October 2015 - Montgomery County Hospital District
Transcription
October 2015 - Montgomery County Hospital District
NOTICE OF A REGULAR MEETING OF THE BOARD OF DIRECTORS MONTGOMERY COUNTY HOSPITAL DISTRICT Notice is hereby given to all interested members of the public that the Board of Directors of Montgomery County Hospital District will hold a regular meeting as follows: Date: October 27, 2015 Time: 4:00 P.M. Place: MONTGOMERY COUNTY HOSPITAL DISTRICT ADMINISTRATIVE BUILDING 1400 SOUTH LOOP 336 WEST CONROE, MONTGOMERY COUNTY, TEXAS 77304 Open to Public: The meeting will be open to the public at all times during which such subjects are discussed, considered, or formally acted upon as required by Texas Open Meetings Act, Chapter 551 of the Government Code. This Notice in detail was posted at least 72 hours prior to the beginning of said meeting with the County Clerk’s Office and is on the Bulletin Board of the Courthouse and in the District’s Administrative Office. Subject: 1. 2. 3. 4. 5. 6. The agenda for such meeting shall include the consideration of, and if deemed advisable, the taking of action upon: Call to Order Invocation Pledge of Allegiance Roll Call Public Comment Special Recognition Items Involving Visitors 7. Consider and act upon the renewal of the employee health related benefits, including employee health insurance. (Ms. Whatley, Chair – Personnel Committee) 8. Consider and act on ratification of contracts with additional network providers for indigent care. (Mrs. Wagner, Chair - Indigent Care Committee) 9. Consider and act on presentation from Mr. Tommy Hauser for Historic Site Exemption on his home. (Mr. Posey, Chairman – MCHD Board) 10. Discussion and recommendations from the board on future Historical Site Exemption requests. (Mr. Posey, Chairman – MCHD Board) District 11. CEO Report to include update on District operations, strategic plan, capital purchases, employee issues and benefits, transition plans and other healthcare matters, grants and any other related district matters. 12. Consider and act on the November and December, 2015 MCHD Regular Board of Directors meeting dates and times. (Mr. Posey, Chairman – MCHD Board) NOTICE OF A REGULAR MEETING OF THE BOARD OF DIRECTORS MONTGOMERY COUNTY HOSPITAL DISTRICT - PAGE 1 Emergency Medical Services 13. EMS Director Report to include updates on EMS staffing, performance measures, staff activities, patient concerns, transport destinations and fleet. 14. Consider and act on Medical Director Contract through Baylor College of Medicine. (Mr. Fawn, Chair – EMS Committee) 15. Consider and act on purchase of replacement CAD workstations for MCHD and Woodlands Fire Department. (Mr. Bagley, Chair – PADCOM) Operations and Health Care Services 16. COO Report to include updates on infrastructure, facilities, radio system, warehousing, staff activities, community paramedicine, emergency management, and purchasing. 17. Consider and act on sole source letter for Styker power loads and stretchers. (Mr. Fawn, Chair – EMS Committee) 18. Consider and act on purchase of Stryker power loads and stretchers. (Mr. Fawn, Chair – EMS Committee) 19. Consider and act on EMSAR Power Load Installation. (Mr. Fawn, Chair – EMS Committee) 20. Consider and act on purchase of a cargo van for Materials Management. (Mr. Bagley, Chair – PADCOM Committee) 21. Health Care Services Report to include regulatory update, outreach, eligibility, service, utilization, community education, clinical services, epidemiology, and emergency preparedness. 22. Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers processed by Boon-Chapman. (Mrs. Wagner, Chair - Indigent Care Committee) 23. Consider and act on ratification of voluntary contributions to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims processed by Boon Chapman. (Mrs. Wagner, Chair – Indigent Care Committee) Finance 24. Presentation of preliminary Financial Report for twelve months ended September 30, 2015 – Brett Allen, CFO, report to include Financial Summary, Financial Statements, Supplemental EMS Billing Information, and Supplemental Schedules. 25. Presentation of Investment Report for the quarter ended September 30, 2015. 26. Consider and act upon recommendation for amendment(s) to the budget for fiscal year ending September 30, 2015. (Mr. Grice, Treasurer - MCHD Board) 27. Consider and act upon recommendation for amendment(s) to the budget for fiscal year ending September 30, 2016. (Mr. Grice, Treasurer - MCHD Board) 28. Consider and act on ratification of payment of District invoices. (Mr. Grice, Treasurer – MCHD Board) 29. Consider and act on salvage and surplus. (Mr. Grice, Treasurer – MCHD Board) Other Items 30. Secretary’s Report - Consider and act on minutes for the September 22, 2015 Regular BOD meeting. (Mrs. Wagner, Secretary - MCHD Board) 31. Consider and act upon Resolution amending Article II, Section 3 of the Director bylaws regarding Board member requests for information and presence at District premises and during operational functions. (Mr. Posey, Chairman – MCHD Board) 32. Consider and act on Human Resource policy: HR 25-504 Disciplinary and Grievance Procedure 33. Adjourn. ____________________________ Sandy Wagner, Secretary NOTICE OF A REGULAR MEETING OF THE BOARD OF DIRECTORS MONTGOMERY COUNTY HOSPITAL DISTRICT - PAGE 2 The Board will announce it will convene into Executive Session, if necessary, pursuant to Chapter 551 of the Texas Government Code, to receive advice from Legal Counsel, to discuss matters of land acquisition, litigation and personnel matters as specifically listed on this agenda. The Board of Directors may also announce it will go into Executive Session, if necessary, to receive advice from Legal Counsel regarding any item on this agenda. NOTICE OF A REGULAR MEETING OF THE BOARD OF DIRECTORS MONTGOMERY COUNTY HOSPITAL DISTRICT - PAGE 3 2016 Benefit Renewal October 27, 2015 McGriff, Seibels & Williams of Texas, Inc. 818 Town & Country Blvd, Suite 500 • Houston, Texas 77024-4549 (800) 877-1449 • (713) 877-8975 www.mcgriff.com Proposed Increase to STD Benefit Current Elimination Period Buy Up Current 30 Days 14 Days Proposed 14 Days Benefit Percentage 60% 60% 60% Weekly Benefit Maximum $500 $500 $1,000 Premium Responsibility MCHD Employee MCHD Why propose the increased benefit? o 85% of employees are capped at $500 per week. o Proposal is consistent with industry standards. 1 Initial Renewal Negotiations McGriff, Seibels & Williams negotiated CY 2016 renewals: Medical Insurance o Blue Cross Blue Shield of Texas o 0% Increase for Second Consecutive Year o National Average Increase: 6% - 8% Dental, Vision, Life, STD, and LTD o Metlife o $108,306 or 35.5% Increase with Proposed STD o $ 74,944 or 24.6% Increase with Current STD Overall Cost Increase Compared to CY 2015 o 2.8 % with Proposed STD o 2.0 % with Current STD 2 Subsequent Action Marketed Dental, Vision, Life, and Disability Coverage Top Three Carrier Responses: Premiums o The Standard $367,081 o Guardian $386,704 o United HealthCare $437,092 3 Recommendations Renew Medical with Blue Cross Blue Shield Change Dental, Vision, Life, and Disability to The Standard o Lowest Premiums o Robust Dental / Vision Networks o Better Online Capabilities Increase STD Benefit as Proposed o Great Value for District o Great Benefit for Employees Accept Total Premium Increase of $62,013 or 1.7% over CY 2015 4 Cost Increase and Sharing MCHD maintains current premium contribution: Coverage PPO H SA Dental Vision Life STD LTD Increase % Increase Cost Increase $0 0 39,662 (939) 0 15,329 7,961 $62,013 MCHD Employee Cost Cost MCHD % Increase Increase 70% 80% 80% 100% 100% 100% 100% $0 0 31,730 (939) 0 15,329 7,961 $0 0 7,932 0 0 0 0 $54,081 $7,932 87.2% 12.8% 5 Voluntary Group Pet Insurance through Nationwide No Cost to MCHD – 100% Employee Paid No Minimum Participation Requirement Coverage for Dogs, Cats, and Exotics Premium Payments via Payroll Deduction Better Rates than Individual Plans 6 New Provider Contracts to present to BOD BOD Meeting October 2015 Provider New Agreements OTA's Renewals New provider-existing facility agreement Date Sign Fee Schedule Specialty Northwest Houston Neurology, PA Preethi Durgam 10/20/2006 Allen Medicare Facilty Neurology TOM, METH-W, KHT Agenda Item # 9 To: Board of Directors We Make a Difference! From: Randy Johnson/Greg Hudson Date: October 27, 2015 Re: Historic Site Exemption Consider and act on presentation from Mr. Tommy Hauser for Historic Site Exemption on his home. (Mr. Posey, Chairman – MCHD Board) Agenda Item # 10 To: Board of Directors We Make a Difference! From: Randy Johnson/Greg Hudson Date: October 27, 2015 Re: Historical Site Exemptions Discussion and recommendations from the board on future Historical Site Exemption requests. (Mr. Posey, Chairman – MCHD Board) Examples CITY OF ROCKWALL ORDINANCE NO. 03-28 AN ORDINANCE OF THE CITY OF ROCKWALL, TEXAS AMENDING THE ROCKWALL CODE OF ORDINANCES TO PROVIDE AN AD VALOREM TAX EXEMPTION FOR STRUCTURES IN NEED OF TAX RELIEF TO ENCOURAGE THEIR ENHANCEMENT AS HEREIN DEFINED; PROVIDING FOR A SEVERABILITY CLAUSE; PROVIDING FOR A REPEALER CLAUSE; AND PROVIDING A PENALTY OF A FINE OF $500.00 FOR EACH OFFENSE; PROVIDING AN EFFECTIVE DATE. WHEREAS, the 65th Legislature in June 1977 passed S.B. 595 amending Title 122, Revised Civil Statues of Texas (1925), by adding Article 7150i authorizing the governing body of a political subdivision to exempt historic sites from certain property taxation; and WHEREAS, Article 7150i was made effective upon adoption of Section 1-f to Article VIII of the Texas Constitution which authorized the State Legislature to allow political subdivisions to exempt historical sites from certain property taxation; and WHEREAS, Texas voters on November 7, 1977, amended Article VIII of the Texas Constitution by adding Section 1-f; and WHEREAS, effective January 1, 1980, the 66th Legislature codified Section 7150i as Section 11.24 of the Property Tax Code (1979); and WHEREAS, there has been adopted in the City of Rockwall certain historic overlay districts which are in need of tax relief to encourage enhancement of structures as herein defined; NOW, THEREFORE, BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY OF ROCKWALL, TEXAS: Section 1. to read as follows: Chapter 25 of the Code of Ordinances is amended to add a new Article III "ARTICLE III EXEMPTION FOR HISTORICALLY SIGNIFICANT SITES SECTION 25 - 38: DEFINITIONS As used in this Article, the following terms shall have the meanings described herein: A. "Assessed Value Prior to Preservation" means the value assessed by the Rockwall County Appraisal District for the tax year of verification. B. "Certification" means the attestation by the Director of Community Development that the structure in question is a filename: TAX INCENTIVE PROG 08262003 Page 1 -- structure located in the boundaries of the Old Town Rockwall Historic District or a Landmark Property as defined herein, in need of tax relief to encourage enhancement of structures and that the plans submitted will meet the definition of enhancement of a structure as defined herein. C. "Enhancement of a Structure" means the completion of a building project to improve a structure and the certifiable expenditure of at least $5,000 for that project which has occurred after the adoption of this ordinance. D. "Historic District" includes the Old Town Rockwall Historic District, the Southside Overlay District, designated Landmark Properties, and such historic districts that may be adopted by the City in the future. E. "Increment Project" shall mean the monetary amount invested by the property owner in enhancing the subject structure (Le. improvement) located within an official Historic Overlay District, which shall include the Old Town Rockwall Historic District, Southside Overlay District, designated Landmark Properties, and such historic districts that may be adopted by the City subsequent to the adoption of this ordinance. F. "The Improvement" shall mean the monetary value of the property minus the value of the land upon which property taxes are levied by the City. G. "Landmark Property" shall mean a property or structure(s), not contiguous to or part of an existing historic district, that is deemed worthy of preserving. H. "Property in need of tax relief to encourage enhancement of a structure" shall mean any structure located in the Old Town Rockwall Historic District, Southside Overlay District, designated Landmark Properties, and any such historic districts that may be adopted by the City subsequent to the adoption of this ordinance. I. "Property" shall mean the monetary value of the land plus the value of the improvement. J. "Structure" is defined herein as a building located in an official historic district, which shall include the Old Town Rockwall Historic District, Southside Overlay District, designated Landmark Properties, and such historic districts that may be adopted by the City subsequent to the adoption of this ordinance within the City of Rockwall. filename: TA>UNCENTIVE_PROG_08262003 Page 2 SECTION 25 - 39: STRUCTURE PRESERVATION TAX EXEMPTION A residential building or designated landmark property which meets the requirements of this ordinance shall be certified by the Director of Community Development to have the assessed value for ad valorem taxation "frozen" as described and listed below in order to qualify for ad valorem tax exemption. The assessed value shall be frozen at the value for the tax year in which the increment project was completed. The assessed value of the improvement shall be so "frozen" in accordance with the schedule below: The period of the tax abatement shall be five (5) years if the amount of the increment project is $5,000 or greater; or The period of the tax abatement shall be seven (7) years if the amount of the increment project is equal to or exceeds 25% of the assessed value of the improvement on January 1st of the year the increment project was completed. Furthermore, this exemption shall begin on the first day of the next tax year after verification of completion of the preservation required for certification; provided that: The building shall comply with the applicable zoning regulations for its use and location; and SECTION 25 - 40: APPLICATION PROCESS Applications for an ad valorem tax exemption pursuant to this ordinance are to be filed with the Community Development Department. Each application shall be signed and sworn to by the owner of the property and shall: A. State the legal description of the property proposed for certification; B. Provide proof of title in the applicant to the property proposed for certification; C. Include an affidavit by the owner describing the structure in need of tax relief and its compliance with the requirements of Section 25 - 39 herein; D. Provide proof that taxes or other assessments are not delinquent on the property; E. Include a final complete set of plans for the structure's enhancement as required to secure a building permit; F. Include a statement of costs for the restoration or rehabilitation work; G. Include a projection of the estimated construction time and predicted completion date of the restoration or rehabilitation; filename: TAX INCENTIVE PROG 08262003 Page 3 -- H. Authorize representatives of the City of Rockwall to visit and inspect the property and the records and books of the owner as necessary to certify that the property in question is in substantial need of restoration or rehabilitation; I. Include a detailed statement of the proposed use for the property; and J. Provide any additional information that the owner deems relevant. K. Provide such other information as may be required by the Director of Community Development to properly consider certification of the project. L. Provide a written acknowledgement by the property owner acknowledging the owners future obligation to notify the Director of Community Development upon completion of the increment project. This will begin the verification process noted in Section 25 - 42 below. Each application shall contain documentation confirming or supporting the information submitted. SECTION 25 ·41: CERTIFICATION PROCESS Within 30 days after receipt of the properly completed application, the City shall make an investigation of the property and shall certify the facts to the Director of Community Development along with the documentation and recommendation for approval or disapproval. Upon receipt of a recommendation, the Director of Community Development shall immediately forward the application to the Rockwall City Council and, within thirty (30) days, the Council shall consider approval or disapproval eligibility of the property for tax relief pursuant to this ordinance. In determining eligibility, the City Council shall first determine that all the requirements of this ordinance have been met and that only the structure is to be provided favorable tax relief as provided in Section II herein. Written notice of the determination shall be sent to the applicant. SECTION 25 • 42: VERIFICATION PROCESS Upon completion of the enhancement of a structure, the certified applicant shall submit a sworn statement of completion acknowledging that the property has been substantially rehabilitated or restored. Within (30) days after receipt of the sworn statement of completion, the Director of Community Development shall make an investigation of the property and shall determine if the enhancement has been completed as required for certification. If the enhancement is deemed incomplete, the applicant shall be required to complete the enhancement in order to secure the tax exemption. If the enhancement is determined to be complete, the Director of Community Development shall notify the Chief Appraiser of the filename: TA)UNCENTIVE_PROG_08262003 Page 4 Rockwall County Central Appraisal District in writing that the applicable ad valorem tax exemption shall apply. Thereafter, the Chief Appraiser of the Rockwall County Central Appraisal District shall provide the property with the tax exemption provided in Section 25 - 39 herein." Section 2. That any person who violates any provision of this ordinance shall, upon conviction, be subject to a fine in accordance with the general provisions of the Code of Ordinances, and that each day in violation shall constitute a separate offence. Section 3. The provisions of this ordinance are severable. If any provision of this ordinance or the application thereof to any person or circumstances shall be held to be invalid or unconstitutional, the remainder of this ordinance shall nevertheless be valid. Section 4. That all ordinances or part of ordinances in conflict herewith are repealed to the extent of the conflict only. Section 5. so ordained. This ordinance shall become effective from and after its adoption, and it is PASSED AND APPROVED BY THE CITY COUNCIL OF THE CITY OF ROCKWALL, TEXAS, this 2nd day of September, 2003. 1st Reading: August 18. 2003 2nd Reading: September 2. 2003 filename: TAX INCENTIVE PROG 08262003 Page 5 -- MEMORANDUM Date: December 2, 2013 To: Mr. Bruce D. Glasscock, City Manager Frank F. Turner, Deputy City Manager From: Ms. Lori Schwarz, Comprehensive Planning Manager Subject: Discussion and direction regarding amending the Historic Tax Exemption Ordinance No. 2008-8-15 The Heritage Commission and staff recently evaluated the existing Historic Tax Exemption ordinance and determined that amendments to the program were warranted due to several factors. These include: clarification of the application process for ownership changes; inconsistencies with references, deadlines and citations; and, the recent withdrawal of Collin County from the city’s historic tax exemption program. Collin County adopted a separate tax abatement program earlier this year, which will begin in 2014. The county program excludes properties that are less than fifty years old from being eligible for historic tax abatement. Background: In August 1984, Plano City Council adopted Ordinance No. 84-8-24 granting partial tax exemption from ad valorem taxes for individually designated and contributing historic structures (see Attachment 1). Per the ordinance: “Article 8, Section 1-f of the Texas Constitution and the Texas Property Tax Code, Section 11.24, enable the City of Plano to exempt from taxation part or all of the assessed value of a structure if the structure is designated as a historically significant site in need of tax relief to encourage its preservation” The Historic Tax Exemption program was updated in August 2008 by Ordinance No. 2008-8-15 with several amendments to the original ordinance (see Attachment 2). In particular, the following amendment was included: Introduction of a new section: Sec. 20-59 – “Definitions” - defining two new terms, “Contributing Resources” and “Individually Designated Resources.” The definition of “Contributing Resources” included the ability for the Heritage Commission to classify a structure that was recently constructed to be deemed contributing if it is compatible with existing architecture and contributes to the overall architectural fabric of the district. Based on the improvement value of the property (not including any land related taxes), a partial tax exemption can be offered to Individually Designated Resources or Contributing Resources. These exemptions range from 100% exemption for an Individually Designated Resource that is used for residential purposes to a 38% exemption for a Contributing Resource that is used for commercial purposes. Participating properties are inspected annually by the Heritage Commission and staff to ensure that the structures are being adequately maintained/preserved and a list of maintenance/repair items (if any) is generated for each property during the survey. Property owners are required to complete the listed maintenance/repair items prior to the next survey in order to remain in the program. All four property taxing entities (Collin County Community College District, Collin County, Plano Independent School District and the City of Plano) have participated in the historic tax exemption program for at least twenty years. This year, 70 properties received tax exemptions with a total value of nearly $157,000 (City of Plano exemption of approximately $35,000) from the four taxing entities. As noted previously, Collin County will no longer participate in the city’s program after 2013. Analysis: The Heritage Commission has been discussing the amendments to the Heritage Tax Exemption program since July 2013. As mentioned previously, there are several issues that need to be addressed as part of the update. However, there is one additional concern that has been raised with the withdrawal of Collin County from the city program, recent change in ownership of several historic properties, and additional new construction in the heritage districts. A strict reading of the Texas Property Tax Code Section 11.24 (see Attachment 3) indicates that only designated historic sites and structures are eligible for this tax exemption. Staff has concerns that new construction, even if located in a heritage district and designed in a compatible manner, may not meet the intention of this section of the Texas Property Tax Code. Research by staff has not identified another city in Texas that provides tax exemption for new construction in historic districts in this manner. Therefore, the Commission and staff requests Council to provide direction to address these properties currently receiving tax relief. The Commission and staff propose the following options for Council’s consideration: a. b. c. d. “Grandfather” the properties with new construction, which have been receiving the exemption but not allow any other new construction to receive tax abatement; Phase out the tax exemption for newer construction that is currently receiving the tax relief over a period of years, with a declining exemption percentage each year; Set a termination date for the exemptions presently allowed for new construction; or Provide incentives for new construction that is compatible with the heritage district through other City programs, in addition to the currently provided waiver of building permit and development fees as part of the Neighborhood Empowerment Zone. I anticipate there may be property owners from the Haggard Park Heritage District who wish to address Council on this topic. Please let me know if you have any questions. cc: Ms. Phyllis Jarrell, Planning Director Attachments: 1 - City Council adopted Historic Tax Exemption Ordinance No. 84-8-24 2 - City Council amended Historic Tax Exemption Ordinance No. 2008-8-15 3 - Texas Property Tax Code Section 11.24 ATTACHMENT 1 ORDINANCE NO. 8 4- 8- 24 AN ORDINANCE OF THE CITY OF PLANO, TEXAS, AMENDING CHAPTER 22 ( TAXATION) OF THE CODE OF ORDINANCES OF THE CITY OF PLANO; PROVIDING A NEW ARTICLE III; PROVIDING FOR PARTIAL EXEMPTION OF CERTAIN HISTORIC LANDMARK STRUCTURES FROM AD VALOREM TAXATION; PROVIDING FOR APPLICATION, CERTIFICATION AND APPROVAL THEREOF; ORDAINING OTHER MATTERS ON THE SUBJECT; PROVIDING A SEVERABILITY CLAUSE AND AN EFFECTIVE DATE. WHEREAS, Article or all of the Section Section 11. 24, Property Tax Code, part 8, assessed value 1-F of the Texas Constitution and the Texas enable the City of Plano to exempt from taxation of a structure if the structure is designated as a historically significant site in need of tax relief to encourage its preservation; and WHEREAS, the City Council of the City of Plano finds such tax relief is needed to encourage the preservation of historic structures within the City; and WHEREAS, the City Council has heretofore established a program of zoning historic sites and structures in order to preserve and protect the cultural heritage of Plano; BE IT ORDAINED BY THE CITY COUNCIL OF THE CITY NOW, THEREFORE, OF PLANO, TEXAS: Chapter Section I. 22 ( Taxation) of the Code of Ordinances of the City of Plano is hereby amended by adding an additional Article III, which article shall read as follows: ARTICLE III. Section 22 - 17 - PARTIAL TAX EXEMPTION FOR HISTORIC STRUCTURES Granting of Exemptions. The City Council shall by ordinance, concurrent with the levy of taxes for each current year, approve for partial exemption from ad valorem taxes certain historic structures which have been recommended for exemption pursuant to provisions of this article. Section 22 - 18 - Classes of Historical Structures. The historical structures shall be divided into the following classes: a. Class A: Structures that are occupied exclusively for residential purposes, are located in a zoning district designated with the suffix " H" by the Plano Zoning Ordinance, being Ordinance 71 -4 -2, as amended ( Hereinafter called " Zoning Ordinance "), called " and are designated by the Historic Landmark Committee ( Hereinafter HLC") as a historically significant structure in need of tax relief to encourage its preservation and has independent historical significance. ATTACHMENT 1 Ordinance No. 84 - 8 - 2: 4 Page 2 b. Class B: Structures that are occupied in whole or in part for purposes other than residential, are located in a zoning district designated with the suffix " H" by the Zoning Ordinance, and are designated by the HLC as historically significant structure in need of tax relief to encourage its preservation and has independent historical significance. c. Class C: Structures that are occupied exclusively for residential purposes, are located in a zoning district designated with the suffix " Ordinance, H" by the Zoning and are designated by the HLC as a historically significant structure in need of tax relief, but primarily as having contributing historical significance as defined in the 1981 Plano Preservation Plan. d. Class D: Structures that are occupied in whole or in part for purposes other than residential, are located in a zoning district designated with the suffix " by the Zoning Ordinance, and are designated H" by the HLC as a historically significant structure in need of tax relief but primarily as having contributing historical significance as described in the 1981 Plano Preservation Plan. Section 22 -19 - Exemptions; Limitations Therein. The following classes of historical structures which are approved for exemption by ordinance pursuant to the provisions of this article, shall have the following percentage of assessed value exempt from ad valorem taxes levied by the City of Plano: a. Class A structures shall have an exemption of one hundred percent ( 100 %) of the assessed value of the historic structure at the time of the assessment excluding the assessed value of any additional improvements to the historic structure made after the first year for which the structure has received an exemption this under Improvements "), Hereinafter article ( and fifty percent ( 50 %) of the called " assessed Additional value of the Additional Improvements. b. Class B structures shall have an exemption of fifty percent ( assessed value of the historic structure at the time of the 50 %) of the assessment excluding the assessed value of Additional Improvements, and twenty -five percent ( C. 25 %) of the assessed value of the Additional Improvements. Class C structures shall have an exemption of seventy -five percent ( 75 %) of the assessed value of the contributing structure at the time of the assessment excluding the assessed value of the Additional Improvements, and thirty -five percent ( Improvements. 35 %) of the assessed value of the Additional Ordinance No. ATTACHMENT 1 84 - 8 - 24 Page 3 Class D structures shall have an exemption of thirty -eight percent ( d. 38 %) of the assessed value of the contributing structure at the time of the assessment excluding the Additional Improvements, 18 %) and eighteen percent of the assessed value of the Additional Improvements. Section 22 - 20 - Application. For each assessment year for which the owner of the structure desires such structure to be partially tax exempt pursuant to provisions of this article, the owner shall file with the HLC a sworn application, not later than February 1st, setting forth the fact that the requirements of the Historic Landmark Preservation Ordinance, Chapter III of the City Code, and the provisions of Section 22 -21 of this chapter, concerning the preservation and maintenance of the subject structure was being fully satisfied as of January 1st of the year for which application for exemption is being sought. Application forms are to be available at the City Tax Collection Office and the City Planning Department. The application shall affirmatively set forth the owner' s authorization for members of the HLC to visit and inspect the historic structure and books and records as necessary to certify whether or not the structure was being preserved and maintained as required herein and to determine what new construction or modifications have been completed. Section 22 - 21 - Certification. Upon receipt of the sworn application, the HLC, or its designee, shall inspect the historic structure and review the books and records as necessary to certify whether or not the historic landmark, as of January 1st of the subject year, is being preserved and maintained in accordance with Chapter 119' of the City Code and in substantial accordance with certain minimum property, structural and health standards, to -wit: 1) 2) Any well, cesspool or cistern shall be securely covered or closed; Dead trees and tree limbs that are reasonably capable of causing injury to a person shall be removed; 3) Any structure or portion of a structure which is vacant shall be securely closed so as to prevent unauthorized entry; 4) Paint or other coatings shall be applied at reasonable intervals so as to protect the exterior surfaces of a structure which are subject to decay; 5) The exterior grounds shall be maintained free of excessive rubbish, garbage, junk or refuse; 6) Screens and shutters existing at the time of historic designation or added subsequent thereto shall be maintained in good repair; 7) 8) Broken windows shall be replaced or reglazed; Exterior doors and doorways shall be maintained in good repair and operable condition; Ordinance No. Page 4 9) 10) ATTACHMENT 1 84 - 8 - 24 Skirting around the structure, if any, shall be maintained in good repair; Porch flooring and supports shall be maintained in a sound condition, capable of bearing an imposed load safely; 11) Railings and handrails of exterior stairs, steps, balconies, porches and other exterior features shall be maintained in a sound condition so as to afford safety; 12) 13) Rotted exterior wood shall be replaced and repainted; Broken or partially missing gutters or downspouts shall be replaced or repaired; 14) Loose bricks or stones in the exterior of a structure shall be re- established or replaced and all joints weatherproofed by proper maintenance of pointing; 15) Fences and the exteriors of accessory buildings shall be maintained in reasonable repair, including painting if applicable. Provided, however, that if deficiencies from the above standards are in the process of being corrected or if restoration of the historic landmark which will correct such deficiencies is scheduled, and if the HLC is satisfied that such work is in process or scheduled restoration will adequately correct such deficiencies within a reasonable time, then the HLC may certify the historic landmark as being in compliance herewith if it finds that the general health, safety and welfare and the public interest in preserving historic landmarks is served thereby. The HLC shall certify the facts to the City Council not later than March 15, of the subject year, along with the HLC' s recommendation for approval or disapproval of the application for exemption. a. The HLC shall note on the application form the following: Any new construction or modification to the structure that has been made after the first year for which the structure has received an exemption under this Article; b. The Class of exempt structure assigned by the HLC. Section 22 - 22 - Adoption of Ordinance by City Council. The City Council shall adopt an ordinance granting partial exemptions hereunder. The ordinance shall specify the class of exempt structures and shall provide that all land shall be assessed for taxation in the same equal and uniform manner as all other taxable properties in the City. The applicant for exemption shall cause a copy of the ordinance, applications for exemption, and certifications from the HLC to be forwarded to the Chief Appraiser not later than May 1 of the subject year. Section 22 - 23 - Rendition and Assessment of Historic Structures for Ad Valorem Taxation. The provisions of this article pertaining to partial exemption of historic structures do not change the provisions of any other article of the City Code pertaining to taxation, and the applicant' s structures shall be rendered and assessed in the same Ordinance No. ATTACHMENT 1 84- 8- 24 Page 5 manner as any other property in the event the City Council elects to disapprove the application for exemption. Section U. It is hereby declared to be the intention of the City Council that the sections, paragraphs, sentences, clauses and phrases of this Ordinance are severable, and if any phrase, clause, sentence or section of this Ordinance shall be declared unconstitutional or invalid by any judgment or decree or a court of competent jurisdiction, such unconstitutionality or invalidity shall not affect any other remaining phrase, clause, sentence, paragraph or section of this Ordinance; and the City Council hereby declares it would have passed the remaining portions even though it had known the affected parts would be held unconstitutional. Section III. This ordinance shall become effective from and after its passage and publication as required by law. PASSED AND APPROVED THIS THE 27th DAY OF aC k August V- Jack Harvard, MAYOR ATTEST: n Jac )fie Blakely, CITY SECRETAR APPROVED AS TO FORM: ary F. CCVQathaam, CITY ATTORNEY 1984. ATTACHMENT 2 ATTACHMENT 2 ATTACHMENT 2 ATTACHMENT 2 ATTACHMENT 2 ATTACHMENT 2 ATTACHMENT 3 STATE OF TEXAS ORDINANCE NO. 05-34 COUNTY OF GUADALUPE AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF SEGUIN, TEXAS, REPEALING ORDINANCE NOS. 1002 92-34, 97-63 AND 04-32 AND AMENDING CHAPTER 94, ARTICLE II, SECTION 94-31, OF THE SEGUIN CODE OF ORDINANCES CONCERNING THE ABATEMENT OF TAXES ON IMPROVEMENTS IN EXCESS OF TWO THOUSAND DOLLARS ($2,000.00) IN THE DOWNTOWN HISTORIC DISTRICT OF THE CITY OF SEGUIN; PROVIDING A SEVERABILITY CLAUSE AND AN EFFECTIVE DATE AND AUTHORIZING CITY STAFF TO SUBMIT THIS ORDINANCE AS A SUPPLEMENT TO THE CODE OF ORDINANCES WHEREAS, the City of Seguin has designated a portion of the downtown area as a historically significant site, which site is more particularly described in Section 29 of the Seguin Zoning Ordinance as the Downtown Historic District (“DHD”); and WHEREAS, Section 11.24 of the Texas Tax Code allows the City of Seguin to provide for a special tax exemption for historic properties such as those in the DHD; and WHEREAS, the City has determined that those properties in Seguin’s DHD are further in need of tax relief to encourage reinvestment, preservation and renovation of the district; and WHEREAS, although a tax “abatement” under Section 11.24 of the Tax Code has been in place for over ten years in the City of Seguin, the Seguin City Council wishes to clean up confusion in the terminology used in Seguin’s Code of Ordinances as well as the description of the properties subject to the exemption and therefore desires to pass this ordinance; NOW, THEREFORE, BE IT ORDAINED by the City Council of the City of Seguin, Texas, as follows: 1. That Ordinance Nos. 1002 92-34, 97-63 and 04-32 are hereby repealed in their entirety. 