The URL can be used to link to this page

2022-01-19 Final PacketAll Agenda Items Properly Numbered :El'% ntracts Completed and Signed _ All 1295's Flagged for Acceptance (number of 1295's _) All Documents for Clerk Signature Flagged On this y of 2022 a complete and accurate packet for I Of 2022 dommissioners Court Regular Session Day Month was delivered from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calhoun County Judge/Assistilfit COMMISSIONERSCOURTCHECKLIST/FORMS NOTICE OF MEETING— 1/19/2022 (ABSENT) Richard H. Meyer County judge ][David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Clary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Cleric NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, January 19, 2022 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: 1. Call meeting to order. Meeting was called to order at 10:00 a.m. by Commissioner Gary Reese. 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Gary Reese Texas Flag- Vern Lyssy 4. General Discussion of Public Matters and Public Participation. David Hall explains Commissioners' Court will continue to meet publicly. Sherriff Bobby Vickery warns the public of the ice storm that may strike the coast later this week. 5. Approve the minutes of the January 12, 2022 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 1 of 3 NOTICE OF MEETING— 1/19/2022 6. Proclaim January 23 — 29, 2022 as School Choice Week in Calhoun County, Texas. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Behrens, Reese Consider and take necessary action to create a full-time clerk position for the Sheriff's Office. (RHM) Sherriff Bobby Vickery spoke on important key points. No action taken. 8. Consider and take necessary action to increase the credit limit to $20,000 on the County Credit Card for Ron Reger, IT Coordinator. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to extend the interlocal agreement between Calhoun County and Guadalupe -Blanco River Authority for Mitigation Project Work for the County for the Green Lake Control Structure in accordance with the County's and the Matagorda Bay Mitigation Trust's Green Lake Breach Repair contract. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action on the FY 2022 Interlocal Agreement with the City of Port Lavaca for Fire Protection and authorize the payment of a purchase order in the amount of $220,349.14 and authorize the County Judge to sign. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action on the FY 2022 Interlocal Agreement with the City of Port Lavaca for Animal Control and authorize the payment of a purchase order in the amount of $65,000.00 and authorize the County Judge to sign. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 3 NOTICE OF MEETING — 1/19/2022 12. Accept Monthly Report from the following County Office: i. Sheriff's Office — December 2021 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese 13. Consider and take necessary action on any necessary budget adjustments. (RHM) 2021 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens, Reese 2022 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens, Reese 14. Approval of bills and payroll. (RHM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens Indigent Healthcare RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner PcL 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens 2021 Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens 2022 Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens Adjourned 10:22 a.m. Page 3 of 3 1 1,1()1i(L_ II f0Ii INO I/1O, Richard H. Meyer County judge David Hallp Commissioner, Precinct 1 Vern dyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Cary Reese, Commissioner, Precinct 4 NOTICE OF MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, January 19, 2022 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: q;Ill) FLED AT_V O'CLOCK6LM 1. Call meeting to order. JAN 14 2022 2. Invocation. COUN HNNACA OU DNnNNTY BY: 3. Pledges of Allegiance. 4. General Discussion of Public Matters and Public Participation. 5. Approve the minutes of the January 12, 2022 meeting. 6. Proclaim January 23 — 29, 2022 as School Choice Week in Calhoun County, Texas. 7. Consider and take necessary action to create a full-time clerk position for the Sheriff's Office. (RHM) 8. Consider and take necessary action to increase the credit limit to $20,000 on the County Credit Card for Ron Reger, IT Coordinator. (RHM) 9. Consider and take necessary action to extend the interlocal agreement between Calhoun County and Guadalupe -Blanco River Authority for Mitigation Project Work for the County for the Green Lake Control Structure in accordance with the County's and the Matagorda Bay Mitigation Trust's Green Lake Breach Repair contract. (RHM) 10. Consider and take necessary action on the FY 2022 Interlocal Agreement with the City of Port Lavaca for Fire Protection and authorize the payment of a purchase order in the amount of $220,349.14 and authorize the County Judge to sign. (RHM) Page 1 of 2 I Iv1(i11( 1 FI I - o")" 11. Consider and take necessary action on the FY 2022 Interlocal Agreement with the City of Port Lavaca for Animal Control and authorize the payment of a purchase order in the amount of $65,000.00 and authorize the County Judge to sign. (RHM) 12. Accept Monthly Report from the following County Office: i. Sheriff's Office — December 2021 13. Consider and take necessary action on any necessary budget adjustments. (RHM) 14. Approval of bills and payroll. (RHM) I Richard H. Meyer, County J, l�l e Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public at all times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the counts website at www.c@lhouncotx.org under "Commissioners' Court Agenda" for any official court postings. Page 2 of 2 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (nary Reese, Commissioner, Precinct 4 NOTICE OF SPECIAL MEETING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, January 19, 2022 at 10:30 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port ]Lavaca, Calhoun County, Texas. AGENDA Discussion will be on policy and procedure goals for Commissioner's Court. Richard H. Meyer, C"u Judge Calhoun County, Texas A copy of this Notice has been placed on the outside bulletin board of the Calhoun County Courthouse, 211 South Ann Street, Port Lavaca, Texas, which is readily accessible to the general public atall times. This Notice shall remain posted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, you may visit the county's website at www.calhouncotx.org under "Commissioners' Court Agenda" for any official court postings. q,DO FILED AT_O'CLOCK i M JAN 14 2022 ANNAM. GOODMAN COW E IC ALNO N OONIY; S BY:_11 Page 1 of 1 #5 NOTICE OF MEETING— 1/19/2022 5. Approve the minutes of the January 12, 2022 meeting. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 11 Richard H. Meyer County judge ][David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Meese, Commissioner, Precinct 4 The Commissioners' Court of Calhoun County, Texas met on Wednesday, January 12, 2022, at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 104, Port Lavaca, Calhoun County, Texas. Attached are the true and correct minutes of the above referenced meeting. Richard H. Meyer, 06 Judge Calhoun County, Texas Anna Goodman, County Clerk Page 1 of 1 NOTICE OF MEETING — 1/12/2022 Richard H. Meyer County Judge David Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 (Video)Gary Reese, Commissioner, Precinct 4 Kaddie Smith, Deputy Clerk NOTICE OF MEETING TING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday, January 12, 2022 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: 1. Call meeting to order. Meeting called to order at 10:00 a.m. by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag- Commissioner Joel Behrens Texas Flag- Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. N/A 5. Approve the minutes of the December 1, 2021, December 8, 2021, December 15, 2021, December 22, 2021, December 29, 2021 and January 5, 2022 meetings. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 1 of 7 NOTICE OF MEETING— 1/12/2022 6. Consider and take necessary action to reappoint Commissioner Gary Reese as Judge Pro-Tem of the Commissioners' Court and the Court's representative on the Board of Managers of Memorial Medical Center. (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. Consider and take necessary action to approve the purchase of a 2021 Southwest Trailer with Air Handler Unit for Memorial Medical Center from San Antonio Southwest Trailers, LTD. (VIN # 1S8FB1828MS683292) (RHM) Roshanda Thomas spoke concerning Trailer. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to authorize Commissioner Hall to utilize $30,000.00 from the 2021 budget toward the remaining balance on a 2019 John Deere Backhoe to be paid in FY 2022. The purchase was approved by Commissioners' Court on October 27, 2021.(DH) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to accept a donation to the Sheriff's Office from RLB Contracting in the amount of $2,000 to be deposited into the LE account (2697-001- 49082-672). (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 10. Consider and take necessary action to accept an anonymous donation to the Sheriff's Office in the amount of $300 to be deposited into the Motivation account (2697-001- 49082-679). (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 7 NOTICE OF MEETING— 1/12/2022 11. Consider and take necessary action to accept auction proceeds in the amount of $7,490 to be deposited into the Sheriffs Office Capital Outlay Vehicles (760-74050) for the 2022 budget. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to acknowledge and accept the Operation Stone Garden Grant for 2020 in the amount of $240,222. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Hear a presentation from Sheriff Vickery concerning the creation of a full-time clerk for the Sheriff's Office. (RHM) Sheriff Bobby Vickery explained the reasoning for need of second full time clerk. NO ACTION TAKEN. 14. Consider and take necessary action to authorize Commissioner Lyssy to sign a Standard Uniform Rental Service Agreement with Cintas Uniforms for Precinct 2. (VL) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. Consider and take necessary action to authorize Commissioner Behrens to sign a renewal service agreement with Cintas Uniforms for Precinct 3. (JB) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 7 NOTICE OF MEETING— 1/12/2022 16. Consider and take necessary action to rescind the award for Altosid 30 Day Briquets and Altosid XR Extended Residual Briquets that were previously awarded November 24, 2021 to Clarke Mosquito Control Products, Inc. See attached email from Doug Carroll, Control Consultant for Clarke Mosquito Control Products, Inc. (RHM) Awarded to rescind the Bid from Altosid 30 Day Briquets and Altosid XR Extended Residual Briquets. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to award the bid to the next vendor that met specifications for Altosid 30 Day Briquets and Altosid XR Extended Residual Briquets that were previously awarded November 24, 2021. See page 4 of the attached Bid Tabulation. (RHM) • The next vendor that met specifications (See page 4 of the attached Bid Tabulation): ES OPCO USA LLC dba Veseris ° Altosid 30 Day Briquets $500.00/per Case ° Altosid XR Extended Residual Briquets — Altosid XR Briquets $787.60/per Case Awarded Bid to ES OPCO USA LLC DBA Veseris RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 18. Consider and take necessary action to authorize the Texas Water Safari to use the Bill Sanders Memorial Park for the finish line for the 2022 Texas Water Safari and authorize the use of park facilities and overnight camping from June 11 — June 15, 2022. (GR) Ed Jones spoke on behalf of Texas Water Safari. 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 7 NOTICE OF MEETING— 1/12/2022 19. Consider and take necessary action to authorize the Calhoun County Librarian to apply for the Federal Communications Commission's E-Rate Program. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 20. Consider and take necessary action to Transfer an HP computer (Inventory # 4022013) from Code Enforcement to IT. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 21. Consider and take necessary action to Transfer a 4-drawer File Cabinet from Code Enforcement to County Judge. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 22. Consider and take necessary action to declare three filing cabinets as Surplus/Salvage and sold to Calhoun County E911 District for $10. (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 5 of 7 NOTICE OF MEETING — 1/12/2022 23. Accept Monthly Reports from the following County Offices: i. County Clerk — December 2021 ii. District Clerk — December 2021 iii. Extension Office — December 2021 1. Coastal and Marine 2. 4-H and Youth Development 3. Family and Community Health iv. Floodplain Administration — December 2021 v. Justice of the Peace, Precinct 1 — December 2022 vi. Justice of the Peace, Precinct 2 December 2022 vii. Justice of the Peace, Precinct 4 — December 2022 viii. Justice of the Peace, Precinct 5 — December 2022 Judge Richard Meyer verbally confirmed the date for Justice of the Peace, Precinct 1, 214 and 5 should have a date of December 2021. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 24. Consider and take necessary action on any necessary budget adjustments. (RHM) 2021: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 2022: RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 7 NOTICE OF MEETING—1/12/2022 25. Approval of bills and payroll. (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 2021 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County 2022 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned: 10:35 a.m. Page 7 of 7 NOTICE OF MEETING— 1/19/2022 6. Proclaim January 23 — 29, 2022 as School Choice Week in Calhoun County, Texas. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 11 PROCLAMATION - 1/19/2022 Richard H. Meyer County judge David Hail, Commissioner, Precinct I Vern ]Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 PROCLAMATION OF THE COMMISSIONERS'COURT OF CALHOUN COUNTY, TEXAS DECLARING JANUARY 23 — 299 2022 AS SCHOOL CHOICE WEEK IN CALIH[OUN COUNTY, TEXAS WHEREAS educational variety not only helps to diversity our economy, but also enhances the vibrancy of our community; and, WHEREAS Calhoun County has many high -quality teaching professionals in all types of school settings who are committed to educating our children; and, WHEREAS, School Choice Week is celebrated across the county by millions of students, parents, educators, schools and organizations to raise awaremess of the need for effective educational options; THEREFORE, BE IT RESOLVED by the Commissioners' Court of Calhoun County, Texas that January 23 — 29, 2022 is declared SCHOOL CHOICE WEEK in Calhoun County, Texas and we call this observance to the attention of all our citizens. In official recognition whereof, we hereby affix our signatures this, the 19th day of January, 2022. Page 1 of 2 PROCLAMATION -- 1/19/2022 David I Ri hard H. Meyer, Cou Judge County Commissioner, Pct. 1 J6-ey Behrens Calhoun County Commissioner, Pct. 3 Attest: Anna Goodman, County Clerk d Vern Lyssy Calhoun County Commissioner, Pct. 2 Gary R e e Calhoun County Co missioner, Pct. 4 Page 2 of 2 Richard Meyer From: proclamations@schoolchoiceweek.com (Proclamations Department) <proclamations@schoolchoiceweek.com> Sent: Thursday, October 21, 2021 7:59 AM To: Richard Meyer Subject: Proclamation Request uau ttVN:-ims eman originatea irom otltstae or the organization. lio not click links or open attachments unless you recognize the sender and know the content is safe. Dear Richard Meyer: We are respectfully requesting that you consider joining city and county leaders across the country in officially recognizing January 23 — 29, 2022 as School Choice Week in CALHOUN County. Issuing a proclamation provides an opportunity to shine a positive spotlight on the K-12 education options available for children and families in CALHOUN County. Last year, more than 300 mayors and county leaders, along with 27 governors, and the unanimous United States Senate issued proclamations recognizing National School Choice Week. National School Choice Week is entirely nonpolitical and nonpartisan, and we do not advocate for or against any legislation. Our goal is simply to raise awareness, among parents, of the public and nonpublic K-12 education options available to their children. Please let me know if you will be able to issue this proclamation and help us raise awareness of the importance of opportunity in education. I greatly appreciate your consideration. We have provided both a Word and .PDF i proclamation template on our website at: https://schoolchoiceweek.com/proclamations/ Also, for your convenience, we have provided the suggested proclamation language below. Andrew Campanella President National School Choice Week www.schoolchoiceweek.com SUGGESTED PROCLAMATION LANGUAGE CALHOUN County School Choice Week WHEREAS all children in CALHOUN County should have access to the highest -quality education possible; and, WHEREAS CALHOUN County recognizes the important role that an effective education plays in preparing all students in CALHOUN County to be successful adults; and, WHEREAS quality education is critically important to the economic vitality of CALHOUN County; and, WHEREAS CALHOUN County is home to a multitude of high quality public and nonpublic schools from which parents can choose for their children, in addition to families who educate their children in the home; and 2 WHEREAS, educational variety not only helps to diversify our economy, but also enhances the vibrancy of our community; and, WHEREAS CALHOUN County has many high -quality teaching professionals in all types of school settings who are committed to educating our children; and, WHEREAS, School Choice Week is celebrated across the country by millions of students, parents, educators, schools and organizations to raise awareness of the need for effective educational options; NOW, THEREFORE, I, Richard Meyer do hereby recognize January 23 — 29, 2022 as CALHOUN County School Choice Week, and I call this observance to the attention of all of our citizens. INSTRUCTIONS If you issue a proclamation, please send a .pdf copy of the proclamation to the Proclamations Department at proclamations@schoolchoiceweek.com, so that we may recognize you for participating. If you choose to send a hard copy of an issued proclamation, please send it to: National School Choice Week, 67 Mark Drive, San Rafael, CA 94903. Follow on Twitter Friend on Facebook National School Choice Week provides an unprecedented opportunity, every January, to shine a spotlight on the need for effective education options for all children. Independently planned by a diverse coalition of individuals, schools and organizations, NSCW features thousands of special events across the country. The Week is a nonpartisan and nonpolitical public awareness effort. Our mailing address is: Proclamations Department 67 Mark Drive San Rafael, CA 94903 Want to change how you receive these emails? You can update Your preferences or unsubscribe from this list. You are subscribed to the National School Choice Week mailing list: unsubscribe from this list update subscription preferences This email was sent to richard meyer@calhouncotx orci why did I get this unsubscribe from this list update subscription preferences NSCW 67 Mark Drive - San Rafael, California 94903 USA NOTICE OF MEETING—1/19/2022 7. Consider and take necessary action to create a full-time clerk position for the Sheriff's Office. (RHM) Sherriff Bobby Vickery spoke on important key points. No action taken. Page 4 of 11 NOTICE OF MEETING— 1/19/2022 8. Consider and take necessary action to increase the credit limit to $20,000 on the County Credit Card for Ron Reger, IT Coordinator. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissionerpct 2 SECONDER: Joel Behrens, Commissioner Pct 4 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 11 Mae Belle Cassel From: ron.reger@calhouncotx.org (Ron Reger) <ron.reger@calhouncotx.org> Sent: Monday, January 10, 2022 3:52 PM To: MaeBelle.Cassel@calhouncotx.org Subject: FW: Credit Card Limit Increase Mae Belle, Please place the following on next available agenda. "Consider and take necessary action to increase the credit limit to $20,000 on the County Credit Card for Ron Reger, IT Coordinator." Thankyou! Ron From: peggy.hall@calhouncotx.org (peggy hall) [mailto:peggy.hall@calhouncotx.org] Sent: Monday, January 10, 2022 2:40 PM To: ron.reger@calhouncotx.org Subject: RE: Credit Card Limit Increase Just contact Mae Belle to put on the next available agenda. Here is the agenda item to give her: • Consider and take necessary action to increase the credit limit to $20,000 on the County Credit Card for Ron Reger, IT Coordinator. Calhoun County Texas Calhoun County Texas #9 NOTICE OF MEETING — 1/19/2022 9. Consider and take necessary action to extend the interlocal agreement between Calhoun County and Guadalupe -Blanco River Authority for Mitigation Project Work for the County for the Green Lake Control Structure in accordance with the County's and the Matagorda Bay Mitigation Trust's Green Lake Breach Repair contract. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 6 of 11 Extension of Interlocal Agreement Between Calhoun County and Guadalupe -Blanco River Authority This extension is entered into on the _ day of January 2022, by and between the Guadalupe - Blanco River Authority ("GBRA"), a Conservation and Reclamation District with offices at 933 East Court Street, Seguin, Texas 78155 and Calhoun County, Texas, ("County") with its principal office at 211 S. Ann Street, Port Lavaca, Texas 77979 (collectively, "the Parties"). RECITALS A. Effective December 29, 2020, GBRA and County entered into an Interlocal Agreement ("Agreement") for GBRA to provide Mitigation Project Work for the County for the Green Lake Control Structure in accordance with the County's and the Matagorda Bay Mitigation Trust's Green Lake Breach Repair contract. B. The Agreement expired on December 29, 2021. C. Article VI of the Agreement provides that the Parties may, by written agreement, extend the term for up to a total of four additional years. NOW, THEREFORE, in consideration of their mutual promises to extend the term of the Agreement and other good and valuable consideration, GBRA and the County agree as follows: 1. The Agreement shall be extended to Decem er 29, 2022. 2. This amendment does not alter any to s, conditions, or representations contained in the Agreement, and shall remain in full force and effect. Guadalupe -Blanco River Authority By: evin eson General Manager/CEO Calhoun County GBI�A Interlocal Agreement between the Guadalupe -Blanco River Authority and Calhoun County for Re-establishment of Green Lake Control Structure in Accordance with the Matagorda Bay Mitigation Trust This Interlocal Agreement is made and entered into by and between Guadalupe -Blanco River Authority, a conservation and reclamation district, (hereinafter referred to as "GBRA"), and Calhoun County (hereinafter referred to as the "County"), and all of which may also be referred to herein individually as a "Party" or collectively as "Parties. This Interlocal Agreement is entered into by the Parties pursuant to the authority granted and in compliance with, the provisions of the "Interlocal Cooperation Act," as amended, Texas Government Code, Chapter 791. This Interlocal Agreement is intended to further the purpose of the Interlocal Cooperation Act, which is to increase the efficiency and effectiveness of local governments. RECITALS WHEREAS, the County and the Matagorda Bay Mitigation Trust have approved a contract titled "Green Lake Breach Repair," hereinafter called the "Trust Agreement," which is attached hereto and as Exhibit A and incorporated herein fully by reference; under the Trust Agreement, the County may receive funding pursuant to the terms therein for Mitigation Project Work. WHEREAS, GBRA operates a diversion canal adjacent to the Green Lake control structure. WHEREAS, the County owns Green Lake and has interests in the Green Lake control structure for recreational and wildlife habitat purposes. WHEREAS, erosive overflows from the Green Lake control structure have caused breaches to form along the north side of the GBRA diversion canal. WHEREAS, these breaches in the diversion canal adversely affect water supply operations, and create lake access issues to the detriment of both Parties. WHEREAS, both Parties seek to re-establish the Green Lake Control Structure by repairing breaches and preventing future breaches. NOW, THEREFORE, BE IT AGREED, the parties enter into this Agreement under the authority of the Interlocal Cooperation Act, Texas Government Code § 791.001, et seq.; GBRA's Enabling Act, V.A.C.S 8280-106, as amended; and the Texas Water Code § 16.315, Subchapter 1. The Parties agree and stipulate that they each have the authority to perform the functions contemplated herein and that this Agreement is in the best interests of the Parties and the public that they serve. I.PUPROSE This Agreement is to provide the terms and framework for GBRA to provide Mitigation Project Work for the County for the Green Lake Control Structure pursuant to the Trust Agreement attached as Exhibit A. II. RELATIONSHIP OF THE PARTIES TO EACH OTHER AND WITH THIRD PARTIES A. It is expressly agreed and understood that each Party is and shall be deemed to be an independent contractor, responsible for its respective acts or omissions and that each of the other Parties shall be in no way responsible therefore, and that no Party hereto has authority to bind the other Party nor to hold out to third parties that it has the authority to bind the other Party. 2 Nothing herein contained shall be deemed or construed to create the relationship of employer - employee, principal -agent, an association, joint venture, partners, or partnership or impose a partnership duty, obligation or liability among the Parties. B. No third party beneficiaries are created by this Agreement. This Agreement is not intended to and shall not create any rights in or confer any benefits upon any other person other than the Parties. III. WORK AUTHORIZATIONS, CONTRACTING, AND PAYMENT A. The tasks to be performed under this Agreement shall cover multiple projects related to the reestablishment of a Green Lake control structure. Each task shall be initiated as described in Paragraph B. of this Article III. B. The tasks shall be initiated as follows: 1. GBRA agrees to submit for approval to the County proposed Work Authorizations, which meet the conditions set forth in the Trust Agreement. 