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2015-11-12Regular 2015 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held November 12, 2015 BE IT REMEMBERED, that on this 12th day of November, A.D., 2015 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 Anna Goodman Josie Sampson County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation. Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas Flag. MEMORIAL MEDICAL CENTER REPORT: Jason Anglin, CEO of Memorial Medical Center stated there was a net loss of $338,881 for the month of September resulting in a net loss for the year of $156,885. He reported that the new clinic project is on track to be completed in late December, with opening planned in January 2016. Memorial Medical Center - Port Lavaca, Texas CEO Report October 22, 2015 Financial Results: In September we had a Net Loss of $338,881 resulting in a Net Loss for the year of $156,885. In Summary, payer mix negatively impacted MMC heavily as private pay and Medicaid utilization was very high along with heavy Medicaid write-offs. New Clinic Project Currently, planning for a December opening. Planning on scheduling next construction committee meeting the first week in November. Waiver 1115 We are currently working on the annual reporting on our projects. In January we will process our IGT and be paid at the end of January for our achievements on our projects. Inter Local Agreement update In May the board authorized the CEO and CFO to join a Cooperative that Texas Organization of Rural and Community Hospitals (TORCH) was looking at forming in an effort to address several problems (challenges) with the Nursing Facility Minimum Payment Amount Program. We have been participating on almost weekly calls regarding this effort. We have also stayed in close contact with Cantex our Nursing Home manager for the Nursing Home programs. As the deadline approaches to join at this juncture we are not planning on participating in the Cooperative. Service Organization of Houston (SOH) updates We have submitted an update of our community benefit request (request of support of contracts). insurance renewals Tentatively we are looking at scheduling an Insurance Committee meeting on November 19t'to review with Healthsure our employee health, dental, life, and longterm disability insurance renewal options. Medical and pharmacy claim benefit costs have been high in 2015. 1 anticipate the renewal of these insurances will be presented at our December board meeting. At this time we are working on information request for renewal of our Workers Compensation, Professional General Liability, Directors and Officers, Regulatory/Billing Errors and Omissions policies. I anticipate presenting these for renewal at our December board meeting. Physician Recruitment Activity We continue our recruitment activity. We have had phone conversations with an orthopedic surgeon and a couple of family practice physicians. We anticipate hosting the orthopedic surgeon on a site visit in the next month. X-ray install We anticipate having the new machine installed the first week in November. Prompt Pay Update In May of last year an agreement with Healthcare Recovery Advisors, LLC for Prompt Pay Consulting and Revenue Recovery was approved for reviewing billing and payment data to determine if insurance companies, HMO's and PPO's may be liable for penalties and interest based on Texas prompt pay laws, and identify which claims may have been paid in violation of the law and how much may be owed. We anticipate having a mediation hearing with an insurance company hopefully in the next 60 days. Studer Group Training In November we have Joel Bautista, Studer Group Coach coming on site to do 3 —One-Hour Staff training sessions on Communication and Standards of Behavior. In December we are having a National Speaker from the Studer Group Liz Jazwiec, RN to conduct two Staff Sessions. Liz is a nationally renowned speaker, strategist and author who has shared her passion of leadership, engagement and service with audiences across the country. Please see attached handout. Healthcare Education Material - Attached are some articles out of various health care publications: Hidden Cost of High Deductibles The Self -Pay Problem Hospital Admissions increasingly are Originating in Urgent Care Critical Access Hospitals by State Preventing readmissions with discharge education Fueling Top -Line Growth Possible New Programs - Cardiac/Pulmonary Rehab / Tele Psychiatry We are starting to work on new programs to add services and revenue. In the next several months we will be looking at Cardiac / Pulmonary Rehab and reviewing Tele Psychiatry. Information on Board Items: 1. Recovery Service Agreement- This is a contingency agreement to have Eckard Recovery Services review our paid insurance claims for under payments and for assistance in collecting denied claims. Our primary focus here is detailed review of our paid claims to determine if we have been properly paid. 2. Presentation on HCAHPS Scores for Memorial Medical Center -As you know HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a survey that ask patients about their experiences during a recent hospital stay. Erin will give a presentation on MMC's rating. 3. Report on assisting residents with Insurance Exchange sign-up — Jerry will give a presentation on MMC's plans to help residents sign up with Insurance Exchange and other assistance. Jason Att Memorial Medical Center ofBy KAREN APPOLD EXECUTIVE VIEW I High-deductihle plans may push consumers to make smarter healthcare spending choices.. . I Or, they could push consumers to delay care due to cost concerns. Payers must consider the short- term and long-term effects. ostpayers and employers now of- fer high -deductible health plans (ITDYIPs), but questions remain regarding whether these options will actually help plans and anr- ployers save on healthcare costs in the longrun. lIDHPs are health insurance plans with fairly low monthly premiums; but relatively large out-of-pocket expenses for in- curred medical care. Typically,' deductibles range from $500 to $6,000, depending on ben- efit design andhousehold size. Members are re- sponsible for the cost of care incurred up to the deductible limits within a givenyear. 'These plans are exceptionally efficient vehi- cles for constraining health costs to allpmchas- ers: insurers, employers, andpatients alike, says Christopher I(erns, MBA, managing director of research and insights at The Advisory Board Company. For patients who cant afford traditional health P insurance premiums, BDBPs are a low-cost option. "Thus explains their overwhelmug popularity on the Affordable" Care Act health insurance ex - KERNS changes; theyie also favored by a plurality of employees on private health insurance exchanges, says Kerns. Although High deductibles make the premiums affordable, out-of-pocket expenses can still be burdensome for lower -income households, al- though typically far less than they would have been as urdsmedpatients." While saving money across the board is all MANAGED HEALTHCARE EXECUTIVE I OCTOBER2015 MaaagedRealthcareFxeeadve.com well and good, multiple sources reportthatpeo- plewithHDHPsforgo getting care or cutbackon care due to having high deductible plans. Over time, that could lead to more healthcare costs if untreated chronic conditions snowball into more serious health issues, or if undiagnosed illnesses escalate into long-term, complex health problems: Health plans and employers considering high -deductible health plans must consider the short and long-term implications. THE ARGUMENT FOR HIGH -DEDUCTIBLE PLANS By offering a lower premium cost to members, =ZHDHPs put the onus on consumers who -ulti- y can decidehowtheywe Wd like to spend their healthcare dollars. All high -deductible plans have an upfront deductible that is high- er than traditional benefits offered by payers. A federal guideline dictates whether a payer's particular benefit design will be qualified as be- ing an HDHP (see chart `Annual minimum and maximum deductibles forplans defined as high deductibles'). Payers have the option to have a higher deductible than those stipulated by the government (up to a maximum limit), however it must meet a minimum amount to qualify as anHDHP. Once designated as a high -deductible plan, employers can help the consumer byproviding tax-exempt dollars back to the patient' in the form of a health savings account (HSA). "This can be used to offset the large up -front costs as- sociated with the deductibles in HDHPs, says M Park, MBA, practice area head, of managed markets at Symphony Health Solutions. Once deductibles are met, patients are covered for eligible healthcare expens- es and face copayments or co- insurance in similar fashion .; to traditional health plans.. PARK The belief is that HDHPs will provide an overall cost savings to the system, becausepatients will make the most cost-efHcienthealtheare decisions. In addition, patients with a low propensity to seek healthcare will likely opt for these plans, suggesting the overall spend, premiums, employ- er cost, copayments, and payer paid costs will decrease compared to traditional health plans, High -deductible plans " 2009 $1,150 $2,309 $5,800 $11,600 2010 $1,200 $2,400 $6,959 $11,900 2011 $1,200 $2,400 $5,950 $11,900 2012 $1,200 $2,400 $6,050 $12,100 2013 + $1,250 $2,500 $6,250 $12,500 2014 $1,259 $2,500 $6,350 $12,700 20115 $1,300 $2,600 $6,450 , $12,900 Source. Symphony Hulth Solutions 'Another benefit is that employers will likely not be affected by the "Cadillac tax — .!*which, by definition, occurs with highpremium plans, says Amelia M. Haviland, PhD, Carnegie Mel- lon University. Part of the Affordable Care Act (ACA), this is a 40% excise taxforpremiums paid by insured and self -insured employers who exceed $10,200 for individual premiums or -$27,500 for familyprera ums. THE ARGUMENT AGAINST HIGH -DEDUCTIBLE PLANS Multiple sources report that people with high - deductible plans forgo getting care or cut back on care. A study by BAND researchers of HDHP patients' overall medical spending, use of pre- ventative healthcare treatments, and cost of ep- is6de of care showed that these patients' health- care spending was 14% lower than patients in tradithmalplan's. In addition, families cut back on preventa- tive care such as immuntzations and cancer screenings, they initiated fewer episodes of care, and spent less per care episode. Enrollees with lower incomes and chronic illnesses also reduced medical spending, but not more than other enrollees. Nearly every payer and employer now offers individuals and employees a high -deductible health plan option, with traditional Medicare being the lone exception in some states, reports Christopher Kerns, MBA, managing director, research and insights, The Advisory " Board Company, Washington, D.C. ManagedHealthcareExecutive.com MANAGED HEALTHCAREEXECUTIVE I"OCTOBER2015 �✓a/ Nigh -deductible plans face increased pressure to he more transparent because of the Increasing number of patients with high -deductible health plans. "In the past, hospitals had to address unpaid bills —mostly of the uninsured —partly by getting such patients signed up for Medicaid where applicable," she says. "With insured patients now paying more out of pocket, they need to figure out strategies for getting paid notjust by insurers but also by patients, and sort out what to do if they can't pay. Even though more patients may have insurance, they may not have enough savings to pay . their high deductibles." Christopher Kerns, MBA, managing director, research and Insights, The Advisory Board Company, Washington D.C., says more, hospitals and providers may consider providing additional low-cost options due to the Increasing number of high - deductible plans. "Most health systems are mission -oriented organizations, and have no desire to squeeze patients who truly can't afford their care as a result of high out-of-pocket expenses," Kerns says. More and more organizations . are revising their so-called "sliding -scale" policies, where the price of care is moderated by overall household income. This financial assistance becomes a form ofcharity care, which nearly all hospitals provide. Kernsreports findings along the. same ; lines, notingthat allovember 2014 Gallup poll indicated that, among the insuredpopulation, 34% of respondents indicated that cost of care "(i.e; deductibles, copaymehis, and coinsur- ance) hadled them to delaymedical care. 1aat number is up sharply from 25% in.2013„and maybe explained bythe growingpopularity of high -deductible plans. When patients delay care, they tend to miss or reduce doses of prescription medica- tions. "This can obviously have some negative effects, Kerns says. "Providers need to be able to quieldyidentify this as an outcome and em- ploy resources to help households pay for pre- scription drugs' Patients may also forgo elect ive.joint or orthopedic surgery. "Patients may opt for physical therapy or pain management, which in some cases may be the better clinical pathway," ICerns says. "But.it's important for physicians and health systems to have early detection mechanisms to see whether or not patients are truly endangering themselves or are simply being practical:' When Haviland examined the use of HDHPs over three years in the employer - sponsored market, she saw reductions in to- tal healthcare costs driven by outpatient and pharmaceutical drug costs. "We did not detect any change in emergency room.nse, and while early reductions were detected in inpatient care —they didn't persist over time:' Regarding pharmaceutical medications, a 2015 study by Peter Huelcfeldt,-et al.; "Patient Responses to Incentives In Consumer -Direct- ed Health Plans: Evidence From Pharmaceuti- Continued on page 33 HDHP history hile the of employers will only be with deductibles that are U � introduction of offering high -deductible in the range of $1,000 to the Afford- .options over the next $3,000 rose from 7% in able Care Act three years, he says. 2003 to 27% in 2014, " o .the statistics in employer based plans specifically,. 81 ryo of members had a deductible in 2013, up from 52% in 2003, according to a Com- monwealth Fund report, "State Trends in the Cost of Employer Health insurance coverage, 2003-2013." "Over that period, the average per person . deductible more than doubled, .increasing by. 146%," says Sara Col- lins, PhD, The Common- wealth Fund. In terms of the growth and size, the share of privately insured adults MANAGED HEALTHCARE EXECUTIVE -I OCTOBER2015 ManagedilealthcareExecattve.com Conftnuedfromfiage 26 cals, showedthatspending.onpharmaceuticals for chronic conditions fell for those in high -de- ductible plans. This is partly because of shifts to lower -priced drugs. "The shift to generics is good as they are saving the whole healthcare system money and maintaining the same qual- ityofcam, Haviland says. "Butbyfar the biggest cause of the drop in costs was an increase in non-compliance; which, for chronic conditions, is alarming" Pointing. to a Commonwealth Fund report, "The Problem of Underimurance and How Pris- ing Deductibles Will Make It Worse, Sam. Col- lins, PhD, vice president for Healthcare Cover- age and Access, The Commonwealth Fund, notes that amongpeople who had a deductible of $1,000 or more, about 40%had difficultyp'ay- ing a_medical bill or medical debt over time, Hioh-deductibles as 23%who v 40% i - 30% 20% 10% 0% which is nearly twice the rate ofpeople who had. a deductible less than $1,000. THE LONG-TERM EFFECTS Kerns says ignoring serious ailments wouldpro- duce aspike in costs, which would trigger an in- crease in patient premiums, creating even more .incentives to forego care. Tlds could become a vicious cycle. "But that scenario is unlikely over the medium -to -long term, because the health plans that are lilcelyto be most successful in the long term are those whose provider networks can control not only the price of the premium, abut also the trend of cost growth over time, he says. "'prose that manage to provide enough low-cost access to encourage appropriate utili- zation of care —with services priced to market demands —are the ones who arelikelyto see the smallest spike ia.costs due to patients eschew- imponent. with'private including -ount) and -------------------- - 36.0 2015 )an -Mar) Nigh -deductible plans Man WdffealthcareExecalive. com AMNAGEDIIEAUXICAEEEXECDTNEI OCTOBER 2015 3,3 High -deductible plans WAYS TO RETAIN HIGH -DEDUCTIBLE MEMBERS High -deductible health plans are often the product of choice for relatively healthy people who have little likelihood of exceeding the plan's annual deductible. With low to no use of the plan's contracted providers and no other interaction with the health plan, these members have little loyalty to their plan and will quickly switch to a competitor if it offers a lower premium. +` Poreightways to ensure that members will renew despite lower cost alternatives, visit http./ibit.ly/HDHP-Members. ing care. And those plans are likely to have the smallest premium spikes in any given year." 'the demographics of HDHP members also point to promising signs when assessing the long. term cost effects ofthese plans. Members are often younger and dont need to access health services frequently. "'Ibis population has a perceived minimal risk, and the reward of paying less for coverage overall outweighs the outside possibility of an emergency health situation; Parksays. In terms of prescription drugs, Symphony Health has studied patient populations and treatment persistency curves. "We found that in classes where the drug improved a condi- "tionthatmaynothave had aperceivablephys- ical symptom, for example, cholesterol reduc- ens, patients tended to drop off therapy earlier than in classes where aphysical result ofinedi cation was observable, Park says. "You could call this the `I feelSne' effect; wherein consum- ers choose nottopay [to treat] somethingthey do not believe is negativelyinepactingthem" It should also be noted that alot of preven- tive care is covered pre -deductible as a result of the AGA. Nonetheless, some people avoid regular preventative care tests —such as colo- noscopy, mammogram, blood pressure and cholesterol tests —because of high deduct- ibles, the Commonwealth Fund report stated. "'Ibis could exacerbate problems and lead to higher costs later on," Collins says. t3 Karen Appoldisamedical va ter in Lehigh Valley, Pennsylvania. MANAGED BRALTHCAREEXECUTIVE I OCTOBER2015 ManagedHealt/reareExecutive.com .self-pay1. With billions of dollars left uncollected eachyear; improvements in patient self -pay can make a huge difference to a provider's bottom line. AT A GLANCE Development of a self -pay plan is key to improving collections. The five opportunities for providers to do this include: > Pre-registration/scheduling > Admissions >.Time of service > Discharge > Post -billing Over the past five years, manyhealthcare providers have experienced increases of ro percent or more to their self -pay accounts receivable (A/R). Providers initially responded to this trend by looking for ways to become more aggressive in their collections for medical services, but their efforts were limited by stricter regulations imposed by federal and state govern- ments aimed at protecting consumers from unlawful and questionable collection tactics. Providers also have reduced bad debt by shifting much of it to "charity care" to comply with community benefit standards. Meanwhile, the number of bad debt accounts due to patients lacking insurance or facing prohibitively large self -pay amounts after insurance has continued to increase. Prior to the implementation of the Affordable Care Act (AGA), the downturn in the economy saw many people unemployed and left without basic health insurance coverage. The Gallup -Healthways Well -Being Index, which trends the percentage of adults in the United States who lack health insurance, reported that the uninsured adult rate dropped to iz.9 percent at the end of the fourth quarter 2,or4„ from a high of A percent the previous year. Although the ACAprovides previously uninsured patients with the opportu- nity to obtain some insurance coverage through the health insurance exchanges, the plans available on the exchanges have high deductibles and eopayments, which have added to the high levels of self-payA/R. This 96 SEPTEMBER2015 lmalthcarefimmdal management increase translates into not only more dollars that remain uncollected and eventuallywritten off to bad debt or charity but also a greater volume of accounts that require staffing to work, adding significant cost to already stretched administra- tive budgets. The exhibit below compares self -pay A/R with total A/R for io actual provider organi- zations. These data are not meant to be a repre- sentative sample of the industry but simply to underscore how self -pay A/R represents a growing issue that should not be ignored. The exhibit shows that, among the io provider organizations, self -pay receivables constitute roughly 8 to 4,o percent of total A/R, while the number of accounts within this self-paybucket represents, for the most part, an even greater percentage of the total accounts. Providers tend to use the 8o/ go rule when assigning staff to collect A/R and increase operational cash flow, based on the premise that 8o percent of the dollar amounts tied up in a provider's A/R are in go percent of the accounts (for the io providers shown, the ratio is 75125). Generally, although there are more dollars to collect from third -party payers, there also are fewer accounts, and collecting dollars from third-partypayerstypicallyis easier than collecting from patients. The example of the As evil artly t.E.C;w _[:itit ka:Cive, hos iCl of performance and reporl 0-1a progress �'egula � y. io providers reinforces the notion that self -pay A/R is a serious revenue cycle issue. A eon USA Today article reported that up to $4,9 billion in costs for hospitalization of uninsured patients goes uncollected.' Data issued by the American Hospital Association, MGMA, and other sources indicate that, altogether, hospital, pharmacy, and medical -practice bad debt amounts to about $i2o billion annuallyconstituting4 percent of all healthcare spending.b This situation makes it incumbent upon providers to have a plan to address the ever-increasing self -pay A/R challenge. a. Kennedy,K.,"Up to$49 Billion Unpaid by Uninsured for Hospitalizations," USA Today, May13, 2011. 6. This statistic is from a calculation, drawing fromAHA, MGMA, and othersources, by Dan Munro, a healthcare writer and contrlbutoratForbes. See Munro's answerto the question "How much'bad debt" do physicians write off nationally peryeardueto patient non-payment7"at quora,com/Dan-Munro. Organizakioa Type Self -Pay I Self -Pay Total Total Amounts I ASSMASEWSBASSA Average Percentage Percentage Accounts Amount I Accounts !Self -Pay of A/R of Accounts Balance Dollars 800to 1,000 Physicians ( 161,726 $12,206,484 _ 496,4171 $51,400,4941$75.48 23.77% 32.6% Multihospital System 1 136,733 $240,161,664 365,071 $1,192,456,380 $1,756.431 20> 1% 37.5% Large Urban System 40,1361 $164,954,134 70,8221 $438,516,649I $4,109.881 37.6%I_ 56.7% Large Urban System 43,9581 $56,757,088 142,837 $13 0 $1,291.17 41.3% 30.8% Community Hospital 1 28,203 1 $33,707,856 1 64,8291 $138,226,984 j $1,195.19 24.4% 1 43.5% Community Hospital 55,428 $6 6223 983 ( 131,658 $215,801,898 _ $1,140.70 Community Hospital 21,8851 $16,400,636 71,894 $62,076,359 1 $749.40 26.49/61 30.4% Community Hospital 25,9061 $14,935,953 85,8141 $77,689,5411 $576.541 19.2%1 30.2% Community Hospital 21,254 $6,700,055 75,8901 $83,030,277 $315.24 8.1%1 28.0% Community Hospital 29,8311 $13,598,339 1 40,8031 $85,725,521 1 $455.85 1 15.9% 73.1% hfma.org SEPTEMBER2075 97 FEATURE STORY When developing such a self -pay plan, providers should consider their internal capabilities and what types of technology and other services can assist with improving collections. Tasks that can b e supported by technology solutions include scheduling, eligibility checking, Medicaid and charity application processing, patient estima- tion, in-house collections, scoring/propensity- to-pay data, early -out receivable collections, data analysis, and other revenue cycle responsibilities. As a preliminary step, organizations should thoroughly assess the extent to which they are able to build and implement new processes, deploy staff and train additional personnel, and manage all processes to obtain financially acceptable results. An important part of this step is to conduct an inventory of resources available for these purposes. Hospitals have five opportunities within a typical revenue cycle to influence a patient's decision to pay and, thereby, improve collections: during scheduling and preregistration, admission and financial counseling, time of service, discharge, Patient Insuranceand C .Admission ':Government and Financial Eligibility - Counseling Verification Information Capture anon Case and post -billing. As with any new initiative, hospitals embarking on an effort to improve collections should develop a baseline ofperfor- mance and report on progress regularly. schc $eanng and Pre"e0stration The scheduling and preregistration phase of the revenue cycle is the first opportunity to ensure' payment. Hospitals should schedule and prereg- ister as manypatients as possible, including outpatients, and should perform eligibility screening and identify patient deductibles and coinsurance. Many insurance companies indicate patients' percentages of payment responsibility on the reverse side of their insurance cards. The hospital's patient financial services (PFS) system should allow for storage of deductible amounts or estimated coinsurance amounts so that separate and distinct collection efforts can be made prior to service. Technology also maybe useful at this stage. Staffing always is a huge cost, and more staff does not necessarily mean better results and 9 Charge Capture The revenue cycle should be designed to accomplish two goals: > Turn the claim for services into > Perform functions that will Medical Care cash as quickly as possible to produce a timely, accurate, Revenue Documentation Enhancement ensure the financial viability of compliant claim for services the healthcare organization rendered Receivable Management Plannin 98 SEPTEMBER2015 healthcare financial management FEATURE STORY performance. Technology should be used for contacting patients and collecting dollars before service. It is important to understand each step in the scheduling and preregistration process and to automate as many processes as possible to simplify the collection process for these staff members. Patient online portals can allow patients to preregister and include insurance information. Once a patient completes this process, some systems can perform eligibility checking and inform the patient of deduct- ibles or coinsurance amounts that should be paid before or at the time of service. Hospitals also should consider sending electronic alerts to patients to inform them of their self-payresponsibility, in accordance with the most recent rulingunder the Telephone Collection Practice Act (TCPA), which states that providers must have written consent from patients authorizing the use of electronic communication.° Technology tools also may help reduce no-shows and the loss of revenue by making appointment reminder calls to the patient: These calls can inform the patient of both the medical requirements for service and the organiza- tion's financial policy and financial assistance program. But technology wont get the whole job done at this stage. Staff members are another great asset and necessaryto the process. Hospitals should provide ongoing education and develop collection scripts for staff to ensure they are proficient with collection practices. Admissions and FlnaticPM Cac ngeftng For all nonemergency services, eligibility should be verified prior to service. This practice creates an opportunity to collect self -pay balances expected after insurance payment. Access to the latest bankingteehnology can increase collections of both credit card and personal check transactions. Staff in admissions or financial counseling can use direct -transaction deposit technology to collect pay- ments with minimal cashiering support. At this time, patients may be informed of the provider's financial policy to include financial assistance. The use of kiosks is becoming more acceptable during the registration phase. This technology allows patients to effectively communicate their medical, demographic, and financial information without havingto wait for a staff member to complete this process. It also creates a framework for gettingpatients to pay their portion. By using kiosktechnologythat is capable of verifying eligibility and uploading these data into the A/R system, a hospital can improve its understanding of patient responsibility and its communication of that information to patients. The c. See Federal Communications Commission, "Declaratory Ruling and Order,"July10, 2015. 10 et pressure � , L L.d �� too LthepCi� h(ma.arg SEPTEMBER2015 99 FEATURE STORY 614 Organization Type Se1F-Pay FTEs per FTf s per FTEs per 5K FTE Cost 5 PI I FTE Cost 10K FTE Cost Accounts 5,000 7,500 10,000 Accounts! Accounts Account_ !, SOOto1,000Physician 161,726 32 23 16 $1293,808 $924,149 1 $646,904 MultihospitalSystem i 136,7 27 �_ 20 14 $1,093,864 j $781,331 $546932 Large Urban System 40,136 6 4 ( $321,088 j $ 4 $160,544 Large Urban System i 43,958 9I 644 �- $351,664 $251,189; 11b1 60 $175,832 $112,812 Community Hospital j 28,203 6 4 3 ( 8 6 j $225,624 $443,424 1 $316,731 $221,712 Community Hospital 55,428 11 Community Hospital 21,885 43 2 $175,080 $125,057 $87,540 Community Hospital 25,906 5 _ 41 3 j_ $207,248 ( $148,034) $103,624 Community Hospital 21,254 4 ( 3 2 $170,032 $121,451 $85,016 Community Hospital 29,831 61 41� 3� $238,646 $170,461 $119,323 kiosk should be able m request payment attune of registration and create an exception list of those patients who indicated that they could not make a payment at that time. The kiosk should provide patients with information about financial assistance and alert a financial counselor if a patient has made an inquiry. Tince of Service Financial counselors should review all inpatient self -pay admissions. Most provider organizations have some form of Medicaid eligibility process in Place, The effectiveness of this process should be tracked in terms of applications approved, not dollars collected, and number of times visited by individual patients. Although many states have expanded their Medicaid eligibility, some programs carry some form of deductibles or copayment amounts. Efforts should be made to identify these amounts, inform the patient, and collect the amounts prior to discharge or release from service. While receiving services and as part of the Medicaid application process, patients should be made aware of the provider's financial assistance policy (FAP). The FAP application should be made available online for the patient to complete and forward to the PFS department for evaluation and determination. If the providerhas an internaltelevisionnetwork capable of broadcasting videos, consideration should be made to developing avideo that explains the organizations financial policies. This basic technology canbe used to assist with collections and with identifying and communi- catingwith patients who require financial assistance. During a patient's stay, patients and their authorized family members should be able to communicate freelywiththe PFS department. Typically, this communication will be by internal email that allows the patient to access account information and submit information for obtain- ing financial assistance. Payment of deductibles and copayments should be requested during this phase when possible. Again, the provider's agent should be trained appropriately and well -versed in the use of collection scripts. In particular, a process should be in place to collect copayments from patients who are released after service in the emergency department. If a patient is unable to pay at the time of this request, a statement and self- addressed envelope, withthe amount of the copayment and a due date withinthree days of the service, should be handed to the patient. Scripts used by collections staff should convey 100 SEPTEMBER2015 healthearefinanciai management respectfully and non -aggressively a sense of urgency regarding payment. MScka ge Most providers have a courtesy discharge policy for patient convenience; therefore, this phase provides little opportunity to interact in person. Patients can be provided with discharge packets that include an explanation of the provider's financial policies, including financial assistance. Kiosks again maybe useful. Placed in high -traffic areas, they can allow patients to pay their bill without having to stop and talk with a provider's representative. Should a patient need to pay offsite, having an online system —and educating patients on where to find it —is important. Many providers bury their online payment portals deep in their websites, posing a hurdle for patients who are ready and willingto pay. Post-;-E;e(I[uu5€y Despite discussions in the healthcare finance literature onpoint-of-service collections, andthe fact that some winners of HFMNs MAPAward for High Performance in Revenue Cycle have strong up -front collections, most hospitals tend to concentrate collections efforts in the period after patients have been billed. For some, the stock answer to improve self -pay collections is to add staff, add bolt- on technology, or even increase charity. The question hospital revenue cycle leaders should ask is, Will such actions increase cash performance? Adding staff may not be the best solution. The exhibit onpage ioo demonstrates the number of collectors required based on the number of open self -pay accounts. Assuming an account base per collector of 5,000 to io,000 accounts, the exhibit lists the salary cost for these collectors (at $4o,000 per collector). Nonetheless, this cost does not include office housing, hardware and software, and support. The exhibit at right provides an estimate of the cash improvement from extracting a i to 5 percent uptake of cash from the self -pay accounts receivable. (Note, FEATURE STORY these data are based on self-payA/R for the same io providers whose data were presented in the exhibit on page 97.) Physician providers are the most vulnerable because the average A/R balance is low, and they cannot justify adding staff to make collection telephone calls on small balance accounts. Automation can be of great benefit to these providers. Alarge volume of accounts dictates a provider's need to understand what is in its self-payA/R and what to do to extract the uncollected cash. Here are six key points to consider. Rnorr the patlenis s01,o cotss,,RWe i11e o; gauizaiivn's self -pay Ate. Typically, there are two classifica- tions: pure self -pay (i.e., patients who have no insurance or some type of limited policy) and self -pay after insurance. Withinthese two categories, there will be patients with and without valid telephone numbers. Being able to use auto dialers to reach out to self-paypatients for outstandingbalances is preferable to simply sending statements. Patients without valid telephone numbers will need to go through a letter series. Patients with a valid telephone number should go through a call campaign Process with effective statements. Organization Type .Cash Cash Improvemenk Improvement 1% 3% Cash Improvement 5% 800to1,000Physicians $122,065I $3661951 $610,324 MultihospitalSystem ! $2,401,617 $7,204,850 r$12,008,083 Large Urban System $1,649,541 $4,948,624 $8,247,,707 Large Urban System— I $567,571 1 $1,702,713 $2,837,854 Community Hospital $337,079 1 $1,011,236 $1,685,393 CommunityHospital - $632,270 $1,896,809 $3,161,349 Community Hospital $164,006J $492,014 $820,032 Community Hospital $149,360 $448,079� $746,798 _j Community Hospital $67,001 $201,002 $335,003 Community Hospital j $135,9831 $407,9501 $679,917 hlma.org SEPTEMBER2015 101 FEATURE STORY Automated telephone camp a.igris g ay he useful, provided they - focus on the intended audience with a high: likelihood of reachiagthat audience. Auto - dialer systerns can provide detailed ino °.ma.tion to hells focus collection efforts and improve their effectiveness. Develop a collection process that uses patient -friendly billing statements and effective telephone contact. Collection efforts should have an early focus, with a collection policy that requires payment in full within yo to igo days of service. A customer service satisfaction survey should be included to measure patient satisfaction and measure financial results. The focus also should be on identifying and resolving patient concerns quickly and on cultivating a culture in which staff are encouraged to enlist the support of management in address- ingpatient problems, when necessary, and can expect a speedy response. Automated telephone campaigns maybe useful, provided they focus onthe intended audience with a high likelihood of reaching that audience. To this end, the provider will need to answer key questions, such as what the best day of the week and time might be to call a Medicare patient with a deductible or co-insurance amount due. The same questions should be asked of each payer. Auto -dialer systems can provide detailed informationto help focus collection efforts and improve their effectiveness. Stay abreast of current end future TCR-A rulings and clarifications. For hospitals, using auto -dialers and calling a patient's cell phone number are hot topics under debate that will likely continue to be battled in the court system. Nonetheless, systems are available to separate telephone numbers based on land lines and cell phone lines. Hospi- tals should consider usingthese types of services to further segment self-payA/R and create calling campaigns, and at the very least, they should use semi -automated dialingto improve calling efficiency. Hospitals should understand their options and update their patient consent forms to include cons ent for the provider and business associates to use an auto -dialer. Include more than just propensity to pay when segmenting self-payAlk Typically, most organiza- tions focus on large -balance A/R. Although resolvinglarge-balance accounts is imperative (and will reduce a hospital's overallA/R and days of sales outstanding faster than small balance accounts), collectingpayment on these accounts is much more difficult and time consuming. Simply stated, -it is easier to collect a $too outpatient deductible than it is to collect a $ioo, 000 inpatient self -pay account. Accounts should be segmented by balance and automation usedto work account balances of $5,000 or less, with staff assigned to workthe accounts with greater amounts. The large -balance accounts should again be screened for some type of financial assistance (Medicaid or charity) and may require some longer -term payment plan assistance. Budda strong customer -service staff capable of answering patient questions and collecting seff pay balances. Alternatives for automating routine inquiries should be considered, but patients should have the option of being routed to a customer -service agent. Routine inquiries could be as simple as requesting an account balance, sending a statement or bill, and paying online. To provide strong customer service, interactions should balance resolving patient concerns with collecting self -pay amounts, as appropriate. Develop communi€y programs atmedat disseminating informaflonaboutVic olicare, Medicaid,HPI0 insurance, and the f 9aanclal p01ides of your organiza- fion. Hospital executives should speak at the local 102 SEPTEMBER 2015 bealthcarelinancial management FEATURE STORY AARP meetings, nursing homes, and/or other community events and opportunities. Establish- ing a quarterly kiosk in a well -trafficked mall can also be an effective means to share information about provider's services and fmancial policies. Hospital billing staff should help patients solve billing questions, even for medical bills that are not for hospital service. Patients should view the hospital as a community resource for medical billing. A Growing OpporkunKif Self-payA/Ris a growing issue and an opportum- ty for provider organizations to increase cash. Obtaining a solid ROI requires a good self -pay collection plan, however, and effective use of technology. To be successful, provider organiza- tions also must thoroughly understand their Revenue health. Data health. self -pay collection process and ensure that every step toward automation also reflects the human element of caring and is fully compliant with TGPAandotherregulatoryrequirements. Best results will come from providing patients with strong and caring customer service in accordance with a hospital's mission and seizing every opportunity to educate staff andthe community through all points in the revenue cycle. ■ About the author Richard R. DeSoto, CRCE - I, is principal and CEO of DeSoto Healthcare Solutions, Palmetto Bay, Fla., and a member of HFMA's Florida Chapter (rrdesoto@gmail.com). Patient health. Experlan Health. J. •_ ° • Greater patient engagement ••®a®®®x erian® • Fostering client -driven innovation Health • Unmatched payment certainty • Touchless Processing'" j T www.experian.com/health Apad•faperlan www.passporthealtlixom 02016 Experlan Information Solutions, Inc, All rights reserved, 104 SEPTEMBERM5 healthcare financial management originating in urgent care An intended benefit of the Affordable Care Act was to have more beneficiaries seek treatment from primary care physicians or urgent care facilities to reduce the number of unnecessary emergency department (ED) visits. Using state -supplied inpatient data, a hospital can identifythe primary source of hospital admis- sions and then monitor the resulting length of stay and charges associated with each type of admission.' a. Manystates collect inpatient admission data from hospitals via a state agency, a hospital trade association, or an outsidevendor and, in turn, create and make available nonidentifiable data sets for commercial and academic use. The states range from large to small and span the entire length and depth of the country, providing a comprehensive social, ethnic, and geographic base from which comparisons can be made. This analysis draws on the data collected from these states, combined into a single archive of inpatient hospital data for analytic and benchmarking purposes. ear Admission Type Admissions IM Fmeroencv 71747A 2013 Urgent 4,798,922 2012 Emergency 9,112,896 2012 Urgent 5,606,648 2011 Emergency 12,025,478 2011 Urgent 4,165,285 Areview of the most recent three-year period reveals that the number of inpatient admissions originating as an ED visit declined significantly fromnearly 5o percent of all admissions for 2o1a, to less than 4o percent for 2013, the most recent year for which complete data are available, whereas the number of admissions originating from urgent care increased from 17 percent in 2oir to 27 percent in 2013. This changing pattern of admissions will have a significant impact on hospital fmances in that the charges associated with the increasing urgent care admissions increased nearly 40 percent to almost $49,000 for 2or3. With the correlation betweenhospital charges and costs, hospitals can expect to see significant increases inthe total costs related to these increasingly, expensive admissions. rerage !ngth of Stay Average Charges Percentage of Total Admissions 5.04 $43,539 39.90% 5.17 $48,9061 26.68% 4.90 $37,489 41.25% 5.13 $43,441 25.38% 492 $39,858 49.50% 5.381 $35,1821 17.15% 120 SEPTEMBER2015 healthcarefinancial management A breakdown of urgent care admissions by payer type indicates that an increase in such admissions involving Medicaid patients, from fewer than ro percent of admissions in eon to more than rq percent 2or3, was responsible for the overall increase in urgent care admissions. The raw numbers show more than 800,00o Medicaid urgent care admissions for 2oi3 compared with 4a6,000 for ton. The charges for these admis- sions increased 29 percent, from $35,z86 to $45,44,9• showing again the potential impact on hospital costs as the number of these admissions rises. The increasing number of Medicaid recipients — attributable in part to the Affordable Care Act —will continue to drive an increase in insured patients and a shift away from ED admissions. Hospitals will need to closely monitor their costs Year Medicaid Urgent Average Percentage of Urgent Care Admissions Charges Care Admissions 2013 820,495 $45,449 17.109/ 2012 846,822 $40,550 15.10% 2011 , 416,456 $35,286 1 10.00% to ensure profitability amid the continuing impact of this shift on their patient mix. This research and analysis was prepared by Opium Payer. Solutions Consulting. Formore information, contact Jan Welsh atlaninewelsh@ optum360.com. We're coming together for a first -ever national conversation about the unique challenges we face as women leaders, in our lives and our profession. Women. In business. In health care. Join us in Fort Lauderdale. October 27-28, 2015. Register now at hfma.org/here. hfma.org SEPTEMBER2015 121 Critical -access hospitals by state Ranked by total number of CAHs CHANGE CHANGE HOSPITALS FROM BEDS HOSPITALS FROM BEDS BANKISTATE' 2015 2014' 2015 RANKISTATE' 2015 201V 2015 1 Kansas 84 +1 N1907 Louisiana 27 NO 634 2 Iowa 82 NC 2,027 25 Oregon 25 NO 563 3 Minnesota 79 NO 1,777 26 North Carolina 21 NO 500 Texas 79 3�1;746 27 West Virginia 20 NO 459 5 Nebraska 64 NO 1,397 28 New York 18 +3 366 a vxx � 6 Wisconsin 58 NCB y 1,229 29 Maine 16 +1 392 psi z°. 7 Illinois 51 NO 1,271 Tennessee 16 +1 345 8 Montana 48 N 875 Wyoming - 16 NO 343 � .. - 9 Washington 39 NO 854 32 Arizona 14 (1) 290 10 South Dakota 38 1\141M, 767 33 Alaska 13 NC 200 11 Michigan 36 +1 839 Florida 13 NC 310 Missouri 36 +1 825 New Hampshire 13 NO 305 North Dakota 36 NO 799 Pennsylvania 13 +1 308 14 Indiana 35 NO 845 37 Nevada 11 NO 186 15 California 34 +2 714 Utah 11 NO 232 Oklahoma 34 NO 784 39 Hawaii 9 NO 78 17 Ohio 33 (1) 813 New Mexico 9 NO 225 18 Mississippi 32 +1 753 41 Vermont 8 NO 190 19 Georgia 30 +1 737 42 Virginia 7 NO 175 20 Arkansas 29 NO 712 43 South Carolina 5 NO 125 Colorado 29 NO 598 44 Alabama 4 +1 100 22 Kentucky 28 NO 694 45 Massachusetts 3 NO 69 23 Idaho 27 NO 536 Total 1,333 +12 29,894 Note: Data are as of Sept. 25, 2015. The number of hospitals is based on CMS data; had counts are tracked by Flex Monitoring Team, Chapel Hill, N.C. 'Connecticut, Delaware, Maryland, New Jersey and Rhode Island do not have certified critical -access hospitals. 