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2023-05-31 Final PacketNOTICE OF MEETING—.i/31/2023 May 31, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING 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. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. County Judge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10 am by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. n/a 5. Hear report from Memorial Medical Center. Roshanda Thomas gave the report. Page 1 of 3 NOTICE OF MEETING — 5/31./2023 6. Consider and take necessary action to close the south portion of Haterius Park and designate the north portion as a one-way street between the hours of 2:00 pm — 12:00 am on July 2, 2023 during the fireworks display provided by Bayside Community Church. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to accept the attached proposal for improvements from the Port O'Connor Chamber of Commerce to utilize county property at the intersection of Main Street and Park Street in Port O'Connor, Texas. The improvements will allow for parking access and public access to the Matagorda Bay for wade fishing and kayaking. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to accept an anonymous donation of $75.00 to the Sheriff's Office to be deposited into the Motivation account (2697-001-49082-679) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Accept Monthly Reports from the following County Offices: i. Tax Assessor -Collector — March 2023, Revised ii. Tax Assessor -Collector — April 2023 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 on any necessary budget adjustments. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 3 NUTICE OF MEE(ING -- 5/31/2023 11. Approval of bills and payroll. (RHM) MMC Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 10:20am Page 3 of 3 CALlH[®1C N COUNTY COMMISSIONERS'COURT PACKET COMPLETION SHEET All Agenda Items Properly Numbered Contracts Completed and Signed All 1295's Flagged for Acceptance (number of 1295's ) All Documents for Clerk Signature Flagged (All documents needing to be attested to need to be signed day of Commissioner's Court.) On this I/V- day of 2023, the packet for the 311W of 2023 Commissioners Court Regular Session was submitte@ from the Calhoun County Judge's office to the Calhoun County Clerk's Office. Calhoun County Judge/Assistant C:\Users\Maebelle.Cassel\Desktop\Agenda Templates\PACKET COMPLETION SHEET.Docx AGENDA I NOTICE OF MEETING -- 5/31/2023 Richard H. Meyer County judge David. Hall, Commissioner, Precinct 1 Vern Lyssy, Commissioner, Precinct 2 Joel Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct t NOTICE OF IYJ[]E]E7CING The Commissioners' Court of Calhoun County, Texas will meet on Wednesday,, May 31, 2023 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at 211 S. Ann Street, Suite 10+, Port ]Lavaca, Calhoun County, Texas. AGENDA The subject matter of such meeting is as follows: r ' U r"ED Call meeting to order. Invocation. I . ledges of Allegiance. vF. General Discussion of Public Matters and Public Participation. &!r Hear report from Memorial MedicalCenter. if , "m 1 �..y� !' 11__ Consider and take necessary action to close the south portion of Haterius Park and designate the north portion as a, one-way street between the hours of 2:00 pm —12:00 am on July 2, 2023 during the fireworks display provided by Bayside Community Church. (JMB) Consider and take necessary action to accept the attached proposal for improvements from the Port O'Connor Chamber of Commerce to utilize county property at the intersection of Main Street and Park Street in Port O'Connor, Texas. The improvements will allow for parking access, and public access to the Matagorda Bay for wade fishing /and kayaking. (GDR) `�. Consider and take necessary action to accept an anonymous donation of $75.00 to the Sheriffs Office to be deposited into the Motivation account (2697-001-49082-679) Page. I of 2 NOTICE OF MEEEIINC-5/31/2023 5. Accept Monthly Reports from the following County Offices: Tax Assessor -Collector — March 2023, Revised u. Tax Assessor -Collector — April 2023 YOl. Consider and take necessary action on any necessary budget adjustments. (RHM), YlApproval of bills and payroll. (RHM) i Richard H. Meyer, County) d e Calhoun County, Texas A copy of this Notice has been placed on the outsidebulletin 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 remainposted continuously for at least 72 hours preceding the scheduled meeting time. For your convenience, youmay visit the county's website- at www.calhou ncotx.ore under "Commissioners' Court Agenda" for any official court postings. Page 2 of 2 # 05 NOTICE OF MEETING-5/31/2023 May 31, 2023 MEETING MINUTES OF CALHOUN COUNTY COMMISSIONERS' COURT MET IN A REGULAR MEETING 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. THE FOLLOWING MEMBERS WERE PRESENT: Richard Meyer David Hall Vern Lyssy Joel Behrens Gary Reese (ABSENT) Anna Goodman By: Kaddie Smith The subject matter of such meeting is as follows: 1. Call meeting to order. CountyJudge Commissioner Pct 1 Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10 am by Judge Richard Meyer 2. Invocation. Commissioner David Hall 3. Pledges of Allegiance. US Flag: Commissioner Gary Reese Texas Flag: Commissioner Vern Lyssy 4. General Discussion of Public Matters and Public Participation. n/a 5. Hear report from Memorial Medical Center. Roshanda Thomas gave the report. Page 1 of 7 # 06 ' NOTICE OF MEETING — 5/31./202:3 6. Consider and take necessary action to close the south portion of Haterius Park and designate the north portion as a one-way street between the hours of 2:00 pm — 12:00 am on July 2, 2023 during the fireworks display provided by Bayside Community Church. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner'Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 7 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 — Office (36I) 893-5346 — Fax (361) 893-5309 Email: ioeLbehrensQcalhouncotx.org Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: Agenda Item Dear Judge Meyer: Please place the following item on the Commissioner's Court Agenda for May 31, 2023. Consider and take necessary action on road closure of the south portion of Haterius Park and designate the north portion as a one-way street between the hours of 2:00 pm —12:00 am on July 2, 2023 during the firework display provided by Bayside Community Church. Sincerely, Joel Behrens Commissioner Pct. 3 # 07 NOTICE OF MEETING 5/31./2023 7. Consider and take necessary action to accept the attached proposal for improvements from the Port O'Connor Chamber of Commerce to utilize county properly at the intersection of Main Street and Park Street in Port O'Connor, Texas. The improvements will allow for parking access and public access to the Matagorda Bay for wade fishing and kayaking. (GDR) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 7 Gary D. Reese County Commissioner County of Calhoun Precinct 4 May 16, 2023 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear judge Meyer: 31 Please place the following item on the Commissioners' Court Agenda for May 24, 2023. • Consider and take necessary action to accept proposal of improvements from Port O'Connor Chamber of Commerce to utilize county property at the intersection of Main Street and Park Street in Port O'Connor, Texas. The improvements will allow for parking access and public access to the Matagorda Bay for wade fishing and kayakers. Sincerely, 1A V�t, Gary D. Reese GDR/at P.O. Box 177 -Seadrift. Texas 77983 -email: aary.reeserilcalhouncomore - (361) 785-3141 - Fax (361) 785-5602 MAIN & PARK ST. PROJECT The Port O'Connor Chamber of Commerce would like to propose that the property at the intersection of Main and Park St, in Port O'Connor, be revamped as described below. We would like to make the following improvements, allowing more public access to the Matagorda Bay for wade fishing and kayakers. This improvement would allow for parking access, thus relieving some of the congestion at the little jetties used for wade fishing and kayaking. Current conditions: The 73' bulkhead cap along the east side is chopped up and very dangerous. The current concrete steps down into the water are small and dangerous as well. Proposal: To remove the existing cap alongside the east bulkhead. Remove old concrete and level with fill dirt. Repour the seawall cap (4' x 73') and 2 (2' x 8') bench areas. Concrete would be 4" thick, using 3000 psi concrete ready mix, #3 rebar 12" o.c. yellow bar lift chairs. Attached quote provided by VC Services. Benches would be provided and placed on the 2 2x8 concrete pads, to overlook the water. Proposal: To erect a 6'x 6' landing platform over the current concrete steps. Construct steps from the platform, southward, down to the water, allowing access for wade fishing. Construct a ramp, northward from the platform, allowing a kayak accessibility to the water. This would include the use of 6x6' pilings to be erected for the stabilization of the platform, ramp & stairs. Proposal: To create a parking area from the street side to the existing horizontal fence -line of the house on the north. Google �S%ln F. FOWLER CONSTRUCTION "NO JOB TOO BIG OR TOO SMALL" PO Box 818 Seadrift, TX 77983 Phone 361-920.1166 fmfowter69@yahoo.com Bill To: Port O'Connor Chamber of Commerce 713 857-0482 C/O Darla Parker PO Box 701 Port O'Connor. TX 77982 Landing/Decking - Main & Park Project DATE April 18, 2023 Quotation # 2122 Quotation valid until: April 25, 2023 Prepared by. Frank Fowler daria6ll@aol.com Description AMOUNT Construct a 4' x 6' landing/deck at bulkhead to include: (1) set of stairs (1 set of handrails on stairs use of 6x6 pilings Exclusions: Permits Electrical Plumbing Labor: $ 2,600.00 Material: $ 2,530.00 Rental: $ - TOTAL 1$ 6,130.00 It you have any questions concerning this quotation, call Frank Fowler at (361)920-1166, fmfowler69@yahoo.com THANK YOU FOR YOUR BUSINESS! Darla Parker Pert CConnpr F , en, " Remove Exdsbng Concrete R,Zliovo Cap of cJ"C"t 1,10 off Vc Contractors Services Inc, kilt ", I Qr" S2'sof).00 Concrete Work 7'!P"ur slaa'.all , 'tt) 4 '73 %'; ul, 1i i:,r; 2 2 ,, buich .1, 2,l Spv -000 cs, clt%. lc re:vly r, , P3 t ' uar YOkt.,. 