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2023-01-04 Final Packet
Jul iICI\II"I.I:II�) �III:I�I V All Agenda Items Properly Numbered NContracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's ) JLlL All Documents for Cleric Signature Flagged l� (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this day of 2023 a complete and accurate packet for A4K of 2023 Commissioners Court Regular Session Day Month was submitted from the Calhoun County Judge's office to the Calhoun County Cleric's Office. Cal oun County Judge/Assistant C:\Users\Maebelle.Cassel\Desktop\Agenda Templates\PACKET COMPLETION SHEET.Docx i NOTICE OF MEETING — 1/4/2023 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney ][caddie Smith, Deputy Clerk CALHOUN COUNTY COMMISSIONERS'COURT REGULAR TERM 2023 § JANUARY 4, 2023 BE IT REMEMBERED THAT ON JANUARY 4, 2023, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Call meeting to order. Judge Richard Meyer called the meeting to order at 10:00 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. n/a 5. Hear a report from the Calhoun County EMS Director regarding the Texas Department of State Health Services inspection survey. Dustin Jenkins gave the report and thanked the Court. Page 1 of 3 NOTICE OF MEETING — 1/4/2023 6. Consider and take necessary action on special membership categories with Texas County and District Retirement System and enrolling the County District Attorney in the TCDRS Retirement System. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. C onsider and take necessary action to authorize a loan in the amount of $95,000 from the General Fund to the Grants Fund for CDBG Local Hazard Mitigation Planning Program. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese S. Consider and take necessary action to declare the attached list of equipment from Justice of the Peace, Precinct 1 as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 3 NOTICE OF MEETING — 1/4/2023 10. Approval of bills and payroll. (RHM) �� RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills 2022 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills 2023 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:10a.m. Page 3 of 3 AGENDA NOTICE OF MEETING -- 1/d/2023 Rich2rd H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, January 4, 2023 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. AGENDA The subject matter of such meeting is as follows: A7 �- �'P P1LW I` 1. Call meeting to order. DEC 2 g 2022 Invocation. .Piedges of Allegiance. 4/General Discussion of Public Matters and Public Participation. 5. Hear a report from the Calhoun County EMS Director regarding the Texas Department of State Health Services inspection survey. z/ 6. Consider and take necessary action on special membership categories with Texas County and District Retirement. System and enrolling, the County District Attorney in the ,�TCDRS Retirement System. (RHM) 7. Consider and take necessary action to authorize a loan in the amount of $95,000 from the General Fund to the Grants Fund for CDBG Local Hazard Mitigation Planning /Program. (RHM) 88. Consider and take necessary action to declare the attached list of equipment from Justice of the Peace, Precinct 1 as Waste. (RHM) Page 1 of 2 NOTICE OF MEETING — 1/4/2023 9. Consider and take necessary action on any necessary budget adjustments. (RHM) 1d. Approval of bills and payroll. (RHM) Richard H. Meyer, County 1 d Calhoun County, Texas A copy of this Notice has beenplaced 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 continuouslyfor at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.ca l hounCotx.org under "Commissioners' Court Agenda" for any official court postings.. Page 2 of 2 # 05 NOTICE OF MFH-INt=, — 1./4/2023 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 Sara Rodriguez, County Attorney ]Kaddie Smith, Deputy Clerk REGULAR TERM 2023 § JANUARY 4, 2023 BE IT REMEMBERED THAT ON JANUARY 4, 2023, THERE WAS BEGUN AND HOLDEN A REGULAR MEETING OF COMMISSIONERS' COURT. The subject matter of such meeting is as follows: 1. Call meeting to order. Judge Richard Meyer called the meeting to order at 10:00 a.m. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. n/a 5. Hear a report from the Calhoun County EMS Director regarding the Texas Department of State Health Services inspection survey. Dustin Jenkins gave the report and thanked the Court. Page 1 of 6 Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustm.Jenkim@calhouncotx.org> Sent: Tuesday, December 27, 2022 9:40 AM To: Mae Belle Cassel Cc: Lori McDowell Subject: Fwd: Calhoun County EMS Inspection 11721 Attachments: Calhoun County EMS 11721 Close 12 23 22.pdf, Calhoun County EMS Imp Rpt 11721.pdf Mae Belle, I would like to place the following on the next Commissioners Court agenda. Commissioners, On Thursday, December 8, 2022 the Texas Department of State Health Services (DSHS) conducted a survey of Calhoun County EMS. This review found that CCEMS is in compliance with all applicable Health and Safety Codes and no deficiencies were noted. I would like to thank you for your help in making this possible through ensuring we can effectively recruit quality personnel, and have access to up to date, reliable, and effective equipment to treat our citizens. Your continued support of our Community and their access to quality Emergency Medical Services allows Calhoun County EMS to operate in the best interests of our patients. Again, on behalf of everyone at Calhoun County EMS, thank you! Please see the forwarded email and attachments below. Very Respectfully, I. Dustin Jenkins, DMin, MBA, MTh, LP Director of EMS Calhoun County, TX From: "Ester. Dimas@dshs.texas.gov (Dimas,Ester (DSHS))" <Ester.Dimas@dshs.texas.gov> To:"dustin.jenkins@calhouncotx.org" <dustin.jenkins@calhouncotx.org> Cc: "Flores,Reyes (DSHS)" <Reyes.Flores@dshs.texas.gov>, "Vallejo,Jaime (DSHS)" <Jaime.Vallejo@dshs.texas.gov> Date: Fri, 23 Dec 2022 16:02:40 +0000 Subject: Calhoun County EMS Inspection 11721 CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. DSHS Inspection Follow-up — Pass - Please see the attached letter concerning inspection number 11721. This inspection is now considered closed. Ester Dimas EMS Program South Group Office of EMS/Trauma System Consumer Protection Division Texas Department of State Health Services Email: ester.dimas@dshs.texas.eov -rEXAJ 4 G`4' Health and Human Texas Department of State icrvrces Health5ervltes 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 TEXAS a Health and Human Texas Department of State Health Services Services Jennifer A. Shuford, M.D., M.P.H. Interim commissioner December 23, 2022 CALHOUN COUNTY EMS 705 HENRY BARBER WAY PORT LAVACA TX 77979 VIA EMAIL: DUSTIN.JENKINSCaICALHOUNCOTX.ORG RE: EMS PROVIDER SURVEY NOTICE Dear EMS Provider: On or about DECEMBER 08, 2022 the Texas Department of State Health Services (Department) conducted a survey of your organization. This survey was in accordance with Chapter 773 of the Texas Health and Safety Code and. the rules adopted there under. The review found your organization to be in compliance with the Health and Safety Code as described on the attached inspection report, inspection number 11721, which is adopted and incorporated by reference into this EMS Provider Survey Notice. Thank you for your cooperation with this inspection. If you have questions, feel free to contact me or your local EMS field office. Please provide DSHS feedback about your inspection by completing the online customer survey questionnaire at: https•//www survevmonkey. com/r/oacu Regards, Ester Dimas, Administrative Assistant EMS Program South Group Office of EMS/Trauma System Consumer Protection Division Enclosures: Inspection Report P.O. Box 149347 -Austin, Texas 78714-9347 • Phone: 888-963-7111 • TTY: 800-735-2889 • www.dshs.rexas.gov TEXAS DEPARTMENT OF STATE HEALTH SERVICES Consumer Protection Division PO Box 149347, Austin, TX 78714 (512)834-6660 Name CALHOUN COUNTY EMS License Type EMS Provider Address 705 HENRY BARBER WAY PORT LAVACA TX 77979 License Number 029008 Inspection Type Survey Inspection Number 11721 Inspector FLORES, REYES Inspection Date 12/08/2022 This notice is to acknowledge that the Texas Department of State Health Services (DSHS) conducted an inspection of or visited your business on the date listed above. The information that has been gathered is subject to further department review, and you may receive additional correspondence as a result. There is no deficiency/violation cited or noted within the scope of this inspection/visit. SURVEY CONDUCTED WITH J. JENKINS AND L. MCDOWELL AT MAIN STATION. Inspector/Sanitarian: ( FLORES, REYES Owner/Operator/Manager: JAMES D. JENKINS Date: 12/08/2022 Date: 12/08/2022 Emirs NOTICE OF MEETING — 1./4/2023 6. Consider and take necessary action on special membership categories with Texas County and District Retirement System and enrolling the County District Attorney in the TCDRS Retirement System. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner'Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 6 Mae Belle Cassel From: clarri.atkinson@calhouncotx.org (Clarri Atkinson)<clarri.atkmson@calhouncotx.org> Sent: Wednesday, December 28, 202211:52 AM To: MaeBeBe.Cassel@calhouncotx.org; Richard.Meyer@calhouncotx.oxg; david.hall@calhouncotx.org, vem.lyssy@calhouncotx.org, joel.behrens@calhouncotx.org; gary.reese@calhouncotx.org; cindy.mueller@calhouncotx.org Subject: Agenda Item Request MaeBelle, Good Morning. Please place the following on the Agenda for the 1/4/2023 meeting Consider and take necessary action on special membership categories with Texas County and District Retirement System and enrolling County District Attorney in the TCDRS Retirement System. Clarri Atkinson Calhoun County Human Resources 131 N. Virginia Ste. F Port Lavaca, TX 77979 P: 361.552.4450 M: 361.746.2228 Calhoun County Texas # 07 NOTICE OF MEETING — S/4/2023 7. Consider and take necessary action to authorize a loan in the amount of $95,000 from the General Fund to the Grants Fund for CDBG Local Hazard Mitigation Planning Program. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 6 Mae Belle Cassel From: cindy.mueller@calhouncotx.org (cindy mueller) <cmdy.mueller@calhouncotx.org> Sent: Wednesday, December 28, 20221:21 PM To: Mae Belle Cassel; Richard Meyer Cc: Candice Villarreal Subject: Agenda Item Request Please place the following item on the agenda for January 4, 2023: Consider and take necessary action to authorize a loan in amount of $95,000 from general fund to grants fund for CDBG Local Hazard Mitigation Planning Program. Cindy Mueller County Auditor Calhoun County 202 S. Ann, Suite B Port Lavaca, TX 77979 V: 361.553.4610 F: 361.553.4614 Cindy.muellerCocalhou ncotx.ore Calhoun County Texas In 1: I NOTICE OF MEETING - 1/4/2023 S. Consider and take necessary action to declare the attached list of equipment from Justice of the Peace, Precinct 1 as Waste. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 6 Mae Belle Cassel From: Christina.Vargas@calhouncotx.org (Christina Vargas) <Christina.Vargas@calhomcotx.org> Sent: Wednesday, December 28, 2022 8:05 AM To: maebelle.cassel®calhouncotx.org Subject: WASTE JP Attachments: DEC 28 WASTE.PDF Please see the attachment to be added to the next agenda. Thank You Please let me know if you need the original copy Christina 'Vargas JP #i Court CCerk, Calhoun County TX 201 U. Austin RM 2 Port Lavaca, 7X 77979 Ph: 361-553-4621 .% 361-553-4626 Calhoun County Texas Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: Justice of the Peasce Precinct 1 Requested By: Hope Kurtz Inventory Number Description Serial No. Reason for Waste Delcaration HP PRINTER JPDCG8T1C4 BROKEN - DOES NOT PRINT HP PRINTER INK x5 YELLOW 648A NO USE HP PRINTER INK x5 BLACK 648A NO USE HP PRINTER INK x5 CYAN 648A NO USE HP PRINTER INK x4 MAGENTA 647A NO USE Approved by: Date:1&— a 7, 3D y2 # 09 I NO11CF OI' MEETING--1/4/2023 9. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens,' Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5of6 z :F iW i� i� L :w i0 F z D O a Z a V 00000 0 0 0 0 0 m N N it Nv� iER 11MR! 