2016-05-12Regular 2016 Term
THE STATE OF TEXAS §
COUNTY OF CALHOUN §
Held May 12, 2016
BE IT REMEMBERED, that on this 12th day of May, A.D., 2016 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
Kenneth W. Finster Commissioner, Precinct #4
Anna Goodman County Clerk
Josie Sampson Deputy County Clerk
Commissioners Vern Lyssy and Neil Fritsch were absent.
Thereupon the following proceedings were had:
Commissioner Galvan gave the Invocation. Commissioner Finster led the Pledge to the US Flag and the Pledge
to the Texas Flag.
REPORT FROM MEMORIAL MEDICAL CENTER:
Memorial Medical Center CEO, Jason Anglin, presented the Memorial Medical report for April 2016. Mr. Anglin
reported a profit of $999,672 for the month which increased the Year -to -Date income to $1,040,057.
Memorial Medical Center - Port Lavaca, Texas
CEO Report
April 13, 2016
Financial Results:
In March we had a Net Income of $999,672 increasing our Income for the year to $1,040,057 compared
with a March YTD of $120,992 in 2015.
March successful month was driven by:
1. Recording three months of benefit (Jan -March) under the Nursing Home MPAP program -
640,416.36.
2. Receipt of DSH payment for 2016. $130,412.46 (Net of IGT)
3. Strong revenue/volumes in March.
Nursing Home Program Updates:
Please see attached letters from the State and my summary work sheet. In summary, the State
rescheduled their payment to the managed care organizations to April 11t' for two months of the
program and gave the managed care organizations to April 2111 to process their payments to providers.
We are expecting 16 payments around April 211t totaling $1,571,550.84. Part of this will be a return of
our IGT. Starting in May we expect to receive monthly payments of 785,775.42.
On a monthly basis MMC expects to benefit $213,472.12 under the MPAP program.
Note: These payments are State estimates and will be reconciled based on actual utilization at some
point in the future.
OB Services:
After a lot of internal planning and discussion we have decided to move forward in recruiting for an
OBGYN instead of Family Practice with OB. We are also looking at doing a unique schedule:
When combined with Dr. Danielson, in terms of call each OBGYN will be on 7 days then off 7.
In terms of work schedule (outside of hospital call ins) will be at clinic/hospital M-F and following M then
be offT-F. This will allow the two OBGYN's to overlap on Mondays for surgery schedule, etc.
New Memorial Medical Clinic
Late Wednesday we received the closing documents. We are waiting on final pay app and hope to have
by the board meeting.
On Thursday we had our Rural Health Clinic survey at the new clinic. The survey was a result of moving
locations. The survey went very well.
Accounting:
Auditors are currently here working on our 2015 Annual Audit.
We were notified that the State is doing final settlement on 2011 DSH audits and we are expected to
receive an additional payment of $41,193.31 related to 2011. As you know we are expecting to payback
money related to 2012 DSH and UCC.
Educational Readings:
2016 Critical Access Hospital (CAH) Payment comparison. I have attached a report sent to MMC by the
Texas Hospital Association. The analysis shows that if MMC was not a CAH hospital MMC would be paid
3,104,000less. Thus outlining the importance of Critical Access to MMC.
Future Scan Healthcare Trends and Implications 2016-2021. Interesting prospective from American
Hospital Association and American College of Healthcare Executives.
Information on Board Items:
Election of Officers — It's time to elect board officers for the coming year.
Discuss and take necessary action to approve final construction documents for Memorial
Medical Clinic. —To approve final pay app and closing documents.
Closed Session for Legal.
Respectfully,
O
Jason Anglin, CEO
Memorial Medical Center
Memorial Medical Center
Financial Report
For the Month of: March 2016
Overview:
The hospital recorded a Net Profit of $999,672 in March. This brings us to a profit of $1,040,057
for the first three months compared to a Net Income of $120,992 at this time last year. Most of
the large profit is due to the State of Texas authorizing payment of the first two installments of the
Nursing Home MPA Program. With the estimated payment rate established, we felt comfortable in
accruing three months' worth of MMC's net benefit of $213,472 which added $640,416 to our
year to date bottom line. This is a year to date catch up and will continue at $213,472 each month
through February of 2017, unless MPAP is extended further. At this time we anticipate the QIP
Program will replace MPAP in March 2017. We recorded additional income of $130,000 for a 2016
interim DSH payment. Again, the hospital records these payments as received due to the
uncertainty of the State's timing and the ever -changing amounts. Even without these two benefits
we would have had a Net Income of $220,000. Of this, Clinic operations contributed $88,606.
The major contributing factor in March's success was a Gross Revenue of $6,601,347, another new
high. Net Revenue increased to 40.5% of Gross Revenue. As we continue to refine the RHC's
reserve model and increase Medicare and Medicaid volume, the RHC cost based payments will
have an increasing positive effect on the entire hospital's Net to Gross ratio. Bad Debt reserved for
March was also lower than in February, which helped.
Group Health costs increased to $227,302 as Allied began to catch up from the plan year
changeover. Citizen's has reached out to me with questions about what procedures we will keep in
house, so I know they are actively working on our proposal and I know Detar has had internal
discussions.
New Clinic Financial Package
This is the second month for MMC's new clinic financials package. This month's reports consist of:
I. A Summary Profit & Loss statement which shows each month's overall performance
and a breakdown of the current month by clinic.
II. A consolidated Profit & Loss statement for all clinic operations combined — MMC Clinic,
the Surgery Clinic, and the Specialty Clinic
III. Individual Profit & Loss statements for each of the clinics above
The Report Cards will be provided to the staff at a later date and will be available for review in
a few days.
Statistics:
After a one month dip, Average Daily Census increased to 13.65, the highest point since May of
last year. Length of stay was 4.06 for the month alone and is 3.70 so far this year —we continue to
have enough short stay patients to offset those who need to be here longer than the CAH
mandate.
Our Rural Health Clinic continues to set monthly records, climbing to 1,818 visits in March. The
Surgery clinic saw 79 patients in March and Dr. Rojas performed 25 procedures.
Imaging volume increased for the second consecutive month and was the highest, at 1,593, that
we have had in the most recent 12 months. Lab saw its second consecutive monthly increase as
well, ending at 32,617 procedures.
Balance Sheet Highlights:
ASSETS
Bank Accounts Cash decreased again as collections continue to lag behind our goal of $1,925,000
each month. Additionally, we paid out $277,983 from the construction account and reduced the
amount of cash in the nursing home accounts by over $1 million.
Cash in the bank as of the end of the month consisted of $1,156,129 in operating cash, $25,069 in
the Private Waiver 1115 Clearing Account, $375,373 in MMC Clinic Construction, $500,000 in CD
investments and $459,360 in the MMC Nursing Home Cash accounts, which is payable to Cantex.
Accounts Receivable Patient account balances continue to increase, driven by high revenues and
slower than needed collections. Jason, Danette, and I are meeting weekly to see what we need to
get clinic collections up to speed and Misty and I review accounts almost daily.
Accounts Receivable — Other The total in this account is $5,939,513 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. The MPAP instructions
for the March and April payments have been issued to the Medicaid MCOs and their deadline for
sending the payments is April 21.
Accounts Receivable Nursing Home There is a balance of $5,051,653 in accounts receivable on the
five nursing home books.
Accounts Receivable Est. 31d Party PaVer Settlements We do not show any receivable from
Medicare at this time.
LIABILITIES
Accounts Payable Accounts payable decreased to $441,082, the lowest since December as we
continue to stay current on payments.
Due to Cantex The balance of $6,150,428 consists of $459,360 in Cash that MMC has received on
behalf of NH (less $1,000 MMC contributed to set the accounts up and $1 rounding), $640,416 for
their portion of the MPA Payment we are expecting, and $5,051,653 in accounts receivable also
reflected in MMC's accounts receivable.
Accrued Expenses We carried accrued payroll and benefits payable to hospital employees totaling
1,134,072. This will likely continue to increase until Spring Break.
Accrued Intergovernmental Transfers Our books reflect IGT accruals of $1,306,080. WE are
expecting to have a $1.1 million MPA Payment transfer around May 20th.
Accrued Payable — EST 3rd Party Paver We currently show a payable to the Medicare program of
250,419 at the end of the month based on our mini cost report calculation. For the hospital,
having an expected payable due at this time of year is pretty common due to our strong census.
When the summer months come cost per day goes up and the payable goes down or reverses to a
receivable.
Notes Payable The hospital has a note payable to Calhoun County for $3,381,758, which reflects
the two loans for MPAP IGT, a draw on the Physician Recruiting of $975,000, and the $500,000
borrowed to pay off leases. We expect to begin payments on this in October 2016 based on
current cash flow projections from the nursing home programs.
Leases Payable The hospital has $672,912 in long term debt of which $195,658 is due over the
next 12 months.
Current Ratio The ratio between our current assets and current liabilities is 1.5 compared to a 2.3
benchmark.
Income Statement Highlights:
Revenues and volumes continue stronger in 2016 than in 2015 and controllable expenses are in
line with expectations. Now that the Nursing Home MPA Program is issuing payments, we should
continue to see good performance. We have some issues to address in overall collections and have
to continue to work with Citizens and Detar to establish a direct employer to provider contract for
Group Health as well as to solidify the OB program, but indicators are positive.
c
E
C + t6
U0O
5 J YU06lO
O
N U NcLmioUN
i } p 0 —
E Z u
m N
E
E
c m r o rOOOO
c d' a to - It
pq O M ce N
s m 00 00 O
L m
c
0
N r Ln
N N
N O M'
O N n c-I NEcddC ti
E ajm
U
Wp N dm M m
c W I N O
t r
Q
U1wz
O M
h m D m 00
N ci I M l0
U C
o N o m m
Xw
rl
L p O M O
U C H Ln
O wK
OCH
3 N md m CO
C6mam 0m a iom ti
m 0
Z
U a ocla
o 00 OmQm
o mmQ
to io m
rn 00
N t L
L
C T hp Q > u
C
1—
LO
Ln r m o
m M O w
00 I-z 1 c
00 V N co
7rm
N'
r 0 e N
m rn m m
u] m O N
r d' O(li
N m O In
M L!1 N
p ci lD
m m
N . O
m a m <rmrNm
M L
m m <t
m Im m
o m d d
06 ZF a
m m H O
m N Ln
New Patient Clinic Visits 509 482 414 1,405 468
Existing Patient Clinic Visits 1,134 1,370 1,483 3,987 1,329
All Other Visits
Total RHC & Surgery Clinic Visits 1,643 1,852 1,897 5,392 1,797
Specialty Clinic Visits 456 502 485 1,443 481
Hospital OR Procedures 41 57 45 143 48
Total Visits & Procedures 2,140 2,411 2,427 6,978 2,326
No Shows 169 166 166 501 167
No Show % 9% 8% 8% 9%
Statement of Revenues Expenses
Rural Health Clinic Revenue 366,389 261,090 338,688 966,168 322,056
Surgery Clinic Revenue 59,112 88,731 54,339 202,181 67,394
Specialty Clinic Revenue 95,915 83,165 114,464 293,544 97,848
Patient Revenue 521,416 432,986 507,491 1,461,893 487,298
Estimated Medicare Settlement 16,502 13,276) 13,516 16,742 5,581
Contractual Adjustments 232,705) 21,726 155,856) 366,834) 122,278)
Net Revenue 305,213 441,436 365,151 1,111,801 370,600
Meaningful Use
Rent Revenue 567 667 1,717 2,950 983
340B Revenue 528 297) 2,759 2,990 997
Total Miscellaneous Revenue 1,094 369 4,476 5,940 1,980
Total Net Revenue 306,308 441,806 369,627 1,117,740 372,580
Salaries - Regular
salaries - Overtime
Salaries - PTO
82,009 82,100 90,885
4,447 6,569 3,065
107,816
254,994 84,998
14,081 4,694
28,019 9,340
297,094 99,031
Benefits - FICA 7,099 6,409 7,026 20,534 6,845
Benefits - Federal Unemployment 367 120 133 620 207
Benefits - Retirement 7,604 7,020 7,693 22,317 7,439
Insurance -Hospitalization 16,770 5,865 15,546 38,180 12,727
Insurance - Other 1,469 187 1,612 3,268 1,089
Insurance - workers comp 490 182 918 1,590 530
Total Benefits 33,799 19,782 32,927 86,508 28,836
Total Salaries, Wages, and Benefits 129,329 113,530 140,743 383,602 127,867
Supplies - General 4,592 14,490 8,282 27,364 9,121
Supplies - Office 1,136 698 447 2,281 760
Freight 137 98 32 267 89
Total Supplies 5,865 15,287 8,841 29,993 9,998
Pro Fees - Physicians 157,424 139,412 141,248 438,084 146,028
2-
Services -
185,564
Feb 16 Mar
519,030
Interest Expense 746 716 686 2,149 716
Travel 444 231 1,008 1,683 561
Subscriptions 167 2,607 3,417 6,190 2,063
Education 295 199 260 754 251
Total Other Practice Expenses 1,651 4,191 5,391 11,234 3,745
Leases & Rental 720 1,054 1,054 2,828 943
Total Rent and Leases 720 1,054 1,054 2,828 943
Total Expenses 323,130 300,163 323,395 946,688 315,563
Net Operating Income 16,822) 141,643 46,232 171,053 57,018
IGT Expense
Communitv Benefits Contribution
110,197) (97,588) (98,874) (306,659) (102,220)
157.424 139,412 141,248 438,084 146,028
Contribution Margin 30,405 183,467 88,606 302,478 100,826
3-
New Patient Clinic Visits
Existing Patient Clinic Visits
All Other Visits
Total Clinic Visits
Hospital OR Procedures
Total Visits & Procedures
479 463
1,077 1,297
394
1,424
1,336
3,798
445
1,266
1,7111,556 1,760 1,818 5,134
21 28 20 69 23
1,577 1,788 1,838 5,203 1,734
No Shows/Missed Appointments 162 159 159 480 160
No Show % 9% 8% 8% 9%
I
Statement of Revenues Expenses
Patient Revenue 30100041 366,389 261,090 338,688 966,168 322,056
Estimated Medicare Settlement 16,502 13,276) 13,516 16,742 5,581
Contractual Adjustments 150,527) 121,362 49,848) 79,012) 26,337)
Net Revenue 232,364 369,177 302,357 903,897 301,299
340B Revenue 528 297) 2,759 2,990 997
Total Miscellaneous Revenue 528 297) 2,759 2,990 997
Total Net Revenue 232,892 368,879 305,116 906,887 302,296
Salaries -Regular 40000041 70,998 69,334 79,770 220,102 73,367
Salaries - Overtime 40005041 3,198 6,742 3,066 13,006 4,335
Salaries - PTO 40010041 8,483 3,918 12,284 24,685 8,228
Total Salaries 82,679 79,994 95,120 257,793 85,931
Benefits - FICA 40015041 6,004 5,504 6,008 17,516 5,839
Benefits - Federal Unemployment 40025041 310 114 128 552 184
Benefits - Retirement 40040041 6,449 6,059 6,613 19,121 6,374
Group Health Allocated 14,514 5,004 13,715 33,233 11,078
Other Insurance 1,271 160 1,422 2,853 951
Workers' Comp 424 155 810 1,389 463
Total Benefits 28,972 16,995 28,696 74,663 24,888
Total Salaries, Wages, and Benefits 111,651 96,989 123,816 332,456 110,819
Supplies -General 40220041 3,417 13,618 7,125 24,160 8,053
Supplies - Office 40225041 1,087 451 407 1,945 648
Freight 40215041 137 89 11 237 79
Total Supplies 4,641 14,158 7,623 26,421 8,807
Pro Fees - Physicians 40530041 112,883 104,512 104,515 321,910 107,303
Purchased Services - Non -physician 40510041 3,615 6,414 6,262 16,290 5,430
Total Purchased Services 116,497 110,926 110,777 338,200 112,733
Interest Expense 40501041 746 716 686 2,149 716
Travel 40600041 444 231 1,008 1,683 561
Subscriptions 40605041 167 2,607 2,767 5,540 1,847
Education 40610041 295 199 130 624 208
Total Other Practice Expenses 1,651 4,191 4,611 10,454 3,485
Leases & Rental 40500041 445 692 692 1,829 610
Total Rent and Leases 445 692 692 1,829 610
4-
Total Expenses 234,886 226,956 247,519 709,361 236,454
Net Operating Income 1,994) 141,923 57,597 197,526 65,842
IGT Expense
Communitv Benefits
79,018) (73,159) (73,161) (225,337) (75,112)
112,883 104,512 104,515 321,910 107,303
Contribution Margin 31,870 173,277 88,951 294,099 98,033
Net Revenue/Visit
Breakeven Visits w/o Community Benefit
Breakeven Visits w/ Community Benefit
149.67 209.59 167.83 176.64
1,569 1,083 1,475 4,016
1,343 933 1,288 3,469
5-
New Patient Clinic Visits 30 19 20 69 23
Existing Patient Clinic Visits 57 73 59 189 63
All Other Visits - - - - -
Total Clinic Visits 87 92 79 258 86
Hospital OR Procedures 20 29 25 74 25
Total Visits & Procedures 107 121 104 332 111
No Shows/Missed Appointments 7 7 7 21 7
No Show % 7% 7% 8% 8%
Patient Revenue
of Revenues
59,112
ExpensesStatement
88,731 54,339 202,181 67,394
Estimated Medicare Settlement
Contractual Adjustments 44,324) 66,533) 40,744) 151,601) 50,534)
Net Revenue 14,788 22,198 13,594 50,581 16,860
Total Net Revenue 14,788 22,198 13,594 50,581 16,860
Salaries -Regular 4,354 5,884 5,152 15,390 5,130
Salaries - Overtime 1,081 202) 29) 850 283
Salaries - PTO 219 550 825 1,594 531
Total Salaries 5,655 6,231 5,948 17,834 5,945
Benefits - FICA 557 399 519 1,475 492
Benefits - Retirement 575 410 534 1,520 507
Group Health 993 390 858 2,240 747
Otherinsurance 87 12 89 188 63
Workers' Comp 29 12 51 92 31
Total Benefits 2,270 1,220 2,051 5,540 1,847
Total Salaries, Wages, and Benefits 7,925 7,451 7,998 23,374 7,791
Supplies -General 498 437 599 1,534 511
Supplies - Office 11 11 4
Total Supplies 509 446 609 1,564 521
ProFees- Physicians 44,541 34,899 36,733 116,174 38,725
Purchased Services - Non -physician
TotalPurchasedServices 44,541 34,899 36,733 116,174 38,725
Total Expenses 52,975 42,797 45,990 141,762 47,254
Net Operating Income 38,187) 20,599) 32,396) 91,181) 30,394)
IGT Expense (31,179) (24,430) (25,713) (81,322) (27,107)
Community Benefits Contribution 44,541 34,899 36,733 116,174 38,725
Net Nan -operating Income 13,362 10,470 11,020 34,852 11,617
Contribution Margin (24,824) (10,129) (21,376) (56,329) (18,776)
Net RevenueNisit
Breakeven Visits Wo Community Benefit
Breakeven Visits wf Community Benefit
169.98 241.29 172.08
312 177 267
233 134 203
QM.
Infusion Revenue
Wound Care Revenue
Contractual Adjustmen
Net Revenue
1,155 143 568 1,866 622
21,599 11,625 11,545 44,769 14,923
73,161 71,397 102,351 246,909 82,303
37.854) 33.104) 65,264) 136,221) 45,407
Rent 567 667 1,717 2,950 983
Total Miscellaneous Revenue 567 667 1,717 2,950 983
Total Net Revenue 58,628 50,728 50,917 160,273 53,424
Salaries - Regular 6,656 6,883 5,963 19,502 6,501
Salaries - Overtime 168 29 28 226 75
Salaries - PTO 372 610 757 1,740 580
Total Salaries 7,197 7,522 6,748 21,467 7,156
Benefits - FICA 537 506 499 1,542 514
Benefits - State Unemployment
Benefits - Federal Unemployment 28 10 5 43 14
Benefits - Retirement 580 551 546 1,677 559
Group Health 1,263 471 973 2,707 902
Other Insurance 111 15 101 227 76
Workers' Comp 37 15 57 109 36
Total Benefits 2,557 1,567 2,180 6,304 2,101
Total Salaries, Wages, and Benefits 9,754 9,090 8,929 27,772 9,257
Supplies - General
Supplies - Office
Total Supplies
Pro Fees - Physicians
Purchased Services - Non -physician
677
38
715
24,525
436
247
683
20,275
557
40
609
19,857
1,670
326
2,007
64,657
557
109
669
21,552
Total Purchased Services
Leases & Rental
Equipment leasing - other #1
24,525
275
20,275
362
19,857
362
64,657
999
21,552
333
Total Rent and Leases 275 362 362 999 333
Total Expenses 35,269 30,409 29,886 95,564 31,855
Net Operating Income 23,359 20,319 21,031 64,708 21,569
Contribution Margin 23,359 20,319 21,031 64,708 21,569
7-
s
e
e
e'
e
S
S
g m m 8 Fp 2
m
So o v ,mia .- F w m
m
i'n g ry S umi o o N
aoo oa a n my yE nnan e oIIEn
e n m o n P tiw x Rmw t'2mmn
U U
U o o v4 z w tt z K
fm d w rc S w w ua° 6 W z z d a$
i u z w wow'" hm ww zoo Wwa w wYu y o8
Memorial Medical Center
Income Statement - Hospital
For the Month Ended March 31, 2016
Current Period Revenue Fiscal Year To Date
Actual This Budget This
Month Month Last Year Actual YTD Budget YTD Last Year YTD
1,569,784 1,382,702 1,612,784 Inpatient Revenues 4.371,988 4,148,107 4,380,174
3,101,662 2,816,424 2,701,984 Outpatient Revenues 9,206,108 8,449.271 7,195,208
1,929,900 1,732,131 1,841,841 ER Revenues 5,327,835 5,196,393 5,232,787
6,601,346 5,931,257 6,156,609 Total Patient Revenue 18,905,931 17,793,770 16,808,169
Revenue Deductions
3,189,597 2,851,261 3,401,052 Contractuals 9,976,876 8,553,784 9.794,021
178,060 92,545 61,582 Charily 337,954 277,634 289,643
52,443 50,631 56,682 Indigent Care 68,570 151,894 104,817
298,048) 112,561) 95,793) DSHfWalver 581,411) 337,684) 407,379)
Mlfi.976 901.088 734.767 Bad Debt 2,390,010 2,703,264 1,643,285
2,662.318 $2.148,293 $1,998,319
31,824 $64,313 $117,564
Total Revenue
Net Patient Revenue
Other Operating Revenue
6,713,932 $6.444,878 $5,383.782
80,869 $192,940 $275,861
2,694,142 $2,212,606 $2,115,883 Total Operating Revenue $6,794,801 $6,637,818 $5,659,643
Current Period
Actual This Budget This
Month Month Last Year
880,327 $896,933 $791,859
383,021 $259,207 $263,039
343,983 $516,313 $292,571
311,066 $149,610 $161,434
266,767 $273,199 $326,293
5,712 $4,273 $7,829
68,897 $62,401 $37,050
125,793 $62,800 $85,919
Operating Expenses
Salaries & Wages
Employee Benefits & PR Taxes
Professional Fees
Purchased Services
Supplies
Insurance
Utilities
Other Expenses
Depreciation
Fiscal Year To Date
Actual YTD Budget YTD Last Year YTD
2,552,694 2,690,800 2,262,009
906,417 777,621 683,497
1,003,749 1,548,940 862,847
858,226 448,831 475,325
749,751 819,596 803,450
17,135 12,818 23,487
139,087 157,204 113,573
268,640 $188,400 $261,518
2,445,870 $2,300.599 $2,046,589 Total Expenses $6,682,348 $6,901,797 $5,724,543
248,272 ($87,993) $69,294 Net Operating Income/(Loss) $112,453 ($263,979) ($64,900)
Non Operating Income / (Exp)
64 103 22) Investment income 543 308 26)
4,349) 2,445) 3,678) Interest Expense 10,465) 7,335) 12,541)
0 2,843 0 Contributions and Grants 0 8,528 0
268,962) 311,997) 156,437) IGT Expense 693,256) 935,992) 463,067)
A3R4 231 s441.157 5;223.482 Service Contribution by SOH 990,366 1,323,471 661,526
359,256 $41,667 $132,639 Total Net Income / (Loss) $399,641 $125,001 $120,992
Im
Current Period
Actual This Budget This
Month Month Last Year
2,776,806 $0 $0
Memorial Medical Center
Income Statement - Nursing Home
For the Month Ended March 31, 2016
Revenue
Resident Revenues
Fiscal Year To Date
Actual YTD Budget YTD Last Year YTD
10,206,520 $0 $0
2,776,806 0 $0 Total Operating Revenue 10,206,520 $0 $0
Current Period Fiscal Year To DateOperatingExpenses
Actual This Budget This
Month Month Last Year Actual YTD Budget YTD Last Year YTD
2.776,806 0 $0 Nursing Home Fee 10,206,520 $0 $0
2,776,806 $0 $0 Total Expenses $10,206,520 $0 $0
0 $0 $0 Net Operating Income / (Loss) 0 $0 $0
640,416 $0 $0 Total Net Income / (Loss) $640,416 $0 $0
Memorial Medical Center
Income Statement - Combined
For the Month Ended March 31, 2016
Current Period Revenue Fiscal Year To Date
Actual This Budget This
Month Month Last Year Actual YTD Budget YTD Last Year YTD
1,569,784 1,382,702 1,612,784 Inpatient Revenues 4,371,988 4,148,107 4,380,174
3,101,662 2,816,424 2,701,984 Outpatient Revenues 9,206,108 8,449,271 7,195,208
1,929,900 1,732,131 1,841,841 ER Revenues 5,327,835 5,196,393 5,232,787
2,776,806 0 0 Resident Revenues 10,206,520 0 0
9,378,152 5,931,257 6,156,609 Total Patient Revenue 29,112,451 17,793,770 16,808,169
Revenue Deductions
3,189,597 2,851,261 3,401,052 Contracluals 9,976,876 8,553,784 9,794,021
178,060 92,545 61,582 Charity 337,954 277,634 289,643
52,443 50,631 56,682 Indigent Care 68,570 151.894 104,817
298,048) 112,561) 95,793) DSHANalver 581,411) 337,684) 407,379)
tAte a76 tom nAA 724 767 Bad Debt 2,390,010 2,703,264 1,643.285
5,439,124
31,824
2,148,293
64,313
1,998,319
117,564
Net Patient Revenue
Other Operating Revenue
16,920,452
80,869
6,444,878
192,940
5,383,782
275,861
5,470,948 2,212,606 2,115,883 Total Operating Revenue 17,001,321 6,637,818 5,659,643
Current Period
Actual This Budget This
Month Month Last Year
880,327 $896,933 $791,859
383,021 $259,207 $263,039
343,983 $516,313 $292,571
311,065 $149,610 $161,434
266,767 $273,199 $326,293
5,712 $4,273 $7,829
68,897 $52,401 $37.050
60,305 $85,863 $80,595
125,793 $62,800 $85,919
Operating Expenses
Salaries & Wages
Employee Benefits & PR Taxes
Professional Fees
Purchased Services
Supplies
Insurance
Utilities
Other Expenses
Depreciation
Fiscal Year To Date
Actual YTD Budget YTD Last Year YTD
2,552,694 2,690,800 2.262,009
906,417 777,621 683,497
1,003,749 1,548,940 862,847
858,226 448,831 475,325
749,751 819,596 803,450
17,135 12,818 23,487
139,087 157,204 1133573
186,649 257,589 238,837
268,640 $188,400 $261,518
5,222,676 $2,300,599 $2,046,589 Total Expenses $16,888,868 $6,901,797 $5,724,543
248,272 ($87,993) $69,294 Net Operating Income / (Loss) $112,453 ($263,979) ($64,900)
Non Operating Income / (Exp)
64 103 22) Investment Income 543 308 26)
4,349) 2,445) 3,678) Interest Expense 10,465) 7,335) 12,541)
0 2,843 0 Contributions and Grants 0 8,528 0
268,962) 311,997) 156,437) IGT Expense 693,256) 935,992) 463,067)
384,231 441,157 223,482 Service Contribution by SOH 990,366 1,323,471 661,526
999,672 $41.667 $132,639 Total Net income /(Lpss) $1,040,057 $125,001 $120,992
y§:`•:!