1,!, all S19,6100 10 mat:,'al' 'nor". i"11h 'Cl.,s "Z 7l" "Je 'Ifl, nW rj_ ,may lr:,d ",01 " _.l' Thank you! EST006 SlmT'lt:z.1 ' 12.400.CO Grand Total 512,400.00 NOTICE OF MEETING 5/31/2023 8. Consider and take necessary action to accept an anonymous donation of $75.00 to the Sheriff's Office to be deposited into the Motivation account (2697-001-49082-679) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYESr Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 7 CALHOUN COUNTY, TEXAS COUNTY SHERIFF'S OFFICE 211 SOUTH ANN STREET PORT LAVACA, TEXAS 77979 PHONE NUMBER (361) 553-4646 FAX NUMBER (361) 553-4668 MEMO TO: RICHARD MEYER, COUNTY JUDGE SUBJECT: ACCEPT DONATION TO SHERIFF'S OFFICE DATE: MAY 31, 2023 Please place the following item(s) on the Commissioner's Court agenda for the date(s) indicated: AGENDA FOR MAY 31, 2023 * Consider and take necessary action to accept anonymous donation to the Sheriffs Office to be deposited into the Motivation account (2697-001-49082-679) in the amount of $75.00. Sincerely, / f /obbe Vickery Calhoun County Sheriff 4!t> RBFCU rblimorg n n a 2 Le 9 1 MENOMM NOTICE OF MEETING — 5/3:1/202.3 9. Accept Monthly Reports from the following County Offices: i. Tax Assessor -Collector — March 2023, Revised ii. Tax Assessor -Collector — April 2023 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 SUMMARY TAX ASSESSOR -COLLECTORS MONTHLY REPORT REVISED MARCH 2O23 COLLECTIONS DISBURSEMENTS Title Certificate Fees 560 $ 7,346.00 Title Fees Paid TXDMV $ 4,545.00 Title Fees Paid County Treasurer Salary Fund $ 2,800.00 Motor Vehicle Registration Collections $ 215,391.16 Disabled Person Fees $ 45.00 Postage $ Global Additonal Collections $ - Paid TXDMV $ 91,704.96 Paid TXDMV SP $ 27,008.90 Paid County Treasurer $ 86,599.72 Paid County Treasurer Salary Fund $ 7,277.45 DMV CCARDTRNSFEE $ 2,845.13 $ - GLAdditonalCollections $ - $ - GLOBAL (IBC) Credit/Debit Card Fee's $ 2,046.84 GLOBAL Fees In Excess of Collections $ 798.29 MERCH SERVICES STATEMENT $ - Additional Postage -Vehicle Registration $ - PaidCountyTreasurer-Additional Postage $ - Motor Vehicle Sales & Use Tax Collections $ 618,767.45 Paid State Treasurer $ 618,767.45 Special Road/Bridge Fees Collected $ 26,820.00 Paid County Treasurer - R/B Fees $ 26,820.00 Texas Parks &Wildlife Collections $ 4,284.00 TPW GLOBAL CC TRANSACTION FEES $ 73.63 GLOBAL ADDITIONAL COLLECTIONS $ - Paid Texas Parks & Wildlife $ 3,855.60 Paid County Treasurer Salary Fund $ 42BAO P&W CCARDTRNSFEE $ 73.63 GLOBAL Additonal Collections $ - GLOBAL (IBC) Credit/Debit Card Fee's $ 113.36 GLOBAL In Excess/Shortage of Collections $ (39.73) Boat/Motor Sales & Use Tax Collections $ 48,351.82 Paid State Treasurer $ 46,934.23 Paid County Treasurer, Salary Fund $ 2,417.59 TABC 5 % CO COMMS FOR MONTH OF $ - TABC 5%CO COMMS FOR MONTH OF $ - Paid County Treasurer, Salary Fund $ - County Beer & Wine Collections $ 930.00 Paid County Treasurer,County Beer & Wine $ 883.50 Paid County Treasurer, Salary Fund $ 46.60 INTEREST EARNED ON OFFICE ACCOUNT $ 32.14 Paid County Treasurer, Nev. East $ 0.02 Paid County Treasurer, all other districts $ 32.12 INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT $ 4.51 Paid County Treasurer, Interest on P&W Acc $ 4.51 INTEREST EARNED ON REFUND ACCOUNT $ 0.06 Paid County Treasurer, Interest on Refund Acc $ 0.05 Business Personal Property-Misc. Fees Paid County Treasurer Excess Funds Paid County Treasurer Overpayments Current Tax Collections Penalty and Interest - Current Roll Discount for early payment of taxes Delinquent Tax Collections Penalty & Interest - Delinquent Roll Collections for Delinquent Tax Attorney Advance - FM & L Taxes Advance - County AdValorem Taxes Paid County Treasurer - Nay. East Paid County Treasurer - all other Districts Paid County Treasurer - Delinq Tax Ally. Fee Payment in Lieu of Taxes Paid County Treasurer - Navig. East Paid County Treasurer -All other Districts Special Farmers Fees Collected Paid State Treasurer, Farmers Fees $ 930.84 $ 7.92 $ 231,463.24 $ 20,249.01 $ 2,369.06 $ 2,608.34 $ 1,662.39 $ 55.00 930.84 $ 2.28 $ 238,767.61 $ 251,96 $ 17,665.72 $ 1,662.39 $ 55.00 Hot Check Collection Charges $ 90.00 Paid County Treasurers, Hot Check Charge $ 90.00 Overage on Collection/Assessing Fees $ - Paid County Treasurer, overage refunded $ - Escheats $ - Paid County Treasurer -escheats $ - TOTAL COLLECTIONS $ 1,181,360.56 TOTAL DISBURSEMENTS $ 1,181,360.56 TOTAL OF ABOVE RECEIPTS PAID TO STATE AND COUNTY $ 1,181,360.66 V�� "_ /5/?/d KERRIBOYD Tax Assessor -Collector RICHARD MEYER County Judge SUMMARY TAX ASSESSOR -COLLECTORS MONTHLY REPORT APRIL 2023 Title Certificate Fees Title Fees Paid TXDMV Title Fees Paid County Treasurer Salary Fund Motor Vehicle Registration Collections Disabled Person Fees Postage Global Additonal Collections Paid TXDMV Paid.TXDMV SP Paid County Treasurer Paid County Treasurer Salary Fund DMV CCARDTRNSFEE $ 2,120.32 GL Additonal Collections $ - GLOBAL (IBC) Credit/Debit CardFee's GLOBAL Fees In Excess of Collections MERCH SERVICES STATEMENT Additional Postage -Vehicle Registration Paid County Treasurer -Additional Postage Motor Vehicle Sales & Use Tax Collections Paid State Treasurer Special Road/Bridge Fees Collected Paid County Treasurer- RIB Fees Texas Parks &Wildlife Collections TPW GLOBAL CC TRANSACTION FEES GLOBAL ADDITIONAL COLLECTIONS Paid Texas Parks & Wildlife Paid County Treasurer Salary Fund P&W CCARDTRNSFEE $ 169.59 GLOBAL Additonal Collections $ - GLOBAL (IBC) Credit/Debit Card Fee's GLOBAL In Excess/Shortage of Collections Boat/Motor Sales & Use Tax Collections Paid State Treasurer Paid County Treasurer, Salary Fund TABC 5% CO COMMS FOR MONTH OF TABC 5%CO COMMS FOR MONTH OF Paid County Treasurer, Salary Fund County Beer & Wine Collections Paid County Treasurer, County Beer & Wine Paid County Treasurer, Salary Fund INTEREST EARNED ON OFFICE ACCOUNT Paid County Treasurer, Nev. East Paid County Treasurer, all other districts INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT Paid County Treasurer, Interest on P&W Acc INTEREST EARNED ON REFUND ACCOUNT Paid County Treasurer, interest on Refund Acc COLLECTIONS DISBURSEMENTS 343 $ 4,459.00 $ 2,744.00 $ 1,715.00 $ 141,088.55 $ 50.00 $ 116,662.60 $ 16,790.33 $ 771,05 $ 4,794.26 $ 1,878.56 $ 241.76 $ 446,207.64 $ 19,080.00 $ 3,425.00 $ 169.59 $ 40,490.51 $ 445,207.64 $ 19,080.00 $ 3,082.50 $ 342.50 $ ISSAS $ 1.10 $ 38,465.98 $ 2,024.53 $ 750.00 $ 712.50 $ 37.50 $ 34.39 $ 0.02 $ 34.37 $ 4.96 $ 4.95 $ 0.05 $ 0.05 Business Personal Property - Misc. Fees Paid County Treasurer Excess Funds Paid County Treasurer Overpayments Current Tax Collections Penalty and Interest - Current Roll Discount for early payment of taxes Delinquent Tax Collections Penalty & Interest - Delinquent Roll Collections for Delinquent Tax Attorney Advance - FM & L Taxes Advance - County Ad Valorem Taxes Paid County Treasurer -Nay. East Paid County Treasurer - all other Districts Paid County Treasurer - Delinq Tax Atty. Fee Payment in Lieu of Taxes Paid County Treasurer - Navig. East Paid County Treasurer - All other Districts Special Farmers Fees Collected Paid State Treasurer. Farmers Fees Hot Check Collection Charges Paid County Treasurers, Hot Check Charge Overage on Collection/Assessing Fees Paid County Treasurer, overage refunded Escheats Paid County Treasurer -escheats $ 222.38 $ 0.56 $ 141,129.60 $ 11,460.34 $ 15,599.22 $ 2,661.07 $ 2,348.68 $ $ 60.00 TOTAL COLLECTIONS $ 828,141.63 TOTAL DISBURSEMENTS TOTAL OF ABOVE RECEIPTS PAID TO STATE AND COUNTY y� .A� A KERRI EIYD Tax Assessor -Collector $ 222.38 $ E $ 166,870.37 $ 139.22 $ 3,741.20 $ 2,348.68 N $ 60.00 $ $ 828,141.63 $ 828,141.63 r::� —� RICHARD H 09YER County Judge # Zo ' NOTICE OF MEE [ INC..- 5/31/2023 10. Consider and take necessary action on any necessary budget adjustments. (REIM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 0 Page 6 of 7 6 N 0 0 6 W M M mQ�NN aSw_ o =+tea 5 VJ�O 0 O CAM � E m �y O f9 O = O m 0 O O Q u id uS Q Q A t9 M =Z w w _Z� a m d =W z 0 O ¢ a R LLI z z Z N _LU z z 0 Z (OD 00 z z g _ z z > lu z W V -C 00 i = IWgY L` mc ~zrnrn a 0 i Z amo 3 w z 0 =.J W d' a =_ a W K z ON =W 3 in =� z QNg .a z Q~g O w� =z O Zr y DD yLU W O _Z W O O > oW Of a s W W �0 _~ W 00 W era =_ W W era Q Q u o Q Q o 0 Z g 2 g 000 W coo �q CD O N N 0 0 0 W wF»va <» 1 Q IN oo km O K K K 0' 00 Fz z z z p 0 6 W W W o a G � W a j O Q2w Z Q LU ¢ n W m w Lu Q W EPZO Z > > 0 w O O Q M FO O N N N `o O O L m eS W �u O t0 N W DORf g H N F t O a H z z z z e z rn N w 0 w fN w J a U �wz a w O � Mz m .62 a Od ww moo k Z m a B � O O O O y O O Big 0 J F O F zz U uj a w 0 GO z z a 0 0 w [: I-- z 5 O u a Z Nip c a z z z z (CD(D 0000 z Z z z e = rn rn rn rn rn rn w rn ¢ a rg m a? > m a a Qww2 W��F- O H = a w > > O H O O U o M o 0 �u`�imm� L N�Nu� O M O M = O N W = a eo N = W = m = O = Z = =Z o� o� __ W =a = d =W 2 2 k Q. a k 7 2 2 :a :z :§ :IL :§ 4. ■ ;LLI 0 ;k ■ � �§ B .2 § �§ o ;z § 0 . .w z . ■ vi % � :z :§ .� :L :§ §BB\ §r3a §a w§ ■a §§- §#a §B is §B §) �B ■w §sm § B § ■ § m k § a z ` \ BBB$\ a §.asa ■§ 7a §_ ° §■�� k §�}} _ _a■ � § «§LU R bey m §> % _k �zb it B § B� §§ ) § §It #11 ' NOTICE OF MEE SING — 5/31/2023 11. Approval of bills and payroll. (RHM) MMC Bills: RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner.Pct 1 SECONDER! Vern Lyssy, Commissioner`Pct2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese County Bills RESULT: APPROVED [UNANIMOUS] MOVER: David Hall Commissioner Pct l SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens,:.Reese Adjourned 10:20am Page 7 of 7 i m mo a0o m N O M O O O M M O M N IP r In H N O� Oi itl rl N N C O O O !f ? w W O C N N H N N \O H C M N M P4P4 a'P'. PS w' a a a a a a H ZaW' O W E P4 E H a H W W a x E W A w aW gH O rya S W U R S E N W wEwz>o MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---May 31, 2023 TOTALS TO BE APPROVED - TRANSFERRED FROM ATTACHED PAGES TOTAL PAYABLES, PAYROLL AND ELECTRONIC, BANK PAYMENTS $ ,411i4jiAT— ✓ TOTAL TRANSFERS BETWEEN FUNDS' $ 34,833.17 TOTAL NURSING HOME UPL EXPENSES $ 2,535,560:47 TOTAL INTER -GOVERNMENT TRANSFERS $ GRAND TOTAL.DISBURSEMENTS APPROVED Ma 31, 2023' $• 3,084,8Q571 ✓ MEMORIAL MEDICAL CENTER COMMISSIONERS COURT APPROVAL LIST FOR ---May 31, 2023 PAYABLES AND PAYROLL 6/26/2023 Weekly Payables 386.493.95 5/30/2023 Sam's Club Direct -supplies 1,098.75 513012023 McKesson-340B Prescription Expense 20,069.75 6130/2023 Amerisource Bergen-340B Prescription Expense 2,613.31 Prosperity Electronic Bank Payments 5r125/26123 Pay Plus -Patient Claims Processing Fee 528A4 5/26/2023 ExpertPay-child support _ 607.27 TOTAL PAYABLES; PAYROLL ANIDZLECTRONIC BANK PAYMENTS 411,411:4T TRANSFER BETWEEN FUNDS FROM