MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ----- April 25, 2013
MEMORIAL MEDICAL CENTER OPERATING FUND
MEMORIAL MEDICAL CENTER WEEKLY CHECKS
Date Approved by County Auditor (See attached lists)
3/7/2013
3/7/2013
3/13/2013
3/15/2013
3/20/2013
3/20/2013
3/21/2013
3/21/2013
3/27/2013
Weekly Payables
Weekly Payables
Weekly Payables
Weekly Payables
Weekly Payables
Patient Refunds
Weekly Payables
Weekly Payables
Weekly Payables
$ 166,500.25
8,292.48
458,770.78
5,000.00
210,665.01
3,305.40
21,556.93
350.00
205,817.93
Total Payables and Patient Refunds
$ 1,080,258.78
MEMORIAL MEDICAL CENTER PAYROLL
Date of Payroll Run & Date Liability Called In (See attached lists)
2/21/2013
2/26/2013
2/27/2013
2/27/2013
3/5/2013
3/12/2013
3/12/2013
3/18/2013
3/19/2013
Net Payroll
Net Payroll
Net Payroll
Net Payroll
Payroll Liabilities
Net Payroll
Net Payroll - Void
Net Payroll
Payroll Liabilities
Total Net Payroll and Payroll Liabilities
$
204.70
212,195.30
647.95
922.35
78,018.50
218,776.87
(2,769.93)
3,316.01
80,554.35
$
591,866.10
GRAND TOTAL OPERATING FUND
$ 1,672,124.88
APPROVED INDIGENT HEALTHCARE FUND EXPENSES
$
GRAND TOTAL BILLS APPROVED 4/25/2013
30,109.33
$ 1,702,234.21
MEMORIAL MEDICAL CENTER
COMMISSIONERS COURT APPROVAL LIST FOR ---- April 25, 2013
INDIGENT HEALTHCARE FUND:
INDIGENT EXPENSES
Donald Breech MD
Coastal Medical Clinic
Community Pathology Associates
William J. Crowley D.O.
Discovery Medical Network, Inc.
HEB Pharmacy
Mau-Shong Lin MD
Memorial Medical Center (Out-patient $9,010.77 ER $10,107.52)
Port Lavaca Clinic
Radiology Unlimited PA
Victoria Heart & Vascular Center
Victoria Surgical Associates
SUBTOTAL
98.69
1,203.36
28.87
284.23
124.46
609.41
682.70
19,118.29
1,018.35
237.34
22.14
750.82
24,178.66
Memorial Medical Center (Indigent Healthcare Payroll and Expenses)
5,930.67
TOTAL APPROVED INDIGENT HEALTHCARE FUND EXPENSES
30,109.33
**$450.00 in Co-Pays were collected by Memorial Medical Center in March
"'-'IHS
Source Totals Report
Issued 04/ 16/2013
Calhoun Indigent Health Care
3-1 -13 through 3-31-13
For Vendor: All Vendors
Source
Description
Amount Billed
Amount Paid
01
02
05
08
11
14
15
Physician Services
Prescription Drugs
Lab/x-ray
Rural Health Clinics
Reimbursements
Mmc - Hospital Outpatient
Mmc - Er Bills
7,115.00
609.41
303 .00
3,148.72
17.69
25,998.59
29 ,728.00
2,206.80
609.41
28.87
2,197.60
17.69
9,010.77
10,107.52
Expenditures
Reimb/ Adjustments
66,969.41
-49.00
24 ,227.66
-49.00
Grand Total
66,920.41
24,178.66
Fiscal Year
106,543 .83
APPROVED
BY
APR 17 2013
Payroll/Expenses
5,930.67
CALHOUN COUNTY
AUDITOR
Calhoun County Indigent Coordinator
OUN COUNTY, TEXAS
DATE:
4/17/2013
VENDOR
# 852
cc Indigent Health Care
TOTAL
ITEMS OR SERVICES SHOWN ABOVE ARE NEEDED IN THE DISCHARGE
AND I CERTIFY THAT FUNDS ARE AVAILABLE TO PAY
APPROVED
BY
APR 1 7 2013
SERVICES WERE RECEIVED BY ME
REQUEST THE COUNTY TREASURER TO PAY
2013 Calhoun Indigent Care Patient Caseload
Approved
Jan
Feb
Mar
Apr
May
Removed
Denied
Active
Pending
3
55
51
56
28
26
17
51
15
162
71
17
5
54
24
5
4
5
12
14
5
22
17
5
7
Jun
Jul
Aug
Sept
Oct
Nov
Dec
YTD
Monthly Avg
G/L
NUMBER
DATE
50240.000
50240.000
50240 .000
50240. 000
50240.000
m4o ggg
03/01/13
03/04/13
03/04/13
03/04/13
03/04/13
ooo
Q~~'Qiim
50240.000
5D240. DDD
50240. ODD
50240. 000
50240.000
50240.000
50240. OOD
50240. 000
50240 . ODD
502 40 .0 00
50240.000
50240.000
50240.000
50240.000
50240. DOO
50240. DOD
50240.000
5024 0.000
50240 . ODD
50240.000
50240.000
58910.888
50240.000
~Qii4Q I QQQ
50210 . OBB
50240.000
50240.000
50240.000
50240. 000
50240 .000
50240.000
50240.000
50240.000
50240.000
50240. BOB
502 4 0 900
50240.000
50240.000
03/07/13
D3/D7 /13
D3/D7/13
03/08/13
03/08/13
03/08/13
D3/D8/13
03/08/13
03/08/13
03/11/13
03/11/13
03/11/13
03/11/13
03/12/13
D3/12/13
03/14/13
03/14/13
03/14/13
03/14/13
03/14/13
03/15/13
83/15/13
03/15/13
9lM,'H
83;'15;'13
03/19/13
03/19/13
03/20/13
03/21/13
03/21/13
03/21/13
03/22/13
03/22/13
03/22/13
83/23/B
OJ/23,0 3
03/25/13
03/25/13
liQ~4o
g~~Qii,,l.~
PAGE 109
RCMREP
MEMORIAL MEDICAL CENTER
RECEIPTS FROM 03/01/13 TO 03/31/13
RUN DATE: 04/15/13
TIME: 09 :43
RECEIPT PAY
NUMBER TYPE PAYER
-·
~
CASH
AMOUNT
I
RECEIPT
AMOUNT NUMBER
NAME
DISC
DATE
COLL GL CASH
INIT CODE ACCOUNT
10.00
10.00
10.00
10 .00
10 .00
10.00
10.00
10 .00
10.00
10. QO(PATIENT WROTE ACHECK)
PLB
BEH
PLB
PLB
PLB
10.00
1D. DD
1D. 00
10 .00
10.00
10.00
1D. DO
10 .00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.0010.00
10.00
1D. DO
1D. DO
10.00
10.00
10.00
1D. 00
10 .00
10.00
10 .00
10.00
10 .00
10.00
10 .00
10. DD
10.00
10 .00
10.00
10. D0-{PATIENTS CHECK BOUNCED)
10.00
10 . 00
PLB
CAM
CAM
MMC
MMC
MRP
KRR
MRP
KRR
MRP
CAM
CAM
BEH
PLB
PLB
PLB
PLB
PLB
PLB
PLB
PLB
PLB
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10 .00
10 .00
10.00
10.00
10.00
BEH
BEH ..