'NC=no change Source. FlexMoniforing Team For more information about the data used to compile this list, please contact Flex Monitoring Team, 725 Martin Luther King Jr. Blvd, CB 7590 UNC-CH Chapel Hill, N.C. 27599; 919-966-5541; flexmonitoring.org Information in this chart subsequently may he revised at the discretion of the editor. For more information on our research, contact Michael Sandler at 312-397-5511 or msandler@madernhealthcare.com. For more charts, lists, rankings and surveys, please visit modernheaithcare.com/data. 34 Modem Heancare I October 5, 2015 Arm your patients with tools for success, By Debra Polster, MS, APN, CCRN, CCNS is a national focus for healthcare . reform. Consequently, patient dis- charge education is increasingly important for improving clinical outcomes and reducing hospital costs. How does a nursing intervention such as patient education impact patient outcomes and healthcare costs? According to the Centers for Medicare and Medicaid Services (CMS), nearly 20% of all Medicare patients are readmitted to the hos- pital within 30 days of discharge; 34% are readmitted within 90 days of discharge.' In 2012, the CMS began penal- izing excess readmissions; these Penalties add up to about 1% of Medicare payments. Almost two-thirds of U.S. hospitals .paid the price in 2012. These fees have increased up to a limit of 3%of total Medicare compensa- tion. Typically amounting to over $130,000 per penalized facility, these fees.have focused more attention on the discharge'pro- cess and ways to prevent hos- pital readmissions' Tius article presents key educational tools essential for preparing patients to care for themselves at home, improving patient outcomes, and minimizing readmissions: Reducing readmission risk The CMS expects nurses and other healthcare team members to address modifiable factors that can increase the chance of. rehospital- ization. These include: • unplanned and early discharge or insufficient postdischarge support • inadequate follow-up . • therapeutic mistakes • adverse drug events and other medication -associated concerns • failed handoffs • complications after procedures . • patient falls, healthcare -associated infections, and pressure ulcers.2 www.nursingmanagement.com Nursing Management • October.2015 31 Prevenfln readmissions discharge education Identifying patients at risk for readmission up front and col- laborating with care managers and healthcare providers to minimize the risk are essential. As many as 79% of readmissions are con- sidered preventable and a direct result of uncoordinated care.2 The Joint Commission recommends a multifaceted approach to*prevent readmissions that includes expla- nations of discharge instructions, self -care, and ongoing or emer- gency care; inventory of outpatient resources/referrals; medication reconciliation; and understandable instructions for the patient and family. A patient -individualized approach noting preferred lan- guage, culture, and the patient's health literacy level is also recom- mended? When planning any care transition, cliniciansshould draw from a toolkit of effective patient education strategies and resources' tailored to their patient population. (See Meeting the standard of care for transitions.) Baseline assessment The multifaceted discharge'pio- cess begins on admission and continues throughout the hospital stay. The initial step is a baseline patient assessment, including an assessment of the patients risk of readmission. Risk factors for read- mission include clinical issues, such as advanced chronic obstruc- tive pulmonary disease (COPD), heart failure, stroke, diabetes, significant unintended weight loss, depression, cancer, and palliative care. bse of high -risk medications, such as antibiotics, glucocorticoids;anticoagulants, opioids, antiepileptic drugs, anti - psychotics, antidepressants, and hypoglycemic agents, may also increase the likelihood of readrrds- sion. Other factors raising the risk. include polypharmacy, previous hospitalization (unscheduled hos- pitalizations'within the last 6 to 12 months), low health literacy level, black race, and lack of social sup- port with inadequate or no family or friend contact by phone or in person.' Identifying a patient's abil- ity to, perform self -care will help . the nurse prepare the patient for discharge. According to Oreni's Self -Care Deficit Theory, those who -can't independently care for themselves and need help for everyday activities have a self - care deficit 5 Other education challenges include the nurses' inability to identify patient self - care deficits; for example, because of limits to the time the nurse can spend with the patient dur- ing the admission. These deficits may persist at discharge' Patients who can't care for themselves will require additional resources, such as home healthcare services or physical therapy. Nurses must dedicate time for assessments and discharge teach- ing. Effective patient teaching requires uninterrupted blocks of. time. To support this, post signs outside the patient's room to indicate a "do not disturb zone." Patient assignments may be handed off so that the nurse can give the patient his or her undi vided attention. Distractions, such as the television, should be elimi- nated and the patient needs to be wearing any sensory aids he or she normally uses, such as glasses 32 October 2015 • Nursing Management www.nursingmanageTent.com or a hearing aid. (For more tips, see Eye contact and other strategies.) Assessing health literacy A'eritical patient history element is documentation of the patient's baseline knowledge and skills. Patient educational assessments should include health literacy, defined as "the degree to which individuals have the capacity to obtain, process, and understand basic health information and ser- vices needed to make appropriate health decisions."' A good way to evaluate health literacy is to ask patients to read their prescription containers and explain how they should take their medication. An important component of . health literacy is reading ability (literacy). This can be defined as the ability to read, write, and speak proficiently enough to function in society and at.work.' A patient's ability to read instructions and educational materials directly affects his or her ability to adhere to the medication regimen and treatment plan. This is a challeng- ing health issue forprescribers car- ing for patients with low literacy skills 3 A common misperception of a patient with low literacy is that he or she is deliberately nonadherent with the health plan: Never forget that a patient's inadequate commu- nication skills may not mean resis- tance to the treatment plan or poor intellect, but rather a low skill level. People with low literacy skills may have the capability to build up these skills but haven t had the chance to do so for any number of reasons' Determining reading level and readability All education materials should include a determination of literacy level. Various formulas are avail- able to ascertain the patient's reading grade level based on such factors as sentence length and word difficulty. Keep in mind that the grade level a patient.completed in school isn't necessarily a good indicator of reading ability. Rather than asking about years of formal education, the nurse should use a validated assessment tool to assess literacy. For example, The Newest Vital Sign is a fast and precise bilingual (English and Spanish) screening test for general literacy, numeracy, and comprehension skills applied to health information.' Numerancy (math) skills are needed for many health -related activities, such as measuring medications; reading food labels; and'choosing among health plans with differing pre- miums, copays, and deductibles.10 This tool is intended for use in primary care settings. The Single Item Literacy Screener has also been found to have good sensitivity for evaluat- ing a patient's literacy and read- ing skills when weighed against other validated tools" To use it, the nurse asks one question: "How often do you need to have someone help you when you read instruc- tions, pamphlets, or other writ- ten material from your -doctor or pharmacy?" The patient chooses an answer from never. (1) to always (5), A score of 2 or more suggests a need -for literacy assistance.' Patient education websites, printouts, animations, and more can be used at the bedside to help edu- cate patients with low literacy skills. Printed materials should be prepared at the appropriate literacy level and visual aids tailored to the patient's medical condition and needs. As a general rule, patient educa- tion materials should be written at the eighth grade level or lower.' Keep in mind, however, that an appropriate reading level is only one component of ari effective patient education tool. Visual enhancements understanding how adults learn can help nurses tailor education to a patient's advantage. (See Con- sider the patient's' learning style:) For example, one patient may learn best from reading printed instruc- tions; another may prefer to watch a demonstration. Blending ele- ments from multiple adult learning styles increases the likelihood that patients will remember essential information. www.nursingmanagement.com Nursing Management • October 2015 33 Preventing readmissions with, discharge educatior� Most people are visual learners, so educational visual aids enhance understanding and encourage adherence to a treatment plan. Use of visuals with animations or hand- outs can be helpful. Large fonts, colorful pictures, adequate white space on the page, and key points that are bulleted for emphasis are all essential components. The'use of nonprinted educational materi- als, such as video and audiotapes, demonstrations, models, picto- grams, and other visuals, is another option. .Role-playing instructions and simulation with the patient and family can also be a valuable strat- egy for patient learning. Work with props and real equipment when indicated. For example, nurses should use crutches when explain- ing how to use them correctly, or a real wound dressing when teach- ing about wound care. Including the appropriate learning style will . increase the likelihood that patients. will remember the essential infor- mation presented? Cultural competence Cultural competence also influ- ences the nurses ability to com- municate meaningfully with the patient. Cultural competence allows the nurse to deliver care in a way that's considerate of and responsive to the patient's health beliefs, practices, and culture. According to the National Insti- tutes of Health, "culture is often described as the combination of a body of knowledge, a body of belief, and a body of behavior. It involves a number of elements, including personal identification, language, thoughts, communications, actions, customs, beliefs, values, and institu- tions that are often specific to eth- nic,.raciaf, religious, geographic, or social groups."n The nurse should note these elements that influence a patient's beliefs about health, heal- ing, wellness, illness, disease, and. delivery of health services. With mounting concern for racial, ethnic, and language disparities in healthcare and the call for health- care systems to support ever more diverse patient populations, lan- guage access services have become increasingly a matter of national importance. All nurses who are responsible for patient education should take part in formal educa- tion in cross-cultural healthcare to develop a full appreciation of how culture and language influence healthcare.12 Even bicultural and bilingual nurses will be prompted to serve patients with cultural and language preferences that are differ- ent from their own. Nurses should work toward cultivating cultural self-awareness, avoid making assumptions about patients' needs, and be receptive to learning from the patients themselves. Plain talk about communication According to The Joint Commission, clear and effective communication is a cornerstone of patient safety. When explaining a condition or '. treatment, nurses must use plain language to communicate as clearly as possible. The message can get lost in translation when nurses use medical terminology that patients don't understand. Examples of communicating in plain language include using simple or everyday language instead of medical or nursing jargon, breaking down complex information into smaller chunks, and speaking directly to the patient using active (not passive) voice.' , When talking with the patient, nurses need to speak slowly and focus on the most significant "must know" information, using the least amount of information possible, The most essential information should be provided either first or. last, making important points clear. Nurses should review, clarify, and reteach as necessary.3 Encouraging patients to ask ques- tions helps the nurse assess how Well the patient understands the information being taught. Accord- ing to the Agency for Healthcare Research and Quality (AHRQ), patients can feel embarrassed to ask questions or may not even know what questions they need to ask? The following are tips from 34 October 2015 • Nursing Management www.nursingmanagement.com the AHRQ to help nurses promote questions throughout the patient encounter: • Don't appear rushed. Patients are reluctant to ask questions if they think nurses are too busy to talk with their. • Tell patients that you expect ques- tions. For example, you could say, "That was a lot of information. I'm sure you must have questions." • Avoid asking a yes -or -no question, such asi "Do you have any ques- tions?" Patients often say no even if they do have questions. • Listen without interrupting. Questions mayemerge as the patient talks. • Encourage family members to ask questions, too.' The Ask Me.3 patient educa- tion program was created by the National Patient Safety Foundation to help encourage effective commu- nication between patients and care providers with the goal of increas- ing patient comprehension.14 This program prompts patients to ask - about three things before ending an encounter with a healthcare profes- sional: What is my main problem? What do.l need to do? Why is it impor- tant for me to do this? The National Patient Safety Foundation recom- mends encouraging patients to ask as many questions as necessary for complete comprehension. Another tool, the AHRQ's "Ques- tions Are the Answer" campaign, builds on 10 basic questions to promote better communication between patients and their health- care team.' Using the AHRUs ' "question builder" tool, patients can focus and individualize these basic questions to learn more about their medications, diagnostic studies, and recommended treatments. Creating an inventory of individualized ques- tions can empower patients by help - mg them get the information they need to make educated choices about their healthcare. The teach -back technique. Also known as the "show -me" method, the teach -back technique is one of the simplest ways to bridge the communication gap between nurse and patient.' It's intended to help the nurse.verify the patient's understanding of new knowledge and skills. An important point to remember is that teach -back isn't a test of the patient's knowledge; it's a way to confirm that the nurse has explained what the patient needs to know in a way that the patient understands. This process can also help staff members learn which descriptions and communication techniques work best with their. patients. From the North Carolina Pro- gram on Health Literacy, here are a few suggestions for nurses using.the teach -back technique in a patient teaching session. . • "I want to be sure that I explained your medication correctly. Can you tell me how you're going to take this medicine?" • "We covered a lot today about your diabetes, and I want to make sure that I explained things clearly. So let's review what we. discussed. What are three strategies that will help you control your diabetes?"' Documentation Accurate and timely documenta- tion in the electronic health record should reflect evaluation of knowl- edge and skills taught and learned, and demonstrated by the patient in return. Documentation should include the patient's preferred learn- ing style; barriers identified, such as low literacy skills or limited finan- cial support; preparedness to learn; and relevant clinical information, such as a new diagnosis or poorly managed pain. Resources and sup- port available at home should be . recorded with perceived barriers, interventions to overcome barriers, and outcome achieved. Application to chronic diseases One of the most common dis- eases that require rehospitaliza- tion within 30 days of discharge is COPD. Patient. teaching during stable periods is recommended to educate patients about self -care. Many patients with COPD rely on self-taught self -management strategies during exacerbations that they may not report. This sug- gests that clinicians should give more comprehensive education; for example, teaching patients www.nursingmanagement.com Nursing Management • October 2015 35 P reventing readmissions with discharge education about triggers to avoid, signs and symptoms of exacerbations, strat- egies to manage exacerbations, and information about medica- tions. When nurses simplify treat- ment regimens and verify patient knowledge and skill with new inhalers, patients are better able to self -manage their treatment and prevent exacerbations. Another common chronic disease requiring in-depth education is dia- betes. The American Diabetes Asso- ciation (ADA) Standards of Medical Care in Diabetes provides clear guide- lines for discharge planning and self - Management education.11 The ADA s revised recommendations published in 2015 reinforce the importance of diabetes education: "Peoplewith diabetes should receive diabetes self -management education (DSME) . and diabetes self -management support (DSMS) according to the national standards for DSME and DSMS when their diabetes is diag- nosed and as needed thereafter."17 In an effort to improve self - management of diabetes care, discharge plans should include at minimum: • medication reconciliation. To ensure confinuity.of the medica- tion regimen, the patient's medica- tions must be verified to be sure no essential medications were discon- tinued and to ensure the safety of new prescriptions. Ideally, prescrip- tions for new or updated medica- tions should be filled and discussed with the patient and family at or before discharge from the hospital. structured discharge communica- tion. Information on medication updates, lab tests, and procedures, and follow-up requirements must be precisely and promptly com- municated to outpatient providers, including the primary care provider. When the inpatient healthcare pro- viders schedule follow-up visits before discharge, the appointments are more likely to be kept. Outcome assessment . Metrics, including readmission rates for patients at high risk for COPD exacerbations, acute myo- cardial infarction, pneumonia, and heart failure, should be monitored to determine education program success. Patient satisfaction scores for printed discharge instructions may also reflect a practice change. Ultimately, assessment and evalu- ation of the patient's new knowl- edge and skills is the primary goal of education. Outcome evaluation can also be determined in postdischarge phone calls. Many hospitals have devel- opedcall centers to ensure follow- up phone calls are consistently made. A phone call may reveal that the patient needs additional sup-, 36 October 2015 • Nursing Management port at home. Follow-up visits with healthcare providers may provide additional support when indicated. The literature notes a correla- tion between improved nurse knowledge and improved patient knowledge.38 Nurses should seek additional resources to build their teachingskills. (For examples, see the Nursing Management Wad app.) Set patients up for success Literacy, cognition, education level, ' socioeconomic status, and level of social support all contribute to a patient's adherence to discharge instructions. Careful attention to providing an individualized care plan will set the patient up for suc- cess. A well -orchestrated team of nurses, healthcare providers, thera- pists, pharmacists; respiratory care providers, dietitians; and care manag- ers can reduce readmissions, improve the patient experience, and enhance the patient's quality of life. NM REFERENCES 1. Centers for Medicare and Medicaid Services. Readmissions reduction program. www.cros.gov/Medicare/ Medicare -fee -for -Service -Payment/ AcutelnpatientPPS/Readmissions- Reduction-Program.html. 2. Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all -cause 30-day readmissions: a structured case series across 18 hospitals. Mod Care. 2012;50(7):599-605, 3. Schyve PM. The importance of discharge planning. www.commomvealthftmd.org/-/ media/Files/Resources/2009/Reducing°k20 Readmissions/Schyve_commonweaith.pdf. 4. Agency for Healthcare Research and Quality. Guide to patient and family engagement in hospital quality and safety. www.ahrq.gov/profe.ssionals/systems/ hospitaVengagingfamilles/index.html. 5. Nursing theory. Self -care deficit theory. http,.//nursing-theory.org/theoNes-and- - models/orern-self-care-deficit-theory.php. 6. Holland DE, Rhudy LM, Vanderboom CE, Bowles KH. Feasibility of discharge plan- ning in intensive care units: a pilot study. "Am J Crit Care. 2012;21(4):e94-e101. www.nursingmanagement.com 7. Health.gov. Quick guide to health literacy. www.hea[th.iov/commUnicafion/literacy/ quickguide/factsbasic.htm. - 8. Cornett S:"Assessing and addressing health literacy. Online J Issues Nurs. . 2009;14(3). 9. North*Carolina Program on Health Literacy. www.nchealthliteracy.org. . 10.. National Numeracy. What is numeracy" -www.nafionalnumeracy.org.yk/wfiai-!,S- numemcy/Index.htmI. 11. Morris NS, MacLean CD,.Chew LD, Litter - berg B. The single item literacy screener: evaluation of a brief instrument to identify . limited reading ability. BMC Fare Pract. 2006;7:21. " 12. Nati.onal Institutes of Health. Clear communication: cultural competency. www.nih.gov/clearcommunicafion/ coituralcompetency l-tm. 13.The Joint Commission: 'What did the "doctor say?" Improving health literacy to protect patient safety. wwwJ01ritcom mission.org/assets/ 1/ 18/improving_ health_literacypdf. 14. National Patient Safety Foundation.Ask me 3. wwwnpsf.org/?page=askme3. 15. Agency for Healthcare Research and Quality. Questions are the answer, www. ahrq.gov/apps/qb. 16. Standards of medical care in diabetes. IX. Diabetes care in specific settings. Dia- betas Care. 2013;36(suppi 1):S45-S49. 17. Standards of medical care in diabetes- 2015. Diabetes Care. 2015;38(suppl 1): S20-S30. " 18. American Association of Colleges of Nursing. Creating a more highly qualified nursing workforce. www.aaen.nehe.edu/ " media_relations/fact-sheets/nursing-. - workforce. 19. Dictionarycom. Learning style. dictionary. reference.com/browse/learning+style. 20. Learning styles online.com. Overview of learning styles. wwwlearning-styles-online. com/overview. 21. Snow V, Beck D, BudnitzT, et al.Transi- Bons of Care Consensus Policy Statement American College of Physicians -Society of General Internal Medicine -Society of Hospital Medicine -American Geriatrics Society -American College of Emer- gency Physicians -Society of -Academic Emergency Medicine. J Gen Intern "Mod. 2009;24(8):971-976. Debra Polster is a critical care clinical nurse specialist and the discharge project facilitator at Advocate Illinois Masonic Medical Center in Chicago, III. The author and planners have disclosed no potential conflicts of interest, financial or otherwise. Adapted from Polster D. Patient discharge information: Tools for success. Nursing. 2015;45(5):42-49. D01-10.1097/01.NUMA.0000471590.62056.77 Notice: Online -Only CE Testing Coming in 2016! Starting with the first issue of 2016, all CE tests must be completed online at ceconnection.com/NM. Mailing or faxing tests will no longer be options. If you haven't done so already, you'll want to create a free user account at Nursing Center's CEConnection, Look for the Login link in the upper right-hand corner of the screen. 10Er' Go to www.nursingcenter.com/CE/NM and receive a - - INSTRUCTIONS Preventing readmissions with discharge education TEST INSTRUCTIONS I • We also offer CE accounts for hospitals and other health care facilities • To take the test online, go to our secure Web site at on nursingcentercom. Call 1-800-787-8985 for details. www.nursirigcentercom/ce/nm. • On the print form, record your answers in the test answer section of the CE enrollment form on page 38. Each question has only one correct answer. You may make copies of these forms. • Complete the registration Information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mall your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form. ' • You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade. • Registration deadline is October 31, 2017. . DISCOUNTS and CUSTOMER SERVICE • Send two or more tests in any nursing journal published by LW W together and deduct $0.95 from the price of each test. www.n ursi ngma nagement. com PROVIDER ACCREDITATION Lippincott Williams & Wilkins, publisher of Nursing Management will award 2.0 contact hours for this continuing nursing education activity. LW W is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. - This activity Is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours, the District of Columbia, Georgia, and Florida CE Broker 4R50-1223. Your certificate Is valid in all states. The ANCC's accreditation status of Lippincott Williams &Wilkins Department of Continuing Education refers to its continuing nursing education activities only and does not imply Commission on Accreditation approval or endorsement of any commercial product. Nursing Management a October 2015 37 2.0 CONTACT HOURS 0.i Preventing readmissions with discharge education GENERAL PURPOSE: To provide information about tools used to help reduce and monitor patient readmission rates and strategies for nurses to improve provision of patient discharge Instructions. LEARNING OBJECTIVES: After completing this learning activity, you should be able to: 1. Explain the Importance of reducing patient readmission rates through Improved patient education. 2. Identify tools and techniques that can be used to enhance patient education sessions. I. The percentage of Medicare patients readmitted to the hospital within 30 days of discharge is , a. 9%. b. 20%. c. 34%. 2. The Joint Commission recommends a multifaceted approach to prevent readmissions that Includes all of the following except a. patient surveys. b. medication reconciliation. c. inventory of outpatient referrals. 3.An example of a logical learning style is a. a systems approach. b. written or spoken words. c, a preference for working alone. 4. Which of the following is considered a high -risk clinical condition for readmission? a, osteoporosis b. dementia c. significant unintended weight loss 5. Examples of medications considered at high risk for readmission are a. antibiotics. b. antihypertensives. c. diuretics. 6. For uninterrupted time with the patient for teaching, it's helpful for nurses to a. ask family members to leave the roam.. b. hand off their portable phones when teaching. - c. take the patient to the patient/family lounge. - 7. When assessing health literacy, it's Important to'determine the patient's a. baseline knowledge and skills. b. previous discharge experiences. c. highest completed grade in school. 8. The Newest Vital Sign measures a. exhaled carbon dioxide. b. pulse oximetry variability. e. health Information comprehension. 9.An example of why numeracy is assessed is to determine the patient's ability to a. read printed instructions. It. measure medications. c. accurately repeat information taught. 10. When using the Single Item Literacy Screamer, a score of 2 or more suggests a. further evaluation of literacy is needed. IT no need for any literacy assistance. c. a need for literacy assistance. 11.As a general rule, patient education materials should be written at no.more than a/an - a. fifth glade level. b. eighth grade level. c. tenth grade level. 12. For educating patients who are visual .learners, it's helpful to have handouts with a. small fonts. L. limited pictures, C. bulleted key palms. _ 13. To establish and maintain rapport with a patient during an education session, a. limit content IN use appropriate medical terms. c. avoid repetition and redundancy. 14.110 determine patient education program success, monitor all of the following except ' a. metrics, Including readmission rates for patients. b. amount of time spent In providing patient education. c. patient satisfaction scores for printed discharge instructions. 16. To avoid rehospitalization for patients with Coll the feast important aspect of patient education is the a. pathophysiology of the disease. b. proper use of inhalers. C. triggers of exacerbations. 16. In order to cultivate cultural self-awareness, the nurse should a. base patient needs on culture and religion. IT strive to understand the patient's family dynamics. c. avoid making assumptions about patient needs. 17.The Joint Commission recommends explaining a condition or treatment to a patient by using a. plain language. .b. detailed medical term& c, scenarios or storytelling. 18. Which approach to teaching sessions is most effective In eliciting patient questions and concerns? a. asking simple yes -or -no questions b. telling the patient/family you expect questions c. interrupting the patient to maintain focus on the topic ENROLLMENT FORM: Nursing Management, October 2015, Preventing readmissions with discharge education A. Registration Information: Last name First name MI Address City State ZIP_ Telephone Fax E-mail Registration Deadline: October 31, 2017 Contact hours: 2.0. 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Was the journal home study format an effective way to present the material?. ❑ ❑ Check or money order enclosed (Payable to Lippincott Williams & Wilkins) Yes Q No ❑ Charge my ❑ Mastercard Ci Visa ❑ American Express S. Was the content relevant to your nursing practice? Yes ❑ No 4. How long in minutes did it take you to read the adlcle , study the material Card B Exp. data , and take the test ? - 6. Suggestion for future topics Signature NM1016 'In accordance with the Iowa Board of Nursing administrative rules governing grievances, a copy of your evaluation of the CE offering October will be submitted directly to the Iowa Beard of Nursing. Ogg- 1'� raw., N bLtdLt:l 12 HealthLeaders -June 2015 IN R%Am `f FRE N'l F L E T 0 U R PIE A U Ul www.lieafthleadersmedia.com www.healthleadersmadia.com HealthLeaders- June 2015 13 FUELING TOP -LINE GROWTH ajor cost -containment efforts have been underway at most hos- pitals and health systems for years as organizations try to stay ahead of revenue pressures being caused by declining utilization rates and tightening reimbursements. But controlling expenses is just part of the equation when it comes to preserving or even growing margins. Revenue growth and sustainable business develop- ment strategies also are essential. "With everything that is taking place through utilization reductions and reimbursement reductions in the inpatient portfolio, those organizations that are absent a growth strategy or some other business direction are going to find themselves in contraction mode," says RobertT. Braithwaite, president and CEO at Newport Beach, California -based Hoag Memorial Hospital Presbyterian, which operates S27 beds and had fiscal year 2014 net patient revenue of $779.6 million at its two hospitals. Thriving in a value -based healthcare environment where payers increasingly are driving patient volume to low-cost care sites will require senior leaders to find meaningful ways to increase outpatient market share, strengthen keybusiness lines, improve the organizational ability to take on risk, and bring physicians on board. Braithwaite says having a thoughtful growth strategy that relies heavily on increasing outpatient volume and market share will be critical to Hoag's success as its local market and the healthcare industry overall evolve quickly over the next severalyears. "We are not too different from many other health systems. We have a flagship institution and, historically, business has flowed toward it. Business is now flowing aggressively to the lowest -cost venues, which are largely out- patient venues. Hoag is expanding pretty aggressively in the outpatient arena," he says. Hoag is certainly not alone in its approach. As inpatient volume continues to decline, many hospital leaders are look- ing to their outpatient networks for opportunities to expand. In HealthLeaders Media's 201S Industry Survey, Succeeding in the Risk Era. How to Accelerate Progress Toward a Value Based Future, 63% of respondents cited expanding outpatient services as their top strategy for fueling organizational growth over the next five years. This far surpasses the next two most popular responses: strategic marketing campaign for existing market (430/6) and develop or join an ACO or patient -centered medical home (39%). A big piece ofHoag's outpatient strategy revolves around its six health centers, which extend medical care to commu- nities adjacent to its hospital campuses and include such services as primary care, specialty care, ambulatory services, imaging services, pharmacy services, outpatient rehab, and urgent care. Braithwaite says that by providing an array of services in one location that adds convenience and value to the patient experience, Hoag has been able to grow market share in some key geographic areas, including Irvine and Huntington Beach, where the health system has opened 1S0,000-square- foot and 100,000-square-foot health centers, respectively. "Like any system, we have analyzed our market and understood where the opportunities are, as well as where the needs are, and the size ofeach health center is designed based upon those needs," Braithwaite says. "We are in a suburban metropolitan market, and in California, traffic has a big impact. Convenience is highly valued, and if we can provide high -value, excellent care in a model within the community, it's not too hard to get the patient population oriented to that. It's the communities and the opportunities that drive the decision -making process as far as locations and the services offered at each center." "Business is now -flowingssive to the lowest -cost venues, which are largely outpatient venues. it As technology allows formore treatments and procedures to be done in an ambulatory setting, Hoagis drivingbusiness that at one time would have been inpatient volume to the health centers instead. Senior leaders are challenging physi- cians to lead the way with clinical innovations that speed up this transition and give Hoag an edge over the competition, Braithwaite says, adding that this is another way to grow its relevance in the outpatient market. "Hoag has been committed to our clinical institute development strategy for the past 40 years, and there is deep expertise within the hospital walls. A few years ago, we challenged those physician leaders in the institutes to think about the care continuum in areas such as Parkinson's dis- ease, epilepsy, and other neurological conditions. They have aggressively worked on continuing our product development portfolio, and many of those developments have been in the outpatient side of the business. Rather than having patients move away from us, we've challenged, our physicians to be the ones to drive this within our own continuum," he says. So far, the health centers are succeeding in boosting Hoag's market share, Braithwaite says. "In each of the 14 HealthLeaders- June 2015 www.hea(th[eaclersmedia.com communities where we have placed a health center, we have seen meaningful growth that overcomes any adverse utiliza- tion trends orpopulation growth trends. The more complete and multidisciplinary the center, the stronger the growth." rgeat, sire centers drive up market share In addition to its health centers, Hoag operates eight stand- alone, physician -staffed urgent care centers and is in the process of developing three more. Urgent care is another tactical approach to capturing more outpatient market share, Braithwaite says. "It's away to have arelationship with a population, especially one that values easy access and price sensitivity as more and more health plans have ahigh deduct- ible. Individuals are being very mindful of their out-of-pocket share. The urgent care centers are a nice solution to break that pattern of ED visits and for people who don't want to wait two or three days to be semby their primary care doctor. Also, a visit to an emergency room can cost as much as three times more than a visit to an urgent care facility." The urgent care centers are connected to Hoag through its electronic health record to make it a smooth transi- tion when apatient decides to seek follow-up care within Hoag's physician network. While Braithwaite says Hoag has only aneedotal evidence at this point, he estimates that 10%-15%ofits urgent care patients ultimatelybecome Hoag primary care patients. "Our experience says ehatjust under 50%ofthosewho are accessing convenient care do not have a primary care physi- cian. For those individuals who are accessing a convenient - care site and maybe receive a diagnosis that includes diabetes, for example, ies a great way to connect them with one of our primary care physicians or an endocrinologist within our network. It connects that population into our network. It's a stickiness strategy." e retail Inedicifle Strategy pays off, The leadership team atBellin Health, a three -hospital, $450 million system based in Green Bay, Wisconsin, also has suc- ceeded in growing outpatient volume by increasing access to convenient, lower -cost care, says James Dietsche, chief financial officer. In 2006, Bellin launched its FastCare retail health clinics and now owns and operates four locations in the Green Bayarm . While BeMn takes a yearly loss on the FastCare clinics, Dietsche says there is no doubt they are contributing to the organization's overall success because they funnel new patients into the primary care network. "On a direct revenue basis, our losses are less than $100,000 on an annual basis for the retail sites, and we con- vert up to 20% of unattached patients to our primary care network, which obviously positively impacts our system. This is dearly a positive for the organization. Our revenue growth for the organization has been 10%per year, ardwe've doubled in size over the last five years, and that is not because of acquisitions." And while the benefit to the organization is considerable, the cost of opening a FastCare site is far less. than launch- ing a new primary care venue, Dietsche adds. "Compared to building a primary care dinic, this is extremely inexpensive. From an economic standpoint, it is very attractive. You are talking about a couple hundred thousand dollars. Building a primary care office, even with just a few physicians, would be several times the cost" FastCare clinics also satisfy a need among local employ- ers who want a less expensive alternative to emergency department and urgent care center visits among employees looking for after-hours care. The clinics are staffed by nurse practitioners providing basic primary care services. Evening and weekend hours are available, and the average cost per Strategic marketing campaign for existing market 430/. 46% 43% 33% Develop orloln an ACO or PCMH..' 39% 30% 51°% 45% Acquire or merge with physician organizations 36% 32°% 46% 46% Strategic marketing campaign for new market. 34°/u I:33°% 31% 39% Acquire or merge with hospitals 27% 30% 38% 15% Develop or partner with convenient care facility'. 22% ::21% 25%. - 145/u Acquire or develop a health plan business unit 18% 16% 26% 18% - Increaselnpatientbedcapacity '. -.9% `;12% 10% 1°h NOTE Thr, chart Includes data segmentation from the Premium edition of the report SOURCE HardlidwdenMedia lndu fty S.Mey2015. Succeeding in the Fisk Era.* How toArecierate Pregmss Toward a Value -Bused Future, January 2015, Nm.tc/IDZUrEn. www.hea[th[eadersmedia.com HealthLeaders- Jute 2015 15 FUELING TOP -LINE GROWTH visit for a minor issue such as steep throat or an ear infection is $250-$300, compared to about $600 in the emergency department. The fee charged is $65 pervisit for most setvices, and the clinic will bill a patient's insurance. "The way our organization is structured, we are a not -for - profit, locally governed system. Many of the leaders on our board of director's are the CEOs of companies that are large employers in the area, and they are always looking for oppor- tunities to lower the overall cost of healthcare," Dietsche says. "We were also trying to listen to the voice of the cus- tomer because that is very important to us. Add those two things together, and we knew we needed to find a solution to fill that gap in our market. We entered the retail market in recognition of this need to provide a new level of service to the patients we already served, as well as the general market." Also, from the patient point of view, the clinics provide a quick and convenient way to receive care when other. care sites are full, says FastCare director Steve Lazzari. "We consider FastCare to be a patient satisfier when there are capacity issues at our system's other access points." A key to success has been setting up FastCare locations with the IT infrastructure used by other Bellin locations. That makes it easy for FastCare clinicians to transfer patients to the system's outpatient care network, Dietsche says. "We began FastCare when retail clinics were in their infancy, and we wanted to differentiate ourselves from other providers by having it connected to the rest of our health system," Dietsche says. "We use the same BMR and the same scheduling system. Everything is connected together to create convenience and a -platform to provide access at a better cost than an expensive ED visit. For example, my son was diagnosed with strep throat at a FastCare facility on a weekend. On Monday, we got afollow-up phone call fromhis pediatrician's office because that infe rmationwas automati- callyin the system.It is seamless from the patientperspective. It's very patient -focused." 16 Health Leaders. June 2015 www.healthleadersmedia.com Selling its expertise in the retail care space is another way Bellin is boosting its top line. The system currently is work- ing with other healthcare providers in different markets to help them roll out a similar model. "We have partnered with about 20 health systems in the Midwest and on the East Coast to help them develop the model of FastCare. By the end of the fiscal year, there will be close to So FastCare clinics, which is helping us become a national brand. As a turnkey model, each healthcare sys- tem that we work with pays Bellin a monthly licensing fee to offset the expenses Bellin paid up front to get the project built out, as well as signage, equipment, etcetera, with asmall profit built in," Lazzari says. "The beauty of this model is that when we are working with another health system, 'they are the owners and opera- tors of the clinic, and we are providing all the infrastructure to build out the wiring; cabling, and EMRconnectivity. Bach health system operates the clinic and keeps all the proceeds from billing for the services," Lazzari says. "We have in essence licensed FastCare to other health systems, and we are helping them implement the system the have. It's been away to diversify, andit is absolutelya top -line growth opportunity for us," Dietsche adds. While mergers and acquisitions have long been important strategies for growth, some health systems are finding new opportunities by forming partnerships where both parties retaintheirindependence butbenefit fmanciallyfrom a con- tractual relationship. Over the past four years, Raleigh, North Carolina -based Rex Healthcare —a member of UNC Health Care with 660 beds and fiscal year 2014 revenue of nearly $750 million — has partnered with independent physicians to form three joint venture limited liability companies to establish non - hospital -based ambulatory surgery centers in the cities of Raleigh, Cary, and Wakefield. The surgery centers expand Rex's offerings and market share in key service lines, such as neurosurgery, cardiology, and gastroenterology. "There has been a trend of physicians' practices joining up with health systems, and this gives as an opportunity to partner with physicians without owning their practice. They keep their autonomy but share in the distribution of profits from the surgery centers. That generates a lot of interest from physicians," says Tom Williams, Rees vice president of ambulatory services. "Typically, the hospital will maintain a controlling interest. For example, with Raleigh, the hospital owns 51% and the physicians own 49%. In Cary, the hospital owns 55%. We haven't determined yet what the owner- ship will be in Wakefield, but ultimately, I think it will be about SS%." The Cary location was the first of the three to open. It was originally a hospital -based surgery center before the LLC was established -in July 2011. Williams says the new business model has more than doubled patientvolume for the service line, in large part because physicians are now centralizing their practice to the ASC. "We were meeting our budget, but it was struggling with limited growth opportunities. We had about 2,900 cases per year, which was good, and we were happy with that, but now we are doing about 6,000 cases per year. We flipped the. Wakefield location to an LLC because of the successes in Cary and Raleigh, and that has generated a lot of interest from physicians and patients, who prefer the easier access and more convenient parking that is available at these sites. When you are having a knee replacement, for example, you don'twant to walk farther than youhave to in order to get to your physician's office," he says. "Convenience is highly valued, and if we can provide high -value, excellent care in a model within the community, it's not too hard to get the patient population oriented to that." `"There is alot ofgrowth opportunity there. We were doing about 1,000 cases peryearin Wakefield, but todaywe are doing 2,000 cases peryear.Also, Wakefield is about 20 miles from our hospital campus, so we are capturing more patients in that area than we would without a surgery center. While Williams does not give the specific anticipated impact of the ASCs to Rex's margin, he says the additional patient volume will be a financial win for the organization. "Once the optimal case volume is reached for appropriate fixed -cost absorption, incremental volumes will generate greater profits in the lower -overhead ASC environment" Physicians become Irue Partners' Rex also is reaping bottom -line operational efficiencies through the ASCs. As part owners of the centers, physicians share in the profits, and, therefore, are highly motivated to assist in controlling costs, Williams says. "Now that surgeons have some skin in the game, they are involved in the process and have become true partners. We have a monthly board meeting for each center, and we sit down and discuss issues, including what products and supplies make the mostsense. In the hospital, the physicians www.heatthleadersmedia.com - HealthLeaders- June 2015 17 FUELING TOP -LINE GROWTH Strategic marketing campaign for existing market .44% 42% 43% 42% Develop orjoin an ACO or PCMH 29% 38% 40% 49°% Acquire or merge with physician organizations 29% 29% 42% 38% Strategic marketing campaign for new market 31% 34% 38% 32% Acquire or merge with hospitals 18% 29% 25% 36% Develop or partner with convenient care facility j 2694 21% 24% 18-A are not as motivated to help you drive down costs, but now they are very motivated to help make good decisions around expenses and capital needs," he says. For example, Williams says, in a hospital operating room, a surgeon will commonly ask a nurse to open a surgical tray to have a particular instrument available in case it is needed. Yet, in the ASC, surgeons will ask to have the tray nearby, but not opened, because once it's unsealed, the expense is incurred "It's an eye-opener for surgeons, and it really changes the way they practice. Now they are realizing what the con- venience factor is costing, and they are understanding the expense side ofit. That's really been helpful. We need to truly partner with our physicians if we are all going to survive in the new healthcare environment," he says. Another benefit, Williams says, is that as physicians begin to work consistently with the same team, they tend to streamline processes and create cost savings. "Once the surgeons start working with the same surgical team day in and day out, they start to realize a lot ofefficim- des, and it becomes a very well-oiled machine. That is a big advantage. Finding these efficiencies is extremely important because our long-term survival is tied to it. More and more, there is a need to drive down costs, and we need to parmer with surgeons to be able to do that" Williams says. The hene' s of orminy a health plan Albuquerque, New Mexico -based Presbyterian Healthcare Services, a $2.55 billion system with eight hospitals and 1,151 licensed beds, has owned and operated the Presbyte- rian Health Plan for about 30 years, says James H. Hinton, president and CEO of the system. "A lot ofhospitals got into managed care about that same' time, but very few sustained it through the present day. I've been CEO for almost 20 years, and during that entire time, I have chaired the board of the health plan and we've had a huge amount ofgrowth," he says. Hinton says the strategic thinking behind the health plan was twofold. First, Presbyterian wanted to remain competitive with another regional provider that was start- ing an HMO at the time; second, the system's leadership believed reimbursements would shift away from fee -for - service models. 