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2020-10-28 CC PACKET✓ All Agenda Items Properly Numbered �/k Contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's ) ZAII Documents for Clerk Signature Flagged On this A day of 2020 a complete and accurate packet for 21b4of 2020 Commissioners Court Regular Session Day Month was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Ai- nLOCLOCK—A� OCT 3 0 2020 COU TY C ERK AGOOD AUNTY TEXAS Calhoun County judge/Assistant BY. F h UN n oePUT COMMISSIONERSCOURTCHECKLIST/FORMS Commissioners' Court —October 28, 2020 REGULAR 2020 TERM OCTOBER 28, 2020 BE IT REMEMBERED THAT ON OCTOBER 28, 2020, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER This meeting was called to order at 10:00 A.M by Judge Richard Meyer. 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Clyde Syma Gary Reese Anna Goodman Catherine Blevins County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk 3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO. 2 & 3) Invocation — Commissioner David Hall Pledge to US Flag & Texas Flag — Commissioner Gary Reese/Vern Lyssy Page 1 of 5 Commissioners' Court — October 28, 2020 4. General Discussion of Public matters and Public Participation. Wendy Cabrera of the United Way gave presentation on Public Awareness of Services S. Heard report from Jason Anglin (CEO) from Memorial Medical Center including September and October financials, 6. Approval of minutes of the October 14, 2020 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 7. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 7) To authorize the Calhoun County EMS Director to apply for Phase 3 of the Provider Relief Funding Grant through the Health Resources and Services Administration (HRSA) CARESAct. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 8. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 8) On contract with Enterprise Fleet Management to convert owned white fleet vehicles to leased vehicles. (RM) Motion made to NOT enter into a contract. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 2 of 5 Commissioners' Court —October 28, 2020 9. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 9) To accept impound fees ($350,00) from a vehicle that was stopped for illegal drugs and deposit into Sheriff's department 760-60360. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 10. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 10) To approve the final plat for Cardenas RV Park, (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 11. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 11) To approve a resolution authorizing the application for the Local Park Grant Program. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pd 4 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 12. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 12) To approve Calhoun County and Guadalupe -Blanco RiverAuthority to enter Into an interlocal agreement for the Green Lake Control Structure. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 3 of 5 Commissioners' Court — October 28, 2020 13. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 13) ro pre -approve expenditures byincumbent County or Precinct Officer(s) under Calhoun County's Policy of Compliance with LGC 130.908. (RM) Pass 14. Accept reports from the following County Offices: 1. County Auditor — September 2020 2. Tax Assessor -Collector — September 2020 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 15. CONSIDER AND TAKE NECESSARY ACTION ON ANY BUDGET ADJUSTMENTS. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 16. Approval of bills and payroll. MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 4 of 5 Commissioners' Court —October 28, 2020 County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Adjourned,10.32 a.m. Page 5 of 5 AGENDA NOTICE OF MEETING— 10/28/2020 AT 6Q FILED (� O o'CLOCK — M OCT 2 2 2020 Richard H. Meyer GO 0 U ,CAGODDMCNUNTY,TEXAS County judge UY; DEPUTY avid Hall, Commissioner, Precinct 1 Vern ]Lyssy, Commissioner, Precinct 2 Clyde Syma, Commissioner, Precinct 3 Cary Meese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, October 28, 2020 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Arun Street, Suite 104, Port ]Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: 1. Call meeting to order. 2. Invocation. 3. Pledges of Allegiance. 4. General Discussion of Public Matters and Public Participation. 5. Hear report from Memorial Medical Center. 6. Approve the minutes of the October 14, 2020 meeting. 7. Consider and take necessary action to authorize the Calhoun County EMS Director to apply for Phase 3 of the Provider Relief Funding Grant through the Health Resources and Services Administration (HRSA) CARES Act. (RM) 8. Consider and take necessary action on contract with Enterprise Fleet Management to convert owned white fleet vehicles to leased vehicles. (RM) 9. Consider and take necessary action to accept impound fees ($350.00) from a vehicle that was stopped for illegal drugs and deposit into Sheriff's department 760-60360. (RM) 10. Consider and take necessary action to approve the final plat for Cardenas RV Park. (VL) 11. Consider and take necessary action to approve a resolution authorizing the application for the Local Park Grant Program. (RM) Page 1 of 2 I NOTICE OF MEETING— 10/28/2020 12. Consider and take necessary action to approve Calhoun County and Guadalupe -Blanco River Authority to enter into an interlocal agreement for the Green Lake Control Structure. (GR) 13. Consider and take necessary action to pre -approve expenditures by incumbent County or Precinct Officer(s) under Calhoun County's Policy of Compliance with LGC 130.908. (RM) 14. Accept reports from the following County Offices: i. County Auditor — September 2020 ii. Tax Assessor -Collector — September 2020 15. Consider and take necessary action on any necessary budget adjustments. (RM) 16. Approval of bills and payroll. (RM) Richard Meyer, County Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda' for any official court postings. Page 2 of 2 Calhoun County Commissioners Court Public Participation Form NOTE: This Public Participation Form must be presented to the County Clerk or Deputy Clerk prior to the time the agenda item (or items) you wish to address are discussed before the Court. Instructions: Fill out all appropriate blanks. Please print or write legibly. NAME: ADDRESS: ( 1K) • i f G i +11 A, TELEPHONE: 3CP1-rJ f7 a-32¢'UCSCe 11 3(a l-(oq9-?&,;& UlA1 PLACE OF EMPLOYMENT: 'W 1/-�%Y O� l.oakti % EMPLOYMENT TELEPHONE: 3_W - 5,5,P -3to 30 Do you represent any particular group or organization? YE NO (Circle one) If you do represent a group or organization, please provide the name, address and telephone number of the group or organization: V\ikP d U)Q� a (!21kbuh irnuyL QPhoy 671 Lori-lrzucuccc,'Tk --?7579 3U1-55�-31o3b Which agenda item (or items) do you wish to address? 6-ene ra 1 M �rGl In general, are you for or against the agenda item (or items)? I hereby swear that any statement 1 make will be the truth, and nothing but the truth, to the best of my knowledge and ability. Signature: Memorial Medical Center - Port Lavaca, Texas CEO Report October 22, 2020 Financial Results: In September 2020, we had a Net Loss of $63,494. Before Stimulus accounting, MMC had a positive month. In September new guidance was released for accounting of Stimulus funds. With the issuance of new guidance for Stimulus funds, updating to the new guidance resulted in lowering amounts recognized YTD by $531,969 resulting in the loss for the month. Revised guidance on the Stimulus funds is expected to be issued in the near future. Updates: Administrative and Accounting Major activity: • Accounting is currently working on extracting data for completion of 2021 Disproportionate Share Hospital (DSH) and Uncompensated Care (UC) Program Application. This is a major project and after data extraction, MMC will be working with BKD consultants in submission of the application. • Currently working with PARA on pricing review of MMC Chargemaster. As part of the chargemaster review and to meet future pricing transparency regulations we have reached out and received managed care contract listings in detail contracted thru SETHs network. We are working on providing our other insurance contracts to Para for the pricing review and for pricing transparentcy project to meet January 2021 pricing regulations October is one of two reporting periods for the Waiver DSRIP program. Clinic, accounting and administration has been working together to complete the reporting. • 1 completed compiling some summary reports on outmigration data. Plant MMC recently had our annual fire inspection. The survey went well with a small number of deficiencies, including direction to add some additional fire exit signs. S!e fit.. na ' 9G " 0"`A-"e We met with a company in exploring options for additional fuel storage for hospital generator including consideration of addittional above ground storage tank as well as underground storage tank. We are waiting for their proposal and recommendations. Imaging Mammography had and passed their annual inspection Education: Texas Healthcare Trustees and State Office of Rural Health held a virtual Board Training Session on October 131h. Please see attached handouts covered in board training. Please see attached articles from Modern Healthcare — High deductibles squeeze rural providers margins. Cigna joins other insurers in limiting MRI's, CT scans at hospitals. Information on Board Items: Non -Financial items: 1. Discussion of Market Outmigration Reports. — Please find attached reports on outmigration. From the market analysis, I created summary reports for inpatient, outpatient and emergency outmigration. Closed Session: We have closed sessions posted for (1) Legal and (2) Compliance Respectfully, Jason ein,O Memorial Medical Center ETATE y m s�i RURAL°• HEALTH icons Henl[h[se Tm¢ees 1 Th"I I SORH Pi esenc: Virtual Board Education Program Resource Sharing: State Office of Rural Health Texas Healthcare Trustees State Office of Rural Health Texas Depm LmanL of So 1 AkI, Commissioner Sid Miller 2 STATE OFFICEv RURAL HEALTH 10/4/2020 1 Dedicated to serving the health needs of rural Texas. The State Office of Rural Health (SORH) staff work with local health care providers and other partners to support access to quality health care for rural Texas. SORH staff support rural health providers by providing technical assistance with finance, operations, and quality through a variety of grant programs, workshops, and one-on-one assistance. State Office of Rural Health Texas Ileallhcare Trusters 3 `Renton Engledow Trent is a small-town native east Texan and came to the SORH in October of 2016. Previously, he worked with another rural Texas focused program, the Community Development Block Grant (CDBG) program, where he honed his focus on rural and discovered a path that allows him to help improve the lives of rural Texans. When not relegated to his house during a pandemic, Trent can usually be found traveling about - either on a beach or skiing on a mountain. State Office of Rural Health I., Huahhcma u... t os 4 10/4/2020 2 5 Maria came to the SORH in September 2019 and has previously worked at TMF Health Quality Inst., where she discovered her passion for better quality of health in Texas. When not discovering interesting new places in the world, Maria can be found at home with her family enjoying a home cooked healthy meal and a good movie! maria.bustamante@texasagriculture.gov 512-475.0793 State Office of Rural Health 'resas lieaRhcere Trustees "Vest Regional ICoocdina tot'c Kathy Johns omi,,, (, Kathy came to the SORH in September 2019 after serving for five years as Administrative Secretary & Community Liaison for the Permian Basin Area y` Health Education Center located in Midland, TX. She obtained her Community Health Worker certification through the State of Texas having completed the "Bridges to Excellence" program through Texas Tech University, Lubbock, TX. She enjoys family, nature, music "paint by number" (you should see her Picasso). kathv.lohnston@texasagriculture.gov 512-463-9590 State Office of Rural Health T,,., Heailhcnre 7nuteus 10/4/2020 3 Panhandle Regional Coordinator) Ryan Horsak Ryan came to SORH in February of 2020 after serving in the United States Peace Corps in Nepal from 2017 until the end of 2019. Prior to his Peace Corps service, Ryan worked with the Mescalero Apache Tribe in south-central New Mexico, as well as with other ethnic minority populations and refugees in north Texas, co -developing and implementing community -based health projects. Ryan holds a B.A. in Anthropology from Texas State University, and in his spare time enjoys making art and writing. rya n. h orsa k@texasaari cu Itu re. eov 512-463-9639 State Office of Rural Health Term f leahhcare Trusters 7 East �teona! Coordinator I 'rush Rivera A Trish was raised in the Midwest but as soon as she learned how to drive traveled to a warmer climate, the Great State of Texas. She graduated from St. Edward's University and then went on to serve others for over 25 years as a social worker in areas of early childhood, substance abuse and child welfare. Trish administered home visiting programs, managed grants and participated in many community planning networks. Trish came to SORH in October 2019 where she continues to serve others by supporting rural communities. trish,rivera@texasagriculture.gov 512.936-7875 State Office of Rural Ilealth 1.1t, HeAthaare 1'nntees 0 10/4/2020 4 RegionalNorth u1` s 1" Robert came to the SORH in July 2018 and has previously worked at a CAH where he discovered his passion for rural health in Texas. When not traveling through rural Texas meeting health partners, Robert can be found at home with his indoor jungle of succulents and his dog Johnny, cheering on the Texas A&M Aggies. Gig'eml Robert.shaw@texasagriculture.gov 512-936-6339 State office of Rural Health Texan Healthcare Tmsteez Shad Wyatt Shari Wyatt came to SORH in August 2016 having worked previously in a federal grant program within the U.S. Department of Commerce. She managed the health grant program & monitored muiti-million-dollar nationwide grant award projects designed to improve the health of patients through the use of advanced technologies & innovative initiatives. In addition to her federal employment, Shari Wyatt served as a technology consultant for a Texas telecommunications engineering firm where she wrote & obtained federal grants; and designed, managed, & implemented distance education/telehealth systems in rural Texas. Shari Is married and has twin boys attending their third year at Texas A&M, both with a focus in the healthcare industry Ms. Wyatt & her husband live on their rural property in Paige where she enjoys being outdoors, taking walks, and watching wildlife. sh. ri.wvatttotexasaxriculture eov 512-463.0018 State Office of Rural Health Texas lleallhcare lnstees 10 10/4/2020 —i Albert Ruiz, RHC Coordinator AUX: Colemere, RCHIP Program Coordinator Maria Bustamante, South Region Coordinator Kathy Johnston, West Region Coordinator o Robert Shaw, North Region Coordinator Ryan Horsak, Panhandle Region Coordinator Shari Wyatt, Central Gulf Region Coordinator r Trish Rivera, East Region Coordinator State Office of Rural Health TCV➢5 HOMtl arC TruSweS 11 _ — — fi3Otn4w.v — ,p w➢m.p/ao.erel TEXAS FHCs — rWe,r➢r:x.,:e, n.9„.WnrzV^' AlIiI,INU:.CW,M.IIM � _ _ _ I5,a9M5,U II IwoI IIWITC,p.ry 1pml N'Ivv�v9r:nY1,v➢m �]p _ nv"� I"IE19Y YavMrt55r r5,]1:61H� _, •r �•— YI= — -�•� u InrM1Fmr. �� veNher•urtV.n)'r�4raie•Y•. ` _ _ tl at :,IPopuhry<Yl:fi91 � �• ` •: 1•__ �.� If bW,darlmelnn.MVJrurep:. evli,4,M I.e�W{pr(AIUIDeI �..^ry r— Jrmv.n):eu vvulrrmpn �t/' 5111,419)N � IN Cnlird➢ila;I7mpiuL N61 llM1xrunJ.,lv[N¢Inxyxu.me ■PPSHmpila61I51 w ^ mr: bn.rnn¢.. , / ,51:11If alv, State Office of Rural Health lern Healthcare Tr OiteC5 Pit 10/4/2020 11 I a State Office of Rural Health Program (SORH) •> The Medicare Rural Hospital Flexibility Program (FLEX) ,: Quality Improvement Fellowship Training Program > The Small Rural Hospital Improvement Program (SHIP) .: The Rural Health Facility Capital Improvement Program (CIP) :• The Rural Communities Healthcare Investment Program (RCHIP) •: Board Education Program Stew Office of Rural Health Tews fleaifhtare Trustees 13 The purpose of the State Office of Rural Health grant program is to assist states in strengthening rural health care delivery systems by maintaining a focal point for rural health within each state. The program provides funding for an institutional framework that links small rural communities with state and federal resources to develop long term solutions to rural health issues. Federal funding is matched by State funds to provide additional services such as trainings in the areas of finance and operations, as well as quality improvement. SORH works with all rural hospitals and is currently working on expanding efforts to assist Rural Health Clinics (RHCs). State Office of Rural Health In. Hcalfhnee 111"W" 14 10/4/2020 "Tbe Medicare Rural Hospital Flexibility program (FL E)O 'Core Areas: 1. Operational & Financial Improvement Technical Assistance z. Quality Improvement Technical Assistance 3. Support Conversion to Critical Access Hospital (CAH) State Office of Rural Health Terns Vleahhcar. Truster 15 Quality Improvement FelLowship Program This program's purpose is to train and educate your quality champion in quality improvement strategies 5 and best practices that can be implemented at your facility. In addition, the training program will prepare your quality champion to sit for an exam to become a Certified Professional in Healthcare f+€f Quality (CPHQ) and to become a Texas SORH Quality Improvement Fellow. The CPHQ certification ynT is the industry standard for healthcare quality. 1 State Office of Rural Health '�C,de TenaS HClIhGul: TruStkcs _ �� 014 10/4/2020 0 The purpose of this Federally -funded grant program is to assist small rural hospitals of 49 beds or less with their quality improvement efforts and their adaptation to changing payment systems through investments in hardware, software, and related trainings. SHIP funded investments include activities in three domains -Value -Based Purchasing, Accountable Care Organizations or Shared Savings, and Payment Bundling/Prospective Payment System that: support improved data collection to facilitate quality reporting and improvement - ex. HCAHPS reporting; support development of ACOs or shared savings programs; - ex. telemedicine/telehealth; • improve hospital financial processes - ex. ICD-10 software & training, price transparency training, chargemaster review state oflico of Rural Health Texas Ileahbmre Tmstaes 17 The Coronavirus Small Plural Hospital Improvement Program Grant (COVID SNIP) The purpose of this federally -funded CARES Act grant program is to assist small rural hospitals of 49 beds or less with their efforts in responding to the coronavirus pandemic. COVID SHIP funds provide support to rural hospitals to prevent, prepare for, and respond to the coronavirus-related (COVID-19) public health '.A emergency. COVID SHIP investments include activities in three domains: Safety -ensuring hospitals are safe for staff and patients- ex. purchase PPE supplies, telehealth equipment, install air quality HVAC systems; Response -detect, prevent, diagnose, and treat COVID-19- ex. purchase COVID-19 lab testing equipment, telemedicine/telehea Ith; Maintain Hospital Operations -ex, support personnel salaries, hire/contract with new providers to support increased service demand, provide paid leave to exposed hospital staff SOW Office of Rural Health ltxns HaaIIlmJle T"IM01 18 10/4/2020 The Rural Healthcare Facility Capital ProgramImprovement P. This State -funded, competitive grant program, aims to assist public and nonprofit hospitals in rural communities with capital improvements to existing health facilities, construction ofa' new health facilities, or the purchase of capital equipment. Each year, approximately $1.5-2 million is awarded collectively to rural hospitals across Texas. /tUNIID w noH dx State Office of Rural Health' rRJ,GE TCSaS HeaII hcara Trusties pll� PRI The Rural Communities Healthcare +. Investment M Program If ) This State -funded, competitive grant program, is designed to attract and retain healthcare professionals in rural communities by providing incentives such as stipends or loan repayment assistance to non -physician healthcare professionals who agree to practice in rural medically underserved areas. State Office of Rural Health fcaas Ilea tivare Tr.,Icc, 20 10/4/2020 10 Board Education Program The State Office of Rural Health supports rural health administrators and board trustees by funding experienced, qualified organizations to provide education and educational resources to governing boards or boards of directors of rural hospitals. State Office of Rurat Heatth kP .c llealthcarc• TI...I " 21 e, at the State Office of Rural Health Thank you III Rural health administrators and board trustees are the most valuable resource within rural communities working to ensure healthcare is accessible, meets the needs of their communities, and is the best quality care. In many cases these board members also serve an essential role in ensuring the economic health of the communities they serve. State Office of Rural Health Teens Hanpheum T ...tea. 22 10/4/2020 11 Texas Healthcare Trustees Statewide 501c3 Trade Association, Founded in 1961 Education, Resources and Leadership Affiliated with Texas Hospital Association Mission Statement The mission of Texas Healthcare Trustees is to provide education, resources and leadership development to inspire excellence in health care governance. Vision Statement Texas Healthcare Trustees'vision is that all trustees will be prepared to lead, govern and take action to improve the quality of health care in their communities. Taos Re 0,11r, (mmees 23 STATE 19 OFFICEM im RURAL HEALTH d, Texas Healthcare Trustees Membership: 50o+ Hospitals Across Texas 69% Urban; 31% Rural 26 Systems; 68 CAH;148 Urban 310;148 Rural Serves 40oo+ hospital trustees through program offerings Tmas HualOibra L 11111; 24 STATE OFFICE - RURAL HEALTH ®� 10/4/2020 12 THT Member Resources g Trusted Source for Board Education Healthcare Governance Conference Webinars On -Site Education Library Governance Toolkit Online Board Self -Assessment Certified Healthcare Trustee Program 11� STATE i OFFICE.. Im ia.os Hi Idkare IFUAee RURAL HEALTH M/ 25 Governance Toolkit g I ig l•,.I,vfllh iiu�w. r,.. _ii .�_ Q i Z Visit www.tht.orgeovernancetoolkit STATE OFFICE RURAL imas umltlmaio'Inuwrzi HEALTH HEALTH 26 10/4/2020 13 Certified Healthcare Trustee Program Certification program demonstrating your commitment to good governance! CHT Eligibility i year or more of board service 24 hours continuing education in the past 3 years Take and pass CHT Exam Certification is good for 3 years! Visit www.thLor Cl-IT TeesHm 11111. Tmsnoa 2% STATE ld OFFICEM IM RURAL HEALTH or Straight Talk for Texas Trustees, New! Recorded conversations with governance expert Pam Knecht and THT Member Hospital Leadership Revisiting Your Strategic Plan in Response to the COVID-19 Pandemic 1"�'t I` Ross Korkmas, CEO Lori Boyd, RN, Board Chair Palo Pinto Ganeral Hospital, Mineral Wells STATE Visit www.thtor_ straigghttalk RURAL iesai:mahLe.,,elmfm.- �t HEALTH ®� 28 10/4/2020 14 Virtual Board Education Program: Bonus Materials! As a participant in today's program, you also receive: . 3On-Demand Webinars • Introduction to Rural Hospital Financing The Board's Vital Role in Quality and Patient Safety • Rural Public Hospital Issues ai civang Ngo Deborah Whitley t� TORCH DKD Karen Kendrick, RN THA Jennifer Claymon,J.O. Robert Sporck, J.D. Rced Clayman Heed Clayman STATE Id OFFIM, RURAL 7-a1HeaRh.11nuuuox HEALTH lFA► 29 Virtual Board Education Program: Bonus Materials! As a participant in today's program, you also receive: 3 THT Publications • THT Guidebook: Quality & Patient Safety THT Guidebook: Hospital Finance & Reimbursement • Healthcare Terms and Abbreviations I l:AI:l•FI CARP. ruun...winue,.,unv. I c", H"Ifth", I'usteus 30 STATE OFFICEd RURAL HEALTH 10/4/2020 15 31 Post -Event Survey & Continuing Education Your feedback is important! Keep an eye out for the post -event survey coming to your email inbox soon. Continuing education is available for this program. (Total: 5.5 hours) The CE form is downloadable upon completion of the survey. r • ,a He,ltl¢ore Tmaeaz Sign -in Sheet STATE OFFICE.. RURAL HEALTH If your whole board is meeting together today, a sign -in sheet will accompany the post -event survey. Please complete this with your trustees' email and mailing addresses so we can deliver our materials to everyone. Sign -in sheets may be returned to Susannah Ramshaw: sramshaw(nbtht.org I v.,ti re�hheae ni�nluer 32 STATE OFFICE, IM RURAL HEALTH ®►' 10/4/2020 16 1 aaz Hcalcbcnm Luncez 33 Contact us! Susannah Ramshaw Trustee Programs & Engagement Texas Healthcare Trustees sramshaw(@tht.ore Kathy Johnston State Office of Rural Health - Team Lead kathkjohnston(O texasagriculture,gov, STATE OFFICE - RURAL HEALTH '► STATE I� l/ ® OFFCE., 'I T i J��l i"I Present: t, Virtual Board Education Program Thank you! STATE 19 OFFICE— IM RURAL Toll NenRh,,, I'ruamv, HEALTH '/ 34 10/4/2020 WA r u. ,.. s.111,ubn . wer— a. Tuesday, October 13, to:oo am. Kenn Reed, JD, Reed Claid an LLC John I landerson CEO. TORCH Marva Ou"nowi .somh Region Rural Herth spcualue, state OfRce of Rural menial Susannah Rumehaw. Thetee fragrant, and En"w"nt, THY 1 am � nuuii" noon What is the Virtual Board Education Program? eavAt 2 * owu , Generously sponsored byshe5ta[e OHkaof Rural Heothand co hosted with Terns HantrcereTru¢ee, the UlNW Board Education frogern is free hybrid proggram designed to bring over 5 hours of continuing governance educmion to coral hanpital trustees and leadership. In addition to today$ lnre,interaaive even[- focusing on governance best practices-pafcipard, will raceive.rscaroad webinars an vernal yissuea facing rural hospitals, as well as 3 THT public abuts do Noted to your door 'I'll Y ta 9 10/12/2020 1 10/12/2020 Who are we? STATE Oedlcatetltosemtngrhehi needs of rural Teres. OFFICEe. the Stare0lfice o(Pwal Flolrh(50PH) wxff.fl, vdin RURAL local heehh care protiders and other parmers to HEALTH support across to quality legion care for rural TLWM SORHvrotks tosupportmml lleobhprmtdws try providingwdmkal asslnance vuh failed, operanans, and qui through avanmy ofgrant programs, workshops, and one on one assistance. mil 7e:a; ieuLLhcare Tr,isttcs rW _ Texas Heahhwre Trusrett s a sza[,-,do a holmi whose members are Texas hosplmis and heal[h�rystems and the }oat board members who govern those organiza[ians. Asa or nisanon we vrork rn plodde top. der educa[ion, resom<es and leaders Ip development opportunities co trustees. YHi is [he oldest trvste ranuacian in the coumrY, founded In r96r, antl is alhllated witlr MegYeans Hospital Assoce, C n, are f ..._.._... ,.,.::. wu API Today's Program Welcome, Overview and Introductions (lo:oo a hi) Par[ I (10:10i030 am) Good Governance lot Besr Practices in Governance ir"A , f!ospinl spoJy;la (,II i, in Part z (11:o5-n45arn) Top Trends in Idealchcare 2021 . Advocacy: Scare and National Issues . 3, AOr.1,11 yc ern) Parc3 (11:50gx15 p,fh.) 3oard/Gh0 Relations: know Your Bole Resource Sharing on"t ad smz 10/12/2020 Kevin Reed, J.D., Reed Claymon LLC Kevin Reed is a Partner at the Austin law Firm of Reed, Claymon, Meeker & Hargett, PLLC. Mc Reed has practiced health law for over35 years and is Board 'xw^ CeNfled In both Health Law and Administrative Law Mr. Reed assists hospitals and health care systems with regulatory and compliance issues, complex transactional Issues, and medical staff peer review matters Mr. Reed has served as General Counsel for TORCH hospitals for 25 years. VnP.,:1purendt'l.Ymtln.oln Eule x�uY' John Henderson, CFO, TORCH John Henderson currently serves as president and CEO of the Texas Organization of Rural and Cotemunley Hospitals, He lolned TORCH In April of 2018 following 16 years as CEO of Childress Reglonal Medical Center. his hometown hospi 1. John previously has served as chairman of both the Texas L Organization of Rural and Community Hospitals and the Texas Hospital Association. Ihmldersrnsriatorchnermg un,tt- �• Trent Fngledow, Director, SORH Trenton Fngledow serves as the Director of the State Office of Rural Health (SORFI), an organization that is i dedicated to serving the health needs of coral Texas. The SORH works with local health care providers, county leaden and state partners to support access to Quality health care for rural Texans. Trenton is 4p. I, small-town native east Texan and came to the SORH In October of amG. Previously, he worked with another rural Texas focused program, the Community Davelapmenu Black Grant (CDBG) program, where he Ironed his focus on rural and discovered a path that allows him to help Improve the lives of rural Texans. when not relegewd to his house duringa pandemic, Trent can usually be found traveling about - either on a beach or skiing on a mountain tee[enennI'd. ,plteyasaericulwreno_v id erne`,. ,. .., .. Maui Maria Dus[ainante, Sourh Texas Regional Coordinator Marra Busmnante serves as a Rural Past, Sri for the South Region with the State Office of Rural Health (SOI an organiat ion that is dedicated to serving the realthneedsoforal Teas. SORH staff work with local health care prooiders, county feadersand sate purnmr, to wppon access[. quarry health care for rural Texans SORH staff support coral health providers by pnoviding technical ass stance with finance, operations, and quality through a mr ely of gram progmn t workshops and one on assistance. Maria came to the SORH in September sot and has previously worked at TMF Health Quality, not, where she discovered her passion for better of health in Texas. When not discovering interesting new places in the world. Maria can be found at home with her famiy enjoying a home cooked healthy meal and a good movie) tnar.d ,nam n.r�..n;.gr¢ul rx a_w r soya , �1 10 Susannah Rafnshaw, Texas Healthcare Trustees '1 Susannah Ramshaw oversees Trustee Programs Is Engagement with Texas Healthcare Trustees, Susannah manages THT's Certified Healthcare Trustee program, online Board Assessment Tool, and both photo and distance learning events In addition, she leads regional board development workshops, t l focusing on best practices for goad governance and omely topics for hospital and health care system boards, 111m1lnwrm6a ore aYdn.. &B.,",`. 9r 11 Using Zoom Meetings Please mute your line when you're not speaking. Please use the chat feature - we will be monitoring this closely today. Please keep your camera on -we'd love to see you! 12 welt. .rr. 10/12/2020 El 10/12/2020 Polling Feature We'll be using this function to make todays meeting as Interactive as possible! d 13 Using Zoom's Annotate Feature Select View option from the top of the Zoom window, and then choose Aenotate.Atoolbar appears with all your options for annotating including text draw, arrow, and so forth. CMS HOSPITAL CON OF 14 Using Zoom s Annotate Feature A toolbar appears with all your options for annotating, including text, draw, arrow, and so forth, CMS HOSPM CONDITIONS OF PARTICI ON (COPS) 2020 .fro" 15 16 17 Questions before we get started? anra.. s Tuesday, October 13, io:oo am. Kunst Aeed, J D, need Cl,mon LLC John Henderson,CEO,TOACII Mdrld9utia1 n10.5outh Regon PYrdllledllh Spe iellil, Slat, OIASC of Aural lfeal,h Smunnah Aamshaw, Trustee Programs and Engagemune. THT tong d . n°awe°' ..•.. .. xanvx � 18 10/12/2020 0 Good Governance loi Reed+ Kewn Aeed Claymon 19 FTI W hat is your Tool? 21 10/12/2020 22 Good Boards ask Good Questions How will thlumprms, patient care? IIm does this fit into our strategic plan? Where's our performance low and whem does it need to be' How loss ourpvto,mani ffp+n^/ n wmparemthe best?.. 77 What rush urcesathe commtmd to soly ng the {{I PI pmblent? l�l! How.11 tho impact onmrmance? When will we be able to show mauumble results? W lot support from the board do you need? 23 Has Your Board Discussed ... Social media and us relationship to marketing reputabonand branding? c iqo 0 Diversity . fonrnance uap . whpsaenlwnann 'A'id�r iG�1a{ 24 nnr t+ arnce- �' I Technolagy Uov derswntlm Dow se¢? Dn we Jismv i beam from r! Governance pest practices ~O . Tmim of hiyb pndorming Wuri, Duy�.e.emgeynrowoane Heahlmare Future yq�p�p�pq�� L_ l ..•tluN ?vent" 4i�9 10/12/2020 2 Things Leading Boards should talk about What outconlesshould we be measuring? what risks do we face? What data do we wish we knew about our business? What stupid stuff are we doing? What is changing in our markoO What improvements can we make? What is becoming harder/easier in our work? What should we be learning? Who should we thank? Who are the stars in our organization? How should we build our brand? 25 Bad Management 'A Nonprofit CCD's Worst Nightmare: Micro -Managing Board' Blog dtobert Acton Ilnairdmu,.• What's Worse? Micro -Management Disengagement 26 r-I(Sz Is Our Communicationas a BoardEffective? (notion: Do Not Swallow! m rdmoenom -- rt maw .Frill 27 10/12/2020 Good Boards Never Events Dominating discussion - making "speeches" Not being prepared Coming have and leaving early Not being honest about CEO performance or organizational performance Secret/off the record meetings Conflicts of incerast Breach of confidentlahty Sd Good Boards Never Events Part 2 Being an "ear' for employees or medical staff "Representative" vs. board member Singing operational issues to the board that are not related to strategy or performance indicators - Involving yourself in management and/or operational Issues outside of Board meetings and committees Using your board position to suggest unsolicited advice or direction to employees CKThi inB special services, access or accommodations which would not be made for other patients with similar circumstances �Priic. � 29 The High Cost of Governance Dysfunction in Community Hospitals trades Marketing Performance Erodes Market share Dimurhes Public Trust = Reputation Lack of Shared Vision (no common goals) W.Wovler AnoriAtes �nua�ei �i r. 30 10/12/2020 10 31 They Understand The Business a,nRl►s-b hQO'�-..\lei-" k� 'v R and spadffcmOaa concuM haven bwipass. knowledge afibe bmiiusa antl spa<Iricil h Uio nrona uq<s of ibe bw�ness. iuem. 32 They Understand the Value of the Patient Experience ibu paslem eapntlen[e 4rlves repmaJurcrepuu4en Drives uJlitslon. e� 33 10/12/2020 11 Why Do You Maccer? • $15 million Ilfedme loss per patient . link of la.,n, .o%- Hi Satisfaction . 3o% Poor Satizfatnen 1%reverar, less - to. .... Each person cells low scores Satisfied patients are 5 tunes more likely to recommend . Both dalcal and nomclmical employees are critical ,rur 9111 a..I" ......... .....: nnon 140 34 Customer Experience Mt% -Favorable =Satisfied with provider 99% of the time °i4• °Google Study — 90% of patients choose on reputation vs. insurance 10% increase in customer loyalty _ > $20 million revenue 35 They focus j 4, '4 ,ra � � •J They understand and loan on rbosethlrp that drive pedant uporker'l Penonel star. Way .a., safer, need, ovenll gaanr, naae nua ii" 36 10/12/2020 12 They Put Quality First I - ,, Every decision indudes she resells.: What if it was my family? 37 They Assemble the Right Leadership emir ld5 They ut yp the right peoplesn the bus. i :mc orutt.. � 38 They are a Team tr. Y4 Wa yI aat 4 C l4 g j �Ye4 Yet ,fie Yql �ar, v '4 y v: They understand they on a team. They play their position. s.��4pyg �D a.. � 39 10/12/2020 13 Advocating for Your Hospital? Messina Mamerial Hosplo, Messina, New York Facebuok Post. "Nr9e vlaslr MMH k losing one matron dnitae a n,ohkh vuth an awhge daily mnnis of n patients On top of losing.tp in Soo patients during the pear ewycas Ah,,, wry?Mar, oI,hemleisbarmsntn:itli- aunpde of rna nmployces" NO Morrow, Board Member 40 They Understand InflUence � r ®r r � r r^ ; r t I & They understand whatit means to be a person of"influence." Lrer[ °nM ■ 41 They Advocate -w They understand their role as an advocate. 42 10/12/2020 14 They Understand the Power of Ethics They set an ennipte by their personal ethical behavloc AY.M„ 43 They Promote Best Practices �x i 3 They understand best pracdces: Education,Leadership, Diversity, cooperation 44 Kevin A. heel 5120.5962 w.cam V.6& SM .c 12 Pn0 Oryr,m Mn,n 6 Mvrinr.Ill[ W lv`Yvrnr W"e,fuav lol �mllA19vV Nvnawn I . I[[. 45 10/12/2020 15 Top io List: Best: Practices in Good Governance 5umnmh Homftl T.., HM,hwa Tmnees 011�11 do 46 47 io: Build a Strong, Capable & Diverse Board xiu AEA— ,..,... .... `x yr 48 10/12/2020 16 io: Build a Strong, Capable & Diverse Board Identify gaps in diversity and Industry using a board compositional matrix Enable health equity, health disparity and diversity conversations in the board room Engage in Continuing Education programs (like this one!) that keep your hoard members abreast of industry issues and trends d 49 ur. Build a Strong, Capable & Diverse Board 9: Emphasize rthics, Intear ity and Culture 14, 50 9: Emphasize Ethics, Integrity and Culture Ensure your board has a Code of Conduct policy and Conflict of Interest statement in place Keep Quality and the "Gold 5tandard" top of mind Culture Conaderation: Are your board members comfortable speaking up at your meetings? IP'.P' d 51 10/12/2020 17 io: BUild a Strong, Capable & Diverse Board g: Emphasize Ethics, Integrity and Culture 8: Engage In Disk Management aYdS. � r 52 8: Engage in Risk Management Look at Risk Management from all angles: Financial Operational Repumrional Legal Quality Include various stakeholders in Risk Management conversations f •rrr 53 Using QUality & Patient Safety as an example, who could you bring to the table fora conversation around Risk Management',? 1.1 A wr 54 10/12/2020 m lo: Build a Strong, Capable & Diverse Board 9: Emphasize Ethics, Integrity and Culture 8: Engage in Risk Management 7: Evaluate Performance Regularly 55 7: Evaluate Performance Regularly Board Self-Assessmems allow trustees to reflect on their performance and further understand their role Identify achievement gaps and improvement' areas Annual evaluations provide year -over -year henchmarking data Consider THT's Free BSA Tool (wwrg) or engage a facilitator to collect and assess data F-1 ' '1 56 My board conducts an annual Board Self -Assessment. Y/N? r OF- .. 57 10/12/2020 W to: Build a Strong, Capable & Diverse Board 9: Emphasize Ethics, Integrity and Culture &, Engage in Risk Management 7: Evaluate Performance Regularly 6: Clearly Define Roles Ft Responsibilities A a'."k ,era 58 6: Clearly Define Roles & Responsibilities Produce and regularly review board member job descriptions Outline expectations for meeting attendance, meeting preparation and committee participation Set expectations from the start - at your New Board Member Orientation! nw: ' aroerw<r o ioiie� I.....v ......a..,,,,_R &lnil G:P' 3sA 59 lo: Build a Strong, Capable & Diverse Board 9: Emphasize Ethics, Integrity and Culture S: Engage in Risk Management 7: Evaluate Performance Regularly 6: Clearly Define Roles & Responsibilities 5: Communicate Transparently .r,r. 09 M . 1.stm - ". �. Zol 10/12/2020 20 5: Communicate Transparently Management: develop easily digestible communication tools, including dashboards and iefographlcs. Trustees� ask questions and ask for resources to help you became an ambassador For your organization. Engage madicallnurse leadership in the board room to openly discuss quality and patient safety, J 61 io: Build a Strong, Capable & Diverse Board 9: Fmphasize Ethics, Integrity and Culture 8: Engage in Risk Management 7: Evaluate Performance Regularly 6: Clearly Define Roles & Responsibilities 5: Communicate Transparently 4: Facilitate Efficient Meetings 62 4: Facilitate Efficient Meetings Develop a strong, action omiemed agenda Produce reports and items for Consent Agendas Allow ample time for your board to review meeting materials (z weeks is ideal!) .Y �'y,I A3'i •it� ;'U IL- r 63 10/12/2020 21 My board regularly uses a consent agenda at our meetings: YIN? 64 to: Build a Strong, Capable & Diverse Board 9: Emphasize Ethics, Integrity and Culture 8: Engage in Risk Management 7: Evaluate Performance Regularly 6: Clearly Define Roles & Responsibilities 5: Cornmunicate Transparently 4: Facilitate Efficient Meetings 3. Orient New Member s 65 Orient New Members Develop comprehensive training materials: Organizational Overview Governing Board Structure & Responsibilities Board Meetings Strategic Direction 119 n Health Care Overview f w�C4 ^y � • Hospital Financing f .110 . OF m 10/12/2020 22 AvallabNai.:.:w�i l:myy� .a�ai, ofklf � o. ....... ,I 67 io: Build a Strong, Capable & Diverse Board 9: Emphasize Ethics, Integrity and Culture 8: Engage in Risk Management 7: Evaluate Performance Regularly 6: Clearly Define Roles & Responsibilities 5: Communicate Transparently q: facilitate Efficient Meetings ;: Orient: New Members 2: Delegate Actionable Items m 2: Delegate Actionable Items ....to committees and committee members! I 1 u m 10/12/2020 23 io: Build a strong, Capable & Diverse Board 9: Emphasize Ethics, Integrity and Culture 8: Engage in Risk Management 7: Evaluate Performance Regularly G: Clearly Define Roles & Responsibilities 5: Communicate Transparently q: Facilitate Ffficient Meetings 3: Orient New Members z: Delegate Actionable Items 1: Be Accountable! • 70 What are some of the Best Practices your board employs? 71 QUestlon5? Thank you! .. • 72 10/12/2020 24 Break! (5 minutes) 73 Rural Hospital Spotlight: I i PETERSON HEALTH XtovIli CoryEdmondwn, Freslderi Sams F Fontenot. Board Member oii��r. • 74 r. PETERSON HEALTH Kees ill¢, Texas(Aural) Serves Kerr Courtyard surrounding 9 4...ties population 5'--boo (est. CY,roiq) private. Nonprofit 1xp freds 100i Employees 383(Medlcul Staff)„6o active/Community i/,dirm ions(excluding newgOnls) 75 n U.M MemEerr Sense Maximum GF33 Fterms CampdUCe51 Tin 12,11 canrmn[�egRQ�NJjnnun ling • woo. IM .1169 ma"r 10/12/2020 25 Peterson Health is more than just a hospital. We are nine rooftops spanning nine counties in order to provide comprehensive health care options to our community. Our Mission Exceptional, compassionate, patient,entered care Our Vision: World class care today, tomorrow, always Our Values: "CALLING" Caring, Accountability, Leadership, Learning, Integrity, Nurturing, Going the extra mile 76 PETERSON HEALTH Servkas . Medicat�,urgi<a{ Facl11ty7ypes Intensive Care, Acute Hospital, MzternaVChild, Rehab Hospital, Orthopedics, Employed Physician Precnces, Cardiology(Intewentiotul), . Ambulatory Care Canree Wound Careiliyperbaric HaO, Ambulatory Surgery Cenree pdrn.r ss , Home Health, Gas[menterology, . Hospice, Neurology, Urgent Care, and Endocrinology, Regional Centers of Care, eta urology,etc vma id 77 What are your Lop 3 governance challenges? In'. 19 7s 10/12/2020 26 3 Top Governance Challenges: #c Board membership reflecting our community: We have increased gender equality. a of a Board Membersare now WOnlel1 We have consistently achieved diversity of perspealves on our board, with both clinicians and businesspeople serving, special attention to represent "Main Street' We have specifically recruited for younge, board members, people who represent young rarfefes in our community We have not been successful in achieving ethnic & racial diversity on our board. this remains a malur focus of our board recruiting efforts am�c. " 3 Top Governance Challenges: #z following trends and important developments in health care TH I Trustee Cenificabon Gwl of lo.%of Board Members eligible for certification carry that distinction -we have met this Boni for the past q years THT I rustea Certification renewal requires Cobs- which helps with participation in THT Webinars, On -Line Programs, and attendance at the annual Healthcare Governance Conference Our CEO informs us of trends and developments in the field as part of our mums ly board meetiings.we allow time for bee dt,uiv which often focuses on how these trends affect our future/strategic planning mm d am -, .. ..,.., Im.m, Mr m 3 Top Governance Challenges: #3: Keeping a Longview During COVID Balmr. or; the immediate need without losing our vcron for the futurelstrategic plan a ..,,. ....,.,. web' iien". i0N 81 10/12/2020 27 What does your board do really we II? What We Are Most Proud Of: #t: Quality & Patient Safety Focus: Zen, Harm adopted as a Board Goal consistent with the goal of Peterson Health Quallry/Safety Committee Board Committee established cmt, Board Committee participates In mammy arena , with the Director of quality 5ervleas is din entire ch a ay council Quality Control ml,, mom my to the remainder of the Board All Board members are nnaed to amend Quality Committee meetings Organizational performance Dashboard leuntl,ed zoso .um � m,,,oe.. 83 What We Are Most Proud Of: #2: Fiduciary Responsibility: Finance Committee meets with the CFO monthly Very active Paundanon maximizes community support of our growth & mission . Board approves camtal budget annually, including a list of any budgeted expenditure over $iroapoo Board is ggiven an sve L extennancial packet every month before the Boartl Meeting, which is reviewed during the Board . I'maii Podor:nance Wxtncs are included on the Organizational Performance Da, hborrd we have maintained our irsal Somill y despite COVID & downturns that predated COVID ��pyp ._, `nN 84 10/12/2020 0 What We Are Most Proud Of: #3: Board Involvement at the Right Levels: We Swyaut of Operauorc; We Prepare far and Flctrvdy Parbapa[e in Board Meetings We are Cnowledgcabla about Peterson Health's Major programs We are Ac[ve Pan¢ipm[s in writing & reviewing our 6:rategm Plan We support Peterson Health with out ima. Talons, nod Personal rine,cLs cmrr Muw' �I 85 What are your best practices that facilitate a strong relationship between board and management? M;` m Best Practices: Board - Management Relationship Board Recruitment t Open Communication a Clearly Defined Roles Strategic Planning Professional Discussions Board Orientation Benchmarked Board Self assessment through 1'NT Global Participation in'rHT Governance Conference CEO Evaluation By The Board Annually. 76o Every Other Year n. MR. qr 87 10/12/2020 9 On Behalf of the Entire Peterson Health Board - Thank you! PETER —SON HEALTH M Health Industry Issues & Trends - K-e, a.ed, do Health Industry Issues & Trends Federal Health Policy Value posed Care Technology/Smart Health Care Opioids •y m Cybersecaq InnoWdoryHen Models Cusromer Dperlence Work Force Comploro. ".�h'. v 10/12/2020 30 91 92 93 10/12/2020 31 94 95 Technology JIF uiiifl. • Digital Health / DYI-Consumer Driven Healthcare I 96t b U v G O orii[[i. Shifting Focus of Tech to Prevention and Primary Care Mvab�Teleheahh 0 JJF 99 10/12/2020 32 AI -Based Diagnostics A/Chaftts Reduce mtt Ilnf�/qY alRtOni<f On Demand Cu ondcmand . o.d,.