PLB
PLB
10 .00
10.00
10.00
10.00
PLB
PLB
KRR
KRR
PLB
PLB
PLB
:1!
2
2
RUN DATE: 04/15/13
TIME: 09:43
G/L
NUMBER
50240 .0 00
50240.000
50240.000
50240.000
50240 .0 00
50240 .0 00
50240.000
50240.000
50240.000
DATE
MEMORIAL MEDICAL CENTER
RECEII'I'S FROM 03/01/13 TO 03/31/13
RECEIPT PAY
NUMBER TYPE PAYER
03/26/13
03/27/13
03/27/13
03/28/13
03/28/13
03/29/13
03/29/13
03/29/13
03/29/13
**TOTAL'* 50240. DOD COUNTY INDIGENT COPAYS
CASH
AMOUNT
10 .00
10. DO
10.00
10.00
10.00
10.00
10.00
10.00
10.00
PAGE 110
RCMREP
RECEIPT
AMOUNT NUMBER
NAME
10.00
10.00
10.00
10.00
10.00
10. DO
10.00
10.00
10.00
455 .70
-5.70(Cafe amount is an error was removed )
450.00
DISC
DATE
COLL GL CASH
INIT CODE ACCOUNT
PLB
PLB
PLB
PLB
PLB
PLB
ARH
BEH
PLB
MEMORIAL MEDICAL CENTER
Port Lavaca, Texas
MANUAL JOURNAL ENTRIES
MONTH OF
MARCH, 2013
Recorded
Reviewed
Acct #
JE #
Description
10255000
40450074
40015074
40025074
40040074
60320000
40220074
40225074
40230074
40610074
40510074
40215074
40600074
-----------------------------------
Check#
Debit
Credit
Amount
Amount
5,930.67
Indigent Healthcare
Supplies- General
4,588.80 /
228.51 ./
9.90 /
I
264.20
825.98
13.28
Supplies - Office
-
Reimbursement- Calhoun Cty
Benefits - FICA
Benefits- FUTA
Benefits - Retirement
Benefits- Insurance
Forms
-
Continuing Education
-
Outside Services
-
Freight
-
-
Miscellaneous
APPROVED
!Ol
...ADD
1 t:: 'lni'l
" ...... "'
CALHOUN COUNTY
jlo\ULIIjUH
5,930.67
TOTALS
EXPLANATION FOR ENTRY- To reclassify indigent care expenses to mise receivable
REVERSING:
YES
JE#
NO
Indigent Healthcare Program
Incurred by MMC
5,930.67
MARCH, 2013
Indigent H'care Coordinator Salary
# 40000074
# 40000074
# 40000074
( # 40010074)
Benefits:
#40040074
FICA
# 40015074
# 40015074
7-Mar $ 2,186.40
2,010.72
21-Mar
391.68
7-Mar
21-Mar
4,588.80
1
2s4.2o
1
228.51
1
9.9o
1
113.04
115.47
# 40015074
FUTA
7-Mar
21-Mar
4.90
5.oo
1
Other Benefits ( 18 %)
# 63200000
825.981
General Supplies
# 40220074
13.281
Office Supplies
# 40225074
Forms
#40230074
Continuing Education
#40610074
Outside Services
#40510074
Freight
#40215074
Travel
#40600074
RUN DATE: 04/10/13
TIME: 14:31
MEMORIAL MEDICAL CENTER
GL DETAIL REPORT - COST CENTER SEQUENCE
FOR: 03/01/13 - 03/31/13
ACCT NL~BER &DESC
DATE
MEMO
40000074 SALARIES REG PROD -CALHOUN C
REFERENCE
JOURNAL
40000074 SALARIES REG PROD -CALHO
BEGINNING BALANCE AS OF: 03/01/13
03/01/13 REVERSE ACCRUAL
03/07/13 PAY-P. 02/22/13 03/07/13
03/21/13 PAY-P. 03/08/13 03/21/13
03/31/13 Accrual--Days= 10
03/31 ACTIVITY/END BALANCE
PR
PR
PR
PR
40005074 SALARIES OVERTIME -CALHO
BEGINNING BALANCE AS OF: 03/01/13
03/01/13 REVERSE ACCRUAL
03/07/13 PAY-P. 02/22/13 03/07/13
03/21/13 PAY-P. 03/08/13 03/21/13
03/31/13 Accrual--Days= 10
03/31 ACTIVITY/END BALANCE
PR
PR
PR
PR
-CALHO
BEGINNING BALANCE AS OF: 03/01/13
03/01/13 REVERSE ACCRUAL
03/07/13 Auto PR Bene Accrual Re
03/07/13 Auto PR Bene Accrual
03/07/13 PAY-P. 02/22/13 03/07/13
03/21/13 Auto PR Bene Accrual Re
03/21/13 Auto PR Bene Accrual
03/21/13 PAY-P.03/08/13 03/21/13
03/31/13 Accrual--Days= 10
03/31 ACTIVITY/END BALANCE
PR
PR
PR
PR
PR
PR
PR
PR
-CALHO
BEGINNING BALANCE AS OF: 03/01/13
03/01/13 REVERSE ACCRUAL
03/01/13 REVERSE ACCRUAL
03/07/13 PAY-P.02/22/13 03/07/13
03/07/13 PAY-P.02/22/13 03/07/13
03/21/13 PAY-P.03/0B/13 03/21/13
03/21/13 PAY-P.03/0B/13 03/21/13
03/31/13 Accrual--Days= 10
03/31/13 Accrual--Days= 10
03/31 ACTIVITY/END BALANCE
PR
PR
PR
PR
PR
PR
PR
PR
-CALHO
BEGINNING BALANCE AS OF: 03/01/13
03/01/13 REVERSE ACCRUAL
03/07/13 PAY-P. 02/22/13 03/07/13
03/21/13 PAY-P. 03/08/13 03/21/13
03/31/13 Accrual--Days= 10
03/31 ACTIVITY/END BALANCE
PR
PR
PR
PR
40010074 SALARIES PTO/EIB
40015074 FICA
40025074 FUT
40040074 RETIREMENT
-CALHO
BEGINNING BALANCE AS OF: 03/01/13
PAGE
GLGLDC
CS#/BAT/SEQ
ACTIVITY
19
19
19
19
-1,081.99
2,177.76 /
2,006,40/c
1,433.10
4,535.27
BALANCE
8,718.72
2703 372
2714 43
2718 42
2718 372
13,253.99
155.99
19