110ur revenue growth for the organization has been 10% per year, andwe've doubled in size over the last five years,, and that is not because of acquisitions." "There was a belief that there just was a shelf life to fee - for -service medicine. We may have predicted that it would have spoiled sooner than it has, but I think, directionally, the people who started us on this course really understood a system in which incentives for health systems and physicians simply being paid for the services they provide—withoutinte- gration with the payer side —was not going to be sustainable. We were a little bit too early in that, but the plan has had a very successful history," he says. www.healthieadersmedia.com HealthLeaders o June 2015 19 FUELING TOP -LINE GROWTH Today, Presbyterian Health PIan covers about 440,000 members. While this already represents roughly 20% of New Mexico's population, Hinton says he andhis leadership team are "still pretty bullish about the opportunities to grow the plan" thanks in large put to healthcare reform legislation. "We have in essence.licensed FastCare to other health systems,and we • • helping them implement .system we have. been away to diiverslf�& and it is opportunity for us." "The health plan grew dramatically last year as a result of the governor's decision to accept Medicaid expansion dol- lars. Also, if you look at the decisions that most seniors are making around their coverage options, I think it is pretty clear that they are opting for Medicare Advantage plans, so that will continue to be a growth opportunity for us," he says. "In the commercial space, there is a lot of experimenta- tion going on with private exchanges and state exchanges. One thing that we do believe is that this preconception that employers were going to pay the Patient Protection and Affordable Care Act penalty tax and not cover employees has not proven to be true. Employers are going to continue to look for low-cost ways to cover their employees, and we are finding a lot of commercial groups like the idea of an integrated insurance and delivery modelvehere there is better communication and more work being done to deliver value to members." Operating a health plan and having a large financial stake in bringing down the overall cost of providing care helps Presbyterian in its mission to achieve the triple aim of lowering costs, improving outcomes, and enhancing the patient experience, which the system has formally adopted as a strategic construct, Hinton says. "Reducing the total cost of care when you don't have insurance premiums can be a self-defeating strategy. By reducing volume and activity, you get less revenue into your system, whereas ifyou have premium revenue on the top line and you take out unnecessary services, you actually get to keep the money you save," he says. About two-thirds of Presbyterian Healthcare Services'rev- enue dollars are at risk in some form ofvalue-based payment arrangement, which gives the system an added incentive to find efficiencies and make clinical improvements —efforts that are aided by its health plan data, Hinton says. "When 20 HealthLeaders ^ June 2015 www.healthleadersmedia.com you have a health plan, it allows you to make decisions based on data that is typically beyond the scope of a hospital -only system, and it helps you intent someof those other pursuits besides just collecting fees for services:' Among those pursuits are clinical innovations that Hinton says would be financially difficult to roll out if not for the health plan. For example, Presbyterian has developed a program called Hospital at Home, in which hospital -level care is provided in patients' homes for certain conditions — such as congestive heart failure and COPD—that might oth- erwise cause a patient to be admitted to the hospital. "The doctor writesa prescription that says `admit to home' and then we roll out a hospital environment with a bed, monitoring, and other equip- ment, and physicians who make visits to the patient's home," Hinton says. "The onlypayer we've been able to con- vince to pay us for this model, is our own health plan, even though what we know about these admissions is patients don't get as many infections, they don't slip and fall as often, it's less expensive, and patients are more satisfied. So; health plans are not only about building top -line revenue; they are about changing how healthcare is delivered." Because New Mexico is Iargely a rural state, Presbyterian relies on a broad network of healthcare providers and hospitals that it doesn't employ or own in order to provide services to its health plan members. "It would never make sense for us to try to build deliv- ery capabilities in some rural markets. While carving out a narrow network is being done aggressively in bustling metro areas, the conditions in New Mexico don't lend themselves to that" Hintonsays. Becoming an integrated de9ivery.systems Starting in 2008, North Shore-LIJ Health System, a$7.8 billion, 6,400-bed system based in Great Neck, New York, and operating.in the densely popu- lated areas of Long Island, .Queens, Staten Island, Westchester County, and Manhattan, began experiment- ing with a narrow provider network. It offered a two -tiered health plan that included in -network coverage of almost 100% to its non - unionized employees and dependents. The limited network included North Shore-Mys 19 hospitals and its roughly 2,800 employed physicians. About 80% of eligible employees selected the health plan, and in -system, inpatient utilization was around 80%. Based on these strong numbers and encouraged by the level of interest that area businesses and unions showed in the health plan, North Shore-LIJ decided in late 2012 to apply for a commercial insurance license. The system's www.h ealth leadersmediaxom HealthLeaders o June 2015 21 FUELING TOP -LINE GROWTH "You can'tstep into insurance just with your toe. You have to be fully in it, especially because when you have members who purchase your insurance prod- uct, you have to prove there is value in their investment in you. CareConnect then very quickly becomes the point of the arrow to pull the system in a far more consumer -oriented direction because the focus is not just on patient experience and patient satisfaction, but it is now on member experience and member satisfaction," he says. In its first year, CareConnect generated about $85 million in premium revenue. "At the end of the day, all the premium dol- lars for membership come into the health system's consolidated revenue. That is revenue that the system otherwise wouldnot have had. Also, the vast majority of the medical loss ratio is spent inside the health system through provider payments. It's a double win for the system," Murray says, noting that he expects premium revenue to double every year over the next several years as plan membership grows. At the end of 2014, CareCon- nect had 12,500 members. Murray says that number is projected to reach 40,000 by the end of 2015. "The reason is that most insur— ance ante plans in New York are sold through brokers. Once you can gain their trust and they get used to your health plan, they start to migrate their business to you more and more," he says. Also, because CareConnect has adopted North Shore-LIJ's clinical guidelines as its own, the denial rate is less than 1.S%, CareConnect health planbegan enrollmentin October2013, which helps the system keep down its cost to collect, Murray and went into effect on January 1, 2014. "says. "We consider every denial to be a failure." "There really is no better catalyst to achieving population North Shore-LIJ also benefits by having aligned provider health objectives than having an insurance license and being and payer incentives that encourage better population health required to look after that population," says Alan Murray, management, Murray says, "I have promised that I will spend CareConneces president and CEO. - 8S% of premium dollars on healthcare within the system By 5 22 HealthLeaders ,, June 2015 www.healthleadersmedia.com doing that, the health system no longer has to focus only on fee-for-setvicecate. Theydon'thave to admitpatients iftheycan appropriatelybe senthome, and theydon'thave to have patients discharged to -a skilled nursing facility if they can go to home care ifles medically appropriate. At the end of the day, the rev- enuewill flowback to the health system in one wayor the other." As North Shore-LIJ analyzes its opportunities for grow- ing top -line revenue, CareConnect is high on the list, Murray says, not just for its .premium revenue but also for the potential to sell the construct to health systems in other areas that would then be able to jump into the payer space without having to _ invest in creating from scratch all the required framework. ` fhe model could be taken to other markets now that we have the infra- structure in place. CareConnect could do pop-up health plans if we had an agreement with an anchor health sys- tem in a different market," he says. "We're ready to do it today. This is not just down the line; this is somethingwe are actively considering and talking to others about. It is one of the absolute top initiatives the health system has in order to didersilyandsustam its revenue over the long term." While not everyhospital and health sys- tem is in a position to launch a health plan, all provider organizations can look at taking on more financial risk for the health of their patients as a way offueling growth. Cleveland -based MetroHealth Sys- tem, a safety -net provider with 731 licensed beds and $905 million in fiscal year 2014 operating revenue, is moving aggressively toward risk, says President and CEO Akram Boutros, MD. "Our aim is, within the next three-and-one- halfyears, to have 50% of revenue from risk -based or shared -savings contracts." Toward that end, MetroHealth became a Medicare ACO in 2014 and began working with its highest -cost patients to achieve the triple aim of. reducing costs, improving outcomes, and enhancing the patient experience. MetroHealth used 2014 as a reporting year for the ACO and will share in the savings it achieves beginning in 2015. "We began looking at our population very closely with our physicians and care coordination teams to design pro- grams to address the needs of the 5% of the population that was consuming 50% of the healthcare dollars," Boutros says. MetroHealth stratified patients into different groups and identified those who consumed the most services. In particular, in 2014 the system focused on 170 patients with end -stage renal disease, 4,500 patients who were disabled, and 1,300 patients who were eligible for both Medicare and Medicaid. www.healthleadersmedia.com HealthLeaders-June2015 23 FUELING TOP -LINE GROWTH The results were substantial. National spending per patient per year averages $72,500 for patients with ESRD, $8,200 for patients with a disability, and $12,500 for dual-eligible.patients: In 2014, MetroHealth averaged $62,500, $7,800, and $7,800, respectively, for its Medicare ACO patients. "By focusing on these three populations, which represent about half of the patients in our Medicare ACO, we are able to reach significant improvements. In the third quarter of 2014, we reached almost a 30% savings. In 2014 alone, we saved nearly $9 million for those nearly 6,000 patients," Boutros says. MetroHealth has had other successes in improving the health of populations. The system's own 12;000 employees and their dependents are now covered under its employee ACO,�which marked a $2.5 million drop in spending in 2014. "We think that is just the tip of the ice- berg. We expect to achieve much greater savings than that," Boutros says. - . In 2013, MetroHealth launched MetroHealth Care Plus, a Medicaid managed raze waiver program that focuses on vulnerable patient populations. So far, the program has succeeded in increasing. primary care utilization by 60% for this patientgrotrp, reducing emergency department utilization by 50%, and cutting hospital readmissions from 12.5%to 10.2%. "'Reducing the total cost of care when you don't have insurance premiums can be a self-defeating strategy." Along with its government payer contracts, MetroHealth is actively working with. commercial insurers to design payment agreements that incorporate ashared-savings com- ponent. "All the commercial contracts we have negotiated in the past couple ofyears have a progression toward shared savings," he says. Boutros says there are three main factors that influence commercial payers' willingness to work with providers to develop risk -based and shared -savings arrangements: how common value -based contracts are within the region, the organization's historic ability to drive down the cost of care, and the robustness of the IT tools that exist for the hospital to be able to exchange information with the payer. Based on these criteria, payers have beenwilling to negotiate with MetroHealth to move toward risk -based reimbursement structures, and a new level oftrust is slowly -1%to-5% 12% 6% 0% 2"/0 6% 19/to 3% 33% 37% 4%to5% 22% 27% 6%or more 22% 21% emerging between the two sides, Boutros says. "We are cautiously aligning our incentives with payers. The adver- sarial system between providers and insurance companies has been inplace for quite a while, so you have to make incremental steps in transforming those relationships into partnerships." As MetroHealth takes on more financial risk and is rewarded for, providing higher -quality, lower -cost care, Boutros expects to see a significant impact to the systen* revenue. "We are almost a billion -dollar health system, and in 2011, our operating margin was $3.S million or 0.5%. In 2014, we had $35 million in net operating income and a margin of 3.9%. Our anticipation is that we will have about $550 million to $600 million of revenue in risk arrange- ments, and, for these, we are anticipating an operating margin of 7% to 8%" Boutros says he is committed to this reimbursement model and to the underlying improvements to clinical quality and patient outcomes that are required to make it a financial boon for MetroHealth in the long run. "As a CEO, you have to have that constant commitment that demonstrates to your organization that this is not afad. This is not something we are doing in the short term. It's the way we are now doing business," he says. "We have to incor- porate and align our values with this approach so people understand this is about who we are. For me, I intend to be here for the next IS years, so the long game is much more importantthanthe short game." ." 1, Rend Letourneau is a seniorkditor farHealthLeaders Media. She may becontactedatrletourneau@healthleadersmedia.com. Reprint HLRO615-2 24 Health Leaders= June 2015 www.healthleadersmedia.com Memorial Medical Center Financial Report For the Month of: September 2015 Overview: The hospital's net loss for September was $338,881. The primary driving factor in the loss was a very unfavorable shift in the mix of patients who were admitted to the hospital. This shift resulted in little of the charges we generated reaching Net Income and pushed Revenue Deductions to over 70% of Total Patient Revenue, where it generally runs in the 63% range. This change lowered our net by over $488,000. As of October 15, we are seeing a more favorable mix of patients — including more utilization of our Swing Bed program for Medicare beneficiaries. This should lead to better performance for the hospital. Below are some more specific details of the changes in Deductions from Revenue: • We wrote off $70,000 for several Medicaid surgeries that paid us lower than our average collection rates. We filed these accounts with the managed care company and been underpaid, so we are forced to file complaints with the State on these cases. We took the balance off of A/R since our chance of success is less than 50/50 and will count any settlements as income. • The change in payer mix (compared to May) resulted in $236,601 increase in Contractual Allowances: o Increase in Deductions due to cost report effect of decreased Medicare utilization $171,073 o Decrease in Blue Cross <$130,209> o Increase in Commercial $74,746 o Decrease in HMO/PPO/WC <$28,665> o Increase in Medicaid $149,656 ■ Total increase in Deductions from Revenue $236,601 • The hospital recorded $924,069 in Private Pay revenue compared to an average of $619,436 for each of the eight prior months, resulting in an additional $315,484 in Bad Debt reserve. We performed a detailed review of insurance payments for September to verify that we are receiving what we expect from Managed Care companies and, other than the Medicaid issue above, payments are consistent with our reserve policies and with the 2014 rates. We will be going to our larger payers —Blue Cross, Aetna, etc. —to renegotiate rates. Some of our per diem payments have not increased recently. The PARA Chargemaster review is complete and results show that we are charging less than our peers in many areas. The Senior Team met on October 15 and agreed on a plan of action with the changes to be implemented November 1. Our analysis of the shift in payer mix identified that we treat a significant number of patients who have recurring medical issues and no insurance to cover them. Some of these patients qualify for the Texas County Indigent Health Program, which is a great help to those who qualify. However, TCHIP pays the same rates as Medicaid and has a $30,000 annual cap per patient. While this cap is sufficient for most patients, we have a few patients who need services far in excess of the limit. These patients may qualify for the federal SSI/Disability programs but the application process is lengthy and requires specific knowledge. We have identified three specific vendors who can provide guidance and help us insure that patients attend the face to face meetings required for approval. The service does cost a bit — depending on the vendor we choose — but it provides us with a payment source and can actually help the patient will income. Statistics: Overall average daily census continues to increase and was 13.43 for September. This is the highest point since May. We also saw 57 Observation patients during the month. Emergency Room visits increased from 757 in August to 779 last month and we continue to see a decrease in non - emergency use of this service. Outpatient visits increased to 1,870, the highest since June. Memorial Medical Clinic business continues to grow, with 1,164 visits in September, the highest so far this year. With the new clinic opening soon they will have room to see even more. Surgery and Endoscopy procedures for September increased to 120, the highest in 2015. Laboratory procedures increased by 8% to 27,035 and Diagnostic Imaging saw increased to CT Scans and Nuclear Medicine volumes. Balance Sheet Highlights: ASSETS Bank Accounts Overall cash decreased to $4,368,651 mostly due to payment to the nursing homes of cash that was received in late August. Cash consists of $1,408,202 in operating cash, $325,069 in the Private Waiver 1115 Clearing Account, $1,995,298 in MMC Clinic Construction, $500,000 in CD investments and $140,082 in the MMC Nursing Home Cash account, which is payable to Cantex. Net Cash on Hand was 27.96 days excluding the Waiver accounts. Accounts Receivable Gross A/R increased to $9,924,254, with Gross Days Revenue at 52.5 and Net is 31.7. Our percent of accounts over 4 months continues to improve as old accounts are collected. Of the $9.2 million balance, $676,755 is clinic A/R that is being billed from our new eMD software. The process of setting up a Rural Health Clinic, obtaining a Medicare number, a Medicaid number, and approvals from all the various managed care companies is tedious and time consuming. Once the numbers are obtained we must then wait for them to be loaded in the various systems and software. This sometimes adds weeks to the process. Then we have to send bills to the various payers and wait for them to be processed. At this point Medicare is processing and paying claims fairly routinely and many Medicaid claims have been billed. Insurance claims are still a work in process but should be on line fairly soon. Once the groundwork is complete for all payers we should see a quick decline in the amount of A/R we carry for the clinic. We began implementation of the change from our current collection agency to MDS during the first week of October. TruBridge works with MDS through some of their other clients so I do not expect there to be any issues. MDS collects for some of the large investor -owned chains and I am looking forward to seeing a significant improvement in our bad debt recoveries by the end of the year. We are exploring two opportunities this month to try and recover cash from past accounts: a) Eckard Recovery — This company, headquartered in Boerne, reviews zero balance insurance accounts to verify that the hospital was paid correctly. They work on a contingency basis so we only pay for successful appeals. They will also prepare a spreadsheet for us that shows our major contracts and how much we get paid. b) Reimbursement Counselors — focuses on filed and settled cost reports to see if there is any opportunity for additional receipts. We would like to work with them on Medicaid secondary accounts that were not filed as bad debts and a few other opportunities. Again, they work on a contingency of recovery so we do not pay anything until we receive payment. Accounts Receivable —Other The total in this account is $3,673,334 consisting mainly of expected payments from the DSRIP component of the Waiver 1115 program, the Uncompensated Care program and supplemental payments due under the NH MPAP program. Accounts Receivable Nursing Home There is a balance of $4,977,270 in accounts receivable on the five nursing home books. Accounts Receivable Est. 3rd Party Paver Settlements We received $109,000 as a partial year adjustment in September. This paid off our expected receivable and resulted in a slight payable to the program. LIABILITIES Accounts Payable The hospital owed $635,351 to vendors for open accounts payable at the end of the month. This represents about 20 days of expenses. Our current policy is to pay local vendors as soon as we receive an invoice and to keep national vendors paid before their terms are due so that we do not lose any potential discounts. We evaluate our payments weekly to determine which ones need to be paid and those we can hold for a week. Due to Cantex The balance of $5,116,851 consists of $140,082 in Cash that MMC has received on behalf of NH (less $500 MMC contributed to set the accounts up and $1 rounding) and $4,977,270 in accounts receivable also reflected in MMC's accounts receivable. Accrued Expenses Our books reflect accruals for payroll taxes and amounts due employees for benefit hours totaling $979,245. Both accrued salaries and PTO decreased slightly for September. Accrued Intergovernmental Transfers Our books reflect IGT accruals of $1,543,612, mostly for contribution to the Nursing Home MPAP (formerly UPL) and DSRIP programs. Accrued Payable — EST 3rd Party Paver The payment received from Novitas in September paid off our expected receivable from Medicare and switched it to a $51,214 expected payable. Notes Payable The hospital has a note payable to Calhoun County for $1,453,379, which reflects the loan they advanced in the amount of $953,379 for the funding of the nursing home MPAP IGT. This allowed us to IGT the funds needed for the Nursing Home MPAP without restricting our operating cash. Leases Payable The hospital has $603,119 in long term debt of which $230,552 is due this year. Current Ratio The ratio between our current assets and current liabilities is 1.62 compared to a 2.3 benchmark. Income Statement Highlights: Gross patient revenue for September increased to $5,825,372 from $5,384,043. Of this increase, $277,736 was for uninsured patients and $119,814 was Medicaid. Neither of these pay very well, which is the reason for our negative Net Income last month. We are required to see the patients who present and to treat those who have emergencies without regard to their payer source so we saw more uninsured patients during September than for any month so far this year. Revenue Deductions were over 70% of patient revenue in September as many of the patients we treated as inpatients had no source of payment. I review the insurance payments received to see if we are getting paid what we estimated and found that we generally do. Payments have generally stayed at the same percent of charges we were receiving in 2014. There were a few Medicaid Managed Care procedures that are consistently under paid. We have appealed these to the specific payer and been denied, so we filed complaints with Texas Medicaid and have asked TransCentury for assistance is getting a specific payment amount for this procedure. Total Operating Expense was $2,047,484 in September compared to a budget of $2,085,614 and we are at $1,475,691 less than our budget through September 30. All things considered, it was a very negative month because of the mix of patients who presented for our care, their high acuity, and the fact that many of them needed to be here for longer than our usual stay, but it was not a complete disaster. We just need to help some of them obtain payment resources. Monthly Collections 3,000,000.00 - ------ -----------...------------ ----------'--- 2,500,000.00---- -- __- - 2,086,049.19 z,lsz,nasl 2,000,000.00 1,756,462.76 _ _ . .. ____- 1,940,704.16 __ - - -___ I,741,626.19 ------------------------ 1,500,000.00 ------ --_-- __ _ 1,655,469.35 1,676,960.091,s77,119.83 1,671,642.28 1,000,000.00 500,000.00 Jan Feb Mar Apr May Jun Jul Aug Sep Oct —Collections Goal Cumulative Collections I 25,000,000.00 20,000,000.00---------_..-------------------- ---------------------------'-- 15,000,000.00 --------------------------- ---- 10,000,000.00— ------ ------------------ 5,000,000.00-----------------' --- ---- --- Nov Dec -- -- i I' Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec —Cumulative Collections —Goal PRIVATE 11% MEDII 91 WKRS COMP 1% HMO/PPO 2% COMMERCIAL 12% BLUE CROSS 18% PRIVATE MEDICAID 13% WKRS COMP 0% HMPO 9 May Payor Mix September Payor Mix BLUE CROSS 15% MEDICARE 47% MEDICARE 39% s amN� ` w ii m� m •i$ v x' w n N �� o m�� x$ `d N m w � n � � � = in xi •uri m r m n ry F 2 n S m m m o s, r N n � � .- HUM !p ;xs $,O- oym x ms nv a 6 gN R'•�" �2 A�n�RW6 oN ZE g� p o "wd p QP2 pq 9 S o G Go' m o tl 00� mM1e o Ro�� FSm G '6m _ °dF m o •$o &' '.d• r% i3 N m R' w n G o a �m n m Irv° ry o 0 0 xigo _ F on o m GElG p R V Q U i Z m m~e m �a k'?zr� a�u ww'-mm°�o ao woo a F�a�mm P�u��a'9 Bu�9wwu9�o � a ��m� Q- w _1_ Memorial Medical Center Income Statement - Hospital For the Month Ended September 30, 2015 Current Period Revenue Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $1,605,121 $1,266,696 $1.419,302 Inpatient Revenues $11,775,991 $11,400,265 $11,613,600 $2,808,731 $3,766,364 $2,624,017 Outpatient Revenues $23,566,139 $33,897,274 $20,673,919 $1,411.519 $18.326 $1,599,937 ER Revenues $15,349,488 $164,936 $14,800,301 $5,825.371 $5,051,386 $5,643,256 Total Patient Revenue $50,691,618 $45,462,474 $47,087,820 Revenue Deductions $3,469,860 $2,416,279 $3,002,132 Conlractuals $29,016,443 $21,746,513 $24,066,240 $118,442 $85,022 $100,066 Charity, $836,840 $765,198 $807,157 ($5,801) $58,855 $36,768 Indigent Care $246.589 $529,691 $346,462 ($138,023) ($214,536) ($342,335) DSHNJaiver ($1,439,640) ($1,930,824) ($1,494,188) $794,082 $679,068 $786,643 Bad Debt $5,555,966 $6,111,611 $7,250,642 $4,158,560 $3,024,688 $3,583,274 Total Revenue Deductions $34,216,198 $27,222,188 $30,976,313 $1,666,811 $2,026,698 $2,059,982 Net Patient Revenue $16,475,420 $18,240,286 $16,111,507 $36,959 $91,778 $26.246 Other Operating Revenue $499,547 $826.001 $404,689 $1,703.770 $2,118,476 $2,086,228 Total Operating Revenue $16,974,967 $19,066,286 $16.516,196 Current Period I Operating Expenses Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $811,101 $839,985 $774,641 Salaries & Wages $6,978,868 $7,559.861 $6,423,699 $223,988 $240,328 $275,140 Employee Benefits & PR Taxes $2,183,503 $2,162,953 $1,824.596 $256,631 $454,233 $307,389 Professional Fees $1,948,906 $4,088,094 $3,036,443 $354,382 $146,189 $146,445 Purchased Services $2,730,623 $1.315,697 $1,277,830 $273,739 $243,581 $236,965 Supplies $2,337,768 $2,192,230 $2,109,584 $7,829 $4,390 $1,638 Insurance $70,461 $39,512 $36,978 $46.433 $42,238 $52,033 Utilities $393,373 $380,144 $398,132 $73,381 $114,670 $69,433 Other Expenses $651,329 $1,032,032 $543,229 $2,047,484 $2,085,614 $1,863,684 Total Operating Expenses $17,294,831 $18,770,522 $15,650,491 $71,550 $76,587 $77,935 Depreciation $715,057 $689,284 $692,068 $2,119,034 $2,162,201 $1,941,619 Total Expenses $18,009,888 $19,459,806 $16,342,559 ($415,264) ($43,724) $144,609 - Net Operating Income/(Loss) ($1,034,921) ($393,520) $173,637 Non Operating Income / (Exp) $139 $518 ($8) Investment Income $1,187 $4,664 $346 ($3,536) ($2,083) ($1,771) Interest Expense ($33,463) ($18,750) ($14,512) $0 $2,842 $7,340 Contributions and Grants $350 $25,675 $7,950 ($186,154) ($279,367) ($159,517) IGT Expense ($1,591,423) ($2,514,301) ($1,047,143) $265,934 $363,481 $227,881 Service Contribution by SOH $2,266,357 $3,271,332 $1,656,979 $76,383 $85,391 $73,925 Total Non -Operating Revenue $643,008 $768,520 $603,620 ($338,881) $41,667 $218,534 Total Net Income/(Loss) ($391,913) $375,000 $777,257 -2- Memorial Medical Center Income Statement - Nursing Home For the Month Ended September 30, 2015 Current Period I Revenue Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $3,532,625 $0 $0 Resident Revenues $25,767,468 $0 $0 $3,532,625 $0 $0 Total Operating Revenue $25,767,468 $0 $0 Current Period I Operating Expenses Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $3,532,625 $0 $0 Nursing Home Fee $25,767,468 $0 $0 $3,532,625 $0 $0 Total Expenses $25,767,468 $0 $0 $0 $0 $0 Net Operating Income / (Loss) $0 $0 $0 $0 $0 $0 Total Net Income / (Loss) $235,028 $0 $0 -3- Current Period Actual This Budget This Month Month Last Year $1,605,121 $1,266,696 $1,419.302 $2,808,731 $3,766,364 $2,624.017 $1,411,519 $18,326 $1,599,937 $3,632,626 $0 $0 Memorial Medical Center Income Statement - Combined For the Month Ended September 30, 2015 Revenue Inpatient Revenues Outpatient Revenues ER Revenues Resident Revenues Fiscal Year To Date Actual YTD Budget YTD Last Year YTD $11,775,991 $11,400,265 $11,613,600 $23,566,139 $33.897,274 $20,673,919 $15.349.488 $164,936 $14,800,301 $25,767,468 $0 $0 $9,357,996 $6.051,386 $5,643,256 Total Patient Revenue $76,459,086 $45,462,474 $47,087,820 Revenue Deductions $3,469.860 $2,416,279 $3,002,132 Contractuals $29,016,443 $21,746,513 $24,066,240 $118.442 $85.022 $100,066 Charity $836,840 $765,198 $807,157 ($5,801) $58,855 $36,768 Indigent Care $246,589 $529,691 $346,462 ($138,023) ($214,536) ($342,335) DSHAValver ($1,439,640) ($1,930,824) ($1,494,188) $714,082 $679,068 $786,643 Bad Debt $5,555,966 $6,111,611 $7,250,642 $4,158.560 $3,024,688 $3,583,274 Total Revenue Deductions $34,216,198 $27,222,188 $30,976,313 $5,199,436 $2,026,698 $2,059,982 Net Patient Revenue $42,242,888 $18.240,286 $16.111,507 $36,959 $91,778 $26,246 Other Operating Revenue $499,547 $826,001 $404,689 $5,236,395 $2,118,476 $2,086,228 Total Operating Revenue $42,742,435 $19,066,286 $16,516,196 Current Period I Operating Expenses Fiscal Year To Date Actual This Budget This Month Month Last Year Actual YTD Budget YTD Last Year YTD $811,101 $839,985 $774,641 Salaries & Wages $6,978,868 $7,559,861 $6,423,699 $223,988 $240,328 $275,140 Employee Benefits & PR Taxes $2,183,503 $2,162,953 $1,824,596 $256,631 $454,233 $307,389 Professional Fees $1,948,906 $4,088,094 $3.036,443 $354,382 $146,189 $146,445 Purchased Services $2,730,623 $1,315,697 $1,277,830 $273,739 $243,581 $236,965 Supplies $2,337,768 $2,192,230 $2,109,584 $7,829 $4,390 $1,638 Insurance $70,461 $39,512 $36,978 $46,433 $42,238 $52,033 Utilities $393,373 $380,144 $398,132 $73,381 $114,670 $69,433 Other Expenses $651,329 $1,032,032 $543,229 $3,532,625 $0 $0 Nursing Home Fee $25,767,468 $0 $0 $5,580,109 $2,085,614 $1,863,684 Total Operating Expenses $43,062,299 $18,770,522 $15,650,491 $71.550 $76.687 $77,935 Depreciation $715,057 $689,284 $692,068 $5,651,659 $2,162,201 $1,941,619 Total Expenses $43,777,356 $19,459,806 $16,342,559 ($415,264) ($43,724) $144,609 Net Operating income/(Loss) ($1,034,921) ($393,520) $173,637 Non Operating Income / (Exp) $139 $518 ($8) Investment Income $1,187 $4,664 $346 ($3,536) ($2,083) ($1,771) Interest Expense ($33,463) ($18,750) ($14,512) $0 $2,842 $7,340 Contributions and Grants $350 $25.575 $7,950 ($186,154) ($279,367) ($159,517) IGT Expense ($1,591,423) ($2,514,301) ($1,047,143) $265,934 $363,481 $227,881 Service Contribution by SOH $2,266,357 $3,271.332 $1,856,979 ($338,881) $41,667 $218.534 Total Net Income/(Loss) ($156,885) $375,000 $777,257 !7! �( 7�fEl�- R!R!¥}m EE*E&®+ GAq( Ree® y3q[ MEMORIAL MEDICAL CENTER PATIENT ACCOUNTS RECEIVABLE SEPTEMBER 2015 AGED TRIAL BALANCE: CURRENT FINANCIAL CLASS SOURCE: ATB BY FINANCIAL CLASS FINANCIAL CLASS < 30 31 > 60 61 > 90 91 > 120 > 121 TOTAL MEDICARE $ 1,680,423 234,767 60,938 13,536 50,522 2,040,187 % 82.4% 11.5% 3.0% 0.7% 2.5% 21.0% $ 600,011 161,489 31,562 25,042 69,396 887,500 MEDICAID % 67.6% 18.2% 3.6% 2.8% 7.8% 9.1% $ 467,614 94,946 86,198 25,632 57,025 731,416 BCBS % 63.9% 13.0% 11.8% 3.5% 7.8% 7.5% $ 864,259 384,207 159,286 181,893 216,072 1,805,718 COMMERCIAL % 47.9% 21.3% 8.8% 10.1% 12 % 18.5% $ 869,354 607,129 702,795 510,815 1,584,901 4,274,993 PRIVATE % 20.3% 14.2% 16,4% 12.0% 37.1% 43.9% $ 4,481,662 1,482,538 1,040,779 756,918 1,977,917 9,739,814 TOTAL % 46.0% 15.2%1 10.7% 7.8% 20.3% 100.0% NOTE -- Amounts and percentages may sum to or'-' 1 and 1% of the total or 100%, respectively, of their particular category due to rounding. AVERAGE DAYS IN PATIENT ACCOUNTS RECEIVABLE: DECEMBER APRIL GROSS 49.76 b WAM JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER I 54.201 52.54I 54.991 - I - I ftDIV/01 AGED TRIAL BALANCE: ORIGINAL FINANCIAL CLASS SOURCE: ATB BY FINANCIAL CLASS FINANGIAL CLASS <30 31 > 60 61 > 90 91 > 120 > 121 TOTAL $ 1,780,376 392,467 136,706 82,058 294,668 2,686,275 MEDICARE % 66.3% 14.6% 5.1% 3.1% 11.0% 27.6% $ 567,846 142,839 32,604 30,440 95,773 869,503 MEDICAID 65.3% 16.4% 3.8% 3.5% 11.0% 8.9% $ 84,792 132,928 146,220 90,451 704,411 1,158,802 BCBS % 7.3% 11.5% 12.6% 7.8% 60.8% 11.9% COMMERCIAL $ 884,045 373,156 229,282 279,028 574,228 2,339,739 % 37.8%1 16.0%1 9.8% 11.9% 24.5% 24.0% $ 783,603 441,147 495,965 274,941 689,837 2,685,494 PRIVATE % 29.2% 16.4% 18.5% 10.2% 25.7% 27.6% $ 4,100,662 1,482,538 1,040,778 766,918 2,358,917 9,739,814 TOTAL % 42.1% 15.2% 10.7% 7.8% 24.2% 100.0% NOTE -- Amounts and percentages may sum to Y or '-' 1 and 1% of the total or 100%, respectively, of their particular category due to rounding. t� MEMORIAL MEDICAL CENTER CAPITAL ACQUISITIONS FOR PERIOD ENDED 9130116 MONTHI DESCRIPTION BUILDING EQUIPMENT TOTAL 01/15 CLINIC - CIP -K&T CONSTRUCTION FEE 66,128 - 66,128 PROFESSIONAL SERVICES- ENGINEERING SERVICES 3,328 - 3,328 PROFESSIONAL SERVICES- ENGINEERING SERVICES 489 - 489 CLINIC-CIP- ACI PROFESSIONAL FEE 4,566 - 4,566 HOSPIRA WORLDWIDE -INFUSION PUMPS, 2 PUMPS - 6,416 6,416 RECONDO INTERFACE - 4,500 4,500 JANUARY 2015- COMPUTER PURCHASES - 5,180 5,180 SUB TOTAL JANUARY 74,510 16,096 90,606 02/15 FEBRUARY 2015- COMPUTER PURCHASES - 11,458 11.458 HOSPIRA WORLDWIDE- INFUSION PUMPS, 4 PUMPS - 12,833 12,833 CLINIC-CIP- ENGINEERING PROFESSIONAL FEE 944 - 944 SUB TOTAL FEBRUARY 944 24,291 25,235 03/15 HOSPIRA WORLDWIDE - INFUSION PUMPS, 1 PUMP - 3,214 3,214 SECURITY GLASS IN EMERGENCY ROOM 6,883 - 6,883 CLINIC - CIP -K&T CONSTRUCTION FEE 749,926 - 749,926 CLINIC-CIP-RETAINAGE 50,298 - 50,298 SUB TOTAL MARCH 807107 3,214 810,321 04/15 FAN COIL UNIT - 8,700 8,700 MICROSOFT WINDOWS SERVER 2012 - 5,726 5,726 APRIL 2015- COMPUTER PURCHASES - 2,382 2,382 SUB TOTAL APRIL 16,808 16,808 05115 MAY 2015- COMPUTER PURCHASES - 9,532 9,532 E-MDS- SOFTWARE LICENSE - 8,252 8.252 REPAIRING WATER LEAK ON 3RD FLOOR 7,995 - 7,995 CLINIC - CIP -K&T CONSTRUCTION FEE 174,524 - 174,524 CLINIC - CIP- RETAINAGE 14,792 - 14,792 SUB TOTAL MAY 197,311 17,783 215,094 06115 IMMTRAC INTERFACE - 4,500 4,500 CLINIC INTERFACE - 750 750 MEANINGFUL USE - 104,995 104,995 E-MDS- SOFTWARE LICENSE - 7,752 7,752 CLINIC-CIP- ENGINEERING PROFESSIONAL FEE 8,669 - 8,669 CLINIC - CIP -XRAY MACHINE, 40%DOWNPAYMENT - 30,160 30,160 SUB TOTAL JUNE 8,669 148,157 156,826 07115 CLINIC - CIP -K&T CONSTRUCTION FEE 412,886 - 412,886 CLINIC-CIP- ENGINEERING PROFESSIONAL FEE 3,455 - 3,455 JULY 2015- COMPUTER PURCHASES - 1,683 1,683 E-MDS- EMIR SOFTWARE FOR P.A.-1/2 - 7,935 7,935 EVIDENT- DEPOSIT ON TRIVE LICENSES - 649 649 SUB TOTAL JULY 416.341 10,267 426,608 08115 CLINIC - CIP -K&T CONSTRUCTION FEE 145,914 - 145,914 CLINIC-CIP- ENGINEERING PROFESSIONAL FEE 490 - 490 CLINIC-CIP- ITERSOURCE NETWORK CABLE INSTALL 10,654 - 10,654 EXAM PROCEDURE TABLE- SURGICAL CLINIC - 8,690 8,690 AUGUST 2015- COMPUTER PURCHASES - 11,868 11,868 MATTRESSES - 6 UNITS - 8,342 8.342 ER MONITORING EQUIPMENT - 79,861 79,861 E-MDS - EMR SOFTWARE FOR DR. BUNNELL - 7,604 7,604 E-MDS- EMIR SOFTWARE FOR PA. -212 - 7,335 7,335 SUB TOTAL AUGUST 157,057 123,701 280,758 09/15 CLINIC-CIP- ENGINEERING PROFESSIONAL FEE 5,696 - 5,696 CLINIC-CIP- FURNITURE DEPOSIT - 66,865 66,865 LAB INSTRUMENT INTERFACE -10% DOWNPAYMENT - 506 506 HOSPITALPORTAL.NET- INTRANET PORTAL LICENSE - 11,250 11,250 MATTRESSES-6 UNITS - 8,342 5,342 PKG L9000 LIGHT SOURCE - 7,854 7,854 NETWORK REDESIGN PROJECT - 7,040 7,040 10 TRIVE LICENSES - EVIDENT/CPS] - 6,840 5,840 SUB TOTAL SEPTEMBER 5,6961 107 697 1 113.394 TOTAL $ 1,667,637 $ 468,015 $ 2,135,651 -7- Memorial Medical Center YTD YTD YTD 9/30/2016 Statistical Comparison 09/30/13 09/30114 09/30115 OVER(UNDER) %OF (9 months) (9 months) (9 months) 913012014 CHANGE Total Admissions 811 1,003 841 (162) -16.2% ER Admissions 497 700 705 5 0.7% _ Total Patient Days 3,605 3,930 3,450 (480) -12.2% AVERAGE DAILY CENSUS Medical/Surgical/ICU 9.93 11.21 9.89 (1.32) -11.8% Obstectrics 0,89 1.04 0.84 (0.21) -19.7% Swing Bed 2.38 2.14 1.91 (0,23) -10.9% TOTAL AVG DAILY CENSUS 13.21 14.40 12.64 (1.76) -12.2% TOTAL AVG LOS - Acute care 3.81 3.56 3.78 0.23 6.3% Observation - Patients 195 369 369 0 0.0% Newborns -Births 78 94 95 1 1.1% MM Clinic Visits 3,900 6,341 8,743 2,402 37.9% Women Clinic Visits 0 393 0 (393) N/A _ Outpatient Visits 14,117 17,641 16,684 (957) -5.4% Emergency Room Visits 8,102 7,734 7,688 (46) -0.6% Specialty Clinic Visits 3,959 3,872 4,208 336 8.7% Total Surgery & Endoscopy 736 875 889 14 1.6% Total Laboratory Procedures 219,934 243,371 249,683 6,312 2.6% Radiology Procedures 7,234 7,103 7,257 (42) -9.1% Bone Density 103 109 109 0 0.0% Nuclear Medicine 139 184 127 (57) -31.0% Ultrasound 1,349 1,715 1,885 170 9.9% CT Scans 1,991 2,126 2,015 (111) -5.2% MRI 760 869 849 (20) -2.3% Mammograms 724 659 565 (94) -14.3% Total Radiology Procedures 12,300 12,765 12,807 42 0.3% Respiratory Therapy lP Procedures 11,839 8,556 8,556 95 1.7% Stress Test 39 89 52 (37) -41.6% EKG Exams 2,251 2,691 2,865 174 6.5% EEG Exams 8 10 20 10 100.0% Sleep Studies 0 83 51 (32)1 N/A Total Respiratory 14,137 11,383 11,544 161 1.4% Physical Therapy Total 19,765 18,950 14,874 (4,076) -21.5% Pharmacy Total 99,844 84,661 112,557 27,896 33.0% DletaryTotal 66,572 94,766 101,728 6,962 7.3% Pounds of Linen 0 188,489 174,171 (14,319) -7.6% ❑ .i m 0 d .y d m m m M o d m M m m r m n m m m m r m N m o a-� d r m .-i a mnd o m m m m e n w m m d n M mwNm Mom � m rv.+Nmommm o ry M d w o m m m w m N m m n mmn.� m ry n mo'iN rci U N r1 ei �-1 N LL d o m m m n m .+ r m a o o m a o m m d d m m m m o n m m a .+ m o m m .+ m a N �n m n n �n N m m 1 N o N N d M m d' 'i W n d r1 O r N N M O1 q c N d n m m N N O vl d d vl m m ti O ei n N N tp .i f1 N � m O Ol tO O V m M 0 N O ttl Nrl rl �-1 O '-1 cri Q N m m O Vl O M M Ol d M O r N N m N r O m N ut ei r O O n r l0 v1 vl N m d M n n rl m O lO Vl V OI m d 0 OI ei n �-1 rl M N N Ol tO rl N Vl m m n W n V n m OJ M Ol N c N n 0• e-I W M n n M V1 O m N m O rl I� N fl f1 OI N l0 N 7 OJ M N n O O n M N n M O d m M m m m a-1 m �O M O Ol O 1f1 M d O 1 m m V N O\ Ol m m V N ci O ei d r m d N ri tD 10 ei 'i Ol m N O m ei V ei m lO M M N Ol w n n m N w O W m V N pt n ♦i fi C �i rl N ri e-i �1 O � 06 7 L d "I d M W m OI N m O d d tO O m n lO O Ol O ei vl M w vl m m Vl m n M fi 10 Ot n In n Ol O w W M fi M n r M OI VI M 'i r1 M Ol w O N M N VI 1n r M N r ai O w T N ei N. ri h N �'1 ri ri l l O O N. w. M l' d � ---------------- w n �Oil V ri ll ACUO�EyU NDQoN�mNdyII� ONN lfA�ucd0 lnmtirrdNDil l tmNed(lmntNnNt`mMOeNnndO�00-VJi"ill11 m I mVOrOM`O4l N O N d ti � Ot111 O•O�O't''Ord'NOO-Yii{iiIll1 nmIrrmnem'Mnpii lTmmONdOcOVdlOmyV00{ itdMdNmvNMONNp-1ll' ONVemrd'rrvemedN�I'Viiiii11l NmmNONdNandl mMON�nm0rmWvmCedOOmNr-i11ll1Il mr'NONOOrilll OMmVdNnvnNdeIndAil1 nOmOWOmnNNMNmWmvJl �Omn`MONntNOrNm 0 - MOfmmWOtmOivMaNONr�mmO-0-ilII11ll Mld41MbO0odMmnr''00Di1i1 nmOnMmWwNmNvrdNrOmeill nmVOOMVvMNnW'yrnillltl fl N W O NOMm mOONrO0NmeOWrNeMmOiilt.iI MnVOmwONmM`nOti�y-I1 m m a sfNOOOeeVTVmti\l rrmMreN'OlvinO0iil1ii NrmMrNOVrnNm�nmVrNVrNrd-il1l1'lll rNNmNVNI NNOlNdONmmMmnONmmmdOl1 OOOdOOV mMDmNrvn]il ONW.NmOdNdrdrmrONt.mrv'd'-iilllllIlI rNdOOMMONOdmwmOM�rdWNr-J11 mmCv�MON�rm�O�d1N1eO lmMMOMNVvmNM�NOmmN`OmlrfO/01 vlNi CZc7'�yaLLNQOydyNp O 10 an m OvMVTmWONmll NOVNNvmWNVrOrNVOMmWNOOtimmIlt1 „�r1mnNMNr-011l1 ntNOdNNm`NmMNNdry0%f O ❑V W , QK U O ay T QO •N u 'eo O � � m = � 'G � � o N > v v a 'v' w a U v m m m f v� v E rc = u� u'� a@ `-' c m m o❑ �� o o > °1 3 0 0 s w o E n o o f w I- 6 O m 1- 1- 0 Z : 0 Memorial Medical Center Accounts Receivable Sep-15 Aging 1 0 - 30 1 31-60 1 61-90 1 91-120 ! 121-150 1 151-180 ! 181-365 L Total Gross I % Over 120 Days I % Over 90 Days Total Oct-14 4,209,213 1,776,814 1,197,644 514,857 318,383 221,896 970,350 9,209,156 16.4% 22.0% Nov-14 4,157,789 1,899,222 1,192,857 794,431 401,470 202,057 1,115,010 9,762,835 17.6% 25.7% Dec-14 3,697,451 1,662,826 1,263,049 660,955 355,926 184,378 946,841 8,761,426 17.0% 24.5% Jan-15 4,275,625 1,367,704 1,063,287 620,552 369,230 217,191 1,053,863 8,967,452 18.3% 25.2% Feb -IS 4,295,936 1,584,162 882,367 654,822 352,167 199,453 969,131 8,938,039 17.0% 24.3% Mar-15 4,470,448 1,548,886 984,487 769,008 394,974 243,992 1,115,129 9,526,925 18.4% 26.5% Apr-15 4,352,417 2,082,736 1,003,055 695,166 467,596 232,652 1,119,884 9,953,497 18.3% 25.3% May-15 4,000,090 1,842,378 1,407,295 820,331 557,057 308,728 1,139,681 10,075,560 19.9% 28.0% Jun-15 4,133,895 1,510,662 1,241,723 1,243,493 626,368 389,743 1,149,362 10,295,246 21.0% 33.1% Jul-15 3,562,298 1,621,175 1,035,310 987,656 742,269 284,822 1,204,150 9,437,681 23.6% 34.1% Aug-15 3,607,480 1,408,947 1,078,471 929,022 649,954 388,583 1,214,435 9,276,891 24.3% 34.3% Sep-15 4,230,100 1,341,698 1,008,209 737,889 426,320 328,638 1,174,645 9,247,499 20.9% 28.8% Medicare Oct-14 1,815,331 441,511 238,441 88,396 41,417 13,014 100,080 2,738,191 5.6% 8.9% Nov-14 1,943,820 288,941 117,955 85,770 58,161 11,406 96,969 2,603,023 6.4% 9.7% Dec-14 1,514,858 317,405 99,208 44,590 33,105 5,246 71,490 2,085,902 5.3% 7.4% Jan-15 1,902,475 240,965 116,907 37,301 26,555 32,343 68,659 2,425,205 5.3% 6.8% Feb-15 1,952,237 247,659 25,930 25,958 12,398 3,428 76,591 2,344,202 3.9% 5.0% Mar-15 1,834,678 185,177 36,952 3,880 14,361 11,233 66,108 2,152,389 4.3% 4.4% Apr-15 1,858,672 271,879 44,659 8,508 9,174 1,388 10,374 2,204,654 0.9% 1.3% May-15 1,824,741 348,117 58,977 1,952 3,524 9,055 11,437 2,257,802 1.1% 1.2% Jun-15 1,669,082 136,964 90,621 30,379 1,893 1,165 16,308 1,946,413 1.0% 2.69' Jul-15 1,465,507 244,351 92,541 67,727 29,204 908 18,114 1,918,352 2.5% 6.0% Aug-15 1,538,445 123,643 35,690 36,141 29,886 3,478 10,603 1,777,885 2.5% 4.5% Sep-15 1,639,192 167,487 42,425 13,226 21,046 21,853 6,375 1,911,604 2.6% 3.3% Medicaid Oct-14 469,795 157,268 29,707 22,412 15,160 11,833 5,731 711,906 4.6% 7.7% Nov-14 476,662 163,655 94,369 19,941 9,035 8,424 17,535 789,622 4.4% 7.0% Dec-14 535,717 179,765 123,291 73,056 13,078 8,369 8,416 941,694 3.2% 10.9% Jan-15 500,040 124,816 72,067 38,218 50,168 2,976 30,145 818,429 10.2% 14.8% Feb-15 510,658 146,202 86,140 39,934 23,836 32,368 24,305 863,444 9.3% 13.9% Mar-15 470,612 180,153 60,752 39,795 28,691 400 37,385 817,787 8.1% 13.0% Apr-15 578,559 140,554 125,289 51,129 10,281 3,694 37,494 947,000 5.4% 10.8% May-15 379,796 175,913 82,616 65,327 33,625 3,284 34,178 774,739 9.2% 17.6% Jun-15 367,730 109,737 86,070 51,630 44,711 22,985 7,991 690,854 11.0% 18.4% Jul-15 364,592 115,976 56,372 62,129 28,021 12,696 28,524 668,311 10.4% 19.7% Aug-15 395,504 93,338 53,284 46,884 20,376 3,474 19,026 631,887 6.8% 14.2% Sep-15 500,303 108,531 27,163 22,473 26,297 12,577 26,213 723,558 9.0% 12.1% BCBS Oct-14 414,059 88,986 37,873 25,390 39,760 7,790 8,835 622,693 9.1% 13.1% Nov-14 386,014 96,688 36,428 5,756 18,612 33,396 18,185 595,080 11.8% 12.8% Dec-14 349,012 53,851 8,211 29,573 8,889 18,429 12,913 480,878 8.4% 14.5% Jan-15 364,869 70,937 20,047 7,724 30,588 10,160 6,460 510,785 9.2% 10.8% Feb-15 476,389 135,736 33,431 18,791 10,256 12,678 23,665 710,944 6.6% 9.2% Mar-15 390,437 104,136 34,920 30,203 13,085 2,838 33,089 608,709 8.1% 13.0% Apr-15 499,438 62,908 28,844 11,645 14,938 4,689 20,469 642,932 6.2% 8.0% May-15 467,998 152,287 27,928 17,504 5,370 5,386 9,087 685,560 2.9% 5.4% Jun-15 704,018 90,929 69,722 15,633 9,247 4,027 9,837 903,414 2.6% 4.3% J01-15 465,460 58,659 32,386 37,579 6,075 5,750 5,993 611,902 2.9% 9.1% Aug-15 446,922 148,393 65,078 23,812 19,164 3,074 5,139 711,581 3.8% 7.2% Sep-15 419,377 85,776 82,063 20,264 22,734 12,438 20,364 663,016 8.4% 11.4% Commercial Oct-14 751,329 300,266 174,996 62,743 24,611 44,021 28,049 1,386,015 7.0% 11.5% Nov-14 837,730 477,142 126,290 98,081 57,341 5,931 69,126 1,671,642 7.9% 13.8% Dec-14 695,638 439,089 252,058 67,031 56,483 51,114 27,886 1,589,299 8.5% 12.7% Jan-15 815,661 302,972 218,694 197,361 41,225 57,559 24,038 1,657,509 7.4% 19.3% Feb-15 762,470 360,883 157,507 136,282 106,886 25,903 38,928 1,588,858 10.8% 19.4% Mar-15 1,190,587 431,887 138,100 100,284 40,311 69,488 58,725 2,029,381 8.3% 13.2% Apr-15 736,374 794,060 181,941 113,458 46,302 32,578 75,366 1,980,079 7.8% 13.5% May-15 771,269 356,341 582,582 104,261 44,362 42,471 81,008 1,982,295 8.5% 13.7% Jun-15 915,148 435,702 149,775 487,234 32,042 18,390 83,081 2,121,372 6.3% 29.3% Jul-15 687,256 505,663 165,344 82,918 97,621 29,643 82,235 1,650,680 12.7% 17.7% Aug-15 741,138 319,594 264,164 117,579 56,461 77,277 102,345 1,678,559 14.1% 21.1% Sep-15 801,684 373,378 153,886 175,497 41,885 31,570 132,234 1,710,132 12.0% 22.3% Private Pay Oct-14 758,699 788,783 716,627 315,916 197,434 145,237 827,656 3,750,351 31.2% 39.6% Nov-14 513,562 872,796 817,815 584,882 258,320 142,900 913,195 4,103,469 32.0% 46.3% Dec-14 592,226 672,717 780,280 446,705 244,370 101,220 826,135 3,663,653 32.0% 44.2% Jan-15 692,581 628,014 635,572 339,949 220,694 114,153 924,561 3,555,524 35.4% 45.0% Feb-15 594,182 693,684 579,358 433,857 198,790 125,076 805,642 3,430,590 32.9% 45.6% Mar-15 584,134 647,533 713,763 594,846 298,525 160,033 919,824 3,918,659 35.2% 50.4% Apr-15 679,374 813,335 622,321 510,426 386,891 190,304 976,182 4,178,832 37.2% 49.4% May-15 556,286 809,720 655,192 631,287 470,175 248,532 1,003,972 4,375,164 39.4% 53.8% Jun-15 477,917 737,329 845,534 658,618 538,474 343,176 1,032,145 4,633,193 41.3% 55.5% Jul-15 579,483 696,526 688,667 737,303 581,349 235,825 1,069,285 4,588,437 41.1% 57.2% Aug-15 485,470 723,980 660,255 704,606 524,067 301,280 1,077,322 4,476,979 42.5% 58.2% Sep-15 969,544 606,526 702,672 506,429 314,357 250,201 989,459 4,239,188 36.7% 48.6% -11- Physician Revenue Trend Memorial Medical Center As of September 2015 September2015 2015YTD PRIORYEARTD Memorial Medical Center Clinic 011005 William Crowley $ 582,671 $ 5,038,319 $ 4,240,180 009293 Serina Danielson $ 123,020 $ 2,195,215 $ 558,034 000966 Thao Truong $ 63,479 $ 403,738 $ - 041743 Angela Dobbins $ 17,167 $ 513,305 $ 37,696 058001 Court Thu rlkilI $ 23,870 $ 23,870 $ - 009292 Charles Fillingane $ 776 $ 243,396 $ 1,681,988 $ 810,983 $ 8,417,843 $ 6,517,899 14% 17% 14% Memorial Medical Surgical Clinic 022000 Peter Rojas $ 236,451 $ 505,310 $ - $ 236,451 $ 505,310 $ - 4% 1% 0% Hospitalist 130006 Hospitalist $ 989,493 $ 1,503,978 $ - $ 989,493 $ 1,503,978 $ - 18% 3% 0% Port Lavaca Clinic 013000 Don Paul Bunnell $ 53,802 $ 3,168,903 $ 3,971,917 050001 John Wright $ 295,392 $ 3,452,672 $ 2,907,418 019000 Ric Arroyo -Diaz $ 311,232 $ 2,501,662 $ 2,524,713 013001 Leigh Anne Falcon $ 406,533 $ 1,944,217 $ 1,472,462 008800 NirtasKwiTimu $ 153,199 $ 1,697,696 $ 1,681,076 001500 Jewel Lincoln $ 143,336 $ 1,238,677 $ 1,617,908 320001 Shanna Odonnell $ 38,675 $ 316,701 $ 280,025 012000 Jeannine Griffin $ 37,098 $ 303,745 $ 264,272 700003 BluduaJBunnell $ - $ - $ 27,622 320000 John Lee $ $ 35,860 $ - 610000 Craig Shaffer $ $ - $ 3,296 $ 1,439,266 $ 14,660,132 $ 14,750,710 26% 30% 31% Specialty Clinic )22000 Peter Rojas $ - $ 849,215 $ 1,099,047 )12100 Donald Breech $ 81,464 $ 671,810 $ 725,901 )00404 Ayo Ad $ 91,639 $ 720,998 $ 693,861 )70002 Richard Steinberg $ 18,285 $ 138,327 $ 103,780 525225 Azhar Malik MD $ 14,281 $ 60,571 $ 131,478 )00000 Dakshesh Parikh $ 352 $ 35,113 $ 37,680 )57006 A Qadri $ $ - $ 113 $ 206,021 1 $ 2,476,033 $ 2,791,861 -12- 4% 5% 6% Physician Revenue Trend Memorial Medical Center As of September 2015 September 2015 2015 YTD PRIOR YEAR TO Coastal Medical Clinic 011000 Tim McFarland $ 56,129 $ 389,409 $ 594,017 903700 Siver McFarland $ - $ - $ 432 000806 William McFarland $ 7,379 $ 179,582 $ - $ 63,508 $ 568,991 $ 594,449 1% 1% 1% Independent 006000 M 5 Lin $ 119,494 $ 1,300,632 $ 1,982,934 004000 G A Williams $ 9,994 $ 89,118 $ 1,205,878 310001 Michelle Cummins $ 106,987 $ 638,481 $ 470,247 330000 Nhi Le MD $ 7,349 $ 70,613 $ 138,736 004002 Laura Deming $ - $ - $ 52,492 $ 243,823 $ 2,098,844 $ 3,850,287 4% 4% 8% Other Medical Staff 065002 George Boozalis $ 19,253 $ 107,865 $ 140,523 075000 Laborator Ramos $ - $ 604 $ 1,606 $ 19,253 $ 108,469 $ 142,129 0% 0% 0% Total E/R Physicians $ 1,236,986 $ 14,602,078 $ 14,577,562 $ 1,236,986 $ 14,602,078 $ 14,577,562 22% 29% 31% Other Ordering Physicians Other Ordering Physicians $ 279,381 $ 3,100,081 $ 2,435,696 004004 Neese/Twin Foun $ 18,079 $ 367,176 $ 455,832 000359 Earnest Alsop $ - $ 22,656 $ 125,111 000080 Marcus Caughron $ - $ - $ 25,196 807077 Nilesh Patel $ 68,775 $ 751,141 $ 463,116 800003 Bryan Kestler $ - $ 11,272 $ 32,438 900327 Dharmendr Verma $ 14,117 $ 101,272 $ 78,548 000077 Scott Stein $ - $ 31,052 $ 17,447 900116 Sabbagh Mohamme $ 3,580 $ 69,031 $ 21,294 012102 Jerr Followwill $ 11,629 $ 103,380 $ 89,109 142001 Greg Cowart $ - $ - $ 10,017 $ 395,561 $ 4,557,061 $ 3,753,804 7% 9% 8% Totals $ 5,641,345 $ 49,498,741 $ 46,978,700 -13- n n O W m N N o N W ty r O a N e m P cq m W w w w w w w A V p M N m M Y O P d. O! M h P' N O N m IWO 0 Q YI N Y N W w w w w w J `a �i��O1 � 6vieodmio O 0 w w w w N N P N< N^ l v � � w w w w w � J y 0 m m w w 10 F LL M w m w °i a eiv wl" rvo d^OJ �1q�n�vni o `O���Nm a 6 w M M w w w w w # ¢ M^ Cl P e m m W amain v m W LL v m w w w 0] ^ QOt Q -1 w www O Q � 6 � N v EU — y 12 w v d zdzoB@9wav m e `v_ dP�a came oa miu a49v«myyy o vi `u mm�rA��ri -14- Payer Mix Memorial Medical Center As of September 30, 2015 Payer Mix Memorial Medical Center As of September 30, 2015 ®Medlrare •Medicaid 0 Blue Cross •commerdal mprbate •Other VC[ Nov uer Jan ter, IVlarcn April May June July Augus[ aepiemrer Medicare 43.8 46.0 43.5 42.8 45.7 43.0 40.3 46.6 41.3 40.1 39.3 38.8 Medicaid 11.5 11.6 13.3 12.6 11.9 11.6 15.2 9.0 8.7 9.6 12.1 13.5 Blue Cross 15.1 14.7 17.3 16.0 16.5 14.3 18.1 17.7 20.0 20.4 18.4 14.4 Commercial 12.4 14.8 13.0 14.2 13.1 12.0 11.2 12.0 15.7 13.4 14.8 15.0 Private 13.8 9.9 10.9 12.2 10.2 10.1 12.3 11.3 10.7 14.0 12.5 16.4 Other 3.4 4.0 2.0 2.2 2.6 9.0 2.9 3.4 3.6 2.5 2.9 1.9 Medicare Medicaid Blue Cros --ommercia Private Other Oct 43.B 11.5 15.1 12.4 13.8 3.4 Nov 45.0 11.6 14.7 14.8 9.9 4.0 Dec 43.5 13.3 17.3 13.0 10.9 2.0 Jan 42.B 12.6 16.0 14.2 12.2 2.2 Feb 45.7 11.9 16.5 13A 10.2 2.6 March 43.0 11.6 14.3 12.0 10.1 9.0 April 40.3 15.2 18.1 11.2 12.3 2.9 May 46.6 9.0 17.7 12.0 11.3 3.4 June 41.3 8.7 20.0 15.7 10.7 3.6 July 40.1 9.6 20.4 13.4 14.0 2.5 August 39.3 12.1 18.4 14.8 12.5 2.9 September 38.8 13.5 14.4 15.0 16.4 1.9 -15- i RUN ➢ATE:10/15/15 MEMORIAL MEDICAL CENTER PAGE 1 TIME:10:51 CHECK REGISTER GLCKREG 09/01/15 TURD 09/30/15 BANK --CHECK---_----------------------------------------------_ CODE NUMBER DATE AMOUNT PAYEE ----------------------------------------------------------------------------------------------- A/P 000666 09/11/15 552.85 MCKESSON A/P 000667 09/11/15 1,072.87 MCKESSON A/P 000668 09/11/15 1,201,00 MCKESSON A/P 000669 09/14/15 744.07 MCKESSON A/P 000670 09/14/15 1,023.62 MCKESSON A/P 000671 09/14/15 524.69 MCKESSON A/P 000672 09/21/15 1,242,43 MCKESSON A/P 000673 09/21/15 581.00 MCKESSON A/P 000674 09/21/15 1,059.63 MCKESSON A/P 000675 09/28/15 1,188.65 MCKESSON A/P 000676 09/28/15 1,411.69 MCKESSON A/P * 000677 09/28/15 176.30 MCKESSON A/P 162992 09/03/15 2,242.64 BECTON, DICKINSON & CO (BD) A/P 162993 09/03/15 409.04 PHILIPS HEALTHCARE A/P 162994 09/03/15 10,304.26 US FOOD SERVICE A/P 162995 09/03/15 589.73 MERCEDES MEDICAL A/P 162996 09/03/1S 188.14 HEALTH CARE LOGISTICS INC A/P 162997 09/03/15 3,202.21 CENTURION MEDICAL PRODUCTS A/P 162998 09/03/15 1,396.30 DENITT POTH & SON A/P 162999 09/03/15 1,699.28 LOFTIN EQUIPMENT COMPANY A/P 163000 09/03/15 235.86 PRECISION DYNAMICS CORP (PDC) A/P 163001 09/03/15 421.39 CAREFUSION 211, INC A/P 163002 09/03/15 805.27 GE HEALTHCARE IITS USA CORP A/P 163003 09/03/15 77,98 JASON ANGLIN A/P 163004 09/03/15 3,325.00 DA&B A/P 163005 09/03/15 .00 VOIDED A/P 163006 09/03/15 5,634.03 MORRIS & DICKSON CO, LLC A/P 163007 09/03/15 1,065.25 PLATINUM CODE A/P 163008 09/03/15 2,537.09 LUMINANT ENERGY COMPANY LLC A/P 163009 09/03/15 49,546.67 BED, LLP A/P 163010 09/03/15 240.00 REVISTA de VICTORIA A/P 163011 09/03/15 773.92 GLOBAL EQUIPMENT CO. INC. A/P 163012 09/03/15 219.75 MICHAEL CHAVANA A/P 163013 09/03/15 6,931.00 TEXAS HOSPITAL ASSOCIATION A/P 163014 09/03/15 1,250.00 VICTORIA MEDICAL FOUNDATION A/P 163015 09/03/15 472.00 FIRETROL PROTECTION SYSTEMS A/P 163016 09/03/15 125.00 NAGE410RKS A/P 163017 09/03/15 5,687.43 MMC B14PLOYEE BENEFIT PLAN A/P 163018 09/03/15 9,352.20 ACCLARENT, INC. A/P 163019 09/03/15 189.75 ROLM REYES, SR. A/P 163020 09/03/15 241,518.00 M14C CONSTRUCTION A/P 163021 09/03/15 1,308.61 NAGEWORKS A/P 163022 09/03/15 96.00 1EMORIAL MEDICAL CLINIC A/P 163023 09/03/15 1,495.00 M G TRUST A/P 163024 09/03/15 2,000.00 THE COMPLIANCE TEAM, INC A/P 163025 09/03/15 145,913,68 K & T CONSTRUCTION, CO., INC. A/P 163026 09/03/15 240.00 A/P 163027 09/03/15 2,832.30 C014BINED INSURANCE CO A/P 163028 09/03/15 75.00 FIRST CLEARING A/P 163029 09/03/15 11,023.87 E-NDS, INC -16- RUN DATB:10/15/15 14E14ORIAL MEDICAL CENTER TI14E:10:51 CHECK REGISTER 09/O1/15 TURN 09/30/15 BANK --CHECK ------------------------------------------ CODE NUMBER DATE AMOUNT PAYEE A/P 163030 09/03/15 1,132.50 A/P 163031 09/03/15 2,520.00 FUSION MEDICAL STAFFING, LLC A/P 163032 09/03/15 35,57 PHELAN MANUFACTURING CORP A/P 163033 09/03/15 62,000.00 VICTORIA PROFESSIONAL A/P 163034 09/03/15 34.95 GULF COAST HARDWARE / ACE A/P 163035 09/03/15 256.00 ACTION LUMBER A/P 163036 09/03/15 272.72 AMBRISOURCEBBRGEN DRUG CORP A/P 163037 09/03/15 1,347.48 AIRGAS-SOUTHWEST A/P 163038 09/03/15 2,200.50 ALCON LABORTORIES INC A/P 163039 09/03/15 723.71 ALINBD INC. A/P 163040 09/03/15 146.27 ALPHA TEC SYSTEMS INC A/P 163041 09/03/15 85.94 AMERICAN ASSOCIATION A/P 163042 09/03/15 949.24 BARD PERIPHERAL VASCULAR A/P 163043 09/03/15 534.00 BARD ACCESS A/P 163044 09/03/15 1,215.00 BAXTER HEALTHCARE CORP A/P 163045 09/03/15 18,774.08 BECKMAN COULTER INC A/P 163046 09/03/15 151.69 BOUND TREE MEDICAL, LLC A/P 163047 09/03/15 220,25 BRIGGS HEALTHCARE A/P 163048 09/03/15 25.00 CAL CON FEDERAL CRE➢IT UNION A/P 163049 09/03/15 158.87 CERTIFIED LABORATORIES A/P 163050 09/03/15 591.61 CONNED CORPORATION A/P 163051 09/03/15 14,922.92 CDN GOVERNMENT, INC. A/P 163052 09/03/15 16,654.53 EVIDENT A/P 163053 09/03/15 252.00 C R BARD, INC A/P 163054 09/03/15 254.58 DLE PAPER & PACKAGING A/P 163055 09/03/15 277.80 MONICA ESCALANTE A/P 163056 09/03/15 11.30 FEDERAL EXPRESS CORP. A/P 163057 09/03/15 6,891,06 FISHER HEALTHCARE A/P 163058 09/03/15 50.00 GULF COAST ➢ELIVERY A/P 163059 09/03/15 119.76 GRAPHIC CONTROLS LLC A/P 163060 09/03/15 190.47 GETINGE USA A/P 163061 09/03/15 2,394.92 GULF COAST PAPER COMPANY A/P 163062 09/03/15 6,663.50 HOLOGIC INC A/P 163063 09/03/15 165.95 HAVEL'S INCORPORATED A/P 163064 09/03/15 23.62 HAYES ELECTRIC .SERVICE A/P 163065 09/03/15 8,806.65 HILL -ROM COMPANY, INC A/P 163066 09/03/15 164.30 HOSPIRA WORLDWIDE, INC A/P 163067 09/03/15 420.52 INDEPENDENCE MEDICAL A/P 163068 09/03/15 10,875.49 WERFEN USA LLC A/P 163069 09/03/15 41,25 INTEGRATED MEDICAL SYSTEMS A/P 163070 09/03/15 3,835.60 J & J HEALTH CARE SYSTEMS, INC A/P 163071 09/03/15 104.21 14,C. JOHNSON COMPANY INC A/P 163072 09/03/15 1,338,60 A/P 163073 09/03/15 210.09 MARKS PLUMBING PARTS A/P 163074 09/03/15 84.29 MCKESSON MEDICAL SURGICAL INC A/P 163075 09/03/15 531.12 BAYER HEALTHCARE A/P 163076 09/03/15 54.00 MEGA➢YNE MEDICAL A/P 163077 09/03/15 140.62 MMC AUXILIARY GIFT SHOP A/P 163078 09/03/15 1,455.49 MERRY X-RAY/SOURCEONE HEALTHCA A/P 163079 09/03/15 246.96 OFFICE DEPOT A/P 163080 09/03/15 .00 VOIDE➢ PAGE 2 GLCKREG RUN ➢ATE:10/15/15 MEMORIAL 14EDICAL CENTER PAGE 3 TIME:10:51 CHECK REGISTER GLCKREG 09/01/15 THUD 09/30/15 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE ----------------------------------------------------------------------------------------------- A/P 163081 09/03/15 .00 VOI➢ED A/P 163082 09/03/15 .00 VOI➢ED A/P 163083 09/03/15 23,264,93 OWENS & MINOR A/P 163084 09/03/15 58.11 POWER ELECTRIC A/P 163085 09/03/15 199.98 SAM'S CLUB DIRECT A/P 163086 09/03/15 17.92 SHERWIN WILLIAMS A/P 163087 09/03/15 731.00 TRACI SHEFCIK A/P 163068 09/03/15 977.25 SMITH & NEPHEW A/P 163089 09/03/15 4,201.00 SO TBX BLOO➢ & TISSUE CENTER A/P 163090 09/03/15 1,138.29 SYSCO FOO➢ SERVICES OF A/P 163091 09/03/15 141.10 USI INC A/P 163092 09/03/15 72.03 UNIFIRST HOLDINGS A/P 163093 09/03/15 1,437.35 UNIFORM ADVANTAGE A/P 163094 09/03/15 4,984.45 UNIFIRST HOLDINGS INC A/P 163095 09/03/15 110.33 VERIZON SOUTHWEST A/P 163096 09/03/15 156.38 VERIZON WIRELESS A/P 163097 09/03/15 2,900,00 VICTORIA AIR CONDITIONING LTD A/P 163098 09/03/15 1,489.21 WATEP14ARK GRAPHICS INC A/P 163099 09/03/15 386.52 GRAINGER A/P 163100 09/03/15 3,833,49 THE BROADMOOR AT CREEKS A/P 163101 09/09/15 2,626.58 PHILIPS HEALTHCARE A/P 163102 09/09/15 3,850.36 GE HEALTHCARE A/P 163103 09/09/15 .00 VOI➢ED A/P 163104 09/09/15 42,633.94 MORRIS & DICKSON CO, LLC A/P 163105 09/09/15 1,650.00 SIGN AD, LT➢. A/P 163106 09/09/15 750.00 LIFESOURCE EDUCATIONAL SRV LLC A/P 163107 09/09/15 14,463.75 TEXAS SELECT STAFFING, LLC A/P 163108 09/09/15 27,582.60 ALLIED BENEFIT SYSTE148 A/P 163109 09/09/15 4,713.39 ACl/BOLAND, INC. A/P 163110 09/09/15 15,000.00 VICTORIA PROFESSIONAL 14EDICAL A/P 163111 09/09/15 274.05 ROSHANDA GRAY A/P 163112 09/09/15 173.70 THE BRATTON FIRM A/P 163113 09/09/15 8.00 SECRETARY OF STATE OF TEXAS A/P 163114 09/09/15 1,400.00 CABLE ONE A/P 163115 09/09/15 5.00 CALHOUN COUNTY WASTE MGMT A/P 163116 09/09/15 506.00 EVIDENT A/P 163117 09/09/15 35.37 FEDERAL EXPRESS CORP. A/P 163118 09/09/15 383.05 141C AUXILIARY GIFT SHOP A/P 163119 09/09/15 95.00 NBC VOLUNTEERS A/P 163120 09/09/15 1,362.69 OWENS & MINOR A/P 163121 09/09/15 633.33 SIEMENS 14EDICAL SOLUTIONS INC A/P 163122 09/09/15 12,483.86 TOSHIBA AMERICA 14EDICAL SYST. A/P 163123 09/09/15 5,902.00 TEXAS 14UTUAL INSURANCE CO A/P 163124 09/09/15 1,000.00 US POSTAL SERVICE A/P 163125 09/09/15 191.00 WHITAKER KELLIE DENICE A/P 163126 09/09/15 250.00 A/P 163127 09/09/15 235.00 A/P 163128 09/09/15 150.00 A/P 163129 09/09/15 184.00 T A/P 163130 09/09/15 1,260.00 A/P 163131 09/09/15 352.00 I" RUN DATE:10/15/15 MEMORIAL MEDICAL CENTER TIME:10:51 CHECK REGISTER 09/01/15 THRU 09/30/15 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYER -------------------------------------------------------------------------------------- A/P 163132 09/09/15 321.92 A/P 163133 09/09/15 100.39 - A/P 163134 09/09/15 107.70 A/P 163135 09/09/15 46.67 A/P 163136 09/09/15 17.77 A/P 163137 09/09/15 175.06 A/P 163138 09/09/15 150.00 A/P 163139 09/09/15 25.00 A/P 163140 09/09/15 25.00 A/P 163141 09/09/15 150.54 A/P 163142 09/09/15 3,150.00 SOLBRA AT WEST HOUSTON A/P 163143 09/17/15. .00 014NI-PORT LAVACA 07, L.P. A/P 163144 09/17/15 898.60 BECTON, DICKINSON & CO (BD) A/P 163145 09/17/15 152.00 ERB6 USA INC SURGICAL SYSTEMS A/P 163146 09/17/15 165.00 PORT LAVACA CHAMBER OF COMMERC A/P 163147 09/17/15 248.00 MERCEDES MEDICAL A/P 163148 09/17/15 507.22 NATUS 14EDICAL INC A/P 163149 09/17/15 359.85 PHARMEDIUM SERVICES LLC A/P 163150 09/17/15 750.00 A/P 163151 09/17/15 165.00 14HOLESALE ELECTRIC SUPPLY A/P 163152 09/17/15 267.82 HEALTH CARE LOGISTICS INC A/P 163153 09/17/15 1,515.04 CENTURION MEDICAL PRODUCTS A/P 163154 09/17/15 1,196.36 DEWITT POTH & SON A/P 163155 09/17/15 431.77 PRECISION DYNAMICS CORP (PIC) A/P 163156 09/17/15 380.00 NOMA A/P 163157 09/17/15 112.92 ALBRB NORTH A14FRICA INC A/P 163158 09/17/15 .00 VOIDED A/P 163159 09/17/15 .00 VOIDED A/P 163160 09/17/15 16,870.66 MORRIS & DICKSON CO, LLC A/P 163161 09/17/15 437.05 PLATINUM CODE A/P 163162 09/17/15 9,070.00 A14BRICAN PROFICIENCY INSTITUTE A/P 163163 09/17/15 19,441.50 BKD, LIP A/P 163164 09/17/15 600.00 TBLE-PHYSICIANS, P.A. (TX) A/P 163165 09/17/15 478.00 GLOBAL EQUIPMENT CO. INC. A/P 163166 09/17/15 416.23 FIVE STAR STERILIZER SERVICES A/P 163167 09/17/15 495.00 FASTHEALTH CORPORATION A/P 163168 09/17/15 500.00 LIFESOURCE EDUCATIONAL SRV LLC A/P 163169 09/17/15 637.00 THERACOM, LLC A/P 163170 09/17/15 313.88 STRYKER SUSTAINABILITY A/P 163171 09/17/15 1,973,00 LCA RANK rOPWRATION A/P 163172 09/17/15 295.00 - A/P 163173 09/17/15 7,698.24 CLINICAL PATHOLOGY A/P 163174 09/17/15 51,200.50 MMC EMPLOYEE BENEFIT PLAN A/P 163175 09/17/15 3,190.34 NOVA BI014EDICAL A/P 163176 09/17/15 285.64 GENESIS DIAGNOSTICS A/P 163177 09/17/15 1,308.61 WAGBWORKS A/P 163178 09/17/15 14,009.71 HUNTER PHARMACY SERVICES A/P 163179 09/17/15 430.00 WALLER,LANSDRN, BOSTON & DAVIS A/P 163180 09/17/15 118.00 MEMORIAL MEDICAL CLINIC A/P 163181 09/17/15 1,495.00 M G TRUST A/P 163182 09/17/15 2,670.00 TBLCOR PAGE 4 GLCKRBG -19- RUN DATE:10/15/15 14EMORIAL 14EDICAL CENTER TIME:10:51 CHECK REGISTER 09/01/15 THRU 09/30/15 BANK --CHECK ---------------------------------------------------- CODE NUNBER DATE AMOUNT PAYEE -------------------------------------------------------------------. A/P 163183 09/17/15 2,416.05 RBVCYCLE+, INC. A/P 163184 09/17/15 425.00 SHIFTHOUND A/P 163185 09/17/15 7,682.67 CSI LEASING INC A/P 163186 09/17/15 8,800.00 RECONDO A/P 163187 09/17/15 983.10 PROFESSIONAL SERVICE A/P 163108 09/17/15 75.00 FIRST CLEARING A/P 163189 09/17/15 6,655.11 MINDRAY CAPITAL A/P 163190 09/17/15 11,250.00 HOSPITALPORTAL.NET A/P 163191 09/17/15 400.00 S. TEX BROADCASTING A/P 163192 09/17/15 92.40 GULF COAST HARDWARE / ACE A/P 163193 09/17/15 256,00 ACTION LUMBER A/P 163194 09/17/15 193.00 AMERISOURCEBERGEN DRUG CORP A/P 163195 09/17/15 13,015.00 AIR SPECIALTY & EQUIPMENT CO A/P 163196 09/17/15 3,011.78 AIRGAS-SOUTHWEST A/P 163197 09/17/15 778.29 ALIMED INC. A/P 163198 09/17/15 222.67 ALCO SALES & SERVICE CO A/P 163199 09/17/15 3,473.35 AFLAC A/P 163200 09/17/15 3,457.22 BAXTER HEALTHCARE CORP A/P 163201 09/17/15 20,176.55 BECKMAN COULTER INC A/P 163202 09/17/15 480.00 BIOI4ET SPORTS MEDICINE A/P 163203 09/17/15 25.00 CAL CON FEDERAL CREDIT UNION A/P 163204 09/17/15 536.00 CAD SOLUTIONS, INC A/P 163205 09/17/15 520.00 CENTRAL DRUGS A/P 163206 09/17/15 439.00 CYGNUS MEDICAL LLC A/P 163207 09/17/15 119.76 CONNED CORPORATION A/P 163208 09/17/15 18,735.05 EVIDENT A/P 163209 09/17/15 252.00 C R BARD, INC A/P 163210 09/17/15 182.00 DOWNTOWN CLEANERS A/P 163211 09/17/15 78.30 B14ERGENCY MEDICAL PRO➢UCTS A/P 163212 09/17/15 5,949.25 FISHER HEALTHCARE A/P 163213 09/17/15 530.00 FORT BEND SERVICES, INC A/P 163214 09/17/15 565.42 GETINGE USA A/P 163215 09/17/15 60.00 GREENHOUSE FLORAL DESIGNERS A/P 163216 09/17/15 501.32 GULF COAST PAPER CO14PANY A/P 163217 09/17/15 537.18 H E BUTT GROCERY A/P 163218 09/17/15 8,685,00 HILL-RO14 COMPANY, INC A/P 163219 09/17/15 791.19 HOBART SALES & SERVICE A/P 163220 09/17/15 26.90 INDEPEN➢ENCE ME➢ICAL A/P 163221 09/17/15 5,949.00 RICOH USA, INC. A/P 163222 09/17/15 1,036.95 WERFBN USA LLC A/P 163223 09/17/15 704.00 INTEGRATED 14EDICAL SYSTE14S A/P 163224 09/17/15 3,433.72 S & S HEALTH CARE SYSTEMS, INC A/P 163225 09/17/15 1,191.00 SHIRLEY KARNBI A/P 163226 09/17/15 101.66 KRAMES A/P 163227 09/17/15 49.44 CONNED LINVATEC A/P 163228 09/17/15 177.63 LOWE'S HOME CENTERS INC A/P 163229 09/17/15 796.68 BAYER HEALTHCARE A/P 163230 09/17/15 3,067.57 MERRY X-RAY/SOURCEONE HEALTHCA A/P 163231 09/17/15 245.20 14RDIVATORS A/P 163232 09/17/15 3,750,00 NUTRITION OPTIONS A/P 163233 09/17/15 185.22 OFFICE DEPOT PAGE 5 GLCKREG -20- RUN DATE:10/15/15 MEMORIAL MEDICAL CENTER TIME:10:51 CHECK REGISTER 09/01/15 THRU 09/30/15 BANK --CHECK-------------_---------------------__-__-_---______ CO➢E NUMBER DATE AMOUNT PAYEE ------------------------------------------------------------------ A/P 163234 09/17/15 .00 VOIDED A/P 163235 09/17/15 .00 VOIDE➢ A/P 163236 09/17/15 10,755,84 OMENS & MINOR A/P 163237 09/17/15 220.00 PALACIOS BEACON A/P 163238 09/17/15 3,400.00 PREMIER SLEEP DISORDERS CENTER A/P 163239 09/17/15 3,096.08 PORT LAVACA WAVE A/P 163240 09/17/15 140.73 POWER ELECTRIC A/P 163241 09/17/15 351.11 CULLIGAN OF VICTORIA A/P 163242 09/17/15 1,270.00 RADIOLOGY UNLIMITED, PA A/P 163243 09/17/15 148.72 EVOQUA WATER TECHNOLOGIES LLC A/P 163244 09/17/15 11.47 SHERWIN WILLIAMS A/P 163245 09/17/15 832,25 SIEMENS MEDICAL SOLUTIONS INC A/P 163246 09/17/15 1,000.00 SOUTHEAST TEXAS HEALTH SYS A/P 163247 09/17/15 491.74 SMITH & NEPHEW A/P 163248 09/17/15 7,853.78 STRYKER ENDOSCOPY A/P 163249 09/17/15 108.4E STERIS CORPORATION A/P 163250 09/17/15 513.28 TLC STAFFING A/P 163251 09/17/15 3,569,00 TEXAS HOSPITAL INS EXCHANGE A/P 163252 09/17/15 137.90 TEXAS WIRED MUSIC INC A/P 163253 09/17/15 144.40 TG A/P 163254 09/17/15 5,121,44 UNUM LIFE INS CO OF AMERICA A/P 163255 09/17/15 154.00 UNIFIRST HOL➢INGS A/P 163256 09/17/15 4,707.37 UNIFIRST HOLDINGS INC A/P 163257 09/17/15 168.86 THE VICTORIA ADVOCATE A/P 163258 09/17/15 560.00 VICTORIA RADIOWORKS, LTD A/P 163259 09/17/15 260,00 WATERMARK GRAPHICS INC A/P 163260 09/17/15 285.75 GRAINGER A/P 163261 09/17/15 55.45 YOUNG PLUMBING CO A/P 163262 09/23/15 9,937.17 US FOO➢ SERVICE A/P 163263 09/23/15 295.60 PHARMEDIUf SERVICES LLC A/P 163264 09/23/15-2,073.36 PRINCIPAL LIFE A/P 163265 09/23/15 907.56 SUNTRUST EQUIPMENT FINANCE A/P 163266 09/23/15 805.27 GE HEALTHCARE IITS USA CORP A/P 163267 09/23/15 .00 VOIDED A/P 163268 09/23/15 10,932.29 MORRIS & DICKSON CO, LLC A/P 163269 09/23/15 36.00 TEXAS PRESCRIPTION PROGRAM A/P 163270 09/23/15 16,537.89 MMC EMPLOYEE BENEFIT PLAN A/P 163271 09/23/15 3,087.00 STAPLES A➢VANTAGE A/P 163272 09/23/15 1,333.33 SIEMENS FINANCIAL SERVICES A/P 163273. 09/23/15 6,145.37 BANK OF THE WEST A/P 163274 09/23/15 1,400.00 ACUTE CARE INC A/P 163275 09/23/15 2,736.00 TEXAS PRN A/P 163276 09/23/15 250.00 CALHOUN SPORTS MEDICINE A/P 163277 09/23/15 594,00 TRIEETTO PROVIDER SOLUTIONS A/P 163278 09/23/15 1,177.50 PABLO GARZA A/P 163279 09/23/15 355.63 DR. PETER ROJAS A/P 163280 09/23/15 93.63 JERI DAVIS A/P 163281 09/23/15 662.27 MARLIN BUSINESS BANK A/P 163282 09/23/15 70.50 .IQDDV DTOWRTT A/P 163283 09/23/15 195.65 . A/P 163284 09/23/15 266.18 ALIMED INC. PAGE 6 GLCKREG -27- RUN DATE:10/15/15 MEMORIAL MEDICAL CENTER TIME:10:51 CHECK REGISTER 09/01/15 THRU 09/30/15 BANK --CHECK ---------------------------------------------------- CODE NUMBER DATE AMOUNT PAYEE _________________________________________________________________ A/P 163285 09/23/15 635.35 CABLE ONE A/P 163286 09/23/15 139.62 CALHOUN COUNTY A/P 163287 09/23/15 105.87 COOPER SURGICAL INC A/P 163288 09/23/15 15.48 FEDERAL EXPRESS CORP. A/P 163289 09/23/15 316.78 HOSPIRA WORLDWIDE, INC A/P 163290 09/23/15 398.82 KCI USA A/P 163291 09/23/15 5.40 LANGUAGE LINE SERVICES A/P 163292 09/23/15 258.52 NETLIFE A/P 163293 09/23/15 852.17 OWENS & MINOR A/P 163294 09/23/15 48.92 S14ILE MAKERS A/P 163295 09/23/15 952.86 SYSCO FOOD SERVICES OF A/P 163296 09/23/15 3,606.00 TEXAS I4E➢ICAID & HEALTHCARE A/P 163297 09/23/15 1,372.83 VERIZON SOUTHWEST A/P 163296 09/23/15 935.00 X-RITE INC A/P 163299 09/24/15 11.99 A/P 163300 09/29/15 11,001.20 TODU ROU'1'H TOTALS: 1,297,418.57 PAGE 7 GLCKREG -22- RUN ➢ATE:10/15/15 TI14E:10:51 BANK --CHECK ----------------- CODE NUMBER DATE AMOUNT ____________________________ MEMORIAL 14EDICAL CENTER CHECK REGISTER 09/01/15 THRU 09/30/15 ------------------------------- PAYEE _______________________________ ICP 011742 09/25/15 27.27 ICP 011743 09/25/15 1,208.85 ICP 011744 09/25/15 33.27 ICP 011745 09/25/15 6,653.77 ICP 011746 09/25/15 35,030.65 ICP 011747 09/25/15 282.68 ICP 011746 09/25/15 79.62 TOTALS: 43,316.11 COMMUNITY PATHOLOGY ASSOCIATES PORT LAVACA CLINIC ASSOC, PA REGIONAL EMPLOYEE ASSISTANCE MEMORIAL MEDICAL CENTER MEMORIAL MEDICAL CENTER PORT LAVACA ANESTHESIA LLC VICTORIA PROFESSIONAL MEDICAL PAGE 8 GLCKREG -23- RUN DATE: 10/15/15 TIME: 10:51 BANK --CHECK ----------------- COBB NUMBER ➢ATE AMOUNT MEMORIAL 14EDICAL CENTER CHECK REGISTER 09/01/15 THRU 09/30/15 -------------------------- PAYER ----------------------------------- PH- 061762 09/10/15 337.58 PR- 061763 09/24/15 628.29 PR- + 061764 09/25/15 168.89 PR- 999999 09/10/15 517,678.20 TOTALS: 518,812.96 PAY-P.08/21/15 09/03/15 PAY-P.09/04/15 09/17/15 PAY-P.09/04/15 09/17/15 PAGE 9 GLCKREG -24- RUN DATE: 10/19/15 MEMORIAL MEDICAL CENTER TIME: 14:31 DEFAULT FORMAT FROM DB019 PRTit1e PRDeptName PRTotGross -------------------------------------------------------------------- REGISTERED NURSE EMERGENCY R0014 6535.62 DEPARTMENTAL ASSIST MAINTENANCE 2540.25 ASST PURCHASE BUYER CENTRAL SUPPLY 2269.43 CENTRAL STERILE TECH SURGERY 3081.52 PURCHASING SUPERVISR CENTRAL SUPPLY 2307.20 IP/EH/RM NURSE INFECTION PREVENTION 5841.24 REGISTERED NURSE MED/SURG 3201.88 FOOD SERVICE STAFF DIETARY 1742.32 0 R AIDE SURGERY 1819.65 TRAUMA COORDINATOR EMERGENCY ROOM 5933.57 SHIFT SUPERVISOR -AM ENVIRONMENTAL SERVICES 2520.01 REGISTERED NURSE SURGERY 1986.32 MANAGER-SURGERY-OPC SURGERY 6158.60 - PAYROLL CLERK ACCOUNTING 3610.46 REGISTERED NURSE MED/SURG 5756.70 LICENSED VOCATIONAL OBSTETRICS 2627.71 LICENSED VOCATIONAL MED/SURG 4048.33 REGISTERED NURSE ICU 214.50 REGISTERED NURSE OBSTETRICS 1901.04 REGISTERED NURSE EMERGENCY ROOM 6418.53 DIRECTOR OF INPT SVC MED/SURG 5965.80 REGISTERED NURSE OBSTETRICS 4961,29 LICENSED VOCATIONAL MED/SURG 2374.56 ADMINIST ASSISTANT ADMINISTRATION 3368.20 REGISTERED NURSE EMERGENCY ROOM 419.50 REGISTERED NURSE ICU 4844.62 PRE -ADMISSION NURSE SURGERY. 3594.54 REGISTERED NURSE SURGICAL CLINIC 7369.55 LICENSED VOCATIONAL SURGERY 3847.44 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5980.59 MICRO MT LABORATORY 420.20 MEDICAL LAB TECH LABORATORY 1293.38 LAB DIRECTOR LABORATORY 4786.60 LAB ASSISTANT LABORATORY 3125.11 MEDICAL LAB TECH LABORATORY 4081.88 MEDICAL TECHNOLOGIST LABORATORY 4669.41 REGISTERED NURSE EMERGENCY ROOM 6187.58 PT TECH II PHYSICAL THERAPY 2228.56 REGISTERED NURSE MED/SURG 1785.76 TRANSCRIPTIONIST-RIC HEALTH INFORMATION MANAGEMENT 2197.80 REGISTERED NURSE OBSTETRICS 4961.13 REGISTERED NURSE OBSTETRICS 4663.49 ED MANAGER EMERGENCY ROOM 6146.60 REGISTERED NURSE MED/SURG - 396.25 REGISTERED NURSE OBSTETRICS 2277,62 REGISTERED NURSE OBSTETRICS 937.63 REGISTERED NURSE OBSTETRICS 3133.00 REGISTERED NURSE OBSTETRICS 2695.80 REGISTERED NURSE OBSTETRICS 3815.96 CNO-DIRECTOR OF QA QUALITY ASSURANCE 6741.80 REGISTERED NURSE SURGERY 5921.92 REGISTERED NURSE MED/SURG 3856.84 LICENSED VOCATIONAL MED/SURG 1162.63 PRACT ADMINISTRATOR MEMORIAL MEDICAL CLINIC 7061.80 PAGE 1 -25- RUN DATE: 10/19/15 MEMORIAL MEDICAL CENTER TIME: 14:31 DEFAULT FOR4fAT FROM DB019 PRTitle PRDeptName PRTotGross -------------------------------------------------------------------- REGISTERED NURSE ICU 4700.50 14EDICAL LAB TECH LABORATORY 534.75 NURSE PRACTIONER MEMORIAL MEDICAL CLINIC 7538.40 CERTIFIED NURSE AIDE MED/SURG 1736.38 SUPERVISOR LVN/RPhT PHARMACY 3169.69 REGISTERED NURSE MED/SURG 3319.88 CASE MANAGER/UR/DP UTILIZATION REVIEW 4244.79 REGISTERED NURSE MED/SURG 4022.52 REGISTERED NURSE MED/SURG 5170.69 REGISTERED NURSE OBSTETRICS 4272.83 CERTIFIED NURSE AIDE MED/SURG 1074.25 REGISTERED NURSE MED/SURG 4072.88 CERTIFIED NURSE AIDE MED/SURG 1433,09 REGISTERED NURSE MED/SURG 4589.45 LICENSED VOCATIONAL MED/SURG 2163.09 REGISTERED NURSE MED/SURG 1692.50 REGISTERED NURSE MED/SURG 4233.30 REGISTERED NURSE MED/SURG 4257.69 REGISTERED NURSE MED/SURG 1626.75 CERTIFIED NURSE AIDE MED/SURG 1740.80 REGISTERED NURSE MED/SURG 4230,71 REGISTERED NURSE ICU 5649.27 REGISTERED NURSE EMERGENCY R0014 1423.14 REGISTERED NURSE MED/SURG 294.00 LICENSED VOCATIONAL MED/SURG 2168.57 REGISTERED NURSE MED/SURG 3524.82 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 1311.13 REGISTERED NURSE MED/SURG 3354.65 LICENSED VOCATIONAL MED/SURG 2150.89 REGISTERED NURSE OBSTETRICS 395.75 REGISTERED NURSE EMERGENCY ROOM 4826-.42 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2513.25 CERTIFIED NURSE AIDE MED/SURG 1652.92 CERTIFIED NURSE AIDE MED/SURG 2428.76 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2832.04 CERTIFIED NURSE AIDE MED/SURG 1633.34 REGISTERED NURSE MED/SURG 851.00 FA14 NURSE PRACTIONER MEMORIAL MEDICAL CLINIC 7538.40 REGISTERED NURSE EMERGENCY ROOM 4664.51 REGISTERED NURSE ICU 607630 REGISTERED NURSE ICU 1485.00 REGISTERED NURSE ICU 4529.28 REGISTERED NURSE ICU 3925.01 REGISTERED NURSE ICU 5656.26 REGISTERED NURSE ICU 5603.10 RN -OR SCRUB NURSE SURGERY 4617,92 REGISTERED NURSE SURGERY 5851.84 0 R TECH SURGERY 2960.68 REGISTERED NURSE SURGERY 5138.36 RN-PERIOPERATIVE SURGERY 6073.90 PRESCRIPTION CLERK INDIGENT CARE PROGRA14 1828.80 CENTRAL SUPPLY TECH CENTRAL SUPPLY 1807.97 REGISTERED NURSE EMERGENCY ROOM 4438.24 REGISTERED NURSE EMERGENCY ROOM 854.88 REGISTERED NURSE EMERGENCY ROOM 873.25 PAGE 2 -26- RUN DATE: 10/19/15 MEMORIAL 14EDICAL CENTER TIME: 14:31 DEFAULT FORMAT FROM DB019 PRTitle PRDeptName PRTotGross -------------------------------------------------------------------- COURIER/CS TECH CENTRAL SUPPLY 841.52 REGISTERED NURSE EMERGENCY ROOM 4714.41 REGISTERED NURSE EMERGENCY ROOM 4703.00 REGISTERED NURSE SPECIALTY CLINIC 4512.28 REGISTERED NURSE EMERGENCY ROOM 1315.14 MT TECH SUPERVISOR LABORATORY 4228.10 MEDICAL TECHNOLOGIST LABORATORY 3727.78 LABORATORY ASSISTANT LABORATORY 488.00 LABORATORY ASSISTANT LABORATORY 3262.54 REGISTERED NURSE MED/SURG 4848.20 MEDICAL LAB TECH LABORATORY 3466.32 MEDICAL LAB TECH LABORATORY 3221.20 LABORATORY ASSISTANT LABORATORY 1245.75 LABORATORY ASSISTANT LABORATORY 904.00 LAB ASSISTANT LABORATORY 2159.82 LABORATORY ASSISTANT LABORATORY 757.75 LAB ASSISTANT LABORATORY 267.38 MEDICAL TECHNOLOGIST LABORATORY 465.00 MEDICAL TECHNOLOGIST LABORATORY 674.25 LAB ASSISTANT LABORATORY 1472.50 LAB ASSIST/SECRETARY LABORATORY 2389.74 MEDICAL LAB TECH LABORATORY 2191.51 MEDICAL TECHNOLOGIST LABORATORY 971.76 MEDICAL LAB TECH LABORATORY 4032.00 LAB ASSISTANT LABORATORY 2617.64 REGISTERED NURSE MBD/SURG 917.25 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2214.63 REGISTERED NURSE EMERGENCY ROOM 6655.38 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5907.23 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 492.75 RECEPT/SECRETARY DIAGNOSTIC IMAGING 2043.20 DIRECTOR DIAGNOSTIC IMAGING 6818.59 DIAG IMAG SUPERVISOR DIAGNOSTIC IMAGING 6245.40 RADIOLOGY TECH DIAGNOSTIC IMAGING 6039.38 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5161.62 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4176.77 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 1862.40 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 1569.52 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3336.36 RESIST PHARMACY TECH PHARMACY 2486.70 LVN-CHG-CHART AUDITS, PHARMACY 2921.72 RESIST PHARMACY TECH PHARMACY 2825.88 RECEP-MED ASST-PhT PHARMACY 2790.31 INS FOLLOW UP CLERK MEMORIAL MEDICAL CLINIC 2101.83 RECEPT/MEDICAL ASST MEMORIAL MEDICAL CLINIC 1958.08 LICENSED VOCATIONAL 1424ORIAL MEDICAL CLINIC 3219.81 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1852.88 RECEPTIONIST MEMORIAL MEDICAL CLINIC 1822.44 INSURANCE F/U CLERK MEMORIAL MEDICAL CLINIC 2206.00 OUT -PT COORDINATOR SPECIALTY CLINIC 1804.84 PHYSICIAN ASSISTANT MEMORIAL MEDICAL CLINIC 7538.40 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 2028.74 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1764.57 PT ASSISTANT PHYSICAL THERAPY 4289.95 PT ASSISTANT PHYSICAL THERAPY 4719.98 PAGE 3 -27- RUN DATE: 10/19/15 MEMORIAL MEDICAL CENTER TIME: 14:31 DEFAULT FOR14AT FROM DB019 PRTitle PRDeptName PRTotGross -------------------------------------------------------------------- DIRECTOR OF PT PHYSICAL THERAPY 8644.88 OPS/BUS DEV MANAGER PHYSICAL THERAPY 3961.60 PHYSICAL THERAPIST PHYSICAL THERAPY 4554.38 PT ASSISTANT PHYSICAL THERAPY 367.50 PT TECH 1 PHYSICAL THERAPY 877.66 PT TECHNICIAN PHYSICAL THERAPY 759.84 PT ASSISTANT PHYSICAL THERAPY 4254.67 IT TECHNICIAN PHYSICAL THERAPY 1708.69 THERAPIST BEHAVIORAL HEALTH 3814.40 CIHCP COORDINATOR INDIGENT CARE PROGRAM 1810.74 DISCHARGE ANALYST HEALTH INFORMATION MANAGEMENT 1694.40 BR -ER CODING SPCLST HEALTH INFORMATION MANAGEMENT 2051.66 TRANSCRIPTIONIST HEALTH INFORMATION MANAGEMENT 2524.50 HIM SPECIALIST HEALTH INFORMATION MANAGEMENT 992.43 RELEASE OF INFO-RIT HEALTH INFORMATION MANAGEMENT 145.61 FOOD SERVICE STAFF DIETARY 1614.72 ES AIDE ENVIRONMENTAL SERVICES 619.74 FOOD SERVICE STAFF DIETARY 2085,76 FOOD SERVICE STAFF DIETARY 333.13 RECEPTIONIST -PBX MEMORIAL MEDICAL CLINIC 1802.95 FOOD SERVICE STAFF DIETARY 84.98 FOOD SERVICE STAFF DIETARY 362.04 FOOD SERVICE STAFF DIETARY 385.90 SHIFT SUPERVISOR DIETARY 2544.63 FOOD SERVICE STAFF DIETARY 1819.99 DIETARY DIRECTOR DIETARY 3353.00 FOOD SERVICE STAFF DIETARY 364.60 FOOD SERVICE STAFF DIETARY 1598.91 GROUNDSKEEPER-PAINTR MAINTENANCE 2255.55 SECURITY OFFICR SECURITY 1154.57 BIO-MED TECHNICIAN BID MEDICAL ENGINEERING 4458.60 SUPERVISOR MAINTENANCE 3997,84 SECURITY SUPERVISOR SECURITY 2348.24 ES AIDE ENVIRONMENTAL SERVICES 1389.89 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 1906.75 ES MANAGER ENVIRONMENTAL SERVICES 3002,21 DIR OF PLANT SERVICE MAINTENANCE 5825.00 ES AIDE ENVIRONMENTAL SERVICES 1911.62 ES AIDE ENVIRONMENTAL SERVICES 1467.20 ES AIDE ENVIRONMENTAL SERVICES 1547.61 ES AIDE ENVIRONMENTAL SERVICES 1959.96 LICENSED VOCAT NURSE MED/SURG 1703.00 REGISTRATION CLERK PFS - REGISTRATION 1989.13 ES AIDE ENVIRONMENTAL SERVICES 2139.00 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 1830.79 ES AIDE ENVIRONMENTAL SERVICES 2118.06 ES AIDE ENVIRONMENTAL SERVICES 786.72 ES AIDE ENVIRONMENTAL SERVICES 1540.80 SECURITY OFFICER SECURITY 1946.64 PLANT OPS SPECIALIST MAINTENANCE 3464.00 SELF PAY CLERK PATIENT FINANCIAL SERVICES 1929,46 RECEPTIONIST/INS ADJ MEMORIAL MEDICAL CLINIC 319.67 OFFICE MANAGER MEMORIAL MEDICAL CLINIC 2462.40 INSURNCE COORDINATOR PATIENT FINANCIAL SERVICES 1601.70 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 2038.32 PAGE 4 I" RUN DATE: 10/19/15 MEMORIAL MEDICAL CENTER TIME: 14:31 DEFAULT FORMAT FRO14 DB019 PRTitle PRDeptName PRTotGross -------------------------------------------------------------------- BILLING CLERK PATIENT FINANCIAL SERVICES 1681.16 CASHIER -SWITCHBOARD PATIENT FINANCIAL SERVICES 1686.46 INSUR COORDINATOR PATIENT FINANCIAL SERVICES 1807.14 SECRETARY/RECEPTION 1EMORIAL MEDICAL CLINIC 2237.48 TEAM LEADER PATIENT FINANCIAL SERVICES 2271.16 REGISTRATION CLERK PFS - REGISTRATION 2105.32 PFS DIRECTOR PATIENT FINANCIAL SERVICES 3178.60 REGISTRATION CLERK PFS - REGISTRATION - 1762.76 REGISITRATION CLERK PFS - REGISTRATION 945.27 REGISTERED NURSE EMERGENCY ROOM 821.88 SECRETARY/RECEPTION PHYSICAL THERAPY 1899.09 REGISTRATION CLERK PFS - REGISTRATION 1679.17 CLINICAL IT SPECIALI ADMINISTRATION -CLINICAL SERVIC 4381.32 REGISTRATION CLERK PFS - REGISTRATION 812.98 SECURITY OFFICER SECURITY 1812.24 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 2380.07 DIRECTOR OF HIM HEALTH INFORMATION MANAGEMENT 2795.40 MEDICAID COORDINATOR PATIENT FINANCIAL SERVICES 1500.14 REGISTRATION CLERK PPS - REGISTRATION 905.06 MEDICARE COORDINATOR PATIENT FINANCIAL SERVICES 2162.48 REGISTERED NURSE EMERGENCY ROOM 3973.00 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4037.71 I.T. DIRECTOR INFORMATION TECHNOLOGY 5594.20 IT SYSTEM ANALYST INFORMATION TECHNOLOGY 4437.04 REGISTERED NURSE EMERGENCY ROOM - 1464.32 ACCOUNTANT ACCOUNTING 4621.00 ASSIST ADMINISTRATOR ADMINISTRATION 8799.40 C.F.O. ADMINISTRATION 10769.24 C.E.O. ADMINISTRATION 14350.00 ADMIN ASST TO AA-CNO ADMINISTRATION -CLINICAL SERVIC 2298.36 SPEC PROJECTS COORD ADMINISTRATION 2816.02 Grand totals 754012.62 Total lines = 250 PAGE 5 -29- ©IHS Issued 10/14/15 Source Description 01 Physician Services 01-2 Physician Services -Anesthesia 02 Prescription Drugs 08 Rural Health Clinics 13 Mmc - Inpatient Hospital 14 Mmc - Hospital Outpatient 15 Mmc - Er Bills Source Totals Report Calhoun Indigent Health Care 9-1-15 through 9-30-15 For Vendor: All Vendors Amount Billed 15,895.08 6,825.00 1,409.97 1,976.00 20,286.00 34,774.00 31,629.00 Expenditures 113,310.68 Reimb/Adjustments-515.63 Amount Paid 3,862.36 702.82 1,409.97 1,243.36 11,765.88 11,923.05 10,730.06 42,153.13 -515.63 Grand Total 112,795.05 41,637.50 Fiscal Year 275,770.90 Applied Co-Pay's (450.00) Payroll/Expenses 5,472.61 Monthly Total 46,660.11 -30- Calhoun County Indigent Care Coordinator 2015 Calhoun Indigent Care Patient Caseload Approved Denied Removed Active Pending January 5 10 4 54 34 February 0 14 7 56 32 March 3 6 6 53 30 April 1 4 2 53 32 May 6 13 3 56 24 June 5 0 0 61 22 July 2 14 2 58 36 August 6 9 5 59 32 September 6 6 8 57 26 October November December YTD 34 76 37- 507 268 Monthly Avg 4 10 5 63 34 -31- AWARD BIDS FOR FUEL FOR THE PERIOD NOVEMBER 16, 2015 THROUGH DECEMBER 15, 2015: Commissioner Fritsch made a motion to accept the bid from Diebel Oil for $2.05 per gallon for Diesel Fuel and for $2.10 per gallon for Regular Unleaded. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CINDY MUELLER COUNTY AUDITOR, CALHOUN COUNTY COUNTY COURTHOUSE ANNEX - 202 S ANN ST, STE B PORT LAVACA, TEXAS 77979 (361)553-4610 MEMORANDUM TO: JUDGE PFEIFER & SUSAN RILEY COUNTY JUDGE'S OFFICE FROM: AUDITORS OFFICE - PEGGY HALL RE: AGENDA ITEM FOR NOVEMBER 12, 2015 COMMISSIONERS' COURT MEETING AGENDAITEM „ III J ► Consider and take necessary action to award bid for Fuel to be Delivered for the period beginning November 16, 2015 and ending December 15, 2015. Fuel -Bulk Delivered Diesel Fuel — Diebel Oil Company Inc was the Only Bid - $2.05/gallon Regular Unleaded — Diebel Oil Company Inc was the Only Bid - $2.10/gallon bd W Q �i 0 w ry W J w Y _I 00 J w D LL _I W LL J w e w°O 0 0 a E c y K E X N N o� 7 J U Z 3 W o C.)y � w a a y ro o- -0 E m w d Q M E lV N w ° C O.N J Z j W IL ayi e0 w XT 1i 0 I� a CALHOUN COUNTY, TEXAS BID SHEET- BIDDER DIESEL OIL CO INC SAM DIEBEL PO BOX 71 PORT LAVACA TX 77979 " BID ITEM FUEL -BULK DELIVERED -'I 1 I I PERIOD FROM: NOVEMBER 16, 2015 PERIOD TO: DECEMBER 15, 2015 YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL PFEIFER, COUNTYJUDGE, CALHOUNCOUNTYCOURTHOUSE, 211 SANNST, 3RD FLOOR, ROOM301, PORTLAVACA 7X77P79 BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALED BID- jFUEL-BULK DEL/VERED j BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: 10.00AN,, THURSDAY, NOVEMBER 5, 2015 BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, NOVEMBER 12, 2015 THE CLOCK IN THE COUNTY JUDGE'S OFFICE IS THE OFFICIAL CLOCK THAT WILL BE USED IN DETERMINING THE TIME THAT A BID IS RECEIVED AND THE TIME THAT BIDS WILL BE OPENED. BIDS RECEIVED AFTER THE OPENING TIME WILL BE RETURNED UNOPENED TO BIDDER. THE COMMISSIONERS' COURT RESERVES THE RIGHT TO WAIVE TECHNICALITIES, REJECT ANY OR ALL BIDS, TO ACCEPT THE BID DEEMED MOST ADVANTAGEOUS TO CALHOUN COUNTY AND TO BE THE SOLE JUDGE IN DETERMINING WHICH BIDS WILL BE MOST ADVANTAGEOUS TO THE COUNTY. THE COUNTY OF CALHOUN, TEXAS IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE COUNTY DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, SEX, RELIGION, AGE OR HANDICAPPED STATUS IN 810 ITEM: FUEL -BULK DELIVERED DEPARTMENT.- VARIOUS DELIVERY FOB COUNTY FUEL TANKS DESTINATION VARIOUS ----------------------------------------------- sPEcmcArms: DIESEL FUEL >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. If vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER UNIT UNIT PRICE GALLON Q ----------------------------------------------- REGULAR UNLEADED GASOLINE >>DELIVERY must be made within 24 hours after receiving order from the County Department in the quantity ordered. if vendor cannot deliver within 24 hours or refuses to deliver, the County Department will order from the next lowest bidder. >>PRICE Per Gallon MUST INCLUDE all fees and charges including all Taxes/Fees the County is not exempt from (for example: $0.20 State Excise Tax, State Delivery/Environmental Fees, Federal Oil Spill Recovery Fees and Federal LUST Tax) >>FREE FROM WATER AND SUSPENDED MATTER AND A MINIMUM OCTANE OF 87 (AVERAGE METHOD) UNIT rHd1LS.Ie DATE OFBOk/tC I � ABIBORIZEB SISNATI ND TALE:_ UNIT PRICE PRINT NAME PLEASE HST ANY EXCEPTIONS 10 THE ABOVE SPECIFICATIONS: TELEPBONE NON BFR j APPROVE MINUTES OF OCTOBER 12, 2015 AND OCTOBER 22, 2015 MEETINGS: Commissioner Lyssy made a motion to approve Minutes of the October 12, 2015 and October 22, 2015 meetings. Commissioner Galvan seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Regular 2015 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held October 12, 2015 BE IT REMEMBERED, that on this 12th day of October, A.D., 2015 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 CountyJudge Roger C. Galvan Commissioner, Precinct #1 Neil Fritsch Commissioner, Precinct #3 Kenneth W. Finster Commissioner, Precinct #4 Anna Goodman County Clerk Josie Sampson Deputy County Clerk Commissioner Vern Lyssy was absent. Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation. Commissioner Finster led the Pledge to the US Flag and Commissioner Fritsch led the Pledge to the Texas Flag. Regular 2015 Term THE STATE OF TEXAS § COUNTY OF CALHOUN § Held October 22, 2015 BE IT REMEMBERED, that on this 22nd day of October, A.D., 2015 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 County Judge Roger C. Galvan Commissioner, Precinct #1 Neil Fritsch Commissioner, Precinct #3 Kenneth W. Finster Commissioner, Precinct #4 Anna Goodman County Clerk Josie Sampson Deputy County Clerk Commissioner Vern Lyssy was absent. Thereupon the following proceedings were had: Commissioner Galvan gave the Invocation. Commissioner Finster led the Pledge to the US Flag and to the Texas Flag. ACCEPT THE SAUER EXHIBIT BUILDING AND SHOW BARN REROOF AS COMPLETE AND AUTHORIZE THE RELEASE OF RETAINAGE, Commissioner Galvan made a motion to accept the Bauer Exhibit Building and Show Barn reroof as complete and authorize the release of retainage. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Calhoun County Connni.ssioner Precinct #1 AtG IW I 211 S. Ann Qa� ' iFax (361) 553-8734 Port Lavaca,'PX 77979 Pager (361) 579-7915 (361) 552-9242 Q'I ,, x Mobile (361) 935-3552 November 4, 2015 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 next Commissioner's Court Agenda. • Consider and take necessary action to accept the Bauer Exhibit Building and Show barn Reroof as complete and authorize the release of the retainage. Sincere Roger C. Gaivan RCG/apt W S!tlltlk M1lonummt �n111nnn�bl YfFN PLAN FOR GAETJEN RV PARK IN PORT O'CONNOR, TEXAS: Jorge Barragan of Ganem & Kelly addressed the Court stating there are no changes to the existing drainage at this time. Commissioner Finster made a motion to accept the plan for Gaetjen RV Park in Port O'Connor, Texas. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 November 4, 2015 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM DearJudge Pfeifer: Please place the following item on the Commissioners' Court Agenda for November 12, 2015. Discuss and take necessary action to approve the plan for Gaetjen RV Park in Port O'Connor, Texas. Sincerely, Kenneth W.Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhouncotx.org — (361) 785-3141 -- Fax (361) 785-5602 G 15"- I--- fwr- 656a�gX Q �:sa•..e9,. 4 B�� 'y:�NN imj b✓ 1 aomsSSv�" � I § OFAWN: JP9 § PPPROVED: VJF 0 "Moo; MBE: 11/DJ15 NO.: PC15-141 N § seal'_ 0 m in n of 00 ft Iti ITT pTl y,W 1 S y 1'1 I t p. l�00 -_ . nn•nnl _ RA 'nn vv rnr 1. O O i.......... L...... ..... .......:............... _. OHE - ----- - -OHE '6. - - 0H6 - - -- - EXISTING,Vl00D fEIJCE u 5, 00 oo P1' o O ov oo ovo oo AO X0 Z. n 00 -o ooN�ny a`�e -.vim Dnz -AI �' pt' LOB yi Ino rn Auro for �p Oa .', z ➢N n, "Plo; Wo Y�i 0 rxr 0A z� Dy Off. T I+I fp 1`I m d rn�� J t n. D G PROPOSE 9 c F^ O �n Inlnm E>v�+� msnnlc ul�foL araoulNu_tLL cialc uo-lE _ � zTF '�>o�� y�s mm A NCC �'yCW'ly INSTALL 1" PVC SCH 80 WATER LINE rrn< I � f n�z y rn , A O V rsr z� a i� ASPHALT PAV0A@11'-/ ADAMS AVENUE 60' RIGH OF WAY ON 4� yya r zo I VI yz 0 2r �RI yy RI > 0 <O NoNOO VI ^� Zi �Nwo fin m g i, o00 171 fms Z�o z i m F' 3r5 'zn 5ryc 2V2m �A z mAm SITE do UTILl7Y PLAN GAE(JEN RV PARK O.JSl4piG (l4,Mro SF) NtpCT 0.'" [ANO SAME Bw 4O v Bmaw B, PQ4T o"N ADOIAGYI, IX(RA NO.. /qAs TOI'R/ [4"P0.PT0 NCM, CAtHIX/N 4W/Nry /£A•qS CL DITCH_ GANEM-!KELLY SURVEYING, INC. OOOOfI IX"c AYF E 0 E°iae a"'°Rre°.nvea� "�'R (EeiiFeer=eoliE 1 Iy i , a- e 13S � t1'ul A. fit)' UI n Tt 41 .n AI Iri Z 0 c01i Jl m ', II - G n I i -L p S � - (Ij .8b1 G S ,? b m Js J" "-30 �G JJ ZI ELF(JIM mic Lm EHIS'(ING HNDERGROUIgp m 1 bO 6zb rn v�p 4 Gb B QC' 4�- m 1 y-6tn s� I o s4 'v 1fo �J 'A von li n l fTl P' 1 n y i m > lim _ °j il� ji �miib I f' � i7 00 4 if F M 00 ZZ E9SI S nl -�Y� 1A,,RCPO3� 6 tt EMS PH I 'y6,d. IS RC?- _6 o a {i iU G OHE -- -\� �I l'dY �.SDHE _ - �i { 6�O_ HC "-D 41 i i� ASPI�jALT PAVHMEPO ADAMS AVENUE 8 1"--- T" - "'� I'Ss �EXISITNG 60' RIGH OF WAY$ 6 G bGu )_ s s Jae) :n - a® -a w O. yP mo- rz 0 A 2 N �Or so17� om�z �vn �o�m 'r2P�-o9M4.0 z Ai��vo zznA nr.£90 m %Mo �on� zN� azizom cN-i�i Fiyyo�no zm��$$ m F 6° �OAO\ 4nZ OAN �(/1xA =Z<�<V10 A.II�ATy O92yy mYOR % 4 ff��11M k mTsOa¢O Z�ZV OA 9C� .09 FYr�A 'OO�D<10 N 451 p m_zoyn z ymoo RJ'p++.� AyA(�I 0Z SOD OA1.1 'Vlm �N mF1 sZZom �T�=bp omo C,J>n oc''-goA ozorloo ` N[69i 0 OQOO ySy jH yOz ' �yC�d OC Oyu SIN ➢ZO ntS�1ZA peg' m ®*m oD Z. o�om N� o�om o ,�YF� \A6Aa o �C�y' mm➢I T oaawN: ana GRADING & DRAINAGE PLAN nrvreovEo: H/ GAIVEM & KELLY SURVEYING, INC.GgEiJEN RV PARK MTE: 11/W/15 os s o0 orv�x 4ppE iAxna sins sorts YI 0.JT14-AGE a, PMl FJ TRACT LY nftS BEI/lCton 41092 RQ io u, ix IT vo voxi_io aT N y ` J E-. : 1 -20' 41 BLp„r B, PORIIX.lW pDgR IX PWB l4109P x(i TOPE RM N 'x 8a 10e :1 !3! 4 scA1E: f"=2o' mllw wPaer o'aw,va¢ cnuroury crouVly, Idgs TOPE FlRM No, 9183 / T9LS t0o803-ot PORT O'CONNOR IMPROVEMENT DISTRICT APPLICATION FOR INFRASTRUCTURE DEVELOPMENT PLAN (IDP) REVIEW AND APPROVAL APPLICANT: / r MAILING ADDRESS: CITY: PHONE NUMBER: ( ) Iaim►q District Engineer's Use Only: MITNO. I M-Zol-�F- LICATION'�6 "EREC'D: i ° FEE: , ` o' PD: -11. STATE: —IZIP: CELL NO.: ( ) LEGAL DESCRIP.OFDEVELOPMENT SITE: _ t J f i p Ar)TT ' f 911 ADDRESS OF DEVELOPMENT SITE (IF KNOWN): % °��"AS NAME FOR DEVELOPMENT: ENGINEER NAME: � r" C`I '-f a TX REG. NO. _�LlL G ENGINEER EMAIL' _,IMI", i '(;_d FIRM NAME f fy aF C ,. ,'{ € FIRM REG. NO. 711� FIRM ADDRESS: CITY: _ (� � �� � �.a STATE: ter. ZIP: f`r n t M LINE. , I - VACUUM STATION: OF BOARD ACTION TO APPROVE OR DENY: 10-29-2015 PORT i NOIMPROVEMENT DISTRICT DISTRICT'S F -1 APPLICATION FOR kk PERMIT NO.: Fy16.002 DATE REC'D: 10-14-2015 DATE OF THIS RESPONSE: 11-8-15 APPLICATION FEE: 300-PAID No. of RV spaces: 5 Contributed Peak sewage:.14 gpm x 5 = 0.7 gpm Drainage: ® The flood Zone is AE(EL 7) ® The site drains at approx. a 0.4% slope. At the east property line the elevation is approx. 6..8' and the center of the ditch ranges from 6.06 at the Hwy to 5.02' at the north end (.7% slope) Centerline of Fourth Street is approximately 6.5' elevation and Hwy 185 is approx. 6.6'. Top of RV cleanouts MUST be above 7.0' elevation (base flood elevation); Proposed finish grade at the cleanouts range from 7.1 to 7.7. Cleanouts must be 4" above FF, so all cleanouts will be well above the 7.0' elevation. OKI Water: There is an existing %" water meter serving the property. A 3/4" RPZ valve will be required on the customer's side of the meter. Spaces to be served with 1" Sch 80 PVC - OKI Sewer: Use one-half capacity of Pit A-22; The developer must pay for an extension to the top of the Vacuum pit, due to proposed finish grade elevations. Specify top of cleanouts to be 4" min above FF. Change note 2 to read: "All cleanouts shall have a 4" hinged sewer cap, similar to that manufactured by RVParksupplies.com" Approx. FL upstream (south end) = 7.5'-3.33' = 4.17' ; (nw end) 7.1'-3.33' = 3.77' Approx. FL elev. At pit = 6.99' -4.5' = 2.49' RIFF = 1.68' (south end); 1.28' (nw end) (south end) 4" Sch 40 SWR 125 LF @ 0.01 = 1.25' < 1.68' OK!! (nw end) 4" Sch40 SWR 55 LF @ 0.01 = .55' < 1.28' OK! I Comments: Although grading is proposed to drain the lot to the county ditch, the slope is very flat and therefore the site may experience some ponding during heavy rains. However, the cleanouts are above the base flood elevation and with a minimum 4" above the finish grade and the use of gasketed hinged covers, the cleanouts should not experience any inflow from periodic on -site ponding. Scheduled for consideration at POCID Board meeting: 11-12-15 District Engineer's Recommendation to POCIDI Board: District Engineer's signature:-- / ioAnna P. Weaver, P.E, date PLAN FOR REDFISH PLATS RV PARK IN PORT O'CONNOR, TEXAS: Jorge Barragan of Ganem & Kelly stated there is a proposed driveway the length of the property and they are proposing a slotted drain using 18" pipe. Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 November 4, 2015 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 Commissioners' Court Agenda for November 12, 2015. • Discuss and take necessary action to approve the plan for Redfish Flats RV Park In Port O'Connor, Texas. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 —email: kfinsteroacalhouncolx.org — (361) 785-3141 —Fax (361) 785-5602 n� z� oy A Oy �o ON Zo�.'O Ob yDr AT,� o- II�r11 OvV oy`'J D A3 a�O3 l'N1 DMZ Vp�� 0 oggA of o OT A . N N ?--Ip er() N N< ia1 Zp � N�ZO 2 m<< vy, 1'I Z�m Z S E Fpm of n ut � rm 0AAAA` I�1 �3 r3�<y 000 I.PFIFF � AA O�O� Om0 W ,tea po Pq e� Ci g m o�zoT C'W �oA K.M. CTTz Hai ptI nn� ySoGg� z�� zYO SAP A bZ J plmy JKm r I I o I I I I I �, II ATSD i�S21 I I ��Ii mor; i�n A �l rn I _ v 1 0 rm� N64'46'00"E / 70.00'I ,I o A z O O O E$LSUIIG Ylo 40 'a"� NZ ZTO -m z N W•. r - COO p ,C, o o r I. 2. 0 .. Q< -A� I A m2Nm �.' N... _� O TrI O IAN a D Z�1 z�A� zo A i7 z I116t ------ _._._._ NO KmAo OA Nm� D 0 -BiS➢N6. 5" WATER LINE- "I"DNG DITCH CL " m0. m o+Nim D Gl O AI �G- q y0 yy IllND Lm M ^ CiAmN=O, m allr r 7 0 z ____ ._.. T Imo Fq < pa ir m o PTV ------------ (A �. 7u o 5 O _. -col O �Q O ETI"NG VACUUM IINE G TORE-. - -- - ODE--`4 A- H UHG y ^q'ISING B VIAT£R UNE - _Y _._ E%ISDNG D ITCH CL ,_op ADAMS AVE. (SH HWY 185) 130' RIGHT OF WAY ggqyyg Q§ g On R.. 'A" APORGVEO: 'JE MTE: It/OJ/i5 RfOFISH FLATS RV PARK µ,)g24-ACFE (1B,65B Yf 1FgCT OFL B SMIE I SITE &UTILITY PLAN I /gyp GANEM & KELLY SURVEYING, INC. lie>fiAl A ..l s 3F & LOTS I4 B 15,,'ELOCN S 1� xNA p T, o P° lN,To p, 8%d OaR B3 (3eij ,o i' W i % JOB NO.; scAtE P015-144 1'=30' OF THE H4ttfEW ESTATE$ SECOMI p ItA ME Z. PAGE 114 OF ]HE L'A!HOUN COUNTY PGT RELYMO MNINGO�BOA`A SUR AB,,PBNcr NA 19 ° e e - e TepE FIRM No. 9183 / TBLS 100803-Ot v! ae � i� a o A I Izp I I in O rn rn� o�R1�( s N64°46'00"E — 70.00' '' ? H �m 'n A I I - O E\I'IIIG }rGOU rUIVE St� �si 0 - �e�iz�`�`;��2vvo� zoiyloy�� \ I 00 AAAA'A �]mlZ (O IR 0 I ALJ moo�<o�o m"E00 o O nA '-amyl f-n Fs 3z peri mz r'iI�.B �0�j1lm N -_vn o A mm 1 DI oryp / __ °=— d ' � O 2 zmzz om Z AAvmoo Ines l"° a�oo xNo� I ss II bmG� _ 1 �I I ! OCZ JoX Io N® o I �� n '9m'zo +s 0"Bu 0ol iy I, y>1 oz �}` J o :e q e or�on� mm� `z>as__ __ I m noam o!^_ o N { I IRzF8 p m 0 C �m my III Q G Ar g H S2o"JK it 5 ea, m g`, rq ZNOG) I m� -rn °i 9 � o I Irea NOON � q0��\fir gp II ¢{ Jg •.�sa io It -EY.ISIIMG `/ACWAi LINE C , - - IXISTINC 6" Y/ATER t1xE k (;@�UIIE-� s' n eZS� 5 1'VHE g .r OHE' VO A'e l� phEh} 3- IXISIING i3i3" WATER "I IVG L/.H GL 3a K- • +B .•BAs 0D0 / + Z. ZAA-i EXISTIIHG ASRHgLTJ 1 e iZy ��1m- ADAMS AVE, y tt ZZ ' p a m smy,� (SH HWY 185) $' r" 5", 730' RIGHT OF WAY VZ /S E.U-0, ro F 9R wx: JAB GRADING & DRAINAGE PLAN MPROVEO: VJF GANEM & KELLY SURVEYING, INC. o � mw-. 11 03 15 6 sq F F FLATS RV PARK ( BB E °° °. / / a.Jeer-ncwE (/ssss .s't) mw'r cr ON , FOLLOW OL OWNc fors 4 4 Is e<ocvr $ �( '" ; B� CF]NEHwpmr SIAIE$.5£C)HM'I;W#UM£L PAC£1]60F ME Y(ie°I)ws)ex eB68 POIN �S�o .TFeB1_zO �iB]e 5 ' JSC&L : 1- t30141 CWHMUN GMMYy PU] RECOR95, S41LII 4G Al yµpyEy pgS/pgCr N0. 19 GWd/N mu9re >mec TBPE FIRM No. 9183 / TBLS 109903-01 w:. ti r E -a E _ �� xs ; lIi iIl'I'I �` %. g a b - i � 1 _ rz xF a Z I, I_ ! t I ! I ! I I i I v �I I r I I 41. > c Dti N 3 A F 3 a iT m (Am ""-R - STORM DRAINAGE DETAILS gnPPRovE¢ v,/ GANEM & KELLY SURVEYING, INC. q REOFISH FLATS RV PRRKaa 1/OJ/LOSS14&15.'BLOCK i a'e�eae1°ollli JOB NO.: PG15-144 OF >RE QIYNEIY ES/A]£$ SBNMV I; MWEZ, PACE 474 OF ENE spiioiieie COONIY PIAF RELWtOS "SbIMCO MNlAfES.SYIFYEY ARSRNCI NO. 19 igpF FIRIAi Nn. G1A:4 / TAIS 1(1f1Afii-A1 SCN.E: 1'-30' PORT O'CONNOR IMPROVEMENT DISTRICT APPLICATION FOR INFRASTRUCTURE DEVELOPMENT PLAN (IDP) REVIEW AND APPROVAL For District Engineer's Use Only: PERMIT NO. w4, ? i< (01 DATE REC'D: ? 4- ,)/,S.. APPLICATION FEE: PD: fi APPLICANT: ;" MAILING ADDRESS:,. 11 CITY: `7 ` PHONE NUMBER: I-) EMAIL 7 ) STATE: �t ZIP: / 1 { CELL NO.: ( ) LEGAL DESCRIP.OFDEVELOPMENT SITE .%%%'t r<k["t' d>t<tt- %oy9"a,° 911 ADDRESS -OF DEVELOPMENT SITE (IF KNOWN) °-__ , y _ j NAME FOR DEVELOPMENT: ?C ,.7t ENGINEER NAME: _r Z. e, (�'�� e ic- «K�rtj f 0 TX REG. NO. I n ENGINEER EMAIL: J "a j_17rra a, a } rab t q '71 vekjt,ga j y t_,:e'n"t?. FIRM NAME i J � e r i� I k l� � > FIRM REG NO. 61I°d FIRM ADDRESS (9,04) et v,"th - '�� { 7S °(' i CITY: (I STATE: ZIP: fi District Engineers Use Only: CUUM LINE. % i I VACUUM STATION: NTRIBUTED PEAK SEWAGE FLOW l ` OTHER NOTES:: T. DATE OF BOARD ACTION TO APPROVE OR DENY: 10-29-2015 PORT O'CONNOR IMPROVEMENT DISTRICT DISTRICT'S ENGINEER RESPONSE TO APPLICATION FOR INFRASTRUCTURE DEVELOPMENT PLAN (IDP) REVIEW AND APPROVAL PERMIT NO.: FY16.001 DATE REC'D: 10-13-2015 DATE OF THIS RESPONSE: 11-7-15 APPLICATION FEE: (Application started prior to applicationfee adopted) No. of RV spaces: 5 Contributed Peak sewage: .14ppm x 5 = 0.7 Rpm Drainage: a The flood Zone is)(— outside the 0.2%annual chance of flooding The RV spaces drain from a high elevation of 9.5 ft to 9.4 ft (0.25%) OKI a The driveway drains from 9.4'to 9.3' at north end (0.4%) and to 9.15' (1%) at south end OK! ® From the driveway to the slotted drain is 0.8% at the north end and 2.5% at south end OKI 0 18" slotted drain @ 0.2% appears to follow the existing ditch slope and positioned to capture all of the improved runoff which drains to Steve St. (Requiresfinal approuai by Calhoun Caunfy6 Centerline of Steve Street is approximately 8' elevation. Top of RV cleanouts will be approx. 