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MEMORIAL MEDICAL CENTERCOMMISSIONERS COURT APPROVAL LIST FOR----- January 26, 2012MEMORIAL MEDICAL CENTER OPERATING FUNDMEMORIAL MEDICAL CENTER WEEKLY CHECKSDate Approved by County Auditor (See attached 20121/19/20121/19/2012Weekly PayablesPatient RefundsWeekly PayablesWeekly PayablesWeekly PayablesPatient RefundsWeekly PayablesWeekly PayablesPatient RefundsWeekly PayablesWeekly PayablesCOMMISSIONERSPatient RefundsWeekly PayablesTotal Payables and Patient Refunds . VEDAPPROJAN 2 6 14,206.966,760.34160,877.071CALHOUN COUNTY' : COURT 551,978.541,632.2634,850.44 1,385,930.91MEMORIAL MEDICAL CENTER PAYROLLDate of Payroll Run & Date Liability Called In (See attached lists)12/20/201112/27/20111/3/20121/10/2012Net PayrollPayroll LiabilitiesNet PayrollPayroll LiabilitiesTotal Net Payroll & Payroll Liabilities218,029.6870,976.96206,229.4269,189.65 GRAND TOTAL OPERATING FUNDTOTAL INDIGENT HEALTHCARE FUND EXPENSES564,425.71 1,950,356.62 74,801.68Total brought forward from next pageAPPROVED INDIGENT HEALTHCARE FUND EXPENSESIGRAND TOTAL BILLS APPROVED 1/26/2012 50,000.00 2,ooo,356.62I
MEMORIAL MEDICAL CENTERCOMMISSIONERS COURT APPROVAL LIST FOR---- January 26,2012INDIGENT HEALTHCARE FUND:INDIGENT EXPENSESCoastal Medical ClinicCommunity Pathology AssociatesHEB Pharmacy (December)Memorial Medical Center (Out-patient 7,483.52 ER 12,007.60 In-patient 43,363.34)Port Lavaca ClinicRadiology Unlimited PASUBTOTALMemorial Medical Center (Indigent Healthcare Payroll and Expenses)!TOTAL INDIGENT HEALTHCARE FUND EXPENSES**Difference Absorbed by Memorial Medical CenterITOTAL APPROVED INDIGENT HEALTHCARE FUND ,626.819,174.8774,801.68124,801.685o.ooo.oo 1** 200 in Co-Pays were collected by Memorial Medical Center in December
RUN DATE:TIME:12/21/1115:28PAGE:1APOPENMEMORIAL MEDICAL CENTERAP OPEN INVOICE LIST THRU DUE DATE OF NVOICE# TRN DT.INV DT.DUE DT.CK DT PC GROSS DISC . NO-PAY NET10141 LAWSON PRODUCTSSUPPLEIS DIETARY10172 US FOOD SERVICESUPPLIES DIETARYSUPPLIES DIETARYSUPPLIES DIETARYSUPPLIES DIETARYSUPPLIES DIETARYSUPPLIES DIETARYSUPPLIES DIETARYSUPPLIES DIETARYSUPPLIES DIETARYSUPPLIES DIETARYSUPPLIES DIETARY10204 PHARMEDIUM SERVICES LLCPHARMACEUTICALS10239 T&R MECHANICALCHILLER REPAIR10297 ARUP LABORATORIESOUTSIDE SERVICE LAB10341 JENISE SVETLIK /FLEX SPEND REIMBURSEMENT10350 CENTURION MEDICAL PRODUCTSSUPPLIES CS INVENTORYSUPPLIES CS INVENTORY10374 HARDY DIAGNOSTICSSUPPLIES LAB10394 WILLIAM E HEIKAMP, TRUSTEEEMPLOYEE DEDUCTION10429 WILLIAM E HEITKAMP, TRUSTEEMPLOYEE DEDUCTION161.17161.17.00.00161.17/161.17TOTALS ,, , ,, , .00.00.003033.74/353.14 00.42/3977.40/12432.92A553590120911 113011 123011TOTALS., . , ,., . . . :144.20144.20.00.00144.20 ./144.20Bll-0541121911 120811 ,:6031.606031.60.00.006031.606031.6050376474113011 120111 123111TOTALS 61.24 /4761.2423629122011 122011 122011TOTALS 26 /648.2690896415113011 112811 12281190898544120911 113011 ,:383.49708.501091.99.00.00.00383.49/708.50 ./1091.99082971-0113011 113011 123011TOTALS , . . , :33.9233.92.00.0033.92 /33.9218001122011 122011 122011TOTALS , 21911 110911 120911TOTALS.,,,,.,., . 112122011 122011 122011TOTALS , , :10441 MMC EMPLOYEE BENEFITSWEEKLY CLAIMS17994122011 122011 122011II