2. The County agrees to review the work authorizations and provide comments and appropriate approvals within fifteen (15) days of the date the Work Authorizations are sent to the County. If a work authorization is not approved or approved in part, the County shall state the reasons why any portion is not approved. The Parties agree to work together promptly to resolve any issues needed to reach final authorization. 3. Upon final written approval of a Work Authorization by the County, GBRA will contract, subcontract, or otherwise coordinate the approved project work in accordance with Paragraph C of this Article III. 4. GBRA shall make payment to any third parties it contracts with for work and services performed on the approved Work Authorization. GBRA shall then submit invoices 3 and proof of payment for an approved Work Authorization to the County for reimbursement. Reimbursement to GBRA by the County, under an invoice for an approved Work Authorization, shall be made within 31 days of the County's receipt of Funds from the Matagorda Bay Mitigation Trust for approval of the same invoice. C. The Parties further agree and stipulate that: 1. Services of engineers and contractors that GBRA employs for the tasks performed under this Interlocal Agreement will have been or will be procured in accordance with applicable law. 2. In no event shall the County be obligated to: a. Reimburse GBRA more than one million dollars ($1,000,000.00) in any one year term of this Interlocal Agreement for work and services on approved Work Orders; or, b. Reimburse GBRA more than two million dollars ($2,000,000.00) for all work and services on approved Work Orders approved under this Interlocal Agreement. D. The Parties agree all reimbursement from the County shall only be for services rendered by third party contractors or subcontractor as directed under an approved Work Authorization, and shall not include any cost for management or administration by GBRA. The parties agree GBRA's consideration received under this agreement is the value associated with input and oversight for a project that directly benefits their mission to manage watershed resources. The County consideration received is the value associated with expert oversight and management for contracting third parties to assist in the re-establishment of the Green Lake Control Structure. 0 IV. MATAGORDA BAY MITIGATION TRUST COMPLIANCE A. GBRA acknowledges the County is the Recipient as identified in the Trust Agreement, and the County must adhere to all terms and conditions specified therein. B. GBRA agrees that: 1. Any engineering or construction firm or other contracting party hired by GBRA to perform work subject to County reimbursement under this Interlocal Agreement shall be required to comply with the requirements of the Trust Agreement relating, without limitation to the contracting party's performance of the work, invoicing and detail of invoicing, and reporting. 2. It will require the contracting parties described in Paragraph IV.B.1. above to require each of their subcontractors working on approved Work Authorizations under this Interlocal Agreement to comply with the Trust Agreement in the manner described in Paragraph IV.13.1. above. 3. It will provide a copy of the Trust Agreement to all contracting parties described in Paragraph IV.13.1 above. V. APPROVAL AND NOTICE A. Notice to any party, submission of projects for approval and approval of projects shall be deemed sufficient if in writing and mailed by certified mail, return receipt request, postage prepaid to the addresses listed below, or by email to the designated representatives listed below: GBRA c/o R. Brian Perkins, P.E. 933 East Court Street Seguin, Texas 78155 Email: bt)erkins@gbra.org CALHOUN COUNTY 211 S. Ann Street 5 Port Lavaca, Texas 77979 Email: Richard.mever@calhouncotx.or¢ OR garv.reese g.calhouncotx.ora B. Either party may change the address or the recipient of notice to them by notifying the other Party of the change as provided in Paragraph W.A. above. VI. TERM This Agreement takes effect when executed by both GBRA and the County (the "Effective Date"). This Agreement will terminate one year from the date of execution (the "Termination Date"), unless terminated earlier by written agreement of the parties, except that the right for GBRA to receive reimbursement for tasks performed on Work Authorizations which were approved before the Termination Date shall survive termination for a period of four (4) years. The term may also be extended by written agreement, however the total of all written extensions shall not to exceed four (4) years. VII. AMENDMENT AND TERMINATION This Agreement may be altered or amended by mutual written consent or terminated by either party with 30 days written notice to the other. Upon receipt of such termination notice, GBRA will, unless the notice directs otherwise, immediately discontinue all work in connection with the performance of this Agreement and proceed to cancel promptly all existing projects insofar as such projects are applicable to this Agreement. GBRA must submit a statement showing in detail the work performed under this Agreement to the date of termination. The County will then reimburse GBRA that proportion of the prescribed cost, which applies to the Cl work, actually performed under this Agreement less all payments that have been previously made in accordance with payment procedures under Article III. above. VIII. GENERAL Force Majeure: Neither GBRA nor the County will be liable to the other for any delay in nor failure of performance of any requirement included in the Agreement caused by force majeure. The existence of such causes of delay or failure extends the period of performance until after the causes of delay or failure have been removed, provided the non -performing party exercises all reasonable due diligence to perform. Force majeure is defined as acts of God, war, fires, explosions, hurricanes, floods, failure of transportation, or other causes that are beyond the reasonable control of either party and that by exercise of due foresight such party could not reasonably have been expected to avoid, and which, by the exercise of all reasonable due diligence, such party is unable to overcome. This agreement contains the entire Agreement between the parties relating to the rights herein granted and the obligations herein assumed. Any oral representations or modifications concerning this instrument shall be of no force or effect except in a subsequent modification in writing signed by both parties. This Agreement shall be governed by and constructed in accordance with the laws of the State of Texas, the United States of America, and any other regulatory body having jurisdiction. This Agreement shall be construed and governed according to the laws of the State of Texas. Venue shall be in Calhoun County, Texas. No assignment of the Agreement or of any right accrued hereunder shall be made, in whole or in part, by either party without the prior written consent of the other party. 7 Severability: If any clause or provision of this Agreement is held invalid, illegal or unenforceable under present or future federal, state or local laws, then and in that event it is the intention of the Parties that such invalidity, illegality or unenforceability shall not affect any other clause or provision hereof and that the remainder of this Agreement shall be construed as if such invalid, illegal or unenforceable clause or provision was never contained herein; it is also the intention of the Parties hereto that in lieu of each clause or provision of this Agreement that is invalid, illegal or unenforceable, there be added as a part of this Agreement a clause or provision as similar in terms to such invalid, illegal or unenforceable clause or provisions as may be possible, to be legal, valid and enforceable. This Agreement is entered solely by and between, and may be enforced only by and among the Parties. Except as set forth above, this Agreements shall not be deemed to create any rights in or obligation to any third parties. Nothing in this Agreement is construed as creating any personal liability on the part of any employee, officer or agent of any public body that may be a party to this Agreement. This Agreement is not intended to, and shall not be construed to create any joint enterprise between or among the parties. The parties expressly acknowledge that the County's authority to indemnify and/or hold harmless any third party is governed by the Texas Constitution and any provision which purports to require indemnification by the County is invalid. Nothing in this Agreement requires that funds be assessed or collected or that a sinking fund be created. THE PARTIES EXPRESSLY ACKNOWLEDGE AND AGREE THAT NO PROVISION OF THIS AGREEMENT IS IN ANY WAY INTENDED TO CONSTITUTE A WAIVER BY ANY PARTY OF ANY IMMUNITIES FROM SUIT OR LIABILITY THAT A PARTY MAY HAVE BY OPERATION OF LAW. BOTH PARTIES RETAIN ALL GOVERNMENTAL IMMUNITIES. IX. AUTHORITY The signers of this Agreement represent that they have full authority to execute this Agreement on behalf of GBRA and County, respectively, and that the respective governing bodies of GBRA and County, have authorized the execution of this Agreement. Executed in duplicate originals, each of which will have the full force and effect of an original on this) — day of IJec.f,6-Pr 2020. GBRA Guadalupe -Blanco River Authority KeGin Pa zson General ManagerICEO COUNTY Calhoun o nty, Texas Ribhard Meyer Calhoun County Judge Approv d as to Foi Approved as to Form: J Tom o 1 General Counsel County Attorney #10 NOTICE OF MEETING — 1/19/2022 10. Consider and take necessary action on the FY 2022 Interlocal Agreement with the City of Port Lavaca for Fire Protection and authorize the payment of a purchase order in the amount of $220,349.14 and authorize the County Judge to sign. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 7 of 11 CALHOUN COUNTY 202 S. ANN STE. A PORT LAVACA, TX 77979 CHECK REQUISITION/ PURCHASE ORDER DATE: 1/1019022 DEPT#: L670J VENDOR INFORMATION NAME: City of Port ;Lavaca, ADDRESS: 292 North Viroinia Street CITY: Por.Mavac8 STATE: TX ZIP: 77979:ZIP: PHONE: VENDOR#: $70. PURCHASE ORDER NO. 2022-0003 DEPARTMENT INFORMATION NAME: Fire Protection - Port Lavaca ADDRESS: '...CITY: (STATE: 'PHONE: ACCOUNT NO. _ FUND DEPT GL INVOICEMATE INVOICE NO. DESCRIPTION BE ENTERED INTO MIP TOTAL 1000 670 61280 Contribution to Expense per Interlocal Agreement $ 220,349.14 A reement a roved in Commissioners' Court on January 19, 2022 THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THE OBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR TOTAL- SERVICES WERE RECEIVED BY ME IN GOOD CONDITON AND REQUEST THE COUNTY TREASURER TO PAY THE ABOVE OBLIGATION. COUNTYAUDI,TOR APPROVAL ONLY APPROVAL/ RTMENT HEAD t p'J DEPARTMENTHEAD BY 220349.14 DATE DATE City Manager Ext. 222 City Secretary Ext. 230 Code Enfonrements Ext. 229 Finance Ext. 234 Inspections/Permits Ext. 229 Municipal Court Ext. 226 Personnel Ext, 224 Utility Billing Ext. 238 Animal Control 361-552-5726 Bauer Center 361-552-I234 Fire Station 361-552-3241 Public Works Director 361-552-3347 Parks & Reoreation 361-552-1234 Police 361-552-3788 Streets 361-552-3347 Utilities Operation 361-552-3347 202 N. Virginia, Port Lavaca, Texas 77979-0105 vim Main Number: 361-552-9793 Main Facsimile: 10/20/2021 Judge Meyer, County Judge Calhoun County 211 S. Ann Street Port Lavaca, TX 77979 Dear Judge Meyer, Per interlocal agreement, the City shall notify the County of the amount due for fire services based on changes in the Municipal Cost Index (measured from June 2020 to June 2021). The calculation is shown below regarding the 2022 payment: $200,664.01 (previous 2021 payment) x 9.81% (MCI change) = $19,685.13 $200,664.01 (previous 2021 payment) + $19,685.13 = $220,349.14 $220,349.14 (Due for Jan - Dec 2022) If you have any questions please feel free to contact me at 361-552-9793 ext. 224 or by email at slang oaportlavaca.org. Sincerely, Susan Lang Finance Director City of Port Lavaca MUNICIPAL COST INDEX The Municipal Cost Index (MCI), developed exclusively by American City & County, is designed to show the effects of inflation on the cost of providing municipal services. State and local government officials rely on American City & Countys Municipal Cost Index to stay on top of price trends, monitor price increases for commodities, make informed government contract decisions and plan budgets intelligently. Since 1978, readers have loyally referred to the Municipal Cost Index to determine the cost of inflation and, hence, the rising cost of doing business as a local government. On this page, Municipal Cost Index data for the current year and the year-to-year percentage change in the index compared to that month last year are displayed. Additionally, related data for the three indices that comprise the Municipal Cost Index are also shown. Scroll down to find historical data for the Municipal Cost Index and its component indices dating back to 1978. Municipal Consumer ' Producer Month Cost MCI Construction CCI price CPI Price Ppl (2021) Index Yr-Yr % Cost Index Yr-Yr % Index Yr-Yr % Index Yr-Yr % Change (CCI) Change Change Change (MCI) (CPI) (PPI) Jan 261.08 2.16% 299.90 2.61% 262.23 1.32% 204.30 2.46% Feb 263.25 3.29% 301.64 3.17% 263.16 1.59% 208.50 6.11% Mar 266.61 5.06% 303.28 3.72% 264.79 2.65% 216.30 11.61 % #Rrs websiWgs cookiA?ReluclinjWparty on&Raoallc;A3 Nalysis o�y peo�Ti�P our we1Ar40/fh order to improve your experience and our services. B continuin to use our website, Vou a ree to the use May of such cookies:`Click herelToSmore informa °on on ous ookie Poic0v0and Prya4v olicy. 18.48°i° Jun 278.07 9.81% 318.43 8.49% 270.98 5.35% 228.50 19.57A Jul 281.94 Aug 282.73 Sep Oct Nov Dec 10.87% 325.19 10.84% 325.38 10.71 % 272.27 10.62% 273.01 5.23% 231.20 19.85% 5.13% 323.90 20.05% (Note: the consumer and producer price indexes are published monthly by the U.S. Department of Labor's Bureau of Labor Statistics. The PPI figure used is the number for all commodities. The municipal cost index incorporates the construction cost index, the consumer price index and the production price index.) About the Municipal Cost Index Learn more about the Municipal Cost Index (/municipal-cost-index/about), including its history and the factors included in its monthly calculation. Municipal Cost Index Archives View historical Municipal Cost Indexes: • 2020 (https://www.americancityandcounty.com/2020-municipal-cost-index-archive/) • 2019 (https://www.americancityandcounty.com/2019-municipal-cost-index/) • 2018 (https://www.americancityandcounty.com/2018-municipal-cost-index-archive/) • 2017 (https://www.americancityandcounty.com/2017-municipal-cost-index-archive/) • 2016 (https://www.americancityandcounty.com/2016-municipal-cost-index-archive/) • 2015 (/2015-municipal-cost-index-archive) • 2014 (/2014-municipal-cost-index-archive) • 2013 (/2013-municipal-cost-index-archive) • 2012 (/2012-municipal-cost-index-archive) • 2011 (/2011-municipal-cost-index-archive) • 2010 (/2010-municipal-cost-index-archive) • 2009 (/2009-municipal-cost-index-archive) • 2008 (/2008-municipal-cost-index-archive) • 2007 (/2007-municipal-cost-index-archive) • 2006 (/2006-municipal-cost-index-archive) SuSe��e us��ccl�o�C�c�s�tfi%�u �rhthi��J party ones, to allow for analysis of how people use our website in 2O�a�r<�i'i9�rj%g�lr�Qfa�rd�p�i�ur services. By continuing to use our website, you agree to the use • 2003 (/208s�1'�iEiii��s�(��ii��nore information on our Cookie Policy and Privacy Policy. • 2002 (/2002-municipal-cost-index-archive) 2001 (/2001-municipal-cost-index-archive) X • 2000 (/2000-municipal-cost-index-archive) INTERLOCAL AGREEMENT FOR FIRE SERVICES BY AND BETWEEN THE CITY OF PORT LAVACA AND CALHOUN COUNTY STATE OF TEXAS § § COUNTY OF CALHOUN § THIS INTERLOCAL AGREEMENT, approved by each party at a duly called meeting of each entity as shown below, by and between the CITY of PORT LAVACA, Texas, a home rule city located in Calhoun County, by and through their duly authorized City Manager or Mayor, (hereinafter "CITY") and the COUNTY OF CALHOUN, through its duly authorized County Judge, (hereinafter "COUNTY") such governments acting herein under the authority and pursuant to the terms of the Texas Government Code, Section 791.001 et seq., known as the "Interiocal Cooperation Act. WHEREAS, the COUNTY desires to provide for fire protection and emergency services for life and property of its residents that live outside the jurisdiction of the CITY; and, WHEREAS, the CITY owns certain trucks and other equipment designed for and capable of being used in the protection of persons and property from and in the suppression and the fighting of fires and has assigned individuals trained in the use of such equipment; and, WHEREAS, the CITY has authority to enter into contracts providing for the use of fine trucks and other fire protection and fire -fighting equipment for citizens outside of its jurisdiction; and WHEREAS, in exchange for the fire services to be provided by CITY hereunder, the COUNTY shall provide funds with an annual adjustment each year using the Municipal Cost Index ("MCP') as measured from June 1st of each year to the prior June 1st of each year. If there is a decrease in the MCI, there shall be no adjustment for that year; and, NOW, THEREFORE, for and in consideration of the mutual benefits to be derived by each of the parties hereto, said parties agree and covenant as follows: Section 1: SERVICES AND CONDITIONS The CITY shall provide to the COUNTY fire suppression services and to dispatch equipment and/or personnel in accordance with and subject to the terms and conditions hereinafter set forth. It is specifically agreed that: 1.1 The CITY agrees to furnish emergency fire suppression services upon a request for assistance from the 911 dispatcher or county volunteer fire departments within the County. 1.2 The CITY'S Public Safety Director or his designee shall be the sole judge of the type and amount of equipment and manpower dispatched in response to a request for assistance. 1.3 Any request for aid hereafter shall include a statement of the amount and type of equipment and number of personnel requested, and shall specify the location to which the equipment and personnel are to be dispatched. 1.4 The CITY shall report to the officer in charge of the requesting party at the location to which the equipment and/or personnel is dispatched and there, to render the assistance required. 1.5 The CITY shall be released by the requesting party when such services of the CITY are no longer required or when the CITY must respond to another emergency. The authorized official of the CITY, may determine in the official's own discretion that the health, safety and welfare of the CITY'S personnel may be endangered by any order of the requesting party, and may withdraw all of CITY'S personnel from the scene. 1.6 Although the CITY shall endeavor to respond to all requests for assistance, nothing herein is to be interpreted as imposing any duty or obligation upon the CITY to respond to any fire emergency. The provision of fire protection service to each parry's own area of responsibility shall always remain the primary function of that party. 1.7 In the event the CITY cannot or is unable to respond to a request for assistance, the CITY'S authorized official shall immediately notify the party requesting such assistance. 1.8 The CITY'S Director of Public Safety, in accordance with the terms of this agreement, shall consult with COUNTY as necessary with respect to the implementation of additional policies and procedures for improving the provision of fire protection services in response to requests for assistance. 1.9 The CITY shall maintain insurance coverage on each of its motor vehicles and personnel. Section 2: INDEMNITY CLAIMS 2.I All claims for worker compensation benefits arising out of this agreement shall be the sole responsibility of the party who is the employer of the employee filing such claim. 2.2 At no time shall the employees of a responding party be considered to be borrowed servants or on loan to the requesting party under this agreement. Section 3: TERM and PAYMENT 3.1 This agreement shall remain in effect through December 31, 2013, provided that it shall automatically be renewed for a one year period unless any party hereto shall give the other party written notice on or before ninety (90) days prior to the renewal date, at which time this agreement shall terminate at the end of the ninety (90) day period. 3.2 COUNTY shall pay CITY the sum of $178,500.00 on or before March 31, 2013 for the provision of fine services by the CITY for the COUNTY budget year January 1, 2013 .to December 31, 2013. On or before July I, 2013, the CITY shall calculate the annual adjustment for the 2014 budget year using the change in the Municipal Cost Index ("MCP') as measured from June 1, 2012 to June 1, 2013 and said percentage change shall be multiplied by $178,500.00. The COUNTY shall be notified of the new amount as soon as practicable after the calculation is determined. If there is a decrease in the MCI, there shall be no adjustment for that year. A like calculation shall be made by the CITY and provided to the COUNTY for budgeting purposes as soon as practicable after the June 1st index is published each year. The percentage increase, if any, shall be multiplied by the then rate in effect under this Agreement. Following the calculation, said amount shall be the amount charged under this Agreement for the subsequent year. Section 4: GENERAL TERMS 4.1 The parties hereto may terminate this Agreement without recourse or liability, upon ninety (90) days written notice of their intent to terminate to the other ply. 4.2 This agreement shall supersede any previous agreements. It may only be amended in writing and signed by all parties. Approved at a duly called meeting of the City of Port Lavaca on the 15 day of October, 2012. i ] D. WHI OW, MAYOR ATTEST: MALADY GRANT CITY SECRETAR Approved at a duly called meeting of the Commissioner's Court of Calhoun County on the 25" day of UG hee 12012 ATTEST: Anita Fricke, Calhoun County Clerk Deputy Clbfk H FIRST AMENDMENT TO NTERL,OCAL AGREEMENT FOR FIRE SERVICES 13Y AND SETAVEF.N THE CITY OF PORT LAVACA AND CALHOUN COUNTY STATE OF TEXAS § COUNTY OF CALHOUN § THIS First Amendment to Interlocal Agreement, approved by each party at a duly called meeting of each entity as shown below, by and between the CITY of PORT I.AVACA, Texas, a home rule city located in Calhoun County, by and through their duly authorized City Manager or Mayor, (hereinafter "CITY") and the COUNTY OF CA1_HOUN, through its duly authorized County Judge, (hereinafter "COUNTY") such governments acting herein under the authority and pursuant to the terms of the Texas Government Code, Section 791.001 ct seq., known as the "Interlocal Cooperation Act. The parties hereto hereby amend the measurement period described in paragraph 3.2 in the original Agreement with regard to Municipal Cost Index ("MCP') to reflect that the measurement period shall be from April 1 to April 1 of each year of the Agreement. Approved at a duly called meeting of the City of fort Lavaca on the 9 b day of September, 2013. Attest: Mandy Grant, I t Approved at a duly called meeting of the Commissioner's Court of Calhoun County on the IP day of September, 2013. Attest: Aj - - Miele fifer, C' only Judge 2 CITY OF PORTLAVA Main 77979-0105 www.00rtlavaca.org Main Facsimile: 361.552.6062 City Mtmage.r F.xi. 222 July 26, 2016 City Secretory Ext, 224 Judge Pfeifer C..ndcEnrorumcnl County Judge rxt.. 229 Calhoun County Finance 211 S. Ann Street Ext. 234 Port Lavaca, Texas 77979 InspeclionsWenniI,i him. 229 Dear Judge Pfeifer, Municiaal C.'nm1 Ext. 226 Per Interlocal agreement, the City shall notify the County for the amount due For fire Personnel services based on changes in the Municipal cost Index (measured from April 2015 to Ext. 224 April 2016). The calculation is shown below regarding the 2017 payment. Utility Billing Ext. 238 $185,165.55 (Previous 2016 Payment) x .00647% (MCI change)=11.98 Animal Control $185,165.55 (Previous 2016 Payment) + 11.98 = 361.552-5716 Batter Center $185,177.53 (DUE FOR JAN-DEC 2017) 361-552-1234 Fire Station If you have any questions, please call me. 361.552-324I Public Works t)ireeu'r 31-Respepyully Xbmlpat� 6E•55'2.3347 )'or"& Recreation 361-552-1234 Police 'Scatty Jonesk, \ 36I.552-3788 Finance Director City of Port Lavaca Streets 361.552.3347 361-552-9793 x234 Utilities Operation 361-552-3347 Susan Riley From: Scatty Jones csjones@ponlavaca.or9> Sent: Tuesday, July 26.201612:32 PM To: susan.dley@calhouncotx.org;sirfmrlleyr@gmail.com Subject: FW: Intedocal Fire Service Agreement. Attachments: 20160726124336414,pdf From: Scotty Jones (mailto:sjones@portlavaca.org] Sent: Tuesday, July 26, 2016 12:45 PM To: 'mike.pfeifer@calhouncotx.org' <mike.pfeifer@calhouncotx.org> Subject: Interlocal Fire Service Agreement Judge Pfeifer, Attached please find a letter showing the MCI change for payment 2017. It's a huge change over prior year O - $11.98. If you have any questions, let me know. Have a blessed day. Scotty Crow Jones Director of Finance City of Port Lavaca 361-552-9793x234 #11 i NOTICE OF MEETING—1/19/2022 11. Consider and take necessary action on the FY 2022 Ihterlocal Agreement with the City of Port Lavaca for Animal Control and authorize the payment of a purchase order in the amount of $65,000.00 and authorize the County Judge to sign. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 8 of 11 CALHOUN COUNTY 202 S. ANN STE. A PORT LAVACA, TX 77979 CHECK REQUISITION/ PURCHASE ORDER DATE:j 1I49/Z022 DEPT#: 230 VENDOR INFORMATION NAME: City Of POTt avaca ADDRESS: 202 North Virginia Street CITY: PortLavaca STATE: TX ZIP: 77979 PHONE: VENDOR #: 870 PURCHASE ORDER NO. 2022.0004 DEPARTMENT INFORMATION I t. NAME: Commissioners' Court ADDRESS: CITY: a STATE: ZIP: 'PHONE: ACCOUNT NO. FUND DEPT GL INVOICE DATE INVOICE NO. DESCRIPTION O:BEENTERED INTO MIP). TOTAL 1000 230 65130 Rabies Control per Interlocal Agreement $ 65,000.00 Agreement approved in Commissioners' Court on January 19, 2022 THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THE OBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR TOTAL $ 6$Qg,O.OQ.. SERVICES WERE RECEIVED BY ME IN GOOD CON DITON AND REQUEST THE COUNTY TREASURER TO PAY THE ABOVE OBLIGATION. COUNTYAUDITOR APPROVAL ONLY APPROVA ARTMENT HEAD 6/• ZZ DEPARTMENTHEAD DATE BY DATE r• INTERLOCAL AGREEMENT FOR ANIMAL CONTROL SERVICES STATE OF TEXAS § COUNTY OF CALHOUN § THIS Interlocal Agreement, entered into to be effective on the 1st day of January, 2013, by and between the CITY of PORT LAVACA, Texas; a Texas Home Rule City, of Calhoun County (hereinafter "CITY"), by and through its duly authorized City Manager or Mayor, and by and between the COUNTY OF CALHOUN, through its duly authorized County Judge, (hereinafter "COUNTY"), such governments acting herein under the authority and pursuant to the terms of the Texas Government Code, Section 791.001 et seq., known as the "Interlocal Cooperation Act." WHEREAS, the COUNTY to secure for unincorporated areas of the County the benefits of Animal Control; and, WHEREAS, the CITY being in possession of equipment, trained personnel and licensed facilities for the use in small animal control; and WHEREAS, CITY has authority to enter into contracts providing for small animal control services for citizens outside its jurisdictional limits; and WHEREAS, COUNTY is desirous of obtaining said animal control services to protect the health and safety of residents in the unincorporated areas of County; and WHEREAS, for the small animal control services rendered hereunder, the COUNTY shall pay to CITY the amount of ($65,000) for the below described small animal control services in the unincorporated areas of Calhoun County; and, 1 NOW, THEREFORE, for and in consideration of the mutual benefit to be derived by each of the parties hereto, said parties agree and covenant as follows: 1. SERVICES AND CONDITIONS 1.1 The CITY will provide personnel, equipment and facilities for the control, impoundment and euthanasia of animals according to the laws of the State of Texas. 