19
19
19
2703 422
2714 70
2718 67
2718 422
-36.61
8. 64 ./
4.32/
3.10
-20.55
135.44
941.55
19
19
19
19
19
19
19
19
2703 474
2702 91
2713 89
2714 95
2713 91
2717 89
2718 91
2718 470
-11.55
-1,097.00
1,222.64
92.16
-1,222.64
1,098.62
299.52 /
213.90
595.65
1,537.20
27.31
19
19
19
19
19
19
19
19
2703
2703
2714
2714
2718
2718
2718
2718
662
726
344
376
511
543
660
724
-46.83
-10.92
21.43--91.61 ~
21.89 r
93.58 ~
66.80
15.60
253.16
280.47
1.20
19
19
19
19
2703
2714
2718
2718
790
408
575
788
-2.52
4.90 r
5. 00 ./
3.60
10.98
12.18
37.63
MEMORIAL MEDICAL CENTER
GL DETAIL REPORT - COST CENTER SEQUENCE
FOR: 03/01/13 - 03/31/13
RUN DATE: 04/10/13
TIME: 14:31
ACCT NUMBER & DESC
40040074 RETIREMENT
40220074 SUPPLIES GENERAL
40450074 REIMBURSEMENT
MEMO
REFERENCE
-CALHOUN C
03/01/13 REVERSE ACCRUAL
03/07/13 PAY-P.02/22/13 03/07/13
03/21/13 PAY-P.03/08/13 03/21/13
03/31/13 Accrual--Days= 10
03/31 ACTIVITY/END BALANCE
DATE
-CALHO
BEGINNING BALANCE AS OF: 03/01/13
03/31/13 AUTO-TRAN/EXP .REPORT
000000
03/31 ACTIVITY/END BALANCE
JOURNAL
PR
PR
PR
PR
PAGE
GLGLDC
CS# /BAT/ SEQ
19
19
19
19
2703
2714
2718
2718
852
440
607
850
ACTIVITY
-66.71
130.87;/
133.33
95.20
292.69
330.32
.00
MM
25
47
24
13.28 /
13.28
13.28
-8,877.55
BEGINNING AND ENDING BALANCE:
COST CENTER TOTAL:
BALANCE
5,680.48
ENDING BALANCE GRAND TOTAL:
6,685.33
GRAND TOTAL ACTIVITY:
5,680.48
PAGE :
1
APOPEN
!W~ORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/19/13
RUN DATE: 03/07/13
TIME: 12:55
VEND#.NAME .. ......................... CLS.INVOICE# ......... 'l'RN DT . IW DT,DUE DT.CK DT .. PC ....... GROSS .. ... DISC ....... NO-PAY ....... . NET
A1350 ACTION LUMBER
DEPT REPAIR DIETARY
DEPT REPAIR DIETARY
w 30705
.oo
.oo
TOTALS • • • •• •• • • • • •• •• ••• ••••• • , • •••••• • • •• • •• :
192.00
192.00
384.00
.00
022513 021513 031413
022513 021513 031413
30724
192.00 v
192.00 o/
384.00
A1680 AIRGAS-SOUTmiEST
SUPPLIES PLANT OPS
SUPPLIES PLANT OPS
M
022813 021113 031013
9012887762
022813 021913 031813
9012980612
TOTALS ••••••••••.••••••••.••• •.•..•••••• •••• • :
278. 83
2697 . 32
2976 . 15
. 00
.00
. 00
278.83 ......
2697.32 .I
2976 .15
A1645 ALCON LABORATORIES INC
2-2-2- REBATE
LENSES
M
022813 021813 031713
14885160
022813 021813 031713
14936205
TOTALS .................................... .. . :
-460,17
656.00
195.93
.oo
-460.17 .,.
656.00 ,/
195.83
91108263
022513 022013 031913
TOTALS ............................... . ....... :
229.70
229.70
24425
030713 030601 030601
TOTALS ........................... ; ........... :
9750. 00
9750.00
.00
M
39467762
022513 021413 031313
TOTALS ........ . .......... . . .. ................ :
433.21
433 .21
.00
.00
433.21 ./
433 . 21
~l
103338251
5287989
5287997
.00
129.00 ......
3440.19 /
3933.48 ~
7502.67
A2276 ARTHROCARE MEDICAL CORPORA
SUPPLIES SURGERY
M
10822 AUXO I~EDICAL, LLC
DOWN PAY14ENT SURGERY
Re~LI-1'\,;S h-eJ ?~-er'• \".'1 e./
B1075 BAXTER HEALTHCARE CORP
SUPPLIES CS INV
B1220 BECDIAN COULTER INC
SUPPLIES LA
LEASE/MAINTENANCE LAB
RENTAL/LEASE LAB
022613 020513 031513
022613 021213 031413
022813 031213 031113
10497 BR HEALTHCARE SERVICES
OUTSIDE SRV ADMIN
OUTSIDE SRV ADMIN
81800 BRIGGS HEALTHCARE
SUPPLIES ~Jill CLINIC
B0437 C R BARD INC
SUPPLIES
M
.00
.00--
.oo
229 .70 /
229.70
9750.00 /
9750.00
I.=
12.9. 00
3440.19
3933.48
7502 .67
935644921
022513 021813 031713
TOTALS .•.••••••••••• ••••• , , .•••••••.••• •••••• :
m.oo
.00
454,00
.oo
758
022813 022013 022013
762
022813 022013 022013
TOTALS •• ••• •••••••••••• •• •••••• •.• •.••••• •••• :
950.00
950.00
1900.00
.00
6904858RI
022813 021913 031813
TOTALS ••••••••••••••.••••••••••••••••.• •••.•• :
324.91
324.91
.00
67.90
67.90
.00
.oo
67.90
67.90
278.99
.00
278.99 /
TO'l'AI.S ••• ' •• • ••••••••• • •
Bl65S BOSTON SCI~IFIC CORPORAT
M
SUPPLIES SURGERY
.00
.00
I
I
•••• I. I •••• ' •••••
.oo
. 00
.00
.oo
.oo
.oo
454.00 ;'
454.00
950.00 ~
950.00 /
1900 ,00
324.91
324.91
~
......