—dv— d— oi6 Data Mo,e Aik.mruaffi, . gerte,<Maniaammanagement . rredittme onmya<s M VR the future I M. 10/12/2020 33 100 Innovation New Models amazon Amazon, Barkshlre llathaway and 1. V. Morgan Amazon - Pill Pack rCVS Cos -Azom Health. Walgr[•ai's-Vrnne'tharapeuticc I�isxPydzNf[6 cnm � 101 102 10/12/2020 34 Data Breach Cost by Industry Crzwl na 2020 0 (rele, ��o 4 EALTH 'I' 103 Telemedicine sF vm 104 P.J..I.d uemb.r .1 lolehmhh ed1wed, worldwide (mm 2013 re 2010 (in ndlflood �rl 105 10/12/2020 35 Work Force Hurassment I ON M, Pay Cqry D,ers,t y k Drugs Workplace Violence 106 The Rise (and Risk) of Whistle -blowers; � w��d Vmll�ll 'iUl 107 108 10/12/2020 36 Stand Tall for Small Inhn lI.ndnuuq CEO r0,miulmn a 1-1 a omm��ir x.�ooa. Oauxl 109 110 111 10/12/2020 37 %AN 46 NilNN ME in [Mil Is 40 MN WI MI �x"Yl peep l0itffW!-N 1�flm!C—wi 11 IN ON IN 11 "'Ili .. ..... in IV a r0l 0 R'l N, F ME OF OC L'k WIN, "go'lioilo, InElmd -9% 112 113 114 10/12/2020 im 115 Federal Stimulus $lim Q. T.... ) Sill P-SOmI (,l.) $3o b GRES REp _ P.... ("n.) $20b CARES Ra- P.... (.I..I slob GRESRn-Ounl(S(d) $tub GNES Rtl-Sdvly Nvl(Wn) ,.S(a...Y)..m.Imn, Med@ere Fccelerated Payment SUP/ppe RYnI➢Mn M1..plldnurvN.d.pMr .nd rvmmrt. 116 117 10/12/2020 39 PYI lwi rs t '�—�'"�� It'd o plom of glem upilimnu Pnilimu, rtew¢IulAeµ eplimilm le- SIIAAp fettle AlOmmAAll, P0AAe11edt", and (ollohomlim ` b. e� It% AM nelgM1hau fIklep mu of n,iphhml g��pp oil 118 monk Yool I,W I,.& a iAnexlonLaluuAAn.elp (MI III WO w:uuAnrtn9 @Ivohntl 4� 119 Break!(5 minutes) 120 10/12/2020 e it Know Your Role: Foster a Healthy Relationship Between Your Governing Board and CEO Susannah Pamshaw Texas I ealthtere Trustees IN ne.nii OF 121 How do boards excel at governing without stepping into management? 4F 122 I -low do CEOs ensure that boards have what they need from management in order to govern effectively? 123 10/12/2020 41 What are some shared roles & responsibilities that Board/Management can embrace to better lead and serve their communities? 124 Key Agreement Principle CEO WORKS FOR&WITH 'THE BOARD MEMBERS MAKE BOARD OF DIRECTORS AS A DECISIONSASONE WHOLE. GOVERNINGBODY 125 Knowing Your Role: Governing Board Cetermint:, onanrzanon s mw; an, vision and pnipcwe Sets policy and strategic direction for the orprazatiun Mon RorS and strengthens programs and services Ensures legal responsibility and ethical integrity Vmspital .pennons Hnancia resources nnA perbnnana: Quality and patient safety Recruits and hues the CEO Supports and evaluates the CEO Builds a cornpctent and effective governing board d 126 10/12/2020 42 Questions to Help Clarify A Hoard Member's Role Is it big'. Is it about the future? Is it core to the (Mission? Is there a high-level policy decision needed to resolve a Sil.An on? Is a flag.flying or watchdog watching? Does the CEO want and need the board's support? ®J uJ d n.AL 1 in . 4r 127 Knowing Your Role: CIO/Management Oversees daily hospital operations and medical staff Leads and manages fundraising rollows highest ethical standards and compliance Cornmit, to govorri ng booms plans and leads implementation Develops future leadership Ensures the quality and effectiveness of programs A u.s.x 128 Shared Roles: Practical Tactical Build external relationships in the Community Social and financial stewardship Advocate on behalf of the organization Planning, Planning, Planning; Strategic planning Financial planning 5=coion planning . Program and self evaluation BSA and CEO Evalu.nlon Feedback longs S,construarve cnucism nall 129 10/12/2020 43 Shared Roles: Cultural Mutual respect, trust and support Reciprocal and transparent communication . Couruthnenr In the Gr$anlzal ian's mBslen and p W p^4_ Change as a constant 0 &S6a Y9 130 Knowing Your Role: POP Quiz! Using the polling feature, select the responsibility listed as a role for Board, Management or Shared. Will 131 132 10/12/2020 44 What Doesn't Work? The Board Member Perspective: I luring aboutlmporta" issues from ,larecareo the, than the CEO Lack of must In the boardiInforming' rather than "including' Nat having a welbplanned agenda CEO counts support aboard decision CEO thu docent want feedback Lack of far lowup afcera major flruncatorganizational decision Lack of svategic planning What else! °utrw 133 What doesn't work? The CFO Perspective: Micromunagemant- Trustees in the weeds 011al ding- the grenade thrower Oeersmppi g boundaries Personal agendas +conflicts of'nmrest Lack of preparation lack of attendance poplecongagement Seleabe memory Rubber stamping What else! 134 CEOs and Board Members who help each other balance roles, responsibilities and a commitment to lead will foster more resilient and trusting relationships. Do you agree? 135 10/12/2020 45 Questions/Discussion -AL 136 MW + Virtual Board Education Program Conclusion and Resource Sharing Susannah Ra.sN, T.,,. Programs and Engagement, THT Trish Ri.m Em W,M Hollb 8,W"Illt. Stain Offu of M11.1 Health 137 State Office of Rural Health C—Wm Ild YJIIx 138 10/12/2020 M F Caring for Those Who Care for Others Dedicated to serving the health needs of rural Texas. The State Office of Rural Health (SORH) staff work with local health care providers and other partners 0 to support access to quality health care for rural Texas. SORH staff support rural health providers by providing technical assistance with finance, operations, and quality through a variety of grant programs, workshops, and one-on-one assistance. 139 SORFI Director Trenton Engtedow Trent Is a small town native east Texan and came to t1 SORH in October of 1016, Previously, he worked wl another rural Texas focused program, the Communi Development Block Grant (CDBG) program, where I hoped his focus on rural and discovered a path in allows him to help Improve the lives of rural Taxer When not relegated to his house during a pandem Trent can usually be found traveling about - either on beach or skiing on a mountain. 140 South Regional Coordinator } Maria Bustamante Marla came to the SORIA In September 3019 and has - previouslyworkedatTMFhealthQualitylast, where she r'(� discovered her passion for better quality of health in A, Texas. When not discovering Interesting new places in �k the world, Marie can be found at home with her family enjoying a home cooked healthy meal and a good moviel aria.bustmnante,atoxasnnrkuhuraanv S12-475-0793 141 10/12/2020 47 142 143 SORH Staff • Albert Ruiz, RHC Coordinator • Alix Colomare, RCHIP program Coordinator Maria Buster Cants, South Region Coordinator Kathy Johnston, West Region Coordinator .� Robert Shaw, North Region Coordinator Ryan Hars.k. Panhandle Region Coordinator Sharl Wyatt, Central Gulf Region Coordinator j Trish Rivera, East Region Coordinator • `y I - I - ,_,.. — ..nP,htmhl Ce37_1. Stato Office of Rural Health Program (SOHH) The Meffcare Rural hospital RembiliW Program (FLEX) Quality Imp'ownnenl Fallwship Training Program The Small Real hospital Improvement Program (SHIP) The Cor.1svI sSmall Rum( Hospital lmprowercnt Progrm Grant(CGWBSHIP) IDo Rural 1ka1th Facility Capital Improvement Program (CIP) The Rural Cmnmunldos Healthcare lnvestmen[Frgram(RCHIP) o Board Education Program 144 10/12/2020 m SORH Grant Program The purpose of the State Office of Rural Health grant 'program is to assist states in sonngthening rural health! care delivery systems by maintaining a focal point ford mral health within each state. The program provides funding for an institutional framework that (Inks small rural communities with state and federal resources to develop tang term solutions to rural health issues. 4; Federal funding is matched by State funds to provide I? 'additional services such as trasmings in the areas of'' finance and operations, as well as quality improvement. SORH works with all rural hospitals and is currently working an expanding efforts to assist's. Rural Health Clflics(RHCS). 145 The Medicare Rural Hospital Flexibility Program (FLEX) Areas: i. Operational & Financial Improvement Technical Assistance z Quality Improvement Technical Assistance r. Support Conversion to Critical Access Hospital (CAH) 146 Quality Improvement Fellowship Program This program's purpose is to train and educate your quality champion in quality Improvement strategies and best practices that can be implemented at your facility. In addition, the training program will prepare your quality champion to sit for an exam to become a Certified Professional in Healthcare Quality (CPHQ) and to become a Texas SORH Quality Improvement Fellow. The CPHQ certification is the industry standard for healthcare quality. o AN F«, 10/12/2020 The Small Rural Hospital Improvement Program Grant (SHIP) Ten purposd of tins cederall,funded grant program (s to assist imotl lure) eosplmis of 49 beds or toss with their quality ImprOvmucat efforts and their adaptation to rattail, payment syntoms through Investments hJmrdwa e, software, and related Mlinings. Silly funded Investments include activities in three domains - Vaiuo-Oazed purchasing, Accountable Cam Organlaations or Shared Savings, and payment Dandling/Pumponw. Payment system that: support impravad data criterion to facilitate quality repotting and lmprwement- ex. HUNTS reporting; support developnnent of ACOS or shared savings programs; - as rulesnedline/nlcheohh; improve hospital finandxl pmaesses - as. ICD-10 software As tralning, prim Iranspacory training, chargamader review 148 The Colnnavirus Small Rural Hospital Improvement Program Grant iCOVID SHIP) Tile Purpose Of this formally funded CARIES Act grant program is to isin small rural hustrilab of 49 beds or less with their efforts In responding to the m onevbw landfalls. could 5111P hands provide support to rural Immitsls 10 pmveM, prmam tor, and n ctund Is the m ,related (COVID III public hwllh meryency. Could SHI'Imalmunts Include aelivllles in three demainc S.My-ensmbig hospitals .,a ate far Iran and gallants- as. purchase PIE supplies, tebheallb equipment, Instal air quality IIVAC syrema Relpoma-0uten, prevent, Macau , Intl llmr oiler 9- ea. purchase COVID-19 lab IeilinE equipment, lournmidouleiehea111g Maintain scullel Openlloamx. support personnel illusion, Mrdeparav with new praelden to supped intense! service demand. provide pail reeve to minted real shell 149 The Rural Healthcare Facility Capital Improvement Program (CIP) This State -funded, competitive grant program, aims to assist public and nonprofit hospitals In rural communities with capital improvements to existing health facilities, construction of new health facilities, or the purchase of capital equipment. Each year, approximately $1.5.2 million Is awarded collectively to rural hospitals across Texas. �N t 150 10/12/2020 50 The Poaral Communities Healthcare investment Program (RCHIP) 151 This State -funded, competitive grant program, is designed to attract and retain healthcare professionals in rural communities by providing incentives such as stipends or loan repayment assistance to non -physician healthcare professionals who agree to practice In rural medically underserved areas. Board Education Program The State Office of Rural Health supports rural health administrators and board trustees by funding experienced, qualified organizations to provide education and educational resources to governing boards or boards of directors of rural hospitals. 11MR) We, at the State Office of Rural Health Thank youlI I Rural health administrators and board trustees are the most valuable resource within rural communities working to ensure healthcare is accessible, meets the needs of their communities, and is the best quality care. In many cases these board members also serve an essential role In ensuring the economic health of the communities they serve. 153 10/12/2020 51 rexaS Healthcare Trustees Statewide al Trade Assoc drum, Founded in t961 Education, Resources and leadership Affiliated wrth Texas Hospital Association hi scion smmnGrt The mission of Texas Healthcare Trances is to provide educmion,resources add leadership developmentmmspue excellence in health care governance. Vision G",vumns Texas Healthcare Trusteesvlelon is that all trustees will be prepared to lead. govern and take action to Improve the quality of health care to their coulmwi¢les. d 154 Texas Healthcare Trustees Membership: Soo. Hospitals Across Texas 69% Urban; 31% Rural 26 Systems; 68 CAH; 148 Urban 310; 148 Rural Serves 4000+ hospital trustees through program offerings y,j itls,.an 155 THT Member Resources Trusted Source for Board Education g . Healthcare Governance Conference Webinars . On -Site Education Library . Governance Toolkit Online Board Self -Assessment Certified Healthcare I rLIStee Program 156 10/12/2020 52 Governance Toolkit IIJr � t Visit tyJSw omeie, I 157 Certified Healthcare Trustee Program Certification program demonstrating your commitment to good governance! CHTEIIgibllity , year or more of board service . aRhauescontlnungeduceoonlndre Pst3years - . Take and pass m Certification Is good aotl for foryyears! v6R www�, CH I 158 New! Recorded conve,Sat!oas with gowernance expert Pam Knecln dnd THT Member Hospital Leadership Inswe ingYour Stateglo Plan In Response to the COWOe9 Patti OAPAW Pax KPln•,5 cm txl M/J.Pr1 brJCl•iv n. ,.mvma ni u..mwa j Vislgnma tln on alan 159 10/12/2020 53 Virtual Board Fducation Program: Bonus MatenaK r;,u "i,.,m: l,`. n[varrvrv�sv,�env �xa�r,e. 3Oa Draesd WeMws . I,rtr 1, s, [o es", :µ", FmnnnP rlgluvier, HifaI P,11.. ,iue a ;..,.i,l n.,�..i i[�I W� . Punl Pobli[Ho:pi[al l[wes 1r wv w • � ranrv' �I [mny.«n e.n wa,,o eeq .n q��i@J�j on¢Rc. `A!' , 160 Virtual Board Education Program: BouLIS MaterialS! ............. ri ,,,[ ,. ov",.you..... ,.,. THT Go 3n1 HT Gu wo,s mmove puanya ralierP safely . H, ho r,, T,, h i 16b, ai 6 HCTNurumen[ . Hvvl[M1[urx TnnnS on,I fbprwi.tnOnS 111:.\I 1111:111 r. �f t 7 161 Post -Event Survey & Continuing Education Your feedback is important! Keep an eye out for the poenevent sunmycoming to your email ,nboa soon. Continuing education is avauable for this program, (Total: 5.5 hours) The CC form Is downloadable upon comple.ton of the survey. I I oFFIa,. .,.... _. .a.,,,, 162 10/12/2020 54 Sign -in Sheet If your whole board is meeting together today, a sign -in sheet will accompany the pose event survey. Please complem it,,, w,Oi your vusteSl email hn l mailing addresses so we can deliver our materials to everyone. Sign in sheets may he returned to Susannah Ramshaw; 3rmn9.aw(m- ,tor, 163 Questiansfor ourspeakers? —11 164 Contact Lis! Susannah Ramshaw Trustee Programs & Engagement Texas Healthcare Trustees sra shaw(h[ht o y Kathy Johnston State Office of Rural Hsdlh - Team Lead aq� ;ohnsro i6orexasa. io In neov s. a u IM 165 10/12/2020 55 s + Virtual Board Education Program Thankyoul 166 cP,fE,. Mr 10/12/2020 56 Insurers Cigna joins other insurers in limiting MRIs, CT scans at hospitals By Shelby Livingston HOSPITAL INDUSTRY EXECUTIVES aren't happy with Cigna's decision to severely restrict imaging athospitals un- der normal circumstances, but they are even more opposed to the new limits coming during a pandemic. In August, the nation's fourth -larg- est insurer by membership became the third major payer to restrict coverage for most advanced imaging, such as Mills and CT scans, when performed in a hospital -based department or facility, except in limited circumstances. The policy currently applies to Cig- na's fully insured commercial members and Cigna employees and their depen- dents. The company intends to roll out the policy to individual and family plan members in January and self -funded employer plans later next year. That means it would apply to most of Cigna s 17 million members. "Policies such as these restrict pa- tient access to care without regard to the quality or coordination of care," said Molly Smith, vice president for coverage and state issues forum at the American Hospital Association. "It is particularly disturbing to see these kinds of unilat- eral steps to diminish patient access to care during a global pandemic" Cigna's policy is similar to those put in place by Anthem in 2017 and Unit- edHealtheare last year. Anthem's controversial Wile —the first of its kind — drew ire and litigation from hospitals. Providers argued that the policies threatened to sap a large source of rev- enue while eliminating pa- tient choice and interfering with the doctor-patientrela- tionship. Like the insurers before According to a study by researchers atNorthwell Health, total imaging volumes at the health system decreased 28% over a seven -week period during the pandemic, compared with the same period in 2019. it, Cigna said its new rules are meant to direct patients away from expensive hospitals and toward low- Late this summer, Cigna began restricting coverage for most advanced Imaging, such as Mills and CT scans, when performed in a hospital -based department or facility. er -cost facilities, such as free-standing imaging cen- ters or office settings. What makes Cigna's policy stand out is it was implemented in the throes of a pandemic, when hospitals are dealing with lower -than -normal pa- tient volumes and resulting financial losses. Health insurers have long NORMWRLLHRACCH decided what to cover based on wheth- er they think a service is medically nec- essary for a patient. Only more recently have they begun dictating where that patient should get that service, as they try to tamp down claim costs. "The goal of the policy is to provide coverage for our customers to get the right care at the right place and the right time," a Cigna spokeswoman said in an email. "That means helping to di- rect them to a free-standing radiology center or other office -based settings when there is not a clinical reason for services to be performed at a more costly hospital setting." It's true that the cost of an imaging service varies drastically by where a pa- tient receives it, The average cost of an abdominal MRI is $1,751 at a hospital and $680 at a free-standing imaging cen- ter, according to healthcare price trans- parency company Amino. With nearly 46% of people with private insurance in a high -deductible plan, patients could be on the hook for a large portion of that c �N-4_-.-ii...4U---- I �. L..-.n nnnn SOUTH Lafayette General, Oclisner close on merger Lafayette General Health and Ochsner Health announced the Louisiana systems have sealed their merger to create a health system with 35 hospitals and more than 100 clinics. Lafayette General and Ochsner signed a letter of intent to merge in September 2019, originally expecting to close the deal in spring 2020. Louisiana's attorney general gave his OK on Sept. 4. Lafayette General, which will now be known as Ochsner Lafayette General, has been on shaky financial footing in recent years. The system's CEO, David Callecod, told Modern Healthcare last year thatjoining Ochsner would add stability. As part of the merger, Ochsner has committed to investing $465 million over the next decade into expanding the region's healthcare access, technology and workforce opportunities, up from $365 million in the systems' original announcement. That includes $94 million for upgrades to Ochsner Lafayette General Medical Center, including a new tower with six inpatient floors, expanded women's services, anew parking garage and more infusion chairs in its cancer center. The minimum wage for the merged health system will increase from $10 per hour to $12, effective immediately, the system announced. CMS resumes reimbursement for heart transplants at Baylor St. Luke's The federal government has restored funding for heart transplants at Baylor St. Luke's Medical Center, two years after cutting off payment to the embattled Houston hospital for those procedures. CMS announced the change in a letter the hospital received last week. The federal government stopped paying for heart transplants at Baylor St. Luke's in August 2018 after an investigation uncovered an unusually high mortality rate among those patients. The program passed an unannounced federal inspection in August 2020, more than a year after it had officially applied for recertification in May 2019. The COVID-19 pandemic has significantly delayed CMS' inspection process, which is why the inspection of Baylor St. Luke's didn't take place until last month, said Deb Maurer, the hospital's vice president of transplant services. To get federal funding restored, the transplant program had to send CMS documentation proving it had performed 10 adult heart transplants before the federal agency would launch its inspection. In the meantime, the hospital has continued to perform heart transplants, including on Medicare and Medicaid patients, even without federal reimbursement. CMS cut off Medicare funding for heart transplants a few months after ProPublica and the Houston Chronicle published an investigation into unusually high death rates among the hospital's heart transplant patients within a year of their procedures. Since then, the program has recruited new leadership. "I would say that, respectfully, we've built anew program here," Maurer said. NORTHEAST COVID-19 pushes N.J. hospitals into financial trouble COV ID-19's financial impact on New Jersey hospitals has reached "historic levels," with nearly 60% of providers reporting negative net margins throughout the first half of the year as a result of the pandemic. A midyear snapshot of financial data released by the Newiersey Hospital Association found providers statewide experienced significant declines in both patient volume and revenue compared with the same time lastyear. Between Jan. I and June 30, New Jersey hospitals' total patient revenue dropped by 6.6% compared with 2019, while emergency department cases decreased by 23%, outpatient visits declined 22%, and overall admissions fell by8%. Revenue and volume declined while hospitals experienced a 12% increase in total expenses compared with 2019, all of which resulted in the average operating margin statewide falling from 3.7% for the first half of last year to negative 4% in 2020. "COVID-19's fiscal impact on our hospitals reaches historic levels;" Sean Hopkins, senior vice president of the New Jersey Hospital Association's Center for Health Analytics, Research and Transformation, said in a statement. Ioppitals' state -mandated responses to the pandemic were cited as key to the financial decline. Most hospitals allocated resources for COVID-19 cases by increasing staffing levels and purchasing extra supplies of personal protective equipment, ventilators and medications while scaling back on performing revenue -generating procedures like elective surgeries. October 12, 2020 1 Modern Healthcare 5 cost. Free-standing imaging centers are generally cheaper because they provide one service and have less overhead. A spokeswoman for Americas Health Insurance Plans, the health insurance sector's lobbying group, said in an emailed statement that "promoting lower -cost settings for services that pro- vide the same level of high -quality, ef- fective care is one of the ways we work for lower premiums and out-of-pocket costs for you:' But critics argue that the insurer site -of -care policies focus narrowly on cost and disregard the quality of an imaging center. "It's a purely cost -based policy, which is why we have an issue with it" said Kathryn ICeysor, senior director of eco- nomics and health policy at the Ameri- can College of Radiology. "If they could indicate that quality was better at cer- tain places, or if theyat least took quality into account, the policy would be bet- ter —but they don't." Research shows that in healthcare, higher costs don't always correlate with better quality. Currently, there is no data available to compare the quality of imaging cen- ters, so it's hard to know how patients could be affected by the policy, said Leah Binder, CEO of Leapfrog Group, a not -for -profit focused on the quality and safety of healthcare. "What I think health plans should be doing is developing quality measures on imaging. We don't have good ways to measure the quality, and until we do that, this method could very well be penny-wise and pound -foolish —or not. We just don't know, she said. A poor-quaRty imaging center could lead to mistaken diagnoses, which could result in mistaken treatments and eventually reparative treatments, she said, "which is far more expensive than any differential between imaging in a hospital and imaging in outpatient" Research suggests imaging centers aren't equal. One 2016 studyin The Spine Journal found wide variation among 10 imaging centers' MRI exam findings of a 63-year-old woman with low back pain. The 10 exams produced 49 different findings, from disc bulges to disc degen- eration to spinal stenosis. None of the reported findings were unanimously re- ported in all 10 examinations. Research- ers also discovered "an alarmingly high number of interpretive errors." Other critics argued the policy takes away patient choice and undercuts a physician's judgment. "They should give the would-be pa- tient and the physician a chance to have a dialogue instead of these one-way rules," said click Gundling, senior vice president of the Healthcare Financial Management Association. Dr. Marc Succi, an emergency ra- diologist and director of the MESH Incubator, a technology incubator at Massachusetts General Hospital, said policies that push patients to providers that aren't integrated with the hospital could make it difficult for a doctor to get a full picture of a patient's health. "We don't have good ways to measure the quality (of imaging), and until we do that, this method could verywell be penny-wise and pound -foolish —or not. We just don't know." Leah Binder CEO Leapfrog Group "We get CDs missing half the imag- es from all these outpatient centers or other hospitals that are not part of our system," he said. "Tire technology is not quite there.... Asking patients to go get their CDs from outpatient centers is not efficient and not good continuityof care." Succi also said patients sometimes have complications during imaging, such as a reaction to contrast, a dye used for some MRIs. In those cases, it helps to be in a hospital setting where help is 30 seconds away, he said. Cigna said it would continue to allow services to be performed at a hospital when a patient's condition warrants it. It would consider high-tech imaging in a hospital -based facility to be medically necessary if a patient has a known aller- gy to contrast that is going to be used, or when the patient is under 10 years old or is pregnant and requires obstetrical ob- servation or perinatology services. The insurer also makes exceptions for when imaging is related to a trans- plant, or when there are no appropriate alternative sites available for the pa- tient to receive imaging. It would cover pre -operative imaging that is integral to a surgery or other procedure being performed at a hospital, or if imaging outside of a hospital is expected to ad- versely affect or delay care, for instance. Beyond MRIs and C'r scans, the pol- icy also applies to magnetic resonance angiography and CT angiography. It does not apply to X-rays or mammography. The policy could exacerbate the fi- nancial woes of hospitals, which strug- gled with lower -than -normal patient visits during the early months of the pandemic when providers postponed nonurgent procedures. Hospital radiol- ogy departments saw a decrease in the number of patients receiving MRIs, CT scans and other imaging services. His- torically, radiology has been a money- maker for hospitals. "It's just one more difficult thing;" Gundling said. 'Anything that puts a block in front of the patient's and hospi- tal's relationship, it's never a good thing for the patient or the hospital." According to a study by researchers at NewYork-based Northwell Health, total imaging volumes at the health system decreased 28% over a seven -week pe- riod during the pandemic, compared with the same period in 2019. At its worst, volumes fell 88% in outpatient settings, while the number of MRIs de- livered fell as much as 74%. There is no data showing how insur- ers' imaging site -of -care policies have affected hospital finances or patient care. Keysor said the American College of Radiology hasn't received calls from hospitals about their volumes dropping significantly due to these policies. But Brian Tabor, president of the In- diana Hospital Association, said An- them's policy, which has been in effect for a few years in the state, has created problems. 'Anthems policy created disruptions in scheduling, often resulting in repeat or canceled visits or procedures" he said in an email. 'A canceled operating room visit, for example, not only delays care for that patient but it also limits ac- cess for another patient who could have been scheduled. hi addition, patients are sometimes sent to low -quality imaging, which presents problems for the diag- nosing physicians and their patients,' HCA returning $6 billion in C®VID-relief funding By Tara Bannow HCA HEALTHCARE plans to return all of the $1.6 billion in federal COVID-19 reliefgrants it received as well as $4.4 bil- lion in Medicare accelerated payments. Nashville -based HCA fared well during the pandemic. The for -profit hos- pital chain said it took a conservative ap- proach early on that is now allowing it to return all the Provider Relief Fund grants it received through the CARES Act. HCA would have been required to repay the $4.4 billion federal loan it re- ceived in the form of Medicare accel- erated payments, but it appears to be doing so much sooner than required. Congress recently approved relaxed re- payment terms that give hospitals more time to repay the money. 'As the initial immediacy of the emer- gency has passed, and with more infor- mation, and more experience managing our operations during the pandemic, we believe retumingthesetaxpayer dollars is Isolation taking a toll on nation's elderly By Ginger Christ STRICT VISITATION RULES imple- mented by nursing homes appear to be taking a toll on patients, creating a big- ger chasm between residents and the outside world and their family, friends and loved ones. "Hearing an elder say they feel like they are in prison is heartbreaking. We need to change this," said Sarah Slo- cum, co -director of Altarum's Program to Improve Eldercare. For months, nursing homes have restricted visitation and activities of residents in nursing homes, following CMS repayment terms CMS last week detailed its timeline for providers to repay Medicare loans from the Accelerated and Advance Payment Program after Congress loosened the loan terms. Repayments start one year from the date of the accelerated or advance payment. Medicare will automatically recover 25% of Medicare payments during the first year of repayment; that will climb to 50% for the six months following the first repayment year. After that, CMS will send a letter requesting the remaining balance. appropriate and the socially responsible thing to do," HCA CEO Sam Hazen said in a statement. "Our focus will remain on supporting our patients, employees and CMS guidance to limit the spread of COVID-19 among a population that is extremely vulnerable to the virus' effects. CMS on Sept. 17 revised its nursing home visitation guidance, recommending outdoor visitation whenever possible and limited indoor visitation, citing the effects that isola- tion was having on residents. A survey Altarum conducted among nursing home residents found that 76% of respondents feel lonelier under COVID-19 restrictions, and 64% said they don't even leave their rooms to socialize with other residents. Even before the pandemic, loneli- ness and isolation among the elderly were big problems in the U.S., said Dr. Eric Rackow, co-founder of eFam- ilyCare, a digital platform for family caregivers. A survey by the AARP Foundation physicians and continuing the vital role we play in the communities we serve:' HCA also released a preview of its thud -quarter financial results, showing income before income taxes of about $950 million compared with $979 mil- lion in the prior -year period. Revenue is expected to be $13.3 billion, up from $12.7 billion in the thud quarter of 2019. HCA expects its adjusted eamings before interest, taxes, depreciation and amortization for the third quarter of 2020 will be about $2 billion, compared with $2.3 billion in the prior -year period. Same -facility admissions are expected to fall by 4% year -over -year in the third quarter, and same -facility equivalent admissions are expected to drop 9%. Same -facility emergency department visits are expected to drop 20%. HCA said it expects its same -facility revenue per equivalent admission to jump by about 15% in the third quarter year -over -year, which the company attributes to higher patient acuity and a favorable payer mix. HCAs profit jumped 38076 year -over - year in the second quarter of 2020 to $1.1 billion, even during a quarterwhich elective procedures were largely shut down on the front end. s and United Health Foundation found that among adults 50 and older who reported experiencing social isolation during the pandemic, 50%felt less mo- tivated, 41% were more anxious and 37% felt depressed. Concerned by the toll the pandemic was taking on residents, nursing homes and other long-term care facilities have organized outdoor visits, set up video calls and even held drive -by parades to connect people with their loved ones. Friendship Haven in Fort Dodge, Iowa, employs 16 companions to so- cialize with its 110 residents. Compan- ions are typically high school students or early retirees who visit residents and. keep them company. "They've just been lifesavers;' said Julie Thorson, CEO of the long-term care facility. "During the pandemic, they have really been in- strumental in combating loneliness." • 8 Modern Healthcare I October 12, 2020 By Steven Ross Johnson n the rural community of Fort Payne, Ala., much of the local economy is driven by a handful of large companies that serve as both the major employer and the source of healthcare coverage for a large proportion of the towns 14,000 residents. Many families with employer -backed health insurance bringtheir children to Fort Payne Pediatrics, an eight -clini- cian, 6-year old medical practice. But what sounds like an almost ideal situation for a rural community and its patients and providers is actually be- coming financially difficult. Dr. Peter Strogov, owner and medical director of Fort Payne Pediatrics, said his practice is often patients' first point of care, meaning they likely still have a large deductible amoumto pay. "A company often pays the entire premium for health insurance, which comes with a very high deductible," Strogov said. "The entire cost of the visit (or subsequent follow-up visits) is being charged to the patient's deduct- ible and these patients are held responsible for the cost of their entire visit to our practice." As a result, residents are less likely to get needed care and when they do get it, are less likely to pay than their insurer is. Strogov re- called a recent case where his staff sought to find a be- havioral healthcare provider whose services were better covered under a patient's health plan. Fort Payne offers mental healthcare treatment, but the patient's plan would have required them to pay the full cost of a visit. "The closest qualifying mental health facility was over two hours away," Strogov said. "When the patient As deductibles grow, an increasing number of patients are unable to pay their rising out-of- pocket health costs, adding to rural healthcare providers' financial instability. called for an appointment, they were informed that they could potentially be responsible for up to $2,000 out of pocket for their first visit" Similar scenarios have occurred throughout the country in recent years as rising deduct- ibles have forced a growing number of patients to pay a larger share of their medical expenses upfront. A 2019 analysis by the Kaiser Family Foundation found the average deductible for employer -based health plans for a single person rose about 150% to $1,350 in 2018 from $533 for a single person in 2009. The rise means it takes 16 Modern Healthcare I October 12, 2020 n.oes8:.. Nureln9 MidMichigan Health's telemedicine program enables experts from Its parent, University of Michigan Health System, to collaborate remotely with patients and their care. teams, which has served to reduce transfers away from the rural healthcare provider. longer for individuals to meet their deductible before they can receive first -dollar coverage. MidMichigan Health's bad -debt level has risen because of the issue, leading the system to devise new bill collection approaches, said Greg Rogers, the system's chief operating officer. The health system, which serves 23 counties in central Michigan, has moved away from ap- proaching patients about their bill during their stay, which Rogers said was not very productive in terms of collections. He said right before or after services are performed have been better times to discuss finances with patients. That has led to the system providing financial counseling atthe front end of service, simplifying billing, and streamlin- ing how patients in need apply for financial assistance. But Rogers attributed a portion of MidMichigan Health's successes in patient collections to the patients themselves as they have become better consumers. The average deductible for an individual ACA health plan purchased through the exchange without cost -sharing reductions was l in 2020 according to CMS' Health Insurance Exchanges 2020 Open Enrollment Report released in April MIDMICHIGAN HUMAN "I think because of their high -deductible plans patients are much more cognizant of what things cost," Rogers said. "We're getting more questions about how much will they be charged." Even before the pandemic struck, rural patients and providers faced uphill challenges because of higher patient cost -sharing. The Affordable Care Act's insurance exchange plans carry high out- of-pocket health costs. The average deductible for an individual ACA health plan purchased through the exchange without cost -sharing re- ductions was $5,316 in 2020, according to CMS' Health Insurance Exchanges 2020 Open Enroll- ment Report, released in April. Nearly all hospitals' bad debt has risen to some extent because of unpaid patient bills, but the increased cost burden on patients has been especially hard on rural providers. "Ifyodre transferred to a tertiary facility and the total reimbursement for a procedure from start to finish is October 12, 2020 1 Modern Healthcare 17 $100,000, incidents of a $5,000 or even $10,000 deductible in the face of a claim that size is not nearly as significant as ifyoure indebted to a rural hospital and that $5,000 or $10,000 happens to be the total sum of the stay,' said Brock Slabach, senior vice president for member services at the National Rural Health Association. A survey conducted in 2019 by the Robert Wood Johnson Foundation and Harvard T.H. Chan School of Public Health found 4 in 10 Americans living in rural areas reported prob- lems affording medical bills, with nearly half stating they were unable to pay off an unexpected expense of $1,000. Yet ruralhealtheare facilities often take on most or even all of the debt caused by a patient's inabilityto pay their deductible. "Personal healthcare expenditures have just tanked," said Sayeh Nikpay, associate professor in the Uni- versity of Minnesota School of Public Health's Mo health policy and management division. Ruralproviders canface challengeswhen theybill insurers for patients who are covered by high -de- ductible health plans who later receive advanced care elsewhere. The lions share of a rural provid- er's expenses is applied to the patient's deductible. If a patient is then transferred to a larger facility, much, if not all, of the patient's deductible is con- sidered to have already been met by the bills from the rural provider, even if they have not been paid. As a consequence, larger hospitals are left to receive first -dollar coverage from the insurance companies while rural providers must contend with trying to collect on bills fromvulnerable patients. "If I only have $1,000, and I have a deductible of $2,000- plus, I'm already upside down," said David Shelton, CEO of hospital revenue operations consulting firm PatientMat- ters. "The healthcare provider group, once those services have been performed, can sometimes find themselves on the bottom ofthe food chain on the opportunityto getpaid." Rising deductibles have contributed to the overall rise in hospital bad debt, which grew about 10/6, or $617 million, between 2015 and 2018 to total more than $56 billion, ac- cording to a 2019 Healthcare Financial ManagementAsso- ciation benchmark analysis. Slabach said bad debt has only added to the mounting financial pressure rural hospitals have experienced for years. More than 130 rural hospitals have closed since 2010, according to the NRHA. As of September, at least 15 rural hospitals have shut down in 2020, according to analysis from the Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill. Nearly half of all rural hospitals have negative margins. In the South, Sla- bach said, bad debt at some rural hospitals can be as high re th rural hospitals have closed since 2010, according to the NRHA As of September, at least Rural, urban bad -debt differences Median bad debt as a percentage of total operating expenses,2018 Critical -access hospitals Other rural 1.86% Urban 1.24% i Overall 1.64% Source: Modern Healthcare analysis of acute -care and critical -access hospitals from CMS cost reports an as 10% to 20% of net revenue. "Those numbers are extraordinary and not really helpful when it comes to trying to make ends meet," lie said. The financial struggles of many rural patients coping with higher deductibles present healthcare providers with limited options to collect reim- bursement for their services. "We can write off the balance as bad debt, put a payment plan in place that could take months or years to recoup, orsend the debtto collections," Stro- govsaid. "In the spirit of balancing our patientneeds rural hospitals and financial well-being with keeping the practice have shut down doors open, we, often take the payment plan option in2020 to recoup atleastsome of tile outstanding debt." Dan Hobbs, senior consultant for revenue cycle at healthcare consultancy QHR Health, said the decline in patientvolumes due to COVID-19 has also led to a slight dip in the amount of bad debt rural providers have incurred during the pandemic. "I thinkwe'll see bad debts increase to pre-COVID-19 levels in a couple of months," Hobbs said. But some providers have seen a different trend during the pandemic. Cullman Regional Medical Center's bad debt rose in the past few months as businesses cut the work hours of many of its employed patients, said Gene Lee, executive director of revenue cycle at the hospital owned and operated by the Health Care Authority of Cullman County, Ala. Experts said the declines in patient volume coupled with rising bad debt were likelyto create an even more uncertain rural healthcare landscape. They feared such economic conditions could accelerate hospital closures or lead to a newwave of consolidations by larger providers. "These hospitals had preexisting conditions," said Da- vid Mosley, partner with global healthcare consulting firm Guidehouse. "We've seen rural hospitals recover at a slower (pace) than many of the acute -care hospitals. e I think we'll see bad debts increase to pre-COVID-19 levels in a couple of months." Dan Hobbs, senior consultant for revenue cycle at healthcare consulting firm QHR Health 18 Modern Healthcare I October 12, 2020 Memorial Medical Center Financial Report For the Month of: September 2020 Overview: In September 2020, we had a Net Loss of $63,494 compared to a Net Income of $266,352 in August and $153,393 Net Income in September 2019. With September's Net Loss of $63,495, our YTD Net Income decreased to $249,230. The loss was driven by the issuance of new guidance for Stimulus funds in September. Updating to the new guidance resulted in MMC lowering Stimulus revenue recognition YTD by $531,969 to $1,011,075. This results from: 1. Change in calculations from lost revenue being calculated based on net patient revenue and COVID related expenses to 2020 operating income compared to 2019 operating income. 2. With the methodology change, 340B Revenue and Nursing Home QIPP revenue is now included. 3. Also changed to calendar year comparisons. For MMC, backing up the starting point to January instead of March had an unfavorable impact. For MMC, Jan & Feb of 2020 out performed Jan & Feb of 2019, 4. September 2020 also out performed 2019 which lowered the amount of revenue recognition. Without the impact of the lowering of the recognition of Stimulus funds as revenue by $531,969, MMC had a very positive September. With adjusted Stimulus funds allocation to clinic operations, Clinic(s) have a YTD Net Loss of $346,932. Our EBITDA (Earnings before Interest, Tax, Depreciation and Amortization) is a gain of $38,181 for September 2020. Statistics: September Highlights on Volumes: Key volumes in September 2020 as compared to September 2019 include: Statistic September 2019 September 2020 Over (Under) % of Change Daily Census 14.3 10.3 (4.0) (29%) ER Visits 774 644 (130) (16%) Outpatient Visits 1,386 2,061 675 30% MMC Clinic Visits 2,552 2,435 (117) (4%) Surgery 112 92 (20) (15%) Imaging 1,532 1,377 (155) (10%) Laboratory 36,384 35,698 (686) (2%) Rehab — OT PT ST 1 1,494 Self -Pay Revenue % 17.9% Balance Sheet Highlights: 16.4% ASSETS Bank Accounts Cash and Investment balances ended the month at $7,242,960. The hospital's operating balance is $6,722,301 compared to $8,547,145 at the end of August. Days Cash on Hand decreased to 79.8 days compared to 116.7 days of cash in August. September's cash decrease was driven by distribution of stimulus deposit of $1,485,050 for nursing homes. The nursing home stimulus was in our cash at the end of August and distributed to facilities in September. Accounts Receivable Patient Accounts Receivable balances are $13,467,780 for the hospital and $441,861 for the clinic. Hospital AR decreased by $97,340 and clinic AR increased by $20,550. Net AR combined is $3,461,878, which increased by $326,122 from August. Accounts Receivable — Other The balance in Other A/R is $6,332,894, an increase of $558,484. This increase was driven by amounts expected under QIPP program. Accounts Receivable Nursing Home The nursing homes ended September with $13,365,735 in receivables. LIABILITIES Accounts Payable The balance in payments due to vendors and accruals at the end of the month decreased by $1,092,315 to $1,530,564 compared to $2,622,879 at the end of August. Accounts Receivable Est. 3'd Party Paver Settlements Our books reflect a net due to third party payers of $6,091,925. Medicare Cost Report Payable 2019 $ 52,007 Est. Payable by MMC remaining for 2019 before Audit Adj Medicare Receivable 2020 $(1,157,184) Estimated Due MMC so far for 2020 Payable Medicare Advance 2020 $ 3,756,554 Advance payments received. Payable by claim withholding starting in August. Est. 9-12 months to pay back. Payable Unearned Stimulus Funds 2020 $ 3,437,407 Stimulus Funds received, but not yet recognized as revenue. Payable Unearned Grant Funds 2020 $ 3,141 Grants received, but not yet recognized as revenue. 