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(RHM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills 2022 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills 2023 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: < Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese. Page 6 of 6 V v v z 0 r H N H n ro Yi 69 m N N a a 0 0 0 W J W W O � o C MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---January 04, 2023 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC BANK PAYMENTS TOTAL; TRANSFERS BETWEEN FUNDS TOTAL NURSING HOME UPL;EXPENSES TOTALcINTER-GOVERNMENT TRANSFERS $ 797A76.44 $126,492.12 $ 782;920.93'. $ GRAND TOTAL;DISBURSEMENTS APPROVED January 04,2023 $ U07,089.49e MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---January 04 2023 PAYABLES AND PAYROLL 12/29/2022 Weekly Payables 283,777.27 1/312023 McKesson-340B Prescription Expense 7,107A6 11312023 Amedsource Bergen-340B Prescription Expense 1,127.38 1/3/2023 Payroll Liabilities -Payroll Taxes 123.937.95 1/3/2023 Payroll 380.977.87 Prosperity Electronlc Bank Payments 12127-12130122 Pay Plus -Patient Claims Processing Fee 748.82 TOTAL PAYABLES,.PAYROLL AND ELECTRONIC BANK PAYMENTS' $ 797,676.94' TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 12/2912022 MMC Operating to Solem-correction of NH insurance payment and QIPP 5,694.51 deposited into MMC Operating 1212912022 MMC Operating to Crescent -correction of NH insurance payment deposited 10,965.42 into MMC Operating in error 12/29/2022 MMC Operating to Golden Creek -correction of NH insurance payment 12,540,90 deposited into MMC Operating in error 12129/2022 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment 31,055.54 deposited into MMC Operating 12/29/2022 MMC Operating to Tuscany Village -correction of NH insurance payment 37,394.00 deposited into MMC Operating 12/29/2022 MMC Operating to Bethany -correction of NH insurance payment deposited Into 11,990,32 MMC Operating in error TRANSFER OF FUNDS BETWEEN NURSING HOMES/MMC 1/3/2023 Tuscany to MMC Operating -correction of Tuscany medicare payment withheld 16,851.43 from MMC Operating TOTALTRANSFERSBETWEEN'FUNDS $ 126,492:12 NURSING HOME UPL EXPENSES 1/3/2023 Nursing Home UPL-Cantex Transfer 490,729.03 11312023 Nursing Home UPL-Nexion Transfer 23,696.01 1/3/2023 Nursing Home UPL-HMG Transfer 5,835.57 1/312023 Nursing Home UPL-Tuscany Transfer 113,828.75 1/3/2023 Nursing Home UPL-HSL Transfer 147,948.30 TRANSFER BETWEEN FUNDS TO MMC OPERATING 113/2023 Ashford -Interest Earned 93.56 1/3/2023 Broadmoor-Interest Earned 76.81 113/2023 Crescent -Interest Earned 92.02 1/3/2023 Fort Bend -Interest Earned 41A9 113/2023 Solera-Interest Earned 123.75 1/3/2023 Golden Creek -Interest eamed 65A8 1 G2023 Gulf Pointe MM-Interest Earned 56.81 102023 Gulf Pointe PP -Interest Earned 16.06 1/3/2023 Bethany -Interest Earned 117.59 TOTAL ;NURMNGHOMEUPLEXPENSES $ 782,920c93 TOTALINIERsGOVERNMENTTRANSFERS $ C+RAND TOTAL DISBURSEMENTS APP.ROVEO Januairy 04, 202'3 $ 1707,089.49 Page 1 of 16 RECEIVED BY THE COUNTY AUDYTOR ON DEG2202022 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 1222 ap_open_invoice.template p �t7y Due Dates Through: CALHOUtVendoUrN Vend1d or Name 01/14/2023 Class Pay Code R1200 ADT COMMERCIAL � Invoice# Comment Tran Or Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 148312551 �/ 12/29/2012/05/2012/30120 53.61 0.00 0.00 53.61 V/ FIRE MONIITCRING Vendor Totals Number Name Gross Discount No -Pay Net R1200 ADT COMMERCIAL 53.61 0.00 0.00 53.61 Vendor# Vendor Name Class Pay Code At 680 AIRGAS USA, LLC-CENTRAL DIV✓ M - Invoice# Comment Tran Ot Inv Dt Due or Check D Pay Gross Discount No -Pay Net 9993252516 f 12/28/20 1113012012125/20 525.72 0.00 0.00 525.72 ✓- OXYGEN 9132702847 ✓ 12/28/20 12/05/20 12/30/20 150.58 0,00 0.00 150.58 s- OXYGEN 9132849426 ✓/12/28/20 12/08/20 01/02/20 441.57 0,00 0.00 441.57 y OXYGEN 91,93078569 ✓ 12/28/20 12115121)01/09/20 328.49 0.00 0.00 328.49 r,/ OY�YGEN 9133104064 '/ 12/28/20 12/16/20 01/10/20 3,218.24 0.00 0,00 3,218.24 OXYGEN BULK , Vendor Totals Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, LLC - CENTRAL DIV 4,664.60 0.00 0.00 4.664.60 Vendor# Vendor Name Class Pay Code A1705 ALIMED INC.✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net RPSV03935862 ✓ 12/27/2012/05/2012/20/20 104.07 0.00 0.00 104.07v"r PT SUPPLIES , Vendor Totals Number Name Gross Discount No -Pay Net A1705 ALIMED INC. 104.07 0.00 0.00 104.07 Vendor# Vendor Name Class Pay Code A1360 AMERISOURCESERGEN DRUG CORP ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3117096087 / 12/29/20 12/22/20 12/28/20 31.28 0.00 0.00 31.28 ✓ P/HARM INVENTORY 3117596070 �/ 12/29/2012128/20 01/03/20 64.98 0.00 0,00 64.98 PHARMINVENTORY Vendor Totals Number Name Gross Discount No -Pay Nat A1360 AMERISOURCESERGEN DRUG CORP 96.26 0.00 0.00 96.26 Vendor# Vendor Name Class Pay Code / M2485 SAYER HEALTHCARE ✓ M Invoice# Comment Tran Dt Inv or Due Dt Check D Pay Gross Discount No -Pay Net 6010316174 ✓ 12/28/20 12/09/20 12/28/20 552,04 0.00 0.00 552.04 SUPPLIES 60103262281/ 12/28/2012/15/2012/28/20 828.06 0.00 0.00 828.06 f SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2485 BAYER HEALTHCARE 1,380.10 0.00 0.00 11380.10 Vendor# Vendor Name Class Pay Code file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.coni/u88125/data_5/tmp_cw5report57729... 12/29/2022 Page 2 of 16 B1220 BECKMAN COULTER INC ✓ M Invoice# fComment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount Na-Pay Net J 110283027 ✓ 12/01/20 11/23/20 12118/20 1,120.42 0.00 0.00 1,120.42 ✓ LAB SUPPLIES 110298597 12/27/20 12/02/20 12/27/20 67.16 0.00 0.00 67.16 LAB SUPPLES 110301592�/ 12/27/2012/05/2012130120 223.06 0.00 0.00 223.061j LAB SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1220 BECKMAN COULTER INC 1,410.64 0.00 0.00 1,410.64 Vendor# Vendor Name Class . Pay Code B1320 BEEKLEY CORPORATION/M Invoice# Comment Tran or Inv Dt Due Dt Check 0-Pay Gross Discount No -Pay Net INV7569761,/ 12/01/2010/26/2011/26120 868AS 0.00 0.00 868.45 MEDICALSUPPLY Vendor Totals Number Name Gross Discount No -Pay Net B1320 BEEKLEYCORPORATION 868.45 0.00 0.00 868.45 Vendor# Vendor Name Class Pay Code 11211 BHB MACHINE & PUMP REPAIR, LLC r% Invoice# ,/ Comment Tran or Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 709257 �/ 1PJ27/20. 1212012012/20/20 1,228.52 0.00 0.00 1,228.52 ✓" REPAIR HOT WATER PUMP Vendor Totals Number Name Gross Discount No -Pay Net 11211 BHB MACHINE & PUMP REPAIR, LLC 1,228.52 0.00 0.00 1,228.52 Vendor# Vendor Name / Class Pay Code 14064 CAPITAL ONE ✓ Invoice# Comment Tran Ot Inv Dt Due Dt Check DPay Gross Discount No -Pay Net 1645927575 12128/2012119/20 01/13/20 269.22 0.00 0.00 26922 SUPPLIES Vendor Total¢Number Name Grass Discount No -Pay Net 14064 CAPITAL ONE 269.22 0.00 0.00 269.22 Vendor# Vendor Name Class Pay Code. 14260 CAREFUSION SOLUTIONS, LLC r// Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net F 10019833674 of IPJ281201 V10/201=1/20 2.00 0.00 0.00 2.00 ✓ 10019894047✓/ 12J29/2012O712001/07/20 1,788.00 0.00 0.00 1,788.00✓ PYXIS EQUIPMENT 10019894055r% 1 PJ2912012/07/2001107120 2.00 0.00 0.00 2.00� /" codonics Vendor Totals Number Name Gross Discount No -Pay Net 14260 CAREFUSION SOLUTIONS, LLC 1.792.00 0.00 0.00 1,792,00 Vendor# Vendor Name Class Pay Code 14236 CARRIER CORPORATION „/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 90243902 ,,/ 1 PJ29120 12/07/20 01/07/20 12.830.00 0.00 0.00 12,830.00 u LEASE ($l151- °1�111-L'L1�G±Ii.�1 tY V-OW6 .. 90243903✓ 1 PJ29/20 12107120 01/08120 12,830.00 0.00 0.00 12,830.00 ✓� LEASE LAIIA-lo IA12't.)-, GL 4r Yul-[-. 90243959 I PJ2912012/OB12001/07/20 12,830.00 0.00 0.00 12,830.00 e,f LEASE 011-?1-114174-- r6iijw irodJL file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.comlu88125/data_5/tmp_cw5report57729... 12/29/2022 Page 3 of 16 90243958✓ 1PJ2912012108/2001108/20����q 12,830.00 0.00 0.00 12,830.00 LEASE l Is 1Ic 1- I1I �Z7-) - Cw1la YQ44 - Vendor Total:Number Name Gross Discount No -Pay Net 14236 CARRIER CORPORATION 51,320.00 0.00 0.00 51.320.00 Vendor# Vendor Name Class Pay Code 13028 CAVALLO ENERGY TEXAS LLC Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 18861783 ✓ 1PJ29120 12/16/20 01/05/20 526.67 0.00 0.00 526.67 yf /LECTRICITY [ Haig- 121j(ij2Tr) 18861782 12129/20 12116120 01105/20 1,335.00 0.00 0.00 1,335.00 ELECTRICITY Lul{S- 18861784,/ 12/29/20 12/16/20 01/05/20 17.31 0.00 0.00 17.31 ELECTRICITY � Il jl $'-1'ta l4�'L'y Vendor Totals Number Name Gross Discount No -Pay Net 13028 CAVALLO ENERGY TEXAS LLC 1,878.98 0.00 0.00 1,878.98 Vendor# Vendor Name Class Pay Code / C1992 CDW GOVERNMENT, INC. ✓ M Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net FN67909 �% 12128/2012(09/2001/08/20 1,498.49 0.00 0.00 1,498.49 ✓`� SUPPLIES IT Vendor Totals Number Name Gross Discount No•Pay Net C1992 COW GOVERNMENT, INC. 1,498A9 0.00 0.00 1,498A9 Vendor# Vendor Name Class Pay Code 12768 CHEMAQUA ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8043544 ✓ 12/29/20 12/10/20 12/20/20 565.43 0.00 0.00 565.43 v� WATER TREATMENT - VendorTotalsNumber Name Gross Discount No -Pay Net 12768 CHEMAQUA 565.43 0.00 0.00 565.43 Vendor# Vendor Name Class Pay Code / C1730 CITY OF PORT LAVACA y W ' Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 121522C 12/29/20 12/15/20 01/05/20 67.37 0.00 0.00 67.37 ✓r water 121522 12129/20 12/15120 01/05/20 64.17 0.00 0.00 64.17 WATER 121522A 12/29/20 12/15120 01/05/20 28.92 0.00 _ 0.00 28.92f WATER 1215228 12/29/20 12/15/20 01 /05120 2,309.54 0.00 0.00 2.309.54 WATER Vendor Totals Number Name Gross Discount No -Pay Net 01730 CITY OF PORT LAVACA 2.470.00 0.00 0.00 2,470.00 Vendor# Vendor Name Class Pay Code C1870 COLLEGE OF AMERICAN PATHOLOGIS / W Invoice# Comment Tran Ot Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 2855436 12/01/20 11/15/20 12/07/20 416.12 0.00 0.00 416.12 ✓-' 4415d// SUPPLIES e 12/27/20 11109120 12/27/20 416.12 0.00 0.00 471�12 LAIC SUPPLIES Vendor Totals Number Name Gross % Discount No -Pay Net C1870 COLLEGE OF AMERICAN PATHOLOGIS 832R4 0.00 0.00 8324 y�4'lti �' W l_ file:l//C:/Users/ltrevinolepsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report57729... 12/29/2022 Page 4 of 16 Vendor# Vendor Name Class Pay Code 10006 CUSTOM MEDICAL SPECIALTIES ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 301980,/ 12/2812012/14/2001/14/2D 1,049.87 0.00 0.00 1,049.37,% SUPPLIES / 302052 ✓ 12/28/2012/16/20 12/16/20 -188.82 0.00 0.00 -188.82 CREDIT CMS-231.2 , Vendor Totals Number Name Gross Discount No -Pay Net 10006 CUSTOM MEDICAL SPECIALTIES 860.55 0.00 0.00 060.55 Vendor# Vendor Name Class Pay Code 11368 CVRACOM LLC / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2022047022 ✓ 12J29/20 09/30/20 10/30/20 412.38 0.00 0,00 412.38 INTERPRETATION 2022055725 ✓/12/29/2010/31/2011/30/20 49217 0.00 0.00 492.17✓� INTERPRETATION Vendor Totals Number Name Gross Discount No -Pay Net 11368 CVRACOM LLC 904.55 0.00 0.00 904,55 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON Invoice# comment Tran Dt Inv Dt Due Ut Check D' Pay Gross Discount No -Pay Net 7019790 12/27/20 12/05/20 12/30/20 728.50 0.00 0.00 728.50 SUPPLIES / 7022540 ✓ 1 PJ2712012/O5/201030/20 77.46 0100 0.00 77.46 SUPPLIES / 7031420 1127,2012/12/20 01/06/20 27.72 0.00 0.00 27.72 (- SUPPLIES 7034970/ 12/27/2012/1412001108120 158.76 0.00 0,00 158.761! SUPPLIES 7035030 12/2712012/15/2001/09120 686.56 0.00 0.00 686.561_� SUPPLIES / 7039990✓ 12/27/20 12/19/20 01/13120 101.43 0.00 OAO 101.43 f /SUPPLIES 7042700 ✓ 12128/2012/22120 01/14/20 516.97 0.00 0100 518.97 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 2,299.40 0.00 0.00 2,299,40 Vendor# Vendor Name Class Pay Code / 10542 DOOR CONTROL SERVICES, INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net SMINV331743✓ 1 PJ2712012/06/2001/05120 12,571.92 0.00 0.00 12.571.92 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10842 DOOR CONTROL SERVICES, INC 12,571.92 0.00 0.00 12,571.92 Vendor#Vendor Name Class Pay Code W1167 ELITECH GROUP INC (WESCOR) �% W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 806455 12/27/2012 OS120 12/27/20 247.70 0.00 0.00 247.70 SUPPLIES Vendor Total Number Name Gross Discount No -Pay Net W1167 ELITECH GROUP INC (WESCOR) 247.70 0.00 0,00 247.70 file:!//C:/Users/ltrevino/epsi/memmed.cpsinet.com/u8 8125/data_5/tmp_cw5report57729... 12/29/2022 Page 5 of 16 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 41810,%/ 1212912012/31/200V10/20 40,062.50 0.00 0.00 40,062.50 ✓`� PHYSICIAN SERVICES ( 14_etlw„) vendor Total; Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 40,062.50 0.00 0.00 40.062,50 Vendor# Vendor Name Class Pay Code / 14136 EPI-EDWARD PLUMBING ./ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 65608 r% 12/14/20 1 W07120 12/14/20 284.00 0.00 0.00 284.00 BACFLO TEST Vendor Totals Number Name Gross Discount No -Pay Net 14136 EPI-EDWARD PLUMBING 284.00 0.00 0.00 284.00 Vendor# Vendor Name Class Pay Code , 10042 ERBE USA INC SURGICAL SYSTEMS ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 792736 ✓ 12/27120 11/15/20 12/27120 139.50 0.00 0.00 139.50 SURG SUPPLIES 798667 ✓ 1212812012/12/20 12/28/20 139.50 0.00 0.00 139.50 ✓F SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10042 ERBE USA INC SURGICAL SYSTEMS 279.00 0.00 0.00 279.00 Vendor# Vendor Name Class Pay Code 13804 EVERGREEN MEDICAL SERVICES i / Invoice# Corry ment Tran Dt Inv of Due of Check O Pay Gross Discount No -Pay Net EMSIN0011491 12/14/2011/30/2012N4120 1.712.50 0.00 0,00 1,712.501__ Ytn+jj6t4i61A Valtuihwl. Vendor Totals Number Name Gross Discount No -Pay Net 13804 EVERGREEN MEDICAL SERVICES 1,712.50 0.00 0.00 1.71250 Vendor# Vendor Name Class Pay Cade C2610 EVIDENT ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net T2212091378 ✓ 12/29/20 12 O9120 01 /03120 10,901.79 0.00 0.00 10,901.79 CODING/STATEMENTS T2212151378 ✓' 12/29/20 12/15/20 01/09120 7,664.74 0.00 0.00 7,664.74 ✓ BUS SERV Vendor Totals Number Name Gross Discount .No -Pay Net C2610 EVIDENT 18,566.53 0.00 0.00 18,566.53 Vendor# Vendor Name Class Pay Code 10689 FASTHEALTH CORPORATION✓' Invoice# Comment Tran Dt Inv Ot Due Dt Check O Pay Gross Discount No -Pay Net 12A22MMC ✓ 12/2912012/0112012/16/20 495.00 0.00 0,00 495.00✓ WEBSITE Vendor Total:Number Name Gross Discount No -Pay Net 10689 FASTHEALTH CORPORATION 495.00 0.00 0.00 495.00 Vendor# Vendor Name Class Pay Code / 14330 FIRETRON, INC ✓ Invoice# Comment Tran Dt Inv Dt Due or Check D Pay Gross Discount No -Pay Net 214390 t2/2012012/1212001/11/20 1,425.00 0.00 0.00 1,425.00 ✓ f ANNUAL FIRE ALARM INSPEC file:(//C:/Userslltrevinolepsilmemmed.cpsinet.com/u88125/data_5/tmp_cw5report57729... 