2. That the text of Chapter 94, Article II, Section 94-31 of the Seguin Code of Ordinances is repealed and the following substituted in its place: Section 94.31 Tax exemption for improvements in excess of $2,000 for properties located in the Downtown Historic District (a) Pursuant to Section 11.24 of the Texas Tax Code and Article 8, Section 1-f of the Texas Constitution, as the same may be amended from time to time, and provided the applicant is in compliance with the following subsections of this ordinance, the City hereby exempts from taxation the increase in value to a structure in the Downtown Historic District which results from renovation or restoration in which funds or labor of a value in excess of Two Thousand and no/100 Dollars ($2,000.00) were expended. This exemption does not apply to the taxation on assessed value of the structure prior to renovation or restoration, nor the value of the land. (b) To be eligible for exemption, the property owner must submit an application to the Main Street Advisory Board and the Seguin Economic Development Tax Abatement Review Committee documenting the completed renovation or restoration. If the Main Street Advisory Board and the Tax Abatement Review Committee approves the application then it will be forwarded to City Council for final approval. With City Council approval the increased value to the structure due to the renovation or restoration will be exempt from taxation. (c) The exemption may be initially refused or cancelled during the life of the exemption if: (1) (2) ad valorem taxes are or become delinquent on the property; unless the delinquency is the product of a bona fide and verifiable dispute with the taxing entities; the property initially does not or fails to be in compliance with all local and state building codes. (d) The City may grant an exemption from taxation for a period of up to five (5) years from the date of substantial completion of the restoration or renovation. (e) The exemption is available for five (5) years regardless of whether the property ownership changes. (f) The property owner must execute a Tax Exemption Agreement on a form acceptable to City staff which may contain conditions for the granting of the exemption and provisions for repayment in the event of default. 3. In accordance with Section 3.10 of the Seguin City Charter, this Ordinance shall become effective upon passage on second reading. 4. If any clause or provision of this Ordinance shall be deemed to be unenforceable for any reason, such unenforceable clause or provision shall be severed from the remaining portions of the Ordinance, which shall continue to have full force and effect. 5. City Staff is hereby authorized to submit this Ordinance as a supplement to the Seguin Code of Ordinances. PASSED UPON FIRST READING ON JUNE 21, 2005. PASSED UPON SECOND READING ON JULY 5, 2005. ______________________________ MAYOR BETTY ANN MATTHIES ATTEST: ___________________________________ Thalia Stautzenberger, City Secretary Agenda Item # 11 We Make a Difference! Board of Directors To: From: Randy Johnson, CEO Date: October 27, 2015 CEO Report Re: CEO BOARD REPORT The following is brief recap of monthly operational activities for October: MCHD began medical director interviews. After interviewing six candidates, we have selected a gentleman for medical director who we believe will be an excellent Clinical Leader and allow MCHD to continue its focus on clinical appropriateness, customer service, and best practices. MCHD’s Community Paramedicine and HCAP program has been working with Meals on Wheels collaboratively to provide rides to patients who need transportation to get to their medical appointments. We are now trialing a system with 20 patients to see if we can partner to build an appropriate healthcare transportation system for those patients who have no mobility. This program has been long in the planning process, but appears to be workable. We will follow up on the program’s success next month. MCHD Executive Management has met with the Hospital Executives from St. Luke’s, Conroe, and Memorial Hermann Hospitals to learn that they all believe that our EMS system is sending them additional patients without resources. After these series of meetings, we have begun to work with the Case Management Departments of Tomball, Conroe, and Kingwood Hospitals to train the ER Case Managers to have potential HCAP candidates to fill out the HCAP application upon arrival o the Emergency Department. We believe this will help reduce the no pay burden shared by each of the hospitals in our county. We plan next to meet with St. Luke’s and Herman Memorial Woodlands hospitals to complete the HCAP applicant training during November. Following that, MCHD will repeat the training at each hospital quarterly until the process is hardwired. MCHD has begun the Compliance Hotline. We have received our first call. Last month was a tough month for the EMS staff. I spent much time with Jared in the field talking to EMS crews. I believe that the implementation of our new Medical Director will help calm the staff’s anxiety. MCHD EMS had the pig lab, and it was very well received. Command Staff met with South County Fire Department, The Woodlands Fire Department, and Porter Fire Department to discuss any MCHD/First Responder issues. Our relationship with all three departments appears to be very strong at this time. We will continue to meet with at least one fire department per week until we have met with all the departments in the county by year-end. EMS held an excellent Supervisor Testing Day. Several very strong candidates interviewed. I expect that we will be promoting some excellent medics to supervisor very soon. We had compliance sessions for all the non-field employees last week. We covered the state of the district, financials, future district plans, the compliance hotline, PTSD, HIPPA, and Harassment. We will continue compliance sessions for field staff during CE next week. We will hold the United Way fundraising event with a kick off tailgate party, Friday, October 30th. The following are potential projects I plan to complete by end of the calendar year: Command Staff will meet with each Hospital Administration and all Emergency Department Management Teams to discuss how MCHD can better work with the five major area hospitals to improve pre-hospital care. MCHD Command Staff will meet with each ESD and Fire Department in the county to discuss programs, policies, issues and opportunities to better work with each department. MCHD Command Staff will provide a breakfast for medics in each district. Executive Management and Command Staff will review the capabilities of LaserFiche to see if we can increase the opportunity to have paperless processes. MCHD will meet with City of Conroe Administration to finalize the monies owed for the Tower and P25 upgrades. MCHD will review the possibility of putting up a transfer truck. Respectfully Submitted, Randy Johnson, CEO MCHD MONTGOMERY COUNTY HOSPITAL DISTRICT BOARD REPORT Organizational Projects DATE: October 27, 2015 Task/Project on Schedule Project Progress Task/Project Not Meeting Schedule Evaluation Project: Station 43 Construction Objective: Station replacement Final Deadline: 1/31/2016 Budget: 987K Project Manager: Melissa Miller Aug Sep Oct Site prep is underway. Building materials are set to arrive the second week of November. Project: EMS Billing Process for Write-Offs Objective: Have transparency in our billing, collection and write-off procedure. Initial Deadline: 3/30/15 Final Deadline: 12/31/15 Budget: N/A Project Manager: Randy Johnson Project: Full Operations of Community Paramedicine Objective: To have a fully functioning program with 120 additional patients. Final Deadline: 9/30/2015 Budget: 1.4 MM Project Manager: Andrew Karrer Aug Sep Oct We are in discussion with a billing consulting company based in San Antonio to help us determine the cost benefit. We are developing a cost analysis to present to the Board of Directors by the end of the year. Project: CAAS Survey Completion Objective: CAAS Accreditation Initial Deadline: 6/30/15 Final Deadline: 4/30/16 Budget: N/A Project Manager: Jared Cosper Project: New Purchasing Procedure Completion Objective: Assure safe and appropriate procedures for purchasing. Initial Deadline: 4/30/2015 Final Deadline: 01/11/2016 Budget: N/A Project Manager: Brett Allen Project: Sell Property on Aldine-Westfield Road Objective: Obtain close to market price for property. Initial Deadline: 9/30/2015 Budget:$250.00 Project Manager: Melissa Miller 1 Task/ Project in Danger of Not Meeting Aug Sep Oct Program is now fully operational. State level reporting for second program year underway this month with incentive payments expected in January. Program continues to pursue new avenues of collaboration with other entities within the county. COMPLETED Aug Sep Oct Decision made to postpone submission of application until after the new Medical Director starts in January 2016. This action will allow the new Medical Director to review materials and be part of the process from the onset. Will reactivate project in February 2016. PROJECT INACTIVATED 10/2015 Aug Sep Aug Sep Oct Oct The Web Purchasing software has been configured for the MCHD purchasing approval process. Training materials for the new process are being developed. The Go-Live date has been postponed to January 11 due to other District projects going live in November and the holiday season. The property sale closed on Oct. 7 with funding received Oct. 8. MONTGOMERY COUNTY HOSPITAL DISTRICT BOARD REPORT Organizational Projects DATE: October 27, 2015 Task/Project on Schedule Project Project: Electronic Key System Implementation Objective: Have key control of vehicles Initial Deadline: July 31, 2015 Final Deadline: Oct. 31, 2015 Budget: 15K Project Manager: Melissa Miller Project: Review of Crew Scheduler Initial Deadline: 4/30/2015 Final Deadline: 8/31/2015 Budget: N/A Project Manager: Jared Cosper/Kevin Nutt Project: HCAP Procedures Objective: Define and standardize current processes. Initial Deadline: 12/31/2015 Final Deadline: Budget: N/A Project Manager: Adeolu Moronkeji 2 Task/ Project in Danger of Not Meeting Progress Task/Project Not Meeting Schedule Evaluation Aug Sep Oct The key system will be active by the deadline date of Oct. 31 and the implementation project completed. Aug Sep Oct Update is complete. New system is built out and ready for deployment, planned for October 1, 2015. Aug Sep Oct Eligibility Specialists have completed the process mapping for Third Party Liability (TPL). Pending review and approval by HCAP leadership team. Project: New Stretcher Installation in Ambulances Objective: Retrofit ambulance fleet with self-loading Stryker stretchers. Initial Deadline: 03/31/2016 Final Deadline: Budget: 1.6 MM Project Manager: Jared Cosper Project: US Digital-Station Alerting Trial Objective: Improve station alerting infrastructure Initial Deadline: 12/31/15 Budget:56K Project Manager: Melissa Miller/Justin Evans Aug Sep Project: Implementation of Ultrasound Scan Device for Cardiac Arrest Objective: Confirmation of cardiac standstill. Initial Deadline: 1/31/15 Final Deadline: Budget: 49 K Project Manager: Jared Cosper/Kevin Crocker Aug Oct The Powerload stretchers order is pending board approval in the Oct. 27th Board Meeting. There is a 12week lead time on stretcher delivery. We anticipate project completion by March 31, 2016. New Project Aug Sep Oct Start date 10/12/15. Will trial new system at 2 EMS stations until December. During the trial period we are monitoring connectivity data and employee feedback to determine the viability of the system. New Project Sep New Project Oct EMS supervisors were trained on ultrasound scan device on 10/16/15 by a Baylor physician here at MCHD. Field implementation, by supervisors, is scheduled for 10/23/15. Reviews of the ultrasound scan in the field will be conducted by getting feedback from the supervisors. Reviews will be conducted monthly for 3 months. Sunday November 2015 Monday Tuesday Wednesday Thursday Friday Saturday 1 2 3 4 5 6 7 8 9 10 11 Closed 12 13 14 19 20 21 Veterans Day 15 16 17 18 Date Recommend 22 23 EMS 24 EMS Conference Conference 25 EMS 26 Closed 27 Closed Conference Thanksgiving Day 29 30 28 December 2015 Sunday Monday Tuesday Wednesday Thursday Friday Saturday 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 4th Tuesday 23 Closed 24 Closed 29 30 27 28 25 Closed 26 Christmas 31 Closed Closed Agenda Item # 13 To: Board of Directors From: Jared Cosper Date: October 27, 2015 RE: EMS Report Executive Summary EMS is currently conducting a Paramedic IV and Supervisor promotional process. We have eleven qualified applicants and will conclude this process within the following week. Plans for leadership training with Chief Paul LeSage are being finalized. We are sharing this course with Harris County Emergency Corps to maximize the benefit to both agencies and share the expense of the training. We have conducted several additional interviews for the Medical Director position and will likely conclude the search within the next two weeks. EMS is revising our published education calendar for 2016 to include three scheduled hiring processes (NEOP), three InCharge academies, and one each Paramedic III and Paramedic IV promotional processes. As part of our growth we will hold each of these growth opportunities at regularly scheduled intervals. Customer service scores this month show MCHD 11th amongst all EMS systems and 2nd amongst large EMS systems. ALARM Summary ALARM quality assurance team and Command Staff met with National Q to address concerns with the program. We will be working with the International Academies of Emergency Dispatch to maximize the benefit to MCHD. ALARM is beginning a hiring process for new dispatchers, we expect to hire four to 5 (4-5) full time dispatchers. ALARM quality assurance team is meeting twice a week to try to make the shifts more consistent and ensure that our procedures are the appropriate and consistent throughout the center. Department of Clinical Services Summary General: Ultrasound training has been completed by Dr. Williams, Baylor College of Medicine and Kevin Crocker for all supervisory staff. The feedback from staff was very positive and they are eager to utilize the devices in patient care. Education of all advanced providers (Paramedic III and above) training completed at the Baylor College of Medicine surgical lab. As always Baylor staff ensured a fantastic learning experience for our staff. Department of Clinical Services (DCS) staff are working aggressively to implement an InCharge Paramedic Academy to encourage and support staff as they promote to the InCharge role. The goal is to meet staffing demands for CY 2016 deployment with the upcoming shift bid. Conducted a large panel style interview for two potential Medical Director Candidates. This was an opportunity for DCS staff and all EMS Supervision to get to know the candidates. We have been soliciting the group’s feedback since these interviews. Completed the Paramedic II/InCharge recredentialing process. DCS Professional Development Coordinator has held education opportunities for staff who chose to review the InCharge re-credentialing process. Education: Ultrasound training complete as above, General Electric V Scan ultrasound devices deployed to District supervisors October 19th Completed Texas Department of State Health Services EMS Education Self Study Presented a Door In – Door Out poster on appropriate trauma care at the Emergency Nurses Association conference Completed Baylor College of Medicine Advanced Skills Lab for all advanced providers, Paramedic III and above Five of Six MCHD poster publications were accepted for presentation at next month’s Texas EMS Conference Conducted interviews for our transition to a full time Education Supervisor Posted the Education Supervisor position (replacing part time position) Held education sessions for Paramedic II/InCharge employees to review and remediate results from the recredentialing process Final preparation for upcoming mandatory CE Community Outreach: Participated in multiple county-wide National Night Out events Held cardiac arrest drills at two local Golds Gym locations Participated in a Car Seat event at a local Sams Club (approximately 30 seats checked) EMS Operations Summary On the final day of Baylor College of Medicine Advanced Skills Lab, I, EMS Director Cosper, was involved in a minor fleet accident. The accident was reported and documented fully in accordance with EMS guidelines. I am pleased to discuss any details with anyone individually. Testing for Paramedic IV and Field Supervisor will be held October 22, 2015. We hope to complete the testing in one day. The results will be compiled and candidates notified within two weeks. The Crew Scheduler revision has been delayed slightly due to an issue discovered during testing. Zoll technical support was able to aid in resolving the issue and we will deploy after running thorough testing. The new system will include several significant system improvements that will make scheduling easier for field staff and will improve payroll accuracy. MCHD is hosting “train the trainer” Escaping Violent Encounters course to address the risk our staff experience in dealing with patients who may cause them harm in fulfilling their duties. US Digital Station alerting is “live” in a trail phase at EMS Station 23/Woodlands Fire Department Station 102 and MCHD Regional Station 30. Preliminary feedback from the system is positive. Dispatched Call Volume – Previous Month Turnaround Times Drive Cam EMS Survey Report Agenda Item # 14 To: Board of Directors We Make a Difference! From: Randy Johnson Date: October 27, 2015 Re: Medical Director Contract Consider and act on Medical Director Contract through Baylor College of Medicine. (Mr. Fawn, Chair – EMS Committee) Comparison of Medical Director Agreements Escott Agreement Proposed Agreement Using Baylor Professional Services Agreement Using Baylor Professional Services Agreement Working Three Days per Week Working Two Days per Week for Twelve Weeks and Five Days per Week every Thirteenth Week Public Health Authority Duties were included Public Health Authority duties were not included Annual Salary: $260,211 for EMS Annual Salary: $185,600 Annual Benefits: 0 Annual Benefits: $33,266 Management Fee: $14,211 Management Fee: $11,193 Conference Attendance: Not Addressed Conference Attendance: Texas EMS, NAEMSP, and EAGLES Contract Length: Three Years with 3% increase Contract Length: One Year with Evergreen Annually Clause (60 Notice) Agenda Item # 15 Board of Directors To: We Make a Difference! From: Calvin Hon Date: October 22, 2015 Re: Consider and Act on purchase of replacement CAD workstations for MCHD and Woodlands Fire Department MCHD is requesting to replace the Dispatch CAD (Computer Aided Dispatch) computer workstations. These computers are 4 years old and out of warranty. These computers are used 24/7 for ambulance and fire apparatus dispatching. These computers are quoted from the Dell’s Texas DIR State contract and the quote complies with MCHD’s purchasing policy. We are asking to purchase 18 machines at a cost of approximately $2950 per computer workstation for a total of approximately $53k. The expense will be cost shared between MCHD and Firecomm. MCHD will replace 12 workstations in Alarm ($35,400) and Firecomm will replace 6 ($17,700). Woodlands Fire Department has agreed to purchase their 6 computers. This request is a budgeted item in IT capital expense. Fiscal Impact: Moderate Yes No N/A X Budgeted item? X Within budget? X Renewal contract? X Special request? Quote 1021609285783.2 MONTGOMERY CO HOSPITAL DIST Salesperson Quote Details Billing Details Salesperson Name Gatlin Moncla Quote Date 09/16/2015 Company Name MONTGOMERY CO HOSPITAL DIST Salesperson Email Gatlin_Moncla@Dell.com Quote Validity 10/16/2015 Customer Number 70586519 Salesperson Phone 18009993355 Solution ID - Phone Number 1 (936) 5231102 Salesperson Extension 7250435 Address PO BOX 478 CONROE US Price Summary Description Quantity Unit Price Subtotal Price Precision Workstation T1700 Minitower CTO 18 $2,589.59 $46,612.62 Dell 4 GB AMD FirePro W5100 Professional Graphic Card 18 $359.99 $6,479.82 Subtotal Tax Shipping and Handling Environmental Fee $53,092.44 $0.00 $0.00 $0.00 Total $53,092.44 Note: All tax quoted above is an estimate; final taxes will be listed on the invoice. Page 1 © 2014 Dell Inc. U.S. only. Dell Inc. is located at One Dell Way, Mail Stop 8129, Round Rock, TX 78682. Agenda Item # 16 To: Board of Directors From: Melissa Miller, COO Date: October 27, 2015 Re: COO Report STATIONS AND PROPERTY: EMS Station 43: o Site work began the week of October 12 o Building materials are scheduled to arrive the second week of November. o Completion in Q1 2016 EMS Station 41: o Tall Pines will begin construction of additional buildings on their property in the next 60 days. o We will relocate the crews temporarily to Station 40 until a new site can be completed. Aldine Westfield Property: o The property sale closed on Oct. 7 as scheduled with funding on Oct. 8. COMMUNITY PARAMEDICINE: Calendar YTD CP has averaged 337 billable encounters per month average reimbursement of $101,100. In September, we had 249 billable which equals $ 74,700 reimbursement of from MCPHD. The program goal is to average 300 encounters per month. Texas A&M is in the final stages of testing the electronic medical record with release to MCHD in the next 30 days. RADIO AND TOWERS: Oct. 21 Brett Allen, Justin Evans and I met with Steve Williams, City of Conroe and a representative from Verizon to discuss leasing tower space on the Magnolia Tower. o The first step is a Site Access Agreement that allows Verizon to ensure the site is appropriate for their leasing needs. o If the site meets Verizon’s needs we would then formalize a lease agreement. Justin Evans is the Project Manager for US Digital station alerting project which is a joint project between MCHD and WFD o Simultaneous trials of the US Digital system began Oct. 15 at MCHD Station 30 and WFD Station 102/MCHD Station 23. o We are monitoring connectivity data as well as feedback from crews to determine if this is a viable solution. MATERIALS MANAGEMENT: The Ambu-Stat training for MRT staff will take place Oct. 27. Our make-ready staff will use the device to clean the ambulance at the time of shop exchange. Revised Purchasing Process is on track o Weekly meetings with implementation scheduled pushed back to January 11, 2016 Agenda Item # 17 We Make a Difference! To: Board of Directors From: Stephani Ochoa Date: 10/22/15 Re: Sole Source Letter for Stryker Power Loads & Stretchers Consider and act on sole source letter for Stryker Power Loads & stretchers. Yes X No N/A Budgeted item? X Within budget? X Renewal contract? X Special request? Gary Montana Account Manager 3800 E Centre Ave Portage, MI 49002 Phone: (817) 846-0415 Fax: (866) 384-4353 October 10, 2015 To Whom It May Concern, Stryker does not operate a distribution channel in which competitive pricing may be obtained on the model 6506 Power-PRO XT cot configured with the model 6506-127-000 Power-LOAD cot compatibility kit. Likewise, Stryker does not operate a distribution channel in which competitive pricing may be obtained on the model 6390 Power-LOAD System. The model 6506 Power-PRO XT cot configured with the model 6506-127-000 Power-LOAD cot compatibility kit and the model 6390 Power-LOAD System must be purchased directly from Stryker. If you have any questions or if I can be of further assistance, please don't hesitate to call. Sincerely, Gary Montana Account Manager Agenda Item # 18 We Make a Difference! To: Board of Directors From: Stephani Ochoa Date: 10/22/15 Re: Stryker Power Loads & Stretchers Request for purchase of 36 Stryker Power Loads & Stretchers. We have attached 2 quotes. One is based on a trade in of the old stretchers to Stryker, and the other is a flat rate for the purchase of the new stretchers. We are still looking into the possibility of selling the old stretchers to an outside party if it makes sense financially. Yes X No N/A Budgeted item? X Within budget? X Renewal contract? X Special request? Purchase Order # Billing Address Shipping Address Diane Sandel MCHD-EMS 1300 S. Loop 336 West Conroe, Texas 77304 936-521-5622 dsandel@mchd-tx.org Diane Sandel MCHD-EMS 1300 S. Loop 336 West Conroe, Texas 77304 936-521-5622 dsandel@mchd-tx.org . Quote Info Date: Quote #: Terms: Contact: Phone: Fax: Email: 10/15/15 00959 Net 30 Gary Montana 817-846-0415 866-384-4353 gary.montana@stryker.com Ambulance Cot Qty $650,945.44 Part # Description Unit Extended 36 6506 Power-PRO XT $13,101.14 $471,641.03 36 6506-040-00 0 XPS Side Rail $1,647.38 $59,305.68 36 6500-147-00 0 Equipment Hook $42.64 $1,535.04 36 6506-127-00 0 Power-LOAD Cot Compatibility $1,394.82 $50,213.52 36 6500-315-00 0 3 Stage IV Pole(patient right) $282.90 $10,184.40 36 6500-082-00 0 Knee-Gatch/Trendelenburg $656.82 $23,645.52 36 6500-130-00 0 Pocketed Back Rest Pouch $212.38 $7,645.68 36 6500-128-00 0 Head End Storage Flat $113.16 $4,073.76 36 6506-038-00 0 Steer-Lock $630.58 $22,700.88 Power-LOAD System Qty 36 $803,354.38 Part # Description Unit Extended 6390 Power-LOAD $22,315.40 $803,354.38 Trade-In Qty -$66,600.00 Part # 36 Description Trade-In Power-PRO Cots Unit Extended -$1,850.00 -$66,600.00 Sub-Total $1,387,699.75 Grand Total $1,387,699.75 Terms & Conditions Terms and conditions: Cot, all cot accessories on original order, and aftermarket accessories FOB origin. Applicable sales tax will be applied at time of invoicing. Order subject to Stryker Corporation's approval. Credit cannot be allowed on return of special or modified items. All approved returns will be accepted only in Kalamazoo, Michigan. Proposal valid for 30 days from submittal. Printed Name Signature Date Agenda Item # 19 We Make a Difference! To: Board of Directors From: Stephani Ochoa Date: 5/21/15 Re: EMSAR Power Load Installation Request for EMSAR to install 28 Stryker Power Loads at $1150 each totaling $32,200. Frazer will install the remaining 8 Power Loads (4 new and 4 remount). Yes X No N/A Budgeted item? X Within budget? X Renewal contract? X Special request? Service Report for Stryker Medical-EMS 00172762 Work Order # Customer Information Date Issued: 10/22/2015 Service Provider: Texas Montgomery County Hospital District Montgomery County Hospital District 301 George Stake Blvd. Conroe, TX 77304 Contact: Phone: 936-523-5021 Input Date: 10/22/2015 PO Reference: Primary Tech: Work Completed: Call Type: On Demand Service Invoice: Authorized by: If checked, replaced components are to be returned. Problem Description: Customer wanting quote to iinstall Power Loads on 28-30 Fraiser ambulances which will require additional supports under floor. Quoting $1150.00 each. Email quote to wsullivan@mchdtx.org . Products Information: Model Serial AssetID Item Status Corrective Action: NA Parts Replaced Qty SKU 30.00 Stryker Labor, Repair (non dispatch) Stryker Labor, Repair (non dispatch) Item Price 1150.00 Used On Technician NA DEMPSEY, CRAIG Parts Sent Qty SKU Item Ticket 1: Sent To Franchise Shipped by None Identified Customer Signature: Repair Charges Misc. Cost: Parts Cost: EMSAR Service Center Invoice #: _____________ Repair Total: $34,500.00 EMSAR Oklahoma, Trevor Hendrix 446 W Maple Branch Way, Mustang, OK, (800) 403-6727 Web Site: www.emsar.com Email: info@emsar.com Tracknumber Agenda Item # 20 We Make a Difference! To: Board of Directors From: Stephani Ochoa Date: 10/22/15 Re: Cargo Van for Materials Management Request for purchase of a 2016 Nissan NV 1500 V6 with gas engine cargo van for $25,013* to replace shop 332 which is at end of life. The 2016 Nissan NV 1500 is built in Canton, Mississippi and has a 5 year/100,000 mile bumper to bumper limited warranty and includes the following: *$25,013 includes the following • $24,393 Cargo Van sales price • $400 Buy Board fee • $220 Delivery fee Yes X No N/A Budgeted item? X Within budget? X Renewal contract? X Special request? Agenda Item # 21 To: Board of Directors From: Melissa Miller, COO Date: October 27, 2015 Re: Healthcare Report HCAP update: National Case Management Week was October 11 – 17, and HCAP commemorated this by celebrating our Case Managers, Barbara Runte-Stultz and Nikki Greer. Barbara and Nikki play a pivotal role within HCAP, serving as advocates and educators to our clients who often face barriers when attempting to access healthcare resources. They proactively and collaboratively work with clients, families and physicians in order to ensure that clients have the best outcomes, while containing cost. We anticipate further development and expansion of Barbara and Nikki’s role, as we move towards redefining and providing more structure to their current practices. HCAP Applications: We have processed 5,580 applications fiscal year to date with a 48% denial rate. Denials are based a number of factors: Eligible for another payer source (Medicare, Medicaid, Market Place, etc.) Above 133% of FPIL Failure to complete application/provide information Month Apps. Received Apps. Processed Sept. 2015 August 2015 July 2015 June 2015 May 2015 April, 2015 March 2015 Feb. 2015 Jan. 2015 Dec. 2014 Nov. 2014 Oct. 2014 265 297 266 284 260 239 274 268 238 218 229 342 496 465 456 465 450 423 519 452 483 401 415 555 Total Denials 196 179 235 220 224 220 246 228 233 223 200 262 40% 39% 52% 47% 50% 52% 47% 50% 48% 56% 48% 47% Denied due to Failure to Provide Info. 86 17% 88 19% 109 24% 102 22% 110 24% 98 23% 118 23% 116 26% 98 20% 110 27% 99 24% 109 20% Agenda Item # 21 To: Board of Directors From: Melissa Miller, COO Date: October 27, 2015 Re: Healthcare Report Census: As of July 1, 2011, new applicants are required to be <133% of FPIL to qualify for HCAP, the 2 clients above 133% were grandfathered into the program. HCAP Clients as of September 30, 2015 = 553 versus September 30, 2014 = 638 FPIL Range 0-21% 21-50% 50-10% 100-150% Inmates 133-150% FY 2015 338 61% 54 10% 132 24% 21 4% 8 1% 2 <1 FY 2014 372 58% 70 11% 154 24% 17 3% 25 4% 2 <1 Clients who have reached the Maximum Annual Benefits of $ 60,000 or 30 inpatient days a. FY 14/15 = 10 b. FY 13/14 = 11 c. FY 12/13 = 27 Agenda Item # 21 To: Board of Directors From: Melissa Miller, COO Date: October 27, 2015 Re: Healthcare Report Prescription Benefits Services: Month Number of Clients Applying for PAPs Total Applications for Patient Assistance Programs Total amount of medications provided without charge to clients (AWP-16% + Dispensing Fee) Sep-15 44 66 $92,460.73 Aug-15 41 56 $44,740.76 Jul-15 47 64 $56,574.88 Jun-15 51 77 $34,223.60 May-15 39 61 $33,551.45 Apr-15 57 76 $33,620.33 Mar-15 49 69 $17,892.13 Feb-15 42 52 $76,998.87 Jan-15 53 71 $45,963.93 Dec-14 39 52 $65,284.43 Nov-14 39 51 $41,659.75 Oct-14 57 81 $48,336.40 Sep-14 46 64 $18,122.39 *Patient assistance programs are run by pharmaceutical companies to provide free medications to people who cannot afford to buy their medicine. Agenda Item # 21 To: Board of Directors From: Melissa Miller, COO Date: October 27, 2015 Re: Healthcare Report Medicaid Reimbursement In September, 4 clients were found to be eligible for Medicaid and $8,564.46 has been requested in reimbursement from the providers. Medicaid Reimbursement by Fiscal Year $450,000.00 $400,000.00 First full fiscal year using IHS Power Search Sadler Bankrupcy $137,273 outstanding reimbursements not recoverable $350,000.00 $300,000.00 $250,000.00 $200,000.00 $150,000.00 $100,000.00 $50,000.00 $- FY 04- FY 05- FY 06- FY 07- FY 08- FY 09- FY 10- FY 11- FY 12- FY 13- FY 1405 06 07 08 09 10 11 12 13 14 15 Montgomery County Hospital District Healthcare Assistance Program Total Plan Cost $30,000 $25,000 $20,000 $15,000 $10,000 $5,000 $0 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Total Plan Cost Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 FY 13-14 Monthly Average Montgomery County Hospital District Healthcare Assitance Program Net Claims 2000 1750 1500 1250 1000 750 500 250 0 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Jul-15 Aug-15 Sep-15 Note: Claims count includes 100% client paid claims. Net Claims FY 13-14 Monthly Average Montgomery County Hospital District Healthcare Assistance Program Generic % of Total Paid Claims 100 90 80 70 60 50 40 30 20 10 0 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Note: Generic claims percentage includes 100% client paid claims. % Generic-Rx FY 13-14 Monthly Average Montgomery County Hospital District Healthcare Assistance Program Total Paid Claims Copay $16,000 $14,000 $12,000 $10,000 $8,000 $6,000 $4,000 $2,000 $0 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Note: Total