RUN DATE:TIME:12/21/1115:28PAGE:2APOPENMEMORIAL MEDICAL CENTERAP OPEN INVOICE LIST THRU DUE DATE OF NVOICE# TRN DT.INV DT.DUE DT.CK DT . PC GROSS . DISC NO-PAY NETWEEKLY CLAIMS10477 PURE FORCESUPPLIES DIETARYSUPPLIES DIETARYSUPPLIES DIETARY10478 LESLIE ANN SOLISEMPLOYEE DEDUCTION10536 MORRIS & DICKSON CO, ARMACEUTICALSPHARMACEUTICALSPHARMACEUTICALS10541 !PC, INCSUPPLIES LAB10590 BETHANN DIGGSTRAVEL EXPENSE10598 GLENN CRISPTRAVEL EXPENSE10606 PENLON, INCINSTRUMENT REPAIR10629 QUEST DIAGNOSTICSOUTSIDE SERVICE10632 JACKSON NURSE PROFESSIONALCONTRACT NURSE10639 TX CHILD SUPPORT SDUEMPLOYEE DEDUCTION10650 CAREFUSION 2200, INCINSTRUMENT SURGERY4233.44-/21909.02122011 122011 12201118006TOTALS ,,,,,,,,,,,,,,,,., . , :4233.4421909.02.00.00113011 112811 12281171804707223292113011 113011 123011113011 120111 1230117242131TOTALS., , , . . :121.8059.7693.81275.37.00.00.00.00121.80 /59.76::/93.81275.37122011 122011 12201118000TOTALS.,,,,.,., . . ,,., . . :177.69177.69.00.00177.69,./177.69122011 121411 12251128808912880893122011 121411 1225112882394122011 121411 1225112882395122011 121411 1225112886235122011 121511 1225112886236122011 121511 122511TOTALS . . 97250.90130733122011 112111 122111TOTALS., ,., , ,, , , , :126.53126.53.00.00126.53.,/126.5323628122011 121611 122011TOTALS . , . , ,.,.,.,.,, , . , . ,:13.3213.32.00.0013.32 /13.32122011 121111 12211123626TOTALS , ,.,, 20911 120211 010112TOTALS.,,., ,,., , , , , , :788.80788.80.00.00788.80/788.809141004776122011 112511 122511TOTALS.,,,, ,,,, , , ,.,, ,., :47.2047.20.00.0047.20/47.2044553384122111 121011 121011TOTALS , , . 011 122011 122011TOTALS., . ,,,,,.,., ,., ,.,,,:184.84184.84.00.00184.84 /184.8431.47.009103217857120911 112811 12281150.09 31.47/
RUN DATE: 12/21/11TIME: 15:28PAGE:3APOPENMEMORIAL MEDICAL CENTERAP OPEN INVOICE LIST THRU DUE DATE OF 01/03 / 12VENDt.NAME . . . . . . CLS.INVOICEt TRN DT.INV DT.DUE DT.CK DT . PC . . . GROSS DISC . NO-PAY . . . NETINSTRUMENT SURGERY10676 AMNISURE INTERNATIONAL, LLSUPPLIES LAB.00.002097.692097.69.00. 002097 . 69 , /2097 . 691210367597122011 110311 120311TOTALS . . . . . :199.80199.80.00.00199.80 ./199 .8023632 122111 122011 122011TOTALS . .'. :t . : ":'. . . :7.657. 65.00.007. 65 .7. 65 :25.2485.95111.19.00.00.0025.24 /85.95.,/111.19'228.1018. 55246 . 066.00. /6066 . 0000144342121911 113011 123011TOTALS . . . . . . . . . :9071.009071.00.00.009071.00 ,./9071.00107191747121911 112911 122911108226408121911 113011 123011TOTALS . . . :84.021890.771974.79.00.00. 0084.02,11890.77 /1974.79%325.00325 . 00.00. 00325 . 