MMC TO NURSING HOMES 5/26/2023 MMC Operating to Golden Creek -correction of NH insurance payment deposited 9,106.19 into MMC Operating in error 5/26/2023 MMC Operating to Gulf Pointe Plaza -correction of NH insurance payment 15,159.61 deposited into MMC Operating 5/26/2023 MMC Operating to Tuscany Village -correction of NH insurance payment 3,800.00 deposited into MMC Operating 5126/2023 MMC Operating to Bethany -correction of NH insurance payment deposited into 8,767.97 MMC Operating TOTA TRANSEERS:BETWEEN FUNDS $36,833 Tt NURSING HOME UPI. EXPENSES 5130/2023 Nursing Home UPL-Cantex Transfer 1,011,609.64 5130/2023 Nursing Home UPL-Nexion Transfer 176,266.31 5/30/2023 Nursing Home UPL-HMG Transfer 181,924,83 5/30/2023 Nursing Home UPL-Tuscany Transfer 350,427.65 5/30/2023 Nursing Home UPL-HSL Transfer 567,975.72 QIPP CHECKS TO MMC 5/3012023 Ashford 513012023 Broadmoor 5/30/2023 Crescent 513OM23 Fort Bend 5/30/2023 Solera 513012023 Golden Creek 5/30/2023 Gulf Pointe 5/30/2023 Tuscany 5130/2023 Bethany TOTAL: NURSING, HOME UPL EXPENSES` TOTALINTER-GOUERNMFNTTRANSFERS 76,288.93 26,591.49 20,752.93 23,841.66 22,831.46 60,451.76 34,873.85 37,234.42 46.489.83 $: _ 2.036."RQ 47;• GRAND TOTAL DISBURSEMENTS APPRQVED,Ma 31, 2023 $ 3,08006.17' Page I of 13 RECEIVED BY 71 0it Y AUDITOR ON MAY 2 6 20 MEMORIAL MEDICAL CENTER OS/25/2023 p " UA%4bCOUAp-6+{, Teos AP Open Invoice List ap_open _involce.template Due Dates Through: 06175(2023 Vendor# Vendor Name Class Pay Code 10250 41MPRINT, INC.. Invoice# omment Tran or Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 24868279 05/01/20 04/17120 05/01/20 1,532.00 0.00 0.00 1,532.00 ✓' Vendor Totals Number Name Gross Discount No -Pay Not 10250 41MPRINT, INC. 1,532.00 0.00 0.00 1,532.00 Vendor# Vendor Name Class Pay Code 14620 AETNA ,,-/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 224382 v/ OS(24/2005/1712001 87.58 0.00 1 87.58 pr''' REFUNC Vendor Totals Number Name Gross Discount No -Pay Net 14820 AETNA 87.58 0.00 0.00 1 Vendor# Vendor Name Class Pay Code A1680 AIRGAS USA, LLC - CENTRAL DIV ,,,f' M Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 9138074833 ✓ 05/24/20 05/16/20 06/10/20 195.93 0.00 0.00 195.9.3 REFILL CD Vendor Totals Number Name Gross Discount No -Pay Net A1680 AIRGAS USA, Li -CENTRAL DIV 195.93 0.00 0.00 195.93 Vendor# VendorName Class Pay Code 14900 1y Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 235881 05/24/20 05/03120 06/01/20 125.26 0.00 0.00 125.26 PATIENT REFUND Vendor Totals Number Name Gross Discount No -Pay Net 14900 125.26 0.00 0.00 125.26 Vendor# Vendor Name Class Pay Code A2218 AQUA BEVERAGE COMPANY ✓" M Invoice# Comment Tran Dt Inv Dt Due Dt Check o- Pay Gross Discount No -Pay Net 1 05/24/20 04/30/20 05/25/20 56.95 0.00 0.00 56.95 % 25 ilUk WATER e4-3028A- 05/24/20 04/30120 05/25/20 26.98 0.00 0.00 26.98 VA I'll WATER , Vendor Totals Number Name Gross Discount No -Pay Net A2218 AQUA BEVERAGE COMPANY 83.93 0.00 0.00 83.93 Vendor# Vendor Name Class Pay Code A2600 AUTO PARTS & MACHINE CO, ,/ W Invoice# Comment Tran Dt Inv D1 Due Dt Check 0- Pay Gross Discount No -Pay Net f, 007495 ✓ 105/15/20 05/30/20 53.20 0.00 0.00 53.29 SUPPLIES / 007729 ✓ 05/24/20 05/19/20 06/03/20 26,45 0.00 0.00 26.45 SUPPLIES 007889 �/ 05/24/20 05/23/20 06107/20 158.51 0.00 0.00 168.51 �f SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net A2600 AUTO PARTS & MACHINE CO. 238.25 0.00 1 238.25 file:///C:/Users/ltrevino/epsi/memmed.cpsinet.com/u88125/data_5/tmp cw5report210860... 5/25/2023 Page 2 of 13 Vendor# Vendor Name Class Pay Code 14896 v� Invoice# Comment Tran Ot Inv Dt Due Dt Check 0- Pay Grass Discount No -Pay Not 231854 05/24/20 05/02/20 06/01/20 63.00 0,00 0.00 03.00 4", PATIENT REFUND , Vendor Totals Number Name Gross Discount No -Pay Net 14696. $3.00 0.00 0.00 63.00 Vendor# Vendor Name Cfass Pay Cade 11544 BAY STORAGE ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 20230261 ✓/ 05/24/20 05/01/20 06/01/20 2,820.00 0.00 0.00 2,820.00 RENTAL JUNE-NOV 23 Vendor TotalENumber Name Gross Discount No -Pay Net 11544 BAY STORAGE 2,820.00 0.00 0.00 2,820.00 Vendor# Vendor Name Class Pay Code M2485 BAYER HEALTHCARE f M Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Grass Discount No -Pay Net 6010501277 ✓/05/23/20 05/01/20 06/01/20 552.04 0.00 0.00 552.04 s% SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net M2485 BAYER HEALTHCARE 552.04 0.00 0.00 552,04 Vendor# Vendor Name Class Pay Code o B1220 BECKMAN COULTER INC >/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 110609754u/i 05/16/20 05/09/20 06103/20 398.87 0.00 0.00 398.87 SUPPLIES 110607923./ 05/16/20 05/16/20 06/10/20 125.68 0.00 0.00 125.88 .% SUPPLIES .. 110617113 f✓ 05/17/2005/15/2006/09/20 2,288.45 0.00 0.00 1,288,45 LEASE Vendor Totals Number Name Gross Discount No -Pay Net 61220 BECKMAN COULTER INC 1,81.3.20 0.00 0.00 1.813.20 Vendor# Vendor Name Class Pay Code 10024 BECTON, DICKINSON & CO (BD) Invoice# Comment Tran Dt Inv Ot Due Ot Check D Pay Gross Discount No -Pay Net 9111206579 t/ 05/01/2004/20/2005/20/20 266.75 0.00 0.00 266.75 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10024 BECTON, DICKINSON & 00 (BD) 266.75 0.00 0.00 266.75 Vendor# Vendor Name Class Pay Code / 12324 BLUE CROSS BLUE SHIELD ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Not 051823 06/23/20 05/18/20 06101/20 245,640.00 0.00 0.00 245,640.00 JUNE 23 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 12324 BLUE CROSS BLUE SHIELD 245,640.00 0.00 0.00 245,640.00 Vendor# Vendor Name Class Pay Code 13892 BLUE CROSS BLUE SHIELD REFUND Invoice# Comment Tran Dt Inv Ot Due Dt Check DPay Gross Discount No -Pay Net 204852 05/24/20 05/12120 06/01 /20 49.84 0.00 0.00 49.84 REFUND file:///C:[Users/Itrevino/cpsi/mermned.cpsinet.com/u88125/data_5/tmp_cw5report210860... 5/25/2023 Page 3 of 13 228451 ✓' 05/24/20 05/17/20 06/01 /20 101.96 0.00 0.00 101.96 REFUNC S f 216392 ,/ 05/25/20 05/04/20 06/01/20 141.80 0.00 0.00 141.80 /REFUND '✓ 218281 05/26120 05/04/20 06101/20 86.52 0.00 0.00 86S2 REFUND 226877,.+°r 05/25/20 05104/20 06/01/20 86.52 0.00 0.00 85.52 rf /REFUND 219560 a.,' 05/25/20 05/04/20 06/01/20 86.52 0,00 0.00 86.52 REFUND 236220 v' 05/25/20 05/04120 00/01/20 57.23 0.00 0.00 57.23 a/ REFUNUI 217701 J'� 05/25/20 05/04/20 06/01/20 86.52 0.00 0.00 86.52 REFUNC 225420 ✓ 05/25/20 05/04/20 06/01/20 51,52 0.00 0.00 51.52 d REFUND, Vendor TotalaNumber Name Gross Discount No -Pay Net 13892 BLUE CROSS BLUE SHIELD REFUND 748.43 0.00 0.00 748,43 Vendor# Vendor Name Class Pay Code C1325 CARDINAL HEALTH 414, ING, f W Invoice# Comment Tram Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 8003176195 ✓ 05/23/20 05/06/20 0S131/20 838.97 0.00 0.00 838.97 ,� f SUPPLIES Vendor TotalE Number Name Gross Discount No -Pay Net C1325 CARDINAL HEALTH 414, INC. 836.97 0100 0.00 838.97 Vendor# Vendor Name Class Pay Code 14260 CAREFUSION SOLUTIONS, LLC „/ Invoice# Comment Tram Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Not 1002071229.6 f 05125/20 05/05/20 06/01/20 1,788.00 0,00 0.00 1,788.00 MAINT SOFTWARE . 1002071230-3 ./� 05/25/20 05105/20 06/01/20 2.00 0.00 0.00 2,00 y� SOFTWARE MAINT . Vendor Total Number Name Gross Discount No -Pay Net 14260 CAREFUSION SOLUTIONS, LLC 1,790.00 0.00 0.00 1,790.00 Vendor#Vendor Name Class Pay Code 01992 COW GOVERNMENT, INC../ M Invoice# Comment Tram or Inv Dt Due Dt Check D Pay Gross. Discount No -Pay Net ,r JP68538 V 05/23/20 05/15/20 06/14/20 4.006.29 0.00 0.00 4,006.29 CYBERPOWER APP Vendor Totale Number Name Grass Discount No -Pay Net C1992 CDW GOVERNMENT, INC. 4,006.29 0.00 0.00 4,006.29 Vendor# Vendor Name Class Pay Code C1166 COASTAL OFFICE SOLUTONS IN Invoice# Comment Tram Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net OE-39652-1 ✓ 05/24/20 03/16/20 03/25/20 4,530.00 0.00 0.00 4,530.00 f 3RD FLOOR SIGNAGE . Vendor Total: Number Name. Gross Discount No -Pay Nat 01166 COASTAL OFFICE SOLUTONS 4,530.00 0.00 0.00 4,530.00 Vendor# Vendor Name Class Pay Code 13336 COCA COLA SOUTHWEST BEVERAGES 1/ Invoice# Comment Tram Dt Inv D1 Due Ot Check D Pay Gross Discount No -Pay Net file:///C:/Users/ltrevino/cpsilmemmed.epsinet.consltt88125/data_5/tmp_cw5report210860... 5/25/2023 Page 4 of 13 35504826012 ,/ 05/17/20 05/10/20 06/09/20 495.75 0.00 0.00 495.75 BEVERAGES Vendor Totals Number Name Gross Discount No -Pay Net 13336 COCA COLA SOUTHWEST BEVERAGES 495.75 0.00 0.00 495.75 Vendor# Vendor Name Class Pay Code C2157 COOPER SURGICAL INC v*' M Invoice# Tran Dt Inv Ot Due Ot Check D Pay Gross Discount No -Pay Net /Comment 6653582 w'' 05/16120 04128/20 05/16120 538.33 0.00 0.00 ,r 538.33 ar' SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net C2157 COOPER SURGICAL INC 538.33 0.00 0.00 538.33 Vendor# Vendor Name Class Pay Code 10646 COVIDIEN ✓'` Invoice# Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Not 5868796619 v!' 06/01/20 04/13/20 04/23/20 1,881.69 0.00 0.00 1,681.69 - SUPPLIES Vendor TotalENumber Name Gross Discount No -Pay Net 10646 COVIDIEN 1,881.69 0.00 0.00 1,681.69 Vendor# Vendor Name Class Pay Code 12264 CROSSROADS MECHANICAL, INC , ," Invoice# gomment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net BOARD 'j 05/23/2005102/2006/01120 31206.15 0.00 0.00 3,206.15 / INVERTER BOARD Vendor Totals Number Name Gross Discount No -Pay Net 12264 CROSSROADS MECHANICAL, INC 3.206.15 0.00 0.00 3,206.15 Vendor# Vendor Name Class Pay Code 10006 CUSTOM MEDICAL SPECIALTIES ✓ Invoice# Comment. Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net 306755 w-rf 05/24/20 05/18/20 06/15/20 382.80 0.00 0.00 382.80 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10006 CUSTOM MEDICAL SPECIALTIES 382.80 0.00 0.00 382.80 Ventlor# Vendor Name Class Pay Code r 14292 DEARBORN LIFE INSURANCE COMPAN Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 051523 05/23/200511.512006/01120 3,968.65 0.00 0.00 3,968.65 INSURANCEJUNE23 Vendor Total: Number Name Gross Discount No -Pay Net 14292 DEARBORN LIFE INSURANCE COMPAN 3,966.66 0.00 0.00 3,968.65 Vendor#Vendor Name Class Pay Code IGS68 DEWITT POTH 8 SON ✓/" Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 717661.0 t, ✓ 05109/20 05/03/20 05/28/20 4.23 0.00 0.00 4,23 SUPPLIES 7185e8.0 .! 0512312005/11/2006/05/20 651.32 0.00 0.00 651.32 SUPPLIES 718631-0 ✓"" 0512312005/12/2005/06/20 24.81 0.00 0.00 24.81 SUPPLIES 719043-0 „✓ 05/23/20 05/15/20 06/09/20 72.99 0.00 0.00 72.99 SUPPLIES 718947.0 05/23/20 05/15/20 06109/20 12.10 0.00 0.00 12.10 file:///C:lUsers/ltrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report210860... 