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2023-08-30 Final PacketNOTICE OF MEETING — 8/30/202:3 August 30, 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 i Commissioner Pct 2 Commissioner Pct 3 Commissioner Pct 4 County Clerk Deputy Clerk Meeting was called to order at 10:00 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 for month of July. Page 1 of 6 i NOTICE OF MEETING-8/30/2023 6. Consider and take necessary action to adopt a resolution honoring Gary Weaver. Dustin Jenkins read a tribute. Judge Meyer read resolution and presented a copy to the family. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 7. Consider and take necessary action to authorize the County Judge to sign Amendment No. 2 to GLO Contract No. 20-065-064-C182 for the Drainage and Sewer Improvements in Alamo Beach, Texas. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 8. Consider and take necessary action to authorize the final payment to Lester Contracting, Inc. of $103,359.56 for the Drainage and Sewer Improvements in Alamo Beach, Texas GLO Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. D-1. (DEH) Commissioner David Hall approved to authorize the final payment and to sign the change order. RESULT: APPROVED [UNANIMOUS] MOVER: "David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 9. Consider and take necessary action to approve or change the wording for the permanent signage to be affixed to the new combined dispatch building. (DEH) RESULT: APPRO' MOVER: David K SECONDER: Vern Lys AYES: Judge M g;. ED [UNANIMOUS] I, Commissioner Pct 1 y, Commissioner Pct 2 yer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 6 NOTICE OF MEETING — 8/30/2023 10. Consider and take necessary action to approve Santac Consulting Services' proposed contract amendment for additional services for the Port Alto Shoreline Permit Amendment #1, in the amount of $24,000.00 to be paid with GOMESA funds and authorize Commissioner Behrens to sign all necessary documents. (JMB) RESULT: APPROVED [UNANIMOUS] MOVER: Joel Behrens, Commissioner Pct 3 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 11. Consider and take necessary action to authorize the Port O'Connor Service Club to seek donations for the expansion of the 30' x 50' building used for their donations located on the Port O'Connor Community Center grounds next to the Pavilion. (GDR) Marie Hawes with the service club explained the need to expand and asked for approval to remove the trees that are creating a concrete problem. 'Commissioner Gary Reese added the approval of proposed concrete work pending consultation with the people connected to the memorial trees. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 12. Consider and take necessary action to authorize the Calhoun County EMS Director to apply for the next round of the M. G. and Lillie A. Johnson Foundation to fund the Calhoun County First Responder Training Facility Project. In the last round, the Foundation stated they were going to "take no action at this time" and stated that "it would be reconsidered at our October meeting". (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 13. Consider and take necessary action to accept a $100.00 donation for CCEMS in memory Gary Weaver. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 6 NO I ICE OF MEETING — 8/30/2023 14. Consider and take necessary action to approve the Independent Audit Report for the year ended December 31, 2022 by Armstrong, Vaughan and Associates, P. C., Certified Public Accountants. (RHM) Debra Fraiser read audit report. RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 15. Consider and take necessary action to transfer funds in the amount of $35,000 through a budget adjustment for the 2015 Toyota Tundra transferred to Extension Services from Road & Bridge Precinct 2 on August 16, 2023. This transaction will decrease the Capital Outlay account (70750) om Extension Services and increase the Capital Outlay account (1000-550-70850-999) in Precinct 2. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 16. Consider and take necessary action to authorize the appropriate Extension Services signatures of both the outgoing official and the incoming official on the Frontier Agreement for Transfer of Service. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 17. Consider and take necessary action to transfer a 2005 Ford F150 (last 4 of the VIN # 2370) from the Extension office back to the Sheriff's Department. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 4 of 6 NOTICE 01: MEETING - 8/30/2023 18. Consider and take necessary action to approve the changes to the rules and contract for the Fairgrounds and Agricultural Building Facilities. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 19. Consider and take necessary action to accept the following audit reports: a. Justice of the Peace, Precinct 1— Q1 & Q2 2023 b. District Attorney Hot Check Fee Fund — Q2 2023 c. District Attorney Hot Check Restitution Fund — Q2 2023 d. District Clerk — Q2 2023 e. Calhoun County Museum — Q2 2023 f. Calhoun County Treasurer — Q1 2023 g. Sheriff's Office — Q1— Q4 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 20. Consider and take necessary action to transfer the attached list of equipment from the Justice of the Peace, Precinct 5 to the Calhoun County Library. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 21. Consider and take necessary action to declare the attached list of equipment from the Justice of the Peace, Precinct 5 as Waste. (RHM) All items except the radio declared as waste. RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 5 of 6 I NOTICE OF MEETING - 8/30/2023 22. Accept Monthly Reports from the following County Offices I. Tax Assessor -Collector - July 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese 23. 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 24. 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.l SECONDER: Vern Lyssy, Commissioner Pct 2 AYES. Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 11:10am Page 6 of 6 Al �11 1 MUM Ell W1KNOWS 11"I.IWIWIV0\6 _ All Agenda Items Properly Numbered Contracts Completed and Signed . r,_ 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 r!,ajr day of for the 304 of Regular Session was submi the Calhoun County Clerk's 2023, the packet yY 2023 Commissioners Court from the Calhoun County Judge's office to &OVU Calhoun County Judge/Assistant�WN on 1ll 71 a� K% C:\Users\Maebelle.Cassel\Desktop\Agenda Templates\PACKET COMPLETION SHEET.Docx AGENDA I NOTICF OE MEETING — 8/30/2023 Richard H. Meyer Countyjudge David Hall, Commissioner, Precinct I Vern. Lyssy, Commissioner,, Precinct: 2 Joel Behrens„ Commissioner, Precinct: 3 Gary Reese, Commissioner, Precinct t NOTICE OF MEETING The Commissionere Court of Calhoun County, 'Texas will meet on Wednesday, August 30, 2023 at 10:00 a.m. in the Commissioners' Courtroom in the County Courthouse at:211 S. Ann Street,, Suite. Imo, Port ]Lavaca, Calhoun County, Texas. AGENDA The subject, matter of such meeting is as follows: I. Call meeting to order.. Z. Invocation. 3. Pledges of Allegiance. . �IILi) fiF 01i;laG....fi AW 2 GO r i;yr oti tr �Generai Discussion of Public Matters and Public Participation. O'i"' Hear report from Memorial Medical Center. t\SSVConsider and take necessary, action to adopt a .resolution honoring Gary Weaver. 7. Consider and take necessary action to authorize the County Judge to sign Amendment. No. 2 to GLO Contract. No. 20-065-064-CI82 for the Drainage and Sewer Improvements: in Alamo Beach, Texas. (DEH) $:/ Consider and take necessary action to authorize the final payment to Lester Contracting, Inc. of $103,359.56 for the Drainage and Sewer Improvements in Alamo Beach, Texas GLO Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR. Contract Work Order No. D-1. (DEH) 49./Consider and take necessary action to approve or change the wording for the permanent signage to be affixed to the new combined dispatch building. (DEH) 110. Consider and take necessary action. to approve Santac Consulting Services` proposed contract amendment for additional services for the Port Alto Shoreline. Permit. Amendment #1, in the amount of $24,000.00 to be paid with GOMESA, funds and authorize Commissioner Behrens to sign all necessary documents. (JMB) Page: I of 3 I NOTICL"- OF iVEETINCi — i / 0/2023 71. Consider and take necessary action to authorize the Port O'Connor Service Club to seek donations for the expansion of the 30' x 50' building used for their donations located on the Port O'Connor Community Center grounds next to the Pavilion. (GDR) r2. Consider and take necessary action to authorize the Calhoun County, EMS Director, to, apply for the next round of the M.. G. and Lillie A. Johnson Foundation to fund the Calhoun County First Responder Training Facility. Project. In the last round, the Foundation stated they were going to "take no action at this time" and stated that"it would be reconsidered at our October meeting". (RHM) 13. Consider and take! necessary action to accept a $100.00 donation for CCEMS in memory Gary Weaver. (RHM) i4. Consider and take necessary action to approve the Independent. Audit Report for the year ended December 31, 2022 by Armstrong, Vaughan and Associates, P. C., Certified Public Accountants. (RHM) t-5 Consid'er and take necessary action to transfer funds in the amount of $35,000 through a budget adjustment for the 2015 Toyota Tundra transferred to Extension Services from Road & Bridge Precinct 2 on August 16, 2023. This transaction will' decrease the Capital. Outlay account (70750) om Extension Services and increase the Capital Outlay account (1000-550-70850-999) in Precinct 2. (RHM) 76�. Consider and take necessary action to authorize the appropriate Extension Services signatures of both the outgoing official and the incoming official on the Frontier Agreement for Transfer of Service. (RHM) k' Consider and take necessary action to transfer a 2005 Ford F150 (last 4 of the VINI �2370) from the Extension office back to the Sheriff's Department.. (RHM), "--Consider and take necessary action to approve the changes to the. rules and contract for the Fairgrounds and Agricultural Building Facilities. (RHM) 19 Consider and take necessary action to accept the following audit reports: [a! Justice of the Peace, Precinct 1— Q1 & Q2 2023 q< District Attorney Hot Check Fee Fund — Q2 2023 te' District Attorney Hot Check Restitution Fund — Q2 2023 District Clerk — Q2 2023 Calhoun County Museum — Q2 2023 1'� alhoun County Treasurer - Q1 2023 heriff's Office — Q1— Q4 2022 K Consider and take necessary action to transfer the attached list of equipment from the: Justice of the Peace, Precinct 5 to the Calhoun County Library., (RHM) 21. Consider and take necessary action to declare the. attached fist of equipment. from the Justice of the Peace, Precinct 5 as Waste. (RHM) Page 2 of 3 NOTICE Of IvIEEI ING -- 3/30/Z023 Accept: MonthlyReportsfrom the following County Offices �� I— Tax Assessor -Collector — July 2023 (3 Consider and take necessary action on any necessary budget adjustments. (RHM) 24. Approval of bills and payroll. (RHM) Richard H. Meyer, CountyJu ge Calhoun County, Texas A copy of this Notice has been placed on theoutside 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 remainposted. continuously for - at least 72 flours preceding the scheduled meeting time. For your convenience, you may visit the county's website at. www.ca[houncotx.org under "Commissioners' Court Agenda' for any official court. postings.. Page 3 of 3' # 05 ' NOTICE OF MEETING-8/30/2023 August 30, 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 10:00 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 for month of July. Page 1 of 20 MEMORIAL MEDICAL (0 CENTER So Much... So Closel CHIEF EXECUTIVE OFFICER REPORT To the Memorial Medical Center Board of Managers For the Month of July August 29, 2023 The report highlights the financial key performance indicators in the CEO Dashboard below following an executive summary aligned with four organizational goals listed below. 1. Profitability, 2. Quality Services, 3. Patient Experience, and 4. Community Impact FINANCIAL RESPONSIBILITY Financial Results In June 2023, we had a combined Net Income of $18,335 compared to a Net Loss of $51,174 in June. YTD MMC is at a combined Net Loss of $1,005,185 for 2023. Clinics in July 2023, Clinic(s) have a Net Income of $6,963 YTD Clinic(s) has a Net Loss of $154,810 for 2023. Major Highlights for the month: • Mixed volume levels in the month of July with more volumes down. Volume increases in ER Visits, Total Radiology Procedures, and Laboratory Procedures. Decreased volumes in Admissions, Clinic Visits, Outpatient visits, Surgical cases and Rehab Procedures. • Total Medicare increased 2.3% to 44.27% in July when compared to June, while Private Pay decreased slightly to 8.72% in July compared to 10.56% in June. • Gross Patient Revenue decreased $525K to $7.12 M in July. • Net Patient Revenue increased by $87I{ to $2.58 million in July. • Supplies expense as a percent of gross patient revenue increased slightly in July from 4.69% to 5.01% • Overall operating expenses increased $168K in July. • 340B Revenue in July at $206K compared to $156K in June. CEO DASHBOARD Key Performance Indicator - Hospital KPI Benchmark MMC KPI — Jul "23 MMC KPI— Jun "23 Status/Trend Days Cash on Hand 85-120 Days 68.1 Days 69.8 Days Gross Days in A/R Hospital 40-50 Days 5x0l Daps 58 Days Registration Accuracy Rate 95% 96% 96% Clean Claim Rate 95% 98% 98% Key Performance Indicator - Clinic KPI Benchmark MMC KPI — Jul "23 MMC KPI — Jun "23 Status/Trend Gross Days in A/R Clinic 30-40 Days 31.34 Days 28.60 Days Days from Discharge to Bill 1-3 Days 4.86 Days i 4.89 Days Denial Amount :5 2% 4.01% ($13,132.79) 5.11% ($21,593.36) Registration Accuracy Rate Clinic 95% 95% 95% Clean Claim Rate 95% 980/0 97% Note: Green -Favorable; Red -Unfavorable; Oringe-Improvement over previous month. DAYS TO CODE BY SERVICE TYPE -July 2023 "Benchmark was ad usted at3 days for industry stds to better reflect having external coders. Current Previous *Benchmark Decrease Increase Inpatient: 9.07 8.45 3 Days 3 Days 3 Days 3 Days 3 Days 3 Days Surgery: 127 6.40 Observation: 5.7 5.16 Outpatient: 194 8.76 ER: 2.72 3.38 Swingbeck 7.33 8.00 This data reflects how long ittakes (on avg.) to code (by service type) a patient chart. A complete cycle from start to finish. Avg. Benchmark.= 3 days Days to code have slightly decreased from previous month. July average is 6.0 days. *Identified reasons for the increased days are as follows. 1. Days to code decreased by 0.7 days due to staff in-house coding assistance. Although coding days by service type is not meeting average benchmark, with personnel restructuring (hiring of new HIM Director and adjusting current staff roles and responsibilities), wearein a stronger position to better manage our coding vendors. 2. Physicians me delayed in chart completion. HIM and Administration have reached out to the specific physicians regarding their incomplete chart and charts were completed. FINANCIAL RESPONSIBILITY • QIPP Nursing Facility Partnerships: o Golden Creek Healthcare (Nexion) — Met with Nexion's leadership to discuss a revision to their management agreement of a new distribution split. It was proposed to revise the distribution split to 60/40 in nursing facility's favor. • M.G. and Lillie A. Johnson Foundation, Inc. Memorial Medical Center received a grant award letter from the M.G. and Lillie A. Johnson Foundation in the amount of $524K for upgrades to the ER and two learning classrooms. MMC is required to provide quarterly updates on the status of the project and once the project is completed, a final accounting on the expenditure of grant award is required. • Memorial Medical Center Auxiliary (Astros Foundation): Memorial Medical Center was awarded Astros tickets for its various leaders for the Thursday, August 24th baseball game in Houston, TX. As a teambuilding event, out leaders throughout the organization were able to experience coming together in a non -work setting that promotes a championship mentality. This type of team outing boosts team morale and encourages teamwork. • Texas Medicaid & Healthcare Partnership (Update) — Memorial Medical Center received notice from the Medicaid Audit Department that our cost report indicates a balance due to Medicaid of $2,350.00. Payment was mailed and received by Texas Medicaid in July prior to the deadline of 8/17/2023; therefore, our facility's Medicaid payments will not be reduced by 20%. • Memorial Medical Center —Nurse Practitioner's Employment Terms and Conditions: Transition from contracts to employment agreements — Effective September 1.1 each mid -level nurse practitioner will have employment agreement instead of contracts. Since each nurse practitioner is currently employed my Memorial Medical Center with same benefit offerings as other employees, they will align with the current employment structure to address at -will employer practices. There are a few items related to bonusing that will be included in HR policies. • Reclaim Construction, LLC. — Memorial Medical Center's (MMC) Winter Storm claim review by Reclaim Construction to go back and assess whether or not MMC's property policy will cover and roof and HVAC damages that have been previously denied in the initial findings. IE MMC partners with this vendor our Winter Storm claim will be reopened for any overlooked or denied property damages related to HVAC and roof. ADVOCACY & COMMUNITY IMPACT — BUILDING STRONGER RELATIONSHIPS • MMC's Lunch & Learn Sessions — Summertime Healthy Eating was our educational topic scheduled on August 16' in the hospital's community room. The session began sharply at noon. The guest speakers featured Robert Rodriquez (Dietary Director) and Dhaval Patel, PhD. as they cooked Mediterranean - inspired dishes with fresh ingredients. L U 1V U 1-1 ch' LhAAAA o s • • • � a "KEEPING IT FRESH, A TASTE OF THE I IEDITERR. \\ EA\\' Jas. ; 6. c�mnerrin+e h.nlniq mninp �Ycdmad6.v. AuJmr 16, 2023 ao6. hld�M 'eeora n n+Plrerb INem ial Plcr?anl Qm4er di,6 ,n,irR WA, in4•edian[;I Gon.n �nur Raom. IRPhn, IP" • 10 Year Anniversary Celebration —Memorial Medical Clinic will celebrate its 10-Year Anniversary on September 12, 2023 at our main campus clinic location. Please join us! We will have music, food, video interviews, etc., mark your calendar and save the date! 2 MEMORIAL iNILDICAL CLINIC 10 YE:NR A\iNIVLRSARY _W� t 7PNI llr� lllV X111AC%I CL1XIC bl:l1AE'd>IPCi 1016 V. l"1'.1tCM N $1 PUWI k %X V %. I\ 77"179 1%1'17-\11(L% 14) FM[-0 M MMC Booth at Meet the Teacher Night (HJM) — The Marketing Manager and FIR Director set-up a booth at HJM Elementary School on Thursday, August 101h from 5 pm — 6:30 pm to share information on healthcare to community members and school faculty and staff. Great event to meet the community and get involved! Meetings with Community Healthcare Leaders or Board/Committee Service ❖ Rotary Club —Port Lavaca, TX (August Yd, August 101h, August 17d, and August 31%) —Member :• THA Communication Council (August 17tn) - Member INFORMATION ON BOARD ITEMS Financial & Non -Financial Items: • Proposed QIPP Nursing FaciEty Nexnon — Golden Creek • Proposed purchase of computer carts for nursing hospital -wide with the CIP Gmnvnu • Proposed Humam ResourcesPolicies and Procedures • Prescmtation on Grgw Funds Updare • Roof and HVAC Pro)ect 0 npdare Respectfully Submitted, �`�s "L101 ,Slit u��: S Roshanda S. Thomas, MHA Chief Executive Officer El July 2023 Financial: Presentation Memorial Medical Center Executive Summary For The Month Ended July 31, 2023 Incr/(Deer) Incr/(Deer) % Incr/(Deer) Incr/(Deer) % From July From July July June From June From June July 2022 2022. 2022 Admissions 57 69 (12) -17.4% -; 56 1 1.8% 'r Emergency Room Visits 837 773 64 8.3% t 787 50 6.4% 'r Outpatient Visits 2,165 2,286 (121) -5.3% 2,087 78 3.7% t Clinic Visits 2,538 2,677 (139) -5.2% ;l 2,651 (113) -4.3% Total Surgery Cases* 71 86 (15) -17.4% 65 6 9.2% ' f Total Radiology Procedures* 1,739 1,725 14 0.8% *i ■" 1,584 155 9.8% 'r Total Laboratory Procedures* 43,244 42,100 1,144 2.7% t 38,435 4,809 12.5% 'f Total Rehab Procedures* 1,368 1,891 (523) -27.7% Ji 1,393 (25) -1.8% 4 e Indudnt Inpadem and outpatient Financials July Financial Highlights • Gross patient revenue (GPR) • GPR decreased $525K to $7.12 million in July • Medicare payer mix (Traditional and Managed Care) increased 2.3% to 44.27% in July when compared to June, while Private Pay decreased 1.84% to 8.72% in July compared to 10.56% in June • Net patient revenue (NPR) • NPR increased $1871(to $2.70 million in July • Other operating revenue • 340B revenue was $206K compared to $156K in June • Net of expenses 340E income was $132K compared to $65K in June • Salaries, wages and benefits (SWB) • SWB increased $38K to $1.58 million; on a per calendar day basis SWB decreased 0.8% • Agency staffing expense decreased $3K in July • Total agency staffing costs were $43,046 compared to $45,741 in June • Supplies expense as a percent of gross patient revenue increased in July from 4.69% to 5.01% • This ratio has averaged 5.08% over the last 12 months • Overall operating expenses increased $168K in July • Net Income for July was $18,334 compared to a Net Loss of ($51,174) in June • EBITDA Net Income for July was $94,324 compared to EBITDA Net Income of $25,132 in June Current Period Nursing Hospital Clinics Homes Combined 750,340 - 750,340 3,090,862 $472,039 - 3,562,901 2,801,796 - 2,801,796 - 6,009,992 6,009,992 6,642,998 472,039 6,009,992 13,125,029 3,890,421 42,459 - 3,932,880 664,770 6,453 - 671,223 300 - - 300 (183,686) - - (183,686) (3,575) (3,575) 4,368,232 48,912 4,417,144 2,274,766 423,127 6,009,992 8,707,886 21,971 207,084 - 229,055 Memorial Medical Center Income Statement by Operating Unit For the Month Ended July 31, 2023 Revenue Year to Date Nursing Hospital Clinics Homes Combined Inpatient Revenues 5,547,024 - 5,547,024 Outpatient Revenues 22,694,158 $ 3,524,851 - 26,219,009 ER Revenues 17,861,451 - 17,861,451 Resident Revenues - 42,629,970 42,629,970 Total Patient Revenue 46,102,632 3,524,851 42,629,970 92,257,454 Revenue Deductions Contractuals Charity Indigent Care DSH/UCC/DSRIP Bad Debt Total Revenue Deductions Net Patient Revenue Other Operating Revenue 27,183,659 692,153 - 27,875,812 2,244,525 58,307 - 2,302,832. 8,418 - - 8,418 (1,285,799) - - (1,285,7991 3,342,982 3,342,982 31,493,785 750,460 32,244,245 14,608,848 2,774,391 42,629,970 60,013,209 185,526 1,184,382 - 1,369,908 2,296,737 630,211 6,009,992 8,936,941 Total Operating Revenue 14,794,374 3,958,773 42,629,970 61,383,117 Current Period Hospital Clinics Combined 990,626 190,911 - 1,181,537 333,525 64,836 - 398,361 298,295 208,523 - 506,818 373,157 49,365 - 422,522 341,215 15,325 - 356,540 5,677 - 5,677 46,706 - 46,705 60,615 78,288 - 138,903 - 6,208,534 6,208,534 2,449,815 607,248 6,208,534 9,265,596 59,689 16,000 - 75,689 Operating Expenses Salaries& Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Other Expenses Nursing Home Fee Total Operating Expenses Depreciation Hospital Year to Clinics Date Nursing Homes Combined 6,990,237 1,294,613 - 8,284,850 2,434,007 428,666 - 2,862,673 1,823,930 1,300,648 - 3,124,578 2,757,927 262,676 - 3,020,603 2,407,141 133,901 - 2,541,042 35,562 - - 35,562 314,361 - - 314,361 439,724 581,079 - 1,020,803 - 44,019,759 44,019,759 17,202,B89 4,001,583 44,019,759 65,224,230 418,503 112,000 - 530,503 2,509,504 623,248 6,208,534 9,341,285 Total Expenses 17,621,392 4,113,583 44,019,759 65,754,734 (212,766) 6,963 (198,541) (404,344) Net Operating Income / (Loss) Non Operating Income / (Exp) (2,827,019) (154,810) (1,389,788) (4,371,617) 26,900 - - 26,900 Investment Income 61,784 - - 61,784 (303) - - (303) Interest Expense (4,414) - - (4,414) - - - - Contributions and Grants 536,484 - - 536,484 - - - - Stimulus Funds - - - - - - 396,082 396,082 Nursing Home Program - 2,772,576 2,772,576 26,597 - 396,082 422,579 Total Non -Operating Revenue 593,855 - 2,772,576 3,366,431 (185,169) 6,963 197,541 28,335 Total Net Income /(Loss) (2,233,164) (254,810) 1,382,788 (1,005,186) Current Period Actual This Budget This Month Month Last Year 750,340 1,210,313 667,415 3,562,901 3,817,406 3,653,157 2,801,796 2,205,359 2,220,203 6,009,992 4,207,420 2,884,682 13,125,029 11,440,497 9,425,457 3,932,880 3,738,631 3,450,190 671,223 673,501 844,786 300 15,313 - (183,686) (202,610) (221,358) (3,575) 316,551 (170,458) 4,417,144 4,541,385 3,903,160 8,707,886 6,899,112 5,522,297 229,055 166,646 70,886 8,936,941 7,065,758 5,593,183 Current Period Actual This Budget This Month Month Last Year 1,181, 537 1,085,379 1,187,036 398,361 418,003 411,413 506,818 469,078 558,487 422,522 459,649 420,618 356,540 365,539 217,339 5,677 7,000 5,111 46,706 42,035 51,283 138,903 109,991 72,151 6,208,534 4,417,275 3,083,224 9,265,596 7,373,949 6,006,661 75,689 102,717 99,237 Memorial Medical Center Income Statement - Combined For the Month Ended July 31, 2023 Revenue Year to Date Actual YTD Budget YTD Last Year YTD Inpatient Revenues 5,547,024 8,472,189.83 6,428,311 Outpatient Revenues 26,219,009 26,721,842 25,557,528 ER Revenues 17,861,451 15,437,510 15,720,793 Resident Revenues 42,629,970 29,451,939 32,084,871 Total Patient Revenue Revenue Deductions Contractuals Charity Indigent Care DSH/UCC/DSRIP Bad Debt Total Revenue Deductions Net Patient Revenue Other Operating Revenue 92,257,454 80,083,481 79,791,503 27,975,812 26,170,418 24,938,497 2,302,832 4,714,509 6,685,486 8,418 107,190 80,572 (1,285,799) (1,418,273) (1,609,865) 3,342,992 2,215,854 (395,439) 32,244,245 31,789,697 29,700,250 60,013,209 48,293,783 50,091,253 1,369,908 1,166,524 1,423,021 Total Operating Revenue 61,383,117 49,460,307 51,514,274 Operating Expenses Salaries & Wages Employee Benefits & PR Taxes Professional Fees Purchased Services Supplies Insurance Utilities Other Expenses Nursing Home Fee Total Operating Expenses Depreciation 9,341,285 7,476,666 6,105,898 Total Expenses (404,344) (410,908) (512,715) 26,900 2,050 880 (303) (2,174) (7S5) - 1,342 10,969 396,082 428,024 396,082 422,679 419,241 407,176 Net Operating Income / (Loss) Investment Income Interest Expense Contributions and Grants Stimulus Funds Nursing Home Program Total Non -Operating Revenue Year to Date Actual YTD Budget YTD Last Year YTD 8,284,850 7,597,650 7,536,696 2,862,673 2,926,022. 2,647,267 3,124,578 3,283,543 2,925,175 3,020,603 3,217,540 3,995,721 2,541,042 2,558,776 2,372,341 35,562 49,000 37,506 314,361 294,247 301,385 1,020,803 769,939 729,456 44,019,759 30,920,926 33,474,662 65,224,230 51,617,642 54,020,209 530,503 719,020 677,359 65,754,734 52,336,662 54,697,568 (4,371,617) (2,876,355) (3,183,294) 61,784 14,350 13,213 (4,4141 (15,220) (10,163) 536,484 9,392 407,398 2,772,576 2,926,167 2,773,575 3,366,431 2,934,688 3,184,024 18,335 8,333 (105,539) Total Net income /(Loss) (1,005,286) 58,333 730 Memorial Medical Center Trending Inaome Statement For The Month Ending July 31, 2023 2023. 242 M22 2022 2022 2022 20" Thin 202R 2023 21123 W23 2023 20" Revenue low August September October November December January February Manb ARE May June July YFO Inpatient Revenues 667A15 749,807 8121699 942,747 892,270 91 3,037,137 03,106 796,710 681,759 753,972 B36.000 750,340 5,547,023 Outpatient Revenues 3,653,157 3,973.318 3,699,790 3.440.426 3,632,931 3,86;333 3,609,863 %479,1)1 3,649,065 3,59;500 4,262,208 4,10,431 3,56;901 26.219,008 ER Revenues 2.220,203 2,262,22) 2,301,231 2,0 0,707 2,425,789 ;251073 2,4S7,892 2,lG7,373 2,388,755 2,569,162 2,856,133 2,640,340 1001,796 17,861,450 Total Patient Revenue 6,540,775 6,985,354 6,013,717 6,433.880 6,950,999 7,081,283 7,144,991 6.277,510 6,04,530 6,843.430 2,212,313 7,639,771 7,115,037 49,627,481 @aJaf9vua,aJ� m,e 39.,.,"d Gairs, da D 8Qi &23 A x ®AS ",Ve pZSRG ",- a3RS 673 6LI5 .do; Revenue Deductions July output September October November patentor January February March April May June July YID Contractual, 3,450,190 3,490,194 3,496.116 2,522,399 3,088,187 3,719,248 4,223,270 3,536.319 3.755,909 3,839,501 4,26;606 4,325,326 3,93;880 27,875,811 Charity 844,786 1,006,505 215.388 3127,836 720.062 ID7,763 259,506 610,190 71,244 250,487 217,600 222574 671,223 ;302,833 Indigent Care 0 6,462 0 18,933 a 10,812 68 0 2.564 SIMS 0 341 3D0 BASS 05H/DCC70SRIP (221.358) (103,606) (103,686) (10,686) (183,685) (10.686) (183,686) (183.686) (281686) (183,06) (183,686) (183,686) (183.61 (1,385,800) Employee Benefits& PR Taxes 411,423 435,997 426,211 431,556 439,50 42,601 439,946 198,215 194,096 416,498 397,528 418,029 398,361 2861,672 Professional Fees 553A87 431,755 444,546 254,996 SSO,612. 488,932 412,948 403,824 564,022 320,683 549,444 30,839 506,818 3.124,578 Purchased Servims 420,618 406.088 372,90 398,035 319,480 475,227 380,554 5WA28 4 .796 415,805 417,354 425,744 422,SU 3,020,6ia Supplies 317,338 366,384 353,060 268,713 429,670 300538 356,469 335,100 357A46 364,167 411,813 358,508 356,540 2,541,041 Insurance 51311 51111 5,111 S,D78 3,428 5,078 4,140 4,261 4,8P 5,254 5.677 5,07 5,67E 35,562 QOlitiea SLUG 51,417 47,30 43.925 42,995 41,070 41,534 46,249 42,675 44.291 46,815 46.091. 46,706 314.361 83,620 75,637 75,636 75,791 Net Om etir6 income/(lass) (314,1731 (177,311) (337,095) 351,758 (452,874) (121,124) (628,842) (624.013) (548,619) (532,OS6) (381010) (254,4871 (205,803) (21981,830) IN.. Operating memon/(Fop) ( July August September Oc.ber November Dettmber January February M..h April May June July yrD InvestmeMlncome Sao 802 2,433 L799 1,835 3,816 2,05 5,235 5,834 619M 7,622 G,329 26,900 61,783 Interest Doer. (755) (638) (1,158) (061) (774) (397) (715) (995) (933) (348) (563) (558) (303) (4,414) Contributions and Grams 10,969 665 25.886 0 100 562,920 4P,226 59,037 (1,328) 1,449 100 0 D 536,484 Stimulus Funds 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total No"Purating Revenue 11,093 829 26,96E 938 1,211 565.838 4]9,367 63,258 3.573. 8,079 7,209 5,P3 26,597 593,954 Nursing He.. PmgMm: July August September Oolcber November December January Febrmry March April. May June July wo Resident Revenue 2,884,682 5,244,458 4,854,07 4,844,642 5,012,905 5,226,664 6,453,162 6,4B,863 S,nG.285 6,398,952 5.790,046 6,015,667 6,009,99E 42,629,90 Null., Home Fees 3,083,224 5,443,000 5,092,639 5,043,104 5,211,447 5,45,206 6.551,704 6,624A05 5,934,827 6,397A94 5,908,588 6,214,209 6,208,534 44,019,759 QIPP Netof IGT 396032 396081 396082 396082 396082 395082 39608E 396082 391 396082 396081 39608E 396.092 2,772,576 Net Running He.. Frogmen 197641 197541 1".541 197541 197541 195,541 197541 t97541 197541 197541 1W540 197540 107541 1,302,709 Net I..../( 1 (105.639) 21,050 1112,5921 561,237 (254.1211 891 R56 48,086 (383,214) (347,504) (326,435) t8,739 (51,1Te) 10.335 (L003,1911 Aeee.eo,.aeugtn .My a35 -43Y 9]3& -RT 21.4% n.W -US'S 42.E -11. as. -s3 a® EOITDA (6,302) 119,405 (M.234) 64,250 (161,968) 724,876 IM,418 (MM83) (270,76D) (2501296) 93,511 25,111 94,326 (410,273) FIDf22U Rlmesecor Rl :H&fld 38Y JNUM 566 -spread -9D25 -192ii 3@5 I RG 328 438 Memorial Medical Center i yatd3Year pma$vo3itpA N,wmeSaa'�meoi- � 39wae 63mire ,.:. For The Month Ended July 31,2D23 Current Period Revenue Year to Date Actual Thls Budget This Change Change A.RMD Change Change Month Month Last Year ActualWD Budgetm LaatYeerm Fmm2020 Fmm2021 2023 F.. 2021 Fmm2020 750,340 11210,313 667,415 Inp00ent Revenues 5,547,024 8,472,190 6428,311 (681,287) .14% $ 7,,777,558 $ (2,230,534.11) -29% 3,562.901 3.817,406 3.653,157 Outpatient Revenues 261219.009 26321,842 25,557,528 661,481 3% $25.328.04 $ 890,575 4% 2,801,796 21205.359 2,220,203 ER Revenues 17,861,4SI 15,437,510 15,7Z0,793 2,140,653 14% $15.422,260 $ 2,439,191 16% ],115,03] ],233,0] 6,540,775 Total Patient Revenue 49,627,483 50,631,542 47p06,632 1,920,851 4% $48,528,252 $ 1.099,231 21 ------------- Savona. Deductions 3,932,880 3.738,631 3,450,190 Contmttuals 27,875,812 26,170,418 24,938,497 2,937,315 11% $26.737,007 $ 1,13B,805 4% 671,223 673,501 844.786 Charity 2.302,832 4,714,509 6,685,486 (4,382,654) -66% $5.135,253 $ (2,832,423) -55% 300 25,313 - Indigent Care 8,418 10.190 BO;SR (72,154) -90% $59,104 $ (50,686) 416% (183,686) (202,610) (221,358) OSN/UCC/O5RIP (1,285,799) (1.418,273) (11608.865) 323,067 -2036 ($1,]]3.389) $ 487,590 -27% (3,575) 316,551 (170,458) Bad Debt 3,342,982 2,215.854 (395,4391 3.738,421. -945% $2,735.421 $ 60;561 22% 4.417,144 4,541,385 3,903,160 Total Revenue Deductions 32,244,245 31,789,697 29,700,250 2.543,995 9% $32A93,396 $ (649,151) -2% 62.1% 622% 59.7% 65.0% 62.9% 62.3% 67.8% 21697,893 2.691,692 2.637,625 Net Patient Revenue 17,383,239 18,841,845 18,006,382 (623,143) -3% $15,634,856 $ 1748,383 11% 229,055 166,646 70,896 Other Operating Revenue 1,369,908 1,166,524 1,423,021 (53,113) 4% $1.227.032 $ 142,876 12% 2,926,948 2,08,388 2.709,501 Total Dperptln[Revenue IBd53,14] 21M 368 19,429.403 (6]665]1 -3% $16,861,088 $ 1,891,259 11% 22,503,]]5.02 Current Period C -P-INgEp,n-,,,--7 Year be Data Actuallhis Budget This Change chance AttuaI YTO Change Change Month Month Last Year Actual YID Bud[1a YTO UUYee. YTD From2010 From 2021. 2021 From 2021 From2020 1,181,537 1,095.379 1,187,036 Silence &Wages 8,264.850 ],59],650 7,536,696 748,154 10% 5,686,358 $ 1,598.492 24% 398.361 418,003 411,413 Employee Benefits &PR Taxes 2,062,673 2,926,022 2,647,267 215,405 8% 42442 $ 2,820,231 6645% 506,818 469,078 558,487 Professional Fees 3,124,578 3,233.543 2,925,175 1991403 7% 3,6]9,21] $ (554,639) -15% 422,522 459,649 420,618 Purchased Services 3,020,603 3,217,540 3,995,721 (375,118) -24% 2,715322 $ 305,281 11% 3SE540 365,539 227.338 Supplies 2,541,042 2,558,]]6 2,372,341 168,)01 7% 2,3]6,96] $ 164,175 7% 5,6]] 7,000 5,111 Insurance 35,562 49,000 37,506 (1,944) .5% 48,534 $ (13,072) -27% 46,706 4A035 51,283 U11II11es 314,361 294,247 301,385 12,976 4% 294,307 $ 20,054 7% 138,903 109,991 72,151 Other Expemes 1,020,803 769,939 729.456 291,345 40% 679,431 $ 341,372 5099 3,057,063 2,956,674 2,923.43] Total Operating Expenses 21,204,472 20696,716 20,545.547 650,924 3% 16,522,578 $ 4,01,894 28% 75,689 102.717 99,237 DeWeclatien 530,503 719,020 6H79 (346,856) -n% $010.192 $ (79,679) -13% 3,132,752 3A59,391 3,022,674 Total Espouses 21,734,975 i1A15.736 21,222.906 512,069 2% 17,132,760 $ 4,60;215 27% (205,803) (201,053) (314.1]31 Net Operating Income/(lass) (21981.829) (1,407.3681 (1393,503) (1,188,325) 66% (270,072) $ (2,710.957) 1001% Non Operating Inome/ IEsp1 26,900 2,050 Sao Imestmeminwme 61,784 14.350 13,213 48,571 368% 323.421 $ 39,363 164% (303) (2,1]4) (755) Interest Expeme (4,414) (15,220) (20.163) 5,749 -57% ($17.5631 $ 13,139 45% - 1,342 10,969 COnMbutiOnr and Grants 536,484 9,392 407,398 129,035 35,655 $ 500,829 Stimulus Funds &COVID Grants 26,597 1.21] 11,094 Total Non- Operating Revenue 593,855 8,521 410,448 283,406 45% 41,523 552.332 1330% (179,206) (199,835) (303,079) Total Net Income /(bez) (2,387,974) (1,398,846) (1,383,055) (11004,919) 73% (229,3491 $ (2.158,625) 141% Memorial Medical Center Trending Balance Sheet At July 31, 2023 07/31/22 08/31/22 09/30/22 10/31/22 11/30/32 12/31/22 01/31/13 02/28/23 03/31/23 04/30/23 In/31/Z3 0/30/23 07/32/23 Asaefs Cash and Cash Equivalents 446,788 2,799.234 2,108,017 3,947,521 61530,463 5,115,667 7,210,938 6.617,246 6,913,61E 7,253,616 7,876,274 6,524,099 6,545,387 Private Wake, Cleating Account 432 432 432 432 432 432 432 432 433 433 433 433 433 RIM Clinic Construction Amount 537 537 537 537 537 537 537 537 537 537 533 530 339 Nursing Home Accounts 1.S35,283 1.616,255 1.189,842 1,882,428 1,350,723 960,294 3,220.397 3.119,862 2,058,934 8855,467 2.959,360 3,220.384 1,403,965 Investments Total Cash and Investment¢ 1,993,039 4.356,457 3129SIS28 5.830,918 7.882,155 6,076,931 10,43L295 9,737,077 8,983,517 20,010.054 20,876,05 9,745,443 7,950,223 AIR - Palient -MMC 9,848,980 9.267,611 10,131,719 9,390.147 9,S21,540 9,750,599 10,428.806 10.275,589 10,030,165 10,523,557 11,606,45E 12,427,95E 12,152,9U1 AIR- Patten. MMC Clink 731,686 SS0,1S3 500,478 596,21a 619,667 632,661 S45,972 620,225 511,184 502,655 451.489 446,219 468,376 Allowance - Centmnurls p,997,907) MON1.240) (7,984.790) (7462A091 17,486 a51) (7753415) 11 496]181 (8351301) (B 011,910) (8,507,386) (9,141,251) (9,767,546) (9554 567) Patient A/R, Net 2,53;759 2,747.553 2,648,417 2,43,948 2,654,956 1,629,866 2A78,329 2,544,513 2,529,431 2,518.926 2,916,689 3,106,235 3,06,710 Remissble - Other 26,179.968 14,193.655 14,863,192 13,311,825 13,956,849 16,242,492 15,202,133 11.964,259 14.04.597 15,037,017 15,111,217 16.882.834 16.864.240 Receivable.3rd Party (96,1B8) (96,188) (96,188) (%,18S) (96,288) (96,188) (113,W0) (113.040) (113,0401 (113,040) (10,040) (113,040) 1113,0401 Receivable -Nursing Home 18,329,59E 17,752,461 17,277,408 17,013,359 16,995,790 17,271,840 17,7e4,045 18,615,157 18,243,951 18,665,899 18,125,706 24,953,730 15,132,960 Inventory 1,413,803 1,454,704 1,535,551 1.530,866 1,490,184 1,627,352 1,611,062 1.722,,694 1,700,235 1,615,495 1,596,094 2,546,732 1,581,985 Paepalds 2,892,229 2821,880 2,761,907 2,675,299 2.800,562 Z1108,754 2,821,205 ;BD1,620 2,765,445 2,769,569 2,755,65B ;824,865 2,,818,479 Othermaets Test l Other Current Assets 38,718A04 36,126.511 36,341,870 34,436,116 35,137,195 37,954,249 37,285,406 38,990,690 37,291,189 37,994,940 37,475.717 46,095,121 46,284,625 Total Current Assets 43,204,202 43,230,522 42,289,115 42.790,982 45,04.208 46,561,046 SD,195,830 51,172,290 48,804,144 50,523,819 51,269,010 50,946,801 57,302,558 '-buucoWf 91LZILTP19 =31O935 143 015 UMER"a27 ➢8.AnSRE zza"+l. 12SQ%See 4$Q042¢4 142E ID2;;412'42£i A=IM TaP6Si8S9 Al,.mum ynnmN ffiu L35 136 2.37 1.m Z.iS 837 +133 3,8i L.9A d30 23➢ 129 Sffi Property, Plant and Equipment 29,058,441 29,092,726 29.123,942 29,197,800 29,214,715 29,272,957 29,317,622 29,317,6R 29,334,192 29,3214,192 29,373,231 29,384,321 29,396,572 Accumulated Depreciation (21,704,8871 (21.803.233) (31,901.590) (21,993,604) (22.085757) (22,165,377) (22,24S.014) (22320651) 122 396442) (224712331 122,548,442) 122624 1911 (23699 910) Total Capital Assets, Net 7.353,534 7,239A93 7,222.352 7,204,196 7,128,957 7,103,580 7,072.60 6,9%1971 6,937,750 6,961,959 6,824,779 6,760,129 6,696,692 Deferred Outfaeve of Rc...c 3,146,653 3,146,653 3,146,653 3,146,653 3,146,653 3,146,653 3,146,653 3,146,653 3,146,653 3,146,653 3,146,653 3.146.653 3,146.653 Tatel Aareli 53.784A09 53,666,669 5L658,321 53,143,833 55.949,818 56,831,280 60,415,091 61,315,905 58.388.349 60,53;435 61,140.445 68,853486 67,144,%7 Benewco,AWRs .0iffi DgnE F12'd 26s - Sc IIa'S 0.2!E 61&S 1aS% -SC w'L£:. -03% -A3 07/31/22 08/01/22 09/30/22 10/31/22 11/30/22 32/31/22 01/31/22 02/20/23 03/31/13 04/30/23 05/31/23 06/30/23 07/31/23 Liabilities Len, Term Debt, Current 128,042 101,457 69,689 42,914 25,794 17,194 6,169 (8,615) (22,7391 (29,521) (41.272) (53,748) (60,575) Note Payable Related Party, Current - - - . 