00 /325.00365619122011 111811 121811TOTALS . , ,., . . :9.899.89.00.009.899.8933.3033.30.00.0033.30 /33.30156.88.00156.88 /122011 113011 12301100718681TOTALS 10682 BIOMERIEUX, INCPHARMACEUTICALS10683 SHERRON LAMINACK, RTA/RTCGLADEWATER UNIT TAXA1292 PORT LAVACA HARDWARECARDIO RENOVATIONCARDIO RENOVATIONI I w 066166TOTALS A1360 AMERISOURCEBERGEN DRUG CORPHARMACEUTICALSw 037-344937PHARMACEUTICALS037-346445TOTALS I I tII ' ' I:113011 112811 122811121911 112911 122911066185IIt t ' I I '122011 121411 122511122011 121511 122511I' ''IIIt I'I II ' I I I II :A1553 APPLIED CARDIAC SYSTEMSPM CONTRACT HOLTER SYS 3Y M 23624 121911 120711 122311TOTALS . : . ! J. P. RR . . :t . tAl571 AMERICAN HOSPITAL ASSOCIATAHA DUES F/MEMBER SERVICEA1680 AIRGAS-SOUTHWESTMEDICAL GASMEDICAL GASM104.98 j136.45104. 98136.459103231218121911 120211 010112TOTALS . . . . . , . . :A1787 AMERICAN COLLEGE OF HEALTHMEMBERSHIP DUESw 12379818TOTALS A2218 AQUA BEVERAGE COMPANYSUPPLIES LABMA2252 NADINE GARNERTRAVEL EXPENSEw 23625B0345 BALDWIN COOKEOFFICE SUPPLIES ADMINw 3012509110811 102811 123111I I I t II I II III I I t 121911 111411 121,11TOTALS . . . , . . , ,.,.,, ,, ,.,, . , :120911 112911 122811I
RUN DATE:TIME:PAGE:4APOPENMEMORIAL MEDICAL CENTERAP OPEN INVOICE LIST THRU DUE DATE OF 01/03/1212/21/1115:28VEND#.NAME CLS.INVOICE# TRN DT.INV DT.DUE DT.CK DT PC . GROSS DISC . NO-PAY . NET156.88.00156.98113011 112811 122811M 33059239TOTALS , :318.67318.67.00.00318.67/318.67M 102583525122011 112911 122911102591245122011 120211 010112102594512122011 120511 010312102594514122011 120511 010312102595044122011 120611 010312102597516122011 120611 010312102601162122011 120811 010312102601736122011 120811 0103125252751122011 113011 123011TOTALS . , .00.00.00311.74./450.00/1198.3V8418.08/15890.23 ./I.:72.8572.85.00.0072.8572.851111006G122011 111611 1116111111006K122011 101811 111811TOTALS ,.,.,.,.,.,,,,,,,.,.,,,,,,,,,,.,, 030 CAL COM FEDERAL CREDIT UN!EMPLOYEE DEDUCTIONw 17997122011 122011 122011TOTALS , ,:25.0025.00.00.0025.00/25.003301122111 111711 121711TOTALS ,, ,, , :1663.001663.00.00.00M 531555121911 103111 113011TOTALS ,.,,, , . . , . . . . , . :297.06297.06.00.00297.06/297.06M 71343120911 113011 123011TOTALS , , ,.,.:250.00250.00.00.0025o.oo/250.00M 2014936122011 040109 0501092741590122011 120811 010312TOTALS ,.,., ,,.,.,,., ,,.,.,,,,.,.,, . 7.9529.50.00.00TOTALS B1075 BAXTER HEALTHCARE CORPSUPPLIES CS INVENTORYB1220 BECKMAN COULTER INCOUTSIDE SERVICES LABOUTSIDE SERVICE LABOUTSIDE SERVICE LABOUTSIDE SERVICEOUTSIDE SERVICE LABOUTSIDE SERVICE LABOUTSIDE SERVICE LABOUTSIDE SERVICE LABLEASE LABI. I IB1230 BECKWITH ELECTRONIC ENGINEREPAIR ERM E15133TOTALS C0399 CORPUS CHRISTI PROSTHETICSSUPPLIES SURGERYSUPPLIES SURGERYC1276 CARROLL SIGN MASTERSCARDIO RENOVATIONC1410 CERTIFIED LABORATORIESSUPPLIES DIETARYC1443 CYGNUS MEDICAL LLCSUPPLIES SURGERYC2157 COOPER SURGICAL INCSUPPLIES SURGERY CREDITSUPPLIES SURGERYC2510 CPS!PRIVATE PAY SERVICESTATEMENT PROCESSINGwM 691227691501I I I . I l l II :120911 120211 010112I I I. I.III. I I I121911 120711 120711121911 120811 120811 I 3082.98 716.9 726.05382.13/36176.29J1663.00 /1663.009337.95129.50