5/25/2023 Page 5 of 13 `SUPPLIES , d 719266-0 05/24/20 05/17/20 06A 1120 65.84 0.00 0.00 65.84 a✓` SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10368 DEWITT POTH & SON 831.29 0.00 0.00 631.29 Vendor# Vendor Name / Class Pay Code 14908 ) J" Invoice# Comment Tran Ot Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 240528 05/24/20 05117/20 06/01/20 45.63 0.00 0.00 45,63 a! PATIENT REFUND Vendor Totals Number Name Gross Discount No -Pay Net 14908 45.63 0.00 0.00 45.63 Vendor# Vendor Name Pay Code �rClass 10042 ERBE USA INC SURGICAL SYSTEMS y' Invoice# Comment Tran Dt Inv Ot Due Dt Check 0- Pay Gross Discount No -Pay Net $7002475✓`05/23/20 06/15120 06/01/20 139.50 0.00 0.00 139.50 SUPPLIES Vendor TotalENumber Name Gross Discount No -Pay Net 10042 ERBE USA INC SURGICAL SYSTEMS 139.50 0.00 0.00 139,50 Vendor# Vendor Name Class Pay Code 12808 ESUTURES.COM ✓'� Invoice# omment Tran Dt Inv Dt Due Dt z Check D Pay Gross Discount No -Pay Net 512342 05/23/20 05/15/20 06/14/20 218.00 0.00 0.00 218.00 .1'F SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 12808 ESUTURES,COM 218.00 0.00 0.00 218,00 Vendor# Vendor Name Class Pay Code / F1400 FISHER HEALTHCARE +f M Invoice# Comment Tran Ot Inv Dt Due Dt Check 0- Pay Gross Discount No -Pay Net / 2944457 05/24/20 05/12/20 OW06/20 140.63 0.00 0.00 140.63 SUPPLIES 3020165 ✓ 05/24/20 05/16/20 06/10/20 1,248.36 0.00 0.00 1.248.36 3020166 r'� 05/24/20 05/16/20 06/10/20 15.022.80 0.00 0.00 15,022.80 y^"` SUPPLIES 3020164 ,/ 05/24/20 05/16/20 06/10/20 $2.60 0.00 0.00 52.60 SUPPLIES Venclor Totals Number Name Gross Discount No -Pay Net F1400 FISHER HEALTHCARE 16,464.39 0.00 0.00 16,464,39 Vendor# Vendor Name Class Pay Code 10879 G & W ENGINEERS, INC. Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 041123 05123120 04111/20 05111120 L050.00 0.00 0.00 1,050.00 +` SURVEYING t'nn i ul. a/�) , Vendor Total=Number Name Gross Discount No -Pay Net 10879 G&W ENGINEERS, INC. 1,050.00 0.00 0.00 11050.00 Vendor# Vendor Name Class Pay Cade 12948 GREAT AMERICA FINANCIAL SVCS I' Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 34045737//05/24/20 05/15/20 06/07/20 66.03 0.00 0.00 65.03 COPIER file:///G:/Userslltrevino/cpsi/memmed.epsiuet.com/tt88I25/data_5/tmp_ew5report210860... 5/25/2023 Page 6 of 13 Vendor Totals Number Name Gross Discount No -Pay Net 12948 GREAT AMERICA FINANCIAL SVCS 66.03 0.00 0.00 65.03 Vendor# Vendor Name Class Pay Code 14912 GROUP BENEFIT SERVICES l` Invoice# Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 235717 05/24/2005/11/2006/01/20 272.99 0.00 0.00 272.99 REFUND Vendor Totals Number Name Gross Discount No -Pay Net 14912 GROUP BENEFIT SERVICES 272.99 0.00 0.00 272.99 Vendor# Vendor Name Class Pay Code 01210 GULF COAST PAPER COMPANY „/ M Invoice# Comment Tran Dt Inv Dt Due Dt Check 0- Pay Gross Discount No -Pay Net 2385596 05/01/20 04/25/20 05/25/20 754.79 0.00 0.00 754.79 SUPPLIES 2388682 05/09/20 05/02/20 06/01/20 819.39 0.00 0.00 819.39 SUPPLIES / 2395226 ✓ 05/23/20 05/16/20 06/15/20 260.37 0.00 0.00 260,37 SUPPLIES Vendor Totals Number Name Grass Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 1,834.55 0.00 0.00 1,834.55 Vendor# Vendor Name Class Pay Code H0032 H+HSYSTEM.INC. ,./ Invoice# Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net /"CommentY 040726 ! 05/24/20 05/17/20 08101 /20 71.78 0.00 0.00 71.78 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net H0032 H + H SYSTEM, INC. 71.78 0.00 0.00 71.78 Vendor# Vendor Name / Class Pay Code H1100 HAYES ELECTRIC SERVICE 11 W Invoice# Cam ent Tran Dl Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net A2230405-06 05/23/20 04/05/20 04/15/20 1,000.00 0.00 0.00 1,000.00 BANNERLI,6 )ot, t� . Vendor Totals Number Name Gross Discount No -Pay Net H1100 HAYES ELECTRIC SERVICE 1,000.00 0.00 0.00 1,000.00 Vendor# Vendor Name Class Pay Code 14916 HEWLETT-PACKARD Invoice# Comment. Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net J 600844308 ✓' 05/25/20 05/01/20 06/01/20 573,53 0.00 0.00 573.53 RENTAL 611-6/30/23 , Vendor Total. Number Name Gross. Discount No -Pay Net 14916 HEWLETT-PACKARD 573,53 0.00 0.00 573.53 Vendor# Vendor Name Class Pay Code f H0416 HOLOGIC INC .+/ invoice# Comment Tran Dt Inv Dt Due or Check D Pay Gross Discount No -Pay Net 10532829 ./ 05J24120 05/11/20 06/10/20 50.00 0.00 0.00 50.00 ` SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net H0415 HOLOGIC INC 50.00 0.00 0.00 50.00 Vendor# Vendor Name Class Pay Code / 11600 LEGAL SHIELD d' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net tile:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u8 8125/data_5/tmp_cw5report210860... 5 /25/2023 Page 7 of 13 051523 05123/20 05/15/20 06/01/20 323.20 0.00 0.00 323.20 yf INSURANCE - VendorTotalsNumber Name Gross Discount No -Pay Net 11600 LEGAL SHIELD 323.20 0.00 0.00 323.20 Vendor# Vendor Name Class Pay Code /. 14432 LGC CLINICAL DIAGNOSTICS, INC. ✓` Invoice# Tran Dt Inv Dt Due Dt Check 0 Pay Grass Discount No -Pay Net �C+pmment 90224678 J 05/16/20 05/04/20 06/01 /20 758.00 0.00 000 756.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 14432 LGC CLINICAL DIAGNOSTICS, INC. 766,00 0.00 0,00 756.00 Vendor# Vendor Name Class Pay Code 10972 M G TRUST Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 052123 05125/20 05/21120 06/01/20 1,115.86 0.00 0.00 1.115.86 w,l PAYROLL DEDUCT Vendor Total; Number Name Gross Discount No -Pay Net 10972 MGTRUST 1.115.86 0.00 0.00 11115.86 Vendor# Vendor Name Class Pay Code J1350 M.C. JOHNSON.COMPANY INC „P� M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 00303560 . 05/24/20 05/17/20 06/01/20 190.66 0.00 0.00 190.66 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net J1350 M.C. JOHNSON COMPANY INC 190.66 0.00 0.00 190.66 Vendor# Vendor Name Class Pay Cade 14904 MARY MCBRIDE Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gress Discount No -Pay Net 235432 05/24120 05/15/20 06/01/20 25.98 0.00 0.00 25.98 W/- PATIENT REFUND s 238419 ✓ 05124120 05/15/20 06J01l20 25.98 0.00 0.00 / 25.9E �s- PATIENT REFUND 241242. 05/24/2006/15/2006101/20 25.98 0.00 0.00 25.98 ,yf' PATIENT REFUND Vendor Totals Number Name Gross Discount No -Pay Net 14904 MARY MCBRIDE 77,04 0.00 0.00 77.94 Vendor# Vendor Name Class Pay Cade 11612 MEDICAL AIR SERVICES ASSOC, 1,,,% Invoice# Tran or Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net fComment 1642282 r+" 05/23/2005115/20 W01/20 1.703.00 0.00 0.00 1,703.00 INSURANCE Vendor Totals Number Name Gross Discount No -Pay Net 11612 MEDICAL AIR SERVICES ASSOC. 1,703.00 0.00 0.00 1,703.00 Vendor# Vendor Name Class Pay Code M2470 MEDLINE INDUSTRIES INC M Invoice# Cor#lment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net M8085588 ✓ 05/01/20 03/15/20 04/09/20 264.61 0.00 0.00 264.61 SUPPLIES 2263989277./ 05/01 /20 04/21/20 05/16/20 80.93 0.00 0.00 80.93 SU{pPLIES 2284722747 ✓' 05101/20 04/26/20 05121120 1.048.71 0.00 0.00 1,048.71 file:///C:lUsers/ltrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report210860... 5/25/2021 Page 8 of 13 SUPPLIES 2265752067 �/ 05/16/20 05/03/20 05/28/20 421.26 0.00 0.00 421.26 SUPPLIES 2266052372 f 05/16/20 05/04/20 03/29/20 68.07 0.00 0.00 68.07 , j a SUPPLIES 2266875020 ✓ 05/16/20 05/10/20 06/04/20 28.26 0.00 0.00 28.26 SUPPLIES 2266875018 / 05/16/20 05/10/20 06/04/20 9.57 0.00 0,00 9.57 a: - SUPPLIES ✓ 2266875019 05/16/20 05/10/20 06/04/20 971.80 0.00 0100 971.80 SUPPLIES 2266875021 »rl 05/16/2005110/2006/04/20 -29.32 OAO 0.00 -29.32 CREDIT 2267117336 V' 05/16/20 05/11/20 06/05/20 749,14 0.00 0.00 749.14. " SUPPLIES 2257117337 �✓'� 05/16/20 05111 /20 06/05/20 85.50 0.00 0.00 85.50 SUPPLIES 2266843895 .% 05/24/20 05/08/20 06/02/20 116.26 0.00 0.00 116.26 ar'! SUPPLIES 2266710781 ✓r 05/24/20 05/09/20 06/03/20 67.78 0.00 0.00 67.78 SUPPLIES 2266710777 05124120 05/09/20 05/03/20 12.23 0.00 0.00 12.23 SUPPLIES 2266710779 ,/ 05124/2005109/2008/03/20 1,440.00 0.00 0.00 1,440.00 4J` SUPPLIES 2266710760 ✓ 05/24/20 05/09/20 06/03/20 6.93 0.00 0.00 6.93 SUPPLIES 2266710778 f 05/24/20 05/09/20 06/03/20 46.70 0.00 0100 46.70 SUPPLIES 2266710782 �/ 05/24/20 05/09/20 06/03/20 5,787.16 0.00 0.00 5,787.16 ✓� SUPPLIES 2267117335 ✓ 05/24/20 05/11/20 05/05/20 142.76 0.00 0.00 142.76 ..." SUPPLIES 2260958580 a,+` 05/25/20 04/04/20 04/29/20 436.64 0.00 0.00 436.64 g f SUPPLIES 2262198934 yf 05/25/2004/11/2005/06120 1,662.42 0.00 0.00 1,662.42 rj_ SUPPLIES Vendor Totak Number Name Gross Discount No -Pay Net M2470 MEDLINE INDUSTRIES INC 13,417.41 0.00 0.00 13,417.41 Vendor# Vendor Name Class Pay Code 10963 MEMORIAL MEDICAL CLINIC r% Invoice# Comment Tran Dt Inv of Due Ut Check D Pay Gross Discount No -Pay Net 052123 05/24/20 05121 /20 06/01/20 230.00 0.00 0.00 230.00 PAYROLL DEDUCT Vendor Totals Number Name arms Discount No -Pay Net 10963 MEMORIAL MEDICAL CLINIC 230.00 0.00 0.00 230.00 Vendor# Vendor Name Class Pay Code M2658 MERRITT, HAWKINS & ASSOCIATES ��`� W Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net SINV17987S ,," 05/24120 04125/20 05125/20 8.895.00 0.00 0.00 6,895.00 OB SERV file://FC:/Users/ltrevino/cpsi/memmed,cpsinet-com/ti88125/data_5/tmp_cw5report210860... 5/25/2023 Page 9 of 13 Vendor Total: Number Name Gross Discount No -Pay Net M2658 MERRITT, HAWKINS & ASSOCIATES 8,895.00 0.00 0.00 8,895.00 Vendor# Vendor Name Class Pay Code 10536 MORRIS & DICKSON CO, LLC ,s' Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9588336 yt'' 05123/20 05117120 05/27/20 8,313.05 0.00 0,00 6,313.05 V .INVENTORY 9590924 e'� 05/23/20 05/17/20 05/27/20 861.54 0.00 0.00 861.54 )NVENTORY , 9590925 „/ 05/23/20 05/17/20 05/27/20 23.82 0.00 0.00 23,82 y/+ INVENTORY 9597014 05/23/20 05/18/20 05/28/20 632.45 0.00 0.00 632.45 7,INVENTORY 9597013 f'` 05123/20 05/18120 05128/20 1,340.66 0.00 0.00 r 1,340.56 k✓ INVENTORY . 