E21
w H.o
i[:E} r
l
w A,
1 2-
MEMORIAL MEDICAL CENTER
PATIENT ACCOUNTS RECEIVABLE
MARCH 2016
AGED TRIAL BALANCE: CURRENT FINANCIAL CLASS
SOURCE: ATB BY FINANCIAL CLASS
FINANCIAL CLASS
MEDICARE $ o
MEDICAID $
BCBS $
COMMERCIAL $
PRIVATE $
TOTAL $
0 - 30 31- 60 61 - 90 91 - 120 121 - 150 151 - 180 180 TOTAL
2,215,263 373,285 209,458 188,690 37,750 61,314 87,422 3,173,182
69.8% 11.8% 6.6% 6.0% 1.2% 1.9% 2.8% 25.3%
616,975 261,817 145,126 102,731 93,792 80,149 109,461 1,410,051
43.8% 18.6% 10.3% 7.3% 6.7% 5.7% 7.8% 11.2%
608,743 139,389 63,958 68,880 60,897 50,917 93,602 1,086,386
56.0% 12.8% 5.9% 6.3% 6.6% 4.7% 8.6% 8.7%
1,137,214 626,606 296,733 106,802 117,872 113,528 289,300 2,688,055
42.3% 23.3% 11.0% 4.0% 4.4% 4.2% 10.8% 21.4%
588,707 796,634 812,824 584,704 365,023 270,285 777,488 4,195,665
14.0% 19.0% 19.4% 13.9% 8.7% 6.4% 18.5% 33.4%
5,166,902 2,197,731 1,528,098 1,051,808 675,334 576,191 1,357,273 12,553,339
41.2% 17.5% 12.2% 8.4% 5.4% 4.6% 10.8% 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 ( _ 60.41 ( 68.271 59.761 - I -
JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER
DIV/01 I #DIV/01 I #DIV10I I #DIV/01 I #DIV/01 I #DIV/01
AGED TRIAL BALANCE: ORIGINAL FINANCIAL CLASS
SOURCE: ATB BY FINANCIAL CLASS
FINANCIAL CLASS
MEDICARE $
MEDICAID $
BCBS $
COMMERCIAL $
PRIVATE $
TOTAL
0 - 30 31- 60 61 - 90 91 - 120 121 -150 151 -180 180 TOTAL
2,403,280 530,200 305,548 253,563 96,091 86,908 175,258 3,850,848
62.4% 13.8% 7.9% 6.6% 2.5% 2.3% 4.6% 30.7%
589,523 240,605 170,357 126,648 106,990 104,821 129,309 1,468,252
40.2% 16.4% 11.6% 8.6% 7.3% 7.1% 8.8% 11.7%°
611,176 224,787 154,146 132,702 100,659 74,545 175,853 1,473,867
41.5% 15.3% 10.5% 9.0% 6.8% 5.1% 11.9% 11.7%
999,055 675,412 366,201 156,583 203,533 146,972 568,463 3,116,218
32.1% 21.7% 11.8% 5.0% 6.5% 4.7% 18.2% 24.8%
563,869 526,727 531,846 382,312 168,062 162,946 308,391 2,644,154
21.3% 19.9% 20.1% 14.5% 6.4% 6.2% 11.7% 21,10.
5,166,902 2,197,731 1,528,098 1,051,808 675,334 576,191 1,357,273 12,553,339
41.2% 17.5% 12.2% 8.4% 5.4% 4.6% 10.8% 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. -
13-
MEMORIAL MEDICAL CENTER
CAPITAL ACQUISITIONS
FOR PERIOD ENDED 3/31/16
MONTH I DESCRIPTION BUILDING EQUIPMENT TOTAL
01/16 IF ELECTRONIC LAB INTERFACE - ELR
JANUARY 2016 - COMPUTER PURCHASES
4,475
6,317
4,475
6,317
WEBPT SOFTWARE
HOLTER RECORDS (4)
CLINIC - CIP - VARIOUS EQUIPMENT
7,524
6,299
18,401
7,524
6,299
18,401
SUB TOTAL JANUARY 43,015 43,015
02/16 JANUARY 2016 - COMPUTER PURCHASES 1,271 1,271
CLINIC - CIP - VARIOUS EQUIPMENT 11,042 133,730 144,771
SUB TOTAL FEBRUARY 11,0421 135,001 146,042
03/16 SAMSUNG LEASE - XRAY ROOM 2
EVIDENT- LAB INTERFACE
206,040
4,554
206,040
4,554
EXEBRIDGE INTRANET PROJECT - CIP 1,500 1,500
CLINIC - CIP - K&T PAY APP 277,983 277,983
CLINIC - CIP- ACl/BOLAND 18,535 18,535
CLINIC - CIP - VARIOUS EQUIPMENT 24,079 24,079
SUB TOTAL MARCH 296,518 236,173 532,691
TOTAL 307,560 414,189 721,749
14-
Memorial Medical Center YTD YTD YTD 3131/2016
Statistical Comparison 03/31/14 03131116 03/31/16 OVER (UNDER) OP
3 months) 3 months) 3 months) 3/31/2015 CHANGE
Total Admissions 349 348 313 35) 10.1%
ER Admissions 226 202 292 90 44.7%
Total Patient Days 1,423 1,363 1,213 150) 11.0%
AVERAGE DAILY CENSUS
Medical/Surgical/ICU 12.28 11.44 10.76 0.69) 6.0%
Obstetrics 1.20 1.18 0.76 0.42) 35.6%
Swing Bed 2.33 2.52 1.81 0.71) 28.1%
TOTAL AVG DAILY CENSUS 15.81 15.14 13.33 1.81) 12.0%
TOTALAVG LOS- Acute care 3.69 3.55 3.70 0.15 4.3%
Observation -Patients 96 96 151 55 57.3%
Newborns -Births 38 43 29 14) 32,691
MM Clinic Visits 1,956 2,858 5,131 2,273 79.5%
Surgical Clinic Visits 0 0 240 240 N/A
Outpatient Visits _ 4,785 5,552 6,018 466 8.4%
Emergency Room Visits 2,349 2,714 2,178 536) 19.7%
Specialty Clinic Visits 1,265 1,367 1,443 76 5.6Y
Total Surgery & Endoscopy 264 276 287 11 4.0%
Total Laboratory Procedures 75,475 83,836 94,856 11,020 13.1%
Radiology Procedures 2,309 2,578 2,125 6) 3.6%
Radiology OP - Clinic 0 0 320 320 DIV/01
Bone Density 26 40 35 5) 12.5%
Nuclear Medicine 50 29 49 20 69.0%
Ultrasound 447 620 591 29) 4.7%
Ultrasound -Clinic 0 0 143 143 DIV/01
CTScans 616 641 779 138 21.5%
MRI 236 274 313 39 14.2%
Mammograms 210 180 162 18) 10.0%
Total Radiology Procedures 3,894 4,362 4,517 155 3.6%
Respiratory Therapy lP Procedures 3,191 3,258 2,687 448) 20.5%
Stress Test 24 9 22 13 144.4%
EKG Exams 864 942 1,017 75 8.0%
EEG Exams 1 0 0 0 DIV/01
Sleep Studies 0 24 29 5 20.8%
Total Respiratory 4,080 4,233 3,755 478) 11.3%
Physica l Therapy Total 6,809 5,746 4,953 793) 13.8%
Occupational Therapy Total 0 0 764 764 N/A
Speech Therapy Total 0 0 103 103 N/A
Pharmacy Total 30,395 40,684 37,372 3,312) 8.1%
Dietary Total 30,724 32,831 25,221 7,610) 23.2%
Pounds of Linen 52,760 67,386 35,065 32,322) 48.0%
15-
n N ON W m N N M N p n N lND N b N N O N uml Vl N l0OemiONlNhMImtNmVO' d' M V VI N n M i Vl O r T m O
N
1 i Yl l0 N fi m N V N V m yN N M
VN
OO N m p N N m e1 rl W rti
m
ei
i
in Ill 16 N mN Npo n o NmpO1 rvNpoti pi NNtimm1pp
m o° Nn.yr
m r'' Iq o n vi n ry h m m vmi noirirrifirii141: rtrv'
LL
M 1 p p e p m T p r n g IO W TOn O OI p mOM npM O OMONlein1vNipNMMnMbmpWNrrMWrlrlNMONOipWmONmmpOOeiIh
N
N O ei n N O VI N N nO 1 1 ON 10N l° r O OVI fiO O MI Nei O1 O mhMpNrmNOlNNVeiRnOVrltipneiN M O N n O IJ
V t OO I M Irl ei rl rl ti N ttl
a0
p N N m n O r1 b N r t0 t° n Ol 1 O O N Vl O N O m NO Vl r O N N Vl m I
b n V1 N tD p 1"i p tO M O N N 11pO V 01 n O ei ei N Ol1 t4 O1 m N N W N r O t0IhOO1OlMNrlNWOlN
O N
Z
rz N N N y O O N O N m O N Nl ON O V N Oml O ON N m m N NrnVmlpWONmln1N1NYINreirr1NeipNNmCOIntlrl
U
p O M lO M n M r N r n O p O m O V ON mO O O N01 Tp O n tOti Ol p I m ON mN VIM rlNOINOVrqpNnONnNmpNrlmOWnriNNMmNNNpmpp46Mp' ri It ri I N N NmaiN
aU ry N
jp o N O N N M O m N n N N n N O w p O rN ti O1tD M N r N O N OJp O eiOl rO pUM' r N V1 N O m O p m Vl Ol ei ON 1 rr1 N fifi p rlr m O NmNOOrlOOIIYyyjeieiO1
NRr a
O a p N V n O N M 0 y N N N r r l0 m h ryryn r yN m
E N Im/1 lm° m Nr tpD n N ON Omi 1O N N eiN tnD m Vl N p l N N
a G O j N Hj ri i a? o 16
Ei N
N N n O O r W N n M C m m N O m O M oini O m M p O 1 m m p mmoomppnmWarytiNpOIMNmmnn oMOlO1f-Iei m N Nei N V ti IN n 1 rl ei
m p m ei m m N I Ol N N O p p N O r O D
nNr m m y N bITT
N N 1 Op m O M VI b V 1 O O W V O1 Np V1 N N N N O] n NI(1 m N O1 r V
aa
v
z
O u0 i4 KoCSCS Z' m
w¢
a¢¢¢`
v tea ui a fomm.°-° m.n E aqw
w 2 a o o z o w m 5 5 G 2 p w w a a o az'
16-
Memorial Medical Center
Accounts Receivable
Mar-16
Aging 1 0-30 1 31-60 1 61-90 j 91-120 I 121-150 1 151-180 1 181-365 1 Total Gross j%Over120Daysj %Over90 Days
Total
Apr-15 4,352,417 2,087,736 1,003,055 695,166 467,586 232,652 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%
Oct-15 4,132,891 1,739,955 886,566 778,319 497,520 268,244 946,539 9,250,034 18.5% 26.9%
Nov-15 3,333,364 1,625,078 1,311,718 675,651 373,822 263,900 854,852 8,438,385 17.7% 25.7%
Dec-15 4,096,599 1,621,837 1,060,608 1,235,113 428,887 230,990 813,392 9,487,427 15.5% 28.5%
Jan-16 4,410,148 1,936,342 1,135,901 784,802 650,165 261,831 785,208 9,964,396 17.0% 24.9%
Feb-16 4,814,008 1,700,297 1,081,807 767,238 506,528 456,379 989,167 10,315,426 18.9% 26.4%
Mar-16 4,832,722 2,005,666 1,363,620 971,939 514,212 350,081 1,113,427 11,151,666 17.7% 26.5%
Medicare
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% 2.6%
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%
Oct-15 1,827,551 191,015 86,296 11,701 392 16,038 24,332 2,157,325 1.9% 2.4%
Nov-15 1,448,173 302,304 85,855 29,937 11,701 132 41,187 1,919,289 2.8% 4.3%
Dec-15 1,913,391 322,887 114,184 66,908 10,795 480 31,666 2,460,311 1.7% 4.5%
Jan-16 2,031,001 638,625 228,078 51,839 26,444 11,845 9,796 2,997,627 1.6% 3.3%
Feb-16 2,262,134 341,767 202,290 30,663 25,506 15,896 21,940 2,900,196 2.2% 3.2%
Mar-16 2,095,305 311,610 148,844 180,994 14,150 21,414 32,447 2,804,766 2.4% 8.9%
Medicaid
Apr-15 578,559 140,554 125,289 51,129 10,281 3,694 37,494 947,000 5.49' 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 10.49' 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%
Oct-15 530,940 169,669 43,916 17,527 8,331 21,594 27,729 819,707 7.0% 9.2%
Nov-15 391,671 162,898 79,688 28,085 11,465 9,588 31,884 715,278 7.4% 11.3%
Dec-15 504,402 309,545 78,707 54,259 7,352 14,516 21,444 790,225 5.5% 12.3%
Jan-16 474,030 187,663 47,223 68,095 19,657 3,924 30,964 831,554 6.6% 14.7%
Feb-16 430,043 112,380 108,373 30,423 39,766 14,873 24,449 760,307 10.4% 14.4%
Mar-16 527,844 236,975 112,541 78,447 25,728 29,324 32,253 1,043,113 8.49' 15.9%
BCBS
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%
Jul-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%
Oct-15 425,220 87,036 55,057 34,662 11,539 12,571 26,445 652,530 7.7% 13.1%
Nov-15 402,219 144,029 28,664 25,062 14,569 4,181 14,158 632,882 5.2% 9.2%
Dec-15 452,976 99,916 34,465 20,047 20,472 10,455 4,528 642,860 5.5% 8.6%
Jan-16 518,402 126,290 37,483 32,729 16,326 12,060 22,476 765,766 6.6% 10.9%
Feb-16 575,600 84,279 56,743 50,613 14,134 18,984 41,300 841,653 8.8% 14.9%
Mar-16 561,492 111,729 37,404 49,241 29,021 7,537 65,071 861,496 11.8% 17.5%
Commercial
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%
17-
Jul-15 687,256 505,663 165,344 82,918 97,621 29,643 92,235 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%
Oct-15 736,778 507,615 207,480 87,290 167,632 29,753 157,700 1,894,248 18.7% 23.4%
Nov-15 775,537 465,015 340,142 166,822 42,162 136,691 148,664 2,075,032 15.8% 23.8%
Dec-15 763,675 522,314 307,850 275,575 92,317 30,476 267,163 2,259,370 17.3% 29.5%
Jan-16 900,528 372,632 260,927 190,086 310,562 91,395 260,533 2,386,664 27.8% 35.7%
Feb-16 988,466 460,498 108,848 147,774 138,674 76,377 224,118 2,144,755 20.5% 27.4%
Mar-16 1,070,695 581,645 260,901 89,512 98,710 80,939 249,639 2,432,041 17.7% 21.3%
Private Pay
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-15 869,544 606,526 702,672 506,429 314,357 250,201 989,459 4,239,188 36.7% 48.6%
Oct -SS 612,402 784,620 493,817 627,140 309,625 188,289 710,332 3,726,225 32.4% 49.3%
Nov-15 315,764 550,832 777,370 425,745 293,926 113,308 618,959 3,095,903 33.1% 46.9%
Dec -AS 462,156 567,175 525,403 818,324 297,950 175,063 488,591 3,334,661 28.9% 53.4%
Jan-16 486,187 611,132 562,191 442,054 277,177 142,605 461,439 2,982,785 29.5% 44.4%
Feb-16 557,766 701,373 605,553 507,765 288,449 330,249 677,360 3,668,515 35.3% 49.2%
Mar-16 577,386 763,706 803,928 573,745 346,602 210,866 734,017 4,010,250 32.2% 46.5%
an
Physician Revenue Trend
Memorial Medical Center
A.. „F AAnr i, 9njiz
ASV
March 2016 2016 YTD PRIOR YEAR TO
Memorial Medical Center Clinic
011005 William Crowley 329,256 1,256,635 2,099,392
019000 Ric Arroyo -Diaz 517,423 1,307,347
009293 Serina Danielson 188,590 540,496 743,689
000966 ThaoTruong 105,985 249,883
041743 Angela Dobbins 104,266 213,899 181,223
058001 Court Thurlkill 26,249 52,747
002099 Traci Shefcik 50,065 130,992
009292 Charles Fillingane 241,892
1,321,833 3,752,000 3,266,196
21% 21% 20%
Memorial Medical Surgical Clinic
022000 Peter Rojas 111,922 426,614
111,922 426,614
2% 2% 0%
Hospitalist
130006 Hospitalist 907,307 2,408,835
907,307 2,408,835
15% 14% 0%
Port Lavaca Clinic
013000 Don Paul Bunnell 30,809 118,732 1,573,535
050001 John Wright 368,691 1,177,257 1,152,165
019000
013001
Ric Arroyo -Diaz
Leigh Anne Falcon 179,058 712,147
894,987
431,622
008800 Nirtas Kwi Timu 287,392 646,434 483,304
001500 Jewel Lincoln 185,623 644,313 312,561
320001 Shanna Odonnell 60,618 125,367 112,173
012000 Jeannine Griffin 19,299 46,555 112,183
700003 Bludua/Bunnell
320000 John Lee
610000 Craig Shaffer
1,131,490 3,470,806 5,072,530
18% 20% 31%
201,345
Specialty Clinic
022000 Peter Rojas
012100 Donald Breech 76,552 193,675 205,444
000404 Ayo Ad 81,493 211,514 237,468
070002 Richard Steinberg 6,988 34,692 52,526
525225 Azhar Malik MD 5,177 24,639 20,106
900000 Dakshesh Parikh 5,683 24,410 10,082
057006 A Qadri
175,893 488,929 726,971
3% 3% 4%
19-
Physician Revenue Trend
Memorial Medical Center
n,.c nn,,k 2n e
March 2016 2016 YTD PRIOR YEAR TD
Coastal Medical Clinic
011000' Tim McFarland 77,843 232,712 172,858
903700 Siver McFarland
000806 William McFarland 27,826 66,486 69,752
105,669 299,198 242,610
2% 2% 1%
independent
006000 M S Lin 168,025 592,159 329,264
004000 G A Williams 4,006 13,646 35,059
310001 Michelle Cummins 91,243 233,519 123,191
330000 Nhi Le MD 4,559 12,982 28,390
004002 Laura Deming
267,833 852,306 515,904
4% 5% 3%
Other Medical Staff
065002 George Boozalis 28,832 43,790 36,641
075000 Laborator Ramos
28,83.2 43,790 36,641
0% 0% 0%
Total E/R Physicians 1,735,292 4,775,245 5,110,749
1,735,292 4,775,245 5,110,749
28% 27% 31%
Other Ordering Physicians
Other Ordering Physicians 317,210 936,526 1,020,951
004004 Neese/Twin Foun 12,452 58,661 126,743
000359 Earnest Alsop 13,030
000080 Marcus Caughron 13,772 13,772
807077 Nilesh Patel 71,925 182,775 241,440
800003 Bryan Kestler 3,914 12,884 6,712
900327 DharmendrVerma 18,310 25,336
000077 Scott Stein 6,462 9,940 12,634
900116 Sabbagh Mohamme 4,446 4,446 20,429
012102 Jerr Followwill 29,017
142001 Greg Cowart
430,181 1,237,315 1,496,292
7% 7% 9%
Totals J 6,216,252 17,755,038 16,467,893
20-
7!
iG- - - - - - - - - -
21-
Payer Mix
Memorial Medical Center
As of March 31, 2016
Medicare 40.3 46.6 41.3 40.1 39.3 38.8 42.1 43.9 46.4 45.9 42.9 44.8
Medicaid 15.2 9.0 8.7 9.6 12.1 13.5 12.0 10.7 12.3 9.6 10.3 10.3
Blue Cross 18.1 17.7 20.0 20.4 18.4 14.4 15.5 16.4 16.6 . 16.6 17.1 16.1
Commercial 11.2 12.0 15.7 13.4 14.8 15.0 12.2 14.9 12A 14.2 14.4 14.7
Private 12.3 11.3 10.7 14.0 12.5 16.4 15.4 10.7 9.4 9.9 12.3 11.3
Other 2.9 3.4 3.6 2.5 2.9 1.9 2.8 3.4 3.0 3.8 3.0 2.8
Medicare Medicaid Blue Cros<Commercia Private Other
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
October 42.1 12.0 15.5 12.2 15.4 2.8
November 43.9 10.7 16.4 14.9 10.7 3.4
December 46.4 12.3 1&5 12.4 9.4 3.0
January 45.9 9.6 16.6 14.2 9.9 3.8
February 42.9 10.3 17.1 14.4 12.3 3.0
March 44.8 10.3 16.1 14.7 11.3 2.8
22-
RUN DATE:04/14116 MEMORIAL MEDICAL CENTER PAGE 1
TIME:14:29 CHECK REGISTER GLCKREG
03/01/16 THEO 03/31/16
CODE NUMBER DATE
A/P 000738 03/07/16
A/P 000739 03/07/16
A/P 000740 03/07/16
A/P 00074103/14/16
A/P 000742 03/14/16
A/P 000743 03/14/16
A/P 000744 03/21/16
A/P 000745 03/21/16
A/P 000746 03/21/16
A/P 000747 03/28/16
A/P 000748 03/28/16
A/P000749 03/28/16 A/
P 165189 03/03/16 A/
P 165190 03/03/16 A/
P 16519103/03/16 A/
P 165192 03/03/16 A/
P 165193 03/03/16 A/
P 165194 03/03/16 A/
P 165195 03/03/16 A/
P 165196 03/03/16 A/
P 165197 03/03/16 A/
P 165198 03/03/16 A/
P 165199 03/03/16 A/
P 165200 03/03/16 A/
P 16520103/03/16 A/
P 165202 03/03/16 A/
P 165203 03/03/16 A/
P 165204 03/03/16 A/
P 165205 03/03/16 A/
P 165206 03/03/16 A/
P 165207 03/03/16 A/
P 165208 03/03/16 A/
P 165209 03/03/16 A/
P 165210 03/03/16 A/
P 16521103/03/16 A/
P 165212 03/03/16 A/
P 165213 03/03/16 A/
P 165214 03/03/16 A/
P 165215 03/03/16 A/
P 165216 03/03/16 A/
P 165217 03/03/16 A/
P 165218 03/03/16 A/
P 165219 03/03/16 A/
P 165220 03/03/16 A/
P 16522103/03/16 A/
P 165222 03/03/16 A/
P 165223 03/03/16 A/
P 165224 03/03/16 A/
P 165225 03/03/16 A/
P 165226 03/03/16 AMOUNT
132.
45 395.
29 1,
293.51 727.
94 383.
56 594.
82 618.
81 236.
08 1,
251.23 2,
046.16 497.
85 1,
192.28 315.
12 5,
987.00 383.
88 213.
00 223.
69 996.
70 00
1,
383.18 97.
86 805.
27 00
10,
150.41 19,
900.00 4,
550.95 25,
929.80 198.
52 488.
25 1,
665.00 30.
24 780.
00 560.
22 125.
00 9,
618.87 361.
08 2,
900.17 3,
277.73 117.
27 110.
00 932.
50 150.
00 2,
680.82 75.
00 959.
62 29.
16 750.