1.2 The CITY shall maintain its equipment and facilities in accordance with all laws applicable to such and shall train its Animal Control Officer(s) as required by law, all of which are at CITY expense. 1.3 The CITY shall respond to calls from County residents and the Calhoun County Sheriff s Office for detainment, impoundment and euthanasia of small animals. 1.4 The CITY shall maintain applicable insurance coverage on each of its motor vehicles and personnel. 1.5 It is the intent of the parties that this Agreement covers small animals such as dogs, cats, etc. Large animals, like livestock, are not covered by this Agreement. 2. INDEMNITY CLAIMS 2.1 All claims for workers compensation benefits arising out of this agreement shall be the sole responsibility of the party who is the general employer of the employee filing such claim. 2.2 At no time shall the employees of a responding party be considered to be borrowed servants or on loan to the requesting parry under this agreement. 2 3. TERM and TERMINATION 3.1 This Agreement shall be for one (1) year beginning January 1, 2013. This agreement shall automatically be renewed for a one year period unless any party hereto shall give the other party written notice on or before October 1 st of each year. 3.2 Notwithstanding any notice to terminate, all rights, duties, and responsibilities of the parties are unaffected for the remainder of the term. 4. ENTIRE AGREEMENT This agreement shall take the place of and supersede any previous agreements; it shall only be amended in writing and signed by all parties. Approved at a duly called meeting of the City of Port Lavaca on the 15 day of October, 2012. r ATTEST: MANDY Cqy SPI ,l 3 Approved at a duly called meeting of the Commissioner's Court of Calhoun County on the Q:T day of Q sA 6?=C j 2012 ATTEST: Anita Fricke, Calhoun County Clerk M # Zz NOTICE OF MEETING—1/19/2022 12. Accept Monthly Report from the following County Office: I. Sheriff's Office — December 2021 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 11 SHERIFF'S OFFICE MONTHLY REPORT DEC. 2021 BAIL BOND FEE $ 1,170.00 CIVIL FEE $ 356.26 JP#1 $ 2,219.55 JP#2 $ 5,555.10 JP#3 $ 780.00 JP#4 $ - JP#5 $ - PL MUN. $ - COUNTY COURT $ - SEADRIFT MUN. $ - PC MUN. $ 5,719.30 OTHER $ PROPERTY SALES $ - DISTRICT $ - CASH BOND $ 5,500.00 TOTAL: $ 21,300.21 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---January 19 2022 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC RANK PAYMENTS $ 1,042A40 86, TOTAL;TRANSFERS BETWEEN FUNDS TOTAL, NURSING,HOME UPL'EXP.ENSES' TOTAL INTER=GOVERNMENT TRANSFERS $K83048 $) 1,379;93537, $' _ 3'S8,109iO3 GRAND TOTAL DISBURSEMENTS APPROVED January 19 2022 V 2,845 M5;34 MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---January 19, 2022 PAYABLES AND PAYROLL 1/13/2022 Weekly Payables 449,998.84 1/13/2022 Patient Refunds 70.80 1/17/2022 McKesson-34013 Prescription Expense 12,008.11 1117/2022: Amerisource Bergen-34013 Prescription Expense 787.83 1/17/2022 Amerisource Bergen-34013 Prescription Expense 110.00 1/17/2022 Payroll Liabilities -Payroll Taxes 104,701.14 1/17/2022 Payroll 311,335.30 Prosperity Electronic Bank Payments 2/10121-11/10/22 Credit Card & Lease Fees 8,251.32 1/20/2022 Sales Tax for December 2021 1.210.47 1/15/2022 TCDRS December Retirement 151,886,06 1/11/2022 Cleargage-Patient Financing Service 196.90 12/10/21-1/14/22 Pay Plus -Patient Claims Processing Fee 631.90 12/10121-117122 ExpertPay- child support 1,228.40 1/412022 Authnet Gateway Billing•3rd Party Payor Fee 23.80 0TALOKYA94E S, PAYROLLANO ELECTRONIC BANK PAYMENTS $ 1,042,4A0{86, TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 1/13/2022 MMC Operating to Tuscany Village -correction of NH medicare payment 10,607.90 deposited into MMC Operating MEDICARE ADVANCE PAYMENT RECOUP 1/17/2022 Broadmoor to MMC Operating -correction of Broadmoor medicare recoup 12,770.11 taken from MMC Operating 1/17/2022 Broadmoor to Tuscany Village -correction of Broadmoor medical recoup. taken 5,303.95 from Tuscany Village 1/17/2022 Crescent to MMC Operating -correction of Crescent medicare recoup taken 12,770.11 from MMC Operating 1/1712022 Crescent to Tuscany Village -correction of Crecent medicare recoup taken 5,303.95 from Tuscany Village 1/17/2022 Solera to MMC Operating -correction of Sclera medicare recoup taken from 12,770.11 MMC Operating 1/17/2022 Solera to Tuscany Village -correction of Solera medicare recoup taken from 5,303.95 Tuscany Village TOTAL TRANSREFt�a`BEINV,EENF.UN4S $t 64;80008 NURSING HOME UPL EXPENSES 1/17/2022 Nursing Home UPL-Cantex Transfer 658,848.64 1/17/2022 Nursing Home UPL-Nexion Transfer 116,571.50 1/17/2022 Nursing Home UPL-HMG Transfer 86,723.61 1/17/2022 Nursing Home UPL-Tuscany Transfer 142,646.21 1/17/2022 Nursing Home UPL-HSL Transfer 269,783,08 NURSING HOME BANK FEES 1/14/2022 Ashford -Enhanced analysis fee 105.88 QIPP CHECKS TO MMC 1/17/2022 Ashford 34,338.47 1/17/2022 Broadmoor 14,208.51 1117/2022 Crescent 10,353,87 1/17/2022 FortBend 13,879.49 1/17/2022 Solera 13,041.05 1/1712022 Tuscany 19,536.06 TOfiiAL NURSING•HgME•URL EXPL'NSESI $: i,079r93S3T INTER -GOVERNMENT TRANSFERS 1/17/2022 IGT UC DY11 to be paid February 10, 2022 358,109.03 TC3T,AL1Fi,TE,R CoOVERNMENT7RANSFERS $ 330JQQO ti3'' ,faRAN[%'TOfiAL DISBURSEINENTS;AP,`Pl�OVED �(arruary i0; 2022 $.:'2;845,315'36! 1 of 16 RECEIVE-ET;Page JAN 13 2022 MEMORIAL MEDICAL CENTER 01/13/2022 AP Open Invoice List 0 10:51 ap_open_invoice.template Due Dates Through: 0210212022 Vendor# Vendor Name Class Pay Code A2222 ARGON MEDICAL DEVICES ,r Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Grass Discount No -Pay Net ✓21114287 ✓ 01/1212012/30/2001/12/20 335.56 0.00 0.00 335.56 w' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A2222 ARGON MEDICAL DEVICES 335.56 0.00 0.00 335,56 Vendor# Vendor Name Class Pay Code A0400 AUREUS RADIOLOGY LLC .,, Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount. No -Pay Net ✓2429780 ,, 12/31/2001/0312002/02/20. 2,428.75 0.00 0.00 2,428.75 ✓ TRAVEL LAB STAFFING ( J r2111- ✓2429643 v1 12/31/2001/03/2002/o2/20 2,211.00 0.00. 0.00 2,211.00✓ TRAVELLAB STAFFING i.12-j11-JYIs-J,yt� SN6" Vendor Totals Number Name Gross Discount No -Pay Net A0400 AUREUS RADIOLOGY LLC 4,639.75 0.00 0,00 4,639.75 Vendor# Vendor Name Class Pay Code 14088 AZALEA HEALTH Vi Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net v70459 ✓ 01/11/2G01/06/2001/06120 550.00 0.00. 0.00 550.00✓� MONTHLY PROCESSING FEE: VendorTotals Number Name Gross Discount NaPay Net 14088 AZALEA HEALTH 550.00 0.00 0.00 550.00 Vendor# Vendor Name. Class Pay Code B1150 BAXTER HEALTHCARE ✓ w Invoice# Comment Tran Dt Inv Dt Due Ot Check 0 Pay Gross Discount No -Pay Net ✓73456985 v/ 01/12/20. 01/0312001/28120 1,093.06 0.00 0.00 1,093.061/�,,.' SUPPLIES ✓73456530 ✓ 01/12/20 01/03/20 01/28/20, 161.52 0,00 0.00 161.52 ✓,,/' SUPPLIES Vendor Totals Number Name Gross Discount NaPay Net B1150 BAXTER HEALTHCARE 1,254.58 0.00 0.00 1,254.58 Vendor# Vendor Name Class Pay Code M2485 BAYER HEALTHCARE f M Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net t%6009650949 ✓ 01/10/20 12/30/20 01/10/20 891.27 0.00 0.00 891.27 ✓ V' SUPPLIES . Vendor Totals Number Name Gross Discount No -Pay Net M2485 BAYER HEALTHCARE 891,27 0.00 0.00 891.27 Vendor#Vendor Name Class Pay Code B1220 BECKMAN COULTER INC M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ✓109569835 „/ 01/03/20 01/03/20 01/28120. 14.90 0.00 0,00 14.90 ✓ SUPPLIES ✓/308935 / 01/03/2001/0312001/28/20 6,401.64 0.00 0.00 6,401.64 V CY*ksY EkJ1tYYJ SUPPLIES ✓109572672 „ -2 01/05120 01/04/20 01129/20, 119.42 0.00 0.00 119.42✓ SUPPLIES file:///C:/Users/eheimWcDsi/memmed.ct)sinet.com/u98547/data 5/tmo cw5renort81075... 1/13/2022 Page 2 of 16 ✓109678590 ✓ 01/0,,5//20,0�1/04/20 01/29/20, 587.32 0.00 0.00 587.32 ✓�,; - SUPPLIES PMPtA,"r i , ✓09578587 ✓ 01/06/2001/04/2001/29/20. 3,029.16 0.00 0.00 3,029.16peV SERVICES ?VbWi"'l�'n'�% , ✓109576214 ✓1 01/05/20 01/04/20 01/29120 1.850.64 0.00 0.00 1,850.64 V;t SUPPLIES V409579657 , / 01105/20. 01/04/20 01/29/20 226,80 0.00 0.00 226.80 ✓., SUPPLIES 1/i09579295 4/� 01/05/20 01/04120. 01/29/20 34.12 0.00 0.00 34.12 V SUPPLIES � ,/109572757 ✓ 01/05/20. 01/04/2001/29/20. 1,400.00 0.00 0.00 , 1,400.00✓✓` SUPPLIES yi 09578591 Vi 01/05/2001/04/2001/29120. 3,563.78 0.00 0.00 3,563.78✓v_ SERVICES %Vp-V_i`4 ANA v409579639 ✓ 01/05/20 01/04/20 01/29/20 7,034.36 0.00 0.00 7,034.36 SUPPLIES ✓•09572908 / 01105/20.01/04/2001129/20. 1,015.30 0.00 0.00 1,015m ✓y', SUPPLIES 1/109578513 r✓ 01/05/20,01/04/2001/29/20 378.00 0.00 0.00 378.00. V- � SUPPLIES V109581835 t% 01/10/2G01/05/20 01/30/20, 68.24 0.00 0.00 68.24 ✓ w,,; SUPPLIES f109582255 ✓' 01/10/20, 01/05/20. 01130/20. 1,479.73 0.00 0.00 1,479.73 ✓ SUPPLIES ✓5451762 1/ 01/10/20,, 01/05/20 01130/20. 6,249,42 0.00 0.00 6,249,42 ✓ LEASE L"Sd "*, bevV tZe A /Vbkj% 09581668 01/10/20 01/05/20 01/30/20, 486.13 0.00 0.00 486.13 t%' SUPPLIES 1/109584421 tf 01/10/20. 01/05/2001130/20 5118 0.00 0.00 51.18✓ di SUPPLIES V'109588040 01 /12120 01106/20 01/31/20 116.70 0.00 0.00 116.7061'y'� SUPPLIES ✓109588033 ✓ 01/12120 01/00/20 01131/20 65.78 0.00 0.00 65.76✓v' FREIGHT ✓109588286 4/ 01/12/20 01/06/20 01131/20 1,284.03 0.00 0,00 1,284.03V- 1%w SUPPLIES Vendor TotalE Number Name Gross Discount No -Pay Net. B1220 BECKMAN COULTER INC 35,456.65 0.00 0.00 35,456,65 Vendor# Vendor Name I Class Pay Code 11072 BIO-RAD LABORATORIES, INC .% Invoice# Comment Tran Dt Inv Ot Due Dt Check DPay Gross Discount No -Pay Net V905248514 12JS1120. 12/28/2001/28/20 653.97 0.00 0.00 653.971/ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11072 810•RAD LABORATORIES, INC 653.97 0.00 0.00 653.97 Vendor# Vendor Name Class Pay Code 12600 BIOFIRE DIAGNOSTICS LLC �/ Invoice# Comment Tran Dt Inv Dt Due Dt Check ' Pay Gross Discount No -Pay Net V1280153536 ✓ 01/12/2012/27/2001/12/20 40,500.00 0,00 0.00 40,500.00✓✓' SUPPLIES (tU1hio(ir(, ttts0,.l pWI I au11.�$ Vendor Total:Number Name Gross Discount No -Pay Net file:///C:/Users/0heiman/cpsi/Memmed.ct)sinet.com/u98547/data 5/tmp cw5report81075... 1/13/2022 Page 3 of 16 12600 BIOFIRE. DIAGNOSTICS LLC 40,500.00 0.00 0.00 40,500.00 Vendor# Vendor Name Class Pay Code 14753 BIOMERIEUX, INC „- Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 1/1212711768 f 01113120.01/06/20 02102120. 41,207.74 0.00 0.00 41,207.74 ✓ SUPPLIES [W) 1`141,0f -1 1 poKel , 311 jca-Y IV D -t sWpptv�a , Vendor Total5 Number Name iz q,Nu. Gross Discount No -Pay Net 14763 BIOMERIEUX, INC 41,207.74 0.00 0.00 41,207.74 Vendor# Vendor NameClass Pay Code / 10599 BKD, LLP ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net ✓BKO1505461;/ 01/10120 12129/20 01/23/20 16,905.00 0.00 0.00 16,005.00V L/ PREP 2022 DSH Vendor Totals Number Name Grass Discount No -Pay Net 10599 BKD, LLP 16,905.00 0.00 0.00 16,905,00 Vendor#Vendor Name Class Pay Code / 14120 CALHOUN COUNTY EMS V/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D• Pay Gross Discount No -Pay Net ✓21120006 12/31/20. 12/30/20 01/31/20 6,600.00 0.00 0.00 6,600.00 %. TRANSFERS Vendor TOWS Number Name Gross Discount No -Pay Net 14120 CALHOUN COUNTY EMS 6,600.00 0.00 0.00 6,600.00 Vendor# Vendor Name Class Pay Cade 11295 CALHOUN COUNTY INDIGENT ACCOUN ,, Invoice# Comment Tran Ot Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net ✓010622 01/10/2001/06/2001/06120.. 50,00 0.00 0.00 50.00✓L,,- COPAYS Vendor Total, Number Name Gross Discount No -Pay Net 11295 CALHOUN COUNTY INDIGENT ACCOUN 50.00 0.00 0.00 50.00 Vendor# Vendor Name Class Pay Code 13992 CARIANT HEALTH PARTNERS f(WtU` 1kr 01 Lav%' W C. .k P,,J-INwi t2S AVK,4- Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net V127849 01/11/20-09108/2010/08/20. 4,940.00 0.00 0.00 f 4,940.00 TRAVEL NURSE STAFFING Blip -qJq Gr4bIr+C , f128183 01111/20. 09/2212010/22/20 5,900. 0 0.00 0.00 5,900 0 TRAVEL NURSE STAFFING 9119 (116) A19121 Crabi-y ✓128362 01/1112009/30/2010/30/20. 980 0 0.00 0.00 98 00 TRAVEL NURSE STAFFING 41I91ZI Cy0)A tC ,,/129141 �,� 01111/20. 10/27/2011/27120 1 00.00 0.00 0.00 1, 00.00 TRAVEL NURSE STAFFING Iojfijal Grol*yee Vendor TotalE Number Name Gross Discount No -Pay eta 13992 CARIANT HEALTH PARTNERS 12,020.00 0,00 0.00 12,820.00 Vendor# Vendor Name Class Pay Code J �. 10105 CHRIS KOVAREK 1f Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net v/58 01/11/20 01107/20 01/07/20 40.00 0.00 0.00 40.00 V1 PURCHASE SERVICES 149, Wzb,%Azs1v Vendor TotalE Number Name Gross Discount No -Pay Net 10105 CHRIS KOVAREK 40.00 0.00 0,00 40.00 Vendor# Vendor Name Class Pay Code C1166 COASTAL OFFICE SOLUTONS V' w file:///C:/Users/eheiman/ci)si/menimed.cDsinet.com/u98547/data 5/tmn cw5renort81075... 1/13/2022 Page 4 of 16 Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount V/OE337321 tf O1/10/20. 12/29/2001/0B/20 225.00 0.00 SUPPLIES Vendor Totals Number Name Grass Discount C1166 COASTAL OFFICE SOLUTONS 225.00 0.00 Vendor# Vendor Name Class Pay Code 13572 COMMUNITY INFUSION SOLUTIONS ,// Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount t/IC20211116 ✓/ 01/12/2011/03/2011/13120, 12,515.31 0.00 OP INFUSION SERVICES VC20211212 V/ 01/1212012/06/2012115/20 11,514.45 0.00 OP INFUSION SERVICES VIC20220119 t 01/1 PJ20.. 01/05/2001/05120 12,987.42 0.00 INFUSION SERVICES Vendor Tota(: Number Name Gross Discount 13572 COMMUNITY INFUSION SOLUTIONS 37,017.18 0.00 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH & SON ✓� Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount V4073060 ✓ 01/10120,01/06/2001/31/20 14.26 0.00 SUPPLIES ,/6673150 ✓/ 01/11/20 01/03/20 01128120. 97.08 0.00 SUPPLIES ✓6673830 ,% 01/11/2001/03/2001/28/20. 20.22 0.00 SUPPLIES, �6677040 Ws, 01/11/20.01/06/2001/31/20 60.94 0.00 SUPPLIES t/6677240 ,.' 01/11/20 01/06120 01/31/20 32,70 0.00 SUPPLIES ✓6677030 �j 01/11/20. 01/06/2001/31/20 41.42 0.00 SUPPLIES Vt674090 ,,.'� 01/12120. 01104/2001/29/20 677.92 0.00 SUPPLIES Vendor Totals Number Name Gross Discount 10368 DEWITr POTH:&SON 952.54 0.00 Vendor# Vendor Name Class Pay Code 11011 DIAMOND HEALTHCARE CORP ,/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount V"IN20055117 ✓ 01/12120.0110312001/28/20 19,166.67 0.00 CPR DEC 2021 Vendor Totals Number Name Gross Discount 11011 DIAMOND HEALTHCARE CORP 19,166.67 0.00 Vendor# Vendor Name Class Pay Cade 11291 DOWELL PEST CONTROL ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount ✓ FW-4321 ✓ ' 01 /11120 07/10/20 08/30/20 155.00 0.00 PEST CONTROL CLINIC JULY yrl--W-432o „/f 01/11120 07/31/20 08/25120 260.00 0.00 PEST CONTROL JULY 21 -W-4662 V r01/11/20.08131/2009/25/20. 260.00 0.00 PEST CONTROL AUG 21 No -Pay Net 0.00 225.00 ✓ti/- No-Pay Net 0.00 225.00 No -Pay Nei 0.00 12,515.31 V 0,00 11,514.45 V' ,..' 0.00 12,987,42 V/ ✓' No -Pay Net 0.00 37,017.18 No -Pay Net 0.00 14.26 t/ 0.00 97.081/ of 0.00 28.22 ✓ ✓' 0.00 60.94✓ v- 0.00 32.70 V t✓-' 0.00 41.421/ 0.00 677.92V/ ,' No -Pay Net 0.00 952.54 No -.Pay Net 0.00 19, 166.671% ,✓ No -Pay Net 0.00 19,166.67 No -Pay Nei 0.00 155.00 0.00 260.00V,✓' 0.00 260.00 t/ file:///C:/Users/eheiman/ct)sUmemmed.cnsinet.com/u98547/data 5/tmn cw5renort81075... 1/13/2022 Page 5 of 16 ,/FW-5202 ✓ 0111112009/30/2010/25/20 105.00 0.00 0.00 105.00 yf✓ CONTROL CLINIC AUG.' /PEST VFW-5275 J 01111120 09130/20 10/25/20 260.00 0.00 0.00 260.00✓1' PEST CONTROL SEPT 21 VFW-5284 ✓ 01111120.09/30/2010/25/20 505.00 0.00 0.00 505.00 Vl* PEST CONTROL SEPT 21 , /FW-6026 ✓ 01/11/20 10131/2011125/20. 260.00 0.00 0.00 260.00 V ✓-' PEST CONTROL OCT 21 , y FW-6014 ✓ 01/11/2010/31/2011125/20. 105.00 0.00 0.00 105.00V/ ✓.� PEST CONTROL OCT 21 CLINI , t/'FW-5755 rl/ 01/11120 10/31/20 11/25/20 505.00 0.00 0.00 505.00✓„/ PEST CONTROL HOSP OCT 2' ✓FW-4158 ✓ 01/11/2010/31/2011126/20 160.00 0.00 0.00 160.09&,'.' PEST CONTROL OCT 21 _ i/FW-6675✓ 01/11/20. 12131/2001/25/20 505.01) 0.00 0.00 505.001/ /MTHLY PEST CONTROL DEC; VFW-7049 ✓ 01111/20. 1213112001125/20 105.00 0.00 0.00 105.00 V1 4i PEST CONTROL DEC 2021 , Vendor Totals Number Name Gross Discount No -Pay Net 11291 DOWELL PEST CONTROL 3,185.00 0.00 0.00 3.185.00 Vendor# Vendor Name Class Pay Code 11284 EMERGENCY STAFFING SOLUTIONS v% Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net V40880 ,,% 01 /13/20 01/15120 01125120 40,062.50 0.00 0.00 40,062.50 t.E' ER PHYSICIAN STAFFING 1-1-15i'11� j Vendor Totals Number Name Gross Discount No -Pay Net 11284 EMERGENCY STAFFING SOLUTIONS 40,062.50 0.00 0.00 40,082.50 Vendor# Vendor Name Pay Code /Class S0501 EVOQUA WATER TECHNOLOGIES LLC 4r Invoice# Comment Tran Dt Inv Dt Due Dt. Check D Pay Gross Discount No -Pay Net 1/905200130� 01/11/20.01/01/2001/26/20, 2,490.35 0.00 0.00 2,490.35 L✓' CONTRACT JAN/22 - JUNE122 V905200131 ✓ 01/11/20. 01/01/20 01/26/20 2,511.19 0.00 0.00 2,511.19 ✓ ✓" CONTRACT JAN/22JUNE/22 _ Vendor Totals Number Name Gross Discount No -Pay Net S0501 EVOQUA WATER TECHNOLOGIES LLC 5,001.54 0.00 0.00 5,001.54 Vendor# Vendor Name Class Pay Code 10689 FASTHEALTH CORPORATION f Invoice# comment Tran Dt Inv Dt Due Ot Check D Pay Gross Dlscount No -Pay Net y/01A22mmc,/- 01/11/20.01101/2001116/20 495.00 0.00 0.00 495.00 WEBSITE MONTHLY INVOICE . Vendor Totals Number Name Gross Discount No -Pay Net 10689 FASTHEALTH CORPORATION 495.00 0.00 0.00 495.00 Vendor# Vendor Name Class Pay Code F1100 FEDERAL EXPRESS CORP. v, W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ✓762191758 ,j 01112/20. 01106/2001/31/20 11.56 0.00 0.00 11.55 ✓� FREIGHT Vendor Totals Number Name Gross Discount No -Pay Net F1100 FEDERAL EXPRESS CORP. 11.55 0.00 0.00 11.55 Vendor# Vendor Name Class Pay Cade file:///C:/Users/eheiman/eDsi/memmed.ensinet.com/u98547/data 5/tmn cw5renort81075.__ 1/11/2022. Page 6 of 16 14092 FIRST CONNECT CENTER LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net ✓3550 ,/� 01/11/20 12121/20 01120/20 3,093.75 0.00 oleo 3,093.75 ✓✓,,,' TRAVEL NURSE STAFFING 12'lq-1Z}1Uo zj IbLonywn Vendor TotalE Number Name Gross Discount No -Pay Net 14092 FIRST CONNECT CENTER LLC 3,093.75 0.00 0.00 3,093,76 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE i%' M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net v/7500397V/ 01110/20. 1PJ27/20 01/21/20 27.50 0.00 0.00 27.50 ✓ SUPPLIES /7542455 y% 01/10/20 12/28/20 01/22/20. 481.26 0.00 0.00 481.26✓ ✓' SUPPLIES /7542456 01/10120. 12/28/2001/22/20. 10.50 0.00 0.00 10,50 ✓ SUPPLIES V4585969 ✓� 01/10/20. 12/2912001/23/20 486.25 0.00 0.00 186.25 ✓V' SUPPLIES t/7565967 ✓ 01/10/20 12/29/20 01/23120 318.00 0.00 0.00 318.00✓ SUPPLIES y 7628243 ,% 01/10/20. 12/30/20 01/24/20. 50.32 0.00 0.00 50.32 ✓ SUPPLIES /7628241 ,r' 01/10/2012130/2001/24/20, 154.08 0.00 0.00 154.08VI/ SUPPLIES V%698388 f 01111/20. 01/04/2001/29/20 208.68 0.00 0.00 208.68✓ SUPPLIES Vt763151 ,/ 01/11/20,01/05/2001/30120. 68.00 0.00 0.00 68.00 ✓�.' SUPPLIES ✓4185253 01/12/20 07/09/20 0610312Q 666.27 0.00 0.00 666.27 ✓,% SUPPLIES �7585968 ✓ 01/12/20 12/29/20 01/23/20. 20.30 0.00 0.00. 20.30V ✓ SUPPLIES ,%7628242 >< 01/12120.12130/20P01124120 12.24 0.00 0.00 12.241/' ems` SUPPLIES //7841100 �,% 01/12/20 01/06/20 01/31/20 6,546.83 0.00 0,00 6,546,83 ✓�,j' SUPPLIES Vendor TOWN Number Name Gross .Discount. No -Pay Net F1400 FISHER HEALTHCARE 8,750.23 oleo 0.00 8,750.23 Vendor# Vendor Name Class Pay Code J, 12636 FUSION CLOUD SERVICES, LLC N' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net i y98402764 1„/ 01/12/201211612001/15/20 1,044.31 0.00. 0.00 1,044.31✓ TELEPHONE SERVICES SERVICES Vendor Total. Number Name Gross Discount No -Pay Net 12636 FUSION CLOUD SERVICES, LLC 1,044.31 0.00 oleo 1,044.31 Vendor# Vendor Name Class Pay Code 12948 GREAT AMERICAN FINANCIAL SVCS V,/ Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross V30813273 Discount No -Pay Net ✓ 01/11/20 01/06/20 01/31/20 10,161.02 0.00 0.00 10,161.02 ✓ t/- COPIER LEASE 111;L1 -11.1201i.1 Vendor Total: Number Name Gross Discount No -Pay Net 12948 GREAT AMERICAN FINANCIAL SVCS 10,161.02 0.00 0.00 10,161.02 file:///C:/Users/eheiman/cpsi/memmed.cl)sinet.com/u98547/data 5/tmn cw5reDort81075... 1/13/2022 Page 7 of 16 Vendor# Vendor Name Class Pay Code G1210 GULF COAST PAPER COMPANY ,f M Invoice# Comment Tran Dt Inv Or Due Dt Check D Pay Gross Discount No -Pay Net ✓2161205 ' 01/10/20. 12/28/20 01/27/20 41.73 0.00 0.00 41.73 f' SUPPLIES v Vendor Totals Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 41.73 0.00 0.00 41.73 Vendor# Vendor Name Class Pay Code H1100 HAYES ELECTRIC SERVICE .% w Invoice# Comment Tran Dt Inv Dt Due Dt. CheckD Pay Gross Discount No -Pay Net VA2211208-01 �/ 01110/2012/OB/2019JI8120 589.97 0.00 0.00 589.97 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 1,11100 HAYES ELECTRIC SERVICE 589.97 0.00 0.00 589.97 Vendor# Vendor Name Class Pay Code 10334 HEALTH CARE LOGISTICS INC „/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net f308298902 of 01/0412001/03120=02/20. 410.00 .0.00 0.00 410.00 ✓v. SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10334 HEALTH CARE LOGISTICS INC 410.00 0.00 0.00 410.00 Vendor# Vendor Name Class Pay Code 11552 HEALTHCARE FINANCIAL SERVICES v" Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net r///100559472 ,% 12/31/2012I28/2002101/20 4,610.52 0.00 0.00 4,610.52w10 LEASE � V ' 00564827 ✓ 01/12(20. 01/07/20 02/01/20 7,447.86 0.00 0.00 7,447.86 LEASE 014't SMf% /100564828 / 01/12/20 01/07/20 02/01/20 1,797.44 0.00 0= 1,797.44✓✓ LEASE IiAHY050111M Vendor Totals Number Name Gross Discount No -Pay Net 11652 HEALTHCARE FINANCIAL SERVICES 13,865.82 0.00 0.00 13,855.82 Vendor# Vendor Name Class Pay Code 10922 HUNTER PHARMACY SERVICES of Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net v624 V/ 01/11/2012/31/2001120/20 15,203.97 0.00 0.00 15,203.97 PROFESSIONAL FEES 12123121 11101 as NBVDSdd1 Vendor Totals Number Name Gross Discount No -Pay Net 10922 HUNTER PHARMACY SERVICES 15,203.97 0.00 0.00 15,203.97 Vendor# Vendor Name Class Pay Code 11 14256 INFICARE HEALTH, INC. wI( 1twt, pU' olLn--�-im-tt/xethilaliutimil Invoice# Comment Tran Dt Inv bt Duedt Check D Pa Gross Dis + No -Pay Net ✓MMC12231/ 12/31/20. 12/23/2001/28/20 3,270.50 0.00 0.00 3,270.50 TRAVEL NURSE STAFFING l ILL ! Iq - ly I I t )r5) tJ tS I Ghaq /MMC1230 01/12/20 12/30/20 01/30120. 2,325,00 0.00 0.00 2,325.00 TRAVEL NURSE STAFFING Vendor Totals Number Name Gross Discount No -Pay Net 14256 INFICARE HEALTH, INC. 5,595.50 0.00 0.00 5,595.50 Vendor# Vendor Name Class Pay Code 11200 IRON MOUNTAIN Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net file:///C:/Users/eheiman/Cpsi/memmed.evsinet.com/u98547/data MITID cw5renort81075... 1/13/2022 Page 8 of 16 ✓GGBL100 /' 12/29/20.12131/2001/30120 738.78 0.00 0.00 738.78 SHRED BIN SERVICES . Vendor Totals Number Name Gross Discount No -Pay Net 11200 IRON MOUNTAIN 738,78 0.00 0.00 738,78 Vendor# Vendor Name Class Pay Code 11964 ITA RESOURCES, INC t/ W Invoice# Comment Tran Ot Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net V UMC012022 � 01/12/2001/11/2001/11/20. 25,569.36 0.00 0.00 25,569.36 RESPIRATORY JAN 2022 , Vendor Totals Number Name Gross Discount No -Pay Net 11264 ITA RESOURCES, INC 25,569.36 0.00 0.00 25,569.3E Vendor# Vendor Name Class Pay Code 11108 ITERSOURCE CORPORATION i,1` Invoice# Comment Tran Dt Inv Dt Due or Check D Pay Gross Discount No -Pay Net r/711435 01/10/20. 01/01/2001101/20 250.00 0.00 0.00 250,00 ' MONTHLY PHONE SUPPORT, Vendor Totals Number Name Gross Discount No -Pay Net 11108 ITERSOURCE CORPORATION 250.00 0.00 0,00 250.00 Vendor# Vendor Name Class Pay Code J0150 J & J HEALTH CARE SYSTEMS, INC �, - Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net V%927662309 /' 12/31/20.1V29/2001/28120 1,541.38 0.00 0.00 1,541.38. SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net. J0150 J & J HEALTH CARE SYSTEMS, INC 1,541.38 0100 0.00 1,541.38 Vendor# Vendor Name Class. Pay Cade 10834 JACKSON & CARTER, PLLC ✓j Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net rInvoice# y 2953 01/12/200110612001/06/20 1,475.00 0,00 0.00 1,475.00 l�V/ FEES VendorTctals Number Name Gross Discount No -Pay Net 10834 JACKSON & CARTER, PLLC 1,475.00 0,00 0.00 1,475.00 Vendor# Vendor Name Class Pay Code L0700 IABCORP OF AMERICA HOLDINGS ✓A M Invoice# Comment Tran Dt Inv Dt Due Dt Check D`Pay Gross Discount No -Pay Net V71784501 ✓r 01112/2001/01/2001/26/20. 30.00 0.00 0.00 30.0o✓, �% LAB SEND OUT M 7172i989 v! 01/12/20 01/01/20 01/26/20 400.00 0.00 0.00 400.00V t/ PURCHASE SERVICES , Vendor Totals Number Name Gross Discount No -Pay Net L0700 LABCORP OF AMERICA HOLDINGS 430.00 0.00 0.00 430.00 Vendor# Vendor Name Class .Pay Code L1640 LOWE'S HOME CENTERS INC fV(QUS IJkE 0Ivoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 10222 01/11/200110212001/28/20 56.82 0,00 0.00 50.82 SERVICE CHARGES Vendor TolalENumber Name Gross Discount No -Pay Net L1040 LOWE'S HOME CENTERS INC 56.82 0.00 0.00 56.82 Vendor# Vendor Name I Class Pay Code M2178 MCKESSON MEDICAL SURGICAL INC Invoice# Comment Tran Dt Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net file:///C:/Users/elieiman/cpsi/memmed.cpsinet.com/u98547/data 5/tmD ew5renort81075... 1/13/2022 Page 9 of 16 65791313A V/ 01/06/20. 10/0612001/27/20 137.61 SUPPLIES 68723255A/ 01/06/2011/08/2001127/20. 958.99 SUPPLIES ✓18619563 v'' 01/06/2010/0512001/27/20, 771.17 SUPPLIES /8543556 t ,,/ 01/10/20 09/15/20 09/30/20: 134.46 SUPPLIES q/i8908275 J/ 01/10/20 12/29/20 01/13120, 32.04 SUPPLIES v48908866 / 01/10/2012129/2001113/20 147.03 SUPPLIES f18940672 s/ 01/12/20. 01110/2001/25/20 4,936.43 SUPPLIES Vendor Totals Number Name Gross M2178 MCKESSON MEDICAL SURGICAL INC 7,117,73 Vendor# Vendor Name Class Pay Code 11432 MD REPORTS Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross �NVMDR3440 ✓ 01/10/2001/04/20-02/02/20 3,234.00 ENDOSCOPY REPORTS III Ia26-12131 Vendor Totals Number Name Gross 11432 MD REPORTS 3,234,00 Vendor# Vendor Name Class Pay code 11141 MEDICAL DATA SYSTEMS, INC. Invoice# Comment Tran Dt Inv Dt Due Dt Check D-Pay Gross V1166560 � 01/10120. 