9.83' (4" min. above FF); So Cleanouts will be 1.83' above the elevation of Steve Street ® Centerline elevation of State Highway ranges from 9.88' to 9.75' and north edge of pavement from 9.23' to 9.42. Considering this is an "X" zone, the height of 9.83' for the cleanouts is OK. Water: There is an existing 1" water meter serving the property. A 1" RPZ valve will be required on the customer's side of the meter. Spaces to be served with 1" Sch 80 PVC - OI<l Sewer: Use one-half capacity of Pit G1-4 Specify top of cleanouts to be 4-" min above FF. Change note 2 to read: "All cleanouts shall have a 4" hinged sewer cap, similar to that manufactured by RVParksupplies.com" Approx. FL upstream = 9.5'-3.33' = 6.2' Approx. FL elev. At pit = 9.00' -6.5' = 2.5' DIFF = 4.0' 4"Sch40SWR265LF@0.01=2.7<4.0' OKI! Scheduled for consideration at POCID Board meeting: 11-12-15 District Engineer's Recommendation to POT Board r District Engineers signature: JoAnna P. Weaver, P.E. date PLAN FOR FISHERMAN'S CHOICE RV PARK IN PORT O'CONNOR, TEXAS: PASSED Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 November 4, 2015 Honorable Michael Pfeifer Calhoun County Judge 2115. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: Please place the following item on the Commissioners' Court Agenda for November 12, 2015. • Discuss and take necessary action to approve the plan for Fisherman's Choice RV Park in Port O'Connor, Texas. Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinsterecalhouncotx.org -- (361) 785-3141 — Fax (361) 785-5602 � F • v m ' 13TH STREET 60- RIGHT OF WAT T 1 m � i �♦ �� t i i i =o; _ q• 3 &A5 6 A i A: `.;� l2 A_ �fjf •r _., _._ a .___�2z—_. -�0-3.. i aV Ia 6 ?•T "I-,tl q i 1 tl i tl s 1 IV na tl t , 'S E Ni �If� lu mil\ ' 133HIS H1ZI 9 — —^ 8 p¢¢tp a {� a']F papgPAi9&P9F5NpYq�28?(iYpF ��t,����1��€hAd2Sl�€€1b ill NEW', GRADING & DRAINAGE PLAN APP71) mF GANEM & KELLY SURVEYING, INC. FISHERMAN'S CHOICE RV PARK OM1F: 10/1)/1$ A00 4000TiNi AV' p„uAP 41q[[I. SVu� TI> ) 1.9IBr-ACRE (BI.PXI Yf IRILf OF SAVC 96W'Lflt51-I], BLP'C 19I/ i<10qu. iR YO > C9ui'gi, "f Y)q V-20, O OyRIE ORXOMIL10MCOW 0f PoRI0'COGM iOLW[]. FAGEI)PRIAN OILq Yl-iol11 N 1' seL1E: I'-2o' aFm aFcnaur. cu6ewv muxrY. Ices TOPE flRIA No. 9183 / TOILS 100803_01 I I® 13TH STREET 60' RIGHT OF WAY AYM 20 HIM .09 133N1S H1Z I 4 a k a a 9 x a Ix Ix b➢° !o if sa a U DRAwR: +w SITE & UTILITY PLAN GANEM & KELLY SURVEYING, INC. MPRMD,.. VJF O DATE: I0/27/15 FISHERMAN'S CHOICE RV PARK GK JOp NO.: PCIS-36p �o� R ao e,x eve R nRopT. >�,re -7 f.9}HIM4ttI L f otoo, $F mcr OF we B]5 OAC f0I-]], 0(OLT' 191: IOR,Ay IX ]] 01 P41NiR (YR f (>s]) >p-ev3p (>el) fp1-Z011]e p[ Di'1N£ ANpKV. ]ON'115//E 9( Po.P/ O'CONM1YAP, tYXI/YE }. PFLE f N 3 SCALE: 1'.2v DEW PEW0 05, c4] CWNIY, Grx TBPE FIRA1 No. 9183 / T8L5 I00803-01 CANVASS PRECINCT TOTALS OF THE CONSTITUTIONAL AMENDMENT ELECTION OF NOVEMBER 3, 2015: Elections Administrator, Dora Garcia, presented the precinct totals of the Constitutional Amendment Election of November 3, 2015. Judge Pfeifer made a motion to allow him to certify the canvass precinct totals of the Constitutional Amendment Election of November 3, 2015. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Susan Riley From: core garcia <dora.garcia@calhouncotx.org> Sent: Wednesday, November 04, 2015 11:47 AM To: susan riley Subject: Canvass Susan, I will be able to canvass on November 12 meeting. So please put me on agenda. To canvass precinct totals for the Constitutional Amendment Election. Dora O. Garcia Elections Administrator Calhoun County CANVASS OF SPECIAL ELECTION I, Michael J. Pfeifer, County Judge of Calhoun County, Texas met on November 12, 2015 with the Commissioners' Court, sitting as the canvassing board, to canvass the Special Election held on November 3, 2015 in Port Lavaca Texas. I certify that the figures on the tally sheets correspond with the figures on the returns. Witness my hand this 12th day of November, 2015. PNesiding OffiuV of C, n assing Authority U SUMMARY REP' -GROUP DETAIL Calhoun County, Texas Constitutional Amendment and J Run Date:11/03/15 09:10 PM November 3, 2015 TOTAL VOTES % EARLY VOTING ELECTION DAY PRECINCTS COUNTED (OF 25) . . . . . 1 4.00 REGISTERED VOTERS - TOTAL . . . . . 454 BALLOTS CAST - TOTAL. . . . . . . 1,743 797 946 VOTER TURNOUT - TOTAL PROPOSITION 1 VOTE FOR 1 (WITH 1 OF 25 PRECINCTS COUNTED 4%) For . . . . . . . . . . . . Against 1.473 86.95 683 790 . . . . . . . . . . . 221 13.05 90 131 PROPOSITION 2 VOTE FOR 1 (WITH 1 OF 25 PRECINCTS COUNTED 4%) For ' . . . . . - Against 1,566 93.44 711 855 . . . . . . . . . . . 110 6.56 58 52 PROPOSITION 3 VOTE FOR I (WITH 1 OF 25 PRECINCTS COUNTED 4%) For . • • ' • Against . 1.078 65.89 488 590 ' . 558 34.11 252 306 PROPOSITION 4 VOTE FOR 1 (WITH 1 OF 25 PRECINCTS COUNTED 4%) For . . . . . . . . . . Against 1.142 68.80 510 632 . , . . . . . . . . . 518 31.20 251 267 PROPOSITION 5 VOTE FOR i (WITH 1 OF 25 PRECINCTS COUNTED 4%) For . . . . . . . . . Against 1,322 79.35 599 723 . . . . . . . . . . . 344 20.65 167 187 PROPOSITION 6 VOTE FOR 1 (WITH 1 OF 25 PRECINCTS COUNTED 4Y) For , . . . , . . . , . Against 1.441 86,44 667 784 . . . . . . . . . . , 226 13.56 100 126 PROPOSITION 7 VOTE FOR 1 (WITH 1 OF 25 PRECINCTS COUNTED 4%) For . . . . . . . , , . Against 1,269 75.81 576 693 . . . . . . . . . . . 405 24.19 185 220 ]OFFICIAL RESULTS Report EL45A Page 001 M NAME HEADING CANVASS RUN DATE:11/03/15 09:19 PM Calhoun County, Texas Constitutional Amendment and J November 3, 2015 OFFICIAL RESULTS REPORT-EL111 PAGE 0001 R V T E 0 0 G T T I E A B C T V T T S R L A A 0 0 U 0 TS L S T T R T E LTA E N A R 0 L R 0 L E T U D S T 0001 PRECINCT 1 620 39 6.29 0002 PRECINCT 2 1097 109 9.94 0003 PRECINCT 3 158 1 .63 0004 PRECINCT 4 406 101 24.88 0005 PRECINCT 5 214 28 13.08 0006 PRECINCT 6 437 68 15,56 0007 PRECINCT 7 688 83 12.06 0008 PRECINCT 8 565 30 5.31 0009 PRECINCT 9 80 11 13.75 0010 PRECINCT 10 147 35 23.81 0011 PRECINCT 11 454 73 16.08 0012 PRECINCT 12 1218 183 15.02 0013 PRECINCT 13 20 3 15.00 0014 PRECINCT 14 206 40 19.42 0015 PRECINCT 15 230 28 12,17 0016 PRECINCT 16 1188 193 16.25 0017 PRECINCT 17 684 168 24.56 0018 PRECINCT 18 358 42 11.73 0019 PRECINCT 19 470 100 21.28 0020 PRECINCT 20 114 5 4,39 0021 PRECINCT 21 128 25 19.53 0022 PRECINCT 22 454 48 10.57 0023 PRECINCT 23 252 23 9.13 0024 PRECINCT 24 1383 146 10.56 0025 PRECINCT 25 852 161 18.90 CANDIDATE TOTALS 12423 1743 14.03 NAME HEADING CANVASS RUN DATE:11/03/15 09:19 PM PROPOSITION i VOTE FOR 1 Calhoun County, Texas Constitutional Amendment and J November 3, 2015 OFFICIAL RESULTS REPORT-EL111 PAGE 0002 A 9 a i F n o s r t (NON) (NON) 0001 PRECINCT 1 25 14 0002 PRECINCT 2 81 24 0003 PRECINCT 3 1 0 0004 PRECINCT 4 87 7 0005 PRECINCT 5 25 3 0006 PRECINCT 6 63 5 0007 PRECINCT 7 66 15 0008 PRECINCT 8 22 7 0009 PRECINCT 9 7 2 0010 PRECINCT 10 32 1 0011 PRECINCT 11 57 12 0012 PRECINCT 12 161 20 0013 PRECINCT 13 3 0 0014 PRECINCT 14 36 3 0015 PRECINCT 15 21 6 0016 PRECINCT 16 161 23 0017 PRECINCT 17 142 22 0018 PRECINCT 18 36 6 0019 PRECINCT 19 88 11 0020 PRECINCT 20 2 2 0021 PRECINCT 21 P2 2 0022 PRECINCT 22 43 5 0023 PRECINCT 23 P1 2 0024 PRECINCT 24 128 15 0025 PRECINCT 25 143 14 CANDIDATE TOTALS 1473 221 CANDIDATE PERCENT 86.95 13.04 PROPOSITION 2 VOTE FOR 1 A 9 a i F n 0 s r t (NON) (NON) 0001 PRECINCT 1 33 3 0002 PRECINCT 2 95 9 0003 PRECINCT 3 1 0 0004 PRECINCT 4 91 4 0005 PRECINCT 5 26 2 0006 PRECINCT 6 62 4 0007 PRECINCT 7 75 7 0008 PRECINCT 8 P4 4 NAME HEADING CANVASS RUN DATE:11/03/15 09:19 PM PROPOSITION 2 VOTE FOR I Calhoun County, Texas Constitutional Amendment and J November 3, 2015 OFFICIAL RESULTS REPORT-EL111 PAGE 0003 A 9 a i F n o s r t (CONTINUED FROM PREVIOUS PAGE) (NON) (NON) 0009 PRECINCT 9 --- 9 ----- 0010 PRECINCT 10 32 1 0011 PRECINCT 11 64 3 0012 PRECINCT 12 171 11 0013 PRECINCT 13 3 0 0014 PRECINCT 14 35 3 0015 PRECINCT 15 23 5 0016 PRECINCT 16 174 10 0017 PRECINCT 17 148 13 0018 PRECINCT 18 38 4 0019 PRECINCT 19 92 5 0020 PRECINCT 20 5 0 0021 PRECINCT 21 24 0 0022 PRECINCT 22 42 5 0023 PRECINCT 23 22 1 0024 PRECINCT 24 133 7 0025 PRECINCT 25 144 9 CANDIDATE TOTALS 1566 110 CANDIDATE PERCENT 93.43 6.56 PROPOSITION 3 VOTE FOR 1 A 9 a i F n o s r t (NON) (NON) 0001 PRECINCT 1 25 12 0002 PRECINCT 2 59 44 0003 PRECINCT 3 1 0 0004 PRECINCT 4 63 32 0005 PRECINCT 5 17 10 0006 PRECINCT 6 49 18 0007 PRECINCT 7 47 28 0008 PRECINCT 8 20 8 0009 PRECINCT 9 5 4 0010 PRECINCT 10 24 9 0011 PRECINCT 11 43 24 0012 PRECINCT 12 119 56 0013 PRECINCT 13 2 1 0014 PRECINCT 14 21 15 0015 PRECINCT 15 18 10 0016 PRECINCT 16 115 62 0017 PRECINCT 17 - 104 48 NAME HEADING CANVASS Calhoun County, Texas OFFICIAL RESULTS Constitutional Amendment and J November 3, 2015 RUN DATE:11/03/15 09:19 PM REPORT-EL111 PAGE 0004 PROPOSITION 3 VOTE FOR 1 A 9 a i F n o s r t (CONTINUED FROM PREVIOUS PAGE) (NON) (NON) 0018 PRECINCT 18 25 17 0019 PRECINCT 19 64 31 0020 PRECINCT 20 2 3 0021 PRECINCT 21 16 7 0022 PRECINCT 22 21 25 0023 PRECINCT 23 18 5 0024 PRECINCT 24 95 45 0025 PRECINCT 25 105 44 CANDIDATE TOTALS 1078 558 CANDIDATE PERCENT 65.89 34.10 PROPOSITION 4 VOTE FOR 1 A 9 a i F n 0 s r t (NON) (NON) 0001 PRECINCT 1 30 7 0002 PRECINCT 2 73 32 0003 PRECINCT 3 1 0 0004 PRECINCT 4 57 38 0005 PRECINCT 5 18 10 0006 PRECINCT 6 55 13 0007 PRECINCT 7 52 23 0008 PRECINCT 8 15 14 0009 PRECINCT 9 9 2 0010 PRECINCT 10 23 9 0011 PRECINCT 11 50 18 0012 PRECINCT 12 125 54 0013 PRECINCT 13 3 0 0014 PRECINCT 14 25 12 0015 PRECINCT 15 17 11 0016 PRECINCT 16 128 56 0017 PRECINCT 17 117 42 0018 PRECINCT 18 28 12 0019 PRECINCT 19 63 35 0020 PRECINCT 20 2 3 0021 PRECINCT 21 13 9 0022 PRECINCT 22 27 19 0023 PRECINCT 23 17 6 0024 PRECINCT 24 96 43 0025 PRECINCT 25 98 50 NAME WEAWNG CANVASS Calhoun County, Texas OFFICIAL RESULTS Constitutional Amendment and J November 3, 2015 RUN DATE:11/03/15 09:19 PM REPORT-EL111 PAGE 0005 PROPOSITION 4 VOTE FOR 1 A 9 a i F n 0 s r t (CONTINUED FROM PREVIOUS PAGE) (NON) (NON) CANDIDATE TOTALS 1142 518 CANDIDATE PERCENT 68,79 31.20 PROPOSITION 5 VOTE FOR 1 A 9 a i F n 0 s r t (NON) (NON) 0001 PRECINCT 1 30 7 0002 PRECINCT 2 80 25 0003 PRECINCT 3 1 0 0004 PRECINCT 4 77 21 0005 PRECINCT 5 19 8 0006 PRECINCT 6 55 12 0007 PRECINCT 7 60 17 0008 PRECINCT 8 22 6 0009 PRECINCT 9 8 1 0010 PRECINCT 10 23 9 0011 PRECINCT 11 53 15 0012 PRECINCT 12 142 37 0013 PRECINCT 13 3 0 0014 PRECINCT 14 31 6 0015 PRECINCT 15 25 3 0016 PRECINCT 16 150 28 0017 PRECINCT 17 126 31 0018 PRECINCT 18 36 6 0019 PRECINCT 19 72 26 0020 PRECINCT 20 4 1 0021 PRECINCT 21 16 8 0022 PRECINCT 22 36 11 0023 PRECINCT 23 21 2 0024 PRECINCT 24 114 28 0025 PRECINCT 25 118 36 CANDIDATE TOTALS 1322 344 CANDIDATE PERCENT 79,35 20.64 NAME )fEAOING CANVASS Calhoun County, Texas OFFICIAL RESULTS Constitutional Amendment and J November 3. 2015 RUN DATE:11/03/15 09:19 PM PROPOSITION 6 REPORT-EL111 PAGE 0006 VOTE FOR 1 A 9 a i F n 0 S r t (NON) (NON) 0001 PRECINCT 1 28 11 0002 PRECINCT 2 86 15 0003 PRECINCT 3 1 0 0004 PRECINCT 4 81 17 0005 PRECINCT 5 21 6 0006 PRECINCT 6 61 7 0007 PRECINCT 7 66 11 0008 PRECINCT 8 26 3 0009 PRECINCT 9 8 2 0010 PRECINCT 10 27 5 0011 PRECINCT 11 53 13 0012 PRECINCT 12 152 26 0013 PRECINCT 13 2 1 0014 PRECINCT 14 32 5 0015 PRECINCT 15 23 5 0016 PRECINCT 16 169 15 0017 PRECINCT 17 138 21 0018 PRECINCT 18 38 3 0019 PRECINCT 19 85 12 0020 PRECINCT 20 4 0 0021 PRECINCT 21 15 8 0022 PRECINCT 22 42 4 0023 PRECINCT 23 23 0 0024 PRECINCT 24 117 24 0025 PRECINCT 25 143 12 CANDIDATE TOTALS 1441 226 CANDIDATE PERCENT 86.44 13.55 PROPOSITION 7 VOTE FOR 1 A 9 a i F n 0 s r t (NON) (NON) 0001 PRECINCT 1 28 11 0002 PRECINCT 2 72 32 0003 PRECINCT 3 1 0 0004 PRECINCT 4 73 23 0005 PRECINCT 5 17 10 0006 PRECINCT 6 56 12 0007 PRECINCT 7 65 13 0008 PRECINCT 8 23 6 0009 PRECINCT 9 8 2 NAME iEADING CANVASS Calhoun County, Texas OFFICIAL RESULTS Constitutional Amendment and J - November 3, 2015 RUN OATE:11/03/15 09:19 PM REPORT-EL111 PAGE 0007 PROPOSITION 7 VOTE FOR 1 A 9 a i F n o s r t (CONTINUED FROM PREVIOUS PAGE) (NON) (NON) 0010 PRECINCT 10 28 5 0011 PRECINCT 11 54 12 0012 PRECINCT 12 130 51 0013 PRECINCT 13 3 0 0014 PRECINCT 14 22 14 0015 PRECINCT 15 22 6 0016 PRECINCT 16 136 45 0017 PRECINCT 17 126 35 0018 PRECINCT 18 35 7 0019 PRECINCT 19 75 23 0020 PRECINCT 20 1 3 0021 PRECINCT 21 19 5 0022 PRECINCT 22 39 8 0023 PRECINCT 23 21 1 0024 PRECINCT 24 108 32 0025 PRECINCT 25 107 49 CANDIDATE TOTALS 1269 405 - CANDIDATE PERCENT 75.80 24.19 PROPOSITION PORT LAVACA CITY OF PORT LAVACA VOTE FOR 1 A 9 a i F n o s r t (NON) (NON) 0001 PRECINCT 1 31 8 0002 PRECINCT 2 79 28 0004 PRECINCT 4 77 24 0007 PRECINCT 7 65 18 0008 PRECINCT 8 22 8 0009 PRECINCT 9 9 2 0010 PRECINCT 10 26 8 0011 PRECINCT 11 58 13 0013 PRECINCT 13 2 1 0014 PRECINCT 14 26 14 0015 PRECINCT 15 13 15 0016 PRECINCT 16 154 36 0017 PRECINCT 17 129 38 0020 PRECINCT 20 5 0 CANDIDATE TOTALS 696 213 CANDIDATE PERCENT 76.56 23.43 REQUEST FOR COUNTY CREDIT CARD FOR EMS DIRECTOR CARL KING IN THE AMOUNT OF $5,000. Commissioner Galvan made a motion to approve request for a County credit card for EMS Director Carl King in the amount of $5,000. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Susan Riley From: Carl King <clking@att.net> Sent: Tuesday, November 03, 2015 5:26 PM To: Susan Riley Subject: credit card Susan, EMS currently has an IBC credit card with Henry's name on it. We need to replace Henry's name with my name on the card. It is my understanding that we need to have this on the agenda for Commissioners Court and if they approve, I will need to see Rhonda to complete the process. If you have questions, please call me. Thanks, Carl Lee King APPOINTMENTS/RE-APPOINTMENTS TO CALHOUN COUNTY LIBRARY BOARD: Calhoun County Library Director Noemi Cruz addressed the Court asking for approval of Joe Castaneda to replace Ryan Smiga to the Calhoun County Library Board and the re -appointment of Reese Vaughn. Commissioner Galvan made a motion to approve the appointment of Joe Castenada, as a replacement for Ryan Smiga, to the Calhoun County Library Board and the re -appointment of Reese Vaughn. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Susan Riley From: Noemi Cruz <ncruz@cclibrary.org> Sent: Friday, November 06, 2015 11:13 AM To: 'Susan Riley' Subject: Agenda Item Hi Susan, Please add the following to the next Commissioners' Court meeting. To accept Joe Castaneda as a new library board member and reappoint Reese Vaughn to this board. -Thanks Noemi Cruz, Library Director Calhoun County Public Library 200 W. Mahan Port Lavaca, TX 77979 Phone 361.552.7250 ext. 23 Fax 361.552.4926 Email ncruz@cclibrary.org Web www.cclibrary.org Calhoun County Library Board Port Lavaca, Texas November 6, 2015 Judge Michael Pfeifer: The Calhoun County Library Board presents Joe Castaneda for approval by the Commissioner's Court for appointment to this Board and approval for the reappointment of Reese Vaughn. We would greatly appreciate you including this on the agenda of your next meeting. Sincerely, Ryan Smiga, President HEAR REPORT ON LIBRARY READING PROGRAM FOR CHILDREN AND TAKE ANY ACTION DEEMED NECESSARY: Calhoun County Library Director Noemi Cruz presented the report on the Library Reading Program for Children. Ms. Cruz stated the children's librarian includes crafts with the story hour and has refreshments on occasion. The children's librarian solicits donations for the purpose of those activities. Ms. Cruz asked the Court's permission to continue to use those donations. Judge Pfeifer made a motion to approve the use of donations for the Library Reading Program for Children. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Susan Riley From: Cindy Mueller <cindy.mueller@calhouncotx.org> Sent: Wednesday, November 04, 2015 8:68 AM To: 'Susan Riley' Cc: shannon salyer, Noemi Cruz; Kenny Finder, mike Pfeifer; neil fritsch; roger galvan; vern lyssy Subject: Agenda Item Request Please place the following item on the agenda for November 12, 2015: Y Hear report and consider and take necessary action on Library Reading Program for Children. Cindy Mueller Calhoun County Auditor 202 S. Ann, Suite B Port Lavaca, TX 77979 Phone 361.553,4610 Fax 361.553.4614 2016 UNITED HEALTHCARE (UHC) RETIREE MEDICAL (NO COST TO COUNTY) RENEWAL NOTICE AND BENEFIT CONFIRMATION AND 2016 MEMBER CONTACT DESIGNATION FORM AND AUTHORIZE COUNTY JUDGE TO SIGN: Commissioner Galvan made a motion to approve 2016 United Healthcare (UHC) retiree medical (no cost to County) Renewal Notice and Benefit Confirmation and 2016 Member Contact Designation Form and authorize County Judge to sign. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Susan Riley From: Rhonda Kokena <rhonda.kokena@calhouncotx.org> Sent: Monday, October 19, 2015 1:10 PM To: Susan Riley Subject: FW: Calhoun County CCS UHC 2016 Renewal Packet Attachments: Calhoun County 20% CCS Renewal.pdf Susan - Please put this on the next agenda.for renewal. It is the silver plan for retirees at no cost to the couno,. RHONDA S. KOKENA cut -fLfy Treasurer ca.l,fwww A n n e w H 202 S. Av St., Swift.A Porf-Lavaeaa, Texas 7797q (361)553-4619 offu (361)553-4614 faw From: Melissa Lopez [mailto:MelissaL@county.org] Sent: Tuesday, October 13, 2015 2:16 PM To: rhonda.kokena@calhouncotx.org Subject: Calhoun County CCS UHC 2016 Renewal Packet Good afternoon, Attached is the retiree benefits renewal packet for the 2016 Plan Year. Please let me know if you have any questions. Thank you, Melissa Afelissa Lopez Employee Benefits Specialist Texas Association of Counties Health and Benefits Services Department P.O. Box 2131, Austin, TX 78768 Phone:512-478-8753 Texas Toll Free: 800-456-5974 Secured Fax:512-481-8481 MelissaWcounty.org / www.county.org The Mission of the Texas Association of Counties is to unite counties to achieve better solutions. To view an encrypted email, recipients must establish a user name and password for authentication on the initial email received through SendMail. The information contained in this communication is confidential, private, proprietary, or otherwise privileged and is intended only for the use of the addressee. Unauthorized use, disclosure, distribution or copying is strictly prohibited and may be unlawful. If you have received this communication in error, please notify the sender immediately at 512-478-8753 or 1-800-456-5974. TO: CountyChoice Silver Participant Counties FROM: Texas Association of Counties,.Health & Employee Benefits Pool (TAC HEBP) RE: 20161InitedHealthcare Renewal Packet DATE: October 13, 2015 The annual renewal process for UnitedHeaithcare (UHC) retiree medical benefits is complete. In order to continue participation in the program, please sign the renewal documents enclosed and return to TAC HEBP by November 27, 2015. Listed below are the following forms that must be signed and returned. a 2016 Renewal Notice and Benefit Confirmation 0 2016 Member Contact Designation Form TAC HEBP will mail a rate change letter to your retirees. UHC will mail each retiree an Annual Notification of Change (ANOC) as soon as Medicare provides 2016 benefit changes which should be released in late October. If any portion of the'premium is subsidized by the county; please inform retirees of their 2016 rate payment. Please note: the Centers for Medicare and Medicaid Services (CMS) open enrollment dates are October 15th through December Th. At this time retirees may disenroll from the UHC program, but cannot re- enroIl. All open enrollment changes will be effective January 1, 2016. Please copy these documents for your records and email, fax or mail the signed documents back to: TAC HEBP P.O. Box 2131 Austin, TX 78768 Fax: 512481-s481 If you have any questions, please contact your Employee Benefits Specialist at 1-800-456-5974. Employee Benefits Specialist by Territory o Melissa Lopez - Northwest o Maria Castillo - Northeast a Jennifer Rehme - Southwest o Lauren Henry - Southeast UnitedHealthcare 41 �. ,i I •, , Group; 4439 - Calhoun County Return to TAC by; 11/27/2015 Anniversary Gate: 1/01/2016 Please Initial and complete each section confirming your group's renewal. Fax to 1-612481-8481 or email to melissal@county.org. R 2015 Rates: $227.00 2016 Rates: $236.68 Initial to accept 2016 Retire Medical Rates. 2015 Rates: $194.66 Initial to accept 2016 Retiree RX Rates. 13ILLIING METHOD 2016 Rates: $206.34 DirO Bi — The Employer pays $0 premium. 'i he bill is sent to the Retiree monthly. d Initial to aocept Billing Method. w Rates effective from 1/1/2016 through 1213112016. ® Signature on the following page is required to confirm and accept your group's renewal. 2016 CCS-UHC Direct Bill RNBC CotintyChoice Silver UnitedHealthcare Contracting Authority. As specified in the Interlocal Participation Agreement, each Member hereby designates and appoints a Contracting Authority of department head rank or above and agrees that TAC HEBP shall NOT be required to contact or provide notices to ANY OTHER person. Further, any notice to, or agreement by, a Member's Contracting Authority, with respect to service or claims hereunder, shall be binding on the Member. Each Member reserves the right to change its Contracting Authority from time to time by giving written notice to TAC HEBP. Please complete each category below: Name: Rhonda Kokena Title: County Treasurer Address: 202 S. AnmA t. Suite A Port Lavaca TX 77979 Phone: 361-553-4619 Fax: 361-553-4614 Email: rhonda.kokena@calhouncotx.org Primary Contact: Main contact for daily matters pertaining to the retiree benefits. Name: Rhonda Kokena Title: Address: Phone. Fax: County Treasurer 202 S. Ann St., Suite A Port Lavaca TX 77979 361-553-4619 361-553-4614 Email: rhonda.kokena@calhouncotx.org imill �1 1"tj ti gnature of CoujW f or Contracting Authority Michael J. Pfeifer Calhoun County Judge Please PRINT Name and Title 11-16-2015 Date CCS -UHC Member Cmtad Designation Porm. Direct Sill 1012015 ORDER FROM DISTRICT JUDGES RE -APPOINTING CYNTHIA MUELLER COUNTY AUDITOR FOR A TERM OF TWO YEARS, BEGINNING NOVEMBER 1, 2015 AND ENDING OCTOBER 31, 2017: Commissioner Lyssy made a motion to approve Order from District Judges re -appointing Cynthia Mueller as County Auditor for a term of two years, beginning November 1, 2015 and ending October 31, 2017. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. PEGGY NAIL 202S.A e6 CRISTINATUALON PORiIAV 8n979 '' REg11CABREfiA CANDICEVILIARREAL ERICA PEREZ FIRST ASSISTANTAUOITOR TELEPHONE 136115534610 TAX[36115534614 ASSISTANT'AUGHORS October 5, 2015 Honorable Stephen Williams Judge, 135`h Judicial District Victoria County Courthouse Victoria, Texas 77901 Dear Judge Williams: My appointment as County Auditor for Calhoun County expires on October 31, 2015, Assuming that I am to be reappointed, I have taken the liberty of enclosing for your review an order reappointing me as Calhoun County Auditor. In accordance with Local Government Code §84.0085, I certify to you that I have completed 40 hours of continuing education which have been approved by the Texas State Board of Public Accountancy for continuing education and which I feel relate to the duties of the County Auditor. ` DESCRIPTION DATECOMPLETED CPE HOURS 56th County Auditors Institute 5/13/2014 4.0 Complete Guide to Investing 10/17/2014 14.0 Benefits and Disadvantages of HSAs 10/21/2014 2.0 57th Count Auditors Institute 5/15/2015 21.1 wl . _rt3nTir5 " Qn#�d s .. k r ,' x 4I 1 Total CPE Hours for Term 11/i/13-10/31115 41.1 Should you have any questions or comments concerning the above, please contact me at your convenience, Respectfully yours, Cindy Weller�� County Auditor FILED A 34 O'CLOCKAM oca z� ahVa —TPAMELG A 1ARTI R� DISTRICT CLERK CALHOUN COUNTY, TEXAS COUNTY OF CALHOUN STATE OF TEXAS ORDER APPOINTING CYNTHIA L. MUELLER COUNTY AUDITOR We, Jack Marr, Kemper Stephen Williams and Skipper Koetter, Judges of,the 24"', 135", and 267" Judicial District Courts respectively of Calhoun County,;Texas, and having jurisdiction in the County of Calhoun, State of Texas, which said County has a population of more than 10,000 inhabitants according to the last preceding Federal Census, this day having considered the appointment of an Auditor a of Accounts and Finances for said County for a term of Two Years, beginning November 1, 2015 and ending October 31, 2017, do after consideration appoint Cynthia L. Mueller County Auditor in and for Calhoun County, Texas for the said term and until her successor shall have been appointed and qualified. IT IS ORDERED that said Cynthia L. Mueller shall before entering upon her duties, execute a good and sufficient bond as provided by law. IT IS.FURTHER ORDERED that this appointment shall be recorded in the Minutes of the District Courts of Calhoun County, Texas; and the clerk is direcwA to certify the same to the Commissioners' Court of Calhoun County for observance. 14 SIGNED AND APPROVED on this the day of October, A.D., 2015. (JAMarr, Judge, 24" District Ximperphen Williams, Judge, 135"' District Skipper KMetter, Judge, 267'" District FILED AT 3D0'CLOCKd-M OCT 28 2T015-V.E � DISTRICT l"-RT-16 14 OTEXAS ADVANCE FUNDING AGREEMENT FOR BRIDGE REPLACEMENT OR REHABILITATION OFF THE STATE SYSTEM BETWEEN TXDOT AND CALHOUN COUNTY FOR GUADALUPE RIVER ON RIVER ROAD AND EAST COLOMA CREEK ON SIKES ROAD AND AUTHORIZE COUNTY JUDGE TO SIGN: Commissioner Finster made a motion to approve Advance Funding Agreement for Bridge Replacement or Rehabilitation Off the State System between TxDOT and Calhoun County for Guadalupe River on River Road and East Coloma Creek on Sikes Road and authorize County Judge to sign. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Susan Riley From: April Townsend<april.townsend@calhouncotx.org> Sent: Thursday, November 05, 2015 10:27 AM To: Susan Riley Subject: Re: TxDot Approval of Waiver of Local Match Fund Kenny said to put it on the agenda, he doesn't have a problem with it. Thank you, April May -Townsend Calhoun County, Pct. 4 361.785.3141 361.785.5602 (fax) aapril.townsend@calhouncotx.orq Life's a journey, enjoy the ride!! -----Original Message ----- From: "Susan Riley" <susan.riley@calhouncotx.org> To: "Kenneth Finster" <kfinster@calhouncotx.org> Cc: "April Townsend"<april.townsend@calhouncotx.org>, "Judge Pfeifer " <mike.pfeifer@calhouncotx.org> Date: Thu, 5 Nov 2015 08:56:53 -0600 Subject: TxDot Approval of Waiver of Local Match Fund Kenny, I received in the mail the following: Approval of Waiver of Local Match Fund Participation on Federal Off -System Bridge Program Project for both River Rd.over Guadalupe River Road and Sikes Road over E. Coloma Creek. TxDot is requesting the Court authorize Judge Pfeifer to sign a formal written agreement for both Waivers. I need your approval to put these on the agenda for November 121h Please advise ASAP. Susan Susan Riley Administrative Assistant to Calhoun County Judge MichaelJ. Pfeifer and Commissioners' Court 361-553-4600 Phone 361-553-4444 Fax 1 ®Texas Department of Transportation 403 HUCK STREET I YOAKUM, TEXAS 77995-2973 1 (361) 293-4300 1 WWW.TXDOT.GOV October 22, 2015 County Calhoun CSJ 0913-19-033 Road/Street Sikes Rd over E Coloma Ck NBI Str. No. 13-029-0-AA01-54-001 SUBJECT: Approval of Waiver of Local Match Fund Participation on Federal Off -System Bridge Program Project Dear Judge Pfeifer: Subsequent to the request from your governing body dated October 12, 2015, and subject to compliance with all requirements of Texas Administrative Code, Title 43, Section 15.55(d), approval is granted for waiver of the local match fund participation requirement on the subject project. In order to complete this arrangement, it is now necessary that the attached formal written agreement be executed between the State and your governing body. If the agreement is acceptable, please execute both originals and return them to this office for final execution by the State. On final execution, one of the originals of the agreement will be returned to you for your files. Holly Fish eck, P.E. Yoakum District Bridge Engineer Attachments OUR GOALS MAINTAIN A SAFE SYSTEM • ADDRESS CONGESTION - CONNECT TEXAS COMMUNITIES • BEST IN CLASS STATE AGENCY An Equal Opportunity Employer STATE OF TEXAS COUNTY OF TRAVIS CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 _ Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development ADVANCE FUNDING AGREEMENT For Bridge Replacement or Rehabilitation Off the State System THIS Advance Funding Agreement (the Agreement) is made by and between the State of Texas, acting by and through the Texas Department of Transportation, called the "State", and the County of Calhoun, acting by and through its duly authorized officials, called the "Local Government." WITNESSETH WHEREAS, Title 23 United States Code Section 144 authorizes federal funds to assist the states in the replacement or rehabilitation of deficient bridges located on public highways, roads, and streets, including those under the jurisdiction of local governments; and WHEREAS, the Texas Transportation Code Sections 201.103 and 222.052 establish that the State shall plan and make policies for the construction of a comprehensive system of state highways and public roads in cooperation with local governments; and WHEREAS, the Local Government owns one or more bridges on a public road or street located at East Coloma Creek on Sikes Road, and this bridge is included in the currently approved off -state system federal -aid Highway Bridge Replacement and Rehabilitation Program (HBRRP) as authorized by Texas Transportation Commission Minute Order Number 114335, dated August 27, 2015; and WHEREAS, the Governing Body of the Local Government has approved entering into this Agreement by resolution or ordinance, which is attached to and made a part of this agreement as Attachment A for the development of the specific programmed replacement or rehabilitation project, called the "Project". The Project is identified in the location map shown as Attachment B, which is attached to and made a part of this agreement. NOW, THEREFORE, in consideration of the premises and of the mutual covenants and agreements of the parties, to be by them respectively kept and performed as set forth, it is agreed as follows: Bridge-Bridge_AFA Page 1 of 14 Revised 07/22/2015 Bridge Division CSJ It 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development AGREEMENT 1. Period of this Agreement This Agreement becomes effective when signed by the last party whose signing makes the Agreement fully executed. This Agreement shall remain in effect until terminated as provided in Article 2. 2. Termination of this Agreement This Agreement shall remain in effect until the Project is completed and accepted by all parties, unless: A. The Agreement is terminated in writing with the mutual consent of the parties; B. The Agreement is terminated by one party because of a breach, in which case any cost incurred because of the breach shall be paid by the breaching party; C. The Local Government elects not to develop the project and the project does not proceed, in which case the Local Government agrees to reimburse the State for one -hundred percent (100%) of its reasonable actual direct and indirect costs incurred for the project; or D. The project is inactive for thirty-six (36) months or longer and no expenditures have been charged against federal funds, in which case the State may at its discretion terminate the agreement. 3. Amendments Amendments to this Agreement may be made due to changes in the character of the work, the terms of the Agreement, or the responsibilities of the parties. Amendments shall be enacted through a mutually agreed upon written amendment executed by all parties to this Agreement. 4. Remedies This Agreement shall not be considered as specifying the exclusive remedy for any Agreement default, but all remedies existing at law and in equity may be availed of by either party to this Agreement and shall be cumulative. 5. Scope of Work The scope of work for this Agreement is the replacement or rehabilitation of the bridges identified in the recitals of this Agreement. This replacement or rehabilitation shall be accomplished in the manner described in the plans, specifications, and estimates developed in accordance with this Agreement and which are incorporated in this agreement by reference. Bridge-Bridge_AFA Page 2 of 14 Revised 07/22/2015 Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development 6. Right of Way and Real Property A. The Local Government is responsible for the provision and acquisition of all necessary right of way and will not be reimbursed with federal or state funds for the required right of way. B. The Local Government authorizes the State, its consultant, contractor, or other designated representative to enter the sites of these bridges and adjacent right of way or relocation right of way to perform surveys, inspections, construction, and other activities necessary to replace or rehabilitate these bridges and approaches. 7. Adjustment of Utilities The Local Government shall be responsible for the adjustment, removal, or relocation of utility facilities in accordance with applicable state laws, regulations, rules, policies, and procedures, including any cost to the State of a delay resulting from the Local Government's failure to ensure that utility facilities are adjusted, removed, or relocated before the scheduled beginning of construction. The Local Government will not be reimbursed with federal or state funds for the cost of required utility work. The Local Government must obtain advance approval for any variance from established procedures. Before a construction contract is let, the Local Government shall provide, at the State's request, a certification stating that the Local Government has completed the adjustment of all utilities that must be adjusted before construction is completed. 8. Environmental Assessment and Mitigation Development of the Project must comply with the National Environmental Policy Act and the National Historic Preservation Act of 1966, which require environmental clearance of federal -aid projects. A. The State is responsible for the identification and assessment of any environmental problems associated with the development of the Project governed by this Agreement. B. Cost participation in environmental assessment and remediation work shall be paid by the parties in the same ratio as construction costs and will be included in the construction costs identified in Attachment D, Estimate of Direct Costs. C. The State is responsible for providing any public meetings or public hearings required for development of the environmental assessment. D. The State will not begin construction of the Project until identified environmental problems have been remediated, unless provided for otherwise. 9. Compliance with Texas Accessibility Standards and ADA All parties to this Agreement shall ensure that the plans for and the construction of the Project subject to this Agreement are in compliance with the Texas Accessibility Bridge-Bridge_AFA Page 3 of 14 Revised 07/22/2015 Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development Standards (TAS) issued by the Texas Department of Licensing and Regulation, under the Architectural Barriers Act, Article 9102, Texas Civil Statutes. The TAS establishes minimum accessibility requirements to be consistent with minimum accessibility requirements of the. Americans with Disabilities Act (P.L. 101-336) (ADA). 10. Architectural and Engineering Services The State is responsible for performance of any required architectural or preliminary engineering work. The Local Government may review and comment on the work as required to accomplish the public purposes of the Local Government. The State will cooperate fully with the Local Government in accomplishing these local public purposes to the degree permitted by state and federal law. The Local Government review shall not unduly delay the development of the Project. 11. Construction Responsibilities A. The State shall advertise for construction bids, issue bid proposals, receive and tabulate the bids, and award and administer the contract for construction of the Project. Administration of the contract includes the responsibility for construction engineering and for issuance of any change orders, supplemental agreements, amendments, or additional work orders that may become necessary subsequent to the award of the construction contract. In order to ensure federal funding eligibility, projects must be authorized by the State prior to advertising for construction. B. Upon completion of the Project, the State will issue a "Notification of Completion" acknowledging the Project's construction completion. 12. Project Maintenance After the Project has been completed, the Local Government shall accept full ownership, and operate and maintain the facilities authorized by this Agreement for the benefit of and at no charge of toll to the public. This covenant shall survive the completion of construction under this Agreement. 13. Local Project Sources and Uses of Funds A. A Project Cost Estimate is provided in Attachment D, Estimate of Direct Costs. B. Attachment D provides a source of funds estimate as well as the estimated direct preliminary engineering, construction engineering, and construction costs for the Project in total and by the Local Government. C. The required Local Government participation is based solely upon the State's estimate of the eligible work at the time this Agreement is executed and will not be adjusted during construction except as needed to include any Project cost item or portion of a cost item ineligible for state or federal participation. In Bridge-Bridge_AFA Page 4 of 14 Revised 07/22/2015 Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development addition to its share of estimated direct engineering and construction costs, the Local Government is responsible for the direct cost of any project cost item or portion of a cost item that is not eligible for federal participation under the federal HBRRP. The Local Government is also responsible for any cost resulting from changes made at the request of the Local Government. The State and the Federal Government will not reimburse the Local Government for any work performed before federal spending authority is formally obligated to the Project by the Federal Highway Administration. After federal funds have been obligated, the State will send to the Local Government a copy of the formal documentation showing the obligation of funds including federal award information. D. If the Local Government will perform any work under this contract for which reimbursement will be provided by or through the State, the Local Government must complete training before federal spending authority is obligated. Training is complete when at least one individual who is working actively and directly on the Project successfully completes and receives a certificate for the course entitled Local Government Project Procedures Qualification for the Texas Department of Transportation. The Local Government shall provide the certificate of qualification to the State. The individual who receives the training certificate may be an employee of the Local Government or an employee of a firm that has been contracted by the Local Government to perform oversight of the Project. The State in its discretion may deny reimbursement if the Local Government has not designated a qualified individual to oversee the Project. E. After execution of this Agreement, but thirty (30) days prior to the performance of any work by the State, the Local Government shall remit to the State the amount specified in Attachment D for the Local Government's contribution for preliminary engineering. The Local Government will pay, at a minimum, its funding share for this estimated cost of preliminary engineering. F. Forty-five (45) days prior to the date set for receipt of the construction bids, the Local Government shall remit its remaining financial share for the State's estimated construction oversight and construction costs and any other costs owed. G. If, at the completion or termination of the Project, the State determines that additional funding is required by the Local Government, the State shall notify the Local Government in writing. The Local Government shall make payment to the State within thirty (30) days from receipt of the State's written notification. H. Whenever funds are paid by the Local Government to the State under this Agreement, the Local Government shall remit a check or warrant made payable to the "Texas Department of Transportation Trust Fund." The check or warrant shall be deposited by the State in an escrow account to be managed by the State. Funds in the escrow account may only be applied to the State Project. Bridge-Bridge—AFA Page 5 of 14 Revised 07/22/2015 Bridge Division CSJ # 0913-19-033 District # 13 —Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development 1. Upon completion of the Project, the State will perform an audit of the Project costs. Any funds due to the Local Government, the State, or the Federal Government will be promptly paid by the owing party. J. The State will not pay interest on any funds provided by the Local Government. K. The Local Government funding participation responsibilities include Project direct costs only, except when the Project is terminated before completion at the request of the Local Government as addressed in the Termination provision of this Agreement. L. The amounts shown on Attachment D are estimates only. If actual costs exceed the estimates, this shall be considered a fixed price agreement, and no additional funding shall be required of the Local Government except to the extent that the additional costs result from changes made at the request of the Local Government or to the extent that the additional costs are not eligible for federal participation under the federal HBRRP. If actual costs are less than the estimates, Local.Government participation shall be recalculated based on actual costs. If the recalculation results in a reduction in participation by the Local Government, the State shall pay the difference to the Local Government upon completion of the Project. M. Under the provisions of Texas Transportation Code Section 222.053 certain counties qualify as Economically Disadvantaged Counties (EDC) in comparison to other counties in the state as below average per capita property value, below average per capita income, and above average unemployment, for certain years. If applicable, in consideration of such EDC status that may be applicable for the Project, the required local match fund participation has been adjusted to five point two percent (5.2%). N. The State will not execute the contract for the construction of a Project until the required funding has been made available by the Local Government in accordance with this Agreement. O. The state auditor may conduct an audit or investigation of any entity receiving funds from the State directly under this contract or indirectly through a subcontract under this contract. Acceptance of funds directly under this contract or indirectly through a subcontract under this contract acts as acceptance of the authority of the state auditor, under the direction of the legislative audit committee, to conduct an audit or investigation in connection with those funds. An entity that is the subject of an\audit or investigation must provide the state auditor with access to any, information the state auditor considers relevant to the investigation or audit. P. The Local. Government is authorized to submit requests for reimbursement by submitting the original of an itemized invoice in a form and containing all items required by the State no more frequently than monthly, and no later than ninety (90) days after costs are incurrea. If the Local Government submits invoices Bridge-Bridge_AFA Page 6 of 14 Revised 07/22/2015 Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development more than ninety (90) days after the costs are incurred, and if federal funding is reduced as a result, the State shall have no responsibility to reimburse the Local Government for those costs. 14. Performance by Local Government of Equivalent -Match Projects (EMP) in Return for Waiver of Local Match Participation Funding on Participation - Waived Projects (PWP) A. Applicability. If a request for waiver has been received and approved by the State's District Engineer, then the required ten percent matching fund participation or percent as adjusted for EDC consideration, as shown in Attachment D, Estimate of Direct Costs, but excluding ineligible costs under the bridge program, is waived. This waiver is based on the commitment of the Local Government to spend an equivalent amount of funds for structural or safety improvement on "other" bridge structures and other conditions as specified in 43 TAC Section 15.55(d). If a waiver has been granted, the Project shall be defined to be a PWP and the work on the `other" bridge structures that will be improved by the Local Government shall be defined to be the EMPs. Attachment C to this Agreement shows a list of EMPs under this Agreement. B. Project Cost Estimate for PWP. Attachment D to this Agreement shows the estimated direct preliminary engineering, construction engineering, and construction costs for the PWP in total and local match fund participation being waived or partially waived. C. Credit Against EMP Work. Any local match fund participation that has already been paid, or which the Local Government is agreeable to paying to the State, will be credited against EMP work to be performed by the Local Government. If applicable, this credit will be reflected in Attachment D to this Agreement. D. Responsibilities of the Local Government on EMPs. 1. The Local Government shall be responsible for all engineering and construction, related costs, and compliance with all applicable state and federal environmental regulations and permitting requirements. 2. The structural or safety improvement work on the EMPs shall be performed subsequent to the final execution of this Agreement but within three (3) calendar years after the earliest contract award of the related PW Ps. 3. Written documentation, suitable for audit, of the structural or safety improvement work completed on the EMPs shall be kept on file by the Local Government for four (4) years after completion of work or claims, lawsuits, or audits related to those items, whichever is longer. A notice of completion of work on the EMPs shall be delivered to the State's District Engineer no later than thirty (30) calendar days after work is completed on the EMPs. Bridge-BridgeAFA Page 7 of 14 Revised 07/22/2015 Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development 4. Failure by the Local Government to adequately complete the EMPs within the stated three-year period shall result in the Local Government being excluded from receiving such waivers for a minimum of five (5) years. E. Funding of Ineligible or Additional Work Not Waived. Regardless of any waiver of eligible program costs, the Local Government shall pay the State one -hundred percent (100%) of the cost of any PWP item or portion of a cost item that is not eligible for federal or state participation, and one -hundred percent (100%) of the costs resulting from additional work on the PWP performed solely at the request. of the Local Government. If the ineligible or additional work is preliminary engineering, the payment shall be made at least thirty (30) days prior to the beginning of preliminary engineering work on the PWP. If the ineligible or additional work is for construction or construction engineering, the payment shall be made at least forty-five (45) days prior to the date set for receipt of bids for construction of the PWP. 15. Notices All notices to either party shall be delivered personally or sent by certified or U.S. mail, postage prepaid, addressed to that party at the following address: State: Director, Bridge Division Texas Department of Transportation 125 E. 11 h Street Austin, Texas 78701 Local Government: County of Calhoun Attn: County Judge 211 S. Ann St. Ste. 301 Port Lavaca, TX 77979 All notices shall be deemed given on the date delivered in person or deposited in the mail, unless otherwise provided by this agreement. Either party may change the above address by sending written notice of the change to the other party. Either party may request in writing that notices shall be delivered personally or by certified U.S. mail., and that request shall be carried out by the other party. 16. Legal Construction In case one or more of the provisions contained in this Agreement shall for any reason be held invalid, illegal, or unenforceable in any respect, such invalidity, illegality, or unenforceability shall not affect any other provisions and this Agreement shall be construed as if it did not contain the invalid, illegal, or unenforceable provision. Bridge -Bridge _AFA Page 8 of 14 Revised 07/22/2015 Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development 17. Responsibilities of the Parties The parties to this Agreement agree that no party is an agent, servant, or employee of the other party and each party agrees it is responsible for its individual acts and deeds as well as the acts and deeds of its contractors, employees, representatives, and agents. 