925 Due to Calhoun County The balance due to Calhoun County is $500,000. Due to Nursing Homes The balance due to Nursing Homes decreased to $14,606,888. Accrued Expenses We carried accrued payroll and benefits payable to hospital employees totaling $1,410,778. Accrued Intergovernmental Transfers IGT liability is $913,004 at the end of September. Leases Payable The hospital has $781,750 in capital leases total both long term and short term. Long-term portion also included below. Long Term Debt, Net of Current: The total is $5,362,527. This consists of $4,731,148 in Pension liability and $631,379 the long-term portion of leases. Current Ratio The ratio between our current assets and current liabilities is 1.30 at the end of September. This is lower than our benchmark of 2.3 Income Statement Income Statement: Gross patient revenue for hospital and clinic in September was $6,211,131, which is an increase of $691,598 from August, and $32,913 increase over September 2019. Medicare payer mix increased from 39.0% in August to 42.6% in September while Self -Pay percentage of revenue increased from 15.0% in August to 16.4 % in September. Revenue Deductions in September were at 52.8% compared to 57.9% in August. Comparing September 2020 to August 2020: Total Operating Revenue September 2020 as compared to August 2020; was up by $584,146. This is due to the following: • Overall Patient Revenue was up $691,598 or 13%. o Self -pay revenue up $179,802, Percent wise increased from 15.0% of revenue to 16.4% of revenue. • Overall Deductions were up $86,444 o Contractual was down $444,674 o Charity was up $672,386 • Bad Debt was down $152,173 ■ Net Charity and Bad Debt was up $520,213 o Indigent was up $150 • Other Operating Revenue was down $21,008 o 340b was down $10,714 Total September expenses (excluding nursing home) were up from August by $289,039. This was driven by: • Salary expense was down $42,767 (EIB usage down, Overtime down) • Benefits and PR Taxes expense was up by $7,816 • Professional Fees was up by $55,390 (Clinic prof fees up by $46,268 and Anesthesia subsidy up by $11,959) • Purchased Services was up by $96,346 (Lab $53,856, clinic $17,013, dietary $11,171.) • Supplies were up $98,029 (Lab $63,886, surgery $21,630, drug costs $6,959) • Insurance was up $6,637 • Utilities was up by $68,323. (Water bills underestimated during non -billing period by city, under accruing of electricity cost with changeover of electricity providers) • Other Expenses was down by $16,676 (Mostly lower Covid-19 expenses) • Depreciation was up by $15,950. Comparing September 2020 to September 2019: Total Operating Revenue September 2020 as compared to September 2019; was up by $319,670. This is due to the following: • Overall Patient Revenue was up $32,913 or 1%. o Self -pay revenue down by $84,679, as a percent of revenue down from 17.9% of revenue to 16.4%of revenue. • Overall Deductions were down $484,211 o Contractual was down $471,512 o Charity was up $672,386 ■ Bad Debt was down $152,173. • Net Charity and Bad Debt was up $520,213. o Indigent was down $15,968 o DSH/UC/DSRIP was up $42,733 • Other Operating Revenue was down $197,454 (mostly 340E revenue) o 340b was down $100,979 Comparing September 2020 to September 2019 September expenses (excluding nursing home) were down from September by $131,273. • Salary expense was down by $35,243 • Benefits and PR Taxes expense was up by $13,862. • Professional Fees was down by $19,048 • Purchased Services was up $77,744 • Supplies was up $39,924 • Insurance was up $4,506 • Utilities was up by $27,879 • Other Expenses was down $2,065 (COVID related) • Depreciation was up by $23,713 (replaced equipment in 2019-2020) -1- L— C/) -J W E_ •� oo N N 4J Q U 0 C: cu w 4 U O U cn -2- 'n m 'D 0 q q qCJ 1, W "I �P 11 ?TLM, �T-fxr W, > VMMRMF�� Im �MmOftw U11 - �--�nmm , m e� ID eR p P1. P., 11 2 cl� A� Lf) J. O ryoo u m r _ V } o i a Q G-9 m: - � %� .: '✓I I. y •UI O * ^ mild s .s{x :8'.ii •_ rV .-, - f _ G: ai \IJ ff S2 i' c� :. r. -5- c V ti .. r;•3"AS"ailY.ID)2'S`.^.:fil ` 'j I"�I� !y —I U �vSYSYYw wz i.Lkd. r •f, e.. ,i- _ ^ iW, ri , U_ CO Jr • r., r . y 1 r n , . ` U y'� O I+ ti W no i 1 ;.1 ilu F.i�a 1' m ' •: i ai _I ml 1 xry m In a) a .a i _i ; ; �i C 1"• i� x_ 4A f...t r o ;y -1 r fi P•. � 1 ._ vi 1 mj hl 5• 4 V 4� UfJ G _7_ 49 w !F! + $ « � U 2 � k!\ k / a■! -B- ! �\ \ \ � K PH "j,0. / / / � \ \ � ,� Current Period Actual This Budget This Month Month Last Year 1,001,344 1,125,430 1,127,318 3,256,346 3,736,910 3,173,419 1,953,441 1,793,564 1,877,482 4,600,312 4,808,662 4,809,436 10,811,443 11,464,566 10,987,654 2,364,064 3,055,284 2,835,575 849,298 1,026,778 313,201 4,867 - 20,835 (245,599) (184,745) (288,331) 309,479 218,868 885,041 3,282,110 4,116,185 3,766,321 7,529,333 7,348,381 7,221,333 45,592 181,091 243,047 7,574,926 7,529,472 7,464,380 Current Period Actual This Budget This Month Month Last Year 930,571 1,006,648 965,814 334,803 348,390 320,940 446,534 550,347 465,583 412,511 329,910 334,767 323,806 338,745 283,882 9,747 4,000 5,241 91,928 53,485 64,049 80,001 90,666 82,066 4,826,740 4,903,708 4,910,719 7,456,641 7,625,899 7,433,061 102,675 92,015 78,962 7,559,317 7,717,924 7,512,023 15,609 (188,443) (47,643) 3,010 1,225 992 (3,000) (3,283) (2,522) 250 (531,969) - - 452,856 198,584 202,567 (79,103) 196,776 201,036 Memorial Medical Center Income Statement - Combined For the Month Ended September 30,2020 Revenue-� Inpatient Revenues Outpatient Revenues ER Revenues Resident Revenues Total Patient Revenue Revenue Deductions Contractuals Charity Indigent Care DSH/UCC/DSRIP Bad Debt Total Revenue Deductions Net Patient Revenue Other Operating Revenue Year to Date Actual YTD Budget YTD Last Year YTD 8,620,608 10,128, 874 10,396,502 27,106,034 33,632,193 31,345,304 15,042,648 16,142,073 17,355,553 43,370,701 43,277,956 39,877,974 94,139,990 103,181,097 98,975,332 25,090,581 27,497,553 30,046,152 6,111,842 9,241,001 8,458,841 106,828 216,389 (2,377,705) (1,662,701) (2,442,159) 2,269,428 1,969,812 2,894,095 31,200,975 37,045,666 39,173,318 62,939,016 66,135,431 59,802,014 1,462,806 1,629,815 2,099,011 Total Operating Revenue 64,401,822 67,765,246 61,900,025 Operating Expenses Salaries & Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Other Expenses Nursing Home Fee Total Operating Expenses Depreciation Yearto Date Actual YTD Budget YTD Last Year YTD 8,619,499 91059,836 8,528,095 2,917,321 3,135,507 2,674,850 4,004,530 4,953,120 4,029,401 9,029,056 2,969,191 2,966,420 2,370,213 3,048,708 2,641,698 50,387 36,000 44,362 440,073 481,367 486,342 864,414 815,995 770,755 44,407,397 44,133,368 40,579,509 66,702,890 68,633,092 62,721,434 795,254 828,138 737,218 Total Expenses 67,4980143 69,461,229 63,458,651 Net Operating Income / (Loss) rNon Operating Income / (Exp) Investment Income Interest Expense Contributions and Grants Stimulus Funds IGT Expense Service Contribution by SOSEL Nursing Home Program Total Non -Operating Revenue (3,096,322) (1,695,983) (1,558,627) 31,915 11,025 9,692 (28,520) (29,550) (24,300) 257,690 2,250 1,011,075 - - 2,073,392 1,787,258 1,546,717 3,345,551 1,770,983 1,532,109 (63,494) 8,333 153,393 Total Net Income / (Loss) -1- 249,230 75,000 (26,519) Memorial Medical Center Income Statement by Operating Unit For the Month Ended September 30,2020 Revenue Current Period Year to Date Nursing Nursing Hospital Clinics Homes Combined _._ Hospital Clinics Homes Combined 1,001,344 - 1,001,344 Inpatient Revenues 8,620,608 - 8,620,608 2,759,994 496,352 - 3,256,346 Outpatient Revenues 22,663,505 4,442,528 - 27,106,034 1,953,441 - 1,953,441 ER Revenues 25,042,648 - 15,042,648 - 4,600,312 4,600,312 Resident Revenues - 43,370,701 43,370,701 5,714,779 496,352 4,600,312 10,811,443 Total Patient Revenue 46,326,761 4,442,528 43,370,701 94,139,990 Revenue Deductions 2,413,088 (49,024) - 2,364,064 Cantwctuals 23,122,908 1,967,673 - 25,090,581 828,172 21,127 - 849,298 Charity 5,983,370 128,472 - 6,112,842 4,867 - - 4,867 Indigent Care 106,161 668 - 106,828 (175,177) (70,421) - (245,599) DSH/UCC/DSRIP 11,743,914) (633,791) - (2,377,705) 309,479 - 309,479 Dad Debt 2,269,428 2,269,428 3,380,428 (98,319) 3,282,110 Total Revenue Deductions 29,737,953 1,463,022 31,200,975 2,334,351 594,671 4,600,312 7,529,333 Net Patient Revenue 16,588,808 2,979,SD7 43,370,701 62,939,016 49,931 (4,338) - 45,592 Other Operating Revenue 419,200 1,043,606 - 1,462,806 2,384,282 590,332 4,600,312 7,574,926 Total Operating Revenue 17 008,008 4,023,113 43,370,701 64,401,822 Current Period Hospital Clinics Combined 781,134 149,437 - 930,571 282,273 52,530 334,803 205o383 241,152 - 446,534 370,837 41,675 - 412,511 301,765 22,041 - 323,806 9,747 - 9,747 91,928 - 91,928 35,463 44,539 - 80,001 4,826,740 4,826,740 2,079,529 551,372 4,826,740 7,456,641 Operating Expenses Salaries & Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Other Expenses Nursing Home Fee Total Operating Expenses 86,675 2,165,204 16,000 567,372 4,826,740 1D2,675 7,559,317 Depreciation Total Expenses 219,077 22,960 (226,428) 15,609 Net Operating Income (Loss) Nan Operating Income 3,010 - - 3,010 Investment Income (3,000) - - (3,000) Interest Expense - - Contributions and Grants (531,969) - - (531,969) Stimulus Funds - - - - IGT Expense - - - - Service Contribution by SOSET 452,956 452,856 Nursing Home Program (531,959) 452,856 (79,103) Total Non -Operating Revenue (312,882) 22,960 226,428 (63,495) Total Net Income /(Loss) Hospital Year to Clinics Date Nursing Homes Combined 7,248,856 1,370,644 - 8,619,499 2,452,598 464,723 - 2,917,321 1,995,001 2,009,529 - 4,004,530 2,710,359 318,697 - 3,029,056 2,231,021 139,192 - 2,370,213 50,397 - - 50,387 440,073 - 440,073 532,005 332,410 - 864,414 44,407,397 44,407,397 17,660,298 4,635,195 44,407,397 66,702,890 651,254 144,000 - 795,254 18,311,552 4,779,195 44,407,397 67,498,143 (1,303,544) (756,082) (1,036,696) (3,096,322) 31,915 - - 31,915 (28,520) - (28,520) 257,690 - - 257,690 601,925 409,150 - 1,011,075 2,073,392 2,073,392 863,010 409,150 2,073,392 3,345,551 (440,534) (346,932) 1,036,696 249,230 O m� o m m y 00 b b O b h M m m ao n ym�cm v � o�rv'm vO1i E 'b tti .7 oai sr u; v o rh m S w d m 'm rY r'1 LYI �-1 Q O 6 N v ry d Lr1 VI N n P vL O W N La m N ONi m N n n T n m r" m"v Nro r '^ rovi a'e Q ttl ei Cr O Q N N e mrnio n N$c m �, m r ri tti .i �, ai Lry tti rri ei ttl 'I V O ^ rvf rl ey e d� m m LMd m b m ry m N Lp b V1 W b N m d vi r o d ti ai v rri m n .i e r Ln � m c n 0 a M m m rMrl m V m m N W a n W b b ro o m m m `r m pf t v m v N m O u m m M ry ri vi d ry p mM1 Lp O O m R m R T O dpi V O Q W M T W Vn1 n� i ry .i M M o m Q m m m i' ra. vi rri fWV n W W N ¢ T fU)V N N rti C O ti LMV one vO1i'�L$�m O` e 2 m n C M Vf sF yr N n C N M 1p W Ot A O N N d ti M N V' O Ua, M b b b o m m m ae 2' rv�on rrv� ZaLr 6.6 g W n n Ol M q O al b N mb ry W.+obmn man o vL ao ry mrvmm,-� W n.r W m O 0 M o m v n n mry b .-gym a.+b nm moo.+ W r mm ry nom.+o arvov v n mb M y W W mmmnmoh La bf N Q rV\' E. O O LO N T m O VJ U) N m M er er N OL W N vl a, 1/1 N a aL m P tl' T W V M L r r a a'r r m O Gml O b% R IWtl n� 0 h H N N i ri vi p mLe 'i b aa'm rMim rmi m m� rnLO o "°o nmmmmry n o ,+mmaLOa am�ri ..b 6 iO 0ivn arnm ipm m aiM anL� ' N O W O W 1n0 � N M n! O eI n d1 m N al a1 mmr m T ryAN ri vi m VOL.+a ti � m n n m o W e WLQ m0�n n r°g LmdmmpMan .n-� m L`an mo Lo m m c La of OI rq C4 W LD W W 40 W Ol Z g Lai. m o ro n Wq 5 m m v m m b b N m o nc m N u N e W V m m m e o e a ° 'T e r M=Lri o O a m o o Loo y R . m .m E m d T m O O b m m N N 0 au �, tti LNII J m La a riM vLo m m 6 0 a V O O m 0 N � N rtl O m o m M e�� d .n. a P= mO1 N o � LL M m ti n 2'm e a MEMORIAL MEDICAL CENTER ACTUAL TO PRIOR YEAR COMPARISION YTD ALL DEPARTMENTS _ 9/30/3020 REVENUE EXPENSES DEPARTMENT pEPTH WD PRIOR—YEAR VARIANCE %VARIANCE YTD PRIORYEAR VARIANCE %VARIANCE OBSTITFRICS 001 103,322 100,53E ,jP 2,790 2.8% 538,227 584,456 4G 329 -7.9% NURSERY 0tl6 100,919 92 832 -+ 8,087 8.7% 47,879 43,997 3,88E 0.8% LABOR/OElIVE0.Y O10 623,863 718,302 (94,4391 -13.1% 30,932 18,545 12387 66.3% Total N 828,109 933,66fi `ry 183,56E -9,2X 616,938 646,998 b 30,050 -4.6% MEp/SURG 002 838 6E2 1,006,189 1247,5661 -22,0% 1.252.738 1,277,305 ,W% (24,SG71 4.9% ICU 005 567,300 553.350 r 13,950 2.5% 547,957 698,954 1�1 (90,99) •8.5% SWINGBEO O33 226,800 361,200 141 1234,400 -37.2% 2,520 3,080 u 560) -181% OBSERVATION 009 903490 1,050,840 4 (147,350 -14.OY. `jI 0 EDIV/01 Total 2,536,212 3,051,578 k& 515,366 46.9Y. 11803,235 1,879,339 4A 76,L24 -4.]Y. SURGERY 007 2 583,149 3,09G,747 (503,603 -16.3% 774,989 905,32E •E` (330,333 -14.4% RECOVERY ROOM 000 407823 605,067 19, (19),240. -32.6% 12,770 26,698 r' 13,928) -52.2% ANESTHESIA 040 501149 620,437 (117,280 .18.92E 327,970 366,847 � 38,877 40,6% Total 3,499 126 4,312,251 d4 "18,135) 1,115,729 1,298,867 �Q• (183,1381 •m.1% CENTRAL SUPPLY 012 113,060 165,G77 �, 51,817) -31.3% 130.712 118,434 ^� 12,270 10.4% IVT14ERAPY 013 21386,213 2,7a,569 y (327,354 49.12E 61,000 110,084 F 49094 •44.6% EMERGENCY ROOM BIG 6.092.688 7,552,130 �, 1,459,44E -19.3% 1,839.613 1,787,931 `$ 52.18E 2.92E SPECIALTY CLINIC 017 1,634 2,28) y 653 48.6% 71,573 60,303 Qr 5,270 7.9% WOUND CARE CLINIC Big 538020 676519 y 15&498) •23.4Y 130,300 177,875 r 67575 -38.0% LABORATORY 020 10,308,720 10,595,308 286 588 -2J% 2,066,396 1,722,279 $r 144,117 8.4% BLOOD BANK 0E4 480,282 451,926 r 28,35G 6.3% 99,387 91,142 `� 7,245 7.9% HOSPITALIST tlE6 185,660 226,353 y (40.693 -18.0% 333,7)5 322,342 11,433 3.5% INFUSION CLINIC 025 273,820 467,936 (194,116 42.5% 41096 4.640 (5481 -11.9% 01O MEDICAL ENGINEERING 029 ? U RDIV/0E _ 67,056 74,211 a 17,155) 4.6% CARDIOLOGY 030 506.915 630,486 123,571 4%6% 456 1,144 Gas -60.1% Total 19.867,814 22,482,190 2,624,376 -12.6% 4,583,364 4,475,889 `V 107,475 2.4% DIAGNOSTIC IMAGING 031 1,834,402 2,139010 `Br 304,000 -14.2% 695,586 734,937 39.351 -5.4% NUCLEAR MEDICINE 032 185,244 214,209 28,905 -13.5% 40,676 29,032 ,& ll.644 40.1% ULTRASOUND 033 1 147.759 1,298,721 (00,902 -12.6% 8,934 7,859 3,U60 .% CTSCANNING 039 1666,109 ]449359 `y 503,350 -7.8% 90,761 98,12E t 361 -1Ari MAMMOGRAPHY 035 163,550 219.813 56263 •25.6% 44,553 46,095 2,458 5.32E MRI 036 2.072.504 2,603,353 ^Ij 530,8491 -20.4% 86.693 82,448 `V 4,245 5.1% Total 12,269,568 13,924 465 J1,6541B97 41.9% 977,203 998ASO ,17. 21,285 .2.1% PHARMACY 038 3,213,05G 4,039,623 S^ 826,5671 -20.5% ]51,]5) 695,487 MEMORIAL MEDICAL CLINIC 041 1.770,752 2,815,334 (1,044,582 -37.1% 2,520,607 3,939,077 `ti` (1,418,390 -96.0% MMC CLINIC IS 042 417,224 377,563 39,66 Y. 30.S NOSPITgLGLINIC 043 810,671 21,212 r•1 709A a59 SURGICALCUNIC 044 11067,632 1,091,117 23,485 -2.2% 190 1981 -100.0% MMC CLINIC -LABORATORY 120 709,840 833,563 (123,723) 65,360 59,449 5.911 9.9% MMC CLINIC. DIAGNOSTIC IMAGE 131 283,91E 580,601 1296,609 .51.17. _ 70,564 66,407 4,157 G.3Y. MMC CLINIC• ULTRASOUND 133 179,242 228,769 49,527) •21.6% Total 81035,105 9,610,219 (2.575.1141 -l6p4%1 3,825,59E 5,138,181 ,{ 11,312,599) -25.S% RESPIRATORY CARE 095 878,732 1,334,883 (456,151 d4.2% 340,960 33] 909 3/ 3,051 0.9% CARDIAC REHAB 046 368,171 523,139 154,561) .29.5Y. 173,793 174,903 (1,110 4.6% OCCUPATIONAL THERAPY 043 463,710 351,737 ^+ 111.973 31.8% 104,862 103,500 1,362 IdY. PHYSICALTHERAPV 050 1,676,413 1,998,013 1321,6001 -36.1% 550,171 483,937 tS, 66,234 117% BEHAVIORAL HEALTH 053 350,844 596,79E (245,9541 -41.2% 333,030 342,034 8.396 -2.5% HEALTH INFORMATION MGMNT 055DIETAR 213,013 239,435 ��+ 6A24 -2.9% 062 100 100 ,y. B 0.0% 501,160 478,955 22.205 4.6% MAINTENANCEI PLANT OPERATED MAINTENANCE/PLANT 062 _ _ 734,721 GR,446 •� 62.27S 9.32E $19 1,682 (1,1631 -69.1% ENVIRONMENTAL ENVIRONMENTAL SERVICES 065 Ofi5 453,543 431.931 21,61E 5.0% SECURITY 068 300,045 104,421 4,424 4.2% QUAUTYA55VRANCE WO 120,90E 94,939 26,043 27.4% UTILIZATION REVIEW 072 56,423 54,784 1,699 312E INDIGENT CARE PROGRAM 074 19037 12,067 'y 6,9%0 57.82E DISASTER RELATED EXPENSES 0]5 307,819 `a 307,019 IIDIV/01 PATIENT FINANCIAL SERVICES 076 638,877 545,325 ` 95,552 17.22E PFS -REGISTRATION 078 _ 122,797 1E6,15G r 3,359 72.]2E INFORMATION TECHNOLOGY BOB 3Z5,296 348,883 `'. 23,SSI -6.8% NURSING ADMEN 082 145,790 150,457 •- 4,667) -3.1% INFECTION PREVENTION Oas 89,369 70.176 W 19,193 27.3% EDUCATION Oas 509 6,613 (6,024) -91.1% ACCOUNTING OBB 255,762 232,511 23.251 10.0% ADMINISTRATION BUSINESS DEVE 90&091 67,712 792,28E I1sa,srol •-39.5% HUMAN RESOURCES 093 , ,) 38.2%, OTHER EXPENSES (2) 324 3,307,345 1,869,650 `$ 1,43%,687 76.9% TOTAL 50,769,289 59,09I,358 8 328,069 22i2951493 22,141,924153.519 Amount Pcr Finenclals 50,769.209 59,097,35E 22,295,493 22,141,924 YaAeoCo Q:',G MEMORIAL MEDICAL CENTER ACFUALTO BUDGET COMPARISION YTO _ ALL DEPARTMENTS 9/30/2020 REVENUE EXPENSES DEPARTMENT DEPTB YID BUDGET VARIANCE %VARIANCE YTO BUDGET VARIANCE 'A VARIANCE OBSTETRICS 001 103,322 77,216 .Q, 26,107 33.8% 538,127 433,471 104,656 24.1% NURSERY 006 100,919 73,694 27,285 37A% 47,879 16,489 31.394 190.4% LABOR/DELIVERY 010 623,863 416,115 .7, 207,748 49.9% 30,932 170,055 Total 820,304 506,965 261,139 46.1% 616,938 620,011 rN. (3,073) O.5% MED/SURG 002 810,622 597,188 r' 241,435 40.4% 1,252,738 694334 SSR,404 80.4% ICU 005 567,300 312,356 255,944 82.2% 547,957 3901285 1S71672 40.4% SWINGBED 011 226,800 111,563 iP 115,238 1033% � 2,520 OBSERVATION 009 9D3,490 525,000 ry, 378,490 72.1% Total 2,536,212 1,545,106 ,(p 991,106 64.1% 1,803 215 1,084,619 0 718,590 653% SURGERY 007 2,583,144 1,921,500 ry1+ 661,644 94.4% 774,989 570,110 704,87g 35.9% RECOVERY 0.00M 008 007,823 415,625 �� ],802) -1.9% 32,]]a 30,500 2 0 y 27 11.6% ANESTHESIA 040 503,149 337,313 lj, 165,337 49.2% 327970 215,543 112427 52.2% Total 3,494,116 2,674,438 SIP 819,678 30.6% 1,125,729 796,154 4 319,576 40.1% CBNTRALSUPPLY 012 113,860 387,500 (273,640 -70,6% 130,712 123,991 4 6,721 SA% IVTHEMPY 013 1,386,23S BS4,87$ S31,340 62.2% 61,000 86,625 , 25,625 .29.6% EMERGENCY ROOM O35 61092,680 4,070,527 2,022,161 49.7% _ 1,839,613 1031,273 14, 808,341 78A% SPECIALTVCLINIC 017 1,634 ],066 5,432) -76.9% 71,$73 37,708 1� 33,865 89.8% WOUNDCARECUNIC 018 518,020 367,500 (P 150,520 41.0% 110,300 77,997 4 32,403 41.6% LABORATORY 020 10,308,720 6,170,627 „ 4,130094 67.1% 1,866996 1,061,021 141 804,575 75.8% BLOODBANK 024 480,28E 209,125 aD 271,157 1297-A 98,387 48,309 50078 103.7% HOSPITAUST 016 185,660 10%725 rJ• 75,935 69.294 333,775 202,745 131,031 64.6% INFUSION CLINIC 025 273820 157,500 6 110,320 73.9% 4,096 31,744 4h 1,40) -87.1% DID MEDICAL ENGINEERING 029 67056 1,916 65 65,140 3399.3% CARDIOLOGY 030 506,915 345,582 ,{p 161,394 46.7% 456 2,678 dP 12,222) .83.0% Total 19,867,814 12,680,024 ,}}, 7,187,790 56.7% 4,553,364 2,706,705 1,870,659 69.3% DIAGNOSTIC IMAGING 031 1,834,40E 1,201,200 633202 52.7% 695586 S14,127 181,459 35.3% NUCLEAR MEDICINE 032 185,244 144,725 4t 40,519 2810% 40,676 26,129 14,54/ 557% ULTRASOUND 033 1,M7,759 718,112 + 429,547 59.8% 8,934 10,592 11,668) 35.7% CTSCANNING 034 61866,109 3,947276 2,918,833 73.9% 96,762 54,978 y 41,793 76.0% MAMMOGRAPHY 035 163,550 195,515 1& 31,965 4643% 48,553 34,066 13.887 4011% MRI 036 2,072,504 1,947,645 124.859 6.4% 86,693 48,585 38,108 78.4% Total 12,269,568 8,154,473 ,6', 4,115,095 30.5% 977,203 689,076 14, 288,126 41.8% PHARMACY 038 3,215,056 2,969,421 rb 1,243,636 03.1% 751,7S7 454,503 297,254 65.4% 0 MEMORIAL MEDICAL CLINIC 041 1,770,752 1,917,209 (146,457) 4.6% 2,520,687 2,184,339 336,350 15A56 MMC CLINIC FS 042 417,224 1,059,091 12� 641,86]) HOSPITAL RHC 093 810,671 p SURGICALCUNIC 044 1,067,632 787,500 1,% 280,132 35.6% 40 ODIV/01 MMC CLINIC - LABORATORY 120 709,840 525,000 ,� 184,840 39.2% 65,360 38,813'P 46,647 247.4% MMC CLINIC - DIAGNOSTIC IMA 131 283,93E 341,250 1� 57,338) .16.8% 70,564 41,807 20,757 66.8% MARC CLINIC - ULTRASOUND 139 179,242 112,875 il 66,367 58.8% Total 8,035,105 3,689,834 + 4,351,272 118.1% 3,073,835 3,304,049 230,214 .7.0% RESPIRATORY CARE 045 878,732 725,375 tp 1531357 21.1% 340,960 180,338 160,623 89.1% CARDIAC REHAB 046 360,573 169,313 rjn 199,261 117.7% 173,793 106,253 67,540 63.6% OCCUPATIONALTHERAPY 048 463,710 191,100 272,G10 142.7% 104,862 57,500 47,350 82.4% PHVSICALTHERAPY OSO 1676413 1366370 4P 310,043 227%� 550171 309,685 240,486 77.7% BEHAVIORAL HEALTH 053 3SO,844 315,000 35.844 11.4% 333,639 199,334 134,904 67.4% HEALTH INFORMATION MGMNT O55 213,011 196 991 76,020 S5.5% DIETARY 060 300 rG, 100 501,160 289,904 211,257 72.9% MAINTENANCE/PLANT OPERATb 062 734,721 406,350 328,371 8D.8% TRANSPORTATION 064 519 3,596 H, 13,0791 .85.6% ENVIRONMENTAL SERVICES 065 453,543 245,26E 1& 208,281 84.9% SECURITY 068 108,845 49,074 60,771 126.4% QUALITYASSURANCE 070 120,982 54,158 66,824 123.4% UTILIZATION REVIEW 56,483 34,699 21,794 62.8% INDIGENT CARE PROGRAM _ 19,037 23,677 5360 39.2% PATIENT FINANCIAL SERVICES - 638,877 313.797 325,121 1036% PFS -REGISTRATION 122,797 69,461 59 337 93.5% INFORMATION TECHNOLOGY 325,296 208274 '� 117,02E 5612% NURSING ADMIN I 145,790 86,598 59192 68.4% INFECTION PREVENTION 89,369 43,320 46,049 106.3% EDUCATION 589 840 �� 251)M ACCOUNTING 255,762 150,363 `� 105,399 ADMINISTRATION/BUSINES50 63],732 571,595 6G,118HUMAN RESOURCES 30,371 32,936 ,�� (1,5651OTHER EXPENSES 2 902,081 3307,345 I& 3,307,345TOTAL 50,769289 34,943,499 '4` 19,825.790 22187,674 13,211,077 4� 8,976,597Amount per Budget 50769289 34.943,499 22295,493 19,211,078 Varlame (107,819) 1 -5- MEMORIAL MEDICAL CENTER ACTUALTO PRIOR YEAR/BUDGETCOMPARISION YTD OTHER REVENUE AND SUPPLEMENTAL PROGRAMS 9/30/2020 _ REVENUE REVENUE DEPARTMENT YTD PRIOR YEAR VARIANCE %VARIANCE YTD BUDGET VARIANCE %VARIANCE OTHER OPERATING REVENUE 112,419 323,435 ,& (211,016) -65.2% 112,419 81,815.25 4i 30,603 37.4% CAFETERIA SALES 119,129 176,453 (57,324) -323% 119,129 180,000 60,973 -33.8% 340E Revenue 1,231,258 1,598,123 (366,865) -23.0% 1,231,258 1,368,000 q7 136,7421 -10. % 3408 Expense 279,516 295,522 15,996 5.4% 279,516 264,001.50 $ (15,514)J -5.9% 3408 Net 951,742 1,302,611 (350,869) -26.9% 951,742 1,103,999 (152,256) -13.8% DSH Revenue 456,667 777,488 (320,821) -413% 456,667 530,250 173,583) -13.9% DSH Expense 158098 325059 166,961 51.4% 158,098 172777 14,679 8.5% DSH Net 298,569 452,429 (153,860) -34.0% 298,569 357,473 (58,904) -16.5% UC Revenue 1,817,949 2220,729 (292,780) -13.9% 1,817,949 1,520919 iT 297,030 1916% UC Expense S92,788 875,855 ili^ 283,066 32.3% 592,788 656,056.50 sW 63,268 9.6% UC Net 1,225,261 1,234,875 4, (9,713) -0.8% 1,225,161 864,863 M 360,299 41.7% DSRIP Waiver Revenue 1,498 199 1,346,413 ry}, 151,786 11.3% 1,498,199 1,421,412 ry'jl 76,788 5.4% DSRIP Waiver Expense 644,226 591,559 (52,667) -8.9% 644,226 623,806.50 (20,419) -3.3% DSRIP Waiver Net 853,974 754,955 99,119 Lim 853,974 797,605 56,369 7.156 QIPP Revenue(Net) 1,036,696 773,359,A 263,337 34.1% 1,036,696 1,350,567 (313,871) -23.2% 0 Memorial Medical Center Productivity Monthly Totals September•20 Score Mad SurgIICU Nursery/OB Nurse Admin Case Management Infusion Services Emergency Room Risk Management / Infection Prevention / Employee Health Surgery All Nursing Diagnostic Imaging Lab Pharmacy Rehab Services MMC Clinic Clinic PPS Clinics Dietary Environmental Services Plant/Bio Mad Security Admin Fiscal Accl PFS HIM IT Purchasing -CS Indigent Care Target Target Target Target Actual FTE's SM FTE's BM FTE's BM FTE's BM FTE's Goal Min Requirements 90% 82.5% 75% 50% Worked 5 4 3 2 18.82 20.05 20.89 23.58 25.47 to 1 4.04 4.21 4.39 4.59 9.14 0 1 8.42 4.29 5.09 6.02 8.65 3.33 (ej 6 2.95 3.44 3,93 5.15 0.95 @ 5 0.27 0.33 0.40 0.51 0.94 1 8.23 8.57 8,91 9.80 10.35 1 1.48 8.54 1.60 9.54 1.72 10.54 2.31 13.03 0.89 9,28 J 5 4 48.61 52.83 56,79 67.63 60,35 2 11.02 11.53 12.04 14.24 11.25 9) 4 15.68 16,48 17.28 20.91 15.06 ej 5 3.32 3.66 4.00 4.80 3.12 C1•; 5 6.71 6.74 6.77 8.10 7.76 ® 2 36.73 38.41 40.08 48.04 37.19 4 18130 13.05 19.55 14,27 20,79 15.49 24.57 19.60 19.46 11.59 ffi'S 4 5 31.35 33.62 36,28 44.$7 31.05 5 3.33 3.57 3.80 4,69 7.61 1 14.68 15.13 15.5E 17.72 9.55 4�;'.+ 5 4.37 5,05 5.78 7.53 5.20 3 3.14 3.53 3.92 2.01 3.32 (b 4 25.52 27.26 29.08 31,95 25.68 Sg 4 6,78 7.30 7.81 9.48 4.10 Qj 5 3.19 3.51 3.83 6,24 3.00 C(t1 5 16.36 18.56 20.77 26,55 16,25 5 4.06 4.46 4.85 5.98 3.44 i3 5 1.68 2.03 2.38 3.80 1.78 r" 4 2.26 2.64 3,01 4.78 2,48+ 4 1.39 1.39 1.39 1.39 1.39 3 35.72 39.89 44.06 58.23 32.44 Fxxy 5 Covid Related: Door Screeners 4,21 4.21 4.21 4.21 4.21 Totals 182.13 190.43 210.50 254.43 191,77 (fir 4 _7_ J9Productivily Staffingt2020 ReportslNew Productivity Staffing September 2020 8.11 Memorial Medical Center MMC Productivity Year to Date Totals Jan 2020 to September 2020 Mad Surg/ICU NurserylOB Nurse Admin Case Management Infusion Services Emergency Room Risk Management / Infection Prevention / Employee Health Surgery All Nursing Diagnostic Imaging Lab Pharmacy Rehab Services •. MMC Clinic Clinic PFS Clinics Dietary Environmental Services Plantlitio Mad Security Admin Fiscal Acct FPS HIM IT Purchasing•CS Indigent Care Covid Related: Door Screeners Totals Target Target Target Target Actual FTE's SM FTE's BM FTE's BM FTE's BM FTE's Goal Min Requirements 90% 82.5% 75% 50% Worked 18.71 19.96 20.78 23.60 28.37 1 4,25 4.43 4.62 4,83 8.39 1 4.18 4.96 5.85 8.41 4,19 63; 4 2.79 3.25 3.72 4.88 0.91 6O 5 0,37 0,46 0.55 0.72 0.96 1 7.96 8.29 8.62 9.49 10,57 1 1.06 1.17 1.29 1.64 0.72 ( 5 6.90 7.74 8.58 10.69 6.34 3 46.P1 50.26 54.01 64.45 62.45 ® 2 10.47 10.96 11.44 13.53 11.09 3 14.12 14.86 15.60 18.89 14.22 4 3.11 3.42 3.74 4.49 3,34 ftjij 4 5.89 6,18 6.47 7.74 7.64 111 2 33,58 35.42 37.25 44.66 36,29 3 18.28 19.62 20.76 24.53 19.01 4 12.88 14.07 15.26 19AS 12.25 &pt 5 31.15 33.59 36.02 44.02 31.26 Ch 4 3.54 3.79 4.04 4.98 8.04 1 14.76 15.18 15.60 17.61 12.01 V3 5 4.33 5.01 5.72 7.48 4.32 (0,!1 5 3.14 3.53 3.92 2,01 3.52 0 4 25.77 27.61 29.28 32.08 27.89 13 7.07 7.59 8.12 9.79 4.08 (9 5 3,09 3.40 3.71 6.03 2.92 ;3 6 15.73 17.67 20.01 25.60 16.32 l) 4 3.89 4.28 4.66 5.76 3,71 ( 5 1.62 1,97 2.31 3,67 1.93 Q) 4 2.16 2.52 2.88 4.55 2AS GD 4 1.74 1.74 1.74 1,74 1.74 3 35.31 39,37 43.42 57.14 33.15 Q 5 2.78 2.78 2.78 2.78 2.78 174.81 188.92 202.77 245.13 194,73 3 -8- 8.42 8.11 J:1Productivily Staffing@020 Repons\New Productivity Staffing September 2020 2 W.1 Xa b M `e S e-I a°a° 9V a: O Op C N LL LL T T W N M O Q P N I� W m m m N N N O H N V N h h fl b i0 O m O O N N N m N M N W m b M N N N N W N N h N Q W h G O O T N m ei T C F N O N "T n C N W N b M m Q T b bW N E N W V T _mm W M f1 N N o e N 2 E ^ N IIM1f W V O el e'1 N U O N N lL m r n m v v m m ��`l W t0 N p ymj m m O 1M0 1D m Y H'^ 1� ^ h m Q M1 N O V c'1 OO W m N 0 vl F h M N vj Q N .-I T O 'I f W M e1 Ki N W' TI h b O b M p pp T b 4 m m M O W N N N N �1 T O V O U Q LL m p M1 W N v� m O b m O M m e1 h V VI O M1 m N N b Q N O m N m q V 'i rl 40 N ✓1 m N t0 O H P O N T N N T n lW° T m 0 W V Vl M R N N Vj & p p q N N O d O P Q W b 10 N m cl m N N V' rl N M M W •'I N N N N O h N V ri lti ry yl: E F N M pNi tPil tl„ m Ohj _ b Omi m ry �v 10 h _ m N N .-I O rl N `� N ei W V W V� v v `. 22 .Cm M MN W N ° W M S8 8 N O OO P W N Hm N OO O O6 b N N W b N Q Ivl b V N P W P l0 ei V tW0 OO ri 01 O r 1D M IG 01 V h y Imvf M Pi Ohl M O OW1 4 It V W N N O O p d VNi N O N b P Q F N n W m i rl N M N N N V N N M N N N q J W O N 1p ro O « m h O vl W O h N V W m N M tC ei h N O O N N N h ID rl N O h W O N O m W 'a '1 N T W n N N 10 10 q.Qt Imo_m o me v rt mc! m m'o mtM/1 rm1 Im/1 F m N T N N N P N Ivi N N N } m O b O W W m ei O N n< p m �-1 O b T h Q T C M1 N O N T M1 N m Ili Q l0 N N O O N O \O F O ID N N °i OM1i N W W '.j T W ti p 'I 1p h O 10 W N !F Pm' M g h V O OO OO V C °i n P ri O S hb O1 M O O W m M N ei O h N V 10 N m m b m O O m Q W M1 O N 4 W' rj IT I!1 m rl O F IV h W F M VO1 N m `N.. 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P P i�• i p i i S.� i T•� m O O Fl N (O'1 S P (� �� M r i m • i i• yl i p i� r� tQ nl 001 NQ P N � 0 00 N °I � P S N VI 1N OO C] p N n r°' Q rmn' m 0 O N `- .- N,p Q p1 OO mN Pam' O VI S N N 4V lei UI N � N n oo m m ru $ m rvv m ryry m o � 'N'� mPrPSr �alrr.„�gr� .- ggm h N 6 g r� Nh P�tlrmrtl r°1° M1p C 00 m � P O Np N p 1� 1p NN O .-N C� 10 N^0NN N m- So gSoSopypy§SSy8S8S888 8 �NC100tI SS ON c*c*��O 10'10 °a$evvvcvaeeovo gv v c c U iiz°O 9 N W O O• >> C m '¢a" R R d d c�:3 p .. d N LL> ya°a 16- ;!§ ! ! \§ ~ r \§ ® ' §7 ;; ; § |■ | ■ \ ) Memorial Medical Center Physician Revenue Trend - Hospital Only YTD for 2020,2019,& 2019 As Of September 2020 Amount Amount % Comparlslon %Comparision Comparlslon Comparlslon 2020 YTO 2019 YTD 2018 YTD 2020 to 2019 2020 to 2019 2020 to 2018 2020 to 2018 Memorial Medical Center Clinic 000966 Tracing Thao 1,112,559 1,133,167 1,121,757 (20,608) -2% (9,198) -1% 001367 Pfeil Michael 449,593 411,064 366,580 38,529 9% 83,013 23% 002099 Shefcik Traci 451,182 479,887 371,419 (28,705) -6% 79,763 21% 002927 Gaines Michael 268,370 259,269 178,841 9,101 41% 89,529 50% 011005 Crowley William 3,417,119 3,823,399 4,129,916 (406,280) -11% (712,7971 -17% 019000 Arroyo Diaz Ric 2,529,385 2,909,131 2,847,235 (379,746) •13% (317,851) -11% 022000 Rojas Peter 602,425 898,288 1,038,601 (295,863) -33% (436,176) •42% 041574 Hinds Frank 1,212,866 1,294,378 1,521,199 (81,512) -6% (308,333) -20% 041596 Schultz Mercede 1,129,659 1,132,937 1,049,127 (3,278) 0% 80,532 8% 058001 Thurlkill Court 402,866 487,615 328,875 (84,749) 17% 73,991 22% 097445 Pete Papapetrou - 243,306 - (243,306) -100% 0 100% 100118 Joseph Jenkins 1,154,393 1,119,971 24,217 35,421 5% 1,130,176 100% 102218 Cook Marshall 11395,058 1,063,095 - 331,964 31% 1,395,058 100% 320001 Sharma Odonnell 613,338 553,083 51,772 60,255 11% 561,566 100% 985045 Chan Minh Long 665,494 96,322 569,171 100% 665,494 100% 14,125,476 15,254,506 12,953,551 (1,129,031) -7% 1,171,924 9% 31% 28% 28% Hospitallst 015020 Hospitalist 8,619,736 9,849,618 7 153 410 (1,229,882) 12% 1,466,326 20% 8,619,736 9,849,618 7,153,410 (1,229,882) -12% 1,466,326 20% 19% 18% 16% Port Lavaca Clinic 000983 Michael Caughron 205,756 313,961 54,298 (108,205) -34% 151,458 200% 001126 Tmu N Kwi 818,056 1,676,108 1,411,856 (858,052) -51% (59%800) -42% 001500 Lincoln Jewel - 25,885 31,411 (15,805) -10096 (31,411) -100% 012000 Griffin Jeannine 547,036 442,665 193,713 104,370 24% 353,322 182% 013001 Falcon Leigh A 1,102,352 1,701,870 1,652,643 (5991519) -35% (550,291) •33% 050001 Wright John 1,862,729 2,781,335 2,471,039 (918,G06) -3394 (608,309) -25% 101202 Salinas Henry 73,621 45,609 - 28,011 61% 73,621 100% 097121 John Clinton 203,809 52,534 - 151,274 100% 203,808 200% 320001 O'Donnell Shanna 272,899 0 100% (272,899) -100% 4,813,357 7,029,968 6,087,859 (2,216,611) -32% (1,274,502) •21% 10% 13% 13% Specialty Clinic 000404 Adu Aye 24,123 38,890 584,334 (14,767) -38% (560,211) -96% 000548 Haresh Kumar 54,724 53,908 15,971 816 2% 38,753 100% 012100 Breech Donald 99,708 252,600 665,253 (152,892) -61% (565,545) -85% 013000 Bunnell Don Pau 341,391 610,316 686,303 (268,925) At% (344,911) -50% 057004 Harish Chandna 7,578 4,944 - 2,634 100% 7,579 100% 059000 Krueger Kurtls 6,846 41,111 - (34,265) -83% 6,846 100% 066000 Oakley Robert 1,776 490 - 1,286 200% 1,776 200% 525225 Malik Azhar MD 68,927 80,135 54,795 (11,208) -14% 14,132 26% 900000 Dakshesh Parlkh 11,820 16,700 14,576 (11,880) -29% (2,7581 100% 616,893 1099093 2021231 (482200) -44% (1404338) -69% 1% 2% 4% IN Physician Revenue Trend • Hospital Only Memorial Medical Center YTD for 2020,2019,& 2018 Amount Amount % Comparision %Comparision Comparislon Comparision 2020 YTD 2019 YTD 2018 VTD 2020 to 2019 2020 to 2019 2020 to 2018 2020 to 2018 Coastal Medical Clinic 000806 William McFarland 1,044.00 21,523 - (20,479) -95% 1,044 - 000809 Delgado Ana 5,532.05 7,422 4.752 (1,890) -25% 780 16% 011000 McFarland, Tim R 165,158 103.506 51.961 61.652 60% 113.197 219% Independent 006000 Lin Mau Shong 8,009 147,813 269,084 (139,805) -95% (261,075) -97% 310001 Cummins Michelle 100,136 161,187 268,270 (61,051) -38% (168,134) -63% 330000 Le Nhi MD 61,722 40,510 16,928 21,212 52% 44,794 265% 169,867 349,510 554,281 (179,644) -51% (394,415) -69% 0% 1% 1% Other Medical Staff 065002 George Boozalis 64,001 $ 294,633 $ 148,778 (230,632) .78% (84,777) .57% 807077 Nilesh Patel - $ 742 $ 582,644 (742) - (582,644) -100% 989112 Powaser Peter _ 133,334 $ 149,737 $ 96,121 116,403) -31% 37.213 39% Total E/R Physicians 27% Other Ordering Physicians Totals 1% 2% -19- Memorial Medical Center Inpatient Volume Indicators Admissions by Unit gg 900 63 54 tl00 4 �_�,�9d W i... y) 700 3�1 92 600 „�r.,.. 500 1 )F' 5B0" 616 642,I .� 200 100 2017Y1'D 201E no 2019 WD 2020 YTO .:Medical/Surgical/ICU ::Obstetrics Swing bed Admits Patient Days by Unit 909 3,500 - 468 386 .1, 3,000 .xelodit "2 2,500 ... 149 .LtlBIu 104 - .,:..i:.;.,.. w 517 2,000 373 tir 11500 1.000 2,343 ' 2,212 '; 2,36)�: 1,966 s 500 ,i > 1 i� ;. •� 2017YTD 2016 YTD 2019 YTD 2020 YTD :Medical/Surgical/ICU iObstetrics 'Swing Oed Average Daily Census 14.00 1.71 141 332 12.00 _ 10.00 .,1 J D.63 6.00 4.00 855 Itl17:, 1864 ,' `.ut ].10 2.00 0.00 2017 YTD 2018 YTD 2019 YTD 2020 YTD Medical/Surgical/ICU ni Obstetrics Swing Bed Average Length of Stay 13.17 14,00 12.00 10,00 7.43 7.15 8.08 8.00 3.98 3.59 3.69 4.05 11, 6.00 4.00 p.. 2.22 200 1])? 192 2.00 3 , 2017 YTD 2016 YTO 2019 YTD 2020 YTD Medical/Surgical/ICU+Obstetrics Swing Bed -20- Memorial Medical Center Operating Statistics 13•Month Trends Outpatient Statistical Trends 3,000 2,551 2,500 2,309 1,995 2,032 2,028 1,952 1,947 2,061 2,000 1,772 _. 1,761 1,634.. .. 386 1,500 11182 1,000 6 Sep.19 Oct-19 Nov-19 Dec49 Jan-20 Feb40 Mar-20 Apr-20 May-20 Jun-20 Jul-20 Aug-20 Sep-20 -- Outpatient Visits ...y.:..Emergency 8aam Visits Specialty Clinic Visits Surgery & Endoscopy 200 .....14] _. -_. :: 0 112 108 109 112 90 65 �' - ... 68 74 q 04 92 Sep-19 Oct.19 Nov49 D -19 Jan.20 Fob 20 Mar-20 Ap10dD MaV 20 3un-20 Jul 20 Au8.20 Sep-20 Radiology Procedures 2,000 1,000 1,532 1,630 1,436 1,527 1,560 11415 11295 1,153 1,408 1,356 1,228 - 1,377 0 758 Sep49 Oct-19 Nov-19 Dec-19 Jan-20 Fii Mar-20 Apr.20 May-20 Jun-20 Jul-20 Au9-20 Sep-20 Laboratory test 40,000 20,000 30,384 36266 34,258 31 245 38'822 33,751 30,320 s 35.965 36,357 32,157 35,698 29 802 22,926 0 Sep-19 Oct-19 Nov-19 Dec-19 Jan-20 Feb-20 Mar40 Apr-20 May-20 Jun-20 Jul 20 Aug-20 Sep-20 Rehab Services Procedures 2,000 1,000 1p94 1,622 1,443 1,607 1.599 1,697 '' 1,465 1,223 "� - -'�' 1,218 11321 1,258 0 485 675 Sep-19 Oct49 Nov-19 Dec-19 Jan.20 Fub.20 Mar-20 Apr.20 May-20 Jun.20 Jul-20 Au8'20 Sep-20 -21- m m 10 �n m m N N n N N m A M e'1 VI N m o m D ry N m o m P ei o f0 m m b b I� Oo p1 m m W a b„ m 10 n N mN 1�j ry e'I b Q N N m N m N m m b m V1' VI eI N M '1 YI O ♦1 V � tll frv11 mN e� W O fl OO M M O b b b e1„\ N 1f1 Q N P V N_ N rNi � 01 !fl IN/1 M b n n N b b N a N Wy N Epp O H W N P p erv{ W N N IIN1� 1!1 p IINf '1 M N N 1V N P 1�/ti N N �4 O n Q m� W Imll n Orl Q N e1 N T M W W< b VaN1 Q m OI eN'1 N„ N m b M N O N M N N ai o N INI Q W 1T0 IQ/1 1� m W W Q m m O O W O N N N b h 1U O N O1 M r4 10 „ N Ip m n n m m n b b W eq N N O N W N Q m P 1TO N N N b m N ePl eNl T N h Q ^I M ry M b Q N m� dQ' h N O tY m '1 al N N 1O T N m Q m N l0 m m M Q Q b W y� 1O � ry b N 'i m m n r '1 m N m r1 N n P m W e1 N N m P P N N n N Ul W e'1 m NN e{ O O O m M N 'i N OO rl N P m n [p m m aa ry pp m b v n m m C ry 1a0' o m W m vni e� m 4 R `N N Ny V1 MQ el Q^.. N W 4l M N m m b N ti N m N N N H O N N W N W O O O O g1 O ns y m 1� m m P„ W T O IMl1 W W I O .4 IT � vi O b N O n W m n N N a$ W m W m p� O N 01 m lO D m 'p1 ei 01 O n M O 0� W n o ry O ci 41 e1 N 10 M N N OW N% O 1(1 N h r N ti N m R N w N n (Np Q m M N n O rti Oi T rv.i � e~i ti N m N m.r w vm mmmom L�iv."-� mnN 8, '+ce N em0ONbg m '1 .•� �y �'1 rl O N N V V n 1nO P T O y m Q m (MV p� cmt vl W n N m .1 G V O� p V 1n� n W Q m W P O 01 N p M W o] m rNvl V O n N OQi O INiI ei C G 9 a W E 9 a w 0 w u c c c v a > > $ a m w a a« '> ¢ a o c ry m g d B ?R a s iL y o o,a ¢ o u a,. .�� . o c p� o c c m, S 6 m C W 'o" i O� m m a` 2• 3 v n m x s o a o p a o ° o m H v a v2vi o u a W N C z w ��m Nya wammmw oo m o t qL° Ec � a �'SAEZ o m o > v a 3 0 o a s v x a E r oOz gO�iwNN'S c mmz>>rig Ec aNxw wGz mmv o -22- Memorial Medical Center YTD, YTD YTD YTD 9/30/2020 Statistical Comparison 09/30/17 09/30/18 09/30/19 09/30/20 OVER (UNDER) %OF (9 months) (9 months) (9 months) (9 months) 9/30/2019 CHANGE Total Admissions 718 762 808 638 (170) -26.6% ER Admissions 449 457 402 349 (53) -15.2% Total Patient Days 2,960 2,782 3,448 2,656 (792) -29.8% AVERAGE DAILY CENSUS Medical/Surgical/ICU 8.55 8.07 8.64 7.18 (1.46) -20.4% Obstetrics 0.54 0.67 0.63 0.63 0.00 0.6% Swing Bed 1.71 1.41 3.32 1.89 (1,43) -75.8% Total AVG Daily Census 10.80 10.15 12.58 9.69 (2.89) -29.8% Total AVG LOS -Acute Care 3.80 3.38 3.44 3.73 0.29 7.8% Observation - Patients 366 396 444 395 (49) -12.4% Observation - Patients from ER 226 319 405 312 (93) -29.8% Newborns - Births 66 85 81 87 6 6.9% MMCCIinic Visits 17,656 19,968 24,243 21,882 (2,361) -10.8% Outpatient Visits 17,501 17,069 17,610 17,425 (185) -1.1% Emergency Room Visits 6,623 6,839 7,314 5,609 (1,705) -30,4% Specialty Clinic Visits 4,171 3,888 2,309 1,383 (926) -67.0% Surgery & Endoscopy 748 827 933 641 (292) -45.6% Laboratory test 280,749 279,536 325,339 292,798 (32,541) -11.1% Radiology Procedures 6,037 5,824 6,393 5,565 (828) -14.9% Radiology OP - Clinic 1,129 1,084 1,671 815 (856) -105.0% Bone Density 132 209 218 126 (92) -73.0% Nuclear Medicine 110 97 73 71 (2) -2.8% Ultrasound 1,376 1,456 1,562 1,386 (176) -12.7% Ultrasound - Clinic 396 467 329 250 (79) -31.6% CT Scans 1,988 1,958 2,350 2,178 (172) -7.9% MRI 795 764 840 661 (179) -27.1% Marnmograms 345 666 659 498 (161) -32.3% Total Radiology Procedures 12,308 12,525 14,095 11,550 (2,545) -22.0% Respiratory Therapy Procedures 6,190 5,328 5,881 3,558 (2,323) -65.3% Stress Test 33 28 37 22 (15) -68.2% Holter Monitor 26 15 (11) -73.3% EKG Exams 2,201 2,105 2,298 1,886 (412) -21.8% Sleep Studies 105 65 85 53 (32) -60.4% Total Respiratory 8,533 7,553 8,327 5,534 (2,793) -50.5% Physical Therapy Services Procedures 17,240 14,071 13,172 10,941 (2,231) -20.4% Occupational Therapy Total 939 239 1,586 1,167 (419) -35.9% Speech Therapy Total 726 491 189 677 488 72.1% Total Rehab 18,905 14,801 14,947 12,785 (2,162) -16.9% Behavioral Health Patient Encounters 1,532 1,010 1,068 610 (458) -75.1% Cardiac Rehab units 442 985 1,646 1,326 (320) -24.1% Pharmacy Total 92,284 86,636 106,515 84,933 (21,582) -25.4% Dietary Total 30,164 n.a. 47,115 32,659 (14,456) -44.3Yu -23- m a o v m p H m v M Ln T H O M N H H m h vl h H v h w N h w m O d' v O m u1 H ri m rl vl cl O v1' IZ F V rl Oi rl al tD l0 L6 O e} rl m 7 O vt �O N m M n M w M N H w h H 'D pi L(1 h N VI d' w H h m w h h H w N 01 l0 l0 0\0 00 �1 O m O m Y'1 m O d� n O lO m sY O H H H H N m N N ch H N M � H' N cF N Ql w t0 lD p IV M '1 Vl N O 41 N H O m n N N N 1 O V1 Ol H O m o0 N n N O1 O V n H O m n m n � M h tD V �-1 yj ' N d' N 1p' 1p Vl O' 6lp O l0 V OO d M H v io m o m o w H H m M H w m m �o w N h Ol 41 v v N H 01 n N H o0 00 01 �p n G 01 al O N 4-1 (V� N O l0 M p 'N' ��-I tryY1 V Ol m O ' l0 H tp ll1 N w ' H of N ' l0 et ' Ol O dl n O p M N m h l0 ry M w h O N N O '/1 O1 O If1 V1 m 01 N Vj 0 O rl ri fl1 N V 01 O m N 7 ti M T M M m m n Ol H O N m m V1 w O h l0 O lD h d' O s} 1p h h h Ol h H M w w O l0 H Q1 m O N lD Y!1 N -i ri O r (YI V1 p m l m N M M m h w O N O w p0 M d' O H n m m H N N V V1 m Y1 O m H d' w H n N m O N N n m N Ot N N' f/1 m 00 00 N m a if k6 tD 06 U N' V m m w h m H o m w v H m w o m w a m h m Y�1 r rl 00 rl O1 N' 1p �F N 7 r O' PM1 m N O H H N m N N [F n 0 m w d' N m N at ct v m m O N V1 m N n H H tt N V m H M m m h M m m h 01 1p m lD h m v M a N m t0 i0 N w H N h Ot w Ol h H T N n n O rl N m r V l0 N m O d� O �O' Ol lD V rl p h u1 N h N H w h h �D m m h O t0 l0 l0 m m h m N w n m M d' w w O H d, l0 '1 ri C O 00 N k lD n ff 111 O N m N N w m m o p N N m H Ol 41 H V w m m H N o h h o w m n N h V 1!1 N w Vf d' V m v H w m V; 01 l0 h Ol r b C rl m V1 O h m 00 N O n n h rl l0 m N v O1 M h O h h O1 w h d' m N m ll� H h N V1 N N H 1p h v d' O w m h w h h a w h H 1p N M rl ti N 14 01 N 1p mi N ^ N p r: rlj 06 O H H N N N N M H O1 N V N h d' 1p tl1 m' w tp M H N ' V1 111 Ol n w p m N M l0 ll1 O I(1 d' H N h N V h V h O O M w N w V u'1 tl' N w h h w M N h H H t0 Vt H n Ol W of W r Oi N O �l1 r 00 t0 W pp 7 N N N O1 ui tp O 01 h w m N M C' H V h m d' ml0 w Ot w Ot l0 O C O V w l0 O M w �O N w N H M l0 h M O emi -1 �4 N N N N rt N N m 'd' m 1p N h H O O H Vt h N O N N M H m V �fl N Y1 w l0 O w N 01 O H w n H H O v'1 tD of m lr W N � r N - N a0 cl�v V ap M tl1 h N m m l0 M tp w O 0 h d' m O M N w d' m M t0 N v m V n t0 M O T tp w Ol M w h Vi N l0 G M & � N N N P.: m % M 00 w N d' n w cr IY1 01 V� c} l0 w ' M Ol ' d' Vl 01 n l0 T w m Of n v u/ N cf m h m w of O H h w O Ol O m Ot h T l0 H m ui v of oo m o is of lea m m rn m ro v n Mo m N m v o v vmi� H Y G m E v v N C C y 0 ° W UJ au V O 0- m O Z N U N bD C Y ? 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OO N? w Z ii G C Y � ro L=i up yQ ; « u O a a u w a a a '^, 2' v c tE� o m > ov_ s u w o E° ` N o a 24 N m U v 2 m> 3>~ 0_' K u' v r Y am+ p u~ u� +m+ ry�ry vOv�� j> m N o o m n m v" " oo ul n ro ao m pppp n b o o v a�l o p O 00 Ol b Ol m N N vl N h b T M N b n d' N V1 'l1 N N O V1 ry H O O N �-1 O Y1 ri Cll H' N M ey u1 N V b h a n N CCC N n e-I m m m m m b 01 m N N Ill rl ttpp Gl .� ei N b �l'1 n CO b n Da b h M �-I •i m V b O N � V1 1p V VI N N' IV a M O 00 b h m U1 N 00 LT n d' N N Yl N n Ql b b O h Vl .-1 d• m h d• m Vl O b h N m Vl ri n V N' C' 1 rl W 4i I N' I -I 00 ke OO O m .i O M W n O1 n O 00 m T b IA N ul V O ap N ul h vl b I-i ul h rl b h m ul .-I N n O O Ot Ol T vl N d' n d' N h Yl N d' 1p Ol o ri o vi rvi o o d' m N a c vi ri �^ ry a a m N m a m w o m m m b w w b N i m 0 voi a b n m h .+ m m b r d' 1I1 N C N tl N V1 N O b I -I b M n N T 00 h O N N m I!1 w NI-F 1 N' rl 00' 0 d� t0 rl n1 T h O W d N O W b n m m m m b m m N V1 N W V N U1 O b b h M ei N tl' G N k e-I L N IFIlt rl M (1 ti H a O m b 0 O O O V O Yl d' u1 m h O N b ut N m N <t N N N m Ol b p1 I!1 T N Ivl Ill h b n M M n rl rl 1 N 01 GO d' I -I M ei O O b 0 0 O N O e-I m m b n N vl O V1 b m Vl N CO Il} 'i n n 01 b h m N I-1 M W N I?fl m' O t~vt ti ed 0 O m 0 N ' ' 'i T I!1 00 U1 I-1 00 Ol d' O O 0p N b ry N O N " h 01 W N Ol h rI OP 00 b h Yl N b N N M O O Dp G1 0 w m V O n 7 0 M 0 Vl d' 00 Ip N M M N1 a h O1 Ct1 Vl h m m m b N N 111 O1 ll1 N M 4 UI M ri 'i b b 01 O' b n � M vl" M to N' r N " 00 N .-i CO N O O b b w p b O M N O VI ry O m m N m N m m b 00 .-I Gl 00 n W Vf G1 m C; Ol O N O t0 O 0 W m .ti rl N N M b 0 d' N n fV ry b O b V b W M ui m m h N N N u1 V M YI 0 O h N T N b w b h m a0 rl N m N M N ~ ~ Lr N-1 N-I p I4-1 N N M lD O N u1 rl N b W ' ul N n W ul n C O O Ct O V M O M V N O 01 N V h b v1 N 00 S ry T O rl n to Ol O Ql n CP 00 •i m T b n h U1 M N 00 V 6 C aC m 00 O h N to n Vf N 00 0p m cl 01 N Ill V C. N .� m Ill M O N M u'1 1p O lli h m m m h 'I e-I d' I-1 Cl V Nl N N M h' 00 b N h ' 01 b ✓1 Ol h I -I 00 m b O 00 N O b N n b N 00 b O 00 1!1 Ol Op d' N N 111 m 00 N Ql N n b 00 b 00 V Ol eP IA T ri I -I M b Ol h b ly O W N N O n �-1' G O ul 06 O Ilf 0p ci b h N n N N N 00 V w m m N N h N N O1 4l1 V1 Y1 m W b V N W h N l0 V e-I b eti ry rvi 1 ri ro a v i fy .ti rl m H m ti C 0l a`I E L v w } 4 C ry d a = o O yu O N a T C T 75 N y ry d m M U p O H v a J E 3 m lii "O w C �D w c w S v D E 'd' F w o ov v lu v In E m � c ., x I',l l a a m a vl U v c = �� •- � ,� J v E m a�3 'O 'O U`1 '^ N H N O C r F 0. J G E� U�� N •!] j� ? O h C C J J H w v a '� a a¢¢¢ o a¢¢¢¢¢ r o z z E z F Memorial Medical Center Capital Acquisitions For the Month Ended September 30, 2020 Month Description Land Building Equipment Total Dictation System -Nuance Communications 14,900 14,900 Vehicle -Ford Edge - Port Lavaca Ford 22,209 22,209 Nuclear Medicine Equipment 219,900 219,900 Sub Total January Steam Generator-Sterls Sterilizer - Steris Gem Premier 400 Instrument- Instrumentation Labatory Gem Premier 400 Instrument- Instrumentation Labatory Sub Total February Sub Total March Sub Total April Hot/Cold Food Cart Lucas Chest Compression System Progressa ICU Smart Beds (2) Connex Vital Signs Monitor Metaneb System Ufe2000 Non -Invasive Ventilator Vest Sub Total May Meal Trays 12H12 Lucas Battery Charger Sub Total June Walk in Cooler Sub Total July NONE Sub Total August NONE Sub Total September NONE Sub Total October Sub Total November Sub Total December Total 257,009 257,009 12,434 50,437 12,900 12,900 12,434 50,437 12,900 12,900 88,671 88,671 18,085 18,085 15,265 15,265 110,000 110,000 8,720 8,720 9,500 9,500 12,500 12,500 9,690 9,690 183,760 183,760 1,484 1,484 1,013 1,013 2,497 2,497 6,237 6,237 $ - $ 538,174 538,174 K11 `a v w o E w ry m ry Q W N H 01 emn O V O 90 V m o m m 'i ry Imo oOopp1 h 0 E m V N a � 6 n M H N d N N (tl n vm � u m m a IWiI m 00 mo w QH w v m H b 0 N O N 0 m `w a m y d # V U N u c ¢ ¢ 0 v c o E N C C =m G y O = = W W V N> 0 c u u N m o u °L' `m m 3E E u ryv � o m m H n O w N w m m m m m N m N O W 1p W N H b n n m n H H a V N Ill 0 N a.y vin rvm W ry m ry m vmi � m Nt- w m M V m M N N m h Q b h H n d' d' 1f1 W n V H O m N N N N W mmnmb-�'"m m m o m m v O m h ry H m W m YI n W N O tmy N l0 m mW M N m m g M N N n H a b H W vl A m m o m a a H h N m O H H N m N ry m amumi oHm o w m m o m m b Y w m F U N � � W n V L O a wa�==o2 0 F- m W onp m � O N C � n of N W N H m N W m H 1�11 n N M 0? N O m T W N m � � e n N H M N O N M M W N n ri N m ti ti m a o e m h lD N m m W W tWO \O N N W O N v m '1 N N a W h o m m m arvo W m N H m w m ry W m ri vi of v v h N m m W H W hl m N O L6 o ti m f1 N m H laO N O eI V' m H W m b N N 0 N M O N N t•1 N M N � m e W r N L u a9 o m c u T s �- S Memorial Medical Center Payer Mix Memorial Medical Center As of September 30,2020 13 Month Trend 50.0 45.0 „-.44.3.. .43,,3 .43.7 .. - 44.8 _..:. 41.5 ' 41.7 ..42.8.- <. 42:2` " � .. 42.1 . _ �42.6 40.0 -" -38.8 --40.0 . - 39.0 35.0 30.0 25.0 20.0 , 21.1 17.9 15.0 .._. 7Z'115 6 16.2 ..... .''" ^ ..15;$ ,........ -16.1 1410.0 5.0 0.0 ti emJ O O O O O O O O O O W N LL N 6 W Vaf z a g a Medicare -.