTICALS 3987685 111212 110812 112512 6118.14 .OQ 6118.14 PHARllACEUTICALS 3988932 111212 1108t2 112512 229.74 .OQ 229.74/ PHARllACEUTICALS 3988933 111212 110812 112512 1231. 88 ,00 1231. 88 ,/ TOTALS......,.,..,........................... : 18942.45 .00 18942.45 10434 NIHON KOHDEN -./ SUPPLIES ER 773681 102912 102212 112112 93.09 ,00 93.09 TOTALS.......................................: 93.09 .00 93.09 N0402 NlITCB ) CERTIFICATION RENEWAL 24217 110812 110612 110612 35.00 .00 35.00 TOTALS........,............................. .: 35.00 .00 35.00 10008 OIINI-PORT LAVACA 07, L.P. 10320.70 ) DECEMBER RENT 24222 110812 111512 111512 10320.70 .00 TOTALS....,....,............................. : 10320,70 ,00 10320.70 011425 OWENS & MIHOR / SUPPLIES CS INV 2006312 102312 102312 112212 2.00 ,00 2.00 RUM DATE: 11/14/12 TIllE: 09:16 MEMORIAL IlEDICAL CENTER AP OPEN INVOICE LIST THHU DUE DATE OF 11/27/12 PAGE: 5 APOPEN VENDi.NAlIE.,........................ .CLS.INVOICEi........ .TRN DT.INV DT.DUE DT.CK DT. .PC,.... ..GROSS... ..DISC..... .NO-PAY.....,. .NET SUPPLIES SURGERY 20006477 102612 102312 112212 163.85 .00 163,85 "/ SUPPLIES CS INV 2006167 102612 102312 112212 13.28 .00 13.28 SUPPLIES CS INV 2006177 1Q2612 102312 112212 51,26 .00 51. 261 SUPPLIES ANESTHESIA 2006194 102612 102312 112212 31,58 .00 31. 58 SUPPLIES SURGERY 2006199 102612 102312 112212 254.27 .00 254.27] SUPPLIES CS IN 2006201 102612 102312 112212 174.01 .00 174.01 ') SUPPLIES VARIOUS 2006534 102612 102312 112212 3137.40 .00 3137.40/ SUPPLIES PACU 2006734 102912 102412 112312 11.12 .00 11,12 SUPi'LIES CS INV 2006746 102912 102412 112312 210.80 .00 210.80 ./ SUPPLIES VARIOUS 2006784 102912 102412 112312 11.44 .00 11.44 / SUPPLIES CS INV 2006786 102912 102412 112312 116.10 .00 116.10/ SUPPLIES CS INV 2006868 102912 102412 112312 37.20 .00 37.20 ./ SUPPLIES VARIOUS 2006903 102912 102412 112312 82.67 .00 82,67/ SUPPLIES CS INV 2006983 102912 102412 112312 3.06 .00 3.06./ SUPPLIES VARIOUS 2007794 102912 102512 112412 1353.78 .00 1353,78 /' SUPPLIES CS INV CREDIT 2001092 110812 101112 111212 -1.14 .00 -1.14 /' SUPPLIES CS INV CREDIT 2012444 110812 110612 110612 -301.92 .00 -301. 92 ~ SUPPLIES VARIOUS 28803 110812 100912 110812 2903,61 .00 2903,61'/ TOTALS.."...........................,....... : 8254.37 .00 8254.37 P1100 PC CONNECTION SALES CORP SUPPLIES SURGBRY M 49613495 103112 102612 112512 182.32 .00 182.32'/ TOTALS..... .............,...... I....... ... ,. II 182.32 .00 182.32 10032 PHILIPS HEALTRCARE INSTRUMENT REPAIR OB 924992077 102312 102312 112212 180,60 ,QO 180.60""'- TOTALS....,.......,.......................... : 180.60 ,00 180.60 10541 PLATINUlI CODE SUPPLIES LAB 150454 103112 102312 112212 134.02 .00 134.02/ TOTALS....................................... : 134.02 .00 134,02 10629 QUEST DIAGNOSTICS OUTSIDE SRV 9145734590 103112 102612 112512 251.75 .00 251. 75 ,/ TO'1'ALS........ ...............................; 251. 75 .00 251.75 R1045 R & D BATTERIES INC 139.36 / INSTRUl1ENT REPAIR CARDIO II 1007496 102912 102212 112112 139.36 .00 SUPPLIES OB 1008610 103112 102612 112612 69.93 .00 69.93/ TOTALS,.................,............,.... ...: 209.29 .00 209.29 R1268 RADIOLOGY UNLINITED, PA READING FEES W 24218 110812 110112 110112 135.00 .00 135,00""'- READING FEES 24219 110812 110112 110112 5425.00 ,QO 5425,00/ READING FEES 24225 110812 083112 110812 315.00 .QO 315.00 ./ CALCUIN SCORE FEE 24228 111212 092712 111212 25,00 ,00 25.00./ READING FEES 24229 111212 092712 111212 360.00 .00 360.00./ TOTALS............,...,....,................. : 6260.00 .00 6260.00 R1471 RESPIRONICS, INC. ./ OIINI LAB RENTAL 7/28 - 10 N 916811482 103112 102712 112612 179.88 .00 179.88 RUN DATE. 11/14/12 TIME: 09:16 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11127/12 PAGE. 6 APOPEN VEND#,N/.)!E........,...,............ ..CLS.INVOICE#......., ,TRN D'r.INV D'r,DUE DT,CK DT..PC....., .GROSS.... .DISC..... ,NO-PAy...... ..NET TOTALS.......................................: 179.88 .00 179.88 10683 SHERRON LAlIINACK, RTAIRTC PROPERTY TAX 24237 111312 111312 111312 12.54 .00 12.54./ TOTALS....................................... : 12.54 .00 12.54 S1800 SHERWIN WILLIAMS / DEPT REPAIR MEDSURG2 W 3034-6 103112 102312 112212 61. 03 ,00 61.03 TOTALS....................................... : 61.03 ,00 61.03 D0350 SIEMENS HEALTHCARE DIAGNOS 3244.94 / INVENTORY LAB M 971457012 111312 102612 112512 3244.94 .00 TOTALS....................................... : 3244.94 ,00 3244.94 S3940 STERIS CORPORATION ,/ INSTRUl!ENT REPAIR SURGERY M 4446056 110612 102612 112512 108,90 .00 108.90 'I'OTALS. to... to.... to.. to...... to... 10.... to..: 108.90 ,00 108.90 S2951 SYSCO FOOD SERVICES OF 33.36 ) SUPPLIES DIETARY N 209202822 110812 092012 101012 33.36 .00 TOTALS....................................... : 33.36 .00 33.36 T2230 TEXAS WIRED IlUSIC IOC 7:3.1.5' I!USIC SRV W A696165 110812 110112 110112 59.95 .00 0\- 59:95- _ TOTALS....................................... : 59.95 .00 -*-*' I 33, 'tt> S2679 THE ST JOHN COMPANIES, IMC SUPFLIES CS IN N 07994252 103112 102412 112312 132.18 .00 132.18/ OFFICE SUPPLIES PHARMACY 07995492 103112 102512 112412 73.94 .00 73.94/ SUPPLIES CS INV 07996706 103112 102612 112512 205.00 .00 205.00 ./ TOTALS........... 0............................: 411.12 .00 411.12 Vl050 THE VICTORIA ADVOCATE WEEKLY SUBSCRIPTION W 934707 110812 100612 110512 12.40 .00 12.40 ./ WEEKLY SUBSCRIPTION 935167 110812 101312 111212 12.40 .00 12.40/ WEEKLY SUBSCRIPTION 937999 110812 102012 111912 12.40 ,00 12,40-' WEEKLY SUBSCRIPTION 938727 110812 102712 112612 12.40 .00 12.40/ TOTALS..............,........................ : 49.60 .00 49,60 10192 THIE 4118.00/ INSURANCE PREMIUl~S 24221 110812 111512 112712 4118.00 .00 TOTALS....................................., .. 4118.00 .00 4118.00 T2250 THYSSENKRUPP ELEVATOR CORP ELEVATOR llAINTENANCE PLAN M 30000289482 110812 110112 110112 1012,98 .00 1012.98./ TOTALS............,. t...,.".....,.."'.. 0" or 1012,98 ,00 1012.98 T0801 TLC STAFFING 450.43/ CONTRAC'r NURSE W 10713 102612 102312 112212 450,43 .00 'l'OTALSo. 0.0...0.0. t. 0'.. 0 0.. t. 0 0.0.0000...'00 ,: 450.43 .00 450.43 T1724 TOSHIBA AMERICA I!EDICAL SY ) SRV CONTRACT 11/20 - 12/1 10028949 111212 102212 112112 9874.50 .00 9874.50 RUN DATE. 11/14/12 TIME. 09.16 MEMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 11/27/12 PAGE. 7 APOPEN' VEND#.N~re.,.........................CLS.INVOICE#..."....TRN DT.INV DT.DUE DT.CK DT..PC,......GROSS.....DISC......NO-PAY..,.....NET P2190 U S POSTAL SERVICE POSTAGE UI0S4 UNIFIRST HOLDINGS LAUNDRY MAINTENANCE UI064 UNIl'IRST HOLDINGS INC LAUNDRY HOSPITAL LINEN LAUNDRY HOUSEKEEPING LAUNDRY PLAZA LAUNDRY DIETARY LAUNDRY OB LAUNDRY HOUSEKEEPING LAUNDRY HOSPITAL LINEN LAUNDRY SURGERY UI0S6 UNIFORM ADVAN'l'AGE EMPLOYEE PURCHASE 10172 US FOOD SERVICE SUPPLIES DIETARY SUPPLIES DIETARY SUPPLIES DIETARY VOS55 VERIZON SOUTHWEST TELEPHONE TELEPHONES TOTALS... ,.0.... to.... .......................: IMP 24220 110812 111512 111512 TOTALS...................................... .. w 8150588033 102312 102312 112212 TOTALS...................................... .: 8400134459 102312 102312 112212 8400134460 102312 102312 112212 8400134461 102312 102312 112212 8400134462 102312 102312 112212 8400134463 102312 102312 112212 8400134464 102312 102312 112212 8400134693 102312 102612 112512 8400134694 102312 102612 112512 TOTALS........................................ W 4659577 110612 102212 112312 TOTALS....................... ........ ..... .... 3544966 3551963 3671619 110812 102612 111512 110812 102612 111512 111212 110212 112012 TOTALS....................................... : M 5520220102812 110612 102812 112212 5523521110112 111312 110112 112612 TOTALS............. ........................... GRAND TOTALS........................... ...,... APPROVED ~\I 1 4 2012 callN'f'l AUDITOR C'-KS.i:l \ 5 C> 7/3 -t-c> ~ \.%7<6'2- 9874.50 1000.00 1000.00 35.91 35.91 811. 78 182.19 167.43 173,07 86.70 93.87 786.84 348.59 2650.47 203.89 203.89 169.44 60.42 66,47 296.33 106.72 42.45 149,17 144931.80 .00 9874.50 .00 lQOO.OO / .00 1000.00 .00 35.91/ .00 35.91 .00 811.78 / .00 182.19/ .00 167.43/ ,00 173.07 ....- .00 86.70""- .00 93.87/ .00 786.84/ .00 348.59/ ,00 2650.47 .00 203.89 ,/ .00 203.89 / .00 169,44 ,00 60,42/ ,00 66,47/ .00 296.33 .00 106.72 ./ .00 42.45 ....- .00 149.17 .00 144931. 80 -I- '17>.'l'f> \'-\'5) 00 '5.15 ~J9ff1 Michael J, Pfeifer Calhoun County Judge Date:_~ RUN DATE: 11/14/12 TIME: 09.42 MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID-OOOl PAGE 1 APCDEDIT PATIENT NUMBER PAYEE NAME DATE ----------------------------------..-------..-------~~;;~;-------;~~:;;-:r--------.--------..-------..-.----------....-.