3.000,000 3,000,000 3,000,000 3W0,000 3.W0,000 3,000,000 3,0W,0o, 31000,000 2,850,000 Accounts Payable 1,390,010 1,f46,a94 1,393,570 2,182.207 1,065,669 1,039,195 1.420,346 1,906,833 862,764. 935,781 681667 1,392.850 691,379 Due to Noting Hem. 26,422.00 26,516,739 25.989,426 26.759,794 26,749,660 37,08ZMS 30,068,186 31,150,350 30,413,917 32501,%2 33,389,,451 40.472.529 39,284,870 Nil INS W/H - - - - 3.542 3,542 (3,529) 131529) (3.529) (3,520) (31529) (3,5291 13,529) Accmed Iru,overnmental Transfer 444,695 530,669 130,972 178,938 216,930 305A31 393,933 129,518 90,194 178,695 261,196 75,588 (42,261) Refundable provider Relief Fund -NN 273,424 273,424 273,424 273,424 273,424 273.424 273AZ4 273.424 273,424 273,4Z4 273,424 273,424 273,424 Unnamed incident Care - - (4,711) Payable - Est. 3rd Party Pryor Settlement 1,971,143 1,WZ573 1.756,213 1,194,797 1.197,690 904,342 541,043 486,103 457,079 444,787 504,094 474,731 944,285 Accrued Payroll 833.097 992,945 596,379 581,914 612,54E 797,246 908,044 887,955 599,076 713,781 676,421 7S6,159 885,197 Acemed Benefifs 666,97E 694,714 747,716 651,067 684.863 651,151 601,W4 749,545 813,035 48Z7SS 496,689 491,153 479,758 Accmed Sales Tax 1,334 1,570 11640 2,458 1,508 1,456 1,734 141 1 820 1825 1.926 1.783 3684 Total Current Liabilities 32W5,786 31,900,99S 30,%9,MD 30,965,505 33,91Y1,612 34,095,818 37,291,952 38,570,524 36,519,049 38,499,599 39,241,971 46,890,942 45,198,51S Long Term Debt Long Term Lease, Net of Current 267,827 267.827 267,927 267,827 267,827 267,827 267,827 267.827 26],827 267.827 257.827 267,627 267,827 Perot.. Asset 3,242158 3,268.158 3,294,158 3,320.158 3,346,159 3,372159 3,398,158 3,424,1S8 3,450,156 3,376,/58 31So2.150 3.538,IS8 3,554,158 Total Long Term 3,509.985 3.535,935 31561,585 3,587.985 3.61E 985 3 639985 3,665,985 3 691 985. 3717985 31743,985 3769.985 3,795,985 3 921985 Total Liabilities 35,555,770 35A36.970 34,521,015 311,453,49(1 37,515,596 37,735,802 40,957,937 4;262,509 40,237,034 42,243,583 4%011,956 50,676,927 49,D20,499 Caressed Wipes ofR ,atinses 2,161.223 2,161,223 2,161,213 2,161,213 2161,223 3,161,22E 2,161,22E 2,127,678 4066,302 2,030,073 1,552,970 1,962,314 1,881,727 WL4m.Aa7ei.9mlie M-Ex pill 'SU'S. 6W$S MTS MES At" U,4S Mae, 73II% n"t Air . 13$: NS1_3FA ,', Net Assets, Beginning 16,066,695 16,066,68S 16,066,68S 16,066,685 16,066,685 16,06,685 17,247,866 17,247,866 17,247,866 17,M7,866 17,247,866 17,247,966 17,247,866 Increase/(Decrease) 732 21,791 (90.0011 460.436 206,314 847.571 48,0% 1315 148) (662,652) 1989084 (972,346) (1.013.522) I3005 1361 Net Assets, Ending 16,067,416 16,088,475 15,975,993 16,527,121 16,27;999 16,914,255 17,29S.932 16,932,718 16,585,214 16,350,729 16,275,520 16,224,345 16,14;680 Total Liabilities and Net Assets 53,784.409 53,666,668 51,658,111 53,141,833 55,949,818 56.911,290 60A15A91 61,315,905 58,800.549 60,532,435 61,240,445 69,,853,596 67,144,907 OaM-fo-9gakll9arfo 2.35 234 P29 212 ESA 235 2l9 2k2 88i an 2Pb 32O 3d3 Memorial Medical Center Days Cash an Hand ForThe Month Ended July 31, 2023 Cash and Cash Equivalents: July August September October November December January February March April May June July Cash and Cash Equivalents 446,788 2,799,234 2,109,017 3,947,521 6,530,463 5,115,667 7,210,938 6,617,246 6,913,613 7,153,616 7,876,274 6,524,089 6,545,387 Private Waiver Clearing Account 432 432 432 432 432 432 432 432 433 433 433 433 433 MM Clinic Construction Account 532 532 537 537 532 537 537 532 537 537 538 538 538 Investments Total Cash and Investments 447,756 2,740,202 2,108,996 3,948,490 6,531,432 5,116,697 7,211,908 6,618,216 6,914,583 7,154,586 7,82),244 6,525,059 6,546,358 Salaries & Wages 1,187,036 1,234,195 1,163,674 1,184,240 1,228,909 1,171,560 1,272,860 1,128,838 1,201,215 1,208,652 1,168,344 1,123,405 1,181,537 Employee Benefits & PH Taxes 411,413 435,997 426,211 431,556 439,569 413,601 439,946 398,215 394,096 416,498 397,528 418,029 398,361 Professional Fees 558,487 431,755 444,546 254,996 550,612 488,932 411,948 403,824 564,022 320,683 549,444 367,939 506,818 Purchased Services 420,618 406,088 372,913 399,035 319,480 475,227 389,554 504,828 425,796 415,805 437,354 425,744 422,522 Supplies 217,338 366,384 353.060 268,713 429,670 300,538 356,469 336,100 357,446 364,162 411,823 358,508 356,540 Insurance 5,111 5,111 5,111 5,078 3,418 5,028 4,140 4,261 4,822 5,254 5,623 5,622 5,627 Utilities 51.283 51,412 42,399 43,825 42,995 41,070 41,534 46,249 42,625 44,291 46,815 46,091 46,206 Other Expenses 72,151 128,708 136,600 114,823 119,702 108,592 116 244 155,673 160981 132 890 172,492 143,621 139,903 Total Expenses 2,923,439 3,059,654 2,M9,514 2,701,265 3,134,355 3,004,598 3,031,694 2,927,997 3,151,108 2,908,240 3.189,467 2,888,914 3,057,063 Days In Period 31 31 30 31 30 31 31 28 31 30 31 30 31 Total Cash and Cash Equivalents 447,256 2,740,202 2,108,986 3,948,490 6,531,432 5,116,07 7,211,908 6,618,216 6,914,583 7,154,586 7,872,244 6,525,DS9 6,546,358 Operating Expenses (without employer tax credit) Less Depreciation 2,824,202 2,961,309 2,851,156 2,609,252 3,042,201 ;920,978 2,956,OS7 2,902,351 3,075,316 2,832,449 3,113,258 2,013,165 2,981,374 Daily Expenses(Exp Div of Days) 92,103 95,526 95,039 84,169 101,402 94,225 95,952 103,655 99,204 94,415 100,428 93,722 96,123 Days Cash on Hand Ratio 4.9 28.2 22.2 46.9 64.4 54.3 25.6 63.8 69.3 25.8 28.4 69.6 68.1 Cash and Investments less Private Waiver Cash 446,788 2,739,234 2,109,017 3,947,521 6,530,463 5,115,667 7,210,938 6,617,245 6,913,613 7,153,616 7,876,274 6,524,089 6,545,387 Adjusted Days Cash on Hand 4.9 38.2 22.2 46.9 64.4 54.3 75.6 63.8 69.7 25.8 78.4 59.6 68.1 Financial Drivers Memorial Medical Center Payer Mix MMC (Hospital) Payer Mix As of July 31, 2023 =Medicare - Traditonal aMedicare - Managed Care Medicaid m Blue Cross a Commerclal a Private * HMO / PPO & Workers Comp 30.0 25.0 20.0 15.0 10.0 5.0 0.0 N N N N N N N N m n t5 v� 0 --�-Medicare - Traditonal --*--Blue Cross --*—HMO / PPO & Workers Camp 13 Month Trend N N m M m m m N N N N N N N J t L N 2 R Z 0 LL —0-aMedicare- Managed Care Medicaid Commercial --a--Private 50.0 45.0 40.0 35.0 30.0 25.0 20.0 15.0 10.0 5.0 0.0 Memorial Medical Center Medicare Traditional vs. Managed Care Comparison Medicare Traditional vs. Managed Care 13 Month Trend -/! 4r1 3;7...1 .........� ;;as.o ry N N N ry ry m m m m m m m N N N N N N N N N N N N N pp b. 6> V C wO Q vi Z i u Q a Medicare - Traditonal Medicare - Managed Care --*—Total Memorial Medical Clinic Payer Mix Memorial Medical Center (Clinic) As of July 31, 2023 n Medicare-Traditonal aMedicare- Manage Care -:Medicaid o Blue Cross a Commercial w Private a HMO/PPO & Workers Comp 13 Month Trend 30.0 27.8 25.8 25.8 25.5 25.6 25.1 24.7 25.0 21.9 23.6 y.3 - 21.7 22.4 23.7 "'".,.--�"" ``^.,, 22.5 22.2 "'""2.9 20.7 21.1 20.6 -201 20.2- 20.0 18.6 18.0 19.1 18.5 _.A.S a, 17.8 .-9:1 16.4 6. 16.4 15.0 14.3 13.9- - 15.2 147 13.7 A"'• 12.1 12.9 12.1 12.3 1 12.4 11.6 11.4 10.1 10.5 9.8 .."a.. 10.4 ,•�,.,..•�„•,h• 10.1..a-.,s..m.m..,m--•-"= „! 10.0 7.8 6.8 46 5.9 6.1 59 6•iD 5• ii:� 4.9 4.2 "'�8 5.0 7 0.0 Jul-22 Aug-22 Sep-22 Oct-22 Nov-22 Dec-22 Jan-23 Feb-23 Mar-23 Apr-23 May-23 Jun-23 Jul-23 Medicare-Traditonal -Medicare-Manage Care - -Medicaid --Blue Cross -Commercial -Private -HMO/PPO & Workers Comp Memorial Medical Center Hospital Accounts Receivable Quality Indicators Accounts Receivable By Payor 2B.000000 11.000,000 14.000,000 I2.Uao,0c0 .0, .o00oo,000 000 6,000,000 4.000,aoo 8 z.Doo,aOD lul-22 AUB'22 sop-22 Oc-22 Nev-22 Dec 22 1em23 Feb 23 Mor23 Apr 23 M.ry-23 fun-23 Jul-23 VMedicare ..;Medicaid Value Cross Blue Shield 01COmmltdal •Private Pay aVeteran Affairs aMOtor Vehicle Accidents Medicare Aging < 60 Days Blue Cross < 90 Days I0O.Oa1 90% 091 BOY. B9% 93% 92% 91% 09% 19X Ba% 92% BBY. 100.0'.: 96% 95% 9]% 9p% Win96% 95% 95% 94% 91X 9oY. 93% 93% B8% 9ont, 90 a% 90.. BO I%, 30.0% 10.0% 60.0% 60.0% 50.0°: snDev 40.m 40.01 3.4. 30.0% 2Dcra 30.P.: IO.W. 10.00 Iu433 AUB12 sc,12 Oct 22 Nov-220ec-22 Iom23 Feb 23 Mar -Apr 23 May Jun-23 Jul-23 Jul-22 Aug 22 Sep-22 Oct 22 Noy-320ec23 Jail 23 Feb-23 Mar 23 Apr 23 May- fun-23 Jul-23 23 23 23 Medicaid Aging < 90 Days Commercial <90 Days 100.0% 89% 94% 07% 92% Wx 41% B9% 95M 93% 9p% a]x ID00% S.A. 800% ]ax ]Ox 6]% ]D o% � ]o.ov. 6001; ( � 60% .0 30016 1 s0.0% 20..% ,. E0.09 Jul-22 Au6-22 5ep-22 Oct 22 NuvQ20ec.22 bn.23 Feb-23 Mar-23 Apr-23 May- Jun-23 IWd3 Jul-22 Aug 22 SOP-22 00-22 Nov22Dec -221an-23 Feb 23 Mar Apr23 May' fun-23 lul-Z3 33 23 23 Veteran Affairs < 90 Days Motor Vehicle Accidents < 90 Days fie% 60% ]O.OY, 60% 60% 6]% 66X 6]% 65% 9DON 82% 5]X 61% 59% 0001s 64% 69% 0.091. 50% 56X 56% 95% 45% 10 O 29% 63% 50.09: 29% 33% 00.09i. 34% 36% ana% 50.0% 3cnl• 40.Ox I 100% 20.01,, I I I I 10.a: a. I 40 22 Au8 22 So, 2z Oct-22 Nov-22 Dec-V Jar-23 Fe0.33 Mor23 Apr23 May Lmd3 lu1-23 Iu622 A,-22 Sep 22 0.-22 Nav-22 Dee22 Ja.r23 Feb-23 Mor23 Apr23 May. luu-13 10.23 21 73 Memorial Medical Center Accounts Receivable Agings Aging 0-30 1 31-60 1 61-90 1 91-120 1 121-150 1 151-180 1 I81.365 1 Total Cross I % Over 120 Days I % Over 90 Days % Under 1 60 Days % Under 1 90 Days Total Apr-17 3,596$10 1,887,117 1,343,950 699,294 391,335 192,399 959,124 I' 9,058,0D3 16.9% 24.6% 60.5% 75.4% Jul-22 4,403,623 1,752,779 719,609 472,628 449,862 309,281 1,760,863 9,868,646 25.5% 30.3% 62.4% 69.7% Aug-22 4,596,693 1,386,015 681,331 488,700 322,613 260,663 1,551,260 9,287,276 23.0% 28.2% 64.4% 71.8% Sep-22 4,841,067 2,593,390 728,022 536,510 435,089 309,448 1,708,869 10,152,394 24.2% 29.5% 63.4% 70.5% Oct-22 4,638,443 1,375,844 607,150 421,490 394,967 317,060 1,654,860 9,409,813 25.2% 29.6% 63.9% 70.4% Nov-22 4,963,387 1,113,021 661,321 436,653 391,081 317,344 1,658,288 9,541,095 24.8% 29.4% 63.7% 70.6% Dec-22 4,849,409 1,633,822 650,410 496,175 364,486 214,913 1,560,857 9,770,072 21.9% 27.0% 66.4% 73.0% Jan-23 5,266,140 1,433,501 976,044 521,094 394,172 284,715 1,572,693 10,448,358 21.5% 26.5% 64.1% 73.5% Feb-23 5,142,583 1,723,809 776,479 500,601 302,293 335,260 1,514,036 10,295,061 20.9% 25.8% 66.7% 74.2% Mar-23 4,651,629 1,597,886 1,091,042 627,756 347,860 248,117 1,485,348 10,049,638 20.7% 27.0% 62.2% 73.0% Apr-23 4,914,144 1,612,594 1,063,392 904,300 476,422 225,194 1,346,994 10,543,029 19.4% 28.0% 61.9% 72.0% May-23 5,392,333 1,721,776 1,044,527 876,163 791,735 376,975 1,422,416 11,625,925 22.3% 29.8% 61.2% 70.2% Jun-23 5,592,263 1,955,318 1,103,470 916,757 839,840 562,901 1,476,877 12,447,425 23.1% 30.5% 60.6% 59.5% Jul-23 5,149,973 1,899,254 2,205,658 802,561 512,714 414,791 1,587,411 11,572,374 21.7% 28.7% 60.9% 71.3% Medicare Sep-17 1,655,112 426,031 19ZI49 351908 5,783 19,655 53,.433 1',378,292 3.3% 4.8% 87.5% 95.2% Jul-22 2,204,421 590,326 108,385 23,725 24,877 17,649 120,017 3,089,401 5.3% 6.0% 90.5% 94.0% Aug-22 2,262,180 377,668 138,034 91,024 7,105 9,784 126,044 3,011,839 4.7% 7.8% 97.6% 92.2% Sep-22 2,337,561 352,589 71,015 83,862 52,995 3,694 108,400 3,010,116 5.5% 8.3% 89.4% 91.7% Oct-22 2,007,653 291,126 134,812 37,723 50,677 52,178 112,933 2,687,102 8.0% 9.4% 85.5% 90.6% Nov-22 2,508,442 208,963 64,045 72,614 17,461 54,420 135,339 3,061,283 6.8% 9.1% 88.8% 90.9% Dec-22 2,408,372 305,726 45,443 25,242 56,564 3,967 116,423 2,961,737 6.0% 6.8% 91.6% 93.2% Jan-23 2,603,110 286,272 59,340 24,592 34,708 28,106 111,746 3,147,873 5.5% 6.3% 91.8% 93.7% Feb-23 2,554,616 285,585 92,393 24,051 5,685 17,303 137,886 3,117,519 5.2% 5.9% 91.1% 94.1% Mar-23 2,087,649 362,933 99,218 45,796 15,076 5,656 139,176 2,756,505 5.8% 7.5% 89.9% 92.5% Apr-73 2,128,639 371,045 98,669 57,879 9,001 13,794 121,016 2,800,043 5.1% 7.2% 89.3% 92.8% May-23 2,551,956 224,289 106,771 32,708 51,583 40,120 139,679 3,147,106 7.4% 8.4% 88.2% 91.6% Jun-23 2,687,213 506,867 66,277 52,227 18,055 5,884 121,643 3,458,165 4.2% 5.7% 92.4% 94.3% Jul-23 2,513,803 338,583 126,819 60,734 51,788 14,069 139,505 3,245,300 6.3% 8.2% 87.9% 91.8% Medicaid Rug-17 460,814 355,303 215,759 32,474 7,570 2,527 2,M3 977,411 1.3% 4.7% 83.5% 95.3% Jul-22 473,865 169,671 41,441 8,183 13,265 4,319 55,222 765,965 9.5% 10.6% 84.0% 89.4% Aug-22 644,912 86,847 71,372 7,657 51 5,489 40,167 856,495 5.3% 6.2% 85.4% 93.8% Sep-22 534,778 133,343 26,473 50,346 7,100 2 46,277 798,318 6.7% 13.0% 83.7% 87.0% Oct-22 723,845 134,666 49,400 19,567 13,584 4,614 46,543 992,220 6.5% 9.5% 86.5% 91.5% Nov-22 671,781 143,664 59,378 37,412 38,949 12,478 36,728 1,000,388 8.8% 12.6% 82.5% 87.4% Dec-22 525,419 119,482 36,312. 10,964 8,143 8,587 13,421 722,328 4.2% 5.7% 89.3% 94.3% Jan-23 450,066 113,743 38,827 2,806 2,386 6,552 62,001 676,381 10.5% 10.9% 83.4% 89.1% Feb-23 483,035 103,304 18,361 23,378 - 681 20,073 648,831 3.2% 6.8% 90.4% 93.2% Mar-23 527,761 78,824 26,972 3,157 15,507 161 17,984 670,367 5.0% 5.5% 90.5% 94.5% Apr-23 444,556 74,778 32,666 4,556 879 710 33,353 591,499 5.9% 6.7% 87.8% 93.3% May-23 613,131 106,171 19,987 22,116 1,920 60 35,577 798,962 4.7% 7.5% 90.0% 92.5% Jun-23 595,741 135,835 32,153 16,491 9,980 3,722 59,099 853,020 8.5% 10.5% 85.8% 89.5% Jul-23 490,628 199,878 71,264 14,562 30,866 13,768 57,462 878,428 11.6% 13.3% 78.6% 86.7% BCBS lui-18 293,552 23,273 21,415 4,663 4,6441 1,022 1,147 351,714 1.9% 3.3% 90.6% 96.7% Jul-22 452,567 96,294 22,272 10,127 12,819 498 4,444 599,022 3.0% 4.7% 91.6% 95.3% Aug-22 543,557 104,419 38,641 3,232 3,382 11,260 3,879 708,369 2.6% 3.1% 91.5% 96.9% Sep-22 483,755 99,328 30,204 24,433 3,232 3,158 10,136 654,246 2.5% 6.3% 89.1% 93.7% Oct-22 666,364 96,692 43,940 19,973 17,087 2,421 17,920 864,396 4.3% 6.6% 88.3% 93.4% Nov-22 581,129 90,121 22,195 8,011 7,346 571 15,982 7Z5,356 3.3% 4.4% 92.5% 95.6% Dec-22 613,231 64,233 20,260 9,963 6,239 7,346 12,608 733,879 3.6% 4.9% 92.3% 95.1%. Jan-23 545,651 93,429 7,304 4,978 2,168 6,239 18,913 678,682 4.0% 4.8% 94.2% 95.2% Feb-23 500,362 53,288 45,673 11,062 3,091 - 25,152 638,629 4.4% 6-2% 86.7% 93.8% Mar-23 570,512 41,929 15,674 27,670 12,647 44 25,152 693,628 5.5% 9.4% 88.3% 90.6% Apr-23 674,429 53,245 11,602 15,863 27,670 12,253 28,395 922,456 8.2% 10.1% 88.5% 89.9% May-23 710,256 212,297 27,943 2,445 6,891 1,060 27,508 988,400 3.6% 3.8% 93.3% 96.2% Jun-23 595,580 60,185 11,738 14,451 2,629 4,239 27,297 716,109 4.8% 6.9% 91.6% 93.2% Jul-23 654,069 86,774 17,349 8,279 14,496 2,497 37,600 821,064 6.6% 7.7% 90.2% 92.3% G:\Finance Share\2023\07-JULY\AR Monthly Analysis Board Packet - July 2023 Memorial Medical Center Accounts Receivable Agings Aging 0-30 31-60 1 61-90 1 91-120 1 121-150 1 151-180 1 181-365 1 Total Gross %Over 120 Days %Over 90 Days I %Under 60 Days %Under 1 90 Days Commercial (VA &MVA seperated out starting October 2020) Feb-27 1,153,728 303,202 157,302 62,901 45,604 24,581 95,4211 1,942,739 9.0%. 12.4% 79.1% 97.6%. Jul-22 745,041 255,623 186,501 73,210 70,196 52,840 197,766. 1,581,177 20.3% 24.9% 63.3% 75.1% Aug-22 557,209 391,458 112,576 116,127 63,683 55,895 222,599. 1,519,546 22.5% 30.2% 62.4% 69.8% Sep-22 637,512 240,808 223,675 83,938 100,058 60,719 230,291 1,577,000 24.8% 30.1% 55.7% 69.9% Oct-22 631,264 230,588 86,871 104,518 68,587 62,219 232,595 1,416,632 25.7% 33.0% 60.8% 67.0% Nov-22 693,350 283,620 129,631 41,685 79,052 34,289 208,326 1,469,952 21.9% 24.7% 66.5% 75.3% Dec-22 607,905 389,977 128,561 77,167 40,668 63,208 194,908 1,502,394 19.9% 25.0% 66.4% 75.0% Jan-23 763,160 269,369 146,385 89,185 56,101 46,921 131,734 1,502,855 15.6% 21.6% 68.7% 78.4% Feb-23 784,536 348,509 92,661 97,556 52,864 58,727 144,211 1,579,063 16.2% 22.4% 71.8% 77.6% Mar-23 694,052 247,429 75,564 66,716 25,766 48,356 164,354 1,322,237 18.0% 23.1% 71.2% 76.9% Apr-23 736,132 273,755 107,193 36,656 49,808 39,804 143,712 1,387,061 16.8% 19.5%. 72.8% 80.5% May-23 649,828 30ZO63 90,570 50,771 54,589 37,166 157,066 2,342,052 18.5% 22.3% 70.9% 77.7% Jun-23 800,739 342,142 114,706 62,030 30,726 46,735 158,136 1,555,214 15.1% 19.1% 73.5% 80.9% Jul-23 755,308 334,430 204,989 60,737 47,624 27,798 182,588 1,623,475 16.0% 29.8% 67.5% 80.2% Private Pay Mae-19 7SU48 1,01,L617 831,644 259,046 1921,429 117,192, 896,268'. 4,097,S43 29.41/4 35.81E 43.9%� 64.2% Jul-22 424,237 550,109 332,255 296,530 305,474 214,590 1,171,361 3,294,556 51.3% 60.3% 29.6% 39.7% Aug-22 398,623 360,691 267,255 244,261 189,770 162,869 984,373 2,607,832 51.3% 60.6% 29.1% 39.4% Sep-22 683,250 714,071 356,950 258,312 245,398 183,252 1,137,651 3,578,885 43.8% 51.0% 39.0% 49.0% Oct-22 499,695 539,670 290,736 231,569 217,328 175,669 1,020,674 2,975,339 47.5% 55.3% 34.9% 44.7% Nov-22 353,957 355,681 322,747 269,476 240,133 187,882 1,029,870 2,759,746 52.8% 62.6% 25.7% 37.4% Dec-22 453,204 697,400 405,702 347,712 252,210 131,905 1,076,767 3,364,800 43.4% 53.7% 34.2% 46.3% Jan-23 675,844 581,085 698,870 388,457 274,794 196,236 1,220,214 3,935,499 40.4% 50.3% 31.9% 49.7% Feb-23 675,162 860,620 492,081 337,085 239,123 248,401 1,097,599 3,950,072 40.1% 48.7% 38.9% 51.3% Mar-23 615,425 818,891 939,649 462,099 265,598 192,220 1,058,855 4,252,737 35.7% 46.5% 33.7% 53.5% Apr-23 770,566 797,348 768,782 755,683 367,744 146,505 948,359 4,554,988 32.1% 48.7% 34.4% 51.3% May-23 660,391 830,895 760,233 731,498 657,202 267,313 988,164 4,895,695 39.1% 54.0% 30.5% 46.0% Jun-2.3 708,518 $60,129 847,812 736,194 742,704 482,770 1,031,245 5,409,373 41.7% 55.3% 29.0% 44.7% Jul-23 599,380 867,379 754,858 630,456 354,668 336,761 1,097,960 4,631,462 38.4% 52.0% 31.7% 48.0% Veteran Affairs Jul-22 94,906 77,849 23,239 49,069 17,390 19,385 138,619 410,456 42.7% 54.7% 42.1% 45.3% Aug-22 170,030 57,026 40,546 10,885 46,839 9,526 108,862 443,713 37.2% 39.7% 51.2% 60.3% Sep-22 116,685 53,250 11,789 22,713 10,790 46,839 104,937 367,004 44.3% 50.5% 46.3% 49.5% Oct-22 91,794 40,236 1,391 224 14,797 4,443 140,701 293,588 54.5% 54.6% 45.0% 45.4% Nov-22 147,675 27,949 25,328 1,167 224 14,797 133,225 350,365 42.3% 42.6% 50.1% 57.4% Dec-22 187,464 53,426 11,110 25,128 662 - 138,388 416,168 33.4% 39.5% 57.9% 60.5% Jan-23 224,012 73,650 25,317 8,055 24,016 662 119,743 475,455 30.4% 32.1% 62.6% 67.9% Feb-23 127,783 55,278 32,288 7,469 2,530 10,149 80,772 315,269 29.3% 31.7% 58.1% 68.3% Mar-23 146,456 32,978 16,739 12,199 13,267 1,680 71,485 294,803 29.3% 33.5% 60.9% 66.5% Apr-23 137,916 35,430 29,579 16,437 12,199 13,117 63,818 308,496 28.9% 34.2% 56.2% 65.8% May-23 158,073 19,011 32,031 21,724 15,254 9,209 66,080 321,381 28.2% 34.9% 55.1% 65.1% Jun-23 153,460 20,089 3,735 28,372 20,854 15,254 57,409 299,173 31.3% 40.7% 58.0% 59.3% Jul-23 114,950 21,208 308 745 6,279 4,996 55,951. 204,437 32.9% 33.2% 66.6% 66.8% Motor Vehicle Accidents Jul-22 8,586 12,907 15,515 11,784 5,841 - 73,435 128,068 61.9% 71.1% 16.8% 28.9% Aug-22 20,183 7,916 12,907 15,515 11,784 5,841 65,336 139,492 59.5% 70.6% 20.1% 29.4% Sep-22 47,526 - 7,916 12,907 15,515 11,784 71,177 166,825 59.0% 66.8% 28.5% 33.2% Oct-22 17,827 42,866 - 7,926 12,907 15,515 83,504 180,535 62.0% 66.4% 33.6% 33.6% Nov-22 7,053 3,022 37,997 6,290 7,916 12,907 98,819 174,004 68.8% 72.4% 5.8% 27.6% Dec-22 53,815 3,588 3,022 - - - 8,342 68,767 12.1% 12.1% 83.5% 97.9% Jan-23 4,296 15,952 - 3,022 - - 8,342 31,612 26.4% 35.9% 64.1% 64.1% Feb-23 17,089 17,226 3,022 - - - 8,342 45,679 18.3% 18.3% 75.1% 81.7% Mar-23 9,774 14,902 17,226 9,118 - - 8,342 59,362 14.1% 29.4% 41.6% 70.6% Apr-23 21,907 6,992 14,902 17,226 9,118 - 8,342 78,487 22.2% 44.2% 36.8% 55.8% May-23 48,698 27,049 6,992 14,902 4,296 22,048 8,342 132,327 26.2% 37.5% 57.2% 62.5% Jun-23 51,012 30,071 27,049 6,992 14,902 4,296 22,048 156,370 26.4% 30.8% 51.9% 69.2% Jul-23 21,837 51,012 30,071 27,049 6,992 14,902 26,344 178,207 27.1% 42.2% 40.9% 57.8% G:\Finance Share\2023\07-JULY\AR Monthly Analysis Board Packet - July 2023 Memorial Medical Center Accounts Receivable Agings Aging 0-30 31-60 1 61-90 1 91-120 1 121.150 1 151-180 1 I81-364 1 TotalGross %Over 120 Days I %Over 90 Days %Under 1 60 Days I %Under 1 99 Days Alllnsured Sul':-17 1,,361,911 1,022,884 3251400 130,673 91,I94 99,145 PSP,956 5„11741,614 6.4% S006 U..7% 91.0% Jul-22 3,979,386 1,202,670 387,354 176,097 144,388 94,692 589,502 6,574,090 12.6% 15.3% 78.8% 84.7% Aug-22 4,198,071 1,025,334 414,076 244,439 132,843 97,795 566,887 6,679,444 11.9% 15.6% 78.2% 84.4% Sep-22 4,157,817 879,318 371,072 278,199 189,689 126,196 571,218 6,573,509 13.5% 17.7% 76.6%. 82.3% Oct-22 4,138,748 836,174 316,414 189,921 177,639 141,391 634,186 6,434,473 14.8% 17.8% 77.3% 82.2% Nov-22 4,609,430 757,340 338,574 167,277 150,948 129,462 628,429 6,781,349 13.4% 25.9% 79.1% 84.1% Dec-22 4,396,205 936,422 244,707 148,463 112,276 93,109 484,090 6,405,271 10.6% 12.9% 83.3% 87.1% Jan-23 4,590,296 852,416 277,173 132,638 119,379 88,479 452,479 61512,859 10.1% 12.2% 93.6% 87.8% Feb-23 4,467,421 863,190 284,398 163,516 63,169 86,859 416,436 6,344,990 8.9% 11.5% 84.0% 88.5% Mar-23 4,036,203 778,995 251,393 165,657 82,263 55,897 426,493 5,796,902 9.7% 12.6% 83.1% 87.4% Apr-23 4,143,578 815,246 294,610 148,617 108,676 78,678 399,635 5,988,042. 9.8% 12.3% 82.8% 87.7% May-23 4,731,942 $90,881 284,294 144,665 134,534 109,662 434,252 6,730,229 10.1% 12.2% 83.5% 87.8% Jun-23 4,883,744 1,095,188 255,658 180,563 97,136 80,131 445,632 7,038,052 8.9% 11.4% 85.0% 88.6% Jul-23 4,550,593 1,031,885 450,800 172,106 158,046 78,030 499,451 6,940,912 10.6% 13.1% 80.4% 86.9% "Months InGreem representthe highest %of AR <90days (best performance month as a %) sincetrend repor€tracking started im lam, 2017.. G:\Finance Share\2023\07-JULY\AR Monthly Analysis Board Packet -July 2023 Memorial Medical Center Clinic Accounts Receivable Quality Indicators Accounts Receivable By Payor aog000 ]00,000 I GOg000 S..eo0 400,000 - 30og0o 20.000 I y 300,000 '- lul-22 4u9-22 Sep 22 Octd2 Nov-22 Deo22 1-23 Feb23 pl -33 4pr23 M.,-23 lum 23 Iu623 poo.Naol iMedicare Medicaid Value Crass Blue Shield VCOmrnerdal 1Prly0te Pay Medicare <60 Days War% 90.0:% 60.01,1 _II�IIIIII�� Medicaid < 90 Days MO.= 90.0:4 .re% ID OY.i 59.6% 5].]% GD.PA )a 63 S2.L% 49.)% S0.I% 30.8% 40.7% 39.5% 48.4% 3E.1% s0.0^t. 10.0r. - 30 0^ f 100Y I 'i l l`1 Phi aj4^ O�~i c; Oe'`M1~ , h� 4�1A ,3?`M1A q0~A :l•�:� `�.i \`ice Blue Cross < 90 Days 3ao.0:4 B9.3% es.4x 90.0 ; 60.3% ao 0% 47.8% 52.1% 44.5% 4].]% 43.Bx ]Oo•A 45.3% 3].I% 38.3% 39.3% 6009 50.0% 40.0" 30.0n 30.mc Commercial <90 Days t00n3s 9o.or, BO.o33 70.011. 5].)%61.6% 45.9% 45.0% 44A% 50.7% 41,11 50-M 35.3% 42.8% 45 2% 46.4% 00.0;6 35.7% 50.0% 40.0" 30.0. 20 a. t00% o.= Memorial Medical Clinics Accounts Receivable Agings Aging 0-30 31-60 61-90 91-120 121-150 151-180 181-365 Total Gross % Over % Over % Under % Under 1 1 1 1 1 120 Days I 90 Days 60 Days 1 90 Days Total tart-18 489,483 12,415 9,784 10;329 1,798 1,725 Q7,4'53): 53MISD -0L5% 1.2% 969% 98.8% Jul-22 416,502 96,328 28,556 30,518 64,622 16,042 82,397 734,964 22.2% 26.3% 69.8% 73.7% Aug-22 240,000 136,058 61,643 15,316 9,763 48,784 49,897 561,461 19.3% 22.0% 67.0% 78.D% Sep-22 150,321 84,022 113,634 67,273 10,632 7,572 70,304 503,757 17.6% 30.9% 46.5% 69.1% Oct-22 254,642 44,439 58,515 110,631 62,863 9,451 58,948 599,488 21.9% 40.3% 49.9% 59.7% Nov-22 251,343 94,798 18,405 48,379 105,564 50,241 54,215 622,945 33.7% 41.5% 55.6% 58.5% Dec-22 288,487 75,960 55,185 5,389 32,941 91,745 86,253 635,961 33.2% 34.0% 57.3% 66.0% Jan-23 190,778 67,759 64,401 40,850 2,198 27,208 156,057 549,250 33.8% 41.2% 47.1% 58.8% Feb-23 260o301. 57,824 62,370 42,550 25,613 (114) 174,958 623,503 32.2% 39.0% 51.0% 61.0% Mar-23 175,990 48,612 43,462 47,750 33,688 24,551 140,410 514,462 38.6% 47.9% 43.7% 52.1% Apr-23 162,614 48,644 35,497 36,004 42,491 31,444 149,241 505,933 44.1% 51.2% 41.8% 48.8% May-23 181,081 28,582 26,393 25,559 23,007 18,185 151,960 454,767 42.5% 48.1% 46.1% 51.9% Jun-23 166,525 40,389 19,887 18,214 22,152 19,559 163,782 449,508 45.5% 49.5% 46.0% 50.5% Jul-23 186,035 34,785 26,856 15,092 16,896. 18,332 173,659 471,655 44.3% 47.5% 46.8% 52.5% Medicare Aug-19 U6,263 2,130 766 559 (82) 265 2,029 231,931 1.7% 2.1% 97.1% 97.9% Jul-22 124,326 11,983 1,705 2,097 4,040 1,022 29,647 174,919 19.9% 21.1% 78.0% 78.9% Aug-22 65,184 13,595 9,564 1,480 1,360 2,503 24,263 117,949 23.8% 25.1% 66.8% 74.9% Sep-22 44,113 4,541 13,282 9,901 1,480 1,280 23,596 98,192 26.8% 36.9% 49.5% 63.2% Oct-22 65,713 3,660 3,059 10,717 8,469 1,360 24,152 117,130 29.0% 38.2%. 59.2% 61.8% Nov-22 84,865 5,466 1,700 2,361 9,979 4,538 23,847 132,756 28.9% 30.7% 68.0% 693% Dec-22 74,121 7,745 2,625 876 1,966 8,297 24,523 120,153 29.0% 29.7% 68.1% 70.3% Jan-23 72,255 6,919 8,431 2,052 1,077 1,583 31,111 123,326 27.4% 29.0% 64.1% 71.0% Feb-23 76,821 4,139 7,443 5,849 2,180 597 31,601 228,629 26.7% 31.3% 62.9% 68.7% Mar-23 58,373 4,218 2,911 5,643 6,103 1,567 25,499 104,315 31.8% 37.2% 60.0% 62.8% Apr-23 36,061 3,938 799 1,662 4,410 5,965 25,042 77,878 45.5% 47.6% 51.4% 52.4% May-23 49,871 5,153 4,713 3,236 4,379 3,025 55,236 125,613 49.9% 52.4% 43.8% 47.6% Jun-23 61,057 10,430 4,784 3,133 1,988 1,247 53,905 136,543 41.8% 44.1% 52.4% 55.9% Jul-23 50,161 9,636 7,499 4,375 3,239 1,105 52,097 128,122. 44.1% 47.5% 46.7% 52.5% Medicaid Feb-18 180,I74 2,576 2,454 2,616 108 268 (eta). 187,5A3 -0.1% 1.3% 97.4% 98.7% Jul-22 111,201 33,215 10,707 15,762 11,033 7,415 30,406 219,739 22.2% 29.4% 65.7% 70.6% Aug-22 51,589 33,696 20,238 7,547 9,594 7,325 35,176 165,164 31.5% 36.1% 51.6% 63.9% Sep-22 24,704 24,679 25,742 28,218 6,695 8,939 36,357 155,334 33.5% 51.6% 31.8% 48.4% Oct-22 53,088 24,101 10,931 24,051 18,952 4,648 35,157 170,929 34.4% 48.4% 45.2% 51.6% Nov-22 55,647 30,747 21,290 8,196 22,024 8,536 34,325 180,766 35.9% 40.4% 47.8% 59.6% Dec-22 36,682 21,728 10,589 17,622 5,039 23,972 33,324 139,945 37.7% 50.3% 42.0% 49.7% Jan-23 38,659 11,671 19,018 13,027 11,389 3,175 41,072 138,010 40.3% 49.8% 36.5% 50.2% Feb-23 72,942 20,685 13,018 19,312 9,474 10,220 39,207 184,857 31.9% 42.3% 50.6% 57.7% Mar-23 44,330 23,972 22,616 11,691 17,070 7,290 47,404 174,363 41.2% 47.9% 39.2% 52.1% Apr-23 26,396 21,209 20,683 23,420 10,166 16,435 57,834 176,144 47.9% 61.2% 27.0% 38.8% May-23 25,617 11,451 13,338 13,624 13,882 2,633 43,262 123,908 48.3% 59.3% 29.9% 40.7% Jun-23 25,248 12,128 8,873 13,259 13,856 15,780 54,961 144,114 58.7% 67.9% 25.9% 32.1% Jul-23 26,019 19,704 11,614 10,676 10,906 11,923 58,100 148,942 54.3% 61.5% 30.7% 38.5% BCBS Man-19 25,847 9,402 43 145 (1,332k 1,565. (21571) 33,10O -7.1% -6.6% 1065% 106.6% Jul-22 53,645 11,683 (138) 2,568 1,773 145 6,666 76,342 11.2% 14.6% 85.6% 85.4% Aug-22 28,391 26,035 4,209 (507) 2,028 1,265 4,227 65,649 11.5% 10.7% 82.9% 89.3% Sep-22 25,898 6,560 18,743 3,949 (422) 3,830 5,247 63,804 13.691. 19.8% 50.9% 80.2% Oct-22 19,836 5,064 3,667 29,612 3,949 (709) 8,343 59,760 19.4% 52.2% 41.7% 47.8% Nov-22 15,581 9,499 4,299 3,122 20,883 3,696 7,792 64,870 49.9% 54.7% 38.7% 45.3% Dec-22 30,471 1,814 8,446 3,320 2,301 20,477 11,283 78,111 43.6% 47.9% 413% 52.19. Jan-23 12,821 6,648 7,178 8,048 3,398 2,137 31,564 71,793 51.7% 62.9% 27.1% 37.1% Feb-23 21,307 3,294 11,954 1,490 8,017 3,656 32,475 82,193 53.7% 55.5% 29.9% 44.5% Mar-23 8,134 4,905 2,714 11,591 909 7,635 13,006 48,894 44.1% 67.8% 26.7% 32.2% Apr-23 8,770 4,376 3,418 2,458 11,660 561 12,043 43,286 56.1% 61.7% 30.4% 38.3% May-23 19,011 3,320 4,208 3,364 2,402 5,534 17,829 55,688 46.3% 52.3% 40.1% 47.7% Jun-23 10,409 7,277 2,704 1,128 2,679 2,430 19,971 46,598 53.8% 56.2% 38.0% 43.8% Jul-23 9,845 1,285 5,016 2,659 1,073 2,679 19,687 42,244 55.5% 61.8% 26.3% 38.2% G:\Finance Share\2023\07-JULY\AR Monthly Analysis Board Packet - July 2023 Memorial Medical Clinics Accounts Receivable Agings Aging 0-30 31-60 1 61-90 1 91-120 1 121-150 1 151-180 1 181-365 1 Total Grass % Over 120 Days I % Over 90 Days I % Under 60 Days %Under 90 Days. Commercial Feb-18 206928 (201) 397 1,458 - E,836 (3„676) d06,743 -01.9% -0-.2% EOD.O% E0D2%. Jul-22 76,463 30,054 14,886 15,578 32,982 6,783 88,348 265,094 48.3% 54.2% 40.2% 45.8% Aug-22 58,811 52,220 18,115 7,128 6,325 22,474 58,918 223,990 39.2% 42.3% 49.6% 57.7% Sep-22 40,054 39,189 46,695 14,255 3,825 2,851 57,600 204,369 31.5% 38.4% 38.8% 61.6% Oct-22 42,682 22,936 26,831 42,779 13,022 4,904 52,067 205,220 34.1% 55.0% 32.0% 45.0% Nov-22 55,622 32,715 9,643 22,761 37,492 12,285 48,699 219,207 44.9% 55.3% 40.3% 44.7% Dec-22 56,681 27,812 18,146 5,579 10,562 31,430 52,325 202,536 46.6% 49.3% 41.7% 50.7% Jan-23 41,609 34,175 20,149 8,050 6,972 11,635 77,055 199,644 47.9% 51.9% 38.0% 48.1% Feb-23 55,698 27,145 24,235 11,029 1,585 6,417 89,233 214,341 44.9% 50.0% 38.6% 50.0% Mar-23 31,012 11,319 12,818 14,497 6,226 3,747 74,956 154,477 54.9% 64.3% 27.4% 35.7% Apr-23 35,332 9,606 7,624 6,013 9,828 3,353 73,123 144,880 59.6% 63.7% 31.0% 36.3% May-23 30,805 13,751 4,112 5,327 3,983 4,445 51,220 113,642 52.5% 57.2% 39.2% 42.8% Jun-23 35,113 7,089 10,436 2,204 4,433 3,164 53,950 116,390 52.9% 54.9% 36.3% 45.2% Jul-23 40,700 91135 3,641 8,834 3,401 2,566 46,933 115,211 45.9% 53.6% 43.3% 46.4% Private Pay FebAR 15ZI57 5,922 6,490 5,992 E,186 (5I3) 2,832 174,264 2.0% 5.4% 90,81A 94.6% Jul-22 50,867 9,393 1,397 (5,488) 14,794 677 (72,670) (1,030) 5554.9% 6097.9% -5852.2% -5987.9% Aug-22 36,026 10,512 9,518 (332) (9,544) 15,216 (72,686) (11,292) 593.5% 596.4% -412.1% -496.4% Sep-22 15,552 9,053 9,173 11,051 (947) (9,328) (52,496) (17,941) 349.9% 288.3% -137.1% -188.3% Oct-22 73,323 (21,322) 14,027 13,471. 18,471 (753) (60,770) 46,449 -92.7% -63.7% 133.5% 163.7% Nov-22 39,628 16,371 (18,527) 11,939 15,197 22,197 (60,450) 25,346 -94.9% -47A% 220.9% 147.8% Dec-22 90,532 16,861 15,381 (22,008) 13,073 17,570 (35,192) 96,216. -4.7% -27.6% 111.6% 127.6% Jan-23 25,534 8,346 9,627 9,674 (20,638) 8,678 (24,745) 16,477 -222.8% -164.1% 205.6% 264.1% Feb-23 33,533 2,561 5,720 4,871 4,358 (21,003) (16,558). 13,482 -246.3% -210.1% 267.7% 310.1% Mar-23 34,141 4,197 2,403 4,338 3,380 4,311 (20,357) 32,413 -39.1% -25.7% 118.3% 125.7% May-23 56,055 9,514 2,973 2,449 6,427 5,129 (18,801) 63,745 -11.4% -7.5% 102.9% 107.5% May-23 55,777 (5,092) 22 7 (1,639) 2,529 (15,587) 36,016 -40.8% -40.851 140.7% 140.8% Jun-23 34,698 3,465 (61910) (1,510) (1,813) (3,063) (19,005) 5,863 -407.3% -433.1% 651.0% 533.1% Jul-23 59,309 (4,975) (914) (11,451) (1,723) 60 (3,159) 37,147 -23.0% -43.8% 146.3% 143.8% All Insured Oct-19 280,920 26,512 38,307 4,230 3,754 9,621 15,080 379,424 7.5% 16% 81.2% 92.4% Jul-22 365,635 86,935 27,159 36,005 49,828 15,365 155,067 735,994 29.9%. 34.8% 61.5% 65.2% Aug-22 203,975 125,546 52,225 15,648 19,307 33,56a 122,583 572,753 30.6% 33.4% 57.5% 66.6% Sep-22 134,769 74,969 104,461 56,221 11,579 16,899 122,800 521,698 29.0% 39.8% 40.2% 60.2% Oct-22 181,319 55,761 44,487 97,159 44,391 10,203 119,719 553,040 31.5% 49.1% 42.9% 50.9% Nov-22 211,715 78,427 36,932 36,439 90,367 29,054 114,664 597,599 39.2% 45.3% 48.6% 54.7% Dec-22 197,955 59,099 39,804 27,397 19,868 74,176 121,445 539,745 39.9% 45.0% 47.6% 55.0% Jan-23 165,244 59,412 54,775 31,176 22,836 18,530 180,801 532,774 41.7% 47.6% 42.2% 52.4% Feb-23 226,768 55,263 56,650 37,679 21,255 20,890 191,516 610,021 38.3% 44.5% 46.2% 55.5% Mar-23 141,849 44,415 41,059 43,412 30,308 20,240 160,767 482,049 43.8% 52.8% 38.6% 47.2% Apr-23 106,559 39,130 32,524 33,554 36,064 26,314 168,042 442,188 52.1% 59.7% 32.9% 40.3% May-23 125,304 33,675 26,371 25,552 24,646 15,656 167,547 418,750 49.6% 55.7% 38.0% 44.3% Jun-23 131,827 36,924 26,797 19,724 22,965 22,621 182,787 443,645 51.5% 55.9% 38.0% 44.1% Jul-23 126,726 39,760 27,769 26,543 19,619 18,272 176,818 434,508 49.2% 55.3% 38.3% 44.7% Wanths in Green, representthe highest %o6 AR <90 days (best peFFonrance inanth as a %) since trend, report trackingstarted in. Jan 2027 G:\Finance Share\2023\07-JULY\AR Monthly Analysis Board Packet -July 2023 Memorial Medical Center July 2023 Inpatient and Emergency Room Statistics Average Daily Census 16.00 14.00 12.00 10.00 8.00 6.004.00 j 41 pi p 2.00 it �. Jan Feb March April May June July Aug Sept Oct. Nov Dec m2020 8.58 13.13 8.68 7.27 8.61 9.60 12.13 8.29 10.27 7.87 9.50 12.53 r. 2021 12.10 8.86 8.61 11.50 8.71 7.77 9.48 12.29 14.57 6.61 6.00 8.03 r12022 11.0 9A 8.8 8.1 8.1 6.2 5.5 6.9 7.5 7.5 8.1 7.2. m2023 8.6 7.0 7.2 6.4 6.6 8.1 6.4 • Admissions are the prima ry driver to inpatient gross revenue • Average daily census was 6.4, or 3.2 less than target of 9.5 • Inpatient gross revenue was $750K on a budget of $2.22 million Emergency Room Visits 1,000 900 800 7004 6005 500 400 300 20D 100 Jan Feb March April May June July Aug Sept Oct Nov Dec 2020 758 702 762 385 513 618 679 548 644 631 604 661 n2021 650 614 684 744 734 705 842 990 818 690 623 750 32022 902 565 606 670 745 733 787 709 742 754 825 734 m2023 755 638 764 739 837 773 837 • Emergency room visits are the Prima ry driver to emergency room gross revenue • Emergency room visits were 837, or 92 more than target of 745 • Emergency room gross revenue was $2.80 million on a budget of $2.21. million • Gross revenue is not netted down for payer contracts or cost based reimbursement Memorial Medical Center July 2023 Census Charts Outpatient Visits 3,000 2,500 2,000 i i 1,500 a 1,000 d 500 Jan Feb March. April May June July Aug Sept Oct Nov Dec :.: 2020 2,028 1,952 1,761 1,182 1,634 2,309 1,947 2,551 2,061 2,375 2,016 2,018 u2021 2,008 1,750 2,308 2,226 2,136 2,471 2,243 2,577 2,205 2,331 2,185 2,375 s2022 2,339 1,924 2,568 2,185 2,073 2,200 2,087 2,338 2,182. 