12/31/2001/25120 1,660.03 COLLECTION FEES /166559 y' 01/11/20,12/31/2001125/20 2,399.33. COLLECTION FEES / r 166558 01111/20 12131/20 01/25/20, 1.349.06 COLLECTION PEES Vendor Totals Number Name Gross 11141 MEDICAL DATA SYSTEMS, INC. 5,398.42 Vendor# Vendor Name Class Pay Code 10613 MEDIMPACT HEALTHCARE SYS, INC. ,// A/P Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross 011122 01/12/20. 01/11/20 01/11/20. 51.78 INDIGENT Vendor Totals Number Name Gross 10613 MEDIMPACT HEALTHCARE SYS, INC. 51.78 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC V1 M Comment Tran Dt Inv Dt Due Dt Check OPay Gross tInvoice# V1976566348„/f 12/17/2012/02/2001/28/20. 45.82 SUPPLIES ✓1979123931 V/ 12/17/20.12/21/2001/28120. 41,18 SUPPLIES 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 0A0 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 0.00 0.00 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 1979348440 / 01/10/201PJ2212001/16/20, 2,590.20 0.00 SUPPLIES %/1980179644 Z 01110/201PJ29/2001/23/20 191.59 0.00 t 11 0.00 137.61 771.17 ✓ ✓ 134.46 V�' ✓ 32.04 le"', /✓ 147.03v �j 4.936.43 Net 7.117.73 Net 3,234.00 ✓� Net 3,234.00 Net 1,650.03✓ '- 2,399.33 ✓L,,�` 1,349.06✓ Net 5,398.42 Net 51.78 Net 51.78 Net 45.82 ✓ 41.1131 1-' 2,590.20y V%- 191.59 ✓�- file:///C:/Users/eheiman/c-osi/memmed.cDsinet.com/u98547/data 5/tmn cw5renortR1075... 1/11/2017 Page 10 of 16 SUPPLIES � V 1980161179 „/ 01/10/2012/29/20 01/23120. 38.88 0.00. 0.00 38.88 ✓y,/' SUPPLIES V 1980161163 1/01110120: 12/29/2007/23/20, 436.67 0.00 0.00 436.67 ✓" SUPPLIES /980161181 ,f � 01/10/20 12/29/20 01/23/20 64.80 0.00 0.00 64.80 ✓„� - SUPPLIES V 1980327281 01/10/20 12/29/20 01123120 1,564.23 0.00 0.00 , 1,564.23 SUPPLIES /980364858 ,r' 01/1012012/30/20 01/24/20 139.44 0.00 0.00 139.44 SUPPLIES ✓1980364861 / 01/10/201PJ30/2001/24/20, 29.85 0.00 0.00 29.85 ✓V,j SUPPLIES ✓1980364860 f 01110120, 12/30/20 01/24/20 65.51 0.00 0.00 65.51 V" SUPPLIES y1980364864 `/ 01/10120. 12130/2001/24/20 327.63 0.00 0.00 327,53 ✓,,j SUPPLIES ✓1980364863 ,�" 01/10/2012/30/2001124120 14.93 0.00 0.00 14.93 ✓ ✓ SUPPLIES � / V980364859 f' 01/10/2012/30/2001/24/20. 112.45 0.00 0.00 , 112.45 ✓`/' SUPPLIES /980873514 �/'� 01112/20 01/04/20 01/29/20 19.48 0.00 0.00 19.481/�/ SUPPLIES ✓i980873516 / 01/12/20. 01/04/2001/29/20. 224.00 0.00 0.00 224.00 ✓✓' SUPPLIES VendorTotal:Number Name Grass Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 5,906.56 0.00 0.00 5,906.56 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC j Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Not / y 7723938✓ 01/12120.01/0512001/15/20, 99.98 0.00 0.00 99.98.✓.i INVENTORY V/7726633 01112120, 01/05/20 01 /15/20. 268.12 0.00 0.00 268.12 W- INVENTORY 0723941 ✓� 01112120. 01/05/2001/15/20 252.94 0.00 0.00 252.94✓ ✓ INVENTORY ✓7723939 01/12/20 01/05/20 01/15120. 180.99 0.00 0.00 . 180.99 INVENTORY ✓7723942 ✓ 01/12/20. 01/06/2001/15120. 274.47 0.00 0.00 274.47✓ :.. INVENTORY A56 ✓f 01/12/20.01/06/2001/16/20 -1,766.52 0.00 0.00 , -1,766.52✓ tom" CREDIT � y2270 �/ 01/12/20. 01/06/20 01/16/20 -104.49 0.00 0.00 -104.49 ✓ CREDIT ✓` CM10200 u/ 01/12/20 01/07/20 01/17/20 -563.98 0.00 0.00 -563.98 V CREDIT ✓CM10201 v% 01/12/200110712001/17/20 -55.97 0,00 0,00 -55.97t/ L/ CREDIT (/7738512 / 01/12/20, 01/09/2001/19120, 395.15 0.00 0.00 396.15t%,`- INVENTORY ✓7738513,,- 01/12/2001109/2001/19/20 348.28 0.00 0.00 348.281/ file:///C:/Users/eheiman/ebsi/memmed.ensinet.com/u9R547/data Shmn cw5rennrtR1075._ 1/1 t/2f122 Page 11 of 16 INVENTORY V7739843 ,// 01/12120, 01/10/2001/20120. 1,077.17 0.00 0.00 1,077,17V 111" INVENTORY ,/7739B44 v 01H2/20. 01/10/2001/20120. 4,907.87 0.00 0.00 4,907,87V �..- .,INVENTORY , f1742459 ✓ 01/12120 01/10/20 01/20120, 1,695.61 0.00 0.00 1,695.61 ✓"/ .INVENTORY f7742458 ,j 01/12/20 01/10/20 01/20/20 2,281.83 0.00 0100 2.281.83 ✓✓ IJ�IVENTORY , ✓7739847 ✓! 01/1212001/10/2001/20/20, 94.09 0.00 0.00 94.09 ✓ INVENTORY , ,/7739845 yf� 01/12/20.01/10/20 01/20/20 110.98 0.00 0.00 110.98 ✓�/ INVENTORY . V01952 t/ 01/12/20: 01/1012001/20/20 -122.71 0.00 0.00 -122.71 ✓ CREDIT f7741715 ,/ 01112/20. 01/10/2001/20/20 5,70 0.00 0.00 5.70 ✓,.� INVENTORY 0741307 �i 01/12/20 01/10/20 01/20/20 30.32 0,00 0.00 $0.32 INVENTORY �741714 �/- 01/13/20 01/10/20 01/20120. 0.77 0.00 0.00 0.77 y INVENTORY , Vendor Totals Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 9,411.60 0.00 0.00 9,411.60 Vendor# Vendor Name Class Pay Code M2659 MXR IMAGING, INC M IIn!nvoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 1/u800847864 ,/' / 01/12/20 12/28/20 01/27/20 183.11 0.00 0.00 183.11 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2659 MXR IMAGING, INC 183.11 0.00 0.00 183A l Vendor# Vendor Name Class Pay Code 13548 NACOGDOCHES TRANSCRIPTION ✓,, Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ✓7583 01/11/20 01/06/20 01/06/20 433.30 0.00 0.00 433.30 ✓� SERVICES t 12-111 2-t) ✓ Vendor Total, -Number Name Gross Discount No -Pay Net 13548 NACOGDOCHES TRANSCRIPTION 433.30 0.00 0.00 433.30 Vendor# Vendor Name Class Pay Code 14262 OLOOP TECHNOLOGY SOLUTIONS Invoice# Commend Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not VINIVAJONES0009 12/28/20. 1212812001/27/20 5,633.60 0.00 0100 5,633:60%' TRAVEL NURSE STAFFING 1211-1--alzalzi iones - Vendor Totals Number Name Gross Discount No -Pay Net 14252 OLOOP TECHNOLOGY SOLUTIONS 5.633.60 0.00 0.00 5,633.60 Vendor# Vendor Name Class Pay Code 01416 ORTHO CLINICAL DIAGNOSTICS V% Invoice# Comment Tran Dt Inv Dt Due Dt. Check D Pay Gross Discount No -Pay Net t%1852201266 p12131/20: 12/29/20 01/28/20 273.12 0.00 0.00 273.12 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 273.12 0.00 0.00 273.12 file:///C:/Users/eheiman/cDsi/memmed.cDsinet.comfu98547/data 5/tmn cw5renort81075... 1 /13/2022 Page 12 of 16 Vendor# Vendor Name Class Pay Code 11155 PARA . V Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net / ,/ 10135 V%' 01101/2001/01/2001131/20. 3,084.00 0.00 0.00 3,084.00 ✓�; .' REVENUE INTEGRITY PROGR Vendor Totals Number Name Gross Discount No -Pay Net 11155 PARA 3,084.00 0.00 0.00 3,084.00 Vendor# Vendor Name Class Pay Code 10152 PARTSSOURCE, LLC Inv, ce# Comment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 041/97837 01/12/20 01/03/20 02/02/20, 83.45 0.00 0.00 83.45Ve SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10152 PARTSSOURCE, LLC 83.45 0.00 0.00 83.45 Vendor# Vendor Name Class Pay Code 11932 PRESS GANEY ASSOCIATES, INC. ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net /IN000510214/ 01/11/2012/31/2001130/20 2,523.79 0.00 0.00 2,523J9 PATIENT SURVEYS Vendor Totals Number Name Gross Discount No -Pay Net 11932 PRESS GANEY ASSOCIATES, INC. 2,523.79 0.00 0.00 2,523.79 Vendor# Vendor Name Class Pay Code 10896 OIAGEN INC V, Invoice# Comment Tran Dt Inv Dt Due Dt Check Pay Gross Discount No -Pay Not A98136918 ,�' 12131/20 12/28/20 01/27/20 11305.00 0.00 0.00 1,305.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10896 OIAGEN INC 1,305.00 0.00 0.00 11305.00 Vendor# Vendor Name Class Pay Code 10886 SHANNON JACILDO v/ Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 010622 01/10120 01/06/20 01/06/20 596.00 0.00 0.00 595.00 REGISTRATION FOR TRAININ4 Vendor Totals Number Name Gross Discount No -Pay Net 10886 SHANNON JACILDO 595,00 0.00 0.00 595.00 Vendor# Vendor Name Class Pay Cade 10936 SIEMENS FINANCIAL SERVICES Lj' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ✓56382200014718 ✓' 01/12/2012130/2001/24/20, 1,333,33 0.00 0.00 1,333.33 ✓��' LEASE Vendor Totals Number Name Grass Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES 1,333,33 0.00 0.00 1,333.33 Vendor# Vendor Name Class Pay Cade S3960 STERICYCLE, INC V IIn�nvoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net V4010624475 ./ 01/11/20 01/01/20 01/31/20 2,570.76 0.00 0.00 2,570.76 ✓�^ MEDICAL WASTE DISPOSAL . Vendor Totals Number Name Gross Discount No -Pay Net S3960 STERICYCLE, INC 2,570,76 0.00 am 2,570.76 Vendor# Vendor Name Class Pay Code 13528 STRYKER FLEX FINANCIAL/ file:///C:Nsers/eheimatlkDsi/mcmrned.ciosinet.com/u98547/data 5ftmn cw5renort81075... 1 /13/2022 Page 13 of 16 Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay ✓233774 ,, 12/31/2012/14/2002101/20 1,294.26 0.00 0.00 LEASE Vendor Totals Number Name Gross 13528 STRYKER FLEX FINANCIAL 1,294.26 Vendor# Vendor Name Glass Pay Cade 14212 SURGICAL DIRECT SOUTH Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross ✓8693 r-' 12128120 12/28/20 01/27120 2,285.00 SUPPLIES Vendor Totals Number Name Gross 14212 SURGICAL DIRECT SOUTH 2,285.00 Vendor#Vendor Name Class Pay Code T2539 T-SYSTEM, INC „F w Comment Tran Dt Inv Dt Due Dt Check Pay Gross �Invoice# r/n1197 / 12/31/20.12/31/2001/30/20 5,699.00 PHSYICIAN TRACKING ER Vendor Totals Number Name Gross T2539 T-SYSTEM, INC 51699.00 Vendor#Vendor Name . Class Pay. Code i 12704 TEXAS BURNER & BOILER SERVICES u% Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross ✓21.2864 �' 01/11/20,1212712001/27/20. 1,512.48 BOILER REPAIRS ✓21-2856 X 01/12/20. 12/20/2001/20/20_ 3,650,10 BOILER SERVICES Vendor Totals Number Name Gross 12704 TEXAS BURNER & BOILER SERVICES 5,162.58 Vendor# Vendor Name Class Pay Code 13880 TEXAS SELECT STAFFING off Invoice# Commen Tran Dt Inv Dt Due Ot Check D Pay Gross f0018943610791N ,% 01110/20.01/06/2001106/20 TRAVEL NURSE STAFFING IZjZ5-12.)-rt)v _4,022.70 JescW. Vendor Totals Number Name Gross 13880 TEXAS SELECT STAFFING 4,022,70 Vendor# Vendor Name Class Pay Code 10732 THERACOM,LLC ✓ Invoice# Comment Tran Dt Inv of Due Pt Check D Pay Gross r/222218832301 /- 01/12/2G 11/01/2001/30/20 1,955.10 IN�ENTORY Vt22232302301 V . 01/12/20, 11103/2002101/20 2,346.12 INVENTORY Vendor Totals Number Name Gross 10732 THERACOM, LLC 4,301.22 Vendor# Vendor Name Class Pay Code 13224 TORCH &% Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross ✓2226880 v 09/14/20 09/01/20 02/01/20 9,376.00 CFO RECRUITMENT FIV61 pgmeri+ Vendor Totals Number Name Gross 13224 TORCH 9,375.00 Discount No -Pay 0.00 0,00 Discount No -Pay 0.00 0.00 Discount No.Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 0.00 0.00 Discount No•Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Net 1,294.26 ✓ Net 1,294.26 Net 2,285.00 ✓i/ Net 2,285.00 Net 5,699.00 ✓ �,,� Net 51699.00 Net 1,512.48 V tom' 3,660.10 V 6 Net 5,162.58 Net 4,022.70 y' Net 4,022.70 Discount No -Pay Net 0.00 0.00 1,955.10 ✓y j 0.00 0.00 2,346.12 ✓t,% Discount No -Pay Not 0.00 0.00 4,301.22 Discount No -Pay Net 0.00 0.00 9,375.00 ✓ Discount No -Pay Net 0:00 0.00 9,375.00 file:///C:/Users/eheiman/ensi/memmed.cDsinet.com/u98547/data 5/tmn cw5rennrtR1075_._ 7/13/2022 Page 14 of 16 Vendor# Vendor Name Class Pay Code ' 13616 TRIOSE, INC //- � Invoice# Codlment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No•Pdy Net ,/TRI098669 01/11/20.01/06/2001/21/20 1,114.71 0.00 0.00 1,114,71 t/ E// tFREIGHT 4^` Vendor Totals Number Name Gross Discount NoaPay Net 13616 TRIOSE, INC 1,11 L71 0.00 0.00 1,114.71 Vendor# Vendor Name Class Pay Code 11067 TRIZETTO PROVIDER SOLUTIONS Invoice# Com/ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -.Pay Net V65FK012200 01/12/20 01/01/20 01/26/20 ,✓° 1,685.20 0.00 0100 1,68620 t/ , PATIENT STATEMENTS Vendor Totale Number Name .Gross Discount No -Pay Net 11067 TRIZETTO PROVIDER SOLUTIONS 1,685.20 0.00 0.00 1.685.20 Vendor# Vendor Name Class Pay Code 14208 TRUSTED HEALTH, INC / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net V INV7502 01/11/20.01/0112001/31/20 7,496.63 0.00 0,00 7.495.63 ,+ Y, TRAVEL NURSE STAFFING WeeY..evtd`�t t1t12y Vendor Totals Number Name Gross Discount No -Pay Net 14208 TRUSTED HEALTH, INC 7,495.63 0.00 0.00 7,495.63 Vendor#. Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC t; Invoice# Comment Tran Dt Inv Dt Due Dt Check. DD pay Gross Discount No -Pay Net V6400385023 �,/ 01/05/20. 01/03/20 01/28/20 2.349.96 0.00 0.00 2,349.96 LAUNDRY V 8400384997 y'' 01/06/20 01/03/20 01/28/20 47.80 0.00 0.00 47.80 ✓ LAUNDRY V8400384996 r/' 01/05/2001/0312001/28120. 45.15 0.00 0.00 45.15 LAUNDRY V'8400385352 01110/20 01/06/20 01131/20 1,098.30 0.00 0.00 1,09/30 LAUNDRY ✓8400385346 Z 01/10/20 01/06/20 01/31/20 79.43 0.00 0.00 79.43 ✓` LAUNDRY V840038533P ,/'� 01/10/2f1.01/06/2001/31/20. 214.32 0.00 0.00 214.32✓f^ LAUNDRY �8400385a67/ 01/10/2001/06/2001/31/20 91.54 0.00 0.00 91.54 LAUNDRY t% 84003853304/' 01110120.01/06/2001/31/20. 149.46 0.00 0.00 149.46/,,- LAUNDRY ✓8400385329 01/10/20, 01/06/2001/31/20 137.13 0.00 0.00 137.1SVe V LAUNDRY t✓8400385328 • 01/10/20 01/00/20 01/31/20 34.90 0.00 0.00 34.90 VJ LAUNDRY Vendor Total; Number Name Gros's!! Discount No -Pay Net U1064 UNIFIRSTHOLOINGSINC 31tiH•Irr'14,24q:99 0.00 0.00 / 4,247.99 31�f9•kh Vendor# Vendor Name Class Pay Code ®® 13808 VITA PERSONA LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net X20212689 01/10/2001/04/2001/10/20 2,287.61 0.00 0.00 2,287.61 _ SUPPLIES v file:///C:/Users/eheiman/oDsi/memmed.cnsinet.comfu98547/data 5/tmD cw5renort81075... 1 /13/2022 Page 15 of 16 Vendor Totale Number Name Gross Discount No -Pay Net 13808 VITA PERSONA LLC 2,28T.61 0.00 0.00 2,287.61 Vendor# Vendor Name Class Pay Code 12000 VYAIRE MEDICAL, INC ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net ✓9101167957 F// 01/10/20. 12/27/2001/21120 3%89 0.00 0,00 319.89 y� / SUPPLIES V' Vendor Totals Number Name Gross Discount No -Pay Net 12000VYAIRE MEDICAL, INC 319.89 0100 0,00 319.89 Vendor# Vendor Name. Class Pay Code 11110 WERFEN USA LLC Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount No -Pay Net �CM9310039714 12128/2011/22/2002/01/20 -1,202.01 0.00 0.00 -1,202m V:�' 1 CREDIT 9111090094 ✓ 01/10/20. 12/2812001122/20 1,023.19 0.00 0.00 1,023.1.9 ✓� SUPPLIES , V9111090095 '/ 01/10120. 12/28/2001122120 185.06 0.00 0.00 185.06 SUPPLIES 1/9111091203 01 /10120 12/30/20 01124/20 889.74 0.00 0.00 889,74 ✓ SUPPLIES V/91110801.39 01/11/2012/08/2001/02/20 380.24 0.00 0.00 380.241%/ SUPPLIES , Vendor Totale Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 1,276.22 0.00 0.00 1,276.22 Vendor# Vendor Name Pay Code /Class 11400 WEST COAST MEDICAL RESOURCES / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net V/INV079464✓/01/10/20 12128120 01/27120 716,00 0.00 0.00. 716.00✓',,- SUPPLIES Vendor TetalsNumber Name. .Gress Discount No -Pay Net 11400/ WEST COAST MEDICAL RESOURCES 716.00 0.00 0.00 716.00 Vendor# Vendor Name Class' Pay Code W1270 WISCONSIN STATE LABORATORY ,� W Invoice# Cc ment Tran V Inv Dt Due Dt Check. D' Pay Gross Discount No -Pay Net. 0 V b}DEe202t 12108/20, 12/01/2001/31/20 1 453.00 0.00 0.00 453.00 Vey/ DUES (qt W04DEe2021A- 12108/20 12101/20 01/31120 729.00 0.00 0.00 729.00 ' SERVICES Vendor Totals Number Name Gross Discount No -Pay Net W1270 WISCONSIN STATE LABORATORY 1,182,00 0.00 0.00 1,182.00 Vendor# Vendor Name Class Pay Code 10556 WOUND CARE SPECIALISTS Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net i 4959 01/12/20.01/01/2001/30/20 11,125.00 0.00 0.00 11,125,00 Wtt)0o00/Ay5h WOUND CARE SERVICES Vendor Totals Number Name Gross Discount No -Pay Net 10556 WOUND CARE SPECIALISTS 11,125.00 0.00. 0.00 11.125.00 Vendor# Vendor Name. Class Pay Code Z1000 ZIMMER BIOMET/ M Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net v/404064OP5112 01/12120 01/05120 01/1 PJ20. 11.76 0.00 0.00 11.76 ✓ L file:///C:/Users/eheiman/ensi/memmed.cnsinet.corn/u98547/data 5/tmn cw5rennrt91075__ 1/11/202? Page 16 of 16 SUPPLIES Vendor Totale Number Name Z1000 ZIMMER BIOMET Grand Totals: Gross 469,569.46 469,569.46 + 12+82U•OU - 5+595.50 - 56.82 - 1r09R•3U - 449,998.84 WROVEAOM JAN 13 2022 CALHOUN COUNNI),, AUDTE1S Gross Discount No -Pay Net 11.76 0.00 0.00 11.76 Report Summary Discount No -Pay Net 0.00 0.00 469,569.46 <12,%TV.00' P� 3 covrr;M44. U7V✓e riiW� < 515H5 •rJ77 ) �� g U]Wwiiv✓� C 5k•Ba� P� ��{ roWwiiwl L 1,01g•10i file:///C:/Users/eheiman/opsi/memmed.cDsinet.com/u98547/data 5/tmn cw5renartR1075_. 1/1'A/?m2 RUN DATE: 01/13/22 TIME: 11:58 PATIENT NUMBER PAYEE NAME ARID=0001 TOTAL ------------ --------------- TOTAL APPROVED ON JAN 13 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS MEMORIAL MEDICAL CENTER EDIT LIST FOR PATIENT REFUNDS ARID=0001 PAY PAT DATE AMOUNT CODE TYPE DESCRIPTION ----------------------------------------- 011122 70.80 2 REFUND FOR --'-'-------------------------------------- 70.80 ----------------------------------------- 70.80 JAN 13 202Z Catfictm county Auditor MSKESSON STATEMENT As of: 01/14/2022 Page: 002 TO er scoot G"P.Y. A000 Stub DC: 8115 As of: 0 MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DEBIT Territory: Mail to: AP 015 N VIRGINIA STREET Statement for information onlyAMT t Staten PORT LAVACA TX 77979 Customer: 2538 Date: 01/15/5/2022 Cust: Date: 01 011ie 9 Data atlonal Account 6 �� ` Cash Amount P Amount )ate N ma6erbl� Reference Description Discount (gross) F (not) rF column legend: P = Past Due Item, F = Future Due Item, blank = Current Due item .�._,.._._--._._. "OTAL• Netlonal Aeol 832536 MEMORIAL MEDICAL CENTER Subtotals: 12.291.98 USD vture Due: 0.00 Du, If Paid By 01118/2022, US 'ast Due: 1,902.00- Pay This Amount: 12,008.11 USD Dis set Payment 2,451.97 It Paid After 01118/2022, Our 16/07/2017 Pay this Amount: 12,291.98 USD USI 25.66 + 10r299.32 r 467.37 + 645•09 + 368.61 + 1.86 + J1 r©OH 11':w APPROVEDION JAN 17 2022 BYCOUNTYAUI)��77' �-A CALHOUN COUNTY, AO For AR Inquiries please contact 800-867-0333 MWESSONSTATEMENT As of: 01114/2022 Page: 001 To e1 acorn Companyanon Stub DC: 8115 As of: 0 H® PHCY 0434/MEM M® PHS Mail to: MEMORIAL MEDICAL CENTER AMT DUE VIA ACH DEBIT Territory: 400 VIC815 Statement far information only for information y AMT 1 Staten 615 N N VI GINI IA ST Customer: 190813 PORT LAVACA TX 77979 AVAC Date: 01/15/2022 Nlling. Due late Date RecetvablPational Account bw6 Number Reference Description Cash Discount Amount P (gross) F Cust: Date: 01 Amount (net) :ustomer Number 190813 HEB PHCY 04341MEM MED PHS IIJ12/2022 01/18/2022 7317688966 2017042402 1151nvoice 0.24 11.82 11 11/14/2022 01/18/2022 7318228946 2017042584 1151nvoice 0,29 14.37 14 IF column legend: P = Past Due Item, F = Future Due Item, blank = Current Due Item OTAL; Customer Number 190813 HES PHCY 0434/MI311 MED PHS Subtotals: 26.19 USD 'uture Due: 0.00 Du If Paid By 01/18/2022, us rest Due: 0.00 Pay This Amount. 25.66 USD Dig ast Payment 9,005.05 It Paid After 01/1812022, Dui 0/10/2022 Pay this Amount: 26.19 USD us, ,APpAOVEO ON JAN 17 2022 f3Y COUNTY AUDITOR CALHOUN COUNTY, TEXAS For AR Inquiries please contact 800-867-0333 a, MWESSAN ❑ulapaw 8000 WALMART 1098/MEM MED PHS. MEMORIAL MEDICAL CENTER VICKY KALISEK 815 N VIRGINIA ST PORT LAVACA. TX 77979 >etne Due Date .ustomer Number 256342 11/10/2022 01/18/2022 11/10/2022 01/18/2022. 11/10/2022 01/18/2022 11/10/2022 01/18/2022 11 it 0/2022 01/18/2022 i Iit a/2022 01/1812022 11/1 W2022 01/18/2022 11110/2022 01/18/2022 11/11/2022 01/18/2022 11/11/2022 01118/2022 11/11/2022 01118/2022 11/11/2022 11/11/2022 01/18/2022 11/1.212022 01/18/2022 11/12/2022 01/18/2022 11/12/2022 01/18/2022 11/1212022 01/18/2022 11/12/2022 01112/2022 11/12/2022 01/18/2022 li/13/2022 01/18/2022 11/13/2022 01/18/2022 11/13/2022 01/18/2022 1/13/2022 01/18/2022 1/13/2022 01/16/2022 1114/2022 01/18/2022 1/14/2022 01/18/2022 1/1412022 01118/2022 1/14/2022 01/18/2022 1/14/2022 01/18/2022 1/14/2022 01/18/2022 1/14/2022 01/18/2022 STATEMENT AMT DUE REMITTED VIA ACH DEBIT Statement for information only As of: 01/14/2022 DC: 8115 Territory: 400 Customer: 256342 Date: 01 /15/2022. Page: 001 To or acm stub As of: 0 Mall to: AMT L Slatem Cust: Dale: 01 ' Recelvabliational Account Wg136 Cash Amount P Amount Number Reference Description Discount (gross) P (net) WALMARr 1098/MEM MED PHS 7317086288 22809550 115invoice 2.69 134.39 131 7317086289 22834103 1151nvoice 0.01 0.32 0 7317086290 22834103 115invoice 25.46 1,273.16 1,247 7317086291 22861155 1151nvoice 1.32 65.95 64. 7317086292 22884740 1151nvome 0,16 0 7317086293 22910610 1151nvoice 0.03 0 7317227316 0107220832 1951nvoice 0,02 0198 0 7317227319 0107220825 1151nvolce 2.52 126.09 123. 7317421069 22980656 1151nvoice 0.01 0.33 0 7317421070 22980656 1151nvolce 26.06 1,302.73 1,276. 7317421.071 23026911 11 Slnvoice 33,95 1,697.55 1,663. 7317545773 0110221047 1151nvolco 0.10 4.81 4. 7317711176 23070716 1151nvolce 0,16 0, 7317711177 23122668 IISinvoice 23.20 1,100.23 1,137. 7317841418 0111221024 115invoice 0.06 2.85 2 7317841419 011122090S 195invoice 11.82 591.23 S79. 7317926389 MFD PR CORR CR Pricing Cat 1,276.68- P 1,276, 7317926390 MFC PR CORR IN Pricing Car 8.32 416.16 407, 7317974965 23153287 1151nvoice 2.69 134.S5 131. 7317974966 23200758 1151nvotca 28,10 1.405,14 1,377. 7317974967 23200758 1151nvoice 2.52 125.90 123. 7317974968 23208696 1151nvoice 5,04 251.96 246. 7318127171 0/12220927 1151nvoice 6.76 338.01 331. 7318250826 23230962 11 Slnvoice 11.36 568.06 556. 7318250827 23230962 115111voice 0.31 15.42 is. 7318250828 23278133 11 Slnvoice 5,68 284.13 278. 7318250829 23278133 1151nvcice 15-47 773.49 758. 7318250832 23288828 1151nvoice 17.36 867.62 850. 7318390196 011322USSU 1.95111vcice 0.06 0. 7310390197 011322D808 IISinvoice 5,41 270.64 265. 5 s For AR Inquiries please contact 900-867-0333 MWESSON STATEMENT As of: 01114/2022 Page: 002 To et aces Cpmppny: 6000 stub DC: 8115 As of: 0 WALMART 1098/MEd MED PHS Mail to: MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DEBIT Territory: 400 VICKY KALISE( Statement far information only qMT Staten 815 N VIRGINIA ST Customer: 256342 PORT LAVACA TX. 77979 Date: 01/15/2022 Cust: Date: 01 3illin9 Due )ate Receivabl�ational Account W05�i6 Cash Amount P Amount Date Number Reference Description Discount (gross) F (net) IF column legend: P = Past Due Item, F = Future Due Item, blank = Current Due Item ---.—_. 'OTAL• Customer Number 256342 WALMAFir 10981MEA7 M® PHS Subtotals:. 10,535.54 USD 'uture Due: 0.00 Om If Paid By 01/18/2022, US! 'a8t Due: 1,276.68- Pay This Amount: 10,299.32 USD ale ast Payment 9.006.05 If Paid After 01/1812022, DW 11/10/2022 Pay this Amount: 10,535.54 USD USI , AppROVEQOM d 17 2022 F„ -OUNTY AUDITOR Cf L.1OUN COUNTY, TEXAS For AR Inquiries phase contact 800-867-0333 MWESSON Can,pany: 8000 CVS PHCY 7006/MEMORIA PHS MEMORIAL MEDICAL CENTER VICKV KALISE( 815 N VIRGINIA PORT LAVACA TX 77979 STATEMENT AMT DUE REMITTED VIA. ACH D®IT Statement for information only As of: 01/14/2022 DC: 8115 Territory: 400 Customer. 262252 Date: 01/15/2022 Page: 001 To acc stul As of: Mail tc AMT Staff Cust: Date: C Wiling Due Receivableational Account A06 Cash Amount P Amoun )ate Date Number Reference Description Discount (gross) F (net) :ustomer Number 262252 CVS PHCY 7006/MEMORIA PH$ 0/13/2022 01/10/2022 7317968220 1527622 1151nvoice 9.54 476.91 46 °F column legend: P = Past Due Item, F = Future Due Item, blank = Current Due Item "OTAI_ Customer Number 262252 CVS PHCY 7005/MEMORIA PHS Subtatals: 478.91. USD knure Due: 0.00 D, It Pald By 0111812022, U: past Due: 0.00 Pay This Amount: 467.37 LSD Di ast Payment 2,583.41 If Paid After 0111812022, Di 2/27/2021 pay this Amount: 476.91 USD UI APPROVED 0N1 JAN 17 2022 BY COUNTY AUDITOR CALHOUN COUNTY, fi CAB For AR Inquiries please contact 800-867-0333 MSKESSON Cmmy,,ny. e000 HEB PHY FC 490/MEM MC PHS MEMORIAL MEDICAL CENTFA VICKY KAUSEK 816 N VIRGINIA ST PORr LAVACA TX 77979 STATEMENT AMT DUE REMITTED VIA ACH DEBIT Statement for information only As of: 01/14/2022 OC: 8115 Territory: 400 Customer: 464450 Dale: 01 /15/2022 filling Due Receivabl!Patlonal Account WP6 We Date Number Reference Description Justomer Number 464450 HES PHY FC 490/MEM MC PHS 11112/2022 01/18/2022 7317657356 55x277791 11 Slnvolce IF column legend: P = Past Due Item, F = Future Due Item, blank = Current Due Item "OTAL, Customer Number 464450 HES PHY FC 490/Mt]N MC PHS Subtotals: �uture Due: 0.00 If Paid By 01118/2022, cast Due: 0.00 Pay This Amount: Ast Payment 9,005.05 If Paid After 01/1812022, 11110/2022 Pay this Amount: APPROVED ON JAN 17 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Cash 17,25 862.34 USD Page: 001 Amount P (gam) F 862.34 845.09 USD 062.34 USD < > For AR Inquiries please contact 800-867-0333 MSKESSON co.nVnoy 0000 CVS PHCY 74751MEM MC PHS MEMORIAL MEDICAL CENTER VICKY KAUSEK 815 N VIRGINIA ST PORT LAVACA TX 77979 STATEMENT AMT DUE REMITTED VIA ACH DEBIT Statement for information only As of: 01/14/2022 DC: 8115 Territory: 400 Customer: 835438 Date: 01 /15/2022 Page: 001 To as Stu As of: Mall tt AM1 S1ati illling Due )ate Date Receivablui4ational Account WA536 Number Reference Description Cash Discount Amount P (gross) F Cust: Date: 1 Amour (net) :ustomer Number 835438 CVS PHCY 7476/MIM MC PHS 011312022 01/18/2022 7318148085 1529141 115lnvoice 20.27 1,013.47 99 11/14/2022 01/14/2022 7318466874 MFC PR CORK CR Pricing Cor 625.32- P 62: it/14/2022 01/18/2022 7316466875 MFG PR CORR IN Pricing Cor 0.02 0.95 IF column legend: P = Past Due Item, F = Future Due Item, blank Current Due Item -OTAL: Customer Number 535438 CVS PHCY 7475/MEM MC PHS Subtotals: 389.10 USD 'vture Due: 0.00 Di If Paid By 01/1812022, U: $ast Due: 625.32- Pay This Amount: 368.81 USD DI ast Payment 9.005.06 If Paid After 0111812022, Dt 0110/2022 Pay this Amount: 309.10 USD UI APPROUEDON JAN 17 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS For AR Inquiries please contact 800-867-0333 MWESSON Company. aeae WALMART 5315/MBARL MC PHS MEMORIAL MEDICAL CENTER A/P 815 N VIRGINIA ST PORT LAVACA TX 77979 STATEMENT AMT DUE RI3AITTED VIA ACH DEBIT Statement for information only As of; 01/14/2022 DC: 8195 Territory: 99 Customer. 945479 Date: 0Ill 512022 Page: 001 To or accor; stub As of: 0 Mail to: AMT f Staten Cust: Date: 01 lillin9 Due ReceivmbablPational Account VW6 late Date Nuer Reference Description Cash Discount Amount P (gross) F Amount (net) 'ustomer Number 945479 WALMART 5315/MMFL MC PHS 11/11/2022 01/18/2022 7317540449 MHO1102022 1951nvoice 0.01 0,63 0 11/12/2022 01/18/2022 7317781242 MHO1112022 195lnvolce 0.01 0.63 0 11/13/2022 01/18/2022 7318073328 MH01122022 1951nvoice 0.01 0.32 0 11/14/2022 01/18/2022 7318375570 MH01132022 1951nvoice 0.01 0.32 0. 1F column legend: P = Past Due Item, F = Future Due Item, blank = Current Due Item 'OTAL• Customer Number 945479 WALMART 5315/MBARL MC PHS Subtotals: 1.90 USD ''uture Due: 0.00 Du( If Paid By 01/1812022, USl past Due: 0.00 Pay This Amount: 1,86 LIED Dis Ast Payment 6,677.44 If Paid After 01/1812022, Do( 2/13/2021 Pay this Amount: 1.90 USD USI APPROVED ON JAN 17 2022 CALLHCOUNCOUNTY, TTMcM For AR Inquiries please contact 800-867-0333 STATEMENT statement Number. 