------------ PAY PAT AMOUNT CODE TYPE DESCRIPTION 110812 203.001 111412 100.00/ 111412 50.00/ 111412 48.82 .I 110812 1123.981 111412 37.78/ 110812 978.70/ 110812 131.14/ 111412 129.94./ 111412 100,00 .I 111412 132.84 j 110812 91.30 / 116.94/ 79,07 / 137.45/ 81.10 / GL NUN RUN DATE. 11/14/12 TIME. 09:42 IIEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID,OOOl PAGE 2 APCDEDIT PATIENT NUMBER PAYEE NAME DATE -------_.__.._-----_..._-_...._-_..._-----_.._.._---~~~~~;--_...._;;:~~.ji.._-_.._-----_.._----_.._------_._-----...------...------- PAY PAT l\MOUNT CODE TYPE DESCRIPTION 110812 554.52 ) 89.20 / 230.85/ 153.82 / 155.02/ 204.981 57.80/ 136.80 / 101.20 / ARID,OOOl TOTAL 103.23 I 177.40.1 77.80/ 5900.73 GL MUM ~~~~_MM_______M_____________~_________________________-------------------------------------------------------------.---------------- TOTAL ~~-\-~ \ \~':"<.'~e\' Michael,.. c "" '. , ~ C'~lho~n COL\r,,\t\f J\.Idgb CO.l.l, /': ..I" _' Date: APPROVED NOV 14 2012 COUNT'! AUDiTOR 5900.73 c.J~.s !sS / ;: () 7g.3 -r-O di ISo 'is / ;z.. VOIDs ";.!lSD72\{ .j,l. I~D tfc I ./;/ 1::>0'/(,,7... , RUN DATE: 11/20/12 TIME: 10.07 ~IE~IORIAL I~EDICAL CEN'rER AP OPEN INVOICE LIST THRU DUE DATE OF 12/04/12 PAGE: 1 APOPEN VEND#,NAIIr"..........................CLS,INVOICE#......, ..TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO-PAY........NET 10659 AABB MEMBERSHIP DUES 24242 llQ612 111912 111912 118.00 .00 118.00 / TOTALS....................................... : 118.00 .00 118.00 A1790 AFLAC ONLINE BILLING CHECK REm w 069626 111512 111512 120112 3148,69 .00 3148.69/ TOTALS......... '0< to....... to.... to..........l 3148.69 .00 3148.69 A1680 AIRGAS-SOUTHVIEST 1761,63/ I~EDICAL GAS 1,1 9009861112 111212 103112 113012 1761.63 .00 SUPPLIES PLANT OPS 9905111916 111512 103112 113012 187.90 .00 187,90'/ SUPPLIES PLANT OPS 9905111917 111512 103112 113012 470.54 .00 470,54....- TOTALS............... .......... to. to. to to.. '.': 2420.07 .00 2420,07 A0777 ANDERSON CONSULTATION SERV 2531.56 ./ COLLECTIONS W NlIC110512 111612 110512 120412 2531.56 .00 TOTALS................,....,..,..,.........., : 2531. 56 .00 2531.56 A2218 AQUA BEVERAGE COI!PANY 10.17 ./ OUTSIDE SRV WOMEN CLINIC M 439237 l1Q612 110212 120112 10.17 .00 TOTALS...... .............,.....,.........,...: 10.17 .00 10.17 A2276 ARTHROCARE MEDICAL CORPORA SUPPLIES SURGERY I! 981047645 111212 110512 120412 221,70 .00 221.70/ TOTALS................................,.... ... 221,70 .00 221.70 10719 AUSTIN MEDICAL PRACTICE 2016.10 ./ OUTSIDE SRV WOMEN CLINIC 4776 111512 110612 112112 2016.10 .00 TOTALS.................,..................... : 2016.10 .00 2016,10 A2600 AUTO PARTS & IlACHINE CO, SUPPLIES PLANT OPS W 659915 103112 103112 113012 47,88 .00 47.88 ./ TOTALS................".....,......,........ : 47.88 .00 47.88 Bl075 BAX~ER HEALTHCARE CORP SUUPLIES CS INV M 38645874 111212 110212 12Ql12 468.61 .00 468.61/ LEASE IV PUMPS 11/1 - 12/ 38651570 111312 110212 120112 190.50 .00 190.50./ LEASE IV PUMPS 11/1 - 12/ 68650836 111312 110212 120112 2767.00 .00 2767.00 ,../ LEASE INFUSOR 37096823 111512 041112 051012 36.95 .00 36.95..... LEASE INFUSOR P~IP 37288044 111512 050712 060612 36.95 .00 36.95..... LEASE INFUSOR P~IP 37542787 111512 060712 070612 36,95 .00 36.95.... LEASE INFUSOR PUlIP 37803068 111512 070912 080812 36.95 .00 36.95..... LEASE INFUSOR P~IP 38005939 111512 080712 090612 36.95 .00 36.95..-" LEASE INFUSOR PUMP 38261447 111512 090712 100612 36.95 .00 36.9V LEASE INFUSOR PUMP 38716268 111612 100812 110712 36.95 .00 36.95.... LEASE INFUSOR PUlIP 38493163 111912 100912 110812 36.95 .00 36.95.......... TOTALS..,........,.....................,..... : 3721. 71 .00 3721.71 B1220 BEC~UUi COULTER INC SHIPPING CHG CREDIT M 103024820 110612 072612 120112 -695.57 ,00 -695.57 ,/ SUPPLIES LAB 103176816 110612 110212 12Q212 17564.47 .00 17564.47 / RUN DATEI 11/20/12 TIllE 1 10,07 11EMORIAL MEDICAL CENTER AP OPEM INVOICE LIST THRU DUE DATE OF 12/04/12 PAGE' 2 APOPEN VEMD#.MAIIE.......................... .CLS.INVOICE#........ .TRM DT.INV DT.DUE DT.CK DT. .PC...... ,GROSS.... .DISC..... .NO-PAY....... . NET SUPPLIES LAB 1Q3169011 111312 102912 112812 535.51 .00 535.51 ,/ SUPPLIES LAB 103177155 111312 110212 120212 683.60 .00 683.60 ,/ SUPPLIES LAB 103177345 111312 110212 120212 601.50 .00 601.50'~ LEASE/~~INTEMAMCE 5281058 111312 103112 113012 5382.13 .00 5382.13 - SUPPLIES LAB 103176672 112012 110512 120212 4704.40 .00 4704.40 - SUPPLIES LAB 103178251 112012 110512 120412 38.70 .00 38.70 ./ TOTALS....................,................. ., 28814.74 .00 28814,74 B1655 BOSTON SCIENTIFIC CORPORAT 181.00/ SUPPLIES SURGERY I! 9344443790 103112 103012 112912 181.00 .00 SUPPLIES SURGERY 934457971 110612 103112 113012 454.00 .00 454.00 v' TOTALS...................... to...............: 635.00 .00 635.00 B0437 C R BARD INC SUPPLIES SURGERY I! 61083778 111212 110512 120412 731. 30 .00 731,30 ,/ SUPPLIES CS INV 43647031 111512 102912 112812 216.75 .00 216,75....-'" SUPPLIES SURGERY CREDIT 09311395 112012 071312 081312 -548.70 ,00 -548.70 ../ TOTALS............ ..................,.... ....1 399,35 .00 399.35 Cl030 CAL CON FEDERAL CREDIT UNI EMPLOYEE DEDUCTION II 18299 111912 111912 111912 25.00 .00 25.00......- TOTALS..,....,.........,...........,...,.... .1 25.00 .00 25.00 C1390 CENTRAL DRUGS PHARI~CEUTICALS Ii 24239 111512 103112 111512 156,00 .00 156.00"/ TOTALS.."..."................,............ .1 156.00 .OQ 156.00 10350 CENTURION MEDICAL PRODUCTS SUPPLIES CS INV 91142159 110612 102912 112812 494.68 .00 494.68 ,/ SUPPLIES CS INV 91143743 111512 103112 113012 845.77 .00 845.77 ........- TOTALS........,........................,.... ., 1340.45 .00 1340.45 10661 CENTURYLINK TELEPHONE 1235968428 111512 110312 120312 254.70 .00 254.70 ./ TOTALS..................,.................,.. : 254,70 .00 254.70 C2510 CPSI 124.80/ SUPPLIES ACCT I! 762410 111912 111212 111212 124.80 .00 TOTALS.....................,.....,..,..,..... : 124.80 .00 124.80 C1443 CYGNUS ~IEDICAL LLC SUPPLIES SURGERY M 86055 111312 110212 120212 229.00 .00 229.00 ,/ TOTALS...,.,..,...............,.............. : 229.00 .00 229.00 10766 DAVIS & liRIGHT, PC 912.00/ LEGAL SERVICES 130476 111512 093012 103012 912.00 .00 TOTALS......................"............,. " 912.00 .00 912.00 D1530 DIEBEL OIL CO IMC GASOLINES II 24216 110612 103112 120112 166,40 .00 166.40 ./ TOTALS...................................... .1 166,40 .00 166.40 D1752 DLE PAPEH & PACKAGING 79.98/ FOJUllS PFS Ii 6834 110612 110212 120112 79.98 .00 RUN DATE: 11/20/12 TIllE: 10:07 HEHORIAL HEDICAL CEHTER, AP OPEN INVOICE LIST THRU DUE DATE OF 12/04/12 PAGE: 3 APOPEN VEND#.Nl\IIE... ,.....,.........,..... ..CLS.INVOICE#.....,. ..TRN DT.INV DT,DUE DT.CK DT. .PC..... ..GROSS.... .DISC.,.,. ,NO-PAy,...." . NET TOTALS....................................... : 79.98 .00 79.98 10175 DSHS CEHTRAL LAB HC2004 22.50 ..-/ OUTSIDE SRV LAB 24243 112012 110212 120112 22,50 .00 TOTALS.................,.......,............. : 22,50 .00 22.50 D1785 DYNATROHlCS CORPORATION SUPPLIES PT 628690 111212 110512 120412 144,60 .00 144.60/ TOTALS.....,.,..,.........,................., : 144.60 .00 144.60 10417 EHTRUST INSURANCE & BENEFI 14341.4~ ,-/ INSURANCE EN023426 111512 110112 110112 14341.40 .00 TOTALS.,...................................., : 14341.40 .00 14341.40 10689 FASTHEALTH CORPORATION 495.00/ I!OHTHLY INVOICE NOVEMBER llA121IMC 111312 110112 113012 495,00 .00 TOTALS................. I....... ... to.........: 495,00 .00 495.00 F1400 FIS,gR HEALTHCARE 837.98/ SUPPLIES LAB 11 4150978 110612 110712 120412 837.98 .00 SUPPLIES LAB 4317336 110612 110812 110712 706.86 .QO 706.86 ./ SUPPLIES LAB 3692024 111312 103012 112912 252.82 .00 252.82/' SUPPLIES LAB 3752383 111312 103112 113012 802.92 .00 802.92/ SUPPLIES LAB 3877565 111312 110212 120112 621.34 .00 621.34.-/ SUPPLIES LAB 3946759 111312 110512 120412 700.50 .00 700.50 ./ TOTALS........,....,..,....................., I 3922.42 ,00 3922.42 F1653 FORT BEND SERVICES, INC 495.00/ SRV COHTRACT PLAIl'f OPS 0178116-IN 110812 110112 113012 495,00 .00 TOTALS...................,................... : 495,00 .00 495.00 lU300 GRAINGER DEPT REPAIR ADIIIN 11 9964873666 110612 103112 113012 14.81 .00 14,81; DEPT REPAIR SURGERY 9965577043 110612 103112 113012 58.55 .00 58,55 DEPT REPAIR ICU 9965937551 111212 110112 120112 120.64 .00 120.64/' TOTALS.............. .......... to>.. to..... ,.,: 194.00 .00 194.00 A1292 GULF COAST HARDy/ARE / ACE 4029/ SUPPLIES BIOHED W 072270 103112 103012 112912 4.29 .00 DEPT REPAIR liED SURG 072290 103112 103112 113012 10.96 .00 10.96/ TOTALS.................. ...... II... ....... II.: 15.25 .00 15.25 G1nO GULF COAST PAPER COIIPANY SUPPLIES HOUSEKEEPING II 477827 103112 103012 112912 93.64 .00 93.64 ,/ SUPPLIES HOUSEKEEPING 477830 103112 103012 112912 353.80 .00 353,80/ SUPPLIES HOUSEKEEPING 477839 103112 103012 112912 133.97 .00 133,97/ TOTALS....:....,.,.................."