2,200 2,100 2,171 n2023 2,232 2,016 2,280 2,063 2,274 2,286 2,165 • Clinic visits are the Primary driver to outpatient gross revenue • Outpatient visits were 2,165, or 135 less than target of 2,300 • Outpatient gross revenue was $3.56 million on a budget of $3.82 million Clinic Visits 4,000 3,500 3,000 2,500 al 2,000 1,500 1,000 500 11 H 1 11 E 1 Jan Feb March April May June July Aug Sept Oct Nov Dec 2020 2,926 2,648 2,391 1,736 1,961 2,501 2,783 2,501 2,435 2,684 2,364 2,471 Ai 2021 2,985 2,335 2,921 2,940 2,689 2,914 2,651 3,431 2,605 2,614 2,470 2,484 ,12022 3,157 2,428 2,985 2,679 2,564 2,808 2,651 3,112 2,852 2,839 2,760 2,647 a 2023 2,588 2,459 2,773 2.287 2,735 2,677 2,538 • Clinic visits were 2,538, or 962 less than target of 3,500 • Clinic gross revenue was $472K compared to $537K in June, a 12% decrease in revenue • Increased and sustained clinic visits at a target of 3,500 per month will produce downstream volume and would lift financial results Memorial Medical Center July 2023 Downstream Statistics Surgery and Endoscopy Cases 120 100 f 80 i 60 i 40 zo J ;j Jan Feb March April May June July Aug I Sept Oct Nov Dec 2020 112 90 65 10 68 74 46 84 92 77 65 ill W2021 74 59 59 73 84 71 80 96 81 94 89 92 a2022 63 71 86 69 91 90 65 78 84 71 66 67 u2023 68 50 70 65 76 86 71 • Surgery and endoscopy cases were 71, or 11 less than target of 82 • Outpatient cases - 66 • Inpatient cases - 4 • C-Sections cases -1 Memorial Medical Center Operating Statistics 13-Month Trends Outpatient Statistical Trends z,sao 2,33E 2,232 2,280 2,270 2,206 /'�"1 2,102 2.200 2.171 2.165 2,087 '.�y,��.Ny,�- z�.100-.v:.�. z,016�i 63y'� �•^.�1, 2,000 _tea' 'r 1,500 1,000 37 e 3e68 Soo 312 216 229 200 175 269 288 195 DO 199 211 233 239 0 Jul-22 Aug-22 Sep 22 Oct-2J Nov-22 Dec-12 Jan-23 Feb-23 Mar-23 Apr.23 May-23 Jun-23 Jul-23 +-Outpatient Visits — Emergency Room Visits -. Specialty Clinic Visits -- --- Linear (Emergency Room Visits) .- - - Linear (Specialty Clinic Visits) • Outpatient, emergency room and specialty clinic visits combined were 3,241, compared to 3,292 in June • The following key downstream statistics, Surgery, Endoscopy, Radiology, Laboratory and Rehab produce revenue for the Hospital system • The primary driver to elevating these specific statistics is to increase Clinic. visits Surgery and Endoscopy Cases 100 90 90 84 r ' \1 \ JO is\.\ 60 65 fib67 f 65 / �J/ 50 50 40 30 20 10 0 Jul.22 Aug-22 Sep-22 Oct-22 Nov-22 Dec-22 Jan-23 Feb 23 Mar-23 Apr-23 May-23 Jun-23 Jul-23 —,-Surgery & Endoscopy - Target -82 • Surgery and Endoscopy cases were 71, or 11 less than target of 82 Memorial Medical Center Operating Statistics 13-Month Trends Radiology Procedures 2,500 000 1,697 1,939 1,500 4-�-1,J25 1,103 97 1,584 1,51,626 1,560 1,624S,fiO] 1,470 Soo 0 Jul-22 Aug-22 Sep-22 Oct-22 Nov-22 Dec-22 Jan-23 Feb-23 Mar-23 Apr-23 May-23 Jun-23 Ju1-23 �Radiology Procedures e Target-1,600 • Radiology procedures were 1,739, or 139 more than target of 1,600 Laboratory Tests 50,000 45,000 40,000 40,300 40,005-per 35.000 38,435 37,940 3],756 38,510 38,839 36,511 30,000 25,000 20,000 15,000 10,000 5,000 0 39,924 Jul-22 Aug-22 Sep-22 Oct-22 Nov-22 Dec-22 Jan-23 Feb-23 Mar-23 Apr-23 May-23 Jur-23 Jul-23 - Laboratory Tests - Target -40,OSO • Laboratory tests were 43,244 or 3,194 more than target of 40,050 Rehab Services Procedures 2,000 2.Soo 1,600 1,490 1,200 1,000 Soo 600 400 200 0 1,368 1u622 Aug-22 Sep-22 OR-22 Nov-22 Dec-22 1an-23 Feb-23 Mar-23 Apr-23 May-23 Jun-23 Jul-23 -Rehab Services Procedures - Target -1,400 • Rehab service procedures were 1,368, or 32 less than target of 1,400 Rehab Services Breakdown: • Physical Therapy - 1,218 • Occupational Therapy -250 • Speech Therapy-0 County Indigent Healthcare Report ONS Source Totals Report Issued 08/09/23 Calhoun Indigent Health Care Batch Dates 08/01/2023 through 08/01/2023 For Source Group Indigent Health Care For Vendor: All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 1,278.00 65.76 02 Prescription Drugs 28.91 28.91 08 Rural Health Clinics 295.00 255.81 Expenditures 1,601.91 350.48 Reim6/Adjustments Grand Total 1,601.91 350.48 Expenses 4,166.67 Co -Pays < 0.00> 4,517.15 gjIz.3 "l"s Source Totals Report Issued 08/09/23 Calhoun Indigent Health Care Batch Dates 02/01/2023 through 08/01/2023 For Source Group Indigent Health Care For Vendor., All Vendors Source Description Amount Billed Amount Paid 01 Physician Services 1,795.00 89.29 01-2 Physician Services -Anesthesia 1.265.00 230.39 02 Prescription Drugs 123.60 123.60 08 Rural Health Clinics 673.00 511.62 14 Mmc - Hospital Outpatient 12,690.01 5,716.60 15 Mmc - Er Bills 1,731.00 783.45 Expenditures 18,293.73 7,471.07 Reimb/Adjustments -16.12 -16.12 Grand Total 18,277.61 7,454.95 Expenses 29,167.69 Co -Pays < 30.00> 32,075.49 Calhoun County Indigent Care Patient Caseload 2023 Approved Denied Removed' Active Pending January 0 0 0 1 7 February 2 0 1 2 6 March 0 5 0 2 5 April 2 1 0 4 5 May 1 6 1 4 3 June 0 2 2 3 4 July 0 3 0 3 6 August September October November December YTD 5 17 4 19 36 Monthly Avg 1 2 1 3 5 December 2022 Active 1 Number of Charity patients 218 Number of Charity patients below 50%FPL 115 Number of Charity patients who meet State Indigent Guidelines 112 Calhoun County Pharmacy Assistance Patient Caseload 2023 Approved Refills Removed Active Value January 0 2 0 5 $1,667.46 February 0 21 0 14 $14,786.76 March 1 3 0 16 $2,460.00 April 3 12 0 22 $11,674.00 May 1 3 0 24 $2,954.67 June 2 9 0 29 $5,673.30 July 3 11 0 29 $6,159.99 August September October November December YTD PATIENT SAVINGS $45,376.18 Monthly Avg 1 9 20 $6,482.31 December 2022 Active 55 Cash Flow Projections Memorial Medical Center 7 Month Cash Flow Projection Aug-23 Sep-23 Oct-23 Nov-23 Dec-23 Jan-24 Feb-24 Cash On Hand - Operating & Money Market (Beginning of Month) $ 1,918,885 $ 2,138,016 $ 1,905.705 $ 1,387,034 $ 872.363 $ (1,608,649 $ 2,018,320) CASH INFLOWS: Cash AR Receipts - Hospital $ 2,385,000 $ 2,385,000 $ 2,385,000 $ 2.385.000 $ 2,385,000 $ 2,385,000 $ 2,385,000 Cash AR Receipts - Clinic $ 375.000 $ 375,000 $ 375.000 $ 375,000 $ 375,000 $ 375,000 $ 375,000 Other Cafeteria $ 17,500 $ 17,500 $ 17,500 $ 17,600 $ 17,500 $ 17,500 $ 17,500 340E $ 170,000 $ 170.000 $ 170,000 $ 170,000 $ 170,000 $ 170,000 $ 170,000 Bank Interest Earned $ 18,000 $ 18,000 $ 18,000 $ 18,000 $ 18,000 $ 18,000 $ 18,000 Medicare Underpayment Recoup Nursing Grant Money S 6,937 Employee Retention Tax Credit 3rd of 3 P mts TOTAL Operating Cash Activity $ 2,965,500 $ 2,972,437 $ 2,965,500 $: 2,965,500. $ 2,965,500 $ 2,965,600 $ 2,965,500 QIPP Year 5 IGT Reconcilitation DSH $ $ UC $ 1.377,637 Medicare Cost Report Settlement - 2022 $ 628,802 Medicare Interim Reimbursement -2023 $ 212,649 $ $ $ $ $ QIPP $ 570,000 $ 335,829. $ 335,829 $ 570,000 $ 335,829 $ 335,829 TOTAL Supplemental Activity $ 2,160,286 $ 335,829 $ 335,829 $ 570,000, $ 335,829 $' 335,829 Total Cash Inflow $ 5,132,723 $ 3,301,329 $ 3,301,329 $ 3,535.500 $ 3,301.329 $ 3,301,329 K23 CASH OUTFLOWS: OperatingExpenses 3 pa periods Accounts Payable $ 2,238,000) $ (2,238,000) $ (2,238,000) $ (2,238,000. $ 2,238,000 $ 2,238,000) Payroll $ (1,175,000) $ (780.000) $ 780,000) $ (780,000) $ (780,000)'. $ (780,000). Payroll Taxes $ 258.000) $ (258,000) $ (367,000) $ (258,000) $ 258,000 $ 258,000 $ 258,000 Retirement $ (195,000) $ (290.000) $ (195.000) $ (195,000) $ 195,000 $ 195,000 $ 195,000 340E $ 50,000 $ (50,000) $ 50,000 $ 50,000 $ (50.000) $ (50,000) $ (50,000) Leases $ $ $ $ $ $ $ MMC New Equipment Purchases $ $ $ $ $ $ $ MMC New Equipment . Purchases-2023 $ (40,000) $ (40,000) $. 40,000 $ (40,000) $ 40,000) $ (40.000) $ (40,000 Est. NH Cash receipts in Cash due NH Grant Imaging Equipment (funds to be spent) RHC Stimulus (funds to be spent) 340B Drug Compliance Overpayment 2019 DSH Refund Of Overpayment Payback of Advance Payments $ $ $ $ $ $ $ TOTAL Operating Activity $ (3,561,000) $ (4,051,000) $ (3,690,000) $ (3,561.,000) $ 3,561,000. $ 3,561.000 .$ 3;561,000) Supplemental IGT Programs DSH - Pass 1 & 2 - $116,894, Pass 3 - $163.216 $ $ (85,000 UC $ (742,077) DSRIP RAPPS/CHIRP $ (98,771) UHRIP QIPP Semi-annual and Reconcilfallons Payments $ (421,957) $ 2,206,747 TOTAL Supplemental Activity $ $ (1,164,034) $ $ 85,000) $ 2,305,512) $ $ TOTAL CASH PAID OUT $ (3,561,000) $ (5,215,034) $ (3,690,000) $ 3,646,000 $ 5,866,512 $ 3,561,000 $ 3,561,000 Cash Increase (Decrease) $ 369,131 $ (82,311) $ 388,671 $ 344,671 $ 2,331,012.. $ 259,671. $ (259.671) Loan Additional Borrowing (Repayment) 4- i,51,000 )$ tf6 :Qd,O "t �156� ) \$,E ,90, 0( j Ir dt'i 00 '$- 1$ i36 1$ F 5�;008 Cash on Hand (End of Month) $ 2.138,016 $ 1.906,706 $ 1,367,034 $ 872,363 $ 1,608,849)' $ 2,218,320)'. $ 3,427,991) Cumulative Borrowed From County $ 2,700,000 $ 2,550,000 $ 2,400.000 $ 2250,000 $ 2,100,000 $ 1,95Q00. $ 1,.00,000 8/25/2023 Physician Revenue 3 Year Trend Comparison 0 Memorial Medical Center Physician Revenue Trend Year To Date For 2023, 2022, & 2022 As Of July 32, 2023 Amount Amount Comparision %Comparislon Comparision %Comparision 2023 YTD 2022 YTO 2021 YTD 2023 to 2022 2023 to 2022 2023 to 2021 2023 to 2021 Memorial Medical Center Clinic 000966 Thoo Truong 622,824 537,083 640,167 85,741 16.0.E (f37,393) -1.7% 002367 Michael Pfell 1,651 511,604 525,361 )5m%3) -9&7% 1523„710) 39`7% 002099 Traci Shefcik 741,043 602,897 591,590 138,146 22.9% 149,453 25.3% 002927 Michael Gaines 864,860 477,018 450,358 387,842 81.3% 414,501 92.0% 011005 William Crowley 2,565,022 3,676,190 2,673,785 I3„111.169) -30.Z% y2(1%764) -43% 019000 Ric Arroyo -Diaz 1,276,503 1,820,509 1,736,393 )544,006) -299% 059"1 -265% 022000 Peter Roles 538 276,403 414,853 (275,865) -99.V% ff414,31S) a99% 041574 Frank Hinds 1,277,161 1,002,831 1,127,930 274,330 27.4% 149,231 13.2% 041596 Mercedes Schultz 149,634 917,446 984,189 )767,8121 43.7% A6 ASS$) 058001 Court Thurlkill 396,969 386,559 471,921 10,411 2.7% P4,952) -15SM 100118 Joseph Jenkins 1,185,871 1,124,379 1,216,439 61,492 5.536 )80,559) ;25% 102218 Marshall Cook - 1,153 993,261 11,153) 0.0% )883,263) -10&0% 320001 Sharma Doornail 682,252 772,641 686,219 00.]K9 -11.7% a967) -0.6% 041597 Hobson David 452,677 - - 451,677 100.0% 452,677 100.0% 985045 Chou Minh Long 620,399 558,256 572,271 62,142 12.1% 48,128 8.4% Hospitalise 013006 Hospholist 22.5% 18.1% 21.6% 4.5% 24.7% 0.9% 4.3% Port Lavaca Clinic 000983 Michael Caughron 226,822 260,883 200,463 )341063) -13.1% 26,359 13.1% 001126 Nirtas Kwi Timu 914,194 923,146 638,575 )S,952) -3.0% 275,619 43.2% 012000 Jeannine Griffin 312,929 448,829 497,155 )135900) 303% )084,2 sli -39.336 013001 Leigh Anne Falcon 865,025 946,236 1,078,105 481,213) -&Mg 4213,✓W)i -19.806 050001 John Wright 1,072,381 1,597,094 1,717,807 (5241713) -3Z3% 0450261 37AU 001669 Ibrom Destiny 187,901 165,436 138,820 22,465 13.6% 49,081 35.4% 002696 Brown Mctoria 111,386 36,928 - 74,458 100.0% 111,386 100.0% 101202 Henry Salinas - 18,160 77,871 (38,160) 0.0% M831) -100.0% 097121 John Clinton 199.191 316,413 278.122 I117.2221i -37./0& C7g l -2&4% 8.4% 10.7% 10.2% -2.3% -219% -2.9% -18.2% Specialty Clinic 000548 Haresh Kumar 55,496 40,854 42,806 14,642 35.8% 12,690 29.6% 001965 George Osuchkwu 73,067 77,393 56,887 )4,326) -5.6% 16,180 28.4% 013000 Don Paul Bunnell 159,721 186,551 404,799 )26,830) -14.4% )245,078) -60.9% 050002 John Wright(Woundcare) 281,852 - - 281,852 100.0% 281,852 100.0% 059000 Kurds Krueger 30,400 6,726 11,891 23,674 352.0% 18,509 155.7% 065005 Lam Peter 253,707 111,931 - 41,776 37.3% 153,707 100.0% 068000 Clemmans Andrew 156,713 17,563 11,171 239,150 100ADS 145,542 100.0% 066000 Robert Oakley - - 8,716 0 0.0% 0171611 -100.0% 525225 Azhar Malik MD 62,292 61,764 100,870 528 0.9% )38,578) 38.2% 001835 Smith Hannah 37,713 - - 37,713 100.0% 37,713 100.0% 000514 DU Yong 4,439 61,940 55,354 1571501) -929% )50915) -92.0% 2.2% 13% 1.5% 0.9% 70.2% 0.7%. 42.7% Coastal Medical Clinic 000806 William McFarland - 320.00 42,732 1320) -10(o% M.-rst) -300.(% 000009 Delgado Ana 12,613.00 3,062.00 3,427 9,551 311.9% 9,186 268.0% 011000 McFarland, Tim R 36,024.78 103,195 117,553 WIND) 01528) &9.3% 48,638 106,577 263,712 )S7,939) -54.4fb ((USIOON -70.3% 0% 0% 0% Q% -S&2% ON 71.1% Independent 310001 Cummins Michelle 153.138 171.974 112.538 21J1R361 -11-M 40600 16.1% Page 1 of 2 Memorial Medical Center Physician Revenue Trend Year To Date For 2023, 2022, & 2021 As Of July 31, 2023 Amount Amount Comparlslon %Comparision Comparision %Comparision 2023 WO 2022 YTD 2021 YTO 2023 to 2022 2023 to 2022 2023 to 2D21 2023 to 2021 Other Medical Staff 002372 Gerber Bernard 617,374 416,421 - 200,953 48.3% 617,374 100.0% 012100 Donald Breech 255,960 392,337 122,759.00 9136,3T71 342% 133,201 108.5% 001003 Gustave Sandigo 4,755 7,278 3,621.00 125231 34.7% 1,134 32.3% 001645 Mark Yeakley 382 - 296,254.00 382 0.0% Q195,Ay -99_'9% 807077 Nilesh Patel 1,006 397 - 609 153.4% 1,006 100.0% 900000 Dakshesh Parikh 26,455 26,907 19,485.00 14521 -3.7% 6,970 35.8% 989112 Peter Powaser 101,225 93,576 105,444.13 7,650 8.2% 14.213A -4.0% 00220S Sanjeev ehatia 7,626 3,473 1,024.00 4,153 119.6% 6,602 644.7% 001306 Jose Valladares 360,640 393,071 181,259.01 02,431) -'6:37i 179,381 99.0% 1,375,424 1,333,460 729,846. 41,964 3.1% 645,578 89.5% 3.0% 3.0% 1.6% -0.151 -23% 1.3% 83.4% Total E/R Physicians 13,503,782 13,026,049 12,672,889 477,734 3.7% 830,893 6.6% 13,503,782 13,026,049 12,672,889 477,734 3.7% 830,893 6.6% 29.0% 29.6% 28.0% 4XW. -19.% 1.0% 3.7% Other Ordering Physicians 000000 Other Ordering Physicians 5,241,383 3,531,068 3,548,862 1,710,314 ASA% 1,692,521 47.7% 5,241,383 3,531,068 3,548,861 1,710,314 ASA% 1,692,521 47.7% 11.3% 8.0% 7.8% 31% 40.5% 3.4% 43.0% Totals 46,553,688 44,073,731 45,311,932 2,479,957 5.63% 1,241,755 2.74% Page 2 of 2 Productivity Benchmarking Report Memorial Medical Center Productivity Monthly Totals July 2023 Target Target Target Target Actual FTE's BM FTE's BM FTE's SM FTE's BM FTE's Goal Min Requirements 90% 82.6% 75% 50% Worked Score 5 4 3 2 Med SurgIICU 15.14 16.24 16.79 19.02 26.98 1 Nursery/Oa 3.42 3.67 3.72 3.88 8.20 1 8.42 Nurse Admin 6.01 6.00 7.07 10.17 6.12 4 Case Management 3.27 3.82 4.36 5.65 0.65 6 5 Infusion Services - - - - - FALSE Emergency Room 10.70 11.14 11.67 12.74 10.28 5 Risk Management/ Infection Prevention I Employee Health 1.18 1.32 1.47 2.10 5 Surgery 7.15 8.10 9.05 11.34 9.42 2 All Nursing 45.86 60.19 54.04 64.90 60.66 2 Diagnostic Imaging 10.88 11.37 11.87 14.37 10.41 5 Lab 15.24 15.91 16.59 20.13 18.44 2 Pharmacy 4.40 4.85 6.30 6.36 4,62 (D 4 Rehab Services 4.96 5.39 6.84 7.00 7.02 16 1 35.46 37.53 39.59 47.85 40.39j 2 lismalliawLium MMC Clinic 19.08 20.37 21.67 25.81 23.72 ' 2 Clinic PFS 13.22 14AS 16.68 19.94 11.60 5 Clinics 32.29 34.82 37.35 45.66 36.32 i 3 Dietary • • 3.98 4.26 4.54 6.60 8.68 1 8.11 Environmental Services 14.71 16.19 16.67 17.89 13.38 5 Plant/Bio Med 4.86 6.27 6.04 7.81 6.93 3 Security 3.14 3.53 3.92 2.01 3.35 4 26.38 28.25 30.17 33.32 31.34 1p 2 Admin 6,25 6.78 7.30 8.93 4.35 t$3 5 Fiscal Acct 3.14 3,43 3.72 6.93 2.52 Q 5 PFS 17.62 19.89 22.27 28.33 13.92 5 HIM 4.19 4.53 4.87 5.85 3.74 }1 5 IT 1.30 1.55 1,80 2.80 1.81 2 Purchasing -CS 2.30 2.70 3.10 6.14 2.64 4 Indigent Care 1.74 1.74 1.74 1.74 1.74 3 36.43 40.62 44.80 58.72 30.62 5 Covid Related: Door Screamers - - - Totals 170.43 191 AO 205.96 250.35 199.32 3 C:\Usersiadelossantos'AppData\Loc IN!crosoftlWindoms iNetCache\ContenLOutlook\1UM3FZCG\New Productivity Staffing July 2023 >90% 82.50% 75% 50% 5 4 3 2 Benchmarks 176.43 191.40 205.98 250.35 Actual Worked FTE 199.32 199.32 199.32 199.32 14.97 14.66 44.39 260.00 240.00 220.00 LL 200.00 199.3 —. 190.00 160.00 140.00 .Benchmarks —Actual Worked FTE Productivity Benchmarking 5 4 3 2 >90% 02.50% 75% 50% 176.43 191.40 205.96 250.35 199.32 199.32 199.32 199.32 C:\UsemSadelossantos%pp0ata\LocaiXMicrosoft\Windows\INetCache\Conlent.OuVook\7 UM3FZCG1New Productivity Staffing July 2023 BANK CODE A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P MEMORIAL MEDICAL CENTER CHECK REGISTER: 07-1-23 THRU 07-30-23 CK# DATE AMOUNT PAYEE NOTES 199755 7/5/2023 53.61 ACT COMMERCIAL FIRE MONITORING 199756 7/5/2023 58.00 AETNA INC. PT REFUND 199757 7/5/2023 1,569.77 AIRGAS USA, LLC-CENTRAL DIV OXYGEN -RESP CARE 199758 7/5/2023 241.50 ALPHA TEC SYSTEMS INC SUPPLIES 199759 7/5/2023 77.70 AMAZON CAPITAL SERVICES SUPPLIES 199760 7/5/2023 11,100.00 AMERICAN CONSTRUCTION ELECTRICAL TRANSFER 199761 7/5/2023 2,225.56 AMERISOURCEBERGEN DRUG CORP INVENTORY 199762 7/5/2023 67.52 AUTO PARTS & MACHINE CO. SUPPLIES 199763 7/5/2023 594.00 AZALEA HEALTH PROCESSING FEES 199764 7/5/2023 552,04 SAYER HEALTHCARE SUPPLIES 199765 7/5/2023 - VOIDED 199766 7/5/2023 21,083.88 BECKMAN COULTER INC LABORATORY SUPPLIES 199767 7/5/2023 398.00 BEEKLEY CORPORATION RADIOLOGY SUPPLIES 199768 7/5/2023 222,701.43 BLUE CROSS BLUE SHIELD INSURANCE 199769 7/5/2023 207.59 BLUE CROSS BLUE SHIELD REFUND INSURANCE REFUND 199770 7/5/2023 96.00 BOSART LOCK &KEY INC LOCK AND KEY SERVICES 199771 7/5/2023 174.49 CALHOUN COUNTY FUEL 199772 7/5/2023 149.17 CAPITAL ONE SUPPLIES 299773 7/5/2023 225.41 COW GOVERNMENT, INC. IT SUPPLIES/EQUIPMENT 199774 7/5/2023 38.80 CENTRAL DRUG PHARMACY INVENTORY 199775 7/5/2023 7,545A0 CFI MECHANICAL INC AIRFLOW/SURGERY 199776 7/5/2023 565.43 CHEMAQUA WATERTREATMENT 199777 7/5/2023 5,276.17 CITY OF PORT LAVACA UTILITIES- WATER 199778 7/5/2023 52,500.00 COFFEE BARREL, LLC INTERIM PRAC ADMINISTRATOR 199779 7/5/2023 680.42 CONMED CORPORATION SUPPLIES 199780 7/5/2023 807.11 COOPER SURGICAL INC SURGICAL SUPPLIES 199781 7/5/2023 151.78 COTIVITI PURCHASED SERVICES 199782 7/5/2023 940.84 COVIDIEN SUPPLIES 199783 7/5/2023 35,901.49 CULINARY CONCESSIONS LLC DIETARY SERVICES 199784 7/5/2023 380.00 CYGNUS MEDICAL LLC SURGICAL SUPPLIES 199785 7/5/2023 4,066.79 DEARBORN LIFE INSURANCE COMPAN LIFE INSURANCE 199786 7/5/2023 1,528.74 DEWITT POTH&SON OFFICE SUPPLIES 199787 7/5/2023 481.00 DIRECTV ENTERTAINMENT HOLDINGS TELEVISION SERVICES 199788 7/5/2023 105,217.70 DISCOVERY MEDICAL NETWORK INC PHYSICIAN SERVICES 199789 7/5/2023 1,070.00 DOWELL PEST CONTROL PESTCONTROL 199790 7/5/2023 40,062.50 EMERGENCY STAFFING SOLUTIONS PHYSICIAN SERVICES 199791 7/5/2023 169.50 ERSE USA INC SURGICAL SYSTEMS SURGICAL SUPPLIES 199792 7/5/2023 23,331.77 EVIDENT CONSULTING SERVICES 199793 7/5/2023 187.92 FEDERAL EXPRESS CORP. FREIGHT 199794 7/5/2023 60.61 FILTER TECHNOLOGY CO, INC PLANT SERVICES SUPPLIES 199795 7/5/2023 . VOIDED 199796 7/5/2023 16,292.74 FISHER HEALTHCARE LABORATORY SUPPLIES 199797 7/5/2023 70.40 FRONTIER TELEPHONE 199798 7/5/2023 1,603.95 FUSION CLOUD SERVICES, LLC TELEPHONE 199799 7/5/2023 458.76 GRAINGER PLANT SERVICES SUPPLIES 199800 7/5/2023 2,100.00 GUERBET, LLC SUPPLIES 199801 7/S/2023 1,633.80 GULF COAST PAPER COMPANY HOUSEKEEPING SUPPLIES 199802 7/5/2023 189.99 HAYES ELECTRIC SERVICE •COIL CLEANER 199803 7/5/2023 9.15 HEALTHSTREAM, INC. 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CENTRAL DIV AMERISOURCEBERGEN DRUG CORP COPIER LEASE SUPPLIES HOUSEKEEPING SUPPLIES PRO CLINIC AUDIT/ CHARTS LEASE FOOD SUPPLIES PAYROLL SHREDDING RESPIRATORY PROF FEES LABORATORY SERVICES SUPPLIES MISCELLANEOUS SUPPLIES SUPPLIES BUSINESS SERVICES SUPPLIES INDIGENT HEALTHCARE MEDICAL SUPPLIES INVENTORY SUPPLIES RADIOLOGY SUPPLIES TELEMEDICINE LICENSE OFFICESUPPLIES LABORATORY SUPPLIES REV INTEGRITY PROG/ QTRLY PROCESSING SUPPLIES 3408 E SUPPLIES PROFESSIONAL FEES FUEL/PLANT OPS/ENERGY SERVICES WASTE DISPOSAL RENTAL RADIOLOGY SRV ONSITE SERVICES RADIOLOGY SURGICAL SUPPLIES BLOOD QUARTERLY DUES REPAIRS PM CONTRACT LEASE MEDICAL EQUIPMENT / SUPPLIES BOILER CONTRACT STAFFING SERVICES MM CLINIC TRAVEL CFO SEARCH RESPIRATORY SUPPLIES LAUNDRY FAX SUPPLIES LABORATORY SUPPLIES FUEL REFUND SCHEDULING SUPPLIES OXYGEN - RESP CARE INVENTORY A/P 200143 7/26/2023 A/P 200144 7/26/2023 A/P 200145 7/26/2023 A/P 200146 7/26/2023 A/P 200147 7/26/2023 A/P 200148 7/26/2023 A/P 200149 7/26/2023 A/P 200150 7/26/2023 A/P 200151 7/26/2023 A/P 200152 7/26/2023 A/P 200153 7/26/2023 A/P 200154 7/26/2023 A/P 200155 7/26/2023 A/P 200156 7/26/2023 A/P 200157 7/26/2023 A/P 200158 7/26/2023 A/P 200159 7/26/2023 A/P 200160 7/26/2023 A/P 200161 7/26/2023 A/P 200162 7/25/2023 A/P 200163 7/26/2023 A/P 200164 7/26/2023 A/P 200165 7/26/2023 A/P 200166 7/26/2023 A/P 200167 7/26/2023 A/P 200168 7/26/2023 A/P 200169 7/26/2023 A/P 200170 7/26/2023 A/P 200171 7/26/2023 A/P 200172 7/26/2023 A/P 200173 7/26/2023 A/P 200174 7/26/2023 A/P 200175 7/26/2023 A/P 200176 7/26/2023 A/P 200177 7/26/2023 A/P 200178 7/26/2023 A/P 200179 7/26/2023 A/P 200180 7/26/Z023 A/P 200181 7/26/2023 A/P 200182 7/26/2023 A/P 200183 7/26/2023 A/P 200184 7/26/2023 A/P 200185 7/26/2023 A/P 200186 7/26/2023 A/P 200187 7/26/2023 A/P 200189 7/26/2023 A/P 200189 7/26/2023 A/P 200190 7/26/2023 A/P 200191 7/26/2023 A/P 2GO192 7/26/2023 A/P 200193 7/26/2023 A/P 200429 7/7/2023 A/P 200430 7/17/2023 A/P 200432 7/21/2023 A/P 300753 7/7/2023 A/P 300754 7/6/2023 A/P 300755 7/6/2023 A/P 300756 7/6/2023 A/P 300757 7/5/2023 A/P 300758 7/5/2023 A/P 300759 7/3/2023 A/P 300760 7/3/2023 A/P 300761 7/3/2023 A/P 300762 7/3/2023 A/P 300763 7/3/2023 A/P 300764 7/3/2023 A/P 300765 7/24/2023 A/P 300766 7/13/2023 A/P 300767 7/12/2023 A/P 300768 7/11/2023 111.24 521.43 28,785.73 833.57 1,152.50 450.00 14,907.31 30.58 1,939.88 2,498.65 38,267.40 581.69 810.25 487.25 168,012.62 34.65 730.92 783.60 10.99 3,400A0 32,227.24 3,880.21 3,282.25 409.66 1,457.61 166.10 1,115.86 10,204.40 165.00 51000.00 1,400,00 11,758.59 345.80 35.33 203.52 3,500.00 485.59 410.00 6,730.56 2,625.00 206,357.33 2,350.00 4,664.00 4,207.50 1,138.85 17,835.00 1,177.20 1,012.60 1,571.67 116,723.31 182,923.09 161.19 72.86 1.78 75.67 32.45 49.53 32.70 169.11 212.38 9.95 19.95 334.35 191.45 77.09 8.32 104.32 7.56 AUTO PARTS & MACHINE CO. BAXTER HEALTHCARE BEVER MECHANICAL LTD COW GOVERNMENT, INC. CFI MECHANICAL INC CHS ATHLETIC BOOSTER CLUB INC CLINICAL PATHOLOGY LABS COASTAL OFFICE SOLUTONS COKER GROUP HOLDINGS, LLC CORROHEALTH, INC. CULINARY CONCESSIONS LLC CUSTOM MEDICAL SPECIALTIES DEWITT POTH & SON DIRECTV ENTERTAINMENT HOLDINGS DISCOVERY MEDICAL NETWORK INC DRIESSEN WATER INC. (CULLIGAN) DSHS CENTRAL LAB MC2004 ELITECH GROUP INC (WESCOR) EQUIFAX WORKFORCE SOLUTIONS EVERGREEN MEDICAL SERVICES EVIDENT FIRST INSURANCE FUNDING FISHER HEALTHCARE GE PRECISION HEALTHCARE, LLC GULF COAST PAPER COMPANY LABCORP OF AMERICA HOLDINGS M G TRUST VOIDED MEDLINE INDUSTRIES INC MEMORIAL MEDICAL CLINIC MERRITT, HAWKINS & ASSOCIATES MICHAELGAINES VOIDED MORRIS & DICKSON CO, LLC NACOGDOCHES TRANSCRIPTION PERFORMANCE HEALTH QUVA PHARMA INC RADSOURCE SHERWIN WILLIAMS SIGN AD, LTD. TAKEDA PHARMACEUTICALS AMERICA TEXASA&M TEXAS HHSC TEXAS MEDICAID & HEALTHCARE TEXAS MUTUAL INSURANCE CO TEXAS SELECT STAFFING, LLC TMSSOUTH TORCH TRIZETTO PROVIDER SOLUTIONS UNIFIRST HOLDINGS INC WERFEN USA LLC IRS USATAXPYMT TEXAS COUNTY DRS EXPERT PAY PAY PLUS PAY PLUS FDMS FDMS PAY PLUS AUTHNET PAY PLUS MERCHANT BANK CD MERCHANT BANK CD MERCHANT BANKCD MERCHANT BANKCD MERCHANT BANKCD PAY PLUS PAY PLUS PAY PLUS PAY PLUS SUPPLIES SUPPLIES THERMOSTAT IT SUPPLIES / EQUIPMENT AIRFLOW/SURGERY ADVERTISING LABORATORY SERVICES OFFICE SUPPLIES BUSINESS ADVISORS PRO FEES CODING SERVICES DIETARY SERVICES MEDICAL SUPPLIES OFFICE SUPPLIES TELEVISION SERVICES PHYSICIAN SERVICES WATER LABORATORY SERVICES SUPPLIES SERV FEE ANCILLARY PLANT SERVICES SUPPLIES CONSULTING SERVICES 'DOWN PYMT/INSTALLMT 1 LABORATORY SUPPLIES CONTRACT HOUSEKEEPING SUPPLIES LABORATORY SERVICES PAYROLL DEDUCT MEDICAL SUPPLIES PAYROLL DEDUCTIONS LEGALSERVICES TRAVEL INVENTORY TRANSCRIPTION SUPPLIES INVENTORY SERVICE AGREEMENT PLANT SERVICE SUPPLIES ADVERTISING 340E PAYMENT CONTINUING EDUCATION/TRAINING INSPECTION FEE PT REFUND WORKERSCOMP CONTRACT STAFFING SERVICES SUPPLIES CFO SEARCH MAINT FEE/ PATIENT STATEMENT LAUNDRY MEDICAL/ LABORATORY SUPPLIES PAYROLLTAXES RETIREMENT FUNDING CHILD SUPPORT PAYMENT 3RD PARTY PAYOR FEE 3RD PARTY PAYOR FEE CC MACHINE LEASE CC MACHINE LEASE 3RD PARTY PAYOR FEE CC PROCESSING FEES 3RD PARTY PAYOR FEE CC PROCESSING FEES CC PROCESSING FEES CREDIT CARD PROCESSING FEE CREDIT CARD PROCESSING FEE CREDIT CARD PROCESSING FEE 3RD PARTY PAYOR FEE 3RD PARTY PAYOR FEE 3RD PARTY PAYOR FEE 3RD PARTY PAYOR FEE A/P 300769 7/10/2023 0.40 PAY PLUS 3RD PARTY PAYOR FEE A/P 300770 7/10/2023 938.07 TSYS CC MACHINE FEES A/P 300771 7/10/2023 25.90 TSYS CC MACHINE FEES A/P 300772 7/10/2023 1,828.29 TSYS CC MACHINE FEES A/P 300773 7/10/2023 1,070.36 TSYS CC MACHINE FEES A/P 300774 7/10/2023 276.98 TSYS CC MACHINE FEES A/P 300775 7/10/2023 483.86 TSYS CC MACHINE FEES A/P 300776 7/10/2023 266.50 TSYS CC MACHINE FEES A/P 300777 7/10/2023 163.64 PAY PLUS 3RD PARTY PAYOR FEE A/P 300778 7/17/2023 80.13 PAY PLUS 3RD PARTY PAYOR FEE A/P 300779 7/17/2023 217.13 PAY PLUS 3RD PARTY PAYOR FEE A/P 300780 7/17/2023 114.03 PAY PLUS 3RD PARTY PAYOR FEE A/P 300781 7/18/2023 175.84 PAY PLUS 3RD PARTY PAYOR FEE A/P 300792 7/19/2023 65.17 MERCHANT BANKCD CREDIT CARD PROCESSING FEE A/P 3G0783 7/20/2023 93.47 PAY PLUS 3RD PARTY PAYOR FEE A/P 300784 7/21/2023 307.69 TSYS CC MACHINE FEES A/P 300785 7/24/2023 3,712.08 WIRE OUT CBNA CITIBANK CREDIT CARD PAYMENT A/P 5GO420 7/7/2023 4,325.47 AMERISOURCE 340B EXPENSE A/P 500421 7/5/2029 23,996.37 MCKESSON 340 B EXPENSE A/P 500422 7/14/2023 4,260.53 AMERISOURCE 340B EXPENSE A/P 500423 7/11/2023 7,532.00 MCKESSON 340 B EXPENSE A/P 500424 7/28/2023 789.03 AMERISOURCE 340E EXPENSE A/P 500425 7/18/2023 22,084.00 MCKESSON 340E EXPENSE A/P 500426 7/21/2023 531.61 AMERISOURCE 340B EXPENSE A/P 700107 7/10/2023 118.20 CLEARGAGE PATIENT FINANCING SERVICE A/P 700108 7/20/2023 1,773.67 WEBFILE TAX PYMT SALES TAX A/P 800430 7/24/2023 132,075.31 IRS USATAXPYMT PAYROLLTAXES A/P 900786 7/31/2023 190.44 PAY PLUS 3RD PARTY PAYOR FEE A/PTOTALS 2,890,730.10 IB NHG 000187 7/26/2023 25,401.56 MMCOPERATING NHG 000188 7/26/2023 3,127.92 MMCOPERATING NHF 000215 7/5/2023 9,531.69 MMCOPERATING NHF 000217 7/19/2023 13,836.33 MMCOPERATING NHB 000240 7/5/2023 11,206.18 MMC OPERATING NHB 000241 7/19/2023 16,355.67 MMC OPERATING NHB 000242 7/26/2023 4,303.51 MMC OPERATING NHC 000289 7/5/2023 8,314.30 MMCOPERATING NHC 000290 7/5/2023 3,780.00 TUSCANYVILLAGE NHC 000291 7/19/2023 12,085.26 MMCOPERATING NHC 000292 7/26/2023 37,256.86 TUSCANY GPM 001012 7/19/2023 116.98 MMCOPERATING GPP 001107 7/26/2023 19,458.16 MMCOPERATING TUS 001129 7/5/2023 17,874,13 MMCOPERATING TUS 001130 7/19/2023 26,829.11 MMCOPERATING TUS 001131 7/26/2023 20,772.54 MMC OPERATING TUS 001132 7/26/2023 2,400.00 BETHANY NHA 001209 7/5/2023 30,451.96 MMC OPERATING NHA 001211 7/19/2023 44,214.52 MMCOPERATING NHS 001272 7/5/2023 9,091.69 MMCOPERATING NHS 002273 7/19/2023 13,231.53 MMC OPERATING NURSING HOME TOTALS 329,639.90 ICP 012599 7/19/2023 (230.39) CITIZENS MEDICAL PROFESSIONAL ICP 012603 7/13/2023 4,166.67 MEMORIAL MEDICAL CENTER ICP 012604 7/13/2023 31.78 MEMORIAL MEDICAL CENTER ICP 012605 7/13/2023 1,401.30 MEMORIAL MEDICAL CENTER ICP 012606 7/19/2023 230.39 CITIZENS MEDICAL PROFESSIONAL ICP 012609 7/31/2023 (25.26) MEMORIAL MEDICAL CENTER ICP TOTAL 5,574.49 A/P 199873 7/5/2023 83,361.25 ASHFORD GARDENS A/P 199874 7/5/2023 119,137.23 BETHANY SENIOR LIVING A/P 199875 7/5/2023 27,683.00 BROADMOOR AT CREEKSIDE PARK A/P 199876 7/5/2023 27,019.79 FORTBEND HEALTHCARE CENTER A/P 199877 7/5/2023 109.836.73 GOLDENCREEK HEALTHCARE A/P 199878 7/5/2023 49,532.31 GULF POINTE PLAZA A/P 199879 7/5/2023 24,847.76 SOLERA WEST HOUSFON A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P A/P P/R P/R P/R P/R P/R P/R P/R P/R P/R P/R P/R P/R P/R 199880 7/5/2023 40,173.82 THE CRESCENT 199881 7/5/2023 160,976.37 TUSCANY VILLAGE 199939 7/12/2023 52,574.10 BETHANY SENIOR LIVING 199935 7/12/2023 5,600.00 BROADMOOR AT CREEKSIDE PARK 199936 7/12/2023 16,844.78 GOLDENCREEK HEALTHCARE 199937 7/12/2023 32,268.82 GULF POINTE PLAZA 199939 7/12/2023 600.00 SOLERA WEST HOUSTON 199940 7/12/2023 6,460.00 THE CRESCENT 199941 7/12/2023 30,296.11 TUSCANY VILLAGE 2OU123 7/19/2023 39,289.76 BETHANY SENIOR LIVING 200124 7/19/2023 3,185.00 FORTBEND HEALTHCARE CENTER 200125 7/19/2023 52,304.02 GOLDENCREEK HEALTHCARE 200126 7/19/2023 5,824.23 GULF POINTE PVJA 200127 7/19/2023 30,222.47 TUSCANY VILLAGE 200194 7/26/2023 40,134.35 BETHANY SENIOR LIVING 200195 7/26/2023 2,00D.00 FORTBEND HEALTHCARE CENTER 200196 7/26/2023 9,759.51 GOLDENCREEK HEALTHCARE 200197 7/26/2023 17,649.18 GULF POINTE PLAZA 200198 7/26/2023 480.00 THE CRESCENT 200199 7/26/2023 11,129.70 TUSCANY VILLAGE A/P TOTALS (NURSING HOME) 999,190.29 063322 7/7/2023 90.29 Pay Period 6/16/23-6/29/23 063323 7/7/2023 378.22 Pay Period 6/16/23-6/29/23 063324 7/7/2023 58.18 Pay Period 6/16/23 - 6/29/23 063325 7/7/2023 935.44 Pay Period 6/16/23-6/29/23 063326 7/7/2023 651.55 Pay Period 6/16/23 - 6/29123 063327 7/7/2023 (1,847,00) Pay Period 6/16/23 - 6/29123 053328 7/21/2023 697.38 Pay Period 6/30/23 - 7/13/23 063329 7/21/2023 699.71 Pay Period 6/30/23 - 7/13/23 063330 7/21/2023 1,133.30 Pay Period 6/30/23 - 7/13/23 063331 7/21/2023 690.89 Pay Period 6/30/23 - 7/13/23 063332 7/21/2023 715.72 Pay Period 6/30/23 - 7/13/23 999999 7/7/2023 365,245.25 Pay Period 6/16123 - 6/29/23 999999 7/21/2023 392,941.39 Pay Period 6130/23 - 7/13/23 P/R TOTALS 762,390.32 4,225,134.78 MEMORIAL MEDICAL CENTER GROSS PAYROLL REPORT - JULY 2023 PRTitle PRDeptName PRTotGross SECURITY SUPERVISOR SECURITY $ 3,699.69 OPERATOR CLINIC FS $ 2,986.34 CENTRAL SUPPLY TECH CENTRAL SUPPLY $ 2,705.13 LICENSED VOCATIONAL MEMORIAL MEDICAL CLINIC $ 3,736.62 PURCHASING AGENT CENTRAL SUPPLY $ 3,400.04 REGISTERED NURSE MED/SURG $ 5,516.34 SURGERY MANAGER SURGERY $ 7,803.80 REGISTERED NURSE MED/SURG $ 10,262.63 LICENSED VOCATIONAL OBSTETRICS $ 6,257.00 REGISTERED NURSE MED/SURG $ 8,647.67 REGISTERED NURSE OBSTETRICS $ 4,397.55 REGISTERED NURSE EMERGENCY ROOM $ 7,058.26 DIRECTOR OF INPT SVC MED/SURG $ 8,387.29 EXECUTIVE ASSISTANT ADMINISTRATION $ 4,507.20 LICENSED VOCATIONAL SURGERY $ 5,062.26 MEDICAL LAB TECH LABORATORY $ 5,424.63 MEDICAL TECHNOLOGIST LABORATORY $ 752.00 LAB ASSISTANT MMC CLINIC - LABORATORY $ 3,601.21 MEDICAL LAB TECH LABORATORY $ 4,935.62 REGISTERED NURSE MED/SURG $ 2,149.48 REGISTERED NURSE OBSTETRICS $ 6,931.72 REGISTERED NURSE MED/SURG $ 2,475.27 CLINICAL IT SPCLST ADMINISTRATION -CLINICAL SERVIC $ 6,568.26 REGISTERED NURSE OBSTETRICS $ 5,504.84 REGISTERED NURSE OBSTETRICS $ 4,851.11 REGISTERED NURSE OBSTETRICS $ 3,147.02 REGISTERED NURSE OBSTETRICS $ 6,672.55 CNO ADMINISTRATION -CLINICAL SERVIC $ 11,875.48 LVN MED/SURG $ 1,247.96 REGISTERED NURSE MED/SURG $ 1,561.38 OCCUPATIONAL THERAPY OCCUPATIONAL THERAPY $ 7,345.60 LICENSED VOCATIONAL MED/SURG $ 5,191.87 NURSE PRACTITIONER MEMORIAL MEDICAL CLINIC $ 16,594.15 REGISTERED NURSE MED/SURG $ 8,101.99 REGISTERED NURSE MED/SURG $ 4.488.68 CERTIFIED NURSE AIDE MED/SURG $ 671.63 LVN MED/SURG $ 1,635.89 REGISTERED NURSE EMERGENCY ROOM $ 1,447.73 REGISTERED NURSE MED/SURG $ 4,461.43 REGISTERED NURSE MED/SURG $ 4,882.64 REGISTERED NURSE MED/SURG $ 6,146.60 STUDENT NURSE TECH MED/SURG $ 1,262.72 STUDENT NURSE TECH MED/SURG $ 489.89 CASE MANAGER/UR/DP UTILIZATION REVIEW $ 6,180.80 REGISTERED NURSE ICU $ 4,829.76 CERTIFIED NURSE AIDE MED/SURG $ 485.81 REGISTERED NURSE MED/SURG $ 10,867.85 REGISTERED NURSE OBSTETRICS $ 6,753.66 REGISTERED NURSE MED/SURG $ 3,020.48 REGISTERED NURSE SURGERY $ 5,894.33 REGISTERED NURSE MED/SURG $ 5,819.31 REGISTERED NURSE MED/SURG $ 1,338.00 REGISTERED NURSE MED/SURG $ 5,860.80 REGISTERED NURSE MED/SURG $ 1,829.26 LVN MED/SURG $ 1,521.92 LIC VOCATIONAL NURSE MED/SURG $ 563.63 REGISTERED NURSE EMERGENCY ROOM $ 7,929.80 INFUSION NURSE INFUSION CLINIC $ 6,687.06 REGISTERED NURSE ICU $ 3,387.59 REGISTERED NURSE MED/SURG $ 6,971.64 REGISTERED NURSE EMERGENCY ROOM $ 470.88 REGISTERED NURSE MED/SURG $ 5,602.51 CLINICAL COORDINATOR MEMORIAL MEDICAL CLINIC $ 5,728.23 REGISTERED NURSE ICU $ 6,513.10 LICENSED VOCATIONAL MED/SURG $ 3,520.28 NURSE PRACTITIONER HOSPITAL CAMPUS RHC $ 24,908.80 CERTIFIED NURSE AIDE MED/SURG $ 3,034.18 DIRECTOR OF QUALITY ADMINISTRATION -CLINICAL SERVIC $ 6,232.00 REG PHARM TECH SUPER PHARMACY $ 4,154.88 NURSE PRACTITIONER MEMORIAL MEDICAL CLINIC $ 11,899.12 REGISTERED NURSE ICU $ 8,754.46 REGISTERED NURSE ICU $ 3,287.09 REGISTERED NURSE ICU $ 6,108.40 REGISTERED NURSE ICU $ 8,524.09 REGISTERED NURSE MED/SURG $ 1,889.07 PREADMISSION NURSE SURGERY $ 4,574.56 REGISTERED NURSE SURGERY $ 6,420.22 DEPT ASSISTANT HEALTH INFORMATION MANAGEMENT $ 3,217.50 REGISTERED NURSE OBSTETRICS $ 6,895.77 REGISTERED NURSE OBSTETRICS $ 3,183.23 REGISTERED NURSE OBSTETRICS $ 1,504.83 CERTIFIED STERIL TEC SURGERY $ 2,768.92 MATERIALS MNGMT MNGR CENTRAL SUPPLY $ 4,902.40 DIRECTOR EMERGENCY ROOM $ 12,592.84 REGISTERED NURSE EMERGENCY ROOM $ 4,643.26 REGISTERED NURSE EMERGENCY ROOM $ 5,844.36 REGISTERED NURSE EMERGENCY ROOM $ 11,511.66 REGISTERED NURSE MED/SURG $ 2,976.94 REGISTERED NURSE EMERGENCY ROOM $ 457.94 TRAUMA COORDINATOR ADMINISTRATION -CLINICAL SERVIC $ 6,127.76 REGISTERED NURSE EMERGENCY ROOM $ 1,831.70 REGISTERED NURSE EMERGENCY ROOM $ 7,280.86 REGISTERED NURSE EMERGENCY ROOM $ 7,494.06 MLT LABORATORY $ 3,628.76 REGISTERED NURSE MED/SURG $ 3,254.00 LAB ASSISTANT LABORATORY $ 1,098.00 REGISTERED NURSE EMERGENCY ROOM $ 1,195.06 REGISTERED NURSE EMERGENCY ROOM $ 7,798.41 LAB ASSISTANT LABORATORY $ 1,967.13 MEDICAL TECHNOLOGIST LABORATORY $ 1,834.00 LAB ASSISTANT MEDICAL LAB TECH LAB MANAGER MEDICAL LAB TECH MLT MEDICAL ASSISTANT MEDICAL TECHNOLOGIST LAB ASSISTANT LAB ASSISTANT REGISTERED NURSE LAB ASSISTANT MEDICAL TECHNOLOGIST MLT LAB ASSISTANT DEPARTMENTAL ASSIST LAB ASSISTANT MEDICAL LAB TECH LAB ASSISTANT REGISTERED NURSE REGISTERED NURSE NURSE PRACTITIONER REGISTERED NURSE CERTIFIED NURSE AIDE REGISTERED NURSE RADIOLOGICAL TECH RADIOLOGICAL TECH RECEPT/SECRETARY RADIOLOGY SUPERVISOR RADIOLOGY TECH RADIOLOGIC TECH RADIOLOGICAL TECH LEAD MAMMO TECH NUCLEAR MED TECH RADIOLOGICAL TECH RADIOLOGICAL TECH RADIOLOGY TECH PHARMACYTECH PHARMACYTECH PHARMACY TECHNICIAN PHARMACYTECH INS COORDINATOR RECEPTIONIST MEDICAL ASSISTANT MEDICAL ASSISTANT LICENSED VOCATIONAL MEDICAL ASSISTANT RECEPTIONIST RECEPTIONIST RECEPTIONIST REFERRAL SPECIALIST COLLECTIONS CLERK OPERATOR LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY MEMORIAL MEDICAL CLINIC LABORATORY LABORATORY LABORATORY SURGERY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY LABORATORY MMC CLINIC - LABORATORY LABORATORY MED/SURG MED/SURG HOSPITALIST MED/SURG MED/SURG EMERGENCY ROOM DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING DIAGNOSTIC IMAGING PHARMACY PHARMACY PHARMACY PHARMACY CLINIC FS CLINIC FS MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC CLINIC FS MEMORIAL MEDICAL CLINIC CLINIC FS MEMORIAL MEDICAL CLINIC CLINIC FS CLINIC FS 2,006.92 5,136,75 9,104.66 2,762.50 5,722.59 2,497.74 6,638.13 1,547,88 1,380.45 583.32 2,001.48 1,354.75 1,911.75 482.75 4,832.19 116.25 4,746.77 1,616.17 4,711.07 502.50 7,836.28 682.17 3,648.91 6,304.02 544.50 6.608.41 2,672.32 6,247.21 4,232.15 5,963.13 6,145.04 5,447.18 8,030.88 6,214.34 5,503.73 1,019.00 3,136.56 1,958.00 2,508.19 3,043.28 2,454.04 2,269.37 2,315.39 4,371.20 4,218.50 2,107.07 3,024.85 887.04 3,030.23 2,510.43 2,532.32 2,631.56 MEDICAL ASSISTANT MEDICAL ASSISTANT MEDICAL ASSISTANT MEDICAL ASSISTANT MEDICAL ASSISTANT REFERRAL SPECIALIST OFFICE COORDINATOR MEDICAL ASSISTANT LVN RECEPTIONIST CLINICAL SUPERVISOR RECEPTIONIST MEDICAL ASSISTANT NURSE PRACTITIONER COTA PT ASSISTANT PT ASSISTANT DIRECTOR REHAB SERVC LVN RECEPTIONIST PHYSICAL THERAPIST REHAB OFFICE COORD. REGISTERED NURSE PTA TEAM LEAD PTA REGISTERED NURSE MEDICAL ASSISTANT THERAPIST CIHCP COORDINATOR RECORDS IMAGING TECH HIM SPECIALIST PHYSICAL THERAPIST REGISTERED NURSE DIRECTOR OF HIM BIRTH REG/DIS ANALYS DIRECTOR OF HIM MEDICAL ASSISTANT MEDICAL ASSISTANT DIRECTOR OF DIETARY OPERATOR FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF FOOD SERVICE STAFF PLANT OPS TEAM LEAD PLANT OPS SPECIALIST PLANT OPS SPECIALIST DEPARTMENT ASSISTANT ES AIDE MEMORIAL MEDICAL CLINIC HOSPITAL CAMPUS RHC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC CLINIC FS MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC CLINIC FS MEMORIAL MEDICAL CLINIC CLINIC FS MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC OCCUPATIONAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY MED/SURG PHYSICAL THERAPY PHYSICAL THERAPY PHYSICAL THERAPY MEMORIAL MEDICAL CLINIC PHYSICAL THERAPY PHYSICAL THERAPY OBSTETRICS HOSPITAL CAMPUS RHC BEHAVIORAL HEALTH INDIGENT CARE PROGRAM HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT PHYSICAL THERAPY EMERGENCY ROOM HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT HEALTH INFORMATION MANAGEMENT MEMORIAL MEDICAL CLINIC MEMORIAL MEDICAL CLINIC DIETARY CLINIC FS DIETARY DIETARY DIETARY DIETARY DIETARY DIETARY DIETARY PLANT OPERATIONS PLANT OPERATIONS PLANT OPERATIONS PLANT OPERATIONS ENVIRONMENTAL SERVICES 2,128.71 2,751.90 2,463.16 2,191.96 2.942.06 3,286.66 3,264.75 2,864.66 4,584.01 2,410.36 5,861.14 1,885.10 3,013.21 8,883.20 112.00 4,747.21 2,472.00 9,563.20 816.00 1,179.62 7,332.80 2,036.86 5,755.76 4,642.19 6,062.22 6,805.30 2,595.45 4,790.40 3,195.00 1,737.41 1,228.44 6,934.50 481.19 1,598.48 2,211.40 1,400.00 2,625.47 2,705.20 5,877.80 2,099.73 3,088.13 4,559.50 