18. Ownership of Documents Upon completion or termination of this Agreement, all documents prepared by the State shall remain the property of the State. All data prepared under this Agreement shall be made available to the State without restriction or limitation on their further use. All documents produced or approved or otherwise created by the Local Government shall be transmitted to the State in the form of photocopy reproduction on a monthly basis as required by the -State. The originals shall remain the property of the Local Government. At the request of the State, the Local Government shall submit any information required by the State in the format directed by the State. 19. Compliance with Laws The parties shall comply with all federal, state, and local laws, statutes, ordinances, rules and regulations, and the orders and decrees of any courts or administrative bodies or tribunals in any manner affecting the performance of this Agreement. When required, the Local Government shall furnish the State with satisfactory proof of this compliance. 20. Sole Agreement This Agreement constitutes the sole and only agreement between the parties and supersedes any prior understandings or written or oral agreements respecting the subject matter of this Agreement. 21. Office of Management and Budget (OMB) Cost Principles In order to be reimbursed with federal funds, the parties shall comply with the Cost Principles established in 2 CFR 200 that specify that all reimbursed costs are allowable, reasonable, and allocable to the Project. 22. Procurement and Property Management Standards The parties shall adhere to the procurement standards established in Title 49 CFR §18.36 and with the property management standard established in Title 49 CFR § 18.32. Bridge-Bridge_AFA Page 9 of 14 Revised 07/22/2015 Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development 23. Inspection of Books and Records The parties to the Agreement shall maintain all books, documents, papers, accounting records, and other documentation relating to costs incurred under this Agreement and shall make such materials available to the State, the Local Government, and, if federally funded, the Federal Highway Administration (FHWA) and the U.S. Office of the Inspector General, or their duly authorized representatives, for review and inspection at its office during the contract period and for four (4) years from the date of completion of work defined under this contract or until any impending litigation or claims are resolved. Additionally, the State, the Local Government, the FHWA, and their duly authorized representatives shall have access to all the governmental records that are directly applicable to this Agreement for the purpose of making audits, examinations, excerpts, and transcriptions. 24. Civil Rights Compliance The parties to this Agreement shall comply with the regulations of the U.S. Department of Transportation as they relate to nondiscrimination (49 CFR Part 21 and 23 CFR Part 200), and Executive Order 11246 titled "Equal Employment Opportunity," as amended by Executive Order 11375 and supplemented in the Department of Labor Regulations (41 CFR Part 60). 25. Disadvantaged Business Enterprise (DBE) Program Requirements A.. The parties shall comply with the Disadvantaged Business Enterprise Program requirements established in 49 CFR Part 26. B. The Local Government shall adopt, in its totality, the State's federally approved DBE program. C. The Local Government shall set an appropriate DBE goal consistent with the State's DBE guidelines and in consideration of the local market, project size, and nature of the goods or services to be acquired. The Local Government shall have final decision -making authority regarding the DBE goal and shall be responsible for documenting its actions. D. The Local Government shall follow all other parts of the State's DBE program referenced in TxDOT Form 2395, Memorandum of Understanding Regarding the Adoption of the Texas Department of Transportation's Federally -Approved Disadvantaged Business Enterprise by Entity and attachments found at web address http://ftp.dot.state.tx.us/pub/txdot-info/bop/­­dbe/mou/mou attachments.pdf. E. The Local Government shall not discriminate on the basis of race, color, national origin, or sex in the award and performance of any U.S. Department of Transportation (DOT) -assisted contract or in the administration of its DBE program or the requirements of 49 CFR Part 26. The Local Government shall take all necessary and reasonable steps under 49 CFR Part 26 to ensure non- Bridge-Bridge_AFA Page 10 of 14 Revised 07122/2015 Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development discrimination in award and administration of DOT -assisted contracts. The State's DBE program, as required by 49 CFR Part 26 and as approved by DOT, is incorporated by reference in this agreement. Implementation of this program is a legal obligation and failure to carry out its terms shall be treated as a violation of this agreement. Upon notification to the Local Government of its failure to carry out its approved program, the State may impose sanctions as provided for under 49 CFR Part 26 and may, in appropriate cases, refer the matter for enforcement under 18 U.S.C. 1001 and the Program Fraud Civil Remedies Act of 1986 (31 U.S.C. 3801 et seq.). F. Each contract the Local Government signs with a contractor (and each subcontract the prime contractor signs with a sub -contractor) must include the following assurance: The contractor, sub -recipient, or sub -contractor shall not discriminate on the basis of race, color, national origin, or sex in the performance of this contract. The contractor shall carry out applicable requirements of 49 CFR Part 26 in the award and administration of DOT -assisted contracts. Failure by the contractor to carry out these requirements is a material breach of this agreement, which may result in the termination of this agreement or such other remedy as the recipient deems appropriate. 26. Debarment Certifications The parties are prohibited from making any award at any tier to any party that is debarred or suspended or otherwise excluded from or ineligible for participation in Federal Assistance Programs under Executive Order 12549, "Debarment and Suspension" By executing this agreement, the Local Government certifies that it is not currently debarred, suspended, or otherwise excluded from or ineligible for participation in Federal Assistance Programs under Executive Order 12549 and further certifies that it will not do business with any party that is currently debarred, suspended, or otherwise excluded from or ineligible for participation in Federal Assistance Programs under Executive Order 12549. The parties to this contract shall require any party to a subcontract or purchase order awarded under this contract to certify its eligibility to receive Federal funds and, when requested by the State, to furnish a copy of the certification. 27. Lobbying Certification In executing this Agreement, each signatory certifies to the best of that signatory's knowledge and belief, that: A. No federal appropriated funds have been paid or will be paid by or on behalf of the parties to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of Bridge -Bridge _AFA Page 11 of 14 Revised 07/22/2015 Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. B. If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with federal contracts, grants, loans, or cooperative agreements, the signatory for the Local Government shall complete and submit the Federal Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. C. The parties shall require that the language of this certification be included in the award documents for all sub -awards at all tiers (including subcontracts, sub - grants, and contracts under grants, loans, and cooperative agreements) and all sub -recipients shall certify and disclose accordingly. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Title 31 U.S.C. §1352. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. 28. Federal Funding Accountability and Transparency Act Requirements A. Any recipient of funds under this agreement agrees to comply with the Federal Funding Accountability and Transparency Act (FFATA) and implementing regulations at 2 CFR Part 170, including Appendix A. This agreement is subject to the following award terms: http:llwww.qpo.qov/fdsys/pkq/FR-2010-09-14/pdf/2010- 22705.pdf and http://www.qpo.gov/fdsVs/pkq/FR-2010-09-14/pdf/2010-22706.pdf. B. The Local Government agrees that it shall: 1. Obtain and provide to the State, a Central Contracting Registry (CCR) number (Federal Acquisition Regulation, Part 4, Sub -part 4.1100) if this award provides for more than $25,000 in Federal funding. The CCR number may be obtained by visiting the CCR web -site whose address is: https:/lwww.sam.gov/portal/public/SAM/,' 2. Obtain and provide to the State a Data Universal Numbering System (DUNS) number, a unique nine -character number that allows the federal government to track the distribution of federal money. The DUNS number may be requested free of charge for all businesses and entities required to do so by visiting the Dun & Bradstreet (D&B) on-line registration website http://fedgov.dnb.com/webform; and 3. Report the total compensation and names of its top five (5) executives to the State if: i. More than 80% of annual gross revenues are from the Federal government, and those revenues are greater than $25,000,000; and Bridge-Bridge_AFA Page 12 of 14 Revised 07/22/2015 Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development ii. The compensation information is not already available through reporting to the U.S. Securities and Exchange Commission. 29. Successors and Assigns The State and the Local Government each binds itself, its successors, executors, assigns, and administrators to the other party to this Agreement and to the successors, executors, assigns, and administrators of such other party in respect to all covenants of this Agreement. 30. Local Government Restrictions In the case that the Local Government has an existing, future, or proposed local ordinance, commissioners court order, rule, policy, or other directive that is more restrictive than the state or federal regulations that results in an increase cost to the State for the project, the local government is responsible for all increased costs associated with the ordinance, order, policy, directive, or change. 31. Single Audit Report A. The parties shall comply with the requirements of the Single Audit Act of 1984, P.L. 98-502, ensuring that the single audit report includes the coverage stipulated in 2 CFR 200. B. If threshold expenditures are met during the Local Government's fiscal year, the Local Government must submit a Single Audit Report and Management Letter (if applicable) to TxDOT's Audit Office, 125 East 11th Street, Austin, TX 78701 or contact TxDOT's Audit Office at http://www.txdot.gov/inside- txdot/office/audit/contact.html. The expenditure threshold for fiscal years beginning prior to December 31, 2014 is $500,000; the expenditure threshold for fiscal years beginning on or after December 31, 2014 is $750,000. C. If expenditures are less than the threshold during the Local Government's fiscal year, the Local Government must submit a statement to TxDOT's Audit Office as follows: "We did not meet the $ expenditure threshold and therefore, are not required to have a single audit performed for FY " D. For each year the project remains open for federal funding expenditures, the Local Government will be responsible for filing a report or statement as described above. The required annual filing shall extend throughout the life of the agreement, unless otherwise amended or the project has been formally closed out and no charges have been incurred within the current fiscal year. 32. Signatory Warranty Each signatory warrants that the signatory has necessary authority to execute this agreement on behalf of the entity represented. Bridge-Bridge—AFA Page 13 of 14 Revised 07/22/2015 Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development THIS AGREEMENT IS EXECUTED by the State and the Local Government in duplicate. THE LOCAL G0 ERNMENT �/ Q signature Michael J. Pfeifer Typed or Printed Name Calhoun County Judge Title November 12, 2005 Date THE STATE OF TEXAS Gregg A. Freeby, P.E. Director, Bridge Division Texas Department of Transportation Date Bridge-Bridge_AFA Page 14 of 14 Revised 07/2212015 Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development ATTACHMENT A RESOLUTION OR ORDINANCE OF LOCAL GOVERNMENT RESOLUTION The State of Texas County of Calhoun WHEREAS, the federal off -system bridge program is administered by the Texas Department of Transportation (the State) to replace or rehabilitate structurally deficient and functionally obsolete (collectively referred to as deficient) bridges located on public roads and streets off the designated state highway system; and WHEREAS, Calhoun County, hereinafter referred to as the Local Government owns the folloting bridges: Located at East Coloma Creek on Sikes Road National Bridge Inventory (NBI) Structure Number 13-029-0-AAOI-54.001, Control -Section -Jab (CS.I) Number 0913-19.033; and Located at Guadalupe River on River Road National Bridge Inventory, (NBI) Structure Number 13.029.0-AA03-61-001, Control -Section -Job (CSJ) Number 0913-19.034; and WHEREAS, a project to remedy the bridges are included in the currently approved program of projects as authorind by Texas Transportation Commission Minute Order Number 114335 dated $$/27f15; and WHEREAS, the usual fund participation ratio for projects on such program is 80 percent federal, 10 percent state and 10 percent Local Government; and WHEREAS, Texas Administrative Cade, Title 43, Section 15.55(d) (43 TAC Section 15.55(d)) provides that under specified conditions the 10 percent Local Government match fund participation requirement may be waived with agreement by the Local Government to perform, or cause to be performed, an equivalent dollar amount of structural improvement work on other deficient bridges or deficient mainlane cross -drainage structures within its jurisdiction, such a project of structural improvement work being referred to as an "equivalent -match project'; and 4406q a WHEREAS, the estimated local mate�t fund participation requirement on the approved federal off -system bridge project is 03d0(dollars), hereinafter referred to as the "participation - waived" pmject, such participation requirement the Local Government proposes be waived and in return perform or cause to be performed equivalem-match project structural improvement work. TbIEREFORE, BE IT RESOLVED that the Local Government perform, or cause to be performed, the following equivalent -match project(s) in return for waiver of the local match fund participation requirement on the approved federal off -system bridge program (participation - waived) project not yet awarded: Bridge-Bridge_AFA Page 1 of 2 Attachment A Bridge Division LOCATION (and NBI ON SCHOOL structure identification BUS ROUTE? number, if applicable) Old Seadrift Hwy over Yes West Coloma Creek (NBI#: 13-029-0-AA01-32-001) CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development DESCRIPTION OF ESTIMATED STRUCTURAL COST IMPROVEMENT WORK Repair Bridge $76,750 BE IT FURTHER RESOLVED that in receiving this waiver the Local Government acknowledges its obligation to conform with all conditions of 43 TAC Section 15.55(d); such conditions that include but are not restricted to the following: 1. The Local Government must be currently in compliance with load posting and closure regulations as defined in National Bridge Inspection Standards under US Code of Federal Regulations, Title 23, Section 650.303. 2. The equivalent -match project work increases the load capacity of the existing bridge or other mainlane cross -drainage structure, or upgrades the structure to its original load capacity with a minimum upgrade to safely carry school bus loading if located on a school bus route. 3. In perfortning, or causing to be performed, the equivalent -match project(s), the Local Governnent assumes all responsibilities for engineering and construction, and complying with all applicable state and federal environmental regulations and permitting requirements for the structures being improved. 4. The work on the proposed equivalent -match project(s) has not begun and will not begin until the local match fund participation waiver approval process has been completed. 5. The Local Government will be allowed three years after the contract award of the participation -waived project to complete the structural improvement work on the equivalent - match project(s). 6. Should this waiver request be approved, an appropriate written agreement or amendment to a previously executed agreement will be executed between the State and Local Government. Approved this the 12t' day of October, 2015. „ Michael pfei� . aunty Judge County Caxnti—sioonereerss`; 0 �&z " 1414, 'o r C. Gal , Precinct No. 1 W is E. Fritsch, Pr t t No. 3 Alts Vern Lyssy, Precinct No. 2 Kenneth Finster, Precinct No. 4 Bridge-Bridge_AFA Page 2 of 2 Attachment A Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development . ATTACHMENT B PROJECT LOCATION MAP Bridge-Bridge_AFA Page 1 of 1 Attachment B Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.206 Not Research and Development ATTACHMENT C ** LIST OF DISTRICT ENGINEER APPROVED EQUIVALENT -MATCH PROJECTS Location (and structure identification number, if applicable) On School Bus Route? Yes/No) Historic Bridge? (Yes/No) Description of Structural or Safety Improvement Work Estimated Cost Old Seadrift Hwy over. West Coloma Creek (1.40 Mi S of SH 238) NBI#:13-029-AA01-32-001 Yes No Repair Bridge $76,750.00 Total $76,750.00 EMP work credited to this PWP* $21,840.00 Balance of EMP work available to associated PWPs $54,910.00 Associated PWPs CSJs Amount to be Credited to Associated PWPs 0913-19-034 $26,364.00 *This total should typically equal the "Balance of Local Government Participation" that is waived as shown in Attachment D. "This attachment not applicable for non-PWPs. Bridge-Bridge_AFA Page 1 of 1 Attachment C Bridge Division CSJ # 0913-19-033 District # 13 — Yoakum Code Chart 64 # 50029 Project: Sikes Rd over E. Coloma Ck NBI Structure # 13-029-0-AA01-54-001 Federal Highway Administration CFDA # 20.205 Not Research and Development ATTACHMENT D ESTIMATE OF DIRECT COSTS Preliminary Engineering (PE) Ten Percent (10%) or EDC Adjusted Percent of PE for Local Government Participation Construction Engineering and Contingency (E&C) The Sum of Construction and E&C Ten Percent (10%) or EDC Adjusted Percent of the Sum of Construction and E&C for Local Government Participation Amount of Advance Funds Paid by Local Government * Amount of Advance Funds to be Paid by Local Government * Balance of Local Government Participation which is to be Waived where the Project is a PWP Total Project Direct Cost Estimated Cost (1) $39,397.00 $346,000.00 $34,600.00 (2)$380,600.00 (1+2)$419,997.00 *Credited Against Local Government Participation Amount Local Government Participation (3) $ 2,049.00(5.2%) (4) $19,791.00(5.2%) (5) $0.00 (6) $0.00 (3+4-5-6) $21,840.00 If this Project is to be a PWP, Amount of EMP Work Being Credited to this PWP as Shown on Attachment C. $21 840.00 Bridge-Bridge_AFA Page 1 of 1 Attachment. D Bridge Division BALLOT FOR THE SELECTION OF THE (5) FIVE MEMBER CALHOUN COUNTY APPRAISAL DISTRICT BOARD OF DIRECTORS, AND AUTHORIZE COUNTY JUDGE TO SIGN RESOLUTION: Commissioner Galvan made a motion to cast all five votes in the name of Vern Lyssy. Commissioner Finster seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY APPRAISAL DISTRICT 426 West Main Street P.O. Box 49 Port Lavaca, Texas 77979 October 26, 2015 Honorable Michael Pfeifer, County Judge Calhoun County 211 S. Ann St. Port Lavaca, TX 77979 Dear Judge Pfeifer: CONSOLIDATED APPRAISAL AND TAX SERVICES Appraisal: (361) 552-8808 Collections: (361) 552-4560 Fax: (361)552-4787 Web: www.calbouncarl.org s ; 1. f J I.: � p €b i Enclosed is the ballot for the selection of the (5) five member Calhoun County Appraisal District Board of Directors. I have also enclosed a vote allocation and a resolution form for your convenience. All votes may be cast for (1) one candidate or distributed among the candidates listed on the ballot. It should be noted that it takes 834 votes to elect a Director. Please comply with the following: ♦ The votes must be cast by written resolution. ♦ A copy of the resolution must accompany the completed ballot. ♦ Return the completed ballot and resolution before December 15, 2015. Before December 31, 2015 I will count the votes, declare the five (5) candidates receiving the largest cumulative vote totals as selected to the Board and submit the results to the governing body of each taxing unit in the District and to the candidates. Please let me know should you have any questions. Sincerely, Jesse W. Hubbell Chief Appraiser JWH/med Enclosures cc: Commissioner Roger Galvan Commissioner Vem Lyssy Calhoun County Commissioner —Pet.I Calhoun County Commissioner —Pct. 2 2213 Vail St., Port Lavaca, TX 77979 5812 FM 1090, Port Lavaca, TX 77979 Commissioner Neil E. Fritsch Commissioner Kenneth Finster Calhoun County Commissioner —Pct. 3 Calhoun County Commissioner — Pet. 4 24627 ST HWY 172, Port Lavaca, TX 77979 P. O. Box 177, Seadrift, TX 77983 A RESOLUTION OF CALHOUN COUNTY VOTING IN THE ELECTION OF MEMBERS OF THE BOARD OF DIRECTORS OF THE CALHOUN COUNTY APPRAISAL DISTRICT 2016 - 2017 RESOLUTION No. WHEREAS, this is selection year for the Board of Directors of the Calhoun County Appraisal District; and WHEREAS, the Board of Directors consists of five members who serve two- year terms, beginning January 1, 2016 through December 31, 2017;and WHEREAS, CALHOUN COUNTY is a voting unit entitled to vote for up to five candidates from a ballot submitted by the Calhoun County Appraisal District, if so desired. NOW THEREFORE, BE IT RESOLVED BY THE PRESIDING BODY OF THIS VOTING UNIT, THAT: The number of votes cast for the candidate(s), as exhibited in the attached ballot, be submitted by the CALHOUN COUNTY COMMISSIONERS COURT to the Calhoun County Appraisal District. PASSED AND APPROVED by the CALHOUN COUNTY COMMISSIONERS COURT this 12 day of November , 2015. Presiding Officer ATTEST: Anna Goodman, County Clerk Cj_ �a.i.c Xl wn... pwe ' Signature and Title By: Tosie Sampson, Deputy Clerk CALHOUN COUNTY APRAISAL DISTRICT 2016 — 2017 BOARD OF DIRECTORS SELECTION Calhoun County Ballot Calhoun County has a total of 1267 votes. Votes can be all for one candidate or split among several candidates. A total of 834 votes is needed by any one candidate to assure selection to the Board of Directors. Only five candidates will be selected to serve on the Board. CANDIDATES Number of votes BARR, KEN BAUER, WILLIAM DELAGARZA, LUIS FALCON,GREGORY GAINES, ELDON HILL, KEVIN LYSSY, VERN 1267 RODRIGUEZ, JESSIE SCHULTE, TOMMY SWOPE, WILLIAM 74 I 0 m N o N N E >0 7 Z L i V1 V) V1 V1 V) 4 E 0 0 7 L Z Q 0 I+ M L V1 M N a\ V V1 00 d d d M �casE z NNOz Lf L O O O O O O O O O O to 0) O O O O O L 0 3 a c� m l� N 7 rt � rr b d- 00 C VM1 00 O O N L �o O N C O O O O IL = 00 N 00 N 00 N 00 N 00 N 00 N 0> m M M M M M 0 I�s En GOS 4vs Gn COS C �o V, m O �00 C) 00 >> 00 CD rq o 00 m M W) GS I�q 91) ros U LL c > O Q L.L U � F— po Z F a U) a LL LL LL p Z 0 0 O CO p } } U O _ U U U U U INSURANCE SETTLEMENT FROM TEXAS ASSOCIATION OF COUNTIES IN THE AMOUNT OF $4,511.82 FOR DAMAGE TO A 2010 DODGE RAM (SHERIFF OFFICE VEHICLE) FROM AN ENCOUNTER WITH A DEER ON SEPTEMBER 23, 2015: Commissioner Finster made a motion to accept insurance settlement from Texas Association of Counties in the amount of $4,511.82 for damage to a 2010 Dodge Ram (Sheriff Office vehicle) from an encounter with a deer on September 23, 2015. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Susan Riley From: Candice Villarreal <candice.villarreal@calhouncotx.org> Sent: Friday, October 23, 2015 11:30 AM To: susan.riley@c,,alhouncotx.org Cc: michael. pfeifer, Roger Gaivan; vern.lyssy@calhouncotx.org; neil.fritsch@calhouncotx.org; Kenny Finster Subject: Insurance Settlement Agenda Item Attachments: TAC check - 2010 Dodge Ram Claim.pdf; 092315 Incident Report.pdf; Adjuster Report.pdf Susan, Please add the following agenda item for the next Commissioners Court. Consider and take necessary action on insurance settlement from Texas Association of Counties in the amount of $4,511.82 for damage to a 2010 Dodge Ram (Sheriff Office vehicle) from an encounter with a deer on September 23, 2015. Thank you, Candice Villarreal Calhoun County Auditors Office Phone:(361)553-4612 Fax, (361) 553-4614 candiee. villarreal @calhouncotx.ora TEXAS ASSOCIATION OF COUNTIES r CNE,CIGDATE, CHg,CKNO.- RISK MANAGEMENT POOL -CLAIMS 17084 10/12/2015 17084 10/12/2015 10/12/2015 APD20158673-1 For repairs of a 2010 Dodge Ram; VIN: 9968 APD20158573-1 Deductible $7,011.82 $-2,500.00 / FROSTBANK 17084 t p a TEXAS ASSOCIATION OF COUNTIES t o z 'RISK MANAGEMENT POOL -CLAIMS 1210 SAN ANTONIO STREET �f 30-9m40 g # * AUSTIN, TX 78701 T; �. c' (512) 478-8753 C°uat. 'DATE -- AMOUNT -.10/12/2015 $ 4,511.82 , i PAY FOUR THOUSAND FNE HUNDRED ELEVEN AND 82 / 100 DOLLARS _ VOIDA 180 DAYS �: TO THE Calhoun County .ORDER OF. 202 S Ann St, Ste B Port Lavaca, TX 77978-4204 TEXAS ASSOCIATION OF COUNTIES RISK MANAGEMENT POOL -CLAIMS Calhoun County 202 S Ann St, Ste B Port Lavaca, TX 77979A204 17084 TO REORDER CALL (706)327-9550 W14SF001014M 10114 Review Results: Passed Owner: Calhoun County Sheriffs Office, Claim #APD-CALHOUN-9968 Page 1 of 1 Vehicle: 2010 Dodge, Pickup R1500 Profile: 1 PDA Standard Version: 26 Estimate lines Line Severity Description Estimate lines Passed Profile (rates, taxes, amounts) Line Severity Description Profile items Passed Administrative Information Line Severity Description Admin items Passed Compliance Utility Version 4.3.0.12 Actual Guideline Override Notes Actual Guideline Override Notes Actual Guideline Override Notes Date: 10/ 8/2015 04:10 PM Estimate ID: 8755100022 Estimate Version: 0 Committed Profile ID: 'Mitchell This is not an authorization for repair. All costs of repairs are the sole responsibility of the vehicle owner, who must authorize all repairs. Failure to deliver a copy of this appraisal to the repair shop by the vehicle owner may result in out of pocket expense to the vehicle owner. Providing a copy of this appraisal is not an acceptance of coverage or liability and all issues of coverage or liability are to be determined by the insurance carrier. Deductibles may or may not be addressed or included in this appraisal. If applicable, the repairer should collect the deductible from the vehicle owner prior to the release of the repaired vehicle. ********************Supplement Procedure Notice *************** It is the repairer's responsibility to send notification of the supplement via fax or email to PDA (at 361-582-0044 or pdavictoria@pdaorg.net including a statement of whether repairs have been halted on the vehicle. PDA will respond within 24 hours This appraisal is subject to the complete review and approval by the assigning insurance company to assure accuracy, cost effectiveness, and that accepted industry repair standards are met. The insurance company list ed has the right to accept or reject any part or all of this appraisal or make any changes they feel necessary. Fraud- Any person who knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. AM PARTS- THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF AFTERMARKET CRASH PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. THE AFTERMARKET CRASH PARTS USED IN THE PREPARATION OF THIS ESTIMATE ARE WARRANTED BY THE MANUFACTURE: OR DISTRIBUTOR OF SUCH PARTS RATHER THAN THE MANUFACTURER OF YOUR VEHICLE. ESTIMATE RECALL NUMBER: 10/08/201516:10:18 8755100022 Mitchell Data Version: OEM: AUG_15 V MAPP:AUG_15_V Copyright (C)1994- 2015 Mitchell International Page 4 of 4 SoftwareVersion: 7A.180 All Rights Reserved Date: 10/ 812015 04:10 PM Estimate ID: 8755100022 Estimate Version: 0 Committed Profile ID: 'Mitchell Estimate Totals Addl Labor Sublet I. Labor Subtotals Units Rate Amount Amount Totals 11. Part Replacement Summary Amount Body 21.3 44.00 0.00 0.00 937.20 Taxable Parts 4,200.65 Refinish 14.1 44.00 0.00 0.00 620A0 Mechanical 2.5 75.00 0.00 0.00 187.50 Non -Taxable Parts 575.07 Non -Taxable Labor 1,745.10 Total Replacement Parts Amount 4,775.72 Labor Summary 37.9 1,745.10 III. Additional Costs Amount IV. Adjustments Amount Taxable Costs 487.50 Insurance Deductible 0.00 Non -Taxable Costs 3.50 Customer Responsibility 0.00 Total Additional Costs 491.00 Paint Material Method: Rates Inil Rate = 32.00 , Init Max Hours = 99.9, Add[ Rate = 0.00 I. Total Labor: 1,746.10 It. Total Replacement Parts: 4,775.72 III. Total Additional Costs: 491.00 Gross Total: 7,011.82 IV. Total Adjustments: 0.00 Net Total: 7,011.82 THIS ESTIMATE HAS BEEN PREPARED BASED ON THE USE OF,REPLACEMENT PARTS SUPPLIED BY A SOURCE OTHER THAN THE MANUFACTURER OF YOUR MOTOR VEHICLE. WARRANTIES APPLICABLE TO THESE REPLACEMENT PARTS ARE PROVIDED BY THE MANUFACTURER OR DISTRIBUTOR OF THESE PARTS RATHER THAN THE MANUFACTURER OF YOUR VEHICLE. Point(s) of Impact 1 Right Front Corner (P) Insurance Co: TEXAS ASSOCIATION OF COUNTIES Address: 1204 SAN ANTONIO AUSTIN, TX 78701 Inspection Site: CALHOUN COUNTY SHERIFF OFFICE Address: 211 ANN ST PORT LAVACA, TX 77979 (361)553-4653 Inspection Date: 10/8/2015 Body Shop: Calhoun County Sheriffs Department Address: 211 S. Ann St. Port Lavaca, TX 77979 Telephone: (361) 553-4653 ESTIMATE RECALL NUMBER: 10/08/201516:10:18 8755100022 Mitchell Data Version: OEM: AUG_15 V MAPP:AUG_15_V Copyright (C) 1994- 2015 Mitchell International Page 3 of 4 Software Version: 7.1.180 All Rights Reserved Date: to/ 8/2015 04:10 PM Estimate ID: 8755100022 Estimate Version: 0 Committed ProflelD: 'Mitchell 12 AUTO BOY REMOVE/INSTALL Grille Assy INC # 13 936003 ADD'L COST Coolant 12.50' 14 101943 BOY REMOVE/REPLACE Cooling Radiator Support(Com) 68050996AE 895.00 6.4 # 15 AUTO MCH REMOVE/REPLACE Add To R&R Mechanical Components -M 1.1 # 16 102325 BDY REMOVE/REPLACE R Cooling Headlamp Bracket 6822282BAB 153.00 INC 17 102244 BDY REMOVEIREPLACE R Cooling Side Rail 68095932AG 240.00 4.5 If 18 AUTO REF REFINISH RSide Rail 1.0 19 101948 BDY REMOVE/REPLACE Cooling Radiator *' QUAIL REPL PART 268.00 INC 20 101977 BDY REMOVE/REPLACE Cooling Recovery Tank 68050749AA 39.20 INC If 21 101576 MCH REMOVE/REPLACE A/C Condenser/Trans Cooler -M "DUAL REPL PART 168.00 INC # 22 AUTO MCH REMOVE/REPLACE Evacuate & Recharge A/C -M 1.4 23 100738 BDY REMOVE/REPLACE RFender Panel "Non Oem 261.00 1.0 # 24 AUTO REF REFINISH R Fender Outside C 1.8 25 AUTO REF REFINISH R Add To Edge Fender C 0.5 26 100740 BDY REMOVE/REPLACE R Fender Reinforcement 55372838AD 16.25 0.1 27 103521 BDY REMOVE/REPLACE R Fender Mount Pad 68054203AB 25.20 28 100742 BDY REMOVE/REPLACE RFender Liner `*QUAL REPL PART 43.00 INC 29 101310 MCH REMOVE/REPLACE Steering Cooler -M 55056800AE 152.00 INC 30 100630 BDY REMOVE/REPLACE R Cab Extension 55112258AA 101.00 1.0 31 100241 BDY REPAIR R Frt Door Repair Panel Existing 4.0'# 32 AUTO REF REFINISH RFrt Door Outside C 2.4 33 100561 BDY REMOVE/INSTALL R Frt Olr Belt Moulding 0.2 34 100565 BDY REMOVE/INSTALL R Frt Rear View Mirror 0.3 # 35 100567 BDY REMOVE/INSTALL R Frt Door Trim Panel INC 36 100590 BDY REMOVE/INSTALL R Frt Our Dow Handle 0.7 # 37 936012 ADD'L COST Hazardous Waste Disposal 3.50 ' 38 936018 ADDT COST R134A Freon & Oil 25.00 ' 39 900500 BDY' REMOVE/REPLACE Decal Kit-Eclipes Enterprise$460.06+25 Sublet 575.07* 0.0` 40 AUTO REF ADD'L OPR Clear Coal 2.4 41 AUTO ADDT COST Paint'Malerials 450.00 ' * - Judgment Item # - Labor Note Applies ** Non Oem - Quality Replacement Parts - Certified ** QUAL REPL PART - Quality Replacement Parts C - Included in Clear Coat Cato KEYSTONE -INS QUALITY PRT 11011 BLUFF BEND DR. AUSTIN TX 78753 (800)580-8989 (512)339-3001 2 "CH1002387R 451.00 3 "CH1o141011p 200.00 5 "CH1200326 490.00 6 "CH251913SR 231.00 8 "CH1230275C 405.00 19 " RAD13129 268.00 21 "CND3878 168.00 23 " CH1241269C 261.00 28 " CH1249152 43.00 Remarks VEHICLE REPAIRABLE ESTIMATE RECALL NUMBER: 10108/201516:10:18 8755100022 Mitchell Data Version: OEM: AUG 15 V MAPP:AUG_15_V Copyright (C) 1994-2015 Mitchell international Page 2 of 4 SoftwareVersion: 7. Li80 All Rights Reserved Date: Estimate ID: Estimate Version: Committed Profile ID: PROPERTY DAMAGE APPRAISERS (PDA) THIS IS NOT AN AUTHORIZATION OF REPAIR. READ DISCLAIMERS FOLLOWING APPRAISAL CALCULATIONS PDA VICTORIA, TX PO BOX 3894, VICTORIA, TX 77903 361-582-4732 Fax 361-582-0044 pdavictoria@pdaorg.net Damage Assessed By: RUDY LLANES Classification: Field Condition Code: Good Date of Loss: 9/23/2015 Contact Date: 10/7/2015 Deductible: 0.00 File Number: 8755100022 Claim Number: APD-CALHOUN-9968 Insured: Calhoun County Sheriffs Office Owner: Calhoun County Sheriffs Office Address: 211 S. Ann St, Port Lavaca, TX 77979 Telephone: Work Phone: (361)553-4653 Appraised For: Gloria Bryfogle Type of Loss: Collision Accident Data. 9/23/2015 Mitchell Service: 911142 Description: 2010 Dodge Pickup R1500 SLT Vehicle Production Date: 3/10 Body Style: 4D PkupQua 6' Bed 14V' W B Drive Train: 4.71- inj 8 Cyl 2W D VIN: 1D7RB1GP1AS199968 License: 117 9633 TX Mileage: 129,466 OEM/ALT: A Search Code: 875 Color: WHITE Options: PASSENGER AIRBAG, POWER LOCK, POWER WINDOW, POWER STEERING, AIR CONDITIONING CRUISE CONTROL, TILT STEERING COLUMN, AM/FM STEREO, DRIVER AIRBAG HEATED EXTERIOR MIRROR, FRONT SIDE AIRBAG WITH HEAD PROTECTION SLIDING REAR PICKUP WINDOW, ANTI -LOCK BRAKE SYS., TRACTION CONTROL ALUM/ALLOY WHEELS, TIRE INFLATION/PRESSURE MONITOR, AUXILIARY INPUT SATELLITE RADIO, CD PLAYER, POWER ADJUSTABLE EXTERIOR MIRROR, PRIVACY GLASS TRIP COMPUTER, CLOTH SEAT, SIDE AIRBAGS, AUTOMATIC HEADLIGHTS SECOND ROW SIDE AIRBAG WITH HEAD PROTECTION, MP3 PLAYER ELECTRONIC STABILITY CONTROL, KEYLESS ENTRY SYSTEM, REAR BENCH SEAT 10I 8/2015 04:10 PM 8756100022 0 Mitchell Line Item Entry Number Labor Type Operation Line item Description Part Type/ Part Number Dollar Amount Labor Units 1 AUTO BOY OVERHAUL Fri Bumper Cover Assy 1.2 # 2 100820 BDY REMOVE/REPLACE Fri Bumper Cover Remanufaclured 451.00 INC # 3 101849 BDY REMOVE/REPLACE Fri Upr Bumper Cover Remanufactured 200.00 0.2 # 4 AUTO REF REFINISH Fri Upr Bumper Cover C 1.2 5 101854 BDY REMOVE/REPLACE Grille Assembly "DUAL REPL PART 490.00 INC # 6 101123 BDY REMOVE/REPLACE R Fri Combination Lamp Remanufaclured 231.00 INC # 7 AUTO BDY CHECKIADJUST Headlemps 0.4 8 101353 BDY REMOVEIREPLACE Hood Panel (Alum) "QUAL REPL PART 405.00 1.3 9 AUTO REF REFINISH Hood Outside C 3.2 10 AUTO REF REFINISH Add For Hood Underside C 1.6 11 103467 BDY REMOVEIREPLACE Hood Latch 4589528AB 02.00 INC # ESTIMATE RECALL NUMBER: 10108/201516:10:18 8755100022 Mitchell Data Version: OEM: AUG 15 V MAPP:AUG 15_V Copyright (C) 1994 -2015 Mitchell International Page 1 of 4 Software Version: 7.1.180 All Rights Reserved Page 3 of 3 Like, Kind, and Quality (LKQ) Searches: /UlitTi&M Name Phone Website KEYOON' bls QUALITY PRT $pbZ580-&989 LKQ.CQM' Copyright 3013 by Properly Damage press I.rs lncorporated. This program, including style and fomat, Is protected by Copyright and all rights are reserved. The use oft his program is siddly prohibited W Ith.A the ymaten consent and permission of Property Damage Appraisers, Inc. Page 2 of 3 Copyright 2013 by Property Damage AmmIcars Inmrpoated. This program, in duding style and format, is protected by Copyright and all rights are reserved. The use of this program Is strl<U, prohibited withootthe written consent and permission of Property Damage Apo rapers, Inc. Page 1 of 3 DA ra P p RODEG TV DOIM05 E: App k1115ep5 Condition Report Date: 10/8/2015 Property Condition: Repairable Assignment Number 875-510-0022 Office: PDAVictoria, TX #875 PO Box 3894 Insurance Company: Victoria, TX 77903-3894 TEXAS ASSOCIATION OF Phone: (361) 582-4732 COUNTIES Fax: (361) 582-0044 Adjuster: Gloria Bryfogle Vehicle/Owner Information: Insured: Calhoun County Sheriff's Office Vehicle: 2010 Dodge Ram VIN #: 1D7RB1GP1AS199968 Loss Recap for 45.68 Assignment Received: 10/6/2015 I -, Date of Loss: 9/23/2015 i Date of First Contact: 10/7/2015 Date of Inspection: 10/812015 1 1 None Specified 211 Loss Recap Estimated Amount of Open Damages: $0.00 Recommendation: Repairable Claim#: APD-CALHOUN-9968 Estimated Salvage Value: $0.00 Primary Damage: Right Front Corner Secondary Damage: None POIICv #: Repair Facility Estimate Amount: $0.00 Damage Appraisal: $7,011.82 Agreed Scope of Damage: Yes Betterment/Depreclation: No Tow Charges: $0.00 Direction to Pay: No Days to Repair: 12 Applicable: Storage Rate Per Day Total: N/A Drivable: No Appearance Allowance: No Reason: rCondition Summary. Interior: Good Engine: 4.7 Special Equipment: I' Paint: Good ; Mileage: 129466 Approx Cost of Special Equipment: $0.00 Tire Information: Tread Depth; la emml Prior Damages: Related: None - $0.00 Unrelated: Yes - $0.00 Estimate Released to vehicle is rt vehicle was ownerwas, market or n LF:121RF: 12 -"Size: 265/65R18 LR:12 RR: 12 ' Type: RADIAL Spare:0 Items it the time of inspection, tured parts were found and used as listed on the written for visible damage only. zof days to+repair is [12 number of days] Comments: Copyright2013 by Property Damage Appraisers Incorporated. This program, moo ding style and format, is protected by Copyright and all rights are remrced. The use of this pmgmm is strictly prohibited wither the written consent and permission of Property Damage Appralsers, Inc. - . ' •> (The instructions for complettng'this fomi.are`on the back of Copp 31. BC Name Ae<t, �'.'..U\J a,p .el � ,(Print) FAzYmployee -(F1rst,M.L, Last)EmployeeIDNo)Mr Name ....'. .1:%..-. 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TestfagDeviceNume: .-Device Serialll aLot#&1 W;uafe Aettvatfon Time' ead(a e.• 'Resale '`CQNi'IRMATIONTESM,Resutts.7MPba aftizedto eacA cop -of thlsfgnn arprii(ad .directiy'onlo'ttlef_orm:' .REtldelRTfS: . monal Medical Center @ aooratoq AI 9hol Technician's Camp ,any ` Compa' a 4. �� �eF ne .(PhIIVT)AlcghbRTkchnicfan'sNam¢(F.irat;ML; Last) COMA, '• :5 �` �„��Q Ph... Number (Aread npl¢�� Man tt 'eofAl ohollbchWcimd' Date B{' MMonth 1(/ Day •/. Yeat• STEP 4i TO'BE COMPLETED BY EMPLOYEE I , TESTRESum IS POSITIVI+;' I -certify that I have submitted to the alcohol test, the results of which are accurately recorded on tlds'form,' f I understand that T must -not .tlrfve,perform safetysensitive•duties, or operate henvy equipmentbecayse the results are positiva, Slgoatme ofEmployee • Date ,Mdnfh. / Day / Year, COPY qq 55 4A�u�q �q r r ,\'tf� • . 4S?' Rev. 1MI I i• + rc- a ,y a a , l 0 t�. , I e. a � i � Pf j 151 I tP. , 0 a a � a i � e , to ; i ------------------ !�_''. di3t,Ti 't.,) f FR'i?i[3;ii i':ie� i;t :'riryL: „. � �•+ f 1 CHAIN OF CUSTODY FORM 8171F01MEN 10 NO. 099930 Us ACCESSION NO, STEP 1: TO BE COMPLETED BY COLLECTOR OR EMPLOYER REPRESENTATIVE A. Employer Name, Address and I.D. Nd. B. MRO Name, Address, Phone and Fax No. 1; S 4 Donor SSN or Employee I.D. No. Reason for Test: El Pre -Employment El Random El Reasonable Suspicion/Cause •Post Accident 0 Periodic 0 Other jWleotlon Site Address: Collector Phone No,'.": Donor Idnnilfirminn V.,Ifiad Phr photo I n M C-1-- Collector Colloottor Fax No. vzp, Read specimen temperature within 4 minutes. Is temperature between go- and I 00-F?AYes E]No, Enter Remark Below Split Specimen ColleoflonElYes ONO STEP 3: TO BE COMPLETED BY COLLECTOR AND DONOR - Collector affixes bottle seals) to bottk)(S). Collector dates senile), Donor Initials seal(s). STEP 4: TO BE COMPLETED BY COLLECTOR AND DONOR G. Daytime Phone No. d4l)gSl) -"700 Evening Phone No, OW) 5rV1-?VW1 Date of BirtHeOL-1—S-1—Mo H. TEST(S) REQUESTED BY EMPLOYER: .1 COPY 5 - DONOR COPY - GREEN %5-45-yo CONFIDENTIAL SUPPLEMENT NARRATIVE PAGE# INCIDENTNUMER SUPP# INCIDENT DATE INCIDENT TIME CASE STATUS 0:22 ) CE - k2)Deputy VI eAlt SUPPLEMENT TIME SUPPLEMENTING OFFICER 09/23/2015 3:24 1928 Daty Daniel Miller ; September 23rd 2015 at approximately 00:22 AM, Deputy Daniel Miller was dispatched to S reet in Seadrift per EMS. Miller asked dispatch'what the call was in reference to and was advised by dispatch aMS requested a Deputy. 3) Deputy Miller was at'Speedy Stop in Port o' Connor. 4) Deputy Miller left Speedy Stop in route to Seadrift on SH 185 West and had just pasted Tiggrett Reality approximately 200 feet or so when a sanbar deer ran in front of his unit. 5) Deputy Miller could not avoid hitting the deer and struck the deer head on, 6) Deputy Miller was not running code to the call in Seadrift because he did not know the purpose of the request for a Deputy. 7) Deputy Miller did not know the speed he was traveling at the time of impact with the deer. 8) Deputy Miller advised dispatch he was involved in a crash with a deer and to have the fire dept. respond because smoke and steam were emitting from under the hood of his vehicle. 9) Port O'Connor fire dept. arrived on scene and advised Deputy Miller the smoke was from the battery shorting out from the impact, 10) OIC Deputy Lapham arrived on scene and contacted Lt. Hinojosa. 11) Deputy Miller contacted the Sheriff and advised him of the accident. 12) DPS 6629 heard Deputy Miller advise dispatch of the accident and he responded to the scene and took the report. 13) The vehicle was towed by Coby's Wrecker Service to the Calhoun County Sheriff's office parking lot and parked beside unit 24. 14) Deputy Lapham took Deputy Miller to the Memorial Medical Center were he was administered the alcohol and collection tests. %S"-06W CONTINUATION PAGE 15-0640 1 Deputy Daniel Miller 1 1928 1 COUNTY, Others Involved Other NAME: Last, First, Middle S ®(NI)Male AGE: 50 PACE: Lapham, Nathan ❑ (F) Female ❑(U)Uok, r7 (CO) Unknown R (W) While rj(9)Black ❑ (1) American lndidn ❑ (A) ASIaNPacUlc Islander PESIDENTAmilms; street City slate Tip PESIDENTPHONE EMPLOYT.PHONE (ln Unknown CONFIDENTIAL SUPPLEMENT PAGE# 4 GATE 09/231MS INCIDENTNUMDER REPORTING OFFICER 1 Deputy Daniel Miller CODE# 1928 VICTIM NAME COUNTY, CALHOUN Yr I NRESIDENTADORESS: E �r S E S NAME: Last, Met, Middle Street City Slate Zip NAME: Last, First, Middle RESIDENTADDRESS: Street City Stele Zip SEX: [((U)Unk. ❑ (M) Meta NFomala RESIDENT PHONE SEX: ❑ (U) Unk (MJ Melale (FJFema10 RESIDENTPHONE GE: RACE �� rlcan i�ndjapDleck ❑(A)AsianlPacllic slantlar RACE (t� Unk [3 ��merlcanllodian8laek ❑(A) Asian/Pocillc Islander (00)U ❑nMovm EMPL. PHONE QC1F,y ❑(0o)Unlmovm EMPL. PHONE NARRATIVE; Caller Statement: 1928 HIT A DEER RESPONDING TO A CALL IN SEADRIFT ANM1971 - 2015-09-23 00:27:20 794 ADVISED THAT WE CAN 10-22 PLED ANM1971 - 2015-09-23 01:05:25 SEND THE NEXT AVAILABLE 51 PER 1928 ANM1971 - 2015-09-23 01:07:15 CODYS WILL BE ENROUTE PER TCO DRAKE INCIDFNT, REPORT ES DATE INCIOENTA REPORTING OFFICER i CODEH VICTIMNAME 09/2312015 15.0540 Deputy Daniel Miller 1928 COUNTYCALHOUN MAKE MODEL STYLE VIN LICENSE NUMBER STATE Dodge Ram 1600 I1D7RB1GP1A519996D D TX 'S NAME AOORES6NTY, CALHOUN 214 S ANN ST, Port Lavaca, TX 77979 UD COLOR SECONDCOLOR DISPOSITION OF RECOVERY: ❑(Qimpounded O(R) ReleasedTo Owner FID MAKE MODEL STYLE VIN LICENSE NUMBER STATE 'S NAME AOD�119 LID COLOR SECONDCOLORIDI5pOS1TI0N OF RECOVERY:(I)impcunded O(R)Releas.d To Owner DE P. LOSS P, DES, QTY. DESCRIPTIONProdude serial number, he ke, model, primary color) OWNER ITEMVALUE RECOV. DATE 1 77 1 copy of alcohol test 1 77 1 copy of collection test 90Z 1 77 3 Cal) Sheets y 2015023765 I 1 27 1 Recordings-Audio/Visual; MK:1928 Body Cam W90Z ® 90Z 1 27 1 Recordings-AudloNisual; M4C:1928 Body Cam is4 i 90Z 1 77 29 photographs 90Z 1 27 1 Recordings-AudloNisua(; MK:Copies of photo's on CD I i 1 TOTAL NUMBER VEHICLES STOLEN: TOTAL NUMBER VEHICLES RECOVERED: TOTAL VALUE STOLEN: TOTALVALUERECOVERED: PROPERTYLESS: (1)None (2)Burned (3)Counledeited/Forged (4)DamageqDestroymUVmUalUed (S)Recovared (G)Selzed (7)Stolen, eta. (8)Unk. AoU ROPERTYDESCpIPT10N• (14)Gambling Equipment pDRecmdfnga-Aral oNiaual (42)ArthuloSU lesrAccasodes un Equipmanl ConslmclfoMnduahlel �0)Aircraf(16) Heavy (2e)rekrea (93)euilding Materials 69)L-ggkg Equipment .(9)d 02)Alcaha1 Equpmnt (29)re-1 Occupancy (44) ComphrWHantinginbirg f70) Meoolfredieal Lab Equipment (03)AMamnbdes (m)Household Goads (30) Structures Olhef Dwellings Equipmentr3upplies (71) Metals, NonPrsclaus (04)Bkyciea (17) Jewelry8heclaus MolalalGanu (3951ructums.CwTerdaMusiness (45)Chimeric (12) MUSI.el Instruments (OS)Buses (10)Livestack (32)SlNclurasindugqlrlaftrulacludng (40)CollealionelCailediblos (73)Pate (OB)Clolhsffum (m)Merchendisa (03j SImclures.PubhyCOMMUMly (47)Crops (74) Phatographinapilcol Equipment �/ (91)Computer NersAvaze/&onweie (20)Money (34)SlruclUres-Mo16ge (40) DocomentsiPersonal of Buelnvas (75) Portable Electronic CommUnkellons W W (M)Consumobla Gooda (21) Negotiable instrumems ps)Slroclumotha� (49)Explosives Per) ReereallonaYSparls Equipment CredgDebil Cards (00) (22) Nonnegotiable lnMann nls (36)Tools (59) Theater Accessories (M Other QI (M)OmgsMamollas (23) OHlcn•Type Equipment (37)Truoka i (64)Fuel (18)Tmllera o (11) Dmgglarcollo Equipment (24) Other MolorVehlcles (30) Vehlcla Peddkiwasodes (65)RI.01Hy Documoms (79)Waleacrah EqulpmanllPatlaig....les Equpmam (26) Pursesalonlba9sAYellels (M)Wnlsecraft I (66)Winer -Intangible (00)Weepons-Olhor a(42)Farm (13)Flrearme (25) RodkdTVvVCeaNVD Player. (41) Ahcroll PAISIMII4anowles (67) Caw Enforcement Equipment (88) Pending Inventory(of Property) DRUGTYPE WHOLE DRUG QUANTITY FRACTIONAL DRUG QUANTITY I DRUGMEASUREMENT TYPE DRUG MEASUREMENT: I WEIGHT CAPACITY ® (GM)Grant (ML)MIIIIIIter r_. i (KG) Kilogram (LT) Liter (OZ)Ounce (FO)Fluid Ounce (LB)Pound (GL)Gallon UNITS RUG TYPE: (DU) Dosage Unit (Pills, otc.) A (A)°Cfack"Cocalne (D)Heroin (a)OPIUM (.)Pan (MI Other Sdmulants IN Other Druae (UP) Number of Plants (8)Cocaine (E)Marijuana (H) Other Norman" AO Other Nallucinoos s (N) Barbiturates (U) Unknown Typo Druff (0)Hashish IF)Morphine (1)LSD (L) Ampphmaminesl (0) Other Depressants (X)Over30mg Types Meth amphetamines NAME: Lest, First, Middle SEX: ❑ (M)Mate sL RACE: ❑(F)Female L�N)Unk. (eg)VnIanumm ❑(V6 Wliite - ®(B)Black RESIDENTADDIESS: Street City state 2p RESIDENT PHONE EMPLOY'T. PHONE ❑(I) American Indian C ❑ (A) ASImIPacifIDIsiapdar U ❑ (U) Unknown INCIDENT REPORT PAGER DATE INCIDENTNUMBER Orilq ) REPORTING OFFICER CODER VICTIMNAME 2 09/23/2015 15.0540 I TX0290000 Deputy Danie(Mlller 1928 COUNTY, CALHOUN ARRESTEE# I NAME Lest, First, Middle, AKA W OFFENDER# RESIDEMADDRESS Street City Stale zip GATE OF BIRTH RESIDENT PHONE EMPLOYMENTISCHOOL PHONE DRIVER'S LICENSE DH,LLSTATEAggEST I LOCATION OCCUPATION PLACE OF EMPLOYMENT ARRESTTYPE: (0)On VIeW Arrest ❑(S)Starom /filed ❑(T)Takan lnlo Cust. SEX: ❑(M)Maio ❑(F)Female ❑(U)Unk E• MULT ARREST INOIC• ❑ (M) Muitlpla ' EXACTAGE —� -- ❑ (H)Hlspanic ❑ (N)Nanhlap. ❑ (U)Unk. ❑ (C)Count Arres[ee ❑ (N)NIA ) ) Mex,2 (Place meld blank (eulomega AGERANGE: to RACE ❑(W)While Q(a)Block ❑(Q American Indian DISPOSI7HNOP ^� [( tog) Over 90Yra, Old ❑ (01)Unarmed ❑ (16)Illegel it Nreern Cutting � () 8 within De H) Handled ouzel Department. 1. Zi ❑(A)As(aNPaclllc Islander ❑(U)Unknown ❑(00)Unimolm ® )pelenetloufslde oepatlment ❑(12)Handgun Instr. RES. STATUS: [] (A) Resident UCH ARR. CODE OFFENSE NAME ARRESTDATE ARRESTTRANSACT. ?y (13)Hills (17)Ciubl ❑ (14)Shotgun Black)ack/ si ❑ (N) Nonres. ❑ (U) Unknow p ❑ (16) Other Firearm Dress Kn. HEIGHT WEIGHT BUILD HAIRCOLOR HAIRSTYLE HAIRLENGTH EYE COLOR SKIN TONE ARRESTEE# NAME Last, First, Middle, AKA A� OFFENDER It RESIDENTADDRESS Street City State Zip DATEOF BIRTH 1 n RESIDENTPHONE EMPLOYMENTISCHOOL PHONE DRIVER'S LICENSE OR. it STATE SSN ARREST LOCATION OCCUPATION . PLACE OF FTTYPE, 13(0)On View Arrest ❑(5)Summons/Clled ❑(T)Taken Into Cost, MULT. ARREST INDIC: ❑(M)Multiple LL ❑(M)Mele 0(F)Fomale Q(1) Unk.tEXACTAdE ' (Maa,2) (Place A-lablanNttauromane) TNNIC• ❑ (H)Hls enic p (U)Unk. [] (C) Count Atrostee P ❑(N)Nonhis . ❑ (N) N(A RANGE: to 01 ❑ (16)illegal ()UnarmedRACE ❑(N)White [](8)Black ❑(I) American Indian DISPOSITION OF JUVENILE• l99)Over80Yrs.01d ❑ (1G)Fimerm Culling 11y(A)AsianlPaclBclslander (H) Handled within Department. ❑(U)Unknown (00)Unknown ®(R)Referretl outside Department ❑( )Handgun hall. RES. STATUS: [] (R)Residant UCp ARR. CODE OFFF.N5ENAME ARRESTDATE ARRESTTRANSACT. Cl ❑ (14)Shot Hills ❑ Blackj ck ❑ (10OtherFi Black)ec. ❑ (N)Names. ❑ (U)Unknown # ❑ (16j Other Firearm Brass No. HEIGHT WEIGHT BUILD HAIRCOLOR HNq STYLE HAIRLENGTH EYE COLOP SKINTONE 3 1 a a l ) ( 1 ) I I I I PAGE# OR] NUMBER c+ 1 TX0290000 TEXAS INTERNAL INCIDENT STATUS: EXCEPTIONAL. CLEARANCE STATUS, INCIDENTNUMBER INCIDENT REPORT 15.0540 UNAPPROVED ❑(A)Active CA ❑( ) Closedb YArreal ®(CE)Claead by Exception 0(A) Death of the Offender (a) Prosecution Declined EJ(C) Exhadlllon Dented DATE(S) OF INCIDENT R AGENCYNAME 0 09/23/2015 R Calhoun ❑(CO) Closed by0lher Means 0(0) victim Hot,to Cooperate ❑(Q inactive 0 (E)Juvenlle, No Custody TIME(S)OFINCIDENT - DAY(S)OFINCIDENT 00:22. 