~I
61219744
'I'()TALS
I
• •
022813 021813 031713
••••••• •
••••••• I
• I
• • I
•• I
•• ••••• • •••• :
C1048 CALHOUN COUNTY
FUEL
w
24425
022813 030613 030613
PAGE:
2
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/19/13
RUN DATE: 03/07/13
TIME: 12:55
VEND#.NAME ••••••••••.••••••.••••••••• CLS.INVOICE# ••••••••• TRN DT,INV DT,DUE DT.CK DT •• PC ••••••• GROSS ••••• DISC •.•••• NO-PAY ........ NET
278.99
.oo
278.99
.00
TOT-ALS •••••••••••••• ······••••••••a••••••••• ,:
91.23
91.23
.oo
91.23
91.23
022513 021513 031713
X832895
X849526
022513 021513 031413
022813 021813 031713
X879948
TOTALS ....................................... :
160.07
51.92
432.38
644.37
.00
.00
.00
.00
160.07
51.92 432.38
--644.37
.00
TOTALS •••••••••• I.' ••. ' •.........•....... ' ... :
278.00
674.19
952.19
.00
278.00 674.19 952.19
022813 022813 031313
103005
TOTALS •••.••..••••••••••••••••••••••••••••••• :
875.00
875.00
.oo
.oo
875.00875.00
M 783531
022813 021313 021313
022813 022013 022013
785006
022813 022113 022113
785527
TOTALS ....................................... :
1296.00
67.20
275.94
1639.14
.00
.00
.00
.00
1296.00/
022513 021413 031613
M 90714
TOTALS ....................................... :
230.00
230.00
.oo
230.00 /
230.00
XJ3972R26
022513 021513 031713
TOTALS ........ , .............................. :
1990.70
1990.70
.00
TOTALS ••••••••••••••••••••••••••••••••••••••• :
10650 CAREFUSION 2200, INC
INSTRUMENTS MM CLINIC
C1992
CD~! GOVERNMENT, INC.
OFFICE SUPPLIES PFS
SUPPLIES IT
SUPPLIES IT
9104008729
M
10350 CENTURION MEDICAL PRODUCTS
SUPPLIES RADIOLOGY
SUPPLIES CS INV
10720 CHRIS RAMIREZ, JR.
CONTINUING ED VARIOUS
C2510 CPSI
SOFTWARE
STATEMENT PROCESSING
EBOS
Cl443 CYGNUS MEDICAL IsLC
SUPPLIES SURGERY
01500 DELL MARKETING L.P.
SUPPLIES IT
10368 DEWITT
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
POTB « SON
SUPPLIES VARIOUS
SUPPLIES RADIOLOGY
SUPPLIES PURCHASIN
SUPPLIES CS INV
SUPPLIES MM CLINIC
SUPPLIES HIM
SUPPLIES CS INV
SUPPLIES CS INV
SUPPLIES MM CLINIC
SUPPLIES MM CLINI
SUPPLIES PORCHASIN
SUPPLIES CS INV
SUPPLIES MM CLINIC
SUPPLIES MM CLINIC
SUPPLIES MMC CLINI
M
91223521
91221463
359549-0
359712-0
35971.9-0
359743-0
359749-0
360052-0
360057-0
360177-0
360445-0
360450·0
360468-0
360490-0
360496·0
360439-0
360439-1
022813 012113 022013
022513 022013 031913
022613 021813 031713
021913
021913
021913
021913
021913
021913
021913
021913
022513
022513
022513
022513
022513
022813
022813
021113
021313
021313
021313
021313
021513
021513
021813
022013
022013
022013
022013
022013
022013
012213
031513
031513
031513
031513
031513
031513
031513
031513
031513
031513
031513
031513
031513
031513
031513
224 •.99
16.50
10.15
22.73
175.51
140.48
365.00
28.09
146.32
15.29
10.52
236.42
72.50
251.10
19.66
.oo
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.oo
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.00
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.oo
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.oo
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-
67.20./
275.94/
1639.14
1990.70
1990.70
/
224.99/
16.50/
I
1o.15
22.73 ./
175.51/
140.48..,/
365.00 /
28.09/
146.32/
15.29/
10.52/
236.42 /
72.50 /
251.10/
19.66 /
RUN
DATE: 03/07/13
TIME: 12:55
PAGE:
3
APOPEN
Io!EOOORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/19/13
VEND#,NAl{g,,, •••.•••••••••.•.•••.•.•• CLS.INVOICE# ••••••••• TRN DT.INV DT.DUE DT.CK DT •• PC ••••••• GROSS ••••• DISC ••••.• NO-PAY •••••••• NET
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
OFFICE
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
360614-0
361069-0
361069-1
361104-0
361149-0
361267-0
3613U-O
361467-0
361468-0
361532-0
CLINIC
ACCOUN'l.' I
ACCOUN'l.'IN
VARIOUS
HIM
CS INV
ADIUN
ACCT
PURCHASIN
SURGERY
~IM
022813
022813
022813
022813
022813
022813
022813
022813
022813
022813
022113
022513
022513
022613
022613
022713
022713
030113
022813
030113
••• ' . :
Dl608 DIVERSIFIED BUSINESS SYSTE
OFFICE SUPPLIES PT
M
TOTALS ••••• , •••••• , •••••••• , •• , ••••••• , •••••• :
45.00
45.00
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EOSOO EAGLE FIRE &SAFETY INC
OUTSIDE SRV PLANT OPS
M
46970
022513 021513 031413
TOTALS ....................................... :
120.00
120.00
.00
12o.oo/
.oo
120, DO
El090 EDWARDS LIFESCIENCES
SUPPLIES SURGERY
51.98
51.98
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51.98 /
.oo
51,98
416.22
416.22
.00
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76.16
76.16
.oo
TOTALS ••••••••••••••••••••••••••••••••••••••• :
TXPO'r117459
022813 020813 031013
TOTALS ••••••••••• ,,,,,, •.•••••.•••.•••••••••• :
7,81
7.81
.oo
022613 021513 031413
6564063
022813 021913 031813
6607679
022813 022013 031913
6607680
022813 022013 031913
TOTALS ....................................... :
1013.71
832.41
619.26
830,69
.00
.00
3296.07
.00
1013.71 I
832.41/
619.26
830.69 I
3296.07
022813 022813 031513
TO'l'ALS ••••• , ••••••••••••••• • • • •• • • • • • • • • • • • • •:
100.00
100.00
,00
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100,00 /
100.00
33.96
.62
34.58
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.00
159.02
.00
23865
M 2379902
I ••• '
f ••• '
022513 022013 031913
022513 021913 031813
':COTALS •• ,,,, •• ,.,,,.,.,,,,,,,,,,,,,,,, •• ,.,,.:
E1268 ENTERPRISE RENT-A-CAR
TRAVEL EXPENSE ADMIN
w 105256
022813 021913 031813
TOTALS ....................................... :
10701 FAGAN ANSWERING SERVICE AN
OUTSIDE SRV WOMEN CENTER
F1050 FASTENAL COMPANY
SUPPLIES BIOMED
F1400 FISHER HEALTHCARE
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
~~
M
G0401 GULF COAST DELIVERY
OUTSIDE SRV FEBRUARY
A1292 GULF COAS~ HARDWARE I ACE
DEPT REPAIR OP
INSTRm~ENT REPAIR SURGERY
77117
022813 022213 022213
6483143
24420
w 074271
074151
021913 021413 031313
022813 020813 030713
TOTALS ••••••••• , ••••••••••••••••••••.•••••••• :
G1210 GULF COAST PAPER COMPANY
SUPPLIES HOUSEKEEPING
M
531885
022513 021913 031813
.00
22.07/
4.13 : /
15,69
25.46 -48.00/
259.08/
224.24 /
95.53 /
6.56 /
25.67 /
2461.69
22.07
4.13
15,69
25.46
48.00
259.08
224.24
95.53
6.56
25.67
2461.69
TOTALS •••••••••••••••••••• ' •••
031513
031513
031513
031513
031513
031513
031513
031513
031513
031513
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45.00
416.22/
416.22
76.16 /
76.16
7.81
7.81
/
I
33.96/
.62 /
34.58
159.02 /
RUN DATE: 03/07/13
riME: 12:55
PAGE:
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/19/13
VEND#.NAME •• , ,,,,, ................... CLS.INVOICE# ......... TRN DT.INV DT.DUE DT.CK DT •• PC ....... GROSS ••••• DISC.,,,, ,NO-PAY •••.•.•• NET
H0030 B E BUTT
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
GROCERY
DIETARY
DIETARY
DIETARY
DIETARY
M
H1268 HEARTLAND MEDICAL SPECIALT
M
SUPPLIES CARDIO
H1399 HILL-ROM COMPANY, INC
RENTAL MED SURG
M
H1850 HOSPIRA I~ORLDWIDE, INC
PHARMACEUTICALS
M
TOTALS ••••• ,, J,,,, •••••••••••••• • .•••• • • • • • • • ~
159.02
.DO
159.02
001303
012707
017026
085891
TOTALS •• ,,,, ••••••••••••. ,, •••••••••••• •••, •• :
235.03
168.46
145.91
174.40
723.80
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235.03 .,..