2,778.15 1,043.46 1,430.00 2,938.80 2,130.30 4,202.90 3,547.00 2,525.88 942.76 1,979.00 ES AIDE ENVIRONMENTAL SERVICES $ 2,087.28 ES AIDE ENVIRONMENTAL SERVICES $ 2,083.32 SECURITY OFFICER SECURITY $ 2,711.76 ES AIDE ENVIRONMENTAL SERVICES $ 1,952.72 ES AIDE ENVIRONMENTAL SERVICES $ 2.743.98 ES AIDE ENVIRONMENTAL SERVICES $ 2,229.00 ES AIDE ENVIRONMENTAL SERVICES $ 2,114.00 ES AIDE ENVIRONMENTAL SERVICES $ 2,068.50 PLANT OPS SPECIALIST PLANT OPERATIONS $ 3,689.77 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES $ 2,405.63 ES SUPERVISOR ENVIRONMENTAL SERVICES $ 4,808.63 FOOD SERVICE STAFF DIETARY $ 3,048.05 ES AIDE ENVIRONMENTAL SERVICES $ 1,965.96 ES AIDE ENVIRONMENTAL SERVICES $ 2,252.00 ES AIDE ENVIRONMENTAL SERVICES $ 2,588.40 FOOD SERVICE STAFF DIETARY $ 2,794.41 FLOOR TECHNICIAN ENVIRONMENTAL SERVICES $ 2,384.50 OR AIDE SURGERY $ 2,439.33 SECURITY OFFICER SECURITY $ 1,215.19 SECURITY OFFICER SECURITY $ 2,564.23 DIRECTOR OF PLANT OP PLANT OPERATIONS $ 6,097.39 REGISTERED NURSE SURGERY $ 7,629.60 DIRECTOR ADMINISTRATION -CLINICAL SERVIC $ 80.00 PERIOPERATIVE RN SURGERY $ 8,113.61 FINANCIAL COUNSELOR INDIGENT CARE PROGRAM $ 3,301.50 REGISTERED NURSE SURGERY $ 5,704.51 OPERATOR CLINIC FS $ 2,261.25 OUTPATIENT COORD. CLINIC FS $ 2,318.29 BILLING CLERK PATIENT FINANCIAL SERVICES $ 3,574.76 INFUSION SERV. COOR. INFUSION CLINIC $ 1,965.47 BILLING CLERK PATIENT FINANCIAL SERVICES $ 2,806.02 ER CLERK PFS - REGISTRATION $ 1,962.38 REGISTRATION CLERK PFS - REGISTRATION $ 2,984.05 CASHIER -SWITCHBOARD PATIENT FINANCIAL SERVICES $ 2,421.09 INS ADJUDICATOR PATIENT FINANCIAL SERVICES $ 3,530.91 MEDICARE COORDINATOR PATIENT FINANCIAL SERVICES $ 4,209.47 REGISTRATION CLERK PATIENT FINANCIAL SERVICES $ 2,018.53 ER CLERK PFS - REGISTRATION $ 2,071.25 ER CLERK PFS - REGISTRATION $ 1,118.25 ADMIN ASSISTANT ADMINISTRATION -CLINICAL SERVIC $ 3,310.81 DIRECTOR OF REV/BILL PATIENT FINANCIAL SERVICES $ 7,010.76 REGISTERED NURSE SURGERY $ 554.63 REG CLERK TEAM LEAD PFS - REGISTRATION $ 3,388.11 ER CLERK PFS - REGISTRATION $ 2,102.94 ER CLERK PFS - REGISTRATION $ 849.00 DIRECTOR OF HR HUMAN RESOURCES $ 8,168.02 REGISTERED NURSE EMERGENCY ROOM $ 5,175.45 MEDICAID COORDINATOR PATIENT FINANCIAL SERVICES $ 2,340.39 PERIOPERATIVE RN SURGERY $ 5,026.00 REGISTERED NURSE ICU $ 6,704.86 DIRECTOR DIAGNOSTIC IMAGING $ 7,250.96 REGISTRATION CLERK PATIENT FINANCIAL SERVICES $ 2,158,25 I.T. DIRECTOR IT SYSTEM ANALYST ACCOUNTANT MEDICAL ASSISTANT LAB ASSISTANT MEDICAL ASSISTANT ACCOUNTS PAYABLE CONTROLLER CEO HR GENERALIST SPEC PROJ/MKGT MGR INFORMATION TECHNOLOGY $ 7,960.88 INFORMATION TECHNOLOGY $ 5,105.61 ACCOUNTING $ 4,055.63 HOSPITAL CAMPUS RHC $ 1,723.32 LABORATORY $ 2,362.95 MEMORIAL MEDICAL CLINIC $ 2,079.85 ACCOUNTING $ 2,975.14 ACCOUNTING $ 7,538.48 ADMINISTRATION $ 19,242.32 HUMAN RESOURCES $ 3,680,00 BUSINESS DEVELOPMENT $ 4,587.90 $ 1,090,441.68 # 06 NOTICE OF MEETING-8/30/2023 6. Consider and take necessary action to adopt a resolution honorino Gary Weaver. Dustin Jenkins read a tribute. Judge Meyer read resolution and Presented a copy to the family. RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 2 of 20 8/30/2023 Richard H. Meyer County judge David Hall, Commissioner, Precinct I Vern Lyssy, Commissioner, Precinct 2 Joel ]Behrens, Commissioner, Precinct 3 Gary Reese, Commissioner, Precinct 4 IIONDRUG Rai o \ A Tribute Resolution of Heart -Felt Appreciation Honoring Gary W. Weaver WHEREAS throughout his life and career Gary W. Weaver worked tirelessly to promote the health, welfare and wellbeing of others in Calhoun County, Texas; and WHEREAS Gary W. Weaver served this community with distinction and honor both as an EMT - Paramedic and a local businessman; and WHEREAS his sense of humor, kindness, energy, graciousness and genuine care for his fellow man enriched those fortunate enough to know and work with him; and WHEREAS Gary W. Weaver was a mentor and teacher to many and will be missed by his family, friends and fellow citizens of Calhoun County, Texas; NOW, THEREFORE, BE IT RESOLVED THAT THE COMMISSIONERS' COURT OF CALHOUN COUNTY, TEXAS: - Honors and is grateful to Gary W. Weaver for his tireless commitment to the wellbeing of the citizens of Calhoun County and his outstanding service and unfailing good humor in doing so, and - Expresses its sincere appreciation to Gary W. Weaver for his many contributions to the success of our Emergency Medical Services and all the members' lives as well as the citizens lives whom he impacted in a positive way. APPROVED AND ADOPTED THIS, THE 30th DAY OF AUGUST, 2023. Page 1 of 2 8/30/2023 Richard H. Meyer, County dge David E. , Precinct 1 4J�oel.ehrens Commissioner, Precinct 3 Attest: Anna Goodman, County Clerk L; t RA MIN i'L By: Deputy Clerk Z�11-� Vern L. Lyss Commissioner, Precinct 2 Gary D.I Reese Commissioner, Precinct 4 Page 2 of 2 , Richard Meyer From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) < Dustin.Jenkins@calhouncotx.org > Sent: Monday, August 14, 2023 2:12 PM To: Dustin Jenkins; Mae Belle Cassel; Richard Meyer; vern lyssy Subject: Re: Gary Weaver Lifetime Achievement Recognition Attachments: IMG_6378jpg; IMG_6379jpg; IMG_6380jpg; IMG_6386jpg; IMG_6389jpg; IMG_ 6390jpg;IMG_6402.1PG;IMG_7078.JPG;I7EAE703-35CA-4015-A663-F780FEF01158- LO-001-47.jpeg; Gary Weaverjpg; IMG_4991jpg; IMG_6374jpg Not sure if this is needed, but here are some pictures of Gary. From: "Dustin Jenkins"<Dustin.Jenkins@calhouncotx.org> To: "Mae Belle Cassel" <MaeBelle.Cassel@calhouncotx.org>, "Richard Meyer" <Richard.Meyer@calhouncotx.org>, "vern lyssy" <vern.lyssy@calhouncotx.org> Date: Mon, 14 Aug 2023 13:31:14 -0500 Subject: Gary Weaver Lifetime Achievement Recognition Lifetime Achievement Recognition for Gary Weaver Calhoun County EMS The world measures success in many ways. Some measure it by the wealth that a person accumulates over their lifetime. Then there is Gary Weaver. Many people go out into the world with a hunger for position and power. Then there is Gary Weaver. When it comes to the emergency medical services, some are there only for the thrill that the job brings, the addiction to the adrenaline, the lights, and the sirens; being in the limelight. Then there is Gary Waver. Gary seemed to measure success by how much his life impacted others. Gary was a medic at heart; someone who was in it because he truly cared for others. Everyone that knows Gary Weaver, knows he was called to this mission. Gary continued in this profession despite the tragedy he saw, despite daily witnessing how uncaring some can be, happy and willing to serve others. Gary cared for everyone. He not only endured the pain he saw in faces, to which he uttered the words, 'I'm sorry there's nothing we can do." He was also always there to comfort them. We say that no one will ever die in the back of our ambulance but see it happen many times over. With Gary, those who did, knew that they were with someone who cared. Gary Weaver was willing to walk through the blood of others and do the job that many people can't, because he was a medic at heart. Gary truly cherished all the smiles, the bright eyes and the touch of the hand from all of those who were grateful because he was there. We often go a long time without hearing a thank you, but that's not what Gary Weaver was there for. We could all see that Gary was made to help others, not only for the tragedies, but also for the new mother who worries over her baby who cries so much, for the teenager who's afraid because they just wrecked dad's car and for the little old lady who just needs someone to hold her hand and listen to what she's saying. Gary was always there for you. Of all those that worked on a truck with Gary, no matter the situation, hurt or pain, when Gary walked into the room, that was often all that was needed to alleviate the fears, hurt, or pain of the patient. And on those days when you weren't working with Gary, patients would frequently ask for him by name. Gary was always ready to listen after a bad call, and he always seemed to know exactly what was needed, whether that was to just listen or offer advice. He was someone we could all lean upon whether patient, co-worker, family or friend. Many of us are still in EMS today because of the encouragement and coping skills we learned from him; how to deal with those things we see, that no one should have to see. Gary saved lives, not only on the street, not just of the patient in the back of the ambulance, but also in the station, of the medic dealing with the horrors of the job, sitting at the lunch table, in the tool room, or in the front of the ambulance, driving back from a call. Gary Weaver has greatly impacted all of our lives, this community, and our world! Very Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin.jenkins@calhouncotx.org (361) 571-0014 Calhoun County Texas # 07 NOTICE 01- MEETING — 8/30/202:3 7. Consider and take necessary action to authorize the County Judge to sign Amendment No. 2 to GLO Contract No. 20-065-064-C182 for the Drainage and Sewer Improvements in Alamo Beach, Texas. (DEH) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner'Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 3 of 20 DocuSign Envelope ID: 79895C2B-3DEA-41 FA-8FEB-EC3A988F9E7 B AMENDMENT No. 2 TO GLO CONTRACT No. 20-065-064-C182 THE GENERAL LAND OFFICE (the "GLO") and CALHOUN COUNTY ("Subrecipient"), each a "Party" and collectively "the Parties" to GLO Contract No. 20-065-064-C182 (the "Contract') desire to amend the Contract. WHEREAS, the Parties desire to extend the Contract term; and WHEREAS, the Parties desire to revise or replace certain language in the Contract to add or update required language; and WHEREAS, the Parties desire to revise the Federal Assurances and Certifications and the Nonexclusive List of Applicable Laws, Rules, and Regulations to reflect updated terms; and WHEREAS, these revisions will result in no additional encumbrance of grant funds; NOW, THEREFORE, the Parties agree as follows: 1. SECTION 3.01 of the Contract is amended to reflect a termination date of October 31, 2023. 2. SECTION 5.01(b) of the Contract is deleted in its entirety and replaced with the following: "(b) Subrecipient must have an assigned Unique Entity Identifier (UEID) and a Commercial and Government Entity (CAGE) code. Subrecipient must report its UEID and CAGE code to the GLO for use in various reporting documents. A UEID and CAGE code may be obtained by visiting the System for Award Management website at htti2s://www.sam.gov. Subrecipient is responsible for renewing its registration with the System for Award Management annually and maintaining an active registration status throughout the Contract Period." 3. ATTACHMENT B to the Contract, Federal Assurances and Certifications, is deleted in its entirety and replaced with the Revised Federal Assurances and Certifications, attached hereto and incorporated herein in its entirety for all purposes as ATTACHMENT B-1. 4. ATTACHMENT D to the Contract, Nonexclusive List of Applicable Laws, Rules, and Regulations, is deleted in its entirety and replaced with the Revised Nonexclusive List of Applicable Laws, Rules, and Regulations, attached hereto and incorporated herein in its entirety for all purposes as ATTACHMENT D-1. Amendment No. 2 GLO Contract No. 20-065-064-C182 Page 1 of 2 DocuSlgn Envelope ID: 79895C2B-3DEA-41 FA-8FEB-EC3A988F9E1B 5. This Amendment shall be effective upon the earlier of the date of the last signature or August 31, 2023. 6. The terms and conditions of the Contract not amended herein shall remain in force and effect. SIGNATURE PAGE FOLLOWS Amendment No. 2 GLO Contract No. 20-065-064-C182 Page 2 of 2 DocuSlgn Envelope ID: 79895C2B-3DEA-41FA-8FEB-EC3A988F9E1B SIGNATURE PAGE FOR AMENDMENT No. 2 TO GLO CONTRACT No. 20-065-064-C182 GENERAL LAND OFFICE Mark A. Havens Chief Clerk Date of execution: OGC PM Sl+ SDD if� DGC M� GC �6 DLC 97 CALHOUN COUNTY By: Richard Meyer Title: County Judge Date of execution: ATTACHED TO THIS AMENDMENT: ATTACHMENT B-1 Revised Federal Assurances and Certifications ATTACHMENT D-1 Revised Nonexclusive List of Applicable Laws, Rules, and Regulations DocuSign Envelope ID: 79895C2B-3DEA-41FA-8FEB-EC3A988F9E1B ASSURANCES - CONSTRUCTION PROGRAMS Attachment B-1 Amendment No. 2 GLO Contract No. 20-065-064-C182 Page 1 of 6 OMB Approval No. 4040-0009 Expiration Dale: 02/28/2025 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewi instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0042), Washington, DC 20503. 4SE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. D IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant, I certify that the applicant: Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non -Federal share of project costs) to ensure proper planning, management and completion of the project described in this application. 2. Will give the awarding agency, the Comptroller General of the United States and, if appropriate, the State, the right to examine all records, books, papers, or documents related to the assistance; and will establish a proper accounting system in accordance with generally accepted accounting standards or agency directives. 3. Will not dispose of, modify the use of, or change the terms of the real property title, or other interest in the site and facilities without permission and instructions from the awarding agency. Will record the Federal awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal assistance funds to assure non-discrimination during the useful life of the project. 4. Will comply with the requirements of the assistance awarding agency with regard to the drafting, review and approval of construction plans and specifications. 5. Will provide and maintain competent and adequate engineering supervision at the construction site to ensure that the complete work conforms with the approved plans and specifications and will furnish progressive reports and such other information as may be required by the assistance awarding agency or State. 6. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency. 7. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain. 8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed standards of merit systems for programs funded under one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). 9. Will comply with the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 at seq.) which prohibits the use of lead -based paint in construction or rehabilitation of residence structures. 10. Will comply with all Federal statutes relating to non-discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C.§794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (a) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 at seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and, 0) the requirements of any other nondiscrimination statutes) which may apply to the application. Standard Form 424D (Rev.7-97) Previous Edition Usable Authorized for Local Reproduction Prescribed by OMB Circular A-102 DocuSign Envelope ID: 79895C2B-3DEA-41FA-8FEB-EC3A98BF9E1B 11. Will comply, or has already complied, with the requirements of Titles II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally -assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases. Attachment B-1 Amendment No. 2 GLO Contract No. 20-065-064-C182 Page 2 of 6 Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean Air Act of 1955, as amended (42 U.S.C. §§7401 at seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended (P.L. 93-523); and, (h) protection of endangered species under the Endangered Species Act of 1973, as amended (P.L. 93- 205). 12. Will comply with the provisions of the Hatch Act (5 U.S.C. 16. Will comply with the Wild and Scenic Rivers Act of 1968 (16 §§1501-1508 and 7324-7328) which limit the political U.S.C. §§1271 at seq.) related to protecting components or activities of employees whose principal employment potential components of the national wild and scenic rivers activities are funded in whole or in part with Federal funds. system. 13. Will comply, as applicable, with the provisions of the Davis- 17. Will assist the awarding agency in assuring compliance with Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act Section 106 of the National Historic Preservation Act of (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract 1966, as amended (16 U.S.C. §470), EO 11593 Work Hours and Safety Standards Act (40 U.S.C. (identification and protection of historic properties), and the §§327-333) regarding labor standards for federally -assisted Archaeological and Historic Preservation Act of 1974 (16 construction subagreements. U.S.C. §§469a-1 at seq.). 14. Will comply with flood insurance purchase requirements of 18. Will cause to be performed the required financial and Section 102(a) of the Flood Disaster Protection Act of 1973 compliance audits in accordance with the Single Audit Act (P.L. 93-234) which requires recipients in a special flood Amendments of 1996 and OMB Circular No. A-133, "Audits hazard area to participate in the program and to purchase of States, Local Governments, and Non -Profit flood insurance if the total cost of insurable construction Organizations." and acquisition is $10,000 or more. 15. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetlands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (a) assurance of project consistency with the approved State management program developed under the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 at sec.); (f) conformity of 19. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing this program. 20. Will comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits grant award recipients or a sub -recipient from (1) Engaging in severe forms of trafficking in persons during the period of time that the award is in effect (2) Procuring a commercial sex act during the period of time that the award is in effect or (3) Using forced labor in the performance of the award or subawards under the award. SIGNATURE OF AUT IZED CERTIFYING OFFICIAL TITLE county Judge APPLICANT ORGANIZATION DATE SUBMITTED Calhoun County 3a-23 SF-424D (Rev. 7-97) Back THIS FORM MUST BE EXECUTED DocuSign Envelope ID: 79895C2B-3DEA-41 FA-8FEB-EC3A988F9E1B Attachment B-1 Amendment No. 2 GLO Contract No. 20-065-064-C182 Page 3 of 6 CERTIFICATION REGARDING LOBBYING COMPLIANT WITH APPENDIX A TO 24 C.F.R. PART 871 CertificationforContracts, Grants, Loans, and Cooperative Agreements: The undersigned certifies, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Statement for Loan Guarantees and Loan Insurance: The undersigned states, to the best of his or her knowledge and belief, that: If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. As the duly authorized representative of the applicant, I hereby certify that the applicant will comply with the above applicable certification. NAME OF APPLICANT AWARD NUMBER AND/OR PROJECT NAME Calhoun County 20-065-064-C182 PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE Richard Meyer county Judge SIGNATURE DATE lL� 8.30 _ z3 1 24 C.F.R. 87 App. A, availab55'at httus://w .eno.eov/fdsys/granule/CFR-2011-title24-voll/CFR-2011-title24-voll-part87- annA Published Apr. 1, 2011. Accessed Aug. 1, 2018. DocuSign Envelope ID: 79895C2B-3DEA-41 FA-8FEB-EC3A988F9E1 B Attachment B-1 Amendment No. 2 GLO Contract No. 20-065-064-C182 Page 4 of 6 Disclosure of Lobbying Activities Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 OMB Number: 4040-0013 (See reverse for public burden disclosure) Expiration Date: 02/282025 1. *Type of Federal Action: 2. *Status of Federal Action: 3. *Report Type: _ a. contract a. bid/offer/application _ a. initial filing _ b. grant b. initial award b. material change _ c. cooperative agreement c. post -award _ d.loan e. loan guarantee f.loan insurance 4. Name and Address of Reporting Entity: _ Prime Subawardee *Name: *Street 1: Street 2: *City: State: Zip: 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime: 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number, if applicable: 8. Federal Action Number, ifknown: 9. Award Amount, ifknown: 10. a. Name and Address of Lobbying Registrant Prefix *First Name Middle Name *Last Name Suffix *Street 1: Street 2: *City: State: Zip: b. Individuals Performing Services (including address if differentfrom No. 10a) Prefix *First Name Middle Name *Last Name Suffix *Street 1: Street 2: *City: State: Zip: 11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not lesstban $10,000 and not more than $100,000 for each such failure. *Signature: *Name: Prefix *First Name Middle Name *Last Name Suffix Title: Telephone No.: Date: Federal Use Only: Authorized for Local Reproduction Standard Form - LLL (Rev. 7-97) DocuSign Envelope ID: 79895C2B-3DEA-41FA-8FEB-EC3A988F9E1B Attachment B-1 Amendment No. 2 GLO Contract No. 20-065-064-C182 Page 5 of 6 INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. Federal Agency Form Instructions Form Identifiers Information Agency Owner Grants.gov Form Name Disclosure of Lobbying Activities (SF-LLL) Form Version Number 2.0 OMB Number 4040-0013 OMB Expiration Date 02/28/2025 Field Number Field Name Required or Optional Information 1. *Type of Federal Action: Required Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. This field is required. 2. *Status of Federal Action Required Identify the status of the covered Federal action. This field is required. 2-a. a. Bid/Offer/ Application Check if applicable Click if the Status of Federal Action is a bid, an offer or an application. 2-b. b. Initial Award Check if applicable Click if the Status of Federal Action is an initial award. 2-c. c. Post- Award Check if applicable Click if the Status of Federal Action is a post -award. 3.0 *Report Type Required Identify the appropriate classification of this report. 3-a. a. Initial filing Check if applicable Check if Initial filing. 3-b. b. Material change Check if applicable If this is a follow up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the previously submitted report by this reporting entity for this covered Federal action. This field is required. Material Change Year Conditionally Required If this is a follow up report caused by a material change to the information previously reported, enter the year in which the change occurred. Material Change Quarter Conditionally Required If this is a follow up report caused by a material change to the information previously reported, enter the quarter in which the change occurred. Material Change Date of Last Report Conditionally Required Enterthe date of the previously submitted report by this reporting entity for this covered Federal action. 4. Name and Address of Reporting Entity Required Provide the information for Name and Address of Reporting Entity. Prime Check if applicable Click to designate the organization filing the report as the Prime Federal recipient. Subawardee Check if applicable Click to designate the organization filing the report as the SubAwardee Federal recipient. Sub - awards include but are not limited to subcontracts, subgrants and contract awards under grants. Tier if known: Optional Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Name Required I Enter the name of reporting entity. This field is required Street 1 Required Enter Street 1 of the reporting entity. This field is required. Street 2 Optional Enter Street 2 of the reporting entity. City Required Enter City of the reporting entity This field is required. State Required Enter the state of the reporting entity. This field is required ZIP Required Enter the ZIP of the reporting entity. This field is required Congressional District, if known Optional Enter the primary Congressional District of the reporting entity. Enter in the following format: 2 character state abbreviation — 3 characters district number, e.g., CA-005 for California Sth district, CA-012 for California 12th district, NC-103 for North Carolina's 103rd district. S. If Reporting Entity in No. 4 is subawardee, Enter Name and Conditionally Required If Reporting Entity in No.4 is subawardee, provide the information for the Name and Address of Prime DocuSign Envelope ID: 79895C2B-3DEA-41 FA-8FEB-EC3A988F9E1 B Attachment B-1 Amendment No. 2 GLO Contract No. 20-065-064-C182 Page 6 of 6 Address of Prime Name Required If the organization filing the report in item 4, checks "Subawardee", enter the full name of the prime Federal recipient. Street 1 Required If the organization filing the report in item 4, checks'Subawardee", enter the address of the prime Federal recipient. Street 2 Optional If the organization filing the report in item 4, checks "Subawardee", enter the address of the prime Federal recipient. City Required If the organization filing the report in item 4, checks "Subawardee", enter the city of the prime Federal recipient. State Required If the organization filingthe report in item 4, checks "Subawardee", select the appropriate state from this pull down menu. ZIP Required Enter the ZIP of Prime. This field is required Congressional District, if known Optional Enter the Congressional District of Prime. Enter in the following format: 2 character state abbreviation — 3 characters district number, e.g., CA-005 for California 5th district, CA-012 for California 12th district, NC-103 for North Carolina's 103rd district. 6. Federal Department /Agency Required Enter the name of the Federal Department or Agency making the award or loan commitment. This field is required. 7. CFDA Number: Required Enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. Pre -populated from SF-424 if using Grants.gov. CFDA Title: Required Enter the Federal program name or description for the covered Federal action. Pre -populated from SF-424 if using Grants.gov. 8. Federal Action Number Optional Enter the most appropriate Federal identifying number available for the Federal action, identified in item 1 (e.g., Request for Proposal (RFP) number, invitation for Bid (IFB) number, grant announcement number, the contract, grant, or loan award number, the application/ proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90- 00111. 9. Award Amount Optional For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment of the prime entity identified in item 4 or S. 10.a. Name And Address of Lobbying Registrant Required Provide the information for the Name and Address of Lobbying Registrant. Prefix Optional Enter the prefix (e.g., Mr., Mrs., Miss), if appropriate, forthe Lobbying Registrant. First Name Required Enter the first name of Lobbying Registrant. This field is required. Middle Name Optional Enter the middle name of Lobbying Registrant. Last Name Required Enter the last name of Lobbying Registrant. This field is required. Suffix Optional Enterthe suffix (e.g., Jr. Sr., PhD), if appropriate, for the Lobbying Registrant. Street 1 Required Enter the first line of street address for the Lobbying Registrant. Street 2 Optional Enter the second line of street address for the Lobbying Registrant, City Required Enter the city of the Lobbying Registrant. State Required Select the appropriate state of the Lobbying Registrant. ZIP Code Required Enter the Zip Code (or ZIP+4) of the Lobbying Registrant. 10.1b. Individual Performing Services Required Provide the information for Individual Performing Services Prefix Optional Enter the prefix (e.g., Mr., Mrs., Miss), if appropriate, for the Individual Performing Services. First Name Required Enter the first name of the Individual Performing Services. This field is required. Middle Name Optional Enterthe middle name of the Individual Performing Services. Last Name Required Enterthe last name of the Individual Performing Services. This field is required. Suffix Optional Enterthe suffix (e.g., Jr. Sr., PhD), if appropriate, for the Individual Performing Services. Street 1 Required Enter the first line of street address for the Individual Performing Services. Street Optional Enter the second line of street address for the Individual Performing Services. City Required Enter the city of the Individual Performing Services. State Required Select the state for the address of the Individual Performing Services from this pull down menu. ZIP Code Required Enter the Zip Code (or ZIP+4) of the Individual Performing Services. According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB control Number. The valid OMB control number for this information collection is OMB No. 4040-0013. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project, Washington, DC 20503. DocuSlgn Envelope ID: 79895C2B-3DEA-41 FA-8FEB-EC3Ag88F9E1 B Attachment D-1 Amendment No. 2 GLO Contract No. 20-065-064-C182 Page 1 of 4 NONEXCLUSIVE LIST OF APPLICABLE LAWS, RULES, AND REGULATIONS If applicable to the Project, Subrecipient must be in compliance with the following laws, rules, and regulations, as may be amended or superseded over time, and any other state, federal, or local laws, rules, and regulations as may become applicable throughout the term of the Contract, and Subrecipient acknowledges that this list may not include all such applicable laws, rules, and regulations. Subrecipient is deemed to have read and understands the requirements of each of the following, if applicable to the Project under this Contract: GENERALLY The Acts and Regulations specified in this Contract; Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 (Public Law 115-56); The Housing and Community Development Act of 1974 (12 U.S.C. § 5301 et seq.); The United States Housing Act of 1937, as amended, 42 U.S.C. § 1437f(o)(13) (2016) and related provisions governing Public Housing Authority project -based assistance, and implementing regulations at 24 C.F.R. Part 983 (2016); Cash Management Improvement Act regulations (31 C.F.R. Part 205); Community Development Block Grants (24 C.F.R. Part 570); Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (2 C.F.R. Part 200); Disaster Recovery Implementation Manual; and State of Texas Plan for Disaster Recovery: Hurricane Harvey — Round 1, dated April 6, 2018, as amended. CIVIL RIGHTS Title VI of the Civil Rights Act of 1964, (42 U.S.C. § 2000d et seq.); 24 C.F.R. Part 1, "Nondiscrimination in Federally Assisted Programs of the Department of Housing and Urban Development - Effectuation of Title VI of the Civil Rights Act of 1964"; Title VII of the Civil Rights Act of 1964, as amended by the Equal Employment Opportunity Act of 1972 (42 U.S.C. § 2000e, etseq.); Title VIII of the Civil Rights Act of 1968, "The Fair Housing Act of 1968" (42 U.S.C. § 3601, et seq.), as amended; Executive Order 11063, as amended by Executive Order 12259, and 24 C.F.R. Part 107, "Nondiscrimination and Equal Opportunity in Housing under Executive Order 11063"; The failure or refusal of Subrecipient to comply with the requirements of Executive Order 11063 or 24 C.F.R. Part 107 shall be a proper basis for the imposition of sanctions specified in 24 C.F.R. 107.60; The Age Discrimination Act of 1975 (42 U.S.C. § 6101, et seq.); and Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. § 794.) and 'Nondiscrimination Based DocuSign Envelope ID: 79895C2B-3DEA-41FA-8FEB-EC3A988F9E1B Attachment D-1 Amendment No. 2 GLO Contract No. 20-065-064-C182 Page 2 of 4 on Handicap in Federally -Assisted Programs and Activities of the Department of Housing and Urban Development", 24 C.F.R. Part 8. By signing this Contract, Subrecipient understands and agrees that the activities funded shall be performed in accordance with 24 C.F.R. Part 8; and the Architectural Barriers Act of 1968 (42 U.S.C. § 4151, et seq.), including the use of a telecommunications device for deaf persons (TDDs) or equally effective communication system. LABOR STANDARDS The Davis -Bacon Act, as amended (originally, 40 U.S.C. §§ 276a-276a-5 and re -codified at 40 U.S.C. §§ 3141-3148); 29 C.F.R. Part 5; The Copeland "Anti -Kickback" Act (originally, 18 U.S.C. § 874 and re -codified at 40 U.S.C. § 3145): 29 C.F.R. Part 3; Sections 103 and 107 of the Contract Work Hours and Safety Standards Act (originally, 40 U.S.C. §§ 327A and 330 and re -codified at 40 U.S.C. §§ 3701-3708); Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction (Also Labor Standards Provisions Applicable to Non -construction Contracts Subject to the Contract Work Hours and Safety Standards Act) (29 C.F.R. Part 5); and Federal Executive Order 11246, as amended. EMPLOYMENT OPPORTUNITIES Section 3 of the Housing and Urban Development Act of 1968 (12 U.S.C. § 1701u): 24 C.F.R. Part 75; The Vietnam Era Veterans' Readjustment Assistance Act of 1974 (38 U.S.C. § 4212); Title IX of the Education Amendments of 1972 (20 U.S.C. §§ 1681-1688); and Federal Executive Order 11246, as amended. GRANT AND AUDIT STANDARDS Single Audit Act Amendments of 1996, 31 U.S.C. § 7501; Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (2 C.F.R. Part 200); Uniform Grant and Contract Management Act (Texas Government Code Chapter 783) and the Uniform Grant Management Standards, issued by Governor's Office of Budget and Planning; and Title 1 Texas Administrative Code § 5.167(c). LEAD -BASED PAINT Section 302 of the Lead -Based Paint Poisoning Prevention Act (42 U.S.C. § 4831(b)). HISTORIC PROPERTIES The National Historic Preservation Act of 1966 as amended (16 U.S.C. § 470, et seq.), particularly sections 106 and 110 (16 U.S.C. §§ 470 and 470h-2), except as provided in §58.17 for Section 17 projects; Executive Order 11593, Protection and Enhancement of the Cultural Environment, May 13, 1971 DocuSign Envelope ID: 79895C2B-3DEA-41 FA-8FEB-EC3A988F9E1 B Attachment D-1 Amendment No. 2 GLO Contract No. 20-065-064-C182 Page 3 of 4 (36 FR 8921), 3 C.F.R., 1971-1975 Comp., p. 559, particularly section 2(c); Federal historic preservation regulations as follows: 36 C.F.R. Part 800 with respect to HUD programs; and The Reservoir Salvage Act of 1960, as amended by the Archeological and Historic Preservation Act of 1974 (16 U.S.C. § 469, et seq.), particularly section 3 (16 U.S.C. § 469a-1). ENVIRONMENTAL LAW AND AUTHORITIES Environmental Review Procedures for Recipients assuming HUD Environmental Responsibilities (24 C.F.R. Part 58, as amended); National Environmental Policy Act of 1969, as amended (42 U.S.C. §§ 4321-4347); and Council for Environmental Quality Regulations for Implementing NEPA (40 C.F.R. Parts 1500- 1508). FLOODPLAIN MANAGEMENT AND WETLAND PROTECTION Executive Order 11988, Floodplain Management, May 24, 1977 (42 FR 26951), 3 C.F.R., 1977 Comp., p. 117, as interpreted in HUD regulations at 24 C.F.R. Part 55, particularly Section 2(a) of the Order (For an explanation of the relationship between the decision -making process in 24 C.F.R. Part 55 and this part, see § 55.10.); and Executive Order 11990, Protection of Wetlands, May 24, 1977 (42 FR 26961), 3 C.F.R., 1977 Comp., p. 121 particularly Sections 2 and 5. COASTAL ZONE MANAGEMENT The Coastal Zone Management Act of 1972 (16 U.S.C. § 1451, et seq.), as amended, particularly sections 307(c) and (d) (16 U.S.C. § 1456(c) and (d)). SOLE SOURCE AQUIFERS The Safe Drinking Water Act of 1974 (42 U.S.C. §§ 201, 300(f), et seq., and 21 U.S.C. § 349) as amended; particularly section 1424(e)(42 U.S.C. § 300h-3(e)); and Sole Source Aquifers (Environmental Protection Agency-40 C.F.R. part 149.). ENDANGERED SPECIES The Endangered Species Act of 1973 (16 U.S.C. § 1531, et seq.) as amended, particularly section 7 (16 U.S.C. § 1536). WILD AND SCENIC RIVERS The Wild and Scenic Rivers Act of 1968 (16 U.S.C. § 1271, et seq.) as amended, particularly sections 7(b) and (c) (16 U.S.C. § 1278(b) and (c)). AIR QUALITY The Clean Air Act (42 U.S.C. § 7401, et seq.) as amended, particularly sections 176(c) and (d) (42 U.S.C. §7506(c) and (d)). Determining Conformity of Federal Actions to State or Federal Implementation Plans (Environmental Protection Agency-40 C.F.R. Parts 6, 51, and 93). DocuSlgn Envelope ID: 79895C2B-3DEA-41FA-8FEB-EC3Ag88F9E1B Attachment D-1 Amendment No. 2 GLO Contract No. 20-065-064-C182 Page 4 of 4 FARMLAND PROTECTION Farmland Protection Policy Act of 1981 (7 U.S.C. § 4201, et seq.) particularly sections 1540(b) and 1541 (7 U.S.C. §§ 4201(b) and 4202); and Farmland Protection Policy (Department of Agriculture-7 C.F.R. part 658). HUD ENVIRONMENTAL STANDARDS Applicable criteria and standards specified in HUD environmental regulations (24 C.F.R. Part 51)(other than the runway clear zone and clear zone notification requirement in 24 C.F.R. § 51.303(a)(3); and HUD Notice 79-33, Policy Guidance to Address the Problems Posed by Toxic Chemicals and Radioactive Materials, September 10, 1979. ENVIRONMENTAL JUSTICE Executive Order 12898 of February 11, 1994—Federal Actions to Address Environmental Justice in Minority Populations and Low -Income Populations, (59 FR 7629), 3 C.F.R., 1994 Comp. p. 859. SUSPENSION AND DEBARMENT Use of debarred, suspended, or ineligible contractors or subrecipients (24 C.F.R. § 570.609); General HUD Program Requirements; Waivers (24 C.F.R. Part 5); and Nonprocurement Suspension and Debarment (2 C.F.R. Part 2424). OTHER REQUIREMENTS Environmental Review Procedures for Entities Assuming HUD Environmental Responsibilities (24 C.F.R. Part 58). ACQUISITION / RELOCATION The Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (42 U.S.C. § 4601, et seq.), 24 C.F.R. Part 42, and 24 C.F.R. § 570.606. FAITH -BASED ACTIVITIES Executive Order 13279 of December 12, 2002 - Equal Protection of the Laws for Faith -Based and Community Organizations, (67 FR 77141), as amended by Executive Order 13559, Fundamental Principles and Policymaking Criteria for Partnerships with Faith -Based and Other Neighborhood Organizations and HUD regulations at 24 C.F.R. 570.2000). REMAINDER OF PAGE INTENTIONALLY LEFT BLANK Certificate Of Completion Envelope Id: 79895C2B3DEA41FA8FEBEC3A988F9E1B Subject: $0 Amendment No. 2: 20-065-064-Cl82 - Calhoun County (Texas GLO) Source Envelope: Document Pages: 25 Signatures: 0 Certificate Pages: 5 Initials: 6 AutoNav: Enabled Envelopeld Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) Record Tracking Status: Original 8/21/2023 7:32:51 AM Signer Events Ginger Mills Ginger.Mills@glo.texas.gov Director, CDR Legal Services Texas General Land Office, Office of General Counsel Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sara Hustead sara.hustead.glo@recovery.lexas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Heather Lagrone heather.lagrone.glo@recovery.texas.gov Sr Dep director Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Marc Barenblat marc.barenblat@glo.texas.gov Deputy General Counsel Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign DocuSign' Status: Sent Envelope Originator: Amy Navarro 1700 Congress Ave Austin, TX 78701 Amy.Navarro@glo.texas.gov IP Address: 35.147.119.146 Holder: Amy Navarro Location: DocuSign Amy.Navarro@glo.texas.gov Signature Timestamp a Sent: 8/21/2023 9:22:50 AM Viewed: 8/22/2023 10:51:03 PM Signed: 8/22/2023 10:58:07 PM Signature Adoption: Pre -selected Style Using IP Address: 204.65.210.231 Sent: 8/22/2023 10:58:10 PM Sik Viewed: 8/24/2023 7:59:42 AM Signed: 8/24/2023 7:59:54 AM Signature Adoption: Pre -selected Style Using IP Address: 204.65.210.152 (kW Signature Adoption: Pre -selected Style Using IP Address: 107.127.0.11 Signed using mobile Signature Adoption: Pre -selected Style Using IP Address: 104.15.130.4 Sent: 8/24/2023 8:00:07 AM Viewed: 8/24/2023 9:05:14 AM Signed: 8/24/2023 9:05:28 AM Sent: 8/24/2023 9:05:30 AM Viewed: 8/24/2023 10:38:18 AM Signed: 8/24/2023 10:38:45 AM Signer Events Jeff Gordon jeff.gordon@glo.texas.gov General Counsel Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature E_ Signature Adoption: Pre -selected Style Using IP Address: 204.65.210.61 Jennifer Jones ° jennifer.jones@glo.texas.gov Y; Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Richard Meyer richard.meyer@calhouncotx.org County Judge Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Mark A. Havens Mark. Havens@GLO.TEXAS. GOV Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Editor Delivery Events Agent Delivery Events Intermediary Delivery Events Certified Delivery Events Carbon Copy Events BSO Team bsorequests@recovery.