03:03 Wednesday 0(U)Unfounded (N)NotApplicabie DISPATCHER DDD998"DRAKE, DELORES TIMERECEIVED 0.27 TIMEARRIVED 0:27 pEPORTING AREA EXCEPT. CLEAR. DATE W �j 'Z �7 yy Q OFFENSEN UCR CODE OFFENSE STATUS: OFFENDER USED• ®(N) Not Applicable 9 90Z ❑ (A) Attempted ® (0) Completed 0 (A) Alcohol E] (C) Cp0. Equip. [] (0) Drugs OFFENSE DESCRIPTION STATUTE ADDRESS OF OFFENSE Information/Fleet Damage SPEEDY STOP #084 LOCATIONCODE (Enmri) ❑ (17) LlgUorSlere [] (46) Farm Facility ❑ (g1)Air/I3usfrmIn Temdnal ❑ (16) Parking Lotl0rap LoWmrage ❑ (47) Gambling Faclilly/Casino/Race 0(02)13ank/Saving9$Loan [](0) RenlaVlaorage Facility Tfack ❑ (03)B ;ftffghtClub ❑ (20) Residence/Home 0 (40) Industrial Silo ❑(04)ChurchlSynegoguelremple/Mosque ❑(27)Restaurant El(49) Military Installation 0(05) CommefelallOffloe Building 0(23) Semite/On Station 0(60) ParldPlayground ❑ (00) Construction Silo 0 (24) Specially Store 0 (61)RestAreo ❑ (07)Convenience Store 0 (26) OtherNnimovm ❑ (52)School -CallegeNnlvershy ❑ (00) DepartmenUDlecountStore ❑ (37) Abondaned/Condemned 0 (53)School -Elamealary/Secondary ❑(09) Drug Storeloociar's OBfceMospital Structure q(64) Shelter. MlssimUHomeiess 0(10)FleldN/odds 0(38) Amusement Park 0(55)Shopping Mall ❑(11) GovernmenUpublIe Building 0(39) Arena/SmdiundFalrgreundsl 0(56) Tribal Lands 0 (42) Grocery/Supermarket Coliseum 0 (67) Community center ® (13)Highway&Road/Ailey/SlreaUsIdowalk 0 (40) ATM Separmo From Bank (14) HoleUMoteffEtc. 0 (41) Auto Dealership NewAlsed ❑(16)Jall/PdsoNPanitentlary/Correctlons 0(42)Camp/Compground Facility [1(44) geysers Facility ❑ (16) Lake/Waterway/Beach 0 (45) Dock/Whad/Frolghr/Modal Terminal RUrglarvlUALfrallonl4&19• FORCED ENTRY? #PREMISES ENTERED? 0 Yaa 0 No PORT 0 CONNOR -1620 W ADAMS AVE, PORT WEAPON FORCE • (Mex.3) (Far 1140, place A"In apace next to box frlveapon wasaaAutomalle) �0 11 ( ) Firearm (Typo not slated) 0 (go) other _,0 (12)Handgmi 0(85)Unlmown —0 (IS)Riffe ❑ (99)None —0 (U) Shotgun _0 (I6 Other Firearm J ❑(20) KnlfelCUUing inshu.(As, ate.) ❑(30) Blunt Object (club, ale.) 0,(s5)Motar Vehicle (As weapon) ❑ (40) Personal Weapons (Hands, etc.) 0(50)Poison ' ❑ (60) Explosives (65) Fire/mandlary Device 0(70) NarcolicsNrugs/ TYPE CRIMINAL ACTIVITY; (fit".3) TYPE GANG ACTIVITY: (Mmx,) ❑(a)Buying 0(0) OpereOng/Promoling/Aselsting (C) CulthaderfManufacturelPublish 0(P) Possessing/Conceming 1](0) Dlstributimpgoiling 0(T)Transport/rransmlMmport ❑(E) Exploiting Children 0(0) Usingiconsuming 0(0)Other Gang 0(J) Juvenile Gang ❑(N)Nono Unknown Sleep(ngpllis ❑(06) Asphyxiation BIAS MOTIVATED CRIME• None No Bias) VICTIM# 1 NAME; Last, First, Middle COUNTY, CALHOUN DRIVOrSLICENSE DR.LI.STATE SOC•SEC.NO. DATE OF BIRTH RESIDENT ADDRESS: Street City Slate 211 S ANN ST, Port Lavaca, TX ZIP RELATIONSHIP 77979 (cbeckrelaganshlp OF THIS under VICTIM appropriate TO OFFENDERS of/endernumber); OCCUPATION pESIDENT PHONE (361] 553.4646 IN #2 ® #3 04 ® 05 416 ® ® 07 ® 03 ® 99 #to VICTIMWAS: ® (SE)3pouse ((CS))Cammon-Law Spouse ® (PA)Parent (9B)3lbling ((GIf) Child (GP)GramIchilnt ((GC)Grendchlld EMPLOYMENT PHONE 13(M)Male 0(F)Female 0(U)Unknown ®® ® ETHNIC: 0(H)Hispanic ❑(N) Nonhispenio 0(U)Unknown AOE: Exact Ago_ ®® ❑ U 5 Range _/_ (NN) Under 24 Hrs.01d NB)1•GDays Old ((BB)) 7.3040eys Old (99) Over 90 Yea, 0ld (Off) Unknown ❑ (IL) In -Lew (SP Stepparent (SC3 Stepchild (S5) Siepel611ng ® 0) Other Femlly Member AQ) Acquaintance SFR)Friend NE)Neighbor isB) Babysltles(baby) �B0) BoyfrimuWfrlhlend CF) Child of Boyfrlondf0fifriend (iHR Homosexual Relationship (XS3Ex-Spouse EE) Employee RACE: 0 (w) While 0 (I) American Indian 0 (U) Unknown ❑(B)Black 0(A)AslaNPacificlslander ®® ® fI ® ®� ®®®❑ ® ❑ RES. STATUS• (R) Resident 0 (N) Nonresident 0 (U) Unknown VICTIM TYPE: ❑(1)Individual ❑(0)Business ❑(F) Financial Institution ❑(U)Unknown (0)Government R Religious S Soclet /Public 0 Other ❑ () s q (J v Cl () 8 8 VICTIM INJURY,• (Max. 6) ❑(M) Apparent Minor Injury Nono B Apparent Broken Bones (0)Olher Major lnJury QQ) Possible Internal injury (T) Loss of Teeth (L) Severe Laceration (U) Unconsciousness THIS VICTIM RELATED TO WHICH OFFENSES? #1 tt4 #7 0#ig #2 ❑❑ #5 #g others: #3 ❑ 96 #9 ® ❑ ❑ ❑ ❑ ® ❑ ®❑ ®®®® ®® ❑ ® ®® AGGRAVATEDASSAULT/HOMICIDE AaagwitedAsseult/Murder. CIRCUMSTANCES (max. Ne ilaent manslaughter: i) ( ) 9 Weapon Argument 3g Chlltl Playing With Weapon Assault On Law Ent. Officer 31 Gun-Cleanlug Accident Drug Dealing 32 HuntlnflAcoldent Gangland 33 Other NegilgentWeapon Handling Juvenlle0agq OD Levees Quarrel 0 (34) Other Negligent Killings JUSTIFIABLE Marcy Killing HOMICIDE Felony Involved Jusllliable Homicide: (entert) C ummumoesCircumstan ®(20)Criminal Killed by Private Citizen (enlerl) Unknown Clrcumslances (27 Criminal Klliatl by Police 011ieor ❑ Emloer OK Otherwise Known ! ) RU) Relationship Unknown (ST)Suanger ( O)VIcllm was Otfander ® (tit) 02 03 04 0 O6 0 000ther 0901herwn ig ®® ®® ® IO (A (C (D)Crlminal E) G) Criminal 0 Criminal Criminal CtImInel Criminal Unable Attacked Attacked Attacked Atlempletl KlUed Restated to Pollee Officer Follow Police Officer Civilian Flight lromecrlme In Commission a Crime CrIma Arrest Determine#4ot Enough Information C.• REPORT DATE 09/23/2016 DAY Wed TIME(MIIRery) 0:22 REPORTING OFFICER Deputy Daniel Miller CODE If 1928 APPROVING SUPERVISOR zl CODE# DATE APPROVED j,�„�S ENVIRONMENTAL PUBLIC HEALTH SERVICES AGREEMENT BETWEEN VICTORIA COUNTY PUBLIC HEALTH DEPARTMENT (VCPHD) AND CALHOUN COUNTY AND AUTHORIZE COUNTY JUDGE TO SIGN: Judge Pfeifer made a motion to approve Environmental Public Health Services Agreement between Victoria County Public Health Department (VCPHD) and Calhoun County and authorize County Judge to sign. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. j Susan Riley - From: Lisa Campbell <LCampbell@vctx.org> Sent: Wednesday, September 02, 2015 9:52 AM To: Judge Pfeifer Cc: 'Susan Riley' Subject: Environmental Services Agreement Attachments: 20150915- CALHOUN COUNTY- ENVIRONMENTAL PUBLIC HEALTH SERVICES AGREEMENT Final.docx Judge Pfeifer I have attached the agreement for environmental services. Once it is signed please return to me. You will receive a final fully executed agreement once it is signed in Victoria County Commissioners Court. Regards Lisa biro A. &JdAff 190 kN, MINN Public Health Director Victoria County Public Health Department 2805 N. Navarro Street Victoria, Texas 77901 Icampbell@vctx.org Work.361.578-6281 ext. 3003 Fax. 361.578.7046 Cel l.361.550.4580 �Cth r«oGn�, e.nmom, V,.,c r. ENVIRONMENTAL PUBLIC HEALTH SERVICES AGREEMENT BETWEEN VICTORIA COUNTY PUBLIC HEALTH DEPARTMENT (VCPHD) AND CALHOUN COUNTY The Victoria -County Public Health Department agrees to provide Environmental Public Health Services to the Calhoun County Department as specified herein: 1. Food Establishment Inspection Program (Includes Special/Temporary Events) A. Food Establishment Inspections will be conducted in Calhoun County and the incorporated cities of Port Lavaca, Point Comfort, and Seadrift in accordance with local regulation and state regulation. B. Food Establishment Applications, Bills and Permits will be issued by VCPHD. Renewing Permits 1. Pont Lavaca food establishment permits will be located at Port Lavaca City Hall to be issued upon payment of annual permit fee. 2. Point Comfort food establishment permits will be located at Point Comfort City Hall to be issued upon payment of annual permit fee. 3. Calhoun County food establishment permits will be issued by VCPHD annually. D. All food establishment program records will be kept at VCCHD.P II. On -Site Sewage Facility (OSSF) Program A. OSSF Inspections will be conducted in Calhoun County in accordance with local regulation and state regulation. B. OSSF Applications, Inspections and Permits will be issued by VCCHD,P C. OSSF Permitfees will be paid at VCPHD. D. All records will be kept at VCPHD. E. Monthly OSSF reports will be completed by VCPHD and submitted to state regulatory agency and Calhoun County auditor. III. Additional Inspections/Investigations A. Enforcement of Texas Health and Safety Code, Title 5, Subtitle A, Chapter 341, "Minimum Standards of Sanitation and Health Protection Measures" and Texas Health and Safety Code, Title 5, Subtitle A, Chapter 343, "Abatement of Public Nuisances." IV. All Environmental Health Program information such as applications, guidelines, brochures, etc. will be provided by VCPHD to Calhoun County Floodplain, Port Lavaca City Hall, Seadrift City Hall, and Point Comfort City Hall for availability to residents. VCPFID will provide water sample containers and forms but will not transport water samples. V. Monthly OSSF Report will be submitted to the Calhoun County Treasure by the l0a` of each month for the preceding month. VI. Annual Program Services Reports will be submitted to Calhoun County Judge, Calhoun County Auditor, Port Lavaca City Manager, Point Comfort City Mayor, and Seadrift City Manager. An Annual Program Services Report will also be submitted to the above officials. In executing the services, the Victoria -County Public Health Department acts as the agent for Calhoun County. Calhoun County shall reimburse the Victoria -County Public Health Department at a fee of Six Thousand Seven Hundred Eight and Thirty Three Cents ($6708.33) per month due and payable, in advance, on the first (P5 day of each month. This .agreement shall be valid beginning January 1, 2016. Either party may terminate this agreement with thirty (30) days written notice. Signed the 12 day of Nevember 2015. CALHOUN COUNTY �Ec,C r l Honorable Cofinty J dge Michael J. Pfeifer VICTORIA COUNTY Honorable County Judge Ben Zeller P. 1 M x Communication Result Report ( Nov. 17. 2015 1:56PM) 1) al hours ntv clerk 2) cat hours county clerk Date/Time: Nov.17. 2015 1:55PM File Page No. Mode Destination Pg(s) Result Not Sent ---------------------------------------------------------------------------------------------------- 1572 Memory TX county judge P. 3 OK ---------------------------------------------------------------------------------------------------- Reas o fo r E. 1)n Hago up or line fail E.2) 8u sv E.3) No answer E.4) No fiats imile connection E.5) Exceeded max. E —mail size E.6) De st lnat ion does not support IP—Fax mmXe.. s.e: itim'ae'd'�y,�l.�e>ru�`txms`a�:uwn 1u: 1WnPbCv s�n,m+y GrMm+V.ISsv?alareemrt awm.�n. zmwn�scaxnrvwaxn-eluowxmexnxweuaxruixsmxcrsnoXEe.¢xrm�g Judge Profar I nure Addled the eg .tttforamlronmendlservires. Ohre It Iv slgned plea. rem.[om , vnuw®-1-a final Uf,,.—.aagreementonce It Is Shea m Vlcfada Co linty fnmmissiorenCourt. Regards u. 6A. p6P,.f)q'iPBrl N4Rc H- .r Ma aogP.Mic HeR4 N.Ne.Str VkmaTe.779I Deyatiment kamybtll@:mfx.oeg W W. 3MMI1,7046IeX1.3o03 W 361SWAap6 Ge1136ISS0A501 w PUBLIC HEARING ON THE MATTER OF AMENDING THE 2015 AND 2016 CALHOUN COUNTY BUDGETS: Judge Pfeifer opened the public hearing at 10:40 a.m. and asked if there were any comments from the public. Assistant Auditor Candice Villarreal read the 2015 and 2016 Budget Amendment Approval List. Judge Pfeifer closed the public hearing at 10:47 a.m. as there were no comments from the public. 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 November 12, 2015 on the matter of amending the 2015 and 2016 Calhoun County Budgets. The public shall have the right to be present and participate in such hearing. Michael J. Pfeifer Calhoun County Judge O O n L W_ OC V O e m e 0 0 0 I W W � Egg Z 6e Y" Z e I W O W W H W �l ZOI. W'. CC V y N a U d W O a w 0 4 J ti a ¢ U W z 0 j w 0 W el W O O r C C W n s I T w W_ C G N a J h h N R' r N 0 h � N a� O � d� a O � N m a O o Z r Z O LL rn 0 N n of N w a c C7 Z O Q m O a w 'z J N i o W Q "> Z Z Z0 N F- MATTER OF AMENDING THE 2015 AND 2016 CALHOUN COUNTY BUDGETS: Commissioner Fritsch made a motion to approve 2015 and 2016 Budget Amendments. Commissioner Galvan seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. ACCEPT REPORTS OF THE FOLLOWING COUNTY OFFICES: Judge Pfeifer made a motion to accept reports of the following County offices: • Calhoun Tax Assessor/Collector — September 2015 • County Treasurer — September 2015 • County Treasurer — Investment Report (Quarter ending 09/30/2015) • County Treasurer — Quarterly Statement of Balances • Justice of the Peace #2 — October 2015 • Justice of the Peace #3 — October 2015 • Justice of the Peace #4 — October 2015 • Justice of the Peace #5 — October 2015 • Extension Activity Report — October 2015 Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. 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EDUC. (LEOSE) 28,931.12 5.31 - 28,936.43 POC COMMUNITY CENTER 61,868.09 3,511.35 6,444.87 58,934.57 RECORDS MANAGEMENT -DISTRICT CLERK 5,989,36 105.29 - 6,094.65 RECORDS MANAGEMENT -COUNTY CLERK 92,847.67 39.61 507.04 92,390.24 RECORDS MGMT & PRESERVATION 209,369.20 4,423.10 - 213,792.30 ROAD&BRIDGE GENERAL 1,518,399.75 23,753.87 - 1,542,153.62 SHERIFF FORFEITED PROPERTY 1,282.60 0.24 - 1,282.84 6NIILE PIERIBOAT RAMP INSUIUMAINT 50,640.67 9.29 30.77 50,619.19 CAPITAL PROJ -RB INFRASTRUCTURE 775,552.62 - 28,968.75 746,583.97 CAPITAL PROJ- COUNTY ENERGY TRZ#1 344.722.85 - - 344,722.85 CAPITAL PROJ-SWAN POINT PARK 5,001.90 - - 5,001.90 CAPITAL PROJ- AIRPORT RUNWAY IMPROV 78,472.13 - - 78,472.13 CAPITAL PROD - COUNTY ROAD 101 40,742.72 35,000.00 60,411.58 15,331.14 CAPITAL PROJ-EMS SUBSTATION 347,399.23 - - 347,399.23 CAPITAL PROD-EMER COMM SYS 30,848.06 - - 30,848.06 CAPITAL PROJ - GREEN LAKE PARK 24,028.99 - 88.59 23.940.40 CAPITAL PROJ- HATERIUS PARKIBOAT RAMP 21,064.00 - - 21.064.00 CAPITAL PROJ -PORT ALTO PUBL BEACH -STORM BEE 6,484.78 - - 6,484.78 CAPITAL PROS- IMPROVEMENT PROJECTS 322,419.08 - 7,245.00 315,174.08 CAPITAL PROJ- PORT O'CONNOR LIBRARY 1,167.00 - - 1,167.00 CAPITAL PROD - MMC NURSING HOME UPI, PROGRAM 1,046,620.55 - - 1,046,620.55 CAPITAL PROJ- MMC BUSINESS IMPROVEMENT LOAD 11500.000.00 - - 1,500.000.00 ARREST FEES 699.30 328.82 - 1,028.12 BAIL BOND FEES (HB 1940) 1,230.00 930.00 - 2,160.00 CONSOLIDATED COURT COSTS (NEW) 6,759.88 7,729.97 - 14,488.85 DNA TESTING FUND 276.28 28.81 - 305.09 DRUG COURT PROGRAM FUND - STATE 103.65 74.41 178.06 $ 31712.932.43 $ 637113.18 $ 2129.321.36 $ 30,220724.25 SUBTOTALS 110V 12 2015 C LHOUN COUNTY COURT Page 1 of 3 COUNTY TREASURER'S REPORT MONTH OF: SEPTEMBER 2015 BEGINNING ENDING FUND FUND BALANCE RECEIPTS DISBURSEMENTS FUND BALANCE OPERATING FUNDS -BALANCE FORWARD $ 31,712,932.43 $ 637,113.18 $ 2,129,321.36 $ 30,220,724.25 ELECTION SERVICES CONTRACT 73,734.19 12.29 - 73,746.48 ELECTRONIC FILING FEE FUND 966.98 677.14 - 1,644.12 EMS TRAUMA FOND 186,27 161.62 - 347.89 FINES AND COURT COSTS HOLDING FUND INDIGENT CIVIL LEGAL SERVICE JUDICIAL FOND (ST. COURT COSTS) JUDICIAL SALARIES FUND JUROR DONATION -HUMANE SOCIETY JUROR DONATION -TX CRIME VICTIMS FUND JUVENILE PROBATION RESTITUTION LIBRARY GIFT AND MEMORIAL MISCELLANEOUS CLEARING REFUNDABLE DEPOSITS STATE CIVIL FEE FUND CIVIL JUSTICE DATA REPOSITORY FUND JURY REIMBURSEMENT FEE SUBTITLE C FUND SUPP OF CRIM INDIGENT DEFENSE TIMEPAYMENTS TRAFFIC LAW FAILURE TO APPEAR UNCLAIMED PROPERTY TRUANCY PREVENTION AND DIVERSION FUND BOOT CAMP/JJAEP JUVENILE PROBATION 7,847.31 274.00 129.70 2.487.62 12.00 244.00 420.00 52,527.76 16,969.41 2.000.00 2,637.39 9.17 594.38 2,693.27 288.79 1,278.50 970.78 6,203.23 248.24 147.43 132327.05 - 254.00 135.49 2,447.47 12.00 6.00 55.00 114.64 5,430.27 - 2,196.43 12.21 695.36 3,681.11 406.13 1,249.75 813.69 1.14 296.19 - 219.28 - - - - - - - - 12.254.27 - - - - - - - - - - - 37615.75 7,847.31 528.00 265.19 4,935.09 24.00 250.00 475.00 52,642.40 10,145AI 2,000.00 4,833.82 21.38 1,299.74 6,374.38 694.92 2,528.25 1.794.47 6,204.37 544.43 147.43 94.930.58 $ 32,018,129.90 0.00 $ 655,990.39 $ 2.179,191.38 0.00 $ 30,494,928.91 0.00 SUBTOTALS TAXES IN ESCROW 32 018129.90 655 990.39 2179191.38 30 494 928.91 TOTAL OPERATING FUNDS OTHERFUNDS D A FORFEITED PROPERTY FUND SHERIFF NARCOTIC FORFEITURES CERT OF OB-CRTHSE REF SERIES 2010 CERT OF OB-CRTHOUSE I&S SERIES 2012 OCEAN DRIVE IMPROVEMENTS CAL. CO. FEES & FINES 32,459.63 10,503.54 46,021.75 49,007.66 1.00 84 805.94 601.20 901.80 1,194.37 1,598.60 - 92 507.99 - 124.50 - - - 85 573.62 33,060.83 11,280.84 47,216.12 50,606.26 1.00 91 740.31 MEMORIAL MEDICAL CENTER OPERATING INDIGENT HEALTHCARE REFUND IMPREST ACCOUNT PRIVATE WAIVER CLEARING FUND CLINIC CONSTRUCTION SERIES 2014 NH ASFORD NHBROADMOOR NH CRESCENT NH FORT BEND NH SOLERA TOTAL MEMORIAL MEDICAL CENTER FUNDS 2,247,309.66 2,299.38 5,061.64 325,069.79 1,753,780.21 314,341.15 631,800.48 16,720.37 92,072.88 47 714.23 $ 1.878.568.87 42,956.11 0.00 0.00 241,518.00 524,573.93 1,757,566.53 1,310,125.02 498,493.14 975 054.60 $ 2,247,406.12 43,316.11 0.00 0.00 0.00 809,439.51 2,352,850.84 1,310,544.24 567,493.10 988 051.66 $ 1,878,472AI 1,939.38 5,061.64 325,069.79 1,995,298.21 29,475.57 36,516.17 16,301.15 23,072.92 34 717.17 5436169.79 $ 7228.856.20 $ 8.319.101.58 4345924.41 DRAINAGE DISTRICTS NO.6 NO.8 NO. 10-MAINTENANCE NO. II-MAINTENANCE/OPERATING NO. 11-RESERVE 24,308.92 99,021.21 135,845.11 254.638.30 154 909.90 - 1,155.30 6.34 660.36 5,504.09 - - 11,668.72 $ 18,804.83 100,176.51 135,851.45 243,629.94 154 909.90 TOTAL DRAINAGE DISTRICT FUNDS 668723A4 $ 1822.00 $ 17.172.81 S 653372.63 CALHOUN COUNTY WCID #1 OPERATING ACCOUNT 439 499.28 339.14 16.807.34 423 031.08 CALHOUN COUNTY PORT AUTHORITY MAINTENANCE AND OPERATING 221275.81 $ 3.395.56 $ 7,306.52 $ 217 364.85 CALHOUN COUNTY FROST BANK 3763.87 $ $ 3763.87 6,769,432.19 7,234,412.90 8,360,388.25 5,643,456.84 TOTAL MMC, DIL DIST.. NAV. DIST, WCID & FROST $ 39,010,361.61 $ 7,987,207.25 $ 10,625,277.75 $ 36,372,291.11 TOTAL ALL FUNDS Page 2 of 3 COUNTY TREASURER'S REPORT I MONTH OF: SEPTEMBER 2015 BANK RECONCILIATION LESS: CERT OFDEPI FUND OUTSTNDGDEPI PLUS: CHECKS BANK FUND BALANCE OTHER ITEMS OUTSTANDING BALANCE OPERATING * $ 30,494,928.91 29,603,382.71 105,310.47 $ 996,856.67 OTHER D A FORFEITED PROPERTY FUND 33,060.83 - - 33,060.83 SHERIFF NARCOTIC FORFEITURES 11,290.84 - 124.50 11,405.34 CERT OF OB-CRTHSE REF SERIES 2010 47,216.12 343.15 - 46,872.97 CERT OF OB-CRTHOUSE I&S SERIES 2012 50.606.26 418.08 50,188.18 OCEAN DRIVE IMPROVEMENTS -CAP FEW 1.00 - - 1.00 CAL. CO FEES & FINES 91,740.31 24,225.66 88,222.27 155,736.92 MEMORIAL MEDICAL CENTER OPERATING $ 1,878,472.41 500,250.60 41,217.81 1,419,439.62 INDIGENT HEALTHCARE 1,939.38 - 1,821.70 3,761.08 REFUND IMPREST ACCOUNT 5,061.64 - - 5,061.64 PRIVATE WAIVER CLEARING FUND 325,069.79 - - 325,069.79 CLINIC CONSTRUCTION SERIES 2014 1,995,298.21 - - 1,995,298.21 NH ASFORD 29,475.57 - - 29,475.57 NHBROADMOOR 36,516.17 - - 36,516.17 NH CRESCENT 16301.15 - - 16,301.15 NH FORT BEND 23,072.92 - - 23,072.92 NH SOLERA 34,717.17 - - 34,717.17 DRAINAGE DISTRICT: NO.6 18,804.83 - 18,804.83 NO.8 100,176.51 - 100,176.51 NO. 10 MAINTENANCE 135,85IA5 - 135,851.45 NO. 11 MAINTENANCE/OPERATING 243,629.94 131.66 - 243.498.28 NO. 11 RESERVE 154,909.90 - - 154.909.90 CALHOUN COUNTY WCID #1 OPERATING ACCOUNT 423,031.08 - - 423,031.08 CALHOUN COUNTY PORT AUTHORITY MAINTENANCEIOPERATING x*** 217,364.85 - - 217,364.85 CALHOUN COUNTY FROST BANK 3,763.87 i - - 3,763.87 TOTALS is 36 372 291.11 S 30128 751.86 236.696.75 6 480 236. 00 * CDs -..OPERATING FUND $29,500,006.00 $ CDs - MMC OPERATING FUND - $500,000.00 **** THE DEPOSITORY FOR CALHOUN CO. NAVIGATION DISTRICT IS FIRST NATIONAL BANK - PORT LAVACA THE DEPOSITORY FOR ALL OTHER COUNTY FUNDS IS INTERNATIONAL BANK OF COMMERCE - PORT LAVACA **** THE DEPSOSITORY FOR CALHOUN COUNTY FROST IS FROST BANK - AUSTIN, TEXAS Court costs and fees collected and reported may not be current and up-to-date due to non-compliance by other county offices. I hereby certify that the current balances are correct to all monies that have been received by the County Treasurer as of the date of this report. RHONDA S. 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N W f0 A N tO tD + 01 A p J N+ m tT W t0 (p N pN O W W 0 0 OJ W O V A A A W A A t0 + W O (T N (T O N J n N A M W O N pp pp W 10 <O U t A A 4.1 A I J t 0 W V 4 J W O- A O O O O n V N W W O A b i W V N f i• J V+ (O A W -+ W+ O W N J+ W+ + W W W V V W N W A W N O+ 0 0 0 Ow 0 n r_ 0 C C A Z A0 { r.. co Z m -i 3 m m 0ca D ;a 0 0 m 0 W m m ENTER COURT NAME; JUSTICE OF PEACE NO. 2 ENTER MONTH OF REPORT OCTOBER ENTER YEAR OF REPORT 12015 CLUE. AMOUNT CASH BONDS: 0.00 Revised 12O114 ADMINISTRATION FEE -AOMF 0.00 BREATH ALCOHOL TESTING -BAT 0.00 CONSOLIDATED COURT COSTS -CCC : 1,365.66 COURTHOUSE SECURITY -CHS -138.35 CJP ` 0.00 CIVIL JUSTICE DATA REPOSITORY FEE -CJDR : 2.29 CORRECTIONAL MANAGEMENT INSTITUTE -CMI 0.69 CR. 0.00 CHILD SAFETY CS : 0.00 CHILD SEATBELf FEE -CSBF. : 0.00 CRIME VICTIMS COMPENSATION -CVC `.20.74 DPSCIFAILURE TO APPEAR -OMNI - DPSC 167.33 ELECTRONIC FILING FEE 30.00 FUGITIVE APPREHENSION FA 68.57. GENERAL REVENUE -OR 0.00 '.CRIM- IND LEGAL SVCS SUPPORT -IOF :.42.96 JUVENILE CRIME & DELINQUENCY JCD 24.84 JUVENILE CASE MANAGER iFUND -JCMF -10.00 JUSTICE COURT PERSONNEL TRAINING -JCPT '2.76 JUSTICE COURT SECURITY 'FUND -JCSF 1:.0.00 JUROR SERVICE FEE -JSF '134.20 LOCAL ARREST FEES LAF 59.51'. LEMI 0.00 LEDA '0.00 LEOC 0.00 OCL 0.00 PARKS& WILDLIFE ARREST FEES-PWAF 14.48 STATE ARREST FEES -SAF 183.60. SCHOOL CROSSING/CHILD SAFETY FEE - SCF f 0.00 SUBTITLE C - SUBC 658.18 TABC ARREST FEES TAF 0.00. TECHNOLOGY FUND-TF <139.73 TRAFFIC-TFC :66.81. TIME PAYMENT TIME 231.92 TRUANCY PREVENTIDIVERSION FUND -TPDP. :60.97 LOCAL& STATE WARRANT FEES -WANT 404.02 COLLECTION SERVICE FEE-MVBA- CSRV : 731.60 DEFENSIVE DRIVING COURSE - DOC". :15.80 DEFERRED FEE -OFF 569.40 DRIVING EXAM FEE PROV DL 0.00 FILING FEE - FFEE 75.00 FILING FEE SMALL CLAIMS -FFSC 0.00 COPIES/CERTIFED:COPIES -CC' '0.00: INDIGENT FEE -CIFF or INDF 18.00 JUDGE PAY RAISE FEE -JPAY : 201.30 SERVICE FEE -SFEE f225.00 OUT -OF -COUNTY SERVICE FEE '0.00. EXPUNGEMENTFEE-EXPG. 0.00: EXPIRED RENEWAL -EXPR` 0.00. ABSTRACT OF JUDGEMENT-AOJ. 5.00 ALL WRIT$'WOPIWOE` 0.00. DPS FTA.FINE -DPSF ': 273.00 LOCAL': FINES - FINE 2,682,00' LICENSE & WEIGHT FEES -LWE 0.00 PARKS & WILDLIFE fFINES -PWF 284.00, SEATBELTIUNRESTRAINED CHILD FINE -SEAT 0.00 - OVERPAYMENT ($10 & OVER) - OVER 0.00. OVERPAYMENT (LESS THAN,'$10) OVER'. 0.00. RESTITUTION REST ,'.0.00. PARKS & WILDLIFE WATER SAFETY FINES-WSF 103.00 WCR r 0.001 TOTAL ACTUAL MONEY RECEIVED $8,909.70 TYPE: AMOUNT. TOTAL WARRANT FEES 404.02 ENTER LOCAL WARRANT FEES 156.b6 RECORD ON TOTALRAGE OFHILL COUNTRY SOFTWARE NO, REPORT STATE WARRANT FEES $ 47. 6 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT DUE TO OTHERS: AMOUNT: DUE TO CCISD - 50% of Fine on JV cases 0.00 PLEASE WCLODE D.R. REOUESTINGDISBURSEMENT DUE TO DA RESTITUTION FUND 0.00 PLFASEINCLUDE D.R. REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS -0.00. REASEINCLUDE D.R. REQUESTING DISBURSEMENT OUT -OF -COUNTY SERVICE FEE 0.00 FLEABE INCLUDE D.R. REQUESTING DISBURSEMENT CASH BONDS :0.00 PLEASEINCLUDE DR. REQUESTING DISBURSEMENT(IF REQUIRED) i TOTAL DUE TO OTHERS: $0.00= TREASURERS RECEIPTS FOR MONTH: AMOUNT CASH, CHECKS, M.O.s&CREDIT CARDS 8,909.70 Calculate from ACTUAL Treasurer's Receipts TOTAL TREAS. RECEIPTS : 8,909.70:1 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11/2/2015 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: OCTOBER YEAR OF REPORT: 2015 ACCOUNTNUMBER ACCOUNTNAME AMOUNT CR 1000-001-45012 FINES 3,013.05 CR 1000-001-44190 SHERIFF'S FEES 492.50 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 15.80 CHILD SAFETY 0.00 TRAFFIC 65.81 ADMINISTRATIVE FEES 569.40 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 651.01 CR 1000-001-44010 CONSTABLE FEES -SERVICE 225.00 CR 1000-001-44062 JP FILING FEES 80.00 CR 1000-001-44090 COPIES / 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 SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 731.60 TOTAL FINES, ADMIN. FEES & DUE TO STATE $5,193.16 CR 2670-001-44062 COURTHOUSE SECURITY FUND $103.76 CR 2720-001-44062 JUSTICE COURT SECURITY FUND $34.59 CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND $139.73 CR 2699-001-44062 JUVENILE CASE MANAGER FUND $10.00 CR 7020-999-20740 CR 7070-999-20610 CR 7070-999-20740 CR 7860-999-20610 CR 7860-999-20740 CR 7950-999-20610 CR 7950-999-20740 CR 7480-999-20610 CR 7480-999-20740 STATE ARREST FEES DPS FEES P&W FEES TABC FEES DR 7070-999-10010 DR 7860-999-10010 DR 7950-999-10010 DR 7480-999-10010 66.21 2.90 0.00 TOTAL STATE ARREST FEES 69.11 CCC-GENERAL FUND 148.32 CCC-STATE 1,334.93 1,483.25 STF/SUBC-GENERAL FUND 32.91 STF/SUBC-STATE 625.27 658.18 TP-GENERAL FUND 115.96 TP-STATE 115.96 CIVIL INDIGENT LEGAL-GEN. FUND 0.90 CIVIL INDIGENT LEGAL -STATE 17A0 18.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11/2/2015 COURT NAME: JUSTICE OF PEACE NO. 2 MONTH OF REPORT: OCTOBER YEAR OF REPORT: 2015 CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 4.30 CR 7865-999-20740 CRIM-SUPP OF IND LEG SVCS-STATE 38.66 DR 7865-999-10010 42.96 CR 7970-999-20610 TUFTA-GENERAL FUND 55.78 CR 7970-999-20740 TL/FTA-STATE 111.55 DR 7970-999-10010 167.33 CR 7505-999-20610 JPAY - GENERAL FUND 20.13 CR 7505-999-20740 JPAY - STATE 181.17 DR 7505-999-10010 201.30 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 13.42 CR 7857-999-20740 JURY REIMB. FUND- STATE 120.78 DR 7857-999-10010 134.20 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.23 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 2.06 DR 7856-999-10010 2.29 CR 7998-999-20740 TRUANCY PREV/DIV FUND - STATE 60.97 DR 7998-999-10010 60.97 CR 7403-999-22889 ELECTRONIC FILING FEE - STATE 30.00 DR 7403-999-10010 30.00 TOTAL (Distrib Req to OperAcct) $8,580.75 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0.00 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 241.40 WATER SAFETY FINES 87.55 TOTAL DUE TO OTHERS $328.95 TOTAL COLLECTED -ALL FUNDS $8,909.70 LESS: TOTAL TREASUER'S RECEIPTS $8,909.70 Revised 12/8/14 OVER/(SHORT) $0.00 Page 2 of 2 CALHOUN DISTRIBUTION COUNTY REQUEST 201 West Austin DR# 460 A 42311 PAYEE PAYOR Name: Calhoun County Oper. Acct. Official: Calvin Anderle Address: Title: Justice of the Peace, Pct. 2 City: State: Zip: Phone: ACCOUNT NUMBER DESCRIPTION AMOUNT 7542.999-20759-999 JP2 Monthly Collections - Distribution $8,580.75 OCTOBER 2015 V# 967 TOTAL 8,580.75 Signature of Official Date ENTER COURT NAME; ! ` JUSTICE OF PEACE NO.3 ENTER MONTH OF REPORT NOVEMBER ENTER YEAR OF REPORT 2015 CUDL: AMUUM CASH BONDS - Revised 214116 . ADMINISTRATIONS. FEE -ADMF BREATH ALCOHOL TESTING - BAT> i CONSOLIDATED COURT COSTS - CCC 1,423.42 COURTHOUSE SECURITY -CH$ ' 142.36. CJP CIVIL JUST DATA REPOS FEE n CJDFUMVF 2.64 CORRECTIONAL MANAGEMENT INSTITUTE -OMI CR CHILD SAFETY - CS CHILD SEATBELT FEE - CSBF '.CRIME VICTIMS COMPENSATION - CVC ORSCIFAILURETO APPEAR -OMNI-DPSC 234,08. ELECTRONIC FILING FEE.: 20.00 FUGITIVE APPREHENSION - FA `. . '.GENERAL REVENUE -OR GRIM - IND LEGAL SVCS SUPPORT -1DF -71.16. JUVENILE CRIME & DELINQUENCY -JCD: _.JUVENILE CASE MANAGER FUNb-JCMF I; 5.00. JUSTICE COURT PERSONNEL TRAINING -JCPT JUSTICE COURT SECURITY FUND -JCSF JUROR SERVICE FEE -JSF 164.23. LOCAL ARREST FEES - LAF 112.81 LEM) LEOA LEOC OCL PARKS& WILDLIFE ARREST FEES -PWAF 7.17. STATEARRE$TFEES -SAF :i 5T91. SCHOOL CROSSING%CHILD SAFETY FEE . SCF SUBTITLE C-SUBC - 834.67. TABC ARREST FEES -TAP. '. 'TECHNOLOGY FUND TF 142.35. TRAFFIC -TFC I. 83.47; TIME PAYMENT -TIME 1 194.26. TRUANCY PREV)DIV£RSION FUND ' 55.66 LOCAL & STATE WARRANT FEES- WRNT 402.26 COLLECTION SERVICE FE£.MVSA- 08RV 862.50. DEFENSIVE DRIVING COURSE-DOC 39.50 DEFERRED FEE -DFF 414.50 DRIVING EXAM FEE- PROV OL FILING FEE- FFEE & CVFF 50.00 FILING FEE SMALL CLAIMS - FFSC COPIES(CERTIFED COPIES* CC INDIGENT FEE -CIFF or INDF' 12.00. 'JUDGE PAY RAISE FEE -JPAY 213.47: SERVICE FEE -SFRE 75.00. OUT -OF -COUNTY SERVICE FEE. > E7(PUNGEMENTFEE-EXPG . EXPIRED RENEWAL-EXPR '; 40.00 ABSTRACT OF JUDGEMENT -AOJI. >ALL WRIT$ -. WOP I WOE DPS FTA FINE- DPSF :. 1,455.00 LOCALFrINES-FINE - 2.058.18. LICENSE & WEIGHT FEES -LWF±. PARKS WILDLIFE FINE$- PWF 83.00. SEATBELTIUNRESTRAINED CHILD FINE -SEAT "OVERPAYMENT ($10 & OVER) -OVER '< ' OVERPAYMENT,(LESS THAN $10) - OVER > RESTITUTION- REST PARKS&WJLOLIFE-WATER SAFETY FINES-WSF WCR TOTAL ACTUAL MONEY RECEIVED TYPE: AMOUNT: TOTAL WARRANT FEES 40228 ENTER LOCAL WARRANT FEES1 0.00 IRECORDONTOTAL PAGE OF HILL COUNTRY SOFTWARE MO. REPORT STATE WARRANT FEES $4 226 RECORD ON TOTAL PAGE OF HILL COUNTRY SOFTWARE MO.REPORT DUE TO OTHERS: AMOUNT! DUE TO CCJ$D - 50% 0( Fine on JV Gases 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT DUE TO DA RESTITUTION FUND 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT REFUND OF OVERPAYMENTS 0.00 PLEASE INCLUDE D.R. REQUESTING DISBURSEMENT OUT-CF-COUNTY SERVICE FEE 0.00. IPLEASEINCUUDE D.R. REQUESTING DISBURSEMENT CASHBONDS 0.00 PLEASEINCLUDE D.R. REQUESTING DISBURSEMENT (IF REWIRED) TOTAL DUE TO OTHERS 00 TREASURERS RECEIPTS FOR MONTH:: AMOUNT UX511, C , .0.$ & CREDIT CARDS $$258.50. Calculate from ACTUAL Treasurees Receipts TOTAL7R=As. RECEIPTS . 92 6. 0 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11/2/2015 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2016 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000-001-45013 FINES 3,525.63 CR 1000-001-44190 SHERIFF'S FEES 486.68 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 39.50 CHILD SAFETY 0.00 TRAFFIC 83.47 ADMINISTRATIVE FEES 454.50 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 577.47 CR 1000-001-44010 CONSTABLE FEES -SERVICE 75.00 CR 1000-001-44063 JP FILING FEES 50.00 CR 1000-001-44090 COPIES / 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 SEATBELT FEE 0.00 CR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 CR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 862.50 TOTAL FINES, ADMIN. FEES & DUE TO STATE $5,577.28 CR 2670-001-44063 COURTHOUSE SECURITY FUND $106.77 CR 2720-001-44063 JUSTICE COURT SECURITY FUND $35.59 CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND $142.35 CR 2699-001-44063 JUVENILE CASE MANAGER FUND $5.00 STATE ARREST FEES DPS FEES 92.03 P&W FEES 1.43 TABC FEES 0.00 CR 7020-999-20740 TOTAL STATE ARREST FEES 93.47 CR 7070-999-20610 CCC-GENERAL FUND 142.34 CR 7070-999-20740 CCC-STATE 1,281.08 DR 7070-999-10010 1,423.42 CR 7860-999-20610 STF/SUBC-GENERAL FUND 41.73 CR 7860-999-20740 STF/SUBC-STATE 792.94 DR 7860-999-10010 834.67 CR 7950-999-20610 TP-GENERAL FUND 97.13 CR 7950-999-20740 TP-STATE 97.13 DR 7950-999-10010 194.26 CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.60 CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 11.40 DR 7480-999-10010 12.00 Page 1 of 2 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11 /2/2015 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 CR 7998-999-20740 CR 7403-999-22889 Revised 2/4/15 COURT NAME: JUSTICE OF PEACE NO. 3 MONTH OF REPORT: NOVEMBER YEAR OF REPORT: 2015 DR 7865-999-10010 DR 7970-999-10010 DR 7505-999-10010 150 DR 7857-999-10010 DR 7856-999-10010 DR 7998-999-10010 DR 7403-999-10010 CRIM-SUPP OF IND LEG SVCS-GEN FUND CRIM-SUPP OF IND LEG SVCS-STATE 7.12 TUFTA-GENERAL FUND 78.03 TUFTA-STATE 156.05 234.08 JPAY-GENERALFUND JPAY -STATE 21.35 192.12 213,47 JURY REIMB. FUND- GEN. FUND 16.42 JURY REIMB. FUND- STATE 147.81 164.23 CIVIL JUSTICE DATA REPOS.- GEN FUND 0.26 CIVIL JUSTICE DATA REPOS.- STATE 2.38 2.64 TRUANCY PREVENT/DIVERSION FUND 55.56 55.56 ELECTRONIC FILING FEE 20.00 20.00 TOTAL (Distrib Req to OperAcct) $9,185.95 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISD 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMI 0.00 OUT -OF -COUNTY SERVI( 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINE! 70.55 WATER SAFETY FINES 0.00 TOTAL DUE TO OTHERS $70.55 TOTAL COLLECTED -ALL FUNDS $9,256.50 LESS: TOTAL TREASUER'S RECEIPTS $9,256.50 OVER/(SHORT) $0.00 Page 2 of 2 11-03-15;12;53 ;From;Calhoun County JP4 To:5534444 ;3617852179 # 2/ 4 ENTERCOURT,NAME::;::a::::::x;::::::;:;`::ia?:.`.t:;[::TY: �::.:a:.I JUSTICE OF PEACENO..A . .. . ENTER:MOM•H;OF,:REPORT .:` it 1:; Oala6ery ENTERYEAR:OF,REPORT:isC'i;i7);ifx';Yisi':`:(,'t:;'s'L`.:.,,::.::; l;::,'. �,:;.-:�s;.;..,..2015 .... .._ .. ..:.%::.::...:,...:,.::..,: ,.........,...r.:•::;Y:�R::GODS'i;(%G(::;:;AMOUNT..,.,;..-s ::.:....:......:::z:..;..":...,..e:;;::;;:p::::�?:r;:YI`: .:.....:...:..w.:Yn" ,.CASW'EONDB: ...;-.:.5 .:..,..: :.DN.FE ....: v.r:r.:.:.:•::�.:::.. iB;;.::::::;:,'::�'.':i,:;iY:::;; ROvlsod•12/eHb..:: ..a:.:n:;:::.;::;:::::: i'' Cc.' f ..: .. ...:..:.... . q MINI 7RA71 .. E.,:ADM .... C HO `TESTING'+:BAT C L OC,O" 'COU EDTC09 .: m! R S CCC : • ••1420.09 �.; OU C RTH 3 CURITYi=:CHS OUSE�E ""4AA 1 2 CUP ICE'DATA'REP�='MVF � 2 R ECTf AL N AGEMENT.:INSTITUTE'� MI � 0 .MA C ' : 60. i; BE ra:CHIEO'�SEAT LT FE =� E CSBF MP 'CO ESAON i:''r:S CR E VICTIMB. N TI "- ".CVC P :. SCIFAILURE:TO'APPEAR MNI'%D SC �:.. 0 .. P � 313.55' 5iY%ELECTR NI :r0 O ING� EE'=EEF ���: C L F - 1`:i U ITV F O 1 EP A PREHEPlSIOIJ� FA .����� "' ��� . 6,00 ERAL'REVENUE;-Ct3R LEG A SVCS:SUPPORT:�:IDF �'� a�?a:.;+C?x;::::lr ii5� %%:jitS:l;`�(y::`:�J;: ::::ik�'};i;: i::fl:::.+,.::,:•,;;:; V Ei&EN `OEUN .:�s•, 2:: -:.,,, .. RM QU CY.JCD'.�"..':�:..:0.30''.!:iali'✓�::^:�r'`,'i:;;.:`:;'tiS!si3i:��°�;i!:i�:ii��'isi�i;.:::;7i::;::?I(iiii;:;'{i:�it; ::":'JUVENICECASE:MANAGER:F NDUC i!::>:JUSTICE'COURT,;PER$ONNEUSTRAINING'i=JCPT :' (' 2.00.:�"�:i;?-`.c'S!i:::ii:i:c:;:;TL'.:'i;.L:;:Y.e7::i " U 8 CE.000RT.�i3ECURIT.V.�FUND:�' ' .JC3F ` - '.. R`$ERVfGEFEEi•JSF: ... ...135,20 L�ARR T: E S .2F 2 17 4 - CEOA :;:.:•::':LED L,•t:..f.:.;..'t.�.%!�;"i1:�7i`li;:;?�isi'Si:r��li::'{};a�:jai::'�ii>r%'7�:;::c:Yi:?:i�i��f::ai% ir:: `SPARKB'dWICG E ::i:FEES'=: 'F `'.:.'•.:. : �if ',,..., LIF,.E�ARR ST.. f?WA f ;� 33 O :?:;`%SCHOOLiCR IN GICHICD!SFEf.V:FEEiL F':': A ;�:: ..:...:.. .... .:... BTITLE C.-:SUDC ': :,';`.-;:.:.y,;c:;:, ..c......:......... ,�,-,343:94' �,;.i:; �.'' a'.I:`i:'(: ,:..:TABC ARREST,,FEES,=:TAF '. '.. .. .:' r'•......:.:;:;:�;.,!4: i;;:''i!?{i 'y(:''I<l::y;"(;;_,::{i%l: �:::S:i•-;:... C C Gl'' U D'=�.YF:::..:�. 0 0 ..F N �':1AA 38 ':7z%:"v7RA F 54.50. PAYMENT: -TIME .' 1$6'06 ::. O U D'T F :-: REV.ENI IVERF N ..PD ... ... 61.ZH• .: .:.:.: ..:...: %'rr:LOCAL'&'STATE-WAR RANT:FEES'='.WRNT .,;. ..i "'.47 - .. 4,: +:.ls;COLLECTION::BERVICE';FEF'MV,BA-CSRV •nIVING COURSE': .......:...... :.....:::....:::: . ...ADC ;.:. 19.H0 .. ..::....:.>- ....:...:....::._r': :UEFERRED': ;: F..,:..,,"":.d::%s%'c:'�:i:::i��;iL''`isisisS:i�;:_:'>;'Fit`.:ii:1:i%;'.:-'iitt%i: ,..,.._.......... .. ..FE:.. _DRIVIN6iEJEHM.FEE-;PROV;DC �:'.,. ......:i;;SSfi�i:'.:i��f::err.i;:c:;•3:_i:::;:::.;isi::;::(-?::rr::>::•:::::::'iiiJia:S..;t::;:> " ILING EE'`FPEE :''.' •.,..,.;..'.;"'r:::ii::i:,:;`:i::a�t'!:,.>;:Y:.�.;,F�:<?.r::,:::;'ri:?:.r3 �s:r:-::,:....ryr:::': O RTIFE DIGSr EE=:LIEF "NT YIN � E O Ei-JPA Y AY,RAISE: �FE !�226.03 EEE .:....,..� 9 ... COUNTY:ERVI �. S E EE ..........:..:.:.:....:.......::'`:�:::'::FJ(P.UNGEMENTCFEE:_:FJ(PG'..; ED':R N ..:. E 4EXPR -, EWALI ...... , ;� ilyABSTRAGT: Fi ' J M • :- O UOGE CNT 'rAOJ ',' LL W 5.='.1NOP'I:VJO RIY E P$ IN :=: A.F E OPSF"44� 3 . 00 .' %OCAL FINES- FJNE ; ;' 4,2$1.30 LICENSE'&WEIGHTFEES-LWF &.WILDLIFE PINES:.:PWF 0.00 "::^::::;:c�.;..._..:..:..:.....:::...:..:::....:...::.....,:.::,r:;•.:.:::;,..,.::.::,.: r::;raSEATBEL7/UNRESTRAINED.CHILD;FINE ER AYMENT: 10'&'OVER R ENY+LESS'fiHAN 1 V .( .$ 0 ER '.:: �:'.:::':.I'. 7iio:�-:��:i:;^::!i`i:.`::)::1:ty;iss.�:>::..::::.:.:.:,..:?.;,.;:....:•:i.;::;;r'`:: �. - - u :::�i%RBSTIT TI 0 RC 7 :SAFET.Y.FIN - LOLIF W TER W } i3O':°,:: if'•%:UAL6fONEY:'fl :.:iWCR.' 'S..7 YAI.'.ACT R ..., V ECEI ED r'�61000100. %<;: " >ro` �'i$::'yS MOM.... i:::g:rra:':)�`::; :r3::::;:r...... TYP :'. :i'`' AMOUNTc�. 0 L'.WARRANT T TA ..FEES:::::::.'(:L:s:!::;:; ..,.,.:..•,:,::.::�::,::'.::..: �. ..::472.88 ;.:...... y iENTER'Y.00AL'�WARRANT:FEE:B �� �� 414.38 RECORDONTOTAL PAGE OPIn0. DOUNTRY "uOFNMREMO,REPORT u:...::::.:...: "::.:.,, e:::::'.::::;:; ;!:S::r%STATE,.WARRANT;FEES:o-�:T•�.;-:$3H.]7aRECORDONTOTAL PM10EOF N14000NYflY80FlWAREMO, RCPORT :;i:i:i'S'`. �✓'.,7(?'.: ii.':5i>.`:I�[:'`i!?;fj'a%:::;j`.:%S:1''1!!F(j�;S":� :$;':'I'::i:;:i::;r[a;!:?$?jij:.';'Y.,•;:ti:;.':: �;'ial>.:;:';.�^;,.":?i:.,�`$:isi;{�:!��:,:j:'�',''.i.::':',�:,' Cja1';% DUE TO CCISO 60/OLFIDB ORJV.FA99S � '�' "0.00 PLFABENGWOR O.R.REOVEeRNOOISDURSGIBNT DUE.TOIDA':RESTITUTION FUND.;J�::ii::�i;j:i:h'(4;,(:: �., PLEADERCWO[ DA,REOUESTINOOISBURSEMBNT REFUND"OF;OVERPAYMENTB;; `ili<S`":''.'iiij `:ri; �: ,('.(�0.06', �� � 0.00, PLEASE WCLUDB OR. REquEBT1N0 DIBBURDEMBM OUT-pF-COUNTYSE.RVICE FEE . �� :: '� ' �� ' `-0AO PLEASE INCLUDE DR. REQUEBTINO DISDURSEh4GM CASH�BOND3':;jfc:j5(�%'1�:�:;n%�ji:;ii.':::`'.:::: �::.:r':<::i.:: ;'.; .�. „',.'0.00' PLGSF INCLUDE D,R.RF.aVESTING DIGDUfl9EMENY0f RE9UInE0) :..........:.......-�............,Y,OTAI::DUE.TO.OTWERS•-....:.: �:.- O.00�.:c�:'�::'.,,,..,�,..,,.:,,,.,.;,.:r:r:::�....:................:....,;"..„.;.:..,...-.....:,...,,. TREASURERS'RECEIPTS:FOR MON7N:'.isI�ili:a;`i::�kp:;;;.;;;.,,;:; :.: �•..-...:.�.....:.:.:::.r.r'::;c.:y,:�;:::.::'.:.:.:..:.::'.::n;:;..<:•:;: �..:.:.:::..:•':� CASH, CHECKS, M,D.a &CREDIL CARDS ..;;, �. 10.0H1.00 Celiulma frero ACNAL Treuurofe Raeolple ....•.......^`....."......:>::... TOTAL'7REAS::RECEIPT&.o•;.. 11-03-15;12:53 ;From;Calhoun County JP4 To:5534444 ;3617852179 # 3/ 4 MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS 11/3/2015 COURT NAME: JUSTICE OF PEACE NO. 4 MONTH OF REPORT: October YEAR OF REPORT: 2015 ACCOUNT NUMBER ACCOUNT NAME AMOUNT CR 1000.001-45014 FINES 4,636.55 OR 1000.001-44190 SHERIFF'S FEES 626.73 ADMINISTRATIVE FEES: DEFENSIVE DRIVING 19.80 CHILD SAFETY 0.00 TRAFFIC 54,50 ADMINISTRATIVE FEES 0.00 EXPUNGEMENT FEES 0.00 MISCELLANEOUS 0.00 OR 1000.001-44364 TOTAL ADMINISTRATIVE FEES 74.30 OR 1000-001-44010 CONSTABLE FEES -SERVICE 0.00 OR 1000-001-44064 JP FILING FEES 0.00 OR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00 OR 1000-001.49110 OVERPAYMENTS (LESS THAN $10) 0,00 OR 1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00 OR 1000-999-20741 DUE TO STATE -DRIVING EXAM FEE 0.00 OR 1000-999-20744 DUE TO STATE-SEATBELT FINES 0.00 OR 1000-999-20745 DUE TO STATE -CHILD SEATSELT FEE 0.00 OR 1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00 OR 1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 1.261.00 TOTAL FINES, ADMIN. FEES & DUE TO STATE $6,588,58 OR 2670-001-44064 COURTHOUSE SECURITY FUND $144.12 OR 2720.001-44054 JUSTICE COURT SECURITY FUND $5.10 OR 2719-001-44064 JUSTICE COURT TECHNOLOGY FUND $144.30 OR 2699-001-44004 JUVENILE CASE MANAGER FUND $0.00 STATE ARREST FEES DPS FEES 18.28 P&W FEES 3.00 TABC FEES 0.00 OR 7020-999-20740 TOTAL STATE ARREST FEES 21.28 CR 7070�999-20610 CCC-GENERAL FUND 144.$7 OR 7070-999-20740 CCC-STATE 1,299.32 OR 7070-999-10010 1,443,69 OR 7860-999-20610 STF/SUBC-GENERAL FUND 27.20 OR 7860-999-20740 STF/SUBC-STATE 616,74 DR 7860-999-10010 543.94 CR 7960-999-20610 TP-GENERAL FUND 69.03 OR 7950-999-20740 TP-STATE 69.02 DR 7950-999-10010 138.05 OR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 0.00 OR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 0,00 DR 7480-999-10010 0.00 Page 1 of 2 11-03-15;12:53 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 4/ 4 MONTHLYREPORT OF COLLECTIONS AND DISTRIBUTIONS 11/3/2015 COURT NAME: JUSTICE OF PEACE NO.4 MONTH OF REPORT., October YEAR OF REPORT: 2015 CR 7666-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 7.02 CR 7866-099-20740 CRIM-SUPP OF IND LEG SVCS-STATE 63.17 DR 7865-999-10010 70.19 CR 7970-999-20610 TUFTA-GENERAL FUND 104.52 CR 7970-999-20740 TL/FTA-STATE 209.0$ DR 7070-999-10010 313.55 CR 7505-999-20610 JPAY - GENERAL FUND 22.68 CR 7505-999-20740 JPAY - STATE 203.25 DR 7505-999-10010 225.83 CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 13.52 CR 7857-999-20740 JURY REIMB. FUND- STATE 121.68 DR 7857-999-10010 135,20 CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.20 CR 7856-999-20740 CIVIL JUSTICE DATA REPOS: STATE 1.82 DR 7856-999-10010 Z02 CR 7998-999-20740 TRUANCY PREV/DIVFUND -STATE 51.28 OR 7998-999-10010 51.28 CR 7403-999-22889 ELECTRONIC FILING FEE 0,00 OR 7403-999-10010 0.00 TOTAL (Distrib Req to Oper Acct) $9,827.25 DUE TO OTHERS (Distrib Req Attchd) CALHOUN COUNTY ISO 0.00 DA - RESTITUTION 0.00 REFUND OF OVERPAYMENTS 0100 OUT -OF -COUNTY SERVICE FEE 0.00 CASH BONDS 0.00 PARKS & WILDLIFE FINES 144.60 WATER SAFETY FINES 8925 TOTAL DUE TO OTHERS $233,75 TOTAL COLLECTED -ALL FUNDS $10,061.00 LESS: TOTAL TREASUER'S RECEIPTS $10,061.00 Revised 12/8/14 OVER/(SHORT) $0.00 Page 2 of 2 11-04-15;02:31PM;From:Ca1houn County JP5 To:5534444 ;3619832461 # 1/ 8 ANP JUsnCc, oFAL�.... FAX COVER SHEET JUDGE NANCY POMYKAL P O BOX 454 PORT O' CONNOR, TX.77982 (361)983-2351 -TELEPHONE (361)983-2461 - FAX COUNTY OF CALHOUN JUSTICE COURT PCT. 5 DATE NOVEMBER 4, 2015 TO: JUDGE MIKE PFEIFER & COUNTY COMMISSIONERS ATT: SUSAN FAX NUMBER(S) 361-553-4444 SUBJECT: MONTHLY REPORT OCT. 2015 PAGES: 8 Including this cover NOTE: Susan I am submitting the monthly report for October 2015. Please call if you have any questions. Thank you, THE CONTENTS OF THIS FAX MESSAGE ARE INTENDED SOLELY FOR THE ADDRESSEE(S) named in this message. This communication is intended to be and to remain confidential and may be subject to applicable attorney/client and/or work product privileges. If you are not the intended recipient of this message, or if this message has been addressed to you in error, please immediately alert the sender by fax and then destroy this message and its attachments. Do not deliver, distribute or copy this message and/or any attachments and if you are not the intended recipient, do not disclose the contents or take any action In reliance upon the information contained in this communication or any attachments. 11-04-16;02:31PM;From:Ca1houn County JP5 To:5534444 ;3619832461 ft 2/ 8 Ho.ey Dincribution Report CALHOUN CO. PCT. 5 N, POMYKALi OCT. 2015 _Code0\AnouutD Total 1507-0283 10-07-2015 JSF 0.42 CCC 4.18 C . HS 0.11 LAP 0.52 TV 0.42 107.00 MARTINEZ, ZACHARY DEMBTRI JCSF 0,10 JPAY 0.63 IDF 0.21 TPDF 0.21 FINE 100.00 Money Order ... . .. 1, it . : :; .:, .:.. . - - - 20.15 .. .... 1 1 ;,.11 :::.:.: 375625 1510-0332 10-12-2015 JSF 4.00 CCC 40.00 CBS CRUZ, JOSE SANCHEZ Jcsr 1.00 JPAY 6.00 IDF csh.. .. ...... . ..... . 1­..a. ­ ....... ­­ . . ... ...... .... ....... .. 315627 1508-OS12 10-12-2015 WSP 267,00 RILEY, MELVIN BRIAN 3,00 LAP S.00 TF 4.00 2.00 TPDF 2,00 WSF 131.00 3 . 7 . 593 . 0 I .. 5 . 0 a . -0 3 11 1 0 1 4 -2 015 JSP 4,00 TVC 1.00 CCC 40.00 CHS 3.00 OAF 5.00 MAHAN, T140MAS AARON TV 4.00 JCSP 1.00 JPAY 4100 IDF 2,00 MVP 0.10 200.00 . .. .. ...... I . 267.00 ..... . ...... . 197.00 ': 0 .4:I .: .. . ..... ..... UDC Jo: ;0.0:: TPDF t:t ,6 37602 I510t-0334 10-15-2015 JSF 6100 coo 40,00 CH8 3.00 LAP 5I00 TF 4.00 10.00 FOREMAN, DANIEL I JCSF 1.00 JPAY 6.00 IDF 2,00 TPDF 2.00 PWF 100,00 Personal Check ... . .. .. .... OTNTE op, Irx": . .... ;j r 375634 1510-0340 10-19-2025 JSF 1.00 coo 40.00 C148 3100 LAP 5.00 TF 4.00 100.00 MALDONADO, MARCO JCSF 1.00 JPAY 6.00 IDF 2,00 TPDF 2.00 FINE: 33.00 Cach IN ':: :It MO 00 .... 150100 .. zDwit o J., e S: ... I.., 375914 1509-0326 10-19-2015 L5F 4.00 TFC 3.00 CCC 40.00 CBS 3.00 SAP 5.010 167,00 SCHNEIDER, ZACHARY BEN TF 4.00 JCSF 1.00 JPAY 6,00 TOP 2.00 MVF 0.10 Cash SUDC 30,00 TPDP 2.00 FINE .- .. .. . 66.90 .:,:::; ';:i: �. I I" j. It.-. 1. 1 'JSP4:,::' :. 0 1.:11.1....., 4 0 .... . CCQ - 1.11'' 1. .... '40:-:bb %':�-CH8 ; U;:': ... ... . .. .. TUCKER� RDY.O0$;EP1( it K.,q,WSPf:p. 4: Js 00': A..• '3 ,,.,..iPeX4onal:,;Chea ­:i:: it 375638 1510-0338 10-19-2015 JSF 4.00 CCC 40.00 OHS 3.00 PWAP 5.00 TV 4.00 167,00 SWOBODA, TODD ELLIOTT JCSF 1.00 JPAY 6.OD IDF 2.00 TPDF 2.00 PWF 100.00 Personal Chock .. .... ..... . ...... . ...... As 00 Fix. .............. . . ........ . . it :it "b" it ::z it q tit ..... ...... ... ... . ...... .. .. 375640 1508-0295 10-19-2013 PINE 20.00 20.00 DXERLAM, DEREK DAN Personal Check . .. ............. f.2.0.2; II00 ji. 'Z�LARA' NICO U'. V .Op...I I T i:,., 11 . I . ... ..... ... A : ... .... I ;TPD�F: ... .... Pi . ...... .... . .0�640wzzmwk 375642 1507-0269 -iq-2Qlg '75F 2.20 TCC 1.97 coo 22.20 CHS 1.47 SAP 2.78 126.00 RODRISUrZ, JUAN CARLOS TV 2,22 JCSF 0.56 JPAY 3.33 IDF 71,55 MVP 0IOG Company, k .... .C...... ... . .hoc Wor 19.63 TPDF �! b... 37,564Z .. .. ....'WRN iOQ � .1* C J SR. :, 0.0 it li� 1 17P .� W R . it, A �RNT 375G44 12.12-0344 10-19-2015 JSF 4.00 CCC 40.00 CHS 3.00 LAP 5.00 50,00 270.00 FOSTER, MICHAEL JOSEPH TIME 25.00 TV 4.00 DPSC 30.00 JCSP 1.00 jr)?AY 6100 Company Check :�zZ: 00411GB6; Ao-"�Z IDF . ........2....00 FINE 55,00 CSRv ;Q 45.I 00 -�,;nY i i .0 ;'Tr CO it eo... . ....... ... I 37E�46 07-12-0336 10-19-201B JSF 3.00 TVC 3,00 coo 40.00 CBS 4.00 LAP 5.00 351.00 POSTER, MICHAEL JOSEPH WANT 50.00 TIME 29,00 IF 4100 DPSC 30.00 JCSP 1.00 11-04-2015 Pago 1 11-04-15;02:31PM;From:Ca1houn County JP5 To:5534444 ;3619832461 # 3/ 8 Money Distribution RaPONU M HObN CO. PCT. S N. PONY= OCT. 201$ codea\AmountD Total 275648 1510-0133 10-22-2015 JSF 4.00 CCC 40.00 CHS 3.00 PWAF $.00 TB 4.00 70.00 AMAIMO, JON DAVID JCSF 1,00 JPAY 6.00 IDF 2.00 TPDF 2.00 WSP 3.00 Personal Chock . . ...... i- ..... ,. : . - 1. 1 0 M PACY1. 375650 1507-0265 10-27-2015 JSF 4.00 TFC 3.00 ccc 40,00 CH9 3.00 SAP 6.00 130.00 13ARRIENTOS MORALES, CHRISTINA IF 4.00 7CSF 1.00 JPAY 6.00 IDF 2.00 MVr 0.10 Money.Order SUBC 30.00 TPDF 2.00 F):NU 49.90 .... ... ... . ... ... ........ . ..... .... 410 , 7 ..... .. Q JPAY; PAY. im :z DO - - :tt • 375652 1510-0348-2 10-27-2015 JSF 4.00 Coe 40,00 CBS 3.00 LAP 9.00 IF 4.00 97.00 SCOTT, RICKY ALLEN JR JCSF 1.00 JPAY 4.00 IDF 2.OD TPDF 2.00 Money ordor .. ....... too 0 0: or it h .:TPpr D. 375954 1507-0268 10-27-201$ TFC 3.00 CH$ 3.00 LAP 5.00 IF 4.00 TC!$)? 1.00 149.00 LESTER, 3OHN PATRICK TPDF 7-00 DPP 100.00 SVBC 30.00 .. 