168.46145.91./
174.40/
723.80
13-20211
022913 012913 022813
TOTALS ....................................... :
181.05
181.05
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181.05 /
181.05
7967116
022813
022813
022813
022813
020713
021213
021413
013113
030613
031113
031313
022813
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149.50
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148.50
148.50
917618112
269.93
269.93
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269.93 /
269.93
299.00
299.00
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299.00/
299.00
022813 103112 113012
022813 021113 031013
TOTALS,,,,,,, .• , •••....•..•.•..•.....•.••••.• :
10344 INCISIVE SURGICAL
SUPPLIES CS INV
85188
022813 022013 031913
TOT'ALS ••••••••••• ' •••
!0415 INDEPENDENCE MEDICAl.
SUPPLIES CS INV
SUPPLIES CS INV
I
•••••••••• '
•• I
••• '
••••• :
29097545
022813 022013 031913
29136645
022813 022613
TOTALS ....................................... :
J0150 J & J HEALTH CARE SYSTEMS,
SUPPLIES SURGERY
R1452 MARISSA SUTHERLAND
FLEX SPEND REI~lBURSE
w
M2659 MERRY X-RAY/SOURCEONE HEAL
SUPPLIES RADIOLOGY
~~
SUPPLIES CT SCAN
SUPPLIES CT SCAN
SUPPLIES VARIOUS
SUPPLIES RADIOLOGY
~IMC EMPLOYEE BENEFITS
WEEKLY CLAIMS
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10.07 J
33,75
J
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214.76
214.76
TOTALS.,, ••.•..••••.••••••..•••. • .•• •• ••• • • ••:
4366.23
4366.23
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4366.23/
4366.23
24421
022813 030513 030513
TOTALS ....................................... :
1715.00
1715.00
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1715.00/
1715.00
30093503997
30093500587
30093500588
30093502813
30093506181
91.45
417.66
136.12
710.34
37.14
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37.14
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INV0517394
TOTALS •••••.•••
10441
23.68
10.07
33.75
214.76
214.76
909563321
TOTALS ••••.••.••• , ••• , •• ,, •••••• ,.,,,, .••.••. :
10578 LUMINANT ENERGY COMPANY LL
NATURAL GAS
/
148.50
TOTALS ••••••••••••••••• , •••• ,,.,.,, •••••••••• :
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022813
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022813 022113 022113
J
417,66~
I
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RUN DATE: 03/07/13
TIME: 12:55
PAGE:
5
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/19/13
VEND#.NAME ........................... CLS.INVOICE# ......... TRN DT.INV DT.DUE DT.CK DT, .PC ....... GROSS ..... DISC ...... NO-PAY ........ NET
T(}TALS
10536 MORRIS &DICKSON CO, LLC
PHA1U1ACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHA1U1AC:EUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHAJU1ACEUTICALS
PHARMACEUTICALS
PHAJU1ACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICAL CREDITQ
PHARMACY SRV CBG
M3866 MUSTAIN &ASSOCIATES
COLLECTIONS
COLLECTIONS
A2252 NADINE GARNER
TRAVEL EXP INF CONTROL
•
I
'
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I
•
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I
•
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022813 022513 031013
022813 022513 031013
022813 022613 031013
022813 022713 031013
022813 022713 031013
022813 022813 031013
022813 022813 031013
022813 022813 031013
022813 022813 031013
022813 022813 031013
022813 022513 031013
022813 OJ2613 031013
scom
TOTALS •••• , ••••••••••••••••••••••••• •••••••.. :
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4718.75
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536.97
6.53
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26.69 /
22.87 /
·, 00
~1579.59
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9821.16
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TOTALS ••••••••••••• ,,,,,,,,,,,,,,,, •••••••••• :
48.65
137.57
186,32
2U22
022813 030613 030613
TOTALS ....................................... :
349.63
349.63
KS20130218
022813 021813 031813
TOTALS ....................................... :
8800.00
8800.00
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w FEB2013
JAN2013
~~
4718.75
536.97
6.53
2470.94
26.69
22.87
3012.99
419.57
663.83
50.82
211.48
3931.72
4339758
4357309
4357310
4358151
4363930
4363931
4367421
4367422
4367423
4367839
4368769
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022813 022813 022813
022813 013113 022813
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419.57
663.83 /
50.82 ;
211.48 /
3931.72
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46.34 /
9821.16
48.65 /
137.67 /
186.32
349.63 /
349.63
/
8800.00
8800.00
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N1250 NURSE-DRI
SUPPLIES CS INV
M
00011986
022813 012413 022313
TOTALS ••••••••••••••••.•.•••••••••••••••••••• :
99.20
99.20
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99.20 /
99.20
N1225 NUTRITION OPTIONS
PROFESSIONAL FEE VARIOUS
w
02J813 022813 022813
FEB2013
TOTALS ....................................... :
3000.00
3000.00
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3000.00 /
3000.00
10955 OPTtm
SUPPLIES KIM
w 80011162403
299,95
299.95
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299.95 /
299.95
81.32
23.46
208.01
159.23
27.77
4393.79
842.10
.00
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81.32
23.46 ; /
208.01
159.23 . /
27.77 ; ;
4393.79
842.10 -
OM425 OWENS &MINOR
SUPPLIES CS INV
SUPPLIES CS INV
SUPPLIES SURGERY
SUPPLIES PT
SUPPLIES DIETARY
SUPPLIES VARIOUS
SUPPLIES SURGERY
022813 010113 011513
TOTALS ••••.•••••••••••••.••••.••• , •• ,,.,.,, •• :
2058575
2058592
2058593
2058640
2058667
2058903
2053843
022513
022513
022513
022513
022513
022513
022813
021913
021913
021913
021913
021913
021913
020713
031813
031813
031813
031813
031813
031813
030613
.oo
.00
.00
.00
/
03/07/13
TDlE: 12:55
VEND#.NAME ••••••••••• ,.,.,,,,, •• , •••• CLS.INVOICEJ ••••••••• TRN
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
PAGE:
6
APOPEN
MEMORIAL )IEDICAt CEN'l'ER
AP OPEN INVOICE LIS~ THRU DUE DATE OF 03/19/13
RUN DATE:
D~. INV
D'l' .DUE DT .CK DT •• PC ••••••• GROSS ••••• DISC .•..•. NO-PAY., ...... NET
022813 021113 031013
2054918
2056565
022813 021413 031313
022813 020413 030313
2056640
022813 021413 031313
2056684
2056716
022813 021413 031313
022813 021413 031313
2056929
TOTALS ....................................... :
SURGERY CREDIT
SURGERY
VARIOUS
CARDIO
CARDlO
VARIOUS
-40.60
113.58
250.07
U.25
44.25
1388.53
7535.76
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113.58/
250.07/
44.25..,......