9594157 05/23/20 05/18/20 05/28/20 5,409.84 0.00 O.00 5,409.84 sue` INVENTORY Vendor TotalE Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 14,581.26 0.00 0.00 14,581,26 Vendor# Vendor Name Class Pay Code / 13548 NACOGDOCHES TRANSCRIPTION v� Invoice#/ Comment Tran Dt Inv Dt Due DI Check D Pay Gross Discount No -Pay Net 8046 J 06/24/20 05/19/20 05/29/20 175.66 0.00 0.00 175.56 TRASCRIPTS t 412A - Mkds'0 . Vendor TotalE Number Name Gross Discount No -Pay Net 13549 NACOGDOCHES TRANSCRIPTION 175.56 0.00 0.00 175.56 Vendor# Vendor Name Class Pay Code 12388 NATIONAL FARM LIFE INSURANCE r/ Invoice# dComment Tran Dt Inv Dt Due Ot Check DPay Gross Discount No -Pay Net 3954875 ✓ 05/23/20 06/15/20 06/01/20 3.718.03 0.00 0.00 3,716.03 LIFE INSURANCE , Vendor TotaLNumber Name Gross Discount No -Pay Net 12388 NATIONAL FARM LIFE INSURANCE 3,718.03 0.00 0.00 3,718.03 Vendor# Vendor Name Class Pay Code 1279EI NEW DISTRIBUTING y/ Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 49463-2305 ✓ 05/23/20 05/10/20 05/31/20 2,152.97 0.00 0.00 2,152.97 ' DIESEL Vendor Totals Number Name Grass Discount No -Pay Net 12796 NEW DISTRIBUTING 2,152.97 0.00 0.00 2,152.97 Vendor#Vendor Name Class Pay Code / 01500 OLYMPUS AMERICA INC ✓ M Invoice# �omment Tran DI Inv Dt Due Dt Check D' Pay Gross Discount No -Pay Net 34279336 05/01/2004/19/2005/14/20 590.78 0.00 0.00 590.78 .11 SUPPLIES / 34321419✓ 05109/20 04/27/20 05122120 341A0 0.00 000 34i.40 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 932.18 0.00 0.00 932,18 Vendor# Vendor Name Class Pay Code OM425 OWENS & MINORt/ file:///C:/Users/ltreviiio/epsilmemmed.cpsinet.com/u88125/data 5/tmp cw5report2lO86O... 5/25/2023 Page 10 of 13 Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 2085959025 / 05/23/20 05/09120 06/08/20 241.10 0.00 0.00 241.10 � SUPPLIES Vendor Totals Number Name Gross Discount No -Pay, Net OM425 OWENS & MINOR 241.10 0.00 0.00 241.10 Vendor# Vendor Name Class Pay Code 14288 PADRON WELDING SERVICE s/' Invoice# Comment Tran Dt Inv of Due Dt Check 0 Pay Gross Discount No -Pay Net 051223 ,/ 05/24/20 05/12/20 05/31120 150.00 0.00 0.00 150.00,.,-, WELDING Vendor Totals Number Name Gross Discount No -Pay Net 14288 PADRON WELDING SERVICE 150.00 0.00 0.00 150.00 Vendor# Vendor Name Class Pay Code 10152 PARTSSOURCE, LLC'" Invoice# Tran Dt Inv 01 Due 01 Check D Pay Gross Discount No -Pay Net ,rComment 04766250 d 05/01/20 04/24/20 05/24/20 245.28 0.00 0.00 245.28 y,,X SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 10152 PARTSSOURCE, LLC 245.26 0.00 0.00 245,28 Vendor# Vendor Name Class Pay Cade P1800 PITNEY BOWES INC „+'' W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Nei 1023098870✓ 0524/2005/11/2006110/20 257.28 0.00 0.00 257.26 POSTAGE Vendor Totals Number Name Grass Discount No -Pay Net P1600 PITNEY BOWES INC 257.28 0100 0.00 257.28 Vendor# Vendor Name Class Pay Code 11080 RADSOURCE ✓J Invoice# Cent Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net SC32090623 17 05/24120 05/12/20 06/06/20 1,791.67 0.00 0.00 1,791.67 1.''� SERV AGGMT SC32690022 V'J05124120 05116120 06/10/20 1,708.33 0A0 0.00 1,708.33 SERVICE AGRMT Vendor Total: Number Name Gross Discount No -Pay Not 11080 RADSOURCE 3.600.00 0.00 0.00 3.500.00 Vendor# Ventlor Name Class Pay Code 11764 ROBERT RODRIQUEZ / Invoice# Comment Tian IN Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 051523 05123120`05115/2006/01/20 43A3 0,00 0.00 43.43 TRAVELREIMB (6B4ii SAm•c,) , 051823 05123/20 05/18120 06/01/20 45.59 0.00 0.00 45.69 TRAVEL REIMB tiflIk Vendor Total; Number Name Gross. Discount No -Pay Net 11764 ROBERTRODRIQUE2 89.02 0.00 0.00 89.02 Vendor# Vendor Name Class Pay Code S2001 SIEMENS MEDICAL SOLUTIONS INC ✓,, M Invoice# Cc ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 116374774 05/24/20 DS/16/20 06/10/20 2,375.95 0.00 0.00 2.375.95 SYMBIA. EVO EXCEL , Vendor Totak Number Name Gross Discount No -Pay Net $2001 SIEMENS MEDICAL SOLUTIONS INC 2,375.95 0.00 0.00 2,376.95 file:/I/C:/Userslltrevinolcpsi/memnied.cpsinet, com/u88125/data_5/tmp_cw5report210860... 5/25/2023 Page 11 of 13 Vendor# Vendor Name Class Pay Code 14868 SINGLETON ASSOCIATES, P.A. / Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 20230228 ,/" 05124/20 03/06/20 04106/20 2,335.72 ONSITE SERVICES Vendor Totals Number Name Gross 14868 SINGLETON ASSOCIATES, P.A. 2,335.72 Vendor# Vendor Name Class Pay Code 14776 SOUTHEASTERN BIOMEDICAL ASSOC cr'� Invoice# {fComment Tran Dt Inv Dt Due Dt Check D Pay Gross 65888 ✓ 05/24/20 04126/20 05/24/20 1,005,00 Discount No -Pay Net 0.00 0.00 2,335.72 �s Discount No -Pay Net 0.00 0.00 2,305.72 1 Net { 1,005.00 y; F Vendor Total: Number Name Gross Discount No -Pay Net 14776 SOUTHEASTERN BIOMEDICAL ASSOC 1T005.00 0.00 0,00 11005.00 Vendor# Vendor Name ,. Class Pay Code S2694 STANFORD VACUUM. SERVICE M Invoice# ,Comment Tran Dt Inv Ot Due Dt Check D Pay Gross 737126 > / 05/23/20 05/22/20 06/01 /20 550.00 GREASETRAP Vendor Total, Number Name Gross S2694 STANFORD VACUUM SERVICE 550.00 Vendor# Vendor Name Class Pay Code 10645 STAPLES ys/ Invoice# Comment Tran D[ Inv Dt Due Dt Check D Pay Gross 3534340119 t/ 05/01/20 03/31 /20 03/31120 54.57 SUPPLIES 3534340117,✓ 05101/20 03/31/20 04/30120 72.76 SUPPLIES Vendor Total, Number Name Grass 10845 STAPLES 127.33 Vendor# Vendor Name ,�+ Class Pay Code S2834 STRYKER SALES CORP .�,r M Invoice# /Comment Tran. Ot Inv Dt Due Ot Check D Pay Gross 4162078 0� 05/23120 05/12/20 06/01/20 13.60 Discount No -Pay 0.00 0.00 Discount No -Pay Net 0.00 0.00 550.00 Discount No -Pay Net 0.00 0.00 550.00 Discount No -Pay Net 0.00 0.00 54.57t.^ 0-00 0.00 72.76 ns Discount No -Pay Net 0.00 0.00 127.33 Discount No -Pay Net 0.00 0.00 13.60 SUPPLIES 4104458/ 05/24/2003/2712004/27120 6,173.11 0.00 �+. SUPPLIES 4133701 ✓ 05/24120 04/19120 05/19120 86.39 0,00 SUPPLIES Vendor Totals Number Name Gross Discount S2834 STRYKER SALES CORP 6,273.10 0.00 Vendor# Vendor Name Class Pay Code 12476 SUN LIFE FINANCIAL , / Invoice# Comment Tran Dt Inv Ot Due Dt Check D Pay Gross Discount 051023 05/23/20 05/10/20 06/10120 10,765.40 0.00 LIFE INSURANCE Vendor Totals Number Name Gross Discount 12476 SUN LIFE FINANCIAL 10,765.40 0.00 Ventlor# Vendor Name Class Pay Code 14372 TRIAGE, LLC ✓j Invoice# Comment Tran Dt Inv Dt Due Or Check D Pay Gross Discount 0.00 6173.11 v'' 0.00 86.39 � ✓' No -Pay Net 0.00 5,273.10 No -Pay Net 0.00 10,765.40 1/ No -Pay Net 0.00 10,765.40 No -Pay Net file:/!/C:/Users/Itrevino/cpsifineniined.cpsi net.com/u88125/data_5/tmp_cw5report210860... 5/25/2023 Paee 12 of 13 J INV1796758458 05124/20 05/12/20 06/11/20 4.320.00 0.00 0.00 4,320.00 STEVEN SHAW 4/30.5/6/23 Vendor Totals Number Name Gross Discount No -Pay Net 14372 TRIAGE, LLC 4,320.00 0.00 0.00 4,320.00 Vendor# Vendor Name Class Pay Code 13616 TRIOSE, INC f^r Invoice# Comment Tran Di Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net TRI150457 v` 05125/20 04121/20 05106/20 63.79. 0.00 0.00 63.79 FREIGHT TRI150849 � / 05/25/20 04/26/20 05/11/20 117.29 0.00 0.00 117.29 w% FREIGHT TRI151602✓(05/25/2005/04/2005119/20 142.98 0.00 0,00 142.98 /FREIGHT TRI152138- 05/25/20 05/11/20 05/26/20 237.74 0.00 0.00 23714 FFREIGHT TRI152896 ./ 05/25/20 05/19120 06/03/20 75.52 0.00 0.00 75.52 ✓`! EIGHT TRI153244 05/25/20 05/24/20 06/08/20 64.65 0.00 0.00 64.65 as' FREIGHT Vendor Totale Number Name Gross Discount No -Pay Net 13616 TRIOSE, INC 701.97 0.00 0.00 701.97 Vendor# Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC Invoice# Cc m ment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not 2921003890 J 0/17/20 05/15/20 06/09/20 2,262,70 0.00 0.00 2,262.70 LAUNDRY 29210038910./ 05/17/20 05/15120 06109120 59,45 0.00 0.00 59A5 LA,+�INDRY 2921004214 y+ 05/24/20 05/18/20 06/12/20 213,06 0.00 0.00 213.06 LA}1NDRY 2921004216 �,/ 05l24/20 05/18/20 06/12120 80.23 0.00 0.00 80.23 LAUNDRY 2921004215 .,/ 05124/20 05/18/20 06/12/20 201,52 0.00 0.00 201.52 LAUNDRY 2921004211 ✓ 05/24/20 05/18/20 06112/20 1,011.78 0.00 0.00 1,911.78 LAUNDRY 2921004218 . / 05/24/20 05/18120 06/12/20 228.38 0.00 0.00 228.38 ..✓� LAA NDRY ✓ 2921004210 05/24/20 05/18/20 06/12/20 100.25 0.00 0.00 100.25 yi LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 5,057.37 0.00 0.00 5,057.37 Vendor# Vendor Name Class Pay Code 11110 WERFEN USA LLC ./ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 9111327103 1/ 05/17/20 05/15/20 06/09/20 1,571.67 0.00 0.00 t,571.67 LEASE 9111252027 „1e 05/25/20 12105/20 12130/20 23T00 0.00 0.00 237.00 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 1,808.67 0.00 0.00 1,808.67 file:///C:1Users/ltrevino/cpsi/memmed.cpsinet.coin/u88125/data 5/tmp_cw5report210860... 5/25/2023 Page 13 of 13 Grand Totals: Gross 386,493.95 PRUVED ON BY CALHOOUNN��A 43vX a4HN'r*t T Report Summary Discount No -Pay 0.00 0.00 Net 386,493.95 file:///C:/Users/itrevino/rpsi/memmed.cpsinct.com/u88125/data 5/tmp_cw5report210860... 5/25/2023 Page I of 1 RECEIVED BY THE COUNTY AUDI fOR OM MAY 3 0 Zor'. 05/26/2023 MEMORIAL MEDICAL CENTER CAL!-!OU%r2{1UhTY, TEXAS AP Open Invoice List 0 Oates Through: ap_open_Involce.template Vendor# Vendor Name Class Pay Cade S0900 SAM'S CLUB DIRECT '"'� w Invoice# Comment Tran Dt Inv Ot Due Ot Check D Pay Gross Discount NO -Pay Net 052023 05/26/2005/2012006/08/20 1,098.75 0.00 0.00 1..098.75 SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 80900 SAM'S CLUB DIRECT 1,098.75 0.00 0.00 1.098.75 Report Summary Grand Totals: Gross Discount No -Pay Net 1,098.75 0.00 0.00 1,098.75 APMWED ON, CALHOCOUNTY AUDITOR COUNTY. AS file:IIIC:lUsers/ltrevino/cpsi/memmed.cpsinet.coralu88125/data_5itmp_cw5report224846... 5/26/2023 MSKESSON STATEMENT As of: 05/26/2023 Pegs: 002 To ensure prayer cIMK to Vow acsomi, detach and return this Umeew seos stub wAh your resistance OC. ails As of: 05/2612023 1%9e: 002 MEMOWAL MEDICAL CENTFA Mail to: Ceram 8000 AP AMT DUE RB6ITTED VIA ACH D®IT Temltary: statement far Infofmati0n only AMT DUE REMITTED VIA ACH DEBIT 815 N VIRGINIA STREET Customer. 632536 Statement for information only NFTi LAVACA TX 77979 Date: 05/27/2023 Cust: 632536 PLEASE CHECK ANY Date: 05/27/2023 ITEMS NOT PAID Jr) ISITin 9 Due lines l Account 8 Recew.08 2A73 Cash Amount P Amount P Receivable Date pore Numher Defense. Description Discount (9resa) F (ml) F Number PF column le9md: P = Past Due Item, F = Future Due Item, Manic = Cnmeot Due Item TOTAL National Amd 632536 MEMORAL MEDICAL CENTHi 6uMmate: 20.47933 USD Forum Doe: 0.00 Dun If Paid On Time: f If Paid By 0513012023, Uso 20,069.75�, Past Due: 0.00 Pry This Amount: 20,069.75 USD Dlsu lost 8 Paid Mte: 409.58 Leal Peymenl 2.461.97 If Paid ANer 05/3012023, Due If Pald tale: 08/07/2017 Pay this Amaum: 20.4T9.33 USD U5p 20,479.33 XtROVED a) 4;AIIRr A 0TCR L.