copay includes 100% client paid claims. Total Copay FY 13-14 Monthly Average Montgomery County Hospital District Healthcare Assistance Program Avg Cost per Claim $20 $18 $16 $14 $12 $10 $8 $6 $4 $2 $0 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Note: Average cost per claim includes 100% client paid claims. Cost/Rx FY 13-14 Monthly Average Montgomery County Hospital District Healthcare Assistance Program Avg Cost for Brand $250 $200 $150 $100 $50 $0 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Note: Average cost for brand includes 100% client paid claims. Brand Cost/Rx FY 13-14 Monthly Average Montgomery County Hospital District Healthcare Assistance Program Avg Cost for Generic $12 $10 $8 $6 $4 $2 $0 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Note: Average cost for generic includes 100% client paid claims. Generic Cost/Rx FY 13-14 Monthly Average Montgomery County Hospital District Healthcare Assistance Program Avg Per Member Per Month Cost $45 $40 $35 $30 $25 $20 $15 $10 $5 $0 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Note: Per member per month cost only includes MCHD paid claims. Cost/mem/month (PMPM) FY 13-14 Monthly Average Report : RPT-157 Printed : 10/05/2015 Page: 1 Top 25 Pharmacy Dispensing - by Dollar Amount From 09/01/2015 to 09/30/2015 120501 Montgomery Co IHCP-Retail RETAIL Montgomery Co IHCP-Retail Rank Pharmacy Name NABP Generic RXs. Cnt Amount Brand RXs. Cnt Amount Brd Equiv. RXs. Cnt Amount Total Billed Rx Percent of Totals Count By RX By Amt Avg Day Supply Avg Cost DAW Per RX C-II Ovrd 1 KROGER PHARMACY 4569527 8 $1,265.46 86 975.54 0 0.00 $2,241.00 94 6.58 10.87 26.3 $23.84 15 1 2 KROGER PHARMACY 4522997 4 $627.96 80 1,383.52 1 0.00 $2,011.48 85 5.95 9.76 22.4 $23.66 8 0 3 WAL-MART PHARMACY 10- 4592300 1 $0.00 155 1,883.61 0 0.00 $1,883.61 156 10.92 9.14 25.0 $12.07 7 0 4 LONE STAR COMMUNITY 4534219 5 $1,262.30 44 442.70 0 0.00 $1,705.00 49 3.43 8.27 27.8 $34.80 0 0 5 WAL-MART PHARMACY 10- 4567472 3 $475.15 169 1,137.83 1 21.03 $1,634.01 173 12.11 7.93 26.3 $9.45 5 3 6 KROGER PHARMACY 4532241 3 $1,441.60 11 43.46 0 0.00 $1,485.06 14 0.98 7.21 26.5 $106.08 3 0 7 WAL-MART PHARMACY 4517148 1 $24.98 53 940.06 0 0.00 $965.04 54 3.78 4.68 24.5 $17.87 3 0 8 WAL-MART PHARMACY 4565113 1 $250.93 54 509.32 1 73.80 $834.05 56 3.92 4.05 29.0 $14.89 0 4 9 KROGER PHARMACY 4523064 5 $273.52 65 479.45 0 0.00 $752.97 70 4.90 3.65 26.8 $10.76 1 0 10 CVS PHARMACY 4536528 1 $0.00 57 572.09 0 0.00 $572.09 58 4.06 2.78 26.2 $9.86 2 0 11 BROOKSHIRE BROTHERS 4594974 0 $0.00 26 495.41 0 0.00 $495.41 26 1.82 2.40 27.4 $19.05 1 0 12 WAL-MART PHARMACY 4540870 1 $223.85 31 264.67 0 0.00 $488.52 32 2.24 2.37 23.9 $15.27 5 0 13 WAL-MART PHARMACY 4528052 2 $70.49 29 383.67 0 0.00 $454.16 31 2.17 2.20 27.6 $14.65 0 0 14 BROOKSHIRE BROTHERS 4599126 1 $111.38 47 292.48 0 0.00 $403.86 48 3.36 1.96 26.5 $8.41 2 0 15 RANDALLS PHARMACY #2673 4570594 0 $0.00 5 389.12 0 0.00 $389.12 5 0.35 1.89 27.2 $77.82 2 1 16 B AND B PHARMACY 4598720 2 $321.47 15 50.68 0 0.00 $372.15 17 1.19 1.81 27.7 $21.89 2 0 17 CVS PHARMACY # 5906687 1 $273.30 2 84.59 0 0.00 $357.89 3 0.21 1.74 30.0 $119.30 1 0 18 HEB PHARMACY 4534790 1 $0.00 32 341.41 0 0.00 $341.41 33 2.31 1.66 26.0 $10.35 4 0 19 KROGER PHARMACY 4523088 1 $118.36 18 175.94 1 24.00 $318.30 20 1.40 1.54 27.0 $15.92 1 1 Total Dollars: % Total By RX: %Total by Amt: Avg. Qty: Total calculated price for all RXs for Pharmacy (including copay) Percentage of RXs by Pharmacy vs. total RXs Percentage of dollars by Pharmacy vs. total dollars (including copay) Average quantity dispensed in each RX by Pharmacy Avg Day Supply: Avg. Cost Per Rx: C-II: DAW Ovrd: Average Number of days supply dispensed by Pharmacy for each RX Average total price for each RX by Pharmacy (including member copay) Total # of C-II Controlled RXs dispensed from Pharmacy Total # of DAW 1 (Physician) and DAW 2 (Member) Overrides Note This report is based on Rx Dispensing Date. Totals could change if claims or reversals are subsequently submitted and the dispensing dates are within this range. Invoices are based on period close dates and may not balance to these amounts Report : RPT-157 Printed : 10/05/2015 Page: 2 Top 25 Pharmacy Dispensing - by Dollar Amount From 09/01/2015 to 09/30/2015 Rank Pharmacy Name NABP Brand RXs. Cnt Amount Brd Equiv. RXs. Cnt Amount Generic RXs. Cnt Amount Total Billed Rx Percent of Totals Count By RX By Amt Avg Day Supply Avg Cost DAW Per RX C-II Ovrd 20 PINECROFT PHARMACY 5900611 5 $121.90 6 124.84 0 0.00 $246.74 11 0.77 1.20 16.9 $22.43 0 0 21 RICHIE'S SPECIALTY 4510168 1 $241.50 0 0.00 0 0.00 $241.50 1 0.07 1.17 15.0 $241.5 0 0 22 MEDICINE SHOPPE 4523204 0 $0.00 7 237.93 0 0.00 $237.93 7 0.49 1.15 19.9 $33.99 1 0 23 KROGER PHARMACY 4511704 0 $0.00 50 190.19 0 0.00 $190.19 50 3.50 0.92 22.1 $3.80 5 0 24 LIFECHEK DRUG 5907831 0 $0.00 24 189.07 0 0.00 $189.07 24 1.68 0.92 29.0 $7.88 8 0 25 KROGER PHARMACY #359 5909190 1 $0.00 39 186.72 0 0.00 $186.72 40 2.80 0.91 25.2 $4.67 3 1 : $18,997.28 1157 632.11 SUBTOTAL FOR ALL OTHER Pharmacies : SUBTOTAL FOR TOP25 $1,612.48 271 853.97 $880.21 $299.86 TOTAL FOR PLAN : $20,609.76 1428 1,486.09 $1,180.06 TOTAL FOR GROUP : $20,609.76 1428 1,486.09 $1,180.06 Report : RPT-156 Printed : 10/05/2015 Page: 1 Top 25 Physician Dispensing - by Dollar Amount From 09/01/2015 to 09/30/2015 120501 Montgomery Co IHCP-Retail RETAIL Montgomery Co IHCP-Retail Generic RXs. Cnt Amount Brand RXs. Cnt Amount Rank Physician Name Brd Equiv. RXs. Cnt Amount Total Billed Rx Percent of Totals Count By RX By Amt Avg Day Avg Cost DAW Supply Per RX C-II Ovrd 1 SCOTT, TERRI 0 $0.00 8 1,647.52 0 0.00 $1,647.52 8 0.56 7.99 13.1 $205.94 0 0 2 BLAYLOCK, HEATHER 2 $279.44 93 794.40 0 0.00 $1,073.84 95 6.65 5.21 23.3 $11.30 14 0 3 HAMBRICK, MICHAEL 5 $1,063.06 2 0.00 0 0.00 $1,063.06 7 0.49 5.16 26.7 $151.87 0 0 4 GADDAM, ANJALI 2 $1,023.72 0 0.00 0 0.00 $1,023.72 2 0.14 4.97 31.0 $511.86 0 0 5 PATRINELY, PATRICIA 1 $70.49 109 856.97 2 39.01 $966.47 112 7.84 4.69 27.7 $8.63 5 1 6 SPRINTZ, MICHAEL 6 $240.26 30 680.92 0 0.00 $921.18 36 2.52 4.47 24.6 $25.59 12 1 7 DEWITZ, SCOTT 2 $50.00 69 755.16 1 21.03 $826.19 72 5.04 4.01 28.1 $11.47 8 1 8 ADELEYE, VICTORIA 0 $0.00 66 676.71 1 0.00 $676.71 67 4.69 3.28 29.0 $10.10 0 0 9 BRITO, ERIKA 2 $476.76 6 7.42 0 0.00 $484.18 8 0.56 2.35 28.4 $60.52 0 0 10 VARGA, RYAN 1 $223.85 12 257.62 0 0.00 $481.47 13 0.91 2.34 27.1 $37.04 0 1 11 HABBEN, TIFFANY 1 $476.69 3 1.50 0 0.00 $478.19 4 0.28 2.32 27.0 $119.55 0 0 12 MEMON, ILYAS 1 $425.15 13 45.78 0 0.00 $470.93 14 0.98 2.28 22.6 $33.64 0 0 13 HO, CHRISTINA 1 $250.93 29 168.46 0 0.00 $419.39 30 2.10 2.03 28.5 $13.98 0 0 14 IRFAN, MUHAMMAD 1 $417.88 0 0.00 0 0.00 $417.88 1 0.07 2.03 30.0 $417.88 0 0 15 BOSLEY, MICAH 1 $321.47 6 93.46 0 0.00 $414.93 7 0.49 2.01 30.0 $59.28 0 0 16 PORTER, DANIEL 2 $233.10 7 108.68 0 0.00 $341.78 9 0.63 1.66 29.6 $37.98 0 0 17 AHMAD, AFTAB 3 $272.46 26 68.54 0 0.00 $341.00 29 2.03 1.65 25.6 $11.76 9 0 18 ARIYARATNA, SAVITRI 2 $318.88 0 0.00 0 0.00 $318.88 2 0.14 1.55 23.0 $159.44 0 0 19 ANUGWOM, CHINASA 0 $0.00 36 275.11 0 0.00 $275.11 36 2.52 1.33 26.1 $7.64 4 0 Total Dollars: % Total By RX: %Total by Amt: Avg. Qty: Total calculated price for all RXs for Physician (including copay) Percentage of RXs by Physician vs. total RXs Percentage of dollars by Physician vs. total dollars (including copay) Average quantity dispensed in each RX by Physician Avg Day Supply: Avg. Cost Per Rx: C-II: DAW Ovrd: Average Number of days supply dispensed by Physician for each RX Average total price for each RX by Physician (including member copay) Total # of C-II Controlled RXs written by Physician Total # of DAW 1 (Physician) and DAW 2 (Member) Overrides Note This report is based on Rx Dispensing Date. Totals could change if claims or reversals are subsequently submitted and the dispensing dates are within this range. Invoices are based on period close dates and may not balance to these amounts Report : RPT-156 Printed : 10/05/2015 Page: 2 Top 25 Physician Dispensing - by Dollar Amount From 09/01/2015 to 09/30/2015 Rank Physician Name Brand RXs. Cnt Amount Brd Equiv. RXs. Cnt Amount Generic RXs. Cnt Amount Total Billed Rx Percent of Totals Count By RX By Amt Avg Day Avg Cost DAW Supply Per RX C-II Ovrd 20 NGO, VINH 1 $273.30 0 0.00 0 0.00 $273.30 1 0.07 1.33 30.0 $273.3 0 0 21 BONDS, LAURA 0 $0.00 11 272.21 0 0.00 $272.21 11 0.77 1.32 30.0 $24.75 0 0 22 PERRI, ANTHONY 0 $0.00 4 260.88 0 0.00 $260.88 4 0.28 1.27 22.3 $65.22 0 0 23 O'NEAL, JAMES 1 $241.50 3 13.20 0 0.00 $254.70 4 0.28 1.24 26.3 $63.68 0 0 24 YA, AUNG 1 $223.85 3 19.62 0 0.00 $243.47 4 0.28 1.18 11.3 $60.87 0 0 25 NGUYEN, CHANH 0 $0.00 31 213.66 0 0.00 $213.66 31 2.17 1.04 24.7 $6.89 0 0 $14,160.65 607 645.60 $2,390.16 $6,449.11 821 5,213.17 $2,361.23 TOTAL FOR PLAN : $20,609.76 1428 5,858.77 $4,751.38 TOTAL FOR GROUP : $20,609.76 1428 5,858.77 $4,751.38 SUBTOTAL FOR TOP25 : SUBTOTAL FOR ALL OTHER PHYSICIANS : Report: Printed: Page: Top 25 Therapy Classes by- Dollar Amount From 09/01/2015 to 09/30/2015 120501 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 1 Montgomery Co IHCP-Retail RETAIL Rank RPT-147 10/05/2015 Montgomery Co IHCP-Retail Code 2710 7260 4420 8310 6599 4927 3940 7510 6510 4410 3699 3400 4030 4930 3320 0400 3920 2130 5685 5816 1240 2799 2810 1622 2760 Drug Class Retail Rxs *Insulin** *Anticonvulsants - Misc.** *Sympathomimetics** *Heparins And Heparinoid-Like Agents** *Opioid Combinations** *Proton Pump Inhibitors** *HMG CoA Reductase Inhibitors** *Central Muscle Relaxants** *Opioid Agonists** *Bronchodilators - Anticholinergics** *Antihypertensive Combinations** *Calcium Channel Blockers** *Impotence Agents** *Misc. Anti-Ulcer** *Beta Blockers Cardio-Selective** *Tetracyclines** *Fibric Acid Derivatives** *Antimetabolites** *Prostatic Hypertrophy Agents** *Selective Serotonin Reuptake Inhibitors (SSRIs)** *Herpes Agents** *Antidiabetic Combinations** *Thyroid Hormones** *Lincosamides** *Insulin Sensitizing Agents** SUBTOTAL FOR TOP 25 : Avg Days Avg Rx Cost 14 47 19 4 83 61 93 53 41 3 34 57 3 3 51 3 13 8 5 46 1 2 37 7 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 690 0 633.71 $2,619.62 28.00 28.11 23.37 6.00 18.80 29.43 29.84 25.83 18.29 30.00 29.97 29.74 5.00 30.00 30.00 23.33 30.00 28.13 30.00 30.00 30.00 30.00 30.03 9.86 30.00 $275.48 $53.63 $132.54 $392.66 $18.81 $23.71 $11.99 $18.40 $16.87 $226.53 $19.03 $10.62 $157.9 $157.27 $8.68 $145.93 $31.65 $50.71 $77.89 $8.34 $381.76 $184.73 $9.34 $48.12 $157.05 Rx Cnt 14 47 19 4 83 61 93 53 41 3 34 57 3 3 51 3 13 8 5 46 1 2 37 7 2 690 Total Billed Percent of Totals By Rx By Amt 11.48 .98 $3,856.68 7.5 3.29 $2,520.45 7.5 1.33 $2,518.27 4.68 .28 $1,570.62 4.65 5.81 $1,561.27 4.31 4.27 $1,446.53 3.32 6.51 $1,114.94 2.9 3.71 $975.31 2.87 2.06 $691.50 2.02 .21 $679.58 2.38 1.93 $647.05 1.8 3.99 $605.41 .21 1.41 $473.70 1.4 .21 $471.81 3.57 1.32 $442.62 1.3 .21 $437.79 .91 1.23 $411.50 1.21 .56 $405.71 .35 1.16 $389.45 1.14 3.22 $383.54 .07 1.14 $381.76 1.1 .14 $369.46 2.59 1.03 $345.41 .49 1 $336.82 $314.09 .14 .94 $23,351.27 738 0 2,431.22 $3,103.53 738 $10,233.24 TOTAL FOR PLAN: 1428 0 3,064.93 $5,723.15 1428 $33,584.51 TOTAL FOR GROUP : 1428 0 3,064.93 $5,723.15 1428 $33,584.51 SUBTOTAL FOR ALL OTHER CLASSES : Code: Avg Rx Cost : Total Billed: Mail Rxs Note Theraputic Classification for the drug class This report is based on Rx Dispensing Date. Totals could change if claims or reversals are subsequently Average amount per script for the drug cost and dispense fee only submitted and the dispensing dates are within this range. Invoices are based on period close dates and Total amount of the drug cost and dispense fee may not balance to these amounts AGENDA ITEM # 22 Board Mtg.: 10/27/2015 Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers processed by Boon-Chapman (Mrs. Wagner, Chair-Indigent Care Committee) Montgomery County Hospital District Summary of Claims Processed Through (TPA) Boon-Chapman For the Period 09/17/2015 through 10/15/2015 Disbursement Date Board Reviewed September September 3, 2015 September 10, 2015 September 17, 2015 September 24, 2015 Yes Yes No No Total September Payments - MTD Monthly Budget - September 2015 October October 1, 2015 October 8, 2015 October 15, 2015 October 22, 2015 October 29, 2015 Total September Payments - MTD Monthly Budget - October 2015 No No No No Payments Made to All Other Vendors (Non-UPL) $ $ $ $ 113,711.55 22,755.81 67,663.87 28,837.50 $ $ 232,968.73 450,224.33 $ $ $ $ 76,592.79 83,584.33 63,305.48 - $ $ 223,482.60 355,769.00 Note: Payments made may differ from the amounts shown in the financial statements due to accruals and/ other adjustments. C:\Users\ballen\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\GTWMEYW3\BC pmt M'caid 1115 Waiver 09-17-2015 to 10-15-2015 AGENDA ITEM # 23 10/27/2015 Consider and act on ratification of voluntary contributions to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims processed by Boon Chapman. Montgomery County Hospital District Summary of Claims Processed Through (TPA) Boon-Chapman For the Period 10/01/2015 through 10/31/2015 Disbursement Date Value of Services Provided by CRMC and Affiliated Providers October Voluntary Contribution for Medicaid 1115 Waiver Program $ 229,478.00 Budgeted Amount $ 229,478.00 Over / (Under) Budget $ - C:\Users\ballen\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\GTWMEYW3\BC pmt M'caid 1115 Waiver 10-01-15 to 10-31-15 Montgomery County Hospital District Financial Dashboard for September 2015 (dollars expressed in 000's) Cash and Investments Sep 2015 Sep 2014 Var 24,790,414 15,971,751 Var % 8,818,663 Legend 55.2% Green Red September 2015 Income Statement Act Bud Favorable Variance Unfavorable Variance Year to Date Var Var % Act Bud Var Var % Revenue Tax Revenue EMS Net Revenue Other Revenue Total Revenue 52 1,193 347 1,592 71 998 219 1,288 (19) 195 128 304 ‐26.8% 19.5% 58.4% 23.6% 32,348 15,207 6,857 54,412 31,525 12,145 8,398 52,068 823 3,062 (1,541) 2,344 2.6% 25.2% ‐18.3% 4.5% Expenses Payroll Operating Indigent Healthcare Total Operating Expenses 1,970 176 134 2,280 1,935 903 665 3,503 35 (727) (531) (1,223) 1.8% ‐80.5% ‐79.8% ‐34.9% 23,508 10,429 5,205 39,142 23,422 13,295 7,977 44,694 86 (2,866) (2,772) (5,552) 0.4% ‐21.6% ‐34.7% ‐12.4% 198 1 19700.0% 4,059 5,518 (1,459) ‐26.4% 2,478 3,504 (1,026) ‐29.3% 43,201 50,212 (7,011) ‐14.0% (886) (2,216) 1,330 ‐60.0% 11,211 1,856 9,355 504.0% Capital Total Expenditures Net Surplus / (Deficit) 197 Tax Revenue: Tax Revenue has been received at a greater pace than expected. For the year, it is 102.6% of budget. EMS Net Revenue: For the year, billable trip volume is up 13.1% compared to last year; however, the budgeted increase was only 2%. Other Revenue: For the month, the primary variance of a positive $150k occurs in Inter Local 800 Mhz revenue due to a timing issue. The most significant negative year‐to‐date variances are the Ambulance Supplemental Payment Program being $1.7M less than budgeted due to the "Federa Haircut" and Community Paramedine Program revenue being $446k less than originally budgeted. These negative variances are somewhat offset by positive variances of $198k in Tobacco Settlement Proceeds and $268k in Miscellaneous Income. Payroll: Payroll Expense is $34k more than budgeted for the month and $86k more than budgeted for the year. The unfavorable variances occur mainly in EMS, Community Paramedicine, and Alarm. Operating Expense: For the month, the largest variance occurs in Other Services ‐ DSRIP due the the reclass of $720k from expense to Accrued Expenditures. For the year, Operating Expenses are $2.9M under budget. Indigent Healthcare: For the month, Uncompensated Care is under budget due to the release of an accrual based on the actual payment, which occured in early October. For the year, Uncompensated Care is under budget due to the IGT payments being less than the amounts accrued. In addition, the Specialty Healthcare Providers account is running less than expected due to fewer than expected clients enrolled in the HealthCare Assistance Program. Capital: The current month variances occur primarily due to timing. The purchases included two amublance remounts, a replacement generator, and a Zoll X Series monitor. The favorable year‐to‐date variance is also mainly due to timing. The purchase of land for Station 41 has been postponed until next year along with some other projects have been postponed due to other priorities. In addition, it was not necessary to purchase some contingent equipment items. Montgomery County Hospital District Balance Sheet As of September 30, 2015 Fund 10 Fund 14 Total 9/30/2015 9/30/2015 9/30/2015 ASSETS Cash and Equivalents 10-000-10100 Petty Cash-Adm.-BS 10-000-11101 Capital Replacement-WF-BS 10-000-11401 Operating Account-WF-BS 10-000-11451 HCAP Disbursement-WF-BS 10-000-11701 Tax Revenue-WF-BS $1,950.00 $0.00 $1,950.00 $91,857.02 $0.00 $91,857.02 $1,367,641.17 $0.00 $1,367,641.17 $5,981.39 $0.00 $5,981.39 $33,113.76 $0.00 $33,113.76 10-000-13100 Texpool-District-BS $6,259,274.14 $0.00 $6,259,274.14 10-000-13300 Investments-WF Bank-BS $3,708,178.70 $0.00 $3,708,178.70 10-000-13400 TexStar Investment Pool-BS $6,246,539.10 $0.00 $6,246,539.10 10-000-13500 Investments-Raymond James, Inc.-BS $4,000,641.84 $0.00 $4,000,641.84 10-000-13600 Investments-WF-Spec. Liquidity Fund-BS $3,075,236.51 $0.00 $3,075,236.51 $24,790,413.63 $0.00 $24,790,413.63 Total Cash and Equivalents Receivables 10-000-14100 A/R-EMS Billings-BS 10-000-14200 Allowance for Bad Debts-BS 10-000-14300 A/R-Other-BS 10-000-14305 A/R Employee-BS 10-000-14338 A/R MRC UASI 2013-BS 10-000-14525 Receivable from Component Unit-BS 10-000-14700 Taxes Receivable-BS 10-000-14750 Allowance for bad debt-tax rev-BS Total Receivables $9,461,870.21 $0.00 $9,461,870.21 ($3,785,378.76) $0.00 ($3,785,378.76) $205,106.56 $0.00 $205,106.56 $41,542.07 $0.00 $41,542.07 $0.00 $0.00 $0.00 $116,049.61 $0.00 $116,049.61 $0.00 $1,057,525.59 $1,057,525.59 ($370,425.83) $6,726,289.45 $0.00 $0.00 ($370,425.83) $6,726,289.45 Other Assets 10-000-14800 Deposits-BS $106,930.00 $0.00 $106,930.00 10-000-14900 Prepaid Expenses-BS $148,195.98 $0.00 $148,195.98 10-000-15000 Inventory-BS $560,127.37 $0.00 $560,127.37 14-000-18100 Deferred Compensation-BS $0.00 $176,569.90 $176,569.90 $815,253.35 $176,569.90 $991,823.25 $32,331,956.43 $176,569.90 $32,508,526.33 Total Other Assets TOTAL ASSETS LIABILITIES Current Liabilities 10-000-20500 Accounts Payable-BS $36,745.12 $0.00 $36,745.12 10-000-20600 Accounts Payable-Other-BS $67,122.08 $0.00 $67,122.08 10-000-21000 Accrued Expenditures-BS $2,208,552.19 $0.00 $2,208,552.19 10-000-21400 Accrued Payroll-BS $610,849.39 $0.00 $610,849.39 10-000-21525 P/R-United Way Deductions-BS $4,996.90 $0.00 $4,996.90 10-000-21585 P/R-Flexible Spending-BS-BS $2,796.29 $0.00 $2,796.29 10-000-21590 P/R-Premium Cancer/Accident-BS $1,124.15 $0.00 $1,124.15 10-000-21595 P/R-Health Savings-BS-BS 10-000-21650 TCDRS Defined Benefit Plan-BS 14-000-23100 Due to Participants-BS Total Current Liabilities ($82.45) $0.00 $206,474.66 $0.00 ($82.45) $206,474.66 $0.00 $176,569.90 $176,569.90 $3,138,578.33 $176,569.90 $3,315,148.23 $687,099.76 $0.00 $687,099.76 $34,579.36 $0.00 $34,579.36 Deferred Liabilities 10-000-23000 Deferred Tax Revenue-BS 10-000-23200 Deferred Revenue-BS Montgomery County Hospital District Balance Sheet As of September 30, 2015 Total Deferred Liabilities TOTAL LIABILITIES Fund 10 Fund 14 Total 9/30/2015 9/30/2015 9/30/2015 $721,679.12 $0.00 $721,679.12 $3,860,257.45 $176,569.90 $4,036,827.35 CAPITAL 10-000-30225 Assigned Fund Balance-BS $43,822.00 $0.00 $43,822.00 10-000-30400 Reserved - Inventory-BS $560,127.37 $0.00 $560,127.37 10-000-30700 Reserved - Prepaids-BS $148,195.98 $0.00 $148,195.98 10-000-30800 Reserved - Paramedicine Program MCHD-BS $0.00 $0.00 $0.00 10-000-30802 Reserved - NACCHO Grant Funds Remaining-BS $3,541.05 $0.00 $3,541.05 10-000-39000 Unreserved Fund Balance-MCHD-BS $27,716,012.58 $0.00 $27,716,012.58 $28,471,698.98 $0.00 $28,471,698.98 $32,331,956.43 $176,569.90 $32,508,526.33 TOTAL CAPITAL TOTAL LIABILITIES AND CAPITAL Montgomery County Hospital District Preliminary Income Statement - Actual vs. Budget For the Period Ended September 30, 2015 Current Month Actual Revenue Tax Revenue 40000 40100 40200 40300 40400 Total Tax Revenue Tax Revenue Delinquent Tax Revenue Penalties and Interest Misc Tax Revenue VIT and BIT Funds Rendition Tax Revenue EMS Net Revenue 43100 43200 43300 43400 43500 43520 43540 43600 Total EMS Net Revenue EMS - Advanced Life Support Revenue EMS - Basic Life Support Revenue Transfer Service Fees Non-Transport Fees Contractual Allowance Provision for Bad Debt Adjustment For P.A. - Transports Recovery of Bad Debt - EMS Other Revenue 41100 41250 41300 41400 41500 41510 41550 41600 42100 42200 43700 43710 43720 43750 43800 43910 43920 43930 43950 44000 45100 45150 46100 46300 46400 46500 49000 49010 Total Other Revenue Investment Income - MCHD Interest Income - EMS Billings Tobacco Settlement Proceeds Weyland Bldg. Land Lease Miscellaneous Income Rx Discount Card Royalties Proceeds from Grant Funding Tenant Rent Income P.A. Co-Pay Fees P.A. Processing Fees Contract Revenue (Net) 1115 Waiver - Health & Wellness Center 1115 Waiver - Navigator 1115 Waiver - Paramedicine Education/Training Revenue Stand-By Fees EMS - Trauma Fund Income Immunization Fees Ambulance Supplemental Payment Program Management Fee Revenue Dispatch Fees MDC Revenue - First Responder Radio Repair Income Inter Local 800 Mhz Special Project Revenue VHF Project Revenue Other Financing Sources Sale of Assets Total Revenue Expenses Payroll Expenses 51100 51200 51300 51400 Regular Pay Overtime Pay Paid Time Off Stipend Pay 20,644.05 15,975.55 14,891.73 0.00 0.00 51,511.33 3,173,251.80 509,847.56 50,743.50 49,295.00 (1,535,906.78) (1,078,421.40) 0.00 23,942.54 1,192,752.22 6,081.72 292.76 0.00 8,265.51 43,062.53 513.75 (3,541.05) 7,231.00 0.00 400.00 0.00 0.00 0.00 74,700.00 9,795.75 0.00 0.00 0.00 0.00 8,333.33 8,148.48 5,850.00 0.00 150,543.00 0.00 22,868.31 0.00 4,000.00 346,545.09 Current Month Budget 41,362.00 13,506.00 15,746.00 0.00 0.00 70,614.00 2,293,005.00 442,638.00 19,417.00 28,816.00 (1,064,608.00) (751,965.00) (147.00) 31,044.00 998,200.00 825.00 38.00 0.00 8,266.00 4,400.00 320.00 0.00 4,746.00 0.00 150.00 4,500.00 0.00 0.00 130,682.75 5,500.00 0.00 0.00 0.00 0.00 8,333.00 8,000.00 16,000.00 200.00 0.00 0.00 22,868.00 0.00 4,000.00 218,828.75 Current Month Variance YTD Actual YTD Budget YTD Variance Total Annual Budget % YTD Annual Budget Annual Budget Remaining (20,717.95) 2,469.55 (854.27) 0.00 0.00 (19,102.67) 31,858,423.17 252,699.89 237,102.55 0.00 30.80 32,348,256.41 30,857,339.00 375,590.00 291,975.00 0.00 0.00 31,524,904.00 1,001,084.17 (122,890.11) (54,872.45) 0.00 30.80 823,352.41 30,857,339.00 375,590.00 291,975.00 0.00 0.00 31,524,904.00 103.24% 67.28% 81.21% 0.00% 0.00% 102.61% (1,001,084.17) 122,890.11 54,872.45 0.00 (30.80) (823,352.41) 880,246.80 67,209.56 31,326.50 20,479.00 (471,298.78) (326,456.40) 147.00 (7,101.46) 194,552.22 38,427,192.38 6,066,036.10 246,081.43 502,370.92 (18,305,112.68) (12,002,664.43) 0.00 272,669.21 15,206,572.93 27,898,224.00 5,385,432.00 236,238.00 350,598.00 (12,952,731.00) (9,148,911.00) (1,789.00) 377,703.00 12,144,764.00 10,528,968.38 680,604.10 9,843.43 151,772.92 (5,352,381.68) (2,853,753.43) 1,789.00 (105,033.79) 3,061,808.93 27,898,224.00 5,385,432.00 236,238.00 350,598.00 (12,952,731.00) (9,148,911.00) (1,789.00) 377,703.00 12,144,764.00 137.74% 112.64% 104.17% 143.29% 141.32% 131.19% 0.00% 72.19% 125.21% (10,528,968.38) (680,604.10) (9,843.43) (151,772.92) 5,352,381.68 2,853,753.43 (1,789.00) 105,033.79 (3,061,808.93) 5,256.72 254.76 0.00 (0.49) 38,662.53 193.75 (3,541.05) 2,485.00 0.00 250.00 (4,500.00) 0.00 0.00 (55,982.75) 4,295.75 0.00 0.00 0.00 0.00 0.33 148.48 (10,150.00) (200.00) 150,543.00 0.00 0.31 0.00 0.00 127,716.34 31,506.55 1,276.55 598,224.40 33,062.04 306,046.42 5,478.75 10,817.73 90,410.25 0.00 3,490.00 0.00 0.00 0.00 1,121,700.00 71,923.75 0.00 23,525.00 0.00 2,711,241.47 99,999.96 221,547.48 43,302.00 0.00 150,543.00 0.00 274,419.72 1,002,186.65 56,755.00 6,857,456.72 11,485.00 456.00 400,000.00 33,064.00 38,400.00 3,840.00 23,378.00 90,007.00 0.00 1,800.00 18,000.00 0.00 0.00 1,568,193.00 36,000.00 4,000.00 25,000.00 0.00 4,410,000.00 99,996.00 223,500.00 22,000.00 2,400.00 100,000.00 0.00 274,416.00 987,687.00 24,000.00 8,397,622.00 20,021.55 820.55 198,224.40 (1.96) 267,646.42 1,638.75 (12,560.27) 403.25 0.00 1,690.00 (18,000.00) 0.00 0.00 (446,493.00) 35,923.75 (4,000.00) (1,475.00) 0.00 (1,698,758.53) 3.96 (1,952.52) 21,302.00 (2,400.00) 50,543.00 0.00 3.72 14,499.65 32,755.00 (1,540,165.28) 11,485.00 456.00 400,000.00 33,064.00 38,400.00 3,840.00 23,378.00 90,007.00 0.00 1,800.00 18,000.00 0.00 0.00 1,568,193.00 36,000.00 4,000.00 25,000.00 0.00 4,410,000.00 99,996.00 223,500.00 22,000.00 2,400.00 100,000.00 0.00 274,416.00 987,687.00 24,000.00 8,397,622.00 274.33% 279.95% 149.56% 99.99% 797.00% 142.68% 46.27% 100.45% 0.00% 193.89% 0.00% 0.00% 0.00% 71.53% 199.79% 0.00% 94.10% 0.00% 61.48% 100.00% 99.13% 196.83% 0.00% 150.54% 0.00% 100.00% 101.47% 236.48% 81.66% (20,021.55) (820.55) (198,224.40) 1.96 (267,646.42) (1,638.75) 12,560.27 (403.25) 0.00 (1,690.00) 18,000.00 0.00 0.00 446,493.00 (35,923.75) 4,000.00 1,475.00 0.00 1,698,758.53 (3.96) 1,952.52 (21,302.00) 2,400.00 (50,543.00) 0.00 (3.72) (14,499.65) (32,755.00) 1,540,165.28 1,590,808.64 1,287,642.75 303,165.89 54,412,286.06 52,067,290.00 2,344,996.06 52,067,290.00 104.50% (2,344,996.06) 996,631.31 380,290.32 103,902.06 34,404.82 1,077,887.00 378,874.00 0.00 18,186.00 (81,255.69) 1,416.32 103,902.06 16,218.82 11,728,545.24 4,567,374.50 1,416,329.35 303,029.88 12,984,449.00 4,554,823.00 0.00 224,915.00 (1,255,903.76) 12,551.50 1,416,329.35 78,114.88 12,984,449.00 4,554,823.00 0.00 224,915.00 90.33% 100.28% 0.00% 134.73% 1,255,903.76 (12,551.50) (1,416,329.35) (78,114.88) Montgomery County Hospital District Preliminary Income Statement - Actual vs. Budget For the Period Ended September 30, 2015 51500 51650 51700 51750 Total Payroll Expenses Operating Expenses 52000 52100 52200 52300 52350 52500 52600 52700 52725 52900 53000 53050 53075 53100 53200 53310 53320 53330 53400 53500 53550 53800 53900 54000 54100 54200 54300 54350 54450 54500 54700 54725 54750 54800 54900 55025 55050 55075 55100 55400 55450 55500 55600 55650 55700 55800 55900 56100 56120 56200 56300 56400 56500 Payroll Taxes TCDRS Plan Health & Dental Section 115 Plan - Valic HRA Accident Repair Accounting/Auditing Fees Advertising Bank Charges Credit Card Processing Fee Bio-Waste Removal Books/Materials Business Licenses Capital Lease Expense Collection Fees Computer Maintenance Computer Software Computer Software - MDC First Responder Computer Supplies/Non-Cap. Contingencies Contractual Obligations-County Appraisal Contractual Obligations-Tax Collector Assessor Contractual Obligations- Other Courier Customer Property Damage Customer Relations Disposable Linen Disposable Medical Supplies Drug Supplies Dues/Subscriptions Durable Medical Equipment Election Expenses Employee Health\Wellness Employee Recognition Equipment Rental Fuel - Auto Fuel - Non-Auto Grant Funded Projects Hazardous Waste Removal Insurance Interest Expense Lawsuit Settlements Late Fees Laundry Service & Purchase Leases/Contracts Leases/Contracts-Buildings Legal Fees Maintenance & Repairs-Buildings Maintenance-Contract Equipment Management Fees Marketing Materials Meals - Business and Travel Meeting Expenses MFI Symposium NOT GRANT FUNDED-Mass Mileage Reimbursements Office Supplies Oil & Lubricants Other Services Current Month Actual 108,657.52 103,498.98 242,271.04 0.00 1,969,656.05 826.60 (17,975.00) 54.50 0.00 2,962.49 2,619.37 1,410.76 435.00 48,135.24 15,484.98 54,596.36 30,813.22 0.00 (1,083.46) 0.00 67,633.00 10.92 0.00 0.00 0.00 9,111.74 5,710.05 70,738.94 19,273.04 556.99 3,757.85 0.00 2,035.73 (983.32) 1,963.17 33,821.81 0.00 0.00 85.00 39,906.00 6,531.96 0.00 0.00 713.30 8,580.73 0.00 10,300.00 67,141.43 13,194.98 32,333.35 2,800.00 621.12 661.18 0.00 1,593.80 131.70 7,117.53 154.95 Current Month Budget 113,166.00 108,859.00 238,035.00 0.00 1,935,007.00 Current Month Variance (4,508.48) (5,360.02) 4,236.04 0.00 34,649.05 417.00 0.00 450.00 400.00 4,400.00 2,833.00 1,367.00 500.00 48,134.88 14,629.00 1,300.00 39,866.00 16,000.00 1,235.00 0.00 67,633.00 300.00 0.00 0.00 100.00 3,517.00 6,258.00 56,285.20 8,333.00 302.00 10,421.00 0.00 2,388.00 1,805.00 1,675.00 55,707.00 300.00 0.00 250.00 40,000.00 6,090.05 0.00 0.00 566.00 5,550.00 0.00 11,672.00 33,200.00 71,725.00 56,880.00 250.00 2,383.00 3,291.00 0.00 1,355.00 2,400.00 2,692.00 405.00 409.60 (17,975.00) (395.50) (400.00) (1,437.51) (213.63) 43.76 (65.00) 0.36 855.98 53,296.36 (9,052.78) (16,000.00) (2,318.46) 0.00 0.00 (289.08) 0.00 0.00 (100.00) 5,594.74 (547.95) 14,453.74 10,940.04 254.99 (6,663.15) 0.00 (352.27) (2,788.32) 288.17 (21,885.19) (300.00) 0.00 (165.00) (94.00) 441.91 0.00 0.00 147.30 3,030.73 0.00 (1,372.00) 33,941.43 (58,530.02) (24,546.65) 2,550.00 (1,761.88) (2,629.82) 0.00 238.80 (2,268.30) 4,425.53 (250.05) YTD Actual 1,284,152.83 1,271,337.65 2,937,408.49 0.00 23,508,177.94 2,606.89 39,840.00 5,015.63 5.56 53,322.74 31,083.79 18,571.94 587.00 603,640.99 155,711.69 244,422.26 476,577.44 3,904.00 28,306.83 0.00 270,532.00 47,627.79 (720.00) 0.00 189.99 45,142.34 61,158.93 665,621.53 103,348.85 30,109.47 146,295.85 175,804.00 24,595.18 57,085.34 5,281.30 484,093.61 0.00 0.00 360.00 426,297.08 102,892.49 0.00 0.00 6,004.94 78,501.45 0.00 40,016.93 455,267.43 198,905.57 455,385.94 10,693.65 21,550.53 19,718.96 0.00 10,749.05 24,456.70 33,513.41 2,548.97 YTD Budget 1,352,474.00 1,308,725.00 2,996,548.00 0.00 23,421,934.00 YTD Variance (68,321.17) (37,387.35) (59,139.51) 0.00 86,243.94 Total Annual Budget 1,352,474.00 1,308,725.00 2,996,548.00 0.00 23,421,934.00 % YTD Annual Budget 94.95% 97.14% 98.03% 0.00% 100.37% Annual Budget Remaining 68,321.17 37,387.35 59,139.51 0.00 (86,243.94) 5,004.00 75,000.00 5,570.00 4,900.00 52,000.00 33,996.00 46,599.40 18,565.00 604,153.44 181,748.00 260,200.92 701,433.25 22,000.00 36,020.00 0.00 270,532.00 49,000.00 10,000.00 0.00 1,200.00 49,909.00 69,120.00 713,054.72 112,006.20 79,203.00 144,418.60 175,804.00 40,560.00 65,951.00 7,600.00 664,038.00 3,600.00 0.00 3,000.00 504,000.00 110,648.72 0.00 0.00 6,440.00 73,710.00 0.00 149,214.00 455,425.00 435,997.96 682,741.00 19,000.00 39,428.46 20,887.66 0.00 15,650.00 28,976.00 29,304.00 6,175.00 (2,397.11) (35,160.00) (554.37) (4,894.44) 1,322.74 (2,912.21) (28,027.46) (17,978.00) (512.45) (26,036.31) (15,778.66) (224,855.81) (18,096.00) (7,713.17) 0.00 0.00 (1,372.21) (10,720.00) 0.00 (1,010.01) (4,766.66) (7,961.07) (47,433.19) (8,657.35) (49,093.53) 1,877.25 0.00 (15,964.82) (8,865.66) (2,318.70) (179,944.39) (3,600.00) 0.00 (2,640.00) (77,702.92) (7,756.23) 0.00 0.00 (435.06) 4,791.45 0.00 (109,197.07) (157.57) (237,092.39) (227,355.06) (8,306.35) (17,877.93) (1,168.70) 0.00 (4,900.95) (4,519.30) 4,209.41 (3,626.03) 5,004.00 75,000.00 5,570.00 4,900.00 52,000.00 33,996.00 46,599.40 18,565.00 604,153.44 181,748.00 260,200.92 701,433.25 22,000.00 36,020.00 0.00 270,532.00 49,000.00 10,000.00 0.00 1,200.00 49,909.00 69,120.00 713,054.72 112,006.20 79,203.00 144,418.60 175,804.00 40,560.00 65,951.00 7,600.00 664,038.00 3,600.00 0.00 3,000.00 504,000.00 110,648.72 0.00 0.00 6,440.00 73,710.00 0.00 149,214.00 455,425.00 435,997.96 682,741.00 19,000.00 39,428.46 20,887.66 0.00 15,650.00 28,976.00 29,304.00 6,175.00 52.10% 53.12% 90.05% 0.11% 102.54% 91.43% 39.85% 3.16% 99.92% 85.67% 93.94% 67.94% 17.75% 78.59% 0.00% 100.00% 97.20% -7.20% 0.00% 15.83% 90.45% 88.48% 93.35% 92.27% 38.02% 101.30% 100.00% 60.64% 86.56% 69.49% 72.90% 0.00% 0.00% 12.00% 84.58% 92.99% 0.00% 0.00% 93.24% 106.50% 0.00% 26.82% 99.97% 45.62% 66.70% 56.28% 54.66% 94.40% 0.00% 68.68% 84.40% 114.36% 41.28% 2,397.11 35,160.00 554.37 4,894.44 (1,322.74) 2,912.21 28,027.46 17,978.00 512.45 26,036.31 15,778.66 224,855.81 18,096.00 7,713.17 0.00 0.00 1,372.21 10,720.00 0.00 1,010.01 4,766.66 7,961.07 47,433.19 8,657.35 49,093.53 (1,877.25) 0.00 15,964.82 8,865.66 2,318.70 179,944.39 3,600.00 0.00 2,640.00 77,702.92 7,756.23 0.00 0.00 435.06 (4,791.45) 0.00 109,197.07 157.57 237,092.39 227,355.06 8,306.35 17,877.93 1,168.70 0.00 4,900.95 4,519.30 (4,209.41) 3,626.03 Montgomery County Hospital District Preliminary Income Statement - Actual vs. Budget For the Period Ended September 30, 2015 56550 56600 56700 56900 57000 57100 57200 57225 57250 57275 57300 57400 57500 57550 57600 57650 57700 57725 57750 57800 57900 58100 58200 58310 58320 58400 58500 58550 58600 58700 58800 58900 59000 59050 59100 59150 59200 59300 51800 59350 Total Operating Expenses Indigent Care Expenses 53350 57850 Total Indigent Care Expenses Other Services - DSRIP Oxygen & Gases Paging System Postage Printing Services Professional Fees Radio Repairs - Outsourced (Depot) Radio Repair - Parts Radios Radio - Special Project Expenditures Recruit/Investigate Relocation Expenses Rent Rent-Storage Facility Repair-Building Repair-Equipment Shop Tools Shop Supplies Small Equipment & Furniture Special Events Supplies Station Supplies Supplemental Food Telephones-Cellular Telephones-Service Telephones - Long Distance Tower Rental Training/Related Expenses-CE Tuition Reimbursement Travel Expenses Uniforms Utilities Vehicle-Batteries Vehicle-Outside Services Vehicle-Parts Vehicle-Registration Vehicle-Tires Vehicle-Towing Audit Account set up by auditors Unemployment Ins. Worker's Compensation Insurance 1115 Medicaid Waiver - Uncompensated Care Specialty Healthcare Providers Total Operating, Payroll and Indigent Care Expenses Capital Expenditures 52750 52751 52752 52753 52754 52755 52756 Total Capital Expenditures Total Expenditures Capital Purchases / Fixed Assets Capital Purchases - Land Capital Purchases - CIP Capital Purchases / Building Improvements Capital Purchases / Equipment Capital Purchases - Vehicles Capital Purchase - Leasehold Improvement-Build Current Month Actual (720,349.83) 3,407.31 525.00 2,992.54 421.45 103,962.53 566.25 9,062.34 0.00 0.00 1,951.50 0.00 12,591.90 0.00 0.00 2,139.51 924.86 1,212.76 7,445.03 0.00 2,502.86 0.00 6,440.80 13,683.83 789.42 (10.00) 30,675.99 2,039.20 2,340.82 5,273.35 34,311.20 2,142.30 1,807.88 61,138.03 172.16 (506.38) 0.00 0.00 4,985.00 37,767.00 176,183.62 Current Month Budget 0.00 5,155.00 621.00 2,795.00 1,362.00 103,666.00 3,025.00 3,525.00 500.00 0.00 3,230.00 0.00 14,000.00 0.00 0.00 2,511.00 1,835.00 6,215.00 7,625.00 100.00 4,148.00 0.00 8,607.00 16,380.00 600.00 0.00 7,247.00 1,000.00 3,275.00 9,700.00 36,691.00 1,495.00 763.00 23,833.00 219.00 4,500.00 325.00 0.00 4,985.00 37,767.00 902,965.13 Current Month Variance (720,349.83) (1,747.69) (96.00) 197.54 (940.55) 296.53 (2,458.75) 5,537.34 (500.00) 0.00 (1,278.50) 0.00 (1,408.10) 0.00 0.00 (371.49) (910.14) (5,002.24) (179.97) (100.00) (1,645.14) 0.00 (2,166.20) (2,696.17) 189.42 (10.00) 23,428.99 1,039.20 (934.18) (4,426.65) (2,379.80) 647.30 1,044.88 37,305.03 (46.84) (5,006.38) (325.00) 0.00 0.00 0.00 (726,781.51) YTD Actual 851,537.70 74,814.80 4,483.12 31,199.19 8,065.91 1,381,837.23 35,538.90 42,321.81 0.00 