--:--Medicaid Blue Cross Commercial --—Private--e,-HMO/PPO&Workers Comp i Memorial Medical Clinic Payer Mix Memorial Medical Clinic As of September 30,2020 HMO/Pro & Workers Comp Private 11% Commercial 5% s+yr Blue Cross 21% 35.0 30.0 25.0 w 20.0 15.0 10.0•^w- 5.0 0.0 m m m rn E a E r 0 m u > a z° o N Medicare - .; Medicaid 13 Month Trend N O N O O O1 O N O lT V c m a 1O R E 4 w LL 6 � Blue Cross --- r� <:>-S°�(it'nr�Ocial —=:- -Private --•+. l� MO/PPO & Workers Comp -29- M O u F e lm ti 0 91, x o�. X m Cr,T n m O. V1 TO m 2 � x kt o w m ° V v x � m 'O m at eCr° °0 0 o C n o o Zf b m v or w� r F m 0 �I N o x y� W ® v x oy ® m Q x ° N y x Lv v m @ '0 YCS yy yy yy xx yy. b b O b b g b b g N a, i L x 0, Z�l m ,f m N 0 O, U k 0, v ^ m ae O, �W E °S c) G Ct: G X or �b e oz �l x O �k .a lb c ¢ wo ry S;y JrL 6 6i. 110 e o o a o a e o 0 oe -30- Memorial Medical Center Accounts Receivable Agings Aging 0-30 31-60 61-90 91-120 121-150 151-180 181-365 Total Gross % Over % Over %Under %Under 1 1 1 1 1 1 120 Days I 90 Days I 60 Days 90 Days 1 otai Apr-17 3,596,810 1,887,117 1,343,950 698,294 391,335 182,383 958,124 9,058,003 16.9% 24.6% %5% 75.4% Sep-19 4,876,252 2,186,021 1,070,798 729,902 531,552 422,692 2,048,792 11,866,009 25.3% 31.5% 59.5% 68.5% Oct-19 4,636,600 2,639,583 1,455,294 673,261 505,634 401,524 2,245,089 12,556,986 25.1% 30.5% 57.9% 69.5% Nov-19 4,705,566 2,096,450 1,695,273 1,165,014 542,073 386,130 2,256,187 12,846,692 24.8% 33.9% 52.9% 66.1% Dec-19 4,673,269 2,070,832 1,252,379 913,825 623,385 330,980 2,227,106 12,091,776 26.3% 33.9% 55.8% 66.1% Jan-20 5,062,959 2,268,823 1,242,868 777,828 623,900 545,367 2,263,168 12,784,914 26.8% 32.9% 57.3% 67.1% Feb-20 4,992,107 2,781,551 1,503,947 958,061 631,215 478,679 2,643,438 13,988,996 26.8% 33.7% 55.6% 66.3% Mar-20 4,261,537 2,199,474 1,113,044 639,878 483,175 419,256 2,373,752 11,490,116 28.5% 34.1% 56.2% 65.9% Apr-20 2,603,703 2,606,097 1,458,456 830,377 482,741 387,325 2,324,513 10,693,210 29.9% 37.6% 48.7% 62.4% May-20 4,036,540 1,712,443 1,481,598 931,337 640,017 435,474 2,416,064 11,653,475 30.0% 38.0% 49.3% 62.0% Jun-20 4,740,119 2,049,471 902,895 1,289,532 832,333 563,996 2,674,889 13,053,235 31.2% 41.1% 52.0% 58.9% Jul-20 4,755,504 2,606,338 1,251,709 496,686 570,430 526,462 2,744,299 12,951,427 29.7% 33.5% 56.8% 66.5% Aug-20 4,305,982 2,949,782 1,653,297 1,061,962 414,547 440,770 2,759,194 13,585,534 26.6% 34.4% 514% 65.6% Sep-20 5,093,956 2,408,571 1,587,325 1,122,424 597,566 266,123 2,412,229 13,488,194 24.3% 32.6% 55,6% 67.4% Medicare Sep-17 1,655,132 426,033 182,349 35,908 5,783 19,655 53,433 2,378,292 3.3% 4.8% 87.5% 95.2% Sep-19 2,525,142 313,230 97,464 59,115 18,678 39,745 180,668 3,234,043 7.4% 9.2% 87.8% 90.8% Oct-19 2,249,652 869,1S9 125,756 42,761 35,523 15,087 221,156 3,559,095 7.6% 8.8% 87.6% 91.2% Nov-19 2,254,442 448,140 241,044 81,239 42,246 39,638 228,838 3,335,587 9.3% 11.8% 81.0% 88.2% Dec-19 2,320,102 385,517 178,924 149,553 35,093 21,329 234,047 3,324,564 8.7% 13.2% 81.4% 86.8% Jan-20 2,286,335 665,953 169,454 104,039 66,860 22,326 215,558 3,530,525 8.6% 11.6% 83.6% 88.4% r-eb-20 2,577,912 1,144,053 325,593 80,080 100,691 56,319 175,030 4,459,679 7.4% 9.2% 83.5% 90.8% Mar-20 1,875,900 541,025 265,423 139,359 55,647 37,382 151,853 3,066,590 8,0% 12.5% 78.8% 87.5% Apr-20 1,307,392 653,571 260,032 122,291 66,841 53,397 131,895 2,795,420 9.0% 13.4% 77.3% 86.6% May-20 1,922,325 638,883 196,719 199,647 68,384 64,149 176,883 3,266,990 9.5% 15.6% 78.4% 84.4% Jun-20 2,343,220 629,529 96,989 150,675 171,083 53,133 232,140 3,676,769 12.4% 16.5% 80.9% 83.5% Jul-20 2,247,011 802,267 249,301 51,311 145,534 140,710 267,123 3,903,257 14.2% 15.5% 78.1% 84.5% Aug-20 1,917,035 1,046,672 219,834 216,811 38,893 121,612 436,537 3,997,395 14.9% 20.4% 74.1% 79.6% Sep-20 2,356,588 817,929 175,086 148,568 209,877 34,071 547,039 4,289,159 18.4% 21.9% 74.0% 78.1% Medicaid Au8-1.7 460,814 355,303 115,759 32,474 7,570 2,527 2,963 977,411 1.3% 4.7% 83.5% 95.3% Sep-19 407,353 366,655 90,936 110,633 77,569 34,286 62513 1,149,944 15.2% 24.8% 67.3% 75.2% Oct-19 476,272 202,677 321,975 83,807 91,160 63,727 83,134 1,322,753 18.0% 24.3% $1.3% 75.7% Nov-19 583,824 314,747 273,684 204,589 78,658 86,332 151,388 1,593,222 19.9% 32.7% 56.4% 67.3% Dec-19 579,599 367,899 192,443 154,737 137,450 73,397 228,146 1,733,671 25.3% 34.2% 54.7% 65.8% Jan-20 558,196 293,214 218,738 173,116 151,094 147,144 316,526 1,858,028 33.1% 42.4% 45.8% S7.6% Feb-20 430,883 200,369 152,750 183,876 132,783 130,779 378,491 1,609,931 39.9% 51.3% 39.2% 48.7% Mar-20 369,826 159,634 105,881 80,578 50,550 65,514 234,662 1,066,644 32.9% 40.4% 49.6% 59.6% Apr-20 162,401 98,284 43,023 63,909 72,506 13,262 220,228 673,613 45.4% 54.9% 38.7% 45.1% May-20 368,789 96,107 36,472 25,890 42,679 54,198 172,014 796,149 33.8% 37.0% 58.4% 63.0% Jun-20 357,164 113,774 45,685 19,645 14,589 22,892 189,040 762,789 29.7% 32.3% 61.7% 67.7% Jul-20 363,515 140,248 27,453 7,909 9,332 4,498 119,124 672,079 19.8% 21.0% 75.0% 79.0% Aug-20 353,209 174,464 64,174 24,600 2,642 10,951 78,745 708,785 13.0% 165% 74.4% 83.5% Sep-20 389,399 99,078 93,678 26,918 15,700 21250 84,936 711,959 14.5% 18.2% 68.6% 81.8% BOBS Jul-18 293,552 25,273 21,415 4,663 4,641 1,022 1,147 351,714 1.9% 3.3% 90.6% 96.7% Sep-19 441,987 72,210 32,973 22,099 33,963 16,252 17,794 637,279 10.7% 14.1% 80.7% 85.9% Oct-19 521,490 103,503 42,193 15,737 26,182 17,589 12,810 739,504 7.7% 9.8% 84.5% 90.2% Nov-19 534,712 107,684 66,248 16,878 12,896 10,724 32,527 781,669 7.2% 9.3% 82.2% 90.7% Dec-19 435,037 116,877 31,105 25,141 8,405 3,897 31,697 652,157 6.7% 10.6% 84.6% 89.4% Jan-20 587,637 62,794 38,965 20,904 25,602 981 29,521 766,405 7.3% 10.0% 84.9% 90.0% Feb-20 556,992 166,511 57,180 37,552 21,871 23,917 20,195 884,218 7.5% 11.7% 81.8% 88.3% Mar-20 476,338 127,947 60,037 14,347 7,089 8,118 36,393 730,269 7.1% 9.0% 82.7% 91.0% Apr-20 352,040 195,551 18,995 9,861 9,019 3,263 45,362 634,091 9.1% 10.6% 86.4% 89.4% May-20 659,068 90,086 86,579 6,957 24,205 8,587 33,125 908,607 7.3% 8.0% 82.5% 92.0% J.,\2020\September 2020\AR Monthly Analysis Board Packet -September 2(- 31- Memorial Medical Center Accounts Receivable Agings Aging 0-30 31-60 61.90 91.120 121-150 151.180 ISW65 Total Gross %Over %Over %Under%Under 1 1 1 1 1 I20 Days 90 Days 60 Days 90 Days mn-20 bby,557 199,515 77,515 67,750 13,275 8,087 44,248 919,946 7.1% 14.5% 82.5% 85.5% Jul-20 514,470 150,057 58,357 23,070 37,269 6,474 31,516 821,212 9.2% 12.0% 80.9% 88.0% Aug-20 686,068 170,275 87,604 16,145 18,216 20,303 37,082 1,035,693 7.3% 8.9% 82.7% 91.1% Sep-20 694,154 228,543 52,884 47,159 14,955 15,838 41,952 1,095,485 6.6% 10.9% 84.2% 89.1% Commercial Feb-17 1,153,728 303,202 157,302 62,901 45,604 24,581 95,421 1,842,739 9.0% 12.4% 79.1% 87.6% Sep-19 657,090 457,738 228,275 167,776 141,212 121,537 832,391 2,606,019 42.0% 48.5% 42.8% 51.5% Oct-19 822,533 534,711 338,990 178,103 96,652 136,535 866,038 2,973,563 37.0% 43.0% 45.6% 57.0% Nov-19 741,938 413,238 283,764 250,997 171,099 91,067 911,108 2,863,211 41.0% 49.7% 40.3% 50.3% Dec-19 677,247 329,727 221,144 193,511 217,404 110,636 892,651 2,642,320 46.2% 53.5% 38.1% 46.5% Jan-20 877,667 401,247 169,045 188,168 182,377 180,608 902,567 2,901,677 43.6% 50.1% 44.1% 49.9% Feb-20 957,783 423,043 217,624 138,527 177,364 138,420 951,544 3,004,305 42.2% 46.8% 46.0% 53.2% Mar-20 931,358 527,230 272,572 148,325 108,090 164,315 911,307 3,063,198 38.6% 43.5% 47.6% 56.5% Apr-20 528,372 564,580 278,170 204,753 113,870 92,454 906,985 2,689,185 41.4% 49A% 40.6% 51.0% May-20 764,397 347,553 320,170 240,725 173,162 111,781 944,730 2,902,517 42.4% 50.7% 38.3% 49.3% Jun-20 1,070,986 429,672 229,845 240,382 172,755 158,297 920,794 3,222,730 38.8% 46.3% 46.6% 53.7% Jul-20 923,140 715,659 268,750 167,031 153,320 92,743 920,675 3,241,318 36.0%. 41.1% 50.6% 58.9% Aug-20 819,010 625,076 449,261 175,056 122,245 108,019 864,408 3,163,075 34.6% 40.1% 45.7% 59.9% Sep-20 740,699 485,039 337,360 282,509 124,984 76,851 845,263 2,892,705 36.2% 46.0% 42.4% 54.0% Private Pay Mar-19 788,848 1,011,617 831,644 299,046 192,429 117,192 896,868 4,097,643 29.4% 35.8% 43.9% 64.2% Sep-19 844,679 976,188 621,149 370,279 260,130 210,872 955,427 4,238,724 33.7% 42.4% 43.0% 57.6% Ott-19 566,653 929,534 626,380 352,653 256,117 168,585 1,061,950 3,962,071 37.5% 46.4% 37.8% 53.6% Nov-19 590,650 812,641 930,533 611,311 237,174 158,369 932,326 4,273,003 31.1% 45.4% 32.8% 54.6% Dec-19 661,284 870,813 628,763 390,884 225,032 121,722 840,565 3,739,063 31.8% 42.2% 41.0% 57.8% Jan-20 753,125 845,614 646,666 291,601 197,967 194,309 798,997 3,728,279 32.0% 39.8% 42.9% 60.2% Feb-20 468,537 847,575 750,800 518,026 198,505 129,243 1,118,177 4,030,864 35.9% 48.7% 32.7% 51.3% Mar-20 608,115 843,637 409,130 257,268 261,798 143,929 1,039,537 3,563,415 40.6% 47.8% 40.7% 52.2% Apr-20 253,499 894,110 858,235 429,563 220,504 224,948 1,020,043 3,900,902 37.6% 48.6% 29.4% 51.4% May-20 321,962 539,816 841,659 458,118 331,587 196,760 1,089,311 3,779,212 42.8% 54.9% 22.8% 45.1% Jun-20 409,192 676,981 502,862 811,079 460,632 321,588 1,288,667 4,471,001 46.3% 64.5% 24.3% 35.5% Jul-20 707,368 798,107 647,848 247,365 224,974 282,038 1,405,860 4,313,561 44.3% 50.1% 34.9% 49.9% Aug-20 530,660 933,295 832,424 629,349 232,550 179,885 1,342,423 4,680,586 37.5% 50.9% 31.3% 49.1% Sep-20 913,116 777,983 928,318 617,270 232,049 137,112 893,039 4,498,886 28.1% 41.8% 37.6% 58.2% All Insured Jul-17 3,361,811 1,022,884 325,400 130,623 91,194 89,145 .152,956 5,174,014 6.4% 9.0% 84.7% 91.0% Sep-19 4,031,573 1,209,833 449,649 359,623 271,422 211,820 1,093,365 7,627,285 20.7% 25.4% 68.7% 74.6% Oct-19 4,069,947 1,710,049 929,914 320,408 249,518 232,939 1,183,139 8,594,914 19.4% 23.1% 67.2% 76.9% Nov-19 4,114,916 1,283,809 764,740 553,704 304,899 227,761 1,323,861 8,573,690 21.7% 28.1% 63.0% 71.9% Dec-19 4,011,985 1,200,020 623,616 522,941 398,353 209,258 1,386,540 8,352,713 23.9% 30.1% 62,4% 69.9% Jan-20 4,309,834 1,423,208 596,202 486,227 425,933 351,059 1,464,172 9,056,635 24.7% 30.1% 63.3% 69.9% r-ele-20 4,523,569 1,933,976 753,147 440,035 432,709 349,436 1,525,261 9,959,132 23.2% 27.6% 64.8% 72.4% Mar-20 3,653,422 1,355,836 703,914 382,609 221,377 275,327 1,334,216 7,926,701 23.1% 27.9% 63.2% 72.1% Apr-20 2,350,204 1,711,987 600,221 400,814 262,237 162,377 1,304,470 6,792,308 25.5% 31.4% 59.8% 68.6% May-20 3,714,578 1,172,628 639,940 473,219 308,430 238,714 1,326,753 7,874,263 23.8% 29.8% 62.1% 70,2% Jun-20 4,330,927 1,372,490 400,033 478,452 371,701 242,408 1,386,222 8,582,234 23.3% 28.9% 66.5% 71.1% Jul-20 4,048,136 1,808,230 603,861 249,321 345,455 244,424 1,33B,438 8,637,866 22.3% 25.2% 67,8% 74.8% Aug-20 3,775,322 2,016,487 820,873 432,613 181,997 260,885 1,416,771 8,904,948 20.9% 25.7% 65.0% 74.3% Sep-20 4,180,840 1,630,589 659,007 505,154 365,517 129,011 1,519,190 8,989,308 22.4% 28.0% 64.6% 72.0% 'Months in Green represent the highest %of AR <90 days (best performance month as a %) since trend report tracking started in Jan 2017 1:\2020\September 2020\AR Monthly Analysis Board Packet -September 2C'32- oz-Po oz-Inf oz-jdV oz-uef 6T-100 6T-Inf 6T-adV 6T-uef 8T-1D0 8T-Inf 8T-jdV 8T-uef LT -Po LT-Inf LT-adV LT-uef 9T-100 9T-Inf 9T-jdV 9T-uef ST-100 ST•Inf ST-jdV ST-uef VT-100 VT-Inf VT-jdV VT-uef ET -Po ET-Inf ET-adV ET-uef -33- ^znJ� c 8 o a 8 8$ 8 & m o.. f a� �0L m PZ.�n r m * o & O, �N <L O � tll c` YnL V $ Oa 2 c O m „ m m °`'a Na er n X Pr E' X 'o �l, °2 er b ry m fit. P a, m 4� ab N ® X Y.� ® kr °I. n m LD u � 01 � o eo o;p b w °r r� :e k� ro n i"�c 01 m V P raL 'i � °e 1• E m �b E V m � ° ryl w 6r� ° •G m �F a?, U ry � ova e �a r� t n V n � :0 yd G n (�a sF,a -34- Memorial Medical Clinics Accounts Receivable Agings Aging 0-30 31.60 61-90 94120 121450 151490 181165 T41a1Grass %Over :Over % % 1 1 1 1 1 I 130 Days 90 Doys Under 60 Un*4 90 Ueys Dnyr A ptat Jan48 489,483 12,415 9,784 10,329 1,790 1,725 (7,453) 518,080 .0.0% 1.2% 96A% 98.8% Au019 441,765 21,982 31,574 24,627 20,567 23,499 24,072 588,087 11.6% Malt 78.9% 84.2% Sep-19 246,570 105,727 8,727 26,090 23,473 22,572 42,630 475,789 18,6% 24.1% 74.0% 75.9% Oct-19 352,233 35,447 72,661 2,2D5 1G,931 17,928 38,979 536,363 13.8% 14.2% 72.3% 85.8% Nov.19 343,526 131,690 23,329 50,048 908 11,564 32,394 593,459 7.6% 16.0'b 80.1% 84.0% DO.-19 350,003 123,918 B6,259 14,242 39,208 (4,9341 (11,666) 597,130 18% 6.2% 79.4% 93.8% lan-20 373,626 137,SB2 100,281 73,611 10,996 34,469 (40,008) 690,558 0.6% 11.4% 74.09S 88.6% Feb-20 384,788 76,221 79,964 45,917 40,285 13,812 (32,332) 600,634 3.6% 11.1% 75J7. 90.9% Mar-20 256,426 111,715 70,986 41,925 34,855 23,258 (41,647) 497,419 3.5% 11.7% 74.0% BEd% Apr.20 179,702 91,009 62,682 56,327 8,613 10,415 (40,460) 367,279 -5.8% 9S% 73.7% 90.5% May-20 264,357 59,964 53,935 45,789 45,577 2,601 (58,015) 413,408 -2.5% 8.5% 78.5% 91.5% 1un-20 277,181 91,272 33,140 47,644 28,375 27,023 (68,698) 435,936 Sd14 79% 84.5% 92.14 Ju1-20 241,333 105,175 46,994 20,222 27,425 21,371 (56,187) 405,792 -1.8% 3.2% 85.4% 96.8% Aug-20 315,947 63,648 59,693 32,019 5,730 8,641 (57,332) 428,347 -10.096 -2.6% 88.6% 102.6% Sop.20 294,996 67,410 47,844 48,379 26,303 2,740 (58,765) 448,896 .6.6Y. 4.2% $5.2% 95.8% Medicare AUB-19 126,263 2,130 766 559 (82) 265 2,029 131,931 1.7% 2.1% 97.4% 97.9% Sep19 53,106 16,199 761 276 479 (82) 1,906 72,705 3.2% 3.5% 95.4% 96.5% Oct-19 92,536 3,047 4,344 350 54 138 1,572 102,051 1.7% 2.1% 93.7% 97.9% Nov-19 94,745 38,914 2,837 2,359 440 54 1,690 141,038 1.5% 3.2% 94.8% 96.8% Dec-19 83,998 43,494 31,051 2,717 2,139 411 2,253 166,062 2.9% 4.5% 76.8% 95.5% Jam20 82,128 20,047 38,739 27,476 587 257 276 177,510 0.6% 16.1% 62A% 83.9% Feb.20 81,Y88 7,044 19,038 877 1,581 270 438 110,537 2.1% 2.9% 79.9% 97.1% Mar-20 55,986 10,766 5,225 4,572 135 102 (96) 76,701 0.2% 6.2% 87,0% 93.8Y. Apr-20 45,753 16,992 13,897 2,307 1,339 69 (1,241) 79,397 0.2% 3.5% 79.0% 96.5% May-20 60,345 8,844 9,544 9,01a 3,566 1,184 873 93,374 6.0% 15.7% 74.1% 84.3% Jum20 83,339 12,453 7,241 7,774 0,043 1,852 28 121,729 9.0% 15.4% 78.7% $4.6% Jul-20 53,223 14,522 719 856 608 1,077 0 71,006 2.4% 94% 95.4% 96.4% Aug-20 89,585 5,570 11,136 488 850 313 2,107 109,150 2.1% 2.5% 87.3% 97.5% Sep-20 83,229 7,822 1,432 4,694 314 Gel 445 98,616 1.5% 6.2% 923% 93.8% Medicaid F4b48 180,174 2,576 2,454 2.616 108 268 J603) 187,593 -0.1% 1.3% D7.4% 98.7% Aug-19 76,017 8,919 9,030 6,981 2,077 6,189 9,760 118,573 14.4% 20.2% 71.6% 79.8% Sep.19 40,942 32,023 2,400 7,013 6,560 1.757 13,790 103,484 21.4% 28.1% 69.5% 71.9% Oct-19 63,374 10,358 23,343 2,003 2,618 6,141 12,906 120,742 17.9% 19.6% 61.1% 00.4% Nov.19 88,924 45,006 11,377 19,707 1,440 2,553 14,691 189,778 10.2% 20.9% 72.9% 79.1% Dec-19 83,757 34,01 27,322 10,988 12,664 259 (60) 169,582 7.6% 14.1% 69.8% 85.9% Jan-20 86,517 52,377 SZ413 26,763 9,984 11,162 (3091 218,908 9.5% 21.7% 63.4% 78.3% Feb-20 93,770 35,680 47,485 31,729 24,226 9,347 8,424 250,661 16.8% 29.4% 51.6% 70.6% Mar-20 53,050 50,116 36,495 25,735 25,459 16,139 5,786 192,779 24,6% 37.9% 43.1% 62.1% Apr-20 30,788 30,611 22,111 31,903 7,268 10,437 8,587 131,705 20.0% 44.2% 45.6% 55.8% May.20 28,222 15,701 18,008 10,683 27,865 3,532 1,250 115,319 28.3% $7.6% 46.9% 62.4% Jun-20 42,867 23,182 7,682 18,760 10,589 23,501 2,248 128,831 28.2% 42.8% 51.3% 57.2% Ju1-20 46,615 24,299 15,611 8,354 16,711 12,025 17,644 140,260 32.4% 38.3% 50,6% 61.7% Aue-20 56,767 22,413 19,892 6,252 1,541 3,735 3,732 108,392 8.3% 14.1% 73.1% 05.9% Sap-20 59,165 24,877 19,U15 12,993 5,978 1,249 5,016 127,292 9.6% 19.8% 66.0% 80.2% BCBS M,19 25,847 9,402 43 145 (1,332) 1.565 (2,S71) 33,100 -7.1% -6.6% 106.5% 106.6% Aug-19 55,468 949 4,971 289 (31 (3) 120 61,691 0.2% 0.5% 91.5% 99.5% Sep.19 41,010 3,189 584 257 64 - 17 45,121 0.2% 0.8% 99.0% 99.2% Oct-19 37,027 1,281 393 (130) - - (23) 38,519 -0.1% -0.4% 99.4% 100.4% Nav-19 32,696 2,815 235 (306) (27) - 160 35,502 0.4% -0.7% 100.01S 100.7% Dec.19 17,487 1,742 1,343 96 (905) (12) 7,893 27,644 25.2% 25.6% 69.6% 74.4% Jan40 27,764 724 186 US (139) (981) (247) 27,694 4.9% -3.5% 102.9% 103.5% Fab-20 30,906 2,507 257 - 13D 230 (1,115) 31,915 -2.4% -2.4% 101.6% 102.4% Mor-20 27,612 3,825 804 257 26 (72) (389) 32,149 -L4% .0.6% 97.8% 100.6% Apr-20 21,648 255 184 (40) 598 34 604 23,202 5.3% 5.1% 94.1% 949% May-20 35,695 882 139 2,4D5 2,327 642 (326) 41,765 6.9% 12.1% 87.6% 07.9% Jun-20 18,885 3,072 147 770 2,033 (33) (30) 24,510 6.7% 9.8% 89.6% 901% Juk20 17,256 2,966 3,262 435 565 1,046 (115) 25,415 69% Tail 79.6% 92.4% Aug.20 37,029 2,120 282 2,272 207 55 (545) 41,420 -0.7% 4.8% 94.5% 95.2% Sep.20 25,194 3,589 2,038 282 2,223 2 (489) 32.039 5.3% 6.1% 87.6% 93.9% Commercial Fab/8 7.a6,928 (2DI) 397 1,459 - 1,836 (3,675) 206,743 0.9% 0.2% 100.0% 100.% Au6.19 103,435 6,438 11,531 4,726 1,816 1,139 8,435 137,914 8.3% 11.7% 80.0% 88.3% 5eP.19 47,794 19,471 3,694 9,093 3,217 1,362 4,549 89,179 10.2% 20.4% 75.4% 79.6% Oct-19 87,983 11,855 10,227 1,997 1,082 3,342 625 117,112 4.3% 6.0% 85.3% 949% Nay.19 66,652 22,496 5,784 8,478 1,981 1,032 2,409 108,822 5.0% 12.8% 81.9% 87.2% Dec-19 82,451 15,200 12,231 1,752 3.204 2,041 16,400 133,280 16.2% 17.6% 73.3% 82.4% ion-20 97,265 8,736 7,013 5,579 554 21932 3,045 125,124 5.2% 9.7% 84.7% 90.3% Feb-20 93,963 14,598 3,147 5,165 2,552 1,427 4,029 124,873 6.4% 10.5% 86.9% 89.5% Mer-20 63,369 15,303 6,410 1,899 2,911 1,161 2,174 93,227 6.7% 8.7% 84.4% 91.3% Apr-20 33,873 15,601 5,579 2,576 318 762 9,948 68,658 16.1% 19.8% 72.1% 80.2% May-20 83,521 14,20E 8,667 9,259 9,604 1,145 3,819 130,216 11.2% 18.3% 75.1% 81.7% Jw-20 72,749 37,272 5,966 9,478 6,350 3,420 2,344 137,580 0.8% 15.7% 80.0% 84.3% 1:\202D\September 2020\AB Monthly Analysis Board Packet Sapt4mber 2020,81s8 -35- Memorial Medical Clinics Accounts Receivable Agings Ju420 47,096 26,030 17.056 2,967 6,968 6,180 1,827 108,123 13.8% 16.6% 67.6% 83.4% Aug.20 77,679 8,066 11,908 14,599 1,686 943 4,207 119,089 5.7% 18.0% 72.0% 810% Sep-20 51,541 23,094 3,507 3,609 14,085 814 3,907 100,556 187% 22.3% 74.2% 777% Private Pay Feb AB 152,357 51922 6,490 5,992 1,180 (513) 2.832 174,264 10% 5A% 90.BS4 944% Au849 80,582 3,146 4,674 12,172 16,760 15,915 4,728 137,977 27.1% 35.9% 60.7% 64.1% Sep-19 63,657 35,846 1,288 9,451 13,253 19,535 22,36E 165,300 33.9% 39.0% 60.2% 61.13% Oct-19 71,313 9,935 34,354 (2,026) 13,177 8,307 23,899 157,959 28,7% 27.4% 50.8% 77.6% Nee.19 60,508 22,388 3,086 19,891 (2,936) 7,926 13,444 124,318 14.8% 30.8% 66.7% 59.2% Dec-19 82,310 28,630 14,312 (1,3111 22,106 J7,534) (38,152) 100,561 -23.4% -24.8% 110.5% 124.8-4 Jan-20 70,953 47,698 21,929 13,407 10 21,098 (42,773) 141323 -15.3% -5.8% 90.3% 10S.B% Fab-20 84,860 17,391 10,037 8,146 11,797 2,539 (44,101) 90,668 .32.8% -23.87. 112.0% 123,0% Mar-20 56,409 51,706 21,881 9,462 6,303 5,920 (49,121) 102,569 d6.0% -263% 105.4% 126.7% Apr-20 47,639 27,551 29,909 19,301 (911) (886) (58,366) 64,237 -93.7% -63.6% 117.1% 163.6% May.20 46,575 20,329 17,517 14,425 2,214 (3,902) (64,425) 32,793 -202.0%-157.9% 204.4% 257.9% Jun-20 $9,341 15,292 12,104 10,861 3G0 (1,717) (72,956) 23,2B5 -319.1%-272.5% 320.5% 372.5% Jul-20 77,144 37,357 9,747 7,610 2,572 2,042 (75,543) 60,928 436.4% .103.9% 187.9% 203.9% Au8.20 54,787 25,480 22,474 8,408 1,447 3,594 (05,834) 50,355 .120.7%-104.0% 159.4% 204.0% Sep-20 75,857 29,029 22,852 25,802 3,702 (6) (67,644) 89,593 -71.4% .41.5% 116.0% 1415% Alllasured Aug-19 3G1,183 la,836 26,899 12,455 3,803 7,584 19,344 450,109 6.8% 9.6% 84.4% 90AV.. Sep-19 182,912 69,881 7,43E 16,699 10,320 3,037 20,262 310,489 10.9% 15.2% $1.4% 83.9% Oet-19 230,920 26,512 39,307 4,230 3,754 9,621 15,080 378,424 7.5% 0.6% 81.2% 91.4% Noe-19 293,018 109,801 20,233 90,157 3,843 3,63E IB,950 469.140 S.GYJ 12.1% 83.6% 87.9% Dec.19 267,694 95,087 71,946 15,553 17,102 2,700 26,487 496,569 9.3% 115% 73.1% 07.5% Jan-20 293,673 $9,884 78,352 00,205 20,986 13,371 2,765 549,235 4.9% 15.9% 69.8% 84.1% Feb,20 299,927 58,830 69,927 $7,771 28,489 11,274 11769 517,986 9.9% 17.2% 69.3% 82.8% Mar-20 200,017 60,010 49,004 32,463 28,551 171330 7,475 394,849 13.5% 211% 65.9% 781% Apr-20 132.062 63,458 31,772 37,026 9,524 11,302 17,098 303,042 12.9% 25.0% 54.5% 75.0% May-20 217,782 39,694 96,418 31,365 43,363 6,503 5,610 3110,674 14.6% 22.8% 67.6% 77.2% Jun-20 217,840 75,979 21,036 36,782 28,014 2%740 4,258 412,651 14.8% 237% 71.2% 76.3% Jul-20 164,189 67,817 36,648 12,612 24,853 19,329 19,356 344,803 18.4% 22.1% 67.3-4 77.9% Aug.20 261,161 38,169 37,228 23,611 4,2114 5,047 8,5D2 377,901 4,7% 11.0% 79.2% 89.0% Sep-20 219,128 59,382 24,992 21,577 22,600 2746 8,878 35$303 9.5% 15.5% 77.5% 84.5% 'Months In Green nanasont the leglwst°% of An a90 days(hest performance month asa %) since trend report tracking starred In Jan 2017 J:\2020\5eptember 2020\AR Monthly Analysis Board Packet-Septernber 2020.41rg _36_ MEMORIAL MEDICAL CENTER CHECK REGISTER: 9-1-20 THRU 9-30-20 BANK CODE CK# DATE AMOUNT A/P 300530 9/1/2020 4.63 A/P 500129 9/1/2020 4,030.90 A/P 186973 9/2/2020 103.68 A/P 186974 9/2/2020 586.52 A/P 186975 9/2/2020 99.55 A/P 186976 9/2/2020 430.00 A/P 186977 9/2/2020 150.00 A/P 186978 9/2/2020 689.24 A/P 186979 9/2/2020 1,286.89 A/P 186980 9/2/2020 29,007.64 A/P 186981 9/2/2020 1,700.00 A/P 186982 9/2/2020 3,231.96 A/P 186983 9/2/2020 206,981.42 A/P 186984 9/2/2020 118.82 A/P 186985 9/2/2020 487.50 A/P 186986 9/2/2020 160.69 A/P 186987 9/2/2020 355.81 A/P 186988 9/2/2020 1,953.39 A/P 186989 9/2/2020 120.00 A/P 186990 9/2/2020 9,171.52 A/P 186991 9/2/2020 215.06 A/P 186992 9/2/2020 120.00 A/P 186993 9/2/2020 194.35 A/P 186994 9/2/2020 150.00 A/P 186995 9/2/2020 677.63 A/P 186996 9/2/2020 120.00 A/P 186997 9/2/2020 207.00 A/P 186998 9/2/2020 1,432.96 A/P 186999 9/2/2020 516.49 A/P 187000 9/2/2020 557.69 A/P 187001 9/2/2020 7,706.87 A/P 187002 9/2/2020 46.35 A/P 187003 9/2/2020 134.20 A/P 187004 9/2/2020 120.96 A/P 187005 9/2/2020 105.00 A/P 187006 9/2/2020 697.49 A/P 187007 9/2/2020 495.22 A/P 187008 9/2/2020 120.00 A/P 187009 9/2/2020 106.43 A/P 187010 9/2/2020 132.48 PAYEE PAY PLUS MCKESSON ABEL SOLIS ABILITY NETWORK (SHIFTHOUND) ACE HARDWARE 15521 ARTHREX, INC BARD ACCESS BARD PERIPHERAL VASCULAR BAXTER HEALTHCARE BECKMAN COULTER INC BIO-RAD LABORATORIES, INC BLUE CROSS BLUE SHIELD BOSART LOCK & KEY INC BRIGGS HEALTHCARE CARDINAL HEALTH 414, INC. CAVALLO ENERGY TEXAS LLC CITY OF PORT LAVACA CONMED CORPORATION DEWITT POTH & SON EL CAMPO REFRIGERATION EVOQUA WATER TECHNOLOGIES LLC FISHER HEALTHCARE FRASIER HEALTHCARE CONSULTING, GE HEALTHCARE GE PRECISION HEALTHCARE, LLC GENESIS DIAGNOSTICS GULF COAST PAPER COMPANY INTRADO -37- A/P 187011 9/2/2020 762.75 LEGAL SHIELD A/P 187012 9/2/2020 414.80 A/P 187013 9/2/2020 185.08 A/P 187014 9/2/2020 120.00 A/P 187015 9/2/2020 1,627.00 MASA GLOBAL BUILDING A/P 187016 9/2/2020 307.10 MCKESSON MEDICAL SURGICAL INC A/P 187017 9/2/2020 137.71 MEDIMPACT HEALTHCARE SYS, INC. A/P 187018 9/2/2020 860.00 A/P 187019 9/2/2020 161.97 MISTY BEST A/P 187020 9/2/2020 VOIDED A/P 187021 9/2/2020 - VOIDED A/P 187022 9/2/2020 15,715.09 MORRIS & DICKSON CO, LLC A/P 187023 9/2/2020 4,302.29 NATIONAL FARM LIFE INSURANCE A/P 187024 9/2/2020 249.37 A/P 187025 9/2/2020 814.76 NOVA BIOMEDICAL A/P 187026 9/2/2020 71.24 OFFICE DEPOT A/P 187027 9/2/2020 320.20 OIL PATCH PETROLEUM A/P 187028 9/2/2020 23.82 A/P 187029 9/2/2020 82.21 PRECISION DYNAMICS CORP (PDC) A/P 187030 9/2/2020 1,777.69 QIAGEN INC A/P 187031 9/2/2020 1,667.00 RADSOURCE A/P 187032 9/2/2020 68.49 A/P 187033 9/2/2020 174.31 A/P 187034 9/2/2020 4,038.24 SIEMENS FINANCIAL SERVICES A/P 187035 9/2/2020 4,760.00 SOUTH TEXAS BLOOD & TISSUE CEN A/P 187036 9/2/2020 2,415.00 STERICYCLE, INC A/P 187037 9/2/2020 730.36 STRYKER SALES CORP A/P 187038 9/2/2020 0.34 STRYKER SUSTAINABILITY A/P 187039 9/2/2020 2,575.00 SUN LIFE ASSURANCE COMPANY A/P 187040 9/2/2020 463.78 A/P 187041 9/2/2020 10.99 TALX CORPORATION A/P 187042 9/2/2020 6,521.00 TEXAS HOSPITAL ASSOCIATION A/P 187043 9/2/2020 2,500.00 THE INLINE GROUP A/P 187044 9/2/2020 1,912.52 THE US CONSULTING GROUP A/P 187045 9/2/2020 50.00 A/P 187046 9/2/2020 274.64 TRI-ANIM HEALTH SERVICES INC A/P 187047 9/2/2020 196.00 A/P 187048 9/2/2020 270.22 UNIFIRST HOLDINGS A/P 187049 9/2/2020 620.41 UNIFORM ADVANTAGE A/P 187050 9/2/2020 2,200.00 US POSTAL SERVICE A/P 187060 9/2/2020 215.85 PENNY REYES A/P 300531 9/2/2020 0.75 PAY PLUS A/P 300532 9/2/2020 17.40 AUTHNET GATEWAY BILLING A/P 110018 9/4/2020 4,239.38 STATE COMPTRLR TEXNET A/P 300533 9/4/2020 1.35 PAY PLUS A/P 300534 9/4/2020 9.95 MERCH BNKCK FEE A/P 300535 9/4/2020 148.13 MERCH BNKCD FEE M. A/P 300536 9/4/2020 19.95 MERCH BNKCD DISCOUNT A/P 300537 9/4/2020 151.44 MERCH BNKCD DISCOUNT A/P 300538 9/4/2020 92.38 MERCH BNI(CDINTERCHNG A/P 305533 9/4/2020 3,096.37 STATE COMPTRLR TEXNET A/P 500130 9/4/2020 776.94 AMERISOURCE A/P 030540 9/8/2020 35,006.18 IRS USA TAX PYMT A/P 300539 9/8/2020 19,12 PAY PLUS ACHTRANS A/P 300540 9/8/2020 59,848.14 IRS USA TAX PYMT A/P 300541 9/8/2020 32.45 FDGL LEASE PYMT A/P 300542 9/8/2020 69.24 FDGL LEASE PYMT A/P 300543 9/8/2020 40.02 FDGL LEASE PYMT A/P 300544 9/8/2020 43.26 FDGL LEASE PYMT A/P 500131 9/8/2020 4,883.76 MCKESSON DRUG A/P 187061 9/9/2020 100.00 A/P 187065 9/9/2020 586.52 ABILITY NETWORK (SHIFTHOUND) A/P 187066 9/9/2020 570.73 AIRGAS USA, LLC - CENTRAL DIV A/P 187067 9/9/2020 2,515.50 A/P 187068 9/9/2020 4,950.00 AUTHORITYRX A/P 187069 9/9/2020 150.00 BARD ACCESS A/P 187070 9/9/2020 140.00 CABLES AND SENSORS A/P 187071 9/9/2020 36.52 CALHOUN COUNTY A/P 187072 9/9/2020 8,448.29 COW GOVERNMENT, INC. 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VOIDED - VOIDED - VOIDED - VOIDED 20,908.14 MEDLINE INDUSTRIES INC 120.00 MEMORIAL MEDICAL CLINIC 181.80 MERRY X-RAY/SOURCEONE HEALTHCA - VOIDED - VOIDED 26,538.38 MORRIS & DICKSON CO, LLC 473.28 OCCUPRO LLC 755.90 ORTHO CLINICAL DIAGNOSTICS 2,283.13 PABLO GARZA 5,500.00 PARA 35.12 84.94 PRECISION DYNAMICS CORP (PDC) 4,218.24 PRESS GANEY ASSOCIATES, INC. 2,397.90 PRO ENERGY PARTNERS LP 262.50 REVISTA de VICTORIA 235.00 RX WASTE SYSTEMS LLC 523.02 SHERWIN WILLIAMS 171.49 SHIRLEY KARNEI 4,577.00 SOUTH TEXAS BLOOD & TISSUE CEN 110.00 STRYKER SALES CORP 10,572.57 SUN LIFE FINANCIAL 209.00 SWINGING ON A STAR, INC 7,274.42 T-SYSTEM, INC 4,025.00 TEXAS MUTUAL INSURANCE CO 1,917.38 THE US CONSULTING GROUP 1,285.70 TLC STAFFING 3,753.67 UNIFIRST HOLDINGS 650.47 UNIFORM ADVANTAGE 170.00 VICTORIA AIR CONDITIONING LTD 4,295.95 WAGEWORKS, INC. 1,206.53 WERFEN USA LLC 895.00 WEST COAST MEDICAL RESOURCES 8,725.00 WOUND CARE SPECIALISTS -43- A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P 187266 200564 200565 200566 200567 500136 500137 187267 187268 187269 187270 187271 187272 187273 187274 187275 187276 187277 187278 187279 187280 187281 187282 187283 187284 187285 187286 187287 187288 187289 187290 187291 187292 187293 187294 187295 187296 187297 187298 187299 187300 187301 187302 187303 187304 187305 187306 9/23/2020 9/23/2020 9/23/2020 9/24/2020 9/25/2020 9/25/2020 9/29/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 9/30/2020 29.39 80.12 PAY PLUS ACHTRANS 4,148.77 WIRE OUT CBNA INCOMING 1.64 PAY PLUS ACHTRANS 4.29 PAY PLUS ACHTRANS 345.59 AMERISOURCE BERG PYMT 7,841.39 MCKESSON DRUG AUTO ACH 274.14 54.79 151.69 49.00 128.70 122.94 23.33 297.71 19.09 49.24 90.00 43.62 175.00 59.03 21.13 80.15 10.00 125.85 30.20 316.78 15.00 300.00 174.84 54.58 30.00 25.00 15.20 57.26 39.68 217.47 66.20 a.),K,f! 100.00 249.72 141.94 823.10 148.96 80.32 68.74 20.68 m1 A/P 187307 9/30/2020 384.21 A/P 187308 9/30/2020 206.60 A/P 187309 9/30/2020 38.50 A/P 187310 9/30/2020 14.05 A/P 187311 9/30/2020 21.12 A/P 187312 9/30/2020 353.37 A/P 187313 9/30/2020 68.38 A/P 187314 9/30/2020 166.64 A/P 187315 9/30/2020 97.37 A/P 187316 9/30/2020 50.00 A/P 187317 9/30/2020 243.99 A/P 187318 9/30/2020 341.16 A/P 187319 9/30/2020 138.85 A/P 187320 9/30/2020 35.00 A/P 187321 9/30/2020 420.00 A/P 187322 9/30/2020 42.76 A/P 187323 9/30/2020 110.00 A/P 187324 9/30/2020 306.78 A/P 187325 9/30/2020 70.77 A/P 187326 9/30/2020 299.59 A/P 187327 9/30/2020 37.76 A/P 187328 9/30/2020 41.24 A/P 187329 9/30/2020 10.00 A/P 187330 9/30/2020 160.00 A/P 197331 9/30/2020 97.65 A/P 187332 9/30/2020 20.00 A/P 187333 9/30/2020 60.00 A/P 187334 9/30/2020 666.51 A/P 187335 9/30/2020 302.90 A/P 187336 9/30/2020 11.17 A/P 187337 9/30/2020 60.78 A/P 187338 9/30/2020 61.71 A/P 187339 9/30/2020 200.00 A/P 187340 9/30/2020 84.66 A/P 187341 9/30/2020 40.00 A/P 187342 9/30/2020 1,327.46 A/P 187343 9/30/2020 24.36 A/P 187344 9/30/2020 76.16 A/P 187345 9/30/2020 10.00 A/P 187346 9/30/2020 50.00 A/P 187347 9/30/2020 31.11 A/P 187348 9/30/2020 300.00 A/P 187349 9/30/2020 16.15 A/P 187350 9/30/2020 26.66 A/P 187351 9/30/2020 56.28 A/P 187352 9/30/2020 161.90 A/P 187353 9/30/2020 13.10 -46- A/P 187354 9/30/2020 A/P 187355 9/30/2020 A/P 187356 9/30/2020 A/P 187357 9/30/2020 A/P 187358 9/30/2020 A/P 187359 9/30/2020 A/P 187360 9/30/2020 A/P 187361 9/30/2020 A/P 187362 9/30/2020 A/P 187363 9/30/2020 A/P 187364 9/30/2020 A/P 187365 9/30/2020 A/P 187366 9/30/2020 A/P 187367 9/30/2020 A/P 187368 9/30/2020 A/P 187369 9/30/2020 A/P 187370 9/30/2020 A/P 187371 9/30/2020 A/P 187372 9/30/2020 A/P 187373 9/30/2020 A/P 187374 9/30/2020 A/P 187375 9/30/2020 A/P 187376 9/30/2020 A/P 187377 9/30/2020 A/P 187378 9/30/2020 A/P 187379 9/30/2020 A/P 187380 9/30/2020 A/P 187381 9/30/2020 A/P 187382 9/30/2020 A/P 187383 9/30/2020 A/P 187384 9/30/2020 A/P 187385 9/30/2020 A/P 187386 9/30/2020 A/P 187387 9/30/2020 A/P 187388 9/30/2020 A/P 187389 9/30/2020 A/P 187390 9/30/2020 A/P 187391 9/30/2020 A/P 187392 9/30/2020 A/P 187393 9/30/2020 A/P 187394 9/30/2020 A/P 187395 9/30/2020 A/P 187396 9/30/2020 A/P 187397 9/30/2020 A/P 187398 9/30/2020 A/P 187399 9/30/2020 A/P 187400 9/30/2020 22.25 346.56 132.23 25.00 287.17 50.00 59.27 150.00 131.58 15,247.15 3M COMPANY 586.52 ABILITY NETWORK (SHIFTHOUND) 3,471.27 AIRGAS USA, LLC - CENTRAL DIV 92.81 ALPHA TEC SYSTEMS INC 4,196.00 AUTHORITYRX 1,398.20 BAXTER HEALTHCARE 14,263.35 BECKMAN COULTER INC 201,372.89 BLUE CROSS BLUE SHIELD 247.48 BOHLS BEARING & POWER TRANS 26.92 165.29 C R BARD, INC 306.00 CABLES AND SENSORS 945.05 CARDINAL HEALTH 414, INC. 1,699.00 CERVEY, LLC 180.00 CLIA LABORATORY PROGRAM 555.52 CONMED CORPORATION 98.50 CYTO SUPPLIES 999.34 DEWITT POTH & SON 1,019.76 DSHS CENTRAL LAB MC2004 51,167.00 E-MDS, INC 157.24 ERBE USA INC SURGICAL SYSTEMS 495.00 FASTHEALTH CORPORATION 72.32 FEDERAL EXPRESS CORP. 2,737.62 FIRST INSURANCE FUNDING 2,713,45 FISHER HEALTHCARE 959.87 FRONTIER 11,503.03 GE PRECISION HEALTHCARE, LLC 398.00 GI SUPPLY 247.50 GLOBAL EQUIPMENT CO. INC. 1,307.28 GULF COAST PAPER COMPANY 150.86 HEALTH CARE LOGISTICS INC 3,000.00 HEALTH SOLUTIONS DIETETICS 21,009.99 HEALTHCARE FINANCIAL SERVICES 613.75 INTOXIMETERS INC 447.57 INTRADO 26.00 JUSTINE HERRERA 1,714.29 LABCORP OF AMERICA HOLDINGS 769.20 LANDAUER INC m A/P 187401 9/30/2020 676.01 LOWE'S HOME CENTERS INC A/P 187402 9/30/2020 211.31 MARKETLAB, INC A/P 187403 9/30/2020 939.37 MCKESSON MEDICAL SURGICAL INC A/P 187404 9/30/2020 815.48 MEDIVATORS A/P 187405 9/30/2020 - VOIDED A/P 187406 9/30/2020 - VOIDED A/P 187407 9/30/2020 15,863.47 MEDLINE INDUSTRIES INC A/P 187408 9/30/2020 291.00 A/P 187409 9/30/2020 244.86 A/P 187410 9/30/2020 - VOIDED A/P 187411 9/30/2020 10,620.44 MORRIS & DICKSON CO, LLC A/P 187412 9/30/2020 81.70 NUANCE COMMUNICATIONS, INC A/P 187413 9/30/2020 1,137.51 OLYMPUS AMERICA INC A/P 187414 9/30/2020 187.50 PALACIOS BEACON A/P 187415 9/30/2020 3,084.00 PARA A/P 187416 9/30/2020 244.73 PARAGARD DIRECT A/P 187417 9/30/2020 24.25 PARTSSOURCE, LLC A/P 187418 9/30/2020 1,100.00 A/P 187419 9/30/2020 187.50 PITNEY BOWES INC A/P 187420 9/30/2020 971.00 PORT LAVACA WAVE A/P 187421 9/30/2020 1,667.00 RADSOURCE A/P 187422 9/30/2020 1,548.75 REVCYCLE+,INC. A/P 187423 9/30/2020 12.45 A/P 187424 9/30/2020 13,411.75 ROBERTS, ODEFEY, WITTE & WALL A/P 187425 9/30/2020 219.96 A/P 187426 9/30/2020 182.56 A/P 187427 9/30/2020 8,439.89 SANOFI PASTEUR INC A/P 187428 9/30/2020 294.56 A/P 187429 9/30/2020 193.99 SERVICE SUPPLY OF VICTORIA INC A/P 187430 9/30/2020 5,371.57 SIEMENS FINANCIAL SERVICES A/P 187431 9/30/2020 66.82 SMITHS MEDICAL ASD INC A/P 187432 9/30/2020 2,451.23 STERICYCLE, INC A/P 187433 9/30/2020 2,799.00 TELCOR A/P 187434 9/30/2020 2,500.00 THE INLINE GROUP A/P 187435 9/30/2020 1,654.24 TRIZETTO PROVIDER SOLUTIONS A/P 187436 9/30/2020 3,613.69 UNIFIRST HOLDINGS A/P 187437 9/30/2020 90.97 UNIFORM ADVANTAGE A/P 187438 9/30/2020 1,457.25 WAGEWORKS A/P 187439 9/30/2020 518.40 WAGEWORKS, INC A/P 187440 9/30/2020 300.00 WELCH ALLYN INC A/P 187441 9/30/2020 25,818.41 WERFEN USA LLC A/P 187442 9/30/2020 179.00 WEST COAST MEDICAL RESOURCES A/P 187443 9/30/2020 1,059.00 WISCONSIN STATE LABORATORY A/P 187444 9/30/2020 218.68 ZIMMER BIOMET A/P 300564 9/30/2020 5.43 PAY PLUS ACHTRANS A/P TOTAL 2,288,779.88 -47- A/P 187051 9/2/2020 302,900.00 ASHFORD GARDENS A/P 187052 9/2/2020 228,660.20 BETHANY SENIOR LIVING A/P 187053 9/2/2020 198,200.00 BROADMOOR AT CREEKSIDE PARK A/P 187054 9/2/2020 91,200.00 FORTBEND HEALTHCARE CENTER A/P 187055 9/2/2020 206,650.30 GOLDENCREEK HEALTHCARE A/P 187056 9/2/2020 220,659.41 GULF POINTE PLAZA A/P 187057 9/2/2020 172,400.00 SOLERA WEST HOUSTON A/P 187058 9/2/2020 172,400.00 THE CRESCENT A/P 187059 9/2/2020 29,309.67 TUSCANY VILLAGE A/P 187062 9/9/2020 41,364.97 BETHANY SENIOR LIVING A/P 187063 9/9/2020 20,308.33 GOLDENCREEK HEALTHCARE A/P 187064 9/9/2020 14,558,84 TUSCANY VILLAGE A/P 187119 9/16/2020 3,016.06 BETHANY SENIOR LIVING A/P 187120 9/16/2020 9,291.55 GOLDENCREEK HEALTHCARE A/P 187121 9/16/2020 1,886.64 TUSCANY VILLAGE A/P 187261 9/23/2020 7,444.00 BETHANY SENIOR LIVING A/P 187262 9/23/2020 63.19 GOLDENCREEK HEALTHCARE A/P 187263 9/23/2020 23,544.67 GULF POINTE PLAZA A/P 187264 9/23/2020 26,409.62 TUSCANY VILLAGE A/P 187445 9/30/2020 9,104.28 ASHFORD GARDENS A/P 187446 9/30/2020 28,767.09 BETHANY SENIOR LIVING A/P 187447 9/30/2020 3,735.78 FORTBEND HEALTHCARE CENTER A/P 187448 9/30/2020 5,889.59 GOLDENCREEK HEALTHCARE A/P 187449 9/30/2020 3,656.85 GULF POINTE PLAZA A/P 187450 9/30/2020 3,190.11 SOLERA WEST HOUSTON A/P 187451 9/30/2020 2,715.05 THE CRESCENT A/P 187452 9/30/2020 3,310.57 BROADMOOR AT CREEKSIDE PARK A/P TOTAL (nursing home) 1,830,636.77 ICP 012394 9/29/2020 33.27 CARDIOVASCULAR ASSOCIATES ICP 012395 9/29/2020 122.98 CLINICAL PATHOLOGY LABS ICP 012396 9/29/2020 4,166.67 MEMORIAL MEDICAL CENTER ICP 012397 9/29/2020 130.88 MEMORIAL MEDICAL CENTER ICP 012398 9/29/2020 5,065.13 MEMORIAL MEDICAL CENTER ICP 012399 9/29/2020 55.60 RICHARD ARROYO-DIAZ ICP 012400 9/29/2020 118.42 SINGLETON ASSOCIATES PA ICP 012401 9/29/2020 160.48 VICTORIA ANESTHESIOLOGY, LLP ICP 012403 9/29/2020 200.00 MEMORIAL MEDICAL CLINIC ICP TOTAL 10,053.43 GPP 000016 9/2/2020 17,162.34 MMC OPERATING 5 ". NHG 000062 9/2/2020 27,133.11 MMC OPERATING NHB 000066 9/2/2020 5,756.87 MMC OPERATING NHF 000094 9/2/2020 6,955.16 MMC OPERATING NHC 000097 9/2/2020 4,768.85 MMC OPERATING NHS 001098 9/2/2020 5,896.97 MMC OPERATING NHA 001105 9/2/2020 17,204.11 MMC OPERATING NHB 000067 9/9/2020 9,503,75 MMC OPERATING NHF 000095 9/9/2020 10,755.10 MMCOPERATING NHC 000098 9/9/2020 7,771.06 MMC OPERATING NHS 001099 9/9/2020 9,290.29 MMCOPERATING NHA 001106 9/9/2020 26,331.34 MMCOPERATING NHB 000068 9/30/2020 3,759.33 MMC OPERATING NHF 000096 9/30/2020 4,257.93 MMC OPERATING NHC 000099 9/30/2020 3,073.79 MMC OPERATING NHS 001100 9/30/2020 3,690.94 MMC OPERATING NHA 001107 9/30/2020 10,413.39 MMC OPERATING NURSING HOME TOTAL 173,724.33 P/R 062739 9/4/2020 690.13 PAY PERIOD 08/14/20-08/27/20 P/R 062740 9/4/2020 1,860.74 PAY PERIOD 08/14/20-08/27/20 P/R 062741 9/4/2020 281.45 PAY PERIOD 08/14/20-08/27/20 P/R 062742 9/4/2020 754.44 PAY PERIOD 08/14/20-08/27/20 P/R 062743 9/4/2020 97.74 PAY PERIOD 08/14/20-08/27/20 P/R 062744 9/4/2020 191.18 PAY PERIOD 08/14/20-08/27/20 P/R 062745 9/4/2020 165.36 PAY PERIOD 08/14/20-08/27/20 P/R 062746 9/4/2020 422.85 PAY PERIOD 08/14/20-08/27/20 P/R 062747 9/4/2020 351.14 PAY PERIOD 08/14/20-08/27/20 P/R 062750 9/18/2020 1,894.58 PAY PERIOD 08/28/20-09/10/20 P/R 062751 9/18/2020 754.33 PAY PERIOD 08/28/20-09/10/20 P/R 062752 9/18/2020 299.06 PAY PERIOD 08/28/20-09/10/20 P/R 062753 9/18/2020 363.36 PAY PERIOD 08/28/20-09/10/20 P/R 999999 9/30/2020 597,203.06 TOTAL DIRECT DEPOSIT FOR SEPTEMBEF PR TOTAL 605,329.42 GRAND TOTAL 4,908,523.83 E• MEMORIAL MEDICAL CENTER GROSS PAYROLL REPORT - SEPTEMBER 2020 PRTitle PRDeptName PRTotGross SECURITY OFFICER SECURITY 2,634.06 OPERATOR CLINIC FS 2,730.53 ASST PURCHASE BUYER CENTRAL SUPPLY 2,427.25 LICENSED VOCATIONAL HOSPITAL CAMPUS RHC 2,853.39 PURCHASING SUPERVISR CENTRAL SUPPLY 3,100.00 IP/EH/RM NURSE INFECTION PREVENTION 9,128.81 REGISTERED NURSE MED/SURG 5,920.36 SURGERY MANAGER SURGERY 7,082.12 REGISTERED NURSE MED/SURG 7,254.15 LICENSED VOCATIONAL OBSTETRICS 4,812.56 REGISTERED NURSE MED/SURG 4,891.68 REGISTERED NURSE OBSTETRICS 3,388.06 REGISTERED NURSE EMERGENCY ROOM 6,163.42 DIRECTOR OF INPT SVC MED/SURG 6,376.80 ADMINIST ASSISTANT ADMINISTRATION 3,672.20 C NA MED/SURG 3,001.80 PRE -ADMISSION NURSE SURGERY 3,931.64 REGISTERED NURSE HOSPITAL CAMPUS RHC 6,080.32 LICENSED VOCATIONAL SURGERY 4.063.04 M LT LABORATORY 4,144.50 MEDICAL LAB TECH LABORATORY 4.770.00 MEDICAL TECHNOLOGIST LABORATORY 248.00 LAB ASSISTANT LABORATORY 3,222.74 MEDICAL LAB TECH LABORATORY 5,067.00 MEDICAL TECHNOLOGIST LABORATORY 4,974.44 REGISTERED NURSE EMERGENCY ROOM 618.25 REGISTERED NURSE MED/SURG 2.909.81 BIRTH REG/TRANSCRIP HEALTH INFORMATION MANAGEMENT 1,004.06 REGISTERED NURSE OBSTETRICS 4,441.64 REGISTERED NURSE MED/SURG 668.75 CLINICAL IT SPCLST ADMINISTRATION -CLINICAL SERVIC 4,904.00 REGISTERED NURSE OBSTETRICS 803.26 REGISTERED NURSE OBSTETRICS 4.162,14 REGISTERED NURSE OBSTETRICS 4,702.17 CNO QUALITY ASSURANCE 9,100.20 REGISTERED NURSE MED/SURG 4,559.82 OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY 6,923.07 LICENSED VOCATIONAL MED/SURG 570.56 PRACT ADMINISTRATOR CLINIC FS 7,917.80 TECHNICAL SUPERVISOR LABORATORY 4,953.13 NURSE PRACTIONER HOSPITAL CAMPUS RHC 7,915.68 REGISTERED NURSE MED/SURG 413.25 CASE MANAGER/URIDP UTILIZATION REVIEW 4,859.37 REGISTERED NURSE ICU 1,066.19 CERTIFIED NURSE AIDE MED/SURG 1,675.64 REGISTERED NURSE MED/SURG 6,730.94 -50- REGISTERED NURSE OBSTETRICS 4,914.20 REGISTERED NURSE MED/SURG 3,879.38 REGISTERED NURSE SURGERY 1,703.94 CERTIFIED NURSE AIDE MED/SURG 1,581.22 REGISTERED NURSE MED/SURG 816,75 REGISTERED NURSE MED/SURG 4,814.53 REGISTERED NURSE ICU 4,393.54 CERTIFIED NURSE AIDE MED/SURG 60.00 REGISTERED NURSE MED/SURG 404.50 REGISTERED NURSE EMERGENCY ROOM 7.011.05 CERTIFIED NURSE AIDE MED/SURG 2,717.22 OP/QA NURSE SPECIALTY CLINIC 4,923.50 REGISTERED NURSE ICU 5,007.79 REGISTERED NURSE EMERGENCY ROOM 1,841.31 LICENSED VOCATIONAL MED/SURG 262.13 CLINICAL COORDINATOR MEMORIAL MEDICAL CLINIC 3,631.45 REGISTERED NURSE MED/SURG 4,372.59 REGISTERED NURSE MED/SURG 3,757.39 LICENSED VOCATIONAL MED/SURG 2,794.02 NURSE PRACTITIONER HOSPITAL CAMPUS RHC 7,915.69 CERTIFIED NURSE AIDE MED/SURG 4,356.36 IP/EH/RM NURSE INFECTION PREVENTION 484.50 REGISTERED NURSE ICU 3,796,56 REG PHARM TECH SUPER PHARMACY 3.354.44 NURSE PRACTIONER HOSPITAL CAMPUS RHC 7,915.68 REGISTERED NURSE OBSTETRICS 4,877.87 REGISTERED NURSE ICU 4,117.48 REGISTERED NURSE ICU 6,978.46 RN -OR SCRUB NURSE MED/SURG 452.25 O R TECH SURGERY 4,257.27 RN-PERIOPERATIVE SURGERY 3,761.84 LAB ASSISTANT LABORATORY 771.51 REGISTERED NURSE OBSTETRICS 4,150,16 REGISTERED NURSE LABOR/DELIVERY 2,207.46 REGISTERED NURSE OBSTETRICS 1,320.44 CERTIFIED STERIL TEC SURGERY 3,283.55 COURIER -SUPPLY TECH CENTRAL SUPPLY 2,777.36 DIRECTOR EMERGENCY ROOM 7,678.82 REGISTERED NURSE MED/SURG 443.25 REGISTERED NURSE EMERGENCY ROOM 3,681.27 REGISTERED NURSE EMERGENCY ROOM 5,217.44 REGISTERED NURSE EMERGENCY ROOM 6,080.80 REGISTERED NURSE EMERGENCY ROOM 1,287.38 REGISTERED NURSE EMERGENCY ROOM 4.046.38 REGISTERED NURSE EMERGENCY ROOM 420.94 REGISTERED NURSE EMERGENCY ROOM 3,513.95 REGISTERED NURSE MED/SURG 872.54 REGISTERED NURSE MED/SURG 419.75 REGISTERED NURSE MED/SURG 5,725,24 REGISTERED NURSE EMERGENCY ROOM 5,558.46 REGISTERED NURSE MED/SURG 6,772.02 MEDICAL TECHNICIAN LABORATORY 1,192.75 -51- MEDICAL LAB TECH LABORATORY 3,466.40 LAB MANAGER LABORATORY 5.630.58 LAB ASSISTANT MMC CLINIC - LABORATORY 2,407.35 REGISTERED NURSE SURGERY 2,003.63 LAB ASSISTANT LABORATORY 770.00 REGISTERED NURSE MED/SURG 800.25 M LT LABORATORY 1,104,75 LAB ASSISTANT LABORATORY 2,321.29 LAB ASSISTANT LABORATORY 1,124.25 LAB ASSISTANT LABORATORY 690.50 DEPARTMENTAL ASSIST PLANT OPERATIONS 2,124.67 LAB ASSISTANT LABORATORY 2,247.63 MEDICAL LAB TECH MMC CLINIC - LABORATORY 3,166.92 MEDICAL LAB TECH LABORATORY 4,076,53 REGISTERED NURSE MED/SURG 3,681.86 REGISTERED NURSE MED/SURG 3,620.65 REGISTERED NURSE MED/SURG 5,758.53 REGISTERED NURSE OBSTETRICS 7,820.95 REGISTERED NURSE MED/SURG 1,470.80 CERTIFIED NURSES AID MED/SURG 2,032.71 CNA MED/SURG 455.50 REGISTERED NURSE EMERGENCY ROOM 5,134.57 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4,724.10 RECEPT/SECRETARY DIAGNOSTIC IMAGING 2,145.60 RADIOLOGY SUPERVISOR DIAGNOSTIC IMAGING 7,398.60 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 1,531.57 RADIOLOGY TECH MMC CLINIC - DIAGNOSTIC IMAGIN 5,903.98 RADIOLOGY TECH DIAGNOSTIC IMAGING 94.50 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 5,658.45 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4,327,41 NUCLEAR MED TECH DIAGNOSTIC IMAGING 6,844.50 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 4,422.48 RADIOLOGIC TECH DIAGNOSTIC IMAGING 3,696.71 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 2,033.25 RADIOLOGICAL TECH DIAGNOSTIC IMAGING 3,963.64 LVN-CMG-CHART AUDITR PHARMACY 278.96 PHARMACY TECH PHARMACY 2,250,76 PHARMACY TECHNICIAN PHARMACY 2,995.27 OPERATOR CLINIC FS 1,669.35 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1,849.74 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1,845.85 RECEPTIONIST CLINIC FS 2.037.44 RECEPTIONIST PATIENT FINANCIAL SERVICES 1,821.71 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1,846.52 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 2,128.02 MEDICAL ASSISTANT HOSPITAL CAMPUS RHC 1,137.31 LICENSED VOCATIONAL HOSPITAL CAMPUS RHC 3,465,58 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1,856.83 RECEPTIONIST CLINIC FS 2,677.97 INSURANCE CLERK CLINIC FS 2,436.53 COLLECTIONS CLERK CLINIC FS 1,786.38 OPERATOR CLINIC FS 3,122.39 -52- OPERATOR CLINIC FS 2,363.72 RECEPTIONIST CLINIC FS 2,109.40 MEDICAL ASSISTANT HOSPITAL CAMPUS RHC 2,149.87 REFERRAL SPECIALIST MEMORIAL MEDICAL CLINIC 2,134.96 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC 2,285.20 REFERRAL SPCLST / MA MEMORIAL MEDICAL CLINIC 2,919.94 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1,875.15 OFFICE COORDINATOR CLINIC FS 2,895.40 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 2.335.22 LVN MEMORIAL MEDICAL CLINIC 3,793.04 RECEPTIONIST CLINIC FS 2,033.42 RN -NURSE SUPERVISOR MEMORIAL MEDICAL CLINIC 3,990.50 NURSE PRACTITIONER MEMORIAL MEDICAL CLINIC 7,915.68 MEDICAL ASSISTANT HOSPITAL CAMPUS RHC 1,859.78 NURSE PRACTITIONER MEMORIAL MEDICAL CLINIC 8,883.20 COTA OCCUPATIONAL THERAPY 800.00 PT ASSISTANT PHYSICAL THERAPY 4,606.35 PT ASSISTANT PHYSICAL THERAPY 4,656.58 DIRECTOR REHAB SERVC PHYSICAL THERAPY 9.106.63 RECEPTIONIST PHYSICALTHERAPY 868.05 PHYSICAL THERAPIST PHYSICAL THERAPY 7,069.51 REHAB OFFICE COORD, PHYSICAL THERAPY 2,167.75 TEAM LEAD PTA PHYSICAL THERAPY 5,880.00 REGISTERED NURSE OBSTETRICS 5,948.59 PTA PHYSICAL THERAPY 352.00 MEDICAL ASSISTANT HOSPITAL CAMPUS RHC 2.019.15 RIGISTERED NURSE MED/SURG 4,905.69 THERAPIST BEHAVIORAL HEALTH 4,489.60 DISCHARGE ANALYST HEALTH INFORMATION MANAGEMENT 1,928.94 HIM SPECIALIST HEALTH INFORMATION MANAGEMENT 1,775.90 PHYSICAL THERAPIST PHYSICAL THERAPY 7,242.40 REGISTERED NURSE EMERGENCY ROOM 3,857.63 CODING SPECIALIST HEALTH INFORMATION MANAGEMENT 3,479.78 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 2,261.66 REGISTERED NURSE ICU 3,836.73 DIRECTOR OF DIETARY DIETARY 4,825,00 FOOD SERVICE STAFF DIETARY 2,125.76 FOOD SERVICE STAFF DIETARY 2,039.66 FOOD SERVICE STAFF DIETARY 2,081.29 FOOD SERVICE STAFF DIETARY 3,803.22 OPERATOR CLINIC FS 1,954.63 FOOD SERVICE STAFF DIETARY 2,052.12 FOOD SERVICE STAFF DIETARY 2,055.63 PLANT OPS SPECIALIST PLANT OPERATIONS 3,004.19 PLANT OPS SPECIALIST PLANT OPERATIONS 1,467.42 TEAM LEAD - EVS PLANT OPERATIONS 1,685.30 PLANT OPS TEAM LEAD PLANT OPERATIONS 2,592.96 EVS AIDE ENVIRONMENTAL SERVICES 1,590.77 EVS AIDE ENVIRONMENTAL SERVICES 1,745.60 EVS AIDE ENVIRONMENTAL SERVICES 2,302.92 ES AIDE ENVIRONMENTAL SERVICES 1,544.41 EVS AIDE -FLOOR TECH ENVIRONMENTAL SERVICES 1,663.42 -53- LICENSED VOCAT NURSE MED/SURG 2,304.63 FLOOR TECH ENVIRONMENTAL SERVICES 1,559.17 EVS AIDE ENVIRONMENTAL SERVICES 1,599.64 FLOOR TECH ENVIRONMENTAL SERVICES 331.24 EVS AIDE ENVIRONMENTAL SERVICES 2.423.65 ES AIDE ENVIRONMENTAL SERVICES 2,021.77 FOOD SERVICE STAFF DIETARY 1,930.06 TEAM LEAD ENVIRONMENTAL SERVICES 3,256.08 OR AIDE SURGERY 2,095.50 SECURITY SUPERVISOR SECURITY 2,929.98 DIRECTOR OF PLANT OP PLANT OPERATIONS 5,647.63 SECURITY OFFICER SECURITY 2,399.38 REGISTERED NURSE SURGERY 6,541.75 PERIOPERATIVE RN SURGERY 6.958.85 SELF PAY CLERK PATIENT FINANCIAL SERVICES 2,022.75 REGISTRATION CLERK PFS - REGISTRATION 2.070.93 BILLING CLERK PATIENT FINANCIAL SERVICES 1,902.01 MEDICAID CLERK PATIENT FINANCIAL SERVICES 1,367.24 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 1,775.01 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 2,572.64 INSURANCE COORD PATIENT FINANCIAL SERVICES 2,410.80 REGISTERATION CLERK PFS - REGISTRATION 533.00 REGISTRATION CLERK PFS - REGISTRATION 551.38 CASHIER -SWITCHBOARD PATIENT FINANCIAL SERVICES 1,840.36 INSURANCE FOLLW UP PATIENT FINANCIAL SERVICES 2,262,00 MEDICARE COORDINATOR PATIENT FINANCIAL SERVICES 3,623.48 REGISTRATION CLERK PFS - REGISTRATION 2,191.92 REGISTRATION CLERK PATIENT FINANCIAL SERVICES 1,702.12 REFERRAL SPECIALIST CLINIC FS 2,218.70 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1.549.53 TEAM LEADER PATIENT FINANCIAL SERVICES 2,987,19 PFS DIRECTOR PATIENT FINANCIAL SERVICES 3,709.40 REGISTERED NURSE SURGERY 1,281.71 REGISTRATION CLERK PFS - REGISTRATION 5,315.26 REGISTRATION CLERK PFS - REGISTRATION 628.45 FINANCIAL COUNSELOR INDIGENT CARE PROGRAM 2,673.20 DIRECTOR OF HIM HEALTH INFORMATION MANAGEMENT 4,416,20 REGISTERED NURSE EMERGENCY ROOM 5,032.93 COUNTY INDIGENT COOR INDIGENT CARE PROGRAM 2,121.55 PERIOPERATIVE RN SURGERY 4,441.32 TRAUMA COORDINATOR ADMINISTRATION -CLINICAL SERVIC 5,305.46 REGISTERED NURSE MED/SURG 4,110.28 DIRECTOR DIAGNOSTIC IMAGING 6,652.16 MEDICAL ASSISTANT MEMORIAL MEDICAL CLINIC 1,813.52 REGISTRATION CLERK PFS - REGISTRATION 559.26 I.T. DIRECTOR INFORMATION TECHNOLOGY 6.639.70 IT SYSTEM ANALYST INFORMATION TECHNOLOGY 4,440.10 ACCOUNTANT ACCOUNTING 2,998.91 HOSPITALIST-NP HOSPITALIST 7,692.32 LAB ASSISTANT LABORATORY 2,300.00 REGISTRATION CLERK PFS - REGISTRATION 1,003.35 SENIOR ACCOUNTANT ACCOUNTING 464.72 -54- AP CLERK CONTROLLER ACCOUNTANT ASSIST ADMINISTRATOR C.E.O. HUMAN RESOURCES COOR SPECIAL PROJECTS MGR ACCOUNTING ACCOUNTING ACCOUNTING ADMINISTRATION ADMINISTRATION HUMAN RESOURCES BUSINESS DEVELOPMENT TOTAL 2,667.78 5,769.24 517,25 10,440.00 18,356,93 2,932.37 3,871.41 880,343.48 -55- °iHs Source Totals Report Issued 10/02/20 Calhoun Indigent Health Care Batch Dates 09/02/2020 through 10/01/2020 For Source Group Indigent Health Care For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 8,226,86 855.86 01.2 Physician Services -Anesthesia 546.00 154.12 02 Prescription Drugs 99.07 99.07 08 Rural Health Clinics 847.00 775.81 11 Reimbursements 0.00 -33.27 13 Mmc - Inpatient Hospital 38,549.00 16,859.00 14 Mmc - Hospital Outpatient 14.327.01 4,602.09 Expenditures 62,610.14 23,361.15 Reim b/Adj ustments -15.20 -48.47 Grand Total 62,694.94 23,312.68 EXPENSES $4,166.67 $27,479.35 COPAYS <90.00? TOTAL $27,389.35 -56- °iHS Source Totals Report Issued 10/02/20 Calhoun Indigent Health Care Batch Dates 02/01/2020 through 10/0112020 For Source Group Indigent Health Care For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 26,682.14 3,651.30 01-2 Physician Services -Anesthesia 4,212.00 1,199.63 02 Prescription Drugs 1,449.87 1,449.87 08 Rural Health Clinics 8,134.00 7,07T08 11 Reimbursements 0.00 -33.27 13 Mmc - Inpatient Hospital 86,196.45 39,729.77 14 Mmc - Hospital Outpatient 95.118.07 30.679.82 15 Mmc - Er Bills 7,163,00 2.292.16 Expenditures 229,620.14 86,744.24 Reimb/Adjustments -664.61 -697.88 Grand Total 228,955.63 86,046.36 EXPENSES $37.500.01 $123,546.37 COPAYS c1,000.00> TOTAL $122,546.37 -57- Calhoun County Indigent Care Patient Caseload 2020 Approved Denied Removed Active Pending January 0 2 1 17 2 February 0 1 2 15 2 March 0 0 1 15 1 April 1 0 6 10 2 May 1 2 0 11 1 June 0 0 0 11 0 July 0 0 0 11 1 August 1 0 1 10 1 September 1 0 0 11 4 October November December YTD Monthly Avg 0 1 1 12 2 December 2019 Active 18 Number of Charity patients 177 Number of Charity patients below 50% FPL 53 Calhoun County Pharmacy Assistance Patient Caseload 2019 Approved Refills Removed Active Value January 0 2 0 114 $1,498.00 February 3 6 0 110 $12,514.00 March 3 3 1 112 $10,108.00 April 1 6 0 111 $26,370.00 May 1 3 0 112 $9,424.00 June 2 6 0 114 $38,390.00 July 1 5 0 115 $28,973.00 August 2 3 1 116 $15,553.00 September 3 3 0 119 $9,813.00 October November December YTD PATIENT SAVINGS Monthly Avg 2 4 0 114 $16,960.33 0 December 2019 Active 112 Richard H. Meyer County judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Clyde Syma, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, October 14, 2020, at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. t chard Meyer, Coun dge Calhoun County, Texas Anna Goodman, County Clerk �I I I Deputy Page 1 of 1 I Commissioners' Court —October 14, 2020 ------------ REGULAR 2020 TERM 4 OCTOBER 14, 2020 BE IT REMEMBERED THAT ON OCTOBER 14, 2020, THERE WAS BEGUN AND HOLDEN A REGULAR TERM OF COMMISSIONERS' COURT. 