RUN DATE:TIME:PAGE:5APOPENMEMORIAL MEDICAL CENTERAP OPEN INVOICE LIST THRU DUE DATE OF 01/03/1212/21/1115:28VEND#.NAME . CLS.INVOICE# TRN DT.INV DT.DUE DT.CK DT PC GROSS DISC . NO-PAY . . NET692912122111 121311 121311TOTALS . :143.859511.30.00.00143.85/9511.30121911 110311 120311310917TOTALS . :37.1037.10.00.0037 .1o./''37.10D1125 AMY DAY122011 122011 122011FLEX SPEND REIMBURSEMENT w 23630TOTALS . 00.00709.93/672.48:1201.59752.53 V'89.812015.90/8065.470170977-IN121911 120111 010112TOTALS :450.00450.00.00.00450.00/450.007363222122111 120911 010811TOTALS . . . . . . :171. 00171.00.00.00171.0;171.007729583120911 112911 122911TOTALS '157.7922.95 /219.443696.81.003696.W/OUTSIDE SERVICE ACCOUNTIND0356 D1 S OUTDOOR POWER EQUIP INREPAIR GROUNDSD1153 DARLING INTERNATIONAL INC.GREASE PICK UPF1400 FISHER HEALTHCARESUPPLIES LABSUPPLIES LABSUPPLIES LABSUPPLIES LABSUPPLIES LABSUPPLIES LABSUPPLIES LABSUPPLIES LABSUPPLIES LAB500:2110874121911 112311 122311TOTALS . . . :M 22011122011122011TOTALS F1653 FORT BEND SERVICES 1 INCMONTHLY CONTRACTG0120 GE MEDICAL SYSTEMS 1 INFO TSERVICE CONTRACTG1001 GETINGE USASUPPLIES SURGERYG1210 GULF COAST PAPER COMPANYSUPPLIES HOUSEKEEPINGM 307530TOTALS H0030 H E IETARYH0416 HOLOGICSUPPLIES 0112010312010312 :113011 112911 122911I I I ' II. I I. III. I I . III:M 911872121911 120111 010112913436121911 120211 010112913450121911 120211 010112TOTALS :6386846121911 113011 123011385.38 3123.89113.96
RUN DATE:TIME:12/21/1115:28PAGE:6APOPENMEMORIAL MEDICAL CENTERAP OPEN INVOICE LIST THRU DUE DATE OF 01/03/12VEND#.NAME ,,,,,,,,,,,,,,,,,,,,,,,,,CLS.INVOICE# TRN DT.INV DT.DUE DT.CK DT PC . . GROSS DISC NO-PAY . NET3696.81TOTALS ,,,., ,,,.,., ,,,,,,,,, . , :3696.81.00H1148 HEALTH FORCE MEDICAL STAFF113011 112811 122811CONTRACT NURSE MED/SURG w 7532TOTALS ,,,,,,,.,,,,,, :911.88911.88.00.00911.88 . /911.88120911 113011 1229110025624041TOTALS., ,.,,,,,,,,,,,,,,,,,,,,, :149.19149.19.00.00149.19149.19122011 120111 123111M 3057302TOTALS.,,, . ,,,,,,,,,,, ,,,,,,,,, ,,,:299.82299.82.00.00299.82/299.82!1100 INSTRUMENTATION LABORATORYSUPPLIES LAB122011 113011 123011M 9100923943SUPPLIES LAB9100924886122011 120111 123111TOTALS.,,,,, . 9.00.00.00/1033.54/98.751132.29906696963113011 112811 122811906715342120911 113011 415 INDEPENDENCE MEDICALSUPPLIES CS INVENTORY!0950 INFOLAB INCSUPPLIES LABJ1400 JOHNSON & JOHNSONSUPPLIES SURGERYSUPPLIES SURGERY/JL1288 LANGUAGE LINE SERVICESINTERPRETATIONw2847845120911 113011 ,:210.80210.80.00.00210.80/210.80M2499 MEDTRONIC USA, INC.SUPPLIES CS INVENTORYw2507316420120911 113011 123011TOTALS ,,,,,,,,,,,,.,,,.,, . , ,,., , . ,,.,:135.80135.80.00.00135.80 /135.80M3866 MUSTAIN & ASSOCIATESCOLLECTIONSwOCT2011121911 110111 120111TOTALS 56/495.561854413113011 111711 1217111855727113011 112811 1228111855879113011 112811 1228111856837113011 112911 1229111856842113011 112811 1228111857080120911 113011 1230111857115120911 