12/29/2022 Page 6 of 16 Vendor Total: Number Name Gross Discount No -Pay Net 14336 FIRETRON, INC 1,426,00 0.00 0.00 1,425,00 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE M Invoice* Comment Tran Ot Inv Dt Due Dt Check D-Pay Gross Discount No -Pay Not 8300736 V1 12101/2011/17120 12/12/20 421,79 0.00 0.00 421.79 ✓� LAB SUPLIES 8375782✓ 12/01/20 11/21/20 12/16/20 2,438.36 0.00 0.00 2,438.36 SUPPLIES /' 6730165112127/20 12106/20 12/31/20 1,212.00 0.00 0.00 / 1,212.00 V LAB SUPPLIES 8730167r// 12127120 12/06/20 12131/20 653.14 0.00 0.00 653.14✓� LAB SUPPLIES 8730166, / 12/27/20 12/06/20 12131/20 817.85 0.00 0.00 817.85✓ LAB SUPPLIES 8773377�// 12127120 12107/20 01/01/20 24.24 0.00 0,00 24,24 `✓� LAB SUPPLIES 8773376/ 12/27/20 12/07/20 01/01/20 402.52 0.00 0.00 402.52 f LAB SUPPLIES 8854049 12/27/2012109/2001/03/20 294,87 0.00 0.00 294.87✓ LAB SUPPLIES 89$8214 ✓ 12/27/20 12/13/20 01 /07/20 17.88 0.00 0.00 17.88 LAB SUPPLIES 8938215�/ 12/27120 12113/20 01107/20 22.35 0.00 0.00 22.35 LAB SUPPLIES , 893821 � 12/27/20 12/13/20 01/07/20 44.70 0.00 0.00 44.70 v'r LAB SUPPLIES 8938213 12/27/20 12/13/20 01/07/20 44.70 0.00 0.00 44.70 LAB SUPPLIES 893B217i!/ 12/27/2012/1312001107/20 437.44 0.00 0.00 437.44 of LAB SUPPLIES 8980263 J/ 12/27/20 12/14120 01/08/20 414.52 0.00 0.00 414.52 LAB SUPPLIES 8980264�/ 12/27/20 12/14/20 01/08/20 393.75 0.00 0.00 39375 LAB SUPPLIES , Vendor Total: Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 7,640.11 0.00 0.00 7.640,11 Vendor# Vendor Name Class Pay Code 13960 G & S MANAGEMENT GROUP LLC „ / Invoice# Comment Tran Dt Inv Dt Due Dt Check 0, Pay Gross Discount No -Pay Net 340386541✓/12/28/20 12/07/20 12117/20 376.68 0.00 0100 J 376,68✓ DISPOSAL , 340386542V/ 1212812012/0712012/17/20 1,392.76 0.00 0,00 1,392.76 .! pISPOSAL 340386601✓ 12128120 12/08/20 12/18120 260,55 0.00 0,00 260.55 ✓� DISPOSAL NOV 22 Vendor Totals Number Name Gross Discount No -Pay Net 13960 G $ S MANAGEMENT GROUP LLC 2,029.99 0.00 0100 2,029,99 Vendor# Vendor Name Class Pay Code 10642 GLAXOSMITHKLINE PHARMACUETICAL ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net file:!//C:/Userslltrevino%psilmemmed.cpsinet.com/u88125/data 5/tmp_cw5report57729... 12/29/2022 Page 7 of 16 8253864187✓ 12129/20 10/12/20 01/11/20 10.431.00 0.00 0.00 10,431.00 ✓/ PHARMINVENTORY . Vendor Totals Number Name Gross Discount No -Pay Net 10642 GLAXOSMITHKLINE PHARMACUETICAL 10,431.00 0.00 0.00 10,431.00 Vendor# Vendor Name Class Pay Code G1876 GOLDEN CRESCENT RAC / IMP Invoice# Comment Tran Dt Inv Dt Due or Check Db Pay Gross Discount No -Pay Net 121922 12/28/2012/19/2001/03/20 1,000.00 0.00 0.00 1,000.00 2023 RAC MEMBERSHIP Vendor Totals. Number Name Gross Discount No -Pay Net Gi876 GOLDEN CRESCENT RAC 1,000.00 0.00 0.00 1,000.00 Vendor# Vendor Name Class Pay Code W1300 GRAINGER f M Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 9535558515/ 12128/2012/06/2012/31/20 36.80 0.00 0.00 36.80 r% MAINT SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net W1300 GRAINGER 36.60 0.00 0100 36.80 Ventlor# Vendor Name Class Pay Code 11984 GUERBET, LLC / Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 18667462 ✓ 12/28/20 12/00/20 12/28/20 133.50 0.00 0.00 133.50„%" SUPPLIES 18658599,E 12/28/2012/121201PJ28120 $50.00 0.00 0.00 350.00 /SUPPLIES 18660022,/ 1 PJ28/201211912012128/20 700.00 0.00 0.00 700.00 ✓f SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11984 GUERBET, LLC 1,183.50 0,00 0.00 1,183.50 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY M Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 2331152 v/ 1212712012/20/20 01101 /20 28.20 0.00 0.00 28.20 SUPPLIES / 2331155 ✓ 12/27/20 12/20/20 01 /01120 670.16 0.00 0.00 670.16 ✓l SUPPLIES Vendor Total, Number Name Gross Discount No -Pay Net 61210 GULF COAST PAPER COMPANY 69&36 0.00 0.00 698.36 Vendor# Vendor Name Class Pay Code 11095 GULF COAST SCIENTIFIC f" Invoice# / Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 75124 „% 12/28/20 12/07/20 1PJ17120 308.93 0.00 0.00 308.93 LAB SUPPLIES _ Vendor Totals Number Name Gross Discount No -Pay Net 11095 GULF COAST SCIENTIFIC 308.93 0.00 0.00 308.93 Vendor# Vendor Name Class Pay Code 115,92 HEALTHCARE FINANCIAL SERVICES ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 100696941 V//12/28/20 12/07/20 01/01/20 1,797.44 0.00 0.00 1,797.44 JAN 23 LEASE PMT 48 Vendor Totals Number Name Gross Discount No -Pay Net file:!//C:/Users/Itrevino(cpsi/memmed.cpsinet.com/u88125/data_5/tmp_ew5report57729... 12/29/2022 Page 8 of 16 11552 HEALTHCARE FINANCIAL SERVICES 1,797.44 0.00 0.00 1,797,44 Vendor# Vendor Name Class Pay Code / H0416 HOLOGIC INC I/ Invoice# /Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 10357750 ✓ 12/28/20 1210812012/28120 945.00 0.00 0.00 945.00 t// SUPPLIES Vendor Total -Number Name Gross Discount No -Pay Net H0416 HOLOGIC INC 945.00 0.00 0.00 945.00 Vendor* Vendor Name Class Pay Code 11432 MO REPORTS / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INVMDR4703�/ 12128/20 12112120 12128/20 3,557.40 0.00 0.00 3,55740 �f ENDOSCOPY REPORT Vendor Total; Number Name Gross Discount No -Pay Net 11432 MD REPORTS 3,557.40 0.00 0.00 3,557.40 Vendor# Vendor Name Class Pay Code 11141 MEDICAL DATA SYSTEMS, INC. f Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 173080A ,/ 12/29/20 07/31/20 08/25/20 45.00 0.00 0,00 / 45.00 ✓ COLLECTION SHORT PAID 174619 12/29/2009130/2010/25/20 2,312.96 0.00 0.00 2,312,96 COLLECTION . 175306t% 12/29/2009/30/2010/25/20 173.68 0.00 0,00 173.68 COLLECTION EBO 174618 r„% 12129/2009/30/2010125/20 1,025.66 0.00 0.00 1,025.66 fl COLLECTION 175697 ✓ 12/29/2010/31/2011/25/20 2,068.01 0.00 0.00 2,068.01 COLLECTION 1756981% 12129/2010/31/2011/25120 4,327.91 0.00 0.00 4,327.91,.r",r COLLECTION 175699 f 12129/20 10131120 11125/20 4.20 0.00 0.00 4.20 / COLLECTION 176407 12129/2011/3012012/25/20 70.29 0.00 0.00 70.29 COLLECTION EBO , Vendor Totals Number Name Gross Discount No -Pay Net 11141 MEDICAL DATA SYSTEMS, INC. 10.027.71 0.00 0.00 10,027.71 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2237198179 f 12/01/2011/03/2011/28/20 109.11 0.00 0.00 109.111,✓'� SUPPLIES 2241433379 / 12114/2012/i 4/2001/08/20 967.87 0.00 0.00 / 967.87✓ SUPPLIES 2241938927✓ 1 PJ20/201 PJ2012001/14120 247.33 0.00 0.00 247,33✓'J SUPPLIES 2242826751 ,/ 1 PJ27/20 12/08/20 01/02/20 157.11 0.00 0.00 157.11 f 2243008188/✓ 12/27/20 12/08/20 01/02/20 220.53 0.00 0.00 220.53 r`-' SUPPLIES 2243635932 ✓ 12/27/20 12112/20 01/06/20 232.29 0.00 0.00 232.29 ✓! SUPPLIES file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report57729... 12/29/2022 Page 9 of 16 2243634118 12/27/20 12/13/20 01/07/20 74.17 SUPPLIES 2248634120 12/27/2012/13/2001/07/20 238.18 SUPPLIES 2243873062 12/27/20 12114/20 01/08/20 19,44 SUPPLIES 2243873035 ,j 12127120 12/14/20 01/08/20 68.33 SUPPLIES 2243873039 ,/ 12/27/20 12/14/20 01108120. 16.16 SUPPLIES 2243873056 ,/ 12/27/20 12/14120 01/08/20 461,09 SUPPLIES 2243873052 / 1 PJ27/20 12714/20 01/08/20 14.10 SUPPLIES 2243873046 12/27/2012JI412001/08/20 96.39 S PPLIES 2243873044 1PJ27/20 1PJ14120 01/08/20 13,77 S}1PPLIE3 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2243873058 1212712012/14/2001108/20 3,978.96 0.00 SUPPLIES 2243873040 V/ 12/27/20 12114120 01/08/20 33.19 SUPPLIES 2243873050 12/27/20 1 PJ14120 01/08/20 493.45 SUPPLIES 22438730481/ 12/27l2012/1412001/08/20 411.17 SUPPLIES 2243873036 ,% 12/27/20 12/14/20 01/08/20 10.44 SUPPLIES 2243873047 12/27/20 12/14/20 01/08/20 56.16 SUPPLIES 224387304P ✓ 12/27/20 12J14120 01/08/20 21.20 SUPPLIES 2243873054 V/ 12/27/20 12/14/20 01/08/20 28.20 Slf PPLIES 224387304/ V 12/27/20 12/74/2001/08/20 55.08 S�IPPLIES 2243873053 V/ 12/27/2012/14/20 01/08/20 42.30 SUPPLIES 2241321431 ✓ 12/28/20 11/29/20 12/24/20 -56.24 CREDIT 2240708536 2243891571✓/ 12/28/20 12/14/20 01/08/20 -20.58 CREDIT 2243891570 ✓� 12/28/20 12/14/20 01108/20 -14.94 CREDIT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 74.17 r / 238.18 ✓/ 19.44 ✓ 88.33 ✓/ 16.16 ✓ 481.09 f l 14.10 98.39 ✓� 13.77.✓ 3.978.96 t✓ 33.19 ✓ 493,45 ✓ 0.00 0.00 56.16Z 0.00 0.00 21.20 �✓ 0.00 0.00 26.20 ✓� 0.00 0.00 55.06 «✓ 0.00 0.00 i 42.30 ✓ 0.00 0.00 -56.24 ✓ 0.00 0.00 -20.581�_ 0.00 0.00 -14.94 ✓` Vendor Total.Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 8.014.26 0.00 0.00 8,014,26 Vendor# Vendor Name Class Pay Code 10182 MERCEDES SCIENTIFIC ,%' Invoice# Comment Tmn Dt Inv DI Due or Check D Pay Gross Discount No -Pay Net 2661220 ✓� 1212812012/1412001/13120 47.29 0.00 0.00 47.29 / LAB SUPPLIES ✓. file:///C:fUsers/ltrevino/cpsi/memnied,cpsinet.com/u88125/data_5/tmp_cw5report57729... 12/29/2022 Vendor Total; Number Name Gross 10182 MERCEDES SCIENTIFIC 47.29 Vendor#Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC I/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 9011247,/ 12/28/20 12/18/20 12/28/20 89.75 PHARM SUPPLIES ✓ 9009045 12/28/20 12/18/20 12/28/20 194.43 SUPPLIES ! 9011248✓ 12128/201211812012/28/20 782.62 PHARM SUPPLIES 9015816 ✓ 12/28/20 12/19/20 12/29/20 166.53 PHARM SUPPLIES J 9014181 ✓ 12/28/20 12/19/20 12/29/20 11.85 PHARM SUPPLIES 9014183 ✓ 12/28/20 12/18/20 12/29/20 92.64 PHARM SUPPLIES 9014182 12128/20 12119120 12129/20 36.67 PHARM SUPPLIES 9015816 v1 12/28/20 12/19120 12/29/20 79.45 / ✓ PHARM SUPPLIES 9015060 12/28/20 12/19/20 12/29/20 15.25 PHARM SUPPLIES 6670 Vi 12/28/20 12/20/20 12/30/20 -512.20 /CREDIT ✓ CM88115 12128/20 12120120 12130120 -56.36 CREDIT 9021275 vi 12/28/2012/20/20 12/30/20 135.24 PHARM SUPPLIES Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CM8816 ,/ 12/28/20 12/20/20 12/30/20-4.249.17 0.00 0.00 0.00 0.00 0.00 0.00 CREDIT PHARM SUPPLIES 9018361 ✓ 12128120 12/20/20 12130/20 1.56 0.00 0.00 PHARM SUPPLIES 9024070 �% 12/28/20 12/21/20 12/31120 407,81 0.00 0.00 PHARM SUPPLIES 9024069 ✓ 12/28/20 12/21/20 12/31/20 161.88 0.00 0.00 PHARM SUPPLIES 9023408 ✓ 12/28/2012121/2012/31/20 4,106.09 0.00 /PHARM SUPPLIES 9025585 ✓ 12/28/20 12/21120 12/31/20 116.83 0.00 ,PHARM SUPPLIES 9025771 r/ 1 PJ281201212112012/31/20 2,208.22 0.00 PHARM SUPPLIES 90525583X' 12/28/20 12/21/20 12/31/20 69.06 0.00 PHARM SUPPLIES 90255811//12/28/20 1P121/20 12/31/20 124.22 PHARM SUPPLIES 9024071,/,/ IPJ28/201PJ21/2012/31/20 82.63 PHARM SUPPLIES 9025770 /� 12/28/2012/21/2012/31/20 402.57 PHARM SUPPLIES 0.00 0.00 0.00 0.00 0.00 0.00 r rr r rr PxQr�fxrD1 Page 10 of 16 Net 47.29 Net 89.75 ✓ 194.43 ✓ 782.62 v� 166.53 11.85 �✓ 92.64 / 36.67 j 79.45 15.25 ✓ -512.20 � ,/% -56.36 ✓ 135.24 % -4,249.17 ✓'^ 1.56 407.81 fir' 161.88 w 4,106.09 116.831__� 2,208.22 ✓� 69.06,, % 124,22 ,, 82.53, 402.67 _- file:///C:lUsers/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report57729... 12/29/2022 Page 11 of 16 Vendor Totals Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 4,467.47 0.00 0.00 4,467.47 Vendor# Vendor Name Class Pay Code M2659 MXR IMAGING, ING M Invoice# Comment Tram Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Not 8800974112 ✓ 12128/2012114120 01/13/20 244.01 0.00 0.00 244.01 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2659 MXR IMAGING, INC 244.01 0.00 0.00 244.01 Vendor# Vendor Name Class Pay Code / 13548 NACOGDOCHES TRANSCRIPTION ri Invoice#/ Comment Tran Dt Inv of Due Dt Check D Pay Gross Discount No -Pay Nei 7914 ✓ 12/28/2012/21/2012/31/20 309.96 0.00 0.00 3o9.96 ./ TRANSCRIPTION( 1iI?4-IA AI22) 7926 ✓� 12/29/20 12/28/20 01107 20 268.80 0.00 0.00 268.80 TRANSCRIPTION 19-!10 •121 ,317"6) Vendor Totals Number Name Gross Discount No -Pay Net 13548 NACOGDOCHES TRANSCRIPTION 578,76 0.00 0.00 578.76 Vendor# Vendor Name Class Pay Code 12388 NATIONAL FARM LIFE INSURANCE u% Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 3841018.