1. CALL TO ORDER This meeting was called to order at 10:00 A.M by Judge Richard Meyer. 2. ROLL CALL THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Clyde Syma Gary Reese Anna Goodman Catherine Sullivan County Judge Commissioner, Precinct #1 Commissioner, Precinct #2 Commissioner, Precinct #3 Commissioner, Precinct #4 County Clerk Deputy County Clerk 3. INVOCATION & PLEDGE OF ALLEGIANCE (AGENDA ITEM NO.2 & 3) Invocation — Commissioner David Hall Pledge to US Flag & Texas Flag — Commissioner Gary Reese/Vern Lyssy Page 1 of 10 Commissioners' Court —October 14, 2020 4. General Discussion of Public matters and Public Participation. S. Approve minutes of September 23, 2020 and September 30, 2020 meetings. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 6. N/A 7. Public Hearing to amend the 2020 Budget. (Agenda Item No. 11) Commenced —10:03 A.M. Candice 14111arrea/ (Auditor's Of%ice) presented the amendments Adjourned — 10:07 A.M. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 2 of 10 I. Commissioners' Court —October 14, 2020 8. Public Hearing on a Petition to Vacate Lots 31— 34 in Block i of Swan Point Landing Subdivision, Seadrift, TX relative to the plat recorded in Volume Z, Page 668 of the Plat Records of Calhoun County, Texas. (GR) (Agenda Item No. 12) Commenced: 10:08 A.M. HenyDanysh ofG&WEngineering presented the Petition. Adjourned: 10:09 A.M. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 9. Public Hearing on a Petition to Vacate Lot 60 of Port Alto Unit Two relative to the plat recorded in Volume Z, Page 87 of the Plat Records of Calhoun County, Texas. (CS) (Agenda Item No. 13) Commenced: 10:10 A.M. Henry Danysh ofG&WEngineering presented the Vacate. Adjourned: 10:11 A.M. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 10. N/A 11. N/A 12. N/A Page 3 of 10 I Commissioners' Court —October 14, 2020 13. N/A 14. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 14) To approve the Preliminary Plat of the Re -Plat of Lot 60 of Port Alto Unit Two. (CS) RESULT: APPROVED [UNANIMOUS] MOVER: Clyde Syma, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 15. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.15) To approve the Final Plat of the Re -Plat of Lot 60 of Port Alto Unit Two. (CS) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 16. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 16) On an Order from the District ]udges setting the salary of the Official Court Reporter of the 24s',135111, 267e1, and 3771h Judicial District for the calendar year 2021. (RN) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 4 of 10 d Commissioners' Court —October 14, 2020 17. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 17) To authorize Magnolia Beach Volunteer Fire Department Fire Chief John Mayne to open a line of credit with Bound Tree Medical MBVFD Ambulance Supplies. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 18. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 18 To accept a contract with Matagorda Bay Mitigation Trust to provide Mitigation Project Work and Services and authorize the County Judge to sign. (GR) Pass 19. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.19) To approve an Interlocal Agreement between Calhoun County and the City of Seadrift in order to apply for a CDBG-MIT Grant for Seadrift Drainage Improvements Project and authorize the County Judge to sign all pertinent documents. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 5of10 •I Commissioners' Court — October 14, 2020 20. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 20) To approve a pre -award agreement between Calhoun County and G&W Engineers for the CDBG-MIT Grant and authorize the County Judge to sign all pertinent documents. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 21. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 21) To approve a pre -award agreement between Calhoun County and KSBR for the CDBG-MIT Grant and authorize the County Judge to sign all pertinent documents. (DH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 22. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 22) To appoint Colton Hahn to represent Calhoun County on the South Central Texas Water Advisory Committee to replace Richard Barton. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 6 of 10 Commissioners' Court — October 14, 2020 23. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.23) To declare Asset #541-0169 as Surplus/Salvage and remove from the Seadrift Fire Department Fixed Asset Inventory Report. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 24. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 24) To sell the County of Refugio the following item for $1.00 — 2004 Chevrolet Kodiak Ambulance, Asset #541-0169. (GR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Clyde Syma, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 25. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO. 25) To approve the Office of the Governor 2020 Homeland Security Grant Program Resolution for EMS Tactical Emergency Medical Services submittal through E-grants for Homeland Security Grant Funding. (RM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 7 of 10 .1 Commissioners' Court — October 14, 2020 26. See Agenda Packet for Item No. 26 RESULT. APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 27. See Agenda Packet for Item No. 27 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hail, Lyssy, Syma, Reese 28. See Agenda Packet for Item No. 28 Motion made and to add Non Ethanol Fuel to Pct #4, #31 & #1. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 29. See Agenda Packet for Item No. 29 Motion made and to add Malathlon to Pct #1. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 8 of 10 .I Commissioners' Court — October 14, 2020 30. See Agenda Packet for Item No. 30 Specs were updated for insurance purposes. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 31. CONSIDER AND TAKE NECESSARY ACTION (AGENDA ITEM NO.31) To pre -approve expenditures by incumbent County or Precinct Officer(s) Under Calhoun County's Policy of Compliance with LGC 130.908. (RM) Pass 32. Accept reports from the following County Offices: 1. County Auditor — July 2020, August 2020 2. County Clerk — Sept. 2020 3. District Clerk — Sept 2020 4. Flood Plain Administration — Sept 2020 S. Justice of the Peace —Sept 2020 — Pct 1; 2; 4; 5 6. Sheriffs Office — Sept 2020 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Page 9 of 10 .I Commissioners' Court — October 14, 2020 33. Consider and take necessary action on any necessary budget adjustments. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese 34. Approval of bills and payroll. (RM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese County RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Payroll RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Syma, Reese Adjoume& 10.46 a m, Page 10 of 10 #7 Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.Jenkins@calhouncotx.org> Sent: Wednesday, October 21, 2020 12:23 PM To: Mae Belle Cassel Cc: Lori McDowell; Donna Hall Subject: Commissioners Court Relief Funding Application Approval Mae Belle, Please place the following on the next Commissioners Court Agenda: Approval for Calhoun County EMS to apply for Phase 3 of the Provider Relief Funding Grant through the Health Resources and Services Administration (HRSA) CARES act. INFORMATION: Press Release: httas://www.hhs.00v/about/news/2020/10/1/truMD-administration-announces-20-billion-in-new-Dhase-3-Drovider- relief-fundina.html Ground ambulance services can submit for reimbursement or apply for the additional funds until November 6. The instructions and application links are below: Application Directions: httos://www.hhs.aov/coronavirus/`cares-act-provider-relief-fund/for-providers/"index,html#how-to-apply Application link: htti)s://cares.linkhealth.com/#/` There is also a phone number to call with questions: (866) 569-3522, press 2 (questions about the provider relief fund). Help is available from 7:00 am (Central) to 10:00 pm (Central) Very Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustinjenkins@calhouncotx.org (361) 571-0014 Calhoun County Texas Phone 361.553.4610 Fax 361.553.4614 cindy. m ueller(c),calhou ncotx.ora Memo TO: County Judge and Commissioners From: Cindy Mueller Date: 10/19/2020 Re: Enterprise Fleet Management and Insurance Premiums • Enterprise fleet synopsis is attached separately. • Enterprise provided approximate costs for replacing white fleet vehicles with like vehicles in 2021. See page 2. • Using the vehicle values from Enterprise and based on current fleet insurance rates, TAC roughly estimates premiums on each new vehicle at $265 annual contribution, comprised of $100 auto liability and $165 physical damage. See page 3. • I have added premium comparison columns to the Enterprise vehicle replacement worksheet (see page 4). Estimated premium increase is $2,573 or 31% if all 28 vehicles were replaced with like vehicles in2021. • See pages 5-7 explaining Enterprise Fleet Management multi -step requirements for contracting to convert owned vehicles to leased vehicles. The proposed contract is attached separately. Cindv Mueller From: Lauren.H.Campos@efleets.com (Campos, Lauren H) <Lauren.H.Campos@efleets.com> Sent: Thursday, October 8, 2020 3:30 PM To: cindy mueller Subject: [WARNING -Remote attachments, verify sender] Re: Price range by vehicle type Follow Up Flag: Follow up Flag Status: Flagged Here you go! I already applied for your government incentives from the manufacturer so below are the approximate costs for replacing with "like" vehicles. Keep in mind that you can partner with us and we can choose which vehicles we replace and when as well as how many. So, if it's too many vehicles to bite off in year 1, we can dial the number back to a number y'all are comfortable with (8, 15, 20). Also, we can pick which vehicles are replaced and if there are some vehicle classes that you don't want to replace, we don't need to. If a partnership is awarded, the specs of these vehicles would be drilled down further, however, here are approximate acquisition prices for the vehicles. Colorado WT 4x2 Extended Cab 6 ft. box 128.3 in. WB 2.51L 14 DI DOHC 2021 Chevy VVT $21,488.00 Colorado WT 4x2 Extended Cab 6 ft. box 128.3 in. WB 2021 ChevySilverado 1500 Work Truck 4x2 Crew Cab 6.6 ft. box 157 in. WB 4.3L $25,122.00 EcoTec3 V6 2021 Chevy Silverado 250OHD Work Truck 4x2 Double Cab 6.75 ft. box 149.4 in. $29,234.00 WB 6:6L Gas V8 w/Direct Injection & VVT 2021 Chevy Traverse LS w/1FL Front -wheel Drive 3.61L V6 SIDI VVT $26,741.00 Thanks, La ,w&,-v FLEET MANAGEMENT Lauren Campos Account Executive San ANonio Office Cindy Mueller From: NellyC@county.org (Nally Cano) <NellyC@county.org> Sent: Friday, October 9, 2020 9:36 AM To: cindy mueller Subject: RE: Re: Price range by vehicle type Follow Up Flag: Follow up Flag Status: Flagged Good morning Cindy, Thank you for this information. Based on the vehicle type and vehicle value given by Enterprise, we can provide you a rough estimate of $265 annual contribution per vehicle. The break down would be as follows: $100 — Auto Liability, $165 — Auto Physical Damage. This breakdown is also based on your current rates. Hope this helps and please let me know if you need anything else. Have a great day! THANK YOU, NELLY CANO Member Services Representative Risk Management Services n Ax nor ., ar nellvc(c).countv.om I www.countv.orc Office: (512)478-8753 r 'rnu+�Fxt 1210 San Antonio Street, Austin, Texas 78701 Toll Free: (800) 456-5974 Fax: (512) 478-1426 TAC Way Fundamental #23. FIND A WAY. Take personal responsibility for making things happen. Be a creative problem -solver and respond to every situation by looking for how we can do it, rather than explaining why it can't be done. Be resourceful and show initiative. Don't make excuses or wait for others to solve the problem. Make it happen. From: cindy mueller <cindy.mueller@calhouncotx.org> Sent: Thursday, October 8, 2020 5:08 PM To: Nelly Cano <NellyC@county.org> Subject: FW: [WARNING -Remote attachments, verify sender] Re: Price range by vehicle type Here are the price ranges, Nelly. 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Zp nbUUC�`.'KOPC �V�yy Cu qqu2 Cggs z Ou t3ouUl�t� M M ei ei e1 � � N ri � M .y � - e{ Yi - e{ rl 8 'I M 0 M M m ei e�l in ei ei u �5 ei ei 8 O H N H N '1 f M T M ry N N W W p W (O n n F n mm �° N p �yy�{ s el N N Ib/1 i 'mp N N yyyy N N NN�� .�yy' N W ��yy M1 N pp d g ��{{ ,gyp n Y"1 .^y rya M M y� ^m ei ry e wnl ti rynry�� '1 m b M M sryh eb1 M ryM N M M K u m m Cindv Mueller From: Lauren.H.Campos@efleets.com (Campos, Lauren H) <Lauren.H.Campos@efleets.com> Sent: Wednesday, September 30, 2020 4:37 PM To: Cynthia Mueller Subject: [WARNING -Remote attachments, verify sender] Contracts for Review Attachments: Competitive Quote Letter Calhoun County.doc; Master Equity Lease Agreement - Government.pdf Follow Up Flag: Follow up Flag Status: Flagged Good afternoon Cindy, I have attached the documents and contracts to be reviewed by the lawyer for questions. Please know that in many cases we can create addenda's to meet your needs as well. Additionally, you mentioned that the earliest there would be a meeting on this would be the 14th so I will circle back with you after that to see how it went! 1. Competitive Quote Letter —This form printed on the counties letterhead and signed will allow me to negotiate volume incentives for you. 2. Enterprise Credit Application: a. Financial Information Section b. Insurance Information — Please remember to include the carrier name (i.e. state farm, etc.) as well as your agent information so I can request a certificate of insurance. c. EFT Payment Authorization —This form is to setup auto payment for your monthly statement. If the county does not allow electronic payments, please leave blank. d. Authorized Signers —This page serves as a list of people within the county that will be authorized to sign quotes for vehicles in the future. Simply list their name and have them sign so that we can keep this on file. 3. Enterprise Master Lease Agreement — This governs the terms and conditions of each vehicle lease/finance that you execute with us. Rather than attach them to each lease we have you sign one master copy and keep it on file. Please initial each page, sign, and date the last page. 4. Award Letter- The county must formerly acknowledge that they're going to piggy back off of the Sourcewell RFP, this form is to be printed on the counties letterhead and signed. Additionally; I've included information on our Sourcewell partnership for your review below: • Sourcewell— Awarded Conteacil o https://www.sourcewell-mn.gov/cooperative-purchasing/060618-efm Thanks, (na 4,w& v FLEET MANAGEMENT Lauren Campos Account Executive San Antonio Office Cell; (210) 425-8574 Lauren,H.Camoos@efleets.com Enterprise Fleet Management 1505 Harry Warzbach San Antonio, TX 78209 1`' CONFIDENTIALITY NOTICE: This e-mail and any files transmitted with it are intended solely for the use of the individual or entity to whom they are addressed and may contain confidential and privileged information protected by law. If you received this e-mail in error, any review, use, dissemination, distribution, or copying of the e-mail is strictly prohibited. Please notify the sender immediately by return e-mail and delete all copies from your system. October 19, 2020 Lauren H. Campos Enterprise Fleet Management 1505 Harry Wurzbach San Antonio, TX 78209 Dear Lauren Campos: This letter is to confirm that we are interested in assessing cost-effective solutions for our fleet of vehicles. We are currently seeking a competitive quote from Enterprise for _ lighttmedium duty vehicles. Sincerely, Cynthia Mueller County Auditor 202 S. Ann, Suite B Port Lavaca, TX. 77979 361.553.4610 Phone FLEET MANAGEMENT 3 OF Lauren Campos 210.426.8574 PLEETCONSULTANT PHONE lauren.h.campos@efleets.com EMAIL THE SITUATION Current fleet age is negatively impactina the overall budget and fleet operations • 60% of the white fleet is older than 10 years. • 43% of the Sheriffs Department fleet is currently 10 years or older. • 10.6 years is the current average age of the white fleet. • 8.8 years is the current average age of Sheriffs Department fleet. • 14 years — time it would take to cycle the fleet at current acquisition rates (also known as current holding period). • Older vehicles have higher fuel costs, maintenance costs and tend to be unreliable, causing increased downtime and loss of productivity. THE OBJECTIVES Identify an effective vehicle life cycle that maximizes potential equity at time of resale creating a conservative savings of over $539,460 in 10 years • Shorten the current vehicle life cycle from 14 years to 2 years. • Provide a lower sustainable fleet cost that is predictable year over year. • Significantly reduce maintenance to an average monthly cost of $43.40 vs. current $154.50. • Reduce the overall fuel spend through more fuel -efficient vehicles. • Leverage an open-ended lease to maximize cash flow opportunities and recognize equity. Increase employee safety with newer vehicles • Currently: 0 21 vehicles predate Anti -Lock Brake standardization (2007). 0 41 vehicles predate Electronic Stability Control standardization (2012). • ESC is the most significant safety invention since the seatbelt. 0 67 vehicles predate standardization of back up camera (2018). Piclayback off of the Sourcewell awarded RFP #060618-EFM that addresses the following: • Access to all fleet management services as applicable to the needs of the county. • Supports the county's need for fleet evaluation on a quarterly basis assessing costs and reviewing best practices. THE RESULTS By partnering with Enterprise Fleet Management, Calhoun County will be better able to leverage its buying power, implement a tighter controlled resale program to lower total cost of ownership and in turn minimize operational spend. Calhoun County will reduce fuel costs from $92,800 to $74,240 and reduce maintenance costs from $154.50 to $43.40 per unit on average. Leveraging an open-end lease maximizes cash flow and recognizes equity from vehicles sold creating an internal replacement fund. Furthermore, Calhoun County will leverage Enterprise Fleet Management's ability to sell vehicles at an average of 109% above Black Book value. By shifting from reactively replacing inoperable vehicles to proactively planning vehicle purchases, the county will be able to replace all of their vehicles over the course of 5 years. J FLEET MANAGEMENT "11 „ r Fou in. FLEET PROFILE I CALHOUN COUNTY Calhoun County - Fleet Profile Fleet Profile Fleet Replacement Schadula Replacement Cet.m. m ., nvi . en.e r. e.emm�e�e....... Vehlcn TYM i 4of ryp0 AWM9a AgbfYcen) Lrl0wal Mlgapb 20" t ,2021 S02f f se. i '.a. nflll a' 1 t IJ_< 2,200 2 0 0 0 1 0 Mi 1 tO.P IO.a00 a a 0 .• r- .. 2 9.1 '... Ix rao 0 0 I 1 I 0 o um�minuuu.d�nuni wn.m•�•v. mnn • 19.3 .,.an 2 0 0 0 9 0 OOuM.•. '.. Ixe .,am a 0 0 0 0 ze am 0 0 1 o n T. +oa.e. a 01.o Ix.9oo 2 0 1 ''.4 I2.1.. p.2po a a 1 a 0 0 .. .OW neoo o o 0 1 0 1 I2'0 s, ''. o o o 11 .m c.ncn..n. '... 1 O] xoOW 1 a o o 0 0 >•au.m.empa.:. 'a2 +oe rypg9 2e' 20 26 Vcl.lcic. ov°. 10 Veen p B� Rh S` H8M1 h� H� M1 'S, M1 'PM1 •O' S M1 M1 'PM1 h ti� tiS' d Calhoun County Sheriff Dept - Fleet Profile Fleet Profile Fleet Replacement Sch.d.le Replacement Criteria v9hfebT -Avenge !02g 5620 seu v.°nom,er°.r.m M°'s.eeo M 'TV- AYeiBg° a 0u41 2s. { ]621 202x 2UbtlN ♦ o n 1ve. n.eo we MIIeN? � � zo r • r e--- 1 ips %100 � M l a no°. 1 105 I 1100 I o 1 rtonven Zmo 2 0e 8200 I Model Year Analysis o �h 0.rd yN db 0yM1 0M1g ,[�N �O FLEET MANAGEMENT - .^i°"1 '-j.,'t r'. FLEET PLANNING ANALYSIS I CALHOUN COUNTY Calhoun County -Fleet Planning Analysis Curretn Fiat 42 - Fleet or" itl pr6pe neoe_ 4: Fleet Costs Analysis CurronlCynfe 14.00 Silnuall<17es _ 9,500 ;propoaaacyafe 1.95 Y nurremMa1m. $164.50 - "propoaedN alm. S43.40 Me(nt. CanU Par}SIIB '' $0.20 Current fpl 8 __ " 1o.6 PrInMGellen V $2.00 Fiscal Annual Equity Equity Year Fleet Size Needs Owned Leased Purchase Lease' Maintenance Fuel fleet Budget Net Cash _. (Owned)_ (Leased) _.. 21 42 28 14 28 0 174,698 451,200 .67.557 40,538 80,427 76,905 173,565 '22 42 22 10 32 0 227,257 -61,425 -83,653 35,206 78,069 206.043 44,427 '23 42 25 7 35 0 250,026 -31,500 .101,906 31,206 77,333 226,180 25,310 24 42 29 3 39 0 203,826 -31,360 -163,793 25,872 75,666 170,121 00,349 ..' '25 42 37 0 42 0 269,200 -31,200 -150,713 21,873 74,240 183.400 67.070 -- . 126 42 31 0 42 0 269,200 .133.768 21,873 74,240 231,846 18.926 '27 42 31 0 42 0 2OL200 -125,642 21,873 74,240 239,671 10,799 .28 42 30 0 42 0 269,200 479,064 21,873 74,240 186,249 64,221 '29 42 37 0 42 0 269,200 -120,T71 21.873 74,240 244,642 6,928 �p„el ■Mmntneante •Fadiadr 130 42 30 0 42 0 269,200 -163 709 21 873 74 240 201603 48 866 $539,460 329,748 Current Fleet Equity Anal sis OTY 28 4 3 4 3 .:0 Eat S $6,400 $12.856 $10,500 $7,838 $10,400 $0 TOTAL $151,200 $51,426 $31,600 $31,350 $31,200 $0 E296,676 ' Wm NMI, an m..ndAl a H.M.W "EMImMed CMmni Float Equity Is based on the wnenl son -aides unseen' and mn lea adlu9led afar physical Inspoomd Loam Melnienece costs am eadWlvd or line ends, noted on the bead rate doom. KEY OBJECTIVES Lower average age of the neat 60%Mtle owrenl Nght aid medum duty DoM Never Iq years dd Resale or Ue aside feet N sip OmMy reduced Reduce operating costa Never velsms have a algulfcaMty owed malrdev no emsm N..v das have dcreWclIvel e6dM,cy mh dew WAndogyimplemenlalbm Maintain a manageable vehicle budget ChallMged by MmmishM yeady budgets Cuumly veNcd rudest If undsOwded 1 FLEET MANAGEMENT °^` ' CASE STUDY I CITY OF SAN MARCOS ME= FLEET MANAGEMENT The City of San Marcos Reduces Casts by 27% and Replaces Aging Vehicles. BACKGROUND Lloatlon: San Marcos, CA. Industry: Government Tohll vehicles: 90 vehicles THE CHALLENGE Hair or fine City of San htafeo$' vehicles were operating past their useful life. The City's fleet was detenorating rapidly, antl many of the vehlcles needed to oe replaced to mitigate escalating repair and maintenance costs. Budget challenges prevented the City from purchasing ne'x vehicles. Major repairs reduced the number of available vehicles, and the City Vehicle downtime was significantly affecting Its operations. Maintenance costs continued to erode the budget and Interfere with the ern clency of City operations. THE SOLUTION Enterprise Fleet Management evaluated the City's entire fleet to Identify the most c05t-effective way to replace Its aging venlole5: Ten vehloles were Identified as Under-utlllZadand completely roMoVed from Sowco. By Implementing an Open-ended lease structure, the City %yes able to replace the remaining rdnety vehicles within a three-year period. The program did not require a large Initial outlay of funds. The City or San Marcos was not burdened wIV1 extensive capital requirements farvemcie replacelrleml, allowing them to replace highly Important, noal'y-duty and emergency van Icles first. "The Enterprise Fleet Management lease program has not only alleviated some of the maintenance burden placed on our lean fleet maintenance staff and budget, it has also provided a level of flexi b it ity t It at allows my team to promptly address the City's dynamic fleet needs without sacrificing service:" — Llsa FOw'fer,PUDW WOWS Manager- Admrn(stratlon 6 Fraet The Full Id alntenance Program pradcles a low nxed monthly cost, wrnch Is easily budgeted for every yea The programeliminates the need for City resouroeS to work on Ina Ilgnt-duly fleet, so the mame nonce staff can solelyfocus on the heavy-duty equipment. THE RESULTS Trio partnership with Enterprise Fleet Management has significantly reduced the portion$ or the Public Works -Fleet Operations budget and the Vehicle Replacement fund that was affected by the declining condition Of the Ilgot-duty fleet. The City reallZed a 27% decrease in the cost to purchase and maintain the light duty fleet. The program will result In a dOmbumd fund savings of Sl.l million over a five-year period. To learn more, visit efleets.com or gall 877-23-FLEET. rsarla......;giwnp:ewl MMIMSO[ rll NOLWW, I Ae:a,7M MM1611pM p[9rif~m,,19;1i n. 41.p11 R�ppy,fkMtrp�g1, h. [G111y'N Fnl n i 1 y nI I,, 3 ,I IIF I I I If 1 ,.m e r r rc,e I i� IL'Rnr .i _ FLEET MANAGEMENT f PROGRAM RESOURCES I CALHOUN COUNTY SAFETY 52% of all vehicles are older than 10 years of age and do not contain the most up to date safety features, such as electronic stability control, airbag standardization and anti -lock brake control. ACCOUNT MANAGEMENT Calhoun County will be provided with a dedicated, local account team to proactively manage and develop your fleet while delivering the highest level of customer service to facilitate your day-to-day needs. • Your dedicated Account Manager meets with you 3-4 times a year for both financial and strategic planning. • Your Account Manager will provide on -going analysis — this will include most cost-effective vehicle makes/models, cents per mile, total cost of ownership, and replacement analysis. TECHNOLOGY Enterprise Fleet Management's website provides vehicle tracking, reporting, and metrics. Our website can be customized to view a wide range of data so that you may have a comprehensive and detailed look at all aspects of your fleet and the services provided. Our Mobile App gives drivers all of the convenience and functionality they need. Consolidated Invoices - Includes lease, maintenance, and any additional ancillaries Maintenance Utilization - Review the life -to -date maintenance per vehicle Recall Information - See which units have open recalls License & Registration - See which plate renewals are being processed by Enterprise and view status Alerts - Set customizable alerts for oil changes, lease renewals, license renewals, and billing data Lifecycle Analysis - See data regarding all transactions for the lifecycle of the entire fleet, with drill -down capability to any specific lease or transaction �, ROTIAMPANY LEET FIANAGEMENT MONTHLY FUELSOMMARY YEAR OVER YEAR FUEL TOTAL SPEND MOIITHLY FUEL SPEND OUTLIERS(OOYil •Iy.,.. A ,. L ... ALERTS FLEUMIX MAINTENANCE SPEND OUTLInIS MOFITHLY FUEL SPEND OUTLIERS I IPOMT FA@IIHLY MIEL SPEND TV FUEL GRADE OIL GRANGE OUTLIERS ----- ---- _... RYSItF SiFrL4Lr0A FA,'.,, aSrfamq _ 1my�Flr .. riAupn „y nm:g - I I , e Elt I D, .,.1 i L - FLEET MANAGEMENT , ",'I r"'.. REFERENCES I CALHOUN COUNTY CURRENT PARTNERS • City of San Marcos • City of Fredericksburg • City of Terrell • City of Alvin • City of Brownwood • City of Waxahachie • County of Webb • County of Hays • Gillespie County • Hidalgo County • County of Waller • Harris County REFERENCE: Below is a list of at least two (2) client references including company name, contact person, and telephone number. 1. City: County of Webb Business Phone #: (956) 523-4125 Contact Person: Joe Lopez 2. City: Gillespie County Business Phone #: (830) 997-6777 Contact Person: Larry Crump I I I I I !- I I I ' I ' 1: ' !'I 'ilrll , 7 FLEET MANAGEMENT "f 11 11-1 il,),, ..... 1 1 '11 FLEET MANAGEMENT MASTER EQUITY LEASE AGREEMENT This Master Equity Lease Agreement is entered into this day of , by and between Enterprise FM Trust, a Delaware statutory trust ("Lessor"), and the lessee whose name and address is set forth on the signature page below ("Lessee"). 1. LEASE OF VEHICLES: Lessor hereby leases to Lessee and Lessee hereby leases from Lessor the vehicles (individually, a "Vehicle" and collectively, the "Vehicles") described in the schedules from time to time delivered by Lessor to Lessee as set forth below ("Schedule(s)") for the rentals and on the terms set forth in this Agreement and in the applicable Schedule. References to this "Agreement" shall include this Master Equity Lease Agreement and the various Schedules and addenda to this Master Equity Lease Agreement. Lessor will, on or about the date of delivery of each Vehicle to Lessee, send Lessee a Schedule covering the Vehicle, which will include, among other things, a description of the Vehicle, the lease term and the monthly rental and other payments due with respect to the Vehicle. The terms contained in each such Schedule will be binding on Lessee unless Lessee objects in writing to such Schedule within ten (10) days after the date of delivery of the Vehicle covered by such Schedule. Lessor is the sole legal owner of each Vehicle. This Agreement is a lease only and Lessee will have no right, title or interest in or to the Vehicles except for the use of the Vehicles as described in this Agreement. This Agreement shall be treated as a true lease for federal and applicable state income tax purposes with Lessor having all benefits of ownership of the Vehicles. It is understood and agreed that Enterprise Fleet Management, Inc. or an affiliate thereof (together with any subservicer, agent, successor or assign as servicer on behalf of Lessor, "Servicer") may administer this Agreement on behalf of Lessor and may perform the service functions herein provided to be performed by Lessor. 2. TERM: The term of this Agreement ("Term") for each Vehicle begins on the date such Vehicle is delivered to Lessee (the "Delivery Date") and, unless terminated earlier in accordance with the terms of this Agreement, continues for the "Lease Term" as described in the applicable Schedule. 3. RENT AND OTHER CHARGES: (a) Lessee agrees to pay Lessor monthly rental and other payments according to the Schedules and this Agreement. The monthly payments will be in the amount listed as the "Total Monthly Rental Including Additional Services" on the applicable Schedule (with any portion of such amount identified as a charge for maintenance services under Section 4 of the applicable Schedule being payable to Lessor as agent for Enterprise Fleet Management, Inc.) and will be due and payable in advance on the first day of each month. If a Vehicle is delivered to Lessee on any day other than the first day of a month, monthly rental payments will begin on the first day of the next month. In addition to the monthly rental payments, Lessee agrees to pay Lessor a pro -rated rental charge for the number of days that the Delivery Date precedes the first monthly rental payment date. A portion of each monthly rental payment, being the amount designated as "Depreciation Reserve" on the applicable Schedule, will be considered as a reserve for depreciation and will be credited against the Delivered Price of the Vehicle for purposes of computing the Book Value of the Vehicle under Section 3(c). Lessee agrees to pay Lessor the "Total Initial Charges" set forth in each Schedule on the due dale of the first monthly rental payment under such Schedule. Lessee agrees to pay Lessor the "Service Charge Due at Lease Termination" set forth in each Schedule at the end of the applicable Term (whether by reason of expiration, early termination or otherwise), (b) In the event the Term for any Vehicle ends prior to the last day of the scheduled Term, whether as a result of a default by Lessee, a Casualty Occurrence or any other reason, the rentals and management fees paid by Lessee will be recalculated in accordance with the rule of 78's and the adjusted amount will be payable by Lessee to Lessor on the termination date. (c) Lessee agrees to pay Lessor within thirty (30) days after the end of the Term for each Vehicle, additional rent equal to the excess, if any, of the Book Value of such Vehicle over the greater of (i) the wholesale value of such Vehicle as determined by Lessor in good faith or (ii) except as provided below, twenty percent (20%) of the Delivered Price of such Vehicle as set forth in the applicable Schedule. If the Book Value of such Vehicle is less than the greater of (i) the wholesale value of such Vehicle as determined by Lessor in good faith or (ii) except as provided below, twenty percent (20%) of the Delivered Price of such Vehicle as set forth in the applicable Schedule, Lessor agrees to pay such deficiency to Lessee as a terminal rental adjustment within thirty (30) days after the end of the applicable Term, Notwithstanding the foregoing, if (1) the Term for a Vehicle is greater than forty-eight (48) months (including any extension of the Term for such Vehicle), (il) the mileage on a Vehicle at the and of the Term is greater than 15,000 miles per year on average (prorated on a daily basis) (i.e., if the mileage on a Vehicle with a Term of thirty-six (36) months is greater than 45,000 miles) or(iii) in the sole judgment of Lessor, a Vehicle has been subject to damage or any abnormal or excessive wear and tear, the calculations described in the two immediately preceding sentences shall be made without giving effect to clause (it) in each such sentence. The "Book Value" of a Vehicle means the sum of (i) the "Delivered Price" of the Vehicle as set forth in the applicable Schedule minus (ii) the total Depreciation Reserve paid by Lessee to Lessor with respect to such Vehicle plus (III) all accrued and unpaid rent and/or other amounts owed by Lessee with respect to such Vehicle. (d) Any security deposit of Lessee will be returned to Lessee at the end of the applicable Term, except that the deposit will first be applied to any losses and/ or damages suffered by Lessor as a result of Lessee's breach of or default under this Agreement and/or to any other amounts then owed by Lessee to Lessor. (a) Any rental payment or other amount owed by Lessee to Lessor which is not paid within twenty (20) days after its due date will accrue interest, payable on demand of Lessor, from the date due until paid in full at a rate per annum equal to the lesser of (1) Eighteen Percent (18%) per annum or (it) the highest rate permitted by applicable law (the "Default Rate"). (f) If Lessee fails to pay any amount due under this Agreement or to comply with any of the covenants contained in this Agreement, Lessor, Servicer or any other agent of Lessor may, at its option, pay such amounts or perform such covenants and all sums paid or incurred by Lessor in connection therewith will be repayable by Lessee to Lessor upon demand together with interest thereon at the Default Rate. Initials: EFM Customer (g) Lessee's obligations to make all payments of rentand other amounts under. this Agreement are absolute and unconditional and such payments shall be made in immediately available funds without setoff, counterclaim or deduction of any kind. Lessee acknowledges and agrees that neither any Casualty Occurrence to any Vehicle nor any defect, unfitness or lack of governmental approval in, of, or with respect to, any Vehicle regardless of the cause or consequence nor any breach by Enterprise Fleet Management, Inc. of any maintenance agreement between Enterprise Fleet Management, Inc. and Lessee covering any Vehicle regardless of the cause or consequence will relieve Lessee from the performance of any of its obligations under this Agreement, including, without limitation, the payment of rent and other amounts under this Agreement. 4. USE AND SURRENDER OF VEHICLES: Lessee agrees to allow only duly authorized, licensed and insured drivers to use and operate the Vehicles. Lessee agrees to comply with, and cause its drivers to comply with, all laws, statutes, rules, regulations and ordinances and the provisions of all insurance policies affecting or covering the Vehicles or their use or operation. Lessee agrees to keep the Vehicles free of all liens, charges and encumbrances. Lessee agrees that in no event will any Vehicle be used or operated for transporting hazardous substances or persons for hire, for any illegal purpose or to pull trailers that exceed the manufacturer's trailer towing recommendations. Lessee agrees that no Vehicle is intended to be or will be utilized as a "school bus" as defined in the Code of Federal Regulations or any applicable state or municipal statute or regulation. Lessee agrees not to remove any Vehicle from the continental United States without first obtaining Lessor's written consent. At the expiration or earlier termination of this Agreement with respect to each Vehicle, or upon demand by Lessor made pursuant to Section 14, Lessee at its risk and expense agrees to return such Vehicle to Lessor at such place and by such reasonable means as may be designated by Lessor. If for any reason Lessee fails to return any Vehicle to Lessor as and when required in accordance with this Section, Lessee agrees to pay Lessor additional rent for such Vehicle at twice the normal pro -rated daily rent. Acceptance of such additional rent by Lessor will in no way limit Lessor's remedies with respect to Lessee's failure to return any Vehicle as required hereunder. S. COSTS, EXPENSES, FEES AND CHARGES: Lessee agrees to pay all costs, expenses, fees, charges, fines, tickets, penalties and taxes (other than federal and state income taxes on the income of Lessor) incurred in connection with the titling, registration, delivery, purchase, sale, rental, use or operation of the Vehicles during the Term. If Lessor, Servicer or any other agent of Lessor incurs any such costs or expenses, Lessee agrees to promptly reimburse Lessor for the same. 6. LICENSE AND CHARGES: Each Vehicle will be titled and licensed in the name designated by Lessor at Lessee's expense. Certain other charges relating to the acquisition of each Vehicle and paid or satisfied by Lessor have been capitalized in determining the monthly rental, treated as an initial charge or otherwise charged to Lessee. Such charges have been determined without reduction for trade-in, exchange allowance or other credit attributable to any Lessor -owned vehicle. 7. REGISTRATION PLATES, ETC.: Lessee agrees, at its expense, to obtain in the name designated by Lessor all registration plates and other plates, permits, inspections and/or licenses required in connection with the Vehicles, except for the initial registration plates which Lessor will obtain at Lessee's expense. The parties agree to cooperate and to furnish any and all information or documentation, which may be reasonably necessary for compliance with the provisions of this Section or any federal, state or local law, rule, regulation or ordinance. Lessee agrees that it will not permit any Vehicle to be located in a state other than the state in which such Vehicle is then titled for any continuous period of time that would require such Vehicle to become subject to the titling and/or registration laws of such other state. 8. MAINTENANCE OF AND IMPROVEMENTS TO VEHICLES: (a) Lessee agrees, at its expense, to (i) maintain the Vehicles in good condition, repair, maintenance and running order and in accordance with all manufacturer's instructions and warranty requirements and all legal requirements and (ii) furnish all labor, materials, parts and other essentials required for the proper operation and maintenance of the Vehicles. Any alterations, additions, replacement parts or Improvements to a Vehicle will become and remain the property of Lessor and will be returned with such Vehicle upon such Vehicle's return pursuant to Section 4. Notwithstanding the foregoing, so long as no Event of Default has occurred and is continuing, Lessee shall have the right to remove any additional equipment Installed by Lessee on a Vehicle prior to returning such Vehicle to Lessor under Section 4. The value of such alterations, additions, replacement parts and improvements will in no instance be regarded as rent. Without the prior written consent of Lessor, Lessee will not make any alterations, additions, replacement parts or improvements to any Vehicle which detract from its economic value or functional utility. Lessor will not be required to make any repairs or replacements of any nature or description with respect to any Vehicle, to maintain or repair any Vehicle or to make any expenditure whatsoever in connection with any Vehicle or this Agreement. (b) Lessor and Lessee acknowledge and agree that if Section 4 of a Schedule includes a charge for maintenance, (1) the Vehicle(s) covered by such Schedule are subject to a separate maintenance agreement between Enterprise Fleet Management, Inc. and Lessee and (ii) Lessor shall have no liability or responsibility for any failure of Enterprise Fleet Management, Inc. to perform any of its obligations thereunder or to pay or reimburse Lessee for its payment of any costs and expenses incurred in connection with the maintenance or repair of any such Vehicle(s). 9. SELECTION OF VEHICLES AND DISCLAIMER OF WARRANTIES: (a) LESSEE ACCEPTANCE OF DELIVERY AND USE OF EACH VEHICLE WILL CONCLUSIVELY ESTABLISH THAT SUCH VEHICLE IS OF A SIZE, DESIGN, CAPACITY, TYPE AND MANUFACTURE SELECTED BY LESSEE AND THAT SUCH VEHICLE IS IN GOOD CONDITION AND REPAIR AND IS SATISFACTORY IN ALL RESPECTS AND IS SUITABLE FOR LESSEE'S PURPOSE. LESSEE ACKNOWLEDGES THAT LESSOR IS NOT A MANUFACTURER OF ANY VEHICLE OR AN AGENT OF A MANUFACTURER OF ANY VEHICLE. (b) LESSOR MAKES NO REPRESENTATION OR WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, WITH RESPECT TO ANY VEHICLE, INCLUDING, WITHOUT LIMITATION, ANY REPRESENTATION OR WARRANTY AS TO CONDITION, MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE, IT BEING AGREED THAT ALL SUCH RISKS ARE TO BE BORNE BY LESSEE. THE VEHICLES ARE LEASED "AS IS," "WITH ALL FAULTS." All warranties made by any supplier, vendor and/or manufacturer of a Vehicle are hereby assigned by Lessor to Lessee for the applicable Term and Lessee's only remedy, if any, is against the supplier, vendor or manufacturer of the Vehicle. Initials: EFM Customer (c) None of Lessor, Servicer or any other agent of Lessor will be liable to Lessee for any liability, claim, loss, damage (direct, incidental or consequential) or expense of any kind or nature, caused directly or indirectly, by any Vehicle or any inadequacy of any Vehicle for any purpose or any defect (latent or patent) in any Vehicle or the use or maintenance of any Vehicle or any repair, servicing or adjustment of or to any Vehicle, or any delay in providing or failure to provide any Vehicle, or any interruption or loss of service oruse of any Vehicle, or any loss of business or any damage whatsoever and however caused. In addition, none of Lessor, Servicer or any other agent of Lessor will have any liability to Lessee under this Agreement or under any order authorization form executed by Lessee if Lessor is unable to locate or purchase a Vehicle ordered by Lessee or for any delay in delivery of any Vehicle ordered by Lessee. 10. RISK OF LOSS: Lessee assumes and agrees to bear the entire risk of loss of, theft of, damage to or destruction of any Vehicle from any cause whatsoever ("Casualty Occurrence"). In the event of a Casualty Occurrence to a Vehicle, Lessee shall give Lessor prompt notice of the Casualty Occurrence and thereafter will place the applicable Vehicle in good repair, condition and working order; provided, however, that if the applicable Vehicle is determined by Lessor to be lost, stolen, destroyed or damaged beyond repair (a "Totaled Vehicle"), Lessee agrees to pay Lessor no later than the date thirty (30) days after the date of the Casualty Occurrence the amounts owed under Sections 3(b) and 3(c) with respect to such Totaled Vehicle. Upon such payment, this Agreement will terminate with respect to such Totaled Vehicle. 