113011 1230111857183120911 113011 1230111857210120911 113011 1230111857828120911 113011 123011120911 113011 12301118578291856624121911 112911 122911TOTALS , .582470.12 580.4290.23 18.89 )53.46110.401610.5215.38/79.68 /5486.641953433.92.003433.92 ./OM425 OWENS & MINORSUPPLIES ERSUPPLIES CS !NV I ERSUPPLIES CS INVENTORYSUPPLIES VARIOUSSUPPLIES SURGERYSUPPLIES SURGERYSUPPLIES SURGERYSUPPLIES ERSUPPLIES CS INVENTORYSUPPLIES VARIOUSSUPPLIES SURGERYSUPPLIES CS INVENTORYP2100 PORT LAVACA WAVEADVERTISINGw113011 112811 122811283.85 j
RUN DATE: 12/21/11TIME: 15:28PAGE:7APOPENMEMORIAL MEDICAL CENTERAP OPEN INVOICE LIST THRU DUB DATE OF 01/03/12VENDt.NAME . . . . . . CLS.INVOICE# TRN DT.INV DT.DUE DT.CK DT . PC . . GROSS . DISC NO-PAY . NETADVERTISEMENT199121411 113011 123011P2200 POWER ELECTRICSUPPLIES BIOMEDSUPPLIES PLANT SERVICEDEPT REPAIR LABDR OFFICE RENOVATION18.929.072.9811.0842.05.00.00.00.0018.92 /9.07.-/2.98 1/"11.08/42.0591.0891.08. 00.0091.0891.08564.68564.68.00. 00564.68 05998.00.00.00.00-486.00: /6484.005998.00t t t t 2264121911 113011 123011'l'OTALS . . . . . . . . .80.oo. 00466.80 /466.8017999122011 122011 122011'l'OTALS . . . . :197.08197.08.00.00197.08 /197.0824625166.50166.50.00.oo166.50 /166.5059.95. 0059.95 I121911121911121911122011156842156904156798TOTALS I III I P2370 PROGRESSIVE DYNAMICS MEDICSUPPLIES SURGERYM 128497R1321 RECEIVABLE MANAGEI1ENT, INCCOLLECTIONSw 110111-113011TOTALS ' III I112911113011010211112811 I I I II :122911123011010112122811 t ' 'II I :I.I I. I ' :121411 113011 123011t. '' I. III III I :18003122011 122011 122011'l'OTALS . . . :S2400 SO TEX BLOOD &TISSUE CENTBLOOD BANK CREDITM 20115602SUPPLIES BLOOD BANK20115663122011 120211 010112122011 120211 010112TOT.ALS I IIIt 'IM 112010599112080504'l'O'l'.ALS83960 STERICYCLE, INCOUTSIDE SERVICET0500 TEAM REHABINTERIM BILLINGw 23633T0801 TLC STAFFINGCONTRACT NURSEw 9683-1ttt I II 'III I :121911 120111 122111121911 120811 122811ttttttttttttt tt t t t t t t t tttttttttt122111 122011 122011TOTALS . . . . :TOTALS T1751 TEXAS CHILD SUPPORT SDUEMPLOYEE DEDUCTIONwT1900 TEXAS ELECTRICAL SUPPLYSUPPLIES PLANT OPSM113011 112911 122911I TOTALS T2230 TEXAS WIRED MUSIC INCMUSIC SRVI 120911 112911 122911TOTALS ' S2951 SYSCO FOOD SERVICES OFSUPPLIES DIETARYSUPPLIES DIETARY388; ,,;.00.00t 'w 156825R1469 MARIA D RESENDEZEMPLOYEE DEDUCTION55'3.5 3987.427421.34TOTALS w A652020 IIIll .I t I I ' . :122011 120611 120611I II I121911 120111 120111 :.oo7U1.!4.3:tr7.'fz/901.03 789.04 .,/789.04/15000.0015000 ,00/