00 1,
102.81 58,
000, 00 12,
904.50 PAYEE
MCKESSON
14CKESSON
MCKESSON
MCKESSON
MCKESSON
MCKESSON
MCKESSON
MCKESSON
MCKESSON
MCKESSON
MCKESSON
MCKESSON
PHILIPS
HEALTHCARE US
FOOD SERVICE MERCEDES
MEDICAL PHARMEDIUM
SERVICES LLC HEALTH
CARE LOGISTICS INC CENTURION
MEDICAL PRODUCTS VOIDED
DEWITT
POTH & SON PRECISION
YNAMICS CORP (PDC) HE
HEALTHCARE IITS USA CORP VOIDED
MORRIS &
DICKSON CO, LLC CPP
WOUND CARE $28,LLC LUMINANT
ENERGY COMPANY LLC BED,
LIP SARA
RUBIO GLOBAL
EQUIPMENT CO. INC. SIGN
AD, LTD. LIFESOURCE
EDUCATIONAL SRV LLC STRYKER
SUSTAINABILITY WAGEWORKS
HER
EMPLOYEE BENEFIT PLAN NOVA
BIOMEDICAL MERCK
SHARP & DORME CORP WAGEWORKS
THE
STABLE PROGRAM MEMORIAL
MEDICAL CLINIC M
G TRUST HENRY
TRORMMER, LLC COMBINED
INSURANCE CO FIRST
CLEARING BIRCH
COMMUNICATIONS GULF
COAST REGIONAL STUDER
GROUP, LLC VICTORIA
PROFESSIONAL TEXAS
MEDICAL LIABILITY TRUST 23-
RUN DATE704/14/16 MEMORIAL MEDICAL CENTER PAGE 2
TIMR;14;29 CHECK REGISTER GLCKREG
03/01/16 THRU 03/31/16
CODE NUMBER DATE AMOUNT PAYEE
A/P 165227 03/03/16 3,690.52 TEXAS ADVANTAGE C0MMUNITY BANK
A/P 165228 03/03/16 8,037.82 PAETEC
A/P 165229 03/03/16 29.16 DEBRA MUSTERED
A/P 165230 03/03/16 23.50 NINA GREEN
A/P 165231 03/03/16 2,566.21 US CLARK 6 ASSOCIATES, INC
A/P 165232 03/03/16 296.10 MEDICAL DATA SYSTF14
A/P 165233 03/03/16 303.00 WEST INTERACTIVE SERVICES CORP
A/P 165234 03/03/16 339.26 GULF COAST HARDWARE / ACE
A/P 165235 03/03/16 91.54 AMERISOURCEBERGEN DRUG CORP
A/P 165236 03/03/16 141.00 AIR SPECIALTY d EQUIPMENT CO
A/P 165237 03/03/16 2,296.73 AIRGAS-SOUTHWEST
AIP 165238 03/03/16 279.12 CAREFUSION
A/P 165239 03/03/16 625.00 ARROW INTERNATIONAL INC
A/P 165240 03/03/16 779.24 BARD PERIPHERAL VASCULAR
A/P 165241 03/03/16 779.81 BAXTER HEALTHCARE CORP
A/P 165242 03/03/16 541.09 BECKMAN COULTER INC
A/P 165243 03/03/16 125.95 BEEKLEY MEDICAL
A/P 165244 03/03/16 457.00 BOSTON SCIENTIFIC CORPORATION
A/P 165245 03/03/16 181.68 BOUND TREE MEDICAL, LLC
A/P 165246 03/03/16 25,00 CAL CON FEDERAL CREDIT UNION
A/P 165247 03/03/16 248.00 CYGNUS MEDICAL LLC
A/P 165248 03/03/16 92.45 CHARRING L BETE CO INC
A/P 165249 03/03/16 3,580.11 CITY OF PORT LAVACA
A/P 165250 03/03/16 827.99 CONNED CORPORATION
A/P 16525103/03/16 30,304.72 EVIDENT
A/P 165252 03/03/16 146.40 DIVERSIFIED BUSINESS SYSTEMS
A/P 165253 03/03/16 52.50 DOWNTOWN CLEANERS
A/P 165254 03/03/16 219.91 DYNATRONICS CORPORATION
A/P 165255 03/03/16 10.47 FEDERAL EXPRESS CORP.
A/P 165256 03/03/16 3,253.80 FISHER HEALTHCARE
A/P 165257 03/03/16 250.00 GULF COAST DELIVERY
A/P 165258 03/03/16 762.25 GULF COAST PAPER COMPANY
A/P 165259 03/03/16 257.94 HOLOGIC INC
A/P 165260 03/03/16 663.43 HOSPIRA WORLDWIDE, INC
A/P 165261 03/03/16 31.24 INDEPENDENCE MEDICAL
A/P 165262 03/03/16 12,623.24 WERFEN USA LLC
A/P 165263 03/03/16 2,369.59 J 6 J HEALTH CARE SYSTEMS, INC
A/P 165264 03/03/16 104.38 M.C. JOHNSON COMPANY INC
A/P 165265 03/03/16 1,252.80 SHIRLEY KARNEI
A/P 165266 03/03/16 1,435,76 KONICA MINOLTA
A/P 165267 03/03/16 192.38 KRAMES
A/P 165268 03/03/16 129.04 MARKS PLUMBING PARTS
A/P 165269 03/03/16 5,164.38 MCKESSON MEDICAL SURGICAL INC
A/P 165270 03/03/16 145.96 MEDLINE INDUSTRIES INC
A/P 165271 03/03/16 258.36 BAYER HEALTHCARE
A/P 165272 03/03/16 331.23 MEG AUXILIARY GIFT SHOP
A/P 165273 03/03/16 B61.77 MERRY X-RAY/SOURCEONE HEALTHCA
A/P 165274 03/03/16 248.16 MEDIVATORS
A/P 165275 03/03/16 61.74 OFFICE DEPOT
A/P 165276 03/03/16 00 VOIDED
A/P 165277 03/03/16 00 VOIDED
24-
RUN DATE:04/14/16 MEMORIAL MEDICAL CENTER
TIME:14:29 CHECK REGISTER
03/01/16 TURD 03/31/16
BANK --CHECK ----------------------------------------------------
CODE NUMBER DATE AMOUNT PAYEE
A/P 165278 03/03/16 8,042.56 OWENS 6 MINOR
A/P 165279 03/03/16 29.16 PA14 PARRISH
A/P 165280 03/03/16 7,752,10 PENTAX MEDICAL COMPANY
A/P 165281 03/03/16 5,050.00 PREMIER SLEEP DISORDERS CENTER
A/P 165282 03/03/16 125.26 POLYMEDCO INC.
A/P 165283 03/03/16 27.16 POWER ELECTRIC
A/P 165284 03/03/16 228.25 OUESET MEDICAL
A/P 165285 03/03/16 350,00 RADIOLOGY UNLIMITED, PA
A/P 165286 03/03/16 45.00 SAM'S CLUB DIRECT
A/P 165287 03/03/16 255.09 SHERWIN WILLIAMS
A/P 165288 03/03/16 522.10 SMITH 6 NEPHEW
A/P 165289 03/03/16 2,925.00 STACY SYSTEMS INC
A/P 165290 03/03/16 340.00 STANFORD VACUUM SERVICE
A/P 165291 03/03/16 47.40 STRYKER SALES CORP
A/P 165292 03/03/16 957,63 SYSCO FOOD SERVICES OF
A/P 165293 03/03/16 4,644.00 TEXAS MUTUAL INSURANCE CO
A/P 165254 03/03/16 236.06 TG
A/P 165295 03/03/16 77.00 UNIFIRST HOLDINGS
A/P 165296 03/03/16 272,90 UNIFORM ADVANTAGE
A/P 165297 03/03/16 6,125.08 UNIFIRST HOLDINGS INC
A/P 165298 03/03/16 127,59 UNITED AD LABEL CO INC
A/P 165299 03/03/16 1,074.87 UPS
A/P 165300 03/03/16 117,67 VERIZON SOUTHWEST
A/P 165301 03/03/16 238.70 VERIZON WIRELESS
A/P 165302 03/03/16 24.80 THE VICTORIA ADVOCATE
A/P 165303 03/03/16 53.85 WELCH ALLYN INC
A/P 165304 03/03/16 51.09 GRAINGER
A/P 165305 03/03/16 206.25 CARMEN C. ZAPATA-ARROYO
A/P 165306 03/03/16 171.39 CRYSTAL HARTT
A/P 165307 03/09/16 2,626.58 PHILIPS HEALTHCARE
A/P 165308 03/09/16 320.00 CHRIS KOVAREK
A/P 165309 03/09/16 93.69 MERCEDES MEDICAL
A/P 165310 03/09/16 4,266.97 GE HEALTHCARE
A/P 165311 03/09/16 28.41 HEALTH CARE LOGISTICS INC
A/P 165312 03/09/16 707.44 CENTURION MEDICAL PRODUCTS
A/P 165313 03/09/16 631.12 DEWITT POTH 6 SON
A/P 165314 03/09/16 427.82 PRECISION DYNAMICS CORP_ (PDC)
A/P 165315 03/09/16 .00 VOIDED
A/P 165316 03/09/16 15,958.82 14ORRIS 6 DICKSON CO, LLC
A/P 165317 03/09/16 1,141.97 PLATINUM CODE
A/P 165318 03/09/16 195.00 AHRA
A/P 165319 03/09/16 2,768.14 LUNINANT ENERGY COMPANY LLC
A/P 165320 03/09/16 2,705.73 GLAXOSMITHKLINE PHAP14ACUETICAL
A/P 165321 03/09/16 8,250.00 FIVE STAR STERILIZER SERVICES
A/P 165322 03/09/16 2,140,32 THERACOM, LLC
A/P 165323 03/09/16 328.60 STRYKER SUSTAINABILITY
A/P 165324 03/09/16 991.46 FIRETROL PROTECTION SYSTEMS
A/P 165325 03/09/16 29,024.89 ALLIED BENEFIT SYSTE14S
A/P 165326 03/09/16 95.00 PROCESSOR 4 CHEMICAL SERVICES
A/P 165327 03/09/16 1,400,00 ACUTE CARE INC
A/P 165328 03/09/16 316,00 ACE LOCKSMITH SERVICE
PAGE 3
GLCKREG
25-
RUN DATE:04/14/16 MEMORIAL MEDICAL CENTER PAGE 4
TIME:14:29 CHECK REGISTER - " - GLCKREG
03/01/16 THRU 63/31/16
BANK --CHECK ----------------------------------------------------
CODE NUMBER DATE AMOUNT PAYEE
A/P 165329 03/09/16 1,260.00 PABLO GARZA
A/P 165330 03/09/16 8,753.75 FUSION MEDICAL STAFFING, LLC
A/P 16533103/09/16 8,740,00 RADSOURCE
A/P 165332 03/09/16 5,635.00 REALITY MEDICAL I14AGING OF TX
A/P 165333 03/09/16 402.45 TXU ENERGY
A/P 165334 03/09/16 60.00 TX ANFP
A/P 165335 03/09/16 160.42 GULF COAST HARDWARE / ACE
A/P 165336 03/09/16 150.00 AMERICAN COLLEGE OF HEALTHCARE
A/P 165337 03/09/16 3,441.89 AFLAC
A/P 165338 03/09/16 5,951.63 CARDINAL HEALTH 414,LLC
A/P 165339 03/09/16 743.90 BARD PERIPHERAL VASCULAR
A/P 165340 03/09/16 644.35 BAXTER HEALTHCARE CORP
A/P 165341 03/09/16 504.00 BIOMET SPORTS MEDICINE
A/P 165342 03/09/16 197.20 BRIGGS HEALTHCARE
A/P 165343 03/09/16 1,400,00 CABLE ONE
A/P 165344 03/09/16 296.00 CAD SOLUTIONS, INC
A/P 165345 03/09/16 429.14 CHANNING L BETE CO INC
A/P 165346 03/09/16 560.00 CITIZENS 149DICAL CENTER
A/P 165347 03/09/16 330.60 C R BARD, INC
A/P 165348 03/09/16 58.42 FEDERAL EXPRESS CORP.
A/P 165349 03/09/16 3,582.22 FISHER HEALTHCARE
A/P 165350 03/09/16 869.73 GULF COAST PAPER COMPANY
A/P 165351 03/09/16 3,302.86 HOLOGIC INC
A/P 165352 03/09/16 78.47 INDEPENDENCE 119DICAL
A/P 165353 03/09/16 5,909.84 RICOH USA, INC.
A/P 165354 03/09/16 1,571.67 WERFEN USA LLC
A/P 155355 03/09/16 1,327.56 J E J HEALTH CARE SYSTEMS, INC
A/P 165356 03/09/16 40.00 KEY SURGICAL INC
A/P 165357 03/09/16 3,158.56 MAINE STANDARDS CO., LLC
A/P 165358 03/09/16 1,018.54 MCKESSON MEDICAL SURGICAL INC
A/P 165359 03/09/16 516.72 BAYER HEALTHCARE
A/P 165360 03/09/16 289.00 MEDTRONIC USA, INC.
A/P 165361 03/09/16 54.00 MRGADYNE 149DICAL
A/P 165362 03/09/16 96.25 MC VOLUNTEERS
A/P 165363 03/09/16 123.48 OFFICE DEPOT
A/P 165364 03/09/16 179.84 ON -SITE TESTING SPECIALISTS
A/P 165365 03/09/16 .00 VOIDED
A/P 165366 03/09/16 4,659.63 OWENS a MINOR
A/P 165367 03/09/16 20.00 RADIOLOGY UNLIMITED, PA
A/P 165368 03/09/16 2,931.16 SIE14ENS MEDICAL SOLUTIONS INC
A/P 165369 03/09/16 1,150.00 SOUTHEAST TEXAS HEALTH SYS
A/P 165370 03/09/16 1,023.29 SMITH 5 NEPHEW
A/P 165371 03/09/16 3,825.00 SO TEX BLOOD 6 TISSUE CENTER
A/P 165372 03/09/16 293.31 SYSCO FOOD SERVICES OF
A/P 165373 03/09/16 166.32 ERIN CLEVENGER
A/P 165374 03/09/16 18,000.00 TOSHIBA AMERICA 14EDICAL SYSP,
A/P 165375 03/09/16 80.80 UNIFIRST HOLDINGS
A/P 165376 03/09/16 258.93 UNIFORM ADVANTAGE
A/P 165377 03/09/16 1,851.70 UNIFIRST HOLDINGS INC
A/P 165378 03/09/16 771.32 GRAINGER
A/P 165379 03/09/16 10.00
26-
RUN DATE:04/14/16 MEMORIAL MEDICAL CENTER
TIME:14:29 CHECK REGISTER
03/01/16 THRU 03/31/16
BANK --CHECK ----------------------------------------------------
CODE NUMBER DATE AMOUNT PAYEE
A/P 165380 03/09/16 150.80
A/P 16538103/09/16 42.86
A/P 165382 03/09/16 252.00
A/P 165383 03/09/16 214.82
A/P 165384 03/09/16 60.08
A/P 165385 03/09/16 74.58
A/P 165386 03/09/16 70.00
A/P 165387 03/09/16 174.21
A/P 165388 03/09/16 88.31
A/P 165389 03/09/16 293.33
A/P 165390 03/09/16 280.00
A/P 16539103/09/16 494.12
A/P 165392 03/09/16 123.39
A/P 165393 03/09/16 109.35
A/P 165394 03/09/16 35.20
A/P 165395 03/09/16 174.48
A/P 165396 03/09/16 107.11
A/P 165397 03/09/16 200.00
A/P 165398 03/09/16 247.97
A/P 165399 03/16/16 103.36 PHILIPS HEALTHCARE
A/P 165400 03/16/16 142.00 PHARMEDIUM SERVICES LLC
A/P 165401 03/16/16 750.00
A/P 165402 03/16/16 8,333.33 HITACHI MEDICAL SYSTEMS
A/P 165403 03/16/16 273.60 WHOLESALE ELECTRIC SUPPLY
A/P 165404 03/16/16 1,317.11 CENTURION MEDICAL PRODUCTS
A/P 165405 03/16/16 1,688.64 DEWITT POTS & SON
A/P 165406 03/16/16 381.01 PRECISION DYNAMICS CORP (PDC)
A/P 165407 03/16/16 118.63 AMBU INC
A/P 165408 03/16/16 .00 VOIDED
A/P 165409 03/16/16 10,648.38 MORRIS & DICKSON CO, LLC
A/P 165410 03/16/16 2,480.00 EMPLOYEE ACTIVITIES TEAM
A/P 165411 03/16/16 1,200.00 TELE-PHYSICIANS, P.A. (TX)
A/P 165412 03/16/16 107.50 GLOBAL EQUIPMENT CO. INC,
A/P 165413 03/16/16 4,31 CENTURYLINK
A/P 165414 03/16/16 495.00 OSCAR TORRES
A/P 165415 03/16/16 91,278.54 MMC EMPLOYEE BENEFIT PLAN
A/P 165416 03/16/16 3,118.56 QIAGEN INC
A/P 165417 03/16/16 2,231.20 WAGEWORKS
A/P 165418 03/16/16 30.00 THE UPS PRINT STORE
A/P 165419 03/16/16 29,16 VICKIE BROOD
A/P 165420 03/16/16 70.00 MEMORIAL MEDICAL CLINIC
A/P 165421 03/16/16 932.50 M G TRUST
A/P 165422 03/16/16 75,00 HENRY TROEIINER, LLC
A/P 165423 03/16/16 75.00 FIRST CLEARING
A/P 165424 03/16/16 832.00 TRIZETTO PROVIDER SOLUTIONS
A/P 165425 03/16/16 642.24 SUI141T MEDICAL
A/P 165426 03/16/16 11,001.20 PORT LAVACA RETAIL GROUP LLC
A/P 165427 03/16/16 964.16
A/P 165428 03/16/16 500.00 LAW COMPANIES
A/P 165429 03/16/16 336.25 MSEC
A/P 165430 03/16/16 92.79 GULF COAST HARDWARE / ACE
PAGE 5
GLORIED
27-
RUN DATE:04/14/16 MEM2RIAL MEDICAL CENTER
TIME:14:29 CHECK REGISTER
03/01/16 THRU 03/31/16
BANK --CHECK
CODE NUMBER DATE AMOUNT PAYEE
A/P 165431 03/16/16 156.90 AMERISOURCEBERGEN DRUG CORP
A/P 165432 03/16/16 294.69 AIRGAS-SOUTHWEST
A/P 165433 03/16/16 1,590,00 ALCON LABORATORIES, INC.
A/P 165434 03/16/16 34.03 CAREFUSION
A/P 165435 03/16/16 2,850.00 ATD-AUSTIN
A/P 165436 03/16/16 2,053.17 BECFJW COULTER INC
A/P 165437 03/16/16 25.00 CAL C014 FEDERAL CREDIT UNION
A/P 165438 03/16/16 29.16 MONICA CARR
A/P 165439 03/16/16 255.00 CENTRAL DRUGS
A/P 165440 03/16/16 439.00 CYGNUS MEDICAL LLC
A/P 165441 03/16/16 89.25 CONNED CORPORATION
A/P 165442 03/16/16 330.60 C R BARD, INC
A/P 165443 03/16/16 25.90 DYNATRONICS CORPORATION
A/P 165444 03/16/16 48.09 CENTERPOINT ENERGY ENTEX
A/P 165445 03/16/16 99.02 FEDERAL EXPRESS CORP,
A/P 165446 03/16/16 5,696,83 FISHER HEALTHCARE
A/P 165447 03/16/16 57.31 GALLS,LLC
A/P 165448 03/16/16 582,56 GULF COAST PAPER COMPANY
A/P 165449 03/16/16 405.68 HOLOGIC INC
A/P 165450 03/16/16 767.25 HOSPIRA WORLDWIDE, INC
A/P 165451 03/16/16 24.93 INDEPENDENCE MEDICAL
A/P 165452 03/16/16 1,754,00 WERFEN USA LLC
A/P 165453 03/16/16 209.60 J & J HEALTH CARE SYSTEMS, INC
A/P 165454 03/16/16 1,310,10 SHIRLEY KARNEI
A/P 165455 03/16/16 725.13 LOWE`S H0149 CENTERS INC
A/P 165456 03/16/16 209.98 MARTIN PRINTING CO
A/P 165457 03/16/16 355.31 14EDLINE INDUSTRIES INC
A/P 165458 03/16/16 516.72 BAYER HEALTHCARE
A/P 165459 03/16/16 141.81 MC AUXILIARY GIFT SHOP
A/P 165460 03/16/16 2,420.56 MERRY X-RAY/SOURCEONE HEALTHCA
A/P 165461 03/16/16 3,973.40 OWENS & MINOR
A/P 165462 03/16/16 130.92 PHILIPS MEDICAL SYSTEMS MSG
A/P 165463 03/16/16 624.60 CULLIGAN OF VICTORIA
A/P 165464 03/16/16 220.69 DANETTE BETHANY
A/P 165465 03/16/16 1,256.15 STERICYCLE, INC
A/P 165466 03/16/16 243.04 TG
A/P 165467 03/16/16 75.10 UNIFIRST HOLDINGS
A/P 165468 03/16/16 5,270.54 UNIFIRST HOLDINGS INC
A/P 165469 03/16/16 1,000.00 US POSTAL SERVICE
A/P 165470 03/16/16 750.00 VERATHON INC
A/P 165471 03/16/16 58.86 THE VICTORIA ADVOCATE
A/P 165472 03/16/16 510.00 VICTORIA RADIOWORKS, LTD
A/P 165473 03/16/16 9.10 GRAINGER -
A/P 165474 03/16/16 101.03
A/P 165475 03/16/16 75,72
A/P 165476 03/16/16 71.69
A/P 165477 03/16/16 894.77
A/P 165478 03/16/16 71.14
A/P 165479 03/16/16 169.84
A/P 165480 03/16/16 205.89
A/P 16548103/16/16 487.81
PAGE 6
GLCKREG
19m
RUN DATE:04/14/16 MEMORIAL MEDICAL CENTER PAGE 7
TIME:14:29 CHECK REGISTER GLCKREG
03/01/16 THRU 03/31/16
CODE NUMBER DATE
A/P 165482 03/16/16
A/P 165483 03/16/16
A/P 165484 03/16/16
A/P 165485 03/16/16
A/P 165486 03/16/16
A/P 165487 03/16/16
A/P 165488 03/16/16
A/P 165489 03/16/16
A/P 165490 03/16/16
A/P k 165491 03/16/16
A/P 165609 03/23/16
A/P 165610 03/23/16
A/P 16561103/23/16
A/P 165612 03/23/16
A/P 165613 03/23/16
A/P 165614 03/23/16
A/P 165615 03/23/16
A/P 165616 03/23/16
A/P 165617 03/23/16
A/P 165618 03/23/16
A/P 165619 03/23/16
A/P 165620 03/23/16
A/P 16562103/23/16
A/P 165622 03/23/16
A/P 165623 03/23/16
A/P 165624 03/23/16
A/P 165625 03/23/16
A/P 165626 03/23/16
A/P 165627 03/23/16
A/P 165628 03/23/16
A/P 165629 03/23/16
A/P 165630 03/23/16
A/P 16563103/23/16
A/P 165632 03/23/16
A/P 165633 03/23/16
A/P 165634 03/23/16
A/P 165635 03/23/16
A/P 165636 03/23/16
A/P 165637 03/23/16
A/P 165638 03/23/16
A/P 165639 03/23/16
A/P 165640 03/23/16
A/P 16564103/23/16
A/P 165642 03/23/16
A/P 165643 03/23/16
A/P 165644 03/23/16
A/P 165645 03/23/16
A/P 165646 03/23/16
A/P 165647 03/23/16
A/P 165648 03/23/16
A/P 165649 03/23/16
AMOUNT
149.00
25,00
107.11
259.19
8.78
9,868.49
4,733.25
1,635.06
13,339.67
451.00
347.43
2,352.61
101.40
153.00
336.00
471.94
393.90
1,958.42
1,980.86
671.64
42.95
805.27
777.42
00
10,069.44
214.88
19,175.00
60.00
9,305.40
1,115.55
495.00
1,980.00
2,140.32
1,237.21
3,900.00
8,166.37
37, 968.45
239.40
489.32
81,76
6,145.37
1,400.00
138.19
2,047.30
425.00
7,682.67
4,050.00
1,159.75
1,140.00
662.27
7,321.11
PAYEE
THE BROADM,OOR AT CREEK
CRESCENT THE
THE BROADMOOR AT CREEKS
SOLERA WEST HOUSTON
TEXAS STATE BOARD OF PHAP14ACY
FILTER TECHNOLOGY CO, INC
BECTON, DICKINSON & CO (BD)
PHILIPS HEALTHCARE
ERBE USA INC SURGICAL SYSTE148
DSHS CENTRAL LAB MC2004
MERCEDES MEDICAL
PRARMEDIUM SERVICES LLC
PRINCIPAL LIFE
CENTURION MEDICAL PRODUCTS
DEWITT POTH & SON
UNIT DRUG CO, LLC
HE HEALTHCARE IITS USA CORP
BIOMET INC
VOIDED
MORRIS & DICKSON CO, LLC
PLATINUM CODE
CPP WOUND CARE #28,LLC
EMPLOYEE ACTIVITIES TEAM
BED, LIP
GLOBAL EQUIPMENT CO. INC.
FASTHEALTH CORPORATION
LIFESOURCE EDUCATIONAL SRV LLC
THERACOM, LLC
RR DONNELLEY
VICTORIA MEDICAL FOUNDATION
CLINICAL PATHOLOGY
14MC EMPLOYEE BENEFIT PLAN
RECALL SECURE DESTRUCTION SRV
GENESIS DIAGNOSTICS
ROSHANDA GRAY
BANK OF THE WEST
ACUTE CARE INC
ECOLAB EQUIPMENT CARE
REVCYCLE+, INC.
SHIFTHOUND
CSI LEASING INC
RECONDO
BIRCH COMMUNICATIONS
PABLO GAREA
MARLIN BUSINESS BANE(
MINDRAY CAPITAL .
29-
RUN DATE:04/14/16 MEMORIAL MEDICAL CENTER
TIME: 14:29 CHECK REGISTER
03/01/16 THAN 03/31/16
CODE NUMBER DATE AMOUNT PAYEE
A/P 165650 03/23/16 275.00 K & M SPORTS
A/P 165651 03/23/16 803.43 149DICAL DATA SYSTEMS, INC.
A/P 165652 03/23/16 2,000.00 PARR
A/P 165653 03/23/16 99.70 TRI-TECH FORENSICS, INC.
A/P 165654 03/23/16 1,500.00 CARING ANGELS PROFESSIONAL SER
A/P 165655 03/23/16 218.70 GULF COAST HARDWARE / ACE
A/P 165656 03/23/16 2,913.92 AIRGAS-SOUTHWEST
A/P 165657 03/23/16 143.52 CAREFUSION
A/P 165658 03/23/16 11.09 AQUA BEVERAGE COMPANY
A/P 165659 03/23/16 38.40 AUTO PARTS & MACHINE CO.
A/P 165660 03/23/16 54,38 BARD PERIPHERAL VASCULAR
A/P 165661 03/23/16 3,949.51 BAXTER HEALTHCARE CORP
A/P 165662 03/23/16 30,513.51 BECKMAN COULTER INC
A/P 165663 03/23/16 677.57 CABLE ONE
A/P 165664 03/23/16 230,00 CONMED CORPORATION
A/P 165665 03/23/16 7,204.00 EVIDENT
A/P 165666 03/23/16 59.20 DIVERSIFIED BUSINESS SYSTEMS
A/P 165667 03/23/16 12.20 DOWNTOWN CLEANERS
A/P 165668 03/23/16 77.22 FASTENAL COMPANY
A/P 165669 03/23/16 46.97 FEDERAL EXPRESS CORP.