..,..... : 581.41 .00 581.41 H0030 H E BUTT GROCERY SUPPLIES DIETARY 14 453052 103112 103012 112912 96.52 .00 96.52 '/ SUPPLIES COHTEST 454691 103112 103112 113012 39.68 .00 39.68 RUN DA~E, 11/20/12 ~Il1E, 10,07 l1E110RIAL l1EOlCAL CENTER AP OPEN INVOICE LIS~ ~HRU DUE DA~E OF 12/04/12 PAGE: 4 APOPEN VEND#,N1l}IE....,................... ...CLS.INVOICE#........ .~RN D~,INV D~.DUE DT.CK D~..PC."., ..GROSS.... .DISC,.... ,NO-PAy.....,. .NE~ SUFPLIES CONTES~ CREOI~ 455355 103112 103112 113012 -22.32 .00 -22.32 ./ SUPPLIES DIE~ARY 456590 110612 110112 113012 207.31 .00 207.31 J TOTALS.. ........ ,.........0... ....... ......,.: 321.19 .00 321,19 10334 HEAL~H CARE LOGIS~ICS INC 21.29 ./ SUPPLIES WONEN CLINIC 4599231 110612 102912 112812 21. 29 .00 TOTALS....... ................................; 21.29 .00 21. 29 10415 INDEPENDENCE l1EDICAL SUPPLIES CS INV 27458845 110612 102912 112812 31.99 ,00 31. 99 ./ TOTALS............................,.......... : 31.99 ,00 31.99 10950 INFOLAB INC 1382.75 ./ SUPPLIES LAB ~I 3185206 111312 110512 120412 1382.75 .00 ~OTALS...................................... .1 1382.75 .00 1382.75 10736 INTEGRA~ED CO~IERCIALIZA~I ./ Pl!ARNACEU~ICALS 15011000517 110812 102912 112812 740.00 .00 740.00 ~O~ALS..,......,............................ .1 740.00 .00 740.00 J0150 J & J HEAlIrH CARE SYS~El~S, 548.86/ SUPPLIES SURGERY 908887261 110612 102912 112812 548.86 .00 SUPPLIES SURGERY 908821986 112012 101712 111612 295.97 .00 295.97 / TOTALS....................................... : 844.83 .00 844.83 L0700 LABCORP OF Al~ERlCA HOLDING OU~SIDE SRV LAB M 39185730 111312 110312 120212 41.50 .00 41. 50 r' OU~SIDE SRV LAB 39247016 111312 110312 120212 41.40 .00 41. 40 ./ ~OTALS..................................... ..I 82.90 .00 82.90 L1288 LANGUAGE LINE SERVICES INTERPRETATION W 3038117 110612 103112 113012 43.40 .00 43.40 / TOTALS................ ..................,..,.: 43.40 .00 43.40 10609 LASHLEY SOUTH ~EXAS LLC SUPPLIES PLANT OPS 197748-000 111512 110512 120412 175.00 .OQ 175.00/ ~OTALS.............,...,..............,.,.... : 175.00 .00 175.00 M1511 ~U\RKE~LAB, INC SUPPLIES LAB W M691951 111512 103012 112912 1997.11 .00 1997.11 ./ TOTALS.. ..... ... ,........ to..................: 1997.11 .00 1997.11 !U500 IIAlU\S PLUMBING PAR~S SUPPLIES PLANT OPS M 1159872 111912 100912 110812 95.68 .00 95.68/ TOTALS...................................,... , 95.68 .00 95.68 H2320 HEDlBADGE 97.79/ SUPPLIES ER M 559323 111512 110812 111812 97.79 .00 TOTALS.............,...,.......,............. , 97.79 .00 97.79 H2827 MEDIVA~ORS / SUPPLIES SURGERY M 1470867 110612 103012 112912 186.00 .00 186,00 RUN DATE: 11/20/12 TI!IE: 10107 I~EMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUS OATS OF 12/04/12 PAGE: 5 APOPEN VSNDn.NAl4E.....................,... ..CLS.INVOICE#....,... .TRN DT.INV DT.DUE DT.CK DT. .PC...... . GROSS. ... .DISC..... .NO-PAY....... .NET TOTALS.....,.................,.,............ .1 186.0Q .00 186,00 M2550 MELSTAN, INC. 230.40 ~ SUPPLIES LAWN II 1259300 111512 110212 120112 230.40 .00 SUPPLIES LA~IN 1259388 111512 110812 120112 151.90 .00 151.90 TOTALS..,..,............................... ..I 382.30 .00 382,30 M2659 MERRY X-RAY/SOURCEONE HEAL / SUPPLIES RADIOLOGY H 478990 110812 110212 120112 359.78 .00 359.78 TOTALS................................,...... , 359.78 .00 359.78 H2650 IIETLIFE INSURANCE ~I 18296 111512 110112 110112 258,52 .00 258.52 .....- TOTALS.............................. .........1 258.52 .00 258.52 M2685 IIICROTEK NEDICAL INC SUPPLIES CS INV I! 2974241 111512 103012 112912 223.66 .00 223.66 v' SUPPLIES CS INV CREDIT 2598249 112012 050911 060811 -199.06 .00 -199.06 ,/ TOTALS..................................... ..1 24.60 .00 24.60 10441 IIMC ENPLOYEE BENEFITS 7876.63/ lIEEKLY CLAIMS 18298 111612 111512 111512 7876.63 .00 TOTALS..,........................,.......... .1 7876.63 .00 7876.63 10536 1I0RRIS I< DICKSON CO, LLC -50.59 ,/ PHAmlACEUTICAL CREDIT 0123 111512 111312 112512 -58.59 .00 PHAm'lACEUTICALS 3992265 111512 110912 112512 3550.41 .00 3550.41 ;: PllARllACEUTICALS 3998818 111512 111212 112512 3557,96 .00 3557.96 PHAmlACEUTICAL 4003402 111512 111312 112512 4613,51 .00 4613.511' PHAmlACEUTICALS 4003403 111512 111312 112512 5115,24 .00 5115.24/ PHAmlACEUTICALS 4008562 111512 111412 112512 872,15 .00 872.15 PHAmlACEUTICALS 4008563 111512 111412 112512 1951. 32 .00 1951.32:/ PHAmlACEUTICAL CREDIT 9784 111512 111312 112512 -1449.42 .00 -1449.42/ PHAmlACEUTICALS 4014631 111912 111512 112512 25.70 .00 25.70 PHAmlACEUTICALS 4014632 111912 111512 112512 1105.00 .00 1105.00 -::::- PHAmlACEUTICALS 4014960 111912 111512 112512 170.10 .00 170.10 TOTALS..,..,............................... ..I 19453.38 .00 19453.38 113866 MUSTAIN I< ASSOCIATES ,/ COLLECTIONS 1'1 SEPT2012 110812 110512 113012 384.64 .00 384.64 TOTALS...................................... .1 384,64 .00 384.64 01410 ON-SITE TESTING SPECIALIST 184.65/ SUPPLIES LAB II 14793 112012 102912 112012 184.65 .00 TOTALS...................................... .1 184.65 .00 184.65 ON425 O~~NS I< MINOR 193.44 / SUPPLIES CS INV 2009274 103112 103012 112912 193.44 .00 SUPPLIES IIED5URG 2009312 103112 103012 112912 2.97 .00 2.97/ SUPPLIES SURGERY 2009512 103112 103012 112912 1344.96 .00 1344,96/ SUPPLIES VARIOUS 2009528 103112 103012 112912 2248,27 .00 2248.27 / RUN DATE: 11/20/12 TIME, 10,07 MEl!ORIAL ~lEDICAL CEN'rER AP OPEN INVOICE LIST THRU DUE DATE OF 12/04/12 PAGE: 6 APOPEN VEND#.NAllE,..........,.....,.........CLS.INVOICE#......,..TRE DT.INV DT.DUE DT,CK DT..PC......,GROSS.....DISC.,...,l!O.PAY,..,....NET SUPPLIES CS INV 2009778 110612 103112 113012 126.01 .00 126.01/ SUPPLIES SURGERY 2009834 110612 103112 113012 234.49 .00 234.4 9 ./ SUm,IES CS INV 2009839 110612 103112 113012 10.60 .00 10.60/ SUPPLIES CS INV 2009985 110612 103112 113012 35.61 .00 35.61/ SUPPLIES SURGERY 2010407 110612 103112 113012 267.48 .00 267.48/ SUPPLIES VARIOUS 2010408 110612 103112 113012 1548.06 .00 1548.06 ..--- SUPPLIES CS INV 2009777 111212 103112 113012 21.28 .00 21.28 ..--- TOTALS...........................,.,......... : 6033.17 .00 6033.17 10032 PHILIPS HEALTHCARE INSTRUllENT REPAIR ICU 925021822 110612 103012 112912 634. 00 .00 634.00 -- TOTALS..........,.........................,.. , 634.00 .OQ 634.00 P2100 PORT LAVACA WAVE ADVERTISING W 234 111612 103112 113012 1311.00 .00 1311. 00 ---- TOTALS...... to.............. II... ............1 1311.00 .00 1311.00 P2200 POWER ELECTRIC DEPT REPAIR HEDSURG IV 161093 103112 103112 113012 1.98 .00 1.98 ..--- DEPT REPAIR l!EDSURG 161094 103112 103112 113012 1.98 .00 1. 98 ---- SUPi'LIES BIOIlED 161097 103112 103112 113012 20.09 .00 20.09 - TOTALS................,..,................... , 24.05 .00 24.05 P1725 PREHIER SLEEP DISORDERS CE SLEEP STUDIES l! 18.2012 103112 110112 113012 1450.00 .00 1450,00/ TOTALS.......................,...,.....,..... , 145Q.00 .00 4450.00 Rl045 R & D BATTERIES INC INSTRUlIENT REPAIR SURGERY l! 1009138 110612 103012 112912 28.00 .00 28.00/ TOTALS...............................,....... , 28.00 .00 28.00 RI050 R G & ASSOCIATES INC SALT DELIVERY l! 207275 110612 110112 113012 262.40 .00 262.40/ SALT DELIVERY PLANT OPS 026354 110812 102912 112812 262.40 .00 262.40/ SALT DELIVERY PLANT OPS 026764 110812 102912 112812 270.60 .00 / 270.60 ./ SALT DELIVERY PLANT OPS 205638 110812 102912 112812 246.00 .00 246.00 lIIXED BED EVC PLANT OPS 207006 110812 102912 112812 31.50 ,00 31.50/ TOTALS....................................... : 1072.90 .00 1072.90 R1321 RECEIVABLE I!ANAGE1!ENT, INC COLLECTIONS I, OCT2012PFS 110B12 110712 113012 1135.62 .00 1135.62/ COLLECTIONS SEPT2012PFS 110812 110712 113012 356.21 .00 356.21/ TOTALS............. ........ I........, II II....: 1491. B3 .00 1491.03 10645 REVISTA ae VICTORIA ADVERTISING 11201229 111512 111212 112612 375.00 .00 375.00/ TOTALS....................................... ; 375.00 .00 375.00 S1200 SEARS 29.99 ./ SUPPLIES BIOllED H T158674 111312 110512 113012 29.99 .00 TOTALS.......................... '.............: 29.99 .00 29.99 S1800 SHERlr.tN IVILLIAHS ./ DEPT REPAIR MED SURG 1'1 3278-9 111312 103012 112912 58.49 .00 58.49 RUN DATE. 11/20/12 TIllE. 10.07 MEMORIAL MEDICAL CENtER AP OPEN INVOICE LIST THRU DUE DATE OF 12/04/12 PAGE: 7 APOPEN VEND#.NAME,..,....,....,.........,."CLS.INVOICE#.....,...TRN DT.INV DT.DUE DT,CK DT.,PC.......GROSS.....DISC.,....NO-PAY.,......NET DEPT REPAIR MED SURG 10672 SIE~ENS INDUSTRY, INC. l'lAINtENANCE LAB 8/1 . 8/3 MAINtENANCE LAB 9/1-9/30 MAINtENANCE LAB 1011 - 10 14AINtENANCE LAB 11/1 . 