RUN DATE:TIME:PAGE:8APOPENMEMORIAL MEDICAL CENTERAP OPEN INVOICE LIST THRU DUE DATE OF 01/03/1212/21/1115:28VEND#.NAME . CLS.INVOICE# TRN DT.INV DT.DUE DT.CK DT PC GROSS DISC . NO-PAY . NETMARKETING ON HOLDA652021121911 120111 120111TOTALS :73.95133.90.00.0073.95 /133.9018004122011 122011 122011TOTALS . . :143.82143.82.00.00143.82 . /143.82113011 113011 123011TOTALS . . :3922.003922.00.00.00M 5980231R1120911 113011 123011TOTALS . :61.4961.49.00.0061.49/61.49T3130 TRI-ANIM HEALTH SERVICES ISUPPLIES CARDIOM 60525410122011 120711 122711TOTALS . . . . :108.37108.37.00.00108.37/108.378150552557113011 112911 122911TOTALS . :32.5432. 54.00.00U1056 UNIFORM ADVANTAGEEMPLOYEE PURCHASE SCRUBS W 4193517120911 112811 122811TOTALS , :170.98170.98.00.008400117805113011 112911 1229118400117806113011 112911 1229118400117807113011 112911 1229118400117808113011 112911 1229118400117809113011 112911 1229118400117810113011 112911 1229118400118006120911 120211 0101128400118007120911 120211 0101128400118493121911 121311 011211TOTALS . 702313.80.00.00.00.00.00.00.00.00.00.00U1400 UNITED WAY OF CALHOUN COUNEMPLOYEE DEDUCTIONw 17996122011 122011 122011TOTALS . :144.50144.50.00.00W 11M457811122011 113011 123011TOTALS . :26.0026.00.00.0023627122011 121511 121511TOTALS , . o/T2303 TGEMPLOYEE DEDUCTIONwT2539 T-SYSTEM, INC.TSYSTEM ERw 3533T3050 TRANE COMPANYDEPT REPAIR MED SURGU1054 UNIFIRST HOLDINGSLAUNDRY MAINTENANCEU1064 UNIFIRST HOLDINGS INCLAUNDRY HOSPITAL LINENLAUNDRY HOUSEKEEPINGLAUNDRY PLAZALAUNDRY DIETARYLAUNDRY OBLAUNDRY HOUSEKEEPINGLAUNDRY HOSPITAL LINENLAUNDRY SURGERYLAUNDRY OBU1500 UROLITHIASIS LABORATORYOUTSIDE SERVICEU2000 US POSTAL SERVICEBUSINESS REPLY PERMITV0552 VERATHON INCINSTRUMENT MED/SURGw122011 120711 0106113922.00/3922.0032.5 32.54170.98 /170.98680.36/174.44/180.7V'/111.24/86.70/44.23 /608.78340.57 /86.70/2313.80144.50 /144.5026.00/26.00
.IDATE: 12/21/11TIME: 15:28PAGE:9APOPENMEMORIAL MEDICAL CENTERAP OPEN INVOICE LIST THRU DUE DATE OF 01/03/12VEND#.NAM!,,,,,,,,,,,,,, ,,,,,, ,,,,,, ,CLS.INVOICE# . . . TRN DT.INV DT.DU! DT.CK DT PC . GROSS . OISC NO-PAY . . . . NETTOTALS .VOSSS VERIZON lJl SUE WILLIAMSIII I III' I I I.I. I II :M 5512513120711122011 120711 0101125526713120711122011 120711 0101125528103120711122011 120711 0101125537803120711122011 120711 010112TOTALS . ,,, , . . . . . . . . ,.:950.00.00234 'f .78- 2H.u1281.3s./47.71 . ,293.05 .,/--J.iiUO-l8 1!.f,g'\IFLEX SPEND REIMBURSEMENT23631122011 122011 122011TOTALS GRANDI I I . I I II I I I:TOTALS , , , , , , , , , , , , , , , , , , , , , , , , , , :157.51157.51.00.00194581.95.00157.51/157.51C ts 14(p 4'A(r; o ()\-. ) /SSt. o)ft '\ 1/ l . '11:it l (o51'11/ :JIli(p '!61 - 3oo.tPI Cf 11 'iblo -;1.Jl;'f& '111i:l/ l/(p'/90APPROVED\ll 11 ID ;t. ./1M J.J @/ jMichael J . PfeiferCalhoun County JudgeOate: j:l- -J.-f& .,.l/DEC 2 2 2011COUNTY AUDITOR C.;:. 14lo 4 54 \) o \ b d Q.A'\d re - SS' A-ed c c.or r ec.oo\-U.s. Pos-\o. \c.K ) L\{o538'\J of"Se-r \l c.e, u.s . ssRe.r'1 t'-\ Q.i l1\c.c-\ ·( \ "'\ s C.\{. o.AJui l Wi. o c provedOf\ c. llc,t' wo.s i "cl wj /,2.ob c.K, o LA. Pos F"orSe -.J c.e. .(!oc- f oS-\-A5e. , c:t :J. c.cc:&.-te. c-"S C.o""t v. cA"" U'le.ra. e.d one so /SCo wen -h f''S.n:.Jt. q. ot . oCk -s .' I J W4 S n c.c/e.J)
RUN DATE: 12/21/ 11TIME: 15:41PATIENTNUMBERPAYEE NAMEMEMORIAL MEDICAL CENTEREDIT LIST FOR PATIENT REFUNDS ARID 0001DATEPAY PATAMOUNT CODE TYPE DESCRIPTION4s .oo /101.19 /283.20 /283.32 ./1047.46/391. 88 /1oo9.6oI1012.10I1151.36\/"807 . 68 /184.49255.41/40o.oo/1631. as/47.84/IPAGE 2APCDEDITGL NUM