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Signature Adoption: Pre -selected Style Using IP Address: 75.49.127.64 Signature Status Status Status Status Status COPIED Joseph Cardona C4PI�D joseph.cardona@glo.texas.gov V Team Lead/Contract Manager Texas General Land Office Security Level: Email, Account Authentication (None) Timestamp Sent: 8/24/2023 10:38:48 AM Viewed: 8/24/2023 10:43:03 AM Signed: 8/24/2023 10:43:05 AM Sent: 8/24/2023 10:43:08 AM Viewed: 8/24/2023 11:25:26 AM Signed: 8/24/2023 11:33:26 AM Sent: 8/24/2023 11:33:35 AM Viewed: 8/24/2023 1:13:32 PM Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp Sent: 8/21/2023 8:35:18 AM Sent: 8/21/2023 8:35:19 AM Resent: 8/21/2023 9:22:49 AM Carbon Copy Events Status Tinnestamp Electronic Record and Signature Disclosure: Not Offered via DocuSign Drafting Requests draflingrequests@GLO.TEXAS.GOV Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Kelly McBride kelly.mcbride@glo.texas.gov Director of CMD Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Amy Navarro amy.navarro@glo.texas.gov Contract Specialist IV Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Stefanie Jackson Stefanie.Jackson@glo.texas.gov Purchaser Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Matthew Anderson matthew.anderson@glo.texas.gov Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Accounting Team DR.SystemAccess@glo.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Esmeralda Sanchez Esmeraida.Sanchez.glo@recovery.texas.gov Manager Texas General Land Office Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign COPIED COPIED COPIED COPIED COPIED Sent: 8/21/2023 8:35:19 AM Sent: 8/21/2023 8:35:19 AM Sent: 8/21/2023 8:35:20 AM Sent: 8/21/2023 8:35:20 AM Sent: 8/22/2023 10:58:11 PM Sent: 8122/202310:58:11 PM Sent: 8/221202310:58:11 PM Carbon Copy Events Status Contracts Change Request srcontractchangereq.glo@recovery.texas.gov �,��,� Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Diane Hill -Smith diane.hill-smith.glo@recovery.texas.gov COPIED Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign HUB HUB@glo.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Garrett Purcell Garrett.Purcell@glo.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Abby McClean Abby. M cClean.glo@Recovery.Texas.Gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Pamela Mathews pamela.mathews.glo@recovery.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Ryne Zmolik ryne,zmolik.glo@recovery.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Michelle Esper-Martin michelle.espermartin.glo@recovery.lexas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Jeans Bores jeana.bores.glo@recovery.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Timestamp Sent: 8/24/2023 8:00:02 AM Sent: 8/24/2023 8:00:08 AM Carbon Copy Events Status Timestamp Jacob Geray jacob.geray.glo@recovery.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Nichols Gee nichole.gee.ctr@recovery.texas.gov Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/21/2023 8:35:20 AM Envelope Updated Security Checked 8/21/2023 9:22:49 AM Envelope Updated Security Checked 8/21/2023 9:22:49 AM Envelope Updated Security Checked 8/21/2023 9:22:49 AM Payment Events Status Timestamps En 1: ' NOTICE OIFMEET ING--8/30/2023 8. Consider and take necessary action to authorize the final payment to Lester Contracting, Inc. of $103,359.56 for the Drainage and Sewer Improvements in Alamo Beach, Texas GLO Contract No. 20-065-064-C182 and Calhoun County 2020 CDBG-DR Contract Work Order No. D-1. (DEH) id to sign the char ?SULT: AF DVER: Dz rder.' Hall, Page 4 of 20 G&WENGINEERS, INC. 205 W. Live Oak • Port Lavaca, TX 77979 • p: (361)552-4509 f: (361)552-4987 TBPE Firm Registration No. F04188 August 9, 2023 Conunissioner David Hall Calhoun County Precinct No 202 S. Ann St. Port Lavaca, Texas 77979 RE: RECOMMENDATION FOR PAYMENT NO. 10-Final Drainage and Sewer Improvements in Alamo Beach for Calhoun County, Texas Texas General Land Office Contract No. 20-065-064-C182 and Callroun County 2020 CDBG-DR Contract Work Order No. D-1 Dear Honorable Judge & County Commissioners, We have reviewed Lester Contracting, Inc's Application No. 10 (Invoice # 22105R1) for the above referenced project. All work is complete and enclosed is the Recommendation for Payment No. 10- Final for $103,359.56 for the service period of March 1, 2023 to April 30, 2023. The Contractor's Guarantee and the Contractor's Conditional Waiver and Release on Final Payment are enclosed. Please call if you have any questions. Sincerely, G & W Engineers, Inc. Scott P. Mason, P.E. cc: Lester Contracting, Inc, Derni Cabrera, Calhoun County Assislant Auditor Katy Sellers, Grant Admin file 5310.01Id Engineering Consulting Planning Surveying O WNER's Project No. No. 10-Final RECOMMENDATION OF PAYMENT ENGINEER's Project No. 5310.011d Drainage and Sewer Improvements in Alamo Beach Project for Calhoun County, Texas - TX GLO Contract No. 20-065-064-C182 CONTRACTOR Lester Contracting, Inc. Alamo Beach Drainage and Conti -act for Sewer Improvements Contract Date Application Date April 19, 2023 Application Amount Period Start Date Match 1, 2023 Period Ending Date To COUNTY OF CALHOUN Owner April 13, 2022 $103,359.56 April 30, 2023 Attached hereto is the CONTRACTOR's Application for Payment for Work accomplished under the Contract through the date indicated above. To the extent that we have been present on the project site as outlined in our Engineering Agreement, we believe that the Application meets the requirements of the Contract Documents and includes the CONTRACTOR's Certificate stating that all previous payments to him under the Contract have been applied by him to discharge in full all of his obligations in connection with the Work covered by all prior Applications for Payments. In accordance with the Contract, the undersigned, subject to the limitation in the preceding paragraph, recommends payment to the CONTRACTOR of the amount due as shown below. Dated August 9 2023 Original Contract Price Net Change Orders ( ) Current Contract Price Work to be Done G & W ENGINEERS. INC. 205 W. Live Oak, St. Port Lavaca.Textu 77979 (361)552-4509 $ 1,046,011.50 $ 1,046,011.50 $ 12,416.00 G & W Engineers, Inc. By.. - Scott P. Mason, P.E. STATEMENT OF WORK Work to Dale Amount Retained Subtotal Previous Payments Recommended Amount Due This Payment $ 1,033,595.50 $ 1,033,595.50 $ (930,235.94) $ 103,359.56 Rar.Pav No 10-Fine1- Alamo Beech orainaae To(OWNER): COUNTY OF CALHOUN Project: COCAL/ALAMO BEACH DRAINAGE & S 211 S. ANN STREET ALAMO BEACH PORT LAVACA, TX 77979 GLO # 20-065-064-C182 Port Lavaca, TX 77979 From: LESTER CONTRACTING, inc. Via(Architect/: P. 0. BOX 986 Engineer) PORT LAVACA, TX 77979 (361) 552-3024 For: Contract sum ......................................... 1,046,011.50 Completed to date ................................. 1,033,595.50 Retainage.............................................. 0.00 Total earned less retainage..................... 1,033,595.50 Previous billings ..................................... 930,235.94 Current payment due ............................. 103,359.56 Salestax ............................................... 0.00 Total due .............................................. 103,359.56 Application No: 10 Invoice No: 22105111 Invoice Date: 4/19/2023 Terms: Net 30 Due Date: 5/19/2023 Period To: 4/30/2023 Project No: CONTRACT Contract Date: 4/13/2022 Page 1 To(OWNER): COUNTY OF CALHOUN Project: COCAL/ALAMO BEACH DRAINAGE & S Application No: 10 Page 2 211 S. ANN STREET ALAMO BEACH Invoice No: 22105R1 PORT LAVACA, TX 77979 GLO # 20-065-064-C182 Invoice Date: 4/19/2023 Port Lavaca, TX 77979 Terms: Net 30 From: LESTER CONTRACTING, inc. Via(Architect/: Due Date: 5/19/2023 P. O. BOX 986 Engineer) Period To: 4/30/2023 PORT LAVACA, TX 77979 Project No: CONTRACT (361) 552-3024 Contract Date: 4/13/2022 For: Retention Invoice Retention Invoice Total Unit Total Completed Current Prior Due This No. Description Mobilization Quantity ca caq Units Velue Value Reauest 1 Mobilization and Insurance 1 50,000.00 50,000.00 1 50,000.00 50,000.00 0.00 2 Furnishing, Implementing and 1 10,000.00 10,000.00 1 10,000.00 10,000.00 0.00 Maintaining a SWPPP 3 Furnishing, Implementing and 1 10,000.00 10,000.00 1 10,000.00 10,000.00 0.00 Maintaining Traffic Control 70,000.00 70,000.00 70,Ooo.00 0.00 Outrall #1 4 Outfall #1: Regrading and Digging 3,300 LF 8.00 26,400.00 3,300 26,400.00 26,400.00 0.00 of Exiting Roadside Ditch 5 Outfall #1: HDPE Storm Sewer Pipe 218 LF 66.00 14,388.00 360 23,760.00 23,760.00 0.00 18" Diameter Installation 6 Outfall #1: HDPE Storm Sewer Pipe 348 LF 85.00 29,580.00 493 41,905.00 41,905.00 0.00 24" Diameter Installation 7 Outfall #1: HDPE Storm Sewer Pipe 0 LF 106.00 0.00 0 0.00 0.00 0.00 30" Diameter Installation 8 Outfall #1: HDPE Storm Sewer Pipe 395 LF 141.00 55,695.00 395 55,695.00 55,695.00 0.00 36" Diameter Installation 9 Outfall #1: Modification of Exisitng 1 LS 33,000.00 33,000.00 1 33,000.00 33,000.00 0.00 Outfall Structure 10 Ooufall #1: Hydromulch Seeding of 3,300 LF 1.50 4,950.00 3,300 4,950.00 4,950.00 0.00 Roadside Ditches 11 Disposal of Waste Spoil Material 3,300 LF 0.25 825.00 3,300 825.00 825.00 0.00 164,838.00 186,535.00 186,535.00 0.00 12 Outfall #2 Outfall #2: Regrading and Digging of 10,452 LF 8.00 83,616.00 10,023 80,184.00 80,184.00 0.00 Existing Roadside Ditch 13 Outfall #2: HDPE Storm Sewer Pipe 659 LF 66.00 43,494.00 922 60,852.00 60,852.00 0.00 18" Diameter Installation To(OWNER): COUNTY OF CALHOUN Project: COCAL/ALAMO BEACH DRAINAGE & S Application No: 10 Page 3 211 S. ANN STREET ALAMO BEACH Invoice No: 22105R1 PORT LAVACA, TX 77979 GLO # 20-065-064-C182 Invoice Date: 4/19/2023 Port Lavaca, TX 77979 Terms: Net 30 From: LESTER CONTRACTING, mc. Via(Architect/: Due Date: 5/19/2023 P. 0. BOX 986 Engineer) Period To: 4/30/2023 PORT LAVACA, TX 77979 Project No: CONTRACT (361) 552-3024 Contract Date: 4/13/2022 For: Total Unit Total Completed Current Prior Due This No. Description Outfall #2 Ouanti Cost Cost Units Value Value Re ue 14 Outfall #2: HDPE Storm Sewer Pipe 770 LF 85.00 65,450.00 1,055 89,675.00 89,675.00 0.00 24" Diameter Installation 15 Outfall #2: HDPE Storm Sewer Pipe 768 LF 130.00 99,840.00 730 94,900.00 94,900.00 0.00 36' Diameter Installation 16 Outfall #2 Installation of Outfall 1 LS 46,000.00 46,000.00 1 46,000.00 46,000.00 0.00 Structure 17 Outfall #2: Hydromulch Seeding of 10,452 LF 1.50 15,678.00 10,023 15,034.50 15,034.50 0.00 Roadside Ditches 18 Outfall #2: Disposal of Waste Spoil 10,452 LF 0.25 2,613.00 10,023 2,505.75 2,505.75 0.00 Material 356,691.00 389,151.23 389,151.25 0.00 19 Outfall #3 Outfall #3: Regrading and Digging of 2,131 LF 8.00 17,048.00 0 0.00 0.00 0.00 Existing Roadside Ditch 20 Oufall #3: HDPE Storm Sewer Pipe 248 LF 66.00 16,368.00 0 0.00 0.00 0.00 18" Diameter Installation 21 Oufall #3: HDPE Storm Sewer Pipe 84 LF 85.00 7,140.00 0 0.00 0.00 0.00 24" Diameter Installation 22 Oufall #3: Installation of Outfall 1 LS 28,000.00 28,000.00 0 0.00 0.00 0.00 Structure 23 Outfall #3: Hydromuch Seeding of 2,131 LF 1.50 3,196.50 0 0.00 0.00 0.00 Roadside Ditches 24 Outfall #3: Disposal of Waste Spoil 2,131 LF 0.25 532.75 0 0.00 0.00 0.00 Material 72,285.25 0.00 0.00 0.00 Outfall #4 25 Outfall #4: Regrading and Digging of 6,138 LF 8.00 49,104.00 5,815 46,520.00 46,520.00 0.00 Existing Roadside Ditch 26 Oufall #4: HDPE Storm Sewer Pipe 380 LF 66.00 25,080.00 695 45,870.00 45,870.00 0.00 18" Diameter Installation 27 Oufall #4: HDPE Storm Sewer Pipe 871 LF 85.00 74,035.00 1,012 86,020.00 86,020.00 0.00 24" Diameter Installation To(OWNER): COUNTY OF CALHOUN Project: COCAL/ALAMO BEACH DRAINAGE & S Application No: 10 Page 4 211 S. ANN STREET ALAMO BEACH Invoice No: 22105R1 PORT LAVACA, TX 77979 GLO # 20-065-064-C182 Invoice Date: 4/19/2023 Port Lavaca, TX 77979 Terms: Net 30 From: LESTER CONTRACTING, inc. Via(Architect/: Due Date: 5/19/2023 P. 0. BOX 986 Engineer) Period To: 4/30/2023 PORT LAVACA, TX 77979 Project No: CONTRACT (361) 552-3024 Contract Date: 4/13/2022 For: Total Unit Total Completed Current Prior Due This No. Description Outfall #4 Ouantitv Est cost Units Value Value Reauest 28 Outfall #4: Installation of Outfall 1 LS 42,000.00 42,000.00 1 42,000.00 42,000.00 0.00 Structure 29 Outfall #4: Hydromulch Seeding of 6,138 LF 1.50 9,207.00 5,815 8,722.50 8,722.50 0.00 Roadside Ditches 30 Outfall #4: Disposal of Waste Spoil 6,138 LF 0.25 1,534.50 5,815 1,453.75 1,453.75 0.00 Material 200,960.50 230,586.29 2307586.25 0.00 31 Outfall #5 Outfall #5: Regrading and Digging of 7,333 LF 8.00 58,664.00 5,724 45,792.00 45,792.00 0.00 Existing Roadside Ditch 32 Oufall #5: HDPE Storm Sewer Pipe 500 LF 66.00 33,000.00 559 36,894.00 36,894.00 0.00 18" Diameter Installation 33 Oufall #5: HDPE Storm Sewer Pipe 412 LF 85.00 35,020.00 332 28,220.00 28,220.00 0.00 24" Diameter Installation 34 Oufall #5: HDPE Storm Sewer Pipe 88 LF 190.00 16,720.00 60 11,400.00 11,400.00 0.00 48" Diameter Installation 35 Outfall #5: Installation of Outfall 1 LS 25,000.00 25,000.00 1 25,000.00 25,000.00 0.00 Structure 36 Outfall #5: Hydromulch Seeding of 7,333 LF 1.50 10,999.50 5,724 8,586.00 8,586.00 0.00 Roadside Ditches 37 Outfall #5: Disposal of Waste Spoil 7,333 LF 0.25 1,833.25 5,724 1,431.00 1,431.00 0.00 Material 181,236.75 157,323.05 157,323.00 0.00 1,046,011.50 1,033,595.50 1,033,595.50 0.00 CONTRACTOR'sGUARANTEE being Tr c'✓c >,r_i.. of f `.f',) B -zI% e' e J'7P; r a (hereinafter called "CONTRACTOR"), do hereby make the following shatements to CALIIOUN COUNTY (hereinafter called "OWNER") in relation to the completed project known as DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-CI82 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORT{ ORDER NO. D-1. I guarantee... That all of the completed Work is free from faulty materials in every particular, That all of the completed Work is free from improper workmanship, and That no injury will occur from proper and usual wear, That OWNER has been assigned all guarantees and/or warranties originally made to CONTRACTOR by suppliers and subcontractors, if any. (Such assignment does not relieve CONTRACTOR of the responsibility stated in each guarantee and/or warranty in case of failure of suppliers or subcontractors to fulfill the provisions of such guarantees and/or warranties.) I agree... That the execution of the final certificate or the receipt of the final payment does not relieve CONTRACTOR of the responsibility for neglect of faulty materials or workmanship during the period covered by this Guarantee, To replace or to re -execute without cost to OWNER such Work as may be found to be improper or imperfect, and To make good all damage caused to other Work or materials, due to such required replacement or re -execution. This Guarantee is in effect as of the f; T day of / 1 / 4 L/ 20 , and shall cover a period of ONE (1) FULL YEAR from said effective dat6. Signed By Print Name/Title: s , t t`� s r - r6 h Date. 01700-2 CONTRACTOR'S CONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT THE STATE OF TEXAS § COUNTY Of__"rr:t-o-`i § Project: DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. D-1. Job No. 5310.011d On receipt by the signer of this document of a check from CALHOUN COUNTY (maker_ of check)/ in the sum of $_1. "�i �. 5—cam payable to C5 (payee or payees of check) and when the check has been prope ly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any cormnon law payment bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position that the signer has on the property or easements of CALHOUN COUNTY (owner) located at Alamo Beach, Texas (location) to the following extent: DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064- C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. D- 1. (job description)'. This release covers the final payment to the signer for all labor, services, equipment, or materials furnished to the property or to CALHOUN COUNTY (person with whom signer contracted). Before any recipient of this document relies on this document, the recipient should verify evidence of payment to the signer. The signer warrants that the signer has already paid or will use the funds received from this final payment to promptly pay in Rill all of the signer's laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project up to the date of this waiver and release. 01700-3 Signed Print N Title: M SUBSCRIBED AND SWORN TO BEFORE ME by t , .r on 20 , to certify which witness my hand and seal of office. DIANNE SCALES - i(�a Notary ID #4164086 MYCommission Expires �ITF'UE* January 19, zov Notary Public, State of TexasJ' My Commission Expires: l r I "" 01700-4 Am W ENGINEERS, INC, `:: 205 W. Live Oak a Port Lavaca, TX 77979 • p: (361)552-4509 o f, (361)552-4987 T13PE Firm Registration No. F04188 August 29, 2023 Commissioner David Hall Calhoun County Precinct No. 1 202 S. Ann St. Port Lavaca, Texas 77979 RE: RECOMMENDATION FOR PAYMENT NO. 10-Final (Drainage and Sewer Improvements in Alamo Beach for Calhoun County, Texas TexasGeneral Land Office Contract No. 20-065-064-C182sand Calhoun County 2020 CDBG-DR Contract Work Order No. D-1 Dear Honorable Judge & County Commissioners, We have reviewed Lester Contracting, Ine's Application No. 10 (Invoice # 22105RI) for the above referenced project. All work is complete and enclosed is the Recommendation for Payment No. 10- Final for $103,359,56 for the service period of March 1 2023 to April 30, 2023. The Contractor's Guarantee and the Contractor's Conditional Waiver and Release on Final Payment are enclosed. Please call if you have any questions. Sincerely, G & W Engineers, Inc. --Scott P. Mason; P.E, cc: Lester Contracting, Inc. Demi Cabrera, Calhoun County Assistant Auditor Katy Sellers, GrantAdmin file 9310.011d Engineering 4 Consulting a Planning Surveying OWNER's Project No. No. 10-Final RECOMMENDATION OF PAYMENT ENGINEER's Project No. 5310.011d Drainage and Sewer Improvements in Alamo Beach Project for Calhoun County, Texas - TX GLO Contract No. 20-065-064-CIS2 CONTRACTOR Lester Contracting Inc. Alamo Beach Drainage and Contract for Sewer Improvements Contract Date April 13, 2022 Application Date April 19, 2023 Application Amount $103,359.56 Period Start Date March 1, 2023 Period Ending Date April 30, 2023 To COUNTY OF CALHOUN Owner Attached hereto is the CONTRACTOR's Application for Payment for Work accomplished under the Contract through the date indicated above. To the extent that we have been present on the project site as outlined in our Engineering Agreement, we believe that the Application meets the requirements of the Contract Documents and includes the CONTRACTOR's Certificate stating that all previous payments to him under the Contract have been applied by him to discharge in full all of his obligations in connection with the Work coveredby all prior Applications for Payments. in accordance with the Contract, the undersigned, subject to the limitation in the preceding paragraph, recommends payment to the CONTRACTOR of the amount due as shown below. Dated August 29 2023 Original Contract Price Net Change Orders (1) Current Contract Price Work to be Done G& W ENGINEERS, INC. 205 W. Live Oak St. Pon Lavaca, Tama 77979 (361)552-4509 $ 1,046,011.50 G & W Engineers, Inc. r f By. Scott P. Mason, P.E. STATEMENT OF WORK $ (12,416.00) $ 1,033,595.50 Work to Date Amount Retalned Subtotal Previous Payments Recommended Amount Due This Payment $ 1,033,595.50 $ 1,033,595.50 $ (930,235.94) $ 103,359.56 Rw P.v N. InXin.l � Al... a... , rl.m.,,. )§( ( ( CO !Z# 8°;Q co §6\\ Hvi R \ � / ry' O O O O O O O O O O O O o O 0 O O 0 0 h 1 O O O O O O O O O O O O O Ci O a � w � o o w o0 0 o0 0 0 0 0 0 0 0 o b 0 0 0 0 0 0 0 0 00 00 0 a 0 0 a m o 0 0 o O 0 0 o tri o ui d o ui ui � ni O O O O dO ' I((�o.�� m 0 Cn 7 m 1n -+ m O O h N N 7 I�11 M 000 W t00 ti M M M b N N p N N N C] O Q O O O O O O O O O cc O O OmM mOZM RI OO C] O O N O O O O N\ w�. 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N O O O W Lfl p O h .-� 01 p t0 p O Ot M W O CO M U. p OJ O 1p Q IA m tD` Lr P n lD n M N Oi vi d' M 2 G' OO VO1 OO OO ti O W 6 W OE IxJ�~ v ry Q 5 z OQ9d Q .t' Si Q. 4 0 U9 S 0 6 a a 'n. a m Lo c�c,o 3 c ncv c� v° 3 ncnc EOEO 20 om`om0 `� o CM 48 ao u o rnLc,E@E m m h Ui' n W Tfi W 'rn (—Q O +n O a L�J 'in W Tn (—(44 Q Ln O p� a W 'c h Z i-Gir�i ljl L d W N O- �-�i C O�X Mu¢u-W~`CS (QY �mQu'NmpM A.CN`ik#-N paE-N �E mes:_mO _Nsk .Pi.� iNk Oam t3V k—'m M.-M�mrnc=MS-=Mxik 0Em mSM 0ZJ-- a�mxMika�mO Oit >Oa O1Gk0 �m p#1kpOm;'BGrncimw2p*DO�mamwy6xpZ$ ,p �Na �looNom0000�oOOO ONOOtOz O O W OF ti 0�o UO N a J D a v E o` W O LL LL O p Ltt h 0] dL O .-i N M p N h ZI O O p a O O O O O O O O O I I O O I-- O O CO IO O O O o O O O o O a � v a� Om o o Lp Ln n Ln N o O o O p O o O 0 O 0 O 0 O 0 O 0 tlt O d N O O O N N M N LO N N Q, d' m O N O O O O O W ti M M 1V � O n N CY O Ln V' M Ln CO r1 OM M N .-i N O -Z tn+1 M � O O O� O •v p� p O ill to O O O O O O O O O 7 n N M N Qom' Z t 1 7 UO Vim' U O INS. d' LOi1 eY O d" M N � N C O 2:z�Evl-oz°ro +V o m ro ro o w a .S .-+ Ln rn N p .-� v d• C •O d C R O i I.t) M n n Lri vi N 19 0 o o Lon o 0 0 0 o Lan uai• a2i O U � O n d' O ��•• O O O O Oi M M .-a ti W O O O N M N LO 01 VJ l0 O O N O N n O O O O M O cV (O O U On C p O UOt N O O O O O LLq N UON O tJ xx N E U 9 ~ 7 Q MN l7 d _I J J J J r J J J W- O o- a. 0 O Yn 1] 3 3 3 OO to c o 'Sro c u c .c u- ro s o o .c V O j O C •�q 0 O i0 t= 0q o O O h n (q O m a �� W t Tn W�"n W'G m� Q to O -o=;n rn•Na wa c a �-ci 'rn vc, p�xnx C n S =,LyO M =`0_YOat —i L2 b'rn Yi_ri t �oZ X fa'Boil000c�oz ooNooo��o�,.d�c�.o�i`.�ri° x.Proi ce2 112 o OU n 2 J O. d v w o LE O M M LO n ZI N N M M M M M M gg)) rk r J being f'i-c rf of __-f., x (hereinafter called "CONTRACTOR"), do hereby make the following statements to CALLIOUN COUNTY (hereinafter called "OWNER") in relation to the completed project known as DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-C1S2 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORK ORDER NO. D-1. I guarantee... That all of the completed Work is free from faulty materials in every particular, That all of the completed Work is free from improper workmanship, and That no injury will occur from proper and usual wear, That OWNER has been assigned all guarantees and/or warranties originally made to CONTRACTOR by suppliers and subcontractors, if any. (Such assignment does not relieve CONTRACTOR of the responsibility stated in each guarantee and/or warranty in case of failure of suppliers or subcontractors to fulfill the provisions of such guarantees and/or warranties.) I agree... That the execution of the fatal certificate or the receipt of the final payment does not relieve CONTRACTOR of the responsibility for neglect of faulty materials ot• workmanship during the period covered by this Guarantee, To replace or to re -execute without cost to OWNER such Work as may be found to be improper or imperfect, and To make good all damage caused to other Work or materials, due to such required replacement or re -execution. This Guarantee is in effect as of the lc- 4 clay of 4 `"i 61, 2o�, and shall coverit period of ONE (1) I•ULL. YEAR from said effective datd: (CON 7.(ACTOR) Signed By _.t , Print Name/title: ft 1.ns r•Ii , f3,�' 4, Date: ,. ��p._.. 01700-2 CONTRACTOR'S CONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT THE STATE OT TEXAS § COUNTY OF § Project: DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT NO. 20-065-064-C182 AND CALHOUN COUNTY 2020 CDBG-DR CONTRACT WORD. ORDER NO, D-L Job No. 5310.011d On receipt by the signer of this document of a check horn CALHOUN COUNTY (�nalrer; of chealc) m the Sam of Rtr� s _'` _ :, payable to 1z- (payee or payees of check) and when the elrecic has been propeily euclorsed and has been paid by die barilc at which it is drawn, this cioeument becomes effective iv release any mechanic's tieu right, any right arising ti'om a payment bond that complies with a state yr federal statute, any common law payment bvncl right, any claim for payu�ent, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position that the; signer has on the property or easements of CALIIOUN COUNTY (owner) located at Alamo Beach, Texas (location) to the following extent: DRAINAGE AND SEWER IMPROVEMENTS IN ALAMO BEACH FOR CALHOUN COUNTY, TEXAS - TEXAS GENERAL LAND OFFICE CONTRACT' NO. 20-065-064- C182 AND CALHOUN COUNTY 2020 CDBG••DR CONTRACT WORK ORDER NO. D- L (job descriptlorr). This release covers the final payment to the signer for all labor, services, equipment, or materials furnished to the property or to CALHOUN COUNTY (person with whomr signer contraolecl). Before any recipient of this document relies on this document, the recipient should verify evidence of payment to the signer. The signor warrants that the signer has already paid or will use the funds received &0in this final payment to promptly pay in fill all of the signer's laborers, subcontractors, materialmen, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project tip to the date of this waiver and release. 01700-3 Signed Yy:— !""Y .. Print Name: Tide: /-- ,,� . _ SUBSCRIBED AND SWORN TO BEFORE ME, by `-, Oil l{ t" i %C , 20_>"? , Co certify which witness my hand and seal of office. �yv e4e bIANNE SCALES x° Notary 10 tld164086 M-- - My Commission Expires January 19, 2027 Notary Public, State of Texas r, My Commission Expires: = I 01700-4 CHANGE ORDER No. One (1) Drainage and Sewer Improvements in Almno Beach PROJECT for Calhoun County, Texas - TX GLO Contract No. 20-065-064-Cl82 DATE OF ISSUANCE OSl29/23 EFFECTIVE DATE 9/6/2023 OWNER CALHOUN COUNTY OWNER's Contact No, N/A CONTRACTOR LESTER CONTRACTING, INC. ENGINEER G & W ENGINEERS, INC.. Jobft 5310.011 d You are directed to make the following changes in the Contract Documents. Reason for Change Order: Reduction. in scope of work outfalls 3,6 & 7. As a result of necessary in the field adjustments necessary to Outfalls 1,2,4A,4B and 5. New ditch doptlts required additional culvert at driveways, which increased quanity/scope of said outtatls. Attachments (List documents supporting change) Asbuilt Drawings CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIMES: Original Contract Price Original Contract Times $ 1,046,01 L50 Substantial Completion: N/A Ready for final payment: drys w drier. Net changes flown previous Change Orders No - to No. - - Net changes flom previous Change Orders No - to No.NIA dd, Contract Price prior to this Change Order Contract Times prior to this Change Order $ 1,046,011,50 Substantial Completion: N/A Ready for final payment: dayaar a.m, Net Inereese (decrease) of this Change Order Net htcrease (decrease) of this Change Order $....---�. .............._...._ (12,41600) ...._... N/A _.. Contract Price with all approved Change Orders Contract Times with all approved Change Orders $ 1,033,595.50 Substantial Completion: N/A Ready for final payment: deye orde¢s RECOMMENDED: APPROV �." � rnpiiuer (dulhmired.Gem�inc) Dwmr(Anthu,ieed Sipaeture) G & W Engineers, Inc. Calhoun Comity r {,,, / Date:;} °.� � j L`r � Date: ACCEPTED: By. '" ✓/ ContmaorthmbmiuJ aiymmwl Lester Contracting, Inc. Date: CHANGE ORDER. No. One (1) Drainage and Sewer Improvements in Alamo Beach PROJECT _ for Calhoun County, Texas - TX GLO Contract No. 20-065-064-CI82 DATE OF ISSUANCE 08/30/23 EFFECTIVE DATE 8/30/2023 OWNER CALHOUN COUNTY OWNER's Contract No. N/A CONTRACTOR LESTER CONTRACTING; INC. _ ENGINEER. G & W,' ENGINEERS, INC. Job# 5310.011 d You are directed to make thefollowing changes in the Contract Documents. Reason for Change Order: Reduction in scope of work outfalls 3,6 & 7. As a result of necessary in the field adjustments necessary to Outfalls 1,2„4A,4B and 5. New ditch depths required additional culvert at driveways, which increased quanity/scope of said outfalls. Attachments (List documents supporting change) Asbuilt Drawings CHANGE. IN CONTRACT PRICE:. CHANGE IN CONTRACT TIMES Original Contract Price Original Contract Times 1,046,011.50 Substantial Completion:. N/A. Ready for final payment: daya., dates Net changes from. previous Change. Orders No. _ to No. _ Netchanges from previous. Change: Orders: No, _ to No. — -- — N/A — — — Contract. Priceprior to this Change Order Contract Times prior to this Change Order $ _ 1,046,011.50 Substantial Completion: N/A Ready for final payment: _ _ _ dayaar dates Net Inerease (decrease) of this Change Order Net Increase (decrease) of this Change. Order, Contract Price with all approved Change Orders Contract Times with all approved. Change: Orders 1,033,595.50 Substantial Completion( N/A Ready for final payment: days ordate& RECOMMEt IDED: By= � 4�1 � /,w�� Fir. !� Eagina,r(Awhamcd Signatuae) G & WQQEnl/gineers, Inc. U! Date: 1412et 5 By: Owner (Amhorized Signamre� Calhoun County ACCEPT By: Contmttor(AmM1orizN'Siynamrc$ Lester Contracting, Inc. Date: Dater U Z # 09 ' NOTICE OF MEETING - 8/30/2023 9. Consider and take necessary action to approve or change the wording for the permanent signage to be affixed to the new combined dispatch building. (DEH) RESULT: APPROVED[UF MOVER: David Hall, Comn SECONDER: Vern Lyssy, Comi AYES:.. Judge Meyer, Coi he name as Calhoun County ►NIMOUS] ssioner Pct 1 issionor Pct 2 Page 5 of 20 SIB" SPAC 5j1a" LETTER HEIGHT 00 LETTER HEIGHT rl Sit a" 2'1- 11 L I:ETfER HEIGHT CALHOUN COUNTY COMBINED DISPATCH BUILDING 2424 THIS PROJECT IS BEING SUPPORTED, IN WHOLE OR IN PART, BY THE CORONAVIRUS STSTE FISCAL RECOVERY FUND AND CORONAVIRUS LOCAL FISCAL RECOVERY FUND, ASSISTANCE LISTING 21.027 AWARDED TO CALHOUN COUNTY BY THE U.S. DEPARTMENT OF THE TREASURY CALHOUN COUNTY COMMISSIONERS COURT RICHARD H. MEYER COUNTY JUDGE DAVID HALL COMMISSIONER POT. 1 VERN LYSSY COMMISSIONER PCT. 2 JOEL BEHRENS COMMISSIONER PCT. 3 GARY REESE COMMISSIONER PCT. 4 CIVIL ENGINEER: G & W ENGINEERS INC. .i ARCHITECT: IAD ARCHITECTS j STRUCTURAL ENGINEER: CJG ENGINEERS CONTRACTOR: BLS CONSTRUCTION ALUMINUM DEDICATION PLAQUE Itv, LETTER HEIGHT TYP. David E. Hall Calhoun County Commissioner, Precinct #1 202 S. Ann Port Lavaca, TX 77979 Honorable Richard Meyer Calhoun County Judge 211 S. Ann Port Lavaca, TX 77979 RE: AGENDA ITEM Dear Judge Meyer, (361)552-9242 Fax (361)553-8734 Please place the following item on the Commissioners' Court Agenda for August 30th, 2023. • Consider and take necessary action to approve or change the wording for the permanent signage to be affixed to the new combined dispatch building. Si4cey DHall DEH/apt #10 NOTICE OF MEETING — 8/30/2023 10. Consider and take necessary action to approve Santac Consulting Services' proposed contract amendment for additional services for the Port Alto Shoreline Permit Amendment #1, in the amount of $24,000.00 to be paid with GOMESA funds and authorize Commissioner Behrens to sign all necessary documents. (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 6 of 20 Joel Behrens Calhoun County Commissioner, Precinct 3 24627 State Hwy. 172—Olivia, Port Lavaca, Texas 77979 — Office (361) 893-5346 — Fax (361) 893-5309 Email: iael.behrensaa.ca➢hcuncotx.or2 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 August 30, 2023.