11 S2001 SIEMENS MEDICAL SOLUTIONS SRV CONTRACT 10/30 - 11/2 M S2400 SO TEX BLOOD << TISSUE CENt BLOOD BANK CREDIT M SUPPLIES BLOOD BANK S2548 SOUTHWEST TEXAS EQUIPlreNt DEPT REPAIR ER M S2694 STANFORD VACUUN SERVICE GREASE TRAP PUMPLED S3960 STERICYCLE, INC RECYCLING ENVIRONl4ENt SRV S2830 STRYKER SALES CORP SUPPLIES SURGERY C2299 SUDDENLINK MEDIA ADVERTISING 1011 - 10/22 S2951 SYSC~ FOOD SERVICES OF SUPPLIES DIETARY T2539 T-SYSTEM, INC. MONtHLY SRV ER T0500 TEM4 REHAB INtERIM BILLING M2336 TERESA MILLER TRAVEL EXPENSE ER 3338-1 111312 103112 113012 TOTALS,.................,..............,..... · 900975338 111312 103112 113012 900975339 111312 103112 113012 900975340 111312 103112 113012 900979840 111312 110112 113012 TOTALS...................................... .1 95756143 111212 lQ3012 112912 TOTALS....................................,.. : 20124810 20124962 111312 110212 120112 111312 110212 120112 TOTALS.................o...... to.............t 1086108 111512 110212 120112 TOTALS........ 10.. .............. ....... to.. ..t M 787562 110612 110212 120112 TOTALS.. I...... I.............................: 4003759509 110812 103112 113012 TOTALS........,.............................. . M 382047A 110612 103012 112912 TOTALS..............................,........ . INV-517836 110612 103012 112912 TOTALS...........,......,........,........,.. . M 211080864 111212 110812 112812 TOTALS..,...........................,.,...... , W 205EV26273 110612 103112 113012 TOTALS........,...............,.............. . W 24241 111912 111912 111912 TOTALS....................................... . 24236 111312 102312 112212 58.49 116.98 131.41 131.41 131. 41 131.41 525.64 697.58 697.58 -2958.00 7127.00 4169.00 45.04 45.04 320.00 320.00 619.27 619.27 514.79 514.79 120.00 120.00 1064.62 1064.62 4107.00 4107.00 15000.00 15000.00 38.36 .00 58.49/ .00 116.98 .00 131.41 / ,00 131.41 /' .00 131.41/ .00 131.41 ./ .00 525.64 .00 697.58 / .00 697.58 .00 .2958.00 " .00 7127.00 ./ .00 4169.00 .00 45.04/' .00 45.04 .00 320.00/ .00 320.00 .00 619.27/ .00 619.27 .00 514.79/ .00 514.79 ,00 120.00/ ,00 120.00 .00 1064.62/ .00 1064.62 .00 4107.00 ./ .00 4107.00 ,00 15000.00 J ,00 15000.00 ,00 38.36 / RUN DATE: 11/20/12 TIME: 10:07 MEIJORIAL MEDICAL CENTER AP OPEM INVOICE LIST THRU DUE DATE OF 12/04/12 PAGE: 8 APOPEM VEND~.MAlIE.............,...,......., .CLS.INVOICE~....,.,. .TRN DT.IMV DT.DUE DT.CK DT. .PC..... ..GROSS.... .DISC..... .NO-PAY....... .NET FLEX SPEND REII!8URSEMENT 24238 111512 111512 111512 507,00 .00 507.00"""'-- TOTALS....................................... : 545,36 .00 545.36 T2303 TG EM~WYEE DEDUCTION \1 18300 111912 111912 111912 129.89 .00 129.89 --- TOTALS......................,......,......... : 129 .89 .00 129.89 S2679 THE ST JOHN COMPANIES, INC SUPPLIES LAB 11 07999703 110812 103112 113012 215.96 .00 215.96 ../ TOTALS......,.............,.................. : 215.96 .00 215.96 Vl050 THE VICTORIA ADVOCATE ADVERTISING I~ I00490778-1001 110812 103112 113012 816,00 .00 816.00/ TOTALS.,.,................................... : 816,00 .00 816.00 10732 THERACON, LLC PlIAIU!ACEUTICALS 68487874-301 103112 102912 112812 1300.00 .00 1300.00 ,/ TOTALS.. .,........0.... to....... I............l 1300.00 .00 1300.00 T0801 TLC STAFFING / CONTRACT NURSE ICU I~ 10752 103112 103012 112912 502.80 .00 502.80 TOTALS..............,............,........... ; 502.80 .00 502.80 10579 TRE TEXAS, LLC INSTRUNENT REPAIR SURGERY 1!T295516 111512 110512 120412 6.36 .00 6.36 ../ TOTALS.. I....................................; 6.36 .00 6.36 Ul054 UNIFIRST HOLDIMGS 35.91/ LAUlIDRY MAINTENANCE l~ 8150588795 102312 103012 112912 35.91 .00 TOTALS.............................,...,..... : 35.91 .00 35.91 Ul064 UNIFIRST HOLDINGS IMC 948.88/ LAUlIDRY HOSPITAL LINEN 8400134823 102312 103012 112912 949.88 .00 LAUlIDRY HOUSEKEEPING 8400134824 102312 103012 112912 205.34 .00 205.34/ LAUlIDRY PLAZA 8400134825 102312 103012 112912 184.62 .00 184.62 LAUlIDRY DIETARY 8400134826 102312 103012 112912 164.06 .00 / 164.06 ./' LAUlIDRY OB 8400134827 102312 103012 112912 86.70 .00 86.70 LAUlIDRY HOUSEKEEPING 8400134828 102312 103012 112912 93.87 ,00 93.87/ LAUlIDRY HOSPITAL LINEN 8400135063 110612 110212 120112 684.95 ,00 684.95/ LAUlIDRY SURGERY 8400135064 110612 110212 120112 348.59 .00 348.59/ TOTALS......,..............,.....,........... : 2717.01 .00 2717,01 Ul056 UNIFORN ADVANTAGE 284.85/ E!IPLOYEE PURCHASE \1 4607963 093012 092012 120112 284.85 ,00 ENPLOYEE PURCHASE 4673873 110812 103112 113012 12.97 .00 72.97/ EMPLOYEE PURCHASE 4677582 111212 110212 120112 14.99 .00 14.99 ../ TOTALS....,.......,.......................... , 312.81 .00 372.81 U1200 UNITED AD LABEL CO INC 117.17/ SUPPLIES DIETARY M 336659411 111312 103112 113012 117.17 .00 TOTALS...........,........................... : 117.17 ,00 117.17 U0414 UNUN LIFE INS CO OF A1!ERIC INS PREM 12/1 - 12/31 18295 111512 111212 120112 4322.27 .00 4322.27 / RUN DATE. 11/20/12 TIME. 10.07 IoIEIoIORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/04/12 PAGE' 9 APOPEN VEND#.NAIoIE......,....................CLS.INVOICE#.........TRN DT.INV DT.DUE DT.CK DT..PC.......GROSS.....DISC......NO.PAY.,.,....NET TOTALS.........;......................, j.....: 4322.27 .00 4322.27 10172 US FOOD SERVICE 3050.70 / SUPPLIES DIETARY 3747482 111212 110812 112812 3050,70 .00 SUPPLIES DIETARY 3747483 111212 110812 112812 26,64 .00 26.64 ./ TOTALS...,.................................. .1 3077.34 .00 3077.34 V0555 VERIZON SOUTHWEST TELEPHONE 101 5512513110712 111512 110712 120212 204.10 .00 204,10 -;/ TELEPHONE 11/7 . 12/6 5526713110712 111612 110712 120201 1272.38 .00 1272.38./ TELEPHONE 11/7 . 12/6 5528103110712 111612 110712 120212 48.33 .00 48.33 TELEPHONE 11/7 - 12/6 5537803110712 111612 110712 120212 305.29 .00 305.29 ,/ TOTALS.................................,..... : 1830.10 .00 1830.10 V1471 VICTORIA RADIOWORKS, LTD 160.00/ ADVERTISING 10/5-10/26 W 12100354 103112 103112 112912 160.00 .00 '1'O'1'AL8....................................... : 160.00 .00 160.00 10715 VIDACARE CORPORATION SUPPLIES ER 59513 110612 110212 120112 474.00 .00 474.00 ./ TOTALS............;.......................... : 474.00 .00 474.00 10394 WILLIAIoI E HEIKAIoIP, TRUSTEE EIIFWYEE DEDUCTION 18302 111912 111912 111912 350.00 .00 350.00/ TOTALS...................................... ,I 350.00 .00 350.00 10429 WILLIAIoI E HEITKAIIP, TRUSTE EIIPLOYEE DEDUCTION 18301 111912 111912 111912 495.00 .00 495.00/ TOTALS..... It.... II..' ........ ...... II 11.,1 ": 495.00 ,00 495.00 10401 WITTCO FOODSERVICE EQUINEN 144.21 / DEPT REPAIR DIETARY 0233004-1101 111212 110512 120412 144.21 .00 TOTALS.......... to.. ,...... It....... "" It.. to: 144.21 .00 141.21 GRAND TOTALS...............................;.1 162891. 36 .00 162891.36 APPAOV!E[}) NOli 2 t 2012 iCOU\'l1'V AUDITOR C.KS.:J,i 15'0&\3 +0 :J;\ lSoQ05 ~ .:IJ150g'15 JJ912r (If //_~c.-/ l-- RUN DATE,11/26/12 TIME,11,06 IIEMORIAL MEDICAL CENTER EDIT LIST FOR BATCH 556 1160 CRT#556 TRANSACTIOM SEQUENCE PAGE 1 GLEDIT ACCOUN'! A.H.A. SEQ. NUlIBER NUlIBER TRANS DATE JOURNAL AI>lOUNT SUB-LED REFERENCE MEllO G.L. ACCOUN'! DESCRIPTION ____w_________________________________________________------------------------------------------------------------------------------ 1 10000000 20000000 11/26/12 CD 11/26/12 CD 7,786.43CR 10499 7,786.43 10499 A/PC150906 THE DOCTOR'S CONPANY A!PC150906 THE DOCTOR'S COMPANY OPERATING -CASH ACCOUNTS PAYABLE -AlP 30000000 20998 301812 - - - - - - - - - -R E C A P- - - - - - - - - - JOURNAL YRlIO COUN'! DEBIT CD 1211 2 7,786.43 TOTAL 2 7,786.43 CREDIT 7,786.43 7,706.43 Yz * pr ero wle<j~ IV\,cvlf(acA:CL i nSv. raAl.te ACCOUN'! TOTAL RECAP ON NEXT PAGE APPROVED ~\l26 2012 lCOI.IN1'V AUD\1'OI1 CKMo /6D'I0,", RUN DATE: 11/28/12 TI!lE: 08:09 !lE!lORIAL I~DICAL CENTER AP OPE!l I!lI'OICE LIST THRU DUE DATE OF 12/11/12 PAGE: 1 APOPE!l VE!lDH.!lA!IE......,..,..,.....,....,...CLS,I!lI'OICEH"..,.,..TRN DT.I!lI' DT.DUE DT.CK DT..PC.....,.GROSS...,.DISC.,....!lO-PAY.....,.,!lET A1360 A!IERISOURCEOERGE!l DRUG COR PllARllACEUTICALS W 707549289 112712 112612 121012 527,65 .00 527.65 / TOTALS.......,........,......,.....,..,...... 1 527.65 .00 527.65 D1125 A1fi DAY 909.00/ FLEX SPE!lD REnlSURSEMENT tl 24258 . 112712 112612 112612 909.00 .00 TOTALS.. ............. to, o. ,............ ......: 909,00 .00 909.00 A2260 ARROW INTERNATIONAL INC ./ SUPPLIES CS I!lI' II 4249890 111312 llQ612 120512 518.24 .00 518.24 TOTALS............"........,......,.,....... : 518,24 .00 518.24 A1965 ARRT LICENSE RENEWAL RADIOLOGY W 24244 112012 111912 111912 40.00 .00 40.00/ TOTALS.............,..,..................... .: 40.00 .00 40.00 A2276 ARTHROCARE !lEDICAL CORPORA SUPPLIES SURGERY !l 91049104 111312 110712 120612 404,70 .00 484.70 ./ TOTALS.....,......,...................,....., : 484,70 .00 484.70 A2345 AT&T !lOBILITY TELEPHONE 10/12 - 11/11 X11192012 112612 111912 120612 1. 76 .00 1. 76 ./ TOTALS..........,.,.......................... : 1. 76 .00 1.76 A2600 AUTO PARTS & IIACHINE CO. SUPPLIES PLANT OPS W 660588 111512 110712 120612 7.98 .00 7.98/' TOTALS.,.....................,.,....."