211.15 41,878.73 0.00 166,130.67 30,669.26 0.00 10,081.64 14,288.48 50,690.55 113,360.35 1,251.56 48,012.84 0.00 80,367.09 176,840.41 8,777.06 835.16 175,470.78 15,804.40 71,094.23 156,284.83 362,897.53 18,938.80 43,719.12 236,222.14 1,862.55 51,038.85 1,204.00 0.00 47,911.11 406,412.40 10,428,680.39 YTD Budget 1,238,700.00 64,934.16 7,452.00 32,020.00 14,131.38 2,001,603.39 42,780.50 45,100.00 4,000.00 0.00 38,725.00 6,105.00 168,000.00 31,200.00 0.00 34,738.00 25,070.00 74,580.00 193,073.00 8,128.00 53,167.00 0.00 99,647.00 196,560.00 7,200.00 846.00 247,684.00 10,000.00 97,460.00 134,114.27 441,121.00 21,750.00 38,246.00 286,081.54 2,625.00 54,000.00 4,000.00 0.00 60,025.00 426,026.00 13,294,677.57 YTD Variance (387,162.30) 9,880.64 (2,968.88) (820.81) (6,065.47) (619,766.16) (7,241.60) (2,778.19) (4,000.00) 211.15 3,153.73 (6,105.00) (1,869.33) (530.74) 0.00 (24,656.36) (10,781.52) (23,889.45) (79,712.65) (6,876.44) (5,154.16) 0.00 (19,279.91) (19,719.59) 1,577.06 (10.84) (72,213.22) 5,804.40 (26,365.77) 22,170.56 (78,223.47) (2,811.20) 5,473.12 (49,859.40) (762.45) (2,961.15) (2,796.00) 0.00 (12,113.89) (19,613.60) (2,865,997.18) Total Annual Budget 1,238,700.00 64,934.16 7,452.00 32,020.00 14,131.38 2,001,603.39 42,780.50 45,100.00 4,000.00 0.00 38,725.00 6,105.00 168,000.00 31,200.00 0.00 34,738.00 25,070.00 74,580.00 193,073.00 8,128.00 53,167.00 0.00 99,647.00 196,560.00 7,200.00 846.00 247,684.00 10,000.00 97,460.00 134,114.27 441,121.00 21,750.00 38,246.00 286,081.54 2,625.00 54,000.00 4,000.00 0.00 60,025.00 426,026.00 13,294,677.57 % YTD Annual Budget 68.74% 115.22% 60.16% 97.44% 57.08% 69.04% 83.07% 93.84% 0.00% 0.00% 108.14% 0.00% 98.89% 98.30% 0.00% 29.02% 56.99% 67.97% 58.71% 15.40% 90.31% 0.00% 80.65% 89.97% 121.90% 98.72% 70.84% 158.04% 72.95% 116.53% 82.27% 87.07% 114.31% 82.57% 70.95% 94.52% 30.10% 0.00% 79.82% 95.40% 78.44% Annual Budget Remaining 387,162.30 (9,880.64) 2,968.88 820.81 6,065.47 619,766.16 7,241.60 2,778.19 4,000.00 (211.15) (3,153.73) 6,105.00 1,869.33 530.74 0.00 24,656.36 10,781.52 23,889.45 79,712.65 6,876.44 5,154.16 0.00 19,279.91 19,719.59 (1,577.06) 10.84 72,213.22 (5,804.40) 26,365.77 (22,170.56) 78,223.47 2,811.20 (5,473.12) 49,859.40 762.45 2,961.15 2,796.00 0.00 12,113.89 19,613.60 2,865,997.18 (98,064.17) 232,397.40 134,333.23 214,508.00 450,224.33 664,732.33 (312,572.17) (217,826.93) (530,399.10) 1,731,258.60 3,473,255.58 5,204,514.18 2,574,096.00 5,402,692.00 7,976,788.00 (842,837.40) (1,929,436.42) (2,772,273.82) 2,574,096.00 5,402,692.00 7,976,788.00 67.26% 64.29% 65.25% 842,837.40 1,929,436.42 2,772,273.82 2,280,172.90 3,502,704.46 (1,222,531.56) 39,141,372.51 44,693,399.57 (5,552,027.06) 44,693,399.57 87.58% 5,552,027.06 0.00 0.00 0.00 624.59 53,488.42 143,925.00 0.00 198,038.01 0.00 0.00 0.00 761.00 0.00 0.00 0.00 761.00 0.00 0.00 0.00 (136.41) 53,488.42 143,925.00 0.00 197,277.01 0.00 0.00 1,708,056.23 103,988.92 1,155,084.71 1,091,819.20 0.00 4,058,949.06 0.00 500,000.00 1,693,558.00 225,264.00 2,025,856.13 1,073,189.48 0.00 5,517,867.61 0.00 (500,000.00) 14,498.23 (121,275.08) (870,771.42) 18,629.72 0.00 (1,458,918.55) 0.00 500,000.00 1,693,558.00 225,264.00 2,025,856.13 1,073,189.48 0.00 5,517,867.61 0.00% 0.00% 100.86% 46.16% 57.02% 101.74% 0.00% 73.56% 0.00 500,000.00 (14,498.23) 121,275.08 870,771.42 (18,629.72) 0.00 1,458,918.55 2,478,210.91 3,503,465.46 (1,025,254.55) 43,200,321.57 50,211,267.18 (7,010,945.61) 50,211,267.18 86.04% 7,010,945.61 Montgomery County Hospital District Preliminary Income Statement - Actual vs. Budget For the Period Ended September 30, 2015 Current Month Actual Net Surplus / Deficit (887,402.27) Current Month Budget (2,215,822.71) Current Month Variance 1,328,420.44 YTD Actual 11,211,964.49 YTD Budget YTD Variance Total Annual Budget 1,856,022.82 9,355,941.67 1,856,022.82 % YTD Annual Budget 604.09% Annual Budget Remaining (9,355,941.67) Montgomery County Public Health District MCPHD Balance Sheet As of September 30, 2015 9/30/2015 ASSETS Cash and Equivalents 22-000-10400 Petty Cash-PHP-BS 22-000-11510 MCPHD Operating Account - WF-BS Total Cash and Equivalents $200.00 $1,097,347.76 $1,097,547.76 Receivables 22-000-14300 A/R-Other MCpHD -BS 22-000-14330 A/R CRI Grant Revenue -BS 22-000-14331 A/R RLSS LPHS Grant Revenue BS 22-000-14332 A/R PPCPS/Hazards PHEP Grant Revenue-BS 22-000-14340 A/R MRC UASI 2014-BS 22-000-14550 Receivable from Primary Government-BS Total Receivables TOTAL ASSETS $0.00 $23,196.16 $5,572.80 $48,343.44 $52,620.01 ($116,049.61) $13,682.80 $1,111,230.56 LIABILITIES Current Liabilities 22-000-20500 Accounts Payable-BS 22-000-21000 Accrued Expenditures-BS Total Current Liabilities $5,040.78 $350.75 $5,391.53 Deferred Liabilities 22-000-23200 Deferred Revenue MCPHD-BS $6,733.93 Total Deferred Liabilities $6,733.93 TOTAL LIABILITIES $12,125.46 CAPITAL 22-000-30802 Reserved - NACCHO 2014-BS 22-000-39050 Unreserved Fund Balance-MCPHD-BS TOTAL CAPITAL TOTAL LIABILITIES AND CAPITAL $6,733.93 $1,092,371.17 $1,099,105.10 $1,111,230.56 Montgomery County Public Health District Preliminary Income Statement - Actual vs. Budget For the Period Ended September 30, 2015 Current Month Actual Current Month Budget Current Month Variance YTD Actual YTD Budget YTD Variance Total Annual Budget % YTD Annual Budget Annual Budget Remaining Revenue Tax Revenue EMS Net Revenue Other Revenue 41500 41550 43710 43720 43750 43930 Total Other Revenue Miscellaneous Income Proceeds from Grant Funding 1115 Waiver - Health & Wellness Center 1115 Waiver - Navigator 1115 Waiver - Paramedicine Immunization Fees 7,518.00 30,525.98 0.00 0.00 0.00 475.00 38,518.98 7,500.00 37,016.69 0.00 0.00 0.00 2,500.00 47,016.69 18.00 (6,490.71) 0.00 0.00 0.00 (2,025.00) (8,497.71) 112,878.00 470,070.29 25,745.10 18,236.11 1,668,290.04 18,620.36 2,313,839.90 90,000.00 565,904.38 577,950.00 193,687.00 1,668,290.00 30,000.00 3,125,831.38 22,878.00 (95,834.09) (552,204.90) (175,450.89) 0.04 (11,379.64) (811,991.48) 90,000.00 565,904.38 577,950.00 193,687.00 1,668,290.00 30,000.00 3,125,831.38 125.42% 83.07% 4.45% 9.42% 100.00% 62.07% 74.02% (22,878.00) 95,834.09 552,204.90 175,450.89 (0.04) 11,379.64 811,991.48 38,518.98 47,016.69 (8,497.71) 2,313,839.90 3,125,831.38 (811,991.48) 3,125,831.38 74.02% 811,991.48 Regular Pay Overtime Pay Paid Time Off Stipend Pay Payroll Taxes TCDRS Plan Health & Dental 23,702.45 6.23 2,712.70 0.00 1,851.17 1,719.36 5,955.19 35,947.10 52,514.99 282.00 0.00 107.00 4,061.20 3,876.20 8,808.59 69,649.98 (28,812.54) (275.77) 2,712.70 (107.00) (2,210.03) (2,156.84) (2,853.40) (33,702.88) 448,943.88 918.58 29,127.49 1,300.00 34,881.37 34,370.19 83,460.53 633,002.04 706,142.31 3,390.00 0.00 1,299.00 54,375.36 52,462.71 101,669.96 919,339.34 (257,198.43) (2,471.42) 29,127.49 1.00 (19,493.99) (18,092.52) (18,209.43) (286,337.30) 706,142.31 3,390.00 0.00 1,299.00 54,375.36 52,462.71 101,669.96 919,339.34 63.58% 27.10% 0.00% 100.08% 64.15% 65.51% 82.09% 68.85% 257,198.43 2,471.42 (29,127.49) (1.00) 19,493.99 18,092.52 18,209.43 286,337.30 Computer Software Computer Supplies/Non-Cap. Contractual Obligations- Other Customer Property Damage Disposable Medical Supplies Drug Supplies Dues/Subscriptions Durable Medical Equipment Employee Recognition Insurance Management Fees Marketing Materials Meals - Business and Travel Mileage Reimbursements Office Supplies Other Services Postage Printing Services Professional Fees Rent Small Equipment & Furniture Special Events Supplies Station Supplies Telephones-Cellular 400.00 0.00 (8,166.67) 2,915.75 0.00 0.00 0.00 0.00 0.00 2,570.00 1,333.33 0.00 106.50 716.60 0.00 74,700.00 0.00 0.00 0.00 7,231.00 0.00 350.75 (524.00) 285.85 1,790.00 (41.25) 1,375.00 0.00 666.00 100.00 0.00 0.00 0.00 0.00 15,289.08 0.00 (49.75) 694.36 590.84 130,682.75 200.00 264.43 5,000.00 7,907.66 100.00 0.00 0.00 756.25 (1,390.00) 41.25 (9,541.67) 2,915.75 (666.00) (100.00) 0.00 0.00 0.00 2,570.00 (13,955.75) 0.00 156.25 22.24 (590.84) (55,982.75) (200.00) (264.43) (5,000.00) (676.66) (100.00) 350.75 (524.00) (470.40) 12,037.50 8,898.90 90,649.90 2,915.75 2,535.45 3,176.20 5,660.00 241.33 64.37 5,946.00 101,999.96 0.00 1,945.50 3,869.21 2,316.64 1,121,700.00 0.00 10,232.61 24,161.45 90,410.25 0.00 600.75 0.00 5,071.81 31,235.00 1,908.48 21,999.96 0.00 10,667.00 5,300.00 4,899.00 500.00 690.00 12,500.00 176,053.95 5,250.00 4,403.00 10,688.02 9,551.00 1,568,193.00 2,400.00 15,066.75 64,000.00 96,709.73 2,250.00 1,500.00 5,558.19 8,724.95 (19,197.50) 6,990.42 68,649.94 2,915.75 (8,131.55) (2,123.80) 761.00 (258.67) (625.63) (6,554.00) (74,053.99) (5,250.00) (2,457.50) (6,818.81) (7,234.36) (446,493.00) (2,400.00) (4,834.14) (39,838.55) (6,299.48) (2,250.00) (899.25) (5,558.19) (3,653.14) 31,235.00 1,908.48 21,999.96 0.00 10,667.00 5,300.00 4,899.00 500.00 690.00 12,500.00 176,053.95 5,250.00 4,403.00 10,688.02 9,551.00 1,568,193.00 2,400.00 15,066.75 64,000.00 96,709.73 2,250.00 1,500.00 5,558.19 8,724.95 38.54% 466.28% 412.05% 0.00% 23.77% 59.93% 115.53% 48.27% 9.33% 47.57% 57.94% 0.00% 44.19% 36.20% 24.26% 71.53% 0.00% 67.92% 37.75% 93.49% 0.00% 40.05% 0.00% 58.13% 19,197.50 (6,990.42) (68,649.94) (2,915.75) 8,131.55 2,123.80 (761.00) 258.67 625.63 6,554.00 74,053.99 5,250.00 2,457.50 6,818.81 7,234.36 446,493.00 2,400.00 4,834.14 39,838.55 6,299.48 2,250.00 899.25 5,558.19 3,653.14 Total Revenue Expenses Payroll Expenses 51100 51200 51300 51400 51500 51650 51700 Total Payroll Expenses Operating Expenses 53050 53100 53330 53500 53900 54000 54100 54200 54450 54900 55700 55800 55900 56200 56300 56500 56900 57000 57100 57500 57750 57800 57900 58200 Montgomery County Public Health District Preliminary Income Statement - Actual vs. Budget For the Period Ended September 30, 2015 0.00 306.25 366.32 1,125.00 285.73 265.93 167,674.60 Current Month Variance 0.00 (306.25) (366.32) (1,125.00) (285.73) (265.93) (85,755.49) YTD Actual 34.61 2,658.93 4,151.10 2,818.90 0.00 529.60 1,505,796.72 117,866.21 237,324.58 (119,458.37) 0.00 0.00 0.00 0.00 Total Expenditures 117,866.21 237,324.58 (119,458.37) Net Surplus / Deficit (79,347.23) (190,307.89) 110,960.66 58310 58500 58600 58700 51800 59350 Total Operating Expenses Telephones-Service Training/Related Expenses-CE Travel Expenses Uniforms Unemployment Ins. Worker's Compensation Insurance Current Month Actual 0.00 0.00 0.00 0.00 0.00 0.00 81,919.11 Current Month Budget 0.00 5,835.93 10,545.00 8,750.00 3,808.06 3,691.46 2,092,678.48 YTD Variance 34.61 (3,177.00) (6,393.90) (5,931.10) (3,808.06) (3,161.86) (586,881.76) Total Annual Budget 0.00 5,835.93 10,545.00 8,750.00 3,808.06 3,691.46 2,092,678.48 % YTD Annual Budget 0.00% 45.56% 39.37% 32.22% 0.00% 14.35% 71.96% 2,138,798.76 3,012,017.82 (873,219.06) 3,012,017.82 71.01% 873,219.06 60,674.50 60,674.50 90,000.00 90,000.00 (29,325.50) (29,325.50) 90,000.00 90,000.00 67.42% 67.42% 29,325.50 29,325.50 2,199,473.26 3,102,017.82 (902,544.56) 3,102,017.82 70.90% 902,544.56 114,366.64 23,813.56 23,813.56 480.26% (90,553.08) YTD Budget Annual Budget Remaining (34.61) 3,177.00 6,393.90 5,931.10 3,808.06 3,161.86 586,881.76 Indigent Care Expenses Total Operating and Payroll Expenses Capital Expenditures 52754 Total Capital Expenditures Capital Purchases / Equipment 0.00 0.00 90,553.08 Montgomery County Hospital District Accounts Receivable Analysis Days in Accounts Receivable A/R Balance Total 6-Mo Charges Avg Charge / Day * A/R Days Oct-14 9,210,637 12,661,762 70,343 131 Nov-14 9,512,589 12,814,739 71,193 134 Dec-14 9,672,686 13,077,790 72,654 133 Jan-15 10,499,660 13,278,116 73,767 142 Feb-15 11,431,591 13,137,210 72,985 157 Mar-15 12,351,001 13,449,482 74,719 165 Apr-15 12,066,971 13,744,766 76,360 158 May-15 11,706,890 14,184,389 78,802 149 Jun-15 10,513,936 14,264,299 79,246 133 * Beginning in August 2015, A/R Balance excludes liens related to motor vehicle accidents. ** Avg Charge / Day is calculated using the most current six months' charges divided by 180 days. Accounts Receivable Aging by Dollars Month Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Current 2,169,113 2,212,330 2,305,033 2,261,651 2,287,542 2,475,529 2,584,645 2,557,226 2,445,725 2,455,864 2,298,905 2,311,579 31-60 1,482,039 1,461,239 1,451,481 1,596,130 1,758,218 1,542,368 1,713,171 1,775,151 1,846,274 1,687,154 1,602,589 1,466,905 61-90 1,200,038 1,184,471 1,216,697 1,189,550 1,235,407 1,326,002 1,235,212 1,296,159 1,391,939 1,570,807 1,417,121 1,347,179 Days 91-120 979,050 1,115,616 1,067,972 1,131,922 1,081,900 1,098,077 1,204,907 1,111,601 1,129,317 1,295,448 1,312,600 1,268,201 121-180 1,697,602 1,746,679 1,823,252 2,000,036 2,026,827 2,028,923 1,911,289 1,973,783 1,462,141 1,403,949 1,148,022 934,454 >180 1,628,750 1,749,729 1,789,313 2,303,962 3,041,698 3,847,071 3,366,456 2,982,177 2,222,548 2,239,417 2,106,554 2,113,643 Total 9,156,592 9,470,064 9,653,747 10,483,251 11,431,591 12,317,970 12,015,680 11,696,097 10,497,944 10,652,639 9,885,791 9,441,961 > 90 Days 4,305,402 4,612,024 4,680,537 5,435,920 6,150,424 6,974,072 6,482,652 6,067,561 4,814,006 4,938,815 4,567,176 4,316,298 > 120 Days 3,326,352 3,496,408 3,612,565 4,303,998 5,068,525 5,875,995 5,277,745 4,955,960 3,684,689 3,643,366 3,254,576 3,048,097 > 90 Days 47% 49% 48% 52% 54% 57% 54% 52% 46% 46% 46% 46% > 120 Days 36% 37% 37% 41% 44% 48% 44% 42% 35% 34% 33% 32% Accounts Receivable Aging by Percentage Month Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Current 24% 23% 24% 22% 20% 20% 22% 22% 23% 23% 23% 24% 31-60 16% 15% 15% 15% 15% 13% 14% 15% 18% 16% 16% 16% 61-90 13% 13% 13% 11% 11% 11% 10% 11% 13% 15% 14% 14% Days 91-120 121-180 11% 19% 12% 18% 11% 19% 11% 19% 9% 18% 9% 16% 10% 16% 10% 17% 11% 14% 12% 13% 13% 12% 13% 10% >180 18% 18% 19% 22% 27% 31% 28% 25% 21% 21% 21% 22% Total 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% Jul-15 10,692,772 14,504,033 80,578 133 Aug-15 8,913,229 14,840,938 82,450 108 Sep-15 8,429,839 14,735,485 81,864 103 Montgomery County Hospital District Payer Mix Payer Medicare Medicaid Insurance Facility Contract Bill Patient Oct-14 1,449,602 408,687 689,966 21,904 977,711 Nov-14 1,504,106 390,083 683,590 10,814 914,194 Dec-14 1,670,296 398,868 740,778 7,451 971,679 Jan-15 1,757,259 393,549 624,757 7,117 955,141 Feb-15 1,493,920 367,339 670,387 7,422 815,993 Mar-15 1,862,153 437,701 746,188 4,187 1,053,213 Apr-15 1,641,339 445,641 820,260 7,452 1,073,967 May-15 1,666,364 430,862 826,822 6,391 1,143,586 Jun-15 1,477,276 391,038 799,254 36,136 1,075,615 Jul-15 1,536,972 438,278 740,194 74,275 1,151,898 Aug-15 1,697,149 399,052 694,291 73,405 1,053,911 Sep-15 1,576,647 388,421 743,859 55,798 1,042,468 12-Month Total 19,333,083 4,889,518 8,780,346 312,352 12,229,375 Total 3,547,871 3,502,786 3,789,072 3,737,822 3,355,061 4,103,442 3,988,659 4,074,025 3,779,319 3,941,617 3,917,808 3,807,193 45,544,674 Payer Medicare Medicaid Insurance Facility Contract Bill Patient Oct-14 40.9% 11.5% 19.4% 0.6% 27.6% Nov-14 42.9% 11.1% 19.5% 0.3% 26.1% Dec-14 44.1% 10.5% 19.6% 0.2% 25.6% Jan-15 47.0% 10.5% 16.7% 0.2% 25.6% Feb-15 44.5% 10.9% 20.0% 0.2% 24.3% Mar-15 45.4% 10.7% 18.2% 0.1% 25.7% Apr-15 41.2% 11.2% 20.6% 0.2% 26.9% May-15 40.9% 10.6% 20.3% 0.2% 28.1% Jun-15 39.1% 10.3% 21.1% 1.0% 28.5% Jul-15 39.0% 11.1% 18.8% 1.9% 29.2% Aug-15 43.3% 10.2% 17.7% 1.9% 26.9% Sep-15 41.4% 10.2% 19.5% 1.5% 27.4% 12-Month % 42.4% 10.7% 19.3% 0.7% 26.9% 100.0% 99.9% 100.0% 100.0% 99.9% 100.1% 100.1% 100.1% 100.0% 100.0% 100.0% 100.0% 100.0% Total Montgomery County Hospital District Accounts Payable Analysis Accounts Payable Aging by Dollars Month Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Current 12,748 32,209 67,160 17,750 102,521 91,677 151,538 103,901 96,036 31,724 169 31-60 3,356 2,021 32,913 91 3,089 10,781 88,459 16,327 - 61-90 1,166 22,727 14,615 - Days > 90 2 2 502 2 17 27,207 3,586 3,586 2 2 2 2 Credits (115) (115) (115) (115) (226) (17) (17) (17) (17) (17) (17) (17) Accounts Payable Aging by Percentage without Credits Month Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15 Current 100% 91% 95% 35% 82% 75% 91% 49% 85% 0% 100% 99% 31-60 0% 9% 3% 65% 0% 3% 6% 42% 15% 0% 0% 0% Days 61-90 0% 0% 2% 0% 18% 0% 0% 7% 0% 0% 0% 0% > 90 0% 0% 1% 0% 0% 22% 2% 2% 0% 100% 0% 1% $ Total Total minus Credits 12,635 12,750 35,452 35,567 70,734 70,849 50,550 50,665 125,130 125,356 121,956 121,973 165,888 165,905 210,544 210,561 112,348 112,365 (15) 2 31,709 31,726 154 171 AGENDA ITEM # 25 Presentation of Investment Report for the quarter ended September 30th, 2015 Montgomery County Hospital District Investment Report Quarter Ended September 30, 2015 Market Value 6/30/2015 Investment Additions Deletions Interest Woodforest Special Liquidity Fund Capital Replacement Sinking Fund (13300) $ 3,207,233.43 $ Woodforest Special Liquidity Fund - HCAP Catastrophic Fund (13600) $ 3,074,421.94 $ - Woodforest Securities - Certificate of Deposits (13500 + 13501) $ 6,003,341.54 $ - $ (2,011,952.75) $ Texas Local Government Investment Pool (13100) $ 7,258,083.53 $ - $ TexSTAR Local Government Investment Pool (13400) $ 7,745,166.18 $ - $ 27,288,246.62 1,000,000.00 Total $ 1,000,000.00 $ Percentage Yield Qtr Ended Fiscal Year 9/30/2015 To Date 945.27 $ 500,945.27 $ 3,708,178.70 0.1012% 0.0895% 814.57 $ 814.57 $ 3,075,236.51 0.1052% 0.0905% 9,253.05 $ (2,002,699.70) $ 4,000,641.84 0.0454% 0.0971% (1,000,000.00) $ 1,190.61 $ (998,809.39) $ 6,259,274.14 0.0756% 0.0531% $ (1,500,000.00) $ 1,372.92 $ (1,498,627.08) $ 6,246,539.10 0.0873% 0.0646% $ (5,011,952.75) $ (3,998,376.33) $ 23,289,870.29 $ (500,000.00) $ Market Value 9/30/2015 Total Increase (Decrease) - $ 13,576.42 $ This report and its attachments complies with the Investment Strategies and the Investment Policy of Montgomery County Hospital District, as well as Government Code Section 2256 ("Public Funds Investment Act") of the State of Texas. Randy Johnson D. Brett Allen, CPA Chris Grice Chief Executive Officer Investment Officer, Montgomery County Hospital District Chief Financial Officer Investment Officer, Montgomery County Hospital District Chris Grice, Treasurer, MCHD Board Investment Officer, Montgomery County Hospital District page 1 of 2 F:\Accounting\BANK RECS\Bank Recs FY 2015\Investment Report FY 2015\04 Investment Report 09-30-15 Investment Report Quarter Ended September 30, 2015 MARKET VALUE BOOK VALUE Maturity Investment Book Value Book Value 6/30/2015 Fnd Date Additions Deletions Money Market Accounts Woodforest Bank 01 N/A $ 3,207,233.43 $ Woodforest Special Liquidity 01 N/A $ 3,074,421.94 $ - $ Certificates of Deposit Woodforest Securities 01 Various $ 6,003,341.54 $ - Public Investment Pools Texpool 01 N/A $ 7,258,083.53 $ TexSTAR 01 N/A $ 7,745,166.18 $ Total General Fund $ 27,288,246.62 $ Grand Total $ 27,288,246.62 $ Book Value 9/30/2015 Interest Market Value 6/30/2015 Net Book Activity Market Value Change Accrued Interest YTD Market Value 9/30/2015 General Fund 1,000,000.00 $ (500,000.00) $ 945.27 $ 3,708,178.70 $ 3,207,233.43 $ 500,945.27 $ - $ 3,708,178.70 $ 2,644.83 $ 814.57 $ 3,075,236.51 $ 3,074,421.94 $ 814.57 $ - $ 3,075,236.51 $ 2,730.13 $ (2,011,952.75) $ 9,253.05 $ 4,000,641.84 $ 6,003,341.54 $ (2,002,699.70) $ - $ 4,000,641.84 $ 13,151.67 - $ (1,000,000.00) $ 1,190.61 $ 6,259,274.14 $ 7,258,083.53 $ (998,809.39) $ - $ 6,259,274.14 $ 3,743.12 - $ (1,500,000.00) $ 1,372.92 $ 6,246,539.10 $ 7,745,166.18 $ (1,498,627.08) $ - $ 6,246,539.10 $ 4,453.94 1,000,000.00 $ (5,011,952.75) $ 13,576.42 $ 23,289,870.29 $ 27,288,246.62 $ (3,998,376.33) $ - $ 23,289,870.29 $ 26,723.69 1,000,000.00 $ (5,011,952.75) $ 13,576.42 $ 23,289,870.29 $ 27,288,246.62 $ (3,998,376.33) $ - $ 23,289,870.29 $ 26,723.69 - page 2 of 2 F:\Accounting\BANK RECS\Bank Recs FY 2015\Investment Report FY 2015\04 Investment Report 09-30-15 Market Value 09/30/2015 Certificates of Deposit, $4,000,641.84 , 17% Public Investment Pools, $12,505,813.24 , 54% Money Market Accounts, $6,783,415.21 , 29% Public Investment Pools Money Market Accounts Certificates of Deposit Agenda Item #26 Montgomery County Hospital District Budget Amendment ‐ Fiscal Year Ending September 30, 2015 Supplement to the Amendment Presented to the Board on October 27, 2015 Account 10‐001‐51100 10‐001‐51300 10‐001‐51700 10‐001‐52200 10‐001‐53550 10‐001‐56200 10‐001‐57000 10‐001‐58500 10‐002‐51300 10‐002‐52753 10‐002‐53100 10‐002‐54200 10‐002‐57750 10‐004‐51300 10‐004‐51400 10‐004‐55025 10‐004‐55600 10‐004‐57100 10‐004‐57275 10‐004‐58200 10‐005‐51300 10‐006‐51100 10‐006‐51200 10‐006‐51300 10‐006‐51400 10‐006‐51700 10‐006‐52600 10‐006‐52754 10‐006‐56100 10‐006‐58600 10‐007‐51100 10‐007‐51300 10‐007‐51400 10‐007‐51700 10‐007‐52725 10‐007‐55800 10‐007‐56100 10‐007‐57100 10‐007‐57800 10‐007‐57900 10‐007‐58200 10‐007‐58500 10‐007‐58600 10‐008‐51300 10‐008‐51700 10‐008‐52200 10‐008‐54100 10‐008‐54200 10‐008‐56600 10‐008‐57000 10‐008‐57725 10‐008‐58500 10‐008‐58700 10‐009‐51200 10‐009‐51300 10‐009‐52754 10‐009‐53550 10‐009‐56200 10‐009‐57750 10‐009‐58500 10‐010‐51200 10‐010‐51300 10‐010‐52755 10‐010‐54100 10‐010‐54700 10‐010‐55600 10‐010‐55650 10‐010‐56100 10‐010‐56400 10‐010‐58700 10‐010‐59000 10‐011‐51300 10‐011‐52350 Description Regular Pay Paid Time Off Health & Dental Advertising Customer Relations Mileage Reimbursements Printing Services Training/Related Expenses‐CE Paid Time Off Capital Purchase ‐ Building/Improvements Computer Supplies/Non‐Cap. Durable Medical Equipment Small Equipment & Furniture Paid Time Off Stipend Pay Interest Expense Maintenance & Repairs‐Buildings Professional Fees Radio ‐ Special Project Expenditures Telephones‐Cellular Paid Time Off Regular Pay Overtime Pay Paid Time Off Stipend Pay Health & Dental Books/Materials Capital Purchase ‐ Equipment Meeting Expenses Travel Expenses Regular Pay Paid Time Off Stipend Pay Health & Dental Capital Lease Expense Marketing Materials Meeting Expenses Professional Fees Special Events Supplies Station Supplies Telephones‐Cellular Training/Related Expenses‐CE Travel Expenses Paid Time Off Health & Dental Advertising Dues/Subscriptions Durable Medical Equipment Oxygen & Gases Printing Services Shop Supplies Training/Related Expenses‐CE Uniforms Overtime Pay Paid Time Off Capital Purchase ‐ Equipment Customer Relations Mileage Reimbursements Small Equipment & Furniture Training/Related Expenses‐CE Overtime Pay Paid Time Off Capital Purchase ‐ Vehicles Dues/Subscriptions Fuel Maintenance & Repairs‐Buildings Maintenance‐Contract Equipment Meeting Expenses Oil & Lubricants Uniforms Vehicle‐Outside Services Paid Time Off‐Bill Credit Card Processing Fee Billing Total 8,485.65 7,924.09 341.00 2,271.53 5,695.85 43.92 26.25 2,882.00 59,419.35 800.00 251.00 186.30 190.44 28,966.93 36.00 513.20 12,828.27 (12,023.06) 211.15 201.00 18,833.05 (198,886.92) 126,007.14 106,297.52 2,067.24 4,380.91 0.10 6,288.20 37.30 1,460.44 (570,794.05) 946,408.35 78,590.61 180.63 0.02 426.16 4,941.82 (255,911.36) 51.56 557.84 1,402.89 5,937.94 7,368.85 40,369.81 949.89 211.00 110.00 1,690.95 9,930.22 555.56 236.80 2,300.00 21,849.20 51,892.08 24,489.75 114.47 5,955.40 274.96 4,400.00 6,400.53 3,428.84 34,434.20 22,471.82 2,225.00 (179,944.39) 225.00 574.47 28.15 4,209.41 710.66 5,473.12 74,560.57 1,322.74 Notes Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Impact increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense decrease expense increase expense increase expense increase expense decrease expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense decrease expense increase expense increase expense increase expense increase expense increase expense increase expense decrease expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense decrease expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense Montgomery County Hospital District Budget Amendment ‐ Fiscal Year Ending September 30, 2015 Supplement to the Amendment Presented to the Board on October 27, 2015 Description Account 10‐011‐57100 10‐015‐51300 10‐015‐51400 10‐015‐51650 10‐015‐52754 10‐015‐53000 10‐015‐53050 10‐015‐55400 10‐015‐55600 10‐015‐58320 10‐016‐51300 10‐016‐51700 10‐016‐54450 10‐016‐54500 10‐016‐55650 10‐016‐58200 10‐025‐51100 10‐025‐51300 10‐025‐51650 10‐025‐51700 10‐025‐54450 10‐025‐55025 10‐025‐55900 10‐025‐57100 10‐025‐57300 10‐025‐58500 10‐025‐58550 10‐025‐58600 10‐025‐58700 10‐026‐51300 10‐027‐51100 10‐027‐51200 10‐027‐51500 10‐027‐51650 10‐027‐51700 10‐027‐54000 10‐027‐55900 10‐027‐58600 10‐035‐53900 10‐035‐57900 10‐038‐51300 10‐038‐51700 10‐038‐56200 10‐038‐56300 10‐038‐58500 10‐039‐51100 10‐039‐51200 10‐039‐51300 10‐039‐51500 10‐039‐51650 10‐039‐51700 10‐039‐53100 10‐039‐57000 10‐039‐58200 10‐039‐58500 10‐040‐52725 10‐040‐52751 10‐040‐52752 10‐040‐52753 Professional Fees Paid Time Off Stipend Pay TCDRS Plan Capital Purchase ‐ Equipment Computer Maintenance Computer Software Leases/Contracts Maintenance & Repairs‐Buildings Telephones ‐ Long Distance Paid Time Off Health & Dental Employee Recognition Equipment Rental Maintenance‐Contract Equipment Telephones‐Cellular Regular Pay Paid Time Off TCDRS Plan Health & Dental Employee Recognition Interest Expense Meals ‐ Business and Travel Professional Fees Recruit/Investigate Training/Related Expenses‐CE Tuition Reimbursement Travel Expenses Uniforms Paid Time Off Regular Pay Overtime Pay Payroll Taxes TCDRS Plan Health & Dental Drug Supplies Meals ‐ Business and Travel Travel Expenses Disposable Medical Supplies Station Supplies Paid Time Off Health & Dental Mileage Reimbursements Office Supplies Training/Related Expenses‐CE Regular Pay Overtime Pay Paid Time Off Payroll Taxes TCDRS Plan Health & Dental Computer Supplies/Non‐Cap. Printing Services Telephones‐Cellular Training/Related Expenses‐CE Capital Lease Expense Capital Purchases ‐ Land Capital Purchases ‐ CIP‐Building Capital Purchase ‐ Building/Improvements Total 6,383.69 7,602.45 5,651.00 98.94 (220,823.16) 13,001.54 (175,148.18) 5,131.45 1,981.50 1,577.06 12,869.92 9,577.54 2.59 1,982.15 585.01 343.99 3,662.04 5,359.65 361.46 14,484.69 888.96 214.57 741.14 2,539.75 3,153.73 5,739.61 5,804.40 503.80 65.70 12,648.51 14,050.87 8.10 401.77 863.66 4,801.02 754.93 140.00 596.91 183.81 74.00 1,006.12 125.49 208.30 45.02 180.00 71,965.09 14,782.06 35,139.08 4,323.26 10,809.65 12,981.27 14.89 270.14 2,770.60 1,413.80 0.73 (500,000.00) 14,498.23 34,258.38 Total Expense (0.00) Increase / (Decrease) Net Revenue over Expenses 0.00 FY 2015 Budgeted Net Revenue over Expenses 1,856,022.82 FY 2015 Amended Budgeted Net Revenue over Expenses 1,856,022.82 Notes Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Reclassification of budget Increase in Expenses Impact increase expense increase expense increase expense increase expense decrease expense increase expense decrease expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense decrease expense increase expense increase expense Agenda Item #27 Montgomery County Hospital District Budget Amendment ‐ Fiscal Year Ending September 30, 2016 Supplement to the Amendment Presented to the Board on October 27, 2015 Department HCAP HCAP Radio and Tower System Radio and Tower System Radio and Tower System Radio and Tower System Radio and Tower System Radio and Tower System Radio and Tower System Radio and Tower System Radio and Tower System EMS EMS Materials Management Materials Management Materials Management Materials Management Materials Management Materials Management Materials Management Materials Management Materials Management Materials Management Clinical Clinical Clinical Fleet Fleet Fleet EMS Billing EMS Billing EMS Billing Information Technology Information Technology Facilities Facilities Facilities Emergency Management Emergency Management Account Description 10‐002‐53900 Disposable Medical Supplies 10‐002‐54450 Employee Recognition 10‐004‐52754 Capital Purchases / Equipment 10‐004‐53050 Computer Software 10‐004‐55650 Maintenance‐Contract Equipment 10‐004‐57100 Professional Fees 10‐004‐57225 Radio Repairs ‐ Parts 10‐004‐57700 Shop Tools 10‐004‐57725 Shop Supplies 10‐004‐57750 Small Equipment & Furniture 10‐004‐58500 Training/Related Expenses‐CE 10‐007‐55800 Marketing Materials 10‐007‐57750 Small Equipment & Furniture 10‐008‐53900 Disposable Medical Supplies 10‐008‐54000 Drug Supplies 10‐008‐54200 Durable Medical Equipment 10‐008‐56300 Office Supplies 10‐008‐56600 Oxygen & Gases 10‐008‐57000 Printing Services 10‐008‐57650 Repair‐Equipment 10‐008‐57750 Small Equipment & Furniture 10‐008‐57900 Station Supplies 10‐008‐58700 Uniforms 10‐009‐52600 Books/Materials 10‐009‐55800 Marketing Materials 10‐009‐58500 Training/Related Expenses‐CE 10‐010‐52755 Capital Purchases ‐ Vehicles 10‐010‐57700 Shop Tools 10‐010‐59050 Vehicle‐Parts 10‐011‐52600 Books/Materials 10‐011‐58500 Training/Related Expenses‐CE 10‐011‐58600 Travel Expenses 10‐015‐53050 Computer Software 10‐015‐53100 Computer Supplies/Non‐Capital 10‐016‐52754 Capital Purchases / Equipment 10‐016‐55600 Maintenance & Repairs‐Buildings 10‐016‐57750 Small Equipment & Furniture 10‐027‐52600 Books/Materials 10‐027‐54900 Insurance Total Notes 310.50 422.97 140,301.88 24,538.42 127,887.92 62,774.70 4,185.06 313.04 2,051.97 235.50 4,320.00 1,350.00 2,987.94 8,743.68 15,514.26 162.36 280.68 1,055.43 50.00 495.00 1,437.50 267.94 661.07 99.90 2,999.00 684.76 143,925.00 67.60 3,570.56 569.70 4,380.00 50.00 7,388.16 380.00 20,030.50 1,270.50 3,777.33 304.65 42,605.00 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Open PO Report FY 2015 Total Expense 632,450.48 Increase in Expenses Increase / (Decrease) Net Revenue over Expenses (632,450.48) FY 2016 Net Revenue over Expenses 5,271,228.00 FY 2016 Amended Net Revenue over Expenses 4,638,777.52 Impact increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense increase expense AGENDA ITEM # 28 Consider and act on payment of District invoices (Mr. Grice, Treasurer-MCHD Board) TOTAL FOR INVOICES $1,479,295.69 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name ALTEC PRODUCTS, INC. Invoice Date 9/29/2015 Invoice No. 40597 Payment No. Payment DateInvoice Description 84035 10/9/2015 FEDERAL 1099 MISC LASER FORM W/ENVELOOPES Account No. Account Description 10-005-57000 Printing Services-Accou Amount $80.33 10-005-57000 Printing Services-Accou $19.31 Totals for ALTEC PRODUCTS, INC.: AMERICAN REGISTRY FOR INTERNET NUMBERS 10/5/2015 02358710 10/05 1946 10/20/2015 ANNUAL MAINTENANCE FOR AS NUMBER 10-015-52700 Business Licenses-Information Technology Totals for AMERICAN REGISTRY FOR INTERNET NUMBERS: AMERICAN TIRE DISTRIBUTORS INC 9/30/2015 MICHELIN AMBULANCE TIRES S0655092096 83955 10-010-59150 Vehicle-Tires-Fleet $2,085.96 10/3/2015 SO659412340 84190 10/16/2015 10 TAHOE TIRES FOR STOCK 10-010-59150 Vehicle-Tires-Fleet $1,292.80 10/8/2015 SO661559179 84190 10/16/2015 12 AMBULANCE TIRES 10-010-59150 Vehicle-Tires-Fleet $2,085.96 9/24/2015 AND092415 83903 9/24/2015 MILEAGE REIMBURSEMENT 07/17/15-09/18/15 10-009-56200 Mileage Reimbursements-OMD 9/24/2015 AND092415 83903 9/24/2015 MILEAGE REIMBURSEMENT 07/28/15-08/27/15 10-009-56200 Mileage Reimbursements-OMD Totals for ANDERSON, JORDAN: ARROW (VIDACARE) 9/21/2015 93357965 84191 10/16/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater 10-008-53900 Disposable Medical Supplies-Mater Totals for ARROW (VIDACARE): AT&T (105414) $9.80 $3,609.80 84038 10/9/2015 T1-HISD 10-004-58310 Telephones-Service-Radio $238.43 84039 10/9/2015 STATION 31 10-015-58310 Telephones-Service-Information Technology $233.88 9/23/2015 2816893247/5794 84040 10/9/2015 STATION 30 10-015-58310 Telephones-Service-Information Technology $229.20 9/23/2015 2813670626/8117 84041 10/9/2015 STATION 22 10-015-58310 Telephones-Service-Information Technology $127.66 10-015-58310 Telephones-Service-Information Technology $75.49 $904.66 9/23/2015 2813638742/6380 83956 9/30/2015 STATION 24 10-015-58310 Telephones-Service-Information Technology $35.66 9/24/2015 2813562469/5385 84042 10/9/2015 STATION 42 PHONE LINE CANCELED 10-015-58310 Telephones-Service-Information Technology $28.83 9/23/2015 836735112x09232 83957 9/30/2015 ACCT# 836735112 10/13/2015 10-15-10219 84192 10/16/2015 FEES; CANDIDATE TRACKING TOOL 10/12/15 - 11/11/15 9/28/2015 201509039 84043 10/9/2015 REPAIR EXHAUST VENTS, ROOF DRAINS & ENTRY WAY 10/8/2015 BCS100815 84310 10/16/2015 ULTRASOUND TRAINING BY DR. WILLIAMS/BCM $64.49 10-015-58200 Telephones-Cellular-Information Technology $93.38 10-007-58200 Telephones-Cellular-EMS $37.99 10-004-58200 Telephones-Cellular-Radio $86.39 10-015-58200 Telephones-Cellular-Information Technology 10-025-57100 Professional Fees-Human 10-016-55600 Maintenance & Repairs-Buildings-Facil Totals for BA-COR ENTERPRISES, INC: BAYLOR COLLEGE OF MEDICINE (SUVITA VISW $3,600.00 7131652005/3301 Totals for AVESTA SYSTEMS, INC.: BA-COR ENTERPRISES, INC $61.99 $305.74 2816896865-2217 Totals for AT&T MOBILITY-ROC (6463): AVESTA SYSTEMS, INC. $243.75 9/21/2015 Totals for AT&T (5001): AT&T MOBILITY-ROC (6463) $5,464.72 9/23/2015 Totals for AT&T (105414): AT&T (5001) $100.00 $100.00 9/23/2015 Totals for AMERICAN TIRE DISTRIBUTORS INC: ANDERSON, JORDAN $99.64 10-009-58500 Training/Related Expenses-CE-OMD $93.38 $311.14 $800.00 $800.00 $3,900.00 $3,900.00 $4,500.00 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. Payment No. Payment DateInvoice Description Account No. Account Description Amount Totals for BAYLOR COLLEGE OF MEDICINE (SUVITA VISWANATHAN): BAYLOR COLLEGE OF MEDICINE 9/21/2015 13166066-201508 83908 9/24/2015 PARAMEDICINE PROGRAM-CLINICAL DIRECTOR 04/15-08/15 10-039-57100 Professional Fees-Param $9,708.48 10-039-57100 Professional Fees-Param $9,708.48 10-039-57100 Professional Fees-Param $9,708.48 10-039-57100 Professional Fees-Param $9,708.48 10-039-57100 Professional Fees-Param $9,708.48 $22,209.46 9/23/2015 131660039-20150 83937 9/25/2015 EMS PROGRAM-MEDICAL DIRECTORSHIP JULY 2015 10-009-57100 Professional Fees-OMD 9/23/2015 131660039-20150 83938 9/25/2015 EMS PROGRAM-MEDICAL DIRECTORSHIP AUG 2015 10-009-57100 Professional Fees-OMD $22,209.46 Totals for BAYLOR COLLEGE OF MEDICINE: BCBS OF TEXAS (POB 731428) 10/1/2015 10/1/2015 123611 123611 1942 1942 10/1/2015 10/1/2015 BCBS PPO & HSA PREMIUMS 10/01/2015 - 10/31/2015 PPO & HSA PREMIUMS-COBRA 10/01-10/31/2015 $4,500.00 $92,961.32 10-001-51700 Health & Dental-Admin 10-002-51700 Health & Dental-PA $7,025.00 10-004-51700 Health & Dental-Radio $4,235.60 10-005-51700 Health & Dental-Accou $3,309.93 10-006-51700 Health & Dental-Alarm $18,919.56 10-007-51700 Health & Dental-EMS $173,179.08 10-008-51700 Health & Dental-Matls. Mgmt. $8,367.86 10-009-51700 Health & Dental-OMD $5,676.03 10-010-51700 Health & Dental-Fleet $7,935.21 10-011-51700 Health & Dental-Bill $11,771.39 10-015-51700 Health & Dental-Information Technology $3,863.39 10-016-51700 Health & Dental-Facil $4,430.80 10-025-51700 Health & Dental-Human $5,551.46 10-026-51700 Health & Dental-Recor $2,270.80 10-027-51700 Health & Dental-Emerg $1,603.88 10-039-51700 Health & Dental-Param 10-000-14900 Prepaid Expenses-BS ($1,365.63) 10-000-14900 Prepaid Expenses-BS ($413.86) 10-002-51700 Health & Dental-PA $564.75 $11,062.16 $6,333.23 Totals for BCBS OF TEXAS (POB 731428): $274,320.64 BCM % MICHAEL E DEBAKEY DEPT OF SURGER 10/1/2015 16015 84312 10/22/2015 BCM TRAINING LIVE PIG LAB 10-009-58500 Training/Related Expenses-CE-OMD Totals for BCM % MICHAEL E DEBAKEY DEPT OF SURGERY/EXP SURGERY LAB: BEDAIR, WAYNE 9/29/2015 BED092915 83958 9/30/2015 MILEAGE REIMBURSEMENT & PARKING EXPENSE/BCM LIVE 10-009-56200 Mileage Reimbursements-OMD $43.59 10-009-58600 Travel Expenses-OMD $12.00 Totals for BEDAIR, WAYNE: BELL, ERIN 9/30/2015 SCO093015 84047 10/9/2015 MILEAGE REIMBURSEMENT 09/30/2015 9/25/2015 OCT 2015-123 83939 9/25/2015 STATION 44 RENT $55.59 10-009-56200 Mileage Reimbursements-OMD $43.13 10-009-58600 Travel Expenses-OMD $10.00 Totals for BELL, ERIN: BENTWATER ON THE NORTH SHORE, LTD. (44) $10,157.92 $10,157.92 10-000-14900 Prepaid Expenses-BS $53.13 $536.20 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. Payment No. Payment DateInvoice Description Account No. Account Description Totals for BENTWATER ON THE NORTH SHORE, LTD. (44): BLOSSOM SHOP 16044 9/25/2015 FRESH FLOWER/CONGRATULATIONS 10-025-54350 Employee Health\Wellness-Human $62.50 9/25/2015 16047 9/25/2015 FRESH FLOWERS/SORRY FOR YOUR LOSS 10-025-54350 Employee Health\Wellness-Human $68.50 9/25/2015 16051 9/25/2015 FRESH FLOWERS/CONGRATULATIONS 10-025-54350 Employee Health\Wellness-Human $93.50 9/25/2015 16020 9/25/2015 FRESH FLOWERS/CONGRATULATIONS 10-025-54350 Employee Health\Wellness-Human $60.00 C & R WATER SUPPLY, INC CAP FLEET UPFITTERS $284.50 9/17/2015 81912692 83860 9/24/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater $1,770.62 9/17/2015 81912691 83860 9/24/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater $11,129.57 10-008-54000 Drug Supplies-Mater $733.58 9/18/2015 81914065 83860 9/24/2015 MEDICAL SUPPLIES 10-008-54000 Drug Supplies-Mater $1,109.49 10-008-53900 Disposable Medical Supplies-Mater $453.81 9/21/2015 81915373 83860 9/24/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater $1,735.50 10-008-54000 Drug Supplies-Mater 9/22/2015 81916773 83909 9/24/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater 9/22/2015 81916772 83909 9/24/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater 9/24/2015 81919666 83959 9/30/2015 MEDICAL SUPPLIES 10-008-54000 Drug Supplies-Mater 9/21/2015 81915372 84055 10/9/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater 9/23/2015 81918187 84055 10/9/2015 MEDICAL SUPPLIES 10-008-54200 Durable Medical Equipment-Mater $131.25 9/29/2015 81923914 84055 10/9/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater $379.00 9/29/2015 81923915 84055 10/9/2015 MEDICAL SUPPLIES 10-008-54000 Drug Supplies-Mater $1,725.86 9/30/2015 81927076 84055 10/9/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater $7,744.00 9/30/2015 81927075 84055 10/9/2015 MEDICALSUPPLIES 10-008-53900 Disposable Medical Supplies-Mater $13.57 9/30/2015 81925378 84055 10/9/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater $23.38 10/2/2015 81928761 84198 10/16/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater $150.50 10/2/2015 81929883 84198 10/16/2015 DME 10-008-54200 Durable Medical Equipment-Mater 10/2/2015 81929885 84198 10/16/2015 MEDICAL SUPPLIES 10-008-54000 Drug Supplies-Mater 10/2/2015 81929884 84198 10/16/2015 DME ACCESSORIES 10-008-54200 Durable Medical Equipment-Mater $350.00 10/2/2015 81929882 84198 10/16/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater $9,382.64 10-008-54000 Drug Supplies-Mater 10-008-54200 Durable Medical Equipment-Mater Totals for BOUND TREE MEDICAL, LLC: BURKETT, AMANDA $536.20 9/25/2015 Totals for BLOSSOM SHOP: BOUND TREE MEDICAL, LLC Amount 9/23/2015 9/29/2015 10/5/2015 BUR092315 1526 514340 83910 83961 84056 9/24/2015 9/30/2015 10/9/2015 WELLNESS PROGRAM/MASSAGES STATION 44 LIGHT PROGRAM MODULE FOR SHOP 10-025-54350 10-016-58800 10-010-57700 Employee Health\Wellness-Human $112.99 $1,466.70 $23.80 $555.00 $1,744.72 $172.25 $1,882.50 $557.12 $64.70 $43,412.55 $300.00 Totals for BURKETT, AMANDA: $300.00 Totals for C & R WATER SUPPLY, INC: $84.23 Utilities-Facil $84.23 Shop Tools-Fleet Totals for CAP FLEET UPFITTERS: $67.60 $67.60 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name CB CAFES MAIN dba CORNER BAKERY CAFE Invoice Date 10/5/2015 Invoice No. 11059225411585 Payment No. Payment DateInvoice Description 84199 10/16/2015 LUNCH W/SMCFD-HERRING,JOHNSON,COSPER & 3 SMCFD Account No. Account Description 10-007-55900 Meals - Business and Travel-EMS Amount Totals for CB CAFES MAIN dba CORNER BAKERY CAFE: CDW GOVERNMENT, INC. 9/29/2015 ZJ42113 10/7/2015 ZN36224 84200 10/16/2015 SAMSUNG 850 EV0 CREDIT/35902 10/7/2015 ZN34231 84200 10/16/2015 Computer backup software for workstations and servers 10/5/2015 ZM05571 84200 10/16/2015 LTO ULTRIM CLEANING CART 10-015-53100 Computer Supplies/Non-Cap.