- Consider and take necessary action on Stantac Consulting Services proposed contract amendment for additional services for the Port Alto Shoreline Permit Amendment # 1, in amount of $24,000.00 to be paid with GOMESA funds and authorized Commissioner Behrens to sign all necessary documents. Sincerely, ,qm�/-VA ca-,� Joel Behrens Commissioner Pct. 3 attachment a slantec car'salling sari ces Inc. 1905 Aldrich Street, Suite 300 ® Stantec Austin TX 78723354 August 21, 2023 Commissioner Joel Behrens Calhoun County 211 S. Ann Street Suite 104 Port Lavaca, TX 77979 Reference: Port Alto Shoreline Permit — Amendment ## Dear Commissioner Behrens, Stantec has been developing the conceptual design and permit amendment request for the Port Alto Shoreline Permit. During our review and preliminary design, we've encountered unexpected conditions requiring additional design consideration and regulatory coordination. We've identified capacity and likely sediment compatibility issues with the beneficial use of dredge material portion of the work. in addition, sensitive habitats including oysters and jurisdictional wetlands were Identified within the dredge and fill area templates. To support the ongoing regulatory efforts Stantec proposes the following additions to the project scope to account for the additional analysis and regulatory coordination necessary for the successful execution of the project: Task 2: Conceptual Design and Preliminary Alternative Analysis (Additional Fee;) Stantec proposes the following additional effort be added to Task 2 of the current work breakdown structure. As part of this additional effort, Stantec will develop an alternative plan for use of fine-grained materials (non -beach quality) to be dredged, this may include onsite marsh enhancements, if feasible, or offsite disposal. The previously permitted placement areas do not provide sufficient capacity for the estimated volume of dredge material to be removed from the canals. The placement area template will need to be modified to accommodate the estimated dredge volume based on 2023 survey data. In addition, Stantec will need to evaluate avoidance and minimization measures for oysters identified within the project footprint. These measures may include avoidance and/or on -site relocation of the existing oyster beds. These adjustments and measures will be included in the final permit application package to be submitted to USACE. Tas c 3: Regulatory Coordination (Addhiona) Fee) Stantec proposes the following additional effort be added to Task 3 of the current work breakdown structure. As part of this additional effort, Stantec will continue to coordinate with the relevant regulatory agencies for the procurement of necessary permits. Stantec is anticipating additional coordination in relation to the,1) use of fine-grained materials within sensitive areas of the site, 2) avoidance and minimization of impacts to oysters, 3) identification of jurisdictional wetland within dredge footprint Stantec proposes to preemptively coordinate with regulating agencies on these topics and anticipates August21, 2023 Commissioner Joel Behrens Page 2 of 2 Atachmen3 A Reference:. Port Mansfield Dredging and Beneficial Use Regulatory coordination Amendment 02 • Starnes Proposal and Scope of Work increased agency comments during the agency and public comment period of the pennit insurance procedures. RIM ati � 1 Project Kickoff, Data Collection, and $3,610.00 $0.00 $3,610.00 Review 2 Conceptual Design and Preliminary $13,640.00 $11,168.00 $24,808.00 Alternatives Analysis 3 Regulatory Coordination $32,740.00 $13,380.00 $46,120.00 Totals $49,990.00 $24,60.00 1 $74,638.00 Stantec is prepared to begin work on this effort upon approval and contract execution. All work is proposed to remain on a time and materials basis in accordance with Stantec's Standard Terms and Conditions. Thank you for the opportunity to support your needs on this project. Please don't hesitate to contact us if you have any questions. Sincerely, STANTEC CONSULTING SER'v`IC=_S INC. S=_aphanie Rogers PE Senior Coastal Engineer Phone.512-236-6844 Mobile: 361522-8349 stephanie.rogers@sWntec.com Juan Moya Ph.D., PG Texas Coastal Lead Phone: (512) 236.6829 Mobile: (512) 977-8013 juan.moya@stantec.00m ® Stantec AUTHORIZATION FOR ADDITIONAL SERVICES Date 21 August 2023 "Stantec" Stantec Consulting Services Inc. Stantec Project# 177311818 Stantec Pipeline # 950582 1905 Aldrich Street, Suite 300, Austin. TX 78723-3544 Ph: (512) 265-8461 email: stephanie.mgers@stantec.com Client Calhoun County Client Project .# 177311818 211 S. Ann Street Suite 104 Ph: (361) 8935346 email: joel.behrens@cathouncotx.org Project Name and Port Alto Shoreline Permit Change Order# 1 Location: Port Alto, Texas This is authorization for Stantec to perform additional services on the project as noted. above. A. Stantec agrees to perform the following additional service(s): See Attachment A B. Client agrees to compensate Stantec for such additional services in accordance withthe terms of theinitialagreement for additional amount(s) stated below! Additional fees Not to Exceed $24,548.00 C. All other terms and conditions of the original agreement shall remain in full force and effect. Effect on Schedule: Task 2 services completed witin 1 month of execution, Task 3 services willbe complete as originaly scheduled. By signingbelow, the parties agree and affirm that each has reviewed and understands the provisions set out above andthat each party shall be bound by each and all of said provisions. A copy of this agreement shall serve and may be relied upon asan original. Stantec Consulting Services Inc. Stephanie Rogers, Senior Coastal Engineer, Project Manager Print Name and Title Signature Date Signed: mwsssr�tawrwar.aaroleas+mnere�nim��e.�ms.m.�mnw",anawM+ivdtado am.oam.x r.a� Calhoun County Joel Behrens Commissioner Precinct P ' lame • /d.. tie Signature 9d� Date Signed: #11 NOTICE OF MEETING - 8/30/2023 11. Consider and take necessary action to authorize the Port O'Connor Service Club to seek donations for the expansion of the 30' x 50' building used for their donations located on the Port O'Connor Community Center grounds next to the Pavilion. (GDR) :rvice club exDlained the nded to expand problem. Commissioner Gary Reese added the approval of proposed concrete work pending consultation with the people connected to the memorial trees. RESULT: APPROVED [UNANIMOUS] , MOVER: Gary Reese, Commissioner>Pct 4 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Rees€ Page 7 of 20 Gary D. Reese County Commissioner County of Calhoun Precinct 4 August 23, 2023 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 Commissioners' Court Agenda for August 30, 2023 • Consider and take necessary action to authorize Port O'Connor Service Club to seek donations for expansion of the 30' x 50' building used for their donations located on Port O'Connor Community Center grounds next to the Pavilion. Sincerely, Gary D. Rees GDR/at P.O. Box 177 — Seadrift. Texas 77983 — email: earv.reese(acaihmmcotx.om - (361) 785-3141 - Fax (361) 785-5602 Storage Kitchen Restrooms Proposed New Concrete Patio Area Proposed New Building Expansion 30' x 40' PAVILION I I Service Club 30' x 50' # Zz NOTICE OF MEETING — 8/30/2023 12. Consider and take necessary action to authorize the Calhoun County EMS Director to apply for the next round of the M. G. and Lillie A. Johnson Foundation to fund the Calhoun County First Responder Training Facility Project. In the last round, the Foundation stated they were going to "take no action at this time" and stated that "it would be reconsidered at our October meeting". (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 8 of 20 Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.Jenkins@calhouncotx.org> Sent: Tuesday, August 22, 2023 11:51 AM To: Mae Belle Cassel Subject: M.G. and Lillie A. Johnson Foundation Grant Attachments: Johnson_Grant_NoActionAtThisTime_Letter_August2023.pdf Dear Mae Belle, Please add the following to the next Commissioners Court Agenda, Consider and take necessary action on a request by Calhoun County EMS Director for authorization to apply for the next round of the M.G. and Lillie A. Johnson Foundation to fund the Calhoun County First Responder Training Facility Project. In the last round, the Foundation stated they were going to "take no action at this time" and stated that "it would be reconsidered at our October meeting". Very Respectfully, J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustinjenkins@calhouncotx.org enkins@calhouncotx.org (361)571-0014 Calhoun County Texas t OIL.9. *.a 20. CT. 3Jt. � Wit, J.. 9.0.�8. 2269 Ti,ckarJa, 99C. 77902 ..5" 905 August 14, 2023 Calhoun County EMS Attn: Dustin Jenkins 705 Henry Barber Way Port Lavaca, TX 77979 Dear Mr. Jenkins: �hfG' �. 'A' .. "!0 .fir - The Board of Trustees of the M.G. and Lillie A. Johnson Foundation, Inc. met and reviewed your request to provide funds for the construction of a First Responder Training Facility. It was decided to take no action at this time, but it would be reconsidered at our October meeting. Please keep us updated on your fund raising efforts. Sincerely, Robert Halepeska Executive Vice President #13 ' NOTICF OF MEETING -- 8/30/2023 13. Consider and take necessary action to accept a $100.00 donation for CCEMS in memory Gary Weaver. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 9 of 20 Mae Belle Cassel From: Dustin.Jenkins@calhouncotx.org (Dustin Jenkins) <Dustin.Jenkins@calhouncotx.org> Sent: Tuesday, August 22, 2023 12:01 PM To: Mae Belle Cassel Cc: Donna Hall; Lori McDowell; Richard Meyer Subject: Donation in Memory of Gary Weaver Attachments: Donation -In -Memory -of GaryWeaver.pdf Mae Belle, Please place the attached $100.00 donation from Jamie R. Wehmeyer to CCEMS in Memory of Gary Weaver, to be accepted/approved on the next Commissioners Court Agenda. Thanks, J. Dustin Jenkins, DMin, MBA, MTh, LP Director of EMS Calhoun County, TX to be deposited into 2697 aOi-at9a32- 49 J. Dustin Jenkins, DMin, MBA, LP Director of Emergency Medical Services 705 Henry Barber Way Calhoun County, TX dustin. j enkins@calhouncotx. org (361)571-0014 Calhoun County Texas 1 47, p � #14 NOTICE OF MEETING- 8/30/202:3 14. Consider and take necessary action to approve the Independent Audit Report for the year ended December 31, 2022 by Armstrong, Vaughan and Associates, P. C., Certified Public Accountants. (RHM) Debra Fraiser read audit report. RESULT: APPROVED [UNANIMOUS] MOVER: Vern. Lyssy, Commissioner Pct 2 SECONDER: David Hall, Commissioner Pct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 10 of 20 Mae Belle Cassel From: cindy.mueller@calhouncotx.org (cindy mueller) <cindy.mueller@calhouncotx.org> Sent: Monday, August 21, 2023 11:00 AM To: 'Mae Belle Cassel' Cc: 'Richard Meyer'; fraser@avacpa.com; Candice Villarreal Subject: Agenda Item Request Please place the following item on the agenda for 8/30/23: • Consider and take necessary action on Independent Audit Report for the year ended December 31, 2022 by Armstrong, Vaughan and Associates, P.C., Certified Public Accountants. Note Reports will be provided at the meeting. Cindy Mueller County Auditor Calhoun County 202 S. Ann, Suite 8 Port Lavaca, TX 77979 V: 361.553.4610 F: 361.553.4614 Cindy.mueller@calhouncotx.org Calhoun County Texas #15 NOTICE OF MEETING — 8/30/2023 15. Consider and take necessary action to transfer funds in the amount of $35,000 through a budget adjustment for the 2015 Toyota Tundra transferred to Extension Services from Road & Bridge Precinct 2 on August 16, 2023. This transaction will decrease the Capital Outlay account (70750) om Extension Services and increase the Capital Outlay account (1000-550-70850-999) in Precinct 2. (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 11 of 20 Mae Belle Cassel From: ellen.heiman@ag.tamu.edu (Ellen M. Heiman) <ellen.heiman@ag.tamu.edu> Sent: Thursday, August 24, 2023 2:59 PM To: Mae Belle Cassel Subject: Agenda Items 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. Good afternoon Mae Belle. Can I add these agenda items to the agenda for August 30, 2023? 1. Consider and take necessary action to transfer funds in the amount of $35,000 through a budget adjustment for the 2015 Toyota Tundra transferred to Extension Services from Road and Bridget Precinct 2 on August 16, 2023. This transaction will decrease the Capital Outlay account (70750) in Extension Services and increase the Capital Outlay account (1000-550-70850-999) in Precinct 2. 2. Consider and take necessary action to authorize the appropriate signatures of both the outgoing official and the incoming official on the Frontier Agreement for Transfer of Service. 3. Consider and take the necessary action to transfer a 2005 Ford F150 (last 4 of the VIN# 2370) from the Extension office back to the Sheriff's Department. Thanks! Ellen Heiman Calhoun County Office Manager Texas A&M AgriLife Extension 311 Henry Barber Way Suite 1 Port Lavaca, TX 77979 361-552-9747 work 1TEXASA &4t .+ 11hill.M; 4-H GRI LIFE rrwvrs EXTENSION* ^max #16 NOTICE OF MEETING -- 8/30/2023 16. Consider and take necessary action to authorize the appropriate Extension Services signatures of both the outgoing official and the incoming official on the Frontier Agreement for Transfer of Service. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: : David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese l Page 12 of 20 Mae Belle Cassel From: ellen.heiman@ag.tamu.edu (Ellen M. Heiman) <ellen.heiman@ag.tamu.edu> Sent: Thursday, August 24, 2023 2:59 PM To: Mae Belle Cassel Subject:. Agenda Items 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.. Good afternoon Mae Belle, Can I add these agenda items to the agenda for August 30, 2023? 1. Consider and take necessary action to transfer funds in the amount of $35,000 through a budget adjustment for the 2015 Toyota Tundra transferred to Extension Services from Road and Bridget Precinct 2 on August 16, 2023. This transaction will decrease the Capital Outlay account (70750) in Extension Services and increase the Capital Outlay account (1000-550-70850-999) in. Precinct 2. 2. Considerand take necessary action, to authorize the appropriate signatures of both the outgoing official and the incoming official on the Frontier Agreement for Transfer of Service. 3. Consider and take the necessary, action to transfer a 2005 Ford F150 (last 4 of the VIIQ# 2370) from the: Extension office back to the Sheriff's Department. Thanks! Ellen Heiman Calhoun County Office Manager Texas A&M AgriLife Extension 311 Henry Barber Way Suite 1 Port. Lavaca, TX 77979 361-552-9747 work // I ti�� la1 � � I AM4 Ili 4NI0 ih l it -M 1 �'VA#A1iv.) i Y��1lI�Vi I11Y MRR�:ALWK>YGLllNNLit9Vl9 II. FRONTIER Date:08-15-2023 Billing Account #: 3625529747 Dear Customer, 1. Please print and review the attached Change of Ownership document. 2. If any of the account information is incorrect on Page 2, please place a line through and write in the necessary changes and initial. 3. Incoming customer please initial too right corner of Page 2. 4. Please sign and date the form on Page 3. Electronic signatures are not accepted at this time. S. Send the form to the other party who will then add their information where indicated. BOTH signatures are required on this form. 6. Once completed and signed by BOTH parties, PLEASE RETURN COMPLETED FORM TO: Mail: Frontier Communications C/O Commercial Sales Support P. 0. Box 5165 Tampa, FL 33675 Fax: (888) 447-6116 Email: supersedure@ftr.com We will not accept any modifications to the Terms and Conditions of the agreement (Page 3). Any alterations made to this page will void the form and new paperwork will be required. The account must be current and cannot have a past due balance to process this change. This form will expire 45 calendar days from today on 09/29/2023. Please return it promptly or new paperwork may be required, and could delay the transaction. If the document expires, we will consider this request null and void, no action will be taken, and the current party will be responsible for the account. ******To the NEW Incoming Customer (owned: There is a one-time charge of $28.00 per account. This nonrecurring charge generally appears on your first statement. Frontier bills for our service one month in advance. On your first statement will be the charges for the advanced billing as well as the charges for any days of service from the date you assume the lines, until the end of the billing period. Ex: If the billing date is the 3011, and the change of ownership takes place on the 101h of the month, you will be billed 20 days of prorated service as well as one month in advance. Nonrecurring charges are also generally on the first statement. You must also change the password associated with any Internet service/email account you take on due to this change. ******To the Outgoing Customer (owner): You may receive a final bill for EACH of your lines. We apologize for any inconvenience this may cause you. ****** Important Notice: Your first and or final bill may not reflect all appropriate promotional discounts, credits and debits. A subsequent bill may be generated to account for any non -applied discounts, credits and debits. Thank you, Commercial Sales Support, Frontier Communications Page 1 of 3 III FRONTIER Disclaimer: The following document is a binding agreement. Please read carefully or Incoming Customer have your attorney review. Please read the terms and conditions on page 3. Please Initial: Frontier Communications of America, Inc. Agreement for Transfer of Service Official Date of Service Transfer (may be within 30 days of Frontier receiving this form): 08-31-2023 Billing Account # of Transfer (only one account # perform, for summary accounts this must be the Billing Telephone Number and must also indicate if keeping on summary account): 3615529747 Telephone Number(s) being Transferred: 3615529747, 3615523324, 3615526727, 3615529748 Business Physical Address: 38 County Road 101 Port Lavaca, TX 77979 Outgoing Customer Name on Bill: TAMU Mailing Address for Final Bill: Texas Agrilife Extension 186 Henry Barber Way Ste 1 Port Lavaca, TX 77979 Contact or Owner Name and Phone Number: Karen Lyssy (361) 552-9747 Email: ellen.heiman@ag.tamu.edu Incoming Customer Name to appear on Bill: Calhoun County Court House Parent Company or Corporation: Mailing Address: Attn: Treasure Office 202 S. Ann St. Port Lavaca, TX 77979 Name for Telephone Directory Listing: Calhoun County Court House Name for Yellow Page Heading: Agriculture Service Tax ID Number: 74-6001923 Contact or Owner Name and Phone Number: Ron Reger (361) 553-4608 Email: ron.reeer@calhouncotx.or¢ Frontier Authorized Party (To be sent to customer by Transfer of Ownership Team Only) Employee Name: Demetrius Date: 08-15-2023 Title: Commercial Sales Support Page 2 of 3 0 FRONTIER Billing Account # of Transfer: 3615529747 In acceptance of this service, theincoming customer will bebilled according to Frontier's existing prices for the servicesand agrees to the following conditions: In consideration of the incoming customer accepting the complete terms of this agreement,as set above, the outgoing customers hereby relinquishes all rights, interest, and claims against said telephone number and further agrees to hold Frontier free and harmless of any loss, damages, and/or liability which may result from such action. 1. The Incoming customer agrees that the said premises are owned, leased, or controlled by him/her and that the undersigned has the right to make this agreement. 2. Frontier agreesto transfer the service as -is at Frontier's existing prices and will use its best efforts to avoid discontinuance of the service during the transfer:. 3. The incoming customer acknowledges receiptandagrees thatthe current account must be paid In. full (last statement rendered) beforethe service can be transferred to his/her name. If, however, the account is transferred with a balance due atthat time, Frontier may recover the balance from either the outgoing or theincoming customer. 4. The incoming customer is awarethattoll calls and some other chargesare billed in arrears and agrees to accept the responsibility of toll charges and any other charges billed in arrears. 5. Frontier retains rights of assignment to all telephone numbers. Assignment of the old telephone number to the incoming customer is contingent upon execution of this document by theincoming and outgoing customers and payment in full of the account. 6. New customer assumes all responsibility for any and all contracts, debt agreements and. obligations. New customer assumes the current and future contracts for directory advertising and agrees to pay for all advertising. charges for the life. of the directory. 7. This instrument becomes a. binding contract. when executed'. on behalf of the incoming and outgoing customers and delivered to Frontier. It shall remain in effectunless and until terminated by Frontier. By signing below, I acknowledge that I have read and understand all the terms and conditions above. Signature of Outgoing Customer (Print name legibly): Print Name: Signature: X_ Date: Phone Number: Signature of Incoming Customer (Print name legibly): Print Name: Signature:.X_ Date: Phone Number: PLEASE RETURN COMPLETED FORM TO: Mail: Frontier Communications C/O Commercial Sales Support P. 0. Box 5165 Tampa, FL 33675 Fax: (888) 447-6116 Email: supersedure@ftr.com Page 3 of 3 # 17 ' NOTICE OF MEETING — 8/30/2023 17. Consider and take necessary action to transfer a 2005 Ford F150 (last 4 of the VIN # 2370) from the Extension office back to the Sheriffs Department. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 13 of 20 Mae Belle Cassel From: elien.heiman@ag.tamu.edu (Ellen M. Heiman) <ellen.heiman@ag.tamu.edu> Sent: Thursday, August 24, 2023 2:59 PM To: Mae Belle Cassel Subject: Agenda Items 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. Good afternoon Mae Belle. Can I add these agenda items to the agenda for August 30, 2023? 1. Consider and take necessary action to transfer funds in the amount of $35,000 through a budget adjustment for the 2015 Toyota Tundra transferred to Extension Services from Road and Bridget Precinct 2 on August.16, 2023. This transaction will decrease the Capital Outlay account (70750) in Extension Services and increase the Capital Outlay account (1000-550-70850-999) in Precinct 2. 2. Consider and take necessary action. to authorize the appropriate signatures of both the outgoing official and the: incoming official on the Frontier Agreement for Transfer of Service. 3. Consider and take the necessary, action to transfer. a 2005 Ford F150 (last4 of the VIM# 2370) from the Extension office back to the Sheriff's Department. Thanks! Ellen Heiman Calhoun County Office Manager Texas A&M AgriLife Extension 311 Henry Barber Way Suite 1 Port. Lavaca, TX 77979 361-552-9747 work eAf -il)E:tiriti,ALM '2N I AAAeII`t' ANC)Sea 4-H Z LI � sus ' �G7tQYJb;HENE I II_. irtIS101>W # Zs NOTICE OF MEETING — 8/30/2023 18. Consider and take necessary action to approve the changes to the rules and contract for the Fairgrounds and Agricultural Building Facilities. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: David Hall, Commissioner Pct 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 14 of 20 Mae Belle Cassel From: ellen.heiman@ag.tamu.edu (Ellen M. Heiman) <ellen.heiman@ag.tamu.edu> Sent: Thursday, August 24, 2023 3:38 PM To: Mae Belle Cassel Cc: Karen P. Lyssy Subject: Agenda Item This email originated from outside of the organization. Do not click links or open sender and know the content is Can you please put this on the Commissioner's Court agenda for August 30, 2023? 1. Consider and take necessary action to approve changes to the rules and contract for the Fairgrounds and Agricultural Building Facilities. Thanks! Ellen Heiman Calhoun County Office Manager Texas A&M AgriLife Extension 311 Henry Barber Way Suite 1 Port Lavaca, TX 77979 361-552-9747 work TEXASA&M . * E � M I l:1 AN D AM LIFE ICI g wd cwowsx I EXTENSION as�v #19 NOTICE OF MEETING — 8/30/2023 19. Consider and take necessary action to accept the following audit reports: a. Justice of the Peace, Precinct 1— Q1 & Q2 2023 b. District Attorney Hot Check Fee Fund — Q2 2023 c. District Attorney Hot Check Restitution Fund — Q2 2023 d. District Clerk — Q2 2023 e. Calhoun County Museum — Q2 2023 f. Calhoun County Treasurer — Q1 2023 g. Sheriff's Office — Q1— Q4 2022 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Joel Behrens, Commissioner Pict 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 15 of 20 ci R CRISTINATUMON ERICAPEREZ 202 S ANN SUITE B REMI CABRERA CANDICENILIARREAL PORT LAVACIL TEXAS 71979 ALOISCRUZ 1"TASSISTANTAUOITOR TELEPHONE 13611553-4610EAR13611553.4614 ASSISTANTAOOITORS Aug 24, 2023 Honorable Hope Kurtz Justice of the Peace Pct. 1 Port Lavaca, Texas 77979 Dear Judge Kurtz: I have completed an audit for your office records. The audit included an examination of reports, receipts and supporting documentation for the period of January 1, 2023 through June 30, 2023. In sampling the fees charged and documentation on citations issued, the following exceptions were noted: • Ten citations' $5.00 arrest fee had been miscoded. It states in CCP 102.011, "$5 for issuing a written notice to appear in court following defendant's violation of a traffic law, municipal ordinance, or penal law of this state..." It was found the citations were coded to the Sheriffs Office instead of DPS. Your clerk was able to correct the citations still open in the system. One citation was not charged the $15.00 Time Payment Reimbursement fee as stipulated in CCP 102.030. It states, "A person convicted of an offense shall pay a reimbursement fee of $15 of the person pays any part of a fine, court cost, or restitution, or another reimbursement fee, on or after the 31" day after the date on which a judgement is entered assessing the fine, court cost, restitution, or other reimbursement fee." It is recommended the fee be added to citations once the first partial payment or any partial payment has been made on or after 31' day. • Two citations, both for the amount of $245.00, had been coded to Fine instead of Parks and Wildlife Fine causing a shortage to Parks and Wildlife. Due to only one of them being paid in full and closed, your clerk was able to correct the open citation in the system before any payment was made towards the citation. Three MVBA payments were shown to be paid in June 2022, however were not posted in the LGS system which caused them to be shown as outstanding balances. Your clerk has entered and posted them in the month of August of this year, so these citations will now be paid and closed in the system. Within one monthly report a specific Parks and Wildlife violation was coded to Sheriff's arrest fee leading to all citations regarding this violation being coded to the Sheriffs office instead of Parks and Wildlife. Due to 20% of the total arrest fees being sent to Parks and Wildlife, this caused a storage of $24.00 being sent. This monthly report was the first report using the LGS system which lead to errors when information was being transferred from the prior system. It has been fixed by LGS. After noting for the above, I found that nothing would lead me to conclude that your office is not operated in compliance with the "Standard Financial Management System for Texas Counties —Justice of Peace Manual" as issued by the Comptroller of Public Accounts of the State of Texas. It appears the balances and collections of your office for this period were, in all material respects, appropriately charged, collected, reported and remitted. I immensely appreciate the cooperation provided to me by you and your staff during my review. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4610. Respectfully Submitted, Alexis Cruz Assistant Auditor Approved by: LcQ��I� Cindy MfaelIv�ler County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Atty. Christy Dunn, Asst. District Atty. Auditor's File ERICA PEREZ 202 S ANN SUITE B BEMI CABREBA CANDICE VILLARREAL PORT LAVACA, TEXAS 77979 ALEXIS CRUZ I"ASSISTANTAUo1TOR TELEPNONE(3611553.4610FAX 13611553.4614 ASSISTARTAUDITORS August 6, 2023 Honorable Sara Rodriguez Criminal District Attorney Calhoun County Courthouse 211 South Ann Street Port Lavaca, Texas 77979 Dear Ms. Rodriguez: An audit was recently conducted of the District Attorney's Hot Check Fee Fund for the period of April 1, 2023 through June 30, 2023. 1 examined the reports, receipts and disbursements, and supporting documentation for this period. I found nothing that would lead me to conclude that the balance and collections of your Hot Check Fee Fund for this period were not, in all material respects, appropriately charged, collected and remitted. I appreciate the cooperation your staff extended to me during this audit. If you have any questions concerning the audit, please do not hesitate to contact me at 361-553-4615. Respectfully Submitted, Cristina Tuazon Assistant Auditor Approved By: Cindy Mueller�v County Auditor cc: Judge Stephen Williams Judge Richard Meyer County Commissioners Christy Dunn, Asst. District Atty. Auditor's File CRISTINATUAZON ERICA PEREZ 202 S ANN SUITE U DEMI CABRERA CANDICEVILLARREAL PORT LAVACA, TEXAS 77979 ALEXISCRUZ 1"ASSISTANT AUDITOR TELEPHONE 136115534610PAA13611553.4614 ASSISTARTAUDITORS August 8, 2023 Honorable Sara Rodriguez Criminal District Attorney Calhoun County Courthouse Port Lavaca, Texas 77979 Dear Ms. Rodriguez: An audit was recently conducted of the District Attorney's Hot Check Restitution Fund for the period of April 1, 2023 through June 30, 2023. 1 examined the reports, books, receipts and disbursements, and supporting documentation for this period. I found nothing that would lead me to conclude that the balance and collections of your Hot Check Restitution Fund for this period were not, in all material respects, appropriately charged, collected and remitted. I appreciate the cooperation your staff gave during this audit. If you have any questions concerning the audit, please do not hesitate to contact me at 553-4615. Respectfully Submitted, Cristina Tuazon �h V Compliance Auditor Approved by: Cindy M II� County Auditor cc: Judge Stephen Williams Judge Richard Meyer County Commissioners Christy Dunn, Asst. District Attorney Auditor's File CRISTINATUAZON ERICA PEREZ 202 SANN SUITE B UEMI CABRERA CANUICE VILIARREOL PORT LAUACA, TENAS 77979 ALERTS CRUZ VASSISTANTAUOITOR TELEPHONE 13611553.4610FAX 13B11553.4614 ASSISTANTAUOIfORS August 8, 2023 Honorable Anna Kabela District Clerk Calhoun County Courthouse Port Lavaca, Texas 77979 Dear Ms. Kabela: I recently conducted an audit of your office. The audit included an examination of the reports, books, and supporting documentation of the District Clerk's office for the period of April 1, 2023 through June 30, 2023. In this audit, several BVS from 2020 thru 2021 were found outstanding. In our discussion over the phone, you mentioned that one of your employees will work on them to get reimbursed to the lawyers. Some Minor Trust Account Log Book need current information. I recommend to remind your employee the importance of updating the log book with correct information. After noting the above, I found nothing that would lead me to conclude that the balances and collections of your office for this period were not, in all material respects, appropriately charged, collected, remitted and reported. I appreciate the cooperation you and your staff gave me during this audit. If you have any questions concerning the audit or if I can help in any way, please feel free to call me at 553-4615. Respectfully Submitted, Cristina Tua� on J I Assistant County Auditor Approved by: Cindy County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Attorney Christy Dunn, Asst. District Atty. Auditor's File BEMICABBERA ERICAPERU 202 S ANN SUITE B AtMS CRUE CANDICEUILLARREAL FORT LAVACA,TENAS77979 CRISTIBATUAEON 1"ASSISTAUFAOOITOR TELEPHONE (36115534610FAX136115534614 ASSISTANTAOOITORS July 21, 2023 Vicki Cox Calhoun County Museum 301 South Ann Street Port Lavaca, TX 77979 Dear Ms. Cox: An audit was conducted of the Calhoun County Museum for the period of April 01, 2023 through June 30, 2023. I examined the register tapes, weekly closeout reconciliations and deposits to the Treasurer's office for gift shop collections. During the audit the following exception was noted: • There was an instance where funds were deposited past the 15 day time frame from the date the funds were received. The Local Government Code Section 113.022, along with an extension by the Commissioners Court as of October 11, 2012, states funds should be deposited with the county treasurer within a period that does not exceed 15 days after the date the funds are received. It is recommended that deposits be made at least bi-weekly in order to adhere to this code. After noting for the above, I found nothing that would lead me to conclude that the collections for this period were not, in all material respects, appropriately charged, collected, remitted, and reported. If you have any questions, please do not hesitate to contact me at (361) 553-4463. Respectfully Submitted, q/&f Erica Perez Assistant Auditor Approved by: Cindy Mueller County Auditor cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Sara Rodriguez, District Arty. Christy Dunn, Asst. District Atty. Auditor's File OERII CABRERA ALENIS CRUZ 202 S ANN SUITE B ERINA PEREZ CANDICEVILLARREAL PORT LAVACA. TEXAS 71979 CRISTINATUAZON 1"ASSISTANTAUDITOR TELEPHONE 13611553-4610FAX[36115534614 ASSISTANTAUDITORS July 19, 2023 Honorable Rhonda Kokena Calhoun County Treasurer Port Lavaca, Texas 77979 Dear Mrs. Kokena: In accordance with Local Government Code, Section 115.003, 1 have performed an audit of your records from January 1, 2023 through March 31, 2023. 1 reviewed the receipts, disbursements, balances of cash on hand, and your monthly Treasurer's Reports. A proof of cash was prepared for the audit month and all reconciling adjustments were accounted for. Also, your Treasurer's Reports for the selected months were reconciled to the County's general ledger maintained by our office and all reconciling items were accounted for. On the Calhoun County Operating Account, there are still several outstanding stale checks that needs to be voided to make the funds available to the General Fund. This is governed by Local Government Code 116.116; uncashed checks issued by County Treasurer become non-negotiable after one year and shall be credited as revenue to the County. With regards to the audit findings of several stale checks on Memorial Medical Center Operating Checking Account, in my conversation with MMC Chief Executive Officer, I recommend to send a check to you as the County Treasurer for the total of all stale checks more than a year plus the money that was sent in error to the State Comptroller with necessary documents attached to it. As per the MMC Chief Executive Officer, "she is working into it to be in compliance with the Texas Statute". This is ruled by Local Government Code 116.116, uncashed checks issued by County Treasurer become non- negotiable after one year and shall be credited as revenue to the County. I recommend for your office to follow through on this matter. After correcting for the above, I found nothing that would lead me to conclude that the balances and collections of your office for this period were not, in all material respects, appropriately charged, collected, remitted and reported. I appreciate the cooperation you and your staff gave me during this audit. If you have any questions concerning the audit, please do not hesitate to contact me. Respectfully Submitted, Lristin�aTuazloin / Compliance Auditor Approved by: Cindy M eller County Auditor cc: Judge Stephen Williams Judge Richard Meyer County Commissioners Sara Rodriguez, District Attorney Christy Dunn, Assistant District Attorney Auditor's File CI ER CO R CALB09M JWE6 PE99YNALL CRISTINATDAZON 202 S MN SORER DEMI CABRERA CANDICEVILLARREAL PORT LAVACA, TEKAS 71979 ERICA PEREZ IRASSISTANTAODROR TELEPHONE 13611553-MO FAK 136115534614 ASSISTANTADDITORS August 9, 2023 Honorable Bobbie Vickery Calhoun County Sheriff Calhoun County Courthouse Port Lavaca, TX 77979 Dear Mr. Vickery: I recently conducted an audit of the Sheriff's Office Fund which consisted of examining the checkbook, receipts, and supporting documentation for the period from January 1, 2022 through December 31, 2022. • In February, a credit card payment made at the jail for a fine for JPl totaling $810.80 was entered into your system as $810.00. In turn, the disbursement to JP 1 at the end of the month was short $0.80. No further action needs to be taken due to the fine in JP being closed out. It is recommended that the income reports be balanced with the Treasurer's receipts and/or the deposit listings provided by the jail. • In June, voided receipt 18669 was missing from the income report (under voided receipts); in September, receipt 18806 was entered as 18809; making receipt 18809 appear on the income report twice, and in October, receipt 18940 was entered as 1840. It is recommended looking over the income report at the end of each month to ensure that all receipts are accounted for. The only receipts not entered will be the ones written for cash bonds taken directly to the County Clerk's office from the jail. It should be noted that during my audit, the receipts were corrected and new reports were printed. • Receipt 18842 totaling $852.80 was missing from the September income report; Receipt 18971 was entered as $355.00 instead of $355.50 on the November income report. The correct totals were reported to Commissioners Court as well as distributed correctly at the end of the month, meaning the errors were noticed before my audit; however, an updated report was not included in the folders. • The monthly reports that are submitted to Commissioners Court were not included in the folders for the months of June to December and a copy of the Pre -Indictment bonds, the receipt and any supporting documentation, were not included in the folders the month they were received. Both items have been discussed with your staff and corrections have been made. I found nothing that would lead me to conclude that the balances and collections for this period were not, in all material respects, appropriately charged, collected, remitted and reported. I appreciate the cooperation extended by your staff during my review. If you have any questions, please do not hesitate to contact me at 361-553-4613. Respectfully Submitted, Demi Cabrera Assistant Auditor County Auditor's Office Approved by: Cindy Mueller County Auditor Page 2 8/9/2023 cc: Judge Stephen Williams County Judge Richard Meyer County Commissioners Dan Heard, District Atty. Sara Rodriguez, Asst. District Arty. Auditor's File # Zo ' NOTICE OF MEETING — 8/30/2023 20. Consider and take necessary action to transfer the attached list of equipment from the Justice of the Peace, Precinct 5 to the Calhoun County Library. (RHM) RESULT: APPROVED [UNANIMOUS] MOVER: Gary Reese, Commissioner Pd 4 SECONDER: David Hall, Commissioner Oct 1 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 16 of 20 Calhoun County, Texas DEPARTMENTAL INVENTORY TRANSFER REQUEST FORM Requested By:JUDGE NANCY POMYKAL J.P5 Inventory Number Description Serial No. Transfer From/To Department O DRAWER LOCKING METAL FILE CABINET MODEL # FC-002$L CALHOUN. COUNTY J.P. 5 TO CALHOUN COUNTY LIBRARY "I EANDWROUOISEON.ROLLERS NASNOSERMLNUMSER 6128/23 NAN POMYKAL•J .5 06/28/23 DINA SAYCHEZ CALHOUN CO. LIBRARY DIRECTOR #21 NOTICE OF MEEFING -- 8/30/2023 21. Consider and take necessary action to declare the attached list of equipment from the Justice of the Peace, Precinct 5 as Waste. (RHM) RESULT: MOVER: SECONDER: radio declared as wasi )PROVED [UNANIMOU! iry Reese, Commissioner F el Behrens, Commissioner dge Meyer, Commissioner 4 ;t 3 all, Lyssy, Behrens, Reese Page 17 of 20 Calhoun County, Texas WASTE DECLARATION REQUEST FORM Department Name: J. P. Court PcL5 Dept. 490 Judge Nancy Pomykal Inventory Number Description Serial No. REASON FOR WASTE DECLARATION H.P. ENVY PRINTER H86G5Y12 BROKEN- WASTE XEROX WORKCENTER T201579 BROKEN WASTE H.P. LASER JET PRO PHBQD97292 BROKEN- UNIDEN PHONE SYSTEM BJ00211823 BROKEN-" " 2- COM. KEYBOARDS N/A BROKEN " 1- ROUTER N/A BROKEN- ^ " 2-COMP MICE- WIRED N/A BROKEN-" " " UNIDEN PHONE SYSTEM- N/A BROKEN-" " " 6- CONN. CABLES N/A BROKEN-" " SSUS MONITOR AILMIZO24862 BROKEN-" " HREADER PS1200CXB BROKEN-" ' SHREADER FELLOWES BROKEN-" " CTIVA SH,READER L0600 BROKEN-" " ASSORTED WIRING & N/A BROKEN- " " CONNECTORS N/A BROKEN-" 59-0070 MOTOROLA RADIO ISTS1500BROKEN'- M IRE VA UUM BROKEN-,, BROKEN - On this the_!