..... .l 7.98 .00 7.98 BI075 BAXTER HEALTHCARE CORP 361.30 ,/ SUPPLIES CS I!lI' II 38736793 111912 111212 121112 361.30 .00 TOTALS......,.............,.,.............., .: 361.30 .00 361.30 B1220 BECKlIAN COULTER mc 1064.76 ,/ SUPPLIES LAB !l 103178982 112012 110512 120512 1064.76 .00 TOTALS......,....................,.,.,....... : 1064.76 .00 1064.76 CI010 CARLS ONE 286,50/ CARl,S SERVICE II 111612-121512 112012 111612 112512 286.50 .00 TOTALS....,.............................,.... : 286.50 .00 286.50 C1203 CALHOUN COUNTY WASTE IIGMT WASTE DISPOSAL 326895 110812 110712 120612 8Q.00 .00 80.00/ TOTALS.........,............................ .1 80.00 .00 80.00 C1992 Cm! GOVERNlIENT, INC. 139.30 /" SUPPLIES IT II TOO0847 111612 110812 120712 139.30 .00 TO'rALS............,.................,........ : 139.30 ,00 139.30 10350 CENTURION MEDICAL PRODUCTS 478.18/ SUPPLIES VARIOUS 91150440 111312 110812 120712 478.18 .00 SUPPLIES CS I!lI' 91149286 111512 110712 120612 16.2Q ,00 16.20 / RUN DATE: 11/28112 TnlE: 08:09 MEI!ORIAL MEDICAL CEN'lER AP OPEM INVOICE LIST THRU DUE DATE OF 12/11/12 PAGE: 2 APOPEM VEMD#.NAl~......,.....,........,.....CLS.INVOICE#.........TRN DT,INV DT.DUE DT.CK DT..PC......,GROSS..,..DISC.,...,NO-PAY,.......NET 10105 CHRTS KOVAREK FLEX SPEMD REnlBURSEMEN'I 10786 CLINICAL PATHOLOGY OUTSIDE SRV LAB C1970 CONl!ED CORPORATION SUPPLIES SURGERY C2155 COOK I!EDICAL INCORPORATED SUPPLIES CS INV 10556 CPP WOUND CARE #28,LLC WOUND CARE WO\llID CARE CREDIT 10368 DEWITT POTH & SON OFFICE SUPPLIES CS INV W1372 DR. JOHN ;IRIGHT TRAVEL EXPENSES E0500 EAGLE FIRE & SAFETY IMC SUPPLIES SURGERY 10417 EN'lRUST INSURANCE & BENEFI PREMItn! Fl100 FEDERAL EXPRESS CORP. SHIPPING CHARGES F1400 FISHER HEALTHCARE SUPPLIES LAB SUPPLIES LAB SUPPLIES LAB SUPPLIES LAB Gl001 GETINGE USA SUPPLIES SURGERY TOTALS.........................,.........,... : 24260 112712 112612 112612 TOTALS...,.........,....,................,... : 24245 112012 103112 113012 TOTALS............,.........,....,.,...,...., : M 434359 111312 110712 120612 TOTALS...,.............. ....... .....".....,.: V3070893-N 111912 110912 120812 TOTALS.........,.....................,....... : 14532 111312 111012 120912 CM156 111312 111012 120912 TOTALS...,.....,........................,.... : 350078-0 111612 111212 121112 TOTALS....................................... : 24262 112712 112612 112612 TOTALS.................,................,.... : M 47006 112012 111212 121112 TOTALS,..........,......,.................... : EN023466 112612 120112 120112 TOTALS....................................... ; W 2-082-48684 112612 111512 113012 TOTALS.................,. I...................: M 4032795 110612 110612 120512 4150976 110612 110712 120612 4317334 110612 110812 120712 4032814 112012 110612 120512 TOTALS.........,...........................,. : 7790732 111512 110612 120512 494.38 231.37 231.37 1452.50 1452.50 108.41 108.41 304.14 304.14 15200.00 -1400.00 13800.00 34.44 34.44 265.84 265.84 178.60 178.60 14287.95 14287.95 10.68 10.68 700.50 159,39 80.00 1689.13 2629.02 65,54 ,00 494,38 .00 231.37/ .00 231.37 .00 1452.50 ,/ .00 1452.50 .00 108.41 ,/ .00 108,41 .00 304.14 / ,00 304.14 .00 15200.00'/ .00 -1400,00........ .00 13800,00 .00 34.44 ./ ,00 34,44 ,/ .00 265.84 .00 265.84 .00 178.60 ,- .00 178.60 .00 14287.95'"' ,00 14287.95 .00 10.68 ,- .00 10.68 .00 700.50/ .00 159.39 ./ .00 00.00 ,/ .00 1689.13 / ,00 2629.02 .00 65.54 / RUN DATE: 11/28/12 TillE: 08,09 ~lEIIORIAL MEDICAL CEN'rER AP OPEN INVOICE LIST THRU DUE DATE OF 12/11/12 PAGE' 3 APOPEN VEND#.NAME............,..,.......... .CLS,INVOICE#....... ..TRN DT.INV DT.DUE DT,C1( DT..PC...... .GROSS.... .DISC.... ..NO-PAy....,.. .NET TOTALS.....,.......,.....".............,.... , 65.54 .00 65.54 G1870 GOLDEN CRESCEN'r CmnlUNICAT SUPPLIES PLAN'!' OPS II 33083 112012 110512 120512 141.00 .00 141.00.) TOTALS.............................. I........ t 141.00 .00 141.00 G1877 GOLDEN CRESCEN'r REGIONAL 2013 RAC ANNUAL ME!ffiERSHI W 2013RAC 110612 110112 120112 300.00 .00 300.00 ./ TOTALS...,................,.............,... .1 300.00 .00 300.QO A1292 GULF COAST HARDWARE 1 ACE SUPPLIES PLAN'!' OPS W 072486 111912 110812 120712 11.99 .00 11.99 ./ DEPT REPAIR lolRI 072487 111912 110812 120712 59.99 .00 59.99./ SUPPLIES PLAN'!' OPS 072529 111912 110912 120812 43.98 .00 43.98 ,./ TOTALS.,.......,........,..........,........, : 115.96 .00 115.96 G1210 GULF COAST PAPER COIl PAN! SUPPLIES HOUSEKEEPING lol 481710 110812 110612 120512 164.97 .00 164.97/ TOTALS......,......................,......... : 164.97 .00 164.97 H0030 H E BUTT GROCERY ./ SUPPLIES DIETARY M 470185 111212 110812 120712 186.64 ,00 186,64 TOTALS................,............,......... , 186.64 .00 186,64 I0415 INDEPENDENCE MEDICAL SUPPLIES CS INV 27515512 111312 110712 120612 56.88 .00 56.88/ TOTALS.............................,......... : 56.88 ,00 56,88 I0950 INFOLAB INC SUPPLIES BLOOD BANK M 3185623 112012 110612 120512 324.80 .00 324.80 .-" SUPPLIES LAB 3187090 112012 110912 120812 1868.04 .00 1868.04 ./ TOTALS........ to.............,.,...,... to. t..: 2192.84 .00 2192.84 Ill00 INSTRUlIEN'rATION LABORATORY SUPPLIES LAB M 9101154659 112012 110612 120512 2549.08 .00 2549.08/ TOTALS.........................,.,...,...... .: 2549.08 ,00 2549.08 J0150 J & J HEALTH CARE SYSTEMS, SUPPLIES SURGERY 908950184 111912 110712 120612 2534.47 .00 2534.47 ,./ TOTALS. t...................... to.. .,........,: 2534.47 .00 2534,47 10341 JENISE SVETLIK FLEX SPEND REIMBURSE~lENT 24257 112712 112612 112612 990.00 .00 990,00""- TOTALS.................,...........,.,....... , 990.00 .00 990,00 M3656 IlERIDIAN BIOSCIENCE SUPPLIES LAB 745952 112012 110612 12Q612 2124.62 ,00 2124,62 ./ TOTALS,........................,...,......... , 2124.62 ,00 2124.62 M2659 MERRY X-RAY/SOURCEONE HEAL SUPPLIES IW3lOLOGY II 300934330009 111612 110812 120812 114.36 ,00 114.36 ./ RUN DATE: 11/28/12 TIllE: 08:09 IIEIIORIAL !lEDlCAL CEIITER AP OPEII IIIVOICE LIST THRU DUE DATE OF 12/11/12 PAGE: 4 APOPEII VEIID#.IIAME.... ............,......... .CLS.IIIVOICE#........ .TRN DT.IIIV DT.DUE UT,CK CT. .PC....., . GROSS.. .. .DISC...,. .NO-PAY.....,. .NET SUPPLIES RADIOLOGY 30093432026 111912 110712 120712 861,17 .00 861.17 / TOTALS.....,................................. , 975,53 .00 975.53 10441 !mc EIIPLOYEE BENEFITS ,!EEKLY CLAms 18301 112612 112612 112612 7040.36 .00 7040.36/ ;!EEKLY CLAnlS 10304 112812 112712 112712 4312,43 .00 4312.43 ,/ ADIIIN FEE FOR NOVEIIBER 18305 112812 112712 112712 16341.00 .00 16341.00 ---- TOTALS.......,...........,...,............... : 27693,79 .00 27693,79 10536 1I0RRIS " DICKSON CO, LLC PIWU!ACEUTICALS 4022461 112012 111912 121012 112,96 .00 112.96./ PHARMACEUTICALS 4022462 112012 111912 121012 3649,26 .00 3649.26./ PHARllACEUTICALS 4041914 112712 112612 121012 171,43 .00 171.43 / PHARMACEUTICALS 4Q41915 112712 112612 121012 5377,67 .00 5377 .67 ./ PIWU!ACEUTICALS 4042193 112712 112612 121012 47.52 .00 47.52/ PIWU!ACEUTlCAL CREDIT CII70088 112712 112312 121012 -1746.76 .00 -1746.76 / PHARMACEUTICAL CREDIT CIi70089 112712 112312 121012 -237.86 .00 -237.86/ TOTALS.....,................,.....,.,.,...... : 7374.22 .00 7374.22 113866 I!USTAIN " ASSOCIATES COLLECTIONS W JULY 2012 112Q12 073112 Q83012 568.13 .00 568,13/ TOTALS....................,....,............. : 568.13 .00 568.13 10352 NUANCE COI~!UNlCATIONS, INC 160.61 / SUPPLIES Hm 10045360-0 112812 110912 120812 160,61 .00 TOTALS....................................... : 160.61 .00 160,61 011425 OlqENS " IIINOR SUPPLIES SURGERY 2012686 111212 110612 120512 715.60 .00 715,60/ SUPPLIES VARIOUS 2012690 111212 110612 120512 2054.61 .00 2054, 61::/ SUPPLIES DIETARY 2013005 111312 110712 120612 12.74 .00 12,74 ) SUPPLIES CS IIIV 2013726 111312 110812 120712 21.28 .00 21. 28 SUPPLIES VARIOUS 2013779 111312 110812 120712 64.62 .00 64,62/ SUPPLIES CS IIIV 2013915 111312 110812 120712 57.65 .00 57.65/ SUPPLIES SURGERY 2014142 111312 110812 120712 97,38 .00 97.38/ SUPPLIES VARIOUS 2014667 111512 110912 120812 1045.53 .00 lQ45.53 / TOTALS.,....,................................ , 4069.41 .00 4069.41 10326 PRINCIPAL LIFE INSURANCE 12/1 - 12/31 18302 112612 111712 120112 1836,12 .00 1836.12 / TOTALS.........,............................. : 1836,12 .00 1836,12 R1200 RED HAWK MONTHLY SRV 11/1 - 12/1 702Q394982 112012 110912 120812 27.56 .00 27.56'/ TOTALS.,.,................................... : 27.56 .00 27.56 10520 RICOH USA, INC, 4870.00 ./ LEASE COPIER Ii 88022902 111912 110912 120512 4870.00 .00 TOTALS................ to.......... ...........: 4870.00 .00 4870.00 S1200 SEARS SUPPLIES BIOl4ED II 8732 111212 110812 120712 99.98 .00 99.98 / RUN DATE, 11/28/12 THolE, 08,09 !IEI!ORIAL !IEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12/11/12 PAGE, 5 APOPEN VENDU.NAllE,.,...,.,........,........ .CLS.INVOICE#......., .TAll DT.INV DT.DUE DT.CK DT. .PC...... .GROSS.... .DISC.,... ,NO-PAy...... ..NET TOTALS.....,...........,.,............,...... , 99.98 ,00 99.98 S2548 SOUTHiIEST TEXAS EQUIPMENT 60.58/ SUPPLIES PLANT OPS M 1087129 111512 110612 120512 60.58 .00 TOTALS.........,.........,................... , 60.58 .00 60.58 S2830 STRYKER SALES CORP SUPPLIES SURGERY M 39783lA 111312 110612 120512 57.97 .00 57.97/ TOTALS......................,................ , 57.97 .00 57.97 S2951 SYSCO FOOD SERVICES OF SUPPLIES DIETARY 1,1 211150565 112612 111512 120512 1165.83 .00 1165.83/ SUPPLIES DIETARY 211210564 112612 112112 121112 661.62 .00 661. 62 / TOTALS...........,.............,...,........ " 1827.!5 .00 1827,45 T0500 TEAM REHAB INTERIM BILLING W 24261 112612 112612 112612 10000.00 .00 10000.00 / TOTALS.........,............,...."..,....... , 10000.00 .00 10000.00 T1825 TEXAS DEPARTI!ENT OF HEALTH LICENSE RENEWAL W 24246 112012 111912 111912 66.00 .00 66.00 / TOTALS.......,......,....,..............,..,. , 66.00 .00 66.00 T2204 TEXAS MUTUAL INSURANCE CO INSURANCE W 18303 112712 112712 112712 6214.QO .00 6214.00/ TOTALS....,.............................,.... : 6214.00 .00 6214.00 Ul054 UNIFIRST HOLDINGS LAUNDRY IolAINTENANCE W 8150589550 110612 110612 120512 35.91 ,00 35.91/ TOTALS....................................... , 35.91 ,00 35.91 Ul064 UNIFIRST HOLDINGS INC HOSPITAL LINEN 8400135190 110612 110612 120512 644.!5 .00 644.45/ LAUNDRY HOUSEKEEPING 0400135191 110612 110612 120512 205.34 .00 205.34 ,/ LAUNDRY PLAZA 8400135192 110612 110612 120512 202.49 .00 202.49/ LAUNDRY DIETARY 8400135193 110612 110612 120512 174.86 .00 174.86/ LAUNDRY OB 8400135194 110612 110612 120512 86.70 .00 86.70/ LAUNDRY HOUSEKEEPING 8400135195 110612 110612 120512 142.97 .00 142.97/ LAUNDRY HOSPITAL LINEN 08400135423 111612 11Q912 120812 587.17 .OQ 587,17/ LAUNDRY OR 8400135424 111612 110912 120812 348.59 .00 348.59/ TOTALS.... II.............. II to,........ 0.....: 2392.57 .00 2392.57 Ol056 UNIFORl! MVANTAGE E!!PLOYEE PURCHASE W 4687284 111512 110912 120812 363.77 .00 363.77 / E!IPLOYEE PURCHASE 4675393 112012 110112 113012 261.83 .00 261.83/ EIolPLOYEE PURCHASE 4682637 112012 110612 120512 149.90 .00 149.90'/ TOTALS..,....,.,.....,......,.,............" : 775.50 .00 775.50 U1350 UPS SHIPPING CHARGES VARIOUS II 0000778941462 112712 112712 112812 460.18 .OQ 460.18 / TOTALS...............,.....,......,.....,..., : 460.18 ,00 460.18 10172 US FOOD SERVICE 435.29 / SUPPLIES DIETARY 3799036 112612 110912 112912 435.29 ,00 RUN DATE' 11/28/12 TIME: 08,09 IreMORIAL MEDICAL CENTER AP OPEN INVOICE LIST THRU DUE DATE OF 12111/12 PAGE, 6 APOPEN VEND~.NAME......,..............,.....CLS.INVOICE#.......,.TRN DT,INV DT.DUE DT.CK DT..PC....,..GROSS...,.DISC.,....MO-PAY.......,NET SUPPLIES DIETARY 3799038 112612 110912 112912 63.04 .00 63.04 ;; SUPPLIES DIETARY 3806094 112612 111012 113012 48.01 .00 48,01 SUPPLIES DIETARY 3853404 112612 111312 120312 1.86 .00 1.86/ SUPPLIES DIETARY 3877869 112612 111512 120412 4498.11 .00 4498.11 ,/ SUPPLIES DIETARY 3991403 112612 112112 121112 4534. 09 .00 4534.09 / TOTALS.,...... I.............................,: 9580.40 .00 9580.40 U200Q US POSTAL SERVICE / POSTAGE 24261 112712 112912 112912 1200.00 .QO 1200.00 TOTALS....................................... : 1200.00 .00 1200.00 V0555 VERIZON SOUTffiiEST TELEPHONE N 5522646111612 112612 111612 121112 111.72 .00 111.72/ TELEPHONE 5525926111612 112612 111612 121112 110.71 .00 110.71/' TOTALS.............,...................,...., , 222.43 .00 222.43 GRAND TOTALS................................., 130208.86 .00 130208.86 APPRoveD NOV 2 8 2012 COUNTY AUDiTOR (};(sP /S"o907 /'0 .#-15"0"/0.3--- MY ~~Jl PAGE 1 APCDEDIT MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOl RUN DATE: 11/2E/12 TIllE: 08,10 PAY PAT A1l0UNT CODE TYPE DESCRIPTION PATIENT !M18ER GL MUM DATE PAYEE NAIIE 112612 179.20 j 606.10 I 1646.56 ,/ 110.87./ 381.04/ 296.251 1023.41 ,/ 249.90/ 67.60 / 112612 324.751 510.00/ 32.74/ 11.121 112612 510.001 112612 810.00 / 112612 32.74 ~ RUN DATE. 11/28/12 TIME. 08,10 llEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=OOOl PAGE 2 APCDEDIT PATIENT NUMBER PAYEE NAME DATE PAY PAT AMOUNT CODE TYPE DESCRIPTION GL NUN ARID=OOOl TOTAL 719l.28 ~N~~~~~~~~~~______~W__________________________________------------------------------------------------------------------------------ TOTAL 7191.28 APPRoveo NOV Z 3 2012 COUNTY AUDITOR CJ{SJ/<--/S0106 +0 .::If / s (yt f ,;). /" Run Date: 11/06/12 MIlMORIAL MEDICAL CooER page 85 Time: 1'2:41 Payroll Register I ai-weekly) P2REG Pay Period 10/19/12 - 11/01/12 RunU 1 Final Summary t__ pay Cod e Sum mar y n_~~______~______________n__________~~_:l;__ D e due t ion s Sum mar y ___._____~d_t I payCd Description Hrs IOTISHIWEIHOlcal Gross 1 Code AIl'.ount 1 i__.~_~_<<.___.~_u__________________________________________________.______t~..______.._._____~~____________~.__~_.._________._.-i 1 REGULAR PAY-Sl 1618,50 N II N 131651.53 A/R 806,9} AWARDS BOO'lS 1 REGU1l\R PAY-Sl 1189,00 N N N N 39064.45 CAFE-C 660.46 CAFH-D 837,66 CAFE-F 1 REGULAR PAY-Sl 101.50 Y N N 3522.39 CAFE-H 7821,50 CAPE- I 219,29 CAFR-L 387,64 1 REGULAR FAY-Sl 8.00 Y N N N 246.00 CAFN 145, B7 CANCER 12.68 CLINIC 2 REGULAR PAY-S2 2374.50 N N N 48989.74 CREDEN 25,DO DooA1 497.90 DEP-LF 183,38 2 REGULAR PAY-S2 7.00 N N N N 103,32 FEOTAX 32356.05 FICA-N 4261.01 FlCA-D 11165.31 2 REGULAR FAY-S2 21.00 Y N N 1212,17 FLEX S 1521.24 FORT D ME 3 REGULAR FAY-S] 1518.15 N N N 37105,69 GIFT S 210.58 GRl\N'l GRl'-IN 129,26 3 REGULAR PAY-S3 18,25 N N N N 218,50 GTL HOSF-I 4228,70 ID TFT 3 REGULAR PAY-S3 42.25 Y N N 1114.74 LIlAF MISC OTHER lE97,38 a srCK &ONUS 96,00 N N N N 2919,84 PHI PR FIN 161.09 REPAY C CALL FAY 256,00 II N N II 512,00 ST-TX STllDEll 130,56 TSA-l C CALL PAY 2356.25 II N N 4712.50 TSA-2 TSA-C TSA-P E EXTRA WAGES II II II N 191.20 TSA-R 213E6.86 TIlTlOII UW/HOS E EXTRA Wl\G8S N 1 N N N 891,50 F FUNERAL LIlA VB 40,00 N 1 N N 580,00 I INSERVICE 2,25 II II N N 38.25 I rNs8Rvrca 81.25 II 1 II II 2263,80 K EXTENDED- ILLNESS -DANK 90,00 N 1 N N 1931,70 P PAID-TIME-OFF 181.10 N N II N 2052.34 P PAID-TIlm-OFF 990.00 N N N 18304.E6 X CALL PAY 2 EO.OO N N N N 160,00 X CALL PAY 2 79.00 N N N 158.00 Y YMCA/CURVES N N N II 15,00 Z CALL PAY] 35,00 N N N II 105,00 Z CALL PAY] 61.00 N N N 183,00 L_____________unn Grand Totals: 11312.60 n_____ ( Gross: 305525.52 Deductions: B91l8.45 Net: 215807,011 1 Checks Count:- f'l 162 PT 11 Other 35 Female 185 Male 29 Credit OverAmt 15 ZeroNet Term Total: 2141 *____~...______~..._____~...________~__.____._~_._____~_.__.___~__~_~.______..________.~___._____._____.______~~_..___~________.t FED TAX 32,356,05 FICAO 29,133.27 FICAM 8,522.14 TOTAL 70,011.46 Department 002 MEMORIAL MEDICAL CIlliTER Payroll Register ( Ei -Weekly I Pay Period 10/19/12 - 11/01/12 Runi 2 Dept. Sequence Page 1 P2R1G Run Date: 11/01/12 Time: 14:32 *-_ Em ploy e e --..-*-- Tim e ____h___~__~_~unnn_____."unnu~.~~..*.. De due t ion s u~~~n"_h_"_unnnn~i INum/Type/Name/Pay/EKemptIPayCd Dept Hr. IOTlsHII'IEIHOlcBI Rate Gross I Code Amount I * _ "_____~_ _~ n n""" n n __ t~." _~ "__" __~ ___ _ ____ _____""n""_"" "____ __ ___ U~""~ u" _" t __~ ~___ ~_ u ~_. ___~ ___ n~ ~~" ~_""" "__ u ~"____ "__~_ t 02902 FT Hrlv: 12,4100 002 16.50 N II II II 12.4100 204.11 A/R 15,44DEUTAL 1.80 FICA-II 1.35 002 1,00 N II II N 13.4100 93.81 FICA-O 21.2B ROSH 11.00 OTHER 36.l9 Fed-E.: S-04 St-EK: 0-00 F 002 16,16 II II 'N II 12,4100 201,99 TSA-R 35,46 GIFT S 102,54 *.~~.~nnnn._._'_~_'___U'* Total: 40.26 ..-----.....---- (Gross: 506.63 Deductions: 291,06 Net: 209.511 Department Summary *_~ Pay Cod e Sum In a r y nnnunnnnn_______""__~_~.~____"~_t~" 0 e d u c t ion s Sum mar y __..n.unnt I PayCd Description Hrs IOTISHlwEIHOlcEI Gross I Code Amount I *__"."""_"___"__~_____.__.____~_.__~..___~"_"________~______"~~~_".~_______t__"_~__~~__"_"_~._______~___~_..___**_**_._._~*__*"_i 1 REGULAR PAY-Sl 16,50 N II II II 204,11 A/R 15,44 AIIAROS BOOTS 2 REGULAR PAY-S2 1,00 N N II II 93.81 CAFE-C cm-D CAFR-F P PAID-TmB-OFF 16,16 N II N N 201,99 CAFE-H CAFR-I CAFE-L CAFE-P CANCER CLIIIIC mOUN DBNTAL LBO DEP-1F FBOTAX FICA-I! 1,J5 FICA-D FLEX S FORT D FUTA Gll'l S 102.54 GRAlIT GRP-IN GTL ROS P-I 11,00 IDTFT LEAF MISC OTHBR PHI PR FIN REFAY ST-TX STUDEN TSA-l TSA-2 TSA-C TSA-P TEA-R 35.46 TUTION U\I/HOS 21.28 36.19 i__H_~*.~u__n Department Totals: 40.26 ---~-~* ( Gross: 506.63 Deductions: 297.06 Net: 209.57 ) I Checks Count:- IT 1 PT Other Female 1 Male Credit OverAmt ZeroNet Term Total: 1 I i__"_~__~__________________~~__.~___M*"""__"~___________"___._______________________~__~_____~._*__"___~__...~~-*"""---~-~------* .-> tt~ &ICfCf.,':J Department 002 MEMORIAL HHOlCi\1 CENTER Payroll Register ( ai-Weekly) Pay ~riod 10/19/12 - 11/01/n Runl J Dept. Sequence Page P2RW Run Oat.: 11/09/12 Time~ 08:47 t~. Em p 10 Y e e .-- ~.L. Tim e ...~nn'hh...n~~'~.Hh_h~_.unu.u..i__ D e due t ion s ~...