-Information Technology 10-015-53100 Computer Supplies/Non-Cap.-Information Technology $1,000.00 10-015-53050 Computer Software-Information Technology $3,307.50 10-015-53100 Computer Supplies/Non-Cap.-Information Technology Totals for CDW GOVERNMENT, INC.: CENTERPOINT ENERGY (REL109) $120.00 $4,387.50 9/17/2015 9811614-8 83912 9/24/2015 STATION 14 10-016-58800 Utilities-Facil $21.40 9201316-8 84058 10/9/2015 STATION 30 10-016-58800 Utilities-Facil $19.49 10/1/2015 8879673-5 84058 10/9/2015 STATION 20 10-016-58800 Utilities-Facil $39.02 10/7/2015 8858923-9 84201 10-016-58800 Utilities-Facil $413.40 10/16/2015 MCHD CAMPUS 10/1/2015 INV0000010421 84202 10/16/2015 ACCESS TO CENTRELEARN FIRST RESPONDERS 10-009-58500 Training/Related Expenses-CE-OMD 10/1/2015 INV0000010420 84202 10/16/2015 ACCESS TO CENTRELEARN MCHD 10-009-58500 Training/Related Expenses-CE-OMD Totals for CENTRELEARN SOLUTIONS, LLC: CENTURY LINK (Phoenix) ($40.00) 9/29/2015 Totals for CENTERPOINT ENERGY (REL109): CENTRELEARN SOLUTIONS, LLC $172.18 $172.18 9/19/2015 313194646 83962 9/30/2015 STATION 34 10-015-58310 Telephones-Service-Information Technology Totals for CENTURY LINK (Phoenix): $493.31 $2,021.14 $815.54 $2,836.68 $223.96 $223.96 CERIDIAN CERIDIAN 10/1/2015 332928981 84203 10/16/2015 PER PERIOD ENDING 09/30/2015 10-025-55700 Management Fees-Human $168.35 Totals for CERIDIAN: CHAVEZ, CECILIA CITY OF CONROE, WATER (3066) COMCAST CORPORATION 9/30/2015 10/1/2015 10/1/2015 CHA093015 72-0592-00 877770208054635 84205 84062 84064 10/16/2015 MILEAGE REIMBURSEMENT 09/08/2015 10/9/2015 10/9/2015 STATION 10 STATION 21 10-015-56200 10-016-58800 Mileage Reimbursements-Information Technology 9/30/2015 CON93015 84073 10/9/2015 MILEAGE REIMBURSEMENT 09/30/15 $23.98 Totals for CITY OF CONROE, WATER (3066): $65.64 Utilities-Facil $65.64 10-015-58310 Telephones-Service-Information Technology 10-016-58800 Utilities-Facil 9/22/2015 63502 83968 9/22/2015 123005 84208 9/30/2015 $102.85 $61.03 $163.88 10-009-56200 Mileage Reimbursements-OMD $22.66 10-009-56200 Mileage Reimbursements-OMD $10.00 Totals for CONLEY, SEAN T: CONROE FAMILY MEDICINE, PA $23.98 Totals for CHAVEZ, CECILIA: Totals for COMCAST CORPORATION: CONLEY, SEAN T $168.35 $32.66 OFFICE VISIT/LEVEL 3/ACCOUNT # 120593 10-025-57300 Recruit/Investigate-Human $175.00 10/16/2015 HEP B SURFACE ANTIBODY/NEW HIRE/MEGAN,SOFKA 10-025-57300 Recruit/Investigate-Human $142.00 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. Payment No. Payment DateInvoice Description Account No. Account Description Totals for CONROE FAMILY MEDICINE, PA: CONROE WELDING SUPPLY, INC. UC00083190 CREDIT/ 10-008-56600 Oxygen & Gases-Mater ($279.79) 9/18/2015 CT765094 83969 9/30/2015 OXYGEN MEDICAL 10-008-56600 Oxygen & Gases-Mater $107.32 9/17/2015 CT764807 83969 9/30/2015 OXYGEN MEDICAL 10-008-56600 Oxygen & Gases-Mater $105.12 9/22/2015 CT765428 83969 9/30/2015 OXYGEN MEDICAL 10-008-56600 Oxygen & Gases-Mater 9/30/2015 CT766725 84074 10/9/2015 POWER MIG 210 MP MULTI PROCESS WELDER 10-016-57700 Shop Tools-Facil 9/21/2015 PS377966 84074 10/9/2015 OXYGEN MEDICAL 10-008-56600 Oxygen & Gases-Mater $70.09 9/28/2015 PS378379 84074 10/9/2015 OXYGEN MEDICAL 10-008-56600 Oxygen & Gases-Mater $58.92 9/28/2015 PS378378 84074 10/9/2015 OXYGEN MEDICAL 10-008-56600 Oxygen & Gases-Mater $37.30 9/24/2015 CT765443 84074 10/9/2015 OXYGEN MEDICAL 10-008-56600 Oxygen & Gases-Mater $119.65 9/23/2015 CT765753 84074 10/9/2015 OXYGEN MEDICAL 10-008-56600 Oxygen & Gases-Mater $149.31 9/23/2015 CT765604 84074 10/9/2015 OXYGEN MEDICAL 10-008-56600 Oxygen & Gases-Mater $343.50 9/28/2015 PS378377 84074 10/9/2015 OXYGEN MEDICAL 10-008-56600 Oxygen & Gases-Mater $62.78 9/30/2015 R09151438 84074 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $95.00 9/30/2015 R09151439 84074 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $5.00 9/30/2015 R09151440 84075 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $15.00 9/30/2015 R09151441 84075 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $10.00 9/30/2015 R09151442 84075 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $40.00 9/30/2015 R09151443 84075 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $15.00 9/30/2015 R09151444 84075 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $5.00 9/30/2015 R09151445 84075 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $20.00 9/30/2015 R09151446 84075 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $5.00 9/30/2015 R09151448 84075 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $5.00 9/30/2015 R09151449 84075 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $47.65 9/30/2015 R09151450 84075 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $35.00 9/30/2015 R09151451 84075 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $15.00 9/30/2015 R09151452 84076 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $30.00 9/30/2015 R09151453 84076 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $15.00 9/30/2015 R09151454 84076 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $15.00 9/30/2015 R09151457 84076 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $85.00 9/30/2015 R09151458 84076 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $115.00 $35.00 $147.14 $1,699.00 9/30/2015 R09151459 84076 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater 9/30/2015 R09151460 84076 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $20.00 9/30/2015 R09152125 84076 10/9/2015 CYLINDER RENTAL 10-008-56600 Oxygen & Gases-Mater $952.65 10/1/2015 06060MCD-S-152 84077 10/9/2015 ACCT# 210 9MC-DSM3 MCD 10-015-58310 Telephones-Service-Information Technology Totals for CONSOLIDATED COMMUNICATIONS-LUF: CONSOLIDATED COMMUNICATIONS-TXU $317.00 9/30/2015 Totals for CONROE WELDING SUPPLY, INC.: CONSOLIDATED COMMUNICATIONS-LUF Amount 9/21/2015 9/21/2015 9365393450/0 9365391160/0 83970 83971 9/30/2015 9/30/2015 MCHD CAMPUS MCHD CAMPUS 10-015-58310 Telephones-Service-Information Technology 10-015-58320 Telephones - Long Distance-Information Technology 10-015-58310 Telephones-Service-Information Technology $4,200.64 $178.54 $178.54 $160.16 $6.52 $6,329.59 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date 10/1/2015 Invoice No. 9365399272/0 Payment No. Payment DateInvoice Description 84078 10/9/2015 MCHD CAMPUS Account No. Account Description 10-015-58320 Telephones - Long Distance-Information Technology Amount 10-015-58310 Telephones-Service-Information Technology Totals for CONSOLIDATED COMMUNICATIONS-TXU: CROCKER, KEVIN JAMES 9/23/2015 CRO092315 83917 9/24/2015 PER DIEM/ENA CONFERENCE-ORLANDO, FL 10-000-14900 Prepaid Expenses-BS 9/30/2015 CRO093015 84079 10/9/2015 MILEAGE REIMBURSEMENT 09/28/15-09/29/15 10-009-56200 Mileage Reimbursements-OMD 86509 B/0 83972 9/30/2015 STATION SUPPLIES 10-008-57900 Station Supplies-Mater $12.95 9/28/2015 86685 84080 10/9/2015 STATION SUPPLIES 10-008-57900 Station Supplies-Mater $546.08 10/2/2015 86858 84210 10/16/2015 STATION SUPPLIES 10-008-57900 Station Supplies-Mater $23.50 9/17/2015 061-8385 84081 10/9/2015 57 GENERATOR OIL FILTERS & 57 GEN OIL FILTERS FOR ST 10-010-59050 Vehicle-Parts-Fleet 10/9/2015 RADIO REPAIR S/N A40121002A2A 9/17/2015 00054659 84082 10-004-57200 Radio Repairs - Outsourced (Depot)-Radio 10/7/2015 15GB104217 84211 10/16/2015 SYSTEM SUPPORT 10-004-57100 Professional Fees-Radio 10/7/2015 15GB104216 84211 10/16/2015 SYSTEM SUPPORT AND MAINTENANCE 10-004-57100 Professional Fees-Radio 10/5/2015 47362794 84083 10/9/2015 ACCT# 357490 10-015-55400 Leases/Contracts-Information Technology $19,218.20 $18.12 $18.12 10/1/2015 CM166181 DRAG LINK 10-010-59050 Vehicle-Parts-Fleet ($181.10) 10/2/2015 CM164597A CREDIT/CORE RETURN 10-010-59050 Vehicle-Parts-Fleet ($80.00) 10/2/2015 CM164238B CREDIT/CORE RETURN 10-010-59050 Vehicle-Parts-Fleet ($50.00) 10/2/2015 CM166922 CREDIT/BRACKET 10-010-59050 Vehicle-Parts-Fleet ($44.47) 10/2/2015 CM158803B CREDIT/CORE RETURN 10-010-59050 Vehicle-Parts-Fleet ($40.00) 9/18/2015 166425 83974 9/30/2015 A/C PIGTAIL FOR SHOP 39 10-010-59050 Vehicle-Parts-Fleet $23.16 9/18/2015 166395 83974 9/30/2015 AC LINE FOR SHOP 39 10-010-59050 Vehicle-Parts-Fleet $111.10 9/23/2015 166593 83974 9/30/2015 3 SETS OF SEAT COVERS 10-010-59050 Vehicle-Parts-Fleet $151.80 9/29/2015 166851 84084 10/9/2015 2 4500 REAR BRAKE ROTORS, 2 DODGE 4500 INNER RACES, 10-010-59050 Vehicle-Parts-Fleet $1,187.78 10/5/2015 167018 84213 10/16/2015 HARNESS 10-010-52000 Accident Repair-Fleet $404.80 10/1/2015 166922 84213 10/16/2015 PASSENGER SIDE SPRING HANGER BRACKET FOR SHOP 14 10-010-59050 Vehicle-Parts-Fleet $223.55 10/2/2015 166949 84213 10/16/2015 AIR BAG CLOCK SPRING FOR SHOP 28 10-010-59050 Vehicle-Parts-Fleet $2.20 10/1/2015 166946 84213 10/16/2015 STEERING WHEEL BOLT FOR SHOP 28 10-010-59050 Vehicle-Parts-Fleet $2.20 10/1/2015 166932 84213 10/16/2015 BLOCK HEATER SHOP 28 10-010-59050 Vehicle-Parts-Fleet $51.55 10/1/2015 166908 84213 10/16/2015 ROTOR BRAKE 10-010-59050 Vehicle-Parts-Fleet $211.20 10/1/2015 166914 84214 10/16/2015 6 INJECTOR O-RING KITS FOR SHOP 22, SIDE MIRROR 10-010-59050 Vehicle-Parts-Fleet 10-010-52000 Accident Repair-Fleet $52.02 $369.60 Totals for DEMONTROND: DERALD HUDSON (43) $223.75 $3,787.93 Totals for DE LAGE FINANCIAL SERVICES INC: DEMONTROND $507.87 $15,206.52 Totals for DAILEY WELLS COMMUNICATION: DE LAGE FINANCIAL SERVICES INC $582.53 $507.87 Totals for CUMMINS SOUTHERN PLAINS, LTD.: DAILEY WELLS COMMUNICATION $100.05 $296.05 9/22/2015 Totals for CROWN PAPER AND CHEMICAL: CUMMINS SOUTHERN PLAINS, LTD. $69.27 $7,341.62 $196.00 Totals for CROCKER, KEVIN JAMES: CROWN PAPER AND CHEMICAL $776.08 9/25/2015 OCT 2015-009 83940 9/25/2015 STATION 43 RENT 10-000-14900 Prepaid Expenses-BS $2,395.39 $1,200.00 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. Payment No. Payment DateInvoice Description Account No. Account Description Amount Totals for DERALD HUDSON (43): DIRECTV 9/22/2015 26760061042 83976 9/30/2015 MCHD CAMPUS 10-016-58800 Utilities-Facil 9/25/2015 26786762129 84085 10/9/2015 STATION 30 10-016-58800 Utilities-Facil $58.48 $78.48 Totals for DIRECTV: DISH NETWORK 825510101741038 84086 10/9/2015 STATION 31 10-016-58800 Utilities-Facil $75.61 9/25/2015 825510101319987 84087 10/9/2015 STATION 41 10-016-58800 Utilities-Facil $75.61 9/25/2015 825510101110437 84088 10/9/2015 STATION 43 10-016-58800 Utilities-Facil $75.61 9/25/2015 825510101058244 84089 10/9/2015 STATION 10 10-016-58800 Utilities-Facil $75.61 9/25/2015 825510101013752 84090 10/9/2015 STATION 32 10-016-58800 Utilities-Facil $75.61 9/25/2015 825510101641129 84091 10/9/2015 STATION 20 10-016-58800 Utilities-Facil $75.61 9/27/2015 825510101316565 84092 10/9/2015 STATION 45 10-016-58800 Utilities-Facil $75.61 9/18/2015 3581680 83920 9/24/2015 STATION 10 10-016-58800 Utilities-Facil $985.69 2621561 83921 9/24/2015 STATION 43 10-016-58800 Utilities-Facil $265.26 9/22/2015 3707796 83977 9/30/2015 GRANGERLAND TOWER 10-004-58800 Utilities-Radio $674.23 9/21/2015 2924599 83978 9/30/2015 STATION 44 10-016-58800 Utilities-Facil $172.21 9/29/2015 3890500 84094 10/9/2015 ROBINSON RD TOWER 10-004-58800 Utilities-Radio $72.23 9/29/2015 3965628 84095 10/9/2015 ROBINSON RD TOWER 10-004-58800 Utilities-Radio $633.60 10/1/2015 3606474 84096 10/9/2015 STATION 32 10-016-58800 Utilities-Facil $526.58 10/1/2015 3693376 84097 10/9/2015 MCHD CAMPUS 10-016-58800 Utilities-Facil $16,798.27 10/6/2015 3950733 84219 10-016-58800 Utilities-Facil 10/16/2015 STATION 14 $303.20 9/29/2015 ERW092915 83979 9/30/2015 MILEAGE REIMBURSEMENT/02/08/15-09/10/15 FEDERAL EXPRESS (POB 660481) FIORETTI, JOSEPH 9/18/2015 326-48609 83870 10/1/2015 326-48786 84221 9/23/2015 9/30/2015 5-168-28582 FIO093015 84222 84223 9/24/2015 DIGITAL PRINT-POSTER 10/16/2015 COMMUNITY PARAMEDICIINE POSTER 10/16/2015 ACCT# 2319-6903-9 10/16/2015 MILEAGE REIMBURSEMENT 10/02/2015 10-007-56200 Mileage Reimbursements-EMS $38.24 Mileage Reimbursements-EMS $67.22 $105.46 10-009-52600 Books/Materials-OMD $90.36 10-009-52600 Books/Materials-OMD $90.36 10-008-56900 10-007-56200 Totals for FAST SIGNS: $180.72 Totals for FEDERAL EXPRESS (POB 660481): $58.26 Postage-Meter $58.26 Mileage Reimbursements-EMS Totals for FIORETTI, JOSEPH: FIREFIGHTER SAFETY CENTER $20,431.27 10-007-56200 Totals for ERWIN, KELLIE: FAST SIGNS $529.27 9/18/2015 Totals for ENTERGY TEXAS, LLC: ERWIN, KELLIE $136.96 9/25/2015 Totals for DISH NETWORK: ENTERGY TEXAS, LLC $1,200.00 $13.69 $13.69 10/8/2015 25538 11/7/2015 BOOTS/UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $340.00 10/8/2015 25538 11/7/2015 BOOTS/UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $351.00 10-008-58700 Uniforms-Matls. Mgmt. Totals for FIREFIGHTER SAFETY CENTER: $35.00 $726.00 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name FITZGERALD, EMILY Invoice Date 9/23/2015 Invoice No. FIT092315 Payment No. Payment DateInvoice Description 83923 9/24/2015 TRAVEL EXPENSE/SHRM CONFERENCE 06/27-07/1/15 Account No. Account Description 10-025-58600 Travel Expenses-Human Amount $76.00 Totals for FITZGERALD, EMILY: FRAZER, LTD 9/28/2015 55024 84098 9/29/2015 55053 84225 9/25/2015 55012 10/9/2015 FULL PUSHBUTTON BOOT, ACTUATOR COVER 10/16/2015 SWITCH BOX FOR STOCK 9/25/2015 WATERPROOF SWITCH 10-010-59050 Vehicle-Parts-Fleet $45.45 10-010-59050 Vehicle-Parts-Fleet $1,050.00 10-010-59050 Vehicle-Parts-Fleet $9.89 10-010-59050 Vehicle-Parts-Fleet $245.10 Totals for FRAZER, LTD.: G & K SERVICES 1165326181 83982 9/30/2015 LAUNDRY 10-010-55100 Laundry Service & Purchase-Fleet $61.90 9/21/2015 1165326180 83982 9/30/2015 LAUNDRY 10-010-55100 Laundry Service & Purchase-Fleet $40.00 9/28/2015 1165332444 84226 10/16/2015 LAUNDRY 10-010-55100 Laundry Service & Purchase-Fleet $61.90 9/28/2015 1165332443 84226 10/16/2015 LAUNDRY 10-010-55100 Laundry Service & Purchase-Fleet 9/30/2015 GAL093015 84099 10/9/2015 BCM MEDICAL DIRECTION--LAB 10-009-58500 Training/Related Expenses-CE-OMD Totals for GALLEGOS, MOISES: GARCIA, CHARLA GATEWAY EDI, LLC GE MEDICAL SYSTEMS 9/23/2015 10/1/2015 GAR092315 121Y101500 83924 84227 9/24/2015 WELLNESS PROGRAM/MASSAGES & CHIROPRACTIC 10/16/2015 INTEGRATED ELIB/QUICK POST REMITS/ELECTRONIC CLAI 10-025-54350 10-011-52900 Employee Health\Wellness-Human $913.66 $913.66 520585137 83983 9/30/2015 VSCAN UTRASOUNDS BATTERY & CHARGER 10-009-5750 Capital Purchase - Equipment-Dept 520585919 83983 9/30/2015 VSCAN ULTRASOUND BATTERY & CHARGER 10-009-5750 Capital Purchase - Equipment-Dept 84228 10/16/2015 FLU VACCINE 10-008-54000 Drug Supplies-Mater 9/21/2015 9835486383 83984 9/30/2015 FLOOR MACHINE 10-004-57700 Shop Tools-Radio 9/21/2015 9847541423 83984 9/30/2015 MOTOR RUN CAPACITOR 10-010-59050 Vehicle-Parts-Fleet 9/22/2015 9848838620 83984 9/30/2015 FAN FOR SHOP 10-010-57750 Small Equipment & Furniture-Fleet 9/23/2015 9850177560 84229 10-004-57700 Shop Tools-Radio 10/16/2015 PART FOR FLOOR SCRUBBER $6,270.61 $4.56 $22.30 $101.44 $724.18 9/18/2015 5311 83985 9/30/2015 COMPACT SPIRAL BULBS 10-016-55600 Maintenance & Repairs-Buildings-Facil $380.00 9/18/2015 5315 83985 9/30/2015 METAL HAYLIDE LAMPS & LIGHT FIXTURES 10-016-55600 Maintenance & Repairs-Buildings-Facil $620.00 Totals for GREEN LIGHTING & SPPLY INC: GREER, NIKKI $184.41 $706.65 $595.88 Totals for GRAINGER: GREEN LIGHTING & SPPLY INC $522.24 $6,270.61 Totals for GLAXOSMITHKLINE FINANCIAL, INC.: GRAINGER $100.00 Totals for GATEWAY EDI, LLC: Collection Fees-Bill 9/21/2015 32710750 $250.00 $250.00 $100.00 9/17/2015 9/17/2015 $40.00 $203.80 Totals for GARCIA, CHARLA: Totals for GE MEDICAL SYSTEMS: GLAXOSMITHKLINE FINANCIAL, INC. $1,350.44 9/21/2015 Totals for G & K SERVICES: GALLEGOS, MOISES $76.00 9/30/2015 GRE093015 84102 10/9/2015 DCAP CLASS 10-002-56100 Meeting Expenses-PA $1,000.00 $32.73 Totals for GREER, NIKKI: $32.73 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name GSGA MANAGEMENT GP, LLC (41) Invoice Date 9/25/2015 Invoice No. OCT 2015-023 Payment No. Payment DateInvoice Description 83941 9/25/2015 STATION 41 RENT Account No. Account Description 10-000-14900 Prepaid Expenses-BS Amount $630.00 Totals for GSGA MANAGEMENT GP, LLC (41): GT DISTRIBUTORS, INC 9/25/2015 INV0549044 84230 10/16/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. 10-008-58700 Uniforms-Matls. Mgmt. $199.35 $8.95 Totals for GT DISTRIBUTORS, INC: H & H OIL, LP 9/30/2015 204870 84232 10/16/2015 WASTE OIL PICK UP 10-010-56400 Oil & Lubricants-Fleet 9/30/2015 HEN093015 83987 9/30/2015 MILEAGE REIMBURSEMENT/09/21/15-09/25/15 10-027-56200 Mileage Reimbursements-Emerg 9/30/2015 HER093015 84107 10/9/2015 MILEAGE REIMBURSEMENT/08/25/15-09/30/15 10-009-56200 Mileage Reimbursements-OMD 9/30/2015 HOJ093015 84108 10/9/2015 BCM MEDICAL DIRECTION--LAB 10-009-58500 Training/Related Expenses-CE-OMD Totals for HO, JASON: HON, CALVIN 9/30/2015 HON093015 84109 10/9/2015 MILEAGE REIMBURSEMENT BCM LAB 9/30/2015 HUM093015 84239 10/16/2015 BCM MEDICAL DIRECTION LAB 9/18/2015 40106 83989 9/30/2015 BUSINESS CARDS FOR CORD ABBOTT & HOWARD TUTT Mileage Reimbursements-OMD $50.02 Mileage Reimbursements-OMD $10.00 10-009-58500 Training/Related Expenses-CE-OMD Printing Services-Matls. Mgmt. $40.00 Printing Services-Matls. Mgmt. $40.00 9/22/2015 37030215 84242 10/16/2015 DIEBETIC SUPPLIES 10-002-53900 Disposable Medical Supplies-HCAP 9/23/2015 37050292 84242 10/16/2015 DIABETIC SUPPLIES 10-002-53900 Disposable Medical Supplies-HCAP $70.20 10/1/2015 61387 84243 10/16/2015 PROFESSIONAL SERVICES FOR NOVEMBER 2015 10-015-53050 Computer Software-Information Technology 10/2/2015 61443 84243 10/16/2015 SEPTEMBER 2015 POWER SEARCHES SERVICES 10-002-57100 Professional Fees-PA 9/23/2015 124993-P 84244 10/16/2015 HOUSING FOR UNIT 343-2404 10-008-57650 9/22/2015 12045 84245 10/16/2015 Provider ITLS Course # 22986 10-009-52600 $2,543.35 $12,626.27 $280.00 Repair-Equipment-Matls. Mgmt. $12,906.27 $15.00 Totals for INTEGRA BIOTECHNICAL, INC: ITLS $80.00 $2,473.15 Totals for INDIGENT HEALTHCARE SOLUTIONS: INTEGRA BIOTECHNICAL, INC $500.00 $500.00 10-008-57000 Totals for INDEPENDENCE MEDICAL: INDIGENT HEALTHCARE SOLUTIONS $60.02 10-008-57000 Totals for IMPACT PRINTING: INDEPENDENCE MEDICAL $500.00 $500.00 10-009-56200 Totals for HUMBERT, MATTHEW: IMPACT PRINTING $75.59 10-009-56200 Totals for HON, CALVIN: HUMBERT, MATTHEW $81.08 $75.59 Totals for HERRING, ASHTON: HO, JASON $35.00 $81.08 Totals for HENNERS-GRAINGER, SHAWN: HERRING, ASHTON $208.30 $35.00 Totals for H & H OIL, LP: HENNERS-GRAINGER, SHAWN $630.00 Books/Materials-OMD $15.00 $325.00 Totals for ITLS: $325.00 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date JOH, JAE WON 9/30/2015 Invoice No. JOH093015 Payment No. Payment DateInvoice Description 84112 10/9/2015 BCM MEDICAL DIRECTION--LAB Account No. Account Description Amount 10-008-58500 Training/Related Expenses-CE-Matls. Mgmt. Totals for JOH, JAE WON: JP MORGAN 10/5/2015 00036741 10/05 CREDIT $500.00 $500.00 10-008-58700 Uniforms-Matls. Mgmt. ($99.96) 10-010-59050 Vehicle-Parts-Fleet ($11.92) 10-016-55600 Maintenance & Repairs-Buildings-Facil ($53.47) $328.00 10/5/2015 02698669 10/05 1947 10/20/2015 COBURN/WATER HEATER FOR STATION 44 10-016-55600 Maintenance & Repairs-Buildings-Facil 10/5/2015 02698669 10/05 1947 10/20/2015 WATER HEATER REPAIR AT STATION 44. 10-016-55600 Maintenance & Repairs-Buildings-Facil $5.81 10/5/2015 02698669 10/05 1947 10/20/2015 WATER HEATER REPAIR AT STATION 44. 10-016-55600 Maintenance & Repairs-Buildings-Facil $47.76 10/5/2015 02698669 10/05 1947 10/20/2015 SPRINKLER REPAIR AT STATION 20 10-016-55600 Maintenance & Repairs-Buildings-Facil $25.94 10/5/2015 02698669 10/05 1947 10/20/2015 HOME DEPOT/SPRINKLER REPAIR STATION 20 10-016-55600 Maintenance & Repairs-Buildings-Facil $5.17 10/5/2015 02698669 10/05 1947 10/20/2015 DETERGENT FOAMING BRUSH RED & SEALANT 10-016-55600 Maintenance & Repairs-Buildings-Facil $172.12 10/5/2015 02698669 10/05 1947 10/20/2015 DIRECTV PAYMENT. INV 26681440045 STATION 40 10-016-55600 Maintenance & Repairs-Buildings-Facil $61.16 10/5/2015 02698669 10/05 1947 10/20/2015 MISCELLANEOUS PARTS FOR PREVENTIVE MAINTENANCE 10-016-55600 Maintenance & Repairs-Buildings-Facil $83.85 10/5/2015 02698669 10/05 1947 10/20/2015 CEILING TILES & LIGHT BULBS 10-016-55600 Maintenance & Repairs-Buildings-Facil $69.43 10/5/2015 02698669 10/05 1947 10/20/2015 PERMANENT MARKER, FERRULES & WIRE ROPE 10-016-55600 Maintenance & Repairs-Buildings-Facil $37.60 10-016-57725 Shop Supplies-Facil 10-007-57750 Small Equipment & Furniture-EMS $1,963.00 $724.00 $3.36 10/5/2015 02698669 10/05 1947 10/20/2015 EXERCISE WEIGHTS FOR ADMIN BLDG. 10/5/2015 02698669 10/05 1947 10/20/2015 EXERCISE WEIGHTS FOR ADMIN BLDG. 10-007-57750 Small Equipment & Furniture-EMS 10/5/2015 02698669 10/05 1947 10/20/2015 ALUMINUM FLAT BAR FOR TIEDOWNS ON TRUCK 10-016-55600 Maintenance & Repairs-Buildings-Facil 10/5/2015 02698669 10/05 1947 10/20/2015 SHOWER HEAD MOUNT FOR ADMIN BLDG 10-016-55600 Maintenance & Repairs-Buildings-Facil $9.98 10/5/2015 02698669 1947 10/20/2015 WASP SPRAY FOR STATION 42 10-016-55600 Maintenance & Repairs-Buildings-Facil $18.72 10/5/2015 02698669 10/05 1947 10/20/2015 WATER SUPPLY LINES FOR SINK AT STATION 44. 10-016-55600 Maintenance & Repairs-Buildings-Facil $17.88 10/5/2015 02698669 10/05 1947 10/20/2015 FIAT VACUUM BREAKER ASSEMBLY FOR STATION 20 10-016-55600 Maintenance & Repairs-Buildings-Facil $59.00 10/5/2015 02698669 10/05 1947 10/20/2015 FIAT VACUUM BREAKER ASSEMBLY 10-016-57725 Shop Supplies-Facil $26.49 10/5/2015 02698669 10/05 1947 10/20/2015 LIGHT SWITCH FOR ADMIN BLDG GYM 10-016-55600 Maintenance & Repairs-Buildings-Facil $3.46 10/5/2015 02698669 10/05 1947 10/20/2015 SYMMONS CHROME HAND SHOWER 10-016-55600 Maintenance & Repairs-Buildings-Facil $207.81 10/5/2015 02698669 10/05 1947 10/20/2015 FAUCET REPAIR AT STATION 30 10-016-55600 Maintenance & Repairs-Buildings-Facil $23.88 10/5/2015 02698669 10/05 1947 10/20/2015 HOSE REEL REPAIR AT STATION 30. 10-016-55600 Maintenance & Repairs-Buildings-Facil 10/5/2015 07540244 10/05 1947 10/20/2015 ROPE FOR AIR COMPRESSOR ON SHOP TRUCK. 10-010-57725 Shop Supplies-Fleet 10/5/2015 07540244 10/05 1947 10/20/2015 FAN SWITCH 10-010-57725 Shop Supplies-Fleet $9.96 10/5/2015 07540244 10/05 1947 10/20/2015 LIGHT SWITCH & BALL VALVE FOR SHOP USE. 10-010-57725 Shop Supplies-Fleet $99.79 $1,421.52 $24.98 $8.65 $12.16 10/5/2015 07540244 10/05 1947 10/20/2015 90 BRASS DOOR CONTACTORS 10-010-59050 Vehicle-Parts-Fleet 10/5/2015 07540244 10/05 1947 10/20/2015 UNIFORM PURCHASE FOR ALBERT LEDWIG 10-010-58700 Uniforms-Fleet $125.00 10/5/2015 07540244 10/05 1947 10/20/2015 Purchase of diesel engine training on CD and Manuals 10-010-52600 Books/Materials-Fleet $110.00 10/5/2015 07540244 10/05 1947 10/20/2015 Fuel for M45/S27 after their fleet card and D4's wad decline 10-010-54700 Fuel-Fleet 10/5/2015 07540244 10/05 1947 10/20/2015 HARRIS TOLL ROAD 10-010-58600 Travel Expenses-Fleet 10/5/2015 11639933 10/05 1947 10/20/2015 FORMSTACK 10-007-54100 Dues/Subscriptions-EMS $99.00 10/5/2015 11639933 10/05 1947 10/20/2015 ACTIVE 911 10-007-54100 Dues/Subscriptions-EMS $108.20 10/5/2015 12329468 10/05 1947 10/20/2015 SUBWAY GIFT CARD/PERRY & CARPENTER 10/5/2015 12329468 10/05 1947 10/20/2015 JIMMY JOHNS GIFT CARD/MCKELVERY & MARCHETTI $70.47 $320.00 10-007-54450 Employee Recognition-EMS $10.00 10-007-54450 Employee Recognition-EMS $10.00 10-007-54450 Employee Recognition-EMS $10.00 10-007-54450 Employee Recognition-EMS $10.00 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. Payment No. Payment DateInvoice Description Account No. Account Description 10/5/2015 02642170 10/05 1947 10/20/2015 Elliott Electrical Supply, electrical equipment for US Digit 10-004-57725 Shop Supplies-Radio Amount 10/5/2015 02642170 10/05 1947 10/20/2015 Torque wrenches from Kendon Park 10-004-57700 Shop Tools-Radio 10/5/2015 02642170 10/05 1947 10/20/2015 Torque wrenches from Kendon Park 10-004-57700 Shop Tools-Radio $211.60 10/5/2015 11059090 10/05 1947 10/20/2015 KANTOLA PRODUCTION/TRAINING VIDEO 10-025-52600 Books/Materials-Human $397.00 $19.25 $186.00 10/5/2015 08689925 10/05 1947 10/20/2015 NAAC Mandatory Online CEU Package for CAC K.Reed 10-011-58500 Training/Related Expenses-CE-Bill $299.00 10/5/2015 08689925 10/05 1947 10/20/2015 TAA ICD-10 Dallas TX 10-011-53150 Conferences - Fees, Travel, & Meals-Billi $520.00 10/5/2015 08689925 10/05 1947 10/20/2015 AAA ICD-10 Transition Workshop Ft Worth 10-011-58600 Travel Expenses-Bill 10/5/2015 08689925 1947 10/20/2015 SPORTS PAGE GRILL /TRAVEL EXPENSE 10-011-53150 Conferences - Fees, Travel, & Meals-Billi $30.06 10/5/2015 08689925 10/05 1947 10/20/2015 LODGING 10-011-53150 Conferences - Fees, Travel, & Meals-Billi $481.80 10/5/2015 11639909 10/05 1947 10/20/2015 APPLE ITUNES 10-006-52600 Books/Materials-Alarm 10/5/2015 11639909 10/05 1947 10/20/2015 APCO International 10-006-58500 Training/Related Expenses-CE-Alarm 10/5/2015 11639909 10/05 1947 10/20/2015 New London Technology 10-006-57750 Small Equipment & Furniture-Alarm $63.00 10/5/2015 11639909 10/05 1947 10/20/2015 New Egg 10-006-57750 Small Equipment & Furniture-Alarm $49.99 10/5/2015 11639909 10/05 1947 10/20/2015 Best Buy 10-006-57750 Small Equipment & Furniture-Alarm 10/5/2015 11639909 10/05 1947 10/20/2015 APCO International Inc 10-006-58500 Training/Related Expenses-CE-Alarm 10/5/2015 11639909 10/05 1947 10/20/2015 APCO International Inc 10-006-58500 Training/Related Expenses-CE-Alarm 10/5/2015 10051700 10/05 1947 10/20/2015 EMS Provider Self Defense Training - 10-009-58500 Training/Related Expenses-CE-OMD $98.33 $0.99 $1,676.00 $49.99 $1,257.00 $858.00 $3,250.00 10/5/2015 10051700 10/05 1947 10/20/2015 Clinical Departmet AHA Training 10-009-53150 Conferences - Fees, Travel, & Meals-Dept $865.00 10/5/2015 10051700 10/05 1947 10/20/2015 ECCU REGISTRATION 10-009-53150 Conferences - Fees, Travel, & Meals-Dept $595.00 10/5/2015 10051700 10/05 1947 10/20/2015 EMS Self Defense Instructor Airfare 10-009-58500 Training/Related Expenses-CE-OMD $329.20 10/5/2015 10051700 10/05 1947 10/20/2015 Kevin Crocker presenting @ ENA conference 10-009-53150 Conferences - Fees, Travel, & Meals-Dept $473.85 10/5/2015 10051700 10/05 1947 10/20/2015 Kevin Crocker ENA Conf - Super Shuttle 10-009-53150 Conferences - Fees, Travel, & Meals-Dept $37.76 10/5/2015 10051700 10/05 1947 10/20/2015 Clinical Dept Airfare Ashton Herring 10-009-53150 Conferences - Fees, Travel, & Meals-Dept $243.20 10/5/2015 10051700 10/05 1947 10/20/2015 Clinical Dept Airfare Brad Ward 10-009-53150 Conferences - Fees, Travel, & Meals-Dept $294.20 10/5/2015 10051700 10/05 1947 10/20/2015 PARKING EXPENSE/LAB 10-009-58500 Training/Related Expenses-CE-OMD $12.00 10/5/2015 10051700 10/05 1947 10/20/2015 PARKING EXPENSE/LAB 10-009-58600 Travel Expenses-OMD $12.00 10/5/2015 11942212 10/05 1947 10/20/2015 SUBWAY EMPLOYEE BIRTHDAY GIFT CARDS 10-025-54450 Employee Recognition-Human 10/5/2015 10948384 10/05 1947 10/20/2015 SALTGRASS PUBLIC HEALTH MEEETING/MM & MB 10-001-55900 Meals - Business and Travel-Admin $200.00 $46.65 10/5/2015 02358710 10/05 1946 10/20/2015 TARGET/GIFT CARDS/EMP APPRICATION 10-002-54450 Employee Recognition-PA $25.00 10-002-54450 Employee Recognition-PA $25.00 10-002-54450 Employee Recognition-PA $25.00 10-002-54450 Employee Recognition-PA $25.00 10-002-54450 Employee Recognition-PA $25.00 10-002-54450 Employee Recognition-PA $25.00 10-002-54450 Employee Recognition-PA $25.00 10-002-55450 Leases/Contracts-Buildings-PA $25.00 10-002-54450 Employee Recognition-PA $25.00 10-002-54450 Employee Recognition-PA $25.00 10-002-54450 Employee Recognition-PA $25.00 10-002-55450 Leases/Contracts-Buildings-PA $7.98 10/5/2015 02358710 10/05 1946 10/20/2015 MANA JUANITA'S MEXICAN REST/EMP APPRECIATION 10-002-54450 Employee Recognition-PA $139.99 10/5/2015 02358710 10/05 1946 10/20/2015 CITY OF PANORAMA STATION 14 10-016-58800 Utilities-Facil 10/5/2015 02358710 10/05 1946 10/20/2015 MUD#39 10-016-58800 Utilities-Facil $1.25 10/5/2015 02358710 10/05 1946 10/20/2015 MUD # 39 10-016-58800 Utilities-Facil $346.04 $1.25 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. 10/5/2015 02358710 10/05 10/5/2015 02358710 10/05 Payment No. Payment DateInvoice Description Account No. Account Description 1946 10/20/2015 CITY OF PANORAMA 10-016-58800 Utilities-Facil 1946 10/20/2015 WEBB COUNTY IHCP TIHCA SHIRTS 10-002-54450 Employee Recognition-PA Amount $7.83 $50.00 10/5/2015 02358710 10/05 1946 10/20/2015 MY ECCHO ANNUAL 2015 PAYMENT INV 11368-2015 10-025-54350 Employee Health\Wellness-Human 10/5/2015 10130025 10/05 1947 10/20/2015 CTC CONTANT CONTACT NEWSLETTER 10-001-54100 Dues/Subscriptions-Admin 10/5/2015 10130025 10/05 1947 10/20/2015 MAGNOLIA PARKWAY OF COMMERCE DUES 10-001-54100 Dues/Subscriptions-Admin $15.00 10/5/2015 10130025 10/05 1947 10/20/2015 HOUSTON CHRONICLE DUES 10-001-54100 Dues/Subscriptions-Admin $14.00 $21.32 10/5/2015 10130025 10/05 1947 10/20/2015 FIREHOUSE PRINT 10-040-53550 Customer Relations-Build 10/5/2015 10130025 10/05 1947 10/20/2015 LUPE TORTILLA/STATION 40 OPENING 10-001-53550 Customer Relations-Admin $372.50 10/5/2015 10130025 10/05 1947 10/20/2015 TX MED CENTER PARKING/LAB 10-009-58600 Travel Expenses-OMD $10.00 10/5/2015 10130025 10/05 1947 10/20/2015 TX MED CENTER PARKING./LAB 10-009-58600 Travel Expenses-OMD $10.00 10/5/2015 10130025 10/05 1947 10/20/2015 MAGNOLIA DINNER/BUSINESS EXPENSE 10-001-55900 Meals - Business and Travel-Admin 10/5/2015 10130025 10/05 1947 10/20/2015 RESORT AT SQUAW CREEK/LODGING EXPENSE 10-001-53150 Conferences - Fees, Travel, & Meals-Admin 10/5/2015 12474900 10/05 1947 10/20/2015 WALMART/STATION SUPPLIES 10-008-57900 Station Supplies-Mater $177.64 10/5/2015 12474900 10/05 1947 10/20/2015 SCRUBS & BEYOND/UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $526.18 $1,503.40 10/5/2015 12474900 10/05 1947 10/20/2015 SCRUBS & BEYOND/UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. 