62320834 AmensourceBergen• Date: 01-14-2022 AMERISOURCEBERGEN DRUG CORP WALGREENS #12494 340B 12727 W. AIRPORT BLVD, MEMORIAL MEDICAL CENTER 1001352 SUGAR LAND TX 77478-6101 1302 N VIRGINIA ST PORT LAVACA TX 77979.2509 Sat -Fri ' DEA; RA0289276 866451-9655 AMERISOURCEBERGEN P.O. Box 905223 Not Yet 1 CHARLOTTE NC 28290-5223 Current: Past Due ' Total D0 Account Account Activity Document Due Date Date Reference Number Purchase Order Number Document Type Original Last Receipt Amount 01-10-2022 01.21.2022 3079443748 4517363536 Invoice 30.16 01-10-2022 01.21-2022 3079515872 164263 Invoice 437.91 01-10.2022 01-21-2022 3079515873 184264 Invoice 0.09 01-10-2022 01-21-2022 3079515874 164266 Invoice 135.91 01-10-2022 01-21-2022 3079564573 164313 Invoice 25.17 01.11-2022 01-21.2022 3079699129 164318 Invoice 9.39 01-12-2022 011-21-2022 3079848119 164323 Invoice 67.36 01-13.2022 01-21-2022 3079997402 164329 Invoice 81.84 Current 1-15 Days 16-30 Days 31-60 Days 61-90 Days 91421 787,83 0.00 0.00 0.00 0.00 Thank You for Your Payment Date Amount 01-14-2022 (2.009.54) Reminders Due Date 01-21.2022 �7 JAN 17 2a; BY COUNTY AUDIT CALHOUN COUNTY.T IProgram Charge Invoice Number.344026307 AmensourceBergene INVOICE Invoice Date: 12/28/2021 loft AMERISOURCEBERGEN DRUG CORP .. 501 PATRIOT PARKWAY • ROANOKE TX 76262-6336 'AMERISOURCEBERGEN DRUG CORP 601 PATRIOT PARKWAY ROANOKE TX 76262-6336 • STATE LIC: 0077623 DEA: RA0316958 SENDERRA RX PHY 340E MEMORIAL MEDICAL CENTER 1301 E ARAPAHORD STE 101 RICHARDSON TX 75081 STATE LIC: 26699 DEAL FS1799610 MEMORIAL MEDICAL CENTER 815 N VIRGINIA ST PORT LAVACA TX 77979 1002880781037983771 �� a 55.00 0110712022 Sat - Fri Due in 7 days AMERISOURCEBERGEN PO Box 905223 CHARLOTTE NC 29290-5223 oty u0m a 1 EA PHARM DATA SERVICES PRICE MAINTENANCE 80000014 66.00 55,00 063786 If you have any questions, our Customer Service team Is here to help. Please call 134b222-= of email seNIC0@11merlsotiMeber0en.com Total Amount: 55.00 Thls wholesale 4ht4bumr, or member of the assets of sech wholesale 4lstabutacroutines! the paided itlredly h0m the manufapuma exclusive 4Wbutor of the menufadu erar as mut l,lo Net families sit the pmeutl 4lre01y he, tha mayezourumr IMC: eeeeWl35716d5041ree1p Type:]Fv p4pTip.: IDom 202112261*1452 Terms of Bala and Claims on reverse side YkW 11-7127- bok W" I%Ot •rh tour+ jck . WiII bL. udlclt&t 4b tI Inlaz rook. JAN 1"7 M 13Y COUNT Y Al Program Charge 1 or 1 \ invoice Number. 344027906 AmerlsourceBerpena INVOICE Invoice Date: 10=2021 AMERISOURCEBERGEN DRUG CORP ,. 501 PATRIOT PARKWAY - ROANOKE TX 76262-6338 AMERISOURCEBERGEN DRUG 501 PATRIOT PARKWAY ROANOKE TX 76262.6336 • STATE LIC: 0077623 DEA: RA0316958 US SIOSERVICES CARROLLTON 340E 5026 PLANO PARKWAY SUITE 100 CARROLLTON TX 75010 STATE LIC: 22878 DEA: BU8597354 MEMORIAL MEDICALCENTER 815 N VIRGINIA ST PORT LAVACA TX 77979 10CUSTOMER NUMBER 0270681 ! 018628707 55:00 0110712022 Sat -Fri Due in 7days _ AMERISOURCEBEROEN PO Box 905223 CHARLOTTE NC 28290.5223 Qty e 1 EA PHARM DATA SERVICES PRICE MAINTENANCE 8000DD14 65.00 55.00 W3766 If you have any questions, our Customer Service teem is hem to help. Please sell 849-222.22M or email service@amensourcesergen.com Total Amount: 55.00 Thinwholssalehiathlem, oramember of Ne eailate of suds whoksele tllshibubcpumhesee 0epmaudUiredlyhpm0emanufadumr.emlushahiltautorefthemanuiedumrormpoc ger Nal purchasee NeproauMaiegly hamthemenuleduror loocapappwmn>25vo lmdn type 2Tv dmuTSye: IAGM =1146oatel2 Terms of sale an0claims an reverse sloe Ada lit�zz,bok wU1 1104- a.ppwijld IN LJU&gjt. Willh�aaLe ru �II4Iz2 COuvt. Tlkra n► ' JAN 17 2022 By COUNTY AUDITOR CAWOUN COUNM TIVA9 TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) '"ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" F]"MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY THE # SIGN" F-TIF FEDERAL TAX DEPOSIT ENTER 1" "ENTER 2-DIGITTAX FILING YEAR" "ENTER 2-DIGIT TAX FILING ENDING MONTH" 1ST QTR - 03 (MARCH) - Jan, Feb, Mar 2ND QTR - 06 (JUNE) - Apr, May, June 3RD QTR - 09 (SEPTEMBER) - July, Aug, Sept 4TH QTR - 12 (DECEMBER) - Oct, Nov, Dec "ENTER AMOUNT OF TAX DEPOSIT - FOLLOWED BY # SIGN" "1 TO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" ❑ "6-DIGIT SETTLEMENT DATE" "l TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: ### 0 0 LI $ 104,701.14 1 $ 52,459.80 $ 12,268.80 $ 39,972.54 CHECK $ CALLED IN BY: CALLED IN DATE: CALLED IN TIME: FAAP-Payroll FileslPayroll TMA2022W R1 MMC TAX DEPOSIT WORKSHEET 1.13.22.xls 1/14/2022 Fm Dace: 01J14122 r MORIAL MEDICAL MITER.. Face i10 ._.^.a: Sen .._ P a v Cod e S a r g a: v ••...-•----..._- ?dYD. .................................................... ➢dS.r10t _.7R 3"S CTSti ii ?rGl: R PAY -si 5557, 00 9 FEGULAP, PAY-S1 L932.00 N I REGt".,Fug PAY-S! {..10 p. _ FEGeuLi ?AY-S: I MULAR PAY-SI 8.00 N 1 SECULAR ?r.Y-S'. 6E50 N i %C["_A7 ?AY-S"_ 328.7E 2 REGULAR PAY-S2 1889.25 N _ EEGMAR PAY-S2 22 LiC, N < REGRZAF PAY•S2 378.25 '.' FEGC'.AF P=Y-S7 9S2.00 !1 _ ?i9C5AP, ?dY-53 206.JC N RZZAR. PAY-s3 119.00 Y r CALL DAY i915,00 N I C PNBLE TIME 4450 117 2 0 DC'BLE MIE L2: :7 3 C OCL?.E TIME ".25' ! D DOUBLE TIME 8.25 Y 2 EF.U. 8AC.3 N . EECG. SAGES 9 1 F FUNS?AL LEAVE 8.00 N 1 .. -.SE".IOE7-T:IfESS-PA;N: 220.dC N 1 F PAID -TIME -OF£ 88.00 A ? PAID-T7M.-DFF 1896.75 N I .. CALI ?A'i 2 100.00 N1 Y YMCA/CURVES 3 CAL: PAY 3 144.0C N 1 P FAI6 TIN: OFF - ?HGBATIOlI 16.0C !7 1 v COVID-FFCRA 24.00 11 r COW D?FC.4A 543.2E ;7 I .......................... C. e d 4 ". r. r t 5 5 c - : E0 CBI .....--------------------------------- Gro55 1 oil em,11t 543.6?A!F.2 .._-......----.._..__..__.._____._._.+ 25.90 A+R; N N 8024I.5 A7VA',iC A' RDS BCBR+I =73l.47 7 N Y EL72 BOOTS CAFE E. CAFE-1 I i44i.93 CAEE•2 ..:_ . CASE-i I Y 11 85166 iAFE-5 CA9E-C CAPS-D i670.05 I Y !255.62 CAFE-F 0.7E-H 24711.73 :.=FB-I 7 N 6890.55 CAFE-L G,-7 P CANC71 I N 42090.66 CHILD 609,70 CLINIC 493.00 C'BIN 328.55 5'S5.77 CF:77 D7 ?N DEMIL ii 5943.45 ➢EF•IF I 1; 20003.37 Fk7CSE. FE?TAX 33972.54 FhA-N 5134.4C . 8725.52 FICA-D 26223. 90 F:2STC -M S 353,.<. 1 N 4742.E6 FIX FE "OFT D FU7A t N 3830.00 C77r S 3ll.70 GRA!IT GRP-IN I N 2582.61 LEAF LEGAL 158_L NASA 756.50 I N 64i.50 ME.45 7;.53 NE?2IS -7 '5 N2SC I N 974.45 OTHER PHI FHT.•, !i !1 2344.45 IF FIN ?SLAY ]?epr I7 It 83S.80 SA45 SCRviS S C!CN 1 N 435.76 ST-TX STONDF 6O.H STONE I N 3870.7; STONE2 S7ZR; SL?fACC 7?3.63 I N N 12'_2.56 SURILL 876.49 MIND 397.52 SLT75IF 795.43 1 N 27947.30 SUr, D a53.26 SUMS SU£.CHG 690.09 I .; 3bC.0i ESA-1 TSA-: SSA-C i N N 45.00 TSA-P TSA-R 32030.02 1rION I 11 432.0E UNIFOF i3, 74 Pd/H95 I N 255.52 I if N 733.68 I !I 11349.44 .................... Grand To a!s: 19087 5R--•-••• ! GrceS: 457570.71 Deductions: 1;5235.4": Net: M335.30 I ^>.... :_i. �AtJ du L e C�A�tv .91 " 3 Other 32 .e le -, tale i5 Cr=dC 2sruN.-::m Yctal: l ------------------------------------------------------------------------------------------------------------ 01.21.22 941 RECITAX DEPOSIT FOR MMC PAYROLL REVISED 3/10014 ^EATPR VOID Ca4 PA REeM1TIVE NUM6En" PAY PERIOD: BEGIN 12131/2024 VOIDEDCKIII VOIDEDCKIZI ADOITIONALCKHI AODI'nGNALCKII TOTALS PAY PERIOD: END 111200p PAY DATE: 1/XI12022. GROSS PAY: S 467,570.71 $ $ 467,670.71 DEDUCTIONS: AIR S 560.60 S 568.60 ADVANC S - BOOTS 5 - SUNLIFE CRITICAL ILLNESS it 876.40 S 876.49 SUNLIFE ACCIDENT S 793.63 S i 93.83 SUNLIFE VISION $ (7.78) 17.731 SUNLIFE SHORT TERM DIS S 1,163.26. 1.'153.2G BCBS VISION $ 1,131.47. 5 1,131.47 CAFE-D S 1,670.05 5 1.670.06 CAFE•H S 24,711.73 - S 24.711.73 S S 6 S CAFE-P $ - CANCER 5 CHILD S 809.74) 5 609.70 CLINIC S 493.00 S 493.00 COMBIN S $28,85 $ 328.85 CREDUN S DENTAL S - S - DEP.LF S - SUNLIFE TERM LIFE S 79S.43 S 795.43 SUNLIFE HOSP INDEM $ 376.50 S 376.50 FED TAX S 39,972.54 S 39,972.54 FICA-M S 6.134.40 5 6.134,40 FICA-0 $ 26,229,90 S 26,229.90 FIRST C $ - $ - FLEX S S 3,637.29 5 3,637.29 FLX-FE 9 - S _ GIFT S $ 311.70 $ 311.70 GRP-IN S _ GTL S HOSP-I S LEGAL S $44.63 - S 944,65 OTHER 5 88.32 S 08,32 NATIONAL FARM LIFE S 2,133Aa $ 2,133.48 MEDSURCHARGE 5 690,00 $ 690.00 PR FIN $ - S - RELAY $ REPAY S STONEDF $ 640.86 $ 640.86 STONE S - STONE 2 S STUDEN 5 TSAR S 32.030.02 S 32,030.02 UWIHOS $ $ TOTAL DEDUCTIONS: 5 146.213.99 5 - S - $ - S S 146,213.99 -aawinnrrafaarom- wtwlwuroar--alannMraulwvrnr*eNoulcwmNaD�Er-�Enomc wrWaEwpt• NET PAY: S 311 356.72 $ $ $ S 311,366.72 ^YWuiuwiCNaEtig1» wicKaR+oxrvYlwu wrCnnvaarv'-91p0iaiK.rteaErgtr�rsxaaa Nt�Ta PiPaar TOTAL CAFE 125 PLAN: $ 34,507,00 Lena Exempt: TAXABLE PAY: $ 423,063.71 $ 423,063.71 "CALCULATED" From MMC RaOm1 DlNeranCe °ICA-MEO(ER) tsw S 6,134A2 -ICA- MED(EE) ,sx S 6,134.42 5 6.134,40 5 0.02 -ICA - SOC SEC (ER) 4:a+, S 26.229.95 :ICA-SOCSEC (EE) 02m $ 26,229.95 $ 26,229,90 $ 0.05 :ED WITHHOLDING 5 39,972.54 5 39,972.54 TAX DEPOSIT: 5 W4701.26. S 104101 14 FICA -MEDICARE xwn S 12,268.84 $12,268.80 FICA -SOCIAL SECURITY vuM S 52A59.90 $52,459.80 PREPARED BY: FED WITHHOLDING S 39.972.64 $39,972.54 PREPARED DATE: TOTAL TAX: S 104,701.28 $104,701.14 $ 0,14 Exempt Amt: Employees overFICASS Cap: Jason Anglin $ Sharma Odonnell S Roshanda Thomas $ Payeode S - Employee.Relmb.: TOTAL: $ Cai111n.Clevenger 1/1412022 02.RI MMC TAX DEPOSlr WORKSHEET 1A3.22VIs. TAX DEPOSIT WORKSHEET 1114/2022 Rua Dace: 01;1;i22 'l3F.D3:h.! 6:EDICAL r.SMTER E1-WEEKLY Page 1e,15 '• :fea E>3ia:er .... "MT, prf :yme=ar 10000001 0PEPATIHS - PROSPRITY Num. Uaae Asuuo: CHECK NIT CFTE '.7123 CiT. nIA .!=vn i;i.H KC63157 C:/2" 22 65523 Rr.CQJEL MDPACEE 702.90 DOC6?758 01/21/22 bd li? 'CRYSTAL MAFTtI!E2 !9;5 +! Ef.Cii696 ;:/21!22 0010i1 CTiL KD11G 91C._. ?° ./21i22 09CE3 SYL'VIA A 'VARGAS 72912 DD L'i /21,122 Ic,.O- YL^tA A ME9D02A 7N... DD :1/lll'<2 DDii3 Sr.CLY9 C-RRM; 1CiS Si DD 0!(21/22 iC1?2 .'-:S'75A F. DE%d! 72i.12 DD 4:121!22. D PE9A LDi,Si aD 1112 ; 00270 rAGEU M EUECIII. 2096.6i DD 01/21/22 SA.-Y :.0 FAD:"3: 2i3i.e2 CD i:/21. i21 C]?. 2!L,77 F CUC:iKCF 2;37. i? DD 2ilil12 11192 Y7-CA 7 CFKi ISii,i3 OD CIf21Q-, O7;O! VEL'dA J PIMA 2rbi.d0 DG DI/2ile2 !i.' or....e. L F71", 2535.6E 0-". �i!2112i SS;23 =,.; v STET!,.- 2856.71 DD C:I2i/u 5O462 Pml. FIKAC MIX DD 17./21/22 C9i7- Dtr'L°t GAP.CIA 00551 CIT-HIA L P._'sE:MC 17??.29 DD 01/21/22 5767i SHE2LA KAY F.EAT:HCOC?: 1195.79 DD C1/21/22 00992 MOW E IMIEEEVT ;75. 0 DD 7`;21/:2 90997 ME�_A r cAnlAs tn12. i! DD ".':RI%2: 00707 KTHR'Y E K,.Nyl- 1;22.i4 OD t ' ..�2.1.2 EMS SUSM E SM UEY 1961,53 DD K/21/22 D:23; J-�NZSE G S. TL:?; 15;5A5 DO A:(21/22 0:i67 MRMYS A 'ISDEEE 1536.0_ OD 5:/21/22 CCN! ti:US:iASA J XTUIV .02.3i DD 02011 ER-21 F. CLEVENGER 3293.62 DD O'.j21/22 O201; AGAPITA C U.NTj le7.25 OD 01/21/22 02021 Ei'a OSORUA-SA`M Z Cc 77/21/22 02102 MMIDA J GP.IC,^-.S 2421. 5; DD 01/21/22 tiC'R AI,TiA LAL'E.A GA'vat 1757, 57 !'9 9:%2112i 097 KYLIE F. CP.I71E5 1296. DV DD 8S/21122 02)5w IF_.CI 1: S;:Eci 1996.04 DD ji:121 22 5211C = SLIE T:::'C-S Z32E.t4 DI' .1'21!22 OL65 CAMICE II CAUCTiL 51i.50 DD 7i/21/22 .2EE3 IIK: 4�'G?AP. :32.C; DD 71/21!ll 12271 ^vnb1l I 'vUEEaIi: !.59". Di ;; 7:i21122 02301 MICILAS TIJE32&A 25 ME DD 01/21/22 ;23^.[ _..aEF.IS5 !1r_i:E :.C:L7E i11... :1D 7./21!22 923C3 CO!OLE E "UMA 2979.71 DD G'i2i/22 12315 3IF- M GREE!I :933.'e; CC ..._! .7ESSICh ? EiiPLE .:33.e5 DG ::121/Y 1231E JEMEITE L FALCON 101C.25 DD Di /21/22 .211E JANEU: S=T '71i2i AIDEE`.' D GA�CiA. 2D.i2 7D 7:; 21112 C25?5 M.-k!!E M SOEZ d36.d; DD 01/21/22 725E1 VERO!CCA FnCUS:!i 15k.72 DD 01i 21122 4Z5?; SEAT2ICE AACU 317;,79 DO 0:/21122 C2719 DASD !{ !1CCLE_L-tlp 1651.26 DD 1';/21122 Rm Oace: 01i1412: M.ORIAL NEDICAL CENTER E1-WEEKLY Page _ :me: WE ••• ......: Regie._. "• PL.IETt Pay .:ad 121111--01!13i2 R1n: _ Type-11-7 '0000001 OPERATING - PROSPEEI3:+ Rum. Name ;Mun: NECK %JE DATE 027e] ZAAadA A ''T' LAF iA.11 12745 TRACY L WMS 1796.32 DO 0i121/22 v""274? JESSICA C^PPIN 1596.5E On Ze 94 E kM, I %LICELER i990.0E DO ::/1.,/21, Ulu ERIMA6'Y N P.NJDICK 1915.61 CD Di/sm. CE27 01ICEAEL I GAINES 107.09 DD 40121(Z: .29E3 DT_i:CE'i J REIU^_N 5C1.15 CD ::12:/2: ._970 CIMME G AT31MRN MAC DD MEG C3564 JACQL'ELINE R EE9.RERA 1166,74 DD 0112'1/22 =R:Nz D 7JR13 LL 3733.E9 DC MRT:NH 699E:5E DD P:/2:/2: 05407 J;XTE E NE'!SA1T 95i.61 DO C0.121/2: CS6.i AY_;'w . =: ?E ...4.24 .:,'2:/22 ME7 SE.ARGN 7 RMDEP. 2505.:E DD 01121M ME DMPMSE ENRON 05.E4 DD WaInL2 .767. DIN,'A C SF:CSDA .!:?... 31i F./22 10515 NARisSA LYNN RIJ.r 927.93 OD 01/21122 ::1c7 C.AirRROE F. SAE4Z 0091.E7 DO 1:412 CCVnT`iEY L MORY.OVaZ 942.1E LD �l1/21122 '-2115 LISA J E2NOJGSA E75-6S DD 01/2:122 :2212 MRl E WHOI0:0 7ELE2 :.i2Cr22 097 NMI S!'IE : DA, 26E3.14 DO 01121i22 131 SA'IAODIAE EA.4LE'i M&M DD 102:1 2 15230 Ei;u!i GAF.CIA 2066.24 3p Y-i21'22 1523E DAR7I N. MARES 1942.30 DD 0:/21122 _4nr A,rpr ]nog2GDE2 1529.23 9^ 15555 STEP:i ME M= T:N 350.73 N 0:/2!122 5915 ANMrEJ!G'C 2310.'7 DO 01.1121/2: WE ..?Ar ALE'i n:S:DM 2045.4E DO 0:i2i/22 2020E ?ELLI E GOSP LS2.61 DD a1121/22 2J2C7 g):}n+,7A G?rgTL 19:D.EI DO J:12!/2e 2 G294 JEA.IG. ] WI.,: ER 720,0E DO 01j2:/22 20407 hIMERECTOR 592.I9 DD 0L/21122 :0456 :AYOI r. St CiACR. U5.63 C'D C:i 2'.122 20494 ERIMI s oASECH 2MH m SC(21/:: 2054E JAI".ES D AEIOi 1237.7? D: 11:121122 20755 JaM:E S,;DLER ._..55 :D ._ 21142 2079E 11111A JIK3NEZ 466.65 DD 01/2iR: ME', _EMrIIr H OTC55 E72.41 .. 0:i2'. (22 2051E JC:E : MR Ei 1. c3 DD iJzO!2: 20E?7 DATSY .1-MRICAL 1042.21 DO 0:/211:2 M E.. :4RiEin Ci21J.CP'L EEi.44 .? ,_._Ja 2097' CEEE?I 2 :ESA 1557.73 DO L';SC MAN. E LFAL 122Z.S1 OD �i:i2'.122 LEE JnCC'_'i ,' TATIF: 1436.02 CD lons; ::73E AiLIEONGCCLD'eN 379.03 DD 01i21/22 �_..: RRNCON 97.43 DD ^ 12ir L 13120 JEHir, '. -__._._. Ili4.:3 DO C11.i(L 29199 SELLY A SC°GTT 328.57 OD O1/21/22 0:21P2 1:D54 RA : 1AfSDEN 756.e2 DD 0:i 21122 31099 8ACcLY Z MCA 2351.47 DD 01/81/22 3::SS JEER? F. iZND:_'i ;1E.F2 DZ '0;21':L Fxm Cote: 01;14:22 NEM63:A:, M.UMIT CS:fIEE RI-14EEELY Page . Ti"?: .'.:15 •ra CCcJ.'. Renster P2DIG'?" .y0e=tr- 10000001 OPERA-ING FROSPERin' Stir. N.ae Al, OL':L CHCE 527: DA L 31215 _AUP.EN PFILIES i0!9.44 DD :i/21(27 ll313 :{AT . - _'IlK J?MMU 239a 'i DC ::I2112; 31319 STACT L FARMER. 166,36 DD 11:121122 3'.;f3 EDriAF? E MAIM 2216.i4 CS K/2i!"? 31509 14C"K A iEPFAei 20d9.22 OD f'_121!22 31821 iUrYLA M ALVA.REZ 1271.13 DD C1/21/22 K'" SFA&S D FS"n-A iL5.i4 DD :'-i.L rs.' c 3/d45 6i]Y J'JRE7, li62, 7^. CD Cij 2!'22 HTA :KRYSIKIA S FiS1A]I 951.54 DD Oi/21122 HIM I2 DE'JiaN CRTA !256.5E DD G:i21172 38772 A.NNA, VAL:SEA FE27I.L dT .51 DG 4ii21!22 41112 rNAS ASIA L PEEEZ 766.6Z CD 01/21122 4:206 J_)? E nL:'Fd1L' 80 DD 4.121/22 4122; LESLZF A C'v:CEY 560.65 DD 011/21/22 PA3IL 0. 1AC^CDT !2!6.5". CD i:/Iii:2 ;1274 FAREN CiuD; 977. 03 DD C1/21/i2 MO ADA:ANNI.. D s"nuoS 526.0 DD 0?/21/12 Eli E9 SOP.E-A A LFA_ 41415 ANGEL M CASSEL I063,39 DD 0:121122 4 Hl CLCA I EEZA&M.C.T e22.0i DD Cii21/:2 .K2 _.. JA A GU.AJA 554i3 _ .JLiii 41617 JACQUMBE M MJR-INEZ 854.r4 DD 4:619 HEA'3EF DELEDSQCE 595.10 CC ';i/illii 4i705 EFLSFY P. -A _LF 731.2; DD :':i21i72 4106 FENAE MIC:iELLE EMERY 763.37 DO 0:/21/22 4:997 RO9 INA. 4AR"M"EZ 721.31 DD ::121122 4 L501 TJAIIILc P. 'MILLER 554, 22 DD G:121122 41924 SRI".IDEY V SS'RICELIN 499.72 DD 01/21/22 4310E CEF?S-E SILIAS 547.96 DD •J:/2i/22 4M2 "CC.ED C SONMI. 662.59 OD ".•i/21122 42122 LEi ANA MVANA 1454.05 DD 01/21122 135 :11CY CALZAZA 514.i9 DO '1il21J22 42-s0; MIBI i W7122t 2369.31 CD 01(211z2 42320 MIC;H L A PFE!L 2964.43 DD. 0:123/22 ;2d20 F.U7A C C:4AIM .... 0D C:/21r22 42342 SMIWL S C DONNELL 4156.:5 CC G112112G 4d6S0 JESSICA ECSB 36.2E OD O'./21/22 iC216 9?CFFL:F Y N.0 SG146 PE17Ci v"GJLCEN 3034.85 DD 01/21/22 5024E Y.CKS1DIA M!"CAS 452.09 DD 01/Z1a7 EOi32 SACCF it rv+?S?CF 2:OB.:3 DD 7:i 2!I22 501C JASMINE CEIGSFY 729.:o DD 9i/21/2e S0i73 DFAIIA. F DAVIS 1603.52 DD ai/21122 5cs56 Eerr E eAIE s2 .51 DD : 21122 50d45 CERENI Y LIBERTY 221.110 DD 3!(2!/22 50719 DEEP1: E MUETERED 2 14.23 DD iaMI^2 :;s25 '",.. i+L..�r. FDaFIGaE2 E.C.;9 CD O'_i2'.122 53541 JACLYG S MUL 1496.02 DD 07/21/22 55025 _. C 1ESF:lDEZ 423.0E DD 01121/22 cc+rb CFYSF.A:. M CRA:4E2 f47,f; DD 0.1121122 55i27 A2R:L S AUEi,_A 2635.36 DD 01/21122 ::232 SKAM."T; :ACi:D^ 1f05.27 DC :=i21!22 Rw; rate: G'_i: :15MOR:AL !•:E01C;L CS!1iis. BI-ZEEELY ne: _.... ... _....: dap lac°: ... ?Ype=NET :0000061 OPE!LA?ING - PROSPERITY SC tic'° A`4'Juc CHEC1: !rn: DATE SSEi6==.71;!i n:L33 E20.7 DD 471A.1 D- 01/2i!22 SCQ03 T.OD: SAiIOY 750.81 ➢D 01/2I/22 5f.ty RCS'eP? 1556.47 0C C'421,%22 '0131 NOPA OVALLE 556.35 DD 01123/22 S010 gIGDALIA QAIC o14.43 DD 01/2'-122 e''..1Ye Ln n RCCRZSUEZ E17.i1 D"' S:/23122 50271 iEBEZA.9 GERYR 599.23 DO G2/21/22 SOS1S 003C:NY A LONlJRIA. 770. EZ CD L:i2ll22 SL713 }E2;n C OD!7ZASZ 7c1.55 DD C''1211-,2 60934 CONSUELO ZAMORA 564.55 DO 01/21;22 . Me JASC3; ..UBSO Aii.,. On 550C L:CI?; EME 592.34 DO 0:/21/22 55121 VIVYAVA P 9ED?tin 247A2 DO 0;i21/22 551>I RL:A OIAC iA S77 A4 DD 1121122 i-213 :EE 57YERi.'i 1319.83 0O 0:/23122 5523: m,.,IS J PIYCESP.: 471.0 CC 41/2! 42 Sk2 :7C:L; LOp:7 DE CjZ -2; 08366 MM.1,11A GARCIA E8G.51 DG O'.(21122 65353 *.akI P. PEREZ M 09 D➢ C`121/22 55;13 1H.;I:?INA SO3,:5 ;7t,i7 00 C':/2EJ2: 65463 NARIA I VELOZ E88.71 DD 01121/22 65;ZE R"-SA iODR:Gaz 97i.77 D' 55513 YA.R:A MORALES 931.E0 DD 65705 OCMI?ILA 3C•ERERA U18.27 DD 0L/31("t2 i. . VCL: i,A A 1l_Cti .. .a7 D.7 :'-12./:[ 658E5 KUM P LEOEZRA E27. E3 DD )y21/22 68792 VAZARIC Mu REP_`!1,11Z 1759.4; D: v:/21/82 :7119 SAPk N SLE2SGE 2i754.iE __ ::121122 71620 R08:!! STEEL; 2361.93 DD 0./21/22 ,'7;S GLOP.I; N REID 2326.01 GD 0:%2i/22 7515C -AIVA 37:LLZF. 1765.5E DC 'T:/2212: 760D3 MA OELEON 717.99 DO 01/21/22 7E130 ':A?AH :UBLEv 321.;9 DO 6'/2; 1:2 75115 JELTIFFER E C?;.LCCi: 579.47 D➢ 0.121/22 7MC 14CRRL CAIMIES 1251.03 DO O'./21122 7Ei3821122 ;6210 ZOE `II::L;P.HAL G^.;. d"< CC 02/21/22 7E3nr I.M J1y,E!7e2♦ ?i7.71 00 C:i21!22 ?zy. 76403 NATRINA A POUTUDA 1088.77 DO 01/21/22 e647 CHRR3'L ;SEE 541.a1 00 £: i21/22 =74. "v3E'"sOP E }!O--eS f73._ L'L 0:/211u 70E1 :AGRA P pESINA 035.27 DO O'./21/22 '5854 XARY PAT UK!:. i43.:; D? D:r=1/2: .9d° 'J.'-t7EE5; iE35TAti :55,i8 DO 77046 PAI?!4 A GC@ZBLES 987.04 D0 0i/2i(22 78:2C S:IS:"i 3 PASSRO:-,E SjE., 7< n7 9:123121 76056 MR: J POWER 2;6.73 DD 0421/22 78072 D2,11A Y WLING9 1003.70 DO 01/21/22 "S L2E A,!'RZA P SOR 369 ,. C➢ 41i21/12 76191 J?3C:E J GRASSE 748.25 ➢➢ 0:121/22 72297 !!=_il5cr. 9 A_2:ZA7 2125.7E DD v:,!2i"2 Page 3 P2C35Tp e Dace; m;m w MEDICALC , m + : m —� : m per4odmom wr . » : :IMU.P . + + _: = m s!U m! m m ,m . B »a = mom !m _. RUBIQ mz =: 2 1 ma e: m _a z ae e m — . � . ca . _ m m•_ , ma = m !14: ! wa ; m 92227 z,=_s as = m ,w=m mz : m . , ve = m m, n w wz = + 90320 R e,ma oz = m er . ; : as = m am,C, wz =ww MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT --January 10, 2022 -January 16, 2022 Date Bank Descdutien 1/14/2022 PAY PLUS ACHTRANS 452579291 HDOW695355172 1/14/2022 AMEHISOURCC BERG PAYMENTS DIOM077682100002 1/131202Z PAY PLUS ACIITRANS 452579291 101000594401082 1/13/2022 IRS USATAKPYMT 2202413647115776101601000261 I/12/2022 PAY PLUS ACHMAN5452579291 IOIOM693601086 1/11/2022 PAY PLUS ACII TRANS 452579291101000692617011. 1/11/2022 MCKESSON DRUG AUTO ACH ACH04873348 9100001211 1/11/2022 CLEARGAGE LLC CLEA06A6E, OPSOUTNOERGOVY 242 1/10/2022 PAY PLUS.ACHTRANS 452579291101000691758571 1/10/2022 TSYS/TRANSFIRST DISCOUNT 41399HO13324196110 1/10/202Z ISYS/TBANSFIRST DISCOUNT 41399RD13323856110 1/10/2022 T5Y5/TRANSF18ST DISCOUNT 41399801332401 6110 1/10/2022 TSYS/TRANSFIRST DISCOUNT 413998013918376110 1/10/2022 TSYS/TRANSFTRST DISCOUNT41399001332393 6110 1/10/2022 TSYS/TRANSFIRST DISCOUNT 41399HOI 3681976110 111012022 TSYS/TRANSFIRST DISCOUN f 39300982541616 61 ID 1/1012022 TSYS/TRANSFIRST DISCOUNT 193009825899466110 MMC Notes Amoun - 3rd Party Payar Fee $ - 3400 Drug Program Expense $ 2,00 - 3rd Patty Payer Fee $ .:A - Payroll Taxes $ 54 - 3rd Party Payer Fee $ 4 - 3R1 Party Payer Fee $ I - 340H Drug Program Expense $ 9,00 - Patient Financing Service $ A -3rd Parry Payer Fee $ 0 - Credit Card Processing Fee $ S2 - Credit Card Processing Fee 5 4 - Credit Card Processing Fee 5 45 -.Credit Card Processing Fee $ 10 Credit Card Processing Fee $ 2,98 Credit Card Processing Fee 5 93 • Credit Card Processing fee $ 68 - Credit Card Processing Fee $. 12, • January 17, 20Z7 Anthony Rldldrtlson Memorial Medical Center PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING. ACCOUNT — ESTIMATED ACHS Date Ooscr'ntioA 7/10/2022 UC IGT DY11 Advance Payment 17, 2022 Memorial Medical Center 17,7& MJA Notes Amount S iri(F.Fi/ 353,294 Transaction Summer Transaction Complete Trace # Texas Health and Human Services Commission Memorial Medical Center Operating County Payment Total $3:58 10903 2/10/2022 Bank Routinn and Account Number Settlement Date UC Hospital Amount $358.109.03 Entered By Marley Moehrl Page No:1 of 1 Run Date: vw=2 Run Time: 97:s9:10 Transaction Summate Trace Number: _ been deleted successfully. Texas Health and Human Services Commission Memorial Medical Center Operating County Page No: i of i Run pale: utnr2022 Run Time: 07:67:33 Marlev Moehri From: HHSC PFD RAD UC Payments <PFD_UC Payments@hhs.texas.gov> Sent: Thursday, January 13, 2022 3:36 PM To: mitchellmulvehill@texashealth.org; miwilliams@lmchospital.com; mjgetz@houstonmethodist.org, mjones@hillcountrymemorial.org; mjonesl @cmcvtx.org; mjspanihet@ricemedicalcenternet; mkent@trhta.net mklock@matagordaregional.org; mkrtchian@gl-law.com; mlongoria@ecmh.org; mlozano@conchoch.com; MLPCMC@TISD.net mmason@permianregional.com; mmathews@jpshealth.org; mmatlock@medicalartshospital.org; mmetts@primehealthcare.com;mmickle@iasishealthcare.com; mmiller@mchd-tx.org; mmitchell@ppgh.com; Marley Moehrig; mmoore@sabinecountyhosphal.com; mnunez@umcelpaso.org; mo@starcoimpex.com; mona.mickie@steward.org; monica.ochoa@georgetownbehavioral.com; monica.vargas@tenethealth.com; monicak@parkviewhosp.org; monicapdce@texashealth.org; monika.kapur@uhs-sa.com; montarce.martin@vvrmc.org; morgan@gl-law.com; morta@lubbockheart.com; mortiz@mmcportlavaca.com; mortiz2@cmcbr.org; mortiz2@cmcvtx.org; mory@sph.tamhsc.edu; Mpattberg@huntregional.org; mpipes@gracehealthsystem.com; mpipes@providence.org; mreiter@sleh.com; mrichburg@lchdhealtheare.org; mripps@medinahospital.net mroberts@lasishealthcare.com; mrobertson@seton.org; mrunnels@wisehealthsystem.com; msarrao@alectohealthcare.com; mschaefer@sonora- hospital.org; mshort@grmf.org; mstevens@hmhhealth.org; mtanneberger@medinahospital.net mtaylor@pecanvalleyorg; mteresi@stlukeshealth.org; mthornton@libertydaytonrmc.com; muesse@tamhsc.edu; munorth@yahoo.com; mwalker@hamiltonhospital.org; mwallace@sunhouston.com; mweed@texomacc.org; mweisfeld@bkd:com; mwillimon@muensterhospital.com; Myra.Weisfeld@memodalhermann.org; n.bonilla@mchdep.org; Nadine_Dunn@quorumhealth.com; Nancy.Cooke@MedicalCityHealth.com; nancy.dancer@uhsinc.com; Nancy_Cooke@chs.net; nanette.pinckney@graysonclinic.com; Natalie.Erchinger@BSWHealth.org; natalie.harms@uthctedu; natalie.pack@hcaheaithcare.com; Natalie.Pack@stdavids.com, nathan.flood@cchdonline.com; nathan.thomason@ahss.org; NChi@houstonmethodistorg; ncooke@martinch.org; ncorder@sweenyhospital.org; neelyk@gulfcoastcenter.org; nerchinger@sw.org; nestor.lopez@altacarp,com; ngeer@pdmehealthcare.com; nhagen@freestonemc.com; nichol.attar@uhsinc.com; nick.galt@cityhospital.us; nicoleplain@texashealth.org; Niki.Shah@BSWHealth.org; Nikita.Shah@BaylorHealth,edu; Nina.Kavarthapu@harrishealth.org; nini.lawani@harrishealth.org; Nkelley@seton.org; nklloyd@utmb,edu; nnlim@texaschildrens.org; noe_gutierrez@chs.net NoeBalli@texashealth.org; norale@bmhd.org; Noralene.Corder@dschd.org; noralene@dschd.org; noralenec@smhtx.com; norma.kretzschmar@tenethealth,com; npatek@grmedcenter.com; NPate109@jpshealth.org; NORA PRADO; nsahmad@texaschildrens.org; nstaggs@ansongh.com; nstaggs@oghtx,com; ntudor@ecmh.org; nwheeler@ych.us, nyoung@wghospital.com; nzenarosa@ies.healthcare; o.ostorga@dhr-rgv;com; Olinda Harbaugh; Olga,Young@BSWHealth.org; Omar.Garca@sacmc.com; Osear.Sallarta@uth,tmc.edu; Oscar Perez; p.daniel@dhr-rgv;com; pacaron@etmc.org; Pam.may@cookchildrens.org; pam.mote@christushealth.org; pam.robertson@christushealth.org; pamela.harrison@myfrh;com;pamela,porter3@parallon.com; pamg@dentonmhmrorg; parker.pridgen@adventhealth.com; parker.pridgen@ahss.org; parkviewmanoral@gmail.com; parsonsba@elpasotexas.gov, paslin@wisehealthsystem.com; paslin@wiseRegional.com; To: patricia.mccaa@utsouthwestern.edu; patrick.carrier@christushealth.org; patrick.clune@valleybaptist.net; patdck.krishock@austinisd.org; patrick.mcgreevy@lhphg,com; patrick.mcgreevy@lhphospitalgroup.com; patsysmith@dschd.org; PatsyYoungs@TexasHealth.org; Patty.mccarroll@ttuhsc.edu; paul.acreman@umchealthsystem.com; paul.fowler@ttuhsc.edu; paul.harvey@hcmh.com, McGaha, Paul; paul.veillon@uhsinc.com; Gonzalez,Paula (HHSC/DSHS);Gonzalez,Paula (HHSC/DSHS); Gonzalez,Paula (HHSC/DSHS); paulg@brownfield-rmc.org; pballard@Irhealthcare.com;pborgfeld@lrhealthcare.com; pburke@scmc.us; pcowling@unitedregional.org; peggy.gatliff@steward.org; peggyliebo@shannonhealth.org; pemcgreevy@gmail.com; Penny.Cermak@BSWHeaith.org; perales@gl-law.com; pete.orem@uhsinc,com; pgallagher@freestonemc.com; pgonzales@ansongh.com; pgudedan@hillcountry.org; phamilton@chambershealth.org; PHarrison2@houstonmethodistorg; pharvell@grahammrmc.com; phil.cendoma@uhsinc.com; phil,sosa@uhsinc.com; philip.koovakada@tenethealth.com; phillip.dorsey@srgllc.org; philiip.dorsey@srgllc.oM pkwallace@grmedcenteccom; plopez@ttbh.org; pmckinney@martinch.org; pmonkres@noconageneral.com; pmurfee@hchdst.org; pnavarrette@witco.org; pocc2 @aol.com; ppandian@sleh.com; preed@devereux.org; Pht!Jain@TexasHealth.org; profilet@gl-law.com; pstewart@gonzaleshealthcare.com; pstrauss@cmcvtx.org; Pstreet@unitedregional.org; ptouchstone@cranememorial.org; pvanmatre@pHmehealthcare.com; gmeece@ies.healthcare; R.Haddad@dhr-rgv.com; r,hinojosa@dhr-rgv.com; r.montelongo@smmctx.org; R.Peralez@dhr-rgv.com; Rabernethy@echd.org; rachalbracker@texashealth.org; Rachel.Comchoc@ascension.org; rachel.farley@austintexas.gov; rachel.gordon@cogdellhospital.com; Samsel,Rachel (HHSC/DSHS); Samsel,Rachel (HHSC/DSHS); Samsel,Rachel (HHSC/DSHS); rachelle.ruiz@sanantonio.gov; Radha,Savitala@crmc.health; Rakhee.Bhakta@ascension.org; Rakhee.Shakta@vvrmc.org; ramberg@gl-law.com; ramonda.busby@childrens.com; Randa.Bishop@smhtx.com; Randy.Bacus@ntmconline.net, randy.safady@christushealth.org; randy.slack@tenethealth.com; ray.eufracio@auditocco.hidalgo.tx.us; Helmcamp,Ray, Raymond.Ramos@uhsinc.com; rayne@gl-law.com; rbarnard@swisherhospital.com; rbishop@nixhealth.com; rbordes@libertydaytonrmc.com; rburkhart@co.hill.tx.us; rcampbell@libertydaytonrmc.com; rcarter@huntregional.org; rcollins2 @primehealthcare.com; rdefoore@stamfordhosp.com; DeHoyos, Ruben; rdehoyos@starcarelubbock.org; rdewberry@mitchellcountyhospital.com; rdiaon@stiukeshealth.org; reagan.twum-barimah@midland-memodal.com; rebecca.anderson@uthct.edu; Rebecca McCain; rebecca.myers@steward.org; rebecca.myers@wadleyhealth.com; reed.hurley@uhs-sa.com; rehettF@bmhd.org; reimbursement@etmc.org; rejohnson@mchd-tx.org; Renae.Thomas@ReaganHealth.com; reprater@mdanderson.org; RErvin@tomballhospital.org; resimon@texaschildrens.org; Revaz.Dzneladze@BSWHealth.org; Reynier.Perez@uhsinc.com; RFord@iasishealthcare.com; rfreeman@ecmh,org; rfdcke@myfrh.com; rgilbert@burr.com; rgierset@gl-law.com; RGray@Culbersonhospital.org; Roshanda S. Thomas; rgriffith@matagordaregional.org; rhamiiton@noconageneral.com; rhernandez@medicine.tamhsc.edu; rhettf@bmhd.org; rhonda.rogers@tenethealth.com; rhonda@rpmh.net; RHP Region_tp@jpshealth.org; rhunt@freestonemc.com; rhurtado@ehnelpasmorg; richard.ervin@hcahealthcare.com; richard.ford@steward.org; richard.gonzalez@steward.org; richard.humphrey@phhs.org; richardjordan@ttuhsc.edu; Richard.Perkins@BSWHealth.org; Richard.prati@uhsinc.com; richard,shallcross@HCAHealthcare.com; richard.walker@uhsrgv.com; Richard_Ervin@chs.net; richardhumphrey@texashealth.org; rick.lopez@georgetownbehavioral:com; Rick.roberts@communityhealthcore.com; To: rickmcwhorter@texashealth.org; rita.kelley@co.bell.tx.us; dnorman@utmb.edu; Rkorkmas@ppgh.com; rmathis@nrhd.org; rmccrady@gracehealthsystem.com; rmdowles@utmb.edu; Rob.koch@tenethealth.com; rob.marsh@acadiaheaithcare.com; rob.tyler@aurorabehavioral.com; rob.tyler@signaturehc.com; robert.brock@ahss.org; robertfries@childrens.com; robert.hillier@harrishealth.org; robert.kingham@austintexas;gov; robert.lerma@uhsinc.com; Robert.Saucedo@HCAHealthcare.com; robert.shaum@childrens.com; Robert.Walker@cccmhmrorg; robertc.brown@utsouthwestern.edu; robertk@baylorhealth.edu; roberto.villarreal@uhs-sa.com; RobertPotter@TexasHealth.org; Robina.A.Philipose@uth.tmc.edu; rodger.bowen@ntmconline.net; rodgerl Bowen@chs.net; rodney@preferredmanagementcorp.com; Rogelio.Reyes@MHSHeaith.com; Rogelio_Reyes@chs.net; roger.hutchins@phfmtexas.com; roger.leach@wnj.org; rojasc@connallymmc.org; rol78582@yahoo.com Cc: Brown,Adam (HHSC); Chang,Sylvia (HHSC); Okoniewski,Amanda (HHSC); Wade,Tonika (HHSC); Corzine,Kethe (HHSC); Cantu,Rene (HHSC); Heinemann,David (HHSC); Subject: Attachments: Form.xlsx ARNING-Remote Extemal.xlsx; DY11UC.SDAAllocation VERIFY SENDER 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. **UPDATE** Providers, Government Entities, and Anchors: HHSC was made aware of two TPI changes which left Hamilton General Hospital and Scott & White Llano off the document that was distributed yesterday 1/12/22, **Please see the attached `RiWJ ,,TSEb.201, DYII,,Advancfo•§ ,6yment Calculation file for the updated amounts, and disregard the file sent on 1/12.