~~un'~'Hnnnn'" INum/Type/Name/Pay/ExemptIPayCd Dept Hrs IwlSHlwEIRolesl Rate Gross I Code Amount I t uh~~~ u... ~ ~__ u~... _.i~.~_.. ___ ___ __.. u ~~_. .... ___.__.nn._ __ _ U ____u n _._._.~_~___ __ ..__.n n.n _ n_.~____.~___..' u." ""~~i "FT Hrly: 21.2500 E 002 N N N N 1000,00 FBDTAX 45,27 FICA-M ]4,50 FICA-O 42,00 TSA-R 70,00 ,00 u_______.nu_~ I Gross: 1000,00 Deductions: 171.71 Net: 323,23) II N N N 2500,00 FED'i'AX 279,33 FICA.M 36,25 FICA-O 105,00 TSA-R 175,00 ,00 _m____mu... ( Gross: 2500,00 Deductions: 595,5B Net: 1904,42) _FT Rrly: 13,2600 E 002 Fed-Ex: S-03 St-Ex: -00 '.n__.n__nu""un~~_.nu* Total: Fed-Ex: S~05 St.Ex; 0-00 'n.nndn.~~.n__u__,__,,* Total: Department Sum,mry L. Pay C c deS u m mar y nn.n'~'_hn__~d'."__"H_U".______tn D e due t ion s Sum mar y _...____.u..i I PayCd Description Hrs 10TlsHlwEIROlcEI Gross I Code Amount I t _ n.' ..__ _____.___.._~ _~__ __. __ n.. n _ _ _.. _ .H~__~__u~_~n n. _ __ _" u~... .*_~ __ _ ~_ ____. n_ __...._ n ..n _.~. _~___~._ n. .____~.. _ t N N N N 3500.00 A/R AWARDS BOOTS CAFH CAFE-D CAFE-F CAFE-H CAFE-I CAFE-L CAFE-P CANCER CLINIC CRBDlm DENTAL DEP-LF FEWAX 324.60 rICH 50,15 FICA-O 147.00 FLEX S FORT D FOTA GIFT S GRANT GRP-IN GTL HOSP-l !OTF! LEAF MlSC OTHER PH! PR FIN REPAY ST-TX STUDER TSA-I TSA-2 TSA-C TSA-P TSA-R 245,00 TUTlON IIlI/HOS i..~.~...~...~_v Department Totals: m.'" (Gross: 3500,00 Deductions: 767.35 Net: 2732.65 J I Checks Count:~ FT 2 PT Other Female 2 Naie Credit OverAmt ZeroNet Tem Total: 2 I *. __......" u____n uv_ _.._.~.n. _.~_~~. ___~. n~h n_____.U.___ _._ '.~'n'" _~.~ ._n_.~_~_..___.' _ ___ __.~~_ ___~__ __ ___~~~___~~n* Tax Payment Report Worksheet HTP5 Voice Response 5, (Photocopy this worksheet for future use.) IJ!!I' You dial: EFTPS responds: You enter: L~FI;j EFTPS prompts: You enter: r,r.,:\"!:;" l:i:zJ EFTP5 promts: You enter: 1-800-555-3453 "Welcome to the Electronic Federal Tax Payment System" "If you are cailing from a Touch Tone phone, press 1." 1 (For Touch Tone phone) "Enter your 9-digltTaxpayer Identification Number" !IJ[}[]GZJQ][Q]w[t][]][Z] (9-digit Employer Identification Number) "Enter your 4-dlglt PIN" digit Personal Identification Numb 1l\'i1'f EFTPS prompts: Lists the Main Menu Selections . , You enter: Press 1 (to initiate a tax pryment) I;;Qtl! EFTP5 prompts: "Enter the Tax Type number followed by the pound #) sign.' You enter: ml1J mOD D (3-to6diglttaxtypenumberfrom the IRS Tax Form-Table in Appendix A) EFTPS responds: "You entered Tax Type/Tax Description (Based on the selection in step US) ;1&,,,j EFTPS prompts: "EnterTax PaymentType" You enter: 1 digit number Tax Payment Type (Tax Payment Type specific to Tax Form Code in Appendix 0) ~.,~,. k!':';'<,' .n,.!,t~ EFTPS prompts: You enter: j'lli',; EFTP5 prompts: You enter: , , EFTPS prompts: ... .! EFTPS responds: \ You enter: \\\ <l \,L. l-\l..tc-- P~IZ..... v:clv\\A;\'~'~ -If OI0/:333? "Enter the 4 digit Tax Filing Period starting with the year followed by month'" [I] IJh] [I] ca::I (Valid 4-digit Tax Period based on IRS Tax Form Table in Appendix A) "Enter the payment Amount followed by the pound (ff) sign." (You must enter cents even if you are reporting a whole dollar amount.) $DD,D[2)[Q],rnULIrKJ.rnUiJ (Your payment amount cannot exceed $99,999,999.99) Enter the 2-digit Verification Cbde." DO Verification Code' '(See Appendix E for Verification Code Calculation) "Enter t e 6-dlgit tax payment settlement date by month, day, year." (Not'e, the next business date you enter must be at least one business day In the future). 1(6-d\~i~a~tlse~eLSI1~DoYYformat) (Continue) CJ-.iW- <-l'Av " \\ \1'\ l;t- c() Run Date: 11/12/12 Time: 13:25 Department ~Ol MEMORIAL MEDICAL CIINTER Payroll Register { Bi-Weekly I pay pextod I1/D2/12 - 11/15/12 Runl2 Dept, Sequence Page moo t~_ Em p 1.0 ye e n~_~l~_ Tim e ~_~~.__~___n_n~u~_~~_~~_...n______n__nin D e d u c t ion B ___nn~_~h~..n.__uu_. INum/Type/Name/Pay/ExemptIPayCd Dept Hrs IOTlsHINEIHOlcBI Rate Gross I Code Amount I __~_~.~:_~-:~.-:nn.:~.:.:_:.:::.-_-:.:,:,::~::,: _.~_ ~.':":..:=_:.-:~:.=-=-=_-_~-=_::: Un __.__:.:._U_ nn __ ~____. __~_~*__~__ _ _... ~_____nh__ n _~ __n _ _~. ~_ _ ~ _ U~ _..... t .PT Hrly: 29,170D E 001 N N N N 5000,00 FlCA-M 12,5D FICA-O 210,00 TSA-R ]50,00 Fed~Ex: M-g9 St~Ex: ~OO t.~.._"_____~_m_u_____._~_* Total: ,00 11'11 High Net Pay I Gross: 5000.00 Deductions: 632.50 Net: 4361,50 I Departrr.ent Summary i__ Pay Cod e Sum mar y nh._..___________n._.~.__~___....m..t~~ D e due t ion s Sum mar y h___~____.._t I PayCd Description Hrs IOTlsHlwEIHOlcBI Gross I Code Amount I i~... ______._ _ ___ ____ ____~_~ __ ~ __"._ ___.. "______ .__~_~. ___ ____ __ ___ _ _ _ _~~_ _ t __~ _~~_" _ __ ___ _ _ ~_ _ _ ________~_~.. ~_._~__~ ____ _ _w~. .wi B N N N N 5000,00 A/R AWARDS BOOTS CAFE-C CAPB-D CAFE-F CAFE-H CAFR-I CAFE-L CAFH-P CANCER CLINIC CRBDUN DENTAL D&P-LF FEOTllX FICA-M 12.50 FICA-O 210,00 PLEX S FORT 0 MA GIFI S GRANT GRP-IN GTL HOSP-I IO TI'I LRAP MISC OTlIER PMI PR FIN REPAY ST-TX S'rUOEU TSA-I TSA-j TSA-C TSA-P TSA-R 350,00 TGTION UN/RES *n__nnn_un Department Totals: m_wH ( Gross: 5000.00 Deductions: 632.50 Net: 4367.501 I Checks Count: - FT 1 PT Other Female 1 Male Credit OverAmt 1 ZeroNet Term Total: 1 I t u.~_. ______" n _ _ _ nn __u ___. ______.. _~.... u. ___ _ ___. __ .____ _ _ __ _ _ _____ __ _ ____.._______ _ _ _ __ _ ".____ __ _ _ _ _ _ _ ___ _____.. u. _on _ t Frct4- - c) ;;: 5',).V, uo j <{:;;:, 02> {, 6;;:; GO F,'Ul- /'l1 l?inal Summary .,un Date: 11/19/12 Time: 10:19 ME@RIAL MEDICAL CENTER Payroll Register ( Ei -l1eekIy ) Pay pertod 11/02/12 - 11/15/12 Runll Page 81 P2REG tH Pay Cod e Sum mar y u_________n___~__~~u__uuuu___u___L~ D e d u c t ion B Sum mar y ~nu_u__~__t I PayCd Description Hrs IOTISHlwEIHOICB[ Gross I Code Amount t _ __~~ ~_ ~~ ~~_ _ ~_ ~_ ___ ~___~__ __ _ ____ _ _______~~_~ ~________ _~__~_~__ __ __ ~~_. ~ - t ~~~ ~~ ~ _ ~~ _ .-_> ._~ ~ ~ ~~~ ----- --- - -- ~ --~ ---- - - ---~- -"-~. 1 1 1 2 2 3 3 B C E E F I J K I~ P P X Z P REGULAR PAY -Sl REGULAR PAY-Sl REGULAR PAY -Sl REGULAR PAY -S2 REGULAR PAY -S2 REGULAR PAY -S3 REGULAR PAY-S3 SICK EONGS CALL PAY EXTRA WAGES EXTRA WAGES FUNERAL LEAVE INSERVlCE JURY LBAVE EXTENDED- ILLNESS-EIINK HEAL REIMBURSEMENT FAID-TI~IE-OFF PAID-TUlE-OFF CALL PAY 2 CALL PAY 3 PAID TUlE OFF - PROBATION 17JB,OO N N N 1314.25 N N N N 59,00 Y N N 2356,50 N N N 51.00 Y N N 1614.50 N N N 90,50 Y N N 72,00 N N N N 2621.00 N N N N N N N N 1 N N N 24,00 N 1 N N 6,00 N 1 M N 1.00 N 1 N N 16,00 N 1 N N N N N N 96,00 N N N N 812,00 N 1 N N 145,00 N 1 N N 96,00 N 1 N N 2.00 N 1 N N m4J1.91 41973,88 2181,11 4Bm.GO 1985,18 31118.43 3B25.34 2311.68 5248,00 272,10 990,00 36B,40 186,00 22,95 211.28 41.00 2249.2B 15J64,2B 290,00 288,00 15,86 A/R CAFE-C CAFE-H CAFE-P CREDUN PEDT!X FLEX S GIFT S GTL LEAF PHI ST-TX TSA-2 TSA-R 809,00 AWARDS 660.46 CAFE-O 1805.00 CAFE- I 381,81 CIINCER 25.00 DENTAL 31151. 01 FICA-I~ 1521.24 FORT D 108.60 GRANT HOSP-I msc PR Fm STUDEN TSA-C 21110,21 TOTION BOOTS B35,50 CAFE-F 219,29 CAFE-L 12,68 CLINIC 498,58 DEP-LF 4213,05 FICA-O FUTA GRP-IN 4235,]4 ID TIT OTHER 380,69 REPAY I29,B9 TSA-I TSA-P UW/HOS 311.64 113.38 11548,42 129.26 2006,89 t~..uu._.__n____n Grand Totals: 11120.75 -~----- ( Gross: 3G24J1.48 Deductions: 89081.52 Net: 213349,96 ) I Checks Count:~ IT 162 PT 16 Other 30 Female 178 Male 30 Credit OVerAmt 16 ZeroNet Term Total: 208 I . _ ____ _ _ _ ________~ ___~__ __ __ _____~__._ ___ ___~______ ______ ___~_~_~~___ ____ ______ _ _ ___~ ~~ ~~"_ _________ _________ ~ ~__ ~__ _ _ __ _d ~~_ ~_* "--- Tax Payment Report Worksheet EFTPS Voice Response 5, (Photocopy this worksheetforfuture use.) ! , ...! i1:J!ll You dial: 1-800-555-3453 _m..___....__.___ . .. m EFT~..r~p()_nds: ___--"-'^''''''ome to the Electronic Federal Tax Payment System" "It yo~-ai-Ei-caiilhgtrorn a I oUCh I one pnGne~press l:'- You enter: 1 (For Touch Tone phone) F,.t:.: EFIPS prompts: "Enter your 9-digit Taxpayer Identification Number" You enter: [lJ1JL]1L][Q][QJmrnm[Z] (9-digit Employer Identification Number) '....'}[1 EFTP5 promts: "Enter your 4-digit PIN" You enter: digit Personal Identification Numb II:UfjJ EFIPS prompts: Lists the Main Menu Selections You enter: Press 1 (to initiate a tax pryment) Ii:':x~ EFIPS prompts: "Enter the Tax Type number followed by the pound (#) sign.." .. . You enter: vri:J [?l] milD D (3- to 6 digit tax type number from the IRS Tax Form-Tab!efn:Appendix A) EFIPS responds: ;:}~l EFIPS prompts: You enter: [If:iJ EFIPS prompts: You enter: "You entered Tax Type/Tax Description (Based on the selection in step #5) "Enter Tax Payment Type" 1 digit number Tax Payment Type {Tax Payment Type specific to Tax Form Code in Appendix DJ "Ent~the 4-digit T~H~g Period starting with the year followed bY!TIonth'" !TIm OJ ~ (Valid 4-digitTax Period based on IRS tax Form Table in Appendix A) ~ EFIPS prompts: You enter: ~' EFIPS prompts: "Enter the payment Amount followed by the pound (#) sign," (You must enter cents 'even if you are reporting a whole dollar amount.) $g~aym!gJn~~!