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44.25/
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1388.53/
7535.76
125.26
125.26
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125.26
4.68
4.68
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27232.92
27232.92
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27232.92
35.00
70.00
105.00
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70.00 /
105.00
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216.70
216.70
216.70
216.70
S18DO SHERWIN WILLIAMS
DEPT REPAIR BEHAVIORAL HE W 7054-0
022813 022013 031913
DEPT REPAIR BEHAVIORAL H
7087-0
022813 022113 031313
TOTALS •••• , ••••••••••••• , •••••• ,, •••••••••••• :
25.15
193.14
218.29
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3519,27
263.68
3782.95
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3519.27/
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3782.95
375.00
375.00
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375.00 /
375.00
-~046.00
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-4046.001
7868.00
3822.00
P1876 POLYMEDCO INC.
SUPPLIES LAB
M 1017073
022813 021913 031813
TOTALS ..••.•
P2200 POWER ELECTRIC
DEPT REPAIR SURGERY
TDSOO PRISCILLA STEPHENS
FEBRUARY MONT!!: END
R1268 RADIOLOGY UNLIMITED, PA
READING FEES
I
•••••
f., ••••
t •••• ••••••••••••••• :
w 162252
022813 021413 031313
TOTALS ....................................... :
w 24426
030713 030513 030513
TOTALS ....................................... :
w 24398
022813 113012 123012
24424
022813 083112 093012
TOTALS ....................................... :
READING FEES
10812 ROBERT T HARDY
TRAVEL EXPENSE NM CLINIC
022813 022613 022613
24399
TOT,ALS ••••••••••
D0350 SIEMENS HEALTHCARE DIAGNOS
SUPPLIES LAB
M
SUPPLIES LAB
10699 SIGN AD, LTD.
ADVERTISING MARCH 62040-2
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022813 021813 031713
971689705
022813 021913 031813
TOTALS ............. ·.......................... :
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4 •
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S2400 SO TEX BLOOD &TISSUE CENT
BLOOD BANK CREDIT
M 20130448
022813 021913 031813
SUPPLIES BLOOD BANK
20130514
022813 021913 031813
TOTALS ....................................... :
S2694 STANFORD VACUUM SERVICE
OUTSIDE SRV DIETARY FEB
10735 STRYKER SUSTAINABILITY
SUPPLIES SURGERY
~I
7868.00
3822.00
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4.68
/
25.15 /
193.14
218.29
263.68/
793887
022813 021113 031013
TOTALS ....................................... :
320.00
320.00
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320.00
320.00
1842262
222.45
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222.45
022813 021913 031813
/
/
I
RUN DATE:
TDIE:
PAGE:
7
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/19/13
03/07/13
12:55
VEND#.NAI>IE ........................... CLS.INVOICEI ••••••••• TRN DT.INV DT.DUE DT.CK DT .• PC ••••••• GROSS •••• ,DISC •••••• NO-PAY •••.•••. NET
222.45
.oo
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TOTALS. I ................•...••.•...... . , ... I.:
861.60
1059.45
1242.91
1056.42
4220.38
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030713 022813 022813
100
TOTALS •••••••••.••••.. , .•••.•••••••••••.••••. :
700.00
700.00
.00
.00
6102.00
6102.00
.00
.00
217.25
509.10
726.35
.oo
I.~
12.40
12.40
12.40
37.20
•00
•00
•00
.00
73542458·301
022813 021813 031713
TOTALS ••••••••••••••••••••••.••••• . ••• ••• , •.. :
975.00
975.00
.00
.00
975.00 /
.975.00
24416
022813 022813 022813
022813 022813 022813
24417
TOTALS .................... : ......... . ........ :
4118.00
4118.00
8236.00
• DO
.00
.00
4118.00 1
4118.00
8236.00
TOTALS.,., ••••••••••.••••••••••••• , ••••• ,,.,.:
S2951 SYSCO FOOD SERVICES OF
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
M
10821 TEXAS LAKESIDE RV RESORT,
TRAVEL MM CLINIC
R. Ha.c-cl-J
T2204 TEXAS MUTUAL INSURANCE CO
INSURANCE 2/1 - 2/28
w
022813
022813
022813
022813
302071096
302140938
302211121
302280790
24419
020713
021413
022113
022913
022713
030612
031313
031913
022813 030113 031013
TOTALS •••••••• I' •••••••• • •• ' •••••....... I ... I:
S2679 THE ST JOHN COMPANIES, INC
M 08081721
SUPPLIES LAB
08088042
SUPPLIES MANMO
TOTAI,S •••••••
V1050 THE VICTORIA ADVOCATE
SUBSCRIPTION
SUBSCRIP'riON
SUBSCRIPriON
w
975229
976943
977407
022813 021213 031113
022813 022013 031913
I. I
I
I •••••• '
•• t I
I
022813 020213 030113
022813 020913 030813
022813 021613 031513
TOTALS ••••••••••••••••••••••••
10732 THERACOM, LLC
PRARMACEUTICALS
10192 THIE
LIABILITY INSURANCE FEBRU
LIABILITY INSURANCE JANUA
T0801 TLC STAFFING
CONTRACT NURSE ICU
CONTRACT NURSE
CONTRACT NURSE l~EDSURG
CONTRACT NURSE
•• I ' • • • • • • • • • • • :
I ••• I •••••• I.
w 11047
013113 012213 022113
11047-0
013113 012213 022113
020713 012913 022813
11067
021813 021213 031413
11102
TOTALS •..••.•• , .•••••••• , ••••••••.• , •.••••.• ,:
1737.73
1307.53
1917.24
523.75
5486.25
.oo
.00
.00
222.45
861.60 /
1059.45 1,/'
1242.91 /
1056.42 /
4220.38
700.00
700.00
6102.00 , /
6102.00
217.25 /
509.10 /
726.35
12.40 /
12.40 /
12.40 ./
37.20
.00
¥o 1731 ;1!'