** The below information previously provided still applies. Apologies for the inconvenience or any confusion this may cause. HHSC is providing notice to IGT for the DY1I Advance UC Payment. Important Note: Per TAC.355.8200, checks submitted to HHSC for the UC Application Fee that are postmarked later than 1/12/22 will be returned and payment will be taken directly from the DY11 Advance Payment. For those that will have the application fee taken from the DY11 Advance Payment, please note that the payment amount showing In Column N of the "UC Advance Calculation" tab will be reduced accordingly. Dates pertinent to this payment:. 2/09/2022 Last da o submit your IGT into TexNet 2/14/2022 .fate Owned Submit Journal Entry 2/18/2022 State Owned paid 3/4/2022 UC Providers paid Attached to this email are the following documents: • 2022 DY11 Advance Payment Calculation External spreadsheet • DY11 UC SDA Allocation Form Beginning with the DY9 UC Advance Payment, IGT received will be allocated at the Service Delivery Area (SDA) level. While providers are required to have an affiliation to be eligible to participate in the UC Program, IGT received is no longer allocated at the affiliation level. In the event of an IGT shortage in a SDA, a pro-rata reduction will be imposed for all participants in that SDA for the advance payment, with no additional funding opportunities. Should this occur in a final payment, the underfunded SDA will be allotted an additional opportunity to submit the additional IGT. If additional IGT is not submitted for the underfunded SDA, HHSC will proportionally reduce the payments to all providers in the SDA based on the IGT received. HHSC will then reallocate the funds from the underfunded SDA to all SDAs who have additional IGT based on IGT commitments. The timeline for the September payment is published on the Provider Finance Website. attached 2022 DY11 UC Advance Payment Calculation. The total IGT amount needed to fully fund each SDA is summarized in column C of the "DY 11 Advance Summary by SDA" tab Please ensure you select the applicable h , in TexNet when you enter your IGT 1 is imn it�ue,bhi�t yQu.s ,screen �Sho, _ `copy of the LL rip se re pace, it the Te t t s sullxmttte'd 'OvOrAhe phone, to ajC Payrti" ihNM2hbT IGT allocation form designating what SDA the Is being submitted for must also be submitted with the Trace Sheet. ,�`.g0,,submit Government Entities funding in multiple SDA's should submit a separate TexNet and UC/SDA Allocation form, for each SDA for which they are providing funding. In the instance of an IGT overage within an SDA, HHSC will issue a pro-rata refund to the governmental entity/entities identified by HHSC. HHSC will determine the pro-rata refund, not the government entity/entities or their representative(s). If you have questions regarding the UC payment process, please send an email to PFD UC Payments hhs.texas.00v. If you have questions regarding the payment calculation file, please send an email to uctools2hhsc.state.tx. us HHSC Provider Finance Payments Texas Health and Human Services Commission North Austin Complex P.O. Box 149030, Mail Code H-400 4601 Guadalupe St Austin, TX 78751 TEXAS bV Health and Human Services Confidential: This transmission is confidential and intended solely for the use of the individual or entity to which it is addressed. if you receive this transmission In error please notlfysender and remove all copies from your computer. ;i: , I A I � I m I F�YiFYINi I � I xnM�bn I ��.INNFO�w1' i��NNi� IW�pl�l TYTW �T✓I ITtlpNOYI�IW If{��IW' l�IwtlY. �I L �•w rNNaw NW oMY/yr�nl qv �!A DY11 UC/SDA Allocation Form TRACE Number: 000000004775965 The Trace Number is In the receipt you receive from the Comptroller once you have submitted yourTGT Into TexNet. The Trace Sheet and Allocation Form must be submitted together In the same email. All Trace Sheet submission accompanied by an Allocation Form. If a governmental entity is submitting in multiple SDA's, a separate allocation submitted for each SDA RECEIVED BY THE COUNTY1 AAUDITOR ON JAN U 20e'[ MEMORIAL MEDICAL CENTER PROSPERITY BANK a:Al.HouN COUNTY, TEXAS ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT-- January 3, 2022 -January 9, 2022 Da3g Bank Oescdatlan MIMIC Notes Amount V712022 PAY PLUS ACHTRANS 4525792911010D069DB49Z72 - 3rd Party Payor Pee j 1/7/2022 EXPERTPAY EXPERTPAY 746OD341191000011728432 -Child Support Payment -Payroll Ending "••^•' $ x20U 4 8 1 y 1 8 4 - 4 8 -F 1/7/2022 AMERISOURCE BERG PAYMENTS 0100007768 2100002 3408 Drug Program Expense I10.00 bif W 91YA"I"_64 2,19, 1/7/2022 MEMORIAL MEDICAL PAYROLL 746003411113122650 •Payroll sLf rlydt'k iH FAOy'1-, Ali It $ 299,31 2 v 1 94 • J 1 — 1/7/2027 IRS USATAXPYMT 2202407823260116103601000211 -Payroll Taxes bL AiUI7RsI�LIA'iub PAUYI' $ 14' 1/7/2022 IRS USATAXPYMT 2202407417029725103601000209 -Payroll Taxes $ 108,3T 299 a 5 1 c / — 1/6/2022 PAY PLUS ACHTRANS 452579291101000699711830 -3rd Party Payor Fee 1 141-A2-. $ 7 i p%" j j — 1/5/2022STATE COMPTRLRTEXNET04498414/20104210D002 ACCRUED DSRIP WAIVER IGT $ 571991 7/5/2022. PAY PLUS ACHTRANS 4525792911010OD698744203- 3rd 'Party Payer Fee $ +. S 10 8 , h 'r j Cl 1 — 1/5/2022 FDMS FDMS PYMT 052-16018300004100012413892 -Credit Card Processing fee $ 3; r ' OC9 P 1/4/202t PAY PLUS ACHTRAN5452579791101000697686646 -3rd. Party Payor Fee S �.,r; ✓ ✓ • Ls J 1/4/2022 MCKESSON DRUG AUTO ACH ACH04661251910000156 - 340B Drug Program Expense $ 7.55' r , 5 5 1/4/2022 AUTHNET GATEWAY BILLING 1207951111040WO131 - 3rd Party Payer Fee 1/3/2022 PAY PLUS ACHTRANS 452579291101000696316513 - 3rd Party Payer Fee 5 'Aii 1 r 4 76 , J f _ 1/3/2022 MERCHANT BANKCO FEE 971260913887910OW13535 Credit Card Processng Fee $ 174 1/3/2022 MERCHANT BANKCD FEE 97116091088391000013535 . Credit Card Processing Fee $ C 4 e 1.2 y • 67 * 1/3/2022 MERCHANT BANKCD DISCOUNT 97115091388791000D Credit Card Processing Fee $ 2W 1/3/2022 MERCHANT BANKCD DISCOUNT 97116091088392D000 - Credit Card Processing Fee j 1< 1/3/2022 MERCHANT RANKCD INTERCHNG 971160913887 9 L000 - Credit Lard Processing Fee j 12; /i tr 1 2 cJ " 67 4- 12/10/2021 PAY PLUS ACHTRANS 4525792911010DO692639371 -3rd. Party Payer Fee 5 ,au 12/10/'2021 EXPERTPAY EXPERTPAY 746001409100DO13899457 -Child Support Payment -Payroll Ending""""' $ '•'xww 4 T 1 2 5 " d / "- 12/10/2021 AMERISOURCE BERG PAYMENTS 010OW7768210DO02 - 340B Drug Program Expense $ 1,474 o e 00 * 12,10/2021 ACH payment TSY5/FRANSFIRST DISCOUNT 39300982541616.6110 -Credit Card Processing Fee $ 77; 12/10%2021 ACH Pay111ontT5Y5/TRANSFIRST OISCOUNT413998013324196110 - Credit Card Processing Fee j 43! 12/10/2D21 ACH Payment TSYS/TRANSFIRST DISCOUNT 413998013683976110 -Credit Card Processing Fee $ 61; 481,1&7 January 10, 2022 Anthony Richardson 1T111� Memorial Medical Center t PM14Vl Lk ;r01.06.IV CL iL, PROSPERITY BANK d( N-vilmJtrl- a2' Z7, sI ('L' ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT —ESTIMATED ACH r if" K4y* wA,( I7.•Ufi-21 Cc• Date. OostrleHon MMC Notes Amount 1/15/2022 Retirement 1/Z0/2022 Sales Tax 151�8g9 VI/L— ��/�a�/gypx,a$D �—gY'e'FRI�GYVrO 153,096 January 30,.2022J ^ MM''YY N 13 2022 Anthony ' khardson Memorial Medical Center BY COUNTY AUI�iTIR. CALHOUNCOU ,zro 0 Kic A- Y2UA-� t U I+ IS I Z Z Date/Time 01.04-2022/01:42PM Submitted By Pay Date 12.31-2021 Employee Deposits $66,409.16 Employer Contributions $85,476.89 Group Term life Premiums $0.00 Total $151.886.05 Comments Payroll File December 2021 Retirement Upload.xlsx V-/ RECEIVED BY THE COUNTY AUDITOR ON JAN 10 2022 CALHOUN COUNTY, TEXAS O I I Z012022. (2) Confirmation: You Have Filed Successfully Sales and Use Tax TaxpayerlD:' UserlD Reference Number. Date and Time of Filing: 01106/2022, 04:93:31 PM PAYMENT SUMMARY Electronic Check State Amount: $917.02 Local Amount: $293.45 Amount to Pay: $1,210.47 Electronic Check: 81,210.47 Period Ending 12/31/2021(2112) Taxpayer Name: MEMORIAL MEDICAL CENTER Taxpayer Address: 815 N VIRGINIA ST PORT LAVACA, TX 77979-3025 IP Address, Payment Reference Number: Trace Number: CREDIT SUMMARY Credits Taken Are you taking credit to reduce taxes due on this return? Entered By: Email Address: Telephone Number: I Type of Bank Account:{ Accountholder Name: Bank Routing Number: Bank Account Number: Payment Effective Date: Licensed Customs Broker Exported Sales Did you refund sales tax for this filing period on items exported outside the United States based an a Texas Licanced Customs Broker Export Certifications? LOCATION SUMMARY RECEIVED BY THE COUNTY AUDITOR ON JAN 10 2022 CALHOUN COUNTY, TEXAS No in Total Texas Taxable Subject to State Subject to Luc x Sales Taxable Sales purchases Tax (Rate.0625) State Tax Due Locat Tax Lobal Tax Rate Local7ax Due 00004 14746 14746 0 14746 921.63 14746 0.02 224.92 SubTotal 14746 14746 0 14746 921.63 14746 294.92 Total Tax for Locations $1,216.55 Total Tax Due: S1,216.55 Timely Filing Discount: -$6.08 Balance Due: S1,210.47 Pending Payments: -$0.00 Total Amount Due and Payable: $1,210,47 ( State amount due is $917.02) ( Local amount due is $293.45 ) Page 1 of 1 MEMORIAL MEDICAL CENTER 01/13/2022 0 AP Open Invoice List 12.07 ap_apen_invoice.template Dates Through: 02103/2022 Vendor# Vendor Name Class Pay Code 13004 TUSCANY VILLAGE Invoice# Comment Tran Dt Inv Dt Due Dt Check D, Pay Gross Discount No -Pay Net 011021 - 01 /11/20 01/10/20 02/03/20 10,607.90 0.00 0.00 10.607.90 MEDICARE REPAYMENT Vendor Totals Number Name Gross Discount No -Pay Net 13004 TUSCANY VILLAGE 10,60T90 0.00 0.00 10,607.90 Report Summary Grand Totals: Gross Discount No -Pay Net 10,607.90 0,00 0.00 10,607.90 AFROVED 6re JAN 13 26,1 ACOUNT JAN 13 2022 Cafboun Coau VAa4tor files///C /ii.cers/eheiman/cnci/memmerl .ncinPtcnmhi9R547/data 5/tmn ew5rennrt44506_.. 1/11/7022 Request for Transfer of Funds hanger 0: Data Requested 1/5/2022 ryas Attar; Payer MMlare 1lemlhanceAdviceand EDB Requested by: Faren Campos IFm4ne7btaLmalelnstan avnprymml9rraceuPmenb Requestoes small IaBonziles[ulnvnc8onlavam.mm • yatknt Namp Ds1e415ervlmand Amm4tnf hymmf l Requestors phone easeema req Orman number 361-552-0226 RenilOanm Advice l0: cdeve08eryrenimcpm3 Olstdlt or County Calhoun mmartinel@LM3'poR fodut, Memorial Madipl Center RP*n Name RE4. R D DaMefService (RE I EP f n Tyxof Payment a u n an RoMblancendWom 1REODIREDI bSL y7a b!7 fnmi-lorfndifer R VOUR. unesftl In VdlRanwnt 11/30/2021 EFT 1222.99) ERS168393 MAR000026809 222.99 11 30 2021 EFT 774.931 ER6166955 NDAROOD026869 774.93 U11/2021 EFT 18issel SF7616679S MAROOM26869 8I5.58 t l/2021 EFT 120.721 EFTSIG97N NDAR000026869 12U.72 12/2/2021 EFT $ 1598.26 M6171183 NDAR0000268G9 55826 12/3/2021 EFT $ 13ND71 EFT6172650 NOAR000026869 302.07 12/611021 EFT $ 2.621.86) ER6174210 NDARD00026869 2,621.86 12 021 EFT $ (352.411 EFT6176753 NDAR000026869 352.41 12/8/2021 EFT $ (407.79 E96176599 VDAR000026869 407.79 12/9 2021 EFT 5 152.651 ER617MG MAR000026869 52.65 12/10/2021 EFT 5 (0.841 ER6178270 NMAR000026869 0.94 12/23/2021 EFT 5 (130,431 ER6179D77 MAR000026869 130,43 1211412021 ER $. 653,701 E116180448 NOAR000026869 653.70' 17 15/2021 EFT $ 118.00) ER6181767 MAR000026869 18. 0 12/16/2021 EFT (86.771 ER6183223 NDAR000026869 96,771 12/20/2021 ER 5 (725.931 EFT61B7090 NDAR000026869 725.93 12/21/2021 EFF $ 530.00) EFT6189168 NOARO DD25869 530.00 12/22/2D21 EFT 5 (1.522.52) ER6190903 NDAR000026869 1,592.52 5/23/2021 ER 5 (62.921 EF16192519 NMAR000026869 62.91 12/37/1071 ER $ 12.044.54) ER6194548 NOARD00076869 2,044,84 12/2812021 EFT $ 6t.69) ER6196530 NDARMN268E9 68.60 12/302021 ER $ (69631) ER6159660 MARM0026869 696.31 TOTAL j12'vall 12.770.11 Facility: By COUNTY CALHOUN COUNTY, TEEMS for Transfer of Funds Date Requested 1.4.22 Payer MEDICARE Requested by: RACHELARENAZAS Requestoesemail narCnalalSaalUSCdnVVilldne re."q Requestors phone number 7134703300 District of County DRA2DRIA Facility TUSCANY VILLAGE Advice and E08 taken against an overpayment., reeo.pmant, pkl AdVIM to: ¢levenaerfdmmc a lava mmanlner(vlmmcoortlavd Patient Name 18EOULREDI Date of5ervlce RMULEAMMMA Type of Payment IQWAMM Am.untof Payment show QD_ Nu r 9jWLKqMber ANon NeMab Enter fundsy VIFUMs111 No 9 YOURarMunt 11.2.21 EFT $ 253.11 EF761411S2 WO/CVDAR000026869 $ 253,11 Quo 12.78.21 EfT $ 136.E0 EFT6197034 WO CVDAR000026869 i 136.60 Due 12.29.21 EFT $ 2,109.90 EFT6199020 WO/CVDAROD0026869 $ 2,109.90 Due 12,30.22 EFT $ Lo23.la EFT6200376 WO CVDARWDD26869 5 1,022.70 Due 1.3.22 EFT $ W.05 EFT6202116 WO/CVOAR000026869 $ 60.05 Due 1.4.22 EFT $ 2,117.39 EFT6203412 WO/CVDARWO026869 $ 1,177.39 Due TOTAL 7 5,303.95 11 1 5,303.95 of transfer: �a JAN 17 2022 CH ODUN COUNTY, WO Request for Transfer af Funds Transfer 9: Ploo Attach; Date Renuested//512022 Payer Medl.re Remittance" who, and EGO Requested by: FamnCampes If." k t aten agatN! an wegNYmMt w rewe9mm Requester's emall Requestofs phone numb. 361552.0226 • Patient Name, Doleaf5<rvinaMMmuntol"mr eme qma T<ques anon RemlDanea Advk<W: cde4eneer@mmwor District or County Whoun 79^ariiDoaa9mmcPor Facility Memenm[MedI. Cepter paNeM Nime RF WRED Date of5ervke 0 eEKhWIEU, TYOeoipaement Amoum of pavmenl shown on MMMMMLdgwomw"I H Aldo. neede"Ater hladdISKIMnd2(a1 teyDNRmment 12299 11/30/2021 EFT 1222.99 E961M393 CVDARN0019557 110 2021 EFT 1774.931 EFT6166955 NOAROODRO557 ]]4.93 1311/2021 ErT 815,58 EFT6166795 CVDAROM19557 815.58 12/1 2021 EFT (120.721 EFT6169794 CVDAR000019S57 120.72 12/2/2021 EFT $ (SSS.261 ER6171183 CVDAR000019557 SW26 12/3/2021 EFT $ 302.07) EFT6172650 "CIAR000019557 30107 12/6/2021 EFT 42.621.86 EFT617411G CVOAR000014557 2,621.66 12/8/2022 Err 5 (352A1) EFT6176753 CVDARM019557 352.42 12/8/2021 Err S (407.791 EFT6176589 CVOARM0019557 407.79 ❑)9/2021 EFT $ 52.65i EFT6177746 CVDARD00019557 52.65 12 10/2021 EFT $ (0,m) EFT6179270 0DAR000019557 oA4 12/13/2021 EFT 5 1130.431 EFTE179077 OMROM19557 130.41 12/34/2021 EFT 5 1651.701 WGI604A8 NDAROM19557 653.70 12/15/2021 in 5 18.00 EFT6181767 NDA11000019557 IODD 12/16 2021 Err 5 (84.771 EFT6183223 NDAROOD019557 86.77 22/20/2021 Err 5 1725,93 EFT6187098 CVDAN000019557 725,93 12/21/2D21 EFT $ S30.011 EFT6189168 MARODD019557 530.00 32 22/2021 Err $ 1,522,521 EFT6190903 NDAROD0019557 1 S22.S2 12/23/2021 EFT $ 62.91 EFT6192S19 NOAR000019557 62.91 12/27/1021 EFT $ 12,4FT61954 CVDAR030019557 2,044.84 EFT (6W 193012/20/2021 ff668 CVDAMOVD019557 sab0 12/30/2021 ER $ 696.30 EFT6199660 CVOAR91341019557 696.31 TOTAL ("'770m)l 12,770.11 Facility: 2022 CALHODUN COUNTY r6XAe for Transfer of Funds Date Requested 1.4.22 Paver MEDICARE Requested by: RACNEL ARENAZA5 Requestors email narena7asLb seaowilh=e<are nel Requester's pnune number 713-770-S300 District or County BMZORIA Facility TUSCANYVILIAGE Advice and EOB taken aplmt an oeemavment orrecoupmem, Aka Advice to: ccievenaer@nimcconlava rOmY Im--- tmmmog`M PaII tp Date OFSbrvice RE DI pa t 7v0e of PavmeM LFmy-EFTI Check Number Clalm Nu Action ORded• Enter No pie P1mOS, shorn ort fund, Floreundr 1-1D tomber Y00RAIRNIM 11.2.21 EFT $ 253.21 EFT6141152 WOXVDAR000019557 S 253.11 Due 12.28.21 EFT $ 136.80 EFT6197034 WOICVDAROOM19557 S 13a.a, Due 12.29.21 EFT S 2,109.90 EFT6199020 WO/CVDARDDOOL9557 5 2,109.90 Due 12.3D21 EFT S 1,022.70 EFT6200376 WO/LVPARODDOL95S7 5 1,022Ja Due 1.3.22 EFT S 604.05 EFT6202116 WOICVDARDDDD19557 5 904,05 Due 1-4.22 EFT S 1,177.39 EFFGR03412 WO/CVDAR000019557 5 1.17739 Due TPTAL 5,303.95 5,303.95 n1: JAN 17 2022 BY G©UNTY AMITOq CAWCUNWUNrfITP b Request for Transfer of Funds Bansi4r a: Date Requested 1/5/2022 payer Medium Requested by: Faren Campos It"."mis .mall Oaontalez�lnmclS!etlnyga5om Requesters phone number 361.552-0226 Distsin crCounty Calhoun Facility Mem... I Medlal Center EOB c[IeSengermmmcWr mmalU: 1RS@mmsL4:. Patlen[Name UI EO base of Servke R UIRED 1l/30/2021 IVpeM PaYmlOt Chetk EFT AmMmow ouM WvanEshn on O;e4klfamber OJMILunkm Allen r 0,Fur.Enler funaaf-la/Fonda Nl R UIRED WOMMAN EFT (222.991 EF76160393 CVDAR0000018170. 222.99 11/30/2021 ER 174.931 EFT6156955 CVDAR0000018170 774.93 1211 2021 EFT 45.591 EFT6166795 WDAR000o018170 815.59 22/1/2021 EFT 120:72 EFT6169794 6VDAR0000018170 120.72 12/2 2021 EFT $ 550,26) EF3171183 CVDAR0000016170 559.26 12/9/2021 EFT (302.07 EFT61>2650 CVDARn00W18p0 303.07 12 2021 EFT 12.622.86) EFT6174110 CVDAR0000019170 2.621.86 12/8/2021 EFT $ (352,41 EFT6176753 MARO0W010170 351.41 12/e/2021 I EFT $ 1407.791 EFT6176589 CVDA901001119170 407.79 l2/9/2021 EFT $ (52.65) EF26177746 CVMAR000001RU0 52.65 12/10/2021 EFT $ (0.04) EFT6178220 CMAR00000111170 0.84 12113/7D21 EFT $ 1130A31 EFT6179077 MARD0f10019170 130.43 12 1412021 EFT $ (653.701 ERfilaws CVDAR0000018170 653.70 22/15/2021 ER $ (18.00) EFT61111767 CVDAROnOW16170 10.00 12/16/2021 EFT $ (W771 ER612223 CVDARWW0I8170 66.77 12 20/2021 EFT $ (725.931 EFT6187098 CVDAR=019170 725.93 12121/2021 EFT $ (530.00 Ef(5189169 CVDARWW0111170 530.W 12/22/2021 ER $ (I,S22.S2) EFT6190903 CVDAROOCW18170 1,522.52 12/23/2023 FFT $ (Q.911 ER6192519 CVDAR0000018170 62.91 t 12/27 1023 FFT $ 2,W4.8f1 EFT6194S48 MAR0001112 0 3.044.84 12/2a 2021 EFT $ (Gewl EFT6I96630 CVDAR0000018170 68.60 12/30)2021 ER $ 1696.3111 ER6199M CVDAR0000019170 696.31 TOTAL (32,7ID.111 12;»Oal m Facility: Facility; APPROvEDON CAAN COUNTTY, ITTT A LHOS Date Requested 1A.22 Payer MEDICARE Requested by: RACNELARENAZAS Requestoesemall rrarena[as(0mu yillaancare.net Requestors pnone number 713-770-5300 District or[ounty RRAZORIA FatIIRV TUSCANYVILIAGE Transfer of Funds JRance Advice and EOB loop N taken atalna an overpayment or recoupment, piei cant Name, Data of Service and Am0u rtof Payment from se amen request tone RomiNance Adviceto: ccleverieenann5ao11ave montName (REQUIRED Date of Service f&FOUIREDI Dateafpaymint Tux of Pavrxnt (Chet Rl IRmountor Payment shown an Check Number Claim Number A4fouo per. EPiL hnda M m Funds IN Nat to YOURasceunt 11.2.21 EFT $ 253.11 EFT6141152 WO/CVDAR000018170 5 253.11 not 12.28.21 EFT 5 136.80 EFT6197034 W0/CVDAR00001R17D 5 13R94 out 12!19.21 ER $ 2.109,90 M6199DZQ WO/CVDARWeD18176 $ 2,109.90 Uu[ 12.30.21 EFT $ 1.022.70 EFTGZ00376 WOICVDAR00001R17D $ 1,022.70 DUE 1.3.22 EFT $ 04.05 EFT6202116 WO/CVDAR000018170 5 604.0 DUE L4.22 EFT $ 1,177.99 EFT6203412 WO/CVDAR000018170 5 1,177.39 Du[ TOTAL 5,303.951 5,303,95 APPROVED ON JAN 17 2022 BY COUNTY AUDITOR CALHOUN COUNTY, TEXAS Memorial Medical Center Nursing Home UPL Weekly CaoteR Transfer Prosperity Accounts 1/17/2022 Prn,Nur tedrYr Mmu,n 6gInnM3 AD1 IRMW NSIXNN AmnvNleu Ynntlrmdle NUMn{ NUNn Hain{ ra, BW�m rltr-0ur 1NXNeNn Wa Y4rw Nome Ie.2R5.5B 16,19LL6 Q34,04].19 130,p36 e1 199,597.9! pant Balann 114,0 ,41 Vatlan[e W..1n aNPM1 100.00 AMENGROUPNOVOPP 14.338.47✓ IRA INTEREST RI INRA[3T MARINRRFST ✓ Adlun B4lenn/Thn31NAm3 MIS97.94 � 85,%5.25 85,)3595 431 51174 111.61r14 / 99,232.37 Oant Ralma I11,61e.)C ✓ VaXm[e uaw lne{I4nn two AMENGROUPNOVOIPP I4.20.51✓ MEOICARBREPAYMENTTOMMC 12,770.11 ✓ MfMfMERFPAYMEm TONSCANY 5,303.95 ✓ 1AN INTEREST FIB INTERS) MAN INTEREST J AdF98alann/r.W.,Amt 99.232.17 ✓/ 74,N646 V 73.916A6 1137,851,N ✓ 157.9s18X / 129,423.91 9an4 Ba4ntt ISIASLE, 4f vlNanw leavamulNN1 Icow MEDIWtERIPAYMENTTOMMC 12,770.11✓ MAEMGMUP NOY at" 10,3$3.87 ✓ MEDIEARE REPAYMENT TO TUSCANV 5.303.% ✓ IO,I61A9 ✓]0.061.19 y 9$,%2.1) 3/ 84,121.31 ✓N,011.311)9,65>.% 1/ 199E597a94 + 99,232, 1'1 + 129t423n,91 +,/•� 82tO5-2a68 + 1483541.94 + 658P8.4B-64; MMr'OnMEWaMn ryan SR00prllpe cwr/mmpgaenwnpnwne. Nae l: [oMeaounr Xe,eMndobnn o/SINNarMMCbWn[N W npfn nownr. )AN INTEREST FESIN1FMST MARINTEBf3T Adryrt Ba4na/Tnndei Arts 129,r23.91 V %,032.17 / B2,OS2:66 SUM 48aNn<e %.03L1] ✓ Vamntt uminpHNs 100.W AMENOROUP NOVWW 13.87949 TAN INTEREST FEB IN7EREA MAN INTEREST AeluR Baunu/Ennuer Am: A2ASL61 R9.75T05 / 14LS41.94 eanS Baunce P9,)A 05 ✓ vamnce l{aw In W{nn I00.00 AMARIMPMOVGIPP 130r3.06✓ e�P9 fFF'j�AQ1lF_•w p� MiDICAAEREPAYMENTOMMC 12,770.11✓ V�CC✓J VV MFOICARE R[PAYMFNTTOTUSCANY 5,303.951/ BAN 17 2022 )AN INTEREST Re INTEREST H M �1EU Drrj OR ASWIt BalanttMRMc INTERi IESST lY.SIL91 CA4~vN C V'•' r. TWS TGT0ATRA715FEIe fist eY.N AERroved: A TTNONY RICNRROSON, CFO 1/17/2022 P\NN WWUI T,.,V lNNUn T.O., 3ummary37pRWnvaryINN UK Iun,Irt3ummarvpl.p3:1LJv 11I0X WHOW VmI11.104d -INEMd WMLMMMLIwIU I VII'ONO M A M1M1.M N• 21.21 CMummaoA..My. ARM MMCgN ON aPv/ .mq m tu111t27B alrlranpl an/L.mll mn/(mmq al4ge arrn xNIollax ui1Rw1 enn.Mee •e•Almdule 1os16 V14/201I MNL [CNONCC4IMPMT ]I6aN11110>VI195V6 4193.30 1.11I0 1/Y/10N YXF[PMMUNT IIXLCYIMIM11160pY119141L0 Ills,`. ld]L•1 ],2)LCS V31/30II UHCCOMMUNMILNCCANMPMIA600N5191wa )Y LESSON LMO.W VIVim2 YNC (OMMVXIIY PIN[CWMPMT]KOpN11960.'0 q,fwMBva�^ ,-"�. baw.n I5;A9a1 Vu]ron aonw 1,, �r uAull I5.0621 pu/i0l1 Am•Mlpupl%SC NCMIMPM])DWMMI Mt000 UlUZO22 pyN juuSb�1 ILYSN fk.usAI UMCCOMMUNIPIILMCCWMPMT]Ma3/tl N%W VIIII022 ROMEO HUMAN SVC MCCWMPMT AMY0N3Y003) - 0O'1).15032 1024.11 N.350.33 - 169)Xli VI1/2022 VXCCOMMUMnYPINLCGIMIWICI003411110N )]6,11 , 6.V V1VIO2 CA UMR]Pl H[(WMPMt MiwY1{M4Wl - •0;)1 431y 1165 VIORO] C41165 H.9p 1110I20II FOR •ECHO MCCGIMPMT]MaNIIMCaf%JIM - AmTNmurt#CN[CICI T3,7un4 N - LMAO 40191, - IASf30 VIOI3022 N1p1]S SOWM)N F li - )6934 ip9,)9 WJ20U HNI-(C PWff MMM6Il44JQ IRRpII NMI[tHDMCLNIMIMI ]NaM11MClWlWil /.4Y3) 9AY ss 40/3011 NWRK Spa]10N IIC[WMIMtf]HS)fla4lll] 1];N -IN.M 1I/2P21 NYMANALHABRp N(LWIMPM 110160/10.1011O - PIS,CO M.w 4P/3?23 AMkNIWOb!Y,C04M(•1/1}•MEnE tP, }2 t(51'1]IQOq. IW444 j�Miq ISAKN /CIW+At 14122 USIM622 wM[aul KHfOPONEALIx CK[CEMERITo Y.W6p .. VfRa1 UNCCOMMUNWILHL(WMPM]]IM41111914Y11 Sm.70 IN30 V6R073 UXC WMMUNITYPLNCCWMPMT ]f6tl1N11910m0 IA47,61 L447.61 30R022 NNB. ECHO NCC AIMPMC]1600M11 "CSJIM Y1" •V.N OtlWZ MmSmupl%SCMC[GIMrM] 3If9531N611100) - 1.f3Lll L5S 15120E VNIeJNMMUNx[C41MPMttf{MIII1NbM - 2Rb, E 6AU.a J/SROaz OMMUNnYIIXfCWMt 2,YL63 -1,66L63 Ill/]OR Al"30%N139f00 UArme MCMIWMFMTM - 3,0123 uOC COMMON "Il,NK VI/}OS UN[COMMVNM Pl X(CLAMIM]]C60BN31910000 - 1,p18 Amis I,bNS UIRO!) VXC[OMMUNIM1 PI H[CWMPMI 744433421114000 � ;MS.)3 Lw5.11 18,111A6 v' ]]LDIL39 ♦/16.A5N IfA16.N 3,1111.17 1b,A)L MMCMNIIpI1. arUnmq Iwo 7�,. LyyBgRP/Nmw aw/camel alrlfmo] wIM msn xx wlnox 1114/3013 UHC COMMUNM fIMCCWMPMI]YPt3411 110001 - ]%.Y 751.61 UM/ro21 UHC COmmumm PL NUWMVM(]4f%N1111MN0 J6AIS33 16,0IY VIV202UNCCOMMVN]IYNMCCWMPMT)ImIIII91wa - 1.621.12 ).62191 V12Rw1 u,.ft filial 2.11101 vul"22 NNB. [INONfLYIMPMT]ff00N11 tlp4Wl)]N2 - E.9%.l0 2.1%,10 VW101 NLµlASSONlSVCMCLWMPMTMS5I42 it JM - 3.f3301 -l.6IJ.01 UM/Ea1 NOVI1KSaWlbq M[WMPMLNKf]UwwMi 1SUSAG 91 -- VIV)aI aLMb55.W V0CA , f095 VIW4099 O ]A3f.91 V1 NNO- NIMtlMmaSIW 315I7. 3.611.).p ' VW202A HEALTH HUMAN VHlCAMMPMT VI5aNl13WI1 10513.07 IOSILOI VR02C6 107.93 I0/2921 MRP SvpPIwnMIf MCCGIMIMlJ1f%]I1l Yf]Y 9}].a - 917.5O 1]/2021 VN[COMMUNIb11NCCWMIMI >IM0N119100% Ulp -031 N/A]1 NOVRKfOLViMM NCMIMIMTmY51Ka00A1 p5f 91 ISfAf //l/]B2I AMEBNNIM(I,CBBMRµYMI'MfEglb;Bt5ifI4Ep: - iniat] lump 41391B :]VW]S2 3.411m Up12012 WIRE UNIT CANT" NEALMCAK Ct"m Of 1174646 - 1/6/10E1 VmINNMMUK XILYIMPMTNK0311111NN 12,17Oa - 121.7OAO V112022 UN[ [OMMUNIIY N MCf WMIMT NIWN11 fIp}w 0,2, 0.39 VS/30}3 UmMXCIMWPNC[WMIMf ]IMDMI3IIIlY 1.31Oa UNC COMMUMM PI MCCWMPMT HW2NIl - 9,30 U412022 Vf12013 UNCCOMMVN11Ytt lO= MTms,24z f im Saww S.M4E0 EAMON wimp VllIOl HVMfN,[{XAONB W.LGIMpM]3NB61f10.CU3p65 1.10a; 1,3N.a ),Ip Op �II,aO1i Y.ISS.IS'y NLSII.H a21536 SI,Sp911 1NAf1) MMO ON aAP/C9np1 njLi-]I6 aN/amN &tAw OIIPn fl" BTvH VN/2012 OIpNI 2H}L39 - 11,11659 VNR0l 2MMO[ANOXRIA6MNS OMNIOOOa0w%032N11 f,5)f.Y - 6513N 11NR021 UH( COMMUNITY PI HC(WMPW 746ONI101C0a IS,MI.73 .01 IS,I59- VV/)0;1 MUMAMAIW COMC[WIMpMI lf01411](0W5531fi1 Sd1911 - I,l]9 C1 ]/IlIlOR NVMMM[NAOUBM[CWMIMI i90W M0a0VY - 34NBIl 41KA1 VNRO13 Y6PSu0P2MIMM NCCNOAPMT)IfaNl1MMN (193.W - Ir453.a IllilEOE UN[[OMMUNOYttNCCWNIMI )I6OYM pwa f1,114.b IIAK.b VIV422UNC LOMMUXRYPI HLLWMIMT i460N11f1000l SO.O1:y - 1440tN VIVN23 NUM1X),INS COMCMIM9Mi )101N YW.]l IIN1 10.111 f6 IO,V].16 11101IO22 COIN 3617 VLO/IO3] C12M 116993 - VbROR MANAGGMOHSTIIIIMMSPMNTO04MlOA3711.1 319M - 31130" VtOROH NOVRKSOWIWNN[[GIMPMT6]N}]gamut •M3i 6q )) Winn CA 306 10191 11/A21NNB-KNOXCtWMIMT74C%M1144010011933Z - 6.104,43 • 0.1043 Yf/1CI1 A11i416ApV.GOBq[•R.jYAl11R EF5111MJ11IlY0U'. + 'ILML14 1.40aH info IIEs"m 3,"T" VIM22 WIRE WrGNIN ImAIMGK CENTERS M TLNUpS V6/102 UndedNnMun NCCYIMOMT IfO]MII 32430 I.OA.a 000 VS/]022 rMMAUFAH0N3TIT14MWPMXT�a IW$641 37ma IMRO13 XNB'1CNQXCLGIM9MT]IfaM11110(VOMMIb 9,]9L)0 AmO.aw 1/IR0!) XOVRN Sa03KM XCLNIMPMf fIf323f2fQ005 V:99B35 9,)SLJO 4I1101 VNC COMMUNM PI XCCMIMPMY 71{WN11plaCO 4.791.61 11.1%35 1 - Uf6M 13.N6A6 J Y),INAI 101a9 ]JfA]t 10.S%j,7t MfAI MMCPATIa1 ONP/LOmq Tva1TEL41 Tm"Nm.l" alro/romN WFICUnvl m1p/INmg auvM arin NHIMnax VLIR023 UHC COMMUNm PI NCCGIMPMT 74MUII 910N0 6A161f VlQlml VNC C" W P4 HCCiAWPMI ]1fw)11111062 1,61413 6A1616 HUNUU HUWNSYL N[fLflMplNi li1a0N313D%2 33,E6]AS l.SY.21 111}Ra2 uuntEM rAANN O 6,11L9] 3f,16],IS UNC 1/1I/1K1 UNCCOMMUNPYPIMCCWMIMTMCOlM11,0. 