56 1507-0275 10-29-2.015 agr 4.00 TFC 3.00 ccc 40.00 CHS STRATEN, AM8nR. NICHOL13 TF 4,00 LICSr 1,00 JPAY 6.60 IDF Personal Chock SUBC 30.00 TPDF 2100 Drr 126.90 3.00 LAP 5.00 227.00 2.00 MVP 0.10 -2015 Page 2 11-04-15;02:31PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 4/ 8 Monoy D10tribution Report CALHOUN CO. PCT, 5 N. PDNYXAL OCT. 2015 Type Code Daocription Count Retained Dinburned Noney-Tetaln The following totals rapreoent - Caoh and Checha Collected COST CCC CONSOLIDATED COURT COSTS 24 09.03 801.23 890.26 COST CHS COURTHOUSE SECURITY 25 70.77 0.00 70.77 COST DPSC UPS FAILURE TO APPEAR /OMNI FEES 2 19.00 40.20 60.00 COST IDF INDIGENT DEFENSE FUND 23 11,29 101.66 112.95 COST JCSP JUSTICE COURT SECURITY FUND 25 23.26 0.00 23.26 COST JPAY JUDGE PAY RAISR FEE 24 13.15 110.39 131.54 COST JSF JUROR SERVICE FUND 24 0.80 70.21 88.01 COST LAP SHERIFF'S FEE 16 73,51 0.00 73.51 COST MVP MOVING VIOLATION PEE 6 0.08 0.68 0.76 COST PWAP TEXAS PARKS & WILDLIFE 4 16.00 4,00 20.00 COST SAP UPS 5 10.2E 4.56 22.78 COST $UBC SUE TITLE C 10 206.65 6.00 286.65 COST IF TECHNOLOGY FUND 25 D3.03 0.00 93.03 COST TPC TFC IO 28.67 0.00 28.67 COST TIME TIME PAYMENT FEE 5 62.50 62.50 125.00 COST TPDP TRUANCY PREVENTION & DIVERSION FUND 21 0.00 30.51 38.51 COST WRNT WARRANT FEE 4 200.00 0.00 200.00 FEES CSRV COLLECTION SERVICES FEE 4 249.00 0.00 20.00 FEE$ DDC DRIVER SAFETY COURSE - 2011 2 19.80 0.00 19.80 FEES DFF DEFERRED FEE 2 226.90 0.00 226.90 FEES EFF ELECTRONIC FILING FEE 2 0.00 20.00 20.00 FEES EXRF EXPIRATION RENEWAL FEE 2 30.00 0.00 20.00 FEES FILI FILING FEE 2 $0.00 0.00 50.00 FEES IFEE INOIORNT FEE 2 0.60 11.40 12.00 FINE FINE FINE 13 907.60 0.00 907.60 FINE PWF PARKS & WILDLIFE FINE 4 99.45 563.55 663.00 FINE WSF WATER SAFETY FINE 5 61.60 462.40 54d.00 OPMT OPDD OVERPAYMENT DISBURSAL CODE 1 5.00 0.00 $.00 Monoy TOtalO 33 2,604,71 2,30E,29 4,993.00 Thu following totals rapreoent - TYenafera Collected COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CHS COURTHOUSE SECURITY 0 0.00 0.00 0.00 COST DPSC DPS FAILURE TO APPEAR 1OMNI FEES 0 0.00 0.00 0.00 COST IDF INDIGENT DEFENSE FUND 0 0.00 0.00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JPAY JUDGE PAY RAISE FEE 0 0,00 0.00 0.00 COST JSF JUROR SERVICE FUND 0 D.00 0.00 0.00 COST LAP SHERIFF'S FEB 0 0.00 0.00 0.00 COST MVF MOVING VIOLATION PEE 0 0.00 0.00 0.60 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAP DPS 0 0.66 0.00 0.00 COST SUBC SUB TITLE C 0 0.00 0.00 0.00 COST TF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TFC TFC 0 O.DO 0.00 0.00 COST TIME TIME PAYMENT FEE 0 0.06 0.00 0.00 COST TPDP TRUANCY PREVENTION & DIVERSION FUND 0 0.00 O.On 0.00 COST WRNT WARRANT FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0.00 0.00 FEES DDC DRIVER SAFETY COURSE - 2033 0 0.00 0.00 0.00 FEES DFF DEFERRED FEE 0 0.00 0.00 0.00 FEES EFF ELECTRONIC FILING FEE 0 0.00 0.00 0.00 FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 PEES FILI FILING PRE 0 0.00 0.00 0.00 FEES IFEE INDIGENT FEE 0 0.D0 0.00 0.00 FINE PINE FINE 0 0.00 0.00 0.00 FINE PWF PARKS & WILDLIFE FINE 0 0.00 0.00 0.00 FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00 OPMT OPDB OVERPAYMENT DISBURSAL CODE 0 0.00 0.00 0.00 Trans£cr Tot41a 0 0.00 0.00 0.00 The folloWing tOtAla represent - Jail Credit and Counuaicy 9orv1co COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0.00 COST CHS COURTHOUSE SECURITY 0 0.00 0.00 9.00 11-04-2019 Page 3 11-04-15;02:31PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 5/ 8 Money Di"tribution RcPOrt CALHOUN CO. PCT. 5 N. POMYKAL OCT. 2015 Typo Coda DaaariPtion Count Actained Dioburaed Money-Totale COST DPSC UPS FAILURE TO APPEAR /OMNI FEES 0 0.00 0,00 0.00 COST IDF INDIGENT DEFENSE FUND 0 0.00 0,00 0.00 COST JCSF JUSTICE COURT SECURITY FUND 0 0.00 0.00 0.00 COST JPAY JUDGE PAY RAISE FEE 0 0.00 0.00 0.00 COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00 COST LAP SHERIFF'S FEE 0 0.00 0.00 0.00 COST MVP MOVING VIOLATION FEE 0 0.DO 0.00 0.00 COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0.00 COST SAP UPS 0 0.00 0.00 0.00 COST SUBC SUB TITLE C 0 0.00 0.00 0.00 COST IF TECHNOLOGY FUND 0 0.00 0.00 0.00 COST TFC TFC 0 0.00 0.00 0.00 COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00 COST TPDF TRUANCY PREVENTION & DIVERSION FUND 0 0.90 0.00 0,00 COST 14RNT WARRANT FEE 0 0.00 0.00 0.00 FEES CSRV COLLECTION SERVICES FEE 0 0.00 0.00 0.00 FEES UDC DRIVER SAFETY COURSE - 2013 0 0.00 0.00 0.00 FEES OFF DEFERRED FEE 0 0.00 0.00 0.00 FEES EFF ELECTRONIC FILING FEE 0 0.00 0.00 0.00 GEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00 FEES @ILI FILING FEE 0 9.00 0.00 0.00 FEES IEEE INDIGENT PEE 0 0.00 0.00 0.00 FINE FINE FINE 0 0.00 0.00 0.00 FINE PWF PARKS & WILDLIFE FINE 0 0100 0.00 0.00 FINE WSF WATER SAFETY FINE 0 0.00 0.00 D.00 OPMT OPDB OVERPAYMENT DISBURSAL CODE 0 0.00 0.00 D.00 Credit TOLa10 The Eollewing tetala repreoont - Credit Curd Paymonta COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDF INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND COST LAF SHERIFF'S FED COST MVP MOVING VIOLATION FEE COST PWAF TEXAS PARKS & WILDLIFE COST SAP ❑PS COST SUBC SUB TITLE C COST TF TECHNOLOGY FUND COST TFC TFC COST TIME TIME PAYMENT FEE COST TPDF TRUANCY PREVENTION & DIVERSION FUND COST WRNT WARRANT FEE FEES CSRV COLLECTION SERVICES FEE FEES CDC DRIVER SAFETY COURSE - 2013 FEES DFF DEFERRED FEE FEES EFF ELECTRONIC FILING FEE FEES EXRF EXPIRATION RENEWAL FEE FEES FILT FILING FEE FEES IFEE INDIGENT FEE FINE FINE FINE FINE PWF PARKS & WILDLIFE FINE PINE WSF WATER SAFETY FINE OPMT OPDB OVERPAYMENT DISBUR$AL CODE Credit Tota7e Tho H011owiny totals repreoont - Combined MOnty and Credit" COST CCC CONSOLIDATED COURT COSTS COST CHS COURTHOUSE SECURITY COST DPSC DPS FAILURE TO APPEAR /OMNI FEES COST IDF INDIGENT DEFENSE FUND COST JCSF JUSTICE COURT SECURITY FUND COST JPAY JUDGE PAY RAISE FEE COST JSF JUROR SERVICE FUND 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0100 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0100 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0, OD 0.00 0 0.00 0.00 0.00 0 0.00 O.OD 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0,00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 0 0.00 0.00 0.00 24 69.03 601.23 090.26 25 70.77 0.00 70.77 2 19.00 40.20 90.00 23 11.2D 101.66 112.95 25 23.26 0.00 23.26 24 13.15 118.39 131.54 24 B.BO 79.21 88.01 11.04-2015 Page 4 11-04-15;02:31PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 6/ 8 Money D19trAbution Reyoxt CALHOUN CO. PCT. 5 N. POMYXHL OCT. 2019 Count Retoined biebuxaod Money-Tot4lo n2a Code DOOCriDtiOn COST LAP SFIERTFF'S FEE 16 73.51 0.00 73.51 COST MVP MOVING VIOLATION FEE 8 0.08 0.60 0.79 COST PWAF TEXAS PARKS & WILDLIFE 4 16.00 4.00 20.00 COST SAP DP8 5 18.22 4.56 22.75 COST SUBC SUB TITLE C 10 286.6E 0.00 286.95 COST TV TECHNOLOGY FUND 25 93.03 0.00 93.03 COST TFC TFC 10 20.47 0.00 20.67 COST TIME TIME PAYMENT FEE 5 92.50 62.50 125.00 COST TPDF TRUANCY PREVENTION 6& DIVERSION FUND 21 0.00 39.51 38.51 COST WRNT WARRANT FEE 4 200.00 0.00 200.00 FEES CSRV COLLECTION SERVICES FEE 4 249.00 0.00 249.00 FEES DDC DRIVER SAFETY COURSE - 2013 2 19.90 0.00 19.00 FEES DFF DEFERRED FEE 2 226.90 0.00 226.90 FEES EFF ELECTRONIC FILING FEE 2 0.00 20.00 20.00 FEES EXRF EXPIRATION RENEWAL FEE 2 30.00 0.00 30.00 FEES PILI FILING FEE 2 50.00 0.00 50.00 FEES IFEE INDIGENT FEE 2 0.60 11.40 12.00 FINE FINE FINE 13 907.60 0.00 907.90 FINE PWP PARKS & WILDLIFE FINE 4 99.45 563.55 663.00 FINE WSF WATER SAFETY FINE 5 61.60 462.40 544.00 OPMT OPUS OVERPAYMENT DISBURSAL CODE 1 5.00 0.00 5.00 Report Totala 33 2,694.71 2,306.29 4,993.00 11-04-2015 Pago 11-04-15;02:31PM;From:Caihoun County JP5 To:5534444 ;3619832461 # 7/ 8 MOnoy DiOtrihution Report CALHOUN CO. PCT. 5 N. PQMYKAL OCT. 2015 Date P ym nt Type Pines Court Costs Peen Bonds Restitution Other Total 00-00-0000 Cash & Checks Collected 0.00 Oleo 0.00 0,00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 oleo 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 Oleo Total of all Collections 0.00 0.00 0.00 Oleo 0.00 0.00 0.00 09.01-1991 cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 Oleo 0.00 Jail Credits & Comm Service Oleo 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 Oleo 0.00 0.00 0.00 0.00 0.00 Total Of all Collections Oleo Oleo 0.00 0.00 0.00 0.00 0.00 09.01.1993 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 O.OD oleo 0.00 0.00 Oleo 0.00 Total of all Collections Oleo O.OD 0.00 0.00 Oleo Oleo 0.00 09-01-1995 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 O.Do 0.00 0.00 0.00 Credit Cards & TrandCere 0.00 0.00 Oleo Oleo 0.00 0.00 0.00 Total of all Collections 0.00 Oleo 0.00 0.00 0.00 0.00 0.00 09-01-1997 Cash & Cheeks Collected 0.00 0.00 0.00 Oleo 0.00 0.00 oleo Jail Credits & Comm Service Me 0.00 0.00 Oleo 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 Oleo 0.00 Total of all Collections D.Oo 0.00 0.00 0.00 0.00 0.00 Oleo 09.01.1999 Cash & Cheeks Collected 0.00 O.OD 0.00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 O.OD 0,00 0.00 0.00 0.00 0.60 Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total 09 all Collections 0.00 0.00 0.00 0.00 Oleo 0.00 O.DO 09-01-2001 Cash & Checks Collected 0.00 0.00 0,00 0.00 0.00 0.00 0.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 0.00 0.00 Oleo Oleo Oleo Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00 09-01-2003 Cash & Checks Collected 0.00 O.OD 0.00 0.00 0.00 else 0.00 Jail Credits & Comm Service 0.00 Oleo 0.00 0.00 0.00 0.00 0.00 Credit Cards & Trans.Cera 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total of all Collections 0.00 oleo 0.00 0.00 0.00 Me 0.00 01-01-2004 Cash & Checks Collected 2,114.60 2,265.70 607.70 0.00 0.00 5.00 d,993.00 Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 oleo 0.00 0.00 0.00 0.00 0.00 Total of all Collections 2,114.60 2,263.70 607.70 0.00 0.00 5.00 4,993,00 TOTALS Cash & Checks Collected 2,114.60 2,265.70 607.70 0.00 0.00 5.00 41 993.00 Jail Credits & Comm Service 0.00 Oleo 0.00 0.00 0.00 0.00 0.00 Credit Cards & Transfers 0.00 0.00 Oleo 0.00 0.00 Oleo 0.00 Total of all Collections 2,114.60 2,265.70 607.70 0.00 0.00 5.00 4,993.00 11-04-2015 Page 11-04-15;02:31PM;From:Ca1houn County JP5 To:5534444 ;3619832461 # 8/ 8 Money Distribution Report CALROIIN CO. PCT. 5 N. PON`n•<ar. OCT. 2015 Description Count Collected Retained Disbursed State of Texas ouarterly Reporting Totals State Comptroller Cost and Fees Report Section I, Report for Offenses Committed 01.01.04 Forward 34 1,176.91 1,176.91 0.00 09-DI-01 - 12-31-03 0 0.00 0.00 0.00 00-31-PP - 08-31-01 0 0.00 0.00 0.00 09-01.97 - 08-30-99 0 0.00 0.00 0.00 00.01-91 - 00-51-97 0 0100 D.00 0.00 Dail Bond Fee 0 0.00 0.00 0.00 DNA Testing Fee - Convictions 0 0.00 0.00 0.00 DNA Tosting Fee - COMM Supvn 0 0,00 0.00 0.00 DNA Testing Fee - Juvenile 0 0.00 0.00 0.00 EMS Trauma Fund (EMS) 0 0.00 0.00 0.00 Juvenile Probation Diversion Fees 0 0.00 0.00 0.00 Jury Reimbursement Foe 24 88.01 0.80 79.21 Indigent Defense Fund 23 112.55 11,29 101.65 Moving violation Fenn 0 0.76 0.00 0.68 State Traffic Fine 0 0.00 0.00 0.00 Section 11: As Applicable Peace Officer Fens 9 42.76 34.22 8.59 Failure to Appear/Pay F4o* 2 60.00 19.80 40.20 Judicial Fund - Connt County Court 0 0.00 0.00 0.00 Judicial Fund - Statutory County Court: 0 0.00 0.00 0.00 Motor Carrier weight violations 0 0.00 0.00 0.00 Time Payment Fees S 125.00 62,50 62.50 Driving Record Fee 0 0.00 0.00 0.D0 Judicial Support Fee 24 131.54 13.15 110.39 Truancy Prevention and Diversion Fund 0 0.00 0.00 0.00 Report Bub Total 129 1,737,95 1026,75 412.20 State Comptroller Civil Fees Report CP; Birth CortifiO4t0 FOOD 0 0.00 0.00 0.00 CF; Marriage License Fees 0 0.00 0.00 0.00 CFI Declaration of Informal Marriage 0 0.00 0.00 0.00 CF: Nondisclosure Fees 0 0.00 0.00 0.00 CF: Juror Donations 0 0.00 0.00 0.0D CFI Juatice Court Indig Filing Peen 2 12.D0 0.50 11.40 CF: Stat Prob Court Indig Filing Paco 0 0.00 0.00 0.00 OF: $tat Prob Court Judie Piling Peen 0 0.00 9.00 0.00 CF, Stat Cnty Court Indig Filing Fenn 0 0.00 0.00 0.00 CF: Stat Cnty Court Judie Filing Fees 0 0.00 0.00 0.00 OF: Come Cnty Court Indig Filing Peen 0 0.00 0.00 0.00 CV: Cnnt Cnty Court Judic Piling Peen 0 0.00 0.00 0.00 OF; Dint Court Divorce & Family Law 0 0.00 0.00 0,00 OF: Dint Court Other Divorce/Family Law 0 0.00 0.00 0.00 CF: Dint Court Indig Legal Services 0 0.00 0.00 0.00 OF; Judicial Support Pon 0 0.00 0.00 0.00 Report Sub Total 2 12,00 0.60 11.40 Total Due For This Period 131 11749.95 1,327,35 422.60 THE STATE OF TEXAS Before me, the undarsignod authority, this day County of Calhoun County personally appeared Nancy Pomykal, Justice of the Peace, Precinct No 5, Calhoun County, Texas, who being y sworn, eposes and says that the above `��u`"""""��,,,� and ogoin or is true and correct. A�GE Co witness my hand thin df , A.E.C'. J`'. _��J�%�\ '••,T Calhoun County, ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled 533.37 Selected maior activities since last report -Oct 2015 October 3: Tina attended the Gold Star Banquet in Kennedy, TX. It was an event to recognize all the gold star winners in the district. We had Shiloh Pope represent Calhoun County. October 5: Tina attended her Texas Extension Educators Association Monthly Meeting held at the Bauer Bldg., The group talked about upcoming fundraisers and programs. Tina also attended the Intercoastal 4-H meeting to promote the upcoming fundraiser during the fair Chicken squat bingo. October 6: Tina went to the High school to work with Ms. Cline's class on picking out recipes to enter during the fair. Tina also went to JR Elementary with her Co Worker Eric to promote 4-H during national 4-H week. October 12: Tina went to the High school to work with Ms. Cline's class on baking and how to measure ingredients. October 13-16: Calhoun County Fair October 21: Tina along with other district 11 fcs agents put on a healthy cooking school demonstration during the farm and ranch show that was held in Victoria, TX October 22: Tina held a food Challenge meeting for any kids interested in being on the Calhoun County food challenge team. October 26: Tina attended the PALA (Parent and Leader Association) meeting where they talked about how the fair fundraising had gone. October 28: Tina held the Lunch N Learn for Calhoun County where they had Ron Reager about nutrition. We had 28 individuals from the county attend. Direct Contacts: Phone:98 E-mail/Letters:475 Office:15 Site:3 W ebs ite/N ews paer:4700 Maier events for next month—November2015 Life Skills at the high school Food Challenge meeting Shac Meeting Travel(Personal Vehicle) In County Mileage: 67.87 Out of County Mileage:465.50 Tina Trevino f� V o f2x_ Calhoun Name County County Extension Agent -Family and Consumer Science October 2015 Title Date (Month -Year) Texas A&M Agrit-ife Extension Services - College Station, Texas ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled 410 Selected maior activities since last report- October 2016 October 3- Fort Bend County Fair Livestock Judging Contest in Rosenberg October 6- 4-H Promotion at JR Elementary School and National Night Out October 7- Picked up Burr Oak Tree in Corpus Christi for One Day 4-H Project October 10- Planted Burr Oal<Tree at the Extension Office for One Day 4-H Project October 14- Calhoun County Fair Livestock Show October 15- Calhoun County Fair Livestock Judging Contest and Spectacular Show October 16- Calhoun County Fair Junior Livestock Sale October 20- Livestock Judging Practice October 21-South Texas Farm and Ranch Show Program in Victoria October 26- Major Show Heifer Validation October 27- Livestock Judging Practice Direct Contacts: Phone:32 E-mail/Letters:46 Office:9 Site:8 Maior events for next month — November 2015 November 3- Livestock Judging Practice November 9-13- New County Agent Training in College Station November 16-17-TCAAA Fall Meeting in Goliad November 19- New County Agent Training in Wharton November 20-22- District 11 4-H Crossroads in College Station Joseph Dickschat Name County Extension Agent- 4-H & Youth Development Title County October 2015 Date (Month -Year) Texas AgriLife Extension Service • The Texas A&M University System . College Station, Texas k\ {\ k \ k \ } � }�) ±/) ) (ƒ§ ; \\/ � /)) / ƒG@ ( | IR ±0 \\ \ ) { @ m U d� _o L 3 C O J N N Cd G O b O b ri O c .N. .�. -T N �D l� r .M . N N l � VI ^ M M V1 y w * x a , > a UCOD a g F E w 3 a 5>> y = •5 a w ;2 ,p `o N U U ?• U U U U V u C C U U' U a� 3 °•� > U w U C > U o g > > U c°y�o�?a�F�agH>xka�jo��a�; ` � w a C o -5 a o 8 y C j U � C •p7 y '� Gi, p •tl •N •pO •p7 C. '� •y •� > C y F, •� pp > b % .b�.A y >% ww°C7woncam.,toUarnWwtiv0rni+ aa",v,0Fna wwf°nwU3w ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled: 480.7 Selected major activities since last report October 2: Twenty surveys for the economic impact of recreational/tournament fishing study were collected at the Captain's registration and dinner for the POC Grand Slam. October 6: All of the Extension Agents worked a booth at the National Night Out held at the Sea Greens Apartment homes. The property manager estimated nearly 2,000 people came to the event over the 2 hour duration. October 8: Mariner 4-H meeting was held at OLG and club officers were elected. Cummins then conducted an installation ceremony for the new officers. October 10: The family fishing event hosted by the Victoria Boulevard Lions club boasted 324 participants this year. Cummins was on hand to assist some of the special needs adult fishers and display an array of saltwater species from Matagorda Bay on her ice table. October 13-17: Once again, Cummins had a grand champion educational display at the Calhoun County Fair. The exhibit was an interpretation piece about the recently launched floating wetland at Little Chocolate Bayou Park. October 20: Cummins continued this interpretation of the Floating Wetland to the Alcoa Retirees at their monthly meeting. Thirteen members were present to learn about this amazing project in their county. She also worked with the P and 41h grade Junior Master Gardeners on growing their own worms for composting. October 29: Cummins attended the next installment in a series of coastal county coordination meetings held by Bill Balboa at the Matagorda County Extension Office. October 30: The Calhoun County Marine Advisory Committee Chairman Norman Boyd and Cummins installed a 10-gallon fresh water aquarium in Meagan Rodriquez's 5th grade science classroom at JR Elementary School. The tank is home to the only native North American cichlid, the Rio Grande perch. Direct Contacts by: Office:14 E-mail/Letters:985 Site:119 Newsletters: 1172 Phone:86 Volunteers:2 Major events for next month — November 2015 November 3-7: Jr. Marine Exploration Week at Lighthouse Beach November 10: San Antonio Bay Foundation Board meeting November 11-14: Conference for the Advancement of Science Teaching November 12: Mariner 4-H meeting. November 19: Sea Grant conference call November 20: 6th grade field trip to UTMSI/Science on a Sphere November 23-27: personal leave and Thanksgiving Holiday Rhonda Cummins Name CEA - CMR Title County October 2015 Date (Month -Year) Texas A&M AgriLife Extension - The Texas A&M University System • College Station, Texas ADM 2.6 Reprint - 2.81 D-843 EXTENSION ACTIVITY REPORT TO COUNTY COMMISSIONERS COURT Miles traveled 583.2 Selected maior activities since last report- Oct 2015 Oct 4: Attended Green Lake 4H club meeting to talk about fair fundraiser Oct 4: Attended Town & Country 4H meeting to talk about fair fundraiser Oct 5: Attended All Around 4H meeting to talk about fair fundraiser Oct 6: Went to Jackson Roosevelt elementary to play games with the 3`a 4" and 5rh graders during recess and talk about 4H as a recruitment event for National 4H week. We gave out 200 flyers about 4H. Oct 6: Set up booth at National Night Out to promote 4H. It was estimated over 2000 people attended. Oct 8: Attended a board meeting at the appraisal district. Oct 8: Helped the 4H Council kids decorate educational building exhibit for fair. Oct 9: Received donation from local homeowner of gardening supplies. This spring I will be starting an educational garden at the high school to be used by the life skills students. Oct 10-11: Attended 4H shooting sports coaches training in Victoria with an adult volunteer to be certified as 4H archery coaches Oct 13-18: Calhoun County Fair. This year's fair ran smoothly and was a success. Oct 15: Hosted the First annual Calhoun County 4H Spectacular show. In this event Calhoun County special needs youth are paired with a 4H member and get to exhibit an animal in a mock show. This event was attended by more than 12 special needs youth and many 4H members. It was an amazing experience for those involved and we look forward to doing it again next year. Oct 21-22: Assisted with the South Texas Farm and Ranch Show held in Victoria, I helped with registration and taught a private applicators training. Oct 24: Attended Aggie Fast Judging Contest in College Station. 2 4H members competed. Madyson Lovett place 6" in Junior Swine. Oct 26: Held a 4H council meeting. We began preparations for our November community service project, we will be doing a coat drive contest at the high school, and taking donations at community businesses as well. Direct Contacts: Phone:37 E-mail/Letters:48 Office:10 Site:13 Maior events for next month — Nov 2015 Nov 9-13: Program Excellence Academy College Station Nov 16-17: District 11 TCAAA Retreat Nov 18: Wild Hog Dinner Nov 19: Agent Success training Eric Taylor Calhoun Name County County Extension Aaent—Agriculture and Natural Resources October 2015 Title Date (Month -Year) Texas AgriLife Extension Service • The Texas A&M University System • College Station, Texas APPROVAL OF PAYROLL: Commissioner Fritsch made a motion to approve the following October 2015 payrolls: • Through 10-09-2015 $ 236,845.66 • Through 10-23-2015 243,547.74 TOTAL: $ 480,393.40 Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY PAYROLL 2015 MONTH /OCTOBER Payrollthroueh 10-09-2015 $ 236,845.66 Payroll through 10-23-2015 $ 243,547.74 APPROVED TOTAL PAYROLL $ 4809393.40 The items listed above have been pre -approved by all Department Heads and I certify that funds were available to pay the obligations. 1 certify that the above is true and correct to the best of my knowledge November 6, 2015. NDA S. KOKENA, CALHOUN COUNTY TREASURER ACCEPTED AND APPROVED THIS THE 1'2-*� DAY OF KA&Mb&, 2015 IN THE CALHOUN COUNTY COMMISSIONERS' COURT, PORT LAVACA, TEXAS 77979. [W 12 2015 CALHOUN COUNTY COMMISSIONERS COURT APPROVAL OF BILLS: Commissioner Fritsch made a motion to approve County bills in the amount of $1,993.812.09, with no transfers between funds, for a total amount for approval of $1,993,812.09. Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. November 12, 2015 2015 APPROVAL LIST - 201513UDGET 46 COMMISSIONERS COURT MEETING OF 11/12/15 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 45 $ 1,350,477.00 ELECTION PAYROLL FOR NOVEMBER 3, 2015 ELECTION P/R 8080.58 FICA P/R $ 82,143.40 MEDICARE P/R $ 19,550.06 FWH P/R $ 69,391.14 AFLAC P/R $ 9,847.30 COMBINED INSURANCE C/O PEOPLES UNITED BANK P/R $ 2,549.16 NATIONWIDE RETIREMENT SOLUTIONS P/R $ 2,865.48 OFFICE OF THE ATTORNEY GENERAL - CHILD SUPPORT P/R $ 1,356.92 PRINCIPAL FINANCIAL GROUP P/R $ 185.84 RELIANCE STANDARD LIFE P/R $ 3,197.06 SOCIAL SECURITY ADMINISTRATION P/R $ 163.20 TEXAS ASSOCIATION OF COUNTIES I-IEBP P/R $ 197,369.73 TEXAS COUNTY & DISTRICT RETIREMENT SYSTEM P/R $ 128,145.16 TRUSTMARK P/R $ 3,561.58 WILLIAM E. HEITKAMP, TRUSTEE P/R $ 347.67 AT&T MOBILITY A/P $ 2,787.23 BEN E KEITH FOODS A/P $ 5,666.62 CABLE ONE A/P $ 227.00 CAHOUN COUNTY GENERAL FUND A/P $ 7,242.65 CALHOUN COUNTY FEES & FINES A/P $ 255.00 CALHOUN COUNTY NAVIGATION DISTRICT A/P $ 3,954.21 CALHOUN COUNTY SHERIFF GRANT FUND A/P $ 84.76 CALHOUN COUNTY WATER CONTROL & IMPROVEMENT DIST.#1 A/P $ 2,040.79 CARDMEMBER SERVICE - COUNTY A/P $ 1,779.19 CENTERPOINT ENERGY A/P $ 1,920.81 CITY OF POINT COMFORT A/P $ 175.15 CITY OF PORT LAVACA A/P $ 4,191.27 CITY OF SEADRIFT A/P $ 253.63 CPL RETAIL ENERGY A/P $ 87.74 CRISTINA TUAZON A/P $ 32.78 ERICA PEREZ A/P $ 86.94 GBRA A/P $ 237.48 GRACE GONZALEZ A/P $ 236.33 GREATAMERICA FINANCIAL SERVICES A/P $ 269.98 JACKSON ELECTRIC COOP, INC. A/P $ 445.05 LA WARD TELEPHONE EXC. INC. A/P $ 353.40 M. KASER & ASSOCIATES, INC AT $ 2,255.00 MCI COMM SERVICE AT $ 34.34 MCI MEGA PREFERRED A/P $ 274.76 PORT O'CONNER IMPROVEMENT A/P $ 513.45 REPUBLIC SERVICES #847 A/P $ 1,376.39 SPRINT A/P $ 130.72 STATE COMPTROLLER A/P $ 60,262.33 TEXAS WAVF,NF,T WIRELESS A/P $ 144.98 VERIZON SOUTHWEST A/P $ 3,415.88 VERIZON WIRELESS A/P $ 164.68 VICTORIA ELECTRIC CO-OP A/P $ 2,938.07 VOYAGER A/P $ 10,370.45 WASTE MANAGEMENT A/P $ 371.75 TOTAL VENDOR DISBURSEMENTS: $ 1,993,812.09 TOTAL TRANSFERS BETWEEN FUNDS: $ - TOTAL AMOUNT FOR APPROVAL: $ 1,993,812.09 ACCEPT DONATIONS TO CALHOUN COUNTY: N/A DECLARE CERTAIN ITEMS OF COUNTY PROPERTY IN PRECINCT #4 ROAD AND BRIDGE AS SURPLUS/SALVAGE AND REMOVE FROM INVENTORY. ITEMS WILL BE SENT TO AUCTION: Commissioner Finster made a motion to declare certain items of County property in Precinct #4 Road and Bridge as Surplus/Salvage and remove from inventory. Items will be sent to auction. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Kenneth W. Finster County Commissioner County of Calhoun Precinct 4 November 4, 2015 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 Commissioners' Court Agenda for November 12, 2015. • Discuss and take necessary action to list the following equipment as Surplus/Salvage and remove from Precinct 4 R & B Inventory. Items will be sent to auction. DESCRIPTION SERIAL NO. INVENTORY NO. 0 2001 GMC C1500 1GTEC14W62Z271113 24-0359 0 2006 CHEV 1500 3GCEC14X76G264475 24-0365 o LAWN TRACTOR 8522636 24-0342 o CAT BACKHOE TBD42N17286 24-0305 0 1990 FORD DUMP TRUCK 1FDPK746LVA12469 24-0136 o GENERATOR —COUGAR ULV C195 24-0306 o BUSH HOG 3210 CUTTER 12-11009 24-0327 Sincerely, Kenneth W. Finster KWF/at P.O. Box 177 — Seadrift, Texas 77983 — email: kfinstercealhouncotx.org — (361) 785-3141 — Fax (361) 785-5602 Calhoun County, Texas SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: Dept. 570 — Precinct 4 Requested By: April Townsend/Commissioner Finster Inventory Number 24-0359 Description 2001 GMC C1500 Serial No. 1GTEC14W62Z271113 Reason for Surplus/Salvage Declaration SELL @ AUCTION 24-0365 2006 CHEV 1500 3GCEC14X76G264475 SELL @ AUCTION 24-0342 LAWN TRACTOR 8522636 SELL @ AUCTION 24-0305 CAT BACKHOE TBD42N17286 SELL @ AUCTION 24-0136 1990 FORD DUMP TRUCK 1FDPK74P6LVA12469 SELL @ AUCTION 24-0306 COUGAR ULV MOSQUITO SPRAYER C195 SELL @ AUCTION 24-0327 BUSH HOG 3210 CUTTER 12-11009 SELL @ AUCTION DECLARE CERTAIN ITEMS OF COUNTY PROPERTY IN PRECINCT #2 AS SURPLUS/SALVAGE AND REMOVE FROM INVENTORY: Commissioner Lyssy made a motion to declare certain items of County property in Precinct #2 as surplus/salvage and remove from inventory. Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 November 5, 2015 Honorable Michael Pfeifer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Pfeifer: a (361) 552-9656 Fax (361) 553-6664 Please place the following item on the Commissioners' Court Agenda for March 26, 2015 Consider and take necessary to declare a 1983 Dump Truck, a 1995 Shredder and a 1999 Tractor as Surplus/Salvage. (See list) Sinc elly Lesa Jurek Office Manager Calhoun County SURPLUS/SALVAGE DECLARATION REQUEST FORM Department Name: R&S Pct. 2 Requested by: Commissioner Vern Lyssy Inventory Reason for Surplus/Salvage Number Description Serial No. Declaration #22-0180 1963 International Dump Truck 2HTAA1766DCA11727 Transmission out #22-0148 1996 Bush Hog 2615 Batwing 12.04605 Not needed #21-0172 1999 New Holland 6610 Tractor 363211M Do not use DECLARE CERTAIN ITEMS OF COUNTY PROPERTY IN THE CALHOUN COUNTY SHERIFF'S DEPARTMENT AS SURPLUS/SALVAGE AND REMOVE FROM INVENTORY. ITEMS WILL BE SENT TO AUCTION. (SEE LIST): Commissioner Finster made a motion to declare certain items of County property in the Calhoun County Sheriff's Department as surplus/salvage and remove from inventory. Items will be sent to auction (see list). Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: SALVAGE SURPLUS DATE: NOVEMBER 12, 2015 Please place the following item(s) on the Commissioner's Court agenda for the dates) indicated: AGENDA FOR NOVEMBER 12, 2015 • Consider and take necessary action to accept Calhoun County Sheriff's Office property which is no longer being used as salvage surplus. See attached list. • Consider and take necessary actions to authorize the Calhoun County Sheriff's Office to place items in next county auction. Jita erely, George Aleman Calhoun County Sheriff HP LASER JET PRINTER 1160 LE HP LASER JET 1320 PRINTER REMOVE FROM THE FIXED ASSET INVENTORY A LIST OF PROPERTY WHICH WAS NOT IN THE CALHOUN COUNTY SHERIFF'S OFFICE WHEN THE CURRENT ADMINISTRATION CAME INTO OFFICE IN 2013 (SEE ATTACHED LIST): Commissioner Finster made a motion to remove from the Fixed Asset Inventory a list of property which was not in the Calhoun County Sheriff's Office when the current administration came into office in 2013 (see attached list). Commissioner Fritsch seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: INVENTORY ITEMS NO LONGER IN SHERIFF'S OFFICE DATE: NOVEMBER 12, 2015 Please place the following item(s) on the Commissioner's Court agenda for the dates) indicated: AGENDA FOR NOVEMBER 12, 2015 • Consider and take necessary action to remove from the Fixed Asset Inventory List the property that was not at the Sheriff's Office when current administration came into office in 2013 . See attached list. cerely, .Griz f' George Aleman Calhoun County Sheriff ITEM DESCRIPTION INV #` COMPRESSOR AIR AMERICA MODEL L5020 565-0348 COMPUTER MINI TOWER W/17" MONITOR 565-0347 COMPUTER 6X86 PR200MX BASE SYSTEM 32 MB 565-0371 COMPUTER E-3200 3500 15 INCH MONITOR 565-0433 COMPUTER E-3200 3500 15 INCH MONITOR 565-0433 COMPUTER E-3200 3500 15 INCH MONITOR 565-0432 COMPUTER E-3200 3500 15 INCH MONITOR 565-0431 COMPUTER INTEL 3.0 MHZ P4-530 565-0569 COMPUTER 3.OHT 800 M HZFSB 565-0577 COMPUTER INTEL D945 565-0579 COMPUTER INTEL PENTIUM 4 WINDOWS XP PRO 565-0612 COMPUTER INTEL PENTIUM 4 WINDOWS XP PRO 565-0611 COMPUTER INTEL D945 565-580 COMPUTER INTEL D945 565-0578 COMPUTER INTEL D945 565-0602 COMPUTER PENTIUM 820 17" FLAT PANEL MONITOR 565-0602 COMPUTER PENTIUM 820 17" FLAT PANEL MONITOR 565-0601 COMPUTER PENTIUM 820 17" FLAT PANEL MONITOR 565-0600 COMPUTER PENTIUM 820 17" FLAT PANEL MONITOR 565-0599 COMPUTER PENTIUM 820 17" FLAT PANEL MONITOR 565-0598 SERIAL # 9701035514 12874672 12874675 12874674 12874673 MATTER OF DECLARING CERTAIN ITEMS OF COUNTY PROPERTY AS SURPLUS/SALVAGE: N/A DECLARE CERTAIN ITEMS OF COUNTY PROPERTY IN THE CALHOUN COUNTY SHERIFF'S DEPARTMENT AS WASTE AND AUTHORIZE DISPOSAL OF SAME (SEE LIST): Commissioner Galvan made a motion to declare certain items of County property in the Calhoun County Sheriffs Department as waste and authorize disposal of same (see list). Commissioner Lyssy seconded the motion. Commissioners Galvan, Lyssy, Fritsch, Finster and Judge Pfeifer all voted in favor. CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: MIKE PFEIFER, COUNTY JUDGE SUBJECT: DECLARE WASTE/DESTROY DATE: NOVEMBER 12, 2015 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR NOVEMBER 12, 2015 Si -er ly, George Aleman • Consider and take necessary action to accept Calhoun County Sheriffs Office property which is no longer being used as waste. See attached list. • Consider and take necessary actions to authorize the Calhoun County Sheriffs Office to dispose of the property declared as waste. OL� Calhoun County Sheriff Eff 9 r tysl � l 1. 1- BLUE FABRIC OFFICE CHAIR 2. 3- MAROON FABRIC OFFICE CHAIRS 3. 2- VINYL OFFICE CHAIRS 4. 1- QUASAR COLOR REMOTE 25" TELEVISION MODEL TP2520DW INV # 565-0243 5. 4- VIDEO STACKING DOUBLE DRAWER CASES 6. 1- GATEWAY COMPUTER TOWER S#0015335866 7. 1- GATEWAY COMPUTER TOWER S#0015336861 8. 1- PORT CITY COMPUTER TOWER S#000384 9. 1- PORT CITY COMPUTER TOWER S#000385 10. 2- KEYBOARDS MATTER OF TRANSFERRING CERTAIN ITEMS OF COUNTY PROPERTY FROM ONE COUNTY DEPARTMENT TO ANOTHER COUNTY DEPARTMENT (SEE LIST): N/A BUDGET ADJUSTMENTS: Commissioner Finster made a motion to approve budget adjustments. Commissioner Fritsch seconded the motion. 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O ;Z W iW ? � z C: W W a o ° a z clu I .a) ;o :z ;z �§ A2 ;§ k k k z k 2 I § 2 \ ■§B®®R §■§ §erg„ §j\\/ ^ % ) Lo k� k =0 Ez 2 )§ )� )L )§ / § i § e■§- & Egj { \&aQa\ a ■§-®® - §§ / / k >2&2&� k LU ))J»\ e 000m, N 0000 ° z z\ z � ; §±±)± U. QG ) u \ B�jm§ §$%S± CIO >um 06 LU )\ Log § \ } § t §EE} §§/ �ma ■- §�_ 2 ul w § a§- 2 §■ k § z �& �\ IL ■ o k § 2 �z: rem, ; § § �§ & Q S a LU o � ; z m £ ■ § �0D B z § ; / / )j § L & (|3 SINGLE SOURCE, EMERGENCY AND PUBLIC WELFARE PURCHASES AND BILLS: N/A PUBLIC DISCUSSION OF COUNTY MATTERS: Commissioner Galvan reminded all in attendance that the Chamber auction is scheduled for December 51n Judge Pfeifer announced the Court will reconvene at 1:00 p.m. MEETING ADJOURNED AT 10:57 A.M. 1:00 P.M. THE COURT WILL RECONVENE IN A WORKSHOP SESSION AT 1:00 P.M. SUBJECT MATTER IS TO HEAR FROM STEPHEN STEHLING WITH TYLER TECHNOLOGIES REGARDING ODYSSEY SOFTWARE AND TAKE ANY ACTION DEEMED NECESSARY: The Court reconvened at 1:00 p.m. in a workshop session to hear from Stephen Stehling with Tyler Technologies regarding Odyssey software. Jim Biggs, Director of Sales, Texas for Tyler Technologies was also present. No action was taken at this time as this item is to be put on the agenda in December. COURT ADJOURNED AT 2:22 P.M. Susan Riley From: Stehling, Stephen <Stephen.Stehling@tylertech.com> Sent: Monday, October 05, 2015 2:54 PM To: susan.riley@calhouncotK.org Cc: anna.goodman@calhouncotx.org; shannon.salyer@calhouncotx.org Subject: Tyler Technologies Odyssey Pricing Workshop (DA, DC, & CC Integrated Software) Susan, wd J j �. As discussed, I would like Judge Pfeifer to consider scheduling a Pricing Workshop the afternoon of Thursdays During this time, I would like to present the following: 1. Discuss County's Current State and Recent Software Evaluation Process 2. Introduction to Tyler and our Odyssey product 3. Scope of the Odyssey project being proposed 4. Benefits for Calhoun County 5. Pricing and Payment Options 6. Next Steps Two hours should be enough time to cover these topics with questions. Please let me know if I can provide additional information or help in anyway. Thank you Susan. Stephen Stehling Account Executive Tyler Technologies, Inc. P: 214.454.1486 F: 972.713.3777 www.tylertech.com tyler3 y:: technologies COURTS AND WSTiCE SOLUMNS Presented to: Calhoun County Port Lavaca, TX Proposal Date: November 12, 2015 sabmittedby: Stephen Stehling TYLER TECHNOLOGIES, INC. COURTS & JUSTICE SOLUTIONS 8101 Tennyson Parkway Plano, Texas 75024 (214)454-1486 stephen.stehling a tylertech.com Investment Summary Calhoun County Proposal ®0 00 yler ® s, ma technologies Annual Cost Proposal Valid for126 pays Products Odyssey Online License Fees Services Cost Services Project Services Technical Services Implementation Services Services Total Services If of Users Annual Cost a, Hours Cos' 960 163,200 1,200 186,000 1,484 224,100 Tyler Technologies Proposal cofi !dermal Software Licenses ®�@� tyler Calhoun County Proposal �oi®am 1 V technologies Odyssey Online Cost Breakdown User Fee Per Description _ Month Hof Users Annual User Fee Monthly User Fee Odyssey Case Manager ,_. m ,w M..�..�..�ti 'District Clerk $ 250 5 $ 15,000 $, 1,250.00 County Clerk $ 250 .6 $ 18,000 $ 1,500.00 District Courts.. $ 250 2 $. 61000 $ 500.00 County Court $ 250 2 $ 6,000 $ 500.00 Odyssey Attorney Manager District Atttorney $ 250 11 $ 33,000 $ 2,750.00 Odyssey Check. Manager District Attorney (Users included in Attorney Manager Count) Record on Appeal $ 1,230 $ 102.50 Electronic Signatures $ 2,870 $ 239.17 Product Center 26 $ 82,100 $ 6,841.67 Optional Features User Fee Per Modules/Options Included in Proposal Month # of Users Annual User Fee Monthly User Fee Optional Features --- - $ _ $ _ Total Annual SaaS Fee Total Product Center & Optional Software Licenses 82,100 Tyler Technologies Proposal Ql tf dln6N Professional Services Calhoun County Proposal • •••@•• tyler ®®®.� • technologies Project Services Proposal Valid for120 Days Project Management _ _ Months PM Dedication Total PM (Hours) Estimated Duration of Project (Months) 12 50% 960 Data Conversion _ Number Hours Per Conv _ _ Total Conversion (Hours) Nu _ mber of Conversions _ s�...e..-1 1,250.00 1,250 Technical Services Allowance for Technical Services(Hours) Deployment (SaaS) - Y�- 24 Implementation Services by Office (m Days) N of Setup & Go -Live Followup Office/Divison/Department Users BPR Config Training �9.0 Assistance Training_ Total Days Case Manager(DC/CC) 11 4.0 60.5 25.0 4.0 102.5 Attorney Manager IDA Only) it 2.0 42.0 8.0 20.0 2.0 74.0 Check Manager (DA Office) 2 1.0 2.0 5.0 1.0 9.0 Total Days 7.0 104.5 22.0 45.0 7.0 185.5 Services by Activity Project Services Days Hours Cost Project Management 120 �960 -Rate/Hour 170.00 $ 163,200 Subtotal- Project Services 960 $ 163,200 Technical Services Days Hours _1,200 Rate/Hour Cost Data Conversion 150 _ 155.00 $ 186,000 Subtotal -Technical Services 1,200.00 $ 186,000 Implementation Services �4V _Days _ Hours Rate/Hour_ Cost Business Process Review 7.00 56 155.00 _ $ W 8,680 Setup, Configuration & Consulting - 104.50 836 155.00 $ 129,580 Initial Training 22.00 176 145.00 $ 25,520 Go -Live Assistance 45.00 360 - 145.00.. $ '52,200 .Follow-up Training 7.00 56 145.00 $ 8,120 Subtotal- Implementation Services 1,484 $ 224,100 Hours Services Cost Total Project Services 3,644 $ 573,300 Tyler Technologies Proposal Con/identfcl Assumptions and Notes Calhoun County Proposal ••m;:®® tyler • te,imologies Project Assumptions P oosarvana mdzo Na Project Management, Schedule, etc. The project management services included in this proposal assume the project duration with with highlevel project oversight.a .��. Data Conversion_ _ Parry and charge data will not be merged, either within a single source system or across systems. Links will be established where possible. This proposal assumes No Data Conversion for Hot Checks. All info will be manually entered by the client when appropriate. Client will provide Tyler with data from source system(s) in a non-proprietary format (e.g. SQL Server tables, commathparated ASCII files).m Tyler will perform a standard conversion from source systems) to the Odyssey database using Tyler's existing IFL tool. This proposal assumes all data will be converted "as -is" with limited or zero data manipulation or cleanup. Tyler works closely with client representatives and Implementation staff to Identify business rules before writing the conversion. This step is typically defined as data mapping (mapping legacy data to Odyssey destinations). Tyler performs a mock go -live conversion iteration with locked conversion code to serve as a system test. 4 Test Converslon Iterations, followed by a Go -Live Iteration. Technical Services No specific customizations are currently requested. ���n The Client will provide all hardware, workstations, peripheral equipment, and Third Party Software required to run Odyssey Online. Implementation Assumptions Configuration, Training, and Go -Live Assistance This proposal includes specific time for Tyler analysts and trainerassistthe Client with configuration of the system, �� which includes defining security, setting up code tables, and defining system behavior and business rules. This activity requires significant participation by Client personnel. This proposal includes a specific amount of training time. Training will be performed In a classroom setting using facilities and equipment provided by client such that each participant can have hands-on access to a computer workstation during training. Training classes will have no more than 10 participants per instructor. Training is conducted during normal business hours. This proposal assumes a "train the trainer" approach and Tyler consultants will train up to 10 county employees to empower them with the knowledge to train other county employees. This proposal assumes that remedial training will take place using Tyler Learning Management System and additional more complex business process training will take place in an instructor -led classroom environment. This proposal includes a specific amount of time for on -site go -live assistance and follow up training. Additional on -site training and assistance can be purchased at Tylers then -current hourly rate. This proposal assumes Consulting, Configuration, Training and Data Reviews will be as combined activities for Jail Manager office users. This proposal assumes one forms workshop activity for the entire county (all necessary parties attend). Travel Client will reimburse Tyler for actual and reasonable travel expenses, at at least the rates specified by the US General Services Adminstration. Tyler Technologies Proposal Cogiden6ei 11/12/2015 .® technologies "=19 • ■ 1 11/12/2015 Calhoun Current State a Server Responsibility, Risk, & Cost Product and Support Atrophy Minimal Automation tyler 2 11/12/2015 Key Benefits Nommin Use technology to gain staff and court efFlciency while increasing citizen access to justice N g b "Cloud" -based solution eliminates server costs while enabling highest level of backup and security. $ Iv, i_lhYa30 I I Z No cost .increase for future data storage and server needs as - volumes increase Tyler will continuously enhance products to meet the county's Vendor Invitations Vendors with Experience in Texas ❖ Vendors with Experience in US; New to Texas Vendor Evaluations S• Product Features Customer References :• Company Strength and Vision :• Price u ilia 7.."� 200 s=. tyler. z<. tyle�r 3 A p, in in 11/12/2015 (600+ Counties across 21 states; Statewide) Detroit > r Oakland .^�,. Ann Arbor Mass eFlling M. y r,, t't.�reKwa vwimr • • iz€'�.>f'...� r"�`_: @°'� �M .' Nashville es, ,�`�e arg_r Memphis 27 CA Court' � c, ��a•�a ��Atlanta contracts 0 70 /o of Florida Population ', Las Vegas eC�ez Orlando Reno 80+Texas Texas 80% of Nevada Counties 4 Statewide 4 `®� Miami, Ft. Myers Population 78%of Texas eFilin' Ft. Lauderdale g Tam Population Pa Clearwater >. tyl@9' , 5 11/12/2015 DataExchange e z . tyler dataKchange 44. S, iNe Perpetual Technology & Feature Upgrades AOdyssey 2005 ti odyssey 2010 2 11/12/2015 Tyler C&J's Proven Methodology , Delivers Consistent Implementations • Business • SME Training • Training Plan • F Process Review . User Rights & • Combined P • Management & Roles training and • C. Communications . Configuration conversion • • Reports Review . Conversion Process • Change • Site Preparation ' Training Management P Materials • Testing •Customized • Learning Management • Business - Process Does 7 11/12/2015 Annual User Cost _.- Mgntld , Description; Usel fee Number of Users Monthly Cos[,. Odyssey Case Manager District Clerk 250.00 5 $1,250 County Clerk _ 250.00 6 $1,500 Courts 250.00 2 $Sao IT 250.00 2 $'Soo Odyssey Attorney Manager District Attorney 250.00 11 $2;750 Odyssey Check Manager (Included) Record on Appeal Generator $103 Electronic Signatures $240 Total Odyssey Online Users 26 Total Monthly User Fees 42 Payment Delayed Until Go -Live Training , ,.R-,e�,. 'r.. tyle TA r One -Time Services Costs ,. _•_Office _ Costs>:i County Clerk and Court $178,430 District Clerk and Courts $178,430 District Attorney $205,760 Hot Checks $10,680 Total Professional Services $673,300 Travel Cost Estimate $46,596 Total Project Cost s d,xro, iti tyler M 11/12/2015 Services by Budget Year='w QK20146 County Clerk and Court $53,529 $116,981 District Clerk and Courts $53,529 $115,981 District Attorney $61,728 $133,744 Hot Checks $3,204 $6,942 Travel Cost Estimate .. $13,979 $32,617 Total Professional Services $185,969 $433,927 ;•. tyler R xNsr i�sFsmiz . ram.. Monthly Payments - 5-Year Lease�T ButlgetYear� User Cost 5-`ear Leas@"t Total It •, 2016(Jul_y)-.-$0� �$19,063 $19,063 2017. - $6,842. $19,063 $25,905 2018 $6,842 _. $19,063 _ $25,905 - 2019 $6,842. $- $6,842 2020 $6.842 .. $ -- $6,842 2021 $6,842 $- $6,842 �a Weir r8 3•i)isTJnggtxNlO 01 11/12/2015 Key Benefits "Cloud" -based solution eliminates server costs while enabling highest °. level of backup and security. $. TNVWIC No cost increase for future data storage and server needs as volumes increase. - Tyler will continuously enhance products to meet the county's needs tyler 10 EagleSoftware Calhoun County, Texas August 6, 2015 Eagle Recorder / Eagle Clerk PURCHASE QUOTE Calhoun County Clerk Annual Maine LicenseFees- Software QFY Prim PerUrit License Fee Fees Base License Fee (per installation of the master application) Full Use Licenses Full Use (Seat) Licenses Public View Licenses Public View (Seat) Licenses Forms Printing (per installation of the master application) 8 Number of Forms included. Additional costs for additional form setup. 1 9,000 9,000 2,700 7 2,250 15,750 3,150 2 275 550 110 1 Included Included Included Public Printing (per installation of the master application) 1 3,750 3,750 750 Totals for Eagle Software and Support 29,050 6,710 Totals for Eagle Software $29,050 Services Analysis, Design & Site Prep 1 2,240 2,240 Conversion Services 1 6,300 6,300 Data Upload Image Upload Software Staging - 1 6,160 6,160 Testing & User Acceptance 1 2,800 2,800 Production System Transition 1 included 0 Project Management 1 4,200 4,200 Installation of Software and Hardware 1 3,360 3,360 Training Services On -site Training 1 5,040 5,040 Go -Live Services 1 5,040 5,040 Service Totals for Eagle Recorder Services: $35,140 Totals -Straight Purchase - Page 1 EagleSoftware Calhoun County, Texas August 6, 2015 Hardware Provided by County Total of all License, Services, and Hardware Sub -Total for Eagle Software Modules: $64,190 I Tyler Discount $5,810 Total for Eagle Software Modules: $58,380 Annual Software Support for Eagle Software Modules: $6,710 Basic Network Support (Annual) Basic Network Support services assists in maintaining Tyler applications within a customer network. Troubleshooting of the Tyler application for connectivity issues, assistance with backup, troubleshooting of peripheral equipment, and diagnostic services in hardware/software issues and assistance with problem resolution are included. Does not include database support. $1,000 TOOa6-Staight Purchase- Page 2 EagleSoftware Calhoun County, Texas August 6, 2015 Options b" [L . Software, Services, Hardware & Support QTy Price Per Ontt License Fee Fees for Eagle Quickdoes Quickdocs Integrated Electronic Document Recording Capability 1 4,000 4,000 Quickdocs Services Installation and Implementation - Assumes Quickdocs Training and Implementation occur in 1 2,800 2,800 conjunction with Eagle Recorder/ Eagle Clerk Training and Implementation. Quickdocs Server Assumes the use of the Eagle Recorder / Eagle Clerk Server as the Quickdocs Server; unless County security requires a separate serverfor this purpose. Preservation Disaster Recovery Services Total Annual Cast Disaster Recovery Services Daily duplication of data and images for the purpose of Disaster Recovery. Includes Emergency ASP Service. $2,000 ,Web Hosting Services Total Annual Cost Web Hosting Services Public Access Web Hosting Option of your Land Records. This option will be provided at a Public $3,000 Access Portal hosted off -site at Tyler's Data Center. Web Hosting includes eCommerce. County retains 100%of revenues collected via ecommerce Sales less any 3rd Party fees for Credit Card Processing. Pricing is valid,for 60 days from the Date printed on the Quote. 800 Totah-Straight Purchue-Page 3 EagieSoftware Calhoun County, Texas August 6, 2015 DESCRIPTION OF SERVICES 1. Analysis, Design & Site Preparation Includes estimated professional services required for specific client requirements. Includes a Client Survey (remote or on site), Provides for a study of forms, workflow, hardware environment, reports, fees and other information. Provides for creation of client -specific presentations, fees and forms. . 2. Conversion Services Data Upload This line item anticipates a complete data upload. The County will supply all data in a delimited ASCII text file, a database dump or backup of Microsoft SQL Server, a database dump or backup of Oracle OR a database dump of Access via Up or hard drive. If the data is supplied in any other format than the one required by Tyler, additional charges will apply. Tyler will provide record count information (records in, records out; etc.). County will be responsible for reviewing the inputted data and the converted data for accuracy and completeness. The Conversion Specification document details all conversion requirements. Image Upload This line item anticipates a complete Image upload. The County will make the images and image data accessible for conversion by placing them on a drive attached to the application server. If supplied in this format, the minimal upload fee listed will apply. the images are supplied in any other format than the one required by Tyler, additional charges will apply. If the images do not match the requirements as defined in the Conversion Specification additional charges may apply. Tyler will provide image count information (images in, images out; etc.) for balancing. County will be responsible for reviewing the uploaded images for accuracy and completeness. 3. Staging of Software Includes estimated professional services for all staging of all the software components (search screens; labels; workflow; lookups, indexing macros; tables and lists; document codes; current reports; forms; fees and products). Include configuration of the production and test databases and hardware quoted. 4. Testing and User Acceptance Includes estimated professional services for user testing and acceptance of all the software components (search screens; labels; workflow; lookups, indexing macros; tables and lists; document codes; current reports; forms; fees and products). 5. Production System Transition Includes estimated professional services to transition from a training and implementation status to a production system status. 6. Project Management Includes estimated professional services required for project management and general project development. Project management includes meetings with end user staff members for development of work requirements, resources required (Client and Tyler), project management and project tracking. Specify software modifications / enhancements and design if required. Develop Project Plan and Schedule. Develop Conversion Upload Plan and Schedule. Develop Staging, Installation, Training and ImnlemontvHnn ohm t-ch -'oole, Total Total Estimated Estimated Estimated Service Costs Hours Days On -Site 2,240 16 0 6,300 n/a n/a n/a n/a 6,160 44 0 2,800 20 0 included 0 0 4,200 30 0 Services- Page 1 Eagl'e3oftware *a 0 tyler Calhoun County, Texas a August 6, 2015 �� technologies Total Total Estimated Estimated Estimated DESCRIPTION OF SERVICES Service Costs Hours Days On -Site 7. Installation 3,360 24 0 Includes estimated professional services for installation of the software and any hardware quoted herein. Includes configuration of database and application servers. 8. Training Services Training and Implementation 5,040 36 Includes estimated professional services for training and implementation required for a successful implementation of the project. 9. Go -Live Services 5,040 36 Includes estimated professional services for Go -Live implementation and transition. Pricing Note Service hours have been calculated, based on a typical installation for a county of this size. Service hours assume that the County is able to meet their obligations regarding staff availability for all scheduled training, hardware delivery dates (if ordering their own hardware), etc. These are services that are either performed at Tyler's production offices or via conference call or WebEx sessions. Typically, these services do not include any on -site services. Travel and On -Site Services Expense Pricing Note Travel and on -site services expenses ARE NOT included in this quote. If on -site services are required, travel expenses would include meal Per Diem; airfare, hotel, car rental, mileage, parking expenses and other miscellaneous travel expenses. All airfare is booked a minimum of two weeks in advance. Should a schedule change necessitate rescheduling / rebooking a flight, the rebooking fee, plus any additional airfare charges, are billable. Professional Services Total $ 7140 Services- Page 2