11. INSURANCE: (a) Lessee agrees to purchase and maintain in force during the Term, insurance policies in at least the amounts listed below covering each Vehicle, to be written by an insurance company or companies satisfactory to Lessor, insuring Lessee, Lessor and any other person or entity designated by Lessor against any damage, claim, suit, action or liability: (i) Commercial Automobile Liability Insurance (including Uninsured/Underinsured Motorist Coverage and No -Fault Protection where required by law) for the limits listed below (Note - $2,000,000 Combined Single Limit Bodily Injury and Property Damage with No Deductible is required for each Vehicle capable of transporting more than 8.passengers): State of Vehicle Registration Connecticut, Massachusetts, Maine, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont Coverage $1,000,000 Combined Single Limit Bodily Injury and Property Damage - No Deductible Florida $500,000 Combined Single Limit Bodily Injury and Property Damage or $100,000 Bodily Injury Per Person, $300,000 Per Occurrence and $50,OOO Property Damage (100/300/50) - No Deductible All Other States $300,000 Combined Single Limit Bodily Injury and Property Damage or $100,000 Bodily Injury Per Person, $300,000 Per Occurrence and $50,000 Property Damage (100/300/50) - No Deductible (ii) Physical Damage Insurance (Collision & Comprehensive): Actual cash value of the applicable Vehicle. Maximum deductible of $500 per occurrence - Collision and $250 per occurrence - Comprehensive). If the requirements of any governmental or regulatory agency exceed the minimums stated in this Agreement, Lessee must obtain and maintain the higher insurance requirements. Lessee agrees that each required policy of Insurance will by appropriate endorsement or otherwise name Lessor and any other person or entity designated by Lessor as additional insureds and loss payees, as their respective Interests may appear. Further, each such insurance policy must provide the following: (i) that the same may not be cancelled, changed or modified until after the insurer has given to Lessor, Servicer and any other person or entity designated by Lessor at least thirty (30) days prior written notice of such proposed cancellation, change or modification, (ii) that no act or default of Lessee or any other person or entity shall affect the right of Lessor, Servicer, any other agent of Lessor or any of their respective successors or assigns to recover under such policy or policies of insurance in the event of any loss of or damage to any Vehicle and (iii) that the coverage is "primary coverage" for the protection of Lessee, Lessor, Servicer, any other agent of Lessor and their respective successors and assigns notwithstanding any other coverage carried by Lessee, Lessor, Servicer, any other agent of Lessor or any of their respective successors or assigns protecting against similar risks. Original certificates evidencing such coverage and naming Lessor, Servicer, any other agent of Lessor and any other person or entity designated by Lessor as additional insureds and loss payees shall be furnished to Lessor prior to the Delivery Date, and annually thereafter and/or as reasonably requested by Lessor from time to time. In the event of default, Lessee hereby appoints Lessor, Servicer and any other agent of Lessor as Lessee's attorney -in -fact to receive payment of, to endorse all checks and other documents and to take any other actions necessary to pursue insurance claims and recover payments if Lessee fails to do so. Any expense of Lessor, Servicer or any other agent of Lessor in adjusting or collecting insurance shall be borne by Lessee. Lessee, its drivers, servants and agents agree to cooperate fully with Lessor, Servicer, any other agent of Lessor and any insurance carriers in the investigation, defense and prosecution of all claims or suits arising from the use or operation of any Vehicle. If any claim is made or action commenced for death, personal injury or property damage resulting from the ownership, maintenance, use or operation of any Vehicle, Lessee will promptly notify Lessor of such action or claim and forward to Lessor a copy of every demand, notice, summons or other process received in connection with such claim or action. (b) Notwithstanding the provisions of Section 11(a) above: (1) if Section 4 of a Schedule includes a charge for physical damage waiver, Lessor agrees that (A) Lessee will not be required to obtain or maintain the minimum physical damage insurance (collision and comprehensive) required under Section 11(a) for the Vehicle(s) covered by such Schedule and (B) Lessor will assume the risk of physical damage (collision and comprehensive) to the Vehicles) covered by such Schedule; provided, however, that such physical damage waiver shall not apply to, and Lessee shall be and remain liable and responsible for, damage to a covered Vehicle caused by wear and tear or mechanical breakdown or failure, damage to or loss of any parts, accessories or components added to a covered Initials: EFM Customer Vehicle by Lessee without the prior written consent of Lessor and/or damage to or loss of any property and/or personal effects contained in a covered Vehicle. In the event of a Casualty Occurrence to a covered Vehicle, Lessor may, at its option, replace, rather than repair, the damaged Vehicle with an equivalent vehicle, which replacement vehicle will then constitute the "Vehicle" for purposes of this Agreement; and (ii) if Section 4 of a Schedule includes a charge for commercial automobile liability enrollment, Lessor agrees that it will, at its expense, obtain for and on behalf of Lessee, by adding Lessee as an additional insured under a commercial automobile liability insurance policy issued by an Insurance company selected by Lessor, commercial automobile liability insurance satisfying the minimum commercial automobile liability insurance required under Section ll(a) for the Vehicle(s)covered bysuch Schedule. Lessor may at anytime during the applicable Term terminate said obligation to provide physical damage waiver and/or commercial automobile liability enrollment and cancel such physical damage waiver and/or commercial automobile liability enrollment upon giving Lessee at least ten (10) days prior written notice. Upon such cancellation, insurance in the minimum amounts as set forth in 11(a) shall be obtained and maintained by Lessee at Lessee's expense. An adjustment will be made in monthly rental charges payable by Lessee to reflect any such change and Lessee agrees to furnish Lessor with satisfactory proof of insurance coverage within ten (10) days after mailing of the notice. In addition, Lessor may change the rates charged by Lessor under this Section 11(b) for physical damage waiver and/or commercial automobile liability enrollment upon giving Lessee at least thirty (30)days prior written notice. 12. INDEMNITY: To the extent permitted by state law, Lessee agrees to defend and indemnify Lessor, Servicer, any other agent of Lessor and their respective successors and assigns from and against any and all losses, damages, liabilities, suits, claims, demands, costs and expenses (including, without limitation, reasonable attorneys' fees and expenses) which Lessor, Servicer, any other agent of Lessor or any of their respective successors or assigns may incur by reason of Lessee's breach or violation of, or failure to observe or perform, any term, provision or covenant of this Agreement, or as a result of any loss, damage, theft or destruction of any Vehicle or related to or arising out of or in connection with the use, operation or condition of any Vehicle. The provisions of this Section 12 shall survive any expiration or termination of this Agreement. Nothing herein shall be deemed to affect the rights, privileges, and immunities of Lessee and the foregoing indemnity provision is not intended to be a waiver of any sovereign immunity afforded to Lessee pursuant to the law. 13. INSPECTION OF. VEHICLES; ODOMETER DISCLOSURE; FINANCIAL STATEMENTS: Lessee agrees to accomplish, at its expense, all inspections of the Vehicles required by any governmental authority during the Term. Lessor, Servicer, any other agent of Lessor and any of theirrespective successors or assigns will have the right to inspect any Vehicle at any reasonable time(s) during the Term and for this purpose to enter into or upon any building or place where any Vehicle is located. Lessee agrees to comply with all odometer disclosure laws, rules and regulations and to provide such written and signed disclosure information on such forms and in such manner as directed by Lessor. Providing false information or failure to complete the odometer disclosure form as required by law may result in fines and/or imprisonment. Lessee hereby agrees to promptly deliver to Lessor such financial statements and other financial information regarding Lessee as Lessor may from time to time reasonably request. 14. DEFAULT; REMEDIES: The following shall constitute events of default ("Events of Default") by Lessee under this Agreement: (a) if Lessee fails to pay when due any rent or other amount due under this Agreement and any such failure shall remain unremedied for ten (10) days; (b) if Lessee fails to perform, keep or observe any term, provision or covenant contained in Section 11 of this Agreement; (c) if Lessee fails to perform, keep or observe any other term, provision or covenant contained in this Agreement and any such failure shall remain unremedied for thirty (30) days after written notice thereof is given by Lessor, Servicer or any other agent of Lessor to Lessee; (d) any seizure or confiscation of any Vehicle or any other act (other than a Casually Occurrence) otherwise rendering any Vehicle unsuitable for use (as determined by Lessor); (a) if any present or future guaranty in favor of Lessor of all or any portion of the obligations of Lessee under this Agreement shall at any time for any reason cease to be in full force and effect or shall be declared to be null and void by a court of competent jurisdiction, or if the validity or enforceability of any such guaranty shall be contested or denied by any guarantor, or if any guarantor shall deny that it, he or she has any further liability or obligation under any such guaranty or if any guarantor shall fail to comply with or observe any of the terms, provisions or conditions contained in any such guaranty; (f) the occurrence of a material adverse change in the financial condition or business of Lessee or any guarantor; or (g) if Lessee or any guarantor is in default under or fails to comply with any other present or future agreement with or in favor of Lessor, The Crawford Group, Inc. or any direct or indirect subsidiary of The Crawford Group; Inc.. For purposes of this Section 14, the term "guarantor" shall mean any present or future guarantor of all or any portion of the obligations of Lessee under this Agreement. Upon the occurrence of any Event of Default, Lessor, without notice to Lessee, will have the right to exercise concurrently or separately (and without any election of remedies being deemed made), the following remedies: (a) Lessor may demand and receive Immediate possession of any or all of the Vehicles from Lessee, without releasing Lessee from its obligations under this Agreement; if Lessee falls to surrender possession of the Vehicles to Lessor on default (or termination or expiration of the Term), Lessor, Servicer, any other agent of Lessor and any of Lessor's independent contractors shall have the right to enter upon any premises where the Vehicles may be located and to remove and repossess the Vehicles; (b) Lessor may enforce performance by Lessee of its obligations under this Agreement; (c) Lessor may recover damages and expenses sustained by Lessor, Servicer, any other agent of Lessor or any of their respective successors or assigns by reason of Lessee's default including, to the extent permitted by applicable law, all costs and expenses, including court costs and reasonable attorneys' fees and expenses, incurred by Lessor, Servicer, any other agent of Lessor or any of their respective successors or assigns in attempting or effecting enforcement of Lessor's rights under this Agreement (whether or not litigation is commenced) and/or in connection with bankruptcy or insolvency proceedings; (d) upon written notice to Lessee, Lessor may. terminate Lessee's rights under this Agreement; (a) with respect to each Vehicle, Lessor may recover from Lessee all amounts owed by Lessee under Sections 3(b) and 3(c) of this Agreement (and, if Lessor does not recover possession of a Vehicle, (1) the estimated wholesale value of such Vehicle for purposes of Section 3(c) shall be deemed to be $0.00 and (!I) the calculations described in the first two sentences of Section 3(c) shall be made without giving effect to clause (ii) in each such sentence); and/or (f) Lessor may exercise any other right or remedy which may be available to Lessor under the Uniform Commercial Code, any other applicable law or in equity. A termination of this Agreement shall occur only upon written notice by Lessor to Lessee. Any termination shall not affect Lessee's obligation to pay all amounts due for periods prior to the effective date of such termination or Lessee's obligation to pay any indemnities under this Agreement. All remedies of Lessor under this Agreement or at law or in equity are cumulative. 15. ASSIGNMENTS: Lessor may from time to time assign, pledge or transfer this Agreement and/or any or all of its rights and obligations under this Agreement to any person or entity. Lessee agrees, upon notice of any such assignment, pledge or transfer of any amounts due or to become due to Lessor under this Agreement to pay all such amounts to such assignee, pledgee or transferee. Any such assignee, pledgee or transferee of any rights or obligations of Lessor under this Agreement will have all of the rights and obligations that have been assigned to it. Lessee's rights and interest in and to the Vehicles are and will continue Initials: EFM Customer at all times to be subject and subordinate in all respects to any assignment, pledge or transfer now or hereafter executed by Lessor with or in favor of any such assignee, pledgee or transferee, provided that Lessee shall have the right of quiet enjoyment of the Vehicles so long as no Event of Default under this Agreement has occurred and Is continuing. Lessee acknowledges and agrees that the rights of any assignee, pledgee or transferee in and to any amounts payable by the Lessee under any provisions of this Agreement shall be absolute and unconditional and shall not be subject to any abatement whatsoever, or to any defense, setoff, counterclaim or recoupment whatsoever, whether by reason of any damage to or loss or destruction of any Vehicle or by reason of any defect in or failure of title of the Lessor or interruption from whatsoever cause in the use, operation or possession of any Vehicle, or by reason of any indebtedness or liability howsoever and whenever arising of the Lessor or any of its affiliates to the Lessee or to any other person or entity, or for any other reason. Without the prior written consent of Lessor, Lessee may not assign, sublease, transfer or pledge this Agreement, any Vehicle, or any interest in this Agreement or in and to any Vehicle, or permit its rights under this Agreement or any Vehicle to be subject to any lien, charge or encumbrance. Lessee's interest in this Agreement is not assignable and cannot be assigned or transferred by operation of law. Lessee will not transfer or relinquish possession of any Vehicle (except for the sole purpose of repair or service of such Vehicle) without the prior written consent of Lessor. 16. MISCELLANEOUS: This Agreement contains the entire understanding of the parties. This Agreement may only be amended or modified by an instrument in writing executed by both parties. Lessor shall not by any act, delay, omission or otherwise be deemed to have waived any of its rights or remedies under this Agreement and no waiver whatsoever shall be valid unless in writing and signed by Lessor and then only to the extent therein set forth. A waiver by Lessor of any right or remedy under this Agreement on any one occasion shall not be construed as a bar to any right or remedy, which Lessor would otherwise have on any future occasion. If any term or provision of this Agreement or any application of any such term or provision is invalid or unenforceable, the remainder of this Agreement and any other application of such term or provision will not be affected thereby. Giving of all notices under this Agreement will be sufficient if mailed by certified mail to a party at its address set forth below or at such other address as such party may provide in writing from time to time. Any such notice mailed to such address will be effective one (1) day after deposit in the United States mail, duly addressed, with certified mail, postage prepaid. Lessee will promptly notify Lessor of any change in Lessee's address. This Agreement may be executed in multiple counterparts (including facsimile and pdf counterparts), butthe counterpart marked "ORIGINAL' by Lessor will be the original lease for purposes of applicable law. All of the representations, warranties, covenants, agreements and obligations of each Lessee under this Agreement (if more than one) are joint and several. 17. SUCCESSORS AND ASSIGNS; GOVERNING LAW: Subject to the provisions of Section 15, this Agreement will be binding upon Lessee and its heirs, executors, personal representatives, successors and assigns, and will inure to the benefit of Lessor, Servicer, any other agent of Lessor and their respective successors and assigns. This Agreement will be governed by and construed in accordance with the substantive laws of the State of Missouri (determined without reference to conflict of law principles). 18. NON -PETITION: Each party hereto hereby covenants and agrees that, prior to the date which Is one year and one day after payment in full of all indebtedness of Lessor, it shall not institute against, or join any other person in instituting against, Lessor any bankruptcy, reorganization, arrangement, insolvency or liquidation proceedings or other similar proceeding under the laws of the United States or any state of the United Stales. The provisions of this Section 18 shall survive termination of this Master Equity Lease Agreement. 19. NON -APPROPRIATION: Lessee's funding of this Agreement shall be on a Fiscal Year basis and is subject to annual appropriations. Lessor acknowledges that Lessee is a municipal corporation, is precluded by the County or State Constitution and other laws from entering into obligations that financially bind future governing bodies, and that, therefore, nothing in this Agreement shall constitute an obligation of future legislative bodies of the County or State to appropriate funds for purposes of this Agreement. Accordingly, the parties agree that the lease terms within this Agreement or any Schedules relating hereto are contingent upon appropriation of funds. The parties further agree that should the County or State fail to appropriate such funds, the Lessor shall be paid all rentals due and owing hereunder up until the actual day of termination. In addition, Lessor reserves the right to be paid for any reasonable damages. These reasonable damages will be limited to the losses incurred by the Lessor for having to sell the vehicles on the open used car market prior to the end of the scheduled term (as determined in Section 3 and Section 14 of this Agreement). IN WITNESS WHEREOF, Lessor and Lessee have duly executed this Master Equity Lease Agreement as of the day and year first above written. LESSEE: Signature: _ By: Title: Address: Date Signed LESSOR: Enterprise FM Trust By: Enterprise Fleet Management, Inc. its attorney in fact Signature By: Title: Address: Date Signed: Initials: EFM Customer #9 10-22-'20 10:33 FROM- CALHOUN CO SHERIFF 361-553-4668 T-967 P0001/0002 F-772 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 5534646 FAX NUMBER (361) 5534668 MEMO TO: RICHARD NMYER, COUNTY RMOE SUBJECT: UVlPOUND VEHICLE FEES DATE: OCTOBER 28, 2020 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA ]FOR OCTOBER 28, 2020 • Consider and take necessary action to accept money from impound fees from a vehicle that was stopped for illegal drugs and put money into 760-60360.($350.00) Sincerely, IfIA�� Bobbie Vickery Calhoun County Sheriff 10-22-'20 10:33 FROM- CALHOUN CO SHERIFF 361-553-4668 T-967 P0002/0002 F-772 CALHOUN COUNTY TREASURER RECEIPT DATE 10/16/20,20 RECEIPT NUMBER: F2020OCT017 ISSUED' RECEIPT ISSUE, TO: CALHOUN COUNTY SHERIFF'S DEPARTMENT DESCRIPTION AMOUNT SHERIFF/ WOUND FEE/ 10-13-20?RCP.T* 6523.2 $350.00 RECEIPT TOTAL $350.00 RHOND. COU1vT'i i�a.�uxr,tc 202 S. ANN, SUITE A PORT LAVACA, TX. 77979 (361)553-4620 # to fi Vern Lyssy Calhoun County Commissioner, Precinct #2 5812 FM 1090 Port Lavaca, TX 77979 October 15, 2020 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer: (361) 552-9656 Fax (361) 553-6664 Please place the following item on the next Commissioners' Court Agenda • Consider and take action on final plat for Cardenas RV Park Sincerely, Vern Lyssy VL/Ij Al a MIR U U& UL o° sssse g�g R W iWy"� "Hy � � g&_��a o ♦� 1 �'o g3g z � ® 10'661 3 g S 9 .,46,Sbxg nr s�Y § .gaga wo�waa §Kg� N HF'°Eo°K `� ��i•�� tll B'9 inn Im Hin Hill!" Is !NJ a a g� t_ � �I s is W pulE� Sol W U co a HH $SS a�$Ps €a.a€ mpg 3 0 # it Local Park Grant Program Resolution Authorizing Application . A resolution of the Calhoun County Commissioners' Court as hereinafter referred to as "Applicant," designating certain officials as being responsible for, acting for, and on behalf of the Applicant in dealing with the Texas Parks & Wildlife Department, hereinafter referred to as "Department," for the purpose of participating in the Local Park Grant Program, hereinafter referred to as the "Program"; certifying that the Applicant is eligible to receive program assistance; certifying that the Applicant matching share is readily available; and dedicating the proposed site for permanent (or for the term of the lease for leased property) public park and recreational uses. WHEREAS, the Applicant is fully eligible to receive assistance under the Program; and WHEREAS, the Applicant is desirous of authorizing an official to represent and act for the Applicant in dealing with the Department concerning the Program; BE IT RESOLVED BY THE APPLICANT: SECTION 1: That the Applicant hereby certifies that they are eligible to receive assistance under the Program, and that notice of the application has been posted according to local public hearing requirements. SECTION 2: That the Applicant hereby certifies that the matching share for this application is readily available at this time. SECTION 3: That the Applicant hereby authorizes and directs the County Commissioner Precinct 4 to act for the Applicant in dealing with the Department for the purposes of the Program, and that County Commissioner Precinct 4 is hereby officially designated as the representative in this regard. SECTION 4: The Applicant hereby specifically authorizes the official to make application to the Department concerning the site to be known as Bill Sanders in the City of Seadrift or use as a park site and is hereby dedicated (or will be dedicated upon completion of the proposed acquisition) for public park and recreation purposes in perpetuity (or for the lease term, if legal control is through a lease). Projects with federal monies may have differing requirements. and passed by an affirmative vote of the "Applicant" on this 28th day of October, 2020. Richard H. Meyer, County Judge Typed Name and Title Catherine Sullivan, Deputy County Clerk Typed Name and Title PWD 1069B—P4000 (01/2014) #12 THE STATE OF TEXAS COUNTY OF CALHOUN APPROVAL FOR AGREEMENT BETWEEN CALHOUN COUNTY, TEXAS AND THE GUADALUPE-BLANCO RIVER AUTHORITY FOR THE GREEN LAKE CONTROL STRUCTURE WHEREAS, Texas Government Code §791.014 authorizes the Commissioners Court of a County to contract with another local governmental agency or state agency for greater efficiency and effectiveness in projects that serve a public purpose and that would be beneficial to the citizens of Calhoun County, Texas; WHEREAS, the Commissioners County of Calhoun County, Texas, in compliance with §791.014 of the Texas Government Code, otherwise known as the Interlocal Cooperation Act, and before the commencement of any work to study, repair, construct, or improve the subject matter of an Interlocal Contract with the Guadalupe -Blanco River Authority (GBRA), hereby authorizes and approves this separate specific written approval for the proposed project. NOW, THEREFORE, the Commissioners Court finds that this approval is separate and distinct from the Interlocal Cooperation Contract itself, that the proposed project is for GBRA to study, repair, construct, and/or improve the Green Lake Control Structures in Calhoun County, Texas, and that the herein described project would serve a public purpose and would be beneficial to the citizens of Calhoun County, Texas. It is so resolved by vote of the Commissioners Court of this the Z89v day of 2020. aflet_� i�� — Richard H. Meyer Calhoun County Judge At t• dCXlti(I�� Calhoun Coun y Clerk, ex officio clerk of Commissioners Court #13 #14 yk:GM1 O N O N O � M N Qj E c- Q a) U N fp r-I ai v N (7 Ea) CL N N o 0 o 0 O O O O o L O Ln O O N N i q ci Ln 0 O 0 0 0 0 0 0 0 O O O O O O O O O O O O 0 O O O O d d O O O O O 0 O u1 O tft O to M N N r-I c M o o a O C)CD O O O O O O O O 0 to 00i0 10 bey �o 0��/�s { J b 2%!b b/Jop ' 12b �i b 11 Ovaumm sdJ 2bs + O O/b U N 9 O O N OEM LL m m s� �b b Ln v ® Jb �b0 yJ/j u 9j �Od N 4JCL Q N /O X W c i -omm Jd"b -0 C � Li E �Oi �02b �b y +j _ C 20�6 cn b 6 �i JJ7 to 40 411 20/fib '�b02b 2b� 20JCD y��y a J 0 0 0 0 0 0 0 07 C C 0 0 6 6 0 C)O 0 0 0 0 0 0 0/2�GG C 0 C C C C C o !� o N C)v o v v M 01 0 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/112020 Through 9130/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance 1000 GENERALFUND 001 REVENUE A ESTIMATED BEGINNING CA... 20,000,000.00 (845,952.00) 19,154,048.00 0.00 0.00 (19,154,048,00) B TAXES 21,432,000.00 15,000.00 21,447,000.00 352,921.05 20,435,403.20 (1,011,596.80) C PERMITS 11,510.00 0.00 11,510.00 1,453.25 11,133.25 (376.75) D INTERGOVERNMENTAL 173,421.00 39,674.00 213,095.00 140,623.11 346,021.63 132,926.63 E FEES 1,371,633.00 1,400.00 1,373,033.00 145,144.86 1,493,860.21 120,827.21 F FINES 173,100.00 0.00 173,100.00 14,054.59 157,435.54 (15,664.46) G INTEREST INCOME 300,000.00 0.00 300,000.00 92.21 264,312.96 (35,687.04) H RENTS 14,100.00 0.00 14,100.00 21,983.60 28,333.60 14,233.60 I MISCELLANEOUS REVENU... 209,620.00 88 805.00 298 425.00 24,262.21 350,215.89 51 790.89 Total... REVENUE 43,685,384.00 (701,073.00) 42,984,311.00 700,534.88 23,086,716.28 (19,897,594.72) 003 ADULT PROBATION Q SUPPLIES 2,600.00 0.00 2,600.00 0.00 161.75 2,438.25 R SERVICES 4,200.00 0.00 4,200.00 0.00 4,000.00 200.00 S CAPITAL OUTLAY 300.00 0.00 300.00 0.00 0.00 300.00 Total ... ADULT PROBATION (7,100.00) 0.00 (7,100.00) 0.00 (4,161.75) 2,93825 006 AID TOAGING R SERVICES 50000.00 0.00 50,000.00 0.00 35000.00 15,000.00 Total... AID TO AGING (50,000.00) 0.00 (50,000.00) 0.00 (35,000.00) 15,000.00 009 AMBULANCE OPERATIONS -GENERAL Q SUPPLIES 13,213.00 0.00 13,213.00 0.00 5,289.82 7,923.18 R SERVICES 23,272.00 0.00 23,272.00 188.40 8,255.12 15,016.88 S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 0.00 1.00 Total... AMBULANCE (36,486.00) 0.00 (36,486.00) (188.40) (13,544.94) 22,941.06 OPERATIONS -GENERAL 012 AMBULANCE OPERATIONS -MAGNOLIA Q SUPPLIES 1,700.00 0.00 1,700.00 0.00 0.00 1,700.00 R SERVICES 800.00 0.00 800.00 0.00 14.50 785.50 Total... AMBULANCE (2,500.00) 0.00 (2,500.00) 0.00 (14.50) 2,485.50 OPERATIONS -MAGNOLIA 021 AMBULANCE OPERATION -PORT O'CON Q SUPPLIES 411.00 0.00 411.00 0.00 0.00 411.00 R SERVICES 2,088.00 0.00 2,088.00 0.00 0.00 2,088.00 S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 0.00 1.00 Total ... AMBULANCE OPERATION -PORT (2,500.00) 0.00 (2,500.00) 0.00 0.00 2,500.00 O'CON 024 AMBULANCE OPERATION-SEADRIFT Q SUPPLIES 1,200.00 0.00 1,200.00 0.00 0.00 1,200.00 R SERVICES 800.00 0.00 800.00 115.70 667.02 132.98 S CAPITAL OUTLAY 500.00 0.00 500,00 0.00 0.00 500.00 Total... AMBULANCE (2,500.00) 0.00 (2,500.00) (115.70) (667.02) 1,832.98 OPERATION-SEADRIFT Date: 10/19120 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page:1 Acco... Account Title 027 BUILDING MAINTENANCE 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES 5 CAPITAL OUTLAY Total ... BUILDING MAINTENANCE 030 COMMISSIONERS COURT 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES 5 CAPITAL OUTLAY Total ... COMMISSIONERS COURT 033 CONSTABLE-PRECINCT#1 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES Total... CONSTABLE-PRECINCT#1 036 CONSTABLE-PRECINCT#2 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... CONSTABLE-PRECINCT#2 039 CONSTABLE-PRECINCT#3 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... CONSTABLE-PRECINCT#3 042 CONSTABLE-PRECINCT#4 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... CONSTABLE-PRECINCT#4 045 CONSTABLE-PRECINCT#5 0 SALARIES P BENEFITS Q SUPPLIES R SERVICES S CAPITAL OUTLAY Total... CONSTABLE-PRECINCT#5 Date: 10/19120 09:24:44 AM CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/1/2020 Through 9/3012020 Original Budget Amendments Revised Budget CurrActual YTD Actual Variance 362,174.00 0.00 362,174.00 24,361.50 233,545.80 128,628.20 165,450.00 0.00 165,450.00 11,550.90 106,204.36 59,245.64 42,200.00 (1,000.00) 41,200.00 2,632.23 30,079.16 11,120.84 525,558.00 1,000.00 526,558.00 31,099.20 277,299.72 249,258.28 19 006.00 74,170.00 93176.00 0.00 67,630.13 25 545.87 (1,114,388.00) (74,170.00) (1,188,558.00) (69,643.83) (714,759.17) 473,798.83 26,000.00 0.00 26,000.00 0.00 0.00 26,000.00 5,028.00 0.00 5,028.00 0.00 0.00 5,028.00 10,097.00 0.00 10.097,00 550.00 3,240.00 6,857.00 500,320.00 3,162.00 503,482.00 26,125.58 333,796.64 169,685.36 17 277.00 (2,431.00) 14 846.00 0.00 1719.11 13,126.89 (558,722.00) (731.00) (559,453.00) (26,675.58) (338,755.75) 220,697.26 23,508.00 0.00 23,508.00 1,808.30 17,178.85 6,329.15 4,739.00 0.00 4,739.00 365.28 3,470.11 1,268.89 800.00 0.00 800.00 0.00 0.00 800.00 503.00 0.00 503.00 0.00 0.00 503.00 (29,550.00) 0.00 (29,550.00) (2,173.58) (20,648.96) 8,901.04 23,541.00 0.00 23,541.00 1,808.30 17,178.85 6,362.15 4,746.00 0.00 4,746.00 365.28 3,470.11 1,275.89 851.00 0.00 851.00 0.00 0.00 851.00 2,403.00 0.00 2,403.00 0.00 693.84 1,709.16 1.00 0.00 1.00 0.00 0.00 1.00 (31,542.00) 0.00 (31,542.00) (2,173.58) (21,342.80) 10,199.20 23,508.00 4,739.00 1,626.00 4.00 401.00 (30,278.00) 23,508.00 4,739.00 751.00 2,500.00 1.00 (31,499.00) 0.00 23,508.00 1,808.30 24.00 4,763.00 369.26 (790.00) 836.00 0.00 0.00 4.00 0.00 7,090.00 7491.00 0.00 (6,324.00) (36,602.00) (2,177.56) 0.00 23,508.00 1,808.30 0.00 4,739.00 365.28 0.00 751.00 0.00 0.00 2,500.00 0.00 0.00 1.00 0.00 0.00 (31,499.00) (2,173.58) 16,455.53 3,333.96 834.13 0.00 5487.95 (26,111.57) 17,178.85 3,470.11 0.00 0.00 0.00 (20,648.96) 23,508.00 0.00 23,508.00 1,808.30 17,178.85 4,739.00 0.00 4.739.00 365.28 3,470.11 250.00 948.00 1.198.00 0.00 0.00 2,250.00 (199.00) 2,051.00 0.00 0.00 750.00 (749.00) 1.00 0.00 0.00 (31,497.00) 0.00 (31,497,00) (2,173.58) (20,648.96) MONTHLY REPORT -CONDENSED Unaudited 7,052.47 1,429.04 1.87 4.00 2.003.05 10,490.43 6,329.15 1,268.89 751.00 2,500.00 1.00 10,850.04 6,329.15 1.268.89 1.198.00 2,051.00 1.00 10,848.04 Page:2 n CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 91112020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActual Variance 048 CONTINGENCIES 0 SALARIES 5,000.00 0.00 5,000.00 0.00 0.00 5,000.00 P BENEFITS 219,000.00 (245.00) 218,755.00 (1.50) (5.16) 218,760.16 R SERVICES 18,002.00 42625.00 60627.00 0.00 0.00 60627.00 Total... CONTINGENCIES (242,002.00) (42,380.00) (284,382.00) 1.50 5.16 284,387.16 051 COUNTYAUDITOR 0 SALARIES 306,904.00 0.00 306,904.00 23,607.76 223,926.56 82,977.44 P BENEFITS 118,965.00 0.00 118,965.00 9,474.60 87,305.57 31,659.43 Q SUPPLIES 4,496.00 (73.00) 4,423.00 33.99 2,142.07 2,280.93 R SERVICES 15,974.00 0.00 15,974.00 35.00 2,223.86 13,750.14 S CAPITAL OUTLAY 502.00 9601.00 10103.00 0.00 5,861.00 4242.00 Total... COUNTYAUDITOR (446,841.00) (9,528.00) (456,369.00) (33,151.35) (321,459.06) 134,909.94 054 COUNTY CLERK 0 SALARIES 276,796.00 21.00 276,817.00 21,196.86 201,412.17 75,404.83 P BENEFITS 108,888.00 0.00 108,888.00 7,615.77 70,432.04 38,455.96 Q SUPPLIES 10,000.00 0.00 10,000.00 567.09 5,292.12 4,707.88 R SERVICES 23,311.00 (21.00) 23,290.00 234.85 8,593.65 14,696.35 S CAPITAL OUTLAY 6951.00 0.00 6,951.00 0.00 3,714.41 3,236.59 Total ... COUNTY CLERK (425,946.00) 0.00 (425,946.00) (29,614.57) (289,444.39) 136,501.61 057 COUNTY COURT R SERVICES 15,750.00 0.00 15750.00 0.00 1389.00 14,361.00 Total... COUNTY COURT (15,750.00) 0.00 (15,750.00) 0.00 (1,389.00) 14,361.00 O60 COUNTY COURT -AT -LAW 0 SALARIES 249,693.00 0.00 249,693.00 18,663.67 177,238.99 72,454.01 P BENEFITS 110,803.00 0.00 110,803.00 5,662.55 52,597.82 58,205.18 Q SUPPLIES 2,050.00 0.00 2,050.00 105.73 740.73 1,309.27 R SERVICES 98,060.00 (2,815.00) 95,245.00 4,249.98 41,542.06 53,702.94 S CAPITAL OUTLAY 8295.00 2,815.00 11,110.00 5,011.72 10476.72 633.28 Total... COUNTY COURT -AT -LAW (468,901.00) 0.00 (468,901.00) (33,693.65) (282,596.32) 186,304.68 063 COUNTYJUDGE 0 SALARIES 131,844.00 0.00 131,844.00 10,141.62 96,345.39 35,498.61 P BENEFITS 54,674.00 0.00 54,674.00 2,620.09 24,532.09 30,141.91 Q SUPPLIES 2,411.00 0.00 2,411.00 284.99 1,190.62 1,220.38 R SERVICES 9,650.00 0.00 9,650.00 30.88 1,990.63 7,659.37 5 CAPITAL OUTLAY 2,000.00 0.00 2000.00 0.00 0.00 2000.00 Total... COUNTYJUDGE (200,579.00) 0.00 (200,579.00) (13,077.58) (124,058.73) 76,520.27 O66 COUNTY TAX COLLECTOR 0 SALARIES 204,289.00 0.00 204,289.00 14,848.00 138,702.85 65,586.15 P BENEFITS 71,227.00 0.00 71,227.00 5,615.13 50,108.85 21,118.15 Q SUPPLIES 5,401.00 (167.00) 5,234.00 30.48 1,741.85 3,492.15 R SERVICES 50,820.00 15,313.00 66,133.00 16,810.39 52,375.87 13,757.13 5 CAPITAL OUTLAY 1,100.00 (146.00) 954.00 0.00 0.00 954.00 Total... COUNTY TAX COLLECTOR (332,837.00) (15,000.00) (347,837.00) (37,304.00) (242,929.42) 104,907.58 069 COUNTY TREASURER 0 SALARIES 191,806.00 0.00 191,806.00 14,754.08 137,277.30 54,528.70 P BENEFITS 73,329.00 0.00 73,329.00 6.285.81 56,614.66 16,714.34 Q SUPPLIES 3,700.00 0.00 3,700.00 29.99 2,073.72 1,626.28 Date: 10/19/20 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 3 a CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/1/2020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActual Variance R SERVICES 14,603.00 0.00 14.603.00 532.00 4,454.38 10,148.62 S CAPITAL OUTLAY 2000.00 0.00 2000.00 0.00 313,98 1686.02 Total... COUNTY TREASURER (285,438.00) 0.00 (285,438.00) (21,601.88) (200,734.04) 84,703.96 075 DEBT SERVICE R SERVICES 112,452.00 (70143.00) 42309.00 0.00 42308.72 0.28 Total... DEBT SERVICE (112,452.00) 70,143.00 (42,309.00) 0.00 (42,308.72) 0.28 078 DISTRICT ATTORNEY - 0 SALARIES 601,932.00 0.00 601,932.00 47,638.10 440,099.78 161,832.22 P BENEFITS 213,017.00 0.00 213,017.00 16,880.75 148,206.48 64,810.52 Q SUPPLIES 16,750.00 40.00 16,790.00 1,432.77 10,129.20 6,660.80 R SERVICES 61,621.00 (40.00) 61,581.00 836.14 13,827.18 47,753.82 S CAPITAL OUTLAY 33000.00 0.00 33000.00 2,316.68 18970.64 14029.36 Total... DISTRICT ATTORNEY (926,320.00) 0.00 (926,320.00) (69,104.44) (631,233.28) 295,086.72 081 DISTRICT CLERK 0 SALARIES 266,815.00 0.00 266,815.00 19,995.64 188,986.49 77,828.51 P BENEFITS 113,652.00 0.00 113,652.00 9,250.82 83,843.89 29,808.11 Q SUPPLIES 9,681.00 (683.00) 8,998.00 1,037,77 3,637.19 5,360.81 R SERVICES 11,701.00 683.00 12,384.00 100.00 5,088.98 7,295.02 S CAPITAL OUTLAY 3,882.00 9350.00 13232.00 2,572.42 8,763.38 4468.62 Total... DISTRICT CLERK (405,731.00) (9,350.00) (415,081.00) (32,956.65) (290,319.93) 124,761.07 084 DISTRICT COURT 0 SALARIES 29,175.00 (1,874.00) 27,301.00 438.23 5,578.83 21,722.17 P BENEFITS 5,770.00 0.00 5,770.00 89.49 466.99 5,303.01 Q SUPPLIES 234.00 0.00 234.00 0.00 45.02 188.98 R SERVICES 211,869.00 0.00 211,869.00 12,273.00 153,489.50 58,379.50 S CAPITAL OUTLAY 2,549.00 1,874.00 4,423.00 4,419.86 4,419.86 3.14 Total... DISTRICT COURT (249,597.00) 0.00 (249,597.00) (17,220.58) (164,000.20) 85,596.80 087 ELECTIONS 0 SALARIES 163,972.00 0.00 163,972.00 9,907.30 103,253.98 60,718.02 P BENEFITS 73,689.00 0.00 73,689.00 3,371.43 32,584.62 41,104.38 Q SUPPLIES 25,255.00 356.00 25,611.00 2,121.22 7,167.85 18,443.15 R SERVICES 37,163.00 (1,124.00) 36,039.00 1,828.44 7,723.64 28,315.36 S CAPITAL OUTLAY 3735.00 768.00 4503.00 0.00 4,078.17 424.83 Total... ELECTIONS (303,814.00) 0.00 (303,814.00) (17,228.39) (154,808.26) 149,005.74 090 EMERGENCY MANAGEMENT 0 SALARIES 93,017.00 2,396.00 95,413.00 7,155.14 68,955.19 26,457.81 P BENEFITS 38,748.00 0.00 38,748.00 2,783.48 25,892.19 12,855.81 Q SUPPLIES 7,250.00 (700.00) 6,550.00 546.62 2,871.78 3,678.22 R SERVICES 18,861.00 700.00 19,561.00 201.87 6,022.83 13,538.17 S CAPITAL OUTLAY 3001.00 0.00 3001.00 179.00 1,782.00 1,219.00 Total... EMERGENCY MANAGEMENT (160,877.00) (2,396.00) (163,273.00) (10,866.11) (105,523.99) 57,74901 093 EMERGENCY MEDICAL SERVICES 0 SALARIES 2,498,668.00 (86,083,00) 2,412,585.00 156,551.39 1,534,213.59 878,371.41 P BENEFITS 772,720.00 (45,500.00) 727,220.00 45,594.19 440,635.94 286,5806 Q SUPPLIES 87,541.00 22,991.00 110,532.00 14,632.67 107,422.89 3,109.11 R SERVICES 275,866.00 4,205.00 280,071.00 32,627.99 215,749.95 64,321.05 Date: 10/19/20 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 4 d v CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 91112020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTOActual Variance S CAPITAL OUTLAY 15,840.00 104,387.00 120 227.00 17,020.19 123 075.99 (2,848.99) Total ... EMERGENCY MEDICAL (3,650,635.00) 0.00 (3,650,635.00) (266,426.43) (2,421,098.36) 1,229,536.64 SERVICES 096 EXTENSION SERVICE 0 SALARIES 138,366.00 368.00 138,734.00 10,629.24 101,346.28 37,387.72 P BENEFITS 34,452.00 221.00 34,673.00 1,939.05 18,078.64 16,594.36 Q SUPPLIES 12,900.00 (368.00) 12,532.00 469.70 3,919.33 8,612.67 R SERVICES 34,731.00 0.00 34,731.00 1,449.52 11,393.61 23,337.39 S CAPITAL OUTLAY 4837.00 0.00 483Z00 0.00 (57.24) 4894.24 Total ... EXTENSION SERVICE (225,286.00) (221.00) (225,507.00) (14,487.51) (134,680.62) 90,826.38 099 FIRE PROTECTION -MAGNOLIA BEACH Q SUPPLIES 4,999.00 (4,000.00) 999.00 0.00 0.00 999.00 R SERVICES 5,000.00 (4,000.00) 1,000.00 0.00 62.00 938.00 S CAPITAL OUTLAY 1.00 8.000.00 8001.00 0.00 8000.00 1.00 Total ... FIRE PROTECTION -MAGNOLIA (10,000.00) 0.00 (10,000.00) 0.00 (8,062.00) 1,938A0 BEACH 102 FIRE PROTECTION-OLIVIAIPORT AL Q SUPPLIES 5,295.00 (975.00) 4,320.00 685.85 2,218.52 2,101.48 R SERVICES 2,963.00 690.00 3,653.00 82.53 1,148.36 2,504.64 S CAPITAL OUTLAY 1,742.00 285.00 2027.00 0.00 2026.47 0.53 Total ... FIRE PROTECTION-OLIVIAIPORT (10,000.00) 0.00 (10,000.00) (768,38) (5,393.35) 4,606.65 AL 105 FIRE PROTECTION -POINT COMFORT Q SUPPLIES 1.063.00 1,400.00 2,463.00 119.90 1,550.75 912.25 R SERVICES 6,976.00 (1,000.00) 5,976.00 0.00 2,587.98 3,388.02 S CAPITAL OUTLAY 1,961.00 (400.00) 1,561.00 0.00 0.00 1,561.00 Total ... FIRE PROTECTION -POINT (10,000.00) 0.00 (10,000.00) (119.90) (4,138,73) 5,861.27 COMFORT 108 FIRE PROTECTION -PORT LAVACA R SERVICES 206714.00 0.00 206714.00 0.00 200671.51 6042.49 Total... FIRE PROTECTION -PORT (206,714,00) 0.00 (206,714.00) 0.00 (200,671.51) 6,042.49 LAVACA ill FIRE PROTECTION -PORT O'CONNOR Q SUPPLIES 5,000.00 (4,690.00) 310.00 0.00 0.00 310.00 R SERVICES 4,999.00 4,690.00 9,689.00 73.59 9,469.31 219.69 S CAPITAL OUTLAY 1,00 0.00 1.00 0.00 0.00 1.00 Total... FIRE PROTECTION -PORT (10,000.00) 0.00 (10,000.00) (73.59) (9,469.31) 530.69 O'CONNOR 113 FIRE PROTECTION -SIX MILE Q SUPPLIES 3,919.00 0.00 3,919.00 0.00 3,747.07 171.93 R SERVICES 3,200.00 0.00 3,200.00 117.22 1,868.11 1,331.89 S CAPITAL OUTLAY 2881.00 0.00 2881.00 617.57 1,097.57 1,783.43 Dale: 10/19/20 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 5 9 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/1/2020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance Total ... FIRE PROTECTION -SIX MILE (10,000.00) 0.00 (10,000.00) (734.79) (6,712.75) 3,287.25 114 FIRE PROTECTION-SEADRIFT Q SUPPLIES 5,000.00 (1,828.00) 3,172.00 000 2,401.17 770.83 R SERVICES 4,000.00 0.00 4,000.00 0.00 777.34 3.222.66 S CAPITALOUTLAY 1,000.00 1828.00 2828.00 0.00 2827.77 0.23 Total... FIRE PROTECTION-SEADRIFT (10,000.00) 0.00 (10,000.00) 0.00 (6,006.28) 3,993.72 120 FLOOD PLAIN ADMINISTRATION Q SUPPLIES 1,195.00 0.00 1,195.00 27.74 474.14 720.86 R SERVICES 5,050.00 0.00 5,050.00 0.00 883.30 4,166.70 S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 0.00 1.00 Total... FLOOD PLAIN ADMINISTRATION (6,246.00) 0.00 (6,246.00) (27.74) (1,357.44) 4,888.56 123 HEALTH DEPARTMENT R SERVICES 80500.00 0.00 80,500.00 13,416.66 67083.30 13416.70 Total ... HEALTH DEPARTMENT (80,500.00) 0.00 (80,500.00) (13,416.66) (67,083,30) 13,416.70 126 HIGHWAY PATROL 0 SALARIES 17,034.00 0.00 17,034.00 1,159.35 10,411.23 6,622.77 P BENEFITS 3,293.00 0.00 3,293.00 224.56 2,016.67 1,276.33 Q SUPPLIES 980.00 30.00 1,010.00 75.21 1,008.39 1.61 R SERVICES 3,163.00 (30.00) 3,133.00 181.21 854.66 2,278.34 S CAPITAL OUTLAY 970.00 0.00 970.00 0.00 0.00 970.00 Total... HIGHWAY PATROL (25,440.00) 0.00 (25,440.00) (1,640.33) (14,290.95) 11,149.05 129 HISTORICAL COMMISSION R SERVICES 4,002.00 (2,047.00) 1,955.00 0.00 185.00 1,770.00 S CAPITAL OUTLAY 1,900.00 2,047.00 3947.00 1875.00 3946.18 0.82 Total... HISTORICAL COMMISSION (5,902.00) 0.00 (5,902.00) (1,875.00) (4,131.18) 1,770.82 132 INDIGENT HEALTH CARE R SERVICES 73032.00 0.00 73032.00 2316.04 47004.04 26027.96 Total... INDIGENT HEALTH CARE (73,032.00) 0.00 (73,032,00) (2,316.04) (47,004.04) 26,027.96 133 INFORMATION TECHNOLOGY 0 SALARIES 165,613.00 0.00 165,613.00 12,696.76 114,592.22 51,020.78 P BENEFITS 61,046.00 0.00 61,046.00 4,515.77 40,601.21 20,444.79 Q SUPPLIES 8,660.00 0.00 8,660.00 381.84 3,678.81 4,981.19 R SERVICES 43,200.00 0.00 43,200.00 1,171,67 7,383.45 35,816.55 S CAPITAL OUTLAY 25,401.00 0.00 25,401.00 0.00 19233.44 6,167.56 Total... INFORMATION TECHNOLOGY (303.920,00) 0.00 (303,920.00) (18,766.04) (185,489,13) 118,430.87 135 JAIL OPERATIONS 0 SALARIES 1,698,582.00 14.00 1,698,596.00 114,040.36 1,001,258.44 697,337.56 P BENEFITS 578,203.00 0.00 578,203.00 43,513.76 380,299.20 197,903.80 Q SUPPLIES 161,034.00 8,552.00 169.586.00 13,493.24 143,640.09 25.945.91 R SERVICES 198,514.00 (14,848.00) 183,666.00 18,096.40 137,889.46 45.776.54 S CAPITAL OUTLAY 21,251.00 6282.00 27533.00 0.00 27,437.31 95.69 Total... JAIL OPERATIONS (2,657,584.00) 0.00 (2,657,584.00) (189,143.76) (1,690,524.50) 967,059.50 �F.T [af [4f PIYALkWk K C kl di MONTHLY REPORT -CONDENSED Unaudited Page:6 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/112020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActual Variance 138 JUSTICE OF THE PEACE -GENERAL 0 SALARIES 1,000.00 0.00 1,000.00 0.00 0.00 1,000.00 P BENEFITS 81.00 0.00 81.00 0.00 0.00 81.00 Q SUPPLIES 863.00 0.00 863.00 0.00 0.00 863.00 R SERVICES 1007.00 0.00 1007.00 0.00 88.00 919.00 Total... JUSTICE OF THE (2,951.00) 0.00 (2,951.00) 0.00 (88.00) 2,863.00 PEACE -GENERAL 141 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES 96,238.00 280.00 96,518.00 6,592.08 73,400.76 23,117.24 P BENEFITS 38,358.00 0.00 38,358.00 2,575.67 24,635.65 13,722.35 Q SUPPLIES 3,827.00 (280.00) 3,547.00 174.69 1,407.37 2,139.63 R SERVICES 9,403.00 0.00 9,403.00 435.00 3,983.08 5,419.92 5 CAPITAL OUTLAY 673.00 0.00 673.00 0.00 0.00 673.00 Total ... JUSTICE OF THE (148,499.00) 0.00 (148,499.00) (9,777.44) (103,426.86) 45,072.14 PEACE -PRECINCT 144 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES 96,195.00 0.00 96,195.00 8,488.08 69,392.76 26,802.24 P BENEFITS 40,499.00 0.00 40,499.00 2,832.11 25,230.16 15,268.84 Q SUPPLIES 5,000.00 0.00 5,000.00 235.08 2,160.26 2,839.74 R SERVICES 9,725.00 0.00 9,725.00 0.00 3,880.28 5,844.72 S CAPITAL OUTLAY 3,001.00 0.00 3001.00 0.00 0.00 3001.00 Total... JUSTICE OF THE (154,420.00) 0.00 (154,420.00) (11,555.27) (100,663.46) 53,756.54 PEACE -PRECINCT 147 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES 85,698.00 0.00 85,698.00 6,592.08 62,624.76 23,073.24 P BENEFITS 41,303.00 0.00 41,303.00 3,912.86 35,762.29 5,540.71 Q SUPPLIES 3,429.00 1,084.00 4,513.00 270.81 2,612.18 1,900.82 R SERVICES 17,018.00 0.00 17,018.00 930.49 8,735.56 8,282.44 5 CAPITAL OUTLAY 1,571.00 (1,084.00) 487.00 0.00 0.00 487.00 Total ... JUSTICE OF THE (149,019.00) 0.00 (149,019.00) (11,706.24) (109,734.79) 39,284.21 PEACE -PRECINCT 150 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES 69,770.00 0.00 69,770.00 5,143.46 49,135.55 20,634.45 P BENEFITS 19,822.00 0.00 19,822.00 977.79 9,326.12 10,495.88 Q SUPPLIES 2,651.00 0.00 2,651.00 277.85 1.008.20 1,642.80 R SERVICES 12,958.00 0.00 12,958.00 320.12 7,285.75 5,672.25 S CAPITAL OUTLAY 700.00 0.00 700.00 0.00 0.00 700.00 Total ... JUSTICE OF THE (105,901.00) 0.00 (105,901.00) (6,719.22) (66,755.62) 39,145.38 PEACE -PRECINCT 153 JUSTICE OF THE PEACE -PRECINCT 0 SALARIES 63,903.00 0.00 63,903.00 3,707.46 35.220.87 28,682.13 P BENEFITS 28,488.00 0.00 28,488.00 2,136.33 19,534.29 8,953.71 Q SUPPLIES 1,800.00 0.00 1,800.00 432.46 952.93 847.07 R SERVICES 12,350.00 0.00 12,350.00 347.49 5,643.96 6,706.04 Date: 10/19120 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 7 r CALHOUN COUNTY, TEXAS Summary Budget Comparison • Unposted Transactions Included In Report From 911/2020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance S CAPITAL OUTLAY 4,000.00 0.00 4,000.00 0.00 0.00 4,000.00 Total... JUSTICE OF THE (110,541.00) 0.00 (110,541.00) (6,623.74) (61,352.05) 49,188.95 PEACE -PRECINCT 159 JUVENILE COURT 0 SALARIES 12,708.00 0.00 12,708.00 977.52 9,286.44 3,421.56 P BENEFITS 4,197.00 0.00 4,197.00 287.70 2,678.13 1,518.87 R SERVICES 135654.00 0.00 135654.00 0.00 80713.06 54940.94 Total... JUVENILE COURT (152,559.00) 0.00 (152,559.00) (1,265.22) (92,677A3) 59,881.37 162 JUVENILE PROBATION R SERVICES 306831.00 0.00 306831.00 0.00 306,831.00 0.00 Total... JUVENILE PROBATION (306,831.00) 0.00 (306,831.00) 0.00 (306,831,00) 0.00 165 LIBRARY 0 SALARIES 325,656.00 0.00 325,656.00 24,209.16 229,208.72 96,447.28 P BENEFITS 94,303.00 0.00 94,303.00 7,016.76 65,033.10 29,269.90 Q SUPPLIES 22,557.00 500.00 23,057.00 1,357.12 16,711.51 6,345.49 R SERVICES 122,801.00 (500.00) 122,301.00 16,463.25 56,363.87 65,937.13 S CAPITAL OUTLAY 62 593.00 0.00 fit 593.00 5,724.40 29,819.35 32 773.65 Total... LIBRARY (627,910.00) 0.00 (627,910.00) (54,770.69) (397,136.55) 230,773.45 168 MISCELLANEOUS R SERVICES 784,510.00 99193.00 883,703.00 47743.95 803460.93 80,242.07 Total... MISCELLANEOUS (784,510.00) (99,193.00) (883,703.00) (47,743.95) (803,460.93) 80,242.07 171 MUSEUM 0 SALARIES 53,496.00 0.00 53,496.00 4,086.65 40,049.65 13,446.35 P BENEFITS 21,751.00 0.00 21,751.00 1,476.61 13,896.24 7,854.76 Q SUPPLIES 6,100.00 0.00 6,100.00 578.92 1,289.14 4,810.86 R SERVICES 16,700.00 0.00 16,700.00 802.10 5,025.92 11,674.08 S CAPITAL OUTLAY 3,700.00 0.00 3700.00 0.00 153.99 3,546.01 Total... MUSEUM (101,747.00) 0.00 (101,747,00) (6,944.28) (60,414.94) 41,332.06 174 NUISANCE ORDINANCE ENFORCEMENT 0 SALARIES 63,982.00 4,979.00 68,961.00 4,913.92 51,662.55 17,298A5 P BENEFITS 22,577,00 0.00 22,577.00 1,691.42 16,488.36 6,088.64 Q SUPPLIES 1,400.00 (670.00) 730.00 289.63 646.02 83.98 R SERVICES 1,701.00 0.00 1,701.00 208.94 1,061.39 639.61 S CAPITAL OUTLAY 2.00 670.00 672.00 0.00 669.29 2.71 Total... NUISANCE ORDINANCE (89,662,00) (4,979.00) (94,641.00) (7,103.91) (70,527.61) 24,113.39 ENFORCEMENT 175 OTHER FINANCING T OTHER FINANCING (1001.00) (87234.00) (88235.00) (40437.00) (87236.25) (998.75) Total ... OTHER FINANCING 1,001.00 87,234.00 88,235.00 40,437.00 87,236.25 (998.75) 177 PARKS AND RECREATION Q SUPPLIES 5,001.00 0.00 5,001.00 0.00 OAO 5,001.00 R SERVICES 2.00 0.00 2.00 0.00 0.00 2.00 S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 OAO 1.00 Dale: 10119120 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 8 n CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/112020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActual Variance Total... PARKS AND RECREATION (5,004.00) 0.00 (5,004.00) 0.00 0.00 5,004.00 178 ROAD AND BRIDGE -PRECINCT #1 0 SALARIES 444,606.00 0.00 444,606.00 33,886.69 318,044.38 126,561.62 P BENEFITS 185,589.00 0.00 185,589.00 15,263.69 139,996.91 45,592.09 Q SUPPLIES 187,600.00 (16,544.00) 171,056.00 16,032.78 106,891.92 64,164.08 R SERVICES 118,913.00 (21,690,00) 97,223.00 9,779.63 51,175.38 46,047.62 S CAPITAL OUTLAY 125,714.00 85579.00 211,293.00 80846.66 206169.53 5123.47 Total... ROAD AND BRIDGE-PRECINCT#1 (1,062,422.00) (47,345.00) (1,109,767.00) (155,809.45) (822,278.12) 287,488.88 180 ROAD AND BRIDGE -PRECINCT #2 0 SALARIES 390,255.00 0.00 390,255.00 29,523.13 271,625.16 118,629.84 P BENEFITS 152,437.00 0.00 152,437.00 12,880.13 117,047.71 35,389.29 Q SUPPLIES 301,950.00 (9,800.00) 292,150.00 24,204.39 206.421.45 85,728.55 R SERVICES 61,529.00 (200.00) 61,329.00 4,953.47 39,420.11 21,908.89 S CAPITAL OUTLAY 48 019.00 12 665.00 60 684.00 0.00 15,966.19 44 717.81 Total... ROAD AND BRIDGE-PRECINCT#2 (954,190.00) (2,665.00) (956,865.00) (71,561.12) (650,480.62) 306,374.38 183 ROAD AND BRIDGE -PRECINCT #3 0 SALARIES 389,437.00 0.00 389,437.00 27,149.42 244,917.49 144,519.51 P BENEFITS 136,368.00 0.00 136,368.00 10,424.46 87,745.59 48,622.41 Q SUPPLIES 163,254.00 (7,000.00) 156,254.00 27,164.92 99,860.23 56,393.77 R SERVICES 58,015.00 7,000.00 65.015.00 2,173.23 23,312.62 41,702.38 S CAPITAL OUTLAY 110437.00 0.00 110437.00 0.00 30,484.18 79,952.82 Total... ROAD AND BRIDGE-PRECINCT#3 (857,511.00) 0.00 (857,511.00) (66,912.03) (486,320.11) 371,190.89 186 ROAD AND BRIDGE -PRECINCT #4 0 SALARIES 632,814.00 0.00 632,814.00 51,318.09 435,936.05 196,877.95 P BENEFITS 272,828.00 0.00 272,828.00 16,369.21 142,236.92 130,591.08 Q SUPPLIES 677,651.00 (25,388.00) 652,163.00 65,590.45 433,673.53 218,489.47 R SERVICES 167,190.00 63,400.00 230,590.00 12,264.56 151,606.23 78,983.77 S CAPITAL OUTLAY 279 858.00 67 730.00 347 588.00 0.00 293 266.54 54 321.46 Total... ROAD AND BRIDGE-PRECINCT#4 (2,030,241.00) (105,742.00) (2,135,983.00) (135,542.31) (1,456,719.27) 679,263.73 189 SHERIFF 0 SALARIES 2,025,255.00 13.00 2,025,268.00 141,336.30 1,399,095.71 626,172.29 P BENEFITS 752,891.00 0.00 752,891.00 57,201.48 542,797.62 210,093.38 Q SUPPLIES 125,860.00 (13.00) 125,847.00 7,465.35 57.435.92 68,411.08 R SERVICES 131,389.00 28,098.00 159,487.00 16,816.17 96,526.06 62,960.94 S CAPITAL OUTLAY 179 390.00 16 310.00 195 700.00 0.00 30 519.45 165180.55 Total... SHERIFF (3,214,785.00) (44,408.00) (3,259,193.00) (222,819.30) (2,126,374.76) 1,132.818.24 192 SOIL AND WATER CONSERVATION R SERVICES 7,750.00 0.00 7750.00 0.00 7750.00 0.00 Total... SOIL AND WATER (7,750.00) 0.00 (7,750A0) 0.00 (7,750.00) 0.00 CONSERVATION 195 TAX APPRAISAL DISTRICT R SERVICES 319188,00 807.00 319995.00 0.00 319993.76 1.24 Date: 10119/20 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 9 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/112020 Through 9/3012020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance Total... TAX APPRAISAL DISTRICT (319,188.00) (807.00) (319,995.00) 0.00 (319,993.76) 1.24 198 TRANSFERS U TRANSFERS IN (600,001.00) 0.00 (600,001.00) 0.00 (600,000.00) (1.00) V TRANSFERS OUT 690002.00 39850.00 729,852.00 10,003.43 193,477.08 536374.92 Total... TRANSFERS (90,001.00) (39,850,00) (129,851,00) (10,003.43) 406,522.92 536,373.92 201 VETERANS SERVICES 0 SALARIES 13,628.00 0.00 13,628.00 1,117.66 10,549.62 3,078.38 P BENEFITS 2,636.00 0.00 2,636A0 216.50 2,043.51 592.49 Q SUPPLIES 550.00 0.00 550.00 92.64 203.25 346.75 R SERVICES 4,051.00 0.00 4,051.00 0.00 604.24 3,446.76 S CAPITAL OUTLAY 500.00 0.00 500.00 0.00 0.00 500.00 Total ... VETERANS SERVICES (21,365.00) 0.00 (21,365.00) (1,426.80) (13,400.62) 7,964.38 204 WASTE MANAGEMENT 0 SALARIES 14,535.00 0.00 14,535.00 808.50 7,551.50 6,983.50 P BENEFITS 3,097.00 0.00 3,097.00 172.04 1,521.98 1,575.02 Q SUPPLIES 2,340.00 20.00 2,360.00 65.97 707.01 1,652.99 R SERVICES 54,055.00 916.00 54,971.00 3,363.69 35,745.76 19,225.24 S CAPITAL OUTLAY 1001.00 0.00 1001.00 0.00 468.00 533.00 Total ... WASTE MANAGEMENT (75,028.00) (936.00) (75,964.00) (4,410.20) (45,994.25) 29,969.75 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES 0.00 0.00 0.00 3,894.48 30,461.44 (30,461,44) P BENEFITS 0.00 0.00 0.00 1,618.32 11258.52 (11258.52) Total ... DEPARTMENTS NOT 0.00 0.00 0.00 (5,512.80) (41,719.96) (41,719.96) APPLICABLE Total... GENERALFUND 18,513,444.00 (1,049,721.00) 17,463,723.00 (1,030,344.78) 6,563,156.53 (10,900,566.47) 2610 AIRPORT FUND 001 REVENUE A ESTIMATED BEGINNING CA... 47,000.00 (1,947.00) 45,053.00 0.00 0.00 (45,053.00) D INTERGOVERNMENTAL 1.00 30,000.00 30,001.00 0.00 0.00 (30,001.00) G INTEREST INCOME 500.00 0.00 500.00 0.00 405.21 (94.79) H RENTS 1200.00 0.00 1200.00 100.00 900.00 (300.00) Total... REVENUE 48,701.00 28,053.00 76,754.00 100.00 1,305.21 (75,448.79) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 901.00 1,249.00 2,150.00 133.28 1.861.48 298.52 R SERVICES 33,002.00 32,108.00 65,110.00 721.67 60,712.34 4.397.66 S CAPITAL OUTLAY 10,123.00 32,343.00 42,466.00 750.00 41,215.40 1,250.60 U TRANSFERSIN (30001.00) (10000.00) (40001.00) 0.00 (40000.00) (1.00) Total ... DEPARTMENTS NOT (14,025.00) (55,700.00) (69,725.00) (1,604.95) (63,779.22) 5,945.78 APPLICABLE Total... AIRPORT FUND 34,676.00 (27,647.00) 7,029.00 (1,504.95) (62,474.01) (69,503.01) 2620 APPELLATE JUDICIAL SYSTEM ... 