11P)0.N - 4120.m 11VNM UNC WMMUNRYNNCNIMPM]]IfwI1M91b00 ]A%.92 {1.S10.a 1/im2m1 aNtl BRA3A%93 V Ia2m) HYLSII HUMAN SVC HIMLAIM MTI]l6NMillw6l }316.a VI/10) UXC COMMUNITY fI NKLAIMPMT M6aN119141N 13".m LrN60E 692411 F\NM WaNlllrantlml4nL ppWnNPb We1MPpi1\;ORVanuaMXX 4n3 W g W.d Il-0)•211MV040b]Oli Vn R, 2 4;/;OU NMFy69WVCOgPO WAYMFXf [[5iU161?1110W - IIgl;Llk "10,1i1>3f 4Wq U,g1}y; lAfE3l Vf/20}}WI9[W)[PNIO NOOMC/JI{C[NIF1f 111 IO.gSSi , VSJ103E UXCCOMMVMIIY Ol MCC41MIMTM6WH11910000 f.11;S1 5.]]xs3 lOANIf 93AH.1] NSO}2bI5 9}pA) b,9yM O2Af2,H MMCgPTOM mPrl m p jMDpL.gyE ]pDlQOy mHk[awM mH/CYmp2 m%/[empl WpM OpPll XNPORTNN Vlgxml UN[COMMUXM PINCMIMIME)4mIC119100]0 3,Im]1 - I,IOIp; V14/202 UNCCOMMUNMPLNCC41M)ME]CM ),sill lAU2I(S= 141MU VXCCOMMUXIIY PLX[C41MPMi ]al]H3I910Lg1 a1163] L516,9] M121WIx UU12012 4,141.25 UHCEO ViV2022 VXCCOMMUXMCCVlMPMTM]ySWWlSSJH3 x1.1p1.16 30 , USA$ 11.7'sm U1Vmx) XVMNXIIW CDNCCIMMPM)39mi13100WS l,]x5m - lop]s.b] l2M U13/]WI XUMAXup D48UMn NCC41MPML69WIM&JIIM 9,7002 - 3..]BSm NCC4IWM)1169W9IIlISI Ullpml A,MmjfflUnCCOM - l6,12267 13dOt01 UN VIUIWi VMCCOMMUXM ILM[[WMILff H6Wy119lO1Pl - 6' 62)6) 6.622.67 UIV10y VMC[OMMVXMpLM[[41MPM3>l{WI11191mm 61,9s 61.92 V1Ulm} NMIIN NYMXNfV[NCCWMpM]1N[mH113m]1 L6Y).A 1,6A.I3 VIO/lml Cx 12 V1W;m; [R 29 1,91993 , VIW2032 MMrtimp LAI Cl PW]INWOmmm1Ulal YnlriMwp TASC HCC41MpM] 3169)6HO011ltly .W6, I,SM.61 U.iM.6] wawl CK 1I l0)Sf Ma" WW /;OU p - 9311,76- 9.Stl.i6 Wa l 1/)/2m2 VeMNINVMun XCMIMPMi]IOCOlatt tkaL - m - U1/Im2 unPryeauP lxfCNG41MIM131N)WUtiSOm - ]N.0 MCI Mal VI/20y UxCCOMMUMM%NCCWMPM])l6mHIl910.W - 1161M - 1163535 1n/kmi NUUIFA011/mHDf•Ml'MH{ltPl]MIbU WOCo )SHIM 10.l9).iC: o"'al t9011AS: 1.511.31 VW2021 WlPf aurGMIXx4LM CMFCENrtlum - Cl.ml.m VW2W; UXCCOMMUNMKX MIM])C6m141191mm 3,969.W - LH9.W 4VSm1 XmPNM%p lR1C MCCLa1MpM)916UmiIl111m0 301.Pf lom V41I01 NM MWLUWNNC WPW67010axmml75 MIX - JMVI Vl/1ml MUMANAINSCO XCCWMPM{3MIm tiWPR9Wf !S)!AI - 1,39133 V2/2W]NVM.LXa IX1CD IKMIMPMry9g6161WP1f4%} H,9HA1 - H,9KA3 UVlmi xuMXAH[N.V [yBNC[WMPXV f901mlODYWU63 - 7;944.m ),lf.W ltqmWnQI2 H,'sewM. - 13.950,m UKCQIMUWftBNCCWMPM37W MltmtCN V3/!m3 YXCCOMMVNMPIM[MIMPMH26WH1131OD:0 � 2g16.W 3.i;b.W MT) M,OII.H IH.N1 ; IO,W)1a S.m).6! 1)pIlA9 1C4816i0 )H2OHN H95ftll9 U'lla 1 D}NA) M2131 713,17Lh 1/17/2022 Treasury Center Quick View Select Quick View Accounts Select Group Account Number/Name Groups Accounl TypeIF Add Group M11y Grcups 7A Data reported as or Jan 17, 2022 12 Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 $7,189,546.21 $7,109,887.97 $7,189,546.21 $6,905,098.47 '4551 CAL CO INDIGENT S5,37072 55.370.72 S5.37072 S5,370.72 HEALTHCARE '4454 MEMORIALCREEK MEDICAL NH GOLDEN C S116,671.50 S116,671,50 S116,671.50 $105,097.30 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES S536.06 S5X06 S536.06 $536,06 2014 '4357 MEMORIAL MEDICAL S4,606.977.56 S4,517,146.43 S4,605,977.56 S4,517.777.25 CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE $431,56 $431.56 9431,56 S431.56 WAIVER CLEARING '4381 MEMORIAL MEDICAL $234,036.41 S234,887.51 S234.036.41 S177,526.76 CENTER INH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH S131,614.74 ,/ S131,614.74 S131,614.74 S85,803.66 BROADMOOR '4411 MEMORIAL MEDICAL S157.951.84 ,/ S162,636.13 S157,951,84 $157.951.84 CENTER I NH CRESCENT '4446 MEMORIAL MEDICAL S96.032.17 ,/ S96.032.17 S96,032.17 $51,764,11 CENTER/NH FORT BEND •4438 MEMORIAL MEDICAL CENTER SOLERA AT S179.757.05 ✓ $184,394.55 S179,757.05 $164,936,96 WEST HOUSTON '2998 MMC-MONEY MARKET S1.109.331,22 S1,109,331,22 S1. 109.331.22 $1,109.331.22 FUND '5506 MMC,NH BETHANY S269,883,08 $269,883.08 S269,883.08 S269.215.08 SENIOR LIVING '5, 441 MMC -NH GULF POINTE PLAZA- $81.328.29 $81,328.29 $81.328.29 S69,426.29 MEDICAREIMEDICAID '5433 MMC -NH GULF POINTE $37,442.74 S37,442 74 $37,442.74 S35,611.36 PLAZA - PRIVATE PAY .3407 MMC.-NH TUSCANY S162,181.27 S162,181.27 5162,181,27 S154.318.30 VILLAGE r https:llprosperity,otbanking.com/onlinaMessenger iry Memorial Medical Center Nursing Home UPL Weekly Nexion Transfer Prosperity Accounts 1/17/2022 A rl Previous Bellnning 139,2]8.35 NaN:OnNtbbnarojeYer$5,800 will be fmmhned ro fhrnunlfpheme. NPN}: Exh orraunrhmo hore6obnmej5l W fhotMM[tlepmfbtlro oxm Aetpvnf. JAN 17 2022 BY COUNW AUDITOR CAW OUN Comy, MIAS Pending Amount to Se Trrndsnrd to Nuning - 118,6]1.50 Bsnk Belena 116,6]1.50 Voienoe L.... In 831ence loom BAN INTEREST FEBINTEAEST NIAe1NIEREST Adjust Boo./Transfer Amt 116,571.50 APo.& !"-t . 1 • V V PNnION(RIMA8810N,040 3/17/p32 P:\NN Week1Ylrvmfvl\NII UPITINdb SummYYN03]VenPery\NN UPlifulptt Summfry0183.i1.du MMC90pIlOX a)P/GUWI Tnnthr0ul Tnmlmin WPP/GmOt NPI/GBIPi I1WI/GT9) 4BIfi PORTIGX 4lNOli 13K/iMN531MIMWSNRI SID)NSffp)691)9 ;16ZB6 41D/Dol2 KK/T N3330]Bi]9 b]OLW b,]OiW HUMANSWHC UQMP.T 41q/20]3 HEALTH HUMAN SSCNCCMIMPMi 04600341130112 ],]M33 D,1»H IIWVIN2022 OIWDN D}iSD.9i 0},SiAW 1/1»20fS RK/iPI.NSXML BCCOSRMi3136N5350]69I)4 q,]».W q,]4.W RK/INCREEM ;33LW ;E35.W WIOMCB MTAKAKMT5i26YSSSODD014 41420 12 1.56"W ;1A.I3 MANS C KCtAOFP 2 114601WtlU>] NELLMNYMI.HlVC NCCWMVNi I]24My1130112 5.565. W S,SbS W UIWZ021 CA350 26.18 VIW2022 41W10}} CA 151 );M1.91 IJI0(2032 RK/IMUNMNTNCO SUMT - 9.50]AO 9,50720 INVICE 105RMM55f01693]9 4t0/lW} ACHSFKLEMMi3FRVXl Ol055}3D39 %01691Si3 2,544A0 .HU10 Sgp032 OepmN }],]5;01 1].]5)02 NMEMHUMAN SVCAlTh 9,M2.R 9j12» NAMI426WHf130113 W13022 46]]011 WIREOYi MFigH XMIM ATOgOENQIER 62,2R66 , 11111 RK/IMHSSIMIBRC0311MTH3W5550]691]9 }ISAS 103.98 W/2022 7SR/IMMfIMTBRCOS]IMISI36N3SS0769E79 2.7I2.00 1I)JIM2 K/IMNS)INTBkWSlWi N36NS55O691]9 - 391.9E 292,92 IJIM33 IIf.S1l.W lllb73S0 111712022 Treasury Center Quick View Select Ouick View Accounts Select Group Account Number/Name Groups .Add Grnup Account Type My Gruups Search Ail DDA Data reported as DI Jan 17. 2022. 12 Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 $7,189,646.21 $7,109,887.97 $7,189,546.21 $6,905,098.47 '4551 CAL CO INDIGENT S5,370.72 S5,370.72 S5,370.72 $5,370.72 HEALTHCARE '4454 MEMORIAL MEDICAL! NH GOLDEN CREEK S116.671.50✓ S116,67L50 $116.671.50 $105.097.30 HEALTHCARE •4365 MEMORIAL MEDICAL S5W06 $536.06 5536.06 S536.06 CENTER - CLINIC SERIES 2014 '4357 MEMORIAL MEDICAL $4,606,977.56 $4.517.146.43 S4,606.977.56 S4.517.777.25 CENTER• OPERATING '4373 MEMORIAL MEDICAL $431 56 S431.56 S431.56 S43L56 CENTER - PRIVATE WAIVER CLEARING '4381 MEMORIAL MEDICAL S234.036AI S234,887.51 S234,036.41 $177,526,76 CENTER NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH S131,814.74 S131,614.74 S131,614.74 S85.803.66 BROADMOOR '4411 MEMORIAL MEDICAL S157,951.84 S162,636.13 S157.951.84 S157,951 84 CENTER/NH CRESCENT -4446 MEMORIAL MEDICAL $96.032.17 $96,032.17 $96,032.17 $51,764.11 CENTER I NH FORT BEND '4438 MEMORIAL MEDICAL $179.757.05 $184,394.55 S179.757.05 5164,936.96 CENTER /SOLERA AT WEST HOUSTON '2998 MMC-MONEY MARKET S1,109.331.22 $1.109.331.22 S1,109.33122 S1,109.331.22 FUND '5506 MMC -NH BETHANY $269.883,08 S269,883.08 S269,883.08 S269.215A8 SENIOR LIVING '5441 MMC -NH GULF POINTE PLAZA- S81,328.29 $81,328:29 $81,328.29 S69A2629 MEDICARE/MEDICAID '5433 MMC •NH GULF POINTE $37.442.74 S37,442.74 S37.44274 S35,611.36 PLAZA, PRIVATE PAY '3407 MMC •NH TUSCANY $162,181.27 S162,181.27 $162,181.27 $154,318.30 VILLAGE hitps://prosperity.olbanking.comlonlineMessenger 10 Memorial Medial Center Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 1/17/2022 Pn 0.n0YMte& 4Swnt arJirtMN Pnklna TnnlrRrdtp N Nrmr , MmeMr, 41uw Sns's3zeN raNrnln tlr tliwd 0. iaN 1 4Wn X Xanr IeS.W1.1} IOS,SJ3Jl cl l6tpJ1I] 1@.3M.2] 1R,adfi.Sl 4014Nnn 161.1611) Vrrpnie Note: uW IgioMn a/pwr5;000vaN RmgmN tr mrnurtuphanr. N>r TfoNrrrowtRm pamradonnpl JtWtRMMM<depmrtrdmcgmat<pwf. wflWvoic" JAN 11 2022 Sy COUNP, W.knoJ. seem "INOROYPNO/WPP OS's.6 ✓ Wl R}JSRLST fUM)FRFJT MM W iAFR MIn144rce,JRli��kry�M. e t W rC21 MONONV RICNrRO60H•00 MMC PORTION QIPP/CPmp4 Tram/er-0ut er-In QIPP/Comps gIPPlCamp2 Qlpp/(amp3 61apu gIPPTI NH PORTION 1/14/2022 NOVRASSOLU]IONHCCUIMPMT676201420000126 - 7,862.97 7,852.97 1/12/2022 DePwit 59,795.72 - 59.795.72 1/7/2022 0epwit - 34,351.21 -34,951.21 1/7/2022 KS PLAN ADMINISTHCCUIMPMf 179311000026502 - 7.760.00 . 7,760.00 1/7/2022 REO 391{36;1f01p 23;917.08 lb];3;0; Td24:0; 19535.08 3,B12.03' WIRE OUT INDA 1/6/2022 WIPE OUT 11N8AR ENTERPRISES. LLC ENTERPRISES. LLC 105,531.82 - t/6/2022 NOVITA9 SOLUTION HCCUIMPW676201420000120 - 951.88 - 951.88 1/5/2022 HNB-ECHO HCCUIMPMT 74600M22440000253370 - 1.290.79 129079 1/5/2022 NOVITAS SOLUTION HCCUIMP61T676201420000103 - I7.660.84 - 17,660.94 1/4/2022 NOVOASSOW ONHC(LAIMPMT67620242000175 - 9,060.80 - 91060.80 10%531.82 1E2,081.27 15523.05 7.624.01 19535.06 S4E,54632 111712022 Treasury Center Quick View Select Quick View Accounts Select Group Account Number / Name G_roupe. Account Type Add Group My Groups t_.^ Data reported as of Jan 17 2022 12 Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 $7,189,546.21 $7,109,887.97 $7,189,546.21 $6,905,090.47 '4551 CAL CO INDIGENT $5,37072 S5,370,72 S5,370.72 $5,370.72 HEALTHCARE '4454 MEMORIAL NGMEDICAL NH GOLDEN CREEK S116.671,50 $116,671.50 S116,671.50 S105,09730 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES $536,06 S536.06 S536,06 S536.06 2014 '4357 MEMORIAL MEDICAL S4,605,977.56 $4,517,146A3 S4;606.977,56 S4,517,777.25 CENTER -OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE S431,56 S431.56 S431.56 S431.56 WAIVER CLEARING '4381 MEMORIAL MEDICAL $234,036.41 S234,887.51 $234,036,41 $177.526.76 CENTER INH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH S131,614,74 S131.614.74 $131,614.74. $85,803,66 BROADMOOR '4411 MEMORIAL MEDICAL S157.951,84 S162,636.13 S157,951,84 $157,951,84 CENTER INH CRESCENT '4446 MEMORIAL MEDICAL S96.032.17 $96,032,17 $96,032.17 $51,764.11 CENTER/NH FORT BEND '4438 MEMORIAL MEDICAL CENTER I SOLERA AT S179,757.05 S184,394.55 $179,757.05 $164,936,96 WEST HOUSTON -2998 MMC -MONEY MARKET S1,109,331.22 S1.109,331.22 S1,109,337 2 $1,109,331.22 FUND •5506 MMC-NH BETHANY S269,883.08 S269,883.06 5269,683.08 S269,215.08 SENIOR LIVING :GA MMC -NH GULF POINTE PLAZA - $81.328.29 $81,326.29 $81,328.49 S69,426.29 MEDICAREIMEDICAID •5433 MMC -NH GULF POINTE $37,442.74 $37.442.74 $37.442.74 S35,611.36 PLAZA - PRIVATE PAY '3407 MMC-NH TUSCANY S162.181.27 $162.181.27 S152.181.27 $154,318,30 VILLAGE r https://prosperity.olbanking.comfonlineMessonger 1/1 Memorial Medical [enter Nursing Home LPL Weekly HMG Transfer Prosperity Accounts 2/17/2022 rre:wul AmonN In B+ attwnl biinniry vmalN Tr+mlmed3n Nunl Nam Numh+r Wm[e Rnmin.dr b+ndeeln [Y (len[d led+'fb MN B+4rue Nunrn Nome ,._ EiPh�1:"19f»BIW}'''>iI'! r {� 3].0)OW 31,B113] I},1f6Po 31,U]]1 G95.31 a lave fp bhnu INCD UNIDENTIFIED ECHO PAYMENTS [NO ON" "Mgt WRIMN MR WE WOUNr VET) UTAI ✓ UONkirOPPUndMNbul+d E1,7E1.11 P'". Mrou NVrNn Nmme ' W WYtlllirip4Ff'Md�M:��7 .. .. 'e�:. xxr: DnNDNmtn al PVN siDROFw#bevNulNrMFONenwrm9M1an(. Novel: FmM1+aormtbf obmebalAnun15100 gvFMMCdepeulVdrooe+Yl oerowl JAN 17 2022 BYCOUNTYAUDMOR CALHOUN COUNTY, TE)(Aq IANINTEREST FERINTERMT MLR INTEREST Adjual B+l+n[ef}rynSl+r Mn1 SA9S.3] Amwnl lv b v+ndlq Lmddmdm IL22B 29 ✓ - f1AJ11G Vrtnn[e Yp.<mB+l+nu ID1.00 y LAN INTERFfT FEB [MEREST MMINTERE[T Adjufl b+luw/TnnARINVI1 B4EILK TOTAL TMNSHRS IE123.41 / gHTNOVIERCHARDSON.CM F 1NN wwMr.mm+LNn.11 rnmrwsunrn+mxoau.nerrrlxM Yvl fi+nansunmrnm. 11 v.n.. 1/16/2032 HUMANA INS CO HCCIMMPMT6M981830030534264 1/1411022 HUMANA CHA 0130 HCCUIMPMT 624992420W01206 1/14/2012 AFTNA H09 HCCIAIAIPMT/922092790 J11N207E611 1/12/2022 HUMANACHA OHB HCCUIMPMT 6249024200001099 1/11/2022 HNEI ECHO HCCUMMPMT7460D341J M0000295132 1/11/2022 HUMANA INS CO HCCUIMPMT 6249628300WS1162U 1/11/2022 HUMANAC DISO HCCLAIMPMT 124981420MI303 1/11/2022 AETNA ASOI HCCUIMPMT 1522092MO SIODO0IZ199 1/20/2022 CK 1%9 2/10/2012 CK 102D 1/10/2021 HNS ECHO HCCUIMPMT746003411"D000251888 1/20/2022 HHt ECHO HCCLAIMPMT746003411440000251892 2/10/2022 AETNA H09 NCCIAIMPMT 19220927" 311002073141 IR12022 NOC SWEEP FAC 4281 21000016382465 SWEEP PR 11311022 AETNA N09 HCCUIMPMT 192209270 311002008612 inn V1,112022 HEALTH HUMAN SVC HCCUIMPMT 174600341130II 2 1/12/2022 04PPIH 1/10/2022 CK INS 1/10/2022 HNO-ECHO HCCUIMPMT 746003411440000251404 Ip12022 D4pOW IR12022 HEALTH HUMAN SVC HCCUIMPMT 174MU113013 2 IX/2022 WIRE OUT HMG SERVICES, LUC V5/2022 HEALTH HUMAN SVC HCCUMPMT 174MI4111013 2 PANIC PORTION QIPP/Cpmp46 NH T.PY,"o TTov(ervin QIpplC pl QOp/C pl QIN/CpmP) YpH QIPPn PORTION 225IN 22$.04 74000 740.00 96SS4 6fi5.9d 1.300" 3,309.91 54.79 - 54.29 1,10906 1110906 6,939.99 8,936.99 S050.00 3.85060 0351 31,729.91 _ 2862 2862 1705 LT.5 9.SD7, 28 2.90T 20 12,521% 12158.90 1205 17OS 3L813132_ lL18606 32,186.06 NAME POINNON f81P1EOm1411. NH TMndervOUE n erin O111(Oxnp1 QUI/ComPi 2R,gfamp! YPw OIPIn PORTION 11,90209 11,901 00 19.495 81 29,475,81 2055 - /.4S4.47 1,45 47 11.6 0.32 I3,6E032 8.93969 8,93969 24,21076 ❑,29600 12,29600 St.139.11 BL22619 BL23p,29 55952.63 ifltl/35 313 /11.35 V1T2022 Treasury Center Quick View Select Quick View Accounts Select Group Account Num4er/Name Groups Accounl Type Add Gnnq, ,ldy Groups r DDA Data porInd as a1 Jan 17 202', 1" Account Number Current Balance Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 $7,189,54611 $7,1D9,8117,97 $7,189,546.21 $6,905,096.47 '4561 CAL CO INDIGENT 55,370.72 55,370.72 55, 370.72 $5,370 72 HEALTHCARE '4454 MEMEDICAL) NH GOLDENOLDEN CREEK 5116,671.50 5116.67150 5116,671.50 $105.097.30 HEALTHCARE '4365 MEMORIAL MEDICAL CENTER - CLINIC SERIES 5536.06 5536.06 5536,06 5536.06 2014 '4357 MEMORIAL MEDICAL 54.606,97756 54,51T 146,43 54.606. 977.56 54,517,777.25 CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE 5431.56 543L56 5431.56 S431,56 WAIVER CLEARING '4381 MEMORIAL MEDICAL 5234,036.41 $234.887.51 5234.036:41 5177.52676 CENTER/NH ASHFORD '4403 MEMORIAL MEDICAL CENTERINhI S131,614.74 5131,614.74 S131.614.74 585,803.66 BRCADMOOR '4411 MEMORIAL. MEDICAL 5157,951.84 5162,636,13 5157,951,84. $1.57,951,84 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $96,032.17 $96,032, 17 $96.032.17 551,764.11 CENTER / NH FORT SEND '4436 MEMORIAL MEDICAL CENTER I SOLERA AT 5179,757.05 5184.394.55 5179,757.05 $164,935.96 WEST HOUSTON •299fi MMC-MONEY MARKET 51,109,331.22 51, 109.331.22 S1,109.331, 22 $1.109.331,22 FUND *5506 MMC-NH BETHANY $269.883.08 5269,883.08 5269,883,08 S269,215A8 SENIOR LIVING '5441 MMC -NH GULF POINTS PLAZA - $81,328.29 $81,328,29 581,32829 $69,426.29 MEDICAREIMEDICAID '5433 MNIC •NH GULF POINTE $37, 442.74 537,442 74 $37.44274 535.611.36 PLAZA - PRVATE PAY '3407 MMC -NH TUSCANY 5162,181.27 5.62,181.27 5162181.27 $154,318,30 VILLAGE r https://prosperity.albanking.com/onlinaMessenger it1 Memorial Medial Center Nursing Home UPL Weekly HSLTransfer Prosperity Accounts 1/17/2022 nMals McMprt NYNn Nmm� Nate: 0*NW. a/r3v SS.aaar.Warbant/w[[d 1. fMnunu9nane Novel: earl) anawf hn a borNiMw alSim raat mmcb dwtoM a t. JAN 17 2022 BY COUNTY AUDITOR CALHOUN COUNTY,TEXA9 N i,whmdlr Nnk Nl3nu Wnan[r Ie3w In a[Ynu WIINIFpE31 rtlIM101a3] MMINIF gdlu[l n/hentlwAm, SH ]33.01 rd AA, LN1N 1/3]/]allyl�/3]/MSI IMHW lnnYmVIH VM SnnYnfumw[[!UWlWmnnWN Vninmfn3umm[ryY1.O1.11.,M MMCPOHTION QIPP/Comp{ Transfer-0sf ut TnneMn OIpP/Comps OIPP1Camp2 0IPP/Comp3 ilap4e QIPP TI "PORTION - 568.00 668.00 - 12,548.74 12,50.74 - S1799.88 5,799.68 - 106.048.23 - 106,048.23 - ]2.84✓ 7,002.26 - 7.002.26 ' 7,27200 - 71272.0 - 39,20.69 39,280.69 323.79 123.79 2W,139.9]! 61196.41 - 6,196.41 - 8.027.78 8,027.78 • 6.291.00 6,291.00 - 5.565.00 - 51565.00 A92.00 Site 74 S6U4 , 1/1412022 HEALTH HUMAN SVC HCCUIMPMT 174MU1130162 1/23/2022 Deposit 1/13/2022 HEALTH HUMAN SVC HCCUIMPMT 1746DOM1130162 1/1212022 Deposit 1/11IW22 Deposit 1/10/2022 CK L0p8 1/10/2012 Deposit IM2022 Deposit 1p12022 Deposit 1/712022 HEALTH HUMAN SVC HCCUIMPMT 174MU113016 2 1/6/2022 WIRE OUT BETHANY SENIOR LIVING, LTD 1/6/2022 Deposit 1/5/2022 Deposit 1/5120" Deposit 1/5/2022 NOWTAS SOLUTION HCCUIMPMT 6764814211000103 1/4/2022 ckl6Mdep01/03 YC{V.T9.a d 4cIL 1/4/2022 0eposit 12,90S.a4 12,905.44 1/4/2022 Deposit - 40,697.44 - 40,697.44 1/3/2022 Depo0t - 11,063.0 11,063.68 207,704.t1 i1,275.0t / 2702TS.OB 111712022 Quick View Select Quick View Accounts Account Number / Name Account Type r Search All ODA Account Number Current Balance Treasury Center Select Group Groups Add Group My Groups Data reported as of Jan 17, 2022 1 Available Balance Collected Balance Prior Day Balance Number of Accounts: 15 $7,189,546.21 $7.109.887.97 $7,189,546.21 $6,905,098.47 '4551 CAL CO INDIGENT $5.370.72 S5,370.72 S5,370.72 $5.37072 HEALTHCARE '4454 MEMORIAL MEDICAL I NH GOLDEN CREEK $116,671.50 S116.671.50 $116,671.50 $105,097.30 HEALTHCARE Am MEMORIAL MEDICAL CENTER - CLINIC SERIES S536.06 S536.06 $536.06 S536.06 2014 '4357 MEMORIAL MEDICAL S4.606,977.56 $4.517,146.43 S4,606.977.56 S4.517.777.25 CENTER - OPERATING '4373 MEMORIAL MEDICAL CENTER - PRIVATE S431.56 S431,56 $431.56 S431.56 WAIVER CLEARING '4381 MEMORIAL MEDICAL S234,036.41 S234,887.51 $234,036.41 S177,526.76 CENTER NH ASHFORD '4403 MEMORIAL MEDICAL CENTER/NH $131,614.74 $131,614.74 S131,61474 $85,603.66 BROADMOOR '4411 MEMORIAL MEDICAL S157,951,84 S162,636.13 S157,951.84 $157.951.84 CENTER/NH CRESCENT '4446 MEMORIAL MEDICAL $96,032.17 S96,032.17 596.032.17 S51,764.11 CENTER I NH FORT BEND '4438 .MEMORIAL MEDICAL CENTER I SOLERA AT $179.757.05 S184,394.55 S179.757.05 S164.936.96 WEST HOUSTON '2998 MMC-MONEY MARKET S1.109.331.22 S1,109,331,22 $1.109,331.22 S1.109,331.22 FUND '550 MMC -NH BETHANY S269,883.08 r/ S269,883,08 S269.883,08 $269,215.06 SENIOR LIVING '5441 MMC-NH GULF POINTE $81 328.29 $81,328.29 S81,328.29 S69.426.29 PLAZA- MEDICAREIMEDICAID '5433 MIMIC -NH GULF POINTE S37,442.74 S37,442.74 S37A42.74 $35,611.36 PLAZA - PRIVATE PAY '3407 MMC-NH TUSCANY $162.181.27 5162,18t27 S162,181.27 $154,31830 VILLAGE r https:l/prosperity,olbanking.com/onlineMessenger 1I1 RECEIVED BY THE __--.-.000NN AUDrrOR ON MEMORIAL MEDICAL CEN'T"ER JAN 10 2022 L . I " HECK R c" "EST CALHOUN COUNTY, TB(Al P MEMORIAL MEDICAL CENTER 0 Requested: 1/10/21 APPROVED ON JAN 17 2022 BYCOUNTYAUDITOR COUNTY TEXAS FOR AW. USE ONLY F] I In prest Cash UjA/P Check Re-Wirl Ctke,-Jk LLI Dept CALHOUN AMOUNT 10255040 ----------- — LXPLANAPON: AMERIGROUP NOVEMBER QIPP Mayra Martinez At 'TWJ,lflZ ----------- - -- — --------- RECEIVED BY THE COUNTY AUDITOR ON IN A Y F MEMORIAL JHIV- S V LUCC CHECK REQUEST CALHOUN COUNTY, TE MEMORIAL MEDICAL CENTER Date Requested: 1/10/21 - -- APPROVED ON JAN 17 2022 BY COUNTY AUDITOR CALHOUN COUNTY,TEXAB FOR ACCT. USE ONLY uImprest Cash F�A%P Check Mail Cheda Eo Vendor j Return Chem to Depr AMOUNT _$14,208.51 --—_---_.---_ _ 6; L NUIVIBFR. 10255040 F.XPLANATIONI: AMERIGROUP NOVEMBER QIPP REQUF aTED 3t Mayra Martinez aU'il'.URIZET)BY. a. RECEIVED BY THE JCQUITfY.AVQrfQ --N 7— R.0 N/1 EM 0 R i A L N/1 � D I CA L CF WH'R, JAN 10 2022 (J-11ECK REQUEST CALHOUN COUNTY, T1 MEMORIAL MEDICAL CENTER Date Requested: 1/10/21 FOR ACCT. Ll.'-3E D1,11Y APPROVEDON Ellrrnprest(-,j6h JAN 17 2022 []A/1) Chedk IElMail Check to Vendor BYCOUNTYAUDITOR [ []Re-vjm Chock to Dept —CALHOUN COLINTV TEXAS I AMOUNT �$10353,87 G/l. NUMBER: 10255040 EXPLANATION: AMERIGROUP NOVEMBER QIPP --- ----li ----- ------ Mayra Martinez BY: A U f I Z FED' tar. ' RECEIVED BY THE COUNTY AUDITOR ON MEMORIAL 11VIEDICAL CENTER JAN I U cV CHECK REQUES1 CALHOUN COUNTY, p MEMORIAL MEDICAL CENTER A Date Requested: 1/10/21 y APPROVED ON JAN 17 2022 --EIY COUNTY AUDITOR FOR ACCT. LISF ON IN DA/P Check FlMail Check to Vendor E]Rer.urn Clhedk ku Dept CALHOUN COUNTY, TEXAS Af,AOUNT GIL NUMBER:_ 102 55040 EXPLANATION: AMERIGROUP NOVEMBER QIPP 1 [j Bv. Mayra Martinez A RECEIVED BYnFIE AUDrFOR ON MEN/10MAL 1\4EDICAL CENTER JAN 16 20-2'1 CALIECK REQIJ E cl, T CALHOUN COUNTY, TlFrI i MEMORIAL MEDICAL CENTER Dal!--. Requested: 1/10/21 FOR ACCT. USE ONLY F, Imprcst (-..ash JAN 7 2022 []A/P Check 1-1 Mail Check to Vendw 13y COU14TY ALINTOR niietum che.ci� cci repj CALHOUNCOUNTY�8 ,WOL.If NIT GANUM113FR: 10255040 EXPLANATION: AMERIGROUP NOVEMBER QIPP ...... - ---- BY: - Mayra Martinez p A RECEIVED BY THE L..C,ot)NN PON ..&UQrpo NAEMORIAL NAE-DICA"FE L CENR JAN 10 22 1 CHVECT RECIUEST CNJiOUN COMI, TEXAS MEMORIAL MEDICAL CENTER Datf! Requested: 1/10/21 FOR ACCT. USE ONLY AMROve)(ft EI Imprest cash JAN 17 2022 []A/P rhe., k El Mail Check to Vendor E'YCOUNNAUDITOR COUNTY, TEXAS [I Return Cl)�-.ck to Dept AN40UNIFF $19 G/l. NUMBER: 10255040 ----- --------- -------- F.XPLANA110KI: AMERIGROUP NOVEMBER QIPP Mayra Martinez AU'TH0W4,.'F!,1 Y: ..a......c.q r........fo...wwn.�.vmwne...Mwwmwrv9nn ww ucwmwe nmaiwu uLV33V]l.Alfx Hle l _.. MMCp011IlON Wpv/cemDl ?'na.leraul Tn enl OIIp CoAI CUMCDAI 41Pp/4Wrol GYp% NpPT HMpMUw, ))3{IOl20HCCOMMUNMDLN[CUIMPM)>iGp]41391D]V0. 11O1i 31 1,0]5:11 1 /WIOR ACGmeH{toup ttOCHCMIMPM)3t693WU31t1000 1,]NA5 Sill1/40025 UHCMMUN3WFLHCCUIMPMT746 343L91CPAY 4AV1.25 NNB•KNO HOCUUMWCHCCPMI]NWNLI31W6111000 VS/2012 4S/3023 Ameti{rvYp 1It5CNLCWMPAll31696356161118d1 I,591;1 n?1 53112 i 3,63L12 NCCWMPMT]3WJ3C L143N 16y USI uNCcO muNj 1102022 UNCCOItASHF ]BINCMIM RECENQt{4119IWLU _ i8p2W 1NI13 l/6/]pil WIPFOMMUN 16,31a6) 1/6/lW2 P%HCi]XGAF<FNI[Mll1J COMMUNIIYPLHCCWM➢Ml]NW34L1910.V0 447, 0 550,/0 Ull 1/1/202111NC COMMUNtry PLHCCWMPMrrI6WNIl91114 LN3.61 HAS •[CHONCCWMPMAIMPMrdlINAANTOC f2. 9,133% 9,O5B35 M7120 HCCUIM➢MT39MO 42000012) 133N _ 1i3N W1402"UMAN CKS DUB N/30x XU]MxGCHA 00BHCCU1MPMi39Mfi0120CWt20 385.C9 - 385.00 1/N102k PMEM6AdVP[QMPO6PAYM1tIT[{51191A31]24pg0.. 41,i6LN f6:k31A1 :25ybB;3i %91P40 / 1,141.16 18.130.N SO SG)BSAB NA16 )5 R33117 41 SURE MMCPOHIIOH 1 r. 1 i x"...+` }Lw4SMa; WPp/[vmpf 1/9/3011 yM[LOMMUHIP/IIMCCUIMPMT)16WN119100N +e3 ,. .h TnMerAu! MnXuan S,ISAW 0P91 , QUIP/CORM! COP9/COOP, 6UPM WPP)I xx POTWX 5.126W L A/S01 NVMANP CNA 915B NCMIMPMT]9Y619I000U65 3,160.D] 1/S/2021 UpIYINSUhtl1e X[Cµ1MPMT N6CON111I43N l,]20.W $106W VSI U14CCOMMUNPIALIMMIMPMT3060234J19W00 7,598.30 G 1/5/10I1 WIREOUINIU NULMG9ECENTERSIII 01 ]16.46 7.Slm 4590.30 1161 UnNe1HeBNNq HCCUIMPMTY4IM311t1I43N 1143000 ll,9)c 1102022 UNCCOMMUNIIYPINCCULMIPMT]4SW341191m10 0'1P 1/I/1011 CRESS 6 cis AARIPSuRNCCWMPM))1403tli11NN 93oil WIROIl UMCOMplemequ L1/IO2 UXC COMMYNf1YPl MCMIMpMT )160311191IXO9 0.38 9I3.50 L]/SIPS NOffiASSOLUTIONXIXMIMtlMT611J,i-0]IVpil) 150,93 0.3 }!lM032 AM[PId9aVfttlBPa E.PAVM9Nf 1'i$t29191s111OfA . 2L1ES.v9 tAJ9011 d�l}4:x�. 24;26as1. 3311,N 3 OJBe39 A9.0)9J5 MAMA) 6A6.M - 13.50{JI V l A4 _ _._.. . ¢.a.. ,..MMC.Al - QIPP/C _ i�andemn QIPP/COanPl aroKDOPl WPP/Cimp3 wpu QMT INASMUCH U3/3on uxcCOMMunm PIXCGAIF1Pmna600N11910CV0 - 4,398.63 4174.63 1/4/2022 HNB ECHO NCCUUMOMr]e1004I1NWOV2D1W3 9.71,10 1]4/10] NOVIT"H1IMUNNCCUIMPMT6I63234200M175 11,990.35 Bp01 ]0 i/51 MPxAGFM'IX1ti1)l! MN9PMM00000W WO046811 1peap0 11,990.35 VWJU29 WIMEOUTGNIIXNGIiMGAECEN{ERSIII >1,9faA3 Siam 1/L/14$ VnI1MHNI1h4n MCCUIMPMi A6M111113d9N 9100.00 3/]/2A22cowHNS- 10.93 4,000,00 W3110]HNB•[CHOIILCUIMPMT3KW141LND]p0169333 8,]N.M 2({/2PN AMFPgN1NR.60FPOFPAVMl11l['�'4219Y4}I]'i10p0: 6,1N.93 ED zTimCM y90EA, ;i9R9 10.2�1jT, 1m )IALL)6 S].9%;16 49M.H 1A416 IOBBBJ) I MMUOR110. Qpv/cPmw Ljpp 1�.O.y minE, QPPKmMI WM/NODl grypKDOp3 [le%e WMn xxrol]IIIX1 4J/I03 UIIC COMMUNIE P10W1 6;];13 V612022 KHMETH MAE CAl36CUNlI i0W0SY - 9jR.53 URCOVTGN)FXHULTNGPMT74CM9III N/2013 UX[COMMyNrtYPLNCCIMMPMTi46041191WN 4,921.11 /,93462 INSIDER 161 IY/3)J3 41WAt 13JT9,C9. l,J;DSI l0ApJ1 li.i39.0. QJ3)19 6.IO4A) Still V Will MM[POMilbx J��A WPPy%ep1 ... 4i3N2Yt'w VA- n-x, a`. i nHANUOy5 i_LGis[•!9 QM/CeOP1 WPP/Cpnp2 QA/[mpi WPPO NHPOMIION W3/1011 UxCCOMMUNOY%NCCUIMPMT74600431p1V 3,216.W IM110l Ame�ipoup iMSCHCCUIMUA1i34930IDI IIIBM I,156.00 IMPEDE NOVI)b,tlWOON 1ICCUIMPMT003104]OW0132 i01.85 i.301.85 ]BIAS I/Q3W3 HUMANA IMCO HCCUIMPMT39O{0211WCM099]J SA01,15 1/i/l0II HUMANA INSCO NbTUNMPMT20M621JORRI,W02 2,593.51 3,593.53%% 1/1/1WS NVMANAGNWbBHCLUIMPM)39®631JUSTR 3 13199A13 14.9NA3 W/SOII NVMANA[MA WSBHC¢AIMPMi3P0862110IXO1P14 ),90i00 1/6/IOSSi WINOp3GMq'NULTMGMCENTFM5111 ei,W1.V1 4A50.00 13.950.L0 IMINIW12021 UXCCOMMUNIIY ALNCGJIMPM3316004{191WW 1M/2012QL1M 3,B69.Oi 3'6M'Q DURDI 10393 WNedNa311M1Nrt NCCMIMPM13160W1i11113N WIENER UAINU M11P6 9.5W.SS W12022 N/10 SWAY � SWISS UNCOUSMUNITYPLOCMPMPINTU14I121IILW U)/301i UNCNMMYNIIYDI IKCWMPMT)96W311191W0] 2811 264.01 •{/Y/IP2k AMFMBnpVPfOAP]E.PAYAttME[4k291d1I.Lfaep. 316,35 tlfn 15,s�4yc 1gw119 5.06121 IisyMM' :ys1391 8S.1MA] 74663A5 30 WTI. 5,06112 _ T0TAU 36k191.N 46 ]31.3.i8 µ11696 35318Ji A 3B 10015 pV REOENED V I THE CWNW AUDFTOR ON JAN 10 1022 • f � � �fll� � 1 el �� m A�i 1/4/2022 NOVITA5 SOLUTION HCCIAIMPMT 67620142000017E 1/S/2022 HN8• ECHO HLCIJOMPMT746003411440000291370 IM2022 NOVITAS SOLUTION HCCLAIMPMT 676201420000103 1/6/2033 WIRE OUT LINBAR ENTERPRISES, U-C 1/6/2022 NOVITASSOLUTION HCCIAIMPMT 676201420000120 1/7/2022 Deposes 1/7/2022 KS PLAN ADMINIST HCCLAIMPW 179111000026502 1/7/2022 AMERIGROUP CORPO&PAYMENT EES2291416'112000 REMD By THE CMM AV UDrr0R ON JAN 10 2022 CAly-}OUN COUNTY, T[XAS MMCPORTION QIPP/ComP4 Tnnsfer-Out r-In 101PPICOMP, QIPP/C4mP2 QIPP/[omP3 &bpse QIPPTi NH PORTION 9,060.80 - 9,060.80 1,290.79 - 1,290.79 17,660.94 17,660.84 105,531.82 - 951.80 - 951.89 M,351.21 34,351.21 7,760.0D 7,760,00 2%34706 16,723.05 7.624.01. 19,535,06r 3,81101 105,531.82 94.422.98 15.723.05 7,624.01 19535.06 74,881.53 MEMORIAL MEDICAL CENTER COMMISSONERS'COURT APPROVAL LIST FOR - JANUARY M 2022 by: CT INDIGENT HEALTHCARE FUND: INDIGENT EXPENSES HEB Pharmacy (Medimpact) Pharmacy Reimbursement 47.97 MMCenter (in -patient $29,163.98/ Out -patient $170.18 / ER $0) 31,334.16 Memorial Medical Clinic 375.81 Singleton Associates, PA 77.52 Victoria Anesthesiology Assoc 152.54 SUBTOTAL 31,988.00 Memorial Medical Center (indigent Healthcare Payroll and Expenses) 4,166.67 Subtotal 36,154.67 Co -pays adjustments for December 2021 Reimbursement from Medicaid 0.00 COUNTY, TEXAS DATE CC Indigent Health Care VENDOR # 852 ACCOUNT NUMBER DESCRIPTION OF GOODS OR SERVICES QUANTITY UNIT PRIC TOTAL PRICE 1000-800-98722-999 Transfer to pay bills for Indigent Health Care $36,104.67 approved by Commissioners Conrt A1 on [19/2022 1000-001-46010 Deceg4er'31, `2621 Inteigst ($0 72) O $36,103.95 COUNTY AUDITOR ❑ A PROVAL ANLY THE ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE OF MY OFFICIAL DUTIES AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY THIS OBLIGATION. I CERTIFY THAT THE ABOVE ITEMS OR SERVICES WERE RECEIVED BY ME IN GOOD CONDITION AND REQUEST THE COUNTY TREASURER TO PAY THE ABO O LIGATION. f BY: 1/19/2022 W N (E 4 .-- M O EL 0 < �7 O J DEPARTMENT HEAD v DATE ©IHS Source Totals Report Issued 01/04/22 Calhoun Indigent Health Care Batch Dates 12/31/2021 through 12/31/2021 For Source Group Indigent Health Care For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 1,294.00 77.52 / 01-2 Physician Services -Anesthesia 546.00 152.54f 02 Prescription Drugs 47.97 47.97✓ 08 Rural Health Clinics 605.00 375.81 ✓ 13 Mmc - Inpatient Hospital 33,896.83 29,163.98. 14 Mmc- HospitalOutpatient 5,711.01 2,170.18/ Expenditures 42,116.24 32,003.43 Reimb/Adjustments -15.43 -15.43 Grand Total 42,100.81 31,988.00 EXPENSES 4,166.67 ✓ 36,154.67 COPAYS <50.00> ✓ TOTAL 36,104.67 APPROVED `I1 Z t�ZZ ON JAN 13 2022 BY v' CALHOUN COUNTY AUDITOR PA DATE: 01/04/22 MEMORIAL MEDICAL CENTER PAGE 129 TIME: 15:35 RECEIPTS FROM 12/01/21 TO 12/31/21 RCNREP G/L RECEIPT PAY CUB RECEIPT DISC COLL GL CASH NUMBER DATE NUMBER TYPE PAYER AMOUNT AMOUNT NUMBER MAKE DATE DO CODE AMOUNT 50240.00012/11/21 611499 10.00 10.00 00/00/00 CAS 2 50240.00012/15/21 611243 10.00 10.00 00/00/00 FAG 2 50240.000 12/08/21 610469 10.00 10.00 00/00/00 PIE 2 50240.00012/09/21 610670 10.00 10.00 00/00/00 PLB 2 50240.00012/30/21 612556 10.00 10.00 00/00/00 PLB 2 **TOTAL** 50240.000 COUNTY INDIGENT COPAYS le"61 Bill To: Calhoun County cEr�-rE� . 