�_'3_ day of August, 2023, I, Judge Nancy Pomykal state I am declaring the above items as waste. I have transferred these items to County Maintenance foo disposal. �+ Nancy�Eemykal J-P. 5 Calhoun County Maintenance Dept. # zz NOTICE OF MEETING -- 8/30/2023 n 22. Accept Monthly Reports from the following County Offices I. Tax Assessor -Collector — July 2023 RESULT: APPROVED [UNANIMOUS] MOVER: Vern Lyssy, Commissioner Pct 2 SECONDER: Gary Reese, Commissioner Pct 4 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 18 of 20 SUMMARY TAX ASSESSOR -COLLECTORS MONTHLY REPORT JULY 2023 COLLECTIONS DISBURSEMENTS Title Certificate Fees 388 $ 5,109.00 Title Fees Paid TXDMV $ 3,169.00 Title Fees Paid County Treasurer Salary Fund $ 1,940.00 Motor Vehicle Registration Collections $ 134,681.98 Disabled Person Fees $ 20.00 Postage $ Global Additonal Collections $ Paid TXDMV $ 111,059.80 Paid TXDMV SP $ 16,769.30 Paid County Treasurer $ - Paid County Treasurer Salary Fund $ 5,180.66 DMV CCARDTRNSFEE $ 1,692.23 $ - GLAdditonalCollections $ - $ - GLOBAL (IBC) Credit/Debit Card Fee's $ 1,614,69 GLOBAL Fees In Excess of Collections $ 177.64 MERCH SERVICES STATEMENT $ - Addifional Postage- Vehicle Registration $ - PaidCountyTreasurer- Additional Postage $ - Motor Vehicle Sales & Use Tax Collections $ 534,280.30 Paid State Treasurer $ 534,280.30 Special RoadlBridge Fees Collected $ 19,150.00 Paid County Treasurer- R/B Fees $ 19,150.00 Texas Parks & Wildlife Collections $ 3,662.00 TPW GLOBAL CC TRANSACTION FEES $ 71.54 GLOBAL ADDITIONAL COLLECTIONS $ - Paid Texas Parks & Wildlife $ 3,296.80 Paid County Treasurer Salary Fund $ 366.20 P&W CCARDTRNSFEE $ 71.54 GLOBAL Additonal Collections $ - GLOBAL (IBC) Credit/Debit Card Fee's $ 96.08 GLOBAL In Excess/Shortage of Collections $ (24.54) Boat/Motor Sales& Use Tax Collections $ 32,641.53 Paid State Treasurer $ 31,009.45 Paid County Treasurer, Salary Fund $ 1,632.08 TABC 5% CO COMMS FOR MONTH OF $ - TABC 5% CO COMMS FOR MONTH OF $ - Paid County Treasurer, Salary Fund $ - County Beer & Wine Collections $ 385.00 Paid County Treasurer, County Beer & Wine $ 365.75 Paid County Treasurer, Salary Fund $ 19.25 INTEREST EARNED ON OFFICE ACCOUNT $ 41.36 Paid County Treasurer, Nay. East $ 41.33 Paid County Treasurer, all other districts $ 0.02 INTEREST EARNED ON PARKS AND WILDLIFE ACCOUNT $ 6.30 Paid County Treasurer, Interest on P&W Acc $ 5.30 INTEREST EARNED ON REFUND ACCOUNT $ 0.05 Paid County Treasurer, Interest on Refund Ace $ 0.05 Business Personal Property - Misc. Fees $ 30.54 Paid County Treasurer $ 30.54 Excess Funds $ 811.18 Paid County Treasurer $ 811.18 Overpayments $ 0.84 Current Tax Collections $ 53,778.58 Penalty and Interest - Current Roll $ 8,163.90 Discount for early payment of taxes $ - DelinquentTaxCollections $ 30,665.48 Penalty$ Interest - Delinquent Roll $ 11,864.78 Collections for Delinquent Tax Attorney $ 17,376.99 Advance - FM & L Taxes $ - Advance - County AdValorem Taxes $ 102,696.96 Paid County Treasurer -Nev. East $ 103.82 Paid County Treasurer- all other Districts $ 1,673.80 Paid County Treasurer - Delinq Tax Atty. Fee $ 17,376.99 Payment in Lieu of Taxes PIW $ 609.83 Paid County Treasurer $ 609.83 Special Farmers Fees Collected $ 90.00 Paid State Treasurer, Farmers Fees $ 90.00 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 $ - TOTAL COLLECTIONS $ 853,340.17 TOTAL DISBURSEMENTS $ 853,340.17 TOTAL OF ABOVE RECEIPTS PAID TO STATE AND COUNTY $ 863,340.17 Kt:RRI BO U Tax Assessor -Collector �f,.� # 23 NOTICE OF MEETING — 8/30/2023 23. Consider and take necessary action on any necessary budget adjustments. (RHM) RESULT: ' APPROVED [UNANIMOUS] MOVER: GaryReese, Commissioner'Pct 4 SECONDER: Joel Behrens,Commissioner Pct 3 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Page 19 of 20 0 0 a e I 0 N m 0 0 W Z Z H Q 0 O N � M O N U UU 0 0 N ow 0 0 2,� Z OOU Z LL Z WO a zw W z W W o c) O z Q WW z 0 w Z Q Q LL l z p6 0 GO Z NIA Ic c c I 0 Z D LL J W Z W C9 CW G z Z 0 Z D LL O O O O m 6 0 Q w 0 w aa� e W O O o O O C o w N I km e w go o y�J w Z z Z W W g ci F � 6 w w d P N G O GD O o O N N C f0 J U z U W w a w W z O U O O- U i! 2 0 w 7 w In OK H Z� H W ZZ Wz O Q Q W Zz WW Lij 0 z D LL J W z W cW G z Z 0 z D LL R N O O N O a e W O e O e O g e O 0 0 0 0 0 6 N N H H H H yy N kw w o O 0 O 0 N O o kv 0 0 0 0 a S s o 0 0 a i i i 4w i i i i i i e Z m m m m m m m m m m w W W � a ] 6 W � N W F W m a Z rc 0 e° Z � w p p t a w Q N Z 5 N W CK -eQi i O p� V V O N N N b b b 6 VOI N ai o 0 0 0 0 o e w w w eee p� zLU a N U w K o 0 0 0 o a K w e o 6 H e e e w o o 0 0 Z O H H H H 6 y OU tj u] w o 0 0 0 O O O D W o 0 0 0 0 W O O O O O 6 G H z w 7 OO `! 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(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 Pet 1 SECONDER: Vern Lyssy, Commissioner Pct 2 AYES: Judge Meyer, Commissioner Hall, Lyssy, Behrens, Reese Adjourned 11:10am Page 20 of 20 m O p 1p N b b O O W y� in m in 10 m m m o o e m ro m in v ni ei o" o � �nN nN ? M M O O r M O N VI VI N L} U} L} V} fA b9 b9 FR b9 F5 xaxa \ \ \ \ aaaKC z H 5 ci FC H E q x v Hawa Vo a v O 0 e�i a C hi vi J n - vi ri N a a 2 a twit K a v m ago `r iz O N x a U u m t-o 3 C3 O�JI h <t" uo ¢n uo Qn a mNm ro m m w0 aQ�o co ;o tZZ. mF oo EW x wa n a v N o m w co a m M Q z J 6 Q J J J J J O O O O w O O O �? Z Oa' W U uU. U uJl 1}- F}- }O} F- }O} F F y Q k O wU w O? 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A!70VED August30, 2023 317ZU30-64 i E'l-liGRIAL MEDICAL CENTER !itiil?i 9 I iieIE62S COURT APPROVAL LIST FOR---Augusi 30. 2023 __ - r ._ P:'•rnOLL `A"e2kty Payables 483,154A8 aliaot Refunds 919.13 dAutusi Insurance Cc-irau:::nce 4,791.00 f6cKesson-3402 Prescription Expense 6,735.64 228/202,1, 11er!;oures_ 3ergen-3403 Pre-miption Expense - 315.& 3Y2�r2i",23 Payroll Liabilities -Payroll Taxes 120,175.50 202 Payw=i 381,199.30 =raaaarity EEectronic Banc Payments 8Lz-S <a%5 =ay Pius -Patient Claims Processing Fee 224.16 612.:1%u%3 r.ararn CiarKe-cnecxs. for NH accounts 48.46 R=Jr�ELErtTRONICSANKPAYMENTS TRk =_;, G_ T V- EEN FUNDS FROM MMC TO NURSING HOMES '2-ki2S'_'3 ^WOC Operatino to Fort bend -correction of NH insurance payment deposited into 3,400.00 •.INIC Operating C;;eraling to Golden Creek -correction of NH insurance payment deposited 31,345.53 _-c i, NC Ooaratingin error ...: ,: !hap_l Gperating to Gulf Pointe Plaza -correction of NH insurance payment 8,355.43 r-pesi+ed into MMC Operating ,e<SC Coerstina to Tuscany Villsga-cocection of NH insurance payment 24.759.17 ^. pc!tad into MMC Operating '<,F:_011EIHM S.. NUPEi;i!G Hf ,i)IF UP! E" PENSES 21 'i v5ir n Home UPL-Cantax Transfer 724,156.77 e3i�023 i,, rs,ng Horne ',_IPL-Nexion Transfer 215,780.95 , 2JrSd23 :.�-aing Home UPL-HMG Transfer 141,921.25 V252023-arsu-,y Horne JPL-Tuscany Transfer 261,239.29 i0:: i5 UPL-H]L TrBn<ci 274,548.34 T;J iJiMC 54,374-36 - =.Lad loo,- 20,076.20 15,000.09 otGo!%u_o r•cr: Sena 17,081.88 16,381.46 Creek 61,873.13 812812023 Gulf Pointe 43,685.78 :+ I'I w P3 -,scant' 33,955.17 46,535.59 TRA:l P'_?t C':= '�,zDS SETWEEtk NURSING HOMES •_ulr =Dime to Tuscany -correction of Tuscany insurance payment deposited into 2,139.50 Jl, '",;.rte In error t3T-c ^,OM!EUINLEXPENSES S 1,828,72S:Z6 kN7i-i' CPt,� E a2€Ifyi1CT TRANSFERS ;'- P'( 12 io be paid September 06, 2023 742,076.82 �* � �t - � � f ctt tht:Etr1T TRANSFEtS � 7a2,a7�sz; LRfi.[i>fa i +C „,u: 8itR3ENlENCSAPPE�OVEDAugust30 2023 $ :3,736,236:64 Page 1 of 10 RECEIVW BY THE COWNi6°Adppt(t�l. FTOR OM1M AUG 2 4 2023 MEMORIAL MEDICAL 08/23/2023 CENTER AP Open Invoice List CALHO LOURYTY. TFAA5 Due Dates Through: 09116/2023 Ventlor# Vendor Name Class Pay Code A1680 AIRGAS USA, LLC -CENTRAL DIV,/ M Invoice# . Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 9140535088 v✓ 08/22/20 07/31/20 08/25/20 2,481.16 BULK Vendor Totale Number Name Gross A1680 AIRGAS USA, LLD -CENTRAL DIV 2,481.16 Vendor# Vendor Name Class Pay Code 11632 AMERICAN CONSTRUCTION ✓ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 1137 ✓ 08/22/20 08/18/20 08/19/20 202.00 LABOR /FREON - Eil. �C Q3 1Pln15iea i. "fliunn j Vendor Totale Number Name Gross 11632 AMERICAN CONSTRUCTION 202.00 Vendor# Vendor Name Class Pay Code A1360 AMERISOURCEBERGEN DRUG CORP ✓f W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross cf 3143604535 _ 08/21120 08/15120 0812MO 11,429.60 INVENTORY 31435B3974 ✓' 08/21/20 08/16/20 08122/20 178.20 INVENTORY Vendor Total=Number Name Gross A1360 AMERISOURCEBERGEN DRUG CORP 11,807.80 Vendor# Vendor Name Class Pay Code f 11756 AYA HEALTHCARE INC Invoice# Comment Tran. Dt Inv Ot Due Dt Check D-Pay Gmss / 3421985. 08121/20 00/17/20 09/15120 7,239.38 KARIANN DUNN 7/28.8/6/23 L.Vt✓ Vendor Totale Number Name Gross 11766 AYA HEALTHCARE ING 7,239.38 Vendor# Vendor Name Class Pay Code B1160 BAXTER HEALTHCARE .% W Invoice# omment Tran Dt Inv Dl Due Dt Check D Pay Gross 80039235 08117/2008/1 MO 09/09/20 286,32 SUPPLIES Vendor Totals Number Name Gross B1150 BAXTER HEALTHCARE 288,32 Vendor# Vendor Name Class Pay Code �+ B1220 BECKMAN COULTER INC ✓ M Invoice# Tran Dt Inv Ot Due Di Check D Pay Gross /Comment 5477638 r!' 08123/20 08/21/20 09/15/20 i,935.15 0 ap_open Invoice.template Discount No -Pay Net 0.00 0.00 2,461.16 4/'� Discount No -Pay Net 0.00. 0.00 2,481,16 Discount No -Pay Net 0.00 0.00 202.00 d` Discount No -Pay Net 0.00 0.00 202.00 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 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 Discount No -Pay 0.00 0.00 S/UPPLIES 110809380 ✓ 08/23/20 08/21/20 09/15/20 1,142.70 0.00 0.00 SUPPLIES Vendor TotaitNumber Name Gross Discount No -Pay B1220 BECKMAN COULTER INC 3,077.85 0.00 0.00 Vendor# Vendor Name Class Pay Code B1320 BEEKLEY CORPORATION M Net 11,429.60 ✓"� 178.20 Net 11,607.80 Net 7,239.38 '✓F Net 7,239.38 Net 288.32 Net 288.32 Net 1,935.15 ✓/ 1,142.70 Net 3,077.85 file:///C:/Users/ltrevino/cpsi/memmed,cpsinet.com/u88125/data_5/tmp_cw5report730230.., 8/23/2023 Page 2 of 10 Invoice# Co ment Tran Dt Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net MIN0021816,7 07/31120 07/31/20 09115/20 410.50 0.00 0.00 / 410.50 ✓ SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net B1320 BEEKLEYCORPORATION 41.0.50 0,00 0.00 410.50 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 1213081463 r% (18123/20 08/14/20 06/23/20 9,528.21 0.00 0.00 9.528.21 ✓ SUPLIES Vendor Totals Number Name Gross Discount No -Pay Net. 14753 BIOMERIEUX, INC 9,528.21 0.00 0.00 9,528.21 Vendor# Vendor Name / Class Pay Code 14988 / Invoice# Comment Tran Dt Inv Dt Due Dt Check D- Pay Gross Discount No -Pay Net 246523 08/23/2008/10/2009/01/20 63.90 0.00 0.00 f 63.90 ✓ PT REFUND Vendor Totals Number Name Gross Discount 14988 63.90 0.00 Vendor# Vendor Name Class Pay Code 12324 BLUE CROSS BLUE SHIELD Invoice# Comment Tran Dt Inv Dt Due Dt Check DPay Gross Discount 081823 08/22/20 08/18/20 09/01/20 229.007.03 0.00 INSURANCE SEPT 23 Vendor Total: Number Name Gross Discount 12324 BLUE CROSS BLUE SHIELD 229.007.03 0.00 Vendor# Vendor Name Class Pay Code / 13892 BLUE CROSS BLUE SHIELD REFUND Invoice# Comment. Tran Dt Inv Dt Due Dt Check D Pay Gross Discount 177763 08/21/200811712009/01/20 58.20 0.00 PT REFUND Vendor Totals Number Name Gross 13892. BLUE CROSS BLUE SHIELD REFUND 58.20 Vendor#Vendor Name Class Pay Code B1800 BRIGGS HEALTHCARE M Invoice# ,Comment Tran Dt Inv Or Due Dt Check D Pay Grass 8437094 �/' 08/23/20 08/15/20 08/23/20 202.50 SUPPLIES Vendor Totals Number Name Gross B1800 BRIGGS HEALTHCARE 202.50 Vendor# Vendor Name Class Pay Code C1325 CARDINAL HEALTH 414, INC. ✓ w Invoice# Comment Tran Dt Inv Dt Due Or Check D Pay Gross 3003260447 J/08/23/20 08/01/20 08/26/20 193.72 SUPPLIES Vendor Totals Number Name Gross 01325 CARDINAL HEALTH 414, INC. 193.72 Vendor# Vendor Name Class / Pay Code 10650 CAREFUSION 2200, INC �+' Invoice# C mment Tran Dt Inv Dt Due Dt Check D Pay Gross 9400237017), 08/23/20 08/09/20 09/08/20 465.69 No -Pay Net 0.00 63.90 No -Pay Net 0.00 229,007.03 r! No -Pay Net 0.00. 229.007.03 No -Pay Net 0.00 Sam Discount No -Pay Net 0.00 0.00 58.20 Discount No -Pay Net 0.00 0.00 202.50 Discount No -Pay Net 0.00 OM 202.60 Discount No -Pay Net 0.00 0.00 193.72 Discount No -Pay Net 0.00 0.00 193.72 Discount. No -Pay Net 0.00 0,00 465.69 ✓ file:///C:/Users/Itrevino/cpsi/memmed.cpsinet.com/u88l25/data 5/tmp_cw5report730230... 8/23/2023 Page 3 of 10 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Not 10650 CAREFUSION 2200, INC 465.69 0.00 0.00 465.69 Vendor# Vendor Name Class Pay Code C1390 CENTRAL DRUG W Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 082123 08/23120 08121/20 09/01/20 38.80 0.00 0.00 38.80 INVENTORY Vendor Totals Number Name Gross Discount No -Pay Net C1390 CENTRALDRUG 38.80 0.00 0.00 38.80 Vendor# Vendor Name Class Pay Code 10212 CLINICAL PATHOLOGY LABS ICP Invoice# Comment Tran Dt Inv DI Due Dt Check D Pay Gross Discount No -Pay Net 17656-202307.0 08/21120 07/31 /20 0813120 20,486.28 0.00 0.00 20,486.28 Vendor TotalENumber Name Gross Discount No -Pay Net. 10212 CLINICAL PATHOLOGY LABS 20,486.23 0.00 0.00 20,486.28 Vendor# Vendor Name Class Pay Code / 02157 COOPER SURGICAL INC ✓ M Invoice# Tran Ot Inv Dt Due Dt Check 0-Pay Gross Discount No -Pay Net 1Comment 6774005 s/ 08/23/20 08/09/20 0812320 409.37 0.00 0.00 409.37 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net C2157 COOPER SURGICAL INC 409.37 0.00 0.00 409.37 Vendor# Vendor Name Class Pay Code 14292 DEARBORN LIFE INSURANCE COMPAN /, Invoice# Comment Tran Dt Inv Dt Due Dt Check. D Pay Grosa Discount No -Pay Net f 080123 08/222008101/2008115120 4,254.47 0.00 0.00 4.254.47 ✓ LIFE INSUR , Vendor Totals Number Name Gross Discount No -Pay Net 14292 DEARBORN LIFE INSURANCE COMPAN 4,254.47 0.00 0.00 4,254.47 Vendor# Vendor Name Class Pay Code 10368 DEWITT POTH&SON Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net. 727344-0 08/16/20 08/1520 0910912D 127.48 0.00 0.00 127,48 W/ ,SUPPLIES 727307.0 y� 08/16/20 0811.5/20 09/09/20 61.99 0.00 0.00 61.99 y✓1- SUPPLIES 727719-0Z' 081222008/172009/11120 67.87 0.00 0.00 67.87 SUPPLIES Vendor Totals Number Name Gross. Discount No -Pay Not 10366 DEWITT POTH & SON 257.34 0.00 0.00 257.34 Vendor# Vendor Name Class Pay Code 14800 DIRECTV ENTERTAINMENT HOLDINGS ✓f Invoice# commentTran Dt Inv Dt Due Dt Check D Pay Gross. Discount No -Pay Net 088862205X230812 V,/ 08/23/20 08112/20 08/31/20 481.00 0.00 0.00 481,00 SATELITE Vendor TotalENumber Name Gross Discount No -Pay Net 14800 DIRECTV ENTERTAINMENT HOLDINGS 481.00 0.00 0.00 481,00 Vendor# Vendor Name r.Class Pay Code 10789 DISCOVERY MEDICAL NETWORK INC yj file:I/IC: /Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report730230... 8/23/2023 Page 4 of 10 Invoice# C/o1nmenl Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net MMCOB1523. 08/23/20 08/15/20 08/16/20 63,005.61 0.00 0.00 63,005.61 PHYSICIAN SERVICES 'WT5) ,. Vendor Totals Number Name Gross Discount No -Pay Net 10789 DISCOVERY MEDICAL NETWORK INC 63,005.61 0.00 0.00 63,005.61 Vendor# Vendor Name Class Pay Code 11291 DOWELL PEST CONTROL v// Invoice# / Comment Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net. 10879 •! 08/22/20 08108/20 09/02/20 40.00 0.00 0100 40.00 ✓' PEST CONTROL ,. Vendor Totals Number Name Grass Discount No -Pay Net 11291 DOWELL PEST CONTROL 40.00 0.00 0.00 40.00 Vendor# Vendor Name - Class Pay Code W1167 ELITECH GROUP INC (WESCOR)✓W Invoice# /Comment Tran Dt Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 832317 ✓ 08/01/20 07/26/20 OS/25/20 198.70 0.00 0.00 198.70 SUPPLIES Vendor Totals: Number Name Gross Discount No -Pay Net W1167 ELITECH GROUP INC (WESCOR) 196.70 0.00 0.00 198.70 Vendor# Vendor Name Class Pay Code F1400 FISHER HEALTHCARE �� M Invoice# /Comment Tran Ot Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 5241171 ✓- 08/23/20 08/09/20 09/03/2o 181.36 0.00 0.00 181_36 �- %SUPPLIES ✓ 5279057 08/23/20 08/10/20 09/04/20 629,72 0.00 0.00 629.72 SUPPLIES Vendor Total<. Number Name Gross Olscount No -Pay Net F1400 FISHER HEALTHCARE 811.08 0.00 0.00 811.08 Vendor# Vendor Name Class Pay Code 11149 GBS ADMINISTRATORS, INC �'/ Invoice# Comme t Tran Ot Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 6901567779924 r7 08/22/20 06/27/20 06/01/20 11260.50 0.00 0.00 1.260.50 v:!d LIFE It•JSMf-dt�'$0 �'�'�j 435874089673 �!f 08/22120 06127/20 07/01/20 2,226,77 0.00 0.00 2,226.77 LIFEIINS--alt--713111$ J 802351266802 ✓ 08/22120 07/20120 08/01/20 2,158.51 0.00 0100 2.158.51 yf INSURANCE %11-vhtivk 944325415519 08/22/2008/19/2009/01120 2,106.11 0.00 0.00 2,106.11 LIFEINS 411-7j'1r1y,III1 . Vendor Totals Number Name Gross Discount No -Pay Net 11149 GBS ADMINISTRATORS, INC 7,751.89 0.00 0.00 7,751.89 Vendor# Vendor Name Class Pay Code 13148 GRACE FLOORING AND GLASS y✓ Invoice# .. Comment Tran Dt Inv Dt Due Ot Check 0, Pay Gross Discount No -Pay Net 2289 vr 08/D3/20 08/03/20 08/15/20 362.00 0.00 0,00 362.00 COVEBASE r✓ Vendor Totals Number Name Gross Discount No -Pay Net 13148 GRACE FLOORING AND GLASS 362.00 0.00 0.00 362.00 Vendor# Vendor Name Class Pay Code ,! G1210 GULF COAST PAPER COMPANY ✓ M Invoice# Comment Tran Dt Inv Dt Due Dt Check Dr Pay Gross Discount No -Pay Net file:///C:/Userslttrevino/cpsi/mermned.cpsinet.com/u88125/data_5/tmp cw5report730230... 8/23/7-023 Page 5 of 10 2427541 ✓ 08116/20 08/15/20 09/14/20 1.034.39 0.00 0.00 1,034.39 vY' SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net G1210 GULF COAST PAPER COMPANY 1,034.39 0.00 0.00 1,034.39 Vendor# Vendor Name . Class Pay Code 14748 INNOVATE HEALTHCARE STAFFING ✓/ Invoice# Comment Trap Dt Inv Ot Due Ot Check D, Pay Gross Discount No -Pay Net 020823 OW2120 02/0"0 03/01/20 5,005.00 0.00 0.00 S,Oo5.0o ERIANDREW JONES 1/30-2/2/25 W 030123 08/22/2003/0112004101/20 4.647.50 0.00 0.00 4,647.50 ERIANDREW JONES 2/17-2/19µ 7-3 R-),j 030823 08122/20 03/08/20 04/01/20 4.680.00 0.00 0.00 4.680.00 ' ER/ANDREW JONES 2/283/2/267 ll 031523 08/22/20 03/15/20 0410IJ20 4,680.00 0.00 0.00 4,680.00 � V' ER/ANDREW JONES 3/3.3/5W 9-rj 041223 OWW2004/12/2005/01120 4,582.50 0.00 0.00 4,682.50 '✓- ER/ANDREW JONES 3/31-4/2/2.3 I 042623 08/22/20 04/26/20 05/01/20 4,680.00 0.00 0.00 4.680.00 ER/ANDREW JONES 4/14-4/16fi'L5 LI\i _ 050323 08/22(2005103120 OW01/20 4,745.00 0.00 0.00 4,745.00 ERIANDREW JONES 4/25/4/27ii13 ?-1J 051023 OWPJ20 05/10/20 06/01/20 4,745.00 0.00 0.00 4,745.00 } fir' ERIANDREW JONES 4/28.4/30 ,t$ (LP) � 051723 08/22/20 05/17/20 06/01/20 4,712.50 0.00 0.00 4,712.50 ER/ANDREW JONES 5/6/23.5/111 113 ?-I/ 052423 06/22/2005124/2006/01/20 4,745.00 0.00 0.00 4,745.00 ERIANDREW JONES 5/12-5114,/+11'j P_W .. , 053123 08/22/2005/31/2006/01/20. 4,712.50 0.00 0.00 4,712.50 > ER/ANDREW JONES 5/23-5(25),tj 3V 060723 08/22120 06/07120 07/01/20 4,712.50 0.00 0.00 4.712.50 r q.+' ERIANDREW JONES 5/26.5/28123 JLW Vendor Totals Number Name Gross Discount No -Pay Net 14746 INNOVATE HEALTHCARE STAFFING 56,647.50 0.00 0.00 56,647.50 Vendor# Vendor Name ,,� Class Pay Code 11600 LEGALSHIELD ✓/ Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 081523 08/22/20 08/15/20 08/16/20 323.20 0.00 0.00 323.20 PAYROLLDEDUCT Vendor Totat€Number Name Gross Discount No -Pay Net 11600 LEGALSHIELD 323,20 0.00 0.00 323.20 Vendor# Vendor Name Class Pay Code M1950 MARTIN PRINTING CO yr°+� W Invoice# , Comment Tran Dt Inv Dt Due Dt Check 0 Pay Gross Discount No -Pay Net 79734 ✓ 08/23/2o 08/18/20 08119M 598.50 0.00 0.00 598.50 BUSINESS CARDS Vendor Totals Number Name Gross Discount No -Pay Net M1950 MARTIN PRINTING CO 598.50 0.00 0.00 598.50 Vendor# Vendor Name Class Pay Code 11612 MEDICAL AIR SERVICES ASSOC. Invoice# Comment Tran or Inv Dt Due or Check D Pay Gross Discount No -Pay Net 1613231 08/22/20 08/01/20 09101120 1,736.00 0.00 0.00 1,736,00 •✓�- file:/l/C:/Userslltrevino/cpsi/meinnied.cpsinet.com/u88125/data_5/tmp_cw5report730230... 8/23/2023 Page 6 of 10 INSURANCE PAYROLL DEDUC Vendor Total, Number Name Gross Discount No -Pay 11612 MEDICAL AIR SERVICES ASSOC. 1,736,00 0.00 0.00 Vendor# Vendor Name / Class Pay Code M2470 MEDLINE INDUSTRIES INC ✓ M Invoice# Corpment Tran Dt Inv Dt Due Dt Check D Pay Gross 2205506618A+'/ 00/22/20 04/06/20 O5101/20 63,40 SFjORT PAID SUPPLIES 220665824W 08/22/20 04/13/20 05/08/20 65.98 SHORT PAID INVOICE 226890004 08/22/20 05/24/20 06/18/20 46.30 SHORT PAID 2280654155 „/ 08/23/20 08/14/20 09/08/20 M.28 SUPPLIES 2280807482 y/r 08/23/20 08/15/20 09/09/20 51.63 SUPPLIES 2280807483 V 08/23/20 08/15/20 09/09/20 91.53 SUP LIES 2280807485 08/23/20 08/16/20 09/09/20 6.93 SUU PLIES 2280807484 ii+F 08/23/20 08/15/20 09/09/20 52.89 SUPPLIES 2280807486 / 08/23/20 08/15/20 09/09/20 27.85 SUPPLIES Vendor Totals Number Name Gross M2470 MEDLINE INDUSTRIES INC 627.79 Vendor# Vendor Name ' Class Pay Code 10536 MORRIS & DICKSON CO, LLC Invoice# "omment Tran Dt Inv Ot Due Dt Check D Pay Gross 99316-- 08/21120 08115/20 08/25120 16.34 .INVENTORY 9932477 ✓(080120 08/15/20 08/25/20 1.31 ,rINVENTORY Net 1,736.00 Discount No -Pay Net 0.00 0.00 63.40 0.00 0.00 65.98 w' 0.00 0.00 46.30 0.00 0,00 0.00 0.00 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 0.00 0.00 9929235 08l2V200811512008125120 6,338.16 0.00 0.00 INVENTORY / 9931696 OBl21/20 08115/20 08125/20 342.57 0.00 0.00 �NVENTORY CM52815 08/21/2008l15/2008/25/20 -72.36 0.00 0.00 CREDIT CM52614 v` 08/2712008l15/2008/25/20 -352.22 0.00 0.00 CREDIT 9929850 wr'� 08/21/20 08/15/20 08/25/20 2,384.59 0.00 0.00 ,INVENTORY 9935324 08/21/20 08/16/20 08/26/20 30.43 0.00 0.00 ,f INVENTORY ✓ 9938384 08/21/20 08116/20 08/26/20 16.68 0.00 0100 INVENTORY 9938385 �// 08/21/20.08/16/2008/26l20 524.83 0.00 OAO VENTORY 9940512 08l21/2008/17/2008f27/20 1,450.98 0.00 0.00 INVENTORY 221.28 51.63 52.89 v 27.85 v Net 627.79 Net / 16.34 If I.31 vz { 6,338A 6 `� 342.57 -72.38 ./ -352,22 2.384.59 ✓ f 30.43 ✓ 16.68 524.63 �`�/ 1,450.98 td file://!C:/Userslitrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report730230... 8/23/2023 Page 7 of 10 i 9942415 V/ 08/21/20 08/17/20 08/27/20 30.67 0.00 0100 30.67 INVENTORY � 9941421 08l2112008/17/2008/27/20 35,30 0.00 0.00 35.30 )NVENTORY 9942516 Vf08/21/20 08/17/20 08/27/20 336.49 0.00 0100 336.49 fINVENTORY 9940511 , 08/21/20 08/17/20 08127/20 221.74 0.00 0.00 221.74 V /INVENTORY 9950394 „j 08/23/20 081=20 08/30/20 97.38 0.00 0.00 / 97.38 f ,FuUPPLIES 99503951/ 08/23/2o 08/20/20 08/30/20 1,976.71 0.00 0.00 . 1.976.71 ,INVENTORY 9954686„s� 08/23/20 08/21/20 08/31/20 301.76 0.00 0.00 301.76 INVENTORY 9953136 ,f 08/23/2008121/2008/31120 1,250.26 0.00 0100 1,250.26 V z /,SUPPLIES 9953135 ✓ 08/23/2006/21/2008/31/20 30.43 0.00 0.00 30.43 ✓'"� SUPPLIES 9954686 O6/23120 08/21/20 08/31/20 65.40 0.00 0.00 65.40 INVENTORY CM54376 ✓' 08/23/2008121/2006/31/20 -305.86 0.00 0.00 . -305.86 (CREDIT 9953134 �/ 08/23/20 08/21/20 08/31 /20 874.39 0100 0.00 / 874.39 y/ �^UPPLIES 9959666 ✓ 08/23l20 08/22l20 09/01/20 109.94 0.00 0.00 109.94 SUPPLIES 9959/667 "' 08/23/20 0812PJ20 09/01/20 546.46 0.00 0.00 646.48 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10536 MORRIS & DICKSON CO, LLC 16,252.18 0.00 0.00 16,252.18 Vendor# Vendor Name Class Pay Code /,. 12388 NATIONAL FARM LIFE INSURANCE ,/ Invoice# omment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay, Net 4020299 OW2312D 08/14/20 09/01/20 3,369.25 0.00 0.00 3,369.25 LIFE INS Vendor Totals Number Name Gross Discount No -Pay Net 12388 NATIONAL FARM LIFE INSURANCE 3,369.25 0.00 0.00 3,369.25 Vendor# Vendor Name Class Pay Code 10868 NOVA BIOMEDICAL v/ Invoice# C mment Trap Dt Inv Ot Due Dt Check D Pay Gross Discount No -Pay Not 91201979 06/23/20 OBl17120 08/23/20 65.00. 0.00 0.00 65.00 SUPPLIES f 91202640 08/23/20 08/21/20 08/23/20 65.00 0.00 0.00 65,00 yy� SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10868 NOVABIOMEDICAL 130.00 0.00 0.00 130,00 Vendor# Vendor Name /� Class Pay Code 11472 OCCUPRO LLC */ Invoice# omment Tran Dt Inv Dt Due Ot Check DPay Gross Discount No -Pay Net 31862k.,�08123/20 08/02/20 09/01/20 472.50 0.00 0.00 472.50 MONTHLYLICENSE P'enn4 C"414d6 file:/!/C:/Users/ltrevino/epsilmemmed.cpsinet.comlu88125/data 5/tmp_cw5report730230... 8/23/2023 Page 8 of 10 Vendor Totals Number Name Gross Discount No -Pay Net 11472 OCCUPRO LLC 472.50 0.00 0.00 472.50 Vendor# Vendor Name Class Pay Code 01500 OLYMPUS AMERICA INC ✓,f' M Invoice# bmment Tran Ot Inv Dt Due Ot Check D Pay Gross Discount No -Fay Net M38893 �/' 08/23/20 08/10/20 09/04120 204.60 0.00 0.00 204.60 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01500 OLYMPUS AMERICA INC 204.60 0.00 0.00 204.60 Vendor# Vendor Name Class Pay Code 01416 ORTHO CLINICAL DIAGNOSTICS Invoice# Co/mment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1853087321 08/23/2008/1212009/1 il2o ✓ 863.51 0.00 0.0D 863.51 SUj�}PLIES 1853091521 Oy 08/23/20 08/14/20 09/13/20 752.16 0,00 0.00 ,r 752.16- SUPPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 01416 ORTHO CLINICAL DIAGNOSTICS 1,615.67 0.00 0.00 1.615.67 Vendor# Vendor Name Class Pay Code 10372 PRECISION DYNAMICS CORP (POC) I/ Invoice# Comment Tran Ot Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 9353204930 L/ 08/15/20 05/18/20 06/17/20 18.06 0.00 0.00 18.06 SUPPLIES Vendor Totals Number Name Gross Discount No -Pay Net 10372 PRECISION DYNAMICS CORP (PDC) 18,06 0.00 0.00 18.06 Vendor# Vendor Name Class Pay Cede R1045 R & D BATTERIES INC ,,/� M Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 1742913 '/ OW3120 08/17/20 08/23/20 285.14 0.00. 0.00 285.14 V, BATTERIES VendorTotalt Number Name Gross Discount No -Pay Net. R1045 R & D BATTERIES INC 285.14 0.00 0.00 285.14 Ventlor# Vendor Name Class Pay Cede 14920 REPUBLIC SERVICES, INC. f Invoice# Commfept Tran Or Inv Dt Due Dt Check D Pay Grass Discount No -Pay Net. 0847-001280576 ✓ 08122JZO 07/3V20 08/20/20 133.04 0.00 0.00 133.04 WASTE CONTAINER Vendor Total.- Number Name Gross Discount No -Pay Net 14920 REPUBLIC SERVICES, INC. 133.04 0.00 0.00 133.04 Vendor# Vendor Name Class Pay Cede 10936 SIEMENS FINANCIAL SERVICES Invoice# Commen Tran or Inv Dt Due Dt Check D Pay Gross Discount No -Pay, Net 56382300057786 V' 08/21/20 07125120 08/14120 4,D30.24 0.00 0.00 4.038.24 w/! RENTAL A20002359 Vendor Totals Number Name Gross Discount No -Pay Net 10936 SIEMENS FINANCIAL SERVICES. 4,038.24 0.00 0.00 4,038.24 Vendor# Vendor Name Class Pay Code 14716 SINGLETON ASSOCtATES PA w Invoice# Comment Tran DI Inv Ot Due Dt Check D Pay Gross Discount No -Pay Net 52-24 ✓ 08/21/20 07/27/20 08127/20 10.91 0.00 0.00 m91 r. RADIOLOGY SERV file:///C:lUsers/ltrevinolcpsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report730230... 8/23/2023 Page 9 of 10 51.36 08/21/20 07/27/20 08/27/20 316.39 0,00 0.00 316.39 ✓/ RADIOLOGY SERV 51-37 �� 081P7/20 08/01/20 09/01/20 120.01 0.00 0.00 120.01 RADIOLOGY SERV . Vendor TotalE Number Name Gross Discount No -Pay Net 14716 SINGLETON ASSOCIATES PA 447,31 0100 0.00 447.31 Vendor# Vendor Name / Class Pay Code 14868 SINGLETON ASSOCIATES, P.A. ✓ Invoice# Comment Train Dt Inv Dt Due Ot Check D-Pay Gross Discount No -Pay Net 246-07312MOl ti.�'J 08/21/20 08/10120 08/11120 12,466.66 0.00 0.00 12,466.66 ✓'� ONSITE SERVICES Vendor T0lalENumber Name Gross Discount No -Pay Net. 14868 SINGLETON ASSOCIATES, P.A. 12,466.66 0.00 0.00 12,466.66 Vendor# Vendor Name Class Pay Code ,ri C1010 SPARKLIGHT - W Invoice# Comment Tran Ot Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net 062023 08/23/20 06120/20 06/21/20 -73.01 0.00 0.00 -73.01. yr''fn CREDIT 081423 08/23/20 08/14120 08/16/20 132.61 0100 0.00 132.61 .11/� CABLE Vendor TotalE Number Name Gross Discount No -Pay Net C1010 SPARKLIGHT 59.60 0.00 0.00 $9.60 Vendor# Vendor Name Class Pay Code S3940 STERIS CORPORATION "I" M Invoice# Com ent Tran Ot Inv Ot Due Ot Check D Pay Gross Discount No -Pay Net. 504091771 08/01/20 06/09/20 07/04/20 54090.70 0.00 0.00 5,090.70 � S PPLIES 11480943 OM3/20 08117/20 09/11120 370,03 0.00 0.00 370.03 SUPPLIES Vendor Totale Number Name Gross Discount No -Pay Net S3940 STERIS CORPORATION 5.460.73 0.OD 0.00 5,460.73 Vendor# Vendor Name Class Pay Code 10758 TEXAS SELECT STAFFING, LLC y,J Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 0022655.51-079 08/23/20 08/16/20 08/17/20 4,097.50 0.00 0.00 4,097.50 1/"F BRANDON BATES WE 8112123 R-t% t Cal' Vendor Total$ Number Name Gross Discount No -Pay Net 10758 TEXAS SELECT STAFFING, LLC 4,097.50 0.00 0.00 4,097.50 Vendar# Vendor Name , Class Pay Code 11039 THE BRATTON FIRM ✓'� Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Not 1521170 08/23/20 08/20/20 09/01/20 690.00 0.00 0.00 690.00 COLLECTION FEES Vendor Total: Number Name Gross Discount No -Pay Net 11039 THE BRATTON FIRM 690.00 0.00 0.00 690.00 Vendor# Vendor Name Class Pay Code / T3130 TRI-ANIM HEALTH SERVICES ING ,/ M Involce# mment Tran Ot Inv Dt Due Ot Check D Pay Gross Discount No -Pay Net /Cp 65624068 ✓ 08/23/20 08/15120 09/09/20 128.99 0.00 0.00 / 128.99 SUPPLIES Vendor Total$ Number Name Grass Discount No -Pay Net file:///C:/Users/ltrevino/epsi/metmned.cpsinet.com/u88125/data_5/tmp_ew5report730230... 8/23/2023 Page 10 of 10 T3130 TRI-ANIM HEALTH SERVICES INC 128.99 0.00 0.00 128,99 Vendor# Vendor Name Class Pay Code T3334 TRINITY PHYSICS CONSULTING LLC - W Invoice# Tran Ot Inv DI Due Dt Check D Pay Gross Discount No -Pay Net /Comment 03-5844 ✓ 08/21/2008/14/2008115120 1,800.00 0,00 0.00 1,800.00 UNIT EVAL Vendor Totals Number Name Gross Discount No -Pay Net T3334 TRINITY PHYSICS CONSULTING LLC 1,800.00 0.00 0,00 1,800.00 Vendor#Vendor Name Class Pay Code U1064 UNIFIRST HOLDINGS INC Y'/ Invoice# Comment. Tran or Inv Dt Due Dt Check. D Pay Gross Discount No -Pay Net 2921011645�08/23/20 08/17/20 09/11/20 107.27 0.00 0.00 107.27 LAUNDRY 2921011648 OW3120 08/17/20 09/11120 228.99 0.00 0.00 228.99 ✓'' LAUNDRY 2921011652 ,/ 08/23/2008/1712009/11/20 244.19 0.00 0.00 24419 LAUNDRY 2921011649 of 08/23/20 08/17120 09111/20 1,940.44 0.00 0.00 1,940.44 LA NDRY 2921011651 08/23/20 08/17/20 09/11/20 254.51 0.00 0.00 254.51 LAUNDRY 2921011654 ✓ 08123/20 08/17/20 09111/20 101.70 0.00 0.00 101.70 ✓r, LAUNDRY 2921011653 08/23/20 08/17/20 09/11/20 233.46 0.00 0.00 233.46 I AU[�DRY 2921011876 ✓/ 0823/20 08/21/20 09/15/20 72.53 0,00 0.00 72.53 LAUNDRY 29210011875 J'f 0812=008/2112009/15/20 2,797.97 0.00 0.00 2,797,97 _ LAUNDRY Vendor Totals Number Name Gross Discount No -Pay Net U1064 UNIFIRST HOLDINGS INC 5,981.06 0.00 0.00 61981.06 Vendor# Vendor Name,, Class Pay Code 11110 WERFEN USA LLC --' Invoice# GorQment Tran Dt Inv Ot Due Dt Check 0 Pay Gross Discount No -Pay Net 9111370939 V 08/23ML008/1512009/09/20 1,571.67 0.00 0.00 1,571.67 SUPPLIES Vendor Total=Number Name Gross Discount No -Pay Net 11110 WERFEN USA LLC 1,571.67 0.00 0.00 1,571.67 Vendor# Vendor Name Class Pay Code 11400 WEST COAST MEDICAL RESOURCES ✓f Invoice# C?pment Tran Dt Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net INV10286757- 08115/2008/10/2008/02/20 41.70 0,00 0.00 f 41.70 I/ SUPPLIES Vendor Total: Number Name Gross Discount No -Pay Net 11400 WEST COAST MEDICAL RESOURCES 41.70 0.00 0.00 41.70 Report Summary Gran tl Tota Gross Discount ON No -Pay Net 483,154.06 0.00 0.00 483,154.08 ,uG9, Yp2013q�p CALH£YilnkU �;iAY'B°f.tTEXAS file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.comlu88125/data 5/tmp_cw5report730210... 8/23/2023 RUM ��Won OR4:55 I•IE140RIAL MEDICAL CENTER PAGE 1 EDIT LIST FOR PATIENT REFUNDS A.RID=0001 APCDEDIT AUG 2 4 Z923 PATIENT PAY PAT NUMBER PAYEE NAME -----'_--__-_•----••- DATE AMOUNT CODE ;YPE DESCRIPTION GL NUM _---_-_--_---------------------------- r 082323 659.02✓/2 REFUND FOR ✓ 002323 082323 05. 11 ✓ 2 165.00 �2 REFUND FOR ___________________________........... ___ ---------------------------------------------------------------------------- REFUND FOR , ______________ ARID=0001 TOTAL --------------------`-------._......_...----------------._...-------------------•--------------------------------------------- 919.13 TOTAL By tmjpwlv;6 919.13 gti'ENElD BY'*AE 9 AtBOYTL`DT ON AUG 2 8 20D MEMORIAL MEDICAL CENTER 0c19�l)2�0D1��1)iNry 4ALFiTZ`07 Tr.Xr' a AP Open Invoice List Dates Through: Vendor#Vendor Name Class Pay Code T2204 TEXAS MUTUAL INSURANCE CO yf w Invoices Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 1004900431 09/29/20 08/07/20 08/27/20 4,791.00 INSURANCE Vendor Totals Number Name Gross T2204 TEXAS MUTUAL INSURANCE CO 4.791.00 Report Summary Grand Totals: Gross Discount 4,791.00 0.00 APPROVM ON AUG 2 8 2923 CABL6fOWM COt.PTMT %�T€XA Page 1 of I 0 ap_open_ nvoice.tempiate Discount No -Pay Net 0.00 0.00 4,791.00 Discourd No -Pay Net ar 0.00 0.00 4.791.00 No -Pay Net 0.00 4,791.00 file:IIIC:/Users/ltrevino/cpsilmemmed. cpsinet.comlu8 S 125/data_S/tmp_cw5report893025... 8/28/2023 MStCESSONSTATEMENT As of: 08/26/2023 Page: 002 Ta make proper Credit to your eagad, tlMaeh and Mum this 0emsanv aoa stub r8h your remMaare DC: 8115 As of: 0IN25/2023 Page: 002 MEMORIAL MEDICAL CENTER AMT DUE REMITTED VIA ACH DEBIT Terrimry: Men to: Comp: 8000 815 N VIRGINIA STREET Statement for information only AMT DUE REMTTED VIA NCHDEBIT PORT IAVACA T)I 71979 Customer: 632636 statement for information only Dets: 08/26/2023 Cue: 632536 PLEASE CHECK ANY Date: 08/26/2023 ITEMS NOT PAID (�) W9in9 Due , o,V .p.tW.1 Ant URP6 Cam Oats pale Number Reference Dexdplla Olmoum Amount P (fpaae) F Amount P Necelvame (net) F Number PF afumn legend: P e Post Due Item, F Mum Due Ad , Wank . Current Due Men TOTAL National Aat 892536 MEADWAL MEDICAL C@LTHt. SuWmslm 6,1173.11 USD Mum 0.; 0.00 Peat Due: It If Paul N 08/2912023, Due If Pale On Turns: USD 6,T3594 pay This Amount: 6,735.64 USD Dla last If sold late: Last Poymem 2,451.97 It Mil After 2029, Due N PoId late: 37.47 081 OB/OT/201i Ply this Amount: 6,873.11 USD UBD 6,873.11 f1•C 6, 721? 