�r TxXAs For AR Inquiries please contact 800-867-0333 MWESSON Gmpany'. YOYO WALMART 1698/MEM MED RiS MEMORIAL MEDICAL CENTER VICKY KAUSEK 815 N VIRGINIA AT PORT IAVACA TX 77979 981ng Due Dale Data Customer Number 256342 05122/2023 OW30/2023 0512212(123 05/3072023 D512212020 05/30/2023 05/22/2023 05/30/2023 05/22/2023 05/30/2023 05/22/2023 06/30/2023 06/22/2023 06/30/2023 05/22/2023 05130/2023 06/23/2023 05/30/2023 OW2312023 05/30/2023 05/23/2023 05130/2023 DW23/2023 05/30/2023 05123/2023 05/30/2023 05123/2023 05/3012023 05123/2023 05/3012023 05/24/2023 05/30/2023 05/24/2023 05MU/2023 05/24/2023 05/30/2023 06/24/2023 05130/2023 05/25/2023 05130/2023 05/25/2023 05/30/2023 05/25/2023 05/30/2023 US12612023 05/30/2023 0512612C23 05/30/2023 STATEMENT AMT DUE REMITTED VIA ACH OMIT Statement for information only As of: 05/26/2023 Pape: 001 VC: 8115 Territory: 7001 Customm: 256342 Dole: 05/27/2023 To eaccm trader cmMK to your account, Mach and mtum this pub with your mmi0anca As at: 05126/2023 Page: 001 Mail to: Comp: 8000 AMT DUE REMITTED VIA ACM DEBIT Statement for information only Cup: 256342 P SE CHECK ANY Date: 05/27/2023 DIMS NOT PAID (o) Des4H Ion Cash Amount P Amount P 1lecetvabk Pl (gross) F (net) F Number WALMART 1096/11AEN MED WS 7419397715 75331459 1151nv01c9 42.20 2.109.96 2.067.76 -/ 7419597716 741939771.9 75343135 1151nmoe 47.67 2,383.35 2,335.68 J1 7419397719 7AI9397721 75343879 1151nva1ce 143.00 7,150.04 7,007.04 f 7419397721 7419397723 75407148 1151nv0ice 0.16 0.16�'/ 7419397723 7419424036 75502777 115irnrd a 25.42 1,270.87 t,245.45 ✓ 7419424036 7419616241 75276749 1151nv01ce 0.02 0.951 0.93 ✓/ 7419515241 7419615242 75276237 1951nv0ioe 1.54 77.09 75.65 7419615242 7419615243 75448959 1951nvoiw 0.67 33.33 32.66✓ 7419615243 7419753671 75543230 1151nvolce 5.32 266,10 260.78 f 7419753671 7419753672 75543230 115lume 7.94 397.13 389.19 7419753672 7419753673 75612562 1151nvpce 8.21 410.54 402.33 ✓ 7419753673. 7419932519 75528052 1951nvoice 0.89 44.71 43.82 ✓ 7419932519 7419960642 75040448 1151nvaica 6.81 340,47 333.66� 7419980542 7419998669 73319151 115l.alce 2.35 117A7 115.12 ✓ 7419908662 7420106206 75706565 1151nvoics 0.03 1.27 1.24 ^'. 7420108206 7420038784 76697177 115lnveice 15.97 798.73 782.76 ✓ 7420038784 7420038785 75764682 1151nvolce 8.21 410.65 402.34 / 7420036785 7420038706 75778756 4151mice 32.82 1.641.06 1,608.24 ✓ 7420038786 7420214859 75682198 1951nvpce 0A1 0.63 0.62 7420214859 7420318416 75898239 115 irvdca 22.36 11118.20 1,095.84-`, 7420318418 7420319419 75998239 1151nv0ice 0.02 0.95 0.93 ✓` 7420310419 7420490748 75824045 1151nvoica 0.67 33.33 32.66 74EU90748 7420628037 75946496 1151nvoice 9.29 464.46 455.17 ! 7420628037 7420G2BO38 76015418 1151neeice 2.20 109.98 107.78 ✓ 7420628033 Far AR Inquiries pleDse contact 800-867-0333 STATEMENT c..": eee0 WALMART 109WMFM MED PHS AMT DUE REMITTED VIA ACH DEBIT MEMORIAL MEDICAL CENTER Statement for Information only VICKY KAUSEK 815 N VIROINIA ST PORT LAVACA TX 77979 As of: 05/26/2023 Page: 002 To endure Proper rmdh to your accoum, detach aid ratum this dub with your remhtmme OC: oils Ae of: 0512612023 Page: 002 Mail to: Camp: 8000 Territory: 7001 AMT DUE REMITTED VIA ACH DEBT Statement tarr Information only Cud4mer. 256342 Data. 05/27/2023 Cud: 256342 PLEASE CHECK AM Dale: 05/27/2023 ITEMS NOT PAID (u) 9Mn9 Duo pecypobill"mlarel Account Hnt25m36 each Amount P Amount P Ractlyabb Date 0e10 Number Reference Dwaiptlon Discount (gmas) F Owfl) F Numbm PF column lagerwe P = Pad Out Penh F = Future Due from, blank = CunrerH Due hem TOTAL Cudomm Number 256342 WALMAPIT 1098/MER MED PHS Sublotals: 19,181.33 USD Future Due: 0.00 Due If Paid On Tim.. If Paid By 05/30/2023, USD 18.797.71 Pad Due: 0.00 Pay This Amount: 18,797.71 USD Disc lost if Paid late: 383.62 lad Payment 11,576.80 If Paid After 05MO12023, nue If Paid late: 05/22/2023 Pay ads Amount: 19,181.33 USD USD 19.181.33 AFP,gOV?ED ON EN CO ."Ov ,Ar' ]SO'A 'ccryart�, T A� For AR Inquiries please contact 800-867-0333 Ll11-IL-,� _\S JIiA W j sI. - I( MWESSON STATEMENT w„wme: fWa CVS PHCY 89231MM Me PHS AMT DUE REMITTED VIA ACH DEBIT MEMORIAL MEDICAL CMTER Statement for Information only VICKY KALISEK 815 N VIRGINIA ST PORT LAVACA TX 77979 As of: 05/26/2023 Page: 001 To dodo. ProPar ered6 to Vour account, detach and Tatum this stub with your remAtaned DC: 811E As M: 05/26/2023 Page: 001 Territory: 7001 Mail to: Comp: 8000 AMi DUE REMITTED VIA ACN DEBIT Cudamen 835439 Statement for information only oats: 05/27/2023 Cunt: 835434 PLEASE CHECK ANY Got. 05/2712023 ITMNS NOT PAID (,) National Account 6 Data Out Numer Were Cash Amount P (..I) P NumberM Date Dale Number Pelennw Oexdptian Discount (gmaa) F (net) F Number Customer Number 635434 CVS PHCY 8923/MEM MC MIS 05/24/2023 08/30/2023 7420107178 2398328 1151mmolca 0.05 2.34 05f24/2023 05/30/2023 7420107179 2398328 1151naice 25.88 1.294.04 PF column legend: P = Pan Due Itam, F = Mum Due Item, blank = Current 0. Item TOTAL Customer Number 835434 CVS PHCY 8923/MEM MC INNS Sahlotata: 1.296.36 USO Rufum Due: 0.00 It Pod By a5130/2023, Past Due: 0.00 Pay This Astound: 1,270.4E USO "at Poy nand 11,575.80 It Poch After 05/3012023, 05/2212023 Poy this Amount: 1.296.38 USD APPROVED 014 j of + L,il" l^+1ickA5 For AR Inquiries please contact 800-867-0333 2.29 7420107176 e 1,268.16 ,�(]420107g9 Due If Paid On Time: use 1,270.45 ✓ �,.,if Ole loaf if road late: 25.93 Due If and Me: USSR J, 1,296.38 II �^/�'LCsrFY�l-ice" `i.C��t'�S t'Xv✓"LL� �pZ�P7 MSKESSONSTATEMENT As of: 05/26/2023 Page: 001 To Moons praiser eretlX to your amount, dMac i and thrum this camwrv, e000 stub wbh your remittance DC: 8115 As ey: 05/26/2D23 Page: 001 CVS PHCY ]4]5lMBd MC PHS pMT DUE FEMIIT® VIA ACH D®IT Territory: 7001 Mail la: Comp: 8000 MEDICAL GnJTEA Statement far information only VICKY AMT DUE REMITTED VIA ACH DEBIT KAL KALISIX Customer. 835438 Statement for information only 815 N 915 N AVAC IA ST FONT LAVACA TX 77979 Date: 05l27l2023 cum: 835438 PLEASE CHECK ANY Data: 05/27/2023 I ERAS NOT PAID 11) ational Amount 538 DIlia Due Number l� I'Roftr Cash Date F a mt. Number 1leferenm Descd lon DiswuM 19�)t (o�t F NR=V Customer Number 835438 CVS PHCY 7476 MM MC PHS 06/24/2023 05/30/2023 7420204876 2398329 1151nvoice 0.03 1.62 1.59 7420204876 O W column "ad,- P = past Due Item, F = Mum Due Item, blank = Comend Due Item ' TOTAL Customer Number 835a36 CVS PHCY ]4T5/M61 MC PHS Subtalals: 1.62 USD Future Due: 0.00 Due If Paid On Time: If Paid By 05/30/2023, USD 1.59 Past Due: 0.00 Fey This Amount: 1.59 USD Dim lost if paw wt. lLast pm ayent fl,5T5.80 H pew AlterGUM012023, Due If ftiM Late: 0.03 05/22/2023 Pay this Amount: 1.62 USD USD 1.62 'WL�YCLLI-A.1.4Vcb11:'�QL I (24 �ZJ �WPROVEO ON su For AR Inquiries please contact 800-867-0333 STATEMENT Statement Number: 65237368 AmerisourceBergen' Date: 05-26-2023 1 of AMERISOURCEBERGEN DRUG CORP WALGREENS 012494 340B 1001352841037028186 12727 W. AIRPORT BLVD. MEMORIAL MEDICALCENTER SUGAR LAND TX 774786101 1302 N VIRGINIA ST PORT LAVACA TX nW9 2509 Sat- Fd Due in 7 days DEA: RA0289276 866-451-9655 AMERISOURCEBERGEN PO Box 905223 Nol Yet Me: 0.00 CHARLOTTE NC 28290.5223 Cumnt: 2,613.31 Past Me: 0.00 Total Me: 2,613.31 Account Balance: 2,613.31 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount 05-22-2023 06-02-2023 31MM2672 170917 Invoice 09.45 one 939.45 0542-2023 06-02-2023 3134012573 170910 Invoice 494.08 BOB 494.08 0522-2023 06.02-2023 31M137MG 170920 Invoice 87.22 0A0 871 05-22-2023 08.024023 3134176090 170967 Invoice 53.80 0.00 53.80 0552 2023 06-02-2M3 31U316192 170973 InM. 35.22 BUD 35.22 05.24-2023 06-02-2023 3134461055 170980 Invoice 161-12 Quo 161.12 06.26-2023 06.02-2023 31M674186 170988 Invelce 500.08 0.00 500.08 0S-26.2023 W-02-2023 3134764262 17099E Invom. 48.80 0.00 48A0 Cument l 1.15 Days 16-30 Days 31-60 Days 61-90 Days 91420 Days Over 120 Days 2.613.31 0.00 0.00 BOB 0.00 0.00 0.00 Thank You for Your Payment Date Amount 0826-2023 (4,894.11) APP',40VED ON Due Date Total Due: 2,613.31 MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT--- May 22, 2023 - May 28, 2023 Date Bank Description 5/22/2023 PAY PLUS ACHTRANS 45257929130100069040723E 5/23/2023 PAY PLUS ACHTRANS 452579291101000691454511 5/23/20D MCKESSON DRUG AUTO ACH ACH05499867 910000126 5/24/2023 PAY PLUS ACHTRANS 452579291101000692290545 5/25/2023 PAY PLUS ACHTRAN5452579291101000693337904 5/26/2023 PAY PLUS ACWRANS 452579291101000694077788 5/26/2023 E%PERTPAY E%PERTPAY 74600341191000012507023 5/26/2023 AMERISOURCE BERG PAYMENTS 0100007768 2100002 5/26/2023 MEMORIAL MEDICAL PAYROLL 746003411113122650 5/26/2023 WIRE OUT CBNA INCOMING SETTLEMENT ACCOUNT MM[Ne[es Amount 3rd Party Payer Fee 10T98r. IU^r-'-• +'J ': -3rd Party Payer Fee 130:73"' 1. l - 3408 Drug Program Expense 11,575.80.* - and Party Payer Fee ±$6FZ S 5 G j - 3rd Parry Payer Fee Y6231' 1 6 2 • -t - 3rd Party Payer Fee ;hild Support Payment 16 - 340B Drug Program Expense 4,894.11 .+;}'a'; [f. l,:e .; -Payroll 364,328.'g}�,�. -Citibank Corporate Card Payment 3,006.35 yf- 0'i 36 LL.v &,, - , —t. a ( c, �,�{{�bt,l(C � MaY 29, 2023 ANDRE W DE LOS SANTOS Memorial Medical Center A 0'13-11, 66 PROSPERITYSANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT --ESTIMATED ACHS Date Description . er•-�n ( 'L h' ` '-_ — ,fS-l= I\ lc )\\ May 29, 2023 ANDREW DE L05 SANTOS Memorial Medical Center MMCNates APPA0yPti 0h➢ C ILL ' y ulju„I7A:' A.; Amount 6U i-cl Irli°,-YI 1. I�b•7i u•UU :. Page 1 of 1 RECEIVED BY -Mr: COUNT YAs,0.D1TOROn LAY 2 � %623 05/25/2023 MEMORIAL MEDICAL CENTER 0 AP Open Invoice List ap_open_invoice.template Dates Through:. Vendor# Vendor Name Class Pay Code f 11836 GOLD ENCREEK HEALTHCARE J Invoice# Comment Tran Dt Inv Dt Due 01 Check D Pay Gross Discount No -Pay 051523A 0((5/23120 05/15/20 06/17/20 13.96 0.00 0.00 TRANSFER. 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Aftt_ Vendor Totals Number tU) t A1p5+.} j i*h Name Gross Discount No -Pay 13004 TUSCANY VILLAGE 3,800.00 0.00 0.00 Report Summary Grand Totals: Gross Discount No -Pay 3,800.00 0.00 0.00 ryp� �i�fA � � CV 23 UD vINU'4OCt6tE4:c O KFY. TE;(AS Net 3.800.00 yr Net 3,800.00 Net 3,800.00 file:///C:/Userslltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report 193148... 5/25/2021 Page 1 of 1 3EGEllVED BYTHE COUNTY AUDITOR ON MAY 2 DO 2023 05/25/2023 CALHGL41SOUNTY, TEXAS MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: 0 ap_open_involce.template Vendor# Vendor Name Class Pay Cade 12792 BETHANY SENIOR LIVING a// Invoice# Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount 052323 05/25/20 05/23/20 06/23/20 5,701.70 0.00 TRANSFER Wo 10,WONt P,))IlyiatFVb! 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NH BROADMOOR *4403 Current Balance 1111,011.6. / CW:'clld Edam' 117e.0590 naaaaEle flalnn[e :17:..e5P.5a Gnooavealan;e it Sid9a 71 MEMORIAL MEDICAL CENTER/ SOLERAAT WEST R HOUSTON" 38 Current BaOn[e 1311.00,49, Ce11,,B Ja ✓/13a6.0 19 .[eiaTY EUNn[tl 51:3.