RUN DATE: 12/21/ 11TIME: 15:41MEDICAL CEm'EREDIT LIST FOR PATIENT REFUNDS ARID 0001MEMORIALPATIENTNUMBERPAYEE NAMEDATE122111ARID 0001 TOTALPAY PATAMOUNT CODE TYPE DESCRIPTION62. 28 /122111175.67/122111151.46 /122111111.59 /9753.14TOTAL9753.14 K s :U / (o51 t-OAPPROVED 4 '531DEC 2 2 2011COUNTY AUDITORPAGE 3APCDEDITGL NUM
RUN DATE: 12/21/11TIME: 15:41PATIENTNUMBERPAYEE NAMEMEMORIAL MEDICAL CENTEREDIT LIST FOR PATIENT REFUNDS ARID 0001DATEPAY PATAMOUNT CODE TYPE DESCRIPTIONPAGE 1APCDEDITGL NUM
RUN DATE: 12/28/11TIME: 14:40PAGE:1APOPENMEMORIAL MEDICAL CENTERAP OPEN INVOICE LIST THRU DUE DATE OF 01/10/12VEND#.NAME . . . . . . . . . CLS.INVOICE# TRN DT.INV DT.DUE DT.CK DT PC . . GROSS DISC . NO-PAY . NET10032 PHILIPS HEALTHCARE923574234121911 120911 010812TOTALS f.f?.l ie . : . .C,.kl- . :151.20151.20.00.00151.20 /151.20201505122011 120811 010712TOTALS . P, A.)r .-:".O.i?-: . . . :2005.252005.25.00.002005.25 v2005.25T755503122311 120111 123111TOTALS .\.\,( C .I.O . . . . . . . . . :1780.271780.27.00.001780.27/1780.27. .:293.75293.75.00.00293.75 /293.75B11· 0652 120911 120811 010712TOTALS., . . A.i r. . :": . # . \. k\:. l ! .f.:7680.007680.00.00.00768o.oo /7680.0018008010112 010112 010112TOTALS : .:. .- .\k f:-0"-. · . ,. , . :1827.821827.82.00.001827.82 /1827.8222688.5722688.57.00.0022688.57 /22688.57259.68719.68979.36.00.00.00259.68 /719 . 68979 . 3610042 ERBE USA INC SURGICAL SYST10101 RELAYHEALTH, INC.10204 PHARMEDIUM SERVICES LLCA555606122011 120611 010512TOTALS . O. .p.:. kL . eA. 10239 T&R MECHANICAL10326 PRINCIPAL LIFE10333 SUNTRUST EQUIPMENT FINANCE1434217122711 120711 010112TOTALS Q . 1'f)f?.\. :? I'Y.\ *.110350 CENTURION MEDICAL PRODUCTS90901658120911 120511 01041290903960121911 120711 010612TOTALS. f?. Ue.S . . -kr;- l . ;::J:;" f)'N f\ ort10381 CAREFUSION 211, INC3066359010417 ENTRUST INSURANCE &BENEFISC- 3-1121911 120511 010412122011 120711 010612183.56.003780.00.001.ooTOT :S"'"f.p.l:. . :-: . .; ,0 . t .V:3963.56@SQ.(' \,I\ c.a. A ,. 11/2.-o/'Z.oll o ,,,,. , 'l. 0 12.23647010112 010112 0101121:TOTALS,'r. .S. . . :V'0(i)183 . 56 , /37 80.00 984.00 .3984 . 007072.007072 .00.oo. 007072.00 /7072.00. 0012940.07/12940.0710488 GE HEALTHCARE IITS USA COR030000018433122311 111811 121811TOTALs. e .e. A." M-M .s.Q M . .Fe. e. ':t:"" s l\ eA."""10522 BIOMET INC ·"'"' ·121911 120711 01061204-133009TOTALS . ""'f .e,.'( ! .f·f . . . . 1·i ·.10528 RICK HART18010122711 122311 122911 e,4 M b - M. \ea. e.,. \ t'o.l n n Fe. e. 977.65 M oAe.r: a.\ S