815 N. Virginia St. Port Lavaca, Texas 77979 (361) 552-6713 Date: 1/10/2022 Invoice # 365 For: Dec-21 i scl l rtpil.; AInaut-r. Funds to cover Indigent program operating expenses. $ 4,166.67 Total $ 4,166.67 Anthony Richardson Interim CFO ©lHS Source Totals Report Issued 01/04/22 Calhoun Indigent Health Care Batch Dates 02/01/2021 through 12/31/2021 For Source Group Indigent Health Care For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 24,893.00 2,387.43 01-2 Physician Services -Anesthesia 5,304.00 1,368.06 02 Prescription Drugs 1,032.78 1,032.78 05 Lab/X-Ray 11,719.15 135.25 08 Rural Health Clinics 6,804.00 6,298.46 13 Mmc - Inpatient Hospital 105,508.02 54,817.48 14 Mmc - Hospital Outpatient 123,972.12 40,264.24 15 Mmc - Er Bills 28,239.00 9,036.48 Expenditures 307,867.40 115,735.51 Reimb/Adjustments -395.33 -395.33 Grand Total 307,472.07 115,340.18 EXPENSES 50,000.04 165,340.22 COPAYS <810.00> TOTAL 164,530.22 IZ (7ZZZ Calhoun County Indigent Care Patient Caseload 2021 Approved Denied Removed Active Pending January 2 0 0 11 5 February 0 0 0 11 7 March 1 1 2 10 5 April 2 0 0 12 6 May 0 0 1 11 9 June 0 0 1 11 9 July 0 0 1 10 4 August 0 0 2 8 5 September 0 0 0 6 6 October 0 0 0 6 9 November 1 1 1 6 5 December 0 0 0 6 5 YTD Monthly Avg 1 0 1 9 6 December 2020 Active 9 Number of Charity patients 200 Number of Charity patients below 50% FPL 88 Calhoun County Pharmacy Assistance Patient Caseload 2021 Approved Refills Removed Active Value January 7 0 0 7 $8,589.00 February 4 0 0 11 $10,869.00 March 2 6 1 12 $14,515.00 April 2 2 0 14 $14,719.00 May 1 3 0 15 $14,765.00 June 3 5 0 18 $22,563.00 July 2 4 0 17 $22,897.00 August 1 2 0 18 $22,546.00 September 0 4 0 18 $24,250.00 October 2 6 0 20 $29,204.00 November 3 5 0 23 $28,636.00 December 3 4 0 26 $26,778.00 YTD PATIENT SAVINGS $240,331.00 Monthly Avg 3 3 0 17 $20,027.58 0 December 2020 Active 87 V 17 (7,vz2- #13 NOTICE OF MEETING— 1/19/2022 13. Consider and take necessary action on any necessary budget adjustments. (RHM) 2021 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens, Reese 2022 RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 11 J 0) 0) (3) N N N J N N OJ t0 Q) O y N N f0 O N W O O O N 0 0 0 0 0<C-I ocl) w;1 =ixc�Om c mD r v-Iomm�_ �AmCnmzk p-NnO�pz CCO(D I m N z v m {o �v�c C �mnDim m n CC - X A Z y (� �_ x A m O A m CO) z m z N n V) m m G N D nommm000 ea no�omwoo e z z z z z z z z 0 0 0 0 0 0 0 0 D O C O 0 0 0 0 MXXXXXXX D D D D D D D D Z Z z z z z z Z In im pn ma�jpp EE EA EA fA fA lfi EA {fl ll T 0 0 0 0 0 0 O 8 s A A_ EA EA 69 N a a M fA A 01 W N A W T N T F O O N 0 v 0 V v N W m N 0 z n n 0 c z tin II W N W O C 0 Z m mcotn zz�r Z O N q �+ m 0 z Z m z� < mA 3 r D N O z w � A c z q 000 tin z z z i -zip-zi� sy a o T O o 0 0 0 T T fA M (A fA 4A T O O O O O e � � y O O v fOD A c v n m m m C 0 = a = v= 0) m Cal 3 v= 0) a)N N N Csi 0� D O W W y z Z �� W N O~ v O N 0 0 0 _ m 3 ZA �= ><> RI° A A Z m5 m M n_ Z= w m Z= ��1"'� 1= . m y -i= otim��o z a? O O c D _ n v Fn Z a M= m O m O m El m N m m =_ { N �= 00 _= D D z a= rom O fTq a= toommmm _ ♦' z ME e = mzz --1 1 0= m mzzzzz� _ 600 W Q r= Z Z 0 0 0 0 0 3G)0 C = LA3c�c�c�c�c� Z D D 2 = Z Z D D D D D '< 'yi _ y Z� = N y Z Z Z Z Z D 2 = m 2—I�yyy ea o a _ a o A o _ = r � 3 � = m a y O M 4A EA &i T T M fA EA [fl EA fA Jul T v_ O 0 0 0 m=_ m= INS fA T fA fR G9 Ili M wi di T m= O coo m= O o00000 i= s� z=_ �.� "� Z= O "e N N N W O dD 1A T '� 0 O W 4A 6 (0 f E T T A A A O V= O O O O O O O �1 = N N N i � fA fA fA 69 (ii t9 9 ww w W A 0 t0 A O A T T = O to W T O O 0 tO 0 0- oil, m U) 0 z m 3 z T m m H cl A A n a= -1= 3= o Z m =__ C/) y m N Z- O > m m Z = � A a =_ n m= > y_ -1- 0 m = m a' 0= m w 0 ii 0 2zz O O RI = m O 3 �= m ZDD M ;o m= 0 2 " n=_ 0 Y O �k = — ra v= m=_ o coo ae T 3 T = m= fA O M Ooo 4A EA z=_ Z= A= N N O N T o ppC W = w N w N w N O o b B W W T 0 m m z X a y O z n n O C z y \ v0 = N N Igj I = 0q a== Z 3 -uo� m - r m -� Zo mA< .�= mm� z cam a 0 m = m A m_ z Lo m C _ O y_ m -I - � �c m = o O m= m0a, m= 3 e m z z z q n= 0000 m= Z�Z�m p_ o o z=_ a N r b �= O O T Y N r r T Z C v= {A di ffl fA fATT m= O 0 0 0 0 a= m= O O O O O z=_ ai = - O Coco will ERE S A UN RE O O N OJO O A T m 9 O z n O C z -I co m c 0 n m m m n r In ro c m m T O a r N O N A M tp ' m m= wok m m= Z �= 00 Z m �= O m 0 3 Z �= fmJ OT Z Z �_ z 3= c T -� 3= m W= m m= go p m=_ >z m Z= �m m Z= �% m 3 y mq= z c a _ 11i AD O Z= 0-0 O N 2 z O r b Z= r11 � I z a= �m� z ^� a= z m m= m < m= 11 �__ 3 m �___ c < m v C= Av C= p c) m a 1-4 m= a m m= O 0= 0CD O m m mb CO) ICp �__ . b b= �- O N b .0- O C V n C m 'oo y _ > ZZZ -1 A a= Q m 600 ca A m_ 3 D D 2C2y �= m Z D D i zz i M= m yzz 'f 1 c mM _ Z Z ''ii m a p= z o a n= o Z= N O Z= _ b O 3 � a Ul a W= O = a _ �OOOT v= O OOOTT v= m=_ m= ME P, T a = oo 3= o 000mT 3= m=_ m=_ Z 'n 1 {q a»rn�++�e - w w wF»TaT - 00 T = W m O O = 00 CS T F 0 0 03 0 m( 2§B z Ga■ o ■ �\ \-u� § \ Z| /\) ; % 0 §k /km» § § §k ��\� E §) } ■ v) m. �j ■ z m ■ CP &$SS■ § § �§ 6000 mE ;000 § §k �§ %2§§ ■ = §__e§ § z| § § ) §§ _ §■ M/ « 0 0 0 mMjZP « «@r@B . Z\ § @| § ■ !2A ±gym I _■ § _ � ) k k?))■�§ § -■ § « «/¥!§m■ �\ ,\N§ \/ //}\■ 3= ,a\; z| !m/` �E z;0c §) /)- -0 m) > �m �k §! , ck ■! \ A§§§§§ = § mzzzz 60000 § 5 �gg+g ;zzzz ) ) ) « #A@oo� _ _■m \ m § M= m= 0 __B■ „ Z\ \`:� - �§ ) §Am0m 22 � | \ \)»k@®§ § m■ � \ « «\n0)0) 9 § k k § ] In v 2 A § q § § c § § � 7 tp ME rnwo m m== o'�W m m= a= 000e 3 a- 0000a a ; a= �9O z �= >C: z A_ 1311° m n v(D m 0 ME > - D mrm m Dp A m m= Z= r y m Z-_ r m z m m Z= �= m -0 9 � = pc D .L y y Z= 0 z= Z � O z=_ a_ CO fr-fl mm z ae D-ZIy Cna Z a= a m_ N O m { D 0; r m= C - D _ m X= m��T m o= v= CDz v= a= o z a€ o a a€ G= n n C G-0 to n A GS O 0� C � ;o� � n O O O t0 m m 0 �_ o mzzz -1 d9 G— o mzzzz� Z 2Q9 G- 111_ m 6000 GG) Gy O m= m 60000 Ab it Gi Gi O m= �= m 2DDD C •0=_ m ZDDDD O s� �__ m =_ n ~ 1? m n ~ 1 1? 9 iME n o a n= n o a a_ w= go a r o O o y = �= o 0 0 0 0 �= o 0 0 0 0 0 C= ae PI 3 = T fA di fA ifi iA fA T m m= o 0000 _ O O0000 m= Z= Z- Z= Z=_ 0 z= to +nF» fl"e Z= m m a N N W.W wiT O N N t00 EA EA N.0 Q_ _ Of9 N= A= O_ m O_ O_ N N EA N tD EA RI - 00 m 00 O O T = W W O A t0 O = Fan CCC W N N a = N O fD O (O T � _ VW N A fOD .NA.. O = c O a 3 m m rzn n r C v 9 I In ti I NJ PWA T N N a a N z n n O c z N W m N D Z� Z Z D m z { n m DO era A ti w z 3 � T m m D A 00 O O O O d�Wp r� T T Q 000 W T T O O O O O 0 z z v m A O O m m 0 z 0 w O a r p C C:-0 � r m m z m eaa Dr r z z m T O O O z z 3 T 0 Q 0 O 0 T W C T O O 00 i WW FA FA �Ta - O 000 c v n m m m In v m O u' a - W O) W m W N W O -• -+ m_ W A N N N N y m O A O O (nn 0 v m z z O m Z 62 < A m� y c 0cmv3{ 0 Z= D ODZ a= m� 3 y 0 0 m_ m m m - m m ? n .,, _ A v a= D H= � ME a o 3= � a= D nmmm<omme C ME m z000000 w C$ 3= D 3AXAXAA C m= Z Z D D D D D D Z= m p s = m -Zi O O 'n s z EA EA EA EA EA EA fA EA T en - O O O O O O O O p= m= EA EA EA EA EA EA T "' 3 = 0 0 0 0 0 0 0 a 0 o m= Z o Z m „ago m 'tea' 3-I W W W O O O O O T T •• W= Cc O A A Hi W A W� A T W W O O O N N W ash W m a = O O v O O (NA N W O T^ - V V N N N N M No N W " N O O O O O 0 > c p s> ° m `< =U�-0Cl) M0 m m D Z m 1 O K O A N O c m CO'<�Z� z Z m 0 c ++ c v � r m (N e m z z z z z z 6 0 0 0 0 0 0 > A m > y Z Z Z Z Z Z A A z z z z z 2 Z m O A m N m �p -4 y 3 i n r � 4 T M EA fA EA fA EA EA EA T T 0 0 0 0 0 0 0 0 W T O O W OvWo A OVWi N� a N Z Al 0 C Z N c v a m m m a r In O §§ §§§ §■§ k « «0)0) § k v 2 A "a 0 0 q § § � q k � k B ) §■■ 00 -+ o rn a a 3 a Ole m o= z v Z s m N y °z z Z m i 0 T T N cDi O c z N A 0 a r N W O m z 3 m z A m a A m m m � \ m■� #BB§ $ §��■ NOTICE OF MEETING— 1/19/2022 14. Approval of bills and payroll. (RHM) MMC RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens Indigent Healthcare RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens 2021 Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens 2022 Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Commissioner Hall, Lyssy, Behrens Adjourned 10:22 a.m. Page 11 of 11 0 3 m m x O O n 0 0 7� F '0 8 z° zo � O O U O O w O O w w N N — U tip C:a mnp moa np oa HN mm c, m- �= Aga "a y� ynn mn N m mm mN yo O 0 0 W U P W O P N A O co P b O � m N N_ N N �O O A J A U P J O U Oi n nn nn 0 z a3 a� y { Hy w Hw ti °z oz o O y y O N a N n O m r � � O H m m o r c m L] N � R a U N P N n r A � O O O rt H a m s r' m z o9O m O n o rzn<o � z y � n p � xm N w n s �g � A N O gn H C p H 3 O N w Oc 9' = O y K N N A O O J O O oe O O 0 O O O O O O O G O O O O z > o XC: C r r <n zm z c y a n m — y y P P P P P P P U U U U U N [J N N b O b Obe P P P P 0 0 0 0 o in o O o 0 0 0 O Q O O O S m Km n-i zn z4� z0 X A a X a s a c c c c O O O O n 9 V yy 0 0 0 Q rt M J v O Oe w P U U U - y y N N O U U b N W W b b �ym m mm am nm Oa x .nm '. OCN nm 0x m Oy mm 0K ... may mm x vwm yw w mw �w CN_ y a '°am �ZjJN N 3 ty` J z P N �z N b mN N o 0i;3 Go` z N Q ziz, Q N O z O W pw a < mU n� O c N -�a yrw. oo j � ac E c-o.ctna�� £n Fc yj W m< ym Z nm tin n yuroiZ zn yy-1 00 �7�m. o z a a b N O W P P N W N N b 1� u P A 0 m 0 X 0 i A y °z O N �i nG a y m O O O O O o m0 3 0 0 z z C C m m N P P O ry N N � zo C �r ccD wD e n- nN n n N N N N 0 Q N - O A N pA A m b b b J U N A �O n C C O O m z o m y O C m � n m rn ro v r m w lA U IA lA U U lA lA lA In W W W W W O O O O O O O O O O O O O O O yxn xn xn yxyn xn c ,o .O ,O Co Ar Aa FCC' G G l7 "^ O 'a O �o Fo po oo n n m my my my my ^y O W W v W W u P P P P Ca P P P N VAi P A W J N b q O T O V aXW-M m -im wxm 'a Cm mm rowm -3m nm X X OX --3a X D-IX CX Syx DX S X D-1 "3roy -] O'-] D�-j Ntn D y y rw ti Tz m nrn nzy ny w xA �A ro nA m7� rZ 4;a =.c x0F xF v� F ro< r< < — "� mp m m nW n r x 7C7 v>>Ca N m> X w SOO mym m� x yy ' O a X a Z 'm Oti y m W C7 v to O N O N O N O N O n p R n y D w y Q O < < m m � m m ro ro C � O O w mm pw nm Y nm >� �yO A A J 3 3 3 D [a ro� rof p NtA An P An P r � r V A W b A W N P P W O O N W n a 0 0 0 m n � N S m � a � y O O X m s y m 9 w Z r fmp L� H A N N W W W W W J N N N o O A m p q a a r rP >nnr- rr n n n r n O Oo b b U N O U U b tnU O O O tbi� N ccxo gz Z mO 3mw Q,y 00 a r N V J N N Q W W w w N T A A U_ O O G O O m a T U U U U U U L) .PP a W o W 0 W 0 W 0 W 0 w 0 W o r n 6 R mO OO c p Ac- S C m rCr Xm m X X n n Yj O 1-3 n n AO 3 mz0 m O pn r o 0 O m z N o 3 a o o w w o< J N N b b 0 b b Z O _ _ n C A ^. gX �m �� bm G�Om c0-Xi -am m-Xi -im m �wm mm y-Xi -a m yoao� -X-� y0-X3 n< ti< 0< p< N'A nN <NN mzN rN rN .V\ N O Y °� w3 an cmm Boa a a c m r 3m wm �p 10 A m oa ti N W O W m A J O n A 6 m`C me mC m`c ;aG ;v`C 9 C O a y D�'„� nF m`n min mn rnnn r)m zm m 0 7�0 m m AO m FO n -i0 n -70 mp m A n" Mq n n' nm�� D r m m o se a u m w w yu � o = o = O = o = v A J A Vr A q W N q n O O O O to m m 0 m M O finb. c ,Oro <z m <z y n b a 7� yy m m c9- H> y O ^ O m C m y = O = O r O w O O m m < y r m r r O n a H N N J N to q to q J q q to V� to to In r O O O O O O O N N N N 1n p rt � d n— HZ OO cc Z3�3m C1O O y Dm < X-C z m- Z O x OO r5Czoz Dpy-ymi sm m< y wvi m O Zm D �m<x0 3 v �ZA N O h n z< < m av m K m H m w A n n n y O y 9 a 3 a J W Q Oa � b N tA/i VAi Vr � N C) ry � V1 .A —7 O Q O 0 3 N W v < < < < tj N O tNlr VNi W n R N O POO N N� to O ^ O N W o�_ a� aa` a xma> D` C o z\ -FFPD O OF y m m N y y c�jm �•A-I <°` n-tom c �"' O� L ZI 03 Ox �m 210 ^n <r rm-n nm- rn -".im Zo <y wA Or mz y m > mm xz a X p C m a,,, D z m am a PU z y a' D _ m oa �. roK W> O O �> p m Nm A < < A _ w w w W A W A O q O O N co lA w A A J �D �n q q 91 q N N O q 9 O O O O W W A O W Ce J J �D a` n _c O N N O O r < < ac mr- ac o z mt'j mn m§ mid N m m m m m m G m° m° m° m° 0 p n n n n - c c zz y y y a -ninini x U ae U a A x A U O A �G A o0 n O O O j0 m = m mC m° O O ° O m F° m O [a- ti m y y D D A C O y - m O m 'AG -z-] -] m m fzcl �^ y n r r m < C v O z 3 D m Y m m r n m w �^ O O O O O O O N W W W W W U U U U U U U P O O O O O N W W r O O O O O O O O O O O O O O O O O O 6 n m m m m m zn nH q rJ A ,° ,p �< 00 X X < 9 y> D D rj m 0? C C C C G < n b 3 m m F A a A z Y Av O m C- r r r r r r r t" r m -7 z 0 " 3 zb m O 0 c 0 W ^'> v'm °a a 3 m On m > zc ° b 0 b ° °z a w °x aX z a z < a K r w 0 z w W O O O O P P P P P P P N C0 O O O� U U U U U U J O y y N N A O O Z O G � Ei to !P W W W W QJ z�6 .cy W W �[0 O W NCO 'a < `�' 0� nT -7 ? ymK 0a OA { y{ { { { { { { y{ y{ y{ y{ yy p rn r'n 7 9 n D n C� N 13 i N 0 iz$ O Z, 0w :z88 [e J0b � 0 00 0 0 O m 000 xm mm mm mm z Z z N d T T + W J W p A O O J J P W J U N N N O J J A O O O P. P N N N O W P Q N O P VJi W tbn b O Q O O O O O O O m n fJ 6 O O O ^ C O C O C O Lu Ap 3 AO C 0 0 n n n m ma ma ma c 3 � m m� and n n n n N � � H U O O W A O O U O O z O v 3 �a y C 9 3 a O 0 y 2 <j O O S vyi a a O'm � � � w vn W v W w W w a T o. O rn O u W u W D Vr V N A W W D, N to O O O T O O O O rn OZ '0 G p c ny of y O TO G r m 20 c O M r oa y 7m' o Z tt 0 W O W O W W J y = J y N Nam ON m" nN rN zx rOo n� Xp Op 0 �3 9m 3 0iSo m� we rna w u—i 'gym wy w F ym m0 rA O N N r N A to �n N p in T in y W in W N N N w V A W O N O Oo A w O• N obe O O 0 0 0 0 0 0 Y �n v D ram- w t [ 3 ma < J O 0 d m e _ n r A T r O � N � m ti m ^ o Z Oy m o c O n �rza n v m � o= 3 a y C N_ W Nnv� "a n -ml zoo e' e I N N `O V Ce C C G O Q\ O n 0 b 0 a0 AO 7�0 a0 v �o cn> ma ma c°)� ma m° m° m° m° zz z z A W W N U U n O O O ro3 m A c p3 � ap S n a m r m m > m 'n F Z Oc y n Z r m � w m y U U W W U U U U Qp U O U O N O N O N O N O N O O O tNn O VWi O A O q O a b O r 0 6 R S3 33 n•i m� W 3a 3a a �- a ° r° nE r ° q -aa 9C) (� r)-x-3 x0 S0 a �v a°J OX a 0 a a va maa m� map m o sm mp as r CF 2 _, a m �D ND x °" o� °a x m n in o z 3 O z � o z -3 N N J N A A A V W A ' N J �• N < O v p C O N O O A w w T a w N O N N N p • N , AA A 'wm A ONWA m m A W A nQF� A 'j0'F Z A mF ,-• mow -7 O" 3CA ..]�W 13 ro N m t3 m 4Z AO iN; N N `p N N m m .'7a N iz; a p A m N n zO �U ZO �U O U w � A zna- m mxb °zmz O_ c °m K m ? n n c on on ao �am T. -] x- v O O zrn� a n.� ,v3 c y3 O m c 0 o a w J � b w Ca w w tPi� •N- A T J q � w O O O O O O m F O g N Cl m a - m0 n 's 'z n A P � � O W V N n 0 CE Oc m Z 10 C G 3 rm 'ro O o r m m' a m � r � m c y y P U U U U U U P P P w U U U U U U U U n O O N N O O O O O O O O O O O O O O O p R z am-� o 0a °a °z_ me n c'o c co 0c 0c rr;a » a3 as as -aa a nH y y H m-z_] QZd DnO zm yp ;va a Z my �y W m 3 P U W N N N W O W N N N P P N N N N Cry N A 00 �p U U U O N N N W W 4e W W M P J U W Oa J J U U Oa O O O N N N N n W J P U O F w m0 0 w D y y y y m a om n a o .v .v mm w W r ;v Cm r F Cw w A ap �_ .v m -3 'p Om A F -7 ;c Om � ry A� -3 n �0 �O00 a0 8 Z A A K A A w A x A ' O A �m O r N m- .� N N a �' N '\ .j — m '9 �, N a 3 OI7 t�. o "�1� �i '�.. D + "' mC m rO� OT zC' :9 z2 S� r C SW O L i� n O a n "'� "�' n W O O O '0o.1' O i 7 W w n n `" Vmi I J W D O A J O- N p y y .o h iv a O o O 'i.1" 0 C P a t m �% n z O m v N� a P n b rrA m A 0 v y .Q y iV R P M � N W S O O C W O O y U IJ O J W P U J to L W n a a 0 0 0 ; Ez \ \ ! « ¥ \ \ \ § ( ¥ ( } \ \ / � \ _ )7»7 : - i\ §)\ !\§5 2)d §)!/7 7\/ 2 k/2 ;/§7/ �>§ & \>0 q ] ) § } (( >( /0\0-0)0 � QC E {{ \j V3 % - `52`;�\: § � / 3 i § 7 = ) ; § 3 2 \ � (| R;3- >I- , }® 2 a rt y - 3 3 m m 3 z z o - o o N m m y � a a - 3 3 z z 3 -1 z IS nb3 >° oar �� IMK 8K a. mZZ mZ O N m � m � 9 O O � n Q A N N W J to N N b n 6 O O O z z o 0 0 a m 3 3 3 my 0 P H N a Q P J O\ J b � O O n _6 O O O y i i v a N � � 3 3 m m 3 ^Zi -Zi `O O a � n e e � a 'z `? m z a z n m � N a. r w U n Q OR. o E o n a n F n 4 : ! ! \ § � A 2 Z Z O O � 9 a � _ 3 3 n < zZ mm n Zcr O a rr Z ='n OZOZ C > <O ='Z a m Y { m z n T n y n N N O U A A q N W W C A lA �. W W J Q• GO Di D R rt � m m 'Oc A m o o n m a 0 n m n n 2 y y m n y m P VPoi .No o, o. .No 0 oC. P `o ry c -Ai e o� N_ W ? a Mac zA< 3 m` Cn c nN< r- W nw< � c c O C c c �< C C b< .j C °n z< oa< o�<Z< 0p m� Mx;a m�A M r80SA p �m0WMz0nZ -m] n�0CNf DKO rm yZ0 ZO 0Z 3 Z 0ma0 mr 0 W rnC% 0�J7 0M 0W Z 0.-7 w wA a n `i m n y"3 w 3 Wai/i Nga' "oa' wOA 0 0 p9 'jL N^yn tip m Z A a z rrn -G m m rt G S U U W O Po N 8 0 00 Z Z 00 00 q'Om°3 oo3 ` ;az H Z -a{ Z ry 0OZ Z r 0Oz n Z Aim pym e y n E m m -i -i >r bn An b° a ti0 z r 0 ;, z -� z mA a o f) y n O � Z m y m m M N w P P O P P P W A O O O 0 0 0 0 0 0 r n n a m O K AC { z > 3 0 n O A W W tb N Ntin Oa W W W 0 N N N N N N ONF m2w 'A2x CONa D .a.7 m o "i Fm -1 O;u > 2-1-1 or zr wr mN,or or AnF wf nF pi> nE �f n`- n- n J< A- v N- a Tic m -<- a P x- NcyA N < N sn n N a> a ac 0a Km m mmm m N O O O O O O In C C O C O O O O O O O O O S n ' G W O O � O w W O p 0 0 0 � P J J P N O_ O O N N N mbn >,> bn aD , °00 3F0 c 0 vm_ c_ N yFy�' N N LLN L G yLN L a = a o N r � N m O u N a0 Z c >a m a z z n m m P � 0 b b O O b m n O O p A N O O 0 S' nb � K 7o ym my o n n nn F z z O z rn A A C C rzn A A O = O N N O O 00 m D � J P P N p0. no Ao >a °oD A a Ay, mAC n"1 Z y N D N K t7 [i O U N W U P W W W N J J O U U y O J J O O O U O �Zl, O �• y n0 ° rn s j y m � a s z m r m Z z m D n m m O N O A O O N O N O N O Z� nn n O Om Ota pm S 0� xx xx X ON ya z ow z ow z z K ti y y y y rn Z m0 yn MR � m won M , WR °z oz oz z° 9 W J oe J oo J ro J o0 u, P N p b O b b VNi O VNi A W N O P O O O U N O W N N N 009 A3X mw-yy-� mPX 3->y1 X >Myy ymX xm> z >1 omm >yN zm non moo m =0 3 3 on o D a7n m rr-mn ymn mmn � amn �n N'n 0n D00 ODD mD zC!D Kp y� O m w ti Oc v m m a C O n S � e 0 D 0 0 N a � J O O U b W O N N e 3 y m 3 m C A m m y 7C v n a r p = e N N n Q W O O < A 3 m y y m > m ma Xc A r �p m Or r ym by r O rya a C '00 O y m H 0 mZ O A y r wm m p m O c w X v 6 O aim >yO m0 OF 0 a nno n �O10 FM p z 6< 4 a O > C O y 3 r a_ m O z n n A rm ? A A s a c� m r < a z z r 3 �e 00 o° z z m n n p N N N N N T yPj y N O a D ry b P a n A t°On O O C0 5 O O ' MK uz3 09 3 0� 3 Xm3 �O� O-rr 'y Cc <oov ]p 3 -10m Om y'9m r N NVl Oy 2 N y m -r-1 �- w X y y O y a n t C o s y �y`n ma y O'� vAiO y ink-"'� A�An oice-, .�. .i 3 03 m zyr ii NCO yC0 S(/ O A W iOOi-j a-1 0 O may'] U U U .� ^� { N z z z z z m W O O 3 Ro o m- Z c-ai m m Z �z O�- ya- �u, ra"0On A� O cm pm C X C `n 90 zm- mm- mm a m �. A m0-i 90""� a m �y O m y r%m 0 N 9 a g < < a r �mw rAnr Z r Nz N J m m v O' w w in w p N D W O Ga N O O a N O A U O VOi W O O �O O O O O D O n N p p O O O N O G )) (� �\ 7 / �m kk \`� \ §[ > q q q ); ) \ ) F $ � j - ;/ , � \ / (\k � 2! -@ 7( \)\ ))) \) !®] /! _ ) )wF, mt R z / ) >� z Z /\ k ) ;cm ( E ( [/ } §k§ ,og �(} }/ \ ( \ } A� r r no a z O O ZA e m O O <Z 3 n m z y z y a o m c o O U z0 z xo Y m;0 En n r O D a A m m rn A rr m p m Y m C m a r a z a z m m y a rn w F F F F F w w w w w r, Ce W U O O O O O N N U tU/� O Q NC. c-3 Zm a Zm yx OF 0--3 � m 0-1 - M 'a �+ a0 yy p DO aa Dm zm am Zm W zm Dw Zm C) ra < < <X �r nX n Ac Ac D -]z -7Z -] z -] z Ow mr„ my n 0> ° T Z2 Z Om Om Om Om <T r"m o m° Zw zw yA yA AO Om Om Om Om z { > > m > A > > °z z z z J J O b b A A W N N N N U E< VFi U O A G O O Oi J J J J F � � e N N u W o a A b J W N m m U Ce U CO P S C w w J A J F OCi9i mmN 3c„"9, 'nN DiR', Zm� A9 9 aXa Z? ��D Za ,� -i 0o j�_ ��_ 3_ a our wr r Onr 3P o�F 3F Or zm Zm m0a �F� m` m- mnr:, Z-.. mxc .ate mx� �" nm-,C 3 x mAt ..7o ra, A,3 a]CN m o Azo r my A z o my rnP c rma.z F O yzD Fp D p nm�� OA Op n F rAi, O°Z nP a mrri, pap mw 22 Am ^ 00 ppy Dzz3 y nx x 'O ox cm"� tam F ''O y{ r 'A ^n O Mm ray m O rmn y j c• � tr- O G] Y z N r r A A m t<n z c y y N p y p v A 0 N N J O 9 O O O O J O M O O O O O J A �^ n R _6 O O ^ O O me me me me me ay Dw Aa' Ate' Dy yy ym Mw 9 mn mn mn mn mn mn mn �n � 'z N 9 3 y Z y F � F 0 F 0 F P n 0 0w m zZ G:l C� rA >a z z m m m j m y Y 3 3 P w P Wro VPi A L w N O w O O ��. O ZX zX 0F= Ox Om� Om OM `3 p prz ?tin ao rain �a n ao n a0 OD OD sna o z m-zi M-z3 m za m m O y mom' 0 m m Al ti (] F 7a w O z °z 'o A A JF {P. VOi N VOi N N �" to P In P O F O tOn O A F � N b y O b O O N O N O Z p C O to O y NV N Ce P N O S a9 O(% (A, C m S ZA N D C N nn Nz .O. 'OaD -in Or{ P by p� ZXTo zbo �D Zn Oy m"'� OCN 59ro �A ANy a�n v'm OD m 0 r r�� Zn � n nA D (�D N p F w N N N N w Da to J �p b w pa W M Oo b O P O � O P O J ton T O to O IJ O O O b b A b O A O b O O C O O O O O O O O O O O O O 9 O O P (� _6 O O O p O O O O O O O O ° z O y C W w y a b rm- cm- a A m n m �_ S z Z n m o 0 9 a z y y U o Ao c >n �n 00 m00 3m >O n nn rp -i3 'a-I0 --3i0 m m -7 Qm - -7O a0 m 7� T.? y m� -ma n •aa nw m p3 � vW a0 �a m c O mA n < m � m P J � O S O VUi O O T a 0 6 rt Onm O -A O C n r F -i y n -1 O -'] Sy -m3m z < O a n � O O m sssyseeeec �m zH �w m n m0 m0 n yn 'a n m r Yc m m a N a a z n K a n O C O '�' C N N A b N N O O S N N .. �gn am> n m> Rpgn m> gdn zg Oti yar mnw r w O-r gym r c mr �m pu nn mr�'a„ o )o (A 3n fNm O N_ _ nm az p a _ w C < a z C < w o 3 pm N azz m an z'- n ti O'p� e �30> O y O Y ti 0 mn NCX 8 nn m7a mD ^'aZ a. ? ry� < O n m m o as a n ti m m W N r N J J N J oo in to N P J W U V�i F O b O O b b U O A U L A O O O U b O O b p p 0 0 c 0 OrZi,n mwn 'nHn rZii0 2n rA 0yn rwn yn ryn zzm 7c�n Ozm 'rocn 3zm ;'m 7c�p� n 7c.in cn acn p�m zvc,vn yDm 7aa0 m7ap0 O m p m p m m 0 nam 0 x am 0 zm p K n p n p >m n p Dm n p m m m m m m m m O O z z z 9 H > y H D m N N N N N N N N N N N N N N N n ao w oo co ee v v �n u u �n vi in �n w N O J P A w N c 6 R O a O D< O D 10 c n -t xz 0-3 mm r 'p m �r r P mm 0 -3 nX -4 c O -7 nm r� -7 ;anX 0 -7 -1 C G 0 m nx m[m- c 2 Or "'3 p2 ON D O� O D �' py o zm ��' m m zcy zy n > 3 3 3 z� �A P a �j 3 Z, Z ° DA y0 y-7 -y-7 yOn X yOn wo zp O Z 9 r m" t Z D y ° y a a p o a a m D aJJ ]J w J P P J GO J P Oi J W y Tm y Om pm b-xt pm b-xi Orn >> m� v�3n '�D A R+n -an AD vD A R. �D -xi $-xi 'mc -ki 0 gmt- rangy DmD gmD [- 0< m=z1 ;R0 En 0 0 Fo 00 -0 -0 00 O a z < =a3 < =a7 -< Omz0-� c3� p03-w5 zp- C0C p m zZ p C a=3<- cy cPo zW zy zb za zm G z z 2 z pc ° m °< pm pC �' Y Y y Y y a a r a 0 8 a � � � _O 0 N N O N J O J O In N to O O w O A W J P W P A w to �p 74 y p Vi U y P A U O Z C Dy m y x a a -9 m w C: m G r w r y m rm z O r C n y y u W H W W N W u W U W W N N N O O On rn O� O� Ox DC 9z w� wn zo zo zo yo my > rr- -i -3 P u tbi. T A a w J N J N P O O O N O b VPi V 9 b N r O NA N N N m N N Q, G t ON C7 � G a mmyfy' .a-1 m c 3 < aFi,v m u F W J O W Q J 0 c 0 PO Zma ZOG O nDU �Oy>nzyyy p�yy C mom A AO KOM m mm mm 3 -z y Z y � x U V N U b b z z A O O o x a A y Cm m y r y`m y W w W w b P N N U O O O V�i A O P O tNi� a w A O O a 9_ n n -3 S O C _ .=n zA �a C yD p m y A N N b N N -0 A N U tJl� T T O O O 0 0 0 0 0 0 O P a0 a0 r'v0 a0 0 Cv)o C) no �v mD z mD av �v y y n m A w w N 0 o a o 0 O d •0 lA V� U n O O m n w -v y v3 3 O cOn Z r D '' m DD n ti r A ,vrm, D r 0 m C m m O m m m y ti G n O r y � r O y C N O N N N N N N N O O O O O O 6 a A a m mr D m nD a°c y rC-- Cx7� p DY r 3A K? -1 -Ci %� 3n r ZA Z.v ZA r w t� Dx m Dx a Cx 4y DA m m x n O no nO nv -3 Or K00 >mx Oy Za S w O -ZG mD <m zy rn zm N k. ZDr n C C m [ m [m^ S x °z x Dz x m m m P U A A A J J J J O� Ce W N O N P N N N W W N VNi b j N C 0 n.'v Om Ql A nF M A W mA W F�+A A 71N�w Ow WOW OW w (k, zx O �-xoe nm-m �n . �o'n < on zam n Co D mpwq D D a D n� sDD o ��<nnnn > zd a �mjm x Z w D:> ° Zo O fD Z0- 9. A m O O a c O N M O O U U O J U U W O O n a O 0 0 0 0 0 _. m O 72 a n r m O ti > m> b >y b m z a= o p pm y m yz m Z A z m Z O m < O m m n P < m w y p m p A D a > y y y m z m � � m ti P P P P P w P P W P P P P to U to lA I n P P P .A w w w w w w w w w w w r• (] r 0 r ry > D A a onoh9n mT-�1 ,rrrp- m<OZ Oz -] O mp_ z 0_ _ O? COn0 Cn D oY A A'9-3> > n mpWOW -za -i '0 r z"m O AA � p ?� A {H n m o { r> N o' m o n> rmn c x > c m z z a a to to N V P P P J O O A b J lI� to P P p ry `D CO P P P N W J N O O z N N b Oo 00 oe U Ce O O O � JJ w P N O O to 2 G b to J W to 3 y b Vi N N N N y P b to N O b Q• P N P.> O O 91 N 91 b � A A nA mA Ez A ZA A �A [�iJ�m AA A '0 -1 A R. A A A A yA -1 W A r' W a A m A m A O A 'Z A z [Wp p DA O W W W . A A S A > OC mA^ A" A— �'_ m� m.- a z z� nj OG -in -min -An >-4 > A 9A y W u+ Z z m m N m Z w n w m f] z D m m -3 t= ro a C o r p Om A y� (1 mOc > u �a mm r`n y .>-7 r A mm m t% O y m w> r 3 r3i, -n m zo po m e w z D> z m rn b > _n N n { V m N m N z z y m a m °z o z W Oa VNi O A b J � P lJ w 1J O �p �p W O In to 00 Ca P O b b b O O O O O to J J Oa P 0 0 m a m m r r � O � O •O n O O X X � 9 Z w O 3 to Z m z a a < 'n z y < m y m l/) a a w w o 0 0 0 o u w O O O O O O O O O O O O r O m wm zO a� a m7 < Z Z D� aA >O �O m A� n-y-1 r C > H Dti o CC yA p0 Or< m m >z az m pn a O •m-10 n m m A n nm nm pn c °z c o 8 °a c m m a a a O O N O A O N N N O p Z 0 b na-1 nD-i �n N 09 09 �o O zo o w zo ,n-o 00 o d mD J pa zW av, Dim v,n 0 nyn lac C OC C T Oc 0w m0 Oz c a y tiZ z z O Z mZ w z Z O �"' w O F' � -3 =i w =i =3 � -=� C zti z�W w W amN omN m o y v D p z z a 0 O N N w J A A A A �O U J J Q O tNn W w OAe .Np N •O 9 U O J b A T O O U O A N O O N W A U W T O O O O N O O O O 0 o z0 Oz d _ a G a' a 3 3 3 zl -z-I H v b = w o� b b o g zo c J m z7� N55 0 d Nz N.. 0n A O _ z z tNi n b N O b O N O J O M O C O O O O O _C O O O � O O 3 > m m m nn < mD cZn T o z �m Co A ° P O O N N R _6 ^ O G O � \ \ �( Z\ ^` \m - 2 !� 7777� �(m !e 7 ;§ ;@ # ;2 ; 9@ ° @\ : §\ : g\ )( ( > �` J �w / �( \ K§ !! ;\ ;\ ) ) } ) ) § / ) § ([ P \ \ \ \ \ f ®| -!& -K;§; 2;; ;; %!; 2K; § §\) §a0-0 RDa E\ ;S0 E `- :\; »; owo :2::2; z- , \� ( / � { § ; _ § / � � \ \ , r2! 2!K! o _ \// 2a0a0 \\§ ( )/)\ 2 =z zM 22 M, )§ )00 (:!§ 0-3 �\�\ g ;# ! « \\ - 9 \ ) 9 \ ) ao;M, -tv ;(\ 2( -0-0 §\) E[ 20 ;S\2[ ( K : \: zZ g7 \; V5 ;> \ \ § \ \ ® \ k d 2 ° z z o 0 o g m m � ro ro v 1 y a m z i n r n 4 I o o rt _6 ^ O O O o z O o v m m y > rb H A m o e � b q � b n nn 3m rZa ga Za gza Za aD �a n hcm cm cm >c� C: zz nzm zm zm Wzm Hno zm �o p �.o xno no m nv m no av mm mm n d mC m O m0 m v m m a z r n m 0 0 0 0 0 0 0 o rn' CO J O V V V1 J O N P +1 Vt P P U P W VI P U W J n p rt p r°m a 0m .rrx °rm mm 3 n o> N o> ma o> o> a r D CN C> z Cm zD cN za z 0 3 m o � wm p � r m W Da b Oa J Ca Ca b Y 9 b S 0 o 0 o 0 �0 3g �y ma 9>n m� �m> Dpr Aj mr tv��yny a O Rn3yn D �n H � >n ap pr v n FPOO 3n O v n �°v0 3n p E- v n R°00 Wit' v n �a0 mr 3n o ; 2 3j °z azc 3c c D H r z < y z z z� H C y C y w C o CC]= Z Oz Z Z M O r N O r r r P P P O O O W O O a A O O O O O P O W P J P n 6 O O S 9 a z O e � H 3 m y m � c � O � a F <_a y.nn -za myn rZD Man za rnn Za yn rza rrnn za yn rza myn as vn ga n n r zozan m m yZm �m m�m n n n mno ��m -nv nv zm no nv no nv 4mm HCJ Dv m m mm m m m m m n2 Z O 0 wm A m v H z y N a a z r r r A 9 n H y m K � r W W N U N U N U U [n- N U N d rz C tz N T O H r a O H H O H m H O H H O H SZ v n m r n OayO C n G�' nOyX yC rai, no nLC a On D y o� x y° y N� >C y° �n x �� m > 'a'� o "a'1 -a1 -ai -a7 m O z O z °z °z °z v E5� J A oo J oe �p oo �p pp �p pe �p O t � 8 v S O O O O 8 O O c o o 0 0 0 0 o a� N .fin --ii XOc' m2r W< RaDn aOt-' An m, Fyran ana mr ,bar>) air vn m� Ran aOta-, �n m> aO m�a- >zb v n 3n Opr n 3n v n 3n v n 3n v,n Tn e ; �TQ mncx o C7m0 CO Om0 CO 00 � c0 p�0 CO R. 00 O O 3 y N D O 3C z Kz zz 3 � cy < z 5 z 2 Z < Z < Z am N m m N N m N N 'TI m N N R1 m U P W A W V O VVi U P W �p �p J V P W �i 16 J O V