10/5/2015 12474900 10/05 1947 10/20/2015 AMS/ AMERICAN HOSP ASSOCIATION 10-008-54100 Dues/Subscriptions-Mater 10/5/2015 10052015 1947 10/20/2015 CHUY'S /EMPLOYEE RECOGNITION 10-008-54450 Employee Recognition-Matls. Mgmt. $43.41 9/23/2015 KIM092315 83926 9/24/2015 WELLNESS PROGRAM/MASSAGES 10-025-54350 Employee Health\Wellness-Human 9/30/2015 KIM093015 84113 10/9/2015 WELLNESS PROGRAM/CHIROPRACTIC 10-025-54350 Employee Health\Wellness-Human Totals for KIMBALL, KRISTEN: KOLOR KOATED, INC. 10/5/2015 16145 84248 10/16/2015 FTO COLLAR BRASS 10-008-58700 Uniforms-Matls. Mgmt. Totals for KOLOR KOATED, INC.: KUEHT, MICHAEL LAKE SOUTH WATER SUPPLY CORPORATION LEXISNEXIS RISK DATA MGMT, INC 9/30/2015 9/23/2015 9/30/2015 9/30/2015 KUE093015 1-00-00190-00 1171610-2015083 1171610-2015093 84114 83991 83876 84251 10/9/2015 9/30/2015 9/24/2015 BCM MEDICAL DIRECTION--LAB STATION 45 08/01/2015 - 08/31/2015 SEARCHES 10/16/2015 09/01/2015 - 09/30/2015 10-009-58500 Training/Related Expenses-CE-OMD 9/30/2015 EMMOR01 09/30 84252 10/16/2015 GROSS COLLECTIONS FEE SEPTEMBER 2015 9/28/2015 11736 83994 9/30/2015 LAWN MAITENANCE/SPRAY FOR SPIDER MITES $150.00 $40.00 $190.00 $124.20 $124.20 $250.00 $250.00 Totals for LAKE SOUTH WATER SUPPLY CORPORATION: $355.09 10-016-58800 Utilities-Facil $355.09 10-002-57100 Professional Fees-PA $618.50 10-011-52900 Collection Fees-Bill $1,738.05 10-002-57100 Professional Fees-PA $700.50 10-011-52900 Collection Fees-Bill $1,439.20 10-011-52900 Collection Fees-Bill Totals for LINEBARGER GOGGAN BLAIR & SAMPSON, LLP: LONESTAR LAWN KEEPERS $182.47 $23,660.10 Totals for KUEHT, MICHAEL: Totals for LEXISNEXIS RISK DATA MGMT, INC: LINEBARGER GOGGAN BLAIR & SAMPSON, LLP $42.17 $155.00 $125.00 Totals for JP MORGAN: KIMBALL, KRISTEN $897.00 $4,496.25 $8,651.81 $8,651.81 10-016-55650 Maintenance-Contract Equipment-Facil $150.00 10-016-55650 Maintenance-Contract Equipment-Facil $295.00 10-016-55650 Maintenance-Contract Equipment-Facil $155.00 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. Payment No. Payment DateInvoice Description 9/22/2015 1676 84116 10/5/2015 11737 84253 10/9/2015 LAWN MAITENANCE 10/16/2015 LAWN MAINTENANCE/ALDINE WESTFILED & FREEPORT Account No. Account Description 10-016-55600 Maintenance & Repairs-Buildings-Facil Amount 10-016-55600 Maintenance & Repairs-Buildings-Facil Totals for LONESTAR LAWN KEEPERS: LUXURY AIR, LLC MAGNOLIA ISD (40) MANSELL, TROY 9/30/2015 9/25/2015 9/21/2015 0000102529 SEPT 2015-040 MAN092115 84256 83942 83878 10/16/2015 REVAMP ROOF AIR INTAKE & INSTALL PROPER SIZED FILT 9/25/2015 9/24/2015 STATION 40 LEASE PRO RATA SEPTEMBER 2015 MILEAGE REIMBURSEMENT 09/13/15-09/17/2015 10-016-56600 10-000-14900 10-007-56200 Maintenance-Contract Equipment-Facil Totals for MAGNOLIA ISD (40): $200.04 Prepaid Expenses-BS $200.04 Mileage Reimbursements-EMS 9/23/2015 64836529 84259 10/16/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater 9/23/2015 64862785 84259 10/16/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater 10/1/2015 KM05913104 1937 10/1/2015 METLIFE DENTAL, LIFE & AD&D OCTOBER 2015 9/22/2015 287495 84260 10/16/2015 PLAN NO. 1008809-01/QUARTELY FEE $130.66 $26.28 $156.94 10-001-51700 Health & Dental-Admin Health & Dental-PA 10-004-51700 Health & Dental-Radio $440.04 10-005-51700 Health & Dental-Accou $358.88 10-006-51700 Health & Dental-Alarm $2,052.19 10-007-51700 Health & Dental-EMS $16,730.92 10-008-51700 Health & Dental-Matls. Mgmt. $747.59 10-009-51700 Health & Dental-OMD $891.04 10-010-51700 Health & Dental-Fleet 10-011-51700 Health & Dental-Bill 10-015-51700 Health & Dental-Information Technology $471.70 10-016-51700 Health & Dental-Facil $415.85 10-025-51700 Health & Dental-Human $506.16 10-026-51700 Health & Dental-Recor $311.03 10-027-51700 Health & Dental-Emerg $135.74 10-039-51700 Health & Dental-Param $531.55 10-007-51700 Health & Dental-EMS $458.53 10-025-55700 Management Fees-Human Totals for METLIFE C/O FASCORE, LLC: MICRO INTEGRATION & PROGRAMMING SOLUTI $33.70 $33.70 10-002-51700 Totals for METLIFE - GROUP BENEFITS: METLIFE C/O FASCORE, LLC $2,095.86 $2,095.86 Totals for MCKESSON GENERAL MEDICAL CORP.: METLIFE - GROUP BENEFITS $1,100.00 $11,370.00 Totals for LUXURY AIR, LLC: Totals for MANSELL, TROY: MCKESSON GENERAL MEDICAL CORP. $9,670.00 9/28/2015 215668 84261 10/16/2015 ACCESS CONTROL FOR MM CONTROLLED SUBSTANCE ROOM 10-016-55600 Maintenance & Repairs-Buildings-Facil 9/30/2015 215674 84261 10/16/2015 MATRIX CLIENT BACKUP FOR DISPATCH SETUP Maintenance & Repairs-Buildings-Facil 10-016-55600 Totals for MICRO INTEGRATION & PROGRAMMING SOLUTIONS, INC.: $704.83 $1,320.02 $852.52 $1,260.65 $28,189.24 $312.50 $312.50 $3,655.00 $225.00 $5,680.00 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name MID-SOUTH SYNERGY Invoice Date 10/7/2015 Invoice No. 313046001 Payment No. Payment DateInvoice Description 84117 10/9/2015 STATION 45 Account No. Account Description 10-016-58800 Utilities-Facil Amount $277.00 Totals for MID-SOUTH SYNERGY: MIFFLIN, KEVIN 9/30/2015 MIF093015 84118 10/9/2015 MILEAGE REIMBURSEMENT/ 09/28/15 10-009-56200 Mileage Reimbursements-OMD $49.62 10-009-58600 Travel Expenses-OMD $10.00 Totals for MIFFLIN, KEVIN: MILLER UNIFORMS & EMBLEMS, INC. 21288 83880 9/24/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. 9/25/2015 21936 83997 9/30/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $6.50 9/24/2015 21812 84119 10/9/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $156.00 9/24/2015 21811 84119 10/9/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $115.07 9/23/2015 21700 84119 10/9/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $112.53 10/2/2015 22600 84262 10/16/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $11.13 10-008-58700 Uniforms-Matls. Mgmt. $7.24 $12.50 22598 84262 10/16/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. 10/2/2015 22599 84262 10/16/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $10.00 9/17/2015 21112 84119 10/9/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $289.99 10-008-58700 Uniforms-Matls. Mgmt. $22.00 9/21/2015 21363 84119 10/9/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $184.60 10-008-58700 Uniforms-Matls. Mgmt. $9.89 10/8/2015 23010 84262 10/16/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $20.00 10-008-58700 Uniforms-Matls. Mgmt. $9.89 10/8/2015 23013 84262 10/16/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $2.50 10/7/2015 22941 84262 10/16/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $71.50 10-008-58700 Uniforms-Matls. Mgmt. $9.53 10-008-58700 Uniforms-Matls. Mgmt. $191.96 23350 84262 10/16/2015 UNIFORMS Uniforms-Matls. Mgmt. Totals for MILLER UNIFORMS & EMBLEMS, INC.: 10/16/2015 MIL101615 84264 10/16/2015 PER DIEM/CONFERENCE 10-001-53150 Conferences - Fees, Travel, & Meals-Admin Totals for MILLER, MELISSA: 9/30/2015 MLA093015 83998 9/30/2015 WELLNESS PROGRAM/GYM MEMBERSHIP 10-025-54350 Employee Health\Wellness-Human Totals for MLADENKA, JACKIE: MONTGOMERY COUNTY ESD #1 (STN 13) 9/25/2015 OCT 2015-121 83943 9/25/2015 STATION 13 RENT 10-000-14900 Prepaid Expenses-BS Totals for MONTGOMERY COUNTY ESD #1 (STN 13): MONTGOMERY COUNTY ESD #10, STN 42 9/25/2015 OCT 2015-105 83944 9/25/2015 STATION 42 RENT 10-000-14900 Prepaid Expenses-BS Totals for MONTGOMERY COUNTY ESD #10, STN 42: MONTGOMERY COUNTY ESD #6, STN 34 $61.64 10/2/2015 10-008-58700 MLADENKA, JACKIE $59.62 9/18/2015 10/13/2015 MILLER, MELISSA $277.00 9/25/2015 OCT 2015-128 83945 9/25/2015 STATION 34 RENT 10-000-14900 Prepaid Expenses-BS Totals for MONTGOMERY COUNTY ESD #6, STN 34: $9.89 $1,314.36 $273.00 $273.00 $135.00 $135.00 $1,025.00 $1,025.00 $950.00 $950.00 $900.00 $900.00 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name MONTGOMERY COUNTY ESD #8, STN 21/22 Invoice Date 9/25/2015 Invoice No. OCT 2015-129 Payment No. Payment DateInvoice Description 83946 9/25/2015 STATION 21 & 22 RENT Account No. Account Description 10-000-14900 Prepaid Expenses-BS Amount $800.00 Totals for MONTGOMERY COUNTY ESD #8, STN 21/22: MONTGOMERY COUNTY ESD #9, STN 33 9/25/2015 OCT 2015-128 83945 9/25/2015 STATION 33 RENT 10-000-14900 Prepaid Expenses-BS $850.00 Totals for MONTGOMERY COUNTY ESD #9, STN 33: MONTGOMERY COUNTY ESD 12, STN 12 9/25/2015 OCT 2015-128 83945 9/25/2015 STATION 12 RENT 10-000-14900 Prepaid Expenses-BS 9/25/2015 OCT 2015-008 83950 9/25/2015 RENT STATION 46 10-000-14900 Prepaid Expenses-BS 9/18/2015 82845013 83999 9/30/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater Totals for MOORE MEDICAL CORP.: MUD #39 NAPA AUTO PARTS NASCO NEW CANEY MUD NORTHERN TOOL & EQUIPMENT 9/29/2015 9/22/2015 9/29/2015 9/30/2015 9/25/2015 10-0009-01 218337 584845 1-04-28262-00 33810909 84123 84270 84271 84126 84002 10/9/2015 STN 20 /ACCT# 10-0009-01 10/16/2015 DRIVE SHAFT REBUILD SHOP 39 10/16/2015 TABLE TOP HOOK IV STAND 10/9/2015 9/30/2015 STATION 30 2 SHOP FANS 10-016-58800 10-010-59000 10-009-58500 10-016-58800 10-010-57750 Utilities-Facil 9/30/2015 OCH093015 84130 10/9/2015 MILEAGE REIMBURSEMENT 07/31/15-08/25/15 10-008-56200 9/30/2015 OGH093015 84131 10/9/2015 BCM MEDICAL DIRECTIONS -- LAB 10-009-58500 $729.38 Totals for NAPA AUTO PARTS: $361.57 Vehicle-Outside Services-Fleet $361.57 Training/Related Expenses-CE-OMD $30.75 Totals for NASCO: $30.75 Totals for NEW CANEY MUD: $31.59 Utilities-Facil $31.59 Small Equipment & Furniture-Fleet Mileage Reimbursements-Matls. Mgmt. Training/Related Expenses-CE-OMD Totals for OGHOGHO, EYITEMI: OPTIMUM COMPUTER SOLUTIONS, INC. $4,439.41 $4,439.41 $729.38 Totals for OCHOA, STEPHANIE: OGHOGHO, EYITEMI $600.00 Totals for MUD #39: Totals for NORTHERN TOOL & EQUIPMENT: OCHOA, STEPHANIE $950.00 $600.00 Totals for MONTGOMERY COUNTY ESD#3: MOORE MEDICAL CORP. $850.00 $950.00 Totals for MONTGOMERY COUNTY ESD 12, STN 12: MONTGOMERY COUNTY ESD#3 $1,600.00 $424.42 $424.42 $38.69 $38.69 $250.00 $250.00 9/18/2015 INV0000073832 84132 10/9/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $926.25 9/22/2015 INV0000073821 84132 10/9/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology $760.00 9/17/2015 INV0000073784 84132 10/9/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $878.75 9/17/2015 INV0000073778 84132 10/9/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology $736.25 9/28/2015 INV0000073968 84274 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $760.00 9/29/2015 INV0000073969 84274 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $855.00 9/30/2015 INV0000073970 84274 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $855.00 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. Payment No. Payment DateInvoice Description Account No. Account Description 9/25/2015 INV0000073971 84274 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $617.50 10/1/2015 INV0000074017 84274 10/16/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology $783.75 10/2/2015 INV0000074043 84274 10/16/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology $237.50 9/27/2015 INV0000073972 84274 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $190.00 10/1/2015 INV0000074056 84274 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $783.75 10/5/2015 INV0000074077 84274 10/16/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology $47.50 10/6/2015 INV0000074079 84274 10/16/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology $783.75 10/6/2015 INV0000074094 84274 10/16/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology $736.25 10/7/2015 INV0000074101 84275 10/16/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology $356.25 10/8/2015 INV0000074105 84275 10/16/2015 BARRACUDA ENERGIZE UPDATES VIRUS DEFINATIONS 10-015-53100 Computer Supplies/Non-Cap.-Information Technology $948.00 9/29/2015 INV0000073954 84275 10/16/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology $736.25 9/29/2015 INV0000073943 84275 10/16/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology 9/30/2015 INV0000073937 84275 10/16/2015 SPECTOR 360 MAINTENANCE & CO-TERMINATION 10-015-53050 Computer Software-Information Technology 9/24/2015 INV0000073891 84275 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $783.75 9/23/2015 INV0000073890 84275 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $475.00 9/22/2015 INV0000073888 84275 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $736.25 9/24/2015 INV0000073873 84275 10/16/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology $831.25 9/22/2015 INV0000073864 84275 10/16/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology $736.25 9/21/2015 INV0000073863 84275 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $831.25 9/19/2015 INV0000073861 84276 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $95.00 10/8/2015 INV0000074124 84276 10/16/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology $831.25 10/3/2015 INV0000074161 84276 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $190.00 10/6/2015 INV0000074163 84276 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $665.00 10/5/2015 INV0000074162 84276 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $570.00 10/7/2015 INV0000074164 84276 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $831.25 10/8/2015 INV0000074165 84276 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $665.00 10/2/2015 INV0000074166 84276 10/16/2015 TIER 2 SERVICE 10-015-57100 Professional Fees-Information Technology $783.75 10/9/2015 INV0000074168 84276 10/16/2015 PROGRAMMING 10-015-57100 Professional Fees-Information Technology $308.75 10/13/2015 INV0000074205 84276 10/16/2015 SERVICE LABOR 10-015-57100 Professional Fees-Information Technology Totals for OPTIMUM COMPUTER SOLUTIONS, INC.: OPTUM HEALTH BANK Amount $831.25 $7,388.16 $831.25 $30,376.16 9/25/2015 OPT092515 1936 9/25/2015 EMPLOYEE HSA ET FUNDING 10-000-21595 P/R-Health Savings-BS-BS 9/29/2015 OPT092915 1938 9/29/2015 EMPLOYER HSA ET FUNDING 10-001-51700 Health & Dental-Admin $6,434.67 $125.00 10-002-51700 Health & Dental-PA $375.00 10-004-51700 Health & Dental-Radio $187.50 10-005-51700 Health & Dental-Accou $125.00 10-006-51700 Health & Dental-Alarm $1,187.50 10-007-51700 Health & Dental-EMS $5,875.00 10-008-51700 Health & Dental-Matls. Mgmt. $250.00 10-009-51700 Health & Dental-OMD $375.00 10-010-51700 Health & Dental-Fleet $375.00 10-011-51700 Health & Dental-Bill $437.50 10-015-51700 Health & Dental-Information Technology $250.00 10-016-51700 Health & Dental-Facil $187.50 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date 10/9/2015 Invoice No. OPT100915 Payment No. Payment DateInvoice Description 1941 10/9/2015 EMPLOYEE HSA ET FUNDING Account No. Account Description 10-025-51700 Health & Dental-Human Amount $250.00 10-026-51700 Health & Dental-Recor $125.00 10-027-51700 Health & Dental-Emerg $62.50 10-039-51700 Health & Dental-Param $125.00 10-000-21595 P/R-Health Savings-BS-BS Totals for OPTUM HEALTH BANK: O'REILLY AUTO PARTS ORE091715 84129 10/9/2015 FRONT BRAKE PADS 10-010-59050 Vehicle-Parts-Fleet $83.65 9/17/2015 0408-468765 84129 10/9/2015 MCUW TRUCK REPAIR. FORD DRIVE BELT 10-010-59050 Vehicle-Parts-Fleet $1,237.23 9/24/2015 0408-471973 84272 10/16/2015 OIL FITLERS, GENERATOR SPARK PLUGS FOR STOCK 10-010-59050 Vehicle-Parts-Fleet $1,240.25 9/18/2015 CS8158 84006 9/30/2015 EMERGENCY SERVICE CALL 10-016-55600 Maintenance & Repairs-Buildings-Facil Totals for OVERHEAD DOOR COMPANY of CONROE: OWENS & MINOR PANORAMA, CITY OF PARENT, CARTER 9/18/2015 2009989649 84007 9/23/2015 2010114342 84278 9/22/2015 9/30/2015 102-01590-06 PAR093015 84133 84134 9/30/2015 PAYOR LOGIC, INC. PECKNE, PANDORA K. PITNEY BOWES INC (POB 371896)postage PRE CHECK, INC. 9/30/2015 10/6/2015 PAR093015 4017 84134 84279 $2,561.13 $462.50 $462.50 Collars for Fit Testing 10-008-53900 Disposable Medical Supplies-Mater $112.87 10/16/2015 MEDICAL SUPPLIES 10-008-53900 Disposable Medical Supplies-Mater $974.63 10/9/2015 10/9/2015 STATION 14 WELLNESS PROGRAM/MASSAGES 10-016-58800 Totals for OWENS & MINOR: $1,087.50 Totals for PANORAMA, CITY OF: $52.31 Utilities-Facil 10-025-54350 $52.31 Employee Health\Wellness-Human Totals for PARENT, CARTER: PARKER, KYLE $23,153.38 9/17/2015 Totals for O'REILLY AUTO PARTS: OVERHEAD DOOR COMPANY of CONROE $6,406.21 10/9/2015 MILEAGE REIMBURSEMENT 09/28/15 10/16/2015 MONTHLY FEE PAYMENT ADVISOR ADDRESS CHECKER $300.00 $300.00 10-009-56200 Mileage Reimbursements-OMD $46.12 10-009-58600 Travel Expenses-OMD $10.00 10-011-52900 Totals for PARKER, KYLE: $56.12 Totals for PAYOR LOGIC, INC.: $6,769.00 Collection Fees-Bill $6,769.00 9/30/2015 WAT093015 84136 10/9/2015 MILEAGE REIMBURSEMENT 07/25/15-09/10/15 10-000-14900 Prepaid Expenses-BS 9/30/2015 WAT093015 84136 10/9/2015 MILEAGE REIMBURSEMENT 09/30/15 10-009-56200 Mileage Reimbursements-OMD $57.38 10-009-58600 Travel Expenses-OMD $10.00 9/18/2015 9/30/2015 47536271 9162431 83886 84138 9/24/2015 10/9/2015 ACCT# 8000-9090-0476-5611 ACCT# 1213 $41.28 Totals for PECKNE, PANDORA K.: $108.66 Totals for PITNEY BOWES INC (POB 371896)postage: $1,611.00 10-008-56900 10-025-57300 Postage-Meter $1,611.00 Recruit/Investigate-Human Totals for PRE CHECK, INC.: $37.00 $37.00 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name PRESS GANEY ASSOCIATES, INC. Invoice Date Invoice No. Account No. Account Description 9/30/2015 IN000118593 Payment No. Payment DateInvoice Description 84281 10/16/2015 CONTRACT TERM 11/1/14-10/31/15 10-002-53550 Customer Relations-PA 9/30/2015 IN000114953 84281 10/16/2015 CONTRACT TERM 11/1/14-10/31/15 10-002-53550 Customer Relations-PA Amount $143.49 $143.49 Totals for PRESS GANEY ASSOCIATES, INC.: RAIMER, SANDI 9/30/2015 RAI093015 84010 9/30/2015 WELLNESS PROGRAM/GYM REIMBURSEMENT 10-025-54350 Employee Health\Wellness-Human Totals for RAIMER, SANDI: RDT SOLUTIONS LLC READY REFRESH BY NESTLE RELIANT ENERGY REVSPRING, INC. RON TURLEY ASSOCIATES, INC 9/24/2015 9/22/2015 20154932a 05I0123390957 84283 84012 10/16/2015 ARCSEERVE HIGH AVAILABILITY ON ENTERPRISE SERVER 9/30/2015 MCHD FLEET 10-015-53050 10-016-58800 Computer Software-Information Technology Totals for READY REFRESH BY NESTLE: $58.53 Utilities-Facil $58.53 10/1/2015 70461539/2 84140 10/9/2015 MAGNOLIA TOWER 10-004-58800 Utilities-Radio 10/1/2015 70448524-2 84141 10/9/2015 MAGNOLIA TOWER 10-004-58800 Utilities-Radio $65.66 10/1/2015 9112370-3 84142 10/9/2015 STATION 40 10-016-58800 Utilities-Facil $734.97 10/1/2015 70332033-3 84143 10/9/2015 STATION 40 10-016-58800 Utilities-Facil 9/30/2015 9/30/2015 DSI1197244 44989 84285 84286 10/16/2015 MAILING FEE/ACCT PPMCHD01 10/16/2015 ADVANCED RTA TRAINING FOR HOWARD AND CHUCK 10-011-52900 10-010-58500 $754.62 $57.12 Totals for RELIANT ENERGY: $1,612.37 Totals for REVSPRING, INC.: $6,819.80 Collection Fees-Bill $6,819.80 Training/Related Expenses-CE-Fleet 10/1/2015 ROT100115 84145 10/9/2015 QUARTERLY DUES OCT/NOV/DEC FOR RANDY JOHNSON 10-001-54100 Dues/Subscriptions-Admin 10/9/2015 RUN100915 84146 10/9/2015 IDDM CLASS SNACKS REIMBURSEMENT 10-002-56500 Other Services-PA 10/1/2015 12140 84288 10/16/2015 09/01/2015 - 09/30/2015 10-025-57300 Recruit/Investigate-Human Totals for S.A.F.E. DRUG TESTING: SAFETY-KLEEN CORP. 10/8/2015 68074005 84289 10/16/2015 ACCT# MO26814 10-010-54800 Hazardous Waste Removal-Fleet Totals for SAFETY-KLEEN CORP.: SARI'S CREATIONS $800.00 $800.00 $275.00 $275.00 $29.44 Totals for RUNTE-STULTZ, BARBARA: S.A.F.E. DRUG TESTING $5,400.00 $5,400.00 Totals for ROTARY CLUB OF THE WOODLANDS: RUNTE-STULTZ, BARBARA $35.73 $35.73 Totals for RDT SOLUTIONS LLC: Totals for RON TURLEY ASSOCIATES, INC: ROTARY CLUB OF THE WOODLANDS $286.98 $29.44 $1,100.00 $1,100.00 $139.92 $139.92 9/21/2015 5135 84013 9/30/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $120.00 9/21/2015 5136 84013 9/30/2015 UNIFORMS 10-008-58700 Uniforms-Matls. Mgmt. $37.90 10-008-58700 Uniforms-Matls. Mgmt. $37.90 10-008-58700 Uniforms-Matls. Mgmt. $20.00 9/21/2015 5137 84013 9/30/2015 UNIFORMS Totals for SARI'S CREATIONS: $215.80 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date SAYERS, JULIE 9/30/2015 Invoice No. SAY093015 Payment No. Payment DateInvoice Description 84014 9/30/2015 WELLNESS PROGRAM/MASSAGES Account No. Account Description 10-025-54350 Employee Health\Wellness-Human Amount Totals for SAYERS, JULIE: SHAPIRO, MAURA 9/28/2015 SHA092815 84147 10/9/2015 MILEAGE REIMBURSEMENT 09/28/2015 10-011-56200 Mileage Reimbursements-EMS B Totals for SHAPIRO, MAURA: SHAW, JACOB 9/30/2015 SHA093015 84148 10/9/2015 MILEAGE REIMBURSEMENT 09/30/2015 9/21/2015 263991 84015 9/30/2015 PAINT MATERIALS FOR PARKING LOT POLES 10-009-56200 Mileage Reimbursements-OMD $49.45 Travel Expenses-OMD $10.00 10-016-55600 Maintenance & Repairs-Buildings-Facil Totals for SHERWIN-WILLIAMS: SMITH, CHARLES 10/15/2015 SMI101515 84290 10/16/2015 PER DIEM/RTA ADVANED SYSTEMS TRAINING 10-010-53150 Conferences - Fees, Travel, & Meals-Fleet Totals for SMITH, CHARLES: SPIVEY, TRAVIS SPLENDORA, CITY OF STANLEY LAKE M.U.D. STERICYCLE, INC 9/21/2015 9/30/2015 9/30/2015 10/1/2015 9/30/2015 SPI092115 1-01-01350-00 00009476 4005823044 4005863694 83892 84149 84151 84152 84152 9/24/2015 10/9/2015 10/9/2015 10/9/2015 10/9/2015 WELLNESS PROGRAM/GYM MEMBERSHIP STATION 31 STATION 43 ACCT# 2055356 STATION 40 & 34 10-025-54350 10-016-58800 10-016-58800 Employee Health\Wellness-Human 9/30/2015 993614 84153 10/9/2015 ACCT# 1110518 $59.45 $49.32 $49.32 $265.50 $265.50 $200.00 Totals for SPIVEY, TRAVIS: $200.00 Totals for SPLENDORA, CITY OF: $94.46 Totals for STANLEY LAKE M.U.D.: $32.60 Utilities-Facil $94.46 Utilities-Facil $32.60 10-008-52500 Bio-Waste Removal-Mater $188.74 10-008-52500 Bio-Waste Removal-Mater $1,146.42 10-008-52500 Bio-Waste Removal-Mater $78.81 10-008-52500 Bio-Waste Removal-Mater $78.81 10-008-52500 Bio-Waste Removal-Mater $142.45 10-008-52500 Bio-Waste Removal-Mater $75.78 10-008-52500 Bio-Waste Removal-Mater $197.37 10-008-52500 Bio-Waste Removal-Mater $74.48 10-008-52500 Bio-Waste Removal-Mater $78.81 10-008-52500 Bio-Waste Removal-Mater $121.23 10-008-52500 Bio-Waste Removal-Mater $78.81 10-008-52500 Bio-Waste Removal-Mater $78.81 10-008-52500 Bio-Waste Removal-Mater $78.81 10-008-52500 Bio-Waste Removal-Mater $78.81 10-008-52500 Bio-Waste Removal-Mater $121.23 10-008-52500 Bio-Waste Removal-Mater Totals for STERICYCLE, INC: STEWART ORGANIZATION $29.72 $29.72 10-009-58600 Totals for SHAW, JACOB: SHERWIN-WILLIAMS $225.00 $225.00 10-015-55400 Leases/Contracts-Information Technology $128.77 $2,748.14 $8.99 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. Payment No. Payment DateInvoice Description Account No. Account Description 9/30/2015 993617 84153 10/9/2015 ACCT# 1110518 10-015-55400 Leases/Contracts-Information Technology Amount 9/30/2015 993615 84153 10/9/2015 ACCT# 1110518 10-015-55400 Leases/Contracts-Information Technology $38.10 9/30/2015 993616 84153 10/9/2015 ACCT# 1110518 10-015-55400 Leases/Contracts-Information Technology $1,954.30 Totals for STEWART ORGANIZATION: SUDDENLINK 10/1/2015 21084 LOOP 494 84017 9/30/2015 STATION 30 10-015-58310 Telephones-Service-Information Technology 9/30/2015 200 S KENNEDY 84018 9/30/2015 STATION 13 10-016-58800 Utilities-Facil 10-015-58310 Telephones-Service-Information Technology 9/29/2015 SUL092915 84019 9/30/2015 MILEAGE REIMBURSEMENT/08/11/15-09/25/15 10-010-56200 Mileage Reimbursements-Fleet 9/21/2015 60791183 84154 10/1/2015 60791222 84292 10/9/2015 POLAR FLEECE BLANKET 10/16/2015 LINENS 10/8/2015 TCD100815 1939 10/8/2015 SEPTEMBER TRANSMISSION $85.91 $232.40 $301.70 10-008-53800 Disposable Linen-Mater $1,886.10 10-008-53800 Disposable Linen-Mater $1,353.00 10-008-53900 Disposable Medical Supplies-Mater Totals for TAYLOR HEALTHCARE PRODUCTS, INC.: TCDRS $103.98 $301.70 Totals for SULLIVAN, WAYDE: TAYLOR HEALTHCARE PRODUCTS, INC. $2,940.72 $42.51 Totals for SUDDENLINK: SULLIVAN, WAYDE $939.33 10-000-21650 TCDRS Defined Benefit Plan-BS 10-000-21650 TCDRS Defined Benefit Plan-BS $617.00 $3,856.10 $100,552.20 $106,010.75 Totals for TCDRS: $206,562.95 TESSCO TECHNOLOGIES INC. 9/28/2015 097354 84294 10/16/2015 RADIO REPAIR SUPPLIES 10-004-57225 Radio Repair - Parts-Radio 10-004-57225 Radio Repair - Parts-Radio $58.53 Radio Repair - Parts-Radio $996.60 9/28/2015 099477 84294 10/16/2015 RADIO REPAIR SUPPLIES 10-004-57225 10-004-57225 Radio Repair - Parts-Radio $50.24 9/28/2015 099487 84294 10/16/2015 RADIO REPAIR SUPPLIES 10-004-57225 Radio Repair - Parts-Radio $75.30 10-004-57225 Radio Repair - Parts-Radio Totals for TESSCO TECHNOLOGIES INC.: TEXAS DEPARTMENT OF STATE HEALTH SERVI TEX100115 84027 10/1/2015 APPLICATION FEE FOR EMT BASIC COURSE X 2 10-009-54100 Dues/Subscriptions-OMD $64.00 10/1/2015 TEX100115 84027 10/1/2015 SELF STUDY & SITE VIST FEE 10-009-54100 Dues/Subscriptions-OMD $317.00 $381.00 10/9/2015 2015-1027 84296 10/16/2015 HEARTSAVER CPR AED CARDS (PO 36412) 10-009-52600 Books/Materials-OMD 10/14/2015 2015-1029 84296 10/16/2015 BLS INSTRUCTOR CARDS & HEALTHCARE PROVIDER CARDS 10-009-52600 Books/Materials-OMD $54.00 10-009-52600 Books/Materials-OMD $324.00 Totals for THE WOODLANDS FIRE DEPARTMENT: THE WOODLANDS TOWNSHIP (23/24/29) $7.47 $2,681.84 10/1/2015 Totals for TEXAS DEPARTMENT OF STATE HEALTH SERVICES (5425 POLK): THE WOODLANDS FIRE DEPARTMENT $1,493.70 9/25/2015 OCT 2015-125 83949 9/25/2015 STATION 23, 24, & 25 RENT $270.00 $648.00 10-000-14900 Prepaid Expenses-BS $1,000.00 10-000-14900 Prepaid Expenses-BS $1,000.00 10-000-14900 Prepaid Expenses-BS Totals for THE WOODLANDS TOWNSHIP (23/24/29): $1,000.00 $3,000.00 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name TOMMY'S PAINT & BODY INC dba TOMMY'S WRE Invoice Date 9/22/2015 Invoice No. 20089 Payment No. Payment DateInvoice Description 84297 10/16/2015 ACCIDENT REPAIR Account No. Account Description 10-010-52000 Accident Repair-Fleet Amount $485.60 Totals for TOMMY'S PAINT & BODY INC dba TOMMY'S WRECKER: TUTT, HOWARD 10/15/2015 TUT101515 84298 10/16/2015 PER DIEM/RTA ADVANCED SYSTEMS TRAINING 10-010-53150 Conferences - Fees, Travel, & Meals-Fleet Totals for TUTT, HOWARD: ULINE UPS URSUS ENTERPRISES INC. 9/22/2015 10/3/2015 9/17/2015 70813815 0000A690R4405 106317 84157 84302 84179 10/9/2015 SHOP SUPPLIES 10/16/2015 ACCR# A690R4 10/9/2015 CPR FACESHIELDS 10-010-57725 Shop Supplies-Fleet 10-010-57750 Small Equipment & Furniture-Fleet 10-008-56900 9/25/2015 7197 84020 9/30/2015 INSTALLATION TRAINING & CERT OF FIRE STN ALERTING S $72.93 Totals for ULINE: $200.73 Totals for UPS: $247.15 Postage-Meter $247.15 10-009-52600 Books/Materials-OMD $99.90 10-009-52600 Books/Materials-OMD $11.00 10-004-58500 Training/Related Expenses-CE-Radio Totals for US DIGITAL DESIGNS, INC.: WASTE MANAGEMENT OF TEXAS 10/1/2015 5267734-1792-2 1945 10/1/2015 ACCT# 792-0082477-1792-2 9/21/2015 470324 84021 9/30/2015 TRANSPORT CIRCUIT- $3,897.00 $3,897.00 10-016-58800 Utilities-Facil $114.16 Utilities-Facil $117.94 10-016-58800 Utilities-Facil $117.94 10-016-58800 Utilities-Facil $118.62 10-016-58800 Utilities-Facil $691.92 10-016-58800 Utilities-Facil $114.50 10-016-58800 Utilities-Facil $118.62 10-016-58800 Utilities-Facil $118.62 10-016-58800 Utilities-Facil $118.62 $1,630.94 10-015-58310 Telephones-Service-Information Technology $975.00 10-015-58310 Telephones-Service-Information Technology $975.00 10-015-58310 Telephones-Service-Information Technology $975.00 10-015-58310 Telephones-Service-Information Technology $650.00 10-015-58310 Telephones-Service-Information Technology Totals for WAVEMEDIA, INC: WAYTEK, INC. $110.90 10-016-58800 Totals for WASTE MANAGEMENT OF TEXAS: WAVEMEDIA, INC $265.50 $265.50 $127.80 Totals for URSUS ENTERPRISES INC.: US DIGITAL DESIGNS, INC. $485.60 $300.00 $3,875.00 9/30/2015 2255629 84305 10/16/2015 RADIO PARTS 10-004-57725 Shop Supplies-Radio $999.18 9/25/2015 2253812 84305 10/16/2015 BOXES OF 1/4 INCH SPLIT LOOM, 15 RELAYS, 75 RELAY TE 10-004-57725 Shop Supplies-Radio $37.28 10-010-59050 Vehicle-Parts-Fleet $38.43 10-010-57725 Shop Supplies-Fleet $14.55 10-004-57725 Shop Supplies-Radio $29.50 9/25/2015 2253813 84305 10/16/2015 BOXES OF 1/4 INCH SPLIT LOOM, 15 RELAYS, 75 RELAY TE Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. Payment No. Payment DateInvoice Description Account No. Account Description 10-010-59050 Vehicle-Parts-Fleet Amount $29.50 10-010-57725 Shop Supplies-Fleet $29.51 Totals for WAYTEK, INC.: WEBB, KAREN 9/30/2015 MILEAGE REIMBURSEMENT/09/08-09/09/15 9/30/2015 WEB093015 84022 10-011-56200 Mileage Reimbursements-EMS B 10/14/2015 WEB101415 84306 10/16/2015 PER DIEM/PWW ABC360 CONFERENCE 10-011-53150 Conferences - Fees, Travel, & Meals-Billi $283.50 10/15/2015 WEB101519 84306 10/16/2015 PER DIEM/AAA ANNUAL TRADESHOW & CONF 10-011-53150 Conferences - Fees, Travel, & Meals-Billi $272.00 Totals for WEBB, KAREN: WELCH, TAMELLA WEL093015 84023 9/30/2015 WELLNESS PROGRAM/CHIROPRACTIC VISITS 10-025-54350 Employee Health\Wellness-Human $80.00 WEL093015 84023 9/30/2015 MILEAGE REIMBURSEMENT/LIVE PIG LAB 10-009-56200 Mileage Reimbursements-OMD $42.55 9/24/2015 3317 84307 10/16/2015 3 DRUMS OF DEF.10 CASES BRAKE CLEANER & GEAR OIL 10/8/2015 WIL100815 84184 10/9/2015 MONIES OWED TO EMPLOYEE 9/29/2015 WOO092915 84025 9/30/2015 MILEAGE REIMBURSEMENT/BCM LIVE PIG LAB Oil & Lubricants-Fleet $666.00 10-010-57725 Shop Supplies-Fleet $255.00 10-000-21400 Accrued Payroll-BS 10-009-56200 10/5/2015 7937593 84030 10/8/2015 CAPITAL/LEASE # 7593 STATION 40 10/8/2015 6937554 84185 10/9/2015 CAPITAL/LEASE # 6937554 P25 10/8/2015 6937709 84185 10/9/2015 CAPITAL/LEASE # 7709 STATION 43 Mileage Reimbursements-OMD 10-040-52725 Capital Lease Expense-Build 10-040-55025 Interest Expense-Build 10-004-52725 Capital Lease Expense-Radio 10-004-55025 Interest Expense-Radio 10-040-55025 Interest Expense-Build 9/21/2015 WRI092115 1935 10/12/2015 WRI101215 1940 10/1/2015 WRI100115 1944 9/21/2015 9/30/2015 YEZ093015 84186 9/17/2015 70366-1 84187 9/21/2015 2289638 84188 10/6/2015 2295693 84309 $29,634.78 $2,242.15 $54,604.56 ACCT# 5974 10-010-54700 Fuel-Fleet 10-010-54700 Fuel-Fleet $9,484.12 10-010-54700 Fuel-Fleet $12,346.98 10/1/2015 ACCT# 5974 $10,504.38 10/9/2015 WELLNESS PROGRAM/GYM 10-025-54350 Employee Health\Wellness-Human 10/9/2015 SUBSCRIPTION BILLING ELIG MODULE SEPT 2015 10-015-53050 Computer Software-Information Technology Totals for ZOLL DATA SYSTEMS: ZOLL MEDICAL CORPORATION $18,738.79 10/12/2015 ACCT# 5974 Totals for YEZAK, DARREN: ZOLL DATA SYSTEMS $53.70 $53.70 $1,879.10 Totals for WRIGHT EXPRESS-FLEET FUEL: YEZAK, DARREN $65.65 $2,109.74 Totals for WOODFOREST NATIONAL BANK (7889): WRIGHT EXPRESS-FLEET FUEL $921.00 $65.65 Totals for WOOD, RICKY E JR: WOODFOREST NATIONAL BANK (7889) $122.55 10-010-56400 Totals for WILLIAMS, COREY: WOOD, RICKY E JR $823.45 9/30/2015 Totals for WHITENER ENTERPRISES, INC.: WILLIAMS, COREY $267.95 9/30/2015 Totals for WELCH, TAMELLA: WHITENER ENTERPRISES, INC. $1,177.95 10/9/2015 FRONT ENCLOSURE,X SERIES/LABOR 10/16/2015 DME X-SERIES ACCESSOSRIES $32,335.48 $175.00 $175.00 $1,150.00 $1,150.00 10-008-57650 Repair-Equipment-Matls. Mgmt. $1,021.01 10-008-54200 Durable Medical Equipment-Mater $1,078.87 Totals for ZOLL MEDICAL CORPORATION: $2,099.88 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. Payment No. Payment DateInvoice Description Account No. Account Description Amount CAPITAL PURCHASES REMOUNTS FRAZER, LTD. 9/22/2015 55003 83952 9/30/2015 REMOUNT & REBURBISH 2015 VIN G592834 10-010-52755 Capital Purchase - Vehicles-Fleet 9/22/2015 55004 83953 9/30/2015 REMOUNT & REFURBISH 2015 VIN G586233 10-010-52755 Capital Purchase - Vehicles-Fleet Totals for FRAZER, LTD: $72,625.00 $71,300.00 $143,925.00 STATION 40 MICRO INTEGRATION & PROGRAMMING SOLUTIONS, INC. 9/30/2015 215679 84261 10/16/2015 SMART CARD READER & ACCESS CONTROLLER SUP STN 40 10-016-52754 Capital Purchase - Equipment-Facil Totals for MICRO INTEGRATION & PROGRAMMING SOLUTIONS INC: THE WOODLANDS TOWNSHIP (2801) 10/1/2015 W2015-017 84155 10/9/2015 FIRE STATION 2 RENOVATION 2015- PYMT 3 OF 4 10-040-52752 Capital Purchases - CIP-Build $1,800.00 $1,800.00 $245,848.50 Totals for THE WOODLANDS TOWNSHIP (2801): $245,848.50 Account Summary Account Number Description Net Amount 10-000-14100 Patient Refunds $34,942.92 10-000-14900 Prepaid Expenses-BS $10,899.03 10-000-21400 Accrued Payroll-BS 10-000-21595 P/R-Health Savings-BS-BS $12,840.88 10-000-21650 TCDRS Defined Benefit Plan-BS $206,562.95 10-001-51700 Health & Dental-Admin 10-001-53150 Conferences - Fees, Travel, & Meals-Admin 10-001-53550 Customer Relations-Admin $1,503.40 10-001-54100 Dues/Subscriptions-Admin $325.32 10-001-55900 Meals - Business and Travel-Admin 10-002-51700 Health & Dental-PA 10-002-53550 Customer Relations-PA 10-002-53900 Disposable Medical Supplies-HCAP 10-002-54450 Employee Recognition-PA 10-002-55450 Leases/Contracts-Buildings-PA 10-002-55700 Management Fees-PA 10-002-56100 Meeting Expenses-PA $32.73 10-002-56500 Other Services-PA $29.44 10-002-57100 Professional Fees-PA 10-004-51700 Health & Dental-Radio 10-004-52725 Capital Lease Expense-Radio 10-004-55025 Interest Expense-Radio $2,242.15 10-004-57100 Professional Fees-Radio $18,994.45 10-004-57200 Radio Repairs - Outsourced (Depot)-Radio 10-004-57225 Radio Repair - Parts-Radio 10-004-57700 Shop Tools-Radio $1,094.92 10-004-57725 Shop Supplies-Radio $1,085.21 10-004-58200 Telephones-Cellular-Radio $65.65 $7,854.83 $428.00 $88.82 $13,321.93 $286.98 $2,543.35 $439.99 $32.98 $2,287.20 $1,599.00 $4,863.14 $29,634.78 $223.75 $2,681.84 $86.39 Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. Payment No. Payment DateInvoice Description Account No. 10-004-58310 Telephones-Service-Radio $238.43 10-004-58500 Training/Related Expenses-CE-Radio $3,897.00 10-004-58800 Utilities-Radio $2,200.34 10-005-51700 Health & Dental-Accou $3,793.81 10-005-57000 Printing Services-Accou $99.64 10-006-51700 Health & Dental-Alarm $22,159.25 10-006-52600 Books/Materials-Alarm 10-006-57750 Small Equipment & Furniture-Alarm 10-006-58500 Training/Related Expenses-CE-Alarm 10-007-51700 Health & Dental-EMS 10-007-54100 Dues/Subscriptions-EMS 10-007-54450 Employee Recognition-EMS 10-007-55900 Meals - Business and Travel-EMS 10-007-56200 Mileage Reimbursements-EMS 10-007-57750 Small Equipment & Furniture-EMS 10-007-58200 Telephones-Cellular-EMS 10-008-51700 Health & Dental-Matls. Mgmt. 10-008-52500 Bio-Waste Removal-Mater $2,748.14 10-008-53800 Disposable Linen-Mater $3,239.10 10-008-53900 Disposable Medical Supplies-Mater $45,928.46 10-008-54000 Drug Supplies-Mater $12,947.15 10-008-54100 Dues/Subscriptions-Mater 10-008-54200 Durable Medical Equipment-Mater 10-008-54450 Employee Recognition-Matls. Mgmt. 10-008-56200 Mileage Reimbursements-Matls. Mgmt. 10-008-56600 Oxygen & Gases-Mater $2,501.64 10-008-56900 Postage-Meter $1,916.41 10-008-57000 Printing Services-Matls. Mgmt. 10-008-57650 Repair-Equipment-Matls. Mgmt. 10-008-57900 Station Supplies-Mater 10-008-58500 Training/Related Expenses-CE-Matls. Mgmt. 10-008-58700 Uniforms-Matls. Mgmt. 10-009-51700 Health & Dental-OMD $6,942.07 10-009-52600 Books/Materials-OMD $1,264.62 10-009-52754 Capital Purchase - Equipment-Dept 10-009-53150 Conferences - Fees, Travel, & Meals-Dept 10-009-54100 Dues/Subscriptions-OMD 10-009-56200 Mileage Reimbursements-OMD 10-009-57100 Professional Fees-OMD $44,418.92 10-009-58500 Training/Related Expenses-CE-OMD $22,866.55 10-009-58600 Travel Expenses-OMD $94.00 10-010-51700 Health & Dental-Fleet $9,162.73 10-010-52000 Accident Repair-Fleet $1,260.00 10-010-52600 Books/Materials-Fleet $110.00 $0.99 $162.98 $3,791.00 $196,243.53 $207.20 $40.00 $172.18 $152.85 $2,687.00 $37.99 $9,365.45 $125.00 $1,797.07 $182.47 $38.69 $80.00 $1,036.01 $760.17 $500.00 $3,058.29 $706.65 $2,509.01 $381.00 $959.60 Account Description Amount Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date Invoice No. Payment No. Payment DateInvoice Description Account No. 10-010-52755 Capital Purchase - Vehicles-Fleet $143,925.00 10-010-53150 Conferences - Fees, Travel, & Meals-Fleet 10-010-54700 Fuel-Fleet 10-010-54800 Hazardous Waste Removal-Fleet $139.92 10-010-55100 Laundry Service & Purchase-Fleet $203.80 10-010-56200 Mileage Reimbursements-Fleet $301.70 10-010-56400 Oil & Lubricants-Fleet $701.00 10-010-57700 Shop Tools-Fleet 10-010-57725 Shop Supplies-Fleet $493.90 10-010-57750 Small Equipment & Furniture-Fleet $574.52 10-010-58500 Training/Related Expenses-CE-Fleet $800.00 10-010-58600 Travel Expenses-Fleet $320.00 10-010-58700 Uniforms-Fleet $125.00 10-010-59000 Vehicle-Outside Services-Fleet 10-010-59050 Vehicle-Parts-Fleet 10-010-59150 Vehicle-Tires-Fleet 10-011-51700 Health & Dental-Bill $13,469.54 10-011-52900 Collection Fees-Bill $26,331.52 10-011-53150 Conferences - Fees, Travel, & Meals-Billi 10-011-56200 Mileage Reimbursements-EMS B $297.67 10-011-58500 Training/Related Expenses-CE-Bill $299.00 10-011-58600 Travel Expenses-Bill 10-015-51700 Health & Dental-Information Technology 10-015-52700 Business Licenses-Information Technology 10-015-53050 Computer Software-Information Technology 10-015-53100 Computer Supplies/Non-Cap.