% 12/28120 12/12/20 01/01120 %673.48 0.00 0,00 3,673.48 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 12388 NATIONAL FARM LIFE INSURANCE 3,673.48 0.00 0.00 3,673.48 Vendor# Vendor Name Class Pay Code 01500 OLYMPUS AMERICA INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 33359244 f' 12/28/20 12/12/20 01/06/20 302.16 0.00 0.00 302.16 SURG SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 302.16 0.00 0.00 302.16 Vendor# Vendor Name Class Pay Code 01416 ORTHO CLINICAL DIAGNOSTICS ,// Invoice# Comment Tran Dt Inv Di Due Ot Check D- Pay Gross Discount No -Pay Net 1852711125V 1 PJ27120 12/05/20 01/04/20 644.65 0.00 0.00 644.65 LAAS SUPPLIES 1852716542 ✓ 12/27/20 12/07/20 01/06/20 189.89 0.00 0.00 189.89 SUPPLIES 1852722360 .. ' 12/28/20 12/12/20 01111 /20 177.16 0.00 0.00 177.16 ✓ LAS SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 1,011.70 0.00 0.00 1,011,70 Vendor# Vendor Name / Class Pay Code OM425 OWENS & MINOR Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8000298531 ,%� 12/28/2011/3012012/30/20 6.30 0.00 0= 6.30 ✓„i FINANCE CHARGE Vendor Totals Number Name Gross Discount No -Pay Net OM425 OWENS & MINOR 6.30 0.00 0.00 6.30 Vendor# Vendor Name Class Pay Code file:(//C:/Users/ltrevino/cpsi/memmed,cpsinet,com/u88125/data_S/tmp_cw5report5 7729... 12/29/2022 Page 12 of 16 10152 PARTSSOURCE, LLC v� Invoice# Comment Tran Dt Inv Dt Due Di Check D Pay Gross Discount No -Pay Net 04596762 ✓ 12/27/20 121011201213l/20 200.22 0.00 0.00 200.22 ✓' OB SUPPLIES _ Vendor Totals Number Name Gross Discount No -Pay Net 10152 PARTSSOURCE, LLC 200.22 0.00 0.00 200.22 Vendor# Vendor Name Class Pay Code 50905 PERFORMANCE HEALTH ✓` M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / IN95864644✓ 12/27/20 I PJO6/2012131/20 170.50 0.00 0.00 170.50 1/ SUPPLIES IN95863341 v" 12/27/2012/O61201PJ31/20 34.35 0.00 0.00 34.35 SUPPLIES IN95876569, " 12/27/20 12/08/20 01/02/20 57.91 0.00 0.00 57.91 ,,,- SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 50905 PERFORMANCE HEALTH 262.76 0.00 0.00 262.76 Ventlor# Vendor Name Class Pay Cade 12480 PRO ENERGY PARTNERS LP ✓/ Invoice# Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /Comment Z,2110600 ✓ 12/29/20 11/30/20 12/15/20 5,516.88 0.00 0.00 5,516.88 ✓� ENERGY Vendor Totals Number Name Gross Discount No -Pay Net 12480 PRO ENERGY PARTNERS LP 5,516.88 0.00 0.00 5,516.88 Vendor# Vendor Name Class Pay Code 11080 RADSOURCE,% Invoice# Comment Tran Dt Inv Dt Due Dt Check 0 Pay Grass Discount No -Pay Net SCS2690123✓t12/20/2012/1612001/10120 1.708.33 0.00 0,00 1,708.33 SERVICE AGREEMENT Vendor Totals Number Name Gross Discount No -Pay Net 11080 RADSOURCE '1,708.33 0.00 0,00 1,708.33 Vendor# Vendor Name Class Pay Code R1401 REFUGIO COUNTY MEM. HOSPITAL f W Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 122822 12/29/20 12/28/20 01/01/20 140.50 0.00 0.00 140.50�. SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net R1401 REFUGIO COUNTY MEM. HOSPITAL 140,50 0.00 0.00 140.50 Vendor# Vendor Name Class Pay Code 13460 RELIANT, DEPT 09541/ Invoice# Cemm,%nt Tran Dt Inv Di Due Dt Check D Pay Gross Discount No -Pay Net 1150101159343 y" 12/28/201111712012J19/20 27,179.94 0.00 0100 27,179.94,�r� ELECTRICITY // 8010043690161,%� 12/28/2012/19/2001/18/20 25,97j3'.'85 0.00 0.00 25,576%65 ✓r ELECTRICTY Vendor Totals Number Name Gross % Discount No -Pay Net ��pp 13460 RELIANT, DEPT 0954 53,;,otf.79 0.00 0.00 53,WB.79 ail I'19.`1T Vendor# Vendor Name Class Pay Code 11764 ROBERT RODRIOUEZ y% Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 122222 12/28/20 12/22/20 01/01/20 42.69 0.00 0.00 42.69 file:///C:/Users/ltrevino/epsi/memmed, cpsinet,corn/u88125/data_5/tmp_ew5report57729... 12/29/2022 Page 13 of 16 TRAVEL REIMS Vendor Total$ Number Name Gross Discount No -Pay Net 11764 ROBERT RODRIQUEZ 42.69 0,00 0.00 42.69 Vendor# Vendor Name Class Pay Code 30900 SAM'S CLUB DIRECT W Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 122022 12/28/2012/20/2001/08/20 1,136.05 0.00 0.00 1,136.05 ✓r SUPPLIES DIETARY Vendor Totals Number Name Gross Discount No -Pay Net S0900 SAM'S CLUB DIRECT 1,136.05 0.00 0.00 1,136.05 Vendor# Vendor Name Class Pay Cade 11360 SCRUBS ON WHEELS ,% Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 082922 1W20/20 08/2920 09/29/20 2,598.36 0.00 0.00 2,598.36 ✓�� PAYROLLDEDUCT Vendor Total:Number Name Gross Discount No -Pay Net 11360 SCRUBS ON WHEELS 2,598.36 0.00 0.00 2,698.36 Vendor# Vendor Name Class Pay Code 10699 SIGN AD, LTD. „% Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 282295 J 12/29120 12/16/20 12/26/20 410.00 0.00 0.00 410.00 ADVERTISING , Vendor Totals Number Name Gross Discount No -Pay Net 10699 SIGN AD,LTD. 410.00 0.00 0.00 410.00 Vendor# Vendor Name Class Pay Code S2220 SKIP'S RESTAURANT EQUIPMENT ,� W Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net / 451737J 12/28/20121221201PJ28120 611,00 0A0 0.00 611.00�f LABOR/THERMOSTAT Vendor Totals Number Name Gross Discount No -Pay Net $2220 SKIP'S RESTAURANT EQUIPMENT 611.00 0.00 0.00 611.00 Vendor# Vendor Name Class Pay Code / 01010 SPARKLIGHT ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 121522A 12/2920101512012/16/20 2,258.00 0.00 0.00 2,258,00f INTERNET 121522E 1229201211512012/16120 126.32 0.00 0.00 126.32 f CABLE 121522C 1212920 12/15/20 12/16/20 133.70 0.00 0.00 133.70 CABLE 121522 12/29/20 12/15/20 12/16/20 1,683.58 0.00 0.00 1,683.58 CABLE Vendor Totals Number Name Grass Discount No -Pay Not C1010 SPARKLIGHT 4,201.60 0.00 0.00 4,201.60 Vendor# Vendor Name Class Pay Cade / S3940 STERIS CORPORATION / M Invoice# Cgomment Tran Dt Inv DI Due Dt Check D Pay Grass Discount No -Pay Net 10680564�/ 12/28/20 12/14120 01/08120 420,52 0.00 0.00 420.52 SURG SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net S3940 STERIS CORPORATION 420.52 0.00 0.00 420.52 file://(C:/Userslltrevino/cpsi/memmed.cpsinet.con>/u88125/data_5/tmp_cw5repott57729,.. 12/29/2022 Page 14 of 16 Vendor# Vendor Name Class Pay Code S2830 STRYKER SALES CORP r% M Invoice# comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Nei 9203280217 1// 12/27/20 12/05/20 12/27/20 730.36 0.00 0.00 730.36 SUPPLIES Vendor Total Number Name Gross Discount No -Pay Net S2830 STRYKER SALES CORP 730.36 0.00 0.00 730.86 Vendor# Vendor Name Class Pay Code 10735 STRYKER SUSTAINABILITY t,/` Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / 4591215✓ 12/27/20 12/07/20 01/08120 286.07 0.00 0.00 286.07�-/ SUPPLIES 4592060 ✓f 12/28/20 12/08/20 01/07/20 135.00 0.00 0.00 135.00,. SUPPLIES Vendor TotalE Number Name Gross Discount No -Pay Net 10735 STRYKER SUSTAINABILITY 421.07 0.00 0.00 421.07 Vendor# Vendor Name Class Pay Code 12476 SUN LIFE FINANCIAL Invoice# Comment Tran Ot Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 122322 12128/20 12123/20 01/01/20 9,054.80 0.00 0.00 9,054.80,/ INSURANCE Vendor Total$ Number Name Gross Discount No -Pay Net 12476 SUN LIFE FINANCIAL 9,054.80 0.00 0.00 9.054.80 Vendor# Vendor Name Class Pay Code T2250 TK ELEVATOR CORPORATION ,f M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 5002015621✓ 12/28/20 12119/20 12/19/20 1,094.50 0.00 0.00 1,094,501/ ELEVATOR SERVICE Vendor Total.- Number Name Gross Discount No -Pay Net T2250 TK ELEVATOR CORPORATION 1,094,50 0.00 0.00 1,094.50 Vendor# Vendor Name Class Pay Code T3130 TRI-ANIM HEALTH SERVICES INC ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 65309347pr 12127/20 12107120 01/01/20 117.74 0.00 0.00 117.74✓ SUPPLIES Vendor TotalE Number Name Gross Discount No -Pay Net T3130 TRI-ANIM HEALTH SERVICES INC 117.74 0.00 0.00 117.74 Vendor# Vendor Name Class Pay Code 13516 TRIOSE, INC Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net TRI140446�/ 12/28120 12/22/20 01/06/20 118.25 0.00 0.00 118.25--' FREIGHT Vendor Totale Number Name Gross Discount No -Pay Net 13616 TRIOSE, INC 118.25 0.00 0,00 118,26 Vendor# Vendor Name Class Pay Cade U1064 UNIFIRST HOLDINGS INC ✓/ invoice# Coment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 8400410917 "/ 12/20/2012115/20 01/09/20 75.08 0.00 0.00 75.08.✓ L/pUNDRY ,y 8400410896 ✓ 12/20/20 12/15/20 01/09/20 201.59 0.00 0.00 201.5T LAUNDRY fi le:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u8 8125/data_5/tmp_cw5report57729... 12/29/2022 Page 15 of 16 8400410923 �/ 12/20/2012/15/2001109120 1,673.42 0.00 0.00 1,673.42,/` LAUNDRY 8400410898 / 12/2012012115/2001/09/20 ✓✓✓LAUNDRY 197.12 0.00 0.00 197.126,1 8400410895�1/ 12120/20 12115/20 01/09/20 32.01 0.00 0.00 32.01„/ LAUNDRY 840D410899 �' 12/20/20 12/15/20 01/09/20 211.73 0.00 0.00 211.73 LAUNDRY 8700410938✓`12/28/2012/15/2001109/20 125,27 0.00 0.00 125.27,% LAUNDRY 8400410897 12/28/20 12/15/20 01/09/20 167.60 0.00 0.00 167.60 LAUNDRY 8400411099 ,// 12/28/20 12/19/20 01,13120 48.15 0.00 0.00 48.15 LAUNDRY 8400411120 ✓ 12/28/2012/1912001/13/20 2,308.91 0.00 0.00 2,308.91 LAUNDRY 8400411100 ✓ 12128120 12119/20 01/13/20 127.52 0.00 0.00 127.52 � U LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 5,168.40 0.00 0.00 5,168,40 Vendor# Vendor Name Class Pay Code U1056 UNIFORM ADVANTAGE / W Invoice# Comment Tam Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net SIV13093927 / 12/27/2012106/2012121/20 66.36 0.00 0.00 66.36 CLOGS Vendor Totals Number Name Gross Discount No -Pay Net U1056 UNIFORM ADVANTAGE 66.36 0.00 0.00 66,30 Vendor# Vendor Name Class Pay Code U2000 US POSTAL SERVICE ..'/ Invoice# Comment Tran Dt Inv or Due et Check D Pay Gross Discount No -Pay Net 122022 12128/20 12120/20 12/26/20 2.200.00 0= 0.00 2,200.00 POSTAGE Vendor Totals Number Name Gross Discount No -Pay Net U2000 US POSTAL SERVICE 2,200.00 0.00 0.00 2,200.00 Ventlor# Vendor Name Class ! Pay Code V1471 VICTORIA RADIOWORKS, LTD v' W Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 22110242 / 12129/2011/30/2012/30/20 160.00 0.00 0.00 160,00 ADVERTISING Vendor Total: Number Name Grass Discount No -Pay Net V1471 VICTORIA RADIOWORKS, LTD 160.00 0.00 0.00 160.00 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC / ✓ Invoice# Cfpmment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9111253199✓ 12/27/2012JOW201 PJ31/20 040.00 0.00 0.00 840.00 LAB SUPPLIES 9111254046✓ %12127/2012/0712001101/20 9.900.00 0.00 0.00 9,900.00 ,..� LA`B SUPPLIES 6415 12/28/20 12/13/20 01/07/20 911125v/ 1.154.13 0.00 0.00 1,154.13 ✓ LAB SUPPLIES Vendor Totals Number Name Grass Discount No -Pay Net fi1e:///C:fUsers/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report57729... 12/29/2022 Page 16 of 16 11110 WERFEN USA LLC 11,6B4.13 0.00 Vendor# Vendor Name Class Pay Code W1270 WISCONSIN STATE LABORATORY ✓ W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 30014399 / 12127121112t01120 12/27/20 796.00 ✓SUPPLIES Vendor Total=Number Name Gross W1270 WISCONSIN STATE LABORATORY 796.00 Report Summary Grand Totals: Grass Discount 310,172,24 0.00 310.172 24 + 28gr19.^.y APPROVED ON 88 DEEpCNN2 9q�20022 p CALHt�Uhf C N-�j? TE 0.00 11,694.13 Discount No -Pay Net 0.00 0.00 796.00 Discount No -Pay Net 0.00 0.00 796,00 No -Pay 0.00 Py li- romovt- prr Uew Py a - dtp11L(J Net 310,172.24 � za�t,1�3.3q <414. ILA file:///C:/Userslltrevino/cpsilmemmed.cpsinet. com/u88125/data_5/tmp_cw5report57729... 12/29/2022 MSKESSONSTATEMENT As of: 12/30/2022 page: OD2 To endure proper emdit to year accmmt, dalxh ." return this c wpaar: moo stub with your rorr, it a r, DC: 8115 MEMORIAL MEDICAL CENTER As of: 12/30/2022 Page: 002 Me][ lm Comp: 8000 AP AMT DUE REMITTED VIA ACH DEBIT Territory: 815 N VIRGINIA STREET Statement for information only AMT DUE REMITTED VIA ACH DEBIT PORT LAVACA TX 77979 Cuetamec 632536 Statement for information only Date: 12/3112022 Cust: 632536 P)F45E CHECK ANY Data: 12/31/2022 REriS NOT PAID I,) filling Due )ale Dale RecaivablPflonal Aecount P6 Number Cash Amount P Amount P ReceMabla Reference Descripllan Discount (gross) F (not) F Number column legend: P = Pad Due Item, F = pursue Due Item, blank = Current Due Item 'DIAL Natlorel Aoct 632536 Ml3d DPoAL MEDICAL CFNTl6i Subletels: 7.252.21 USD 'vtum Due: 0.00 Oue If Paid On Time: last Due: It Pald By 0110=023, (/ USD 7,107.15 J 0.00 Pay This Amount: 7,107.15 USD Dux lost it paid late: set/2017Payment 2.451.97 1f Paid After 01/09/2029, 45.06 Due If Paid late: IB/07/201] Pay thus Amount: 7,252.21 USD USD 7,252.21 6. 