.oo
1307.53
1917.24 /
523.75
.00
.00
.00
/
~
37l.!<d .S2
T1724 TOSHIBA AMERICA MEDICAL SY
DEPT REPAIR C'l'
40045110
022813 011513 021413
TOTALS ••••• , •••• ,,,,,,,, •• ,,,, ••••••• •• • • •••• :
U1054 UNIFIRST HOLDINGS
LAUNDRY ~IAIN'l'E!WICE
U1064 UNIFIRST HOLDINGS INC
LAUNDRY HOSPITAL LINEN
w 8150601143
021913 021913 031813
TOTALS •••••.• •.•••••.•••••.•••••••••••••••••• :
8,00141176
021913 021513 031,13
2100.00
2100.00
.00
.oo
2100.00 /
2100.00
35.91
35.91
.00
.00
35.91 /
35.91
707.78
.00
707.78 /
RUN DATE: 03/07/13
TIME: 12:55
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/19/13
VEND#.NAME ........................... CLS.INVOICE!I ••••••••• TRN
PAGE:
8
APOPEN
DT.I:IlV DT.DUE DT.CK DT .. PC ....... GROSS ..... DISC ...... NO-PAY ........ NET
.00
.00
39.95
38.95
.00
• 00
38.95 /
38.95
429.88
429.88
.00
• 00
429,88 /
429.88
38.70
232.48
60.83
118.82
4161.60
128.77
619.83
3762.05
3980,39
3650,09
16753.56
.00
.00
.00
.00
38.70
an.4a
60.83 /
118.82 ' /
4161.60
128.77 I
619.83 /
3762.05 /
3980,39 /
3650.09/
16753.56
111.38
109.13
43,43
58.38
322.32
.00
.00
111.38
109.13
43.43
58.38 /
322.32
250,00
250.00
.00
.00
250.00 /
250.00
745.34
745.34
.00
.00
7'5.34 .I
745.34
348.59
890,10
206.95
173.96
188.46
86.70
94.35
56.58
56.10
2809.57
16255
022513 021813 031713
TOTALS •••.•••••••••.••.•.•••••..••••. , •••.••• :
01350 UPS
SHIPPING CHARGES VARIOUS W 0000778941073
022813 021613 022713
TOTALS ••••.••••••••.•••••••••.••••.••••••.••• :
LAUNDRY HOSPITAL LINEN
LAUNDRY HOUSEKEEPING
LAUNDRY PLAZA
LAUNDRY
LAUNDRY
LAUNDRY
LAUNDRY
LAUNDRY
DIETARY
OB
HOUSEKEEPING
DIETARY SCRUBS
DIETARY SCRUBS
10450 UNIT DRUG CO, LLC
SUPPLIES NURSERY
10172 US FOOD SERVICE
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
V0555 VERIZON SOUTHWEST
TELEPHONES
TELEPHONES
TELEPHONES
TELEPHONES
4136882
022813 010413 012413
5080322
022813 012413 021313
5108307
022813 012513 021513
5242042
022813 020213 022213
5314668
022813 020713 022713
5334511
022813 020713 022713
5375425
022813 021113 030113
5446444
022813 021413 030313
5570594
022813 022113 031313
5701736
022813 022813 031913
TOTALS ....................................... :
M 5522646021613
5525926021613
5521567021913
1977697021913
022513
022513
022613
022813
TOT.ALS ••••••••••••••
10819 VIIS S1>Jl ANTONIO PARTNERS,
CONTINUING EDUCATION ER
24398
TOTALS
WlOOS WALMART COMMUNITY
MISCELLANEOUS PURCHASES
I
021613
021613
021913
021913
•••••• I
•
I
031313
031313
031613
031613
I
••
I
•• I . I
••
I
I. I:
I
I
I
022813 020613 020613
I
•• I
•• I
••••• '
W 0114-0216
TOTALS •.•.
••• I
I
•
'
f
•
I
I
I
I
••• I
I
I
I
•
I
•
:
022513 021613 031413
I
•••••• I
I
••••••••• I
••••• I
•••••••••• ;
GRAND TOTALS •••••••••••••••••.•• ~\IE.D
~l(s:l:t I S2 D7D
... :
MAR 0 7 2013
J:ll52.lSo
~ COuNTY AUDITOR
-Bj)2..o'14 172
168237.98
APPR
+o
o1>,
1 ~'2.0,~ ; . ,)~ 13 C>
.DO
348.59 /
890.10 /
206.95 /
173.96 /
188.46 /
86,70 /
94.35 /
56.58 /
56.10
2809.57
8400141177
021913 021513 031413
8400141325
021913 021913 031813
021913 021913 031813
8400141326
8400141327
021913 021913 031813
021913 021913 031813
8400141328
8400141329
021913 021913 031813
8400141330
021913 021913 031813
8400140970
022813 021213 031113
8400141388
022813 021913 031813
TOTALS •••••••••••••••.•..•..••..••..•......•. :
LAUNDRY SURGERY
.oo
.00
.DO
.00
.oo
.DO
.DO
~
.00
.00
.00
,00
.00
.00
.00
I
f
.oo
.00
.oo
.DO
Corre c:*'• ~1"?)'7
~~ ~
~
fl/J-Ui, soo..:lS
Michae\ ,J. Pfeifer
Calhoun county Judge
Date:
168237.98
< 1Jl:3'1."73>
3/ J(-(i
RUN DATE:03/07/13
TIME:13:35
SEQ.
ACCOUNT A.H.A.