-Information Technology $2,028.00 10-015-55400 Leases/Contracts-Information Technology $2,958.84 10-015-56200 Mileage Reimbursements-Information Technology 10-015-57100 Professional Fees-Information Technology 10-015-58200 Telephones-Cellular-Information Technology $186.76 10-015-58310 Telephones-Service-Information Technology $11,859.98 10-015-58320 Telephones - Long Distance-Information Technology 10-016-51700 Health & Dental-Facil 10-016-52754 Capital Purchase - Equipment-Facil 10-016-55600 Maintenance & Repairs-Buildings-Facil 10-016-55650 Maintenance-Contract Equipment-Facil 10-016-57700 Shop Tools-Facil 10-016-57725 Shop Supplies-Facil 10-016-58800 Utilities-Facil 10-025-51700 Health & Dental-Human 10-025-52600 Books/Materials-Human 10-025-54350 Employee Health\Wellness-Human 10-025-54450 Employee Recognition-Human $200.00 10-025-55700 Management Fees-Human $480.85 $531.00 $32,405.95 $67.60 $361.57 $7,522.52 $5,464.72 $1,587.36 $98.33 $4,585.09 $100.00 $29,871.93 $23.98 $22,040.00 $782.60 $5,034.15 $3,895.86 $21,219.55 $600.00 $1,699.00 $29.85 $24,874.52 $6,307.62 $397.00 $2,922.23 Account Description Amount Montgomery County Hospital District Inv oice Expense Allocation Report Board Meeting 10/27/2015- District Paid Inv oices Vendor Name Invoice Date 10-025-57100 Invoice No. Payment No. Payment DateInvoice Description Account No. Professional Fees-Human $800.00 10-025-57300 Recruit/Investigate-Human 10-025-58600 Travel Expenses-Human $1,454.00 $76.00 10-026-51700 Health & Dental-Recor $2,706.83 10-027-51700 Health & Dental-Emerg $1,802.12 10-027-56200 Mileage Reimbursements-Emerg 10-039-51700 Health & Dental-Param $6,989.78 10-039-57100 Professional Fees-Param $48,542.40 10-040-52725 Capital Lease Expense-Build $18,738.79 10-040-52752 Capital Purchases - CIP-Build $245,848.50 10-040-53550 Customer Relations-Build 10-040-55025 Interest Expense-Build $81.08 $372.50 $3,988.84 GRAND TOTAL: $1,479,295.69 Account Description Amount Montgomery County Hospital District Bank Register - Operating Acct-WF Patient Refunds - One Time Checks (09/17/2015 - 10/17/2015) Payment number 84033 84034 84189 84036 84037 84193 84194 84044 84045 84046 84049 84050 84051 84052 84053 84054 84195 84197 84204 84206 84207 84059 84060 84061 84063 84063 84063 84065 84066 84067 84068 84069 84070 84071 84072 84073 84073 84209 84212 84215 84216 84217 84218 84220 84224 84100 84101 84231 84233 84234 84235 84235 84236 84103 84104 84105 84106 84237 84238 84240 84246 84247 84249 84250 Source system Payment typeInvoice dateVendor name Invoice amount Status Cleared Post date Accounts Pay able Computer Chec 10/5/15 AETNA (POB 14079) $543.60 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 AETNA (POB 784836) $481.12 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/13/15 ALEXANDER, CARLYNN $25.00 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/5/15 AMERIGROUP (POB 933657) $184.60 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 AMERIGROUP (POB 933657) $297.87 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $793.42 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $947.25 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/5/15 BCBS OF TEXAS (731431) $87.92 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 BCBS OF TEXAS (731431) $1,315.80 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 BCBS OF TEXAS (731431) $1,214.69 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 PATIENT REFUND $411.84 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 PATIENT REFUND $401.72 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 PATIENT REFUND $381.48 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 PATIENT REFUND $401.72 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 PATIENT REFUND $345.22 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 PATIENT REFUND $345.22 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $943.83 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $89.60 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $1,323.72 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $402.73 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $1,376.40 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/5/15 CIGNA (POB 188012) $577.15 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 CIGNA HEALTHSPRING (POB 981804) $443.16 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 CIGNA HEALTHSPRING (POB 981804) $33.00 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 CITY OF LEAGUE CITY $98.32 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 CITY OF LEAGUE CITY $97.40 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 CITY OF LEAGUE CITY $24.35 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 COMMUNITY HEALTH CHOICE (POB 4605) $244.35 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 COMMUNITY HEALTH CHOICE (POB 4605) $162.90 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 COMMUNITY HEALTH CHOICE (POB 4605) $221.54 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 COMMUNITY HEALTH CHOICE (POB 4605) $81.45 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 COMMUNITY HEALTH CHOICE (POB 4605) $149.87 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 COMMUNITY HEALTH CHOICE (POB 4605) $53.76 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 COMMUNITY HEALTH CHOICE (POB 4605) $159.65 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 COMMUNITY HEALTH CHOICE (POB 4605) $91.22 Outstanding 10/9/15 Accounts Pay able Computer Chec 9/30/15 PATIENT REFUND $32.66 Outstanding 10/9/15 Accounts Pay able Computer Chec 9/30/15 PATIENT REFUND $32.66 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $519.61 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $15.00 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $25.00 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $20.00 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $50.00 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $492.66 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $92.59 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $125.00 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/5/15 GEICO (POB 509105) $137.06 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 GEICO ADVANTAGE INS. CO (4201) $1,034.00 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $76.40 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $50.00 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $25.00 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 HEALTH CARE SERVICE CORP (POB 25552) $943.12 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 HEALTH CARE SERVICE CORP (POB 25552) $943.12 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 HEALTH CARE SERVICE CORPORATION (PO $513.40 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/5/15 HEALTH CARE SERVICE CORPORATION (PO $627.90 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 HEALTH CARE SERVICE CORPORATION (PO $605.57 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 HEALTH CARE SERVICE CORPORATION (PO $64.73 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/5/15 HEALTH CARE SERVICE CORPORATION (PO $203.63 Outstanding 10/9/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $372.25 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $112.79 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $25.00 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $150.00 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $50.00 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $87.03 Outstanding 10/16/15 Accounts Pay able Computer Chec 10/13/15 PATIENT REFUND $60.00 Outstanding 10/16/15 84255 84257 84258 84263 84265 84266 84267 84120 84121 84122 84269 84128 84128 84273 84277 84282 84284 84287 84291 84293 84158 84159 84160 84161 84162 84163 84164 84165 84166 84167 84168 84169 84170 84171 84172 84173 84174 84175 84176 84177 84178 84300 84301 84181 84303 84304 84183 84308 Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec Accounts Pay able Computer Chec 10/13/15 10/13/15 10/13/15 10/13/15 10/13/15 10/13/15 10/13/15 10/5/15 10/5/15 10/5/15 10/13/15 10/5/15 10/5/15 10/13/15 10/13/15 10/13/15 10/13/15 10/13/15 10/13/15 10/13/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/5/15 10/13/15 10/13/15 10/5/15 10/13/15 10/13/15 10/5/15 10/13/15 PATIENT REFUND PATIENT REFUND PATIENT REFUND PATIENT REFUND PATIENT REFUND PATIENT REFUND PATIENT REFUND MOLINA HEALTHCARE OF TX (POB 650823) MOLINA HEALTHCARE OF TX (POB 650823) MONTGOMERY COUNTY HOSPITAL DISTRIC PATIENT REFUND NOVITAS SOLUTIONS (POB 890106) NOVITAS SOLUTIONS (POB 890106) PATIENT REFUND PATIENT REFUND PATIENT REFUND PATIENT REFUND PATIENT REFUND PATIENT REFUND PATIENT REFUND UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (740804) UNITED HEALTHCARE (POB 740800) UNITED HEALTHCARE INS CO (POB 740809) USAA (POB 33490) PATIENT REFUND WAGEWORKS WEB-TPA PATIENT REFUND $107.59 $50.00 $15.00 $76.21 $20.00 $100.00 $500.00 $406.64 $147.98 $316.93 $125.00 $344.68 $347.42 $146.18 $125.00 $881.39 $565.64 $281.50 $134.29 $50.00 $54.55 $195.06 $44.64 $42.98 $47.94 $81.00 $66.12 $36.37 $138.86 $87.61 $142.16 $89.27 $62.82 $323.99 $44.64 $239.38 $601.20 $250.15 $279.32 $76.50 $776.70 $895.39 $174.24 $971.00 $86.47 $800.00 $1,274.07 $79.99 $34,942.92 Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding Outstanding 10/16/15 10/16/15 10/16/15 10/16/15 10/16/15 10/16/15 10/16/15 10/9/15 10/9/15 10/9/15 10/16/15 10/9/15 10/9/15 10/16/15 10/16/15 10/16/15 10/16/15 10/16/15 10/16/15 10/16/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/9/15 10/16/15 10/16/15 10/9/15 10/16/15 10/16/15 10/9/15 10/16/15 Agenda Item # 29 We Make a Difference! To: Board of Directors From: Stephani Ochoa Date: 5/21/15 Re: Salvage and Surplus Consider and act on Salvage and Surplus Yes No N/A X Budgeted item? X Within budget? X Renewal contract? X Special request? MCHD Surplus/Salvage October 2015 Qty 1 8 4 1 1 32 2 2 4 9 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Serial Number 59945 MCHD Tag Product Description 8491 EZ IO Driver Black Couches Black Love Seats Blue Couch Blue Love Seat Simmons Beauty Sleep Twin Mattresses Simmons Twin Box Springs Serta Twin Mattresses Bamboo Twin Mattresses Office Desk Chairs 1383 Fujitsu scanner fi-5110C 7464 Panasonic CF-74 laptop 7463 Panasonic CF-74 laptop 7887 Lenovo T61 Laptop n/a Lenovo T60p laptop 7286 Lenvoo T60p laptop 7539 Cisco ASA Station Firewall 7526 Cisco ASA Station Firewall 7540 Cisco ASA Station Firewall 7541 Cisco ASA Station Firewall 7532 Cisco ASA Station Firewall 7537 Cisco ASA Station Firewall 7525 Cisco ASA Station Firewall 7533 Cisco ASA Station Firewall 7533 Cisco ASA Station Firewall 7534 Cisco ASA Station Firewall 6440 Cisco Router S/S Salvage Surplus Surplus Surplus Surplus Surplus Surplus Surplus Surplus Surplus Salvage Salvage Salvage Salvage Salvage Salvage Salvage Salvage Salvage Salvage Salvage Salvage Salvage Salvage Salvage Salvage Salvage Reason Driver no longer works and can not be repaired. Age unknown, but greater than 5 years. Worn and/or damaged. Worn and/or damaged. Worn and/or damaged. Worn and/or damaged. Worn and/or damaged. Worn and/or damaged. Worn and/or damaged. Worn and/or damaged. Worn and/or damaged. Broken, unrepairable scanner. 8 year old machines, broken. 8 year old machines, broken. 6 year old machines, fan broken. 6 year old machine, does not power up. 7 year old machine, does not power up. Broken Broken Broken Broken Broken Broken Broken Broken Broken Broken Broken MINUTES OF A REGULAR MEETING OF THE BOARD OF DIRECTORS MONTGOMERY COUNTY HOSPITAL DISTRICT The regular meeting of the Board of Directors of Montgomery County Hospital District was duly convened at 4:00 p.m., September 22, 2015 in the Administrative offices of the Montgomery County Hospital District, 1400 South Loop 336 West, Conroe, Montgomery County, Texas. 1. Call to Order Meeting called to order at 4:00 p.m. 2. Invocation Led by Mr. Grice 3. Pledge of Allegiance Led by Mrs. Wagner 4. Roll Call Present: Bob Bagley Chris Grice Mark Cole Harold Posey Sandy Wagner Kenn Fawn Georgette Whatley 5. Public Comment Mrs. Wagner read the MCHD Public Participation Statement to the audience. Ms. Nicole Aaron addressed the board about agenda item 10 and the proposed change in the Board bylaws. Ms. Aaron requested the board not to pass the proposed resolution. Mr. Adrian Heath addressed the board about agenda item 10 and the proposed change in the Board bylaws. Mr. Heath requested the board not to pass the proposed resolution. Ms. Julia Appleton advised she no longer wished to speak to the board as the previous speakers had conveyed her views on agenda item 10. Mr. Dale Fessenden addressed the board about agenda item 10 and the proposed change in the Board bylaws. Mr. Fessenden requested the board not to pass the proposed resolution. Ms. Ginger Russell addressed the board about agenda item 10 and the proposed change in the Board bylaws. Ms. Russell requested the board not to pass the proposed resolution. Mr. Calvin Russell advised he no longer wished to speak to the board as the previous speakers had conveyed his views on agenda item 10. Ms. Sherry Williams addressed the board about agenda item 10 and the proposed change in the Board bylaws. Ms. Russell requested the board not to pass the proposed resolution. 6. Special Recognition – Field – Sherry Sullivan 7. Presentation of Community Paramedicine, update on program and ROI. (attached) Mr. Lee Gillum, EMS Paramedic presented a report to the board. 8. Consider and act on ratification of contracts with additional network providers for indigent care. (Mrs. Wagner, Chair - Indigent Care Committee) Mrs. Wagner made a motion to consider and act on ratification of contracts with additional network providers for indigent care. Ms. Whatley offered a second and motion passed unanimously. 9. CEO Report to include update on District operations, strategic plan, capital purchases, employee issues and benefits, transition plans and other healthcare matters, grants and any other related district matters. Mr. Randy Johnson, CEO presented a report. 10. Consider and act upon Resolution amending Article II, Section 3 of the Director bylaws regarding Board member requests for information and presence at District premises and during operational functions. (Mr. Posey, Chairman – MCHD Board) (attached) Mr. Posey and Mr. Cole read Exhibit A and noted that b and c were the new addendums to Section 3 Authority. Mr. Posey gave a detailed statement to the audience about the reasons he had Legal Counsel draft the resolution of the board bylaws. Mrs. Wagner made a motion to consider and act upon Resolution amending Article II, Section 3 of the Director bylaws regarding Board member requests for information and presence at District premises and during operational functions. Mr. Cole offered a second. After discussion by board members Mr. Fawn called the question. The motion passed five (5) for (Mr. Grice, Mr. Cole, Mr. Posey, Mrs. Wagner and Mr. Fawn) to two (2) opposed (Ms. Whatley and Mr. Bagley). Mr. Grice requested an amendment to the original motion that any board member could bring it to the Chairman or the designated representative or a board member could bring to the board if they so desired. Mr. Cole offered a second. After discussion by board members Mr. Posey called the question. The motion for amendment passed five (5) for (Mr. Grice, Mr. Cole, Mr. Posey, Mrs. Wagner and Mr. Fawn) to two (2) opposed (Ms. Whatley and Mr. Bagley). Ms. Whatley advised she is not in support of this change to the bylaws and if this resolution passes tonight she advised for the record that she would not abide by the resolution. Mr. Bagley addressed the board and advised he is not in support of the change in the bylaws. Mr. Greg Hudson, Legal Counsel answered questions from the board and advised that he drafted the resolution due to the Chairman’s concerns of chain of command and disruptions in the work place. Mr. Grice advised that the intent of resolution is not to stop anyone from calling or talking to a board member. 11. EMS Director Report to include updates on EMS staffing, performance measures, staff activities, patient concerns, transport destinations and fleet. Mr. Jared Cosper, EMS Director presented a report. 12. Consider and act on warranty of Zoll X-Series Monitors. (Mr. Fawn, Chair – EMS Committee) (attached) Mr. Fawn made a motion to approve the extended warranty for the 46 Zoll X-Series Defibrillators at $44,769.50 which is $969.50 over the budgeted estimate. Mr. Grice offered a second and motion passed unanimously. 13. COO Report to include updates on infrastructure, facilities, radio system, warehousing, staff activities, community paramedicine, emergency management, and purchasing. Mrs. Melissa Miller, COO presented a report. 14. Consider and act on sole source letter for Radio Interoperability Gateway purchase. (Mr. Bagley, Chair - PADCOM Committee) (attached) Mr. Cole made a motion to consider and act on sole source letter for Radio Interoperability Gateway purchase. Mr. Bagley offered second and motion passed unanimously. 15. Consider and act on purchase of Radio Interoperability Gateway Equipment. (Mr. Bagley, Chair - PADCOM Committee) (attached) Mr. Bagley made a motion to consider and act on purchase of Radio Interoperability Gateway Equipment. Mr. Cole offered second and motion passed unanimously. 16. Consider and act on sole source letter for radio system software update. (Mr. Bagley, Chair -PADCOM Committee) (attached) Mr. Bagley made a motion to consider and act on sole source letter for radio system software update. Ms. Whatley offered second and motion passed unanimously. 17. Consider and act on purchase of radio system software update. (Mr. Bagley, Chair PADCOM Committee) (attached) Mr. Bagley made a motion to consider and act on purchase of radio system software update. Ms. Whatley offered second and motion passed unanimously. 18. Health Care Services Report to include regulatory update, outreach, eligibility, service, utilization, community education, clinical services, epidemiology, and emergency preparedness. Mrs. Miller, COO presented a report. 19. Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers processed by Boon-Chapman. (Mrs. Wagner, Chair - Indigent Care Committee) Mrs. Wagner made a motion to consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver providers processed by Boon-Chapman. Mr. Bagley offered a second and motion passed unanimously. 20. Consider and act on ratification of voluntary contributions to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims processed by Boon Chapman. (Mrs. Wagner, Chair – Indigent Care Committee) Mrs. Wagner made a motion to consider and act on ratification of voluntary contributions to the Medicaid 1115 Waiver program of Healthcare Assistance Program claims processed by Boon Chapman. Mr. Bagley offered a second and motion passed unanimously. 21. Presentation of preliminary Financial Report for eleven months ended August 31, 2015 – Brett Allen, CFO, report to include Financial Summary, Financial Statements, Supplemental EMS Billing Information, and Supplemental Schedules. Mr. Brett Allen presented a report to the board. 22. Consider and act on agreement for assessment and collection services with Montgomery County Tax Assessor. (Mr. Grice, Treasurer – MCHD Board) (attached) Mr. Grice made a motion to consider and act on agreement for assessment and collection services with Montgomery County Tax Assessor. Mrs. Wagner offered a second and motion passed unanimously. 23. Consider and act on ratification of payment of District invoices. (Mr. Grice, Treasurer MCHD Board) Mr. Grice made a motion to consider and act on ratification of payment of District invoices. Mrs. Wagner offered a second and motion passed. Mr. Fawn abstained from vote. 24. Consider and act on salvage and surplus. (Mr. Grice, Treasurer – MCHD Board) (attached) Mr. Bagley made a motion to consider and act on salvage and surplus. Ms. Whatley offered a second and motion passed unanimously. 25. Secretary’s Report - Consider and act on minutes for the August 25, 2015 Regular BOD meeting, September 1, 2015 Public Budget Hearing and September 1, 2015 Special BOD meeting. (Mrs. Wagner, Secretary - MCHD Board) Mrs. Wagner made a motion to consider and act on minutes for the August 25, 2015 Regular BOD Meeting. Mr. Cole offered a second and motion passed unanimously Mr. Wagner made a motion to consider and act on minutes for the September 1, 2015 Public Budget Hearing. Mr. Fawn offered a second and motion passed unanimously. Mr. Wagner made a motion to consider and act on minutes for the September 1, 2015 Special BOD Meeting. Mr. Fawn offered a second and motion passed unanimously. 26. Adjourn Meeting adjourned at 5:11 p.m. ____________________________ Sandy Wagner, Secretary Agenda Item # 31 To: Board of Directors We Make a Difference! From: Randy Johnson Date: October 27, 2015 Re: Resolution – Director Bylaws Consider and act upon Resolution amending Article II, Section 3 of the Director bylaws regarding Board member requests for information and presence at District premises and during operational functions. (Mr. Posey, Chairman – MCHD Board) STATE OF TEXAS COUNTY OF MONTGOMERY § § § A RESOLUTION OF THE MONTGOMERY COUNTY HOSPITAL DISTRICT’S BOARD OF DIRECTORS AMENDING THE BY-LAWS OF THE GOVERNING BOARD REGARDING AUTHORITY OF BOARD MEMBERS WHEREAS, the Montgomery County Hospital District maintains a set of By-Laws for guidance of the District; and WHEREAS, the Montgomery County Hospital District’s enabling legislation allows the Board of Directors to adopt rules when needed in furtherance of the mission of the District; and WHEREAS, the Montgomery County Hospital District Board of Directors has previously adopted bylaws governing the procedures and conduct of the Board; and WHEREAS, the Montgomery County Hospital District Board of Directors has decided to amend its By-Laws to add additional provisions regarding the authority of members of the Board of Directors in connection with day-to-day operations of the District so as to further operational efficiencies, support the chain-of-command structure established within the District with respect to the District’s operations and functions, and to ensure the continued adherence to quality health care practices for the benefit of the citizens served by the District; and WHEREAS, by this Resolution the Board of Directors seeks to amend its By-Laws, as set forth below. NOW, THEREFORE, BE IT RESOLVED BY THE MONTGOMERY COUNTY HOSPITAL DISTRICT’S BOARD OF DIRECTORS THAT: 1. Approval of Recitals as Findings Of Fact. The foregoing recitals, having been found by the Board of Directors to be true and correct, are hereby incorporated into this Resolution as findings of fact. 2. Amendment of By-Laws. The By-Laws of the Governing Board of the Montgomery County Hospital District are hereby amended by the amendment to Article II, Section 3 attached hereto as Exhibit “A”, which is hereto adopted and incorporated into the By-Laws by reference. BE IT SO RESOLVED. Passed and Approved this _________ day of _______________, 2015, by a vote of ____ in favor and __________ against, ________ abstaining. EXHIBIT “A” ARTICLE II, Section 3, is hereby amended to read as follows: Section 3. Authority. a. Board Members shall have no authority except when functioning as a member of the Board in an official meeting. No individual member of the Board may exercise authority with respect to the operation of the Health Care Assistance Program, Public Health Department and Clinic, or the Emergency Medical Service or of services Montgomery County Hospital District employees by virtue of their status as Board Members. b. Outside of meetings of the Board of Directors, including regular, special and committee meetings and social events, Board Members should seek and obtain permission from the Board Chair, a designated representative or a board member before making any requests for information or having contact with MCHD employees other than the Chief Executive Officer, Chief Operating Officer, Chief Financial Officer or EMS Director. While the Board Chair shall seek to ensure that other Board Members are afforded a robust opportunity to obtain such information as is necessary to perform their official functions and duties as Board Members, the Board Chair retains the authority to establish guidelines as to the extent and duration of requests for information to District employees from other Board Members so as to minimize disruption in the workplace at the District and to curtail harassment as a result of multiple or vexatious requests that are found by the Board Chair to be brought in bad faith or in furtherance of matters not within the official functions or duties of the requesting Board Member. c. Board members must follow established MCHD policies applicable to MCHD personnel at all times when on District property (whether owned or leased) and/or at a location where MCHD personnel are performing their prescribed duties, except to the extent such policies conflict with these Bylaws. 3 Agenda Item # 32 To: Board of Directors We Make a Difference! From: Randy Johnson Date: October 27, 2015 Re: Policy HR 25-504 Disciplinary & Grievance Consider and act on Human Resource policy: HR 25-504 Disciplinary and Grievance Procedure “CEO’s recommendation is that board change policy HR 25-504 that was approved at the February 25, 2014 board meeting back to the original version from October 28, 2008” DISCIPLINARY AND GRIEVANCE PROCEDURE Department Human Resources Policy Number HR 25-504 Page 1 of 6 CAAS Reference Number I. PURPOSE MCHD recognizes that in any organization differences of opinion about the way policies are interpreted and applied are bound to occur. MCHD also believes that discussing and settling these differences promptly and fairly will make the District more efficient and a better place to work for all employees. Therefore, any employee may use the grievance procedure after the complaint procedure (See section 10-501) is exhausted and an employee subject to disciplinary actions may use the disciplinary hearing process set out below. Prior to any termination of employment the Human Resources department consults with MCHD’s employment attorney. The process set forth below is the exclusive remedy and procedure for an employee grievance or disciplinary appeal. II. POLICY Employee Disciplinary Appeal and Grievance Appeal Procedure Level I If the employee is dissatisfied with the results of the complaint procedure or disciplinary action, the employee must file in writing, a grievance with the MCHD Human Resources Manager and the Compliance Officer within five (5) days of the completion of the complaint procedure or disciplinary action. THE FAILURE OF AN EMPLOYEE TO TIMELY REQUEST A HEARING WITHIN THE TIME PERIODS SET FORTH IN THIS POLICY SHALL RESULT IN THE IMMEDIATE DISMISSAL OF THE MATTER AND A BAR TO FURTHER PROCEEDINGS ON SUCH MATTER. The Chief Operating Officer and the Director of EMS shall conduct a hearing within Ten (10) days of the request (if the employee requesting the grievance procedure reports the Chief Operating Officer or the Director of EMS the Chief Financial Officer will take their place in the hearing) and according to the following rules: 1. The Chief Operating Officer and the Director of EMS shall review the grievance or disciplinary action taken. 2. The Chief Operating Officer and the Director of EMS conduct a hearing with the affected employee to allow the employee to express his or her opinions or information concerning the issue. The Human Resources Manager will be present as a witness. 3. The affected employee shall have the right to bring third parties to the hearing as a representative or simply to help clarify the issues. 4. The hearing may be recorded at the discretion of the Chief Executive Officer. 5. The hearing process shall be designed to make immediate attempts to resolve the affected employee’s issues. However, the Chief Operating Officer and the Director of EMS may recess the hearing in order to investigate or gather pertinent information concerning the issues of the hearing. In no event shall a recess last more than fifteen days. Title of Policy DISCIPLINARY AND GRIEVANCE PROCEDURE Policy Number HR 25-504 Page 2 of 6 6. The Chief Operation Officer and the Director of EMS shall carefully consider the evidence presented and announce a decision within fifteen working days. Employee Disciplinary Appeal and Grievance Appeal Procedure Level II I. Applicability This employee disciplinary appeal and/or employee grievance appeal procedure applies only to an employee who requests to appeal a disciplinary hearing decision and/or grievance appeal decision following exhaustion of the Level I appeal of such matter to the Chief Operating Officer and the Director of EMS. It does not apply to any other employee issues. II. Request for a Hearing In order to appeal the decision of the Chief Operating Officer and the Director of EMS following their decision on the Level I appeal, not later than the 15th day after the date of the Level I employee disciplinary hearing decision and/or grievance appeal decision is rendered, the employee must file a written request for hearing with the Human Resources Manager and the Compliance Officer with copies of such request to the Chief Operating Officer and the Director of EMS. The request must: (i) contain a request for an appeal to before the Chief Executive Officer; (ii) identify the employee who is requesting the appeal; (iii) identify the nature of the prior disciplinary action; and, (iv) provide a brief factual narrative of the employee’s basis for taking the appeal. THE FAILURE OF AN EMPLOYEE TO TIMELY REQUEST AN APPEAL HEARING TO THE CEO WITHIN THE TIME PERIOD SET FORTH IN THIS POLICY SHALL RESULT IN THE IMMEDIATE DISMISSAL OF THE APPEAL AND A BAR TO FURTHER PROCEEDINGS ON SUCH APPEAL BY THE DISTRICT. IN SUCH INSTANCE, THE DECISION RENDERED AT LEVEL I SHALL CONSTITUTE THE FINAL DECISION OF THE DISTRICT ON SUCH APPEAL. III. Date and Location of Hearing to be Held In most instances, the hearing on such appeal will be held within 10 days of the date of notice of appeal, Written notice of the appeal hearing date and location shall be provided by the Chief Executive Officer to the affected employee at least three (3) days prior to the hearing. VI. Employee Rights At the hearing the employee shall have the right to: 1. Hear and present evidence or information which forms the basis of the previous disciplinary decision. 2. Present any evidence or information concerning the issue. The affected employee shall have the right to bring third parties to the hearing as a representative or simply to help clarify the issues. Title of Policy DISCIPLINARY AND GRIEVANCE PROCEDURE Policy Number HR 25-504 Page 3 of 6 VII. Burden of Proof The employee shall have the burden of proof by a preponderance of the evidence to show that the previous disciplinary decision and/or decision on the employee grievance were improper or unwarranted. VIII. Evidence at the Hearing The Texas Rules of Civil Evidence shall apply at the hearing. Any written information and findings, or oral testimony, concerning the disciplinary and/or grievance hearing which are subject to the appeal is presumed to be admissible. IX. Recording of Proceedings The District may have the proceedings recorded. Should the affected employee desire a copy of such proceedings, the employee may make arrangements to have a duplicate recording made at the employee’s expense, or may at the employee’s expense make arrangements to have a certified court reporter prepare a transcript of the proceedings from such recording. X. Costs Each party shall bear its own costs not herein specified. XI. Time Limits for Proceeding and Arguments The Chief Executive Officer shall consider the needs of the employee when determining time for evidence and information to be presented, but shall have the ability to set time limits to conduct the hearing. The Human Resources Manager will be present as a witness. The Chief Executive Officer shall allow 10 minutes for argument to each side after all evidence and information has been presented. The employee shall be allowed to argue first and may reserve a portion of his 10 minutes for rebuttal after the other party has presented argument. The Chief Executive Officer shall have the right to extend more time for argument when it is deemed necessary due to complexity of the issues or evidence, and such extension is solely at the Chief Executive Officer’s discretion. XII. Decision The Chief Executive Officer shall carefully consider the evidence and announce a decision within 5 days; The Chief Executive Officer may include findings of fact supporting its decision and may reverse a prior decision by the Chief Operating Officer and the Director of EMS or supervisor on the matter being appealed, or may uphold the previous disciplinary decision. The decision of the Chief Executive Officer shall be reduced to writing and a copy of such decision shall be mailed to the affected employee by the Chief Executive Officer as soon as possible following the Chief Executive Officers issuance of a decision. A copy of the Chief Executive Officer’s decision shall also be placed in the affected employee’s personnel file. Following the Chief Executive Officers decision on the appeal, the Chief Executive Officer, absent extraordinary circumstances or new evidence, will not reconsider its decision. Title of Policy DISCIPLINARY AND GRIEVANCE PROCEDURE Policy Number HR 25-504 Page 4 of 6 Employee Disciplinary Appeal and Grievance Appeal Procedure Level III I. Applicability This employee disciplinary appeal and/or employee grievance appeal procedure applies only to employees at the Manager level or above or an employee in which the Chief Executive Officer was involved in the decision of the original discipline/termination who requests to appeal a disciplinary hearing decision and/or grievance appeal decision following exhaustion of the Level I and II appeals. It does not apply to any other employee issues. II. Request for a Hearing In order to appeal the decision of the Chief Executive Officer following his/her decision on the Level II appeal, not later than the 15th day after the date of the Level II employee disciplinary hearing decision and/or grievance appeal decision is rendered, the employee must file a written request for hearing with the Administrative Liaison to the MCHD Board of Directors, with copies of such request to the Chief Executive Officer and to the Human Resources Manager. The request must: (i) contain a request for an appeal to before the MCHD Board of Directors; (ii) identify the employee who is requesting the appeal; (iii) identify the nature of the prior disciplinary action; and, (iv) provide a brief factual narrative of the employee’s basis for taking the appeal. THE FAILURE OF AN EMPLOYEE TO TIMELY REQUEST AN APPEAL HEARING TO THE BOARD WITHIN THE TIME PERIOD SET FORTH IN THIS POLICY SHALL RESULT IN THE IMMEDIATE DISMISSAL OF THE APPEAL AND A BAR TO FURTHER PROCEEDINGS ON SUCH APPEAL BY THE DISTRICT. IN SUCH INSTANCE, THE DECISION RENDERED AT LEVEL II SHALL CONSTITUTE THE FINAL DECISION OF THE DISTRICT ON SUCH APPEAL. III. Date and Location of Hearing to be Held In most instances, the hearing on such appeal will be held within 30 days of the date of notice of appeal, at the next regularly scheduled meeting of the MCHD Board, to the extent sufficient time exists between the District’s receipt of the appeal notice and the next scheduled Board meeting for such appeal to be properly noticed for discussion and action by the MCHD Board. At the discretion of the Board Chairman, the appeal hearing may be heard by the MCHD Board at a later date than the next scheduled Board meeting, should such be necessitated due to the need of the Board to attend to other Board business, or conduct additional investigations necessary to prepare for such appeal hearing. The hearing will be held at the location of the MCHD Board meeting. The MCHD Board may extend the time to conduct the hearing when deemed necessary by the MCHD Board. Written notice of the appeal hearing date and location shall be provided by the Chief Executive Officer to the affected employee at least three (3) days prior to the hearing. Title of Policy DISCIPLINARY AND GRIEVANCE PROCEDURE Policy Number HR 25-504 Page 5 of 6 IV. Privacy of Hearing The hearing will be conducted as in closed session under Section 551.074 of the Texas Open Meetings Act; however, the Board’s decision following the conclusion of the presentation of the appeal evidence shall be made in an open session following the closed session. The employee may request that the appeal hearing be held in open session as a public meeting, and in such instance the Board will take testimony, consider the evidence and merits of the appeal and shall deliberate thereon in open session. Nothing herein shall preclude the Board from seeking legal guidance and consultation from its attorney in closed session at any time in connection with the appeal. V. Powers of the Board The hearing shall be lead by the current Board Chairman and he/she will have the power to administer oaths, maintain decorum, schedule and recess the proceedings, admit or disallow evidence, and make other rules necessary for the orderly procedure of the appeal. VI. Employee Rights At the hearing the employee shall have the right to: 1. Hear and present evidence or information which forms the basis of the previous disciplinary decision. 