681•51 + 296'Y3 + 128 91 + 7 r,1U 7•IS 4PPROVED OIV 08 2023 ::i, �Hpi06'NP. �. INnlJljy�,�/7QR T-as jr- Swv vl For AR Inquiries please contact 800-867-0333 MSKESSORISTATEMENT As of: 12/30/2022 Page: 001 To ensure Proper cretlB to your aedouny deresh and reium this cams•nr: sass stub with your remittance DC: 8115 WA PHIS As at: 12/30/2022 Page: 001 Mail to: Comp; 8000 MEMORMARTIAL MEDICAL ENTMED Cl3JTQi AMT DUE REMIUED VIA ACH DEBIT Territory: 400 VICMBKORIAL KAUSB( Slatemenl for information only AMT DUE REMITTED VIA ACH DEBIT 615 N 815 N VIRGINN IA ST Customer: 256342 Statement for information only AVAC FORT LAVgCA T% 7]9]9 Dale: 12/31/2022 Cast: 256342 PLEASE CHECK ANY Dale: 1213112022 ITEMS NOT PAID (+) gill 0ue Recelvabl allonal Account 36 MT Dale r Number Reference Cush Description Discount Amount P (gores) F Amount P Reeehmble (Tim) F Number )umamar Number 256342 WALMART 1098/MEM MED ME 2/27/2022 01/03/2023 7387141871 SBD72591 IISlnvooe 33.29 1.684.73 1,631.441/ 7307141871 2/27/2022 Ot/03/2023 7387141872 5BI10694 1151nvoice 16.65 832.37 815.72✓ 7387141872 2/27/2022 01/03/2023 7387170603 583SS597 115lnveice 19.27 963.50 944,23✓ 7367170603 2/27/2022 01/03/2023 7387371610 58054618 1951nvelce 0.94 46.95 46.01 ✓ 7387371610 2/27/2022 0t/03/2023 7387371611 68289443 1951nvolce 2,80 140.21 137.41✓ 7387371611 2/27/2022 01/03/2023 7387371612 58157092 1951nvoice 1.53 76.52 74.99✓ 7387371612 2/28/2022 01/03/2023 7387651400 585027BB 115mvoice 6.06 302.79 296.73✓ 7387651400 2/28/2022 01/03/2023 7387651401 5850278E Its Invoice 2,63 131.35 128J2✓ 7387661401 2/28/2022 01/03/2023 7387720823 58449002 1151nvoice 0.01 0.32 0.31 ✓ 7307720823 2/29/2022 01/03/2023 7387842480 58575140 1151nvolce 8.33 416.29 407.96 ✓ 7387842480 2/29/2022 01/03/2023 7387842401 68575140 1151nvoica 0.91 0.63 0.62 ✓ 73878424B1 2/29/2022 01/03/2023 7387842483 58648483 1151nvoice 16.65 832.37 815.72 7387842403 2/29/2022 01/03/2023 7387842484 58648483 1151nvoice 0.04 1.90 ,/ 1.86 ✓ 7387842484 2/29/2022 01/03/2023 7388005708 5B588638 IISInvolce 3.72 185.90 182.18 f 7388005708 2/30/2022 01/03/2023 7388115364 88703194 1151nvoice 16.62 781.24 765.62 73BB115364 2/30/2022 01/03/2023 7388115365 58703194 1161nvoice 8.80 439.86 �/ 431.06 ✓ 73BB115365 2/30/2022 01/03/2023 7388290999 58716500 1151nvolce 0.02 0.95 0.93 f 7388290999 'F column legend: P = Past Due Item, F = Fidure Due Item, blank = Current Due Item 'DIAL: CUMomer Number 256342 WALMggT 1098/M FM MED pHs Subtotal.: 6.817.88 USD 'Mum Due: 0.00 Due R Pold On Time: � It Paid BY 0110312023, USD 0,681.51 ✓F last Due: 0.00 Pay This Amount: 6,681.51 USD DEW lost If paid fate: Payment pppppyEp p7,p5D.4a 11 Paid After et/03/2a23, 36.37 Due It Paid Late; 2 2/26/2022 Pay this Amount: 6,81J.88 USD USD 6,817.88 JAN 03 2023 NNTTHY ��II pppp CA BYCOi CO A001TE%AS 1 For AR Inquiries please contact 800-867-0333 MSKESSONSTATEMENT As of: 12/30/2022 Page: 001 To ensure Proper creditto your account, detach and return this rump, Co.e stub 1Y111, your moraines DC: 8115 As of: 12/30/2022 Page: 001 CVS PHCY FLN PH9 AMT DUE REMITTED VIA ACH DEBIT Territory: 400 Mall I. Comp: 8000 MEDIC EN MCKY KAL SEX CENTER Stalamanl for information only KAUSIX AMT DUE RSMITTED VIA ACH OMIT N Customer: 835434 815 N IA S7 Statement for information only AVACVIRGI FOR Dale: 12/3112022 PORE IAVACA TX ]]9)9 Cunt: 835434 PLEASE CHECK ANY Dale: 12/31/2022 ITEMS NOT PAID (v) filling Duo Receivabl6"�nlnn Ilonal Account Hoop, Cash late Date Number Reference Description Discount Amount P (9rex) F Amount P Hseslvabla (mat) F Number 'urtomer Number 835434 CVS PHI 8923/MEM MC PHS 2/28/2022 01/03/2023 7387545537 2067222 115lnvaice 6.06 30279 295.73 ✓ 7307546537 O IF column legeout P = Part Due Hem, P = Future Due Item, blank Is Current Due Item 'DTAL Customer Number 895434 CVS PHCY B923IMEM MC pHs Summers: 302.79 USD 'u[ure Due: 0.00 Due If Paid On Time: If PeM BY 0110312023, / USD 296.73 'sal Due: 0.00 Pay This Amount: 296.73 USD Dix led It paid late: Payment ],283.15 It Paid After Ot/03/2023, 8.06 Due If Paid tale: 2/ 2/O6/2022 Pay this Amount: 302.79 USD USD 302,79 �l3(z3 APPROVED ON JAN 03q�2�002TT3pppp 1AR0'U'NU COUNTY ITEXAN For AR Inquiries please contact 800-867-0333 MWESSON STATEMENT Gmpeny: saov CVS PHCY 7475/MGM MC I*S MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DEBIT VICKY KAUSIX Statement for information only 815 N VIRGINIA ST PORT LAVACA T% 77979 A. o1: 12/30/2022 DC: 8115 Territory; 400 Customer. 835438 Date: 12/31/2022 Page: 001 To creature, proper credit to your account, Mwh and Mum this Mob with your remittance Aa of: 12/30/2022 Page: 001 Mail to: Comp: 8000 AMT DUE RB4ITTED VIA ACH DEBIT Statement for Information only Coal: 835438 PLEASE CHECK ANY Date: 12/31/2022 ITEMS NOT PAID (s) Ielleg DuDate Reeeiveblt"atlowl Account it Ceeh Amount P Amount P Rxeivable Number Reference DeaeHpllon Discount (grow) F (nMl F Number :uftomer Number 835438 CVS PHCY 7475/MEM Me PHS 2/26/2022 01/03/2023 7387751407 2067940 1151nvoice 2.63 131.54 128.91 ✓ 7387751407 eF column legend: P = Pall Due Item, F = Future Due Item, blank = Current Ow Item 'OTAL• Customer Number 835488 CVS PHCY 7479/MEM MC pHs Subtotals: 131.54 USD 'More Due: 0.00 Due If Pald On Time: rest Ow: If Paid By 01103/2023, USD 126.91/ 0.00 Pay We Amount; 12Bsl USD Disc fact If paid late; ✓ aid 2,950.40 If Peltl After Oi/03/2029, 2.63 Due If Paid Late: /21)22 2/26/2022 Pay thle Amount: 131.54 USD 131.64 nUSD 113(2-3 APPROVED oN JAN 03 2013 cn?fficcoMl10A, For AR Inquiries please contact 800-867-0333 ,j STATEMENT Statement Number: 64334791 AmerlsourceElergen, Date: 12-30.2022 1 Ott AMERISOURCEBERGEN DRUG CORP WALGREENS a12494 3409 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER 1001352841037028186 SUGAR LAND TX 77478.8101 1302 N VIRGINIA ST PORT LAVACA TX 77979-2509 DEA: RA0289276 Sat - Fri Due in 7 days 866-451-9655 AMERISOURCESERGEN PO Box 905223 CHARLOTTE NC 28290.5223 Not Vet Due: 0.00 Current 1,127.38 Past Due: 0.00 Total Due: 1,127.38 Account Balance: 1.127.38 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 12-27-2022 01.06.2023 3117543190 168904 Invoice 10045 0.00 100.45 12-27-2022 01.06.2023 3117643191 168966 Invoice 192.13 0.00 192,13 12-27.2022 01.M2023 3117543192 169011 Invoice 715.62 0.00 715.62 12-29-2022 01.06-2023 3117866667 169027 Invoice 6.87 0.00 6.87 1230-2022 01-06-2023 3118029118 169039 Invoiw 112.31 0.00 112.31 Current 1-15 Days 18-30 Days 31.60 Days 61.90 Days 91-120 Days Over 120 Days 1.127.38 0.00 0.00 0.00 0.00 0.00 0.00 Thank You for Your Payment Date Amount 12-30.2022 (3,229,52) APPROVED ON JAN 03 2023 CALHOwNUC UNTV.ITBNIte Reminders Due Date Amount 07-06-zOz3 1,127.38 Total Due! 1,127.38, , Z 1l3 (23 TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1.800-572-8683) "ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" 7"ENTER YOUR 4-DIGIT PIN" r7"MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" 011IF FEDERALTAX DEPOSIT ENTER 1" ❑"ENTER 2-DIGITTAX FILING YEAR" "ENTER 2-DIGITTAX 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" "6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER ##" ENTER: 941 # " 03 0 $ 123,937.95 1 $ 63,352.50 $ 14,816.38 $ 45,769.07 CHECK $ CALLED IN BY: CALLED IN DATE: CALLED IN TIME: F:W-Payroll Files%Payrall TaxesT023WI R1 MMC TAX DEPOSIT WORKSHEET 12.29.22.x1s 1213012022 941 RECITAX DEPOSIT FOR MMC PAYROLL "E PAY PERIOD: BEGIN 12/16/2022 VOi PAY PERIOD: END 12/29I2022 PAY DATE: 11612023 GROSS PAY: $ 644,114.79 DEDUCTIONS: AIR $ 526.00 ADVANC BOOTS SUNLIFE CRITICAL ILLNESS S 1,173.73 SUNLIFE ACCIDENT $ 733.10 SUNLIFE VISION SUNLIFE SHORT TERM DIS $ 2,037.47 BCBS VISION $ 969.46 CAFE-0 $ 1,51%53 CAFE-H $ 22.816.41 s - s - CAFE-P CANCER CHILD $ 602.77 CLINIC $ 235.00 COMBIN $ 280.87 CREDUN $ - DENTAL $ - DEP-LF SUNLIFE TERM LIFE $ 947.87 SUNLIFE HOSP INDEM $ 618.50 FEDTAX $ 46.769.07 FICA-M S 7A08.19 FICA-0 $ 31,676.26 FIRST C FLEX S $ 3,316.74 FLX•FE $ - GIFT S $ 374.60 GRP-IN GTL HOSP-1 LEGAL $ 1,059.56 OTHER $ 5SIA5 NATIONAL FARM LIFE S 1,792.38 MEDSURCHARGE $ - PR FIN $ RELAY REPAY STONEDF $ 640.86 STONE STONE 2 STUDEN TSAR $ 38,088,11 UWIHOS $ TOTAL DEDUCTIONS: $ 163 136 92 S «ata3inMA1 Ufa" NET PAY: S 38097787 S TOTAL CAFE 126 PLAN: $ 33,207.30 La: rinn TSKcV'uaiYAtai3�( • S • AXABLE PAY: $ $10,907.49 $ 51090749 "CALCULATED'- From MMC Report Difference ICA- LIED(ER) usx $ 7,408.16 ICA - MEU (EE) r.ttw $ 7.408.16 $ 7,409.19 $ (O.O: ICA - SOC SEC (ER) a.xa1L $ 31,676.26 ICA - SOC SEC (EE) &X% $ 31,678.26 $ 31,676.25 $ 0.01 ED WITHHOLDING $ 45,769.07 $ 46,769.07 $ TAX DEPOSIT: S 12A937AS 123,937,91 S FICA -MEDICARE xsex $ 14,816.32 $14.810.38 FICA -SOCIAL SECURITY ,x<xx $ 63,352-52 $03,352.50 PREPARED BY: FED WITHHOLDING $ 46,769.07 $45,769.07 PREPARED DATE: TOTAL TAX: S 123,937.91 $123,937.95 $ (0.04) _t REVISED X162014 NAL CK m TOTALS $ 644,114.79 625.00 1,173.73 733.10 2,037.47 869.46 1,519.53 22,816.41 602.77 235.00 280.87 947.87 618.50 46,769.07 7.408.19 31,676.26 3,316.74 374.80 1,069,66 551A5 1,792,38 640.96 $ 38,088.11 $ 163,136.92 eQAT+. $ 380,977.87 EXemptAmt: Employees over FICA -SS Cap: Sharma Odonnell Roshanda Thomas S - Paycode 8 • Employee Rehab.: TOTAL: 6 Caitlin Clevenger 12/3012022 01 R1 MMC TAX DEPOSIT WORKSHEET 12.29.22.>ts; TAX DEPOSIT WORKSHEET IMOM022 Run Date: 12/30/22 MEMORIAL MEDICAL CENTER Page 109 Time; 15:48 Payroll Register I Ri-Weekly I P2REG Pay Period 12/16/22 - 12129/22 Rung 1 Final summary .-- Pay Code summary PayCd Description ........................ -------- 1 REGULAR PAY-S1 1 REGULAR PAY-S1 1 REGULAR PAY-S1 1 REGULAR PAY-81 2 REGULAR PAY-S2 2 REGULAR PAY-52 2 REGULAR PAY-S2 3 REGULAR PAY-53 3 REGULAR PAY-S3 3 REGULAR PAY-S3 4 CALL BACK PAY 4 CALL BACK PAY 5 DISASTER PAY C CALL PAY D DOUBLE TIME D DOUBLE TIER D DOUBLE TIME D DOUBLE TIME E EXTRA WAGES F FUNERAL LEAVE K E%TENDED-ILLNESS-BANK 9 PAID -TIME -OFF P PAID -TIME -OFF X CALL PAY 2 Z CALL PAY 3 p PAID TIME OFF - PROBATION t PHONE 4 DATA --------------------- .-------------- r__ D e d u c t i o n s S u m m a r y .___________- Mrs OTISHINSINOICBI Gross I Code Amaunt .................................... --------------------------------- 0416.75 N 1480.00 N 181.75 N 198.75 Y 2434,GD N 132.00 N 140.25 Y 1323,25 N 103.75 N 145.25 Y 61.25 N 1 30.00 N 2 49.82 N 2477.25 N 1 24.75 N 1 15.00 N 2 is.50 N 3 7.50 Y 1 N 1 16.00 11 1 477.00 N 1 258.66 21 2266.00 N 1 96.00 N 1 96.00 N 1 00.00 N 1 N N N N N N 11 Y N N N 11 N Y N N 14 N N Y N N 11 11 Y N N Y N tl N N 11 N N 11 N N N N N N 11 14 N N N N N N N N N N N N ti N N N 11 12 10OB96.25 AIR 525.00tiIR2 A/R3 67327.76 ADVANC AWARDS BCBSVI 6047.04 BOOTS CAFE H CAFE-1 6676.20 CAFE-2 CAFS-3 CAFE-4 59699.70 CAFE-5 CAFE-C CAFE-D 5386.62 CAFE-F CAPE-H 22816.41✓CAFE-I 5662.66 CAFE-L CAFE-P CANCER 39520.52 CHILD 602.17AINIC 235.00AMBIN 4697.44 CREDUN D➢ ADV DENTAL 7268.32 ➢6P-LF DIS-LF EAT 2359,67 RATCSH FEDTAX 45769r07,tICA-II 1052.17 FICA-0 31676.24IRS7C FLEX S 773.46 PLX PH FORT D FU'TA 4954.50 GIFT S 374.60%gRANT GRP-III 102,90 GTL NOSP-i ID TIT 856.20 LEAF LEGAL 189,56A.1ASA 902.44 14EALS 342,18AIVIS NISC 319,50 NISC/ MMCSHR NATFML 62013.75 OTHER PHI PHIk*• 443.68 PR FIN RELAY REPAY 13366.76 SAME SCRUBS S CNON 13231.77 ST-TX STONDF E40.86XNE 56552,76 STONE2 STUDEN SUNACC 192.00 SUNILL 1173.7 UHIND 638.916UNLIF 208.00 SU115TD 2031.4 UNVIS SURCEG 1841.92 TSA-1 T5A-2SA-C 1010.00 TSA-P TSA-R 38086,11 UTION DUMP ina "Alum `-------------------- Grand Totals: 20527,48 --..- I Grass; $44114.79✓ Deductions; 163136.92 Net; Checks Count:- FT 197 PT 6 Other 53 Female 231 Male 23 Credit OverAmt 18 ZeroNet Term a_________________________________________________________ 969.46✓ I519.53�/ 260.87✓ 7408.19✓ 3316.74 ✓ 870.00J 1792.38✓ 733.10V 941.87✓ Pag 42r IG, 380477-,87, 1DI ID6 III Total: 254 G Run Date: 12/30/22 MEMORIAL MEDICAL CENTER DI -WEEKLY Page i Time: 16:25 Check Register --*' P20IS7P Pay Period 12/16/22--12/29/22 Run: 1 Type=MET 16000001 OPERATING - PROSPERITY Hum. Name Amount CHECK NUN DATE 50010 MICHELLE N MORALES 1519.80 00063279 01/06/23 65147 BLANCAROSA VILLARREAL 575.65 00063280 01/06/23 76110 TARAH SUBl LrT 721.25 GOD63281 01/06/23 15286 DAWN M HAREK 1907,46 00063282 01/DG/23 D0041 CARL LEE KING 783.9D DD 01/06/23 00083 SYLVIA A VARGAS 647.17 DD 01/06/23 50094 SYLVIA A MENDOZA 905.93 DO 01/06/23 00113 JACLYN CARREON 1142.49 DD 01/06/23 00132 SA.NDRA A BRAUN 636.61 DO 01/06/23 00192 BRENDA D PENA 4127,32 DO 01/06/23 00270 ANGELA 14 BURGIN 862.41 DO 01/06/23 00344 SANDRA LEE RUDDICK 26B9.23 DO O1/06/23 00387 BILLIE F DUCKWORTH 3798.94 DO 01/06/23 00392 MONICA T CARR 2027.30 D➢ 01/06/23 00399 LINDA J TIJERINA 2743.64 DO 01/06/23 00401 VEL6A J PINA 1010.04 DO 01/06/23 00417 SHERRY L KING 2365.21 DO 01/06/21 D0423 DONN V STRINGO 2142.62 DO 01/06/23 00482 PAN FIKAC 1350.48 DO O1/U6/23 00581 CYNTHIA L RUSHING 1509,42 DO 01/06123 00676 SHEILA KAY HEATHCOCK 1130.20 DU 01/06/23 00601 RILLA RENEE WOOD 1955.73 DO 01/06/23 00692 DEBORAH E WITTNEBERT 231.51 DO 01/06/23 00697 MARIA C FARIAS 1334.85 DO O1/DG/23 00707 KIMBERLY R BLINKA 1530J1 DO 01/06/23 00895 EMILIE ➢IANE WILKEY 864.39 DO 01/06/23 01015 SUSAN B SMALLEY 3977.49 OD 01/06/23 01234 JENISE N SVETLIK 2073.46 ➢O 01/06/23 01241 MALADY FACE 2021.12 DO 01/06/23 01367 14ARILYN A SANDERS 828.21 DO D1/06/23 01543 JACKIE E WILLIAMS 1642.24 ➢O D1/06/23 OL791 RAUSHANAH J MONDAY 2552.62 ➢O D1/06/23 02D71 ERIN R CLEVENGER 3940.97 DO D1/06/23 02 D14 AGAPITA C CANTU 447.34 D➢ 01/06/23 02021 ERIKA OSORNIA-SANCHEZ 2879.32 D➢ 01/06/23 02022 AFANDA J GRIGGS 2472.32 D➢ 01/06/23 02064 AMNA LAURA GARCIA 1188,01 OD 01/06/23 02097 KYLIE 14 GAINES 1220.33 DO 01/06/23 02099 TRACI I4 SHEFCIK 2935,55 UP 01/06/23 02112 LESLIE THOMAS 3209.62 DO 01/06/23 02122 ➢ARIN L121A 2473.46 DD 01/06/23 02145 BING VALDEZ 1800.70 DO 01/06/23 02154 JUSTINE STRELCZYK 2511.80 DO 01/06/23 02162 MIRIAM P.ALUKA 1903.07 DO 01/06/23 02150 JENSICA KNIGHT 2570.10 DO 01/06/23 02193 TIKI VEIIGIAR 2350.76 DO 01/06/23 02271 DAWN J BUBENIK 2023.89 DO 01/06/23 02331 NICOLAS TIJERINA 6360.82 DO 01/06/23 023DI CONNIE N LUNA 1919.43 DD 01/06/23 02315 NINA M GREEN 3697.64 DO 01/06/23 02322 RICK OSORMIA 1611,09 DD 01/06/23 02331 JESSICA B SIPPLE 771.44 DO 01/06/23 02346 JEANETTE L FALCON 1686.05 DO 01/06/23 Run Date: 12/30/22 MEMORIAL MEDICAL CENTER BI-WEEKLY Page 2 Time: 16;25 .... Check Register I--- P2DISTP Pay Period 12/16/22--12/29/22 Run: 1 Type=NET 10900001 OPERATING - PROSPERITY Rom. Name Amount CHECK NUN DATE D2416 