A/P 165670 03/23/16 3,427.39 FISHER HEALTHCARE
A/P 165671 03/23/16 530,00 FORT BEND SERVICES, INC
A/P 165672 03/23/16 4,757.50 ROBERTS, ROBERTS & ODEFEY, LLP
A/P 165673 03/23/16 192.12 GULF COAST PAPER COMPANY
A/P 165674 03/23/16 528.00 HILL -ROM COMPANY, INC
A/P 165675 03/23/16 422.78 HOBART SALES & SERVICE
A/P 165676 03/23/16 24.93 INDEPENDENCE MEDICAL
A/P 165677 03/23/16 40.00 WERFEN USA LLC
A/P 165678 03/23/16 2,459.69 J & J HEALTH CARE SYSTEMS, INC
A/P 165679 03/23/16 68.94 JECKER FLOOR & GLASS
A/P 165680 03/23/16 1,435.76 KONICA MINOLTA MEDICAL IMAGING
A/P 165681 03/23/16 7,20 LANGUAGE LINE SERVICES
A/P 165682 03/23/16 561.25 MCKESSON MEDICAL SURGICAL INC
A/P 165683 03/23/16 622.60 MERRY X-RAY/SOURCEONE HEALTHCA
A/P 165684 03/23/16 248.08 MEDIVATORS
A/P 165685 03/23/16 3,750.00 NUTRITION OPTIONS
A/P 165686 03/23/16 142.49 OFFICE DEPOT
A/P 165687 03/23/16 .00 VOIDED
A/P 165688 03/23/16 11,734.50 OWENS & MINOR
A/P 165689 03/23/16 575.00 PETROLEUM SOLUTIONS,INC.
A/P 165690 03/23/16 3,975.00 PREMIER SLEEP DISORDERS CENTER
A/P 165691 03/23/16 731.00 PORT LAVACA WAVE
A/P 165692 03/23/16 5,87 POWER ELECTRIC
A/P 165693 03/23/16 37.50 RED HAWK
A/P 165694 03/23/16 720,00 RADIOLOGY UNLIMITED, PA
A/P 165695 03/23/16 153.18 EVOOUA WATER TECHNOLOGIES LLC
A/P 165696 03/23/16 207.45 SHERWIN WILLIAMS
A/P 165697 03/23/16 1,000.00 SOUTHEAST TEXAS HEALTH SYS
A/P 165698 03/23/16 1,270,22 SMITH & NEPHEW
A/P 165699 03/23/16 2,823.00 SO TEX BLOOD & TISSUE CENTER
A/P 165700 03/23/16 403.06 DANETTE BETHANY
PAGE 8
GLCKREG
30-
RUN DATE:04/14/16 149MORIAL MEDICAL CENTER PAGE 9
TIHE:14:29 CHECK REGISTER GLCKREG
03/01/16 THEO 03/31/16
BANK--CBECK ----------------------------------------------------
CODE NUMBER DATE AMOUNT PAYEE
A/P 165701 03/23/16 520,40 TLC STAFFING
A/P 165702 03/23/16 4,555.00 T-SYSTEM, INC
A/P 165703 03/23/16 168,00 TRI-ANIM HEALTH SERVICES INC
A/P 165704 03/23/16 86,12 UNIFIRST HOLDINGS
A/P 165705 03/23/16 69,95 UNIFORM ADVANTAGE
A/P 165706 03/23/16 3,803,92 UNIFIRST HOLDINGS INC
A/P 165707 03/23/16 102,00 THE UNIFORM CONNECTION
A/P 165708 03/23/16 24,80 THE VICTORIA ADVOCATE
A/P 165709 03/23/16 662.78 WALMART COMMUNITY
UP 165710 03/23/16 59.50 WATERMARK GRAPHICS INC
A/P 165711 03/23/16 150.27 GRAINGER
A/P 165712 03/23/16 495.00 CARMEN C. EAPATA-ARROYO
A/P 165713 03/23/16 85.34 ZIMMER US, INC.
A/P 165714 03/30/16 380.16 PHILIPS HEALTHCARE
A/P 165715 03/30/16 17,200,68 US FOOD SERVICE
A/P 165716 03/30/16 471.94 MERCEDES MEDICAL
A/P 165717 03/30/16 970.02 CENTURION MEDICAL PRODUCTS
A/P 165718 03/30/16 716.16 DEWITT POTH & SON
A/P 165719 03/30/16 109.42 P24BU INC
A/P 165720 03/30/16 .00 VOIDED
A/P 165721 03/30/16 17,150.27 MORRIS & DICKSON CO, LLC
A/P 165722 03/30/16 653.66 PLATINUM CODE
A/P 165723 03/30/16 570.00 AMERICAN PROFICIENCY INSTITUTE
A/P 165724 03/30/16 106.93 FIVE STAR STERILIZER SERVICES
A/P 165725 03/30/16 155.00 SIMIMLER, INC.
A/P 165726 03/30/16 181.25 WAGSWORKS
A/P 165727 03/30/16 21,290.72 MMC EMPLOYEE BENEFIT PLAN
A/P 165728 03/30/16 3,121,28 ODOR CONTROL SERVICES, INC
A/P 165729 03/30/16 2,326.43 WAGEWORKS
A/P 165730 03/30/16 13,851.23 HUNTER PHARMACY SERVICES
A/P 165731 03/30/16 1,333,33 SIEMENS FINANCIAL SERVICES
A/P 165732 03/30/16 80,00 MEMORIAL MEDICAL CLINIC
A/P 165733 03/30/16 932,50 M G TRUST
A/P 165734 03/30/16 536.65 ECOLAB EQUIPMENT CARE
A/P 165735 03/30/16 75.00 FIRST CLEARING
A/P 165736 03/30/16 3,849.00 MSDSONLIHE, INC
A/P 165737 03/30/16 12,748.51 FUSION MEDICAL STAFFING, LLC
A/P 165738 03/30/16 487.50 STRATUS VIDEO INTERPRETING
A/P 165739 03/30/16 269.71 GULF COAST SCIENTIFIC
A/P 165740 03/30/16 122.82 JERI DAVIS
A/P 165741 03/30/16 1,240.11 THE US CONSULTING GROUP
A/P 165742 03/30/16 17,500.00 STUDER GROUP, LLC
A/P 165743 03/30/16 916.16 PIONEER PRODUCTS, INC
A/P 165744 03/30/16 3,690.52 TEXAS ADVANTAGE COMMUNITY BANK
A/P 165745 03/30/16 3,938.82 PAETEC
A/P 165746 03/30/16 307,40 WEST INTERACTIVE SERVICES CORP
A/P 165147 03/30/16 149.54 INDUSTRIAL CHEM LABS
A/P 165148 03/30/16 15,680,00 HILL'S LAWN & TREE SERVICES
A/P 165749 03/30/16 153.28 ABBOTT LABORATORIES
A/P 165750 03/30/16 199,93 GULF COAST HARDWARE / ACE
A/P 165751 03/30/16 32,95 ACTION LUMBER
31-
RUN DATB104/14/16 MEMORIAL MEDICAL CENTER PAGE 10
TIME;14:29 CHECK REGISTER GLCKREG
03/01/16 THRU 03/31/16
CODE NUMBER DATE AMOUNT PAYEE
OF 165752 03/30/16 56.37 AIRGAS-SOUTHWEST
A/P 165753 03/30/16 1,564.50 ALCON LABORATORIES, INC.
A/P 165754 03/30/16 226.10 ALPHA TEC SYSTEMS INC
A/P 165755 03/30/16 43,80 AUTO PARTS & MACHINE CO.
A/P 165756 03/30/16 174,13 BAXTER HEALTHCARE CORP
A/P 165757 03/30/16 13,493.98 BECKMAN COULTER INC
A/P 165758 03/30/16 219.00 BOSTON SCIENTIFIC CORPORATION
A/P 165759 03/30/16 675.00 C-D ELECTRIC
A/P 165760 03/30/16 25.00 CAL COM FEDERAL CREDIT UNION
A/P 165761 03/30/16 430.28 CERTIFIED LABORATORIES
A/P 165762 03/30/16 4,520.39 CITY OF PORT LAVACA
A/P 165163 03/30/16 155.62 COW GOVERNMENT, INC.
A/P 165764 03/30/16 30,103.86 EVIDENT
A/P 165765 03/30/16 281.46 DLE PAPER & PACKAGING
A/P 165766 03/30/16 956.25 EAGLE FIRE & SAFETY INC
A/P 165767 03/30/16 178.61 ENTERPRISE RENT -A -CAR
A/P 165768 03/30/16 4,912.11 FISHER HEALTHCARE
A/P 165769 03/30/16 149.96 GALLS,LLC
A/P 165770 03/30/16 1,800.62 GULF COAST PAPER COMPANY
A/P 165771 03/30/16 429.20 H E BUTT GROCERY
A/P 165772 03/30/16 663.62 HOLOGIC INC
A/P 165773 03/30/16 315.00 RENA
A/P 165774 03/30/16 148,03 INDEPENDENCE MEDICAL
A/P 165775 03/30/16 1,571.67 WERFEN USA LLC
A/P 165776 03/30/16 41.25 INTEGRATED MEDICAL SYSTEMS
A/P 165777 03/30/16 908.57 J & J HEALTH CARE SYSTEMS, INC
A/P 165778 03/30/16 988.80 SHIRLEY KARNEI
A/P 165779 03/30/16 38.20 MARKS PLUMBING PARTS
A/P 165780 03/30/16 1,080.09 MARKETLAB, INC
A/P 165781 03/30/16 41.33 MARTIN PRINTING CO
A/P 165782 03/30/16 908.27 MCKESSON MEDICAL SURGICAL INC
A/P 165783 03/30/16 23.85 MEDLINE INDUSTRIES INC
A/P 165784 03/30/16 1,033.44 BAYER HEALTHCARE
A/P 165785 03/30/16 160,21 MC AUXILIARY GIFT SHOP
A/P 165786 03/30/16 258,52 METLIFE
A/P 165787 03/30/16 1,796.07 MERRY X-RAY/SOURCEONE HEALTHCA
A/P 165788 03/30/16 47.80 MOORE MEDICAL LLC
A/P 165789 03/30/16 68.39 OFFICE DEPOT
A/P 165790 03/30/16 82.95 ORIENTAL TRADING CO INC
A/P 16579103/30/16 00 VOIDED
A/P 165792 03/30/16 00 VOIDED
A/P 165793 03/30/16 9,984.40 OWENS & MINOR
A/P 165794 03/30/16 973.50 PORT LAVACA WAVE
A/P 165795 03/30/16 3,89 POWER ELECTRIC
A/P 165796 03/30/16 158.99 QUILL CORPORATION
A/P 165797 03/30/16 832.66 STRYKER SALES CORP
A/P 165798 03/30/16 1,176,64 SYSCO FOOD SERVICES OF
A/P 165799 03/30/16 4,682,00 TEXAS 14UTUAL INSURANCE CO
A/P 165800 03/30/16 238.25 TG
A/P 165801 03/30/16 172.24 UNIFIRST HOLDINGS
A/P 165802 03/30/16 137.94 UNIFORM ADVANTAGE
32-
RUN DATE:04/14/16 MEMORIAL MEDICAL CENTER
TIMB:14:29 CHECK REGISTER
03/01/16 THEO 03/31/16
CODE NUMBER DATE AMOUNT
A/P 165803 03/30/16 .00
A/P 165804 03/30/16 6,428.38
A/P 165B05 03/30/16 238.70
A/P 165806 03/30/16 1,253.51
A/P 165807 03/30/16 283.20
A/P 165808 03/30/16 2,693.97
A/P 165809 03/30/16 540.54
TOTALS: 1,182, 892.40
PAYEE
VOIDED
UNIFIRST HOLDINGS INC
VERIZON WIRELESS
WATERMARK GRAPHICS INC
MSC 410036
MSC 410834
SAN ANTONIO SERVICE CEN
PAGE 11
GLCKREG
33-
RUN DATE:04114/16 MEMORIAL MEDICAL CENTER PAGE 12
TIME:14:29 CHECK REGISTER GLCKREG
03/01/16 THEN 03/31/16
CODE NUMBER DATE AMOUNT PAYEE
C/C 003626 03/15/16 277,982,90 KST CONSTRUCTION
TOTALS: 277, 982.90
34-
RUN DATE:04/14/16 MEMORIAL MEDICAL CENTER
TIRM:14:29 CHECK REGISTER
03/01/16 THRU 03/31/16
CODE NUMBER DATE AMOUNT PAYEE
ICP * 011801 03/01/16 160.000R 1EMORIAL MEDICAL CENTER
ICP 011803 03/01/16 160.00 MEMORIAL MEDICAL CLINIC
ICP 011804 03/29/16 75,38 MICHELLE M. CUMMINS, M.D.
ICP 011805 03/29/16 942.72 PORT LAVACA CLINIC ASSOC, PA
ICP 011806 03/29/16 127.56 VICTORIA ANESTHESIOLOGY, LIP
ICP 011807 03/29/16 4,075.76 MEMORIAL MEDICAL CENTER
ICP 011808 03/29/16 31,634.28 MEMORIAL MEDICAL CENTER
ICP 011809 03/29/16 30.28 CLINICAL PATHOLOGY LABS
ICP 011810 03/29/16 1,362.07 RED PHARMACY
ICP 011811 03/29/16 00 VICTORIA HEART & VASCULAR CTR
ICP 011812 03/29/16 54.53 COMMUNITY PATHOLOGY ASSOCIATES
ICP 011813 03/29/16 80.23 VICTORIA HEART k VASCULAR CTR
TOTALS: 38, 382.81
PAGE 13
GLCKREG
35-
RUN DATE:04/14/16 MEMORIAL MEDICAL CENTER
TIME:14:29 CHECK REGISTER
03/01/16 THRU 03/31/16
BANK --CHECK --------------------------------------------------
CODE NUMBER DATE AMOUNT PAYEE
PR- 061186 03/10/16 1,369.90 PAY-P.02/19/16 03/03/16
PR-' 061767 03/10/16 181.92 PAY-P.02/19/16 03/03/16
PR- 999999 03/10/16 513,032,59
TOTALS: 514,584.41
PAGE 14
GLCKREG
36-
Mira, zt(r
PRTitle PRDeptName PRTotGross
ACCOUNTANT ACCOUNTING 6,934.00
PAYROLL CLERK ACCOUNTING 5,426.68
ADMINIST ASSISTANT ADMINISTRATION 5,249.20
ASSIST ADMINISTRATOR ADMINISTRATION 13,718.00
C.E.O. ADMINISTRATION 21,700.00
C.F.O. ADMINISTRATION 16,203.83
SPECIAL PROJECTS MGR ADMINISTRATION 4,421.34
ADMIN ASST TO AA-CNO ADMINISTRATION -CLINICAL SERVIC 3,312.51
CLINICAL IT SPEC. ADMINISTRATION -CLINICAL SERVIC 7,189.98
OUTPATIENT THERAPIST BEHAVIORAL HEALTH 6,015,00
BIO-MED TECHNICIAN BIO MEDICAL ENGINEERING 727.50
BIO-MED TECHNICIAN BIO MEDICAL ENGINEERING 6,700.40
ASST PURCHASE BUYER CENTRAL SUPPLY 3,272.53
CENTRAL SUPPLY TECH CENTRAL SUPPLY 2,622.33
COURIER -CS TECH CENTRAL SUPPLY 2,410.89
PURCHASING SUPERVISR CENTRAL SUPPLY 6,554.08
DIAG IMAG SUPERVISOR DIAGNOSTIC IMAGING 9,864.67
DIRECTOR DIAGNOSTIC IMAGING 9,584.50
RADIOLOGICAL TECH DIAGNOSTIC IMAGING 626.50
RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3,716.12
RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4,677.38
RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4,912.98
RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4,929.60
RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5,175.34
RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5,562.09
RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5,684.31
RADIOLOGICAL TECH DIAGNOSTIC IMAGING 6,215.01
RADIOLOGICAL TECH DIAGNOSTIC IMAGING 7,990.98
RADIOLOGICAL TECH DIAGNOSTIC IMAGING 8,093.76
RADIOLOGY TECH DIAGNOSTIC IMAGING 9,557.59
RECEPT/SECRETARY DIAGNOSTIC IMAGING 3,072.79
DIETARY DIRECTOR DIETARY 5,017.00
FOOD SERVICE STAFF DIETARY 1,925.99
FOOD SERVICE STAFF DIETARY 2,217.92
FOOD SERVICE STAFF DIETARY 2,246.60
FOOD SERVICE STAFF DIETARY 2,422.90
FOOD SERVICE STAFF DIETARY 2,464.11
FOOD SERVICE STAFF DIETARY 2,480.51
FOOD SERVICE STAFF DIETARY 2,495.92
SHIFT SUPERVISOR DIETARY 3,103.92
ED MANAGER EMERGENCY ROOM 5,500.45
REGISTERED NURSE EMERGENCY ROOM 799.25
REGISTERED NURSE EMERGENCY ROOM 821.88
REGISTERED NURSE EMERGENCY ROOM 823.26
REGISTERED NURSE EMERGENCY ROOM 838.00
REGISTERED NURSE EMERGENCY ROOM 1,240.13
REGISTERED NURSE EMERGENCY ROOM 1,972.69
REGISTERED NURSE EMERGENCY ROOM 5,029.66
REGISTERED NURSE EMERGENCY ROOM 5,688.95
REGISTERED NURSE EMERGENCY ROOM 6,093.70
REGISTERED NURSE EMERGENCY ROOM 6,849.70
37-
REGISTERED NURSE EMERGENCY ROOM 6,877.89
REGISTERED NURSE EMERGENCY ROOM 7,020.17
REGISTERED NURSE EMERGENCY ROOM 7,137,09
REGISTERED NURSE EMERGENCY ROOM 7,475.88
REGISTERED NURSE EMERGENCY ROOM 7,726.65
REGISTERED NURSE EMERGENCY ROOM 7,941.63
REGISTERED NURSE EMERGENCY ROOM 9,491,23
REGISTERED NURSE EMERGENCY ROOM 10,735.51
TRAUMA COORDINATOR EMERGENCY ROOM 6,919.94
ES AIDE ENVIRONMENTAL SERVICES 1,440.89
ES AIDE ENVIRONMENTAL SERVICES 1,584.61
ES AIDE ENVIRONMENTAL SERVICES 2,213.42
ES AIDE ENVIRONMENTAL SERVICES 2,240.88
ES AIDE ENVIRONMENTAL SERVICES 2,317.88
ES AIDE ENVIRONMENTAL SERVICES 2,494.89
ES AIDE ENVIRONMENTAL SERVICES 2,578.63
ES AIDE ENVIRONMENTAL SERVICES 2,639.77
ES AIDE ENVIRONMENTAL SERVICES 2,734.37
ES AIDE ENVIRONMENTAL SERVICES 2,758.08
ES AIDE ENVIRONMENTAL SERVICES 3,256.74
FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 2,734.95
FLOOR TECHNICIAN ENVIRONMENTAL SERVICES 2,817.82
SHIFT SUPERVISOR -AM ENVIRONMENTAL SERVICES 3,373.08
DIRECTOR OF HIM HEALTH INFORMATION MANAGEMENT 4,356.40
DISCHARGE ANALYST HEALTH INFORMATION MANAGEMENT 2,503.21
HIM CLERK HEALTH INFORMATION MANAGEMENT 753.01
HIM SPECIALIST HEALTH INFORMATION MANAGEMENT 2,541.26
TRANSCRIPTIONIST HEALTH INFORMATION MANAGEMENT 3,975.84
TRANSCRIPTIONIST-RIC HEALTH INFORMATION MANAGEMENT 4,015.44
REGISTERED NURSE ICU 350.00
REGISTERED NURSE ICU 4,011.23
REGISTERED NURSE ICU 5,957.11
REGISTERED NURSE ICU 6,471.43
REGISTERED NURSE ICU 7,049.10
REGISTERED NURSE ICU 7,276.16
REGISTERED NURSE ICU 7,339.30
REGISTERED NURSE ICU 7,435.86
REGISTERED NURSE ICU 7,744.47
REGISTERED NURSE ICU 8,485.08
REGISTERED NURSE ICU 8,870.24
FIN CNSLR-COORDINATR INDIGENT CARE PROGRAM 1,181.56
FINANCIAL COUNSELOR INDIGENT CARE PROGRAM 3,431.96
IP/EH/RM NURSE INFECTION PREVENTION 8,649.32
I.T. DIRECTOR INFORMATION TECHNOLOGY 8,398.00
IT SYSTEM ANALYST INFORMATION TECHNOLOGY 6,789.77
LAB ASSIST/SECRETARY LABORATORY 3,541.20
LAB ASSISTANT LABORATORY 245.00
LAB ASSISTANT LABORATORY 1,646.75
LAB ASSISTANT LABORATORY 3,307.64
LAB ASSISTANT LABORATORY 3,848.33
LAB ASSISTANT LABORATORY 4,790.09
LAB DIRECTOR LABORATORY 7,466.00
4r-a
LABORATORY ASSISTANT LABORATORY 455.00
LABORATORY ASSISTANT LABORATORY 1,255.80
LABORATORY ASSISTANT LABORATORY 1,372.88
MEDICAL LAB TECH LABORATORY 346.50
MEDICAL LAB TECH LABORATORY 1,271.25
MEDICAL LAB TECH LABORATORY 1,379.63
MEDICAL LAB TECH LABORATORY 4,744.64
MEDICAL LAB TECH LABORATORY 5,074.51
MEDICAL LAB TECH LABORATORY 5,397.44
MEDICAL LAB TECH LABORATORY 5,932.02
MEDICAL LAB TECH LABORATORY 5,984.23
MEDICAL TECHNOLOGIST LABORATORY 635.50
MEDICAL TECHNOLOGIST LABORATORY 5,624.28
MEDICAL TECHNOLOGIST LABORATORY 6,372.14
MICRO MT LABORATORY 1,459.77
MT TECH SUPERVISOR LABORATORY 6,282.49
DEPARTMENTAL ASSIST MAINTENANCE 5,015.40
DIRECTOR MAINTENANCE 8,358.80
GROUNDSKEEPER-PAINTR MAINTENANCE 3,731.82
PLANT OPS SPECIALIST MAINTENANCE 5,290.75
SUPERVISOR MAINTENANCE 5,725.08
CERTIFIED NURSE AIDE MED/SURG 1,873.00
CERTIFIED NURSE AIDE MED/SURG 2,120.71
CERTIFIED NURSE AIDE MED/SURG 2,242.74
CERTIFIED NURSE AIDE MED/SURG 2,273.89
CERTIFIED NURSE AIDE MED/SURG 2,412.51
CERTIFIED NURSE AIDE MED/SURG 2,458.46
CERTIFIED NURSE AIDE MED/SURG 2,692.75
CERTIFIED NURSE AIDE MED/SURG 3,590.51
DIRECTOR OF INPT SVC MED/SURG 9,319.80
LICENSED VOCAT NURSE MED/SURG 3,698.80
LICENSED VOCATIONAL MED/SURG 17.00
LICENSED VOCATIONAL MED/SURG 1,621.14
LICENSED VOCATIONAL MED/SURG 3,327.26
LICENSED VOCATIONAL MED/SURG 3,409.29
LICENSED VOCATIONAL MED/SURG 3,716.72
LICENSED VOCATIONAL MED/SURG 3,874.37
LICENSED VOCATIONAL MED/SURG 5,487.53
REGISTERED NURSE MED/SURG 71.01
REGISTERED NURSE MED/SURG 1,245.75
REGISTERED NURSE MED/SURG 1,332.50
REGISTERED NURSE MED/SURG 1,337.25
REGISTERED NURSE MED/SURG 1,402.50
REGISTERED NURSE MED/SURG 2,142.50
REGISTERED NURSE MED/SURG 2,470.75
REGISTERED NURSE MED/SURG 3,332.25
REGISTERED NURSE MED/SURG 5,092.75
REGISTERED NURSE MED/SURG 5,733.84
REGISTERED NURSE MED/SURG 5,905.45
REGISTERED NURSE MED/SURG 6,171.66
REGISTERED NURSE MED/SURG 6,719.03
REGISTERED NURSE MED/SURG 7,095.64
I '=
REGISTERED NURSE
REGISTERED NURSE
REGISTERED NURSE
REGISTERED NURSE
REGISTERED NURSE
FAM NURSE PRACTIONER
INSURANCE CLERK
INSURANCE CLERK
LICENSED VOCATIONAL
LICENSED VOCATIONAL
LICENSED VOCATIONAL
LICENSED VOCATIONAL
LICENSED VOCATIONAL
MEDICAL ASSISTANT
MEDICAL ASSISTANT
MEDICAL ASSISTANT
MEDICAL ASSISTANT
MEDICAL ASSISTANT
NURSE PRACTIONER
OFFICE MANAGER
OPERATOR
PHYSICIAN ASSISTANT
PRACT ADMINISTRATOR
RECEPT/MEDICAL ASST
RECEPTIONIST
RECEPTIONIST
RECEPTIONIST
RECEPTIONIST
RECEPTIONIST
RECEPTIONIST
RECEPTIONIST -PBX
REFERRAL SPECIALIST
LICENSED VOCATIONAL
REGISTERED NURSE
REGISTERED NURSE
REGISTERED NURSE
REGISTERED NURSE
REGISTERED NURSE
REGISTERED NURSE
REGISTERED NURSE
REGISTERED NURSE
REGISTERED NURSE
REGISTERED NURSE
CASHIER -SWITCHBOARD
INSUR COORDINATOR
MEDICAID COORDINATOR
MEDICARE COORDINATOR
PFS DIRECTOR
REGISTRATION CLERK
REGISTRATION CLERK
REGISTRATION CLERK
SELF PAY CLERK
MED/SURG
MED/SURG
MED/SURG
MED/SURG
MED/SURG
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
MEMORIAL MEDICAL CLINIC
OBSTETRICS
OBSTETRICS
OBSTETRICS
OBSTETRICS
OBSTETRICS
OBSTETRICS
OBSTETRICS
OBSTETRICS
OBSTETRICS
OBSTETRICS
OBSTETRICS
PATIENT FINANCIAL SERVICES
PATIENT FINANCIAL SERVICES
PATIENT FINANCIAL SERVICES
PATIENT FINANCIAL SERVICES
PATIENT FINANCIAL SERVICES
PATIENT FINANCIAL SERVICES
PATIENT FINANCIAL SERVICES
PATIENT FINANCIAL SERVICES
PATIENT FINANCIAL SERVICES
7,734.05
7,790.90
8,537.91
8,976.17
13,044.86
11,307.60
1,745.70
3,501.80
2,194.75
3,244.26
3,605.44
4,052.12
4,611.91
2,652.25
2,685.90
3,005.37
3,783.61
4,802.46
11,307.60
3,868.40
2,185.48
11,307.60
11,010.80
1,985.85
812.74
1,559.99
2,020.02
3,115.59
3,477.56
3,527.41
2,606.48
3,718.97
4,999.47
1,300.63
3,527.75
4,674.15
6,147.62
7,391.71
7,938.92
8,082.90
8,167.89
8,251.49
9,229.11
2,533.66
2,818.35
1,780.10
3,223.12
4,977.80
261.84
2,672.31
2,929.04
2,813.74
m
TEAM LEADER PATIENT FINANCIAL SERVICES 3,541.81
REGISTRATION CLERK PFS - REGISTRATION 947.07
REGISTRATION CLERK PFS - REGISTRATION 1,496.60
REGISTRATION CLERK PFS - REGISTRATION 1,733.71
REGISTRATION CLERK PFS - REGISTRATION 2,339.37
REGISTRATION CLERK PFS - REGISTRATION 2,461.97
REGISTRATION CLERK PFS - REGISTRATION 2,855.21
REGISTRATION CLERK PFS - REGISTRATION 3,043.11
LVN-CHG-CHARTAUDITR PHARMACY 4,152.64
REG PHARMACY TECH PHARMACY 1,006.01
REG PHARMACY TECH PHARMACY 4,490.30
REGIST PHARMACY TECH PHARMACY 4,489.54
SUPERVISOR LVN/RPhT PHARMACY 4,834.47
OCCUPATION THERAPIST PHYSICAL THERAPY 9,459.75
OFFICE COORDINATOR PHYSICAL THERAPY 2,791.50
PT ASSISTANT PHYSICAL THERAPY 6,135.97
PT ASSISTANT PHYSICAL THERAPY 6,214.00
PT ASSISTANT PHYSICAL THERAPY 6,404.04
PT TECH 1 PHYSICAL THERAPY 1,179.63
PT TECH II PHYSICAL THERAPY 3,260.96
PT TECHNICIAN PHYSICAL THERAPY 10.28
PT TECHNICIAN PHYSICAL THERAPY 2,644.96
TEAM LEAD PTA PHYSICAL THERAPY 8,474.39
CNO-DIRECTOR OF CA QUALITY ASSURANCE 11,147.80
SECURITY OFFICER SECURITY 2,728.00
SECURITY OFFICER SECURITY 2,775.79
SECURITY OFFIER SECURITY 1,032.90
SECURITY SUPERVISOR SECURITY 3,309.20
CLINIC COORDINATOR SPECIALTY CLINIC 6,877.26
OUT -PT COORDINATOR SPECIALTY CLINIC 2,618.75
CENTRAL STERILE TECH SURGERY 4,716.54
LICENSED VOCATIONAL SURGERY 5,878.46
MANAGER-SURGERY-OPC SURGERY 9,937.80
O R AIDE SURGERY 2,688.28
O R TECH SURGERY 4,915.76
PRE -ADMISSION NURSE SURGERY 5,453.48
REGISTERED NURSE SURGERY 1,393.50
REGISTERED NURSE SURGERY 7,868.39
REGISTERED NURSE SURGERY 8,135.78
REGISTERED NURSE SURGERY 8,928.75
RN -OR SCRUB NURSE SURGERY 6,800.01
RN -PERT OPERATIVE SURGERY 8,997.19
REGISTERED NURSE SURGICAL CLINIC 9,037.25
CASE MANAGER/UR/DP UTILIZATION REVIEW 6,438.28
Grand Totals 1,156,045.99
Total Lines = 251
41-
IHS Source Totals Report
Issued 04/15/16 Calhoun Indigent Health Care
Batch Dates 04/15/2016 through 04/15/2016
For Vendor; All Vendors
Source Description Amount Bitted Amount Paid
01 Physician Services 12,693.11 1,228.78
02 Prescription Drugs 538.68 505.15
08 Rural Health Clinics 10,231.92 7,167.15
13 Mmc - Inpatient Hospital 38,295.18 10,640.08
14 Mmc - Hospital Outpatient 3,708.00 1,394.91
15 Mmc - Er Bills 9,165.36 3,050.96
Expenditures 74,720.36 24,075.14
Reimb/Adjustments 88.11 88.11
Grand Total 74,632.25 23,987.03
COPAYS <460.00>
EXPENSES 8,393.34
31920.37
42-
Calhoun County Indigent Care Patient Caseload
Approved Denied Removed Active Pending
January 4 5 3 58 6
February 7 2 8 57 7
March 0 3 5 51 9
April
May
June
July
August
September
October
November
December
YTD 11 10 16 166 22
Monthly Avg 4 3 5 55 7
December 2015 Active 57
43-
AWARD BIDS FOR FUEL TO BE DELIVERED FOR THE PERIOD MAY 16, 2016 THROUGH JUNE 15,
2016:
Commissioner Galvan made a motion to accept the low bid from Diebel Oil of $1.90 per gallon for Diesel fuel
and for $1.99 per gallon for Regular Unleaded to be delivered for the period May 16, 2016 through June 15,
2016.