~~te~1!1'~9,l~.cgrn:L Enter the 2-digit Verification Code." DO Verification Code* *(See Appendix E for Verification Code Calculation) I~ EFIPS responds: "Enter the 6-digit tax payment settlement date by month, ay, year." (Note, the next business date you entrzymust be at ieast one business day in thefuturei(' /' You enter: m[O l1;JILJIIIE:J ~ ~~\\'l'\'Y ~'_""'=";"MM""m"_" (llnt:)n>1-.ilc, (Continue) ~(I\Y11'y December 27,2012 2012 APPRO V AL LIST 26 COMMISSIONERS COURT MEETING OF 12/27/12 BALANCE BROUGHT FORWARD FROM PAGE 25 $ 150,007.72 FICA P/R $ 60,744.19 MEDICARE PIR $ 17,269.04 FWH PIR $ 59,438.71 AFLAC P/R $ 4,848.17 NATIONWIDE RETIREMENT SOLUTIONS PIR $ 3,172.48 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT PIR $ 903.70 PillNC~ALFWANC~LGROUP PIR $ 3,438.53 TEXAS ASSOCIATION OF COUNTIES HEBP PIR $ 340,493.18 TEXAS COUNTY & DISTRICT RETIREMENT SYSTEM PIR $ 111,709.47 TMPA P/R $ 392,00 UNITED WAY OF CALHOUN COUNTY PIR $ 12,00 APRIL TOWNSEND AlP $ 196.47 AT&T AlP $ 51.96 CABLE ONE AlP $ 220.46 CALHOUN COUNTY NA VIGA TION DISTRICT AlP $ 2,026,95 CALHOUN COUNTY WATER CONTROL & IMPROVEMENT DIST.#1 AlP $ 138.62 CENTERPOWT ENERGY AlP $ 2,449.64 CITY OF PORT LA V ACA AlP $ 2,579.40 CPL RETAIL ENERGY AlP $ 87.10 CREDIT CARD CENTER A/P $ 9,523.23 PITNEY BOWES GLOBAL FWANC~L AlP $ 399.00 POC MUD DISTRICT A/P $ 12,304.40 PORTLAVACA WAVE AlP $ 252.00 REL~NT ENERGY SOLUTIONS A/P $ 2,098,75 SONNY'S MARINE AlP $ 967,54 SONNY'S PORTABLE BUILDWG A/P $ 67,70 THIRD COAST CONCEPTS, WC, AlP $ 3,420,00 VERIZON SOUTHWEST AlP $ 1,797,27 VFIS OF TEXASIREGNIER & ASSOCIATES AlP $ 52,723,00 VICTORIA ADVOCATE AlP $ 160,00 VULCAN CONST. MATERIALS AlP $ 42,417,72 WASTE MANAGEMENT AlP $ 2,486,92 TOTAL VENDOR DISBURSEMENTS: $ 888,797.32 TRANSFERS BETWEEN FUNDS TRANSFER FROM MONEY MARKET ACCT TO OPERATING ACCT (NOW) A/I' $ 3,484,994.00 COUNTY OF CALHOUN REFINANCING I&S SERIES 2012 AII' $ 2,552.11 CALHOUN COUNTY INDIGENT HEALTH CARE A/I' $ 38,468.42 TOTAL TRANSFERS BETWEEN FUNDS: $ 3,526,014.53 TOTAL AMOUNT FOR APPROVAL: $ 4,414,811.85 '" '" 0 - M> :a (1 ~ '0 ~ ~ '" ~ '0 '" ;; 0 ~ 0 m N '0 .,. "" '" "" ~ 0 ~ ~ '" ~ ~ ~ '" N ~ 0 ~ m ~ ~ 0 " ::j 0 0; N M 0; ::: '<i .. .. " ~ .,. ~ ~ ~ m .... ~~ ~ ~ ~ N ~ ~ :} .,. .,. ~ oi - -jJ 0 I ~ vi ,t: Ij 6 g '" '" f-< ~ ~~ :> :> ~ ~ 4!:'\ ::> j ~ z 0 0 ~ '0 0 ~ N U NO. f-< f-< .9 Z 0 , ~6 ~'" "'", "'", , :;;! :;; (jCl 0. m ,~ '" ~ 0' ::>gJ ::>gJ 'C ,.,. , N ,.,. '" r;:5 ,.., "" m ~:i! U,.., u,.., ~ mm", m"'", ....~ ~~Z ~ .,. ~ '" , ,'" 0i~", 0i?gO -~ N'O ~ N , 2' , :=; '0 ~:g8 '0. 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OF CALHOUN COUNTY SHERIFF B B BROWNING (SHERIFF/JAIL) BALANCE BROUGHT FORWARD FROM PAGE 6 $ 17,887.22 CREDIT CARD CENTER AlP $ 3,647.62 EXXON!MOBIL A/P $ 1,228.86 SHELL FLEET PLUS A/P $ 328.28 WAL-MART AlP $ 309.16 TOTAL AMOUNT FOR APPROVAL $ 23,401.14 I '" '" '" I '" ~ o u 8 ~ u .. o f-< ~ , f-< '" ::l ~ ~~~ . a ~ ip ~~~ o .g 0 ~~8 ul1 ~ '" %I o ." " . " U oz ~ iJ ~ 1l o o o ." 0. '0 ~ . o o o .~ ~ f-< j .g o . > .1J 8 <5 . " ;::: <5 o 15. . o :! "' .,. ~ o &, .. o &, :g~r;::~s: N..o\Ci\Cll{) NMO~~ :~ N ." ,. o &, .. M ~ '" '" ~ ~ ... N o N &, &, M ~ '" ~ u '" ~ '" ~ ~ '" '" &, N N '" ... &, 8 '" o o i2 ~ '" ffi '" ~ &, M ~ '" I '" ~ ; ~ N " ... o o ~ ~ &, N M ~ o o '" o o .,; ~ o o N ~ &, s: ~ ~ ~ o ;;: G o o '" s: ~ ~ .... * I0: ..lJ.l ~ fI'l 8~ ~ ~ l-< !-oVl W tI)>< ;g~ E-< 8~ ~~ ~ , z .,.:;'j ~o "'u ~ _:E :::"" , ~~ ~B ~ VlVl f/.l , ~ &, ... ~ ~ o o o 2i .; ~ '" >< '" o ~ o N &, M '" '" is ~ ~ o ~ vi .,; ~ ... 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'8 f- 0 0 u ~ ~ G .... .... 0 0 .... .... i i . ~ ~ '" ;::: ~ G u '" 0 '" '" 15. '" ~ . '" P '" I--< I i ~ I 8 ~ ~ ~ . ~ :E iil iil ~ I--< " ~ 15. P P 0 . ~ ~ ~ ~ ~ P TRANSFER DELL DIMENSION ES21 COMPUTER TOWER FROM THE OFFICE OF EMERGENCY MANAGEMENT TO THE MAIN CALHOUN COUNTY LIBRARY DEPARTMENT: Inventory No. Description Serial Number Not on Inventory Dei! Dimension E521 Computer Tower Oniy JFKY201 A Motion to transfer Dell Dimension E521 Computer Tower from the office of Emergency Management to the Mail Caihoun County Library Department was made by Commissioner Finster and seconded by Commissioner Fritsch. Commissioner Gaivan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. ;23 Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Requested By:lc'A..\x)(\n 0.... -n"\ ':j pE-i) CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LA V ACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 . MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: SURPLUS SAL V AGE/DONATE SURPLUS SALVAGE . DATE: DECEMBER 18, 2012 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR DECEMBER 27,2012 . Consider and take necessary action to accept Calhoun County Sheriffs Office propelty which is no longer being used as surplus salvage, See attached list. . Consider and take necessary action to authorize the Calhoun County Sheriffs Office to donate the uniform pants to the Calhoun County Senior Citizens Center as per Local Government Code 263.152(a)(4)(B), Sincerely, ~ B,B. Browning Calhoun County Sheriff DECLARE CALHOUN COUNTY SHERIFF'S DEPARTMENT PROPERTY AS SURPLUS/SALVAGE AND AUTHORIZE THE SHERIFF'S DEPARTMENT TO DONATE THE ITEMS TO THE CALHOUN COUNTY SENIOR CITIZEN'S CENTER AS PER LOCAL GOVERNMENT CODE 163.152(a)( 4)(B): -- Description Reason for Waste Declaration Light Brown Uniform Deputy Pants No longer being used 5,11 Tactical Series 1-38/34 Dark Brown Uniform Deputy Pants No longer being used 5.11 Tactical Series 2-38/34 Tan Uniform Deputy Pants No longer being used S.l1 Tactical Series 2-38/36 81ack Uniform Deputy Pants No longer being used S.l1 Tactical Series 1-38/36 5,11 Tactical Series 1-38/34 A Motion to declare Calhoun County Sheriff's Department property as surplus/salvage and authorize the Sheriff's Department to donate the items to the Calhoun County Senior Citizen's Center was made by Commissioner Finster and seconded by Commissioner Fritsch, Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Calhoun County Sheriff's office Requested By: 8. 8, Browning Reason for Surplus/Salvage Declaration LI hi Brown Uniform De ul Pants 5.11 Tactical Series 1-38/34 Dark Brown Uniform eputy Pants 5,11 Taollcal Series 2-38/34 an Uniform De ut Pants 5,11 Tactical Series 2-30/36 Black Uniform De uty Pants 5,11 Tactical Series 1-38/36 5,11 Tactical Series 1-38/34 /A N/A /A used N/A N/A used No Lon NoL n All Law Enforcement Identifiers and / or atches have been removed, Donate these items to the Senior Citizens Center DECLARE A COMPAQ PRESARIO COMPUTER MONITOR IN THE OFFICE OF EMERGENCY MANAGEMENT AS SALVAGE AND AUTHORIZED THE DISPOSAL OF ITEM: Not on Inventory Descriotion Serial No. Reason for Surolus/Salvaae Declaration Compaq Presario Computer & Monitor CNC32203GT Not able to repair InventolV Number A Motion to declare a Compaq Presario Computer monitor in the office of Emergency Management as salvage and authorize the disposal of the item was made by Commissioner Finster and seconded by Commissioner Galvan. Commissioner Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM ~, Department Name: CrY\. <2 ('](' r,(' n-'5 Requested By: 1,,-1l,-', 5pe 1\ Inventory Number Description Serial No. Reason for Surplus/Salvage Declaration b ('. oz...e.. DECLARING CERTAIN ITEMS OF COUNTY PROPERTY AS SUPLUS/SALVAGE: Inventorv Number Descriotion Serial No. Reason for Surolus/Salvaae Declaration 554-0008 Radio PG2780 No longer have 554-0015 Radio 7N191132 No longer have 544-0014 Walkie Talkie 7S1ANC0804 No longer have A Motion to declare the radios and walkie talkie as surplus/salvage made by Commissioner Finster and seconded by Commissioner Lyssy. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: ~~ Pd 4 Requested By: 1-~ /;.J.:JA.- Inventory Number Description . 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I- w =w 0 :i! ~ ~ gc w go !: z ~ ::> ~z W :2 Z :Ew::2: ~ ~W ::::i COO ZZO g:!: ~<(O 0 =cc I:: Z ...0<0 <.> C::>,,- N gz ~ 0 (f) ;; <.> z' gl- :l -(f) N 0 "-0:: <D Q.. =z w ::>- N i:l 0;;: ~ =w II:: <1> ~ lit o::w .n =:!: I- 00:: E ~ Z <1> =1- 0 ~ W <1> =~ 0 gcc I :i! =10 N >. 0 Q ZNO:> '" =a. ....0)" "0 I z ..._", '" ~ =w ;:eLOCD <1> W C ~c :i! "0 U. <1> c( ;;: PUBLIC DISCUSSION: Judge Pfeifer: Sheriff [Browning] it was a pleasure serving with you. We're going to miss you. Sheriff Browning: It's been a good ride. Anne Marie Odefey: Can we go back into closed session on the real estate? Judge Pfeifer: Let's passed on it at this time. Susan Riley: Do you that real estate back on the Agenda for the next time? Judge Pfeifer: There have to be some changes made. Anne Marie Odefey: It is going to be more in line with what was discussed. Court was adjourned at 11:38 A.M.