JANELLE SCOTT 732.73 DO el/06/23 02511 MAGDALENA SEPULVEDA 1775.D5 DO 91/06/23 02525 AUDREY D GARCIA 210.92 DD 0l/06/23 02535 STEFANIE M BOLIZ 860.50 On 01/06/23 02552 VERONICA RAGUSIN 1791.19 DD 01/06/23 02622 JESUSA MAMIE VILLARREAL 3636.05 D➢ 01/06/23 0267B MELISSA NBSLONBY 2495,10 D➢ 01/06/23 02701 RONDA DAWNELLB GORLRE 3102.93 D➢ 01/06/23 02119 DAWN M MCC1ELLAND 1966,50 D➢ 01/06/23 02735 ZANDRA A GARCIA 786.13 OD 01106/23 02763 JESSICA MARQUEZ 1591,02 DO 01/06/23 02194 HEATHER L MUTCRLER 1753.5D DD O1106/23 02B12 BRITTANY 11 RUDDICK 3052.57 D➢ 01/06/23 02907 MARIA F LONGORIA 1193,92 DD O1/06123 02927 MICHAEL L GAINES 3019,36 DO O1/06/23 02963 DOROTHY J RENDON 952.14 D➢ 01/06/23 02970 DIA.W G ATKINSON 1996.26 ➢➢ D1/06123 03064 JACQUELINE R HERRERA 1328.41 DO 01/06/23 05003 COURTHE D THORLKILL 2902.77 D➢ 01196/21 05006 REGINA A MARTINEZ 2548.21 D➢ 01/06/23 05122 MARLSSA RANGEL 1690,37 ➢O O1/06/23 05345 ERICA NGUYEN 090.41 DO 01/06/23 05641 AMANDA R KEY 2624.50 ➢➢ 01/06/23 05757 SHARON T HOLDER 2551.12 DD O1/06/23 07007 URSULA S BRYAN 795.79 DO 01/06/23 07123 CYNTHIA GORRRA 1503.07 DO O1/06123 07147 CNN A VORCE 1654.56 DO O1/96/23 07078 DIANA C SAUCEDA 1063.25 DO 01/06/23 11197 CATHERINE A SAENZ 4678.78 ➢D O1/06123 12011. KIMBERLY J RBYNA 1839.95 ➢O 01/06/23 12115 LISA J HINOJOSA 955,7B DO 01/06/23 12153 JULIA MONIES 2036.00 DO 01/06/23 12392 BIANCA CADY 138.68 DO 01/06/23 15097 KYLE L DANIEL 3552.50 DO 01/06/23 15131 SAVANNAH BARLEY 1377.95 DO O1/06123 15139 KRISTEN NICOLE BALLARD 1896.43 ➢➢ 01/06/23 15171 JESSICA BARROW 3622.53 DO 01/06/23 15256 COURTNEY A SALAZAR 1665.56 ➢O 01/06/23 15555 STEPHANIE MARTIN 365.19 DD 01/06/23 15909 JULIE NGUYEN 3709.30 DD 01/06/23 15915 BRIANNE J KEY 2025.95 DO 01/06/23 20102 MAYA HAWKINS 1274.69 ➢O 01/06/21 20112 YULMA PATRICA RODRIGUEZ 1567.31 ➢D 01/06/23 20144 SOPHIE M PECEIIA 1545.4E ➢D 01/06/23 2D145 NATALIE SOTO 956.56 DO 01/06/23 20156 GRIN ASHLEY WISDOM 2262.3E DD 01/06/23 2D17B ANY GARCIA 1441.78 DO 01/06/23 20184 MELISSA ZAMURANO 185.97 DD 01/06/23 20206 KELLI B GOFF 1937,94 DO O1/D6/23 20207 SHARNA G RARTL 2598.54 DD O1/06/23 20243 142LUIE ODR789 1158.94 DO 01/06/23 20294 JESSICA D WALTHER 640.49 DO 01/06/23 20484 BRIANNA S PASSMORE 109.42 UP OIJ06/23 20742 CYNTHIA LOPEZ 420.77 DO 01/06/23 Run Date: 12/30/22 MEMORIAL MEDICAL CENTER 81-WEEKLY Page 3 Time; 16:25 +++* Check Register +t'+ P2DISTP Pay Period 12/16/22--12/29/22 Run: L Type=NET 10000001 OPERATING - PROSPERITY Rum. Name Amount CHECK NO DATE 20759 JAMIE SADLER 553,06 DO 01/06/23 20788 JAYLIN RAMIREZ U6.05 DD 01/06/23 20797 BETRANN M DIGGS 1646.15 ➢➢ 01/06/23 20816 JOIE L PENA 888.74 DO 01/06/23 20896 DANIELA CABIACHO 637.57 DD 01/06/23 20977 CHERYL L TESCH 3018.05 DD 01/06/23 21450 DIANA E LEAL 1398.28 DO 01/06/23 21629 JACOBY R CRAWFORD 1409,03 D➢ 01/06/23 22618 HEATHER L LOPEZ 379.B1 DD 01/06/23 261B6 JANET OROUNO 2811,55 GO 01/06/23 2BI20 JESSICA V SELVERA 1398.71 DO 01/05/23 29169 KELLY A SCHOTT 2462.14 DO 01/06/23 31035 STACIR L EPLEY 1939,64 DD OL/D6/23 31054 LORA L LAMBORN 820.67 DD 01/06/23 31059 ARACELY 2 G.ARCIA 2402.09 DO 01/06/23 11219 LAUREN PHILLIPS 1222.21 GO 01/06/23 3125L CYNTHIA L BIAS 2071.66 DD 01106/23 31313 KATRERINB LYNN JIMENEZ 1379.90 DD 01/06/23 31319 STACY L FARMER 1'139.02 DO 01/06/23 31463 EDW.ARD E MA7ULA 2415,66 DO 01/06/23 31508 RACHEL A HEFFNER 1075.07 DD 01/06/23 31521 KEYLA DE LA CALLEJA 362.94 DO 01/06/23 31B21 RAW M ALVAREZ 1592.37 DO 01/06/23 11849 CODY L JUREK 609.15 DD 01/06/23 38118 KRYSTELLA F KISIAH 1012,14 ED 01/06/23 38168 MEGAN7 M CANO 1046.02 DO 01JO6/23 38702 ANNA VANESSA PENNELL 851.29 DO 01/06/23 41012 MARIA SANDOVAL 5D1,29 DO 01/06/23 41112 ANASTASIA L PEREZ 587.70 DO 01/06/23 41171 T014HIE M TREVINO 495.93 DO 01/06/23 11205 JEANETTE ALVARADO 776,19 DO D1/06/23 41225 LESLIE A CRAIGEN 1197.05 DO DI/06/23 41236 PAMELA K VANNOY 1233.07 DO D1/06/23 41251 SARA YBARBO 757.96 DD 01/06/23 41274 KAREN HAND 813.33 0D 01/06/23 41279 PAMELA R HARMON 714.75 DD 01/06/23 41347 ADRIABNA D STRAKOS 204.87 DO 01/06/21 41369 LORETTA A LEAL 443.55 DO 01106/23 41418 ANGEL IB CASSEL B80.25 DO 01/06/23 41506 JOSEFAT LUGO TORUS 784.33 D➢ 01/06/23 41507 OLGA I BETANCOURT 767,52 GO 01/06/23 41612 SONJA A GUAJARDO 807.46 DO 01/D6123 41617 JACQUELINE M MARTINEZ 808.51 DO 01/06/23 41356 REN.4E MICHELLE EMERY 550.22 DD 01/06/23 41897 ROKANNA MUNOZ 771.98 DO 01/06/23 41901 JUANITA R MILLER 1066.21 DO 01/06/23 42106 CHRISTY SILVAS 854,81 DO 01/06/23 42112 SOCORRO C GONZALES 631.89 DO 01/06/23 42122 LEI ANA CHAVANA 1551.64 DO 01/06/23 42125 LUCY C.ALZADA 744,47 DO 01/06/23 42304 MINI T NGUYEN 1867.01 DO 01/06/23 42820 MARIA D CHAVEZ 803.91 DD 01/06/23 42942 SKANNA S 0 DONNELL 3283.75 ➢D 01/06/23 48690 JESSICA BUSH 13.66 DD 01/06/23 Run Date: 12/30/22 ,MEMORIAL MEDICAL CENTER BI-MEEKLY Page 4 Time: 15:25 ++++ Check Register •+•+ P2➢ISTP Pay Period 12/16/22--12/29/22 Run: 1 Type=NET 10000001 OPERATING - PROSPERITY Num. Name Amount CHECK NUM DATE 50022 REGINA A JOHNSON 450.64 DD D1/06/23 50148 PENNY GOULDEN 2423.82 DO D1/06/23 50161 BRITTNEY MICHELLE ZAMORA 1938.45 DD 01/06/23 5024B MCKENNA VILLEGAS 455.07 ➢D 01/06/23 50282 JACOB W HAMILTON 2410.92 ➢D 01/06/23 50310 JASMINE GRIG5BY - 690.77 DD 01/06/23 50546 MELANIE K SAMAYOA 1934.16 DD 01/06/23 50573 OSANA R DAVIS 1525,76 DD 01/06/23 59596 BETTY S DAVIS 1916.64 GO 01/06/21 50719 DEBRA K MUSTERED 2201.13 D➢ 01/06/23 50926 ADINA RODRIGUEZ 501.63 DD 01/06/21 53641 JACLYN B MARTI, 1561.66 DD 01/06/21 54024 MONICA A EECALANTE 1216.31 DD 01/06/23 55025 LEA C RESENURZ 422.36 OD 01/06/23 55026 IRENE B PEREZ 457,37 ➢D 01/06/23 55127 APRIL N KERALA 2260.20 DD 01/06/21 55371 BLANCA HERNANDEZ 343.01 OD 01/06/23 553B2 SHANNON JACILDO 1630,62 DD 01/06/23 55658 LAJUAH WILKE GB2.62 OD 01/06/23 58115 BECKY MARIE SALINAS 799.38 DD 01/06/23 56510 RITA L POLENSKY 006.34 BE 01/06/23 60112 ROBERT A RODRIQUEZ 1973.35 D➢ 01/06/23 60131 NORA OVALLE 567.65 DD 01/06/23 60138 ELIJAH 85TRADA 685.70 D➢ 01/06/23 50156 DANIELLE M TABLE 845.42 DD 01/06/23 60153 MIGDALIA CLARO 1649.66 DD 01/06/23 60155 TERESA A BBNITEZ 1236.31 DD 01/06/23 90412 CHRISTOPHER GALINDO 743,53 DD Q1/06/23 60616 DOROTHY A LONGORIA 639.54 DD 01/06/23 GD867 RUDOLPHO VASQUEZ 1304.72 ED 01/06/23 62122 A[AN KNIGHT 1064.84 ED 01/06/23 63124 SANJUAN M GARCIA 907.27 ED 01/06/23 63289 JASON RUBIO 156.76 DD 01/06/23 65100 PELICITA BOt116Z 581.14 OD 01/06/23 65125 MARTHA CURFEW 794.92 DD 01/06/23 65136 TINA KORANEK 1025.89 CO 01/06/23 6514E MARIA INIGUEZ 911,64 DD 01/06/23 55151 ELIA OLACHIA 941.04 DD 01/06/23 65162 CLAUDIA RUIZ 550.96 OD 01/06/23 65168 HORA NIBBLES 673.63 DD 01/06/23 65109 SLVIRA SANCHEZ 687.52 DD 01/06/23 65213 LEE SIMERLY 1253.-11 BE 01/DG/23 65269 NATALIE BAREFIRLD B47.59 DO O1/06/23 65393 RAMORk A PEREZ 1230.33 UD 01/06/23 65453 AMALIA L FLORES 918.67 DD 01106/2) 65463 MARIA I VELOZ B76.60 DO 01/06/23 65486 ROSA RODRIGUEZ 665.21 DO 01/06/23 65513 MARIA MORALES 923.55 DO 01/06/23 65705 ➢014ITILA HERRERA 1335.92 DD 01/06/23 65715 MARIA R GOMEZ 153.95 DO 01/06/13 65865 MARIA F LEDEZMA 648.14 DO 01/06/23 6836E DOMITILA GARCIA 312.55 DD D1/O6/23 6B56B CHRISTOPHER RUTHERFORD 1016.B7 ➢O D1/06/23 68792 NAZ.ARIO DIAZ HERNANDEZ 1964.2E DO O1/06/23 Run Date: 12/30/22 HEMORIAL MEDICAL CENTER 8I-11EEKLY Page 5 Time: 15:25 +*++ Cheek Register **** P2➢IS7P Pay Period 12/16/22--12/29/22 Run: 1 TYPE=NET 10000001 OPERATING - PROSPERITY Hum, Name Amount CHECK N0 DATE 70119 SARA N BLEDSOE 2189.63 DD 01/06/23 73149 GLORIA N REID 2283.63 ➢O O1/06123 74159 CAROL VILLARREAL 1186,77 DO O1/06/23 75190 RIKA MILLER 1722.87 DO D1106/23 76003 IRMA DELEON 6B0.48 DD DI/06/23 76067 PAIGE GEORGIA CHATHAM 549.88 GO D1/06/23 76115 JENNIFER R CARLOCK 735.33 DD 01/06/23 76120 RACHEL MALES 1306.27 DD 01/96/23 76139 (WREN D GARCIA 723.59 DO O1/06/23 76210 20E VILLARREAL 1105.77 DD O1/06/23 76300 AIDA JIMENEZ 1180.53 DD 01/06/23 76313 PAMELA L BARTON 701.69 DD 01/06/23 76403 KATRINA A POKLUDA 1335.70 DD 01/06/23 76647 CHERYL A SEE 1046.39 ➢O 01106/23 76706 GREGORY E MORALES 643.94 DO 01106/23 76985 VANESSA TRISTAN 355.26 ➢O 91106/23 77646 PARER A GON14LES 1058.50 DD 01/06/23 78020 MISTY R PASS14M 1246.33 DO 91106/23 78058 KYANN J PONER 508.58 ➢D D1106123 78072 DONNA M RAWLINGS 1173.34 DO 01/06/23 78128 ALBXA QUINTANILLA 780.37 ON O1/06123 78186 ANDREA F COOK 423.64 ➢➢ 01/06/23 78191 JAMIE J GRASSE 102.13 OD 01/06/23 78287 MARISSA D AlW2AR 1577.0E DO 01/06/23 78336 JESSICA L GLOVER 1655.06 DO 01/06/23 78566 MELISSA K GEE 617.02 DO 01/06/23 70764 ASHLEY D HADLEY 1759.1-1 DO 01/96/23 70781 KRISTEN R MACHICEK 2696.19 DO 01/06/23 78787 PAM I JANAK 2413.45 SO 01/06/23 78891 DAYLE J ROBINSON 570.40 OR 01/O6/23 80008 ADP14 D ESSIG 2513.99 DO 01/06/23 80141 JEANNIE ORTA 1620.54 OD 01/O6123 02221 CAITLIN A CLEVENGER 1217.24 DO 01/06/23 B64B2 MEGAN M HARPER 747.24 DO 01/06/23 88125 LISA 11 7RM140 1060,82 DO O1/06123 OB321 ANDREW DE LOS SANTOS 2651.53 DD 01/06123 B8800 MARLEY B ODONHELL 1973.25 DD 01/06/23 88904 I•L4YRA K MARTINEZ 1511.44 OD 01/06/23 90320 ROSHANDA S THOMAS 1D705.91 ➢➢ 01/06/23 93231 ANDRIE N FLORES L073.93 DD 01/06/23 98756 ADRIAIINA M GALVAN L462.63 DD 01/06/23 380977,67 MEMORIAL MEDICAL CENTER PROSPERITY BANK FOR OPERATING ACCOUNT -- December 26, 2022 -January 1, 2023 Date Sank Descr of on MMC Notes 12/27/2022 PAY PLUS A[HTRAN59525]9291303000695932080 -3rd Party Payer Fee 12/27/2022 MCKESSON DRUG AUTO ACH ACH05312888910000177 - 3408 Drug Program Expense 22/27/2022 IRS USATAXPYMT 2702761024764866103601001532 -Payroll Taxes 12/28/2022 PAY PLUS ACHTRAN5452579291301000696806189 - 3rd Party Payer Fee 12/29/2022 PAY PLUS ACHTRANS 452579291101000698143119 -3rd Party Payer fee 12/30/2D22 PAY PLUS ACHTRANS 452579291101000699%9295 -3rd Party Payer Fee 12/30/2022 AMERISOURCE BERG PAYMENTS OIND07702100002 - 340B Drug Program Expense ANOREW OF LOS SAN lllsf�lTOS nKiE1- January 3, 2023 Memodal Medical Center -Y{ „( 11-u-n [(— PROSPERITYBANK ej— i�ptayrcl. 1'1'21 2L C(_ ELECTRONICTRANSFERS FOR OPERATING ACCOUNT --ESTIMATED ACHS Date Description 11 ACA/rt psJ )OI (^ .� January 3, 2023 ANDREW DE LOS SANTOS �J- Memorial Medical Center MMC Notes Pel p1m CP Amount 1 3 2• 70 132.70, 2,950AA 2 8 3• 75 + 123,999.18ft- 1 1 I • 71J + 383.73; 220•59 + 111.70, 2Z6.69 3,229s-- 13Q9D.g130r 927. 9L + 2+95D•a.b - 123, 99.J. 18 - 3.229-•5< - 748.82, 748. 8:< Amount 74t3. 8% - D•OU x. APPROVED ON 1AN 03 2023 C. BlF10UNU COUNTY, TEXAS Page I of 1 RECEIVED aY THE COUNTY AUDITOR ON DEC 2 9 2022 MEMORIAL MEDICAL CENTER 12/29/2022 0 CALHOggi &PUNTY, TEXAS AP Open Invoice List ap_open_invoice.tamplaie Dates Through: Vendor# Vendor Name Class Pay Code 11525 SOLERA WEST HOUSTON Invoice# Comment Tran Dt Inv Di Due Dt Check D Pay Gross Discount No -Pay Net 121422 12128/20 12/14/20 01/15/20 5,694.51 0.00 0.00 5,694.61 TRANSFER Nii lnsuvxrta V�KA.G pD4O ttk Ih'I` M�L'`L OpLn�i,11 Vendor Total: Number Name Gross Dlscou No -Pay Net 11828 SOLERA WEST HOUSTON 5,694.51 0.00 0.00 5,694.51 Report Summary Grand Totals: Gross Discount No -Pay Net 5,694,51 0.00 0.00 5,694.51 DEC 2 9 2022 CALHOUNU�O,4 ITEXAS file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report53082... 12/29/2022 RECEIVED BY THE COUNTY AUDITOR ON DEC 2 9 2022 MEMORIAL MEDICAL CENTER 12/29/ e`h`7- + 1 J6!'W TY. TEXAS AP Open Invoice List 0 I'12 ap_open_invoice.temptate Dates Through: Vendor# Vendor Name Class Pay Code 11824 THE CRESCENT Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay 122022A 12/28/20 12/20120 01/16120 7,251.95 0.00 TRANSFERQ IMW"(I pi Kj hpjrjrr. ytb j1 AkL Opt 10.00 41"'n'� j 122022 12128/20 12120/20 01/16/20 3,713.47 0.00 UY 0.00 TRANSFER tk 11 Vendor Total: Number Name Gross Discount No -Pay 11824 THE CRESCENT 10,965.42 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 10,965.42 0.00 0.00 APPROVED ON DEC 2 9p�r 220�22pp ',AIU.HQUONU COUNTY. TEXA9 Page 1 of 1 Net 7,251.95 rf 3,713.47 Net 10,965.42 Net 10,965.42 file:!//C:(Users/ltrevinolcpsi/memmed.cpsinet.comltt88125/data_5/tmp_cw5report 11889... 12/29/2022 Page I of 1 RECEIVED BY THE COUNTY AUDITOR ON DEC 2 9 2022 12/29/2022 MEMORIAL MEDICAL CENTER 0 Lf.1LN.QUT89AUNTY,TEXAS AP Open Invoice List ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 121322 12/28/2012/1312001/15/20 0.00 0.00 5,870.70 LL5'�,870.70 TRANSFER 09'woftim 0ypl} O,g964,3. IAlb Mom- OpU'l-{1r1� / 121322A 12/28/2012113/20 D1/16120 69.99 0.00 U 0.00 69.99✓ TRANSFER It 11 , 121422 12/28/2012/14/2001115/20 6,075,10 0.00 0.00 6,075A0 TRANSFER It 1t 121422A 12/28120 12114M 01/15/20 414.43 0.00 0.00 414.43 TRANSFER 11 1r 12162022 12/28/20 12/16/20 01/16/20 110.68 0.00 0.00 110.68 TRANSFER 11 '1 Vendor Total: Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 12,540.90 0.00 0.00 12,540.90 Report Summary Grand Totals: Gross Discount No -Pay Net 12,540.90 0.00 0.00 12,540.90 APPROVED ON DEC 2 9 202Z GGLJUNTY tA,;; RI i O W N . i file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.coin/u88125/data_5/tmp`cw5report56292... 