Commissioner Finster seconded the motion.
Commissioners Galvan, 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 MAY 12, 2016
COMMISSIONERS' COURT MEETING
1s
I.r,
Consider and take necessary action to award bid for Fuel to be Delivered for the period
beginning May 16, 2016 and ending June 15, 2016.
Fuel -Bulk Delivered
Diesel Fuel — Diebel Oil Company Inc was the Only Bid - $1.90/gallon
Regular Unleaded — Diebel Oil Company Inc was the Only Bid - $1.99/gallon
bd
1
W
coo
L1
0
W
LY
W
J
LU
0
Y
J
m
J
w
D
LL
2i
LLL
r
R
X C" y
m w
w ° 0 C7N
JUZ_ 0
W 0eUm
23 a
m a
row
o
o rn
e C
e6a mm
i
w OzU
J J
O oU
JWmpew
w m o
p
z > D
g p
C7 m °aw3c
O
CALHOUN COUNTY, TEXAS BID SHEET- FUEL -BULK DELIVERED
YOU ARE INVITED TO SUBMIT A BID ON THE ABOVE ITEM TO: MICHAEL PFEIFER, CALHOUN COUNTYJUDGE, 211 SANN ST, -TRD
FLOOR, ROOM JOI, PORT LAVACA 7X 77979
BIDS SHOULD BE SUBMITTED IN A SEALED ENVELOPE PLAINLY MARKED: SEALEDBID- FUEL-BULKDEL/VERED
BIDS ARE DUE AT THE JUDGE'S OFFICE ON OR BEFORE: 10.00AM, THURSDAY, MAYS, 2016
BIDS WILL BE AWARDED AT THE COMMISSIONERS' COURT MEETING ON: THURSDAY, MAY 12, 2016
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
BID ITEM. FUEL -BULK DELIVERED
DEPARTMENT: VARIOUS
DELIVERY FOB COUNTY FUEL TANKS
ES TINATION VARIOUS
sPEcocAmiys: 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 (('
VUN+
I-TPRICE GALLON
I ,(A 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
jUNIT PRICE GALLON
6 q DATE
DF OR ABTHOBQED
POINT
NAME M LIE V LL PLEASE
LISTANY EXCEPTIONS TO THE ABOVE SPECH ICATIONS:
ACTION ON SPECIFICATIONS FOR ASPHALTS, OILS AND EMULSIONS FOR THE PERIOD
BEGINNING JULY 1, 2016 AND ENDING DECEMBER 31, 2016 AND AUTHORIZE THE COUNTY
AUDITOR TO ADVERTISE FORBIDS. BIDS WILL BE DUE THURSDAY, JUNE 16, 2016 AND
CONSIDERED FOR AWARD ON THURSDAY, JUNE 23, 2016:
Commissioner Finster made a motion to approve specifications for Asphalts, Oils and Emulsions for the period
beginning July 1, 2016 and ending December 31, 2016 and authorize the County Auditor to advertise for bids.
Bids will be due Thursday, June 16, 2016 and considered for award on Thursday, June 23, 2016.
Commissioner Finster seconded the motion.
Commissioners Galvan, Finster and Judge Pfeiffer all voted in favor.
CINDY MUELLER
COUNTY AUDITOR, CALHOUN COUNTY
COUNTY COURTHOUSE ANNEX II - 202 S ANN ST
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
COMMISSIONERS' COURT — MAY 12, 2016
AGENDAITEM
THURSDAY, MAY 12, 2016
Consider and take necessary action to approve specifications for Asphalts, Oils
and Emulsions for the period beginning July 1, 2016 and ending December 31, 2016
and authorize the County Auditor to advertise for bids. Bids will be due Thursday,
June 16, 2016 and considered for award on Thursday, June 23, 2016.
SPECIFICATIONS FOR
ASPHALTS, OILS AND EMULSIONS
The County of Calhoun is requesting sealed bids for Asphalts, Oils and Emulsions as needed
by the following Road and Bridge Precincts:
Precinct #1, Fairgrounds Area or Jobsites
Precinct #2, Six Mile Area or Jobsites
Precinct #3, Olivia Area or Jobsites
Precinct #4-P, Port O'Connor Area or Jobsites
Precinct #4-S, Seadrift Area or Jobsites
The request for a bid on a material does not guarantee that Calhoun County will purchase this
material during the bid period.
Calhoun County reserves the right to reject any or all bids and to accept the bid deemed most
advantageous to Calhoun County.
Calhoun County Commissioners have the right to reject at any time any material that is undesirable
for either road or jobsite location.
111171:1 1
The bid shall be in effect for a period of Six (6) Months beginning July 1, 2016 and ending
December 31, 2016.
BID MATERIALS
Primer Oil
Item 300, Asphalts, Oils and Emulsions:[AC-5)
Item 300, Asphalts, Oils and Emulsions:(RC250)
Temperature must be no lower than 130'
Item 300, Type CRS-2, Emulsified Asphalt (Cationic Rapid Setting)
Temperature must be no lower than 150' and no higher than 180'
Item 300, Type CRS-2P, Emulsified Asphalt (Cationic Rapid Setting)
Temperature must be no lower than 150' and no higher than 180°
Materials shall meet or exceed "Texas Department of Transportation Current Standard
Specifications for Construction and Maintenance of Highways Streets and Bridges" for each listed
material.
Pump and hoses are to be furnished by vendor at no extra charge or shall be included in the bid.
All charges must be included in bid price or clearly stated on bid form. Additional charges listed
separately, if any, will increase the amount of the bid.
Page 1 of 2
Demurrage charges stated separately from the bid price of the material will increase the amount of
the bid price listed for the material.
Delivery shall be FOB Destination to designated delivery site.
No other charges, including freight, may be added to the bid price when invoiced unless these
charges were noted on the bid form and awarded as such.
Specifications are not being met if materials are not delivered at the required temperatures.
Calhoun County is not responsible for errors if the bid forms are handwritten. It is recommended
that all information submitted by the vendor on the bid forms be typed.
Exceptions taken to the specifications and listed on the vendor's bid will void the bid.
The award of a bid will be voided if specifications are not followed. The bid would then be awarded
to the vendor which submitted the next lowest bid that met specifications.
Calhoun County Commissioners have the right to stop hauling at any time due to weather, road
conditions or machinery breakdowns.
When required, all materials ordered will be delivered to the site designated and within 24 hours
from time of order. In the event the vendor is unable to deliver the materials ordered within 24
hours from time of order, the County reserves the right to re -order the said material from the vendor
which submitted the next lowest bid that met specifications and can deliver within 24 hours from
time of order.
All materials not conforming to the requirements of these specifications will be rejected and shall be
removed immediately from the delivery site by the vendor and at the vendor's cost.
Material description per bid specifications, awarded bid price per gallon and demurrage or other
charge, if any were included in award, must appear on all invoices in order to be considered for
payment.
Calhoun County reserves the right to conduct random sampling of pre -qualified materials for testing
and to perform random audits of test reports. County representatives may sample materials from
the manufacturing plant, terminal, shipping container and any other source they deem necessary to
insure reliability of the products. Regardless of results of any materials test required by the County,
all costs incurred for such tests shall be paid for by the vendor.
NO PERSON has the authority to verbally alter these specifications. Any changes to specifications will
be made in writing (Addendum approved by Commissioners' Court) and sent to each person having a
bid package.
Page 2 of 2
ACTION ON SPECIFICATIONS FOR ROAD MATERIALS FOR THE PERIOD BEGINNING JULY 1, 2016
AND ENDING DECEMBER 31, 2016 AND AUTHORIZE THE COUNTY AUDITOR TO ADVERTISE FOR
BIDS. BIDS WILL BE DUE THURSDAY, TUNE 16, 2016 AND CONSIDERED FOR AWARD ON
THURSDAY, JUNE 23, 2016:
Commissioner Galvan made a motion to approve specifications for Road Materials for the period beginning July
1, 2016 and ending December 31, 2016 and authorize the County Auditor to advertise for bids. Bids will be due
Thursday, June 16, 2016 and considered for award on Thursday, June 23, 2016.
Commissioner Finster seconded the motion.
Commissioners Galvan, Finster and Judge Pfeiffer all voted in favor.
CINDY MUELLER
COUNTY AUDITOR, CALHOUN COUNTY
CALHOUN COUNTY COURTHOUSE ANNEX II - 202 S ANN ST
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
COMMISSIONERS' COURT — MAY 12, 2016
AGENDAITEM
THURSDAY, MAY 129 2016
Consider and take necessary action to approve specifications for Road Materials
for the period beginning July 1, 2016 and ending December 31, 2016 and authorize
the County Auditor to advertise for bids. Bids will be due Thursday, June 16, 2016
and considered for award on Thursday, June 23, 2016.
SPECIFICATIONS FOR
ROAD MATERIALS
The County of Calhoun is requesting sealed bids for Road Materials as needed by the following Road
and Bridge Precincts:
Precinct #1, Fairgrounds Area - Stockpile or Jobsites
Precinct #2, Six Mile Area - Stockpile or Jobsites
Precinct #3, Olivia Area - Stockpile or Jobsites
Precinct #4-P, Port O'Connor Area - Stockpile or Jobsites
Precinct #4-S, Seadrift Area - Stockpile or Jobsites
The request for a bid on a material does not guarantee that Calhoun County will purchase this
material during the bid period.
Calhoun County reserves the right to reject any or all bids and to accept the bid deemed most
advantageous to Calhoun County.
Calhoun County Commissioners have the right to reject, at any time, any material that is undesirable
for either road or stockpile/jobsite location.
BID TERM
The bid shall be in effect for a period of Six (6) Months beginning July 1, 2106 and ending December
31, 2016.
BID MATERIALS
PE 5 Aggregate
Item 247, Limestone-3/4 Inch to Dust
Item 249, Type A Limestone, Grade 3 [1 % Inch]
Item 249, Type B (Flexible Processed Base), Grade 3:(Min PI 6)
Item 302, Type PE (Topping Rock), Grade 3
Item 302, Type PE (Topping Rock), Grade 4
Item 330, Type D (Pre -Mix Limestone)
Item 334, Type D, Hot Mix Cold Laid Asphalt Concrete Pavement
Materials shall meet or exceed "Texas Department of Transportation Current Standard Specifications
for Construction and Maintenance of Highways, Streets and Bridges for each listed material.
Delivery shall be FOB Destination to designated stockpile or jobsite.
Page 1 of 2
All charges must be included in bid price or clearly stated on bid form. Additional charges listed
separately, if any, will increase the amount of the bid.
No other charges, including freight, may be added to the bid price when invoiced unless these
charges were noted on the bid form and awarded as such.
Calhoun County is not responsible for errors if the bid forms are handwritten. It is recommended
that all information submitted by the vendor on the bid forms be typed.
Exceptions taken to the specifications and listed on the vendor's bid will void the bid.
The award of a bid will be voided if specifications are not followed. The bid would then be awarded
to the vendor which submitted the next lowest bid that met specifications.
Calhoun County Commissioners have the right to stop hauling at any time due to weather, road
conditions or machinery breakdowns.
When required, all materials ordered will be delivered to the site designated and within 24 hours
from time of order. In the event the vendor is unable to deliver the materials ordered with 24 hours
from time of order, Calhoun County reserves the right to re -order the said material from the vendor
which submitted the next lowest bid that met specifications and can deliver within 24 hours from
time of order.
All materials not conforming to the requirements of these specifications will be rejected and shall be
removed immediately from the delivery site by the vendor and at the vendor's cost.
Material description per bid specifications and awarded bid price per ton and other charge, if any
other charge was included in award, must appear on all invoices in order to be considered for
payment.
Calhoun County reserves the right to conduct random sampling of pre -qualified materials for testing
and to perform random audits of test reports. Calhoun County representatives may sample materials
from the manufacturing plant, terminal, shipping container and any other source they deem
necessary to insure reliability of the products. Regardless of results of any materials test required by
Calhoun County, all costs incurred for such tests shall be paid for by the vendor.
NO PERSON has the authority to verbally alter these specifications. Any changes to specifications will
be made in writing (Addendum approved by Commissioners' Court) and sent to each person having a
bid package.
Page 2 of 2
FINAL PLAT OF THE MATAGORDA BAYVIEW SUBDIVISION IN PORT O'CONNOR, TEXAS:
Commissioner Finster made a motion to approve the final plat of the Matagorda Bayview Subdivision in Port
O'Connor, Texas.
Commissioner Galvan seconded the motion.
Commissioners Galvan, Finster and Judge Pfeiffer all voted in favor.
Kenneth W. Finster
County Commissioner
County of Calhoun
Precinct 4 -
May 5, 2016
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 May 12, 2016.
Discuss and take necessary action to approve the Final Plat of the Matagorda Bayview
Subdivision in Port O'Connor, Texas.
Sincerely,
Kenneth W.Finster
KWF/at
P.O. Box 177 — Seadrift, Texas 77983 — email: kfinster@calhounwix.org — (361) 785-3141 — Fax (361) 785-5602
HEAR PRESENTATION FROM TEXAS INFINITE WEALTH PLANNERS ON 457B RETIREMENT
COMPENSATION PLAN INFORMATION FOR CALHOUN COUNTY AND TAKE ANY ACTION DEEMED
NECESSARY:
Graham Clements of Texas Infinite Wealth Planners provided information regarding 457B Retirement
Compensation Plan Information for Calhoun County.
tRECINCT 3
State Hwy. 172 - Olivia, Poai Lavaca, Texas 77979 - Office (361) 893-5346 — Fax
Neil E. Fritsch, Commissioner, Pct. 3
Email: neiLfritsch rz calhaancotx.oig
May 2, 2016
To: Honorable Judge Michael Pfeifer
From: Neil Fritsch
Re: Agenda Item
Please place the following item on the Commissioner's Court Agenda for May 12, 2016:
Consider and Take Necessary Action: to Hear Presentation from 'Texas Infinite Wealth
Planners on 457E Retirement Compensation Plan Information for Calhoun Counby and Take
Appropriate Action. "
Respectfully,
W.eele r.d
cc: Roger Galvan
Vern Lyssy
Kenneth Finster
Susan Riley
CONTRACT WITH FREESE NICHOLS, INC., FOR PROFESSIONAL SERVICES IN CONNECTION WITH
THE GLO CEPRA GRANT FOR PORT ALTO BEACH RESTORATION AND WETLANDS PROTECTION
PROJECT AND AUTHORIZE COMMISSIONER FRITSCH TO SIGN:
PASS
CALHOUN COUNTY COMMISSIONER, PREaNCT 3
24627 State Hwy. 172 — Olivia, Port Lavuca, Texas 77979 - Office 061 1893-5346 -- Fax (361) 893-5309
Neil E. Fritsch, Commissioner, Pct. 3
Email: neil.frilsch@calhouncofx.org
May 3, 2016
To: Honorable Judge Michael Pfeifer
From: Neil Fritsch
Re: Agenda Item
Please place the following item on the Commissioner's Court Agenda for May 12, 2016:
Consider and Take Necessary Action on Contract with Freese Nicholv, Inc., for Professional
Services in Connection with the GLO CEPRA Grantfor PortAtto Beach Restoration and
Wetlands. Protection Project, and allow Commissioner Fritsch to sign."
Respectfully,
cc: Roger Galvan
Vern Lyssy
Kenneth Finster
Susan Riley
MEMORANDUM OF UNDERSTANDING WITH CORPORATION SERVICE COMPANY (CSC) AND
AUTHORIZE COUNTY JUDGE TO SIGN. THIS AGREEMENT IS FOR &RECORDING WITH TYLER
EAGLE PROGRAM. AUTHORIZE COUNTY TREASURER TO SIGN CSC ACH CREDIT AUTHORIZATION
FORM FOR RECORDERS:
Judge Pfeiffer made a motion to approve Memorandum of Understanding with Corporation Service Company
CSC) and authorize County Judge to sign. This agreement is for E-Recording with Tyler Eagle program.
Authorize County Treasurer to sign CSC ACH Credit Authorization Form for Recorders.
Commissioner Galvan seconded the motion.
Commissioners Galvan, Finster and Judge Pfeiffer all voted in favor.
KARINA MENCHACA, DEPUTY
c
R DESIRE GARZA, DEPUTY
AMANDA RODRIGUEZ DEPUTY . FARLEIGH SUTTON DEPUTY
Lg JOSIE SAMPSON, CHIEF DEPUTY
ANNA M. GOODMAN
COUNTY CLERK
211 S. ANN STREET STE 102, PORT LAVACA, TX 77979
361)553-4411
May 4, 2016
Hon, Mike Pfeifer
Calhoun County Judge
Calhoun County Commissioners' Court
RE: Agenda Item for Commissioners' Court — May 12111, 2016
We would like to place the following item on the agenda:
Allow the Hon. Mike Pfeifer to sign the CSC (Corporation Service Company)
Memorandum of Understanding" Agreement. This agreement is for E-Recording with
the new Tyler Eagle program.
Allow the Hon. Rhonda Kokena to sign the CSC (Corporation Service Company)
ACH Credit Authorization Form for Recorders".
Respectfully,
Anna M Goodman
Calhoun County Clerk
U:\Agoodman\AGENDA ITEMS\Agenda [tem.050216.CSC Memorandum Of Understanding.00051216.Doe Page 1
CSC CORPORATION
THIS MEMORANDUM OF UNDERSTANDING, dated May 2"1, 2016 (this "MOU") is between the
Calhoun County, TX Government Recording Office ("GRO") with its principal offices located at 211
South Ann St Port Lavaca, TX 77979, and Corporation Service Company ("CSC"), a Delaware
corporation with principal offices located at 2711 Centerville Road, Wilmington, DE 19808.
The parties acknowledge that Electronic Recording permits its customers ("Submitters") to prepare
and sign documents, transmit them in electronic format, and that the transmitted electronic likeness of
the original documents can be considered as the "original" record of the transaction in substitution for,
and with the same intended effect as, the original paper documents.
For purposes of this MOU, Electronic Recording ("E-Recording") is the electronic submission of
documents from CSC to GRO for which GRO will provide CSC an electronic receipt.
Therefore, the parties agree to the following:
GRO' Responsibilities:
GIRD shall promptly notify CSC of any material changes to recording requirements or any changes to
recording fees.
GRO shall examine the electronic documents and indexing information, and complete the recording
process using the electronic documents (the "E-files"). GRO acknowledges that submitter provides
indexing data for convenience and that such indexing data is not required for the eRecording of
documents. GRO shall not reject a document based on the indexing information unless the incorrect
indexing information prevents GRO from verifying the document image or correctly calculating the
recording fees.
GRO shall monitor the documents received and recorded through E-Recording in an effort to insure
its integrity.
GRID shall test and maintain E-Recording software and hardware required to operate the E-Recording
capability. GRO, however, shall be held harmless for any damages resulting from software or
equipment failure.
GRO shall apply the same level of diligence in handling E-files as those submitted via hard copy.
Documents received on any business day after 5 PM local time may be processed the next business
day and in the order they were received.
GRO shall not void a document after recording except when required by law and shall immediately
notify CSC when GRO voids a recorded document.
CSC's Responsibilities:
CSC shall work to ensure that security measures and credentials implemented are protected from
unauthorized access, including by utilizing unique credentials for Submitters.
CSC shall maintain an electronic audit trail of all activity.
CSC shall be responsible for supporting any technical issues associated with E-Recording through
their submitting software program. CSC is solely responsible for any and all costs of the system or
services that enable CSC to meet the E-Recording program requirements.
CSC will email a daily report to GRO each evening detailing the documents recorded that day and the
associated recording fees owed by submitters ("ePay Report"). Recording fees will be paid daily via
ACH by CSC for the E-Files recorded on the prior business day.
General Understanding
GRO will not incur any liability for the E-files transmitted by CSC to GRO.
GRO will not incur any liability for any breach of security, fraud or deceit as a result of E-Recording.
Neither party, nor any Submitters (if relevant) shall be liable to the other for (i) any special, incidental,
exemplary or consequential damages arising from or as a result of any unintentional delay, omission
or error in the E-Recording transmission or receipt; (ii) any failure to perform processing of the E-files
where such failure results from any act of God or other cause beyond the party's reasonable control
including, without limitation, any mechanical, electronic or communications failure which prevents the
parties from transmitting or receiving the E-Recording transactions
Submitters and the parties will attempt in good faith to resolve claims arising out of or relating to E-
Recording either through negotiation or mediation prior to initiating litigation.
The parties acknowledge that the electronic recording process is an emerging technology and that
state and national standards will continue to evolve. To further the technology and the E-Recording
process, all parties agree to meet to discuss changes and additions to this MOU.
This MOU shall not be deemed to create a partnership between CSC and GRO in their respective
endeavors, nor cause them to be considered members of any joint enterprise.
ENTIRE AGREEMENT. Except as expressly provided otherwise herein, this MOU, together with
Attachment A, Technical Specifications, and Attachment B, Contact Information, represents the entire
agreement between the parties.
TERMINATION. Either party may terminate this MOU without cause with 30 days written notice to the
other party. Submitters remain responsible for payment of fees for the filing and recordation of
documents prior to the effective date of termination.