001 REVENUE Date: 10/19120 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 10 a CALHOUN COUNTY, TEXAS Summary Budget Comparison- Unposted Transactions Included In Report From 911/2020 Through 9130/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance A ESTIMATED BEGINNING CA... 0.00 6.00 6.00 0,00 0.00 (6.00) E FEES 1,800.00 0.00 1,800.00 145.44 1,321.65 (478.35) F FINES 1.00 0.00 1.00 0.00 0.00 (1.00) G INTEREST INCOME 3.00 0.00 3.00 0.00 7.15 4.15 Total... REVENUE 1,804.00 6.00 1,810.00 145.44 1,328.80 (481.20) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 1.804.00 0.00 1,804.00 0.00 0.00 1,804.00 Total... DEPARTMENTS NOT (1,804.00) 0.00 (1,804.00) 0.00 0.00 1,804.00 APPLICABLE Total... APPELLATE JUDICIAL SYSTEM... 0.00 6.00 6.00 145.44 1,328.80 1,322.80 2660 COASTAL PROTECTION FUND (... 001 REVENUE A ESTIMATED BEGINNING CA... 1,000,000.00 55,982.00 1,055,982.00 0.00 0.00 (1,055,982.00) D INTERGOVERNMENTAL 100,000.00 0.00 100,000.00 0.00 1,034,675.74 934,675.74 G INTEREST INCOME 10000.00 0.00 10000.00 0.00 14473.51 4,473.51 Total... REVENUE 1,110,000.00 55,982.00 1,165,982.00 0.00 1,049,149.25 (116,832.75) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 105,366.00 20,000.00 125,366.00 6,100.00 26,330.00 99,036.00 S CAPITAL OUTLAY 70,000.00 0.00 70,000.00 0.00 0.00 70,000.00 V TRANSFERS OUT 0.00 7,256.00 7,256.00 0.00 7,256.00 0.00 Total... DEPARTMENTS NOT (175,366,00) (27,256.00) (202,622.00) (6,100.00) (33,586.00) 169,036.00 APPLICABLE Total ... COASTAL PROTECTION FUND (... 934,634.00 28,726.00 963,360.00 (6,100.00) 1,015,563.25 52,203.25 2663 COUNTY AND DISTRICT COURT... 001 REVENUE A ESTIMATED BEGINNING CA... 6,000.00 122.00 6,122.00 0.00 0.00 (6,122.00) E FEES 600.00 0.00 600.00 198.43 682.40 82.40 G INTEREST INCOME 100.00 0.00 100.00 0.00 54.88 (45m Total... REVENUE 6,700.00 122.00 6,822.00 198.43 737.28 (6,084.72) 999 DEPARTMENTS NOT APPLICABLE E FEES 0.00 0.00 0.00 0.00 40.66 40.66 Total ... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 40.66 40.66 APPLICABLE Total... COUNTY AND DISTRICT COURT... 6,700.00 122.00 6,822.00 198.43 777.94 (6,044.06) 2667 COUNTY CHILD ABUSE PREVE... 001 REVENUE A ESTIMATED BEGINNING CA... 630.00 31.00 661.00 0.00 0.00 (661.00) E FEES 10.00 0.00 10.00 0.22 4.71 (5.29) G INTEREST INCOME 10.00 0.00 10.00 0.00 5.71 (4.29) Date: 10119/20 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 11 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/1/2020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual Total... REVENUE 650.00 31.00 681.00 0.22 10.42 (670,58) Total... COUNTY CHILD ABUSE PREVE... 650.00 31.00 681.00 0.22 10.42 (670.58) 2668 COUNTY CHILD WELFARE BOA... 001 REVENUE A ESTIMATED BEGINNING CA... 5,300.00 379.00 5,679.00 0.00 0.00 (5,679.00) G INTEREST INCOME 10.00 0.00 10.00 0.00 49.40 39.40 1 MISCELLANEOUS REVENU... 500.00 0.00 500.00 0.00 264.00 (236.00) Total... REVENUE 5,810.00 379.00 6,189.00 0.00 313.40 (5,875.60) 999 DEPARTMENTS NOT APPLICABLE I MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 40.00 40.00 R SERVICES 5000.00 379.00 5,379.00 0.00 0.00 5379.00 Total ... DEPARTMENTS NOT (5,000.00) (379.00) (5,379,00) 0.00 40.00 5,419.00 APPLICABLE Total... COUNTY CHILD WELFARE BOA... 810.00 0.00 810.00 0.00 353.40 (456.60) 2669 COUNTY JURY FUND 001 REVENUE E FEES 0.00 0.00 0.00 27.01 100.88 100.88 G INTEREST INCOME 0.00 0.00 0.00 0.00 0.13 0.13 Total... REVENUE 0.00 0.00 0.00 27.01 101.01 101.01 999 DEPARTMENTS NOT APPLICABLE E FEES 0.00 0.00 0.00 0.00 4.73 4.73 Total ... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 4.73 4.73 APPLICABLE Total... COUNTY JURY FUND 0.00 0.00 0.00 27.01 105.74 105.74 2670 COURTHOUSE SECURITY FUND 001 REVENUE A ESTIMATED BEGINNING CA... 258,000.00 (417,00) 257,583.00 0.00 0.00 (257,583.00) E FEES 7,900.00 0.00 7,900.00 1,532.72 12,301.29 4,401.29 G INTEREST INCOME 3000.00 0.00 3,000.00 0.00 2254.22 (745.78) Total... REVENUE 268,900.00 1417.00) 268,483.00 1,532.72 14,555.51 (253,927.49) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 14,500.00 0.00 14,500.00 0.00 0.00 14,500.00 S CAPITAL OUTLAY 130 500.00 0.00 130,500.00 0.00 0.00 130 500.00 Total ... DEPARTMENTS NOT (145,000.00) 0.00 (145,000.00) 0.00 0.00 145,000.00 APPLICABLE Total ... COURTHOUSE SECURITY FUND 2672 COURT -INITIATED GUARDIANS... 001 REVENUE Date: 10/19120 09:24:44 AM 123,900.00 (417.00) 123,483.00 MONTHLY REPORT -CONDENSED Unaudited 1,532.72 14,555.51 (108,927.49) Page: 12 n CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/1/2020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance A ESTIMATED BEGINNING CA... 9,000.00 748.00 9,748.00 0.00 0.00 (9,748.00) E FEES 1,000.00 0.00 1,000.00 140.00 1,020.00 20.00 G INTEREST INCOME 1.00 0.00 1.00 0.00 86.90 85.90 Total... REVENUE 10,001.00 748.00 10,749.00 140.00 1,106.90 (9,642.10) Total... COURT -INITIATED GUARDIANS... 10,001.00 748.00 10,749.00 140.00 1,106.90 (9,642.10) 2673 COURT RECORD PRESERVATI... 001 REVENUE A ESTIMATED BEGINNING CA... 30,000.00 693.00 30,693.00 0.00 0.00 (30,693,00) E FEES 3,000.00 0.00 3,000.00 392.47 3,425.04 425.04 G INTEREST INCOME 500.00 0.00 500.00 0.00 274.92 (225.08) Total... REVENUE 33,500.00 693.00 34,193.00 392.47 3.699.96 (30,493.04) Total ... COURT RECORD PRESERVATI... 33,500.00 693.00 34,193.00 392.47 3,699.96 (30,493.04) 2674 COURT REPORTER SERVICE F... 001 REVENUE E FEES 0.00 0.00 0.00 49.87 98.15 98.15 G INTEREST INCOME 0.00 0.00 0.00 0.00 0.08 0.08 Total... REVENUE 0.00 0.00 0.00 49.87 98.23 98.23 Total ... COURT REPORTER SERVICE F... 0.00 0.00 0.00 49.87 98.23 98.23 2675 COUNTY CLERK RECORDS AR... 001 REVENUE A ESTIMATED BEGINNING CA... 250,000.00 16,074.00 266,074.00 0.00 0.00 (266,074.00) E FEES 40,000.00 0.00 40,000.00 4,120.00 34,500.00 (5,500.00) G INTEREST INCOME 3,400.00 0.00 3400.00 0.00 2067.48 1332,52 Total... REVENUE 293,400.00 16,074.00 309,474.00 4,120.00 36,567.48 (272,906.52) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 50000.00 908.00 50908.00 0.00 50907.71 0.29 Total... DEPARTMENTS NOT (50,000.00) (908.00) (50,908.00) 0.00 (50,907.71) 0.29 APPLICABLE Total... COUNTY CLERK RECORDS AR... 243,400.00 15,166.00 258,566.00 4,120.00 (14,340.23) (272,906.23) 2676 COUNTY SPECIALTY COURT FU... 001 REVENUE E FEES 0.00 0.00 0.00 353.20 675.06 675A6 G INTEREST INCOME 0.00 0.00 0.00 0.00 0.68 0.68 Total... REVENUE 0.00 0.00 0.00 353.20 675.74 675.74 Total ... COUNTY SPECIALTY COURT FU... 0.00 0.00 0.00 353.20 675.74 675.74 2690 D A FORFEITED PROPERTY FU... 001 REVENUE A ESTIMATED BEGINNING CA... 15,000.00 23,429.00 38,429.00 0.00 0.00 (38,429.00) F FINES 1.00 0.00 1.00 0.00 905.34 904.34 Date: 10119/20 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 13 r CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/1/2020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActual Variance G INTEREST INCOME 30.00 0.00 30.00 0.00 74.96 44.96 Total... REVENUE 15,031.00 23,429.00 38,460,00 0.00 980.30 (37,479.70) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 14,900.00 14,819.00 29,719.00 0.00 14,909.26 14,809.74 S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 0.00 1.00 Total ... DEPARTMENTS NOT (14,901.00) (14,819.00) (29,720.00) 0.00 (14.909.26) 14,810.74 APPLICABLE Total ... D A FORFEITED PROPERTY FU... 130.00 8,610.00 8,740.00 0.00 (13,928.96) (22,668.96) 2697 DONATIONS FUND 001 REVENUE G INTEREST INCOME 0.00 0.00 0.00 0.00 747.31 747.31 1 MISCELLANEOUS REVENU... 0.00 0.00 0.00 7881.10 92746.48 92746,48 Total... REVENUE 0.00 0.00 0.00 7,881.10 93,493.79 93,493.79 999 DEPARTMENTS NOT APPLICABLE G INTEREST INCOME 0.00 0.00 0.00 0.00 12.79 12.79 Q SUPPLIES 0.00 0.00 0.00 0.00 1,434.54 (1,434.54) R SERVICES 0.00 0.00 0.00 1,500.00 10,666.33 (10,666.33) S CAPITAL OUTLAY 0.00 0.00 0,00 169.28 60,268.14 (60268.14) Total ... DEPARTMENTS NOT 0.00 0.00 0.00 (1,669.28) (72,356.22) (72,356.22) APPLICABLE Total... DONATIONS FUND 0.00 0.00 0.00 6,211.82 21,137.57 21,137.57 2698 DRUG/DWI COURT PROGRAM F... 001 REVENUE A ESTIMATED BEGINNING CA... 19,600.00 2,436.00 22,036.00 0.00 0.00 (22,036,00) E FEES 2,020.00 0.00 2,020.00 404.07 2,120.15 100.15 G INTEREST INCOME 250.00 0.00 250.00 0.00 196.94 (53.06) Total... REVENUE 21,870.00 2,436.00 24,306.00 404.07 2,317.09 (21,988.91) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 10.00 0.00 10.00 0.00 0.00 10.00 R SERVICES 20.00 0.00 20.00 0.00 0.00 K00 S CAPITAL OUTLAY 10.00 0.00 10.00 0.00 0.00 10.00 Total... DEPARTMENTS NOT (40.00) 0.00 (40.00) 0.00 0.00 40.00 APPLICABLE Total ... DRUGIDWI COURT PROGRAM F... 21,830.00 2,436.00 24,266.00 404.07 2,317.09 (21.948.91) 2699 JUVENILE CASE MANAGER FUND 001 REVENUE A ESTIMATED BEGINNING CA... 15,000.00 4,950.00 19,950.00 0.00 0.00 (19.950.00) E FEES 5,010.00 0.00 5,010.00 174.75 4,945.52 (64.48) G INTEREST INCOME 150.00 0.00 150.00 0.00 186.18 36.18 Date: 10119120 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 14 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/1/2020 Through 9/3012020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actuai Variance Total... REVENUE 20,160.00 4,950.00 25,110.00 174.75 5.131.70 (19,978.30) 999 DEPARTMENTS NOT APPLICABLE E FEES 0.00 0.00 0.00 0.00 25.00 25.00 0 SALARIES 4,001.00 0.00 4,001.00 307.70 2,923.15 1,077.85 P BENEFITS 1,575.00 0.00 1575.00 125.86 1160.12 414.88 Total ... DEPARTMENTS NOT (5,576.00) 0.00 (5,576.00) (433.56) (4,058.27) 1,517.73 APPLICABLE Total ... JUVENILE CASE MANAGER FUND 14,584.00 4,950.00 19,534.00 (258.81) 1,073.43 (18,460,57) 2706 FAMILY PROTECTION FUND 001 REVENUE A ESTIMATED BEGINNING CA... 11,500.00 335.00 11,835.00 0.00 0.00 (11,835.00) E FEES 700.00 0.00 700.00 105.00 930.00 230.00 G INTEREST INCOME 100.00 0.00 100.00 0.00 104.25 4.25 Total... REVENUE 12,300.00 335.00 12,635.00 105.00 1,034.25 (11,600.75) Total ... FAMILY PROTECTION FUND 12,300.00 335.00 12,635.00 105.00 1,034.25 (11,600.75) 2715 JUVENILE DELINQUENCY PREV... 001 REVENUE A ESTIMATED BEGINNING CA... 8,900.00 23.00 8,923.00 0.00 0.00 (8,923.00) G INTEREST INCOME 100.00 0.00 100.00 0.00 76.74 (23.26) Total... REVENUE 9,000.00 23.00 9,023.00 0.00 76.74 (8,946.26) Total... JUVENILE DELINQUENCY PREV... 9,000.00 23.00 9,023.00 0.00 76.74 (8,946.26) 2716 GRANTS FUND 001 REVENUE D INTERGOVERNMENTAL 0.00 0.00 0.00 0.00 111,456.84 111,456.84 G INTEREST INCOME 0.00 0.00 0.00 0.00 1,829.41 1829.41 Total... REVENUE 0.00 0.00 0.00 0.00 113,286.25 113,286.25 999 DEPARTMENTS NOT APPLICABLE D INTERGOVERNMENTAL 0.00 0.00 0.00 0.00 5,565.03 5,565.03 0 SALARIES 0.00 0.00 0.00 10,692.70 43,100.30 (43,100.30) P BENEFITS 0.00 0.00 0.00 2,098.64 8,482.54 (8,482.54) 0 SUPPLIES 0.00 0.00 0.00 2,343.27 2,908.53 (2,908.53) R SERVICES 0.00 0.00 0.00 4,127.57 16,884.64 (16,884.64) S CAPITAL OUTLAY 0.00 0.00 0.00 14177.30 73,538.16 (73538.16) Total ... DEPARTMENTS NOT 0.00 0.00 0.00 (33,439.48) (139,349.14) (139,349.14) APPLICABLE Total ... GRANTS FUND 0.00 0.00 0.00 (33,439.48) (26,062.89) (26,062.89) 2719 JUSTICE COURT TECHNOLOGY... 001 REVENUE A ESTIMATED BEGINNING CA... 0.00 86,550.00 86,550.00 0.00 0.00 (86,550,00) E FEES 5.00 4,974.00 4,979.00 534.39 6,202.32 1,223.32 Date: 10/19120 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 15 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 911/2020 Through 9/3012020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance G INTEREST INCOME 1.00 693.00 694.00 0.00 759.12 65.12 Total... REVENUE 6.00 92,217.00 92,223.00 534.39 6,961.44 (85,261.56) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 1.00 0.00 1.00 0.00 oko 1.00 S CAPITAL OUTLAY 5.00 92,217.00 92222.00 52.38 1234.32 90987.68 Total ... DEPARTMENTS NOT (6.00) (92,217.00) (92,223.00) (52,38) (1,234.32) 90,988.68 APPLICABLE Total... JUSTICE COURT TECHNOLOGY... 0.00 0.00 0.00 482.01 5,727.12 5,727.12 2720 JUSTICE COURT BUILDING SEC... 001 REVENUE A ESTIMATED BEGINNING CA... 4,000.00 1,736.00 5,736.00 0.00 0.00 (5,736.00) E FEES 1,600.00 0.00 1,600.00 38.03 828.30 1771,70) G INTEREST INCOME 50.00 0.00 50.00 0.00 52.32 2.32 Total... REVENUE 5,650.00 1,736.00 7,386.00 38.03 880.62 (6,505.38) 999 DEPARTMENTS NOT APPLICABLE E FEES 0.00 0.00 0.00 0.00 3.00 3.00 R SERVICES 0.00 275.00 275.00 0.00 275.00 0.00 S CAPITAL OUTLAY 5000.00 (275.00) 4725.00 0.00 0.00 4,725.00 Total ... DEPARTMENTS NOT (5,000.00) 0.00 (5,000.00) 0.00 (272.00) 4,728.00 APPLICABLE Total ... JUSTICE COURT BUILDING SEC... 650.00 1,736.00 2,386.00 38.03 608.62 (1,777.38) 2721 LATERAL ROAD FUND PRECINC... 001 REVENUE A ESTIMATED BEGINNING CA... 4,370.00 (21.00) 4,349.00 0.00 0.00 (4,349.00) B TAXES 4,230.00 0.00 4,230.00 0.00 0.00 (4,230.00) G INTEREST INCOME 50.00 0.00 50.00 0.00 37.41 (12.59) Total... REVENUE 8,650.00 (21.00) 8,629.00 0.00 37.41 (8,591.59) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 4,460.00 0.00 4460.00 4398.08 4,398.08 61.92 Total ... DEPARTMENTS NOT (4,460.00) 0.00 (4,460.00) (4,398.08) (4,398.08) 61.92 APPLICABLE Total ... LATERAL ROAD FUND PRECINC... 4,190.00 (21.00) 4,169.00 (4,398.08) (4,360.67) (8,529.67) 2722 LATERAL ROAD FUND PRECINC... 001 REVENUE A ESTIMATED BEGINNING CA... 4,370.00 (21.00) 4,349.00 0.00 0.00 (4,349.00) B TAXES 4,230.00 0.00 4,230.00 0.00 0.00 (4,230.00) G INTEREST INCOME 50.00 0.00 50.00 0.00 37.41 (12.59) Total... REVENUE 8,650.00 (21.00) 8,629.00 0.00 37.41 (8,591.59) Date: 10/1 9120 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 16 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/1/2020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 4,460.00 0.00 4460.00 4398.08 4398.08 61.92 Total... DEPARTMENTS NOT (4,460.00) 0.00 (4,460.00) (4,398.08) (4,398.08) 61.92 APPLICABLE Total ... LATERAL ROAD FUND PRECINC... 4,190.00 (21.00) 4,169.00 (4,398.08) (4,360.67) (8,529.67) 2723 LATERAL ROAD FUND PRECINC... 001 REVENUE A ESTIMATED BEGINNING CA... 4,370.00 (21,00) 4,349.00 0.00 0.00 (4,349.00) B TAXES 4,230.00 0.00 4,230.00 0.00 0.00 (4,230.00) G INTEREST INCOME 50.00 0.00 50.00 0.00 37.41 (12.59) Total... REVENUE 8,650.00 (21.00) 8,629.00 0.00 37.41 (8,591.59) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 4460.00 0.00 4460.00 4398.06 4398.06 61.94 Total ... DEPARTMENTS NOT (4,460.00) 0.00 (4,460.00) (4,398.06) (4,398.06) 61.94 APPLICABLE Total... LATERAL ROAD FUND PRECINC... 4,190.00 (21.00) 4,169.00 (4,398.06) (4,360.65) (8,529.65) 2724 LATERAL ROAD FUND PRECINC... 001 REVENUE A ESTIMATED BEGINNING CA... 4,370.00 (21.00) 4,349.00 0.00 0.00 (4,349.00) B TAXES 4,230.00 0.00 4,230.00 0.00 0.00 (4,230.00) G INTEREST INCOME 50.00 0.00 50.00 0.00 37.41 (12.59) Total... REVENUE 8,650.00 (21.00) 8,629.00 0.00 37.41 (8,591.59) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 4,460.00 0.00 4460.00 4398.08 4,398.08 61.92 Total- DEPARTMENTS NOT (4,460,00) 0.00 (4,460.00) (4,398.08) (4,398.08) 61.92 APPLICABLE Total... LATERAL ROAD FUND PRECINC... 4,190.00 (21.00) 4,169.00 (4,398.08) (4,360.67) (8,529,67) 2726 JUROR DONATIONS COUNTY H.., 001 REVENUE A ESTIMATED BEGINNING CA... 2,450.00 380.00 2,830.00 0.00 0.00 (2,830.00) 1 MISCELLANEOUS REVENU... 500.00 0.00 500.00 0.00 312.00 (188.00) Total... REVENUE 2,950.00 380.00 3,330.00 0.00 312.00 (3,018.00) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 2,500.00 380.00 2,880.00 0.00 0.00 2880.00 Total ... DEPARTMENTS NOT (2,500.00) (380.00) (2,880.00) 0.00 0.00 2.880.00 APPLICABLE Total ... JUROR DONATIONS COUNTY H... 450.00 0.00 450.00 0.00 312.00 (138.00) Date: 10/19/20 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 17 CALHOUN COUNTY, TEXAS Summary Budget Comparison • Unposted Transactions Included In Report From 9/112020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActual Variance 2729 PRETRIAL SERVICES FUND 001 REVENUE A ESTIMATED BEGINNING CA... 78,0K00 2,071.00 80,071.00 0.00 0.00 (80,071.00) E FEES 1,000.00 0.00 1,000.00 0.00 406.20 (593.80) G INTEREST INCOME 1,000.00 0.00 1,000.00 0,00 691.06 (308.94) Total... REVENUE 80,000.00 2,071.00 82,071.00 0.00 1.097.26 (80,973.74) Total... PRETRIAL SERVICES FUND 80,000.00 2,071.00 82,071.00 0.00 1,097.26 (80,973.74) 2730 LOCAL TRUANCY PREVENTION/... 001 REVENUE E FEES 0.00 0.00 0.00 477.90 3,603.65 3,603.65 G INTEREST INCOME 0.00 0.00 0.00 0.00 3.01 3.01 Total... REVENUE 0.00 0.00 0.00 477.90 3,606.66 3,606.66 Total... LOCAL TRUANCY PREVENTION/... 0.00 0.00 0.00 477.90 3,606.66 3,606.66 2731 LAW LIBRARY FUND 001 REVENUE A ESTIMATED BEGINNING CA... 211,000.00 (2,425.00) 208,575.00 0.00 0.00 (208,575.00) E FEES 10,000.00 0.00 10,000.00 948.05 9,076.64 (923.36) G INTEREST INCOME 3000.00 0.00 3000.00 0.00 1.804.76 (1195.24) Total... REVENUE 224,000.00 (2,425.00) 221,575.00 948.05 10,881.40 (210,693.60) 999 DEPARTMENTS NOT APPLICABLE O SUPPLIES 800.00 0.00 800.00 0.00 0.00 800.00 S CAPITAL OUTLAY 25,600.00 0.00 25,600.00 0.00 7,504.65 18,095.35 Total... DEPARTMENTS NOT (26,400.00) 0.00 (26,400.00) 0.00 (7,504.65) 18,895.35 APPLICABLE Total ... LAW LIBRARY FUND 197,600.00 (2,425.00) 195,175.00 948.05 3,376.75 (191,798.25) 2733 LEOSE EDUCATION FUND 001 REVENUE D INTERGOVERNMENTAL 0.00 0.00 0.00 0.00 1,370.53 1,370.53 G INTEREST INCOME 0.00 0.00 0.00 0.00 326.07 326.07 Total.... REVENUE 0.00 0.00 0.00 0.00 1,696.60 1,696.60 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 0.00 0.00 0.00 155625 (1556.25) Total ... DEPARTMENTS NOT 0.00 Oki) 0.00 0.00 (1,556.25) (1,556.25) APPLICABLE Total ... LEOSE EDUCATION FUND 0.00 0.00 0.00 0.00 140.35 140.35 2736 POC COMMUNITY CENTER 001 REVENUE A ESTIMATED BEGINNING CA... 50,000.00 (12,823.00) 37,177.00 0.00 0.00 (37,177.00) G INTEREST INCOME 600.00 0.00 600.00 0.00 357.99 (242.01) Date: 10/19/20 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 18 Acco... H I Total ... 999 0 P R S U Total ... Total ... 2737 001 A E G Total ... 999 R Total ... Total 2738 001 A E G Total ... 999 0 P Q R S Total CALHOUN COUNTY, TEXAS Summary Budget Comparison • Unposted Transactions Included In Report From 9/1/2020 Through 9/30/2020 Account Title Original Budget Amendments Revised Budget CurrActual YTD Actual Variance RENTS 17,000.00 0.00 17,000.00 (950.00) 17,950.00 950.00 MISCELLANEOUS REVENU... 1.00 0.00 1.00 0.00 0.00 (1,00) REVENUE 67,601.00 (12,823.00) 54,778.00 (950.00) 18,307.99 (36,470.01) DEPARTMENTS NOT APPLICABLE SALARIES 1,652.00 0.00 1,652.00 94,70 899.65 752.35 BENEFITS 500.00 0.00 500.00 36.75 339.20 160.80 SERVICES 34,040.00 41,287.00 75,327.00 2,035.71 66,443.96 8,883.04 CAPITAL OUTLAY 14,969.00 (11,437.00) 3,532.00 0.00 0.00 3,532.00 TRANSFERS IN (10 000.00) (29 850.00) (39 850.00) 0.00 (39 850.00) 0.00 DEPARTMENTS NOT (41,161.00) 0.00 (41,161.00) (2,167.16) (27,832.81) 13,328.19 APPLICABLE POC COMMUNITY CENTER RECORDS MGMT/PRESERVATI... REVENUE ESTIMATED BEGINNING CA... FEES INTEREST INCOME REVENUE DEPARTMENTS NOT APPLICABLE SERVICES DEPARTMENTS NOT APPLICABLE RECORDS MGMTIPRESERVATI... RECORDS MANAGEMENT FUN... REVENUE ESTIMATED BEGINNING CA... FEES INTEREST INCOME REVENUE DEPARTMENTS NOT APPLICABLE SALARIES BENEFITS SUPPLIES SERVICES CAPITAL OUTLAY DEPARTMENTS NOT APPLICABLE 26,440.00 (12,823.00) 13,617.00 (3,117.16) (9,524.82) (23,141.82) 8,300.00 1,571.00 9,871.00 0.00 0.00 (9,871.00) 1,500.00 0.00 1,500.00 251.39 2,067.98 567.98 100.00 0.00 100.00 0.00 74.46 (25,54) 9,900.00 1,571.00 11,471.00 251.39 2,142.44 (9,328.56) 5,000.00 0.00 5,000.00 0.00 2,750.00 2,250.00 (5,000.00) 0.00 (5,000.00) 0.00 (2,750.00) 2,250.00 4,900.00 1,571.00 6,471.00 251.39 (607.56) (7,078.56) 149,000.00 3,008.00 152,008.00 0.00 0.00 (152,008.00) 35,000.00 0.00 35,000.00 4,194.69 35,066.29 66.29 2,000.00 0.00 2,000.00 0.00 1,384.99 (615.01) 186,000.00 3,008.00 189,008.00 4,194.69 36,451.28 (152,556.72) 4,061.00 0.00 4,061.00 0.00 0.00 4,061.00 786.00 0.00 786.00 0.00 0.00 786.00 2,500.00 0.00 2,500.00 0.00 0.00 2,500.00 20,000.00 0.00 20,000.00 0.00 19,470.17 529.83 14 000.00 0.00 14 000.00 0.00 0.00 14 000.00 (41,347.00) 0.00 (41,347.00) 0.00 (19,470.17) 21,876.83 Total ... RECORDS MANAGEMENT FUN... 144,653.00 3,008.00 147,6K00 2739 RECORDS MANAGEMENT AND... 001 REVENUE Date: 10/19/20 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited 4,194.69 16,981.11 (130,679.89) Page: 19 CALHOUN COUNTY, TEXAS Summary Budget Comparison • Unposted Transactions Included In Report From 9/1/2020 Through 913012020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActual Variance A ESTIMATED BEGINNING CA... 21,000.00 3,926.00 24,926.00 0.00 0.00 (24,926.00) E FEES 4,000.00 0.00 4,000.00 1,320.67 5,396.72 1,396.72 G INTEREST INCOME 200.00 0.00 200.00 0.00 230.80 30.80 Total... REVENUE 25,200.00 3,926.00 29,126.00 1,320.67 5,627.52 (23,498.48) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 1,000.00 0.00 1,000.00 0.00 0.00 1,000.00 R SERVICES 1,000.00 0.00 1,000.00 0.00 0.00 1,000.00 Total ... DEPARTMENTS NOT (2,000.00) 0.00 (2,000,00) 0.00 0.00 2,000.00 APPLICABLE Total... RECORDS MANAGEMENT AND... 23,200.00 3,926.00 27,126.00 1,320.67 5,627.52 (21,498.48) 2740 ROAD AND BRIDGE. FUND GEN... 001 REVENUE A ESTIMATED BEGINNING CA... 1,500,000.00 188,806.00 1,688,806.00 0.00 0.00 (1,688,806.00) C PERMITS 260,000.00 0.00 260,000.00 0.00 266,930.00 6,930.00 D INTERGOVERNMENTAL 15,000.00 0.00 15,000.00 0.00 14,957.15 (42.85) F FINES 37,100.00 0.00 37,100.00 12,540.71 62,026.85 24,926.85 G INTEREST INCOME 14,000.00 0.00 14,000.00 0.00 12,610.40 (1,389.60) 1 MISCELLANEOUS REVENU... 200,000.00 0.00 200000.00 21510.00 179,830.00 (20170.00) Total... REVENUE 2,026,100.00 188,806.00 2,214,906.00 34,050.71 536,354.40 (1,678,551.60) 999 DEPARTMENTS NOT APPLICABLE V TRANSFERS OUT 600000.00 0.00 600000.00 0.00 600000.00 0.00 Total ... DEPARTMENTS NOT (600,000,00) 0.00 (600,000.00) 0.00 (600,000.00) 0.00 APPLICABLE Total... ROAD AND BRIDGE FUND GEN... 1,426,100.00 188,806.00 1,614,906.00 34,050.71 (63,645.60) (1,678,551.60) 2860 SHERIFF FORFEITED PROPERT... 001 REVENUE A ESTIMATED BEGINNING CA... 9,764.00 37,884.00 47,648.00 0.00 0.00 (47,648.00) F FINES 500.00 0.00 500.00 0.00 0.00 (500.00) G INTEREST INCOME 50.00 0.00 50.00 0.00 140.09 90.09 I MISCELLANEOUS REVENU... 2.00 2767.00 2,769.00 0.00 2,768.00 (1.00) Total... REVENUE 10,316.00 40,651.00 50,967.00 0.00 2,908.09 (48,058.91) 999 DEPARTMENTS NOT APPLICABLE Q SUPPLIES 2,500.00 0.00 2,500.00 0.00 640.75 1.859.25 R SERVICES 6,002.00 0.00 6,002.00 1,500.00 4,965.18 1,036.82 S CAPITAL OUTLAY 2.00 1,709.00 1,711.00 0.00 1,710.00 1.00 Total... DEPARTMENTS NOT (8,504,00) (1,709.00) (10,213.00) (1,500.00) (7,315.93) 2,897.07 APPLICABLE Total ... SHERIFF FORFEITED PROPERT... 1,812.00 38,942.00 40,754.00 (1,500A0) (4,407.84) (45,161.84) 2870 SMILE PIERIBOAT RAMP INSURI... 001 REVENUE Dale: 10119/20 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 20 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 9/112020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActuai YTOActual Variance A ESTIMATED BEGINNING CA... 45,000.00 (2,326.00) 42,674.00 0.00 0.00 (42,674.00) G INTEREST INCOME 650.00 0.00 650.00 0.00 356.52 (293.48) 1 MISCELLANEOUS REVENU... 1.00 0.00 1.00 0.00 0.00 (1.00) Total... REVENUE 45,651.00 (2,326.00) 43,325.00 0.00 356.52 (42,968.48) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 44294.00 (2326.00) 41968.00 0.00 4048.88 37919.12 Total ... DEPARTMENTS NOT (44,294.00) 2,326.00 (41,968,00) 0.00 (4,048.88) 37,919.12 APPLICABLE Total... SMILE PIERIBOAT RAMP INSURI... 1,357.00 0.00 1,357.00 0.00 (3,692.36) (5,049.36) 4165 DEBT SERVICE FUND REFUNDI... 001 REVENUE A ESTIMATED BEGINNING CA... 28,000.00 14,207.00 42,207.00 0.00 0.00 (42,207.00) B TAXES 489,850.00 0.00 489,850.00 1,217.44 495,115.15 5,265.15 D INTERGOVERNMENTAL 10.00 0.00 10.00 0.00 23.18 13.18 G INTEREST INCOME 2000.00 0.00 2000.00 13.07 1674.24 (325.761 Total... REVENUE 519,860.00 14,207.00 534,067.00 1,230.51 496,812.57 (37,254.43) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 517,800.00 0.00 517,800.00 0.00 517,000.00 800.00 Total ... DEPARTMENTS NOT (517,800.00) 0.00 (517,800.00) 0.00 (517,000.00) 800.00 APPLICABLE Total ... DEBT SERVICE FUND REFUNDI... 2,060.00 14,207.00 16,267.00 1,230.51 (20,187.43) (36,454.43) 4170 DEBT SERVICE FUND REFUNDI... 001 REVENUE A ESTIMATED BEGINNING CA... 31,000.00 18,237.00 49,237.00 0.00 0.00 (49,237.00) B TAXES 639,900.00 0Z 639.900.00 1,592.58 648,740.18 8,840.18 D INTERGOVERNMENTAL 10.00 0.00 10.00 0.00 30.41 20.41 G INTEREST INCOME 2,500.00 0.00 2500.00 17.13 2245.55 (254.45) Total... REVENUE 673,410.00 18,237.00 691,647.00 1,609.71 651,016.14 (40,630,86) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 670850.00 0.00 670850.00 0.00 670184.94 665.06 Total ... DEPARTMENTS NOT (670,850.00) 0.00 (670,850.00) 0.00 (670,184.94) 665.O6 APPLICABLE Total... DEBT SERVICE FUND REFUND[... 2,560.00 18,237.00 20,797.00 1,609.71 (19,168.80) (39,965.80) 5101 CPRJ-BOGGY BAYOU NATURE... 001 REVENUE D INTERGOVERNMENTAL 0.00 10,883.00 10,883.00 0.00 0.00 (10883.00) Total... REVENUE 0.00 10,883.00 10,883.00 0.00 0.00 (10,883.00) Date: 10/19/20 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 21 CALHOUN COUNTY, TEXAS Summary Budget Comparison- Unposted Transactions Included In Report From 91112020 Through 9/30/2020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActuat Variance 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 18,138.00 18,138.00 0.00 0.00 18,138.00 U TRANSFERSIN 0.00 (7256.00) (7256.00) 0.00 (7,256.00) 0.00 Total... DEPARTMENTS NOT 0.00 (10,882.00) (10,882.00) 0.00 7,256.00 18,138.00 APPLICABLE Total ... CPRJ-BOGGY BAYOU NATURE.- 0.00 1.00 1.00 0.00 7,256.00 7,255.00 5111 CAP.PROJ: CDBG-DR INFRAST... 001 REVENUE D INTERGOVERNMENTAL 0.00 5,936548.00 5936548.00 0.00 253395.90 (5683152.10) Total... REVENUE 0.00 5,936,548.00 5,936,548.00 0.00 253,395.90 (5,683,152,10) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 914,653.00 914,653.00 0.00 253,395.90 661,257.10 S CAPITAL OUTLAY 0.00 5,021895.00 5021895.00 0.00 0.00 5,021895.00 Total ... DEPARTMENTS NOT 0.00 (5,936,548.00) (5,936,548.00) 0.00 (253,395.90) 5,683,152.10 APPLICABLE Total ... CAP.PROJ: CDBG-DR INFRAST... 0.00 0.00 0.00 0.00 0.00 0.00 5117 CAP.PROJ-CHOCOLATE BAYOU... 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 0.00 0.00 0.00 5799.99 (5799.99) Total ... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 (5,799.99) (5,799.99) APPLICABLE Total ... CAP.PROJ-CHOCOLATE BAYOU... 0.00 0.00 0.00 0.00 (5,799.99) (5,799.99) 5172 CAP.PROJ: AIRPORT RUNWAY I... 999 DEPARTMENTS NOT APPLICABLE S CAPITAL OUTLAY 0.00 0.00 0.00 0.00 63 500.00 (63 500.00) Total ... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 (63,500.00) (63,500.00) APPLICABLE Total ... CAP.PROJ: AIRPORT RUNWAY I... 0.00 0.00 0.00 0.00 (63,500.00) (63,500.00) 5225 CAPITAL PROJECT -GREEN LAK... 001 REVENUE I MISCELLANEOUS REVENU... 0.00 2,000000.00 2000000.00 0.00 0.00 (2000000.00) Total... REVENUE 0.00 2,000,000.00 2,000,000.00 0.00 0.00 (2,000,000.00) 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 200,000,00 200,000.00 0.00 0.00 200,000.00 5 CAPITAL OUTLAY 0.00 1,800,000.00 1,800,000.00 0.00 0.00 1,800,000.00 Date: 10/19120 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 22 Acco... Account Title Total ... DEPARTMENTS NOT APPLICABLE CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 91112020 Through 9130/2020 Original Budget Amendments Revised Budget CurrActual YTD Actual Variance 0.00 (2,000,000.00) (2,000,000.00) 0.00 0.00 2,000,000.00 Total ... CAPITAL PROJECT -GREEN LAK... 0.00 0.00 0.00 0.00 0.00 OAO 5255 CPROJ-HURRICANE HARVEY D... 001 REVENUE D INTERGOVERNMENTAL 0.00 0.00 0.00 0.00 1517.49 1.517.49 Total... REVENUE 0.00 0.00 0.00 0.00 1,517.49 1,517.49 Total ... CPROJ-HURRICANE HARVEY D... 0.00 0.00 0.00 0.00 1,517.49 1,517.49 5260 CAPITAL IMPROVEMENT PROD... 999 DEPARTMENTS NOT APPLICABLE S CAPITAL OUTLAY 0.00 0.00 0.00 0.00 9516.80 (9516.80) Total ... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 (9,516.80) (9,516.80) APPLICABLE Total... CAPITAL IMPROVEMENT PROD... 0.00 0.00 0.00 0.00 (9,516.80) (9,516.80) 5280 CAPITAL PROJECT -HOSPITAL I... 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 0.00 0.00 0.00 7,576.25 (7,576.25) S CAPITAL OUTLAY 0.00 0.00 0.00 1,440.75 1440.75 (1,440.75 Total... DEPARTMENTS NOT 0.00 0.00 0.00 (1,440.75) (9,017.00) (9,017.00) APPLICABLE Total ... CAPITAL PROJECT -HOSPITAL I... 0.00 0.00 0.00 (1,440.75) (9,017.00) (9,017.00) 5285 CPROJ-MMC LOANS 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 0.00 0.00 0.00 500000.00 (500,000.00) Total ... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 (500,000.00) (500,000.00) APPLICABLE Total ... CPROJ-MMC LOANS 0.00 0.00 0.00 0.00 (500,000.00) (500,000.00) 6010 MEMORIAL MEDICAL CENTER... 001 REVENUE A ESTIMATED BEGINNING CA... 1,500,001.00 3,999,999.00 5,500,000.00 0.00 0.00 (5,500,000.00) 1 MISCELLANEOUS REVENU... 33870483.00 58,866189.00 92,736672.00 0.00 60251549.00 (32485123.00) Total... REVENUE 35,370,484.00 62,866,188.00 98,236,672.00 0.00 60,251,549.00 (37,985,123.00) 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES 12,079,781.00 0.00 12,079,781.00 0.00 7,688.929.00 4,390,852.00 P BENEFITS 4,180,676.00 0.00 4,180,676.00 0.00 2,582,517.00 1,598,159.00 Q SUPPLIES 4,064,944.00 0.00 4,064,944.00 0.00 2,046.407.00 2,018,537.00 R SERVICES 13,445,083.00 62,844,487.00 76,289,570.00 0.00 47,620.973.00 28,668,597.00 Dale: 10/19120 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 23 CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 91112020 Through 9/3012020 Acco... Account Title Original Budget Amendments Revised Budget CurrActuai YTD Actual Variance S CAPITAL OUTLAY 272 922.00 576,290.00 849 212.00 0.00 0.00 849 212.00 Total ... DEPARTMENTS NOT (34,043,406.00) (63,420,777.00) (97,464,183.00) 0.00 (59,938,826.00) 37,525,357.00 APPLICABLE Total... MEMORIAL MEDICAL CENTER... 1,327,078.00 (554,589.00) 772,489.00 0.00 312,723.00 (459,766.00) 6012 CAL CO INDIGENT HEALTHCARE 999 DEPARTMENTS NOT APPLICABLE I MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 104,649.99 104,649.99 R SERVICES 0.00 0.00 0.00 0.00 104563.65 (104563.65) Total ... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 86.34 86.34 APPLICABLE Total ... CAL CO INDIGENT HEALTHCARE 0.00 0.00 0.00 0.00 86.34 86.34 6019 MEM MED CTR PRIVATE WAIVE... 999 DEPARTMENTS NOT APPLICABLE I MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 1.27 1.27 Total ... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 1.27 1.27 APPLICABLE Total ... MEM MED CTR PRIVATE WAIVE... 0.00 0.00 0.00 0.00 1.27 1.27 6020 MMC CLINIC CONSTRUCTION C... 999 DEPARTMENTS NOT APPLICABLE I MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 1.59 1S9 Total ... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 1.59 1.59 APPLICABLE Total ... MMC CLINIC CONSTRUCTION C... 0.00 0.00 0.00 0.00 1.59 1.59 7400 ELECTION SERVICES CONTRA... 001 REVENUE E FEES 0.00 0.00 0.00 0,00 2,833.38 2,833.38 G INTEREST INCOME 0.00 0.00 0.00 0.00 680.66 680.66 H RENTS 0.00 0.00 0.00 0.00 1,506.00 1,506.00 1 MISCELLANEOUS REVENU... Oki) 0.00 0.00 0.00 6353.56 635356 Total... REVENUE 0.00 0.00 0.00 0.00 11,373.60 11,373.60 999 DEPARTMENTS NOT APPLICABLE 0 SUPPLIES 0.00 0.00 0.00 0.00 1,420.62 (1,420.62) R SERVICES 0.00 0.00 0.00 0.00 4932.94 (4932.94) Total ... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 (6,353.56) (6,353.56) APPLICABLE Total ... ELECTION SERVICES CONTRA... 0.00 0.00 0.00 0.00 5,020.04 5,020.04 Date: 10/19120 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 24 r CALHOUN COUNTY, TEXAS Summary Budget Comparison - Unposted Transactions Included In Report From 91112020 Through 9/3012020 Acco... Account Title Original Budget Amendments Revised Budget CurrActual YTDActual Variance 7520 JUROR DONATIONS TEXAS CRI... 001 REVENUE I MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 40.00 40.00 Total... REVENUE 0.00 0.00 0.00 0.00 40.00 40.00 Total ... JUROR DONATIONS TEXAS CRI... 0.00 0.00 0.00 0.00 40.00 40.00 7730 LIBRARY GIFTIMEMORIAL FUND 001 REVENUE G INTEREST INCOME 0.00 0.00 0.00 0.00 405.30 405.30 1 MISCELLANEOUS REVENU... 0.00 0.00 0.00 0.00 65.00 65.00 Total... REVENUE 0.00 0.00 0,00 0.00 470.30 470.30 999 DEPARTMENTS NOT APPLICABLE R SERVICES 0.00 0.00 0.00 0.00 99.99 (99.99) S CAPITAL OUTLAY 0.00 0.00 0.00 0.00 1,176.15 (1,176.15) Total... DEPARTMENTS NOT 0.00 0.00 0.00 0.00 (1,276.14) (1,276,14) APPLICABLE Total... LIBRARY GIFT/MEMORIAL FUND 0.00 0.00 0.00 0.00 (805.84) (805.84) 9200 JUVENILE PROBATION FUND 001 REVENUE A ESTIMATED BEGINNING CA... 60,000.00 (13,435.00) 46,565.00 0.00 0.00 (46,565,00) D INTERGOVERNMENTAL 289,539.00 209,993.00 499,532.00 65,443.33 324,189.60 (175,342.40) E FEES 1,000.00 0.00 1,000.00 0.00 977.71 (22.29) G INTEREST INCOME 150.00 0.00 150.00 0.00 2,551.98 2,401.98 1 MISCELLANEOUS REVENU... 306831.00 0.00 306831.00 0.00 502,773.59 195942.59 Total... REVENUE 657,520.00 196,558.00 854,078.00 65,443.33 830,492,88 (23,585,12) 999 DEPARTMENTS NOT APPLICABLE 0 SALARIES 206,450.00 105,489.00 311,939.00 15,763.22 154,520.34 157,418.66 P BENEFITS 74,843.00 0.00 74,843.00 5,889.57 41,830.22 33,012.78 Q SUPPLIES 7,600.00 0.00 7,600.00 71.00 8,217.89 (617.89) R SERVICES 301,028.00 104,504.00 405,532.00 (1,310.21) 437,967.98 (32,435.98) S CAPITAL OUTLAY 1.00 0.00 1.00 0.00 1,375.00 (1,374.00) Total ... DEPARTMENTS NOT (589,922,00) (209,993.00) (799,915.00) (20,413.58) (643,911.43) 156,003.57 APPLICABLE Total ... JUVENILE PROBATION FUND Report Difference 67,598.00 (13,435,00) 54,163.00 45,029.75 186,581.45 132,418.45 23,282,777.00 (1,326,790.00) 21,965,987.00 (991,984.56) 7,333,653.28 (14,622,333.72) Date: 10119/20 09:24:44 AM MONTHLY REPORT -CONDENSED Unaudited Page: 25 z oo e(Oo,H phi va 'n n on to 00 co N tYa CT10 N ' ems- VWto in � N N nn NC �tV C! c' LO MN n a CD Lcq N CO .r.. 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TOTAL TRANSFERS BETWEEN FUNDS `/ $ 55,290.38 TOTAL NURSING HOME UPL EXPENSES $ 2,047,045.59 TOTAL INTER -GOVERNMENT TRANSFERS $ 32,792.98 ✓ GRAND TOTAL DISBURSEMENTS APPROVED October 28, 2020$ 2,741,822.58 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---October 28, 2020 PAYABLES AND PAYROLL 10/22/2020 Weekly Payables 156,388.24 10/26/2020 McKesson-340B Prescription Expense 6,159.27 10/26/2020 Amerisource Bergen-340B Prescription Expense 19.10 10/26/2020 Payroll Liabilities -Payroll Taxes 107,092.17 10/26/2020 Payroll 336,925.14 Prosperity Electronic Bank Payments 10/20-10/23/20 Pay Plus -Patient Claims Processing Fee 109.71 TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS $ 606,693.63 TRANSFER BETWEEN FUNDS -NURSING HOMES 10/22/2020 MMC Operating to Solera-correction of NH payment deposited into MMC Operating 1,936.00 10/22/2020 MMC Operating to Golden Creek Healthcare -correction of NH insurance payment deposited into MMC Operating 13,515.76 10/22/2020 MMC Operating to Gulf Pointe Plaza PP -reimbursement of check order withdrawn from nursing home 139.08 10/22/2020 MMC Operating to Gulf Pointe Plaza MM-correction of NH insurance payment deposited into MMC Operating and check order reimbursement 26,049.23 10/22/2020 MMC Operating to Tuscany Village -correction of NH insurance payment deposited into MMC Operating and check order reimbursement 10,238.49 10/22/2020 MMC Operating to Bethany Senior Living- correction of NH insurance payment deposited into MMC Operating and check order reimbursment 3,411.82 TOTAL TRANSFERS BETWEEN FUNDS $ 66,290.38 NURSING HOME UPL EXPENSES 10/2612020 Nursing Home UPL-Cantex Transfer 1,079,939.92 10/26/2020 Nursing Home UPL-Nexion Transfer 244,671.86 10/2612020 Nursing Home UPL-HMG Transfer 196,894.88 10126/2020 Nursing Home UPL-Tuscany Transfer 56,215.26 10/26/2020 Nursing Home UPL-HSL Transfer 418,938.38 QIPP/INTEREST/RECOUP CHECKS TO MMC 10/26/2020 Crescent-MMC recoup of insurance pymt deposited into NH account 91.72 10/2612020 Fort Bend-MMC recoup of IGT funds and insurance pymt deposited into NH account 50,293.57 ;TOTAL NURSING-HOME.UPL EXPENSES $ 2,047,045.59 INTER -GOVERNMENT TRANSFERS 11/4/2020 IGT DSH to be paid November 04, 2020 32,792.98 [TOTAL INTER -GOVERNMENT TRANSFERS $ 32,792.98 GRAND TOTALDISBURSEMENTS APPROVED October 28, 2020 $ 2,741,822.5.8 10/222¢2ot,� G^l Ttr'T- i,-t11 r fe fmp_cw5report3772830077848144545.html 10/22/262'0 € /• 2 2020 MEMORIAL MEDICAL CENTER 10:15� AP Open Invoice List i:ralYt.liaa9. ��1�7��£y £i1aalY.uYi' Due Dates Through: 11/11/2020 V endor# Vendor Name Class 13180 ADVANCED STERILIZATION PROD Invoice# Cc ant Tran Dt Inv Dt Due Dt Check Dt Pay Gross 8020068237 yt 0/19/2020 10/07/2020 10/19/2020 SUPPLIES 864.00 Vendor Totals: Number Name Gross 13180 ADVANCED STERIL 864.00 Discount Vendor# Vendor Name Class 0.00 A1680 AIRGAS USA, LLC - CENTRAL DIV M Invoice# Corn ant Tran Dt Inv Dt Due Dt Check Dt Pay Gross 9105207622 I16/2020 09/09/2020 10/04/2020 OXYGEN 264.35 Vendor Totals: Number Name Gross Discount Vendor# A1680 AIRGAS USA, LLC - 264.35 0.00 Vendor Name Class 13244 ASD HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 1102071972W8/19/2020 08/07/2020 11/05/2020 INVENTORY 7,245.00 Vendor Totals: Number Name Gross Discount Ventlor# 13244 ASD HEALTHCARE 1,245.00 0.00 Vendor Name I 0 ap_open_invoice.template Pay Code Discount No -Pay Net 0.00 0.00 864.00 ✓ No -Pay 0.00 Pay Code Discount No -Pay 0.00 0.00 No -Pay 0.00 Pay Code Discount No -Pay 0.00 0.00 No -Pay 0.00 13516 ass AVANTE HEALTH SOULTIONS Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt 02710411N Check Dt Pay Gross Discount No -Pay �/10/21/2020 08/03/2020 08/03/2020 57.22 0.00 SUPPLIES 0.00 Vendor Totals: Number Name Gross Discount 13518 AVANTE HEALTH S, 51.22 Vendor# Vendor Name Class 0.00 O,Op 0.00 B1150 BAXTER HEALTHCARE ✓ W Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt 684199991011912020 10/19/2020 Check Dt Pay Gross Discount No -Pay 10/05/2020 10/30/2020 630.55 0.00 SUPPLIES 0.00 Vendor Totals: Number Name Gross Discount B1150 BAXTER HEALTHC/ 630.55 No -Pay Vendor# Vendor Name C 0.00 0.00 Net 864.00 Net 264.35 Net 264.35 Net 1,245.00 ✓ Net 1,245.00 Net 51.22 Net 51.22 Net 630.55 Net 630.55 12600 lass BIOFIRE DIAGNOSTICS LLC Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt 1280062083,,40/15/2020 Check Dt Pay Gross Discount No -Pay Net 08/11/2020 08/11/2020 7,903.47 0.00 SUPPLIES 0.00 7,903.47 r/ Vendor Totals: Number Name Gross Discount 12600 BIOFIRE DIAGNOSI 7,903.47 0.00 No -Pay Net Ventlor# Vendor Name Class 0.00 7,903.47 D7040 C R BARD; INC ✓ Pay Code Invoice# Cmment Tran Dt Inv Dt Due Dt Check Dt Pay 81547257 ✓ 10/13/2020 09/22/2020 10/13/2020 Gross Discount No -Pay Net SUPPLIES 348.59 0.00 0.00 348.59 ,j Vendor Totals: Number Name Gross D1040 C R BARD, INC 348.59 Discount No -Pay Net Vendor# Vendor Name Class 0.00 0.00 348 .59 C1992 CDW GOVERNMENT, INC. i/ M Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt XVD9209 Check Dt Pay Gross Discount No -Pay Net ,/10/21/2020 05/14/2020 06/13/2020 155.25 0.00 SUPPLIES 0.00 155.25 Vendor Totals: Number Name Gross Discount 01992 CDW GOVERNMENT 155.25 No -Pay Net Vendor# Vendor Name Class 0.00 0.00 155.25 file:///C:/Users/mmckissack/cpsl/memmed.cpsinet.com/u8B150a/data_5/tmp_cw5report3772830077848144545.html Pay Code 1I10 r,10/22/20220 Imp_/cw5report3772830077848144545,html E1270 CENTERPOINTENERGY✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 093020 10/21/2020 09/30/2020 10/15/2020 33.27 0.00 0.00 33.27✓ GAS Vendor Totals: Number Name Gross Discount No -Pay Net E1270 CENTERPOINT ENE 33.27 0.00 0.00 33.27 Vendor# Vendor Name Class Pay Code 13336 COCA COLA SOUTHWEST BEVER, Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 7991204955y16/21/2020 09/11/2020 09/11/2020 515.76 0.00 0.00 515.76 SUPPLIES Vendor Totals: Number Name / Gross Discount No -Pay Net 13336 COCA COLA SOUTF ✓ 515.76 0.00 0.00 515.76 Vendor# Vendor Name Class Pay Code C1970 CONMED CORPORATION M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 367877 10/19/2020 10/06/2020 10/19/2020 107.53 0.00 0.00 / 107.53 ✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net C1970 CONMED CORPOR, 107.53 0.00 0.00 107.53 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 6217051 �/10/21/2020 10/12/2020 11/06/2020 11.56 0.00 0.00 11.56✓ SUPPLIES 6218830 �/10/21/2020 10/12/2020 11/06/2020 119.00 0.00 0.00 119.00 / SUPPLIES 6220831 ✓ 10/21/2020 10/13/2020 11/07/2020 31.70 0.00 0.00 31.70 SUPPLIES 6220830 -/10/21/2020 10/13/2020 11/07/2020 41.98 0.00 0.00 41.98 / SUPPLIES 6220990 ✓ 10/21/2020 10/13/2020 11/07/2020 667.60 0.00 0.00 667.60 SUPPLIES CREDITCK1;10/2112020 10/16/2020 11/10/2020 -166.15 0.00 0.00 -166.15 CREDIT Vendor Totals: Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SC 705.69 0.00 0.00 705.69 Vendor# Vendor Name Class Pay Code D1785 DYNATRONICS CORPORATION Invoice# Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net IN211020V1012112020 10/08/2020 11/08/2020 5,390.00 0.00 0.00 5,390.00 TREADMILL . Vendor Totals: Number Name Gross Discount No -Pay Net D1785 DYNATRONICS COI 5,390.00 0.00 0.00 5,390.00 Vendor# Vendor Name / Class Pay Code E1070 EDWARDS PLUMBING INC ✓ W Invoice# / Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net �/ 63035 10/21/2020 10/13/2020 10/13/2020 1,169.00 0.00 0.00 1,169.00 BACKFLO/GAS TEST SUPPLIES/LP Vendor Totals: Number Name Gross Discount No -Pay Net E1070 EDWARDS PLUMBII 1,169.00 0.00 0.00 1,169.00 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIO Invoice# /Comment Tran Dt Inv Dt Due Dt Check DI Pay Gross Discount No -Pay Net 39641 10/21/2020 09/30/2020 09/30/2020 ✓ 1,200.00 0.00 0.00 1,200.00 ✓' ODUTAYO AS HOSPITALIST/ER PF Vendor Totals: Number Name / Gross Discount No -Pay Net 11284 EMERGENCYSTAF,/ 1,200.00 0.00 0.00 1,200.00 Vendor# Vendor Name Class Pay Code 12808 ESUTURES.COM y/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net file:N/C:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150a/data_511mp_cw5report3772830077848144545.html 2110 10/22/2020 tmp_cw5report3772830077848144545.html r / 369191 10/21/2020 09/28/2020 10/28/2020 ✓ 42.00 0.00 0.00 42.00 ✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 12808 ESUTURES.COM 42.00 0.00 0.00 42.00 Vendor# Vendor Name lass Pay Code 10689 FASTHEALTH CORPORATION Invoice# Cc ment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 10A2MMC 0/21/2020 10/01/2020 10/16/2020 495.00 0.00 0.00 495.00 ,/ WEBSITE Vendor Totals: Number Name Gross Discount No -Pay Net 10689 FASTHEALTH CORF 495.00 0.00 0.00 495.00 Vendor# Vendor Name / Class Pay Code F1100 FEDERAL EXPRESS CORP. ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 715220683V10/21/2020 10/15/2020 11/09/2020 90.05 0.00 0.00 90.05 SHIPPING Vendor Totals: Number Name Gross Discount No -Pay. Net F1100 FEDERAL EXPRES; 90.05 0.00 0.00 90.05 Vendor# Vendor Name Class Pay Code F1400 / FISHER HEALTHCARE ./ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 2556403✓ 10/15/2020 11/05/2019 11/30/2019 450.71 0.00 0.00 450.71 / SUPPLIES 5914395 i 10/15/2020 12/18/2019 01/12/2020 7.36 0.00 0.00 7.36✓ / SUPPLIES 7644009 ✓ 10/15/2020 01/16/2020 02J1012020 661.20 0.00 0.00 661.20,,�' SUPPLIES 3954772 �10/15/2020 03/04/2020 03/29/2020 1,241.78 0.00 0.00 1,241.78,/ / SUPPLIES 5005053 ✓ 10/15/2020 0311PJ2020 04/06/2020 3,528.58 0.00 0.00 3,528.68 / SUPPLIES 598440310/15/2020 03/26/2020 04/20/2020 240.60 0.00 0.00 / 240.60 SUPPLIES 8233058 >/10116/2020 04/28/2020 07/10/2020 1,038.68 0.00 0.00 1,038.68,/ SUPPLIES 8541170 V/10/15/2020 09/17/2020 10/12/2020 984.10 0.00 0.00 984.10 ✓ SUPPLIES 9508167 ✓10/15/2020 09/24/2020 10/19/2020 654,97 0.00 0.00 654.97 SUPPLIES 96,92858 / 10/15/2020 09/25/2020 10/20/2020 581.26 0.00 0.00 581.26 SUPPLIES 0117049 /10119/20PO 10/01/2020 10/26/2020 3,506.66 0.00 0.00 3,506.66 SUPPLIES 0117050 �10/19/2020 10/01/2020 10/26/2020 39.42 0.00 0.00 39.42✓ SUPPLIES 0341281 ✓ 0/19/2020 10/05/2020 10/30/2020 4,968.00 0.00 0.00 4,968.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCA 17,903.32 0.00 0.00 17,903.32 Vendor# Vendor Name Class Pay Code 11183 FRONTIER Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 100220 10/21/2020 10/02/2020 10/26/2020 1,159.93 0.00 0.00 1,159.93 PHONES Vendor Totals: Number Name Gross Discount No -Pay Net 11183 FRONTIER 1,159.93 0.00 0.00 11159.93 Vendor# Vendor Name / Class Pay Code G0321 GALLS,LLC ✓ W Invoice# Cc�ment Tran Dt Inv Dt Due Dt 0/21/2020 Check Dt Pay Gross Discount No -Pay Net 015714312 05/22/2020 05/22/2020 102.93 0.00 0.00 102.93 UNIFORM file:/HC:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150a/data 5/tmp_cw5report3772830077848144545.html 3/10 10/22/2020 tmp_cw5report3772830077848144545.html r Vendor Totals: Number Name Gross Discount No -Pay Net G0321 GALLS,LLC 102.93 0.00 0.00 102.93 Vendor# Vendor Name / Class Pay Code 10901 GENESIS DIAGNOSTICS ✓ Invoice# omment Tran Dt Inv Dt Due Dt / Check Dt Pay Gross Discount No -Pay Net 51536 10/19/2020 10/09/2020 11/08/2020 325.82 0.00 0.00 325.82 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 10901 GENESIS DIAGNOS 325.82 0.00 0.00 325.82 Vendor# Vendor Name Pay Code 10653 GLOBAL EQUIPMENT CO. INC. /Class ✓ Invoice# Co ment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 116271877 /21/2020 07/16/2020 08/15/2020 5,461.37 0.00 0.00 5,451.37 / HEPA AIR SCRUBBER Vendor Totals: Number Name Gross Discount No -Pay Net 10653 GLOBAL EQUIPM0 5,451.37 0.00 0.00 5,451.37 Vendor# Vendor Name Class Pay Code W7300 GRAINGER M Invoice# Com ant Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9675595808 /21/2020 10/06/2020 10/31/2020 75.00 0.00 0.00 75.00,,/ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net W1300 GRAINGER 75.00 0.00 0.00 75.00 Vendor# Vendor Name cll Pay Code G1210 GULF COAST PAPER COMPANY vlGl Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1938172 ✓10/13/2020 10/06/2020 11/05/2020 547.99 0.00 0.00 547.99 SUPPLIES 1938167 1/10/13/2020 10/06/2020 11/05/2020 102.20 0.00 0.00 102.20 ,/ SUPPLIES 1940977 / 10/14/2020 10/09/2020 11/08/2020 179.20 0.00 0.00 179.20>/ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPE 829.39 0.00 0.00 829.39 Vendor# Vendor Name Class Pay Code H0032 H + H SYSTEM, INC. r/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 032400 10/19/2020 09/28/2020 10/19/2020 52.61 0.00 0.00 52.61 t/' SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net H0032 H + H SYSTEM, INC 52.61 0.00 0.00 52.61 Vendor# Vendor Name Class Pay Code 12716 HITACHI HEALTHCARE ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net PJIN01614090/2112020 10/15/2020 10/15/2020 7,908.33 0.00 0.00 7,908.33 / SMA FEE _ t/ Vendor Totals: Number Name Gross Discount No -Pay Net 12716 HITACHI HEALTHC! 7,908.33 0.00 0.00 7,908.33 Vendor# Vendor Name Class Pay Code 12596 INDEED, INC. Invoice# Cof mant Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 35907160 0/21/2020 09/30/2020 09/30/2020 290.60 0.00 0.00 290.60 f JOB POSTING Vendor Totals: Number Name Gross Discount No -Pay Net 12596 INDEED, INC. 290.60 0.00 0.00 290.60 Vendor# Vendor Name Class Pay Code 11312 INRAD ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 928987 .v' 10/13/2020 09/21/2020 10/13/2020 291.00 0.00 0.00 291.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150a/data_5/tmp_MSreport3772830077848144545.html 4/10 r,10/22/201 tmp_cw5report3772830077848144545.html 11312 INRAD 291.00 0.00 0.00 291.00 Vendor# Vendor Name/ Class Pay Code 12932 INTRADO Invoice# Comment T Dt t Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net INV0022623,10/21/2020 09/30/2020 09/30/2020 476.16 0.00 0.00 476.16 141 HOUSE CALLS Vendor Totals: Number Name Gross Discount No -Pay Net 12932 INTRADO 476.16 0.00 0.00 476.16 Vendor# Vendor Name Class Pay Code 11285 ITA RESOURCES INC ✓ Invoice# Com�ent Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount MMC702020 '�012112020 10/20/2020 11/09/2020 24,706.55 0.00 RESP SERVICES Vendor Totals: Number Name Gross Discount 11285 ITA RESOURCES IN 24,706.55 0.00 Vendor# Vendor Name Class J0150 J & J HEALTH CARE SYSTEMS, IN( ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt 923392600 /19/2020 Check Dt Pay Gross 01 10/05/2020 11/04/2020 734.03 SUPPLIES 923392601 )J/1 9/2020 10/05/2020 11/04/2020 168.00 SUPPLIES Vendor Totals: Number Name Gross Discount J0150 J & J HEALTH CARE 902.03 0.00 Vendor# Vendor Name Class 12024 JAMIE NEYLAND Invoice# Comment Tran Dt I D No -Pay Net 0.00 24,706.55 No -Pay Net 0.00 24.706.55 Pay Code Discount No -Pay Net 0.00 0.00 734.03.✓ 0.00 0.00 168.00 No -Pay Net 0.00 902.03 Pay Code nv t Due Dt Check Dt Pay Gross Discount No -Pay 101620 10/21/2020 10/16/2020 10/16/2020 422.49 0.00 0.00 SWITCHED TO INDIVIDUAL BENEF Vendor Totals: Number Name Gross Discount No -Pay 12024 JAMIE NEYLAND 422.49 0.00 0.00 Vendor# Vendor Name Class Pay Code M1950 MARTIN PRINTING CO W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 76169 7616719/14/2020 10/06/2020 11/05/2020 537.75 0.00 / APPOINTMENT CARDS 0.00 76210 ✓ 10/14/2020 10/06/2020 11/05/2020 128.00 0.00 0.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay M1950 MARTIN PRINTING, 665.75 0.00 0.00 Vendor# Vendor Name Class Pay Code M2178 MCKESSON MEDICAL SURGICAL I Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross 76439214✓10/15/2020 02/07/2020 02/22/2020 156.46 SUPPLIES 77318138/10/15/2020 02/18/2020 03/04/2020 499.35 SUPPLIES 77294112,,/10/15/2020 02/18/2020 03/04/2020 1,672.41 SUPPLIES Vendor Totals: Number N Net 422.49 v Net 422.49 Net 537.75 ✓ 128.00 ram/ Net 665.75 Discount No -Pay Net 0.00 0.00 156.46 v/ 0.00 0.00 499.3V 0.00 ame Gross Discount No -Pay M2178 MCKESSON MEDIC 2,328.22 0.00 0.00 Vendor# Vendor Name Class Pay Code M2310 0.00 1,672.41 ✓/ Net 2,328.22 MEDELA INC ✓� M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 7000158746 10/16/2020 05/07/2020 10/16/2020 284.80 SUPPLIES 0.00 0.00 284.80 1, Vendor Totals: Number Name Gross Discount No -Pay Net M2310 MEDELA INC 284.80 0.00 0.00 284.80 Vendor# Vendor Name Class Pay Code M2827 MEDIVATORS ✓ M Invoice# Comment Tran Dt Inv Dt Due Ot Check Dt Pay Gross Discount No -Pay Net file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.comlu88150a/data_5/fmp_cw5report3772830077848144545.html 5/10 r 10/22/2020 � tmp_cw5report3772830077848144545.html 90475228 ,/10/16/2020 03/24/2020 10/16/2020 226.36 0.00 0.00 226.36 / ✓ SUPPLIES 90603791 /10/1612020 08/25/2020 10/16/2020 408.26 0.00 0.00 408.26 SUPPLIES 90618585 10/16/2020 09/08/2020 10/16/2020 213.57 0.00 0.00 213.57✓ SUPPLIES 90666991 �/10/21/2020 10/20/2020 10/21/2020 408.23 0.00 0.00 408.23 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2827 MEDIVATORS ✓ 1,256.42 0.00 0.00 1,256.42 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC ✓ M Invoice# Com ent Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 1902926197 /15/2020 02/28/2020 03/24/2020 26.44 0.00 0.00 26.44 e/ SUPPLIES - 1903972261 ,01'15/2020 03/10/2020 04/04/2020 13.35 0.00 0.00 13.35 SUPPLIES 1908417367,14/15/2020 04/18/2020 05/21/2020 37.08 0.00 0.00 37.08 SUPPLIES t� 1909636716,16116/2020 04/30/2020 05/25/2020 62.00 0.00 0.00 62.00 r% SUPPLIES � 1918885524d40/15/2020 07/30/2020 08/24/2020 137.11 0.00 0.00 137.11 ✓ SUPPLIES � 1924355961 P/15/2020 09/17/2020 10/12/2020 129.83 0.00 0.00 129.83 SUPPLIES � 1924819116 �/15/2020 09/22/2020 10/17/2020 51.29 0.00 0.00 51.29,�- SUPPLIES 1924819113J,O//15/2020 09/22/2020 10/17/2020 203.00 0.00 0.00 203.00,,- SUPPLIES 1925075176 /15/2020 09/24/2020 10/19/2020 616.38 0.00 0.00 616.38 � SUPPLIES 1925076177 jP/15/2020 09/24/2020 10/19/2020 40.07 0.00 0.00 40.07✓ SUPPLIES 1917255890 1 /19/2020 07/16/2020 08/10/2020 -84.88 0.00 0.00 -84.88 CREDIT INVOICE 1915490803 � 1920266258,30/19/2020 08/11/2020 09/05/2020 87.71 0.00 0.00 87.71 t,, SUPPLIES 1924136516JO//19/2020 09/15/2020 10/10/2020 -67.20 0.00 0.00 -57.20 CREDIT INVOICE 1921984321 1702406635 /22/2020 09/26/2020 10/21/2020 689.67 0.00 0.00 689.67✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTR 1,951.85 0.00 0.00 1,951.85 Vendor# Vendor Name Class Pay Code M2685 MICROTEK MEDICAL INC M Invoice# Cc ment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 4891248 70/16/2020 10/06/2020 09/25/2020 293.06 0.00 0.00 293.06✓ SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net M2685 MICROTEKMEDICP 293.06 0.00 0.00 293.06 Vendor# Vendor Name Class Pay Code 11976 MID -COAST ELECTRIC SUPPLY, [h Invoice# Co ment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 192330800 10/21/2020 08/14/2020 09/13/2020 108.00 0.00 0.00 108.00,/ SUPPLIES 192330900 /21/2020 08/17/2020 09/16/2020 108.00 0.00 0.00 108.00 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11976 MID -COAST ELECT[ 216.00 0.00 0.00 216.00 Vendor# Vendor Name Class Pay Code M2621 / MMC AUXILIARY GIFT SHOP / W file:///C:/Users/mmckissack/cpsitmemmed.cpsinet.mm/u88150a/data_5]tmp_cw5report3772830077848144545.html 6/10 r 1012212020 tmp_cw5report3772830077848144545.html r Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 101520 10/19/2020 10/15/2020 10/15/2020 483.12 0.00 0.00 483.12V / PAYROLL DED V Vendor Totals: Number Name Gross Discount No -Pay Net M2621 MMC AUXILIARY GI 483.12 0.00 0.00 483.12 Vendor# Vendor Name Class Pay Code 10536 MORRIS R DICKSON CO, LLC/ Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 6155113 A011912020 10/06/2020 10/16/2020 49.33 0.00 0.00 / 49.33 y/ INVENTORY /v 0566 / 10/19/2020 10/06/2020 ✓✓✓ 10/16/2020 252.02 0.00 0.00 252.02 a/ INVENTORY 6149549 v 10/19/2020 10/08/2020 10/18/2020 3,509.37 0.00 0.00 3,509.37 INVENTORY 6148442 /10/19/2020 10/08/2020 10/18/2020 119.40 0.00 0.00 119.40 INVENTORY / / 6149862 �/ 10/19/2020 10/O8/2020 10/18/2020 188.18 0.00 0.00 188.18 ✓ INVENTORY 6148441 ✓10/19/2020 10/08/2020 10/18/2020 16.10 0.00 0.00 16.10 ",' INVENTORY 6149548 ✓10/19/2020 10/08/2020 10/18/2020 1,567.21 0.00 0.00 1,567.21 / INVENTORY V 6149550 ✓ 10/19/2020 10/08/2020 10/18/2020 4.33 0.00 0.00 4.33 INVENRORY 6155112 �/10/19/2020 10/11/2020 10/21/2020 523.98 0.00 0.00 523.98 INVENTORY 6155110 /10/19/2020 10/11/2020 10/21/2020 25.02 0.00 0.00 25.02 INVENTORY 6155111 ✓10/19/2020 10/11/2020 10/21/2020 952.51 0.00 0.00 952.51,1' INVENTORY 6160630 ./'10/19/2020 10/12/2020 10/22/2020 373.75 0.00 0.00 373.75 INVENTORY _ 6160633 r/10/19/2020 10/12/2020 10/22/2020 16.73 0.00 0.00 16.73 INVENTORY 6160631 ✓10/19/2020 10/12/2020 10/22/2020 210.55 0.00 0.00 210.55 � INVENTORY 6158295 t/10/19/2020 10/12/2020 10/22/2020 115.38 0.00 0.00 115.3E INVENTORY 6160632 ,/10/19/2020 10/12/2020 10/22/2020 573.31 0.00 0.00 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tmp_cw5report3772830077848144545.html INVENTORY 6181923 v/10/19/2020 10/18/2020 10/28/2020 22.43 0.00 0.00 22.43✓ INVENTORY 6181922 ✓10119/2020 10/18/2020 10/28/2020 345.47 . 0.00 0.00 345.47.,/ INVENTORY 6181919 ✓10/19/2020 10/18/2020 10/28/2020 1,205.54 0.00 0.00 1,205.54✓ INVENTORY / 6181073 ,/ 10/19/2020 10/18/2020 10/28/2020 54.04 0.00 0.00 / 54.04 / INVENTORY 6181072 �/ 10/19/2020 10/18/2020 10/28/2020 38.60 0.00 0.00 38.60 / INVENTORY 6181921✓ 10/19/2020 10/18/2020 10/28/2020 45.34 0.00 0.00 45.341-/ INVENTORY 6186032 V'1012112020 10/19/2020 10/29/2020 616.46 0.00 0.00 616.46,/ INVENTORY 6186030✓ 10/21/2020 10/19/2020 10/29/2020 392.36 0.00 0.00 392.36 INVENTORY 6186031J 10/21/2020 10/19/2020 10/29/2020 247.67 0.00 0.00 247.67,/ INVENTORY 6188471.✓ 10/21/2020 10/20/2020 10/30/2020 2,030.24 0.00 0.00 2,030.24 INVENTORY Vendor Totals: Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSOI 32,967.82 0.00 0.00 32,967.82 Vendor# Vendor Name Class Pay Code 10868 NOVA BIOMEDICAL Invoice# Cc ment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 90779939 �/10121/2020 10/14/2020 10/21/2020 814.72 0.00 0.00 814.72 .� SUPPLEIS Vendor Totals: Number Name Gross Discount No -Pay Net 10868 NOVA BIOMEDICAL 814.72 0.00 0.00 814.72 Vendor# Vendor Name / Class Pay Code P0706 PALACIOS BEACON W Invoice# Cc ment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 33057549 ✓10/21/2020 10/02/2020 10/02/2020 187.50 0.00 0.00 187.50 AD Vendor Totals: Number Name Gross Discount No -Pay Net P0706 PALACIOS BEACON 187.50 0.00 0.00 187.50 Vendor# Vendor Name Class Pay Code P1470 PHILIP THOMAE PHOTOGRAPHER W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 10218 41�121/2020 10/02/2020 10/02/2020 100.00 0.00 0.00 100.00 PICTURES/USB Vendor Totals: Number Name Gross Discount No -Pay Net P1470 PHILIP THOMAE PH 100.00 0.00 0.00 100.00 Vendor# Vendor Name less Pay Code 12480 PRO ENERGY PARTNERS LP Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 20090600 10/21/2020 09/30/2020 10/15/2020 2,611.85 0.00 0.00 2,611.85 / GAS v Vendor Totals: Number Name Gross Discount No -Pay Net 12480 PRO ENERGY PAR- 2,611.85 0.00 0.00 2,611.85 Vendor# Vendor Name / Class Pay Code 11080 RADSOURCE Invoice# C mment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net SC61351 10/13/2020 10/12/2020 11/06/2020 1,667.00 0.00 0.00 1,667.00 SERVICE CONTRACT Vendor Totals: Number Name Gross Discount No -Pay Net 11080 RADSOURCE / 1,667.00 0.00 0.00 1,667.00 Vendor# Vendor Name v Class Pay Code S1001 SANOFI PASTEUR INC ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150a/data_5/tmp_cw5report3772830077848144545.html 8110 r 10/22/2020 Imp_ cw5report3772830077848144545.html 914847623 8/19/2020 08/11/2020 11/09/2020 4,290.54 0.00 0.00 4,290.54 INVENTORY V Vendor Totals: Number Name Gross Discount No -Pay Net S1001 SANOFI PASTEUR 1 4,290.54 0.00 0.00 4,290.54 Vendor# Vendor Name Class Pay Code 83940 STERIS CORPORATION ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 8917805 V/10/15/2020 08/24/2020 09/18/2020 460.94 0.00 0.00 460.94 SUPPLIES 8922513 ✓10/15/2020 08/25/2020 09/19/2020 76.34 0.00 0.00 76.34 SUPPLIES 8777009 �/10/21/2020 06/02/2020 06/27/2020 89.16 0.00 0.00 89.16 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net S3940 STERIS CORPORAL 626.44 0.00 0.00 626s14 Vendor# Vendor Name Class Pay Code 11944 TALX CORPORATION Invoice# Com%dnt Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 1002033642 �9 330/2020 10/08/2020 11/07/2020 10.99 0.00 0.00 EMPLOYEE VERIFICATION Net 10.99 / Vendor Totals: Number Name Gross Discount No -Pay Net 11944 TALX CORPORATIC 10.99 0.00 0.00 10.99 Vendor# Vendor Name Class Pay Code 12704 TEXAS BURNER & BOILER SERVIC V/ Invoice#Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 3627 10/21/2020 10/05/2020 11/05/2020 1,020.00 0.00 0.00 1,020.00 TROUBLESHOOT HVAC BIOLER Vendor Totals: Number Name Gross Discount No -Pay Net 12704 TEXAS BURNER & t 1,020.00 0.00 0.00 1,020.00 Vendor# Vendor Name Class Pay Code 11038 THE INLINE GROUP Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 42555 ✓/10/21/2020 10/19/2020 11/03/2020 2,500.00 0.00 0.00 21500.00✓ CANIDATE SOURCING Vendor Totals: Number Name Gross Discount No -Pay Net 11038 THE INLINE GROUF 2,500.00 0.00 0.00 2,500.00 Vendor# Vendor Name Class Pay Code 11100 THE US CONSULTING GROUP Invoice# Cc%�ment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay 340378309V10/21/2020 06/14/2020 07/09/2020 314.20 0.00 0.00 TRASH SERVICES 340380410 �i%21/2020 10/15/2020 11/09/2020 310.18 0.00 TRASH SERVICES Vendor Totals: Number Name Gross Discount No -Pay 11100 THE US CONSULT11 624.38 0.00 0.00 Vendor# Vendor Name Class Pay Code 12168 TRANSCAT, INC. ✓/ Net 31420 0.00 310.18 / Net 624.38 Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 3077806 / 10/21/2020 10/06/2020 10/06/2020 554.00 0.00 0.00 554.00 J BATTERY REPLACEMENT Vendor Totals: Number Name Gross Discount No -Pay Net 12168 TRANSCAT, INC. 554.00 0.00 0.00 554.00 Vendor# Vendor Name Class Pay Code T3334 TRINITY PHYSICS CONSULTING U W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 034881 10/14/2020 10/08/2020 11/07/2020 3,680.00 0.00 0.00 3,680.00 / ANNUALEVAL 034777,/ 10/21/2020 07/01/2020 07/31/2020 1,600.00 0.00 0.00 1,600.00✓/ MAMMO EVAL _ Vendor Totals: Number Name Gross Discount No -Pay Net T3334 TRINITY PHYSICS C 5,280.00 0.00 0.00 5,280.00 file:///C:lUsers/mmckissack/cpsi/memmed.cpsinet.com/u88150atdata_5/tmp_pw5report3772830077848144545.html 9110 10/22/2020 tmp_pw5report3772830077848144545.htmI Vendor# Vendor Name Class Pay Code 11067 TRIZETTO PROVIDER SOLUTIONS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 351C102000 ,10/21/2020 10/01/2020 10/26/2020 1,668.52 0.00 0.00 1,668.62 PT STATEMENTS Vendor Totals: Number Name Gross Discount No -Pay Net 11067 TRIZETTO PROVIDE 1,668.52 0.00 0.00 1,668.52 Vendor# Vendor Name Class Pay Code U1054 UNIFIRST HOLDINGS W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay - Gross Discount No -Pay Net 8400344791v%/14/2020 10/12/2020 11/06/2020 805.36 0.00 0.00 805.36 LAUNDRY 8400344767 1 14/2020 10/12/2020 11/06/2020 52.74 0.00 0.00 52.74 LAUNDRY 8400344766�e/14/2020 10/12/2020 11/06/2020 45.15 0.00 0.00 45.15 LAUNDRY Vendor Totals: Number Name Gross Discount No -Pay Net U1054 UNIFIRST HOLDINC 903.25 0.00 0,00 903.25 Vendor# Vendor Name Class Pay Code U1056 UNIFORM ADVANTAGE ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 11737161/10/21/2020 10/13/2020 10/28/2020 38.98 0.00 0.00 38.98 UNIFORM RAMONA PEREZ Vendor Totals: Number Name Gross Discount No -Pay Net U1056 UNIFORM ADVANT/ 38.98 0.00 0.00 38.98 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 9110880285y0/21/2020 09/29/2020 10/24/2020 1,204.92 0.00 0.00 1,204.92� SUPPLIES 9110887082 316/21/2020 10/14/2020 11/08/2020 704.85 0.00 0.00 704.85 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 1,909.77 0.00 0.00 1,909.77 Vendor# Vendor Name Class Pay Code 10556 WOUND CARE SPECIALISTS Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net WCS000039;10/22/2020 10/01/2020 10/30/2020 9,025.00 0.00 0.00 9,025.00 / $3 WOUND CARE ✓ Vendor Totals: Number Name Gross Discount No -Pay Net 10556 WOUND CARE SPE 9,025.00 0.00 0.00 9,025.00 Report Summary Grand Totals: Gross Discount No -Pay Net 156,388.24 0.00 0.00 156,388.24 ow OCT 2 2 2020 A @�tiM� , file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150a/data 5/tmp_cw5report3772830077848144545.html 10/10 ) ( 2 all | ¥ {! � §_� ■ °z �■ ® % ! ■ ! % k2ME § \ % o ` # ! )t - oe! o 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O O O O O O O OO V n O C y ° O N 9 ON N E Z U m 0 F Q � a 'u u K 7 N d J 0 ry h W O ¢ m W N U N 2 ¢ o ko m K mm K 2 0 S ¢ao o � > J m �p F n � S0 N c�ao NoCOD CP U < O 0: U N Q ¢O n N W -: - Oc { n m m m m C r O O¢ 7f c 7 O E Q TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) "ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" FTIF FEDERAL TAX DEPOSIT ENTER 1" ❑"ENTER 2-DIGIT TAX FILING YEAR" "ENTER 2-DIGIT TAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) -Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) - July, Aug, Sept 4TH QTR - 12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" El "6-DIG IT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #trig# ENTER: '� 20 �' 12 $ 107,092.17 1 $ 53,938.14 $ 12,978.60 $ 40,175.43 CHECK $ CALLED IN BY: CALLED IN DATE: CALLED IN TIME: GAFinanm Share1AP•Payroll FilesWayroll Taxes\20201#22 MMC TAX DEPOSIT WORKSHEET 10.22.20.xls 10/2612020 Run Date: 10/26/20 MEORIAL MEDICAL CENTER Page 112 Tine: 13:27 Payroll Register ( BL-Weekly I P2REG Pay Period 10/09/20 - 10/22/20 Run; 1 Final Summary •-- Pay Code Summary PayCd Description .................................... Hrs JOTISHIWEIHOICEI 1 REGULAR PAY-81 I ---------- ............ 9697.00 N N 11 1 REGULAR PAY-S1 1827.75 N N II N I REGULAR PAY-S1 268.00 Y N 11 2 REGULA.R PAY-S2 2341.75 N N 11 2 REGULA.R PAY-S2 4.25 N N Il N 2 REGULAR PAY-S2 171.00 Y N 11 3 REGULAR PAY-83 1517.75 11 N 11 3 REGULAR PAY-S3 15.25 11 N 11 N 3 REGULAR PAY-S3 95.25 Y N 11 4 CALL BACK PAY 8.00 N 1 N N C CALL PAY 2518.00 N I N N E EXTRA WAGES N N 11 N E EXTRA WAGES N 1 N 11 N F FUNERAL LEAVE 98.00 U 1 N it . IIISHRVICE 91.25 N I N 11 I 1HSHRVICE 1.50 Y I A 11 K EXTENDED -ILLNESS -BANK 226.00 N 1 N 17 P PAID -TIME -OFF 168.00 N R 11 N P PAID -TIME -OFF 1183.50 N 1 N 11 K CALL PAY 2 144.00 N 1 N It Y YMCA/CURVES N N It N Z CALL PAY 3 48.00 N 1 N 11 v COVID-FFCRA 40.00 N N N N v COVID-FFCRA 36.00 N 1 N N -----------"- D a d u c t i o n s Gross I Code Amout .................................... 193952.97 A/R 705.00 A/R2 80866.78 ADVANC AWARDS 8998.46 CAFE E CAFE-1 55510.55 CAP3-3 CAFE-4 30B.13 CAFE-C CAPE-D 5660.18 CAPE-H CAFS-I 41638.10 CAFE-P CANCER 1202.95 CLINIC 447.84 COMBIN 3909.77 ➢D ADV DENTAL 270.02 DTS-LF EAT 5036.00 FEDTAX 40175.43 FICA-K FIRM FLEX S 1650.50 FORT D FUTA 2435.38 GRANT GRP-IN 246B.40 HOSP-I 1D TFT 52.31 LEGAL RASA 4120.03 MISC RISC/ 3496.00 NATFML OTHER 29819.98 PHI"' PR FIN 288.00 REPAY SAMS 45.00 SiGNON ST-TX 144.00 STONE STOAE2 1574.31 SUNACC SUNIIL 540,00 SUNSTD SUNVIS TSA-1 TSA-2 TSA-P TSA-R UNIFOR 517.26 Ud/HOS S u m m a r y-------------------------- 160.00 A/R3 BOOTS CAFE-2 CAFE-5 CAFE-F CAFE-L CHILD CREDUN OEP-LF EATCSH 6489.30 FICA-0 26969.07 FIX FE GTFT S 336.93 GTL LEAF MEALS 183.06 MMCSHR PHI RELAY SCRUBS STONDF STUDEN SUNLIF SURCHG TSA-C 31079.19 TUTION --------------------- Grand Totals: 20520.25 ------ ( Gross: 443988.22 Deductions: 107063.0E Net: Checks Count:- FT 199 PT 6 Other 48 Fenale 224 Male 27 Credit OverAmt 10 Molter Term ..................... ........-- 3)6925.14 Total: 251 Pay date, 10-N. 1/v Q M VI W01 tM Wlrb M E a a N v C Ul N C O! p N N o W 0 W zLL LL LL LL N U 0 0 0 0 0 0 N x T a m T T T a a a m ,gyp N O 0 Q r l0 N a m N a m a m n m m m m N a H m m m m m m m m o N 01 N r d cc a � W Z O W U y Z I u C � O W Q Q a O N W Z m o v m o m ro m N o a Q r p^ H o mn N 0 N OM m W W O N M ell N a 1D 0 0 0 a 0 0 0 0 0 N cc m N 0 0 = 0 0 0 � vWf a ei o m a rl m ei m vl m F a O1 N O uryi urvi uryi Q u � o0 o O 7 Z ry N~ Z Q of Z Z Ur w w g Q a Q Q W 2 U m O U W J X Q a z D Q a U Q W FQ- w H O N VI N 0 Q J J N J J J j LLm a Y a a a W 0 0 0 0 0 0 0 0 N O N N O O N O N O N O N O N O N W N N N N N N N A 0 0 0 .y ry m M O O O O O O O O O 01-671-9 M� c i C !� 7 w C !9 N 2 Transaction Summary Transaction Complete Texas Health and Human Services Commission Memorial Medical Center Operating County Page No:1 of 1 Run Date: 1012112020 Run Time: 09:47:16 10/221/2020 imp_ cw5report245424308606878202.html 10/22r/2�02�21 �, r rri��Y}i� MEMORIAL MEDICAL CENTER 0 09:48 AP Open Invoice List ,;,,,, Dates Through: ap_open_invoice.template _Vehdor# Vendor Name Class Pay Code 11828 SOLERA WEST HOUSTON Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 101220 10/13/2020 10/12/2020 11/12/2020 1,232.00 0.00 0.00 1,232.00 TRANSFER VA IMMWL 06h.1- 61(.1'o t{Za 101520 10/19/2020 10/15/2020 11/12/2020 Ilkk iKWL (JA- 704.00 0.00L) 0.00 704.00� TRANSFER 1./W 1 Yl k*Kjp V6KI tlep(y�i led. (w1" MKI- D fLW-`. \/ Vendor Totals: Number Name Gross Discount NoaPay Net 11828 SOLERA WEST HOl 1,936.00 0.00 0.00 1,936.00 Report Summary Grand Totals: Gross Discount No -Pay Net 1,936.00 0.00 0.00 1,936.00 6'9S OCT 2 2 2020 06KVWAVWWM CALWOM car, 7W-" file:MC:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150aldata_S/lmp_cw5repor1245424308606878202.html 1/1 10/2212020 tmp_ew5report6066059388368614444.htmI 101�2020? ^,i(Ifl�g MEMORIAL MEDICAL CENTER 0 ii 09 52 AP Open Invoice List Dates Through; ap_open_invoice.template - i/e�tt�o`rd Vendor Name Cass Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 101520 10/19/2020 10/15/2020 11/12/2020 776.08 0.00 0.00 776.08 1 TRANSFER NN 1nN,LVkjjU_. p�/irt J(,(•( 4 Ihi~ *WC, orw4_i-[ti/ 101420 10/21/2020 10/14/2020 11/12/2020 12,739.68E 0.0 0.00 12,739.68 PAYMENT ADDRESSED TO GC Nlii IVQVtAdLUL �`� dcpob,47tL kA6 mVkL, Werr._{1t Vendor Totals: Number Name Gross Discount No -Pay tQet 11836 GOLDENCREEK HE 13,515.76 0.00 0.00 13,515.76 Report Summary Grand Totals: Gross Discount No -Pay Net 13,515.76 0.00 0.00 13,515.76 A"W$V3W M6 OCT 2 2 2020 00"WAMMM C"OW car, 7WAN file:IIIC:lUsers/mmckissack/cpsilmemmed.cpsinet.comlu6B150a/data_5/lmp_cw5report6C66059388368614444.html 1/1 10/22/2020 imp_ cw5report3636682245541236143.htm1 ' 0 1 MEMORIAL MEDICAL CENTER 10/22/220 10:04 1 ^.v `1 `; 1 AP Open Invoice List 0 {.�,.4Jb - - Dates Through: ap_open_invoice.template Vendor# Vendor Name Class Pay Code 12752(`t'""` `""':� GULF POINTE PLAZA —RiJaF-c paN Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 102120 10/21/2020 10/21/2020 11/12/2020 139.08 0.00 0.00 139.08 CHECKS ORDERED Vendor Totals: Number Name Gross Discount No -Pay Net 12752 GULF POINTE PLA2 139.08 0.00 0.00 139.08 Depart Summary Grand Totals: Gross Discount No -Pay Net 139.08 0.00 0.00 139.08 WZ&M*Vi ow OCT 2 2 2020 00UwWaift eaLW,Dl er C®cw., ?%wl file:l//C:/Userstmmckissacklcpsi/memmed.cpsinet.com/u88150a/data_5/tmp_cw5reporl3636682245541236143.html 1/1 10/22/2020 tmp_cw5report3981697194098004868.html i I i F../'..1:i� 10/22/2020 MEMORIAL MEDICAL CENTER 'jr 31 AP Open Invoice List 09:50 y1(,E r,!Wf7 0 ap_open_invoice.template Dates Through: Vendorq, �, , , ^�n�; Vendor Name Class , Pay Code 12696''r r ' - - GULF POINTE PLAZA Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 101520 10/19/2020 10/15/2020 11/12/2020 16,934.41 0.00 0.00 16,934.41/ TRANSFER NVt II�SIAYkY1Li_ Jl k1 d1W6,(}cd tV< wwLf— 0p(Bi;Lv'�� 101420A 10/21/2020 10/14/2020 11/12/2020 7,419.90 0.00 0.00 7.419.90V/ PAYMENT ADDRESSED TO GP NN jYW VKYI.U- Vv3 V k de VO%n fa lv IH AkAAL. OVUv .K , 101520 10/21/2020 10/15/2020 1111212020' 644.16`�0.00 0.00 6Xn16 PAYMENT ADDRESSED TO GP �Itt 1 it nt _U_ Ny lU ' 1f b lvwc- j d q04' Tw- o fu- 101520A 10/21/2020 10/15/2020 11/12/2020 911L.68, 0.00 0.00911.68 PAYMENT ADflESSED TO GP IVN-IVlllAhf�4- .:} dCptSt 1�'t V,6 WillAL, i)ru- 102120 10/21/2020 10/21/2020 11/12/2020 139.08 0.00 0.00 139.08 ✓ CHECK ORDER (j'N 4L(Ut,) Vendor Totals: Number Name Gross Discount No -Pay Net 12696 GULF POINTE PLA2 26,049.23 0.00 0.00 26,049.23 Report Summary Grand Totals: Gross Discount No -Pay Net 26,049.23 0.00 0.00 26,049.23 AW317i Caw OCT 2 2 260 e' °t'««pW, ?WAZ file:///C:IUsem/mmckissack/cpsi/memmed.cpsinet.com/u88150a/data S/tmp_cw5mport3981697194098004868.html 1/1 10/22/20I�0�.,1. •: �' yi tmp_cw5report6472678112716372323.html / rtsl i MEMORIAL MEDICAL CENTER 09:511 AP Open Invoice List 0 i. ,. i.�.,rh�t+�i�(:agnr• Dates Through: ap_open_invoice.tempiate C rVendora �.., Vendor Name Class Pay Code 13004 TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 101520 10/19/2020 10/15/2020 ll/l2/2020 2,664.97 0.00 0.00 2,664.97 TRANSFER Jl/N IY ulfigw- n�K� df`07fsi A iK_j, YSIIItiL 0"_k- 101420 10/21/2020 10/14/2020 11/12/2020 7,434.44 0.00 bb 0.00 7,434.44 PAYMENT ADRESSED TO TV Nth II1W(1kIL(e_ (pLjgt JtpoSt}c,(. I K b IkkW-(- (1/N Nt�( 102120 10/21/2020 10/21/2020 11/12/2020 139.08 0.00 0.0 A9.08 CHECKS ORDERED Vendor Totals: Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 10,238.49 0.00 0.00 10,238.49 Repot Summary Grand Totals: Gross Discount No -Pay Net 10,238.49 0.00 0.00 10,238.49 AAVWMW 4w OCT 2 2 2020 WWWAIIJIMMM CALZOM C(S'r Vr-, rMAB fle:///C:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150a/data_5/tmp_cw5report6472678112716372323.html 1/1 10/22 20 +'i t .,} {� imp_ cw5report3ll7o48942814207818.html MEMORIAL MEDICAL CENTER AP Open Invoice List 09:50 �rl;q;;i . L,.cStGSld. �,�a;i�r a bS Dates Through: ap_open invoice.template tags Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check Dt Pay Gross Discount No -Pay Net 101520A 10/19/2020 10/15/2020 11/12/2020 280.74 0.00 0.00 280.74 TRANSFER �(jj jp�Uv0.t1l.C, Y�jr�fi dgoNl�al ir1�, nkw%ki (Vm t".n 101520C 10/19/2020 10/15/2020 11/12/2020 528.00 P00 0.00 528.00,,,- TRANSFER NN 111SU✓H✓•,�I „t jCp09,6A IA6 (V�{V.1� O�k'ylwji Vim./ 101520 10/19/2020 10/15/2020 11/12/2020 704.00 0.00 0.00 704.00 L t TRANSFER Np 'IVI,�.lY KLe_ �v t d(.�10k k(t 141v YI y,0 KAkL_ tyu-i�'�( 101520E 10/19/2020 10/16/2020 11/12/2020 1,760.00 C�.00 0.00 1,760.00✓ TRANSFER W H jri`uV✓`KAu_ "t &Vot;kt t j w<h k4.Wit, 102120 10/21/2020 10/21/2020 11/12/2020 139.08 0.00 0.00 139.08,/ CHECK ORDER Vendor Totals: Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR 1 3,411.82 0.00 0.00 3,411.82 Report Summary Grand Totals: Gross Discount No -Pay Net 3,411.82 0.00 0.00 3,411.82 Ares M 4w OCT 2 2 2020 caVOWAMWOM sA 7,: file:///C:/Users/mmckissack/cpsi/memmed.cpsinet.com/u88150a/data_5/lmp_cw5report3117048942814207818.html 1/1 Memorial Medical Center Nursing Home UPL Weekly Cantex Transfer Prosperity Accounts 10/26/2020 PreNvu. Ted.V, AM... Beginning AM 0ee1491n8 Amount to BeYee trained to NumnB hundria Name Numbn Balance TrantI I. T4ntlerdn Pan"W ..Y4 Balance Home 256,31i.40 133.149.d6 356,109.65 3]9,i)E 59 / 256.309.65 Bank 8a1ame 3]9,1]2.59✓ Van ... I I.e. In Balance IN aB Bvu6no ln/oneefum In, A,hro,d GcMem: Pending IGT Coed / 122,9629f ✓ OPP 22,3 MD - ONoberlmerem N4Nemb.r interim - Oeereberinterert Adjust Bab.e/Tnlnfer Met 356,109.65/ 32,890.9l✓ 22.790.91p/ 342,]]9.24 / 84,13329✓ Bd,02379✓ 251.765.08 A/ 9,594.81 3v - 93,727.74 35.345.36 ✓ 135,245.36/ 286,44819 y Raulino ln/nrmolron forGrt ene/,Wnoal We rx "LLc 'I a nem. Dmrbolona,o/a.rr S;mo.,nrae nonpo,. v U , Nvle 2: Fvalr vemun! bvv v bv,eWlvnce of 51Po In f:\NX WeeYIY Tranvlerv\NM VPliranvler Summary\In30\MOber\Mn Vpl Iran,ler lummary 10.E629aN. E43,879.24 / 242,979.24 Oank Betanw 2R,8)9.34 ✓ Variant. Leave In Balance 10000 OIPP 1,2,3,4 IS lapse - October lmwMt NPuembvr Interest - Oe<emberlmerat - Ad,.,,B.4me(namferAmt 242.279.24✓ 252,355 03 / 251,673.36 Bank Beim. 251,665.03 Vamime leave In Bale.. 100.00 UIPP 1.24,48 lapse Cx DEPOSITED IN FRRORFOR MMC 91.72V October Interest NovemberinWMA - Oeeemberinter dt Adjust B.anm)iren,for Am, 251.67336 93,322.55 42,928.98 Bank Ball.. 93,322.55 Variance leave In Balance 100.00 Cx DEPOSITED IN ERROR roll MMC 131.S4� gIPP SE3d RETURN OF IM 50,162.03 October lnt..,t - Noaembe,Intenet Macomb., Interim - AdjmtBaNnce/TnnsferAm, 42,928.90B/ 286,548.69 / 286,448.69 Beek Balance 286,548.691/ Va... Leave In Balanee VXLw Dneberlmemt OCT 2 6 2020 NovamWr Interest - Oecembertnterot - /8/ �Q$i�OR� Adj.m Balanee/reaWal And 286,443.69 ✓ �izr TOTALTMNSFERS _ 19)993992 Approved: manenglln,CEo 10/26/2020 ION1,M0,1 0...W.m Dl nnS{e we mxeeUUD]Olo noaxvlN e.nJ De.,nN la lo.l9IDm,u UUJ IE"r, 9.6•'1 MMCIUNN N QNI/TmM T$�•N. 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HCCEAAI]NMO IO 10/t}/MIO UX[COMMVXITY It NC(UIMPMi]4,m1.1191WtlIWI'1']OIOI OEI IIIODII.191141UL1'QPlT FA01\ Il M9)J $,)SOW 20 IIOY.iAS 501V 110f111(MIMIMi M6111 J]OIV IW IAN•1'LR5- 19]!•1105IY61)]•D.Up910111 1BIT 119,ITS 11 34 12 'II' '»• •]010}l'09l !• IO 10M,O M01@4N@MXUPAI WISMfHM49}015.]ENTS14S 1.MD. .,1f6.6f MME11 519.1'. 11 true )S I.I II.H ]M$ROtO MWAOU11 MEi111e M11S H1Hi11141.1 WSHAS W S.e30M 1MMOt0 PI HCCWIAPM669M1191f601A1'1.10EOf 0SS 151O'll li•191ECQ161M[WI\ S.e 50,M TOR )ROVHCC NOVIUASSMUTIONXCCWMMT6163t1 5EISSMME - IDRO2 20 HWtHHVMW SVC MLCWMIMT114Y$IJWI2 fi5SE1 $5S4S3A)MAI / I5f.11 040}1.19 iIt]65W •/ 0S6.65 TANCIN H9H1 ]6 BUTCHISHOUT d pPl m om i,. mlTe.ln dlWtampl dM/fompt OI M((n mpl .Upu dPPT NNPoRTON 1W19/10]O VNC COMMUHIM1)I XfWIMPAffMOM)I INTENT TRN'Ir1WM016H](O161-1913OH)M•Ol9NEW1\ 3SIt115 IM}ROI0 VN CCO"ImryMHCMIMPMI]46'A141191T UMr).}Ot0@3]I51014U-1913Me161.d TU01\ 9eMED - MAIL .1 TOR 1R0}0 NOVIMWLUIIMHCMIMPMT6]566J4tMM)91TRN'IYR5)4340'IE05}9411]•(R}L@11\ S.]19.H 1}HM IW1l/So}o MWUNA X EMWHAA CUN AA CH MN1eWRMM12O4•• • 'II' 'R' `]0101}•W11' 6M>30 S,lip.]e IDR)ROt0110M]ASSIXITON XLCWIAI IIAI6]SHJ.INYJ191 iPX'1•[RS)1 H10'S105I961P'WYp. AW 11\ � 1).6M.11 f,011.,$ ),p 11.M EOU 6! 11,6W.11 H,A).H J 90311. IOHH NM o MMCITHEOX WM/4mM Tr•m1�x0r1 },•n W11/Lempl bIP/(wnpE dIp/Comp) {Ypu OIPIT HN IWI9R030 MVNRI AINCWMPMtilA4MlA 1191Og1 RX'1'3010101611EM I30.1913W 161'0RU1EA01\ IIS4 ],6M.14 AS IW 19/30}D HOVIIµ5IXN10N XCCUIMIM$M6110 J1NM1%@N'1'[El5»)66l'1]051961))'10.W10111 - 1.5»Ip 1,691.11 I.H. NOW SW 1911WO HU1@NUMW SVC HCOAJMAMT 17HOW1I11W11@II.1'USWIHHIJ91HIE59•INETOISP ),5»ID IORMO]O NALOWEWpNET1111 EDIIIMNI0VD1p%WIHIII OISM0I 5.5iSM )OM I'S]S CT, 10/10/@30 MOVRAS SOLUTION INCLUMN&T6161104iIRO105IA X •1'IR3)191A 1' IIM3961PYIX0]1011\ SM9}) ]OM 101)IR0,0 WISE OUT CWIEI N(µ@ UR( CLIHNO XI 115]ISIS 5.619IJ IW11R0}0 M4NAOWIOtILII)II MNf FIANTfW]MdpMMl. AT 0266313 HSW IMWNIE. DECLOMM UHIt91111CMIMPMTIMMH11910LN 1R11•I•}Ot01011 HN0)....... M 116 I-WW,WI\ I.SR 61 MSM I0R W:;o VC COMMUMMAIH=MMPMT]1W91139N01@Nr1'},@ION IIM l l' 19E3M jM.A WEl01\ 4J 06M I.S1},M 1Ml/]O10 UHCfemmumryllNCMIMIMt»fM)1I191Tlp 1PN'1'2E)NOU1MYMS01r1911COUNI-ENOWT01\ RISE. 1,1560E 10/3I/10a UH(COMMUNMIl HCOLAMPMI74=341191W}Il.11•1'lWWO111I5Wfl}•1911We163'0A11ER01\ I,.1NM ID/S2/,01a MOVOAS HOUN WM NCCWMINT 616)IO QWQWH THE' I'(fll»3911-IUOSZ 61A7-NMW 1)6M 116W 10/Il/@}O MOIINA Nl41IXW MIXIN14M M1919@!}1LLS1111H• •' N. •H• 'WHOI'W34- - 1A9W11 1,I30M IJMU I OR I/}O}O Am1-P "'. KILA AJIMT I1110,25, I'MTRN' 1')I15W915t'1]SIONIm 1,12O.. 5.610.1} I.610.It I DR1/IO10 VHL COMMUNIET IT XCQLMMPMi)4hpMIl SNOW 1RN'1'30]O10!}1}M11]6'191IW3161' tEA01\ S.]Mli "INT. IW]l/tDIO MOVTAS SOLUTION II('IIAINIAl16>6110 A10.N19i tR X'1'(RSl)Wy!•1HSl %IP'p1YRW 11\ I.e%W EWS.M TORW 0]ONULM MUMWSVEHCCLD"PMT17HAW!11)W)}RN'1.054»HSH9)li It i9'III[Q0156` .16616.]I »1.116]I E016M 1.0I6M IL3]45.16 H(W.M STILL" SAN 1. 1H 1. NOW llf,EW.H EH0.1HAp ISRNa IJ J51.99 TION.9]9.A1 101262020 Quick View Select Owck View Accounts Account Number / Name Account Type Treasury Center Select Greuo Grou s ncu Gm1:c '4381 MEMORIAL MEDICAL S379. 172 59 S•t51..;i5t1 52 5379 17259 S2W,989.88 CENTER ! NH ASHFORD •4403 MEMORIAL MEDICAL CENTER/NH S242,87924 S259.461.58 S242.879,24 S201.139.12 6ROADMOOR •4411 MEMORIAL MEDICAL S251.865 06 S283.772 21 S251.865 n8 $222.9899'. CENTER! NH CRESCENT '4446 MEMORIAL MEDICAL $93.322 55 S105.541 0c, $93.322255 $19.621 911 CENTER t NH FORT FEND V438 MEMORIAL MEDICAL CENTER SOLERA AT c2g6 `,id r.') 3 53a LJA36 68 5286.548u .6. 5.19 A6fi 9!i WEST HOUSTON nitps: rprosoerny. olnankmgcom,onlmeklessenger t. t Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 10/26/2020 Made.. Account Beginning Pending Today's Beginning Amount to Be Transferred to Nursing Ahreln Home Number Balance Lansler-Olt T'amhrin 6e.site Balance He., 116A66.Ba 71'11.0% 2T 671.86 324,704,44 / 244,671.86 Bank Balance 334,7" ea ✓ Variance Rol lnlormmion for Borden Creek' Note: only balances of over S6,000 What transferred to the nursing home Able 2: Each account hot o blue balance of flo0 that MM[drp0sited t9 open acmu.L F Val Weekly Tramfen\Nll UPI Transfer Summmy\2020\GdobegNH UPL Transfer Sumnury 10-2640 dsr Lases In Balano pending lGT check 300.00 g0,01E.68 ✓ October interest Noyembee Interest December Interest Adjult Balancel3ressferAmt 244,671.86 Ad roved Jason Anson, CEO 10/26/2020 AFPWV' am OCT 2 6 2020 0&CA MMCIORTION • [!_l yPP/ComW65 I NH T n 1 r.O Tr n I rJn GIPP/(ompl qMP/temp! NPp/fompl OWW9PN PORTIONNH 10/311010 Y/Igf 0U1 N(MON XGIIX Ai0010(q Jy.jij 94 I/10 MNSfIR1 BRL011lM I5U%4555316917954361455557691740I Of I1 LPE(R IIG IlIlpq 101910 1 1./M2.10 DEPOSIT 519Ej1 l)IlM y5.591 }) 10/11/3020 NOVITM SOLO iI.N .11CI]APMI 6]$W]f}P%VIYJiPN't'F/ly ]l ]0$l'1)Oy3 %1!>'W%'W011\ t)LIM J6 - I]B,N6J4 10/}!/1010 NG1]XN 1KNIPVC NS107594II]JLW]JI5513 MNgt1.1'%G}]5} 1410]5%J•1071% I55' I¢13.1] 1,51111 10/}I/}O10 CI4H>XCCLVI.IPMI l5 BB 0]596J 91M 1}9555>9 LPX'1'tOlO}W)OpJB)i 1.159I0110111 },}BBW I S.j BqW JS,K1.95 Iu,QIJ6 E."?, 11 10126'2020 Quick View Select Quick View Accounts Account Number %Name Account Type Su.1, rb r All Treasury Center Select Group Groups A;id f;rou(: uuA D, t. .l tuU a.. I Oct -11� -I(II-Ic .;,i Account Number Current Balance Available Balance Collected Balance Prior Bay Balance :aaL MEMORIAL MEDICAL i S12-1 76a AI 5336.936 56 S324. 78.% S4 5 tttf.U61 2- NH GOLDEN CREEK HEALTHCARE r npos gprosperity.ulbanking.com+onlineklessenger Memorial Medical Center Nursing Home UPl weekly HMG Transfer Prosperity Accounts 10/26/2020 9ndout —I to w M,evnt 8mmnl vmab+9 due rnndnlmm Nu„n9 xome .,cob.,gen[. ,inmle,.out �mr...m dm..ne w.e , Lids 11 o,31.i1094 JI.JJ9.k8 /31.279.88 Bank 8.lmm 31,JJ90P ..o«.e.n,n Iwlnrz. INN Onob.11ma.tl - xm.mq.m.e,en •JdIUX Babme/rnntln4nl 31.319.99 Y 9rnlWt gmounuo Be Mmunl BetNnlq Penlin9 Tnmr.n dto Munln Xem. •�W tut, SrknalOw uemso n .CMne! w 6t Tod. ,Be InnIn 01 Nwln Home 3t.6]9.5] I""s] I6B.6]s 00 I61.7- �BS•619.Bo qnk U.— 161.>IS OJ ntn.e tot... B.I.— Ined wlogrinleren xo.emb.,lm.reu - not..Mmnnl edllnl Btl.np/Snn./n.1 161.k IBAO.. / TGTo,mdInFW$ 19.....ad 1.11, 0n11bN."t, of om $5."w8be'—It ...d to Ib--d nom.. Wl.2: Earth ollounl bo, o bore ho--l0 $1 to 1h., MMC In.. I'd Ju ad —co.,, I. OCT 2 6 2020 xA CALII+D4w cOCvrwJ'�� rwx wedN n.mingxx unu.nnm s.mmtnVw9wnnenv.xvX v.nn„ snmmtn 1Bzuwmu. NIMC PORTION QIPP/COmp18 NH Tmn53en0U1 TJim3eldn QIPP/CPmpl QIPP/CNNP2 QIPP/CamP3 0". QIPP 11 PORTION l0/19/2020 HUMANA INS CO HCCUUMPMT 67418283WN542131 TAN •1'COII9C0531Wi5!'1395163i23\ 113139. 3,31398 10/19/lalO IIU-AEA CM 0150 NCCUMNIPMI 624982420�WIS92 TRN'P014MO101))9512'1611013183\ � 2,2W.9 2,20U 51 101201202a NUMANTCHA OISSHCCIAIMPMI 6249924200 l2W tRN•1'014940103)8288)'1611013163\ - 25.905.41 25.903.41 20/21/2020 WIRE OUT NMG SERVICES. IIC S.NqAq- 0/21/1020 IIARIANO CURVE CHR ORDERS IQRW230712452RS 91 139.08 S.A48.32 31.A18.% 51 418.11 TIemECPOPI 10/21/2020 NARIANOCIARBE CHROROERS IQRW3350124520591 13908 10/22/2020 WIRE OUT RUG SERVICES, IIC 21,390.49 10/2212020 DEPOSIT 10/22/2020 NORIOMN I3A IICCUUMPMi 6]5692420CM1%89951RN9'EfT6999905'1JS01]31S5.0.M't03( 10/23/2020 NORIDIANDA IICCMMPNIT67SA92 i2000011001341RN•1'FIT/O0pG3]'IJS01]3185.O.Ud03f MMCPORTION QIPP/CgnPCS NH Tnnfknln QIPP/CPmPI QIPP/Comp! QIPPlOwIl I.;` WPPTI I PORTION !!,2%83 61.117.92 82,206 25 22.29083 61,11792 82.20625 3t.S39.S) 365,619.00 I63.615.% 26.978.3, 197,033.96 197033.% 10,26�2020 Quick View Select Ouiek Viev, Accounts Account Number : Name Account Type Account Number Current Balance Treasury Center Select Group Groups i.c<I Group Dala l Available Balance Collected Balance as of Oct 26, 2,.20 5 Prior Day Balance PLAZA $165 719 00 3188.839 05 $165 715 00 S83 508.75 MEDICARE:MEDICAIC q;0 MMC -NH GULF POINTE i31 379 88 $3' 379 88 $31 PLAZA - PRIVATE PAY3 79 6a $31 379 8a 1 '14.iu... r 1'anv 9emm�rei oo nL.'r .' .�. n IIpS /pro5perily.olbnnking. comtonlme M e55nn gar memorial MOEioI Center Nursing Nome VPL Weekly tu3Ceny Tremfer Prosperity A¢ounts 10/26/2020 MON•XYm. pmmN. Nlx.x aplxrenmxrtrmn.r aml s3.nuP r. o.n uO.:rrolprx ti el x $1.1" ona.+Tr xarc)(a'n¢i wnl nv.a aaveSxrp vl Sltl pT Alv(prvrrr p re opnmu.nr Ix.n:1n al 10/1!RMe OCT 2 6 2020 OOUMW AUMM c xoxw omwff. 10/21/2020 WIRE OI2T LINBAR ENTERPRISES. LLC ID/22/2020 DEPOSIT 10/25/2020 KS PUN AOMINISTNCCIAIMPMT 179111000026776TRN•1-N MMC PORTION QIPP/Comps TIRASfer-Out Tmnsfer-In QIPP/Compl QIPP/Camp2 QIPP/Comp3 8taps¢ QIPP TI NH PORTION 41.228.09 - - 51,895.26 4.320.00 51.895.26 4,320.00 41,128.09 56,215.26 56,215.26 r 10126�2020 Treasury Center Quick View Select Quick View Accounts Select Group Account Numoer' Name Groin Atltl GrouF Account Type Gala reponod as of Cicl 213. "0211 8 1407 MKIC -NH TUSCANY S56. 7' S 26 S406 543 01 j50.915 213 55. cs, 'C 6 VI: —AGE )"' n• , nttos,vosperuy.olbankmq com,onLnsklessen0er Memorial Medical Center Nursing Home UPL Weekly HSLTranster Prosperity Accounts 10/26/2020 P,.w... .—I ro Be Aaiovm B...nnlry venem9 n,nn.rr,Jm xumn xom. Y•v-n.. Bnmrc Ginner-om nnn,r.m n. a..r.e B. mm md, ,a.0.11204,e. x."I xome 1 ]).BBB Jd 3».SBBiB i1093B 38 - {I9,olB.3t i,81939.38 B,nl Uu— i13 tus Nn I.,re menn+n,e IWw IXraha lnlnot Hwemberinle¢ar Oeambermbn,r 4dryn B,linn/lnmlerAml {19,91B.It NaWly b.W.I of ever 55.0W wR be non./.rRd to lM n11n9 h—, Aparoled: N.':tt EE.1h oreoanrM1aSO Barebnlan,ea/SIMIM1e(AIM[Je(ruhJ to oxn armunl. 3,ren An ar,EEO 10/S6/101u 'M 6v OCT 2 6 2020 oaas�r e r Wxvree113)r.n rlerr\lrrr Y......... Sum n.nlSo3%OnoMrVrrr V:I)mm" Summrn v,,b 0.rhr a r 1 10/19/2020 NOVITAS SOLUTION HCCLAIMPMT 676481420O00190 IF 10/20/2020 DEPOSIT 10/21/2020 WIRE OUT BETHANY SENIOR LIVING, LTD 10/21/2020 NOVITAS SOLUTION HCCIAIMPMT 67"81420000105 TF 10/22/2020 DEPOSIT 10/2212020 HEALTH HUMAN SVC HCCIAIMPMT 17460034113016 2 7 10/23/2020 DEPOSIT 10/23/2020 H05PICE OF SO TN VENDORS NF 910000I3850652 10/23/2020 NOVITAS SOLUTION HCCLAIMPMT 67648142DO00198 TF MMC PORTION QIPP/COmp4 Transfer -Out Transfer -In I QIPP/CemPl QIPP/CemP2 QIPP/CemP3 &lapse QIPPTI NH PORTION 5,046.83 - 5.046,83 4,190.13 - 4.190.13 172,588.48 - - 301,254.44 - 301,254.44 91.462.80 - 91,462.80 1,958.27 - 1,958.27 3,368.37 - 3.368.37 138.91 - 138.91 11,518.63 - 11,518.63 112,588.48 418,938.38 418,939.39 1026 2020 Treasury Center Quick View Select Quick View Accounts Select Group Account Number I Name Groups I At1J Group Account Typo as of Oct 26 0 ;, 8 Account Number Current Balance Available Balance Collected Balance Prior Day Balance ,55() MMC -NH BETHANY 5-119,038 38 S•119.038.38 S419.038.38 S,104 012 »? SENIOR LIVING h I1o5 %'proeperify. nlbanking.romlOnll0ek1955eng8r f'acc rowanRtl on n�'T: i_ _o . P1 1\417WORIAL MEDICAL CENTER CHECK REQUEST p MMC OPERATINGUate Requested: 10/26/20 A FOR ACCT. J5E ONLY v m"""m FlImprest Cash E. D/P Check ou 2 ElMailCheck to Vendor Return i C:h(-(:[; to peps PAKAR AMOUNT 91.72 (;/1- NUMBER: EXPLANATION: MIMIC PT PAYMENT DEPOSITED BY THE FACILITY IN ERROR — f0.O,UFIJFIJ Wi CAITLIN CLEVENGER , p MMC OPERATING A VIEMORIAL NIEDICAL CEN"11-1 f. E K (".Ll'E'Cl( REQUEST Date Requested: 10/26/20 POR ACCT. USE ONLY hpp�mvjft Dimprest cash F 6K 17A/P Check OCT 2 6 2020 Wid chock t0 VF-lldol r7illctum Ch(,ul( co i.-)epi CALWOW COV"Tf, 'AMig AMOUNT 50293.57 (k NUMBER: FXPLANATIOIN MMC PT PAYMENT DEPOSITED BY THE FACILITY IN ERROR IGT Return pyrnt owed to MMC 5-0111i 1,. 0 W.UtiF:�TFIj BY CAITLIN CLEVENGER 7- 777- RUThIGk2FD BY. �. 1 .51 1." October 28, 2020 2020 APPROVAL LIST - 2020 BUDGET COMMISSIONERS COURT MEETING OF 10/28/20 BALANCE BROUGHT FORWARD FROM APPROVAL LIST REPORT PAGE 23 $372,208.01 AFLAC P/R $ 2,948.15 ` PRINCIPAL FINANCIAL GROUP P/R $ 1,764.49 TEXAS ASSOCIATION OF COUNTIES HEBP P/R $ 202,576.55 AT&T MOBILITY A/P $ 111.12 BEN E KEITH FOODS JAIL- GROCERIES A/P $ 9,305.27 CAHOUN COUNTY GENERAL FUND 3RD QUARTER F&F REPORTING A/P $ 5,807.44 CALHOUN. COUNTY JUVENILE CASE 3RD QUARTER F&F REPORTING A/P $ 92.41 CAP FLEET UPFITTERS So- CAGE INSTALL A/P $ 4,980.64 CAREERCERT EMS- OFFICER TRAINING A/P $ 139.05 FRONTIER COMMUNICATIONS A/P $ 391.48 GULF COAST HARDWARE SO -SUPPLIES A/P $ 58.01 K-D MATERIALS & TRUCKING RB4- SAND AT $ 900.00 MOBILE WIRELESS IT -ANNUAL PREMIUM A/P $ 2,792.00 STATE COMPTROLLER 3RD QUARTER F&F REPORTING A/P $ 67,796.97 VICTORIA REGIONAL RN JUSTICE/DETENTII CCJPD- DETENTION SVCS A/P $ 6,634.00 WHITE TRASH SERVICES A/P $ 1,219.80 TOTAL VENDOR DISBURSEMENTS: $ 679,725.39 COUNTY PAYROLL & EARLY ELECTION CLERKS FOR 10/30/20 P/R $ 335,778.12 TOTAL PAYROLL AMOUNT: $ 335,778.12 TOTAL INVESTMENT ACTIVITY AND TRANSFERS BETWEEN FUNDS: $ TOTAL AMOUNT FOR APPROVAL: $ 1,015,503.51' � yqC ro3 Ova 9 tin � a m M m N [') ti N (7 b O yC > mm m � n m N H n u u u U u u U u u u u u u u P P u n 0 0 0 0 0 0 0 0 0 0 0 0 0 o N N o n S nC av n n n n r OCn n�" n-n n>w�r"'n a�Dmna MHrD 97OHrD1 gm�m0O < o2' n 0 wa rC O ,0- cri no n cri chi cri n Pp E o 0 0 0 0 0 o m yzy z yzy Z n n U < 6 m m a 0 m M Q P a P P T T Q P O O J V W WP A N 6 0 O .P L A A A A A A N W PK O O y O O w C g VOi OP O b b J N tPi� N ... u b N Da U y O 3 C W N O °n CC) CC) CC) n CC)T y.� a„ w a „ A� ye 7.1 w .. a,� S a ur (b a .Q a rm aF�, a se yf� Cu ,mac]a Cs a C Cm r„n Cu Ca C) Ca Ca wag. �rn �a =rn �rn y N m Vm! !m/1 Vmi Vmi Vi Vmi Vi X i� Q A Oa �O P N U W A U w O O O W O O h O O y C y y a y H m P P P P U U U U U U U U U U U U U U U U N N W W W W W W W W W W W VAi VAi W W A d A ,Pp P P P P P P P P P P A A Oa A O O O O O O O O O O O O O O �p�p775 C C 2C 0C[- 2y2 m mCOCC a CO OCO yO CO DC Or" yVi yy nrnt- nr nei 7a A?O�t^ y �' y m m m croi n � croi z n c<i yy n >cmi y o yn n o o C CaO;va c n n n o n n n y m m m m F A .ro A y o 0 0 0 0 0 0 0 0 0 0 J W W W N N N N J J J P W P P P P P P P P P P P P u u rn a y > N N b b b b b O O A A A A A A A A Aw U N N N N N Ga W W W OO O] W Oa W Da G A N N N W O O W u 3 3 �Z3 z3 C3 C3 yy nCro H�i nW3� m03 pmpm� n C m3 aa a a00p -z1 y m y ro �i ro i ro ro ro ro ro i3 =77 O N O� y� y�? cycw y C)�O Fro a�v �o ��o �e ��o a sae time pe O za ronPO ro9�P0 ro'00 Croa no HaO A.�y.1aHU0 y99caHP0i C CccCC2F p p m A A m'mP '4` m4` m°' 91 m4` " y A A A y y m y y m y y m m �o N U in pug V� u� {A O O O O U A O O J N O b b J b A b A Ce 9 w a H m R c 0 C pO SC O m m n d 0n0 0 0 0 0 0 0 00 0o c A . 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