19 7•oy - AV9Gp2 8�2u0?3�R GALg00 , +'.IA1df't 3EXA:S For AR Inquiries please contact 800-867-0333 MWESSON STATEMENT As at: 08/25/2023 CevmptnV" moor DC: 8115 M® R1S WALMAAL MEDICAL MEMORIAL MEDICAL CENTER AMT DUE REIVIMED VIA ACH OMIT Territory: 7001 VIS KIRGINI Statement far infoonalion only Y 815 N N A 266342 A I'OAT IAVACA T% ]79]9 CA )( DO.; 081 Dpe: OB/26/P023 Page: 001 To enmm proper creda to your Samunt, dpeehand mum MIS stud, with loser mI111tt8nve As of:. 08/26/2023 Page: 001 Mau to: Camp: 8000 ANT DUE REMITTED VIA ACH OMIT Statement for information only Coati 256342 PLEASE CNEDK ANY Dote: U812612023 11E19 NOT PAID (V) Due ekaMr191lpneI Account Wi5�T6 Date at. Date Number Rpelellce DexriptlW Cash OImWm AmWp P (91os4) F Amount (p) P F Rea4vabte N her Cuclmnar Numher 256342 WAIMAW 109WMEM ME , ME, 00/21/2023 08/29/2023 7438998638 85319534 1151nv01ce 21.83 1.091.56 1,069.731/ 7438998636 08/21/2023 08/29/2023 7438998639 05319534 1151nv01ca 0.25 12.29 12.04E 7438098639 08/21/2023 08/29/2023 7438998640 86855765 ti6lnvAlce 0.70 91.76 94.08✓ 7430996640 OB/21/2023 0812M023 7438998641 85391230 116mv01c9 12.34 616.92 604.50✓ 7438908641. 08/21/2023 06/29/2023 7439077604 85491163 116lnvoiee 6.15 307.37 301.22.E 743901 ]604 OB/21/2023 OB/28/2023 743901760E 85491163 1151nvoics 1.45 72.34 70.89✓ 7439017605 00/22/2023 08/29/2023 7439359731 85530339 1151nvoice 17.07 853.6E 836.58% 7439359731 08/22/2023 08/29/2023 7439509753 85542075 T151nvdc, 1.38 68,85 67.47E 7439609753 D9/23/2023 08/29/2023 7439633381 85692806 115l.iie 4.91 96.60 93.69 ✓/ 7430033381 08/23/2023 08/29/2023 7439810209 85699129 1951mmica 0.98 49.14 48.16 ✓ 7439810200 08/24/2023 08/29/2023 7439919892 85829273 1151nvdce 14.88 743.78 728.90,y� 7439919592 08/25/2023 0llaV12023 7440203034 85950184 1t51nvdce 15.68 784.19 763.51 ✓- 7440203034 08/25/2023 OW9/2023 7440203035 86026957 1151nvcice 7.64 362.16 386 ✓ 7440203036 08/25/2023 08/29/2023 7440203038 8fi026957 1151nvplce Z64 382.16 74.52 379.52 ✓ 7440203038 08/25/2023 08/29/2023 744020304E 86019539 1151nv01ca 27.17 1,350A5 1.331.28 ✓" 7440203040 PF clues, legentl: P = pap Gus It... F = FlAm Due Gem, blank = Current Due gem Cupamer Numbm 256342 WALMAAT 1046/MEN M® pll5 Subtdals: 6,865.51 USD futon° Due: 0.00 Rap Due: 1f Pak By 08/29M023, 0.00 Pay Tllie Amount: Leal payment 10.775.55 D paid After 0812912023, 08/21/2023 Pay this Amoum: Due D Palo On Timm USD 6728.19 6.728.19 USD DR. lost 0 paid We: 137.32 Due If Pak late: 6.865.51 USD USO 6,865.51 �I1n Far AR Inquiries please contact 800-867-0333 MWESSONSTATEMENT A, of; 03/25/2023 Poll.dD, TO eome proper wedK to Your sawed,. return lhla wmem: eclat tub with h Your rern8terme uni DC: 31,3 A, of: 08/25/2023 Pape: 000 PHS / AMT DUE RWITTED VIA ACH D®IT Territory: T001 CVS PdCY 7475iMEDICAL Mall Im: Comp: 8000 EN MCKY AL MEDICAL CBJT9i / Statement for Information only KIRGINI AMT DUE REI,HTTED VIA ACM DEBIT „j' 815 N Statement for information only PORT LAVACA TX ]]979 Data: 08/26/2023 Cut: 835438 PLEASE CHECK ANY Date: 08/26/2023 n(gaS NOT MID (�) Ev Due Regies'Nualmnt Acrount 9 5r3B Omer Dte Date Number Reference Desalpilmn Outermost Amami P (9ma) P Amount Receivade P (nt) Number Customer Number 835438 CVS PNCY ]4]5/MM MC PNS 08/23/2023 08/29/2023 7439837336 2625590 1151nuoicm 0.15 7.60 / 7.45 �,,f 7439837336 O PF column legend: P = Pat Due item, P = Ptule Due kern, blank = Comet[ Due Seen TOTAL• Customer Number 836438 CVS PNCY 747UMM MC MS 3uownds: 7.60 USD Future Due: 0.00 /' Due It Peld On Time: If Paid Dy OB/29/2023, ! USD Z45 Pont Doe: D.00 NY TNs Amount: 7.45 USD ,/ Dla , lot It pent Nle,. Let Payment 10,]]5.66 H Path pA2029, Due N Paid late: 0.15 08121/2023 Pay this Amwut: 7.60 Amount: USD USD 7.60 For AR Inquiries please contact 800-867-0333 10) STATEMENT Statement Number: 65794727 AmensourceBergen- Date: 08-25-2023 1 Of 1 AMERISOURCESERGEN DRUG CORP WALGREENS#iN94340a 12727 W. AIRPORT BLVD. MEMORIAL MEDICAL CENTER 100135284 / M028185 SUGARLANOTX 7747"101 1302 N VIRGINIA ST PORT LAVACA TX 7]9)9.2509 DEA: RAD289276 Sal-FOOuein Tdaya 866,151.9655 AMERISOURCEBERGEN P013.90520 CHARLOTTE NC 2829&5223 Not Vet Due: 0.00 Current: 315.64 Part Due: 0.00 Total Due: 315.64 AMMISolana: 315.64 Account Activity Document Due Reference Purchase Order Document Original Last Receipt Amount Received Balance Date Date Number Number Type Amount OB-21-2023 0&01-2023 ",as"' ]00350592] Invoice 52.68 O.pO. gp,gg OB-21-2023 09.01-2023 3144051648 7003516460 Invoice 20.66 0.00 20.68g 00-21-2023 OMI-2023 3144D51649 700351032 Invoke 53.31 0.0p 53.31 0&21-2023 09-01-2023 314417997] 7003527264 1.1. 58.01 0,00 58.01 0e-21-2023 09-01-2023 3WI7078 7003527300 In.1ce 2.34 0.00 2.34 0&22-2023 09-014023 31443N707 7003536522 Invoice 74.53 0.w 74.53 OB-23-2023 O9-pt-2023 3144488164 ]00363]489 Invaim. 20.21 0.00 20.21. 0&2&2023 09-01-2023 3104786882 ]003825543 Invoice 33.90 0.00 33.90 Current 1-15 Days 1630 Days 31-60 Days 61-90 Days 91.120 Days Over 120 Days 315.64 0.00 0.00 0,00 CA0 0.00 0.00 Thank You for Your Payment. Reminders. Date Amount Due Date Amount 0&252023 (2 fi1490) 09-01-2023 315.64 Total Due: 316.64 :APPROVISD ON /r-- I��IT€AAS. .0'„d�i'QUl'IW TOLL FEE PHONE NUMBER: 1-800-555-3453 (EFTPS TUTORIAL SYSTEM: 1-800-572-8683) F711ENTER 9-DIGIT TAXPAYER IDENTIFICATION NUMBER" "ENTER YOUR 4-DIGIT PIN" "MAKE A PAYMENT, PRESS 1" "ENTER THE TAX TYPE NUMBER FOLLOWED BY TH E # SIGN" "IF FEDERAL TAX DEPOSIT ENTER 1" El" ENTER 2-DIGIT TAX FILING YEAR" F7"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" "ITO CONFIRM" "ENTER W/CENTS AMOUNT OF SOCIAL SECURITY" "ENTER W/CENTS AMOUNT OF MEDICARE" "ENTER W/CENTS AMOUNT OF FEDERAL WITHHOLDING" "6-DIGIT SETTLEMENT DATE" "1 TO CONFIRM" ACKNOWLEDGEMENT NUMBER #### ENTER: ###F Ell 941 # 03 $ 1:20,175.50 1 $ 61,803.84 $ 14,718.22 $ 43,653.44 CHECK $ CALLED IN BY: CALLED IN DATE: CALLED IN TIME: JAWP-Payroll FilesTsyroll Toxes12023418 Ri MMC TAX DEPOSIT WORKSHEET 8.24.23.xis 812812023 941 RECITAX DEPOSIT FOR MMC PAYROLL -1 PAY PERIOD: BEGIN 8111/2023 vo PAY PERIOD: END 8/24/2023 PAY DATE: 91112023 GROSS PAY: $ 540,911.82 DEDUCTIONS: AIR S 206.77 ADVANC BOOTS SUNLIFE CRITICAL ILLNESS S 1,230.93 SUNLIFE ACCIDENT S 770.74 SUNLIFE VISION $ - SUNLIFE SHORT TERM DIS $ 1,940.25 BCSS VISION $ 952.52 CAFE-D CAF&H $ 5 1'600.82 22,514.45 CAFE-P CANCER CHILD S 161.19 CLINIC $ COMBIN $ 271,83 CREDUN S DENTAL S DEP-LF SUNLIFE TERM LIFE S 944,60 SUNLIFE HOSP INDEM 6 668.84 FED TAX S 43,853.44 FICA-M 5 7,359.11 FICA-0 S 30.901.92 FIRST C FLEX S S 3,286.09 FLX-FE $ GIFT S 5 57.00 GRP•IN GTL AOSP4 LEGAL 5 1,040.56 OTHER S 1,616.34 NATIONAL FARM LIFE S 1,611.67 MED SURCHARGE S 400.00 PR FIN S - RELAY REPAY STONEOF $ 1,115.86 STONE STONE 2 STUDEN TSA-R $ 37.437.69 UWIHOS 5 TOTAL DEDUCTIONS: $ 159,712.62 S NET PAY: ^BHOuIp WiCXR6 0.1`��:'. $ 384,199.30 :e1gVD S T6KGIILf ^a cuw UATC11PQ10R1 ;' TOTAL CAFE 125 PLAN: 5 33,381.66 Le PKlaw) ,E6FD, 'AXABLE PAY: $ 507,530.16 S 496,417.71 "CALCULATED" Frem MMC Revert Difference :ICA - MED (ER) L.ex $ 7,359.19 %CA - MED (EE) usn 5 7,359.19 S 7,359.11 $ 0.08 9CA-SOC SEC (ER) I,mu S 30,901,90 :ICA-SOC SEC(EE) a11e 5 30,901.90 $ 3D,901.92 $ (0.02 �ED WITHHOLDING S 43,653.44 S 43,653.44 $ TAX DEPOSIT: S 120.175.50 120,175.62 S FICA -MEDICARE 2e0% S 14,719.38 $14,718.22 FICA• SOCIAL SECURITY va% S 61,803.80 361,803.84 PREPARED BY: FED WITHHOLDING S 43,663.44 $43,683.44 PREPARED DATE: TOTAL TAX: S 120,176.62 S120,175.50 $ DA 2 S REVISED 308aO14 INALCKIII TOTALS $ 540,911,82 S 206.77 S - $ 1,230.93 S 770.74 S - S 1,940.25 $ 962.52 $ 1,600.82 S 22,514.45 5 S - S 161.19 S 271.83 944.60 665.84 43,653.44 7,369.11 30,901.92 3,258.09 67.00 1,040.56 1,616.34 1,611.57 400.00 1,175.86 S 37,437.65 S $ 159,712.62 S 381,199.30 EXemptAmt: Employees over FICA•S5 Cap: RCshanda Thomas S 9,112.46 S Payeode S - Employeo Rehab.:. TOTAL: S 9.112.48 Andda Flores 812812023 916 RI MMC TAX DEPOSIT WORKSHEET 8.24.23A.: TAX DEPOSIT WORKSHEET 91=2023 Run Date: O6/28123 MEMORLIL 14EDIM CENTER Page 109 Time: 09:07 Payroll Register I Bi-Weekly 1 P2REG Pay Period 00/11/23 • 08/24/23 Run# T Final Summary r-- P a y C e d e H u n m S r y ------------•----------------------------+-- 0 e d a C t i o n S S u m m a r ' PayCd k............ Description Nrs JOTISN1WEIHDICe1 Gross I Cade Amaunt i '...... -...................................................... RCS-ILAN PAY•52 9645,75 N 11 N 232251.25 a..--------------------...-.-...--"----.--.-- A/R 206.77,1/R2 ......r A/R3 1 REGULAR PAY-S" 1965.S0 H N N N 95936.16 ADVANC AWARDS BCBSVI / 952.52J 1 REGULAR PAY -Si 303.25 Y N N 10313.67 BOOTS CAPE N CAFE-1 2 P.%GULLR PAY-32 2596.00 N N N 73466.87 CAFE-2 CAPS-3 CAFE-4 2 REGULAR PAY-32 6.00 N N N N 84.78 CAFE-5 CAPS-C fAFE-D 1600.82J 2 REGULAR PAY-S2 144.50 Y N fT 6039.22 CAFB-F CAME 22514.45.4:AFE-I 3 REGULAR. PAY-S3 1527.00 N N N 53906.39 CAFE-L CAFB-P CANCER 3 REGULAR.. PAY-S3 i45.00 Y N N 8098.62 MED 161.191CLINIC CORBIN 271.83J 4 CALL BACK PAY 34.00 N 1 N N Y 1514.1B CREODN DO ADV OSHIIAL 4 CALL BACK PAY 34.25 R 2 N N Y 1377.58 DEP-LF D1S-LF EAT 4 CALL BACK PAY 9.25 N 3 N N Y 289.00 BATCH PEDTAX 43653.44Jr•ICA-M 7359.11,/ 4 CALL BACK PAY .50 Y 1 N N Y 39AD PICA-0 309D1.92JIRSTC FLEX S 3256.09 C CALL PAY 2039.75 11 1 H N 4079,51 FLX FE FORT 0 PUTA 0 DOUBLE TIME M50 11 1 N it 2120.46 GIFT S 51.00)ORANT GRP-IN ' D VUBL3 7111E 28.75 N 2 N N 1975,53 GTL HOSP-I ID TFT D DOUBLE TIME 16.75 N 3 N It 1492.96 LEAF LEGAL 189.5 851.00J E EXTRA WAGES N 1 N N N 3119 is TROLLS 536.39.aifiTVIS RISC / F PUNEP-4, LEAIF. 10.00 N t N N 170.00 MISC/ RIVERS RATFVL 1611.5TJ I INSERVIC'. 60,7S H 1 N N 2361.02 OTHER PHI PHI'{' 1 INSERIME 3.25 Y 1 N N 102.61 PA FIN RELAY REPAY X EXTEIOE7 ILL@E33-BPIdK 391.90. N 1 N N 7983.51 SAME SCRUBS �iGDON P PAID -TIME -OFF 26.33 N It N N 449.84 Si -TX STOMP 1115.8E/STONE P PAID-MIE-OFF 1232.00 H 1 N N 31595.06 STONE2 STUDEN SURACC 770,74J X CALL PAY 2 160.00 N I N N 320.00 SIMILL 1230.93JSUNINB 668. B4 ONLIF 944.60J 2 CALL PAY 3 96.00 N 1 N N 288,00 BERM 1940.2sfs@NIS SORCRG 4DO.00 -./ p t PAID 7111E OFF - PR03ATION PHONE & DATA 9.00 N 1 N N 241.16 TSA-1 TSA-2 SA-C. H N N N 1215.00 TSA•P UNIFOR tTSA•R lOBO.OPNY1/HOS 37431.69�UTION •------•----•-- ----- Grand Totals: 20525.00 ------- I Gross: 540911A2 1 Deductions: 159712.52 Net:: d8T➢99:ot, Checks Count:- FT 206 PT 15 Other 36 Female 230 Vale 26 Credit OverAmt 16 XeloNet Term Total: 254 I,. 4!-2s12- Run Date: 08/26/23 MEMORIAL MEDICAL CENTER BI-WEEKLY Page 1 Time: 10:1_ +^* Check Register '^' PZDISTP Pay Period 08/11/23--08/24/23 Rue: 1 Type=NET 30000001 OFERATING - PROSPERITY Num. Name Amount CHECK Ml DATE 96482 MECA7 M HARPER 804.77 D0063340 09/01/23 41426 TAS.HA NOR21+32 3115.18 00063341 09/01/23 08148 MICHELLE C114BERLA:NO 2045.34 00063342 09/01/23 00041 CAF.L LBE KING 969.98 DO 09/01/23 00083 SYLVIA A WLRGAS 1054.85 DO 05/01/23 00094 SYLVIA A MOM 1024.53 DD 09/01/23 OD113 JACLYN CA.RRZON U65.11 DD 09/01/23 00132 SAIDRA A RRAUN 550.9E DO 09/01/23 00192 BRBNOA D MAL 1554.55 ON D9/01/23 00344 SATTM LEE RUDDICK 3022,71 ON D9/O1/23 OD387 BPLIE F DUCKWORTH 2425.70 DO 09/01/23 DD392 MONICA T CARR 1212:93 DD 09/D1/23 00399 LINDA J TIJEP.INA 2076.45 DO 09/01/23 00401 VELMA J 1211A 1659.48 DO 09/01/23 00417 SHERRY L KING 2601.4E DO 09/01/23 00423 DONN V STRINGO 2014.18 OD 09/01/23 OD482 PAN FMAC 1449, 18 OD 09/01/23 00581 MURIA 1 RUSHING 1774.40 DD 09/01/23 OD601 RIiT A RENEE NOM 2642.89 D➢ 09/01/23 09692 DEPORcu n_ {,3m^{TUR4 225.32 ON 09/01/23 00697 MANIA C FA^.SAS 1151.71 ➢O 09/01/23 D0707 KIM3ER.LY ITESENDBZ 1486.53 DO 09/01/23 00895 EHILIB D1A17R NILKEY 1005.44 DO 09/01/2) 01015 SUS.AN B SMLEY 2110.86 00 09/01/23 01191 SHA.RON N SPARNS MIMI DD 09/01/23 01234 JERI5E 11 2342.81 DD 09/01/23 01241 MA1DY MACE 2277,95 DD 09/01/23 D1367 1W..i211 A SPIDERS 11OL29 DD 09/01/23 01791 RAUSNANAN J PYINDAY 1711.25 DD D9/01/23 02011 ERIN R CLJ._'NE-R 3090.72 DD 03/01/23 02D14 AQAoITA C CANTU 312,75 DO 05/01/23 02021 ERISA OSORIIIA-SANCHZZ 1299.31 DO 09/01/23 02022 AMA`DA J GRIGGS 2551.86 DO 09/O1/23 02064 AM LAOR.A GARCIA 1762.03 ➢O 09/01/21 02099 TRACI M 54EFCIK 2651.46 DO 09/DI/23 02112 LRSLIE THC+AS 2111.13 DD 09/01/23 02132 JASMINE RUIZ 1440.38 D➢ D9/01/23 02136 TAIR•C ESQUI!IEL 412.2=: DO 09/01/23 02152 TAM1A. P.SCBARD5 357.56 DD 09/01/27 02154 JUSTINE STP.ELCZYK 5336,43 DO 09/01/23 02162 MIRSM PALUKh 3641.8a DO D9/01/23 02168 JENSECA :NIGHT 2251,93 DD 09/O1/23 02193 TIRE PMIO Z.R 2549.71 DO 09/61/23 02201 CORKINE VILLEGAS 293.25 ➢➢ 09/O1/23 02202 REMIT I SANCIMM 95,a4 DO 09/01/23 OZZ71 DARN J BUH NIK 2340.36 DD 09/01/23 02301 DIMAS TIJERINA 2515,61 OD 09/01/23 02303 COME 11 LIM 3843,S6 DO 09101/21 02315 NINA 61 ORE&I 2315,69 DD 09/01/21 02322 RICK. 0907.7rA 402.4E DD D9/01/23 02331 JE53ICA. S BIFFLE E234.97 DD 09/O1/23 02346 JV!',STT-E L EMFO.V i995.22 OD 09%01/23 02416 JAEEL➢E SCCT7 1956.74 DD 09101/23 Run Date; D0/25i23 MEMORIAL MBDICAL CRIME BI.6ERKLY Page 2 Time: 10:31 •••* Check Regierer +•a+ PZDISTP Pay Period 08/11/23--00/24/23 Run: I Type -NET 10000001 OPERATING • PROSPERITY Nun. Nine Amoun[ CHECK NOR DATE 02535 STEiANM R SOLIZ 397.94 OD 09/01/23 02552 VEROUIC4 RRGu5IN 1966.97 OD 09/01/23 0262E MUSA M.aRIE VILLARREAL 748.65 DD 09/01/23 02678 M ISSA NSLONZY 1453.17 DO 09/01/23 02685 JULIA7A TORRS 247, 85 DO 09/01123 02701 RONDA DAVMLE GUMS 2355.21 ON 09/01/23 02719 DANN 1I MCG+ELLAND 2081.96 DD 09/01/23 02720 RIGA. M LUMA 99BA4 DD 09/01/23 02733 ROBIN R PLEDGER 2837.95 DD 09/01/23 92735 ZANERA A GPRCIA 73E.85 'DO 09/01/23 02763 JESSICA 4LA4QUEZ 1732.30 DO 09/01/23 02794 MATTER L AEITCHLBR 2D35.41 DO 09/D1123 ➢2812 BRITTANY N RUDDICK 2702.15 ➢0 09/01/23 02907 MIA P LDNGORIA 1278.43 ➢0 09/01/23 0292T MICHAEL L GAINES 3019.36 DD 09/01/23 02953 DOROTHY J NEW 711.04 DD 09/01%23 D2970 OIAUDI"a G ATKINSON 2233.66 DO 09/01/23 D3864 JACQUEELINE R HERRERA 1423.54 DD 19/01/23 05003 COURTDE D THDRLKILL 2902.77 D➢ 09/01/23 05006 REGINA A MARTINEZ 2741.02 DD 09/01/23 05122 MAP.iSSA R.4NGSL 419.28 ➢O 09/01/23 05345 BRICA NGUYEN 1172.27 ➢O 09/01/23 O5641 AMANIM R KEY 2568.34 ON 09/01/23 05751 SHARON A FOLDER 2683.36 DD 09/01/23 07123 CYNTHIA MRRX 1635.50 ON 01/01/23 01147 CHAD A.V03Ce 2125.85 DD 09/01/23 01979 DIAIA C SAUCEDA 1134.54 DD 09/01/23 11197 CATHERII4E A SAENZ 3006.50 In 09/O1/23 11412 COURItISY AgRKOVSKY 1474.3E ➢D 09/01/23 12011 KIMBERLY a REYNA 1047.78 DD 09/01123 12115 LISA J 141=034 963.58 ED 09/01/23 12129 MICHAEL HERMES 3803.85 ON 09/01/23 15097 KYLE L MINN, 2755.41 DD 09/01/23 15131 SAVA7NAH HARLEY 1548.34 DO 09/01/23 15139 KRISTEN NIC0LE BA.LLARD 1740.12 DD 09/01/23 15163 KELSEY NETIALD 4092.77 DD 09/01/23 15111 JESSICA BARR0N 406.47 DO U9101123 15256 CODR.RM A. SALAZAR 365.10 DD 09/01/23 15286 OAUN M MAR5K 1980.23 DD 09/01/23 15555 STEEHAN7E IT17IN 764.53 DO 09/01123 15909 JULIP NCUYA3 2148.48 OD 09/01/23 15915 GRIMM J KEY 2611.99 DO 09/01/23 20102 MAYA MKINS 1221.0I DO 09JOIt23 20112 YU4r.. PAT.RICA RODRIGUEZ 197.94 DO 09/01/23 2013E AIMIS CAR.REON 651.33 ➢O 09/01/23 20156 FEED! ASHLEY WISDOM 2L8.36 ON 09/01123 20169 JOSHUA PEPPERS 1465.16 DO 09/01/23 20179 A.OH GRCIA 3656.00 DD 09/01/23 20184 AALISSA EMORA.ND 029.20 DO 09/01/23 20206 BEL2I 0 COFF 2254.21 DO 09/01/23 20207 SHAY7IA G LARTL 3I40.19 DD 09/01/23 20243 MELANIE CORTEZ 515.68 OD 09/01/23 20272 ANELA IFA"ER 2143.50 BE 09/01123 20294 JESETCA D 4rvL?HBR 990.39 BE 09/01/23 Run Date: 08:28/23 MEMORIAL MEDICAL CENTER HI -WEEKLY Page 3 Time: _3:32 +•++ Check Register f°+• P2DISTP Pay Period OB/11/23--08/24/23 Run: I TypWET 10000001 OPERATING - PROSPERITY Hum. M-n, Amount CHECK NUM DATE 20324 PAT :C1A STRIBLEY 3039.19 DO 09/01/23 20343 IF SOCARP.AS 691.01 DO 09/01/23 20351. MADI60i1 N ? 0' 649.90 DO 59/01/21 20415 K4REi1 N NCEUzW 204.04 DO 09/01/23 20456 SUN A ST C44IR 672.78 DD 09/01/21 20759 J411E SADLER 1093.60 DO 09/01123 2078E JAYLIN P :11P5'3 399.00 DO 09/61/23 20791 BES1d^1 4; C'G3S 1457.76 DD D9/Ol/23 20977 CP°RY= L IESC? 1655.43 DO 09/01/23 20900 SAWI!A 220 975.10 ➢O 09/01/23 21450 DIi2a E ri:L 1607,27 DO 09/01123 21629 JACOE'i ? 72:45'ORD I619.i0 DO 09/01/23 28120 JESSICA V SELVERA 11E4.05 DO 09/01123 29199 01-z 1.. "HYPT 2403.94 DO 09/01/23 11035 ST.?CI_ L :PL-Y 196i.62 DD 09/01123 31054 LO2A S r.a_.;RDry 955.9i DO 09/01/23 II719 LADES:`] PETISTPS 1454.85 DO 09/01/23 31251 C't2?NIF. L ENS 2127.92 DD 09/01123 3!313 KATS=RII+3 LY:1N JIMENE2 2SSS.i9 DO 09/01123 31319 6TACY L FARMER 2223.72 DD D9/01/23 31463 ROA.4?i E MATOLA 2054.54 ➢U 09/01/23 31508 RACMEL A :'.S MR 2i22.39 ➢➢ 09/01/23 31521 W?:A OR C.ALLEJA 29313 DO 09/01123 31821 {',?Lm N A5;ARE? 1924.87 DO D9/01/23 36118 KRYSTELLF. E Y?SLAM 1072.75 DO 09/01/23 30168 1Es3; 14 CANO 649.35 DO 09101/23 39198 NFDSiNE ANDERSON 916.57 DO 09/Ol/23 18702 AHNA i'F3!E53.-. ?u@7E4L 9!5.9i DO 09/D1/23 41112 PNFFT SIA L PERSZ 740.22 DO 09101/23 41171 TWIEE M., TREVINO 890.10 DO 09/01/23 41205 T'- ST?E U4 RA'uO 857.47 DO 09/01/23 41235 L.?."7: A. COrp11 Im.68 DD 09/01/E3 41236 PA2: =A F. 402.10Y 1672.51 DD 09/01/23 412S SA.R.. ':PARE^ 8S4.43 DD 09/0!123 41261 BERNiCS AG02LAR B71.23 DD 09/01123 41269 8RR91!?7Z LOGO 729.95 DD 09/01/23 41274 K?R&I CAIZ 932.'9 DD 09/01123 41279 P.F.NEL=. R :iAPI•i.lC 795.46 Cu 09/01/23 41347 ADRIAINA. ? 3".AAKOS 776.71 OD 09/01/23 41418 A202L _V i SSEL 396.47 DO 09/01/23 41506 JOSEP::T ::.,'CO TORRES 769.37 DD 05101/23 41612 SO`IIN F. Cr?:isYDD 1050.2? 00 09/01/23 41617 TAC jT.Ul,E t9 MARTIMEZ 969.00 CO 09/01/23 41696 REi1.::": ?IIC4ELLE EMERY 726A5 DO 09/01/23 41897 ROKA221A i9P:02 $66.19 CD 09/01/23 41901 J11XH?3 -. i AILLER 1194.08 OD 09/01/23 4210E Ck=:ST't 5`_:tiS 932.70 DD 09/01/23 42112 8000R8D C '3iN?d1LES 1022.99 DO 09/O1/23 42132 LEI .IVA C; !.':U3,i 210.24 ➢O 09/01/23 42125 LUCY--liLT;C, d6P.25 DO 09/01/23 42304 MI6!I T P!G': i331 2177.80 DO 09/01/23 42536 N].RI=a:. E':COR.RAS 456.18 D➢ 09/01/23 42820 WIA O ' a:33 969.39 ➢O 09/01/23 42842 VW 5 0 D=TLL 3233.75 DD 09/01/23 Run Date: 23i :3 N&NORTAL NSDICAL CENTER 91-VHEIIY Page 4 Time:.; :; ++•• Check Register +++* P20ISTP Pay Period OB/13/23--08/24123 Run: 1 Tye=NET 20000001 OPERATING - PROSPERITY mum. ?`nc Amnnt CHECK NUN DA.T6 SPO18 NiC:?"cL>E S: '10iAi-Es 1554.59 DD 09/D1123 50148 Mr.!'::33L03?7 3352.27 DD 09/01/23 5024E HC'r-"h:i,. 7:U,3G53 565.46 DD 09/01123 50232 JAC03 i; 3 '::LTCN 2637.6E DD 09/D3/23 50310 JAS':I!E: 33109E5' 750.15 T 09/D1/23 5054E 145=;!tt3 is SA}1y1'OA. M2.96 7D 09/01/13 50573 DENG R ?r.CiS 2572.15 D➢ 09/01/23 50596 85i7 i :e;':SS 2044,37 DD 09/01/23 50719 MRA K %17SMED 2a97.44 n7 09/01/23 5092E FDIE.'A "w".i';`.!SZ 735.13 DD 09/01/21 53541 J.SCi; i E. ? 1 1623.40 DD 99/01/21 54024 NO"'" d A ?SP.4'_a:\?6 1139.23 DD 09101/23 55025 L43 ^ 'E3E`m7Z M AS DD D9/Dl/23 5502E I$Ei:3 E _TE'Z 799. 54 DO 09/O1/23 5;127 ADP_5 :: "_;ps_y 2736.52 DD 0910I/23 55371 9L-`i1-15 VC -ill s'IDSZ i107,75 DD 09101/23 55392 3NA ..'el"' S7CT,', 3 976.73 D9 09/01/23 SS658 LI:c9k9 q:I E 665 , 113 OD 09/01/23 58115 REM. MR:E S.ALS!4AS WAR D9 09/01/23 58%0 R?SA L H7t cN3iY 9235E D➢ 09/01/23 GOM R03ERC A MDR34DEZ 1997.46 ➢D 09/01123 60131 N'Mi 9;A[,_E 631.43 D➢ 09/01123 6015E IELN _P 5: KLrl15EK 1307.19 DD 09/01/23 6016E th-ti-5... k 3SHITrz 1534.90 DD 05/01/23 60412 CRR:3 0?65R G..UYDO 539.23 DD 09/01/23 60587 NANII S 0 9CIA 389.17 OD 09/01/23 60589 JA411 J `.3Y:. 990.33 DD 09/01/23 60616 COMM A !{CiGORIA 3-0.09 DD 09/01/23 62322 A=-N 1347,64 DD 09/01/23 63124 &M.- iV C.U.zA '92?.52 DD 09/01/23 63193 t?:3:='ARPiB 1061.40 DD 09/01/23 6345E 4io_DsrA, ' MNAROINO 373.25 OD 09/01/23 MOO ?ELLCITA 30173 634.0i DD 09/01/23 65125 FL-s:T�} C?F_i2i 94?.10 DD 09/O1/23 65127 !mrn'!TC. ?,''r> 1047.24. DO 09101/23 65236 TL"IA. KOr'-"s3K 395.tl6 DD 09/01/23 65348 N::=. is=. IN:�:_3 LT-4,91 DD 09/01/23 65?51 ELT:CI•I1. 1033A9 DD 04/01l23 65168 NJF.:i"ME3 78P.20 D5 09/01/23 65199 M":ic S. 11222 •30.80 OD 09/01/23 65205 J'.3?:'.i aS FLL:S .09.5D DD 09/01/23 65213 LEE SI'?.".37 1250,d6 C7 09101121 65269 IV.LIc aARML.D 9UA6 DD 09/01/23 65393 F-3i+J11.} A e'REZ 1.78.94 m 09/01/23 65453 ? !}Gi i i Ons i41!.55 iO 09/01%23 65463 N :d 3 'r aiZ 7:S.37 D7 09/01/23 65486 MLA ROD?ICTP2 1025.23 DD 09/01/23 655 3 1&.7.i:: 395.09 DD 09/01/23 65705 DC.7. m•. 353363A F3.02 DD 09/01/23 65715 YSPI) s "5"3" 345.i5 90 04/01121 65965 31_tA: ,_.:a.'.1L4 932.77 D➢ 09/O1/23 69368 L`;CI.TTl!U 'd.EC?.'v 190.54 DO 09/01/23 6856E Cg?.:3 3FFe3 ?.3iiERFORD 375.i5 DD 09/01/21 69792 liAiAR:O JIAi 3FP12ANDEZ 2i;4.47 DD 09/01/23 Run Date: C'. N.:.e MEMORIAL MEDICAL CE24TER RI-65SS6Y Time: _:._ I CkEak Register iwa Pay Period Oe/11/21••0/24/23 Run: 1 5^yEe=NET 10000001 OPSk4?ITIG •PROS?5RIT!' Num, Oat- Arcunt CRRCR IVM DARE 70113 SR.?..:1 31SH 2;5..34 D3 09/01/23 72727 C3R3°:=:IQ1=. LNN KDVARRR SO. -Is DO 09/01/23 73749 0LG7.i., F1 _D 21129.73 D 09/01/23 74159 C-.. L 'f-L RRHAL 1276.54 D7 09/01/23 7519C RI":. 8-L" 2u.:.15 DD D9191/23 76003 ISvi 03LEY 9^1. 13 D➢ 09/01/23 16115 a'Et^fi^ER : Ill 740,22 DD 09/01/23 75120 1275.00 DD 09/01/23 1613P vp?i". ? T.2L'?"-. 753, 37 DD 09101123 76196 R20 Y.'., :d':'i4AY 4711.65 DD 05/01123 7621D ZOE "--LARR2?5 311. 11 DD 09/01123 7630D AIE:4 i 4E^-33 T5.62 DD 99/01/23 76313 R"cL, % 7=0 333.37 7D 99,101/23 76403 (.^.?G12. A ?79ZDA 1247.59 DD 99/01/23 76647 rHER';' _7 ill DD C9/91/23 16706 £eE53 Y ° A::Z01c"S 73'1.57 DD D9/01/23 76959 1139.74 ;D 09101/23 ?6993 V-_ 552.69 _"9 09101/23 77646. F.1117., .A ;°;3AtiS 1093.33 DD 09/01/23 78020 MIP7 R F:i39.'?G33 1627,72 DD 09/01/23 7H50 S"i .I i➢350 D 09/01/23 79012 DTPP.. 1: .'. i_INGE 1177.63 D 09/01/23 70129 AL2:_= ;ii*::PA I5L'v 14.93 DD 09/01/23 78287 W..i35 C KXURNZAR 4309.40 DD 09/01/23 19336 OE --'?CA L G 3'15R 21i5.00 DD 09/01/23 19566 @_SI33A Z '3iE 9i0.34 DD 09/Ol/23 10764 ?a'i!133' ➢ St?7L3Y 2285.50 00 09/01/23 7878t .. .-n g "I.-H.CHR 1990.93 LO 09/01/23 79787 FA'._t : , _<AN 3549.43 DD 09/01/23 79897 D4 13 IT "HY130:2 634.94 QD 09/01/23 80061 Cl SS1J 2703,'12 DD 09101123 00141 3F _"823 2R;:. 1524,75 DD 09/01/23 92227 rAr^c,N , CPENGOR U69.91 DO 09101/23 06452 ^..-t 3L5E?3E"_ 2L39 D9 04(01/23 06576 E1SA HEREE9:•. 7c5.59 DD 09/01123 69125 GISA. M. 172'IIIlO 1-933.28 DD -39101/23 B9321 ABDREii DE SANTOS 2651.53 DD 09101/23 B0435 G'32 SSI:AC3n 2027.93 DD 09/01123 99320 P06 _ SA S 7'0449 6429.31 DD 09/01/23 99929 S77-77 -R: 7 4861.46 DD 99/01/23 93231 !`H +I ""Es IV i.70 DD 39/01/23 99756 =D?e:`"i n4611AN " 107,50 97 99/01/23 381193.38 Page 5 P2DISTP MEMORIAL MEDICAL CENTER PROSPERITY BANK ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT--- Aug 21, 2023 - Aug 27, 202.3 Data Bank Desnlotion MMC Notes 9/21/2023 IRS USATAKPYMT 2703633707980676103601001762 -Payroll Taxes 8/22/2023 PAY PLUS ACHTRAN5452579291101000697727780 - 3rd Party Payor Fee 8/22/2023 MCKESSON DRUG AUTO ACH ACH05620938910000136 - 34080rug Program Expense 8/23/2023 PAY PLUS ACHTRAN5452579291101000698425992 - 3rd Party Payar Fee 8/23/2023 HARLANO CLARKE CHN ORDERS 14AY245102212RS 92 - Checks for NH Accounts 8/24/2023 PAY PLUS ACHTRAN5452579291101000699399894 - 3rd Party Payor Fee 8/25/2023 PAY PLUS ACHTRAN5452579291 IDL000690408678 - 3rd Party Payor Fee 8/25/2023 AMERISOURCE BERG PAYMENTS 010000776H 2100002 - 340B Omg Program Expense LIt1\ ( \ls ir - ie s.r )+l Q e August 29, 2023 ANDREW DELOS SANTOS Memorial Medical Center `X py,Pyl.�. C.. 2.13 . PROSPERITY BANK a1, ILL ELECTRONIC TRANSFERS FOR OPERATING ACCOUNT —ESTIMATED ACHS' "•'a'�� S Date Description 9/6/2023 - STATE COMTRLR TEKNET -UC IGT DY12 j ty � 0 i '4lIFh' J " "� L �p li August 28, 2023 ANDREW OE LOS SANTOS Memorial Medical Center RUNIC Notes Pay film 31+54 10.49 '72-89 Amount 123,320.BIv.Q-L. .�x'g4`' G x 13'S.SC'i 99�' TrLks'iR815L 10,775ss„?F' ly^49 4 NN ^ 4 6 - 4BRfi. �y 2si4.964 224 1 D - 48-46 136,783.90 2%Y+6A 136. tI' . 64°r-- c- Amount 2 . 64 742,076.82 i/ L /'= - o•uu .. 3PPY'♦ NM ON AUG 2 8 �DZ, ar �'IJ ,. �LM1i'1tL gMAc ;T�4k{iT. y` II Transaction Summary Transaction Complete Texas Health and Human Services Commission Memorial Medical Center Operating County ,076.82 Page No:1 of 1 Run Date: 8/2512823 Run Time: 18:14:32 Page 1 of 1 aEercvEn BY THE QOUhrgY.F U0hTOR 0IN 41JG 2 4 ZO?3 s A. 8123/2023 Al' MEMORIAL MEDICAL CENTER 0 �*#t COaJtBr. TES AP Open Invoice List 15:07 ap_open_invoice.template Dates Through: Vendor# Vendor Name Class Pay Code / 11820 FORTBEND HEALTHCARE CENTER Invoice# Comment Tran Dt Inv Dt Due Dt Check O Pay Gross Discount No -Pay Net 081623 08/21/20 08/16/20 09/10/20 3,400.00 0.00 0.00 f 3.400.00 V TRANSFER �`t1 j #4a a.yiOLI ra;t,�8 OUL Y W i4 V4&1- r01c*. . Vendor Totale Number Name Gross Discount Pay Net 11820 FORTBEND HEALTHCARE CENTER 3.400.00 0.00 0.00 3,400.00 Report Summary Grand Totals: Gross Discount No -Pay Net 3,400.00 0.00 0.00 3,400.00 AAPAOVED ON AUG 2 4 2023 C.SO�tiR�G �44 TV t _r HT�Tr�s file:!//C:/Users/Itrevino/cpsi/memmed.epsinet.com/u88125/data_5Amp_cw5report606703... 8/23/2023 Page 1 of 1 R€CEIVED BY THE "::'iRblii WIr> UDYT(Iq 01.E OIL' MEMORIAL MEDICAL CENTER 0 AP Open Invoice List 15:06 2A,.M)p/1,p £ihlN@'l. 'iF_X7$},�: Dates Through: ap_open _involce.template Vendor# Vendor Name Class Pay Code ! `� 11836 GOLDENCREEK HEALTHCARE Invoice# Comment Tran Of Inv Dt Due Dt Check D Pay Gross Discount No -Pay Net 081423A OB/21/20 08/14/20 09/16/20 3,160.00 0.00 0.00 3,160.00 TRANSFER (V" lU( 6',?QL Rra(OpLg Jqc41_f j t &t 081423 08/21/20 08/14/20 09/16/20 3,278,50 0.00 0.06D 3,278.50 '✓ TRANSFER. 081423B 08/21/20 08114120 09/16/20 16.330.46 0.00 0.00 16,330,46 TRANSFER " 081623D 08/21/20 08/15/20 09/16/20 34.70 0.00 0.00 34.70 p% TRANSFER a it 081523 08/21/20 08/15/20 09/16/20 458.41 0.00 0.00 458.41 ✓ TRANSFER k OB1523A 08/2112008/1512009/16/20 3,160.00 0.00 0.00 3,160.00 TRANSFER tii. I 081523C 08/2112008/1512009/16120 1,905.57 0.00 0.00 1,905,57 TRANSFER 081523E 05/21/20 03/15/20 09/16/20 2.765.00 0.00 0.00 2,765.00 TRANSFER Q4 tc 081623 08/21/20 08/16/20 09/16/20 183.70 0.00 0.00 183.70 TRANSFER It H 081823 08/23/2008/18/2009/18120 69.19 U0 0.00 60.19 V TRANSFER 4 if Vendor Total: Number Name Gross Discount No -Pay Net 11836 GOLDENCREEK HEALTHCARE 31,345.53 0.00 0.00 31,345.53 Report Summary Grand Totals: Grass Discount No -Pay Net 31,345.53 0.00 0.00 31,345.53 AUG 2 4 2023 By UTAP CALLHON NTY Ir , T- file:///C:lUserslltrevino/cpsilmemmed.cpsinet.com/u88125/data_5/tmp_cw5report220176... 8/23/2023 Page 1 of 1 gECEjvED BY THE Z;GU FW AUDII(OR ON �s��/1423 2023 15:33 CA.L'HO1Y2d r;.{}1TJ+1(y, T F:taS Vendor# Vendor Name 12696 GULF POINTE PLAZA MEMORIAL MEDICAL CENTER AP Open Invoice List Dales Through: Class Pay Code Invoice# Comment Tran Dt Inv Dt Due Dt Check D Pay Gross 081423 08/21/20 08/14/20 09/16/20 1 967 86 TRANSFER FVf!'llymYi f%j* cl(p6itJ lh,-, 081623 08/21/20 08/18/20 09/16/20 132.00 TRANSFER 1� 081823 08/23/20 08/18/20 09/18/20 6,256.57 TRANSFER 1s Vendor Total$ Number Name Gross 12696 GULF POINTE PLAZA 8,356,43 Grand Totals: .:,Ai�iw9f.;'d;de&➢rtA°I�TX Report Summary Gross Discount 8,356.43 0.00 0 ap_open_invoice.template Discount No -Pay Net 0.00 1,967.86 1�1ry��0.0�0 L 'Pee�_`" w-\j / 0.00 0.00 132,00 ✓ M 0.00 0.00 6,256.57 rr Discount No -Pay Net 0.00 0.00 8,356.43 No -Pay Net. 0.00 8,356.43 file:///C:/ilsers/ltrevino/epsi/memmed.cpsinet.com/u88125/data_5/tmp_cw5report631459... 8/23/2023 Page 1 of 1 W;I_CEWED Ecs vE ;a;arlru r uDro^� G1r 08/23/2023 :At.trt7r-rP1!5.•.0.4Y'rSr q, -iEXAb Vendor# Vendor Name 13004 TUSCANY VILLAGE yi MEMORIAL MEDICAL CENTER AP Open Invoice List Dates Through: Class Pay Code 0 ap_open_invoice.template Invoice# Comment Tran Dt Inv Dt Due Dt Check 15 Pay Gross Discount No -Pay 081523 08/21120 08/15/20 09/16/20 2,604.47 0.00 0.00 TRANSFER W l M, Vjrj A4V&E4reA Irv,'.y,. tk*Kr_ G ft.I0 081623 08/21/2008M6/2009/16/20 1,994.70 0.00 C6.00 TRANSFER 4 1t 081823 08/23/2008/1812009/19/20 20,160.00 0.00 0.00 TRANSFER 64 'e1 Vendor TotalsNumber Name Gross Discount No -Pay 13004 TUSCANY VILLAGE 24,758.17 0.00 0.00 Report Summary Grand Totals:. Gross Discount No -Pay 24,759.17 0.00 0.00 tPP':SiULSD ON AUG 2 4 2923 C7eE0M{'o )t"`d �,r0b& TFTEX4S Net 2,604.47 1,994.70 ✓ 20,160.00 J Net 24,759.17 Net 24,759.17 file:///C:/Users/ltrevino/cpsi/memmed.cpsinet.com/u88125/data 5/tmp_cw5report666511... 8/23/2023 Memorial Medical Cents NVnin{ Home UVL Weekly Carmel Transfer P.1p.mW A..,mtf a/]8/f013 m.rx mmmw CMNBe P"^.i llilrARl.3 5r 3 [l_t.ti V Ili [b115d 11],1e5.]] �� Rs,5iaA 5% J11A1f0 f],nael Wf 1{,lOxia y� X,,xeSp,�yl{J.0 �"� 9L!.Q9.Tlv�' I f 1 Jlam.n aF M.Iial9 itivlll R- 162.99Gn^?Lr - 95 �09 J, 22,4•926 "i T 4 3• 2 9" 1991671 I� (24A 1.56, !i y.rpmemrtyax. }NSen rlYavnYnrN re Mrmrrryvan rotor rvnmmnr re re,ea,we}}(yinuMMCnenuW vuumnxemY ur.YiMn uxenss F,v.Faww IMw wN.. Yw Qln u.mo nrmmrr u,mAu,]I' M.Jrmravrm M.nvmn Qnu.n. n.unw Ip.nsls�/ MnYmrY}.WII Ye wneWwYll )k.sEY//. IuFFlrvnx llel �aa •q,.ua,x.]rm.nN•mr ux.ram v. 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MG`10 f.0 htIPs J/prosperity.albanking.oaM/corporate/applaccounts 1/1 Memorial Medical [enter Nursing Home UPL Weekly Tuscany Transfer Prosperity Accounts 8/28/2023 r.wmm a wane ietlnnlnl Nu M Nqn ^_' BeINb TIl1uMx[aP . loylaP 33 wle:Onhbn@nm o/PvaS5,a00 wrabennwlmldro36enwlmP borne V.I. 16a0 o[wunl bo[. 6w1 bau [. ulS]M 960! MM[rtewfrteynwwo[mun!. 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A(MYrtA fYnamf a q 11 nr D..y en of r..... 4wlan'. &.ante I em Gnrnt ft."'S6,597,637.40 $7,023.190.43 S7,285.486.14 $7,023,190.43 ..,. wob p ' - - MEMORIAL MEDICAL CENTER -CLINIC SERIES 2014 *4365 Cutrtnl OJNme t53777 Lane[:a]bJL+rcf y5li ]] +a Vne B.-1 9i3:71 a.vr ptl Ba a+eR P.31,9 MEMORIAL MEDICAL CENTER J NH ASHFORD *4381 arrem0alantf SW937AS net[1eY en,.:re Ir.4;aI.e5 -vl':able BJWn:e 3319.':1.15 Mb'Lny na +"re 33n 367t MEMORIAL MEDICAL CENTER / NH CRESCENT *4411 Cunent 6nNnfe {2T4,013.0> CallglfJ aiVrtte a211 1_ nvy1.ID4 Udldr.:f t364:5).il %rver lidY E�:an:e 12i33316> MEMORIAL MEDICAL CENTER J NH FORT BEND *4446 Current OJyn[e 149,029.71 Ca1111.1 GJ ur.e 14i.C13:: A.J'JYY6a1Jn[r 5iv.2ai t9 p,Y'�JV 6,':'[e 3!i[J�Y1 MMC-NH GULF POINTE PLAZA - PRIVATE PAY •5433 clnmOA,nR 167.50V6 Wll:f: yiVp;n Wvli':6 aval3l:e LPln:f Sti6.61i]: CnCr Dry,�a-.E Si`ST'le MMC-NH BETHANY SENIOR LIVING *5506 Cmrcm OaNn[e 1311.0.07 Crlarnea 0alacn f32 "dvP WAo:ke B,d(4a 132317014 Or2r My 0t'nnrf 3;:39i4..y MMC-BETHANY SR LIVING- DACA *3660 emmpl nw,v .... mufaeJ G.... n4G.ra +v4 14T,10 eJ J+rr 11a 1. 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IIFO(93 l3:m 9%.59 %9.19 19 - 1)F.21048 - 131.1ifi.98 - },110.90 - 1.40.98 - 3,eu.13 I.w9.0 /f ✓ Mom f/ 3AM45 1,/ 30,230.M 3.303.96 14]MI6 Wb)I.i (9y / ! 8/28/2023 Treasury Online Accounts ogty my - m.M1 aswru„Suc,rm Account Balances Uwvltw Lb"m Search Accounts prneke myn,hl:evlm 0P1h, •Oawlwaa isearz6+ sneer Herr. .e<n yra 6,m,1^uwnee' nael.nl r..;rnd-x aunQ,mu qx rrr alry9!• .. ua9lu3 DDA(15) Pnm OSY=iNmr In emngAlanae a,au 0i'a6 S6,597,637.40 S7,023,190.43 57,285.4pla86.14a<r I S7<.023,1:n<nl9n'nn-r0.43 .Cn Pyptay Ndma � 1' MEMORIAL MEDICAL CENTER - OPERATING '4357 MEMORIAL MEDICALCENTER- CLINIC SERIES 2014-4365 Curren[64lri,, 11,9N,940.15 CC'levec IiNVII'.5 Culmnl mbr,a Rl)J) COu4WR1J111 III!P7 ...: ce 6i1_1a R.931,6930 Ma.,R,,nCQ 12 X563!M k,QtJn I in:L ISl'.> Pnor Oql q,',,^ 1E31.71 MEMORIAL MEDICAL CENTER- PRIVATE WAIVER CLEARING•4373 MEMORIALMEDICAL CENTER / NH ASHFORD'4381 twnnl galanLe vW4 UptI[WOaann Sa3]4i (u,ren[BalantP 52J4437,65 COW" 52:11L6S hanab'e 9a:ana Sa3394 Grrao 0. 0.,11,. H.'v`. 6: .re IJPQL'f:.n:u 13191;I 16 ,"0.30a enm 121.96)31 MEMORIAL MEDICAL CENTER/ NH BROADMOOR'4403 MEMORIAL MEDICAL CENTER NH CRESCENT'4411 Cur rtm..Nnn 318,639.)6 W.10 d.r11[Q 3125A•.9'rt Curtent BaW1. .11.41367 CYWt I6(ar'.[e 12%R15M1: 6vLY61Q bQNrc! 11)2,C19.79 Pnor OdyP11,M.f 4110335.13 /runae'l bdla'I[Q S1Pr9.)5741 Pn]/OJ ,,, iMLSN.H) MEMORIAL MEDICAL CENTER SOLERAATWEST HOUSTON'4438 MEMORIAL MEDICAL CENTER/ NH FORT BEND'4446 [un nt OaWnee 922a1a0]tl C , e. Bra ne 5:rtl !a, ,; Curr n, Bala S6 =77 Ccilvuea te u1„co IinC:S a, FYadJa:l B.,wn[e s!)5.4M 11 PrnD, tlal, ..e S2c'.9U1 i_W.L Wane It,", 19 pros N, b+'a"Le 5a112C,E1 MEMORIAL MEDICAL/ NH GOLDEN CREEK HEALTHCARE*4454 MMC-N H GULF POINTE PLAZA- PRIVATE PAY'5433 [urrfnt wl..[ 42t].)79."s CQIe<1IU.,nte S277,774'I CNeQn[WII.t, 567.9017. CO.. 0.I,a f5I50'lE avJPJp:[ all.r,e 1277.77978 Pr,., 3, 0,VJn:e S13r,3C8•f ie 9t,R,:. < 10A1201 nJr V.,YJlJnle $6750''76 MMC-NH GULF POINTE PLAZA- MEDICARE/MEDICAID•5441 MMC-NH BETHANY SENIOR LIVING-3506 eur.m<6.wfe ax0.6a61a Cen<lmn ae.mr! 113cuA iE m,lnt amIIr" "21.2310, r ra"40 Un 53A233o: wdrl6l Bt:a.,e 1197343E I"r. Rry Ea'a^"n S Ot, _ di 4J 4p!aYIlrl 5aM 171,49 n^n Ony ere re s;259S'34i MMC -NH TUSCANY VILLAGE'34D7 MMC-BETHANY SR LIVING - DACA *3660 Cmrtm tlalan[t 33 p.592ii C¢'I.I, Oiana 63W,Sg2.:J Cu1rt1Y 9Jlan[e QIOOW (g1a1le6 tlJIJnR P00 [C RYJr1Jpl<OJ9n[e O12 W9.6) Pnm Pay WlJltt sl27,19, F.a iva,IJll'a Ya'an:e IIW SA 5'1w1 W, CWr„! MMC-MONEY MARKET FUND *2998 cv<xnl galan,a 12m6s74 53 h.rn.e eaa-,. 12.p It 9. �.a,nmP BriAnM 12A)M,I1453 O,r, 0,1Y q,lunn S20>6.ur353 https:/1prosperily,016anking.cOm/corporate/app/accounts 1/1 I N MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center W Y Date Requested: 8/28/2023 E E AIPMOVED ON AUG 2 8 2023 AMOUNT: EXPLANATION: $ 54,374.36 1f Amerigroup June, Q3, Y5 adj 2, Y4 Adj 3 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept G/L NUMBER: 10255040 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: i A Y E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 8/28/2023 FOR ACCT USE ONLY ❑ Imprest Cash E -APP14OVED ON ❑ A/P Check -AUG 2 2 2023 ❑ Mail Check to Vendor mv ryryI�� ((�� ❑ Return Check to Dept BLtYrl"jI��AUY'S �fE%r4- AMOUNT: $ 20,076.20 j G/L NUMBER: 10255040 EXPLANATION: Amerigroup June, Q3, Y5 adj 2, Y4 Adj 3 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY:; d A Y E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: E APPROVED ON AnG 2 S ZOO AMOUNT: EXPLANATION: 8/28/2023 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 15,000.09 /, G/L NUMBER: 10255040 Amerigroup June, Q3, Y5 adj 2, Y4 Adj 3 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: I_l Y 14 FA MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 8/28/2023 A --.:RPfI0VED ON AUG 28ZED FOR ACCT USE ONLY ❑ Imprest Cash ❑ NP Check ❑ Mail. Check to Vendor ❑ Return Check to Dept E.A4E lii1lhDi0 v^QY a 4}a AMOUNT: $ 17,051.88/ G/LNUMBER: 10255040 EXPLANATION: Amerigroup June, Q3, YS adj 2, Y4 Adj 3 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: P A Y E E MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 8/28/2023 APPROVEED 017 AUG 2 8 .M3 By C�lit�ll'r I A'trDiff FOR ACCT USE ONLY E]Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor El Return Check to Dept ^+ILH� dJi a;�C6A:n: AEXA.S AMOUNT: $ 16,381.46,E G/L NUMBER: 10255040 EXPLANATION: Arnerigroup June, Q3, Y5 adj 2, Y4 Adj 3 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: F MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Date Requested: 8/28/2023 A Y E E kPFR0VM ON AUG 2Smj- FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept AMOUNT: $ 61,873.13 G/L NUMBER: 10255040 EXPLANATION: Superior June, Q3, Y5 adj 2, Y4 Adj 3 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center Date Requested: 8/28/2023 A Y E FOR ACCT USE ONLY ❑ Imprest Cash E LOPROVED ON ❑ A/P Check AUG 2 S 2Q13 ❑ Mail Check to Vendor ❑ Return Check to Dept AMOUNT: $ 43,68538 ,� G/L NUMBER: 10255040 EXPLANATION: Superior June, Q3, YS adj 2, Y4 Adj 3 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY; v Q��-- L,tLe,82-2� W 0 Y 5 C AMOUNT: MEMORIAL MEDICAL CENTER CHECK REQUEST Memorial Medical Center Date Requested: 8/28/2023 4,116 2,�yye�� lr A�h�tlYi YU°��dl�7f °7 � r� FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 33,955.17 G/L NUMBER: 10255040 EXPLANATION: Amerigroup June, Q3, Y5 adj 2, Y4 Adj 3 �\ REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: r, --\ y, 4 L c 92 eI2- S I MEMORIAL MEDICAL CENTER CHECK REQUEST P Memorial Medical Center A Y E E AMOUNT: Date Requested: 8/28/2023 APPROVED yh3 By FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept $ 46,535.59 G/L NUMBER: 10255040 EXPLANATION: Superior June,Q3 REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: ccn lv--� i z3 P Suscany r A Y E E MEMORIAL MEDICAL CENTER CHECK REQUEST - 5rr WAv Date Requested: 8/28/2023 FOR ACCT USE ONLY ❑ Imprest Cash ❑ A/P Check ❑ Mail Check to Vendor ❑ Return Check to Dept AMOUNT: $ 2,139.50 G/L NUMBER: 21400007 Wf- tth, / EXPLANATION: Claim Payment owed to Tuscany from Fpe-Gmsceat ./ REQUESTED BY: Caitlin Clevenger AUTHORIZED BY: �t t r ' a _ e