NO WARRANTIES/RELEASE OF LIABILITY. Absent gross negligence or willful misconduct, CSC
agrees to release the GRO from any liability in connection with the E-Recording of documents under
this MOU. Parties to E-Recording understand that there are no warranties, express or implied, in
connection with such transactions or E-files.
GOVERNING LAW. Without regard to state conflict of law provisions, the parties agree that this MOU
shall be governed by the laws of the state in which the E-files are recorded, as if this MOU were a
contract wholly entered into and wholly performed within that state. Any action to enforce this MOU or
any matter related to this MOU shall be brought in any federal or state court within the state in which
the E-files are recorded.
Page 2 of 5 5/6/2016
Agreed and Accepted;
Corporation Service Company Calhoun County, TX
By: By:
Name Name Michael J Pfeifer
Title: Title: Calhoun County Judge
Date: Date: 7!/ / L--- / 2016
Attachment A
Technical Specifications
E-Recording involves three levels of automation, which are described as follows:
Model 1 Submitters transmit the E-files of executed original documents (the "Original Copies") to the
GRO. The GRO performs an electronic examination of the E-files and then completes the recording
process using the E-Files. The E-files of the recorded document are returned electronically to the
Submitters.
Model 2 Submitters transmit E-files of Original Copies along with electronic indexing information to
the GRO. The GRO performs an electronic examination of the E-files and indexing data, and then
completes the recording process using the E-files and electronic indexing information. The E-files are
returned electronically to Submitters along with the electronic recording data.
Model 3 Submitters transmit documents which have been created, signed and notarized electronically
along with the electronic indexing information. The GRO performs an electronic examination of the E-
files and indexing information then completes the recording process using the E-files.
1) Format of the transmitted File:
PRIA file format standard will be used. Images will be in single page Group IV TIFF format
2) Communications Protocol and Options:
TCP/IP, HTTP and HTTPS
3) Security Framework:
Encryption will be 128bit file and image encryption. SSL and user login/password will be
employed.
4) Returned File Format:
PRIA file format standard will be used. Images will be in single page Group IV TIFF format.
Page 3 of 5 5/6/2016
5) Models (or Levels) of Recording Supported:
Models 1, 2 and 3 are supported.
6) Electronic Signatures and Use of Digital Certificates:
The use of Electronic or Digital signatures, notary seals, and notary signatures are supported
but are not required. CSC must work with the GRO to accommodate their use. Digitized
signatures, notary signatures, and notary seals are immediately acceptable.
7) Indexing Requirement and Imaging Standards:
Will be determined by CSC and the GRO during the implementation process.
8) Acceptance/Rejection of Documents:
Submitted documents that are accepted for recording will be provided to CSC by GRO
in electronic format after acceptance. Confirmation of acceptance and recordation by GRO will
be provided to CSC in electronic format after recordation is complete. This confirmation will
include the document image and GRO recording data. GRO reserves the right to make
changes to the index at a later date.
GRO will return rejected documents to CSC in electronic format after rejection, along with a
description of the reason(s) for rejection. CSC will electronically return the documents to the
Submitter for correction and resubmission.
CSC agrees to provide the transmission to the GRO following the specifications outlined. CSC
understands that the specifications may change from time to time. In the event changes to the
specification are required, the GRO will provide a written notice to the CSC within a
reasonable timeframe.
Page 4 of 5 5/6/2016
Attachment
Contact Information
Primary Contact Name: Anna M Goodman
Primary Contact Phone: 361-553-4411
Primary Contact Email: anna,croodman(a)cathouncotx.org
Additional Contact Names, Email, Phone: Jos/e Sampson/losie.samnsonCa7calhouncotx.orq/361-553-4418
Daily Reports will be sent to: anna.goodman@ca/houncotx.org
Additional recipients of Daily Reports (Name, Email): Josie Sampson Iiosie.sampson(acalhouncotx.ora
Desiree Garza /desiree.garza@calhouncotx.org
Amanda Rodriguez / amanda.rodrlgurez&calhouncotx.org
Kenna Menchaca / karina.menchaca(&calhouncotx.org
Fadeigh Sutton/farleigh.suttonffcalhouncotx.oru
Vendor Contacts:
1) System/Ops Support:
or csc-helo(d)cscinfo.com
2) Billing/Accounting Support:
Please contact csc-accounting(a)cscinfo.com
3) Additional Vendor Contacts:
Reggie Rogers, Operations Mgr.,. regaie.rogers(aicscglobal.com (800) 927-9801 x64147
Chuck Geramita, Operations Mgr., chuck.geramita(a)cscglobal.com (800) 927-9801 x64141
Page 5 of 5 5/6/2016
CSCm1 CORPORATION SERVICE COMPANY®
ACH Credit Authorization Form for Recorders
Account:
Check one that applies: CheckingEl Savings General Ledger Bank
Name: International Bank of Commerce Account
Name: CALHOUN COUNTY FEES & FINES Bank
Routing Number (ABA#): 113106026 Account
Number: 2810037841 Account:
Check
one that applies: Checking Savings General Ledger Account
Name: Bank
Routing Number Account
Number: Recording
Office: CALHOUN COUNTY TREASURER'S DEPARTMEN hereby
authorizes Corporation Service Company (CSC) to submit requested
amounts in order to process payment of recording fees. S.
Kokena Date:
Title:
This
form contains sensitive information and will be treated as confidential by CSC. To return this form to
CSC, please scan the completed and signed document and email it to LinDee.Hale(a)cscglobal.com with
a subject line of "Confidential: ACH Credit Authorization."
CERTIFICATE OF INTERESTED PARTIES FORM 1295
lafl
Complete Nos. 1-4 and 011 there are Interested parties. OFFICE USE ONLY
Compieta Nos, 1, 2, 3, 5, and 6If there are no Interested parties, CERTIFICATION OF FILING
Certificate Number. 1 Nameof business entity riling form, and the city, state and country of the business entity's place of
business. 2016.56326 Corporation
Service Company Logan,
UT United States Date Filed: z
Nameatsovernmene entity orstate agency that isaparty tothe contractforw c the form Is being filed. 05/16/
2016 Calhoun,
Texas Date ActmoMedgeM
3 Provide the Identification
number used by the governmental entity or state agency to Deck of identify the contract, and provide description of the services,
goods, or other property to he provided under the contract, eRecording w/county clerks
off Erecording services 4 Name
of Interested
Party
City, State, Country(place of business) Nature of Interest check
applicable) Controlling intermediary
5 Check
only if
there Is NO Interested Parry. 6 A RD6WFr-----.---.__.. _.. I
swear, or affirm, under penally ofperjury, that the above disclosure is true sort correct. Notary Public ' COMMISSION NUMBER6650761a
My Commisslon Expires
March26,2oi7 I o"
o STATE OF
UTAN r
Signaturao authorized agent
of contracting business entity AFFIX NOTARY STAMP I
SEAL ABOVE q Swamto and
subscribed
before me, by the said - 11r iuc I S, flAlL , this the, 6 day of MaNj 20 1 b •to
certify Witch, vilmess my hand and seal of ollice. OqA hl gqw t
ay tivyaeyem Naae ya Signatureof omcer diftaftilstering oath
Printed name of olficer adn9nistoting oath Title of olkgdr administering oath Forms nrovided by Texas Ethics
Commission www.ethics.state.N.us Version V1.0.1021
CERTIFICATE OF INTERESTED PARTIES FORM 1295
1of1
Complete Nos. 1- 4 and 6 if there are interested parties.
Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties.
OFFICE USE ONLY
CERTIFICATION OF FILING
Certificate Number:
2016-56326
Date Filed:
05/16/2016
Date Acknowledged:
05/25/2016
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Corporation Service Company
Logan, UT United States
2 Name of governmental entity or state agency that is a party to the contract for which the form is
being filed.
Calhoun, Texas
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
eRecording w/county clerks off
Erecording services
4
Name of Interested Part Y City, State, Country lace of business9 Y iP )
Nature of interest
check applicable) i PP )
Controlling I Intermediary
5 Check only if there is NO Interested Party. X
6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said this the day of ,
20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.1021
LEASE AGREEMENT WITH CALHOUN COUNTY LIBRARY AND XEROX FOR PERIOD OF 60 MONTHS
IN THE AMOUNT OF $96.65 PER MONTH AND AUTHORIZE COUNTY JUDGE TO SIGN:
Commissioner Galvan made a motion to approve Lease Agreement with Calhoun County Library and Xerox for
period of 60 months in the amount of $96.65 per month and authorize County Judge to sign.
Commissioner Finster seconded the motion.
Commissioners Galvan, Finster and Judge Pfeiffer all voted in favor.
Susan Riley r y
From: Noemi Cruz <ncruz@cclibrary.org>
Sent: Friday, May 06, 2016 11:02 AM
To: Susan Riley'
Subject: Agenda Itern
Please add to next Commissioner's Court agenda:
1) To approve lease agreement from Xerox for a color copier
Thank you
Noemi Cruz, Library Director
Calhoun County Public Library
2O0 W. Mahan
Port Lavaca, TX 77979
Phone 361.552,7250 ext. 23
Fax 361.552.4926
Email ncruz@cclibrPB?.org
Web www.cclibrary.org
Customer: CALHOUN COUNTY
BIIITo: COUNTY OF CALHOUN Install: COUNTY OF CALHOUN
LIBRARY LIBRARY
200 W MAHAN ST 200 W MAHAN ST
PORT LAVACA, TX 77979-3327 PORT LAVACA, TX 77979-3327
State or Local Government Negotiated Contract: 072719100
1. W7830P (W7830P PRNTR 31RAY)
Customer Ed
Analyst Services
1. W7830P
Lease Term:
Purchase Option:
96.65 1: BLACK 1 - 20,000 Included
20,004 $0.0056
2: COLOR All Prints $0.0506
60 months
FMV
Consumable Supplies Included for all prints
Pricing Fixed for Term
5/16/2016
Total 1 $96.65 1 Minimum Payments (Excluding Applicable Taxes) E
Customer acknowledges receipt of the terms of this agreement Thank You for your business! _
which consists of 2 pages including this face page. This Agreement is proudly presented by Xerox and T' TSigner: Michael J. Pfeifer Phone: (361)553-4600 Harvey Brewer SgT T %
361yourXerox GUq Et
For information on your Xerox Account, go to qNT
Signature:rX If
t Z 4 Date: www.xerox.com/
AccouniMananement 0 4 8 7 4 2 4 0 1 0 0 1 0 0 2
Tenn, and Condiliom
INTRODUCTION:
1. NEGOTIATED CONTRACT. The Products are subject solely to the terms in the
Negotiated Contract identified on the face of this Agreement, and, for any option you
have selected that is not addressed in the Negotiated Contract, the then -current
standard Xerox terms for such option.
GOVERNMENTTERMS:
2. REPRESENTATIONS & WARRANTIES. This provision is applicable to
governmental entities only. You represent and warrant, as of the date of this
Agreement, that: (1) you are a State ora fully constituted political subdivision or agency
of the State in which you are located and are authorized to enter into, and carry out,
your obligations under this Agreement and any other documents required to be
delivered in connection with this Agreement (collectively, the 'Documents"); (2) the
Documents have been duly authorized, executed and delivered by you in accordance
with all applicable laws, rules, ordinances and regulations (including all applicable laws
governing open meetings, public bidding and appropriations required in connection with
this Agreement and the acquisition of the Products) and are valid, legal, binding
agreements, enforceable in accordance with their terms; (3) the person(s) signing the
Documents have the authority to do so, are acting with the full authorization of your
governing body and hold the offices indicated below their signatures, each of which are
genuine; (4) the Products are essential to the immediate performance of a
governmental or proprietary function by you within the scope of your authority and will
be used during the Term only by you and only to perform such function; and (5) your
payment obligations under this Agreement constitute a current expense and not a debt
under applicable state law and no provision of this Agreement constitutes a pledge of
your lax or general revenues, and any provision that is so construed by a court of
competent jurisdiction is void from the inception of this Agreement.
3. FUNDING. This provision is applicable to governmental entities only. You represent
and warrant that all payments due and to become due during your current fiscal year
are within the fiscal budget of such year and are included within an unrestricted and
unencumbered appropriation currently available for the Products, and it is your intent to
use the Products for the entire term of this Agreement and make all payments required
under this Agreement. if your legislative body does not appropriate funds for the
continuation of this Agreement for any fiscal year after the first fiscal year and has no
funds to do so from other sources, this Agreement may be terminated. To effect this
termination, you must, at least 30 days prior to the beginning of the fiscal year for which
your legislative body does not appropriate funds, notify Xerox in writing that your
legislative body failed to appropriate funds. Your notice must be accompanied by
payment of all sums then awed through the current fiscal year under this Agreement.
You will return the Equipment, at your expense, to a location designated by Xerox and,
when returned, the Equipment will be to in good condition and free of all liens and
encumbrances. You will then be released from any further payment obligations beyond
those payments due for the current fiscal year (with Xerox retaining all sums paid to
date).
PRICING PLANIOFFERING SELECTED:
4. FIXED PRICING. If "Pricing Fixed for Term" is identified in Maintenance Plan
Features, the maintenance component of the Minimum Payment and Print Charges will
not increase during the initial Term of this Agreement.
GENERAL TERMS & CONDITIONS:
5. REMOTE SERVICES. Certain models of Equipment are supported and serviced
using data that is automatically collected by Xerox or transmitted to or from Xerox by
the Equipment connected to Customer's network ("Remote Data") via electronic
transmission to a secure off -site location ("Remote Data Access"). Remote Data
Access also enables Xerox to transmit to Customer Releases for Software and to
remotely diagnose and modify Equipment to repair and correct malfunctions. Examples
of Remote Data include product registration, meter read, supply level, Equipment
configuration and settings, software version, and problem/fault code data. Remote Data
may be used by Xerox for billing, report generation, supplies replenishment, support
services, recommending additional products and services, and product
improvement/development purposes. Remote Data will be transmitted to and from
Customer in a secure manner specified by Xerox. Remote Data Access will not allow
Xerox to read, view or download the content of any Customer documents or other
information residing on or passing through the Equipment or Customer's information
management systems. Customer grants the right to Xerox, without charge, to conduct
Remote Data Access for the purposes described above. Upon Xerox's request,
Customer will provide contact information for Equipment such as name and address of
Customer contact and IP and physical addresses/locations of Equipment. Customer
will enable Remote Data Access via a method prescribed byXerox, and Customer will
provide reasonable assistance to allow Xerox to provide Remote Data Access. Unless
Xerox deems Equipment incapable of Remote Data Access, Customer will ensure that
Remote Data Access is maintained at all times Maintenance Services are being
performed.
0 4 8 7 4 2 4 0 1 0 0 2 0 0 2 1
CERTIFICATE OF INTERESTED PARTIES FORM 1295
1of1
Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1, 2, 3, 5, and 6If there are no interested parties, CERTIFICATION OF FILING
Certificate Number:
2016-48773
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Xerox Corporation
Norwalk, CT United States Date Filed:
05/03/20162Nameofgovernmentalentityorstateagencythatisapartytothecontractforwhichtheformis
being flied.
County of Calhoun Date Acknowledged:
3 Provide the Identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods or other property to be provided under the contract.
DIR-TSO-3043, Quote N97770
Office Equipment
4
Name of Interested Party City, State, Country (place of business)
Nature of interest (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party.
X
6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said Jo f-, n f3 . 'O o ,e
20_L_, to certify which, witness my hand and seal of office.
iQ cc> 1,=2 Pa -&&A- m. S Peu (L
this the ''
r day of M °ty , PAMELA
M. SPENCER MontarY
State of New York roeCounty,Reg. #O1SP4 90 67 CommissionExpiresDe,ri 6 embc31,20-f] AJ,4-4,v f %, c Signature
of officer adminisl6ring oath Printed name of officer administering oath Title of 6fficer administering oath Forms
provided by Texas Ethics Commission www.ethics,state.tx.us Version V1.0.1021
CERTIFICATE OF INTERESTED PARTIES FORM 1295
lofl
Complete Nos. 1- 4 and 6 if there are interested parties.
Complete Nos, 1, 2, 3, 5, and 6 if there are no interested parties.
OFFICE USE ONLY
CERTIFICATION OF FILING
Certificate Number:
2016-48773
Date Filed:
05/03/2016
Date Acknowledged:
05/25/2016
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Xerox Corporation
Norwalk, CT United States
2 Name of governmental entity or state agency that is a party to the contract for which the form is
being filed.
County of Calhoun
g Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
DIR-TSO-3043, Quote N97770
Office Equipment
4
Name of Interested PartY City, State, Country lace of businessX91p )
Nature of interest
check applicable) PP )
Controlling Intermediary
5 Check only if there is NO Interested Party.
X
6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said , this the day of ,
20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.1021
RESOLUTION PROVIDING FOR THE SALE OF PROPERTY ACQUIRED BY THE COUNTY OF CALHOUN
AT DELINQUENT TAX SALE. (FULL MINIMUM BID WAS RECEIVED.) PROPERTY IS LOT 191, THE
SANCTUARY SUBDIVISION, PHASE 2, PORT O'CONNOR, CALHOUN COUNTY, TEXAS, BEING THAT
PROPERTY MORE PARTICULARLY DESCRIBED IN DOCUMENT #108024 OF THE OFFICIAL PUBLIC
RECORDS, CALHOUN COUNTY, TEXAS, ACCORDING TO THE MAP OR PLAT THEROF RECORDED AS
ASSESSED ON THE TAX ROLLS UNDER THE JURISDICTION OF CALHOUN COUNTY, TEXAS,
ACCOUNT #104525). AUTHORIZE COUNTY JUDGE TO EXECUTE TAX RESALE DEED:
Commissioner Finster made a motion to approve Resolution Providing for the Sale of Property Acquired by the
County of Calhoun at Delinquent Tax Sale. (Full minimum bid was received.) Property is Lot 191, The Sanctuary
Subdivision, Phase 2, Port O'Connor, Calhoun County, Texas, being that property more particularly described in
Document #108024 of the Official Public Records, Calhoun County, Texas, according to the map or plat therof
recorded as assessed on the tax rolls under the jurisdiction of Calhoun County, Texas, (Account #104525).
Authorize County Judge to execute Tax Resale Deed:
Commissioner Galvan seconded the motion.
Commissioners Galvan, Finster and Judge Pfeiffer all voted in favor.
RESOLUTION PROVIDING FOR THE SALE
OF PROPERTY ACQUIRED BY THE COUNTY OF CALHOUN
AT DELINQUENT TAR SALE
WHEREAS, Lot 191, The Sanctuary Subdivision, Phase 2, Port O'Connor, Calhoun County,
Texas being that property more particularly described in Document # 108024 of the Official
Public Records, Calhoun County, Texas, according to the map or plat thereof recorded as
assessed on the tax rolls under the jurisdiction of Calhoun County, Texas (Account #104525),
was offered for sale by the Sheriff of Calhoun County, Texas at a public auction pursuant to a
judgment of foreclosure for delinquent taxes by the District Court; Cause No 2012-3-6063;
Calhoun County et al vs. Lindsey Lattimore et at; and
WHEREAS, no sufficient bid was received and the property was struck off to the County of
Calhoun, Texas, for the use and benefit of itself and Calhoun County Independent School
District and Calhoun Port Authority, pursuant to TEX. PROP. TAX CODE §34.010); and
WHEREAS, TEx. PROP. TAX CODE §34.05(a), (h) and (i) provide that a taxing unit may accept
a sufficient bid. A bid of NINE THOUSAND THREE HUNDRED SEVENTY THREE AND
No HUNDREDTHS DOLLARS ($9,373.00) having been received from Le Nhi would be a sufficient
bid for this property;
THEREFORE, BE IT HEREBY RESOLVED by the County of Calhoun that the County Judge is
hereby authorized to convey Lot 191, The Sanctuary Subdivision, Phase 2, Port O'Connor,
Calhoun County, Texas, according to the map or plat thereof recorded as assessed on the tax
rolls under the jurisdiction of Calhoun County, Texas (Account #74493) for the sum of NINE
THOUSAND THREE HUNDRED SEVENTY THREE AND No HUNDREDTHS DOLLARS
9,373.00) payable to the Calhoun County Appraisal District for distribution as provided by law
and to execute a deed to Le Nhi.
PASSED, APPROVED AND ADOPTED THIS day of \.A E% , 2016.
f
Vern Lyssy, County Commissioner, Precinct 2
Absent
Neil E. Fritsch, CountyCommissioner, Precinct 3 Kenneth
Finster, County Commissioner, Precint 4
k
WW
0
a
x
Lw
r
V
W
z
z
0
u
c
m
0
w
m
a
6
gf
TAX RESALE DEED
NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU
MAY REMOVE OR STRIKE ANY OF THE FOLLOWING INFORMATION FROM THIS
INSTRUMENT BEFORE IT IS FILED FOR RECORD IN THE PUBLIC RECORDS: YOUR
SOCIAL SECURITY NUMBER OR YOUR DRIVER'S LICENSE NUMBER.
DATE: May 5, 2015
GRANTOR: County of Calhoun, in trust for the use and benefit of itself and the Calhoun
Independent School District and the La Salle Water Control & Improvement District No. IA
GRANTOR'S MAILING ADDRESS: 426 W. Main, Port Lavaca, Texas, 77979
GRANTEE: Le Nhi
GRANTEE'S MAILING ADDRESS: 6242 N. Navarro, Victoria, Texas 77904
CONSIDERATION: Nine Thousand Three Hundred Seventy Three Dollars ($9, 373.00)
PROPERTY: Lot 191, The Sanctuary Subdivision, Phase 2, Port O'Connor; Texas, Calhoun
County, Texas being that property more particularly described in Document #104525 of the
Official Public Records, Calhoun County, Texas (Account #74493).
TAX FORECLOSURE LAWSUIT: Cause No. 2012-3-6063; Calhoun County Appraisal
District v. Lindsey Lattimore et al
GRANTOR, for and in consideration of the amount set out above, and subject to the
reservations from and exceptions to conveyance, and other good and valuable consideration paid
by the GRANTEE, the receipt and sufficiency of which are acknowledged by GRANTOR, has
GRANTED, SOLD AND CONVEYED, and by these presents does GRANT, SELL AND
CONVEY to the GRANTEE all of the right, title and interest, of GRANTOR in the PROPERTY
acquired by the tax foreclosure sale held under the TAX FORECLOSURE LAWSUIT
referenced above.
TO HAVE AND TO HOLD all of its right, title and interest in and to the PROPERTY unto
the said GRANTEE, the GRANTEE'S successors and assigns forever without warranty of any
kind, so that neither the GRANTOR, nor any person claiming under it and them, shall at any
time hereafter have, claim or demand any right or title to the PROPERTY, premises or
appurtenances, or any part thereof.
GRANTOR excludes and excepts any warranties, express or implied, regarding the
PROPERTY, including, without limitation, any warranties arising by common law or Section
5.023 of the Texas Property Code or its successor.
GRANTOR has not made, and does not make any representations, warranties or covenants of
any kind or character whatsoever, whether express or implied, with respect to the quality or
condition of the PROPERTY, the suitability ofthe PROPERTY for any and all activities and
uses which GRANTEE may conduct thereon, compliance by the PROPERTY with any laws,
rules, ordinances or regulations of any applicable governmental authority or habitability,
merchantability or fitness for a particular purpose, and specifically, GRANTOR does not make
any representations regarding hazardous waste, as defined by the Texas Solid Waste Disposal
Act and the regulations adopted thereunder, or the U.S. Environmental Protection Agency
regulations, or the disposal of any hazardous or toxic substances in or on the property.
Hp
L,T1urn
JH
Air
CH
3L
mr
Z
1-0
C
um
r
vn
m
0
wa
M
ov
rt
w
3
V
a
w
to
m
h
The PROPERTY is hereby sold, transferred, and assigned to GRANTEE "as is" and "with all
faults".
This conveyance is expressly made subject to property taxes for the tax year 2014 and
subsequent years.
This conveyance is expressly subject to any existing right or redemption remaining to the
former owner of the PROPERTY under the provisions of law.
This conveyance is expressly subject to all easements and restrictions of record.
When the context requires, singular nouns and pronouns include the plural.
IN TESTIMONY WHEREOF the GRANTOR, pursuant to Section 34.05 ofthe Texas
Property Tax Code, has caused these presents to be executed on the date set forth in the
acknowledgement attached hereto, to be effective as of DATE.
County of Calhoun
By
Michael J. Pfeifer, County Ju ge
THE STATE OF TEXAS
COUNTY OF CALHOUN
Before me, the undersigned authority on this day personally appeared Michael J. Pfeifer,
County Judge of Calhoun County, known to me to be the person whose name is subscribed to
the foregoing document and acknowledged to me that he executed the same for the proposes and
consideration therein expressed.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this the a day ofrn, 2016
SUSAN RILEY
s= Notary Public, State of texas
Comm. Expires 04-18-2020
Nolory ID 7424094
Notary Public, State of Texas
My Commission expires:
s 1(z° 2O-z-o
May 23 2016 2:32 PM
This Document has been received by this Office forRecordingintotheOfficialPublicRecords. Ne doherebysmearthatwedonotdiscriminateduetoRace, Creed, Color, Sex or National Origin.
Filed for Record in:
Calhoun CountyHonorableAnna Goodman
County Clerk
S --j ` -
pu yepuy
Instr.: 147791
Stamps: 3 Page(s)
ACCEPT REPORTS OF THE FOLLOWING COUNTY OFFICES:
Calhoun Tax Assessor/Collector — March 2016
Justice of the Peace #1— April 2016
Justice of the Peace #2 — April 2016
Justice of the Peace #3 — April 2016
Justice of the Peace #3 — April 2016 (Revised)
Justice of the Peace #4 — April 2016
Justice of the Peace #5 — April 2016
Floodplain Administration — April 2016
Judge Pfeiffer made a motion to accept Reports of the following County offices:
Calhoun Tax Assessor/Collector — March 2016
Justice of the Peace #1 — April 2016
Justice of the Peace #2 — April 2016
Justice of the Peace #3 — April 20.16
Justice of the Peace #3 — April 2016 (Revised)
Justice of the Peace #4 — April 2016
Justice of the Peace #5 — April 2016
Floodplain Administration — April 2016
Commissioner Finster seconded the motion.
Commissioners Galvan, Finster and Judge Pfeiffer all voted in favor.