RUN DATE: 12/28/11TIME: 14:40PAGE:2APOP!.NMEMORIAL MEDICAL CENTERAP OPEN INVOICE LIST THRU DUE DATE OF 01 /10/12VENDI.NAME . . . CLS,INVOICE# . . TRN DT.INV DT.DUE DT.CK DT PC GROSS . DISC NO-PAY . NETq]g,q3 977.65.00.00.00.00.00.00e. 8021.04 /-232.08 -36.16-70.38 /289.83/169.38/53 .26/32.97/B96.oo/-666.81/-4.81/-9.46 /-72.3116060.8813446122311 113011 123011TOTALS CJ,e.t . . . . :19555.0019555.00.00.0019555.00.,./19555.00U .40U.40.00.0044.40 /44.40122811 122311 0102123570002093560TOTALS . U. .:.1;,t. i .Q.: . . . . . :26041.1526041.15.00. oo26041.15 . /26041.151801130586.59.oo30586.59 /30586.59TOTALS I ' I :10536 MORRIS ' DICKSON CO, LLC2897097122311 121911 0110122897098122311 121911 0110122900111122311 122011 011012122311 122011 01101229001122901205122311 122011 011012CM20631122311 121611 011012122311 121911 011012CM21467122311 121911 011012CM220682904408122711 122111 0110122905526122711 122111 011012122711 122111 01101229061782911394122711 122211 0110122911395122711 122211 011012122711 122111 011012CM22717CM22718122711 122111 011012122711 122211 010112CM23279CM21468122811 121911 011012TOTALS H ; riA.\. . / \A;f.P,l .i.oo11893.05 /45.83 /339 .73 v10556 CPP WOUND CARE #28,LLC10598 GLENN CRISP23642122311TOTALS J.e ,.(. 1811011012. .:. . . :". PT10601 NOBLE AMERICAS ENERGY10647 MICHAEL J. DICLEMENTE, MD122711 122311 122911TOTALS. . H.G'.IAO.t' :\: f.4MMen* 30586.5910684 COASTAL BEND FITNESS SERVILe s.s 1.\.lf' ,.,.,. a PL. 00o.l rea.ckt pa.: cJ F"o( -4-o Re.P\o.l"77.50 . /77 .so77.5077.50.00.00. :200.00200.00.00066388121911 120811 010712TOTALs P.-. .t; . .: .Old. .CM.d.i.c. :32.2132.21.oo.0032.21. /32 .212309434.50.00H.50 /673 122311 113011 113011TOTALS . . \.(.' . , . .' ,. :10688 SAN ANTONIO ENAR18017122811 122811 122s11TOTALS · ': 't.( . . f .oo200.00 /200.00A1292 PORT LAVACA HARDWAREwA1350 ACTION LUMBERw121911 120711 010612
RUN DATE: 12/28/11TIME : U:40MEMORIAL MEDICAL CENTERAP OPEN INVOICE LIST THRU DUE DATE OF 01/10/12PAGE:3APOPENVEND#.NAME . ,, , ,,,, , ,.,,., . CLS.INVOIC!# ,, , TRN DT.INV DT.DUE DT.CK DT . PC ,, .GROSS DISC . NO-PAY ,,, . NET55.5490 . 04.00.0055.54 /90.04037-081274112911 110811 112511037-348304122011 121611 011012037-348305122011 121611 011012037-350581122011 121911 011012037-354879122711 122011 011012TOTALS . P. .p. '\ H\.t , / . .' f. f-l ;e.S-291. 925.08124.07294.2035.16166.59.00.oo.00.00. 00.00-291.92 ./5.08 ,1U.07 . /294.20 .35.16166.5912499288121911 120711 010 TOTALS ,, §. .r.\ ,4-. . ;-,,. 1?. ., , ., . ,'.S159.00159.00. 00.00159 . 00, /159.00221.50221.50.00.oo221.50 , /221.5023110 121911 120811 010712TOTALS.,, , P.fe .\ r. ,,,,, . ,., ,,,,,,.,, .1A1360 AM!RISOURC!BERGEN DRUG CORwvA1645 ALCON LABORATORIES INCMA1680 AIRGAS-SOUTHWESTM 107226465122311 113011 123011TOTALS, . eMt.,q., . , . .,,,,,. ,, , ., ., . ,:A1790 APLACw2364523646TOTALS. ,,122311 122311 122311122311 122311 122311 n al h . . . .t f.'?. . . . .:78.003440.843518.84.00.00.00M90803939122011 120811 010712TOTALS . t:'f.f! ,\l, . , , , , . . . ,., , , , :16.0016.00.00.0016.oo/16.00826431294X121920 122311 121111 010612TOTALS . 7:'f.:( hP.?. . :2.412.41.00.002.4V2
memorial medical center commissioners court approval list for-----january 26, 2012 memorial medical center operating fund memorial medical center weekly checks