2. Present any evidence or information concerning the issue. The hearing is not subject to the Administrative Procedure Act. The hearing shall be conducted in the same manner as a non jury trial in a state district court. VII. Burden of Proof The employee shall have the burden of proof by a preponderance of the evidence to show that the previous disciplinary decision and/or decision on the employee grievance were improper or unwarranted. VIII. Evidence at the Hearing The Texas Rules of Civil Evidence shall apply at the hearing. Any written information and findings, or oral testimony, concerning the disciplinary and/or grievance hearing which are subject to the appeal is presumed to be admissible. IX. Recording of Proceedings The District will have the proceedings recorded on its audio recording system, same as with any other meetings of the District’s Board of Directors. Should the affected employee desire a copy of such proceedings, the employee may make arrangements to have a duplicate recording made at the employee’s expense, or may, at the employee’s expense make arrangements to have a certified court reporter prepare a transcript of the proceedings from such recording. X. Costs Each party shall bear its own costs not herein specified. Title of Policy DISCIPLINARY AND GRIEVANCE PROCEDURE Policy Number HR 25-504 Page 6 of 6 XI. Time Limits for Proceeding and Arguments The Board shall consider the needs of the employee when determining time for evidence and information to be presented, but shall have the ability to set time limits to conduct the hearing. The Board shall allow 10 minutes for argument to each side after all evidence and information has been presented. The employee shall be allowed to argue first and may reserve a portion of his 10 minutes for rebuttal after the other party has presented argument. The Board shall have the right to extend more time for argument when it is deemed necessary due to complexity of the issues or evidence, and such extension is solely at the Board’s discretion. XII. Decision The Board shall carefully consider the evidence and deliberate thereon as is necessary, and following such deliberations shall make an effort to announce a decision at the conclusion of the hearing; however, the Board may, at the discretion of the Board, postpone a decision until the next scheduled Board meeting if the Board needs more time to decide the issue. The Board may include findings of fact supporting its decision and may reverse a prior decision by the Chief Executive Officer or supervisor on the matter being appealed, or may or uphold the previous disciplinary decision. The decision of the Board shall be reduced to writing and a copy of such decision shall be mailed to the affected employee by the Chief Executive Officer as soon as possible following the Board’s issuance of a decision. A copy of the Board’s decision shall also be placed in the affected employee’s personnel file. Following the Board’s decision on the appeal, the Board, absent extraordinary circumstances or new evidence, will not reconsider its decision. References: Previously Policy # 10-504 Original Date 10/2008 Review/Revision Date 02/2014 X Supersedes all Previous Date Approved by the Board of Directors 02/25/2014 Presented and approved at the February 25, 2014 regular BOD meeting. Prefix changed from 10 to 25 to reflect Human Resources. Policy #: 10-504 DISCIPLINARY AND GRIEVANCE PROCEDURE Revision: October 28, 2008 General Information MCHD recognizes that in any organization differences of opinion about the way policies are interpreted and applied are bound to occur. MCHD also believes that discussing and settling these differences promptly and fairly will make the District more efficient and a better place to work for all employees. Therefore, any employee may use the grievance procedure after the complaint procedure (See section 10501) is exhausted and an employee subject to disciplinary actions may use the disciplinary hearing process set out below. Prior to any termination of employment the Human Resources department consults with MCHD’s employment attorney. The process set forth below is the exclusive remedy and procedure for an employee grievance or disciplinary appeal. Disciplinary and Grievance Procedure Level I. If the employee is dissatisfied with the results of the complaint procedure or disciplinary action, the employee must file in writing, a grievance with the MCHD Chief Executive Officer Human Resources Manager and the Compliance Officer within five (5) days of the completion of the complaint procedure or disciplinary action. If an employee is dissatisfied with a disciplinary action, the employee must file in writing, a request for a disciplinary hearing with the MCHD Chief Executive Officer within five (5) days of the disciplinary action. THE FAILURE OF AN EMPLOYEE TO TIMELY REQUEST A HEARING WITHIN THE TIME PERIODS SET FORTH IN THIS POLICY SHALL RESULT IN THE IMMEDIATE DISMISSAL OF THE MATTER AND A BAR TO FURTHER PROCEEDINGS ON SUCH MATTER. The Chief Executive Officer Chief Operating Officer and the Director of EMS shall conduct a hearing within Ten (10) days of the request (if the employee requesting the grievance procedure reports the Chief Operating Officer or the Director of EMS the Chief Financial Officer will take their place in the hearing) and according to the following rules: 1. The Chief Executive Officer Chief Operating Officer and the Director of EMS shall review the grievance or disciplinary action taken, or at the discretion of the Chief Executive Officer and with consent of the affected employee, the Chief Executive Officer shall appoint a Peer Review Committee, consisting of the number and members of the Chief Executive Officer’s choice to review the grievance or prior disciplinary action taken and make advisory findings and recommendations. 2. The Chief Executive Officer Chief Operating Officer and the Director of EMS or Peer Review Committee shall conduct a hearing with the affected employee to allow the employee to express his or her opinions or information concerning the issue. The Human Resources Manager will be present as a witness. 3. The affected employee shall have the right to bring a third partiesy to the hearing as a representative or simply to help clarify the issues. 4. The hearing may be recorded at the discretion of the Chief Executive Officer. 5. The hearing process shall be designed to make immediate attempts to resolve the affected employee’s issues. However, the Chief Executive Officer Chief Operating Officer and the Director of EMS or Peer Review Committee may recess the hearing in order to investigate or gather pertinent information concerning the issues of the hearing. In no event shall a recess last more than fifteen days. 6. If the hearing is conducted by a Peer Review Committee the Committee shall make a recommendation in writing to the Chief Executive Officer. The Chief Executive Officer shall consider the recommendations of the Peer Review Committee in making a final decision. If there is no Peer Review Committee, the final decision shall be made by the Chief Executive Officer. The final decision of the Chief Executive Officer may include any remedial actions available within the personnel policies of MCHD, dismissal of the matter in favor of the employee, or finding upholding the prior disciplinary action or action taken with respect to the employee grievance. Employee Disciplinary Appeal And Grievance Appeal Procedure Level II I. Applicability This employee disciplinary appeal and/or employee grievance appeal procedure applies only to an employee who requests to appeal a disciplinary hearing decision and/or grievance appeal decision following exhaustion of the Level I appeal of such matter to the Chief Executive Officer Chief Operating Officer and the Director of EMS. It does not apply to any other employee issues. II. Request for a Hearing In order to appeal the decision of the Chief Executive Officer Chief Operating Officer and the Director of EMS following their his/her decision on the Level I appeal, not later than the 15th day after the date of the Level I employee disciplinary hearing decision and/or grievance appeal decision is rendered, the employee must file a written request for hearing with the Human Resources Manager and the Compliance Officer Administrative Liaison to the MCHD Board of Directors, with copies of such request to the Chief Operating Officer and the Director of EMS Chief Executive Officer and to the Human Resources Manager. The request must: (i) contain a request for an appeal to before the Chief Executive OfficerMCHD Board of Directors; (ii) identify the employee who is requesting the appeal; (iii) identify the nature of the prior disciplinary action; and, (iv) provide a brief factual narrative of the employee’s basis for taking the appeal. THE FAILURE OF AN EMPLOYEE TO TIMELY REQUEST AN APPEAL HEARING TO THE BOARD CEO WITHIN THE TIME PERIOD SET FORTH IN THIS POLICY SHALL RESULT IN THE IMMEDIATE DISMISSAL OF THE APPEAL AND A BAR TO FURTHER PROCEEDINGS ON SUCH APPEAL BY THE DISTRICT. IN SUCH INSTANCE, THE DECISION RENDERED AT LEVEL I SHALL CONSTITUTE THE FINAL DECISION OF THE DISTRICT ON SUCH APPEAL. III. Date and Location of Hearing to be Held In most instances, the hearing on such appeal will be held within 130 days of the date of notice of appeal, at the next regularly scheduled meeting of the MCHD Board, to the extent sufficient time exists between the District’s receipt of the appeal notice and the next scheduled Board meeting for such appeal to be properly noticed for discussion and action by the MCHD Board. At the discretion of the Board Chairman, the appeal hearing may be heard by the MCHD Board at a later date than the next scheduled Board meeting, should such be necessitated due to the need of the Board to attend to other Board business, or conduct additional investigations necessary to prepare for such appeal hearing. The hearing will be held at the location of the MCHD Board meeting. The MCHD Board may extend the time to conduct the hearing when deemed necessary by the MCHD Board. Written notice of the appeal hearing date and location shall be provided by the Chief Executive Officer to the affected employee at least three (3) days prior to the hearing. IV. Privacy of Hearing The hearing will be conducted as in closed session under Section 551.074 of the Texas Open Meetings Act; however, the Board’s decision following the conclusion of the presentation of the appeal evidence shall be made in an open session following the closed session. The employee may request that the appeal hearing be held in open session as a public meeting, and in such instance the Board will take testimony, consider the evidence and merits of the appeal and shall deliberate thereon in open session. Nothing herein shall preclude the Board from seeking legal guidance and consultation from its attorney in closed session at any time in connection with the appeal. V. Powers of the Board The hearing shall be lead by the current Board Chairman and he/she will have the power to administer oaths, maintain decorum, schedule and recess the proceedings, admit or disallow evidence, and make other rules necessary for the orderly procedure of the appeal. VI. Employee Rights At the hearing the employee shall have the right to: 1. Hear and present evidence or information which forms the basis of the previous disciplinary decision. 2. Present any evidence or information concerning the issue. 2. The affected employee shall have the right to bring third parties to the hearing as a representative or simply to help clarify the issues. The hearing is not subject to the Administrative Procedure Act. The hearing shall be conducted in the same manner as a non jury trial in a state district court. VII. Burden of Proof The employee shall have the burden of proof by a preponderance of the evidence to show that the previous disciplinary decision and/or decision on the employee grievance was improper or unwarranted. VIII. Evidence at the Hearing The Texas Rules of Civil Evidence shall apply at the hearing. Any written information and findings, or oral testimony, concerning the disciplinary and/or grievance hearing which is subject to the appeal is presumed to be admissible. IX. Recording of Proceedings The District will may have the proceedings recorded on its audio recording system, same as with any other meetings of the District’s Board of Directors. Should the affected employee desire a copy of such proceedings, the employee may make arrangements to have a duplicate recording made at the employee’s expense, or may, at the employee’s expense make arrangements to have a certified court reporter prepare a transcript of the proceedings from such recording. X. Costs Each party shall bear its own costs not herein specified. XI. Time Limits for Proceeding and Arguments Formatted: Indent: Left: 0.5", Tab stops: 0.75", List tab + Not at 1.25" Formatted: Indent: Left: 1.25", No bullets or numbering The Board Chief Executive Officer shall consider the needs of the employee when determining time for evidence and information to be presented, but shall have the ability to set time limits to conduct the hearing. The Human Resources Manager will be present as a witness. The Board Chief Executive Officer shall allow 10 minutes for argument to each side after all evidence and information has been presented. The employee shall be allowed to argue first and may reserve a portion of his 10 minutes for rebuttal after the other party has presented argument. The Board Chief Executive Officer shall have the right to extend more time for argument when it is deemed necessary due to complexity of the issues or evidence, and such extension is solely at the Board’s Chief Executive Officer’s discretion. XII. Decision The Board Chief Executive Officer shall carefully consider the evidence and deliberate thereon as is necessary, and following such deliberations shall make an effort to announce a decision at the conclusion of the hearingwithin 5 days; however, the Board may, at the discretion of the Board, postpone a decision until the next scheduled Board meeting if the Board needs more time to decide the issue. The Board Chief Executive Officer may include findings of fact supporting its decision and may reverse a prior decision by the Chief Operating Officer and the Director of EMS Chief Executive Officer or supervisor on the matter being appealed, or may or uphold the previous disciplinary decision. The decision of the Board Chief Executive Officer shall be reduced to writing and a copy of such decision shall be mailed to the affected employee by the Chief Executive Officer as soon as possible following the Board’s Chief Executive Officers issuance of a decision. A copy of the Board’s Chief Executive Officer’s decision shall also be placed in the affected employee’s personnel file. Following the Board Chief Executive Officer’s decision on the appeal, the Chief Executive Officer Board, absent extraordinary circumstances or new evidence, will not reconsider its decision. Employee Disciplinary Appeal And Grievance Appeal Procedure Level III I. Applicability This employee disciplinary appeal and/or employee grievance appeal procedure applies only to employees at the Manager level or above or an employee in which the Chief Executive Office was involved in the decision of the original discipline/termination who requests to appeal a disciplinary hearing decision and/or grievance appeal decision following exhaustion of the Level I and II appeals. It does not apply to any other employee issues. II. Request for a Hearing In order to appeal the decision of the Chief Executive Officer following his/her decision on the Level II appeal, not later than the 15th day after the date of the Level II employee disciplinary hearing decision and/or grievance appeal decision is rendered, the employee must file a written request for hearing with the Administrative Liaison to the MCHD Board of Directors, with copies of such request to the Chief Executive Officer and to the Human Resources Manager. The request must: (i) contain a request for an appeal to before the MCHD Board of Directors; (ii) identify the employee who is requesting the appeal; (iii) identify the nature of the prior disciplinary action; and, (iv) provide a brief factual narrative of the employee’s basis for taking the appeal. THE FAILURE OF AN EMPLOYEE TO TIMELY REQUEST AN APPEAL HEARING TO THE BOARD WITHIN THE TIME PERIOD SET FORTH IN THIS POLICY SHALL RESULT IN THE IMMEDIATE DISMISSAL OF THE APPEAL AND A BAR TO Formatted: Widow/Orphan control, Tab stops: -1", Left + -0.5", Left + 0", Left + 0.5", Left + 1", Left + 1.5", Left + 2", Left + 2.5", Left + 3", Left + 3.5", Left + 4", Left + 4.5", Left + 4.67", Left + 5", Left + 5.5", Left + 6", Left + 6.5", Left FURTHER PROCEEDINGS ON SUCH APPEAL BY THE DISTRICT. IN SUCH INSTANCE, THE DECISION RENDERED AT LEVEL II SHALL CONSTITUTE THE FINAL DECISION OF THE DISTRICT ON SUCH APPEAL. III. Date and Location of Hearing to be Held In most instances, the hearing on such appeal will be held within 30 days of the date of notice of appeal, at the next regularly scheduled meeting of the MCHD Board, to the extent sufficient time exists between the District’s receipt of the appeal notice and the next scheduled Board meeting for such appeal to be properly noticed for discussion and action by the MCHD Board. At the discretion of the Board Chairman, the appeal hearing may be heard by the MCHD Board at a later date than the next scheduled Board meeting, should such be necessitated due to the need of the Board to attend to other Board business, or conduct additional investigations necessary to prepare for such appeal hearing. The hearing will be held at the location of the MCHD Board meeting. The MCHD Board may extend the time to conduct the hearing when deemed necessary by the MCHD Board. Written notice of the appeal hearing date and location shall be provided by the Chief Executive Officer to the affected employee at least three (3) days prior to the hearing. IV. Privacy of Hearing The hearing will be conducted as in closed session under Section 551.074 of the Texas Open Meetings Act; however, the Board’s decision following the conclusion of the presentation of the appeal evidence shall be made in an open session following the closed session. The employee may request that the appeal hearing be held in open session as a public meeting, and in such instance the Board will take testimony, consider the evidence and merits of the appeal and shall deliberate thereon in open session. Nothing herein shall preclude the Board from seeking legal guidance and consultation from its attorney in closed session at any time in connection with the appeal. V. Powers of the Board The hearing shall be lead by the current Board Chairman and he/she will have the power to administer oaths, maintain decorum, schedule and recess the proceedings, admit or disallow evidence, and make other rules necessary for the orderly procedure of the appeal. VI. Employee Rights At the hearing the employee shall have the right to: 1. Hear and present evidence or information which forms the basis of the previous disciplinary decision. 2. Present any evidence or information concerning the issue. The hearing is not subject to the Administrative Procedure Act. The hearing shall be conducted in the same manner as a non jury trial in a state district court. VII. Burden of Proof The employee shall have the burden of proof by a preponderance of the evidence to show that the previous disciplinary decision and/or decision on the employee grievance was improper or unwarranted. Formatted: Indent: Left: 0" VIII. Evidence at the Hearing The Texas Rules of Civil Evidence shall apply at the hearing. Any written information and findings, or oral testimony, concerning the disciplinary and/or grievance hearing which is subject to the appeal is presumed to be admissible. IX. Recording of Proceedings The District will have the proceedings recorded on its audio recording system, same as with any other meetings of the District’s Board of Directors. Should the affected employee desire a copy of such proceedings, the employee may make arrangements to have a duplicate recording made at the employee’s expense, or may, at the employee’s expense make arrangements to have a certified court reporter prepare a transcript of the proceedings from such recording. X. Costs Each party shall bear its own costs not herein specified. XI. Time Limits for Proceeding and Arguments The Board shall consider the needs of the employee when determining time for evidence and information to be presented, but shall have the ability to set time limits to conduct the hearing. The Board shall allow 10 minutes for argument to each side after all evidence and information has been presented. The employee shall be allowed to argue first and may reserve a portion of his 10 minutes for rebuttal after the other party has presented argument. The Board shall have the right to extend more time for argument when it is deemed necessary due to complexity of the issues or evidence, and such extension is solely at the Board’s discretion. XII. Decision The Board shall carefully consider the evidence and deliberate thereon as is necessary, and following such deliberations shall make an effort to announce a decision at the conclusion of the hearing; however, the Board may, at the discretion of the Board, postpone a decision until the next scheduled Board meeting if the Board needs more time to decide the issue. The Board may include findings of fact supporting its decision and may reverse a prior decision by the Chief Executive Officer or supervisor on the matter being appealed, or may or uphold the previous disciplinary decision. The decision of the Board shall be reduced to writing and a copy of such decision shall be mailed to the affected employee by the Chief Executive Officer as soon as possible following the Board’s issuance of a decision. A copy of the Board’s decision shall also be placed in the affected employee’s personnel file. Following the Board’s decision on the appeal, the Board, absent extraordinary circumstances or new evidence, will not reconsider its decision. Policy #: 10-504 DISCIPLINARY AND GRIEVANCE PROCEDURE Revision: October 28, 2008 General Information MCHD recognizes that in any organization differences of opinion about the way policies are interpreted and applied are bound to occur. MCHD also believes that discussing and settling these differences promptly and fairly will make the District more efficient and a better place to work for all employees. Therefore, any employee may use the grievance procedure after the complaint procedure (See section 10-501) is exhausted and an employee subject to disciplinary actions may use the disciplinary hearing process set out below. The process set forth below is the exclusive remedy and procedure for an employee grievance or disciplinary appeal. A. Disciplinary and Grievance Procedure Level I. If the employee is dissatisfied with the results of the complaint procedure, the employee must file in writing, a grievance with the MCHD Chief Executive Officer within five (5) days of the completion of the complaint procedure. If an employee is dissatisfied with a disciplinary action, the employee must file in writing, a request for a disciplinary hearing with the MCHD Chief Executive Officer within five (5) days of the disciplinary action. THE FAILURE OF AN EMPLOYEE TO TIMELY REQUEST A HEARING WITHIN THE TIME PERIODS SET FORTH IN THIS POLICY SHALL RESULT IN THE IMMEDIATE DISMISSAL OF THE MATTER AND A BAR TO FURTHER PROCEEDINGS ON SUCH MATTER. The Chief Executive Officer shall conduct a hearing within Ten (10) days of the request and according to the following rules: 1. The Chief Executive Officer shall review the grievance or disciplinary action taken, or at the discretion of the Chief Executive Officer and with consent of the affected employee, the Chief Executive Officer shall appoint a Peer Review Committee, consisting of the number and members of the Chief Executive Officer’s choice to review the grievance or prior disciplinary action taken and make advisory findings and recommendations. 2. The Chief Executive Officer or Peer Review Committee shall conduct a hearing with the affected employee to allow the employee to express his or her opinions or information concerning the issue. 3. The affected employee shall have the right to bring a third party to the hearing as a representative or simply to help clarify the issues. 4. The hearing may be recorded at the discretion of the Chief Executive Officer. 5. The hearing process shall be designed to make immediate attempts to resolve the affected employee’s issues. However, the Chief Executive Officer or Peer Review Committee may recess the hearing in order to investigate or gather pertinent information concerning the issues of the hearing. In no event shall a recess last more than fifteen days. 6. If the hearing is conducted by a Peer Review Committee the Committee shall make a recommendation in writing to the Chief Executive Officer. The Chief Executive Officer shall consider the recommendations of the Peer Review Committee in making a final decision. If there is no Peer Review Committee, the final decision shall be made by the Chief Executive Officer. The final decision of the Chief Executive Officer may include any remedial actions available within the personnel policies of MCHD, dismissal of the matter in favor of the employee, or finding upholding the prior disciplinary action or action taken with respect to the employee grievance. Employee Disciplinary Appeal And Grievance Appeal Procedure Level II I. Applicability This employee disciplinary appeal and/or employee grievance appeal procedure applies only to an employee who requests to appeal a disciplinary hearing decision and/or grievance appeal decision following exhaustion of the Level I appeal of such matter to the Chief Executive Officer. It does not apply to any other employee issues. II. Request for a Hearing In order to appeal the decision of the Chief Executive Officer following his/her decision on the Level I appeal, not later than the 15th day after the date of the Level I employee disciplinary hearing decision and/or grievance appeal decision is rendered, the employee must file a written request for hearing with the Administrative Liaison to the MCHD Board of Directors, with copies of such request to the Chief Executive Officer and to the Human Resources Director. The request must: (i) contain a request for an appeal to before the MCHD Board of Directors; (ii) identify the employee who is requesting the appeal; (iii) identify the nature of the prior disciplinary action; and, (iv) provide a brief factual narrative of the employee’s basis for taking the appeal. THE FAILURE OF AN EMPLOYEE TO TIMELY REQUEST AN APPEAL HEARING TO THE BOARD WITHIN THE TIME PERIOD SET FORTH IN THIS POLICY SHALL RESULT IN THE IMMEDIATE DISMISSAL OF THE APPEAL AND A BAR TO FURTHER PROCEEDINGS ON SUCH APPEAL BY THE DISTRICT. IN SUCH INSTANCE, THE DECISION RENDERED AT LEVEL I SHALL CONSTITUTE THE FINAL DECISION OF THE DISTRICT ON SUCH APPEAL. III. Date and Location of Hearing to be Held In most instances, the hearing on such appeal will be held within 30 days of the date of notice of appeal, at the next regularly scheduled meeting of the MCHD Board, to the extent sufficient time exists between the District’s receipt of the appeal notice and the next scheduled Board meeting for such appeal to be properly noticed for discussion and action by the MCHD Board. At the discretion of the Board Chairman, the appeal hearing may be heard by the MCHD Board at a later date than the next scheduled Board meeting, should such be necessitated due to the need of the Board to attend to other Board business, or conduct additional investigations necessary to prepare for such appeal hearing. The hearing will be held at the location of the MCHD Board meeting. The MCHD Board may extend the time to conduct the hearing when deemed necessary by the MCHD Board. Written notice of the appeal hearing date and location shall be provided by the Chief Executive Officer to the affected employee at least three (3) days prior to the hearing. IV. Privacy of Hearing The hearing will be conducted as in closed session under Section 551.074 of the Texas Open Meetings Act; however, the Board’s decision following the conclusion of the presentation of the appeal evidence shall be made in an open session following the closed session. The employee may request that the appeal hearing be held in open session as a public meeting, and in such instance the Board will take testimony, consider the evidence and merits of the appeal and shall deliberate thereon in open session. Nothing herein shall preclude the Board from seeking legal guidance and consultation from its attorney in closed session at any time in connection with the appeal. V. Powers of the Board The hearing shall be lead by the current Board Chairman and he/she will have the power to administer oaths, maintain decorum, schedule and recess the proceedings, admit or disallow evidence, and make other rules necessary for the orderly procedure of the appeal. VI. Employee Rights At the hearing the employee shall have the right to: 1. Hear and present evidence or information which forms the basis of the previous disciplinary decision. 2. Present any evidence or information concerning the issue. The hearing is not subject to the Administrative Procedure Act. The hearing shall be conducted in the same manner as a non jury trial in a state district court. VII. Burden of Proof The employee shall have the burden of proof by a preponderance of the evidence to show that the previous disciplinary decision and/or decision on the employee grievance was improper or unwarranted. VIII. Evidence at the Hearing The Texas Rules of Civil Evidence shall apply at the hearing. Any written information and findings, or oral testimony, concerning the disciplinary and/or grievance hearing which is subject to the appeal is presumed to be admissible. IX. Recording of Proceedings The District will have the proceedings recorded on its audio recording system, same as with any other meetings of the District’s Board of Directors. Should the affected employee desire a copy of such proceedings, the employee may make arrangements to have a duplicate recording made at the employee’s expense, or may, at the employee’s expense make arrangements to have a certified court reporter prepare a transcript of the proceedings from such recording. X. Costs Each party shall bear its own costs not herein specified. XI. Time Limits for Proceeding and Arguments The Board shall consider the needs of the employee when determining time for evidence and information to be presented, but shall have the ability to set time limits to conduct the hearing. The Board shall allow 10 minutes for argument to each side after all evidence and information has been presented. The employee shall be allowed to argue first and may reserve a portion of his 10 minutes for rebuttal after the other party has presented argument. The Board shall have the right to extend more time for argument when it is deemed necessary due to complexity of the issues or evidence, and such extension is solely at the Board’s discretion. XII. Decision The Board shall carefully consider the evidence and deliberate thereon as is necessary, and following such deliberations shall make an effort to announce a decision at the conclusion of the hearing; however, the Board may, at the discretion of the Board, postpone a decision until the next scheduled Board meeting if the Board needs more time to decide the issue. The Board may include findings of fact supporting its decision and may reverse a prior decision by the Chief Executive Officer or supervisor on the matter being appealed, or may or uphold the previous disciplinary decision. The decision of the Board shall be reduced to writing and a copy of such decision shall be mailed to the affected employee by the Chief Executive Officer as soon as possible following the Board’s issuance of a decision. A copy of the Board’s decision shall also be placed in the affected employee’s personnel file. Following the Board’s decision on the appeal, the Board, absent extraordinary circumstances or new evidence, will not reconsider its decision.