ACCEPT DONATIONS TO CALHOUN COUNTY:
F o o v to 00 W) Cl)tO CDr O o o N 1: 1. (D O O
O O h I -.to M 1 le v O 00 N M 0) N O O O
Z h O M O r Ph 00 Cd eF N O M 00 (6 N 00 O 0) to
w 0) N CD CO 0) r M CD M N le 0) 00 h 00 C.) O N
tD tO h O N N 00 n n N N to 1h 00 r N
N to M Qi O Q1 n Q) 0) to 4 r r
t"1 N tD 00 N M
r tD
mN
p 6H 69 61) 69 6-1 6/11 69 6f} 6A to 69. 69 69 6H 61). 60 69 69 El! NT 69 69
O M O O N O r O O N M O O O
W O OOO is M d' O OM N tO tO O
1 Z n M O M.4 et N O tV M O1 t`9 to M
0 r O r h r M N d' 00 O r f` M N
N to r Ih N 00 tD N(.)
O> 00 T Q1 tN t0 r
W M 00 N co
I J
N tD
OU
E9 fH 69 V3 E9 ER fA E9 E9 69 69 69 69 69 69
1
r
1 ON
1 =
Q w (R M t,
N It M e
C 0) t0 NMa) W C
n 'L N O N V a e
N C 0 fn U m Q-' c
a) O 0r0- C N -p W Q a t
n -° a U O 0 a a ° N c '
L a N Z'
i' o ro c aa)) W CO )i w 0 LL LLOaO i m m
o a c LL O m m wFZ-
d m N dQ U da oOUv m dr -° to ZZtn cU i
r~ w
m O a) 0 0 H w m w e .c0 U
o m m F Uo 06w°
d
m i
QY K w
VFUmUZCo4)
I(
a-
c-
oUvyhcCo NW > acc LL a) W N iN N ow°i DLLwat4) z, CO)i22 ' ° Z, UaF.oO O z 0 ULLndONyROOotooUUCommD :o Co U 0 0
Uoolitiy - 1ai)
U
an d t
a m
m
m m U O O 13 ot m °
m
Q mmQQm OOmmo :7
G D o ILJaaaaaCDoU
0 Om )n a
wUU mm° c
a.-j oU$40 a.04o0m c0maat00. S
h D 0) O N N n 0
v o0 1: 1: O
n v00< v v v
N N t0 M O) M M
t0 to N t0 6
00 O O
N N
r 1-
to 69. 69 fH fA fi). fA f!) Y? 69 6A 64* 69 69 69
ip nOtrOf O Oa ri
0to M r o 11 00
r 0 < d' N 00
a)m 00 tpONM
4 N t0 tp < O
r N
It tR
61?
4% KT fR 6f} 61} 69 fH fA fH fH to EH N z
OF-
UW
JJOUa) OLL
QU C
L OOC OF U NN
a) MxN aN`
OxT
m
w
a) A LL LLj
c rn a) L lim y
p—
p
a) li ai ai ca°
m d o z
m zQ aN O r NGNmiiad+ LL N viU) N H N
v N N 2 d N y me) N N d 7 NC
Np G C N Jw u! N V! a) Nw O j N N Q u! u! p M
a1 N 01U i+ 7 a7 of a7 N Xa3 a) coN Uto U co ca N a) a) 0ctrCa)) d C LLF F
n+ a) 0)a G OFFF FFF a) F OF F 0 LL
U Y w w IL c GcOCCa) U C N C C O N
CDN N 7 f`U NO O
U U OO 0O 0 a) O O V a
U 0 r U U U U C) U) U U U U a s
c X a ccO aO OOraO OOO NOft LLLLTdN06OCyLLLLyLLGN
w c.
N
U
CDC G T N a) U 7 x
N a) O m O. O a1 m w
OUn. a0.0 a m x 0 w V) F
zwEW
W7m
NJIQ-
O
F
u
0.00
0.00
1,931.78
194.21
0.003.46
0.000.00
0.00
0.000.00
411.000.00. 10.00
0.00
96.59
0.0021.74
0.00
192.21127.37
0.000.00
0.000.00'
1.09.
108.020.00
871.420.00
193.21
87.12: 525.27; 75.52
1,148.57
2,402.12
79.20189.900.00'
50.000.00
0.000.00
12.00292.571
150.00
0.00
20.00
0.00'
20.001
5.00
0.000.00
6,511.500.00
197.00
0.000,00
0.00
0,0010.00.
PAGEOFHILLCOUNTRY SOFTWAREMO. REPORT
INCLUDE D.R. REQUESTING DISBURSEMENT
INCLUDE D.R. REQUESTING DISBURSEMENT
INCLUDE D.R. REQUESTING DISBURSEMENT
INCLUDE D.R. REQUESTING DISBURSEMENT
INCLUDE D.R. REQUESTING DISBURSEMENT
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
5/5/2016 COURT NAME: JUSTICE OF PEACE NO. 1
MONTH OF REPORT: APRIL
YEAR OF REPORT: 2016
ACCOUNT NUMBER ACCOUNT NAME AMOUNT
CR 1000-001-45011 FINES 6,542.55
CR 1000-001-44190 SHERIFF'S FEES 1,197.21
ADMINISTRATIVE FEES:
DEFENSIVE DRIVING 79.20
CHILD SAFETY 0.00
TRAFFIC 87.12
ADMINISTRATIVE FEES 109.90
EXPUNGEMENT FEES 0.00
MISCELLANEOUS 0.00
CR 1000-001-44361 TOTAL ADMINISTRATIVE FEES 276.22
CR 1000-001-44010 CONSTABLE FEES -SERVICE 150.00
CR 1000-001-44061 JP FILING FEES 55.00
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 2,402.12
TOTAL FINES, ADMIN. FEES & DUE TO STATE 10,623.10
CR 2670-001-44061 COURTHOUSE SECURITY FUND 145.66
CR 2720-001-44061 JUSTICE COURT SECURITY FUND 48.55
CR 2719-001-44061 JUSTICE COURT TECHNOLOGY FUND 193.21
CR 2699-001-44061 JUVENILE CASE MANAGER FUND 21.74
STATE ARREST FEES
DPS FEES 187.62
P&W FEES 0.22
TABC FEES 0.00
CR 7020-999-20740 TOTAL STATE ARREST FEES 187.84
CR 7070-999-20610 CCC-GENERAL FUND 193.18
CR 7070-999-20740 CCC-STATE 1,738.60
DR 7070-999-10010 1,931.78
CR 7860-999-20610 STF/SUBC-GENERAL FUND 43.57
CR 7860-999-20740 STF/SUBC-STATE 827.85
DR 7860-999-10010 871.42
CR 7950-999-20610 TP-GENERAL FUND 262.64
CR 7950-999-20740 TP-STATE 262.63
DR 7950-999-10010 525.27
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
5/5/2016
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
7998-999-20740
7403-999-22889
REVISED 03/04/16
0.00
0.00
0.00
0.00
0.00
167.45
COURT NAME: JUSTICE OF PEACE NO. 1
MONTH OF REPORT: APRIL
YEAR OF REPORT: 2016
CRIM-SUPP OF IND LEG SVCS-GEN FUND 9.66
CRIM-SUPP OF IND LEG SVCS-STATE 86.93
DR 7865-999-10010 96.59
TUFTA-GENERAL FUND 137.00
TUFTA-STATE 274.00
DR 7970-999-10010 411.00
JPAY - GENERAL FUND 29.26
JPAY - STATE 263.31
DR 7505-999-10010 292.57
JURY REIMB. FUND- GEN. FUND 19.22
JURY REIMB. FUND- STATE 172.99
DR 7857-999-10010 192.21
CIVIL JUSTICE DATA REPOS: GEN FUND 0.35
CIVIL JUSTICE DATA REPOS: STATE 3.11
DR 7856-999-10010 3.46
TRUANCY PREVENT/DIV FUND - STATE 75.52
DR 7998-999-10010 75.52
ELECTRONIC FILING FEE - CV STATE 20.00
DR 7403-999-22889 20.00
TOTAL (Distrib Req to OperAcct) $15,651.92
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY ISD
DA - RESTITUTION
REFUND OF OVERPAYMENTS
OUT -OF -COUNTY SERVICE FEE
CASH BONDS
PARKS & WILDLIFE FINES
WATER SAFETY FINES 8.50
TOTAL DUE TO OTHERS $175.95
TOTAL COLLECTED -ALL FUNDS $16,827.87
LESS: TOTAL TREASUER'S RECEIPTS $15,827.87
OVER/(SHORT) $0.00
Page 2 of 2
CALHOUN DISTRIBUTION
COUNTY
REQUEST
201 West Austin DR# 450 A 42495
PAYEE PAYOR
Name: Calhoun County Oper. Acct. Official:
Address: Title:
City:
State:
Zip:
Phone:
Hope Kurtz
Justice of the Peace, Pct. 1
ACCOUNT NUMBER DESCRIPTION AMOUNT
7541-999-20759-999 JP1 Monthly Collections - Distribution 15,651.92
APRIL
2016
V# 967
Signature of Official Date
TOTAL 15,651.92
0.00
0.00
1,478.84
149.18
0.00
2.90
0.50
0.00
0.00
0.0015.00
84.71
60.00
5.000.00
73.10
0.50
6.002.00
0.00
146.1868,63
0.00
0.00
0.000.00
11.09
94.53.
0.00
746.55
0.00
150.18
74.66179.5868.37
579.04
977.9079.20
309.700.00
191.000.00
0.00
f 36.00
219.26
450.00
0.00
0.00
20.00
0.00
0.000.00
4,037.30
0.00
98.000.00
1,647.53
0.000.00
0.00
PAGE OF HILL COUNTRY SOFTWARE MO. REPORT
PAGE OF HILL COUNTRY SOFTWARE MO. REPORT
D.R. REQUESTING DISBURSEMENT
D.R. REQUESTING DISBURSEMENT
D.R. REQUESTING DISBURSEMENT
D.R. REQUESTING DISBURSEMENT
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
5/5/2016 COURT NAME: JUSTICE OF PEACE NO. 2
MONTH OF REPORT: 0
YEAR OF REPORT: 0
ACCOUNTNUMBER ACCOUNTNAME AMOUNT
CR 1000-001-45012 FINES 4,052.00
CR 1000-001-44190 SHERIFF'S FEES 682.17
ADMINISTRATIVE FEES:
DEFENSIVE DRIVING 79.20
CHILD SAFETY 0.00
TRAFFIC 74.66
ADMINISTRATIVE FEES 329.70
EXPUNGEMENT FEES 0.00
MISCELLANEOUS 0.00
CR 1000-001-44362 TOTAL ADMINISTRATIVE FEES 483.56
CR 1000-001-44010 CONSTABLE FEES -SERVICE 450.00
CR 1000-001-44062 JP FILING FEES 191.00
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 977.90
TOTAL FINES, ADMIN. FEES & DUE TO STATE 6,836.63
CR 2670-001-44062 COURTHOUSE SECURITY FUND 111.89
CR 2720-001-44062 JUSTICE COURT SECURITY FUND 37.30
CR 2719-001-44062 JUSTICE COURT TECHNOLOGY FUND 150.18
CR 2699-001-44062 JUVENILE CASE MANAGER FUND 5.00
STATE ARREST FEES
DPS FEES 68.91
P&W FEES 2.22
TABC FEES 0.00
CR 7020-999-20740 TOTAL STATE ARREST FEES 71.12
CR 7070-999-20610 CCC-GENERAL FUND 150.18
CR 7070-999-20740 CCC-STATE 1,351.66
DR 7070-999-10010 1,501.84
CR 7860-999-20610 STF/SUBC-GENERAL FUND 37.33
CR 7860-999-20740 STF/SUBC-STATE 709.22
DR 7860-999-10010 746.55
CR 7950-999-20610 TP-GENERAL FUND 89.79
CR 7950-999-20740 TP-STATE 89.79
DR 7950-999-10010 179.58
CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.80
CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 34.20
DR 7480-999-10010 36.00
Page 1 of 2
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
5/5/2016 COURT NAME: JUSTICE OF PEACE NO. 2
MONTH OF REPORT: 0
YEAR OF REPORT: 0
CR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 7.31
CR 7865-999-20740 GRIM-SUPP OF IND LEG SVCS-STATE 66.79
DR 7865-999-10010 73.10
CR 7970-999-20610 TL/FTA-GENERAL FUND 28.24
CR 7970-999-20740 TL/FTA-STATE 56.47
DR 7970-999-10010 84.71
CR 7505-999-20610 JPAY - GENERAL FUND 21.93
CR 7505-999-20740 JPAY - STATE 197.33
DR 7505-999-10010 219.26
CR 7857-999-20610 JURY REIMB. FUND- GEN. FUND 14.62
CR 7857-999-20740 JURY REIMB. FUND- STATE 131.56
DR 7857-999-10010 146.16
CR 7856-999-20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.29
CR 7856-999-20740 CIVIL JUSTICE DATA REPOS.- STATE 2.61
DR 7856-999-10010 2.90
CR 7998-999-20740 TRUANCY PREV/DIV FUND - STATE 68.37
DR 7998-999-10010 68.37
CR 7403-999-22889 ELECTRONIC FILING FEE - STATE 60.00
DR 7403-999-10010 60.00
TOTAL (Distrib Req to OperAcct) $10,330.60
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY ISD 0.00
DA - RESTITUTION 0.00
REFUND OF OVERPAYMENTS 1,647.53
OUT -OF -COUNTY SERVICE FEE 0.00
CASH BONDS 0.00
PARKS & WILDLIFE FINES 83.30
WATER SAFETY FINES 0.00
TOTAL DUE TO OTHERS $1,730.83
TOTAL COLLECTED -ALL FUNDS $12,061.43
LESS: TOTAL TREASUER'S RECEIPTS $12,061.43
REVISED 03/04/16 OVER/(SHORT) $0.00
Page 2 of 2
CALHOUN DISTRIBUTION
COUNTY
REQUEST
201 West Austin DR# 460 A 42495
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 $10,330.60
0
0
V# 967
TOTALI 10,330.60
Signature of Official Date
D.R.
D.R.
D.R.
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
5/3/2016 COURT NAME: JUSTICE OF PEACE NO. 3
MONTH OF REPORT: APRIL
YEAR OF REPORT: 2016
ACCOUNT NUMBER ACCOUNT NAME AMOUNT
CR 1000-001-45013 FINES 3,886.90
CR 1000-001-44190 SHERIFF'S FEES 673.76
ADMINISTRATIVE FEES:
DEFENSIVE DRIVING 89.10
CHILD SAFETY 0.00
TRAFFIC 70.91
ADMINISTRATIVE FEES 269.80
EXPUNGEMENT FEES 0.00
MISCELLANEOUS 0.00
CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 429.81
CR 1000-001-44010 CONSTABLE FEES -SERVICE 150.00
CR 1000-001-44063 JP FILING FEES 100.00
CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00
CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.40
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 1,140.60
TOTAL FINES, ADMIN. FEES & DUE TO STATE 6,381.47
CR 2670-001A4063 COURTHOUSE SECURITY FUND 111.15
CR 2720-001-44063 JUSTICE COURT SECURITY FUND 37.05
CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND 151.20
CR 2699-001-44063 JUVENILE CASE MANAGER FUND 0.00
STATE ARREST FEES
DPS FEES 54.57
P&W FEES 1.37
TABC FEES 0.00
CR 7020-999-20740 TOTAL STATE ARREST FEES 55.95
CR 7070-999-20610 CCC-GENERAL FUND 151.33
CR 7070-999-20740 CCC-STATE 1,361.97
DR 7070-999-10010 1,513.30
CR 7860-999-20610 STF/SUBC-GENERAL FUND 35.50
CR 7860-999-20740 STF/SUBC-STATE 674.52
DR 7860-999-10010 710.02
CR 7950-999-20610 TP-GENERAL FUND 99.97
CR 7950-999-20740 TP-STATE 99.97
DR 7950-999-10010 199.94
CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.20
CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 22.80
DR 7480-999-10010 24.00
Page 1 of 2
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
5/3/2016
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 03/04/16
COURT NAME: JUSTICE OF PEACE NO. 3
MONTH OF REPORT: APRIL
YEAR OF REPORT: 2016
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 6.78
CRIM-SUPP OF IND LEG SVCS-STATE 60.97
67.75
TL/FTA-GENERAL FUND 44.62
TL/FTA-STATE 89.24
133.86
JPAY-GENERAL FUND
JPAY - STATE
20.71
186.40
207.11
JURY REIMB. FUND- GEN. FUND 13.93
JURY REIMB. FUND- STATE 125.33
139.26
CIVIL JUSTICE DATA REPOS.- GEN FUND 0.25
CIVIL JUSTICE DATA REPOS.- STATE 2.26
2.51
TRUANCY PREVENT/DIVERSION FUND 58.83
58.83
ELECTRONIC FILING FEE 40.00
40.00
TOTAL (Distrib Reg to OperAcct) $9,833.40
DUE TO OTHERS (Distrib Req Attchd)
CALHOUN COUNTY ISD 0.00
DA - RESTITUTION 0.00
REFUND OF OVERPAYME 0.00
OUT -OF -COUNTY SERVI( 0.00
CASH BONDS 0.00
PARKS & WILDLIFE FINE; 183.60
WATER SAFETY FINES 0.00
TOTAL DUE TO OTHERS $183.60
TOTAL COLLECTED -ALL FUNDS $10,017.00
LESS: TOTAL TREASUER'S RECEIPTS $10,017.00
OVER/(SHORT) $0.00
Page 2 of 2
I) v 5S f its
D.R. D.R.
D.R.
D.R.
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
5/9/2016 COURT NAME: JUSTICE OF PEACE NO. 3
MONTH OF REPORT: APRIL
YEAR OF REPORT: 2016
ACCOUNT NUMBER ACCOUNT NAME AMOUNT
CR 1000-001-45013 FINES 3,886.90
CR 1000-001-44190 SHERIFF'S FEES 673.76
ADMINISTRATIVE FEES.
DEFENSIVE DRIVING 89.10
CHILD SAFETY 0.00
TRAFFIC 70.91
ADMINISTRATIVE FEES 269.80
EXPUNGEMENT FEES 0.00
MISCELLANEOUS 0.00
CR 1000-001-44363 TOTAL ADMINISTRATIVE FEES 429.81
CR 1000-001-44010 CONSTABLE FEES -SERVICE 75.00
CR 1000-001-44063 JP FILING FEES 100.00
CR 1000-001-44090 COPIES / CERTIFIED COPIES 0.00
CR 1000-001-49110 OVERPAYMENTS (LESS THAN $10) 0.40
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 1,140.60
TOTAL FINES, ADMIN. FEES & DUE TO STATE 6,306.47
CR 2670-001-44063 COURTHOUSE SECURITY FUND 111.15
CR 2720-001-44063 JUSTICE COURT SECURITY FUND 37.05
CR 2719-001-44063 JUSTICE COURT TECHNOLOGY FUND 151.20
CR 2699-001-44063 JUVENILE CASE MANAGER FUND _ 0.00
STATE ARREST FEES
DPS FEES 54.57
P&W FEES 1.37
TABC FEES 0.00
CR 7020-999-20740 TOTAL STATE ARREST FEES 55.95
CR 7070-999-20610 CCC-GENERAL FUND 151.33
CR 7070-999-20740 CCC-STATE 1,361.97
DR 7070-999-10010 1,513.30
CR 7860-999-20610 STF/SUBC-GENERAL FUND 35.50
CR 7860-999-20740 STF/SUBC-STATE 674.52
DR 7860-999-10010 710.02
CR 7950-999-20610 TP-GENERAL FUND 99.97
CR 7950-999-20740 TP-STATE 99.97
DR 7950-999-10010 199.94
CR 7480-999-20610 CIVIL INDIGENT LEGAL-GEN. FUND 1.20
CR 7480-999-20740 CIVIL INDIGENT LEGAL -STATE 22.80
DR 7480-999-10010 24.00
Page 1 of 2
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
5/9/2016
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 03/04/16
COURT NAME: JUSTICE OF PEACE NO. 3
MONTH OF REPORT: APRIL
YEAR OF REPORT: 2016
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 6.78
CRIM-SUPP OF IND LEG SVCS-STATE 60.97
67.75
TL/FTA-GENERAL FUND 44.62
TL/FTA-STATE 89.24
133.86
JPAY - GENERAL FUND 20.71.
JPAY - STATE 186.40
207.11
JURY REIMB. FUND- GEN. FUND 13.93'
JURY REIMB. FUND- STATE 125.33
139.26
CIVIL JUSTICE DATA REPOS.- GEN FUND 0.25
CIVIL JUSTICE DATA REPOS.- STATE 2.26
2.51
TRUANCY PREVENT/DIVERSION FUND 58.83
58.83
ELECTRONIC FILING FEE 40.00
40.00
TOTAL (Distrib Req to OperAcct) $9,758.40
DUE TO OTHERS (Distrib Req Aitchd)
CALHOUN COUNTY ISD 0.00
DA - RESTITUTION 0.00
REFUND OF OVERPAYMI 75.00
OUT -OF -COUNTY SERVI( 0.00
CASH BONDS 0.00
PARKS & WILDLIFE FINE' 183.60
WATER SAFETY FINES 0.00
TOTAL DUE TO OTHERS $258.60
TOTAL COLLECTED -ALL FUNDS $10,017.00
LESS: TOTAL TREASUER'S RECEIPTS $10,017.00
OVER/(SHORT) $0.00
Page 2 of 2
05-04-16;08:28 ;From:Calhoun County JP4 To:5534444 ;3617852179 # 2/ 4
MONTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
6/2/2010 COURT NAME: JUSTICE OF PEACE NO.4
MONTH OF REPORT: APRIL
YEAR OF REPORT: 2016
ACCOUNT NUMBF-R ACCOUNT NAME AMOUNTOR1000.001-45014 FINES 3,666.36OR1000-001.44190 SHERIFF'S FEES 336.98ADMINISTRATIVEFEES:
DEFENSIVE DRIVING 49.50
CHILD SAFETY 0.00
TRAFFIC 81.94
ADMINISTRATIVE FEES 415.70
EXPUNGEMENT FEES 0100
MISCELLANEOUS 0.00OR1000-001-44364 TOTALADMINISTRATIVEFEES 547.14CR1000-001-44010 CONSTABLE FEES -SERVICE 0.00OR1000-001-44064 JP FILING FEES 75.00CR1000-001.44090 COPIES / CERTIFIED COPIES 0.00OR1000.001-49110 OVERPAYMENTS (LESS THAN $10) 0.00OR1000-001-44145 SCHOOL CROSSING/CHILD SAFETY FEE 0.00CR1000-999.20741 DUE TO STATE -DRIVING EXAM FEE 0.00OR1000.999-20744 DUE TO STATE-SEATBELT FINES 0.00OR1000-999-20745 DUE TO STATE -CHILD SEATBELT FEE 0.00OR1000-999-20746 DUE TO STATE -OVERWEIGHT FINES 0.00CR1000-999-20770 DUE TO JP COLLECTIONS ATTORNEY 457.20
TOTAL FINES, ADMIN. FEES & DUE TO STATE 5,082.67
OR 2670-001-44064 COURTHOUSE SECURITY FUND 122.98CR2720-001-44064 JUSTICE COURT SECURITY FUND 40.99CR2719-001-44064 JUSTICE COURT TECHNOLOGY FUND 163,97CR2699.001-44064 JUVENILE CASE MANAGER FUND 5.00
STATE ARREST FEES
DPS FEES 2.00
P&W FEES 6.00
TABC FEES 0.00CR7020-999-20740 TOTAL STATE ARREST FEES 8.00
CR 7070-990-20610 CCC-GENERAL FUND 163.98CR7070-999-20740 CCC-STATE 1 475 80DR7070.999-10010 1, 639.78
CR 7860-999-20610 STF/SUBC-GENERAL, FUND 40.98OR7860-999-20740 STF/SUBC-STATE 778.59DR7860.999-10010 819.57
CR 7950-999.20610 TP-GENERAL FUND B7,42OR7950-999-20740 TP-STATE 87.41
DR 7950-999-10010 174,83
CR 7480-999.20610 CIVIL INDIGENT LEGAL-GEN, FUND 0.90CR7480-999-20740 CIVIL INDIGENT LEGAL -STATE 1710
DR 7480-999-10010 18.00
Page 1 of 2
05-04-16;08:28 ;From:Calhoun County JP4 To:5534444 ;3617852179 3/ 4
A40NTHLY REPORT OF COLLECTIONS AND DISTRIBUTIONS
5/2/2016 COURT NAME: JUSTICE OF PEACE NO.4
MONTH OF REPORT: APRIL
YEAR OF REPORT: 2016
OR 7865-999-20610 CRIM-SUPP OF IND LEG SVCS-GEN FUND 7.80
OR 7865-999.20740 CRIM-SUPP OF IND LEG SVCS-STATE 70.19
DR 7865-999-10010 77.99
CR 7970-999-20610 TL/FTA-GENERAL FUND 50.00
CR 7970-999-20740 TUFTA-STATE 100.00
DR 7970-999-10010 160.00
CR 7505-999-20610 JPAY - GENERAL FUND 23.40
OR 7605.999-20740 JPAY - STATE 210,57
DR 7505-999-10010 233.97
CR 7857-999-20610 JURY REIMB, FUND- GEN, FUND 15.60
CR 7857-999-20740 JURY REIMB. FUND- STATE 140,37
DR 7857-999-10010 166.97
OR 7856-999.20610 CIVIL JUSTICE DATA REPOS: GEN FUND 0.28
OR 7856-999.20740 CIVIL JUSTICE DATA REPOS.- STATE 2.56
DR 7856-999.10010 I Z84
OR 7998-999-20740 TRUANCY PREV/DIV FUND - STATE 71.99
DR 7998.999-10010 71.99
OR 7403-999-22889 ELECTRONIC FILING FEE 30.00
DR 7403-999-10010 30.00
TOTAL (Dfstrib Rep to OperAcct) 8,798.55
DUE TO OTHERS (DMrib Rep 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 450.50
WATER SAFETY FINES 89.25
TOTAL DUE TO OTHERS 539.75
TOTAL COLLECTED -ALL FUNDS 0,338.30
LRSS: TOTAL TREASUER'S RECEIPTS 9,338.30
REVISED 03/04/16 OVER/(SHORT) 0.00
Page 2 of 2
05-04-16;08:28 ;From;Calhoun County JP4 To:5534444 ;3617852179 # 4/ 4
PAYEE
Name:
Address:
City:
State:
Zip:
Phone:
Signature of
CALHOUN
COUNTY
201 West Austin
Calhoun County Oper. Acct.