12/29/2022 Page 1 of 1 RECEIVED By THE COUNTYAUDITOR ON DE72/ sg/!10 2�r 22 MEMORIAL MEDICAL CENTER a AP Open Invoice List 0 1NC ap_open_invoice.template 1DALHOUN COUNTY, 3E)<q� Dates Through: Vendor# Vendor Name Class Pay Code 12696 GULF POINTE PLAZA Invoice# Comment Tran 01 Inv Dt Due Dt Check D Pay Gross Discount No -Pay 121322 12/25/20 12/13/20 01/16/20 26,567.03 0.00 0100 TRANSFER 011 111dUYnitct ggKj d1ppT I'Pl- KA MWkL Oj7Uw77 �^ 121422 12/28/20 12114/20 01/16/20 2,760.35 0.00 0.00 TRANSFER vt tr 122022 12/28/201212012001/16/20 367.03 0.00 0.00 TRANSFER 11i r r 122122 12/28/2012/2112001/16/20 1,361.13 0.00 0.00 TRANSFER k 1� Vendor Total; Number Name Gross Discount No -Pay 12696 GULF POINTE PLAZA 31,055.54 0.00 0.00 - Report Summary Grand Totals: Gross Discount No -Pay 31.055.54 0.00 0.00 APPROVES Q14 DEC t 2 92022 CALHA rOU)gy lT&S Net / 26,567.03 ✓ 2,760.36 1% 367.03 0 1,361.13 Net 31,055,54 Net 31,055.54 file:/NC:/Users/Itrevino/cpsi/memined.cpsinet.cons/u88125/data_5/tmp_cw5report70751... 12/29/2022 Page 1 of 1 RECENT BY THE COUNTY AUDITOR ON DE&A,%22022 11;09 GWOUN COLImTY,'WAS Vendor# Vendor Name 13004 TUSCANY VILLAGE MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open_Invoice.template Invoice# Comment Tran or Inv Dt Due Dt Check D Pay Gross Discount No -Pay 121422 12/28/20 12/14/20 01/15/20 2,074.60 0.00 0.00 TRANSFER WH IQU1'" p6K] r,4libi,ial`- 1A.{1 VUA1A.t, *t 121422A 1212BY20 12/14/20 01/16/20 4,084.50 0.00 0.00 TRANSFER h n 121922 12/28/20 12/19/20 01/19/20 11,414.00 0.00 0.00 TRANSFER it 1, 121922A 12/28/20 12/19/20 01/19/20 18,395.90 0.00 0.00 TRANSFER It It 121922B 12/28/20 1PJ19/20 01/19/20 1,425.00 0.00 0.00 TRANSFER It 1f Vendor Totals Number Name Gross Discount No -Pay 13004 TUSCANY VILLAGE 37,394.00 0.00 0.00 Grand Totals: APPROVED ON DEC 2 9 2022 CALHORU COUNTY.' TEXAS Net // 2,074.60 ✓ 4,084.50 y' 11,414.00 13,395.90 1,425.00 Net 37,394.00 Report Summary Gross Discount No -Pay Net 37.394.00 0.00 0.00 37,394.00 file:/I/C:lUsers/Itrevino/cpsi/memmed. cpsinet. com/u88125/data_5/tmp_cw5report40950.,. 12/29/2022 Page 1 of 1 RECEIVED BY THE COUNTYAUDITORON DEC MEMORIAL MEDICAL CENTER 1�/29/2022 0 AP Open Invoice List 11:12 ap_openinvoice.template -YVNLHQUN. COUNIY,.TEXAS Dates Through: Vendor# Vendor Name Class Pay Code 12792 BETHANY SENIOR LIVING Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 121322 12/28/20 12/13/20 01/16/20 2,929.85 0.00 0.00 2,929.35 ✓ TRANSFER NN 14SgVx1U1. pS&I 4416fly. Ih� WK ()ntwb� 121422 12/28/20 12/14/20 01/16/20 4,579.67 0.00 0.00 4,579.67 ✓ TRANSFER" II , 122022A 12/28/20 12120/20 01/16/20 463.78 0.00 0.00 463.78 ✓ TRANSFER P II 122022 12/28/20 12/20/20 01/16/20 93.52 0.00 0.00 93.52 TRANSFER It a 122122 12/28/20 12/21/20 01/16/20 3,924.00 0.00 0.00 f 3,924.00 ✓ TRANSFER %r it Vendor Totals Number Name Gross Discount No -Pay Net 12792 BETHANY SENIOR LIVING 11,990.32 0.00 0.00 11,990.32 Report Summary Grand Totals: Gross Discount No -Pay Net 11,990,32 0.00 0.00 11,990.32 ;APPROVED ON DEC 2 9 Z022 CAUiOUN PIO1NTYIRMS file:///C:/Users/]trevino/epsi/mennned.cpsinet.con3/u88125/data_5/tmp_cw5report51647... 12/29/2022 Mayra Martinez From: Caitlin Clevenger Sent: Wednesday, December 28, 2022 2:05 PM To: Mayra Martinez Subject: FW: TUSCANY VILLAGE MEDICARE RECOUP 11.10.22 Attachments: scan0038.pdf Hi Mayra, We need to withhold this from Tuscany next Monday. Medicare withheld it from us. The information contained in this transmission may contain privileged and confidential information, including patient information protected by federal and state privacy laws. It is intended only for the use of the person(s) named above. if you are not the Intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message and any attachments. Caitlin Clevenger Accountant Memorial Medical Center 815 N Virginia. St Part Lavaca, TX 77979 Ph: 361,552.0272 From: Rachel Arenazas<rrarenazas@tuscanyvillagecare.net> Sent: Wednesday, December 28, 2022 12:39 PM To: Caitlin Clevenger <cclevenger@mmcportlavaca.com> Subject: TUSCANY VILLAGE MEDICARE RECOUP 11.10.22 CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. From; Rachel Arenazas Sent: Wednesday, December 21, 2022 3:12 PM To: Caitlin Clevenger <cclevenger@mmcportlavaca com> Subject: MEDICARE RECOUP 11,10.22 Caitlin, Good afternoon. See attached Medicare Remit, they took the money back on 11.10.22, but I don't show that it was ever posted... Please assist. @ (btw—it should have been recouped) Best regards, Rachel Arenazas, u'I'USCANY VII.IAGE 2750 ,Miller Ranch Road Pearland 7:4 77584 Tel: 713-770-5300 Pax.713-770.5301 This message and any attachments are intended only for the use of the individual or entities to which they are addressed, and may contain information that is privileged and confidential. If you are not the intended recipient, please be advised that any dissemination, distribution or copying of this communication is prohibited and punishable by applicable state and federal laws. If you have received this communication in error, please notify the sender immediately via phone and delete all copies of the original. 2 Memorial Medical Center Nursing Home UPL Weekly Cant" Transfer Prosperity Accounts 1/3/2D23 I .. 4wnt xurwr x.m. wmen . R.N., Bt 6mv q. 9s°(; 130,056.16✓ 119,6"A411113L652.60,j p�S�af{„w+T%r>� k r 264,]]1951% 156,]9G00, f I9,99)AB S>=1��—':`Ts'1 T3,))>.15F LII$36.6]r/ 59,ID1.00 J ww" k ' 3I5,61197�199,fl)).lel/Il5d4L10 / 104, 145.6't 121,625.89 8 9, 9 6 2^ 2' 3 t nr m6r Wr4ndmme 59,685.84 + 115,309.4U T 490029°U7 Nore' 0.'JY vdvn[n of vvn SS.Ptl YMI be fNnJlrlM fO fn lOwaN nOme Nme l' 6vdrvRv,xlnmlbvalbdvnRO]$1W IMIMM(dfpV.IK[vv(Np vaM'nr. IANNM1NyTnm4x\xx W IirmNr SummaWOZAHx VM1iranYer lummarc.01.t3A. .•moot MnvlMry iemnJ.memxumnk &bnte Hvme 1:4.255.54 i 106,105.67 0Nk&lante 134,155.54 9% Varlvnn loueln Mann 1c000 AM6RROCKIPOCf OPP 19,916.11015 onbbermurtn 24.0 k// NRvemOerintertn ]>.51Y 0ttem6arlrrtnen 51.96✓ Palen &Ia..eRramterAml IN,1, .67,,/ 112'02zn Bank SA.r1. 13),0e.)2 Wnann Ulveln l3Unrt 190.00 AMIRIGROUP OCT QIPP 1L020AI 13 1r0 121,625.89, X.0.11 l~ 2an V XaremblrinMN3t 3661 0ldmblrintenS 16T1 ✓/ Atliust 9alanttRrinaln Ama 1]I,615,89✓ 91 '760.13 j 89,962.23 Bank In.... 9]]80.13 L Wrlanev Wreln .nano 100A0 RMIAIOROUP OCY QIPP ),onto 01t' IMV6erinttr. aw ✓ ✓/ xeven4.11.1O43 30,60 Ogemberint.,ot 35.05 / A41.0901nct/Qvufir mt I%A6233 fi9,a51. / 59.68.9.80 Bank Balanrt 69.951.611 V� Variance leavlin hbnte local AM6RIGRWPMQIPP Is. 650)6! 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W - Saw," s,]IM.W I55M.W 11/ 9IMll XXB-fCMp XGWIMPM)HLWHIl1fWO]ISSM1 NUB-ECHOHCCIAIMPMT] - IOdILM 1,943.6E SURE 03 12129)1Q2 MPAIT1146b0019311) L3/39/ID2I HWLTNHNOR SVCXCCWIMpMf I]WDO3Q13b63 - 194.30 39036E LW30IJUxW MANApWxOCCOIMFWS - 3,133.00 19430 11/30I3p22 Han -ECHO NCCWIMPMI)4%034t14"OWi%1)J 6034110MMZM177 3.725.27 J,534C, 1J/30POl2 NNB-H HO ]i5.!] Sp33.Q WWNW CMOC MPW11Q034113WO ll/30/lOJ2 NWlTN XUM4N SVCNCCWMIMf 1]I6003i113WB1 1,32).Bf ]I93J U09120]S OEVLNE0 HEALTH P MCCWWPW IH240392mis6B ; 00 1321W 12f3V/2W2 DFVOTSO HEALTH PHCCWLNIM] 131140392p57304 - 69pp00 / S.Max, SJfA2l2p3E�l4?WbPbaWe1 . . it , t 39.b iH L400 �,, 356.T95.W � / b.99).L NT - - 8999]]d M MM[IggTION ,,, Tnn_ derma 1n^alPnln gIPP/COmpl glpp/fnmp2 Wpplo.,3 WAR/U.P"UpM gWPn UMPORTIOH WM/JW]YNCCOMMVNM IIN[CMIMIMi>bWMM 9IW0 xl.l)3" 28,1. WWJOSl OmP. slaw N. 3965 xuM3x.WALTH 3JLW 3xLoo IT/MROJx.90 INE wn1141t]W6x x1/x9/JWS WIPLOV1GMRxWnMGPCCiXMMl11 . 111,56.5] - - M/!P/tOSI MANAOtANONn1]IE MME IMATR0.11(WA4IMIL - x.119W - 3]JB.W 1}/fNOl3 MNL-IfNO N[LWMPLR M{W3EL{<4OW2Mx1) - 4331. - 1.33328 WI9g02l UNNNN.,Onran XfWWMPMtI.,NIt0Qm 6Asaw - 6.BSOM INIV201}UN[WMMUMM IL N[[WMIMI )EMtMIl9IMM - Ip1595 - 7.Oa99S 10191203E NWUNNVMµfVC HC<WMIMI II4iWHIDW9l - 191494 - 3,914% 1]/N12021 NN6d(X0 xLCWMPMi HEZP1tQWA2%lM LSSS x) - 1.152.1) Ix/b/SQ1 UnI1KNn10nn N[CWMMR]"WHll ll43M LIf0.W I,19p.W M/Nf301x xWliNnDMNI iVC MCfUA11Ml t]46W311LIW51 ]mL93 - 0.p01.9p L>/3L2N13i1dNIloMM9nE �: -LL3FV 1919 I i WZ]/ZOZ3 MNH[CNAM[[I.VMPMI ]3[m311141P]tlE5)6I 12]Z]/2022 VHCCOMMUXISYPL I CCUIMpMi]C60p.13910000 I2/3Z/1OZ2 VNCCOMMVXIh PLHK12rIMPM1>960034I1930000 12/2]/2022 HUMAN INSC ONNCCWMpM26]63104EO11,1 IE/Z]/2022 HVMPNAIHSCOHCCINIMPMT3NKZB3CMp511881 WI812023 HUMRNAINSCOXCCIAIMPMZ390862830000520906 32/Ek1022 MUMFNAINSCO N[[UIMPML 390B6}R3pp2p53Ni] ll/E9/hl]2 AmHEH0up I11CMCCIAIMPMi 3399E90518311Wp W281= NOWAS MUNLh pMCCCNIMPM676310141291NW 1YZH/MZ2 HUMANS SIXAOISD MCCVIIMPW320862420000M9 IV29IM22 WAR OU CHAOISBXCCUIMPMZ390B624M0001599 lZ/19/2023 WIREOU]NNIE%NGL]NCAR 3111"SIII 1}/19f3pZ} NNB-KNONKIAIMpW )460034I1410W025d655 11A9/20 1 I'm OMMUNI"At "CuU PM]]41'aull 1343p1 IEE39/ZOl] UNCCOMRVJNIEM It NCCWMPMi],AxU4II9I= 1291201] OIICLOMAPWnQ HCCWMPMZ1,7631041KW IWOPOE) M MAA550LV]17LSCU.IMPMZ6Z63104M 2402 41 IWD/2012 MIS-ECH HCCl.VMPMNSPMNi1tWW 29282E IE/30/2022 NUB- ECNONCMIMPMf ]9600391149WN]H4821 0E2 XNB� ECHO IVID12NCCNIMPMf]K00]CIINOOW 3961E IL30/SUES xxBECNONCMIMPM]A60p3,IIM00002961Y) VIC1202 IAmWpeuP]MBCNCCIAIMPMi319BBZ0]081118W 2/30/2022 VNCCOMMUNAMPHCC MPPM])46WId119l. IV3012022 XOUAAS CHAOISNHCCWMPM]B]6310420M0144 1L30/i012 HUMAXPCW1015BXC[UIMPMC39016292000013)8 _ WBrhMi 1:1.. ewn,^nxge,mCownle,awaOW.... W33tNx unL oownlo,a LE.VWZVWeOwt-]Oi3.pu MMCDO"Ox nIQJSH'oa] IMnder4n OIPPC9mp2 OIPP/QM02 OIPP/Umi OIDP/WmPCBdeDM OIDPTI YL1.69 1.974,46 94 68694 u,esp.pp ' 5.1115.00 5,. 5471 456.23 6A98. 6475.00 9I9,91].28 "OoD 1.9MgSm.4s 1.591.68 2,0IB. S,EI}.0000 3,SEO.PB .3A5 6.91913.50 1.2". 80 42.66 7.892.19 3.np.p0 / �m vs.en.a� vH. 4 NNPOR11ON 21543.e9 )5.931.19 1,9]4d5 686% n,eso.o9 1.396M 1600 1.]) 5611 1.99&6) 6,9)5.00 11.0261} 160OD 66w.d5 139260 , 52.21.2200 3. S.T/3.d5"3.45 6.913.80 l,2]9.W >.8943LAIfi9 TOTAU I.o30.maz 4W..e762f _ _ 1/312023 Treasury Center Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $7,754,326.78 $7,922,165.27 $7,754,326.78 $7,754,326.7 '4551 CAL CO INDIGENT s9,886.50 S9,8$6.50 $9.886.50 59,886.: HEALTHCARE '3660 GULF POINTE PLAZA - $100.00 5100.00 5100.00 $100.0 DACA '44 4 MEMORIAL ME NH GOLDEN CREEKEK $51 869 71 $55.113.00 $51,869.71 $51,869.7 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER -CLINIC SERIES 5537.01 5537.0i 5537.01 5537.0 2014 '4357 MEMORIAL MEDICAL 56,466,126.46 56,559,818.54 56.486.126.46 $6,486,126.4 CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE $432.32 5432.32 $432.32 5432.2 WAIVER CLEARING '4381 MEMORIAL MEDICAL $134,255.54 5134,892.54 8134.255.54 $134,255.E CENTER/NH ASHFORD ✓✓✓ '4403 MEMORIAL MEDICAL / CENTER ! Nii 5132,822.72 / $142,095.70 $132.822.72 5132,822.7 BROADMOOR *4411 MEMORIAL MEDICAL $97.780.23 $113.648,69 $97.780.23 $97,780,2 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL 569,951.68 $74,544.68 $69,951.68 569,951.E CENTER INH FORTBEND '4438 / MEMORIAL MEDICAL CENTER I SOLERA AT .L' $125,082.79 $147,507.16 $125.082.79 $125.082.7 WEST HOUSTON 2998 MMC-MONEY MARKET $297,150.11 5297.150.11 $297.150.11 $297,150.' FUND 'S506 MMC-NH BETHANY $170,937A6 5170,937.16 3170,937.16 $170,937.1 SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA- $5,992.38 $11,367.01 $5,992.38 85,992.3 MEDICARE/MEDICAID '5433 MMC-NH GULF POINTE 522,911.50 522,911.50 $22,911.50 $22.911E PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $148,490.67 $181.222.35 $148,490.67 5148,490.E VILLAGE ndicate Page generalea on 0vct3v2023 ; Copyright 2023 Prosperity flank. 1 hops:/Iprosperity.albanking.com/onlineMessenger 1I1 Memorial Medical Center Nursing Home UPL Weekly Ne%IOn Transfer Prosperity Accounts 1/3/2022 pravbua Account Begnnlne NuM Home Number 0abnce TrandenOut Taanabo-ln 15),931.28129,9)8J6 f% 23,9U.19 Nott:OnybPlances o)pver$S,PM volt be Nantlemad ru the ourrin9 name. Nate 2r Each account hat a bore bPlaneea/Slop that MM[deporlled roovenacmunr. JAN 03 2023 CA�iPO G(�)U ,,ITEXAs t9NH we.kN Tr ... WANH uvt rramter Scrn.,t2023VM uN nanaletwmmaryol.a3.13.an Peadlne ioda9t Be81nnini Amovntro Be Lanrlemetlta Nuraln8 Oeoneft Saba'. ' no., 51,B6971 / 23,896.01 @ank Balame 51,869.71 Y/ VaNna Leave Inealaace SUPEBIOAOcrojap 100,G@ 22,808,22 06 OUPbarint... N 17.961/ Navemberlaterett i6dA✓ Oetembmintarert H.10 Adpo[fialanv/rranaferAmt//////IIII 23.8%:0f Accmved,X/1isJ 3 ANOBEW.a.hsANT05 1/3)2023 MMCpDRT10.Y aPP/PPTp6 '1 1 mRIL o9 irfnORA. glpP/WTpI aPP(fpmpi aPPJTAmpI 84pM apPTl MN PORTS EN]IEY9E ill]11MN fipPPATIS M951E)691) 9l 19}M G HOCI ]2NVZU] 4iNAA501 X[CWMPMT19966)596051WN1]2I2 106.95 1596L ]LSMID]] E I1,9]6.05 109.95 1]/H/MH WIRE OUT GOWEXCRIERN[ 129.91976 10,9]605 MSITRANVIRS ORCIDHEALTH S43 TSYS/EPAUlA-A RCHH1p5%6!