%?t9 e:., 0y R''an:e ACC:w Ii MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE 64454 Current wan[, 12M.056.99 ea . - Exa+re 523iB5a..:? l< A',10beaan[e ]135.B3649 Pn<e On Eelan:< 51%243'1 MMC NH GULF POINTE PLAZA- MEDICARE/MEDICAI0 "S441 Cmrtnt Balance "wows Cnreaa9 Edhn[e ItG€Cil9i axmldple Bxldn[e 11cd.022.95 Pnnryty Eabnm 51513N,11 MMC -NH TUSCANY VILLAGE *3407 Current aalance 401.119.43 Coueaef 1U 11 L07Ais5 3 Aua wE'e Balan,, 1[41.2'.1. 92 rl n•' pa] Ealul:< Mill (EN It MMC -MONEY MARKET FUND e2998 .umnl aagntC izolo.03i.a5 .....;SN 3a an<e 5:.03pi'b maa.:e 9a'ane. 12MAN $ P "r Cai OF.inrt $1 :t. MEMORIAL MEDICAL CENTER / NH CRESCENT *4411 j emrent eabnte izs>.c1213 y/�ue[tve L'aOn;u/ a51:1]p [3 nraIfCIC Balal:e f3Y^r1a 11 ann/11]%LL11]nte 1:53.153 iC MEMORIAL MEDICAL CENTER/ NH FORT BEND rirl fiv f mrrtn[emm[e n�szzlB ,,�tondaeo ea:r<e rx6sl6,w aun.p',e5aldn:e ll8f,1_b3a Prur pu]Ea u',4e p;15a3 MMC -NH GULF POINTE PLAZA- PRIVATE PAY "5433 t.,nnt wiWn[e 1%,05515 Cocen[a C.wntn t;l.ms% ,.Jli,10111:1 531.mili i.I., paYEa'in[e oszS .ray MMC -NH BETHANY SENIOR LIVING •5506 CWrenl baldn[e {61a ofi zo Irnr"el Ba'..lme 111.3131 Ant 111.1 Baldaa MUA. M Ppne bay Eaianre "WIN 16 MMC.-BETHANY SR LIVING - DACA •3660 Lurrm[aalan[e ]Wrt, COIR[1<d YYan:< Mam cva REle.a ra ..� 51000 nC. paYL'. ]^:e Mr. co hltps://prosperity.olbanking.com/corporatefapplaccounts 1fl Memorial Medical Center Nursing Home UPL Weekly Nezmn Transfer ProSperity ACCOUmS 5/29/2023 pethim e Aaaunt Bglnnln{ Nur3M Heme Number Balanee Tr nef rout Tranaferli 61,163.36 61,W5.33 335,718.W Note: 0hWalahoe, 0ovab3ALbW11 be tmm/emed to the nursing home. Nate 2: EacA ocamothm a how bolome, 451M) Mar MMCdepa hredm coon aemurt, APPROVED ON t!",'N 3 U 20 2 3 BY q%UN ry �Si8�Si8E a09 CADHONE �0 dE = Taeay'e Be(Irming Nnounemaeinn5terredW xunln{ Bank BaHntt 335.fi5fi.09 Yadence leave In Bahnm Supedar Y6Q2 300.00 31$W.lt✓( SupeelnrMarcO 3BArM.fi5✓% Aprllblt... a 38.02. + MaYlMerert tune lhawma 3{OY/ f Adimt {abM6RnnHlrAmt iT5S6631. yi Y — A9prWad: :.\l eCG82: � Itu ' VL ANOBEWOELOSSANTOS 5/3912 r 1xx wealr romkn\NN uptmmly wmmarvl:otnlnn upLTnnner wmmarvas.19.t3 512 AOI3 TSYf/SMNSTIRSTCfl CDDtP 59]8G34345)a91T 91 S/ W 02 GHHfASSO UUONHOC W093831614223Mj? S/ 51;D)3 WWOU5DWT1ON NCCWMPMT6]6%]UW W I)6 512SAD23 HNE EALTHHD HUMAN HCCUU PMVT17 aDW411901] 1I15RD23 OWAI XUMhH SVCN[CWMPML]]a69O3ai13O113 12a/2O13 DepeYS 5/xa/2D23 TSYS(IRnn5PM5T Wt C000 fa389A9346M91T91 9A4OD2I V-H, na3vwsA[ISWB>PSPII]1a Li1O0W3R 5/2W14MA TSIS it 4/23/2= HMTHNVWRTCNCDD9P5136T17406PP91 5/33/2N3 NWTI XUMFNNCNC(INIAPMTI)a6003a113O133 MMCPMON QIPP/Camp] jQn51Ryu5 y QIYP/Cam91 WPP(CemPx OIPP/CA.p3 M P. CHIP" NHFQRVON 197.19 1927. 0,8142E I9}6L" 0,306 3t34P.35 3xw..9x 3}.tcero 11.26.0e 81Aas 23 15,3]323 - 15.573.E 3,923.33 - 3.9303: M.473,33 - 95.03.33 00 - 3]Aitm4A9 9-S1tl:W 6.i5P..b 26.66A65 3.D3£24 - II 31.000,93 wQ.oG - I,673.DD - 1.900.09 6I3A3 /RIG I 61.W5.33 235.]29.0� 9.y 6.I50.19 H9 LI6 6333L55 WASLT = 5T)Il31 �/ 5/29/2023 Accounts oink viar Account Balances opnew Dbli Search Accounts x pd me.. seen rym ilu(p,m,557*mn w M..vr.. P9AA1s DDA (15) MEMORIAL MEDICAL CENTER - OPERATING '4357 Nttem Wlanee 56.80.73613 C9+.1. Wave ii,5i,%%. ei nvm:ae:e Deyr-e vpBI5.I:44; hm'Dapaebn:e N,221.44'.: MEMORIAL MEDICAL CENTER - PRIVATE WAIVER CLEARING'4373 eurr-, emanm ant" coimtW-9e.^m sal c. A. ame o,e:ap Wi 67 ,.- .-ice-r 14i"AT MEMORIAL MEDICAL CENTER / NH BROADMOOR *4403 [urr[n7 Balanep 3171,fl5B.64 Caie(IpJ W'+'(e at7',5-3 G1 Y:are5:e 5aa^¢ sni£6aN Pnrnay 9alia:p lli:'nad8 MEMORIAL MEDICAL CENTER/ SOLERAAT WEST HOUSTON'4438 anenteagnta $11.141 C.:ns Jel..', :A: J.11 nmvome Ddanw 3312,fid0.i9 P.-Dap 6al.n:e 534tl>W11 MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE'4454 i Wren: 6amnte t33sbsa4✓F co„enpd 83an(e RSTBS¢f,9 Avm e'.'a 0e: an: S235 e5E49 Y,tir Uaa da.a';. 11552a'1 MMC -NH GULF POINTE PLAZA- MEDICARE/MEDICAID'5441 Cur,,. calm(. 9166.a2t9s Cn..:en.n Sa J,(w 114G02215 Ace anIPS y VC4 C22.95. .... ^qr 9A'A"•P 4;'3=i i4 MMC-NH TUSCANY VILLAGE -3407 Current Dunce 147.119.11 Cr pn>l W-3 S.V.119r AUI i:Ie.14N, %121192 R. W7 rAs 5; MMC-MONEY MARKET FUND *2998 eurran[anaunea uDSD.exs.fls cme(laeamlle uLeaia nea.-t-o- ama-r. 5zem.azsa4 ,raoi1M111 s:.u5.•,.r19 $s Treasury Online n'i n, DIM., 11— a 1n 1 - Download n s[ar(n • .cnDJrama„p m:vnen ea'anr. a.a':nme slunreI nnr.w ft." 611,783,159.08 $11,684,132.81 $11,689,479.13 1 $11,684.132.81 MEMORIAL MEDICALCENTER- CLINIC SERIES 2014 *4365 CunentedlalRe SH744 (CYt[Ied P,:a^ae Iti]aa n7e,arte a:an:e o3lJ srer ml 5na+ep fi3:m MEMORIAL MEDICAL CENTER / NH ASHFORD *4381 C.—lealanrp 1354,74a0z CYaaleJ Daum ss6,lerax -,. .11f011,< 33F-9e21i 51-.7. MEMORIAL MEDICAL CENTER / NH CRESCENT'4411 Culfpnlealan[[ 535Tq[2.13 UILN,n.li 11l Sii„112,i n:a hCe e.NJn:e Qu'ra 13 nnc, 011&'e . Sssl,i[}n MEMORIAL MEDICAL CENTER / NH FORT BEND'4446 mnpnt eaunie nsssx4.39 cn:m(mJ DJm,:. risv4.2e dvJ-..aIe LAIJQe SI tl�5243D. PnY: Da(Wlail(c S:VII,ln, ' MMC -NH GULF POINTE PLAZA - PRIVATE PAY *5433 NmpnalJncp is"Cda.75 Wal JDal-(e 151.00515 A a.aJle Dabnc 551CJs% Pep1 Dea rJ. 11 7?5NaFa MMC -NH BETHANY SENIOR LIVING'5506 cJ1,[p eduna 3c1a,43azc o-J:.nen ea:a�p, ic1s3.1.:4 i.....1n+e.IlAp:n SL"�G2a 2{ f:,ar D.1,JaJew 5i7 US I MMC-BETHANY SR LIVING - DACA *3660 emrem aaunm urodd anene'.ex�a=,. all", 31aJeJle PllJn;: Steen Pna D"0) 101. 1. https:Aprosperity.olbanking.com/corporate/app/accounts 11t Memorial Medical Center Nursing Home UPL Weekly HMG Transfer Prosperity Amounts 5/29/2023 rRdan gttWm Be[InnM[ nnRine xnl.. � eaN.e. xn�i ��y�y "°"` Wig_} 1433i33 vmdin[ onmua 8in4 &Ima U.I,,P leavrin &bna 1upxorY603 SupellerMaRA nT.untla Ba mnrnna ro unY In[Hame 16.p20.a9 J Ica. F 12ASIR J Ica.." Ppnlln(ernt 1L31 MaYlMaat lwelMpnat 6 1� Ndlm(8ahrl(e/Tnmlei8mt LB.aMA9 V/ (p' rnmwa a(mum hslwlry / M.awune< Hmn Nmm NilnMa bWn< // I l r Tnnafmin r.ndm3 2 (d ea NN nnrtemdb Tnla aN InMn N n Hem. Yam. ]0.18185 I.-l.neuf IO.Of3.4G 163.9pi.1< � - T 198•P229f 16f•9p4.T1 eankblin(p {fi4(Ii295 Va,iance - p/ uaw In &lance 1E000 Ppmmnnal. t1.31 y,�t MaY1M<.n( f,,.t l Pdluaf BdinufraanRvam[ I83:9R.1a./ fl°u°"a{'b_'^r^xua'fm'6°I<Pw5'1<Fie' jOrN TMNSiEfl3 191521.12 .. xafb PIIY blen en e/Ouer f i 0.V wR 6e (rom)m<l ro Nr rsunw9 nrme. Nele): fe[fie[(aunl Aateb(ebllan[<0/fLC01M1a1MMCdepoufN bapmamw[ -APPROVED ON 1 PN00.fW BElOffY(T03. f(19/1023 3:wx w<nN n.nmlawN un nien.(s�mnngV w3wx urnRan., sa.m.Ros.an S/2512023 WIRE our HNIS m4AOI0D32654335T4IlSOOM227 - Sh5/2023 WIRE GUi HMG RackptM 5N6, UP {Ommetl_el 5/25/2all NNB-BCHO MCCUUMPMT346003411 MON024008 5/25/2023 HNB-ECHO HCCIAIMPMT 748MUII 440W024OW7 3/74/2C13 CoptAllo-M1Une64m4A619OOB76BA3351<IUNN248 5/22/2023 PNC-KHOHCCIAIMPMTT46MM1141MA12R816649 5122/2023 HNB-ECHO HCCLAIMPMT 74BOW42144MOD225743 5/26/2023 MERCHANTSANRCOOEPOSIT49691051000991MM1. 5/25/20U HNB- ECHO HCCLAIMPMT74NOM1144MO276594 5/2612023 HEALTH HUMAN SVC HCOAIMPMT 174MOPIL3013 2 5/25/2023 AFIRE OUT HAS Aack,. SNF, LP-Commetlpl 5/25/2023 HNB- ECHO HCCLAIMPMT 746MUll OMM240703 5/25/2023 HEALTH HUMAN SVC HCCLAIMPMT 174SM34113013 2 3/14/2013 Deposit 5/24/2023 MERCHANT SANRCO DEPOSIT 495AT851888991MOI 5/24/2M3 WPS-TMEP CGNTRAC HCCLAIMPMT 2A94,28991210M 5/22/2013 Deposit 5/22/2023 MERCHANT OANRCD DEPOSIT 4911478SID189 9100001 5/22/2023 NORMIANI3A. HOCEAIMPMT6759924200001719151 MA PORTION OIPP/Comp QIPP(Comp4 Trensltr-Oet Tnnffer.ln QIPP/Cpmpl 2 OIPPICamp3 &lapkk QIPP TI NN PORTON - 25,70947 15169:H 10,339.13 I;A34.5< I2,054SA 11,220.40 - 215.26 - 115.26 32.93 - 3213 24.47E8819,561A5 4,SW= MADRID, 3,452.5E 415.95 - 415.85 ,344.97 - .. 14407 MMC PORTION QIPP/Comp QIPP/COmp4 Teend.r,0. Trvnder-In QIPP/COMP2 2 QIPP/COmP3 Supse QIPPTI NM PORTION 3.206.78 - 3,206.79 5A27.01 - 5,42701 0.50 0.50 10,063.64 9A33.7o 9,411.70 - 1.903.9E - L903.92 - 24.901J7 - 24,901.77 1,6SO.Oo - 11650.00 - 839.08 - 639.03 - 53.744.07 / - $3,744.07 960.1a J 866.26 - M.149.6) 66,14167 1i'd .6. W4.]6a 165909 Ti�165909 Ti5 31.214.04 216.798.68 19561.75 0,915.1E 15369.94 10,539 l 34A)3854.915.11 19w 512912023 Accounts RYsiW31y 6[fut6:at➢.'Y6 Account Balances ca, v. w Table New Search Accounts Se:iR Vipw $llHl typf A;[au'I N.n,Le, ROA S! ODA1151 MEMORIAL MEDICAL CENTER- OPERATING'4357 Cmren[wlan(e 36,663,716.13 Gt'em:Ya eve S6.i£i.!Si It AVd,aple9alan[f 348:5 _116m W:p: N/Batln-s 17:3:sllL.: MEMORIAL MEDICALCENTER- PRIVATE WAIVER CLEARING'4373 curtmt a.[-x .3LI1 Cc'Ia-t1. oa.,m !:)p : ave: asr aazn(r SA3167 Pnc: oalewanly 143Y0 MEMORIAL MEDICAL CENTER / NH BROADMOOR'4403 Currant Uampu s71e58.60 CY VC±a a,I I: n1:.v4iF AVanxYR tlsanre Si765665a Pmr 0.q Nalan;a I slam )I MEMORIAL MEDICAL CENTER/ SOLERAAT WEST HOUSTON'4438 [Yrtant B.lWn[e s312.&AQA9 C. 111-elI+te -1., 540 At, AvaYaele BulxneY 6312,610K Pner 0, Ma ,a a 330Lew 15 MEMORIAL MEDICAL NH GOLDEN CREEK HEALTHCARE'4454 [wren ual9nlr f215A56a9 Cola[q:I lfl:ar,[f ., 3'.aSS.r lwmbule V4lan[e 1335.tli6o9 P,aovy P.aSn:e s1Yi.:a3'0 MMC-NH GULF POINTE PLAZA- MEDICARE/MEDICAID'S441 Current Balan[e sIE6,011.95f C„learn 61'111e SI; o6G 9i AVa:fang9elave 91Ca0E.'X. :ev Gar6alanu 415:3ESL5 MIMIC -NH TUSCANY VILLAGE *3407 CVIIInI.X.Il[e a4or n9.a3 mlanea wanfa 1a6711Y :3 AV11]nou141fa 1:G[,311.0 .'oCay6JU' :% 11p19L6 5" MMC -MONEY MARKET FUND -22998 eurlenl6alnn<e s2ow.129M Cm:nnM0.1011e 1: 0429.ef sm1a 9199s N., oxy 9ala,a• M!0.31.5: Treasury Online ]Mahe my aeMul(NSw 8 P:�nt • CawnlOJa ': 3edr[p A<(OYnI Xif,Nnle O a. c^e'OTY exlanr. Lmle(LO Bipnf. AV. ..Wle A,lanra Luv.,t Bnanr. S11,783,159.08 S11.684,132.81 $11,689,479.13 $11.684,132.81 +,1 m.solayneme •= MEMORIAL MEDICAL CENTER- CLINIC SERIES 2014'436S .,,,.A, moAl[ s533.44 f'11±11.1 ",'A'. ti31u ..Name Xx gnfe 15M. 1rmr uA, alhs[a 35313 MEMORIAL MEDICAL CENTER / NH ASHFORD'4301 CYncn<aalan[e 135GAM02 Cane<aY 41114. , enlco.ua <.c. W I611ane 13F, zlJ env wr ap.'.,,I MEMORIAL MEDICAL CENTER I NH CRESCENT *4411 emaa nulxn[n f157.012a3 CpXeau:l Oa'a.Ye M1.1112 .'.'rape Xatln:e NC1..03!13 1'nor W, 9xhnn $M.15129 MEMORIAL MEDICAL CENTER / NH FORT BEND'4446 LYrrent 6xlan:0 slmu630 Calle<IfIffI1Ife 1'6112e J0 aYalaae Wlame 116i.W630 P:m, Wy Beuvice 1'ID M..9 MMC-NH GULF POINTE PLAZA PRIVATE PAY'5433 /- 0 n nl Wlan[e f51.W5.]5 CYJate. tlx9cta SSI E6: IS AV, lop v61hM± is10051: VnP NYOaVn[t IMiEi^ MIMIC -NH BETHANY SENIOR LIVING'5506 0.1—IBdlanle 161i.6116 CmIenMOAla.;e 341i 0..j6 walan'e dxlx.;s I04.63124 Pnnr oaY 9eV,, sx:l.9 nil MMC-BETHANY SR LIVING- DACA *3660 [u[rcnl Balant± 1Mla CYLu.