Date
DISTRIBUTION
REQUEST
DR# 480 A 42493
PAYOR
Official: Wesley Hunt
Title: Justice of the Peace, Pd. 4
05-02-16;02:38PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 2/ 7
1
Money Diatribution Report
APRIL MONTHLY REPORT
RACB12c CaUDG/DufuRdant C*dcp\AM*=ta T*t.1
375740 08-11.0490 04.04-20IG JSP 3.00 CCC 40,00 cgs 4,00 SAP 5,00 WRNT 59,00 392.50
SURRHOCH, TAYLOR 112
Check
BOWIE TIME 25.00 TF
IDF 2.00 FINE
4.00 DpsC 30.00 JCSF
160.50 CORV 54100
1.00 JPAY 6.00
Camlhierla
A: 6:. 5*1.. 00
C; 1 60-; lZRAY.: 7 S1p. 6 C:..tj 2, 00
371,742 1,04-01BG 04-OG-2016 TIME 25.00 FINE 7.00 32.00
CLARK, ALAN JUSTIN
Ko"Y" order .... .. . .. .........
375744 1602.0122 04.11-2016 JSF 4.00 TFC 3.00 CCC
YOUNG, JOHN ANDREW TF 4.00 JCSF 1.00 JPAY
Credit card SUBC 30.00 TPDF 2.00 FINE
8r.,
oall.;Cfddit
375746 1403-0195 04-13-2016 JSP 1193 TPC 1.46 CCC
SONPON, ANDREA ANANSA WRNT 24.3e TIME 12.19 TF
370748 1604-0149 04-13-2016 rXRF 20.00
HARVRYI TAYrloA REID
Pornonal Check
C ,
375751 12-08-0262 04.21-2016 JSP 4.00 TPC
MCLAURIN, KENNETH EUGENE WRNT 50.00 TF
q:
40.00 CHS 3.00 LAP sloo 230.00
6.00 IDP 2.00 MVP 0.10
29.90
1-5 'o 0
19.50 CHS 1.46 LAP 2.44 3.00.00
1.95 OPEC 14.63 JCSF 0.49
0.05 SUBC 14.63 TPDP 0.98
3.00 CCC 40.00 CUB
4.00 DPSC 30.00 %XV
375753 1604.0151 04-25-2016 LTSF 4.00 CCC 40.00 CHS 3.00 PWAF
BUROW, TRACY JCSF 1.00 JPAY 6.00 Tj)P 2.00 TVDF
MonaXPIEPr . .. .. .. ..... .. . ........... . . . . . . :..:.: . I . .
3;604 -.015'3 FED.,: 60-":::
Cbv Vtffiy .. Check:..::...'
375755 1604.0164-FED 04-25-2019 gr= 75.00 IFEE 6.00 FILX 25.00 EPP 10.00
FEDERAL NATIONAL MORTAGE ASSOC.
375757 1507-0258 04-26-2016 qSP 4.00 CCC 40.00 CHS 3.00 LAF
HrNK' WILLIAM ROBERT TF 4.00 DP.5C 30.00 JCSF 1.00 JPAY
Credit Card TVDF 2.00 FINE 160.00 CaRv 92.10
5.00 WRNT 50.00
6.00 TOP 2.00
20.00
Page 1
05-02-16;02:38PM;From:Calhoun County JP5 To;5534444 ;3619832461 # 3/ 7
Money Distribution Report
APRIL MONTHLY RE ORT
typo Code DeucriPCion Count Retained Dioburaed Money -Totals
The following totals roprenont - Cash and Checks Collected
COST CCC CONSOLIDATED COURT COSTS 8 28,95 260.52 289.47
COST OHS COURTHOUSE SECURITY 8 23.71 0.00 23.71
COST DPSC UPS FAILURE TO APPEAR /OMNI FEES 3 24,63 90.00 74.41
COST IDF INDIGENT DEFENSE FUND 8 1.45 13.03 14.48
COST JCSF JUSTICE COURT SECURITY FUND 7 6.24 0.00 6.24
COST JPAY JUDGE PAY RAISE FEE 8 4.34 39.09 43.43
COST JSF JUROR SERVICE FUND 8 2.79 25,12 27.91
COST LAP SHERIFF'S FEE 4 16.19 0.00 16.19
COST MVP MOVING VIOLATION FEE 0.04 0.38 0.42
COST PWAF TEXAS PARKS & WILDLIFE 1 4.OD 1.00 5.00
COST SAP UPS 3 12.00 3.00 15.00
COST SUBC SUE TITLE C 3 67.11 0.00 67, 11
COST TF TECHNOLOGY FUND 0 20.95 0.00 20.9$
COST TPC TFC 3 6.71 0.00 9.71
COST TIME TIME PAYMENT FEE 3 31.09 31.10 62.19
COST TPOF TRUANCY PREVENTION & DIVERSION FUND 6 0.00 10.46 10.40
COST WRNT WARRANT FEE 3 124.30 0.00 124.18
FEES CSRV COLLECTION SERVICES FEB 2 112.56 0.00 112,50
FEES EPP ELECTRONIC FILING FEE 3 0.00 30.00 30.00
FEES EXRF EXPIRATION RENEWAL FEE 1 20.00 0.00 20.00
FEES FILI FILING FEE 3 75.00 0.00 75.00
FEES IEEE INDIGENT FEE 3 0.90 17.10 18.00
FEES SFEE SERVICE PEE 3 225.00 0.00 225.00
FEES SUBC SUB TITLE C 0 0.00 0.00 0.00
FINE FINE FINE 6 911.20 0.00 911.20
FINE WSF WATER SAFETY FINE 1 15.45 87.55 103.00
Money Totals 13 1,742.63 668.37 2,311.00
The following totals ro r000nh - Transfers Collected
COST CCC CONSOLIDATED COURT COSTS 0 0.00 0.00 0100
COST CHS COURTHOUSE SECURITY 0 0.00 0.00 0.00
COST DPSC DES 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 SHERIPF'S FEE 0 0.00 0.00 0.00
COST MVF MOVING VIOLATION FEE 0 0.00 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 SUS TITLE C 0 0.00 0.00 0.00
COST TV 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 0.00 0.00 0.00
COST WRNT WARRANT FOR 0 D.00 0.00 0.00
FEES CBRV COLLECTION SERVICES FEE 0 0.00 0.00 0.00
LEES EPP ELECTRONIC FILING FEE 0 0.00 0.00 0.00
FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00
FEES FILI FILING FEE 0 0.00 0.00 0.00
FEES IEEE INDIGENT FEE 0 0.00 0.00 0.00
FEES SFEE SERVICE FEE 0 0.00 6.00 0.00
FEES SUBC SUB TITLE C 0 0.00 0.00 0.00
FINE FINE FINE 0 0.00 0.00 0.00
FINE WSP WATER SAFETY FINE 0 0.00 0.00 0.00
Transfer Totals 0 0.00 0.00 0.00
The following totals roRresent - Jail Credit and Canmunity Service
COST COO CONSOLIDATED COURT COSTS 1 4.00 35.00 40.00
COST CHS COURTHOUSE SECURITY 1 3.00 0.00 3.00
COST DPSC DPS FAILURE TO APPEAR /OMNI FEES 0 0.00 0.00 0.00
COST IDF INDIGENT DEFENSE FUND 1 0.20 1.80 2.00
COST JCSF JUSTICE COURT SECURITY FUND 1 1.00 0.00 1.00
COST JPAY JUDOS PAY RAISE FEE 1 0.60 5.40 6.00
05-02-2016 Page 2
05-02-16;02:38PM;From:Calhoun County JP5 To:5534444 ;3619832461 # 4/ 7
Money DiotribUtion Roport
APRIL MONTHLY REPORT
Type Cade Deoeription Count Retained aburoad Money-Tetale
COST JSF JUROR SERVICE FUND 1 0,40 3.60 4.00
COST LAP SHERIFF'S FEE 1 5.00 0.00 5.00
COST MVP MOVING VIOLATION FEE 0 0.00 0.00 040
COST PWAF TEXAS PARKS & WILDLIFE 0 0.00 0.00 0,00
COST SAP DPS 0 0.00 0.00 0.00
COST SUBC SUB TITLE C 0 0.00 0.00 0.00
COST TF TECHNOLOGY FUND 1 4.00 0.00 4.00
COST TFC TFC 0 0.00 0.00 040
COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00
COST TPDF TRUANCY PREVENTION & DIVERSION FUND 1 0.00 2.DO 2.00
COST WRNT WARRANT PER 0 0.00 0.00 0.00
FEES CSRV COLLECTION SERVICES FEB 0 0.00 0.00 0.00
FEES Err ELECTRONIC FILING FEE 0 0.00 0.00 0.00
FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00
FEES FILI FILING FEE 0 0.00 0.00 0.00
FEES IVES YNDIGENT FEE 0 0.00 0.00 0.00
FEES SFEE SERVICE FEE 0 0.00 0.00 0.00
FEES SUBC SUB TITLE C 6 0.00 0.00 0.00
FINE FINE FINE 1 240.00 0.00 240.00
FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00
Credit ToCalO 1 2M 20 48.80 3 15. 00
The following totals reprenent . Credit Card Paymantn
COST CCC CONSOLIDATED COURT COSTS 3 12.66 108.00 120,00
COST CHS COURTHOUSE SECURITY 3 940 0.00 9.00
COST OPEC DPS FAILURE TO APPEAR /OMNI FEES 2 19.80 40,20 60.00
COST IOF INDIGENT DEFENSE FUND 3 0.60 5.40 6.00
COST JCSF JUSTICE COURT SECURITY FUND 3 3.00 0.00 3.00
COST JPAY JUDGE PAY RAISE FEE 3 1.00 16.20 18.00
COST JSF JUROR SERVICE FUND 3 1.20 10.80 12.00
COST LAP SHERIFF'S FEE 3 15.00 9,00 15.00
COST MVF MOVING VIOLATION PEE 2 0.02 0.18 0.2.0
COST PWAF TEXTS PARKS & WILDLIFE 0 0.00 0.00 0.00
COST SAP DPS 0 0.00 0.00 0.00
COST SUBC SUB TITLE C 1 30.00 0.00 30.00
COST IF TECHNOLOGY FUND 3 12.00 0.00 12.00
COST TFC TPC 2 6.00 0.00 5.00
COST TIME TIME PAYMENT FEE 0 0.00 0.00 0.00
COST TPDF TRUANCY PREVENTION & DIVERSION FUND 2 0.00 4.00 4.00
COST WRNT WARRANT FEE 2 100.00 0.00 10MO
FEES CSRV COLLECTION SERVICES FEE 2 173.70 0.00 173.70
FEES EFF ELECTRONIC FILING FEE 0 0.00 0.00 0.00
FEES EXRF EXPIRATION RENEWAL FEE 0 0.00 0.00 0.00
FEES FILI FILING PEE 0 0.00 0.00 0.00
FEES IFER INDIGENT FEE 0 0.00 0.00 0.00
FEES SFEE SERVICE FEE 0 0.00 0.00 0.00
FEES SUDC SUB TITLE C 1 1.90 28.50 30.00
FINE FINE FINE 3 383.80 0.00 383.90
FINE WSF WATER SAFETY FINE 0 0.00 0.00 0.00
Credit To0410 3 769.42 213.20 982.70
The Following totalo repreaent - Combined Money and Credits
COST CCC CONSOLIDATED COURT COSTS 12 44.95 404.52 449,47
COST CHS COURTHOUSE SECURITY 12 35.71 0.00 35.71
COST OPEC DPS FAILURE TO APPEAR /OMNI FEES 5 44,43 90.20 134.63
COST IDF INDIGENT DEFENSE FUND 12 2.25 20.23 22.40
COST JCSP JUSTICE COURT SECURITY FUND 11 10.24 0,00 10.24
COST JPAY JUDGE PAY RAISE FEB 12 6.74 60.69 67,43
COST JSF JUROR SERVICE FUND 12 4.39 39.52 43.91
COST LAP SHERIFF'S FEE 8 36.19 0.00 36.19
COST MVF MOVING VIOLATION FEE 7 0.06 0.66 0.62
COST PWAF TEXAS PARKS L WILDLIFE 1 4.00 1.00 5.00
COST SAP DPS 3 12.00 3.00 15.00
COST SU C,SUB TITLE C 4 97,11 0.00 97.11
COST TF TECHNOLOGY FUND 12 44.95 0.00 4d,95
COST TFC TFC 5 12.71 0.00 12.71
COST TIME TIME PAYMENT FEE 3 31.09 31.10 62.19
2016 page
05-02-16;02:38PM;From:Caihoun County JP5 To:5534444 ;3619832461 # 5/ 7
Money Di.otzibution Report
APRIL MONTRLX REPORT
Typo Ccdc D DOWiption Count Retained Diobuxood Monoy-Totslo
COST TPDF TRUANCY PREVENTION 6 DIVERSION FUND 5 0.00 16.40 16.42
COST WRNT WARRANT FEE 5 224,3B 0.00 224.30
FEES CSRV COLLECTION SERVYCES FEE 4 206.20 0.00 286.20
FEES EFC• ELECTRONIC FILING FEE 3 0.00 30.00 30.00
FEES EXRF EXPIRATION RENEWAL FEE 1 20.00 0.00 20.00
FEES FILI FILING FEE 3 75.00 0.00 75.00
FEES IFEE INDIOENT FEE 3 0.00 17.10 10.00
FEES SFEE SERVICE FEE 3 22S.00 0.00 225.00
FEES SUBC SUB TITLE C 1 1.50 20.50 30.00
FINE FINE FINE 10 1,543.00 0.00 1,543.00
FINE WPF WATER SAFETY FINE 1 15.45 87.55 103.00
Report Tota30 17 2, 778.25 930.45 3,600.70
05-02-2016 Page
05-02-16;02;38PM;From;Ca1houn County JP5 To;5534444 ;3619832461 # 6/ 7
Money Distribution Report
APRIL MONTHLY REPORT
Date Payment Type Rine" Court Conte Peen Bond" Rootitution Other Total
00-00-0000 Cash & Checks Collected 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Service 0100 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & TransforS 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1991 Cash F. Check" Collected 0.60 0100 0.00 0.00 0.00 0.00 0.00
Jail Crodit3 a Comm Service 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cardo & Transfers D.00 0.00 0.00 0.00 0.00 0.00 0.00
Total OR all Collections 0100 0.00 O.DO 0.00 0.00 0.00 0.00
09.01.1993 Cash & Checks ColloOtod 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 0100 0,00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total Of All Collections 0.00 0.00 0.00 0,00 0.00 0.00 0.00
09-01-199S 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 0.06 0.00 0100
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total oR all Collections 0.00 0.00 0.00 O,OD 0,00 0.00 0.00
09-01-1997 Cash & Checks Collected 0.00 0.00 0,00 0.00 0100 0.00 0.00
Jail Credits F. Comm Service 0.00 0.00 0.00 0100 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0100 0.00 0.00 0.00 0.00
Total of all Collections 0,00 0.00 0.00 0.00 0.00 0.00 0.00
09-01-1999 Cash & Checks Collected 0.00 0,00 0.00 0.00 0100 D,00 0.00
Jail Credits & Comm Service 0.00 0.00 0.00 0.00 0.00 0,00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total Of all Collection$ 0.00 0.00 0.00 0.00 0.00 0.00 0.00
09-01.2001 Cash & Checks Collected 0.00 0.00 0.00 0.00 0,00 0.00 0.00
Jail Credits & COMM BErviCO 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transform 0.00 0.00 0.00 0.00 0100 0100 0.00
Total OR all Collections 0.00 0.00 0.00 0100 0.00 0.00 0.00
09-01-2003 Cash & Checks Collected 0.00 0,00 0.00 0.00 0.00 0.00 0.00
Jail Credits & Comm Sorvico 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Credit Cards & Transfers 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Total of all Collections 0.00 0.00 0.00 0.00 0.00 0.00 0,00
01-01-2004 Cash & Checks Collected 1,014.20 016.20 480.50 0.00 0,00 0.00 2,311.00
Jail Credits & Comm Service 248.00 67.00 0.00 0.06 0100 0.00 315.00
Credit Cards & Transfers 383.60 395.20 203.70 0.00 0.00 0.00 982.70
Total of all Collections 1,646,00 1,270.50 984.20 0.00 0.00 0,00 3,60B.70
TOTALS Cash & Checks Collected 1,014.20 816.30 400.50 0,00 0.00 0.00 2,311.00
Jail Credits & Comm Service 246.00 67.00 0.00 0.00 0.00 0.00 315.00
Credit Cards & Transfers 3B3.80 39S.20 203.70 0.00 0.00 0.00 902.70
Total of all Collections 1,649.00 1,278,50 604,20 0.00 0.00 0.00 3,608.70
09-02-2016
rage 5
05-02-16;02:38PM;from:Calhoun County JP5 To:5534444
Money Distribution ROPOrt
APRIL
3619832461
MONTHLY REPORT
7/ 7
Description Count Collaeted Retained Disbursod
State of Texas Ouartarly RoporCing Totals
State Comptroller Cost and Face Report
Section I: Report for Offenses Committed
01-01-04 Forward 15 506.50 50,66 455.02
09.01-01 - 12-31-03 0 0.00 0.00 0.00
08-31-99 - 08-31-01 0 0.00 0.00 0.00
09-01-97 - OB-30-99 0 0.00 0.00 O.DO
09-01-51 - 08-31-97 0 0.00 0,00 0.00
Bail Bond Fee 0 0.00 0.00 0.00
DNA Tooting Fee - convictions 0 0.00 0.00 0.00
DNA Testing Fee - Comm Supvn 0 0.00 0.00 O.DO
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 Fee 11 39,91 3.99 35.92
Indigent Defense Fund 11 20.48 2,05 18.43
Moving violation Pecs 7 0.62 0.06 0.56
State Traffic Fine 1 30.00 1.50 28.50
Section II: As Applicable
Peace Officer Fees 4 20.00 16.00 4.00
Failure to Appear/Pay Fees 5 134.63 44.43 90.20
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 Plaight violations 0 0.00 0.00 0.00
Time Payment Fees 3 62.19 31.09 31.10
Driving RcOord Fee 0 0.00 0.00 0.00
Judicial Support Foe 11 61.43 6.14 5$.29
Truancy Prevention and Diversion Fund 0 0.00 0.00 0.00
Report Sub Total 68 875.84 155.92 719.92
Stale Comptroller Civil Fees Report
CF: Birth Certificate Fees 0 0.00 0.00 O.OD
CF: Marriage License Fees 0 0.00 0.00 0.00
CF: Declaration of Informal Marriage 0 0.00 0.00 0.00
CF! Nondisclosure Fens 0 0.00 0.00 0.00
CF: Juror DonatiOne 0 0.00 0.00 0.00
CF: Justice Court Indio Filing Foos 3 18.00 0.90 17.10
CF: Scat Prob COOrt Indio Filing Fees 0 0.00 0.00 0.00
CF: $tat Prob Court Judic Filing Fees 0 0.00 0.00 0.00
CF; $tat Cnty Court Indig riling Fees 0 0.00 0.00 0.00
CF: Stet Cnty Court JUdiC Filing Fees 0 MO 0.00 0.00
CF: Cent Cnty Court Indig Filing Face 0 0.00 0.00 0.00
CF: Cost Cnty Court Judic Filing Pees 0 0.00 0.00 0.00
CF: Dint Court Divorce & Family Law 0 0.00 0.00 0.00
CF: Dist Court Other Divorce/Family Law 0 0.00 0.00 0.00
CF: Dist Court Indig Legal Services 0 0.00 0.00 0.00
CF: Judicial Support Fee 0 0.00 0.00 0.00
Report Sub Total 3 10.00 0.90 17.10
Total Due For This Period 71 693.04 159.62 717.02
THE STATE OF TEXAS Before me, the undersigned authority, this day
County of Calhoun County personally appeared Nancy Pomykal, Junzice of the
Peace, Precinct No 5, Calhoun County, Texas, who
being/duly sworn, deposes and says that the above
and foregoing report is true and correct.
witness my hand thia---q Hof D. c;'?
Calhoun Co&&tY. Tcxao
Calhoun County Flo odplain Administration
211 South Ann Street, Suite 301
Port Lavaca, TX 77979-4249
Phone: 361-553-4455/Fax: 361-553-4444
e-mail: ladonna.thigpen@calhouncotx.org
April 2016 Development Permits
New Homes-5
Renovations/Add On-1
Mobile Homes-1
Boat Barns/Storage Buildings/Garages-0
Commercial Buildings-0
Total Fees Collected: $420.00
ACCEPT DONATIONS TO CALHOUN COUNTY:
N/A
MATTER OF DECLARING CERTAIN ITEMS OF COUNTY PROPERTY AS SURPLUS/SALVAGE:
N/A
MATTER OF TRANSFERRING CERTAIN ITEMS OF COUNTY PROPERTY FROM ONE COUNTY
DEPARTMENT TO ANOTHER COUNTY DEPARTMENT:
N/A
APPROVAL OF PAYROLL:
Commissioner Galvan made a motion to approve the following April payrolls:
April 8, 2016 $ 260,422.83
April 22, 2016 259,275.85
TOTAL $ 519,698.68
Commissioner Finster seconded the motion.
Commissioners Galvan, Finster and Judge Pfeifer all voted in favor.
CALHOUN COUNTY
PAYROLL 2016
k o
Payroll through 04-08-2016
Payroll through 04-22-2016
260,422.83
259,275.85
APPROVED TOTAL PAYROLL $ 5199698.68
The items listed above have been pre -approved by all Department Heads and I certify that funds
were available to pay the obligations. I certify that the above is true and correct to the best of my
knowledge May 9, 2016.
ap Z"
C
RH NDA S. KOKENA,
CALHOUN COUNTY TREASURER
ACIPEPTED AND APPROVED THIS THE I z DAY OF
1\/\R\, 2016 IN THE CALHOUN COUNTY
COMMISSIONERS' COURT, PORT LAVACA, TEXAS 77979.
i
y''p
C®MM9SS,Oy AERS COURT
BUDGET ADJUSTMENTS:
Commissioner Finster made a motion to approve budget adjustments.
Commissioner Galvan seconded the motion.
Commissioners Galvan, Finster and Judge Pfeiffer all voted in favor.
7R8
f§}2J
2
00
iz
z
Lu a2a
AL
a§
aa&
z......
ee
k k
00zzzI-
7{
k
t
a z zz» w 9 0 0 0
ei
14 w
IL z k
21
al
1
a00
a
a
z
z z
sass
uj
U
o L saga G
x§
e. v a
m q
k 0 W
k
k@0
2LU
0LU
a §
B j
e
z
k L
t
2
2
k
k
k
7
2
a
z
1--
z
Lu
It
AL
ja
a N0
B§
aaa
a §aaa=
k
BBB
iv
2
a2
B
B§
i
ca
lo
k
k
k
k B
k
0
O w N N M M
0 o co oa
0
n
u
T
APPROVAL OF BILLS:
Commissioner Galvan made a motion to approve County bills in the amount of $487,254.18, no Transfers
between Funds, for a Total Amount for Approval of $487,254.18.
Commissioner Finster seconded the motion.
Commissioners Galvan, Finster and Judge Pfeiffer all voted in favor.
May 12, 2016 2016 APPROVAL LIST - 2016 BUDGET 33
141414171s5lNON #110m]lil(flfC'i BALANCE BROUGHT FORWARD FROMAPPROVALLIST
REPORT PAGE 32 146,255.26 ELECTION PAYROLL FOR MAY 7, 2016
ELECTION P/R 4,571.90 FICA P/R 44,885.30
MEDICARE P/R 10,497.48
FWH P/R 37,480.25
AFLAC P/R 4,611.08
COMBINED INSURANCE C/O PEOPLES UNITED
BANK P/R 2,334.34 NATIONWIDE RETIREMENT SOLUTIONS P/R 2,
670.98 OFFICE OF THE ATTORNEY GENERAL - CHILD
SUPPORT P/R 1,898.31 PRINCIPAL FINANCIAL GROUP P/R 2,
784.83 RELIANCE STANDARD LIFE P/R 3,
307.48 TEXAS COUNTY & DISTRICT RETIREMENT SYSTEM P/
R 132,613.55 1RUSTMARK P/R 3,312.54
WILLIAM E. HEITKAMP, TRUSTEE P/R
225.42 AT&T MOBILITY A/P 578.
58 CABLE ONE A/P 1,463.
78 CINDY MUELLER A/P 811.24
CITY OF POINT COMFORT AT 116.
52 CITY OF PORT LAVACA AT 546.
18 CITY OF SEADRIFT A/P 169.
44 CLEVELAND ASPHALT PRODUCTS A/P 42,
480.13 CONSTELLATION NEW ENERGY A/P 21,
927.55 ERICA PEREZ A/P 20.08
ESPY SERVICES A/P 201.84
FRONTIER COMMUNICATIONS A/P 3,204.
55 GBRA A/P 292.20 INDIGENT
HEALTHCARE SOLUTIONS A/P 1,
961.00 JACKSON ELECTRIC COOP, INC. A/P
351.08 LA WARD TELEPHONE EXC. INC. A/
P 356.02 MCI COMM SERVICE AT 32.18
PERFORMANCE TOWING & RECOVERY A/P 602.
24 PORT O'CONNER IMPROVEMENT A/P
970.23 REPUBLIC SERVICES #847 A/P 3,
747.07 SPRINT A/P 112.63 TEXAS
BURNER & BOILER SERVICES A/P
5,450.00 TEXAS WAVENET WIRELESS A/P 144.
98 TISD, INC A/P 269.96
VERIZON WIRELESS A/P 165.14
VICTORIA ELECTRIC CO-OP A/P
2,585.96 WAL-MART AP 84.56 WALLIS
THOMAS D A/P 150.
00 WASTE MANAGEMENT A/P 925.23
WEX BANK A/P 85.09
TOTAL VENDOR DISBURSEMENTS: 487,254.18
TOTAL TRANSFERS BETWEEN FUNDS: TOTAL AMOUNT
FOR APPROVAL: 487,254.
18
SINGLE SOURCE, EMERGENCY AND PUBLIC WELFARE PURCHASES AND BILLS:
N/A
PUBLIC DISCUSSION OF COUNTY MATTERS:
None
a11}f4111R014 UFA0low,*Will LN