%556]691i91 1,696.66 _ .,VU2E v/]fp%i i5Y5/9MNSNRSi [R[9 HEp Si16RG555W691]91 3.129.97 � 1.691.06 V/W/26g Cp92p W6L195v%p 91 ],1W a 2,1E1.]) YpRem ANAiAANIDKTCR V/11/1t)22 ATM]It - Ag... 5.6C0.66 3)9.171.76 ]3.93).l9 11312023 Treasury Center Account Number _ Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $7,754,326.78 $7.922.165,27 $7,754,326.78 $7,754,326.7 '4551 CAL CO INDIGENT S9,886.50 59,886.50 $9.886.50 $9,886.. HEALTHCARE •3660 GULF POINTE PLAZA - S100.00 $100.00 $100.00 5100.E DACA '4454 ` MEMORIAL MEDICAL GOLDEN NH GOLDEN CREEK $51,869.71J $65,113.00 551,869.71 $51,869.7 HEALTHCARE '4366 MEMORIAL MEDICAL CENTER - CLINIC SERIES 5537.01 $537,01 5537.01 5537.E 2014 '4357 MEMORIAL MEDICAL $6,486,126.46 $6.559.818.54 56,486,126.46 56.486.126.4 CENTER• OPERATING '4373 MEMORIAL MEDICAL CENTER -PRIVATE 5432.32 $432.32 $432.32 $432.2 WAIVER CLEARING '4381 MEMORIAL MEDICAL $134,255.54 $134,892.54 $134,255.54 5134,255.E CENTER/NH ASHFORD *4403 MEMORIAL MEDICAL CENTER/NH $132,822.72 5142,096.70 5132,822.72 $132.822.7 BROADMOOR '4411 MEMORIAL MEDICAL $97,780.23 $113,648.69 597,780.23 $97,760.2 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $69,951 fib $74,544,68 S69,951.68 569,951.E CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER /SOLERA AT 5125.082.79 S147,507.16 $125,082.79 5125,082.7 WEST HOUSTON `2998 MMC-MONEY MARKET $297,150.11 $297,150.11 5297.150.11 $297.150.1 FUND 'S506 MMC -NH BETHANY $170,937.16 5170.937.16 5170,937.16 $170,937.1 SENIOR LIVING 'S441 MMC -NH GULF POINTE PLAZA. $5,992.38 $11,367.01 $5.992.38 55,9923 MEDICARE/MEDICAID `5433 MMC -NH GULF POINTE 522,911.50 522,911.50 $22.911,50 $22.911 PLAZA -PRIVATE PAY '3407 MMC -NH TUSCANY ;148,490.67 5181,222.35 $148,490.67 5148,490.E VILLAGE ndirale' Page goneraled on O v=2023 ; Copyr,ghl 2023 Prosperity Bank. https://prosperity.olbanking.com/onlinaMessenger 1(1 Memorial Medical Center Nursing Horne UPt Weekly HMG Transfer P]oSPBHty, accounts 1/3/2023 u<wm &n4&lance u.91190� Valnnte Nawin pabnee IPop9 SVp[RI0R6ClQlpp Lp19B90'� os\phlrintenn s.v\� Nwenberrmann !!I ✓/ Oua.d., term 5.91ri/ 4tbun RamnnnmbrGm\ i vnrbw Amwnito Be aemum MfnnlnB / wnalnt Tnntlema\p XuMn Home l NumO ams,e / ]renallI In „clreflnnE gnneN3 wi Y len« erunlnyN<me r 13;6p10i 1/ UJRI91,a/ S,RSiq 5.99238 % BrL355] B,W—nee w5193L✓ dm<a IBwI leav<ln Bolan« a<leblanYr.n ,BA3✓ Xnwnb.rin\.w\ It.>B Xanmberinlenat p Lyw\eabwannmlw Nmt u,f3) TG]PIIR.WSisRs ]Liu / N<tc Gnyh<Ienrp pJouv S;ow w11h<hemjnre6roNenunin9hus<. Nole D£«h a<(Wnthasedvrelvbnnof SI W rhnf MMC LroWRMIe q«n o[[oW I. APPROVED ON JAN 03 2023 CAI. (RWQNUN� TE a IVIn wertfllrmaerNlN UII]nnUnSummuyt]Ol1\HN VII IrvnrlerSummaryol.ol.ilabe kkt 12/27/2022 HNB-ECHO HCCMIMPMT7465034I1 N0000353853 ?.ae 12/11/2022 HNB• ECHO HCCIAIMPMT 746003411 440000297853 12/27/2022 HMO -ECHO HCCUIMPMT 746003411 M0000157963 12/29/2032 HMO - ECHO HCCUIMPMT 716W3411 M000020490] II/29/2022 WIRE OUT HMG SERVICES, LLC 12/29/2022 HNB - ECHO HCCUIMPMT 246003411 M0000255237 12/29/2922 HNB- ECHO HCCUIMPMT 246O03411440000264665 12/30/2022 HHB- ECHO HCCUIMPMT 74B003411440 OOD$831 I2/8111G21 AddgdtGt4smO,t MMCPORTION QIPP/COmP QIPP/CamP4 Tnnffer-0u1 T and QIPP/COMPl 1 QIPP(Comp3 4bp60 Own NH PORTION - 33.52 - 21,52 - 297.75 - 297.75 - 36.16 - 36.26 - 248.13 - 248,13 15.322.72 - - • 185AS - 181.48 833.70 - 833.70 83.31 ... . 5.67 83.31 l sssual J sAa.ezJ' 1711ex_/ MMCPORTION QIPP/Comp QIPP/CPmp4 y: _ ^"b - , IlamfervOut banim•In QIPP/Campt 1 QIPP/C0.0 &Up'. QIPPTI NNPORTION li/28/3012 Oeppflt .n 5,83S57 - 518355] 12/2012022 WIRE OUT HMG SERVICES, LLC 133,46151 - 12/3v20t2 MldedwA _ .. - amV 133,461.51 5.051.8) 58558)✓ 198,]61.2i )56/.69 )SM 69 r 1/312023 t" Treasury Center Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $7,754,326.78 $7,922,165.27 $7.754,326.78 $7,754,326.7 '45 1 CAL CO INDIGENT S9,886.50 S9,886.50 $9,886.50 $9,886.E HEALTHCARE '3660 GULF POINTE PLAZA- S100.00 $100.00 $100.00 S100.0 DACA '4454 MEMORIAL MEDICAL ( NH GOLDEN CREEK S51,869.71 $55.113.00 $51,869.71 $51,869.7 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $537,01 S537,01 S537.01 $537.0 2014 '4357 MEMORIAL MEDICAL S6,486.126.46 $6,559,818.54 S6486,126.46 S6,486.126.4 CENTER -OPERATING •4373 MEMORIAL MEDICAL CENTER - PRIVATE $432 32 S432.32 S432.32 $432.0 WAIVER CLEARING '4381 MEMORIAL MEDICAL $134,255.54 S134,892.54 S134,25554 5134,255.E CENTER! NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $132,822.72 $142,096.70 S132,822.72 S132,822.1 BROADMOOR '4411 MEMORIAL MEDICAL $97.780.23 $113,648.69 $97,780.23 $97,780.2 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $69,951,68 $74,544.68 $69,951,68 $69,951.0 CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER! SOLERA AT $125,082.79 $147.507.16 S125,082.79 S125,082.7 WEST HOUSTON '2998 MMC-MONEY MARKET $297,150.11 $297,150.11 S297.150.11 $297,150.' FUND '5506 MMC-NH BETHANY $170.937,16 $170,937.16 $170,937.16 S170,937.1 SENIOR LIVING '5441 NH GULF POINTE PLAMMC ZA- ZZA $5,992.38 J $11,367.01 S5,992.38 S5,992 MEDICAREIMEDICAID *5433 MMC -NH GULF POINTE $22,911.50 $22,911.50 $22,911.50 $22,911 PLAZA - PRIVATE PAY '3407 MMC-NH TUSCANY S148,490.67 S181,222.35 $148.490.67 S148,490.E VILLAGE ' indicate. Page garemlea all 01,10312021 Copyright 2023 Prosperity Bank, htlpsa/prosperity.olbanking.com/onllneMessenger i!1 Memorial Medical center Nursing Home LIPL Weekly Tuscany Transfer Prosperity Accounts 1/3/2023 PnVf+W GT pVF^vm B+VIvaN ISM,, .."..M."..M.+elP Nunin x �._ ,eS, innI m /3o6e.,in -ifcl,+rce De pJn iW .a, inxn 6+Lnv /129, Ngpy }ld3]6ID }}15I818• ✓ 130.680.18 I+BdM6] / 3]3,838.]5 .A.L+BA916]V nnSn,.+< tavemsn.nn Us= "RICRDYP SEP QIP 17,736.6 llke MIMWEWIIHHDIOIN6 16,651.01 allwe Bal,na!]nnMl+mS 11 I8 Nele:Onlybvlanm awn$S,0.M wilI b+M1M11+I/+llpillenumnpbpmw ppppy+J: %% ++] Nvrc}:Each nsaml M. advnbvlvn.ev/$][OIBe.MMCOetnutN ry vpm onvunc W10REW DF lO55AV}05 APPROVED ON aAN 03 2023 CALLHOI`, O JI:Ii`Y; ATE? § MMC PORTION Fpta i IliB� QIPP/Come 41PP7[4mP QIPP/[amp Tmnsler-Out T.fery 1 QIPP/Comp2 3 4&Lapse QIPPTI NHPORTION 12/27/2022 HNB- ECHO HCCWMPMT 746UP341144a WS7853 - 1,290.79 - 1,290.79 12/27/1022 NOMTAS SOLUTION MCCIAIMPMT 676MI 420000116 - 11.956.18 12,956.18 12/28/2022 Oeposit - 37,854.65 - 37.854.6S 12/28/2022 NOVITAS SOLUTION HCCLAIMPMT 676201420000167 - 64,921.61 - 64,921.61 12/29/2022 WIRE OUT LINEAR ENTERPRISES, LLC 22Q516,18 - 12/29/2022MKS -ECHO HCCIAIMPMT 74600341144000025465E 14,628.97 - 14,628.97 12/31/2022. AEdedto Ac ,nt. - 27,99 WAS 220516.18 / 130.680.18 J 13068018,� 1/3/2023 I" Treasury Center r Account Number Current Balance Available Balance Collected Balance Prior Day Balanc Number of Accounts: 16 $7,754,326.78 $7,922,165.27 $7,754,326.78 $7,764.326.7 •4551 CAL CO INDIGENT S9,886.50 S9,886.50 S9,886.50 $9,686.! HEALTHCARE -3660 GULF POINTE PLAZA- S100.00 S100.00 S100.00 S100.0 DACA '4454 MEMEDICAL/ NH GOLDENOLDEN CREEK $5186971 $55,113.00 S51,869.71 $51,869.7 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $537.01 S537.01 S537.01 5537.0 2014 '4367 MEMORIAL MEDICAL $6,486.126.46 $6,559,818.54 $6.486,126.46 S6,486,126.4 CENTER -OPERATING •4373 MEMORIAL MEDICAL CENTER -PRIVATE $432.32 S432.32 $432.32 S432-: WAIVER CLEARING '4381 MEMORIAL MEDICAL $134,255.54 $134,892.64 S134,255.54 5134,255 E CENTER I NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $132,822.72 S142,096.70 $132,822.72 $132,822.7 BROADMOOR '4411 MEMORIAL MEDICAL $97,780.23 $113,648.69 - S97,780.23 $97.780.2 CENTER INH CRESCENT '4446 MEMORIAL MEDICAL S69,951.68 $74,544.68 $69,951.68 $69,951.E CENTER INH FORT BEND .4438 MEMORIAL MEDICAL CENTER /SOLERA AT $125,082.79 $147,507.16 S125,082.79 $125,082.7 WEST HOUSTON '2998 MMC-MONEY MARKET $297,150A1 S297,150.11 $297.150,11 S297.150.' FUND '5506 MMC-NH BETHANY $170,937.16 $170,937.16 $170,937.16 $170,937.1 SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA. S5,992.38 511,367.01 55.992.38 $5,992.3 MEDICAREIMEDICAID '54 3 MMC -NH GULF POINTE $22.911.50 $22.911.50 $22,911,50 $22.911 PLAZA - PRIVATE PAY 3407 MMC-NH TUSCANY $148,490.67 S181,222.35 $148,490.67 3748,490.E VILLAGE Page ganenteC on Ull03f20232U27 ; Copyright 2023 Prosperity Bank. r h itps:l/prosperity.olbanking.comronline Messenger 1,'1 Memorial Medical Center Nursing Home UPL Weekly HSLTransfer Prosperlty Accounts 1/3/2023 Parlour Rile, kr..nl to 0. A moot M,1.1, Nunln No i 4,y — r &I.n • t LH]ul /Tronlkll. /.00{O_..r.a Mahn Rtrl a Vad... au T..r' •• ..Nux Home 31MFVA�331vTPi3DYlt,`�}"" �f �.,: ,y;,*Yi:? t 3036f0.W 330.9b.1> Ia4001.9]Z/ 1 AOM6J 147S411.30. NA Balanra 170,93T10 Vidal. l.... Ill OH,n[e 3N.00 SUPOMOR.Op, LL 11g1I.27 �P On.berlmm�n ma ✓ xm.mb.rlM.nn n.i[ ✓ D1..mb.lIM.r,M 51.63 PdNa Oalm l(rnnll`e`rGmr I41.010d0 More: aarevrvmn P/vnfs.000 xiObelren,@/IMmmenw3m0 bo-nr. 1MJVIM 11 Narc1:(a[ho[[m�thmapa,elavnceo/$IIW,xnIMM[QrpWrtM to epma[[vwl. _WPr.Y.d: 1NDRMDI WSUNTW �� 1/1/308P AppRovED ON JAN 0 12023 0ADY'l 0 roll NYV.VOMO l:\NH Wn1ry TI—I.W xml InnJa3umm.ryUa))Wr VPlTrmr/n smvn.q Dl OAi), I U}{I10i3 D Wu un9a9n MpoYl 11/!8/2022 @y�i[ 12/ie/2021 pepoli[ 93law 022 0ePmlt 11/29/2022 WIRE e 12/29/2022 WIRE PLUTION G CMMPK IV3012022 NOVITG6901U210NXCCMMPMJ6]6J81420GPoP8 I1/30/1022 NOVRPfi6pW210N XCCUIMPMf6]6C81410CP014G -. lyl/]0)1 F6664 b.4Wu01 MmcpoPUON JT new T��n�1eM^ op'lump3 GIPP/6mp3 opp/CPmpa glpp/epmpOBUIN opPT NNPORJION 31,901.18 - 0q.98 - 11"995 - 4,0061 - 4,170.67 - 73,679,90 - 73.679.% - 16.341.73 16,341.J3 ' 11,878.57 11,BJ85i 280,9M.JJ - 1,55I89 - 1,551.89 e]441 41 S)m M9M77 I 1um293 18800 1/3/2023 L" Treasury Center a Account Number Current Balance Available Balance Collected Balance prior Day Balanc Number of Accounts: 16 $7,754,326.78 $7,022,165.27 $7,764,326.78 $7,754,326.7 •4551 CAL CO INDIGENT S9.886.50 S9,866.50 $9,886.50 $9,886.5 HEALTHCARE '3660 GULF POINTE PLAZA- $100.00 S100,00 $100.00 5100.0 OACA '4454 MEMORIAL MEDICAL NH GOLDENOLDEN CREEK S51,869.71 $55,11100 S51,869.71 S51,869.7 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $537.01 $537.01 S537.01 $537.0 2014 '4357 MEMORIAL MEDICAL S6,486.126.46 $6.559,818,54 S6,486,126.46 $6,486,126.4 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE S432.32 S432.32 $432.32 $432.. WAIVER CLEARING '4381 MEMORIAL MEDICAL S134,255.54 $134,842.54 S134,255.54 $134,255,° CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $132,822.72 5142,096.70 $132.822.72 S132,822.7 BROADMOOR '4411 MEMORIAL MEDICAL S97,780.23 S113,648.69 $97.780.23 $97,780.2 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $69,951.68 $74,544.68 $69,951AS $69,951.E CENTER l NH FORT BEND '4438 MEMORIAL SOLEEDICAL CENTER/SOLERA AT $125,082.79 $147.507,16 S125A82.79 $125,082.7 WEST HOUSTON '2098 MMC-MONEY MARKET S297,150.11 $297,150.11 S297,150.11 $297,150.' FUND '5506 MMC -NH BETHANY / $170,937.16 S170,937.16 $170,937.16 $170,937,1 SENIOR LIVING ✓ '5441 MMC -NH GULF POINTE PLAZA - S5,992.38 $11,367.01 $5,992.38 S5,992.3 MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $22,911.50 $22.911,50 S22,911.50 $22,911.E PLAZA - PRIVATE PAY '3407 MMC -NH TUSCANY $148,490.67 $181,222.35 S148,490.67 $148,490.E VILLAGE ' intl vale: Page generated on 0v031202,3: Copyright 2023 Prosperity 9nnk. https:/Iprosperity.olbanking.com/onlineMessenger 1/1 I MEMORIAL MEDICAL CENTER 01/03/23 A FOf{ AC T. UiF 0f,flN �A,/h <.hez APPROVED ON � �M��il�h•=datoV�n!i�ir I ----_...---._......_ JAN 03 2023 I7 BY C UNTY „l�Q 7 AGuN-r $93.56 aau'�0u�! Ic�}2 _„� �190D012 [+: S't.Af'!A. •.-!ti\:-OCTOBER- DECEMBER INTEREST F, MEMORIAL MEDICAL CENTER A ').fit? 01/03/23 FOR ACCi. USE C.)INLY APPROVED ON 1 IA/p r-,ijat--j, Li JAN 03 2023 1--ltvl,-,Il cilecl, m Vendor By COUNTY CALHOUN Reuirr: chi.o: lc. Dep; AMIC)UNT 21400009 i c ''K-rFc-� uFs--Jc�.,r. MEMORIAL MEDICAL CENTER 0.lt- ReCIUQSIC: 01/03/23 AMOUNT 19211 _,// FXPLAHAT!O�'j: OCTOBER- DECEMBER INTEREST FOR ACCT. USE ONLY --1 L.1 Irnprest Cam. APPROVED OIN r�. . Lj A/ P (W eck JAN 03 2023 LjReuLU wro Chk DePI 8Y COUNTY P LHoL)N COUNTY TEXAS A, - - C/L i�IIA%1113r.tl 21400010 t Ii i:'±:.lii€}r?ipti_ !',1ILD,!_:,iyt- --a_i i c.:c ! I MEMORIAL MEDICAL CENTER 1..� I F. I! `';'= ;e'.'.ducs;.;a; O1/03/23 0 FOR ACCl. USE GPI! Y J L""rq:r05C I: dtin ! _'Returv: Che lc W Dept II +iO;lNl'f $41.19---._.___..... @t1hA�:riRl 21400008 1� 1 j ! t-XPtA+ ,!T!0N: OCTOBER- DECEMBER INTEREST JAN 03 2O23 �! gg oo NN qq�� 77�ppqq i CAMOUN TOYLI �ITEXAS Mayra Martinez - —" -_'777 -3 _.._._.-. ►1-3 Soles -a. _. _. v� U, i MEMORIAL MEDICAL CENTER a = > 01/03/23 APAOUNIT OCTOBER- DECEMBER INTEREST FUY• ACC;. L`St ONLY i I j Mall Check to Venaor 1.. J IZhi[lli"{ �.ilt C% l0 JAW IL I,i!fv1kEF; 21400011 APPROVE[9 �4A1' JAN 03 2023 CABFIO�IND GOUN'FY,NT-i(Ag li j j S Elt Mayra Martinez i p A y MEMORIAL MEDICAL CENTER 01/03/23 FOR.ACC USE ONLY APPROVED ON A,, R cher;: JAN 03 2023 11mail Clhec., ic, Vendor L'Reulln Li: Glep ZY (ToNuro,,uqW'T%s i —1— -- I".... 21400013 V.XPIANA-,!GNj: OCTOBER- DECEMBER INTEREST Mayra Martinez f' MEMORIAL MEDICAL CENTER A 01/03/23 ! + L L.1 Mail cheCr, vp.,,, r I ! c: I iRecur;: Chi-;:!: to Dept i AMOUNT $56.81 (-i%: i'llitv':EFI2: 21400014 APPROVELT ON JAN 43 2023 OC OBER- DECEMBER INTEREST ryry w7y pp CA S 0CLJ COU�tt RA! Mayra Martinez — ��3(23 p A MEMORIAL MEDICAL CENTER 01/03/23 A1010UNIT $16.06 OCTOBER- DECEMBER INTEREST I-D tlllo. Mayra Martinez ------------ --------- --- - t:GRACC-1. USE oflip y I 1 11 *PROVE! PROVED ON I DA ,JAN 03 2023 V nn (I AUDIqAS L?11N NTY. 21400014 F, A E CTNITFn � MEMORIAL MEDICAL CENTER }. y-:qU 5ir+t 01/03/23 !-QR.ACCI. 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