( w.nc, lice L0 A. I-, t. ux Sr_a 11'J0.ea wia, Wv wl: K. scam https:/Iprosperity.olbanking.cam/corporate/applaccounts 1/1 Memorial Medical Center Nursing Home UPI. Weekly Tuscany Transfer Prosperity Accounts 5/29/2023 R i P,wmt ae[irMnl Ner,: ptlyGNentM Ofe SSW0 wM letlul(n„!,etA,nurlrng A—,. Note i; Eo,F-1ha, v 6omdvl,nce nSJW 6.MM dI-IM mope. utromt. Ua 8 UAfP't i Jai i:�. vmexl e,nk Bu.— 407.111,43 vvi,rra um x4l,ntt g0om,,�[ MNIna MartR W9i 19.351.IBi11{ Rmeri[rwP Yfiq). I],I19.ri i/ rM„kmup MartM1 ]er011.A r( Raiwt B,lmu(rnnd�eyrnm[ � ]Bo�lie�.�j,3e(j. �, L.AI ei�_`ri LW�t{�6/19/3033 PNOREW OEIOBNNTOa 5/26/2023 NOVITAS SOLUTION HCCUIMPMT57620142OW0179 5/2S/2023 WIRE OUT UNBAR ENTERPRISES, LLC 5/25/2023 HNB-ECHO HCCLAIMPMT 746D03411 M0000241142 5/2512023 HNB - ECHO HCCIAIMPMT 7460034U 4400DD240717 5/24/2023 Deposit 5/24/2023 HIND- ECHO HCCLAIMPMT 746003411 MONO2OS426 5/24/2023 NOVITAS SOLUTION HCCLAIMPMT 676201420000125 5[24(2023 AMERIGROUPCORPOE-PAYMMt E852MS3051=00 5/23/2029 Deposit 5/23/2023 AMERIGROUPCORPO E-PAYMENTEE52593SOI 1110M MMC PORTION QIPP/ComP QtPP/Comp QIPPfCamp Transfer -Out Tmnsfer4r; 1 gIPP/Camp2 3 48itap5e QIPP TI NH PORTION • 9,450.92 9.450.92 93,649.89 - 14,838.83 - 14,838.83 11,276.05 31,27645 41.643.62 - 41,643.62 504.42 504.42 198,932.44 - 198,932.44 34,431.25 403.60 26,54T.611 17,225.93 17„21$63 54,512.46 - 54,SU.46 ,2zam0$ /17,96&56 4JIME49 28,018.79 w. U53.29 512912023 Accounts Q.'Ml nt L:.'S.L^.',i1N!SC ^SCPY_`4cVUC5 Account Balances earamew Tabi.1— Search Accounts -e eJ'!ery 5<hff IPe .l.cun[4un.na 2t151 DDA (15l MEMORIAL MEDICAL CENTER - OPERATING *4357 Curren 9alan[e 34e63,i)E.a C. 1C. ¢aa+te 1GFE3'ri?3 q[a lank MOn[n 5G01']IL L: PrertlayfiaUa:e i],]31 E133A MEMORIAL MEDICAL CENTER- PRIVATE WAIVER CLEARING *4373 Currtn[9alen[e v3Lfa CWIend Wia:rcn $132Li Foeivme U."tn Sd32L? Pnv Dry 6e+n:e 1•y.d] MEMORIAL MEDICAL CENTER / NH BROADMODR *4403 Curennl9alan[c SISI.e3efo <a:rt[ICn yJ J^fa W.$—A Si avlra]±9dldn[E 5']S,M35: in3r01Y 5J'J+:P t15�FFd.:' MEMORIAL MEDICAL CENTER / SOLERA AT WEST HOUSTON *4438 Current0alan[P 3313,Li0.49 C'e[teu &\a":• i::a4-ll J3 .nava'a 3vn.[ 531:.f:0 D.r Bv.r.ce e.ry:!�:'S MEMORIAL MEDICAL / NH GOLDEN CREEK HEALTHCARE *4454 Curlen[Hlan[n 3S35A5409 Cnitt:a Ja v+[c t?i3ai^^-F <.Jrau Oa',ar;< IM956e3 Pro O,ry Lb:ee s1:U:1 s MMC -NH GULF POINTEPLAZA-MEDICARF/MEDICAID *5441 CurrMS Ulan[t 3166.02291 <o4rrenit I— fi'Cw.=3i FvarHhln Brlan[e 4I16,G3295 Pnor0ay E11a\[e S:S].323.LG MMC TUSCANY VILLAGE *3407 -NH Cu•1m[tlJlan[e Se0r.119.43V Calenea 3Ulan[e ur,, Iin:3 bl ade L'sJr[e. Sun-1t 9? ,rer 11, OFmm 11.16Ri: MMC-MONEY MARKET FUND *2998 ewune ellanm e>_afa.939.35 ea enm 41111e IJ n1n 9211, P5 S"N"2585 rnnrorl elM+ra s;asssnss Treasury Online I ,Ye my M.,nI, View 0 on, n 0.wrn,ad "5N1111 - Mtaa': a-Preme i • ••ca', 6.1'a+ct h'. r c:ta&1'a+ce e.,1. 1r1nn11nr.t I - ........ $11.783,159.09 S11.684,132.81 S11,689,479.13 1 $11.684.13231 MEMORIAL MEDICAL CENTER. CLINIC SERIES 2014 *4365 Curlenl a3WcP $53149 CV 1110}&I:nn[e 11V nva.lan'Y 1J11, Si ll. P..,C , lhlnnce 1533 s1 MEMORIAL MEDICAL CENTER / NH ASH FORD *4381 Cu.remlabnn 5356,rw.02 CPIId1PJ l,n.:nn 95G3l4@ +rnanla Ban:.J 516:.93: 1- irrn' Onv'c .a.ur t'aJ- . -. MEMORIAL MEDICAL CENTER / NH CRESCENT *"11 Current sAU 5357.01E.13 WWIMe 11 ...,u..oe 6aa ,n s3s:.n5a n Pnoe O.ry.Evan[P HSPt?:n MEMORIAL MEDICAL CENTER / NH FORT BEND *4446 [wont eaann s1F5,S1c.30 Cn;Yrnc laa•-[P a...tp J.a -u Ga4ra. S-a�530 y. OJI Sd.rce 5 l'yi:a MMC -NH GULF POINTE PLAZA • PRIVATE PAY *5433 m,rm1 Ulln,, 151,00575 fn:mta a, ssl.ne=5s •v. .: e0\tla:e 5514]61c Vnm W, PJ MMC-NH BETHANY SENIOR LIVING *5506 Nr[en[BdlJnte 3611,0i,36 tnle[1e0 Cn:lnfe , ai::5 111.11eealJn[J 3Gw.LiaS In., Mr 4nann 553l?"I MMC-BETHANY SR LIVING - OACA *3661) mr,nm9mmm smarm tenmma Udame s:WN avJ.49Y h-lan.. "Oog W.nr 1, IN'Jnt^ $I noM htips:Oprosperity.albanking.corn/corporatelapp/accounts 1/1 Memorial Medical Center Nursing Nome UPL Weekly HSLTransfer p,osperity Accounts 5/29/2023 Pno.nt II.W..a Pr.&emnnna Nnmss,mD neronnpmed to mrvwueq nome. NoteFON ocrcunthomemeeamnao/StWtnot MM<aepurcedlooym eaount. gmdin{ MNlun IDD.aD / 3969q.gE e// Pwlllnlernt M.)1 ~ M,Ylnlnnl IYIIIIniIIM! Pd1.n BAann/rnnrlrrPmt Sir:9EiESr p I PHDflLW DEl0EE4ni05 5 /303I NO bl,n<e lbre�e blanp snwrlmrPoz avwflereurvn UhNw kI, lnmunylx uT TnIIWI mmantzmlVM url n,ml.r%u a,as193l 51102023 NOC SW(EP[PCR)6313169WO3N3 SWEEP ER y S/l6n= t~. v4mryntAwO0I6431513 n1000,1" S/16/Nil XOVITLS SOIUTON NKWMPMIfi]fi461910W0])fi 512323 WIREOUTPORTLRVM NH,ILC 5/25/20a HNB- ECHO HKLFIMPMP]46W34114 OCO024W90 S(Ia/m23 Oe it 5 14/ton 0 -1, 5/2< 04Pxlt 5/24/2023 Oepo4it 5/l4(1013 peWSN 3/24/2023 HNB-ECHO HCCWMPMT74600NI144 205426 $/I4r=1 C4mene Mvv34mmPC11PA0E651#MSS1000024P 112)/2013 p4potN 1/23/2033XOVIILWLU90NHCCPIMPMT6]6EB]42000013) SJ22/2021 NOVITASSOL000N HMMIMPMT67UM420000160 MMCPOR o. Tt•44 irnmlo.ln WPP/gm L o)PPIUMP2 oIPP/CIDW3 NPP/C6mP4011PM WEPT .-PORTION IVU 45 10,M30 .. 45629.52 10,531.18 3k10:21 2t,#.lfi Il MIG 3082,13 - 30.SB2.t3 33,]61.P6 - - tfi,e03.84 ]6.P43.60 59913➢ 5&3➢. - SA]006 - 0.05 - 13,]01.15 - 7,7 2],1p1.15 - 17A9349 27,093.48 - 2.33400 1,33400 - I65.9I IWA1 - 2E,11400 5030:n Sk65001' - 2QP09,33 20,9033 0}0.33 30yO1.33 -J �. 11&953b5 / - ilIB.953.65 5129/2023 Treasury Online Accounts o;u.>Lr,rx n ea m 6'VI -.0n, Account Balances wd%,.,V T.m.Namr Search Accounts p our[ my.1i'01 vlry eE'[ I0—ba.a "51-11 a .[a_.n.: Pp •pro :iP" - ... a. L ,La Ili DDA(15) a..m oa,:a.n:e rm•nm ea.a.ra aoa.am.xllso:P I ca..r.t d.ui�.. 611.783,159,08 511,684,132.81 $11,689,479.13 $11,684.132.81 MEMORIAL MEDICAL CENTER - OPERATING *4357 MEMORIAL MEDICAL CENTER- CLINIC SERIES 2014'4365 Cur,em OaUn[o SR80.17613 Cr. nc[ea Home S6 mi ^fat euaanl Mffi.I r537..1.0 Ccllepef e,'an;f a531-I .1vav'Yu:e BJUn[e 34BIS.TIGU3 Gnrr JAI""e:e ..'I I,. en:an:e 1537,1: h:Oe M, ea la" 153'r..tl MEMORIAL MEDICAL CENTER- PRIVATE WAIVER CLEARING*4373 MEMORIAL MEDICAL CENTER/NH ASHFORD*4381 Cur.an[s.l.. W167 C. ie[aee ea,'eV SaSa.T eur,v.+. eamn[. 1355,160.02 P. u:u,b eala�2e [a336T rru'Oaa dJ4':[e 1.3i_6' •r++Jef el'.:e iliu.w312 Vr.4: G-ry MEMORIAL MEDICAL CENTER/NH BROADMOOR*4403 MEMORIAL MEDICAL CENTER/ NH CRESCE1VIT'4411 eonenre4an[e SITI. SMO Cflkaee tlaew+a I,"W [r ar.emealana 1751.0I2.13 (m"EVtc wrancr IM..211 M1vam.e Baor'n :+M¢ssa re[ 11. IJV aYe9-[e s1fi:..'aa lE Y,p.Nre,..f-m la,. 111;: MEMORIAL MEDICALCENTER/ SOLERAATWEST HOUSTON'4438 MEMORIAL MEDICAL CENTER/NH FORT BEND*4445 Cunenl ealan[e 1312RJOd9 Cc I.., E1.ene SPI.StJ.a) Current 0alan(e al S32630 Cakeeu Ea 11-w im'126.3U •wfa0le Balance 13r2WU.J9 Pr or.'Oa m:;e 11A.5W.75 •w lAie Baru: [e nM'11690 "V, Oay6u:a:rtc 51i0.IYSSY MEMORIAL MEDICAL NH GOLDEN CREEK HEALTHCARE'4454 9V".rIB9mre[. sns45663 erYaea mar,m sLs653C9 ...: e.,. O, J^:O 1215955 L3 Vne 9110Janae 51:1:43" MMC -NH GULF POINTE PLAZA - MEDICARE/MEDICAID *5"1 Curr.n[9alanee 116U.03395 [nrree:af.'an:m:r tlfi[0x295 <.uaYr9a'ar�r SILL 02i 93 •.m 4aYirA^o tl57 See Ci MMC -NH TUSCANY VILLAGE *3407 wrr<rnvlana 1uT,nnc3 cw enecwar[e saou is+3 nsraSe Vdan<u e.[afi.xit92 inor CaYUJ�^e. fi9i.etfi9 MMC -MONEY MARKET FUND'2998 Cu,rem Balance Ro6a tlx9P5 ra eem ea..; :. SLp;g l2-2s •v..a:raae: iZi:L 6:a85 ...n Coy B.a,ar:e iCLFJ.33561 MMC -NH GULF POINTE PLAZA- PRIVATE PAY *5433 rancor MWIn 1"..575 aoe(lee 91 a.u.:_v Llll:v is cis II V. Vr C,Y'•i J,(e ::S.nt. MMC -NH BETHANY SENIOR LIVING -SS06 Curnnl Balance 561a.63a 76✓ C[4rllee BaldOre lYt 1.33a r0 MMC -BETHANY SR LIVING-DACA'3660 Current ealan[n 1100a0 Cdwcle]USan(e 4:LU r.0 AvreleWelldr..lnce MUD Prmr 0ay67rdneC 110316 https:l/prosperity.olhanking.com/corporatelapp/accounts I/1 NAEMORIAL NAED5�CAL UNIFTER C K R LE Q FT S T Memorial Medical Center 5/29/23 Uat Reque.st+d: F FUR ACrT. LISE C),I!I.y (f �___W.-__.____�..._.__�._.__.____.__. i A"OVED ON Im twest Cash []A/PCheck MAY 3 0 2023 Mail Check to Vendor i p BY Cqj.'Ty P, AWITOP - 1 L-11 ket.w r; ",Icck Lu Eyepi A.NiOLIfdT 76,288.93 10255-040 ---------- Amerigroup Q2 and March 11PIR 0.1.- LIMIJ A, YIC, -N!: 1) 'f Caitlin Clevenger FF, B R*A' kefl-�L34CAL "NITER L — !, �-[- t,.-. k:"-i' " E'— "I I Q-1- p Memorial Medical Center A y AMOUNT 26,591.49 Amerigroup Q2 and March QIPP uar=. Requested: 5/29/23 FOR ACCT. USE WXY APPFJOAIfib ON. asil IMAY 3 0 2073 F-I i A/Pt-hetv arnor 13Y iy AVDFI 0.4 VY (z/L mIJIVIBEil: 10255040 Caitlin Clevenger all - p A y r. Memorial Medical Center Request-d: 5/29/23 FOR ACCT. USE OND Elimprest Cash �A/P Che.--�, L7NIailChcdk�oVendor LAReuUiech i173 Deer l, -C 20,752.9t.10255040 Annerigroup Q2 and March QIPP EXPLA'NAPO.�;: it B F Caitlin Clevenger , l M0s{EA ; iEC?ir'AL `:::EE,N" 1DR, P Memorial Medical Center AA vat-. 5/29/23 FOR ACCi. USE ONL`( Imnrest i..asL' APPROVED V .� I 7A/PCheck nMall Check to Vendor i •• __...____ ____._ 4l li�+i�v7'/.'-PJD'�' I i�fi�:lli� AMOL;NT, 23,841.66 ;`; '•JLifv'Sr". 10255040 Amerigroup Q2 and March -- — i-.XI'.. LaL.. :L . t B Q Caitlin Clevenger z9 fIf Memorial Medical Center pat= Herwo5ted: 5/29/23 rOR ACCT. US, ONLY frnpresxC.as; t#�P4 l O VPf �a DMill Check to VEndor Li'etlb i t heI: to DepDir ANiC.IUf�T 22,831.45 Gfl NUMB-ft: 10255040 Amerigroup Q2 and March QIPP n Caitlin Clevenger Z.- ;. � Memorial Medical Center 5/29/23 rry'� �uRP r:�4'r 3bj �t P,Du. M p reF r3v F012.4CCT. USE ONLY Imnr�;t %asr. L]A/P "ne,k 7IJa0 Check io Vendor Return, Cecl: io Oepi i iilOJ;'cT 60451.76/LNUMEER: 10255040 Superior Q2 and March QIPP 1 I--. X P LAtyA T i 0 N: n P A y Memorial Medical Center 5/29/23 A1,AOLINIT Superior QZ and March QIPP ..... ......... ... .... "T i ;j Caitlin Clevenger POP—ACC-T. USE ON LY D Impreq Cash PPROVED DA /F Check .3 cOAN 011�q&,s EIRCZI)Irrnecf:. to Opp" ,4,'tj% CO(ON 10255040 i'VIEMORiAL rl."HEDICAL CENHAR f'C K R P Q t J E S I p Memorial Medical Center DUP r, . ll 5/29/23 r,vlijkjtl.�U� : APPROVED y 0 42,923 7 XAS FOR ACCT. USE ONIY Imprest C.,ish E]A/P,-he.ck 11 Mail Check to Vendor A.IVIOLINT 37,234.42/ 10255040 'C'Xf L A Amerigroup Q2 and March QIPP f"I/ Caitlin Clevenger -2 IVIENIORIAL MIEDICAL CENTER CHFCK REQUE.S.T P Memorial Medical Center 16, y APPROVED 0', 2923 91 A)vnrg A 5/29/23 FOR.ACCT. USE ONLV A/D Check fvlz.i I Check to Vendor �Retui';n Check to Depi A IV� Ci Lt.,\[ T 46,489.83 10255040 EXPLANATION' Superior Q2 and March QIPP 16- 'NJLs !SI j HY Caitlin Clevenger A(j-fPC;R17FE' CIL 9 U r P P oo � oo P h o r r P vi P P o 0 L V h a Z d ¢0. m f,Qj F. a O w 3 Gi m [= F¢ W u�i U wZ^ F. 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