NUMBER
NUMBER
1 20000000
2 60320000
MEMORIAL MEDICAL CENTER
EDIT LIST FOR BATCH 556 1332
TRANS
DATE JOURNAL
03/07/13 PJ
03/07/13 PJ
AMOUNT
SUB-LED
- - - - - - - - - -R E C A PJOURNAL YRMO COUNT
PJ
1303
2
TOTAL
2
REFERENCE MEMO
8,292.48CR 10441
8,292.48 10441
80320000
CRT#556
TRANSACTION SEQUENCE
24427
24427
20882
- - - - - - - - DEBIT
8,292.48
8,292.48
CREDIT
8,292.48
8,292.48
PAGE
1
GLEDIT
G.L. ACCOUNT DESCRIPTION
MMC EMPLOYEE BENEFITS
MMC EMPLOYEE BENEFITS
INV DT=03/07/13 DUE=030713
EMPL EXP HOSP INSURN-OTHER
48854
A/P TOTAL
8,292.48
ACCOUNT TOTAL RECAP ON NEXT PAGE
APPROVED
COUNTY AUDITOR
r&v1...R ~~
Michael J. Pfeifer
Calhoun County Judge
Date:
3-J! ,, 3
RUN DATE:
TIME:
PAGE:
1
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13
03/14/13
16:05
VEND#.NAME ••••••••••••.••••••.••••••• CLS.INVOICE# ••••••••• TRN DT.INV DT.DUE DT.CK DT •• PC ••••••• GROSS ••••• DISC •.•.•• NO-PAY ••••.•.• NET
A1100 ABBOTT LABORATORIES
SUPPLIES DIETARY
76.64
76.64
.00
.00
76.64
76.64
022813 022213 032113
TOTALS .• , •••••••••••••••••••••••••• , •••••• ,,.:
128.00
128.00
.00
.00
128.00
128.00
0847-000501078 031113 022613 031813
TOTALS ••••••••••••••••••••••••••••••••••••••• :
1080.80
1080.80
.00
.00
1080.80
1080.80
711204218
711209982
711381877
711497939
.00
TOTALS ••••••••••••••••••••••••••••••••••••• ,.:
732.00
138.36
198.85
240.30
1309.51
.00
.00
732.00
138.36
198.85
240.30
1309.51
M 457494
031113 022813 032513
TOTALS ••••••••••••••••••••••••••••••••••••••• :
10.59
10.59
.00
.00
10.59
10.59
M 4316407
022813 021913 032113
TOTALS •••••••.••••••.•.•.•. , .•.•••••••••••••• :
519.02
519.02
.00
.00
519.02
519.02
A2600 AUTO PARTS & MACHINE CO.
SUPPLIES BIOMED
w 656732
031113 100412 110312
SUPPLIES TRANSPORTATION
665858
031113 010213 020113
TOTALS .•••••••••••••••••••••••••••••••.• , .• ,.:
4.18
48.60
52.78
.00
.00
.00
4.18
48.60
52.78
M 39520486
022813 022213 032113
TOTALS ••• ,, •••••••••••••••••••••••••••••••••• :
221.20
221.20
.00
.00
221.20
221.20
M 103358923
031113 022613 032513
TOTALS., •••• ,, ••••••••••••••••••••••••••••••• :
825.51
825.51
.00
.00
825.51
825.51
BK00146617
031113 022113 032013
TOTALS •••••••••••••••••••• , •••••• ,.,·, •••••••• :
17185.43
17185.43
.00
.00
17185.43
17185.43
767
031113 030713 030713
TOTALS ••••••••••• ,., .•.••.••..••.•••••••••••• :
10500.00
10500.00
.00
.00
10500.00
10500.00
M 6904395RI
022813 021913 032113
TOTALS ....................................... :
228.16
228.16
.00
.00
228.16
228.16
25.00
.00
25.00
022813 022513 032413
M 600982727
TOTALS ....................................... :
A1350 ACTION LUMBER
SUPPLIES PLANT OPS
w 30830
10554 ALLIED WASTE SERVICES #847
WASTE REMOVAL
A1360 AMERISOURCEBERGEN DRUG COR
PHARMACEUTICALS
w
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
A2218 AQUA BEVERAGE COMPANY
SUPPLIES LAB
A2260 ARROW INTERNATIONAL INC
SUPPLIES CS INV
B1075 BAXTER HEALTHCARE CORP
SUPPLIES CS INV
B1220 BECKMAN COULTER INC
SUPPLIES LAB
10599 BKD, LLP
AUDITING FEES
10497 BR HEALTHCARE SERVICES
OUTSIDE SRV.
B1800 BRIGGS HEALTHCARE
SUPPLIES NURSERY
031113
031113
031113
031113
030113
030113
030613
030813
032513
032513
032513
032513
.oo
.oo
"
C1030 CAL COM FEDERAL CREDIT UNI
EMPLOYEE DEDUCTION
w 18379
031213 030713 030713
RUN DATE:
TIME:
03/14/13
16:05
PAGE:
2
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13
VEND#.NAME ••..•••.••••••••••••••••••• CLS.INVOICE# ••••••••• TRN DT.INV DT.DUE DT.CK DT .. PC ••••••• GROSS ••••• DISC ••.••. NO-PAY .•••.••. NET
25.00
.00
25.00
TOTALS •••. , •••.•.•••.•.•••• ,, •.•••• ,,,.,,,.,,:
499.04
470.93
969.97
.00
.00
.00
499.04
470.93
969.97
M Z005646
022813 022013 032213
031113 020513 030413
DGFL490
TOTALS ....................................... :
224.22
10759.00
10983.22
.00
.00
.00
224.22
10759.00
10983.22
031113 022813 031513
TOTALS ••••••••••••••••••••••••••••••••••••••. :
178.80
178.80
.00
.00
178.80
178.80
91227534
022813 022613 032513
TOTALS •••••••••••••••••••••••••••••••••••••• ,:
1101.40
1101.40
.00
.00
1101.40
1101.40
011049
031113 022613 032513
TOTALS ....................................... :
795.81
795.81
.00
.00
795.81
795.81
C2510 CPS!
MP-EMR DOWN PYMT DR. CROW M 24427
031113 021513 021513
OUTSIDE SRV PFS
784827
031113 022013 022013
SOFTWARE LAB
786051
031113 022213 022213
TOTALS •••••••.•••••••••••••• ,,, •••• ,,,,,,, ••• :
5500.00
2340.00
3060.00
10900.00
.00
.00
.00
.00
5500.00
2340.00
3060.00
10900.00
361690-0
031113 030613 031513
361690-01
031113 030413 031513
361751-0
031113 030413 031513
361810-0
031113 030713 031513
361838-0
031113 030513 031513
361839-0
031113 030513 031513
361874-0
031113 030513 031513
031113 030613 031513
362112-0
362238-0
031113 030713 031513
362262-0
031113 030713 031513
75762
031113 030513 031513
TOTALS •• , •••••••••••••••••• ,., •••••••••• , •••• :
69.58
115.74
44.02
69.58
239.50
171.74
26.18
32.27
35.79
309.09
13.33
1126.82
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
69.58
115.74
44.02
69.58
239.50
171.74
26.18
32.27
35.79
309.09
13.33
1126.82
D1608 DIVERSIFIED BUSINESS SYSTE
OFFICE SUPPLIES MMC CLINI M 23879
022813 022613 032513
TOTALS •• ,,.,,,,,,, •• ,.,., .•••••••••••• , •• , ••• :
42.00
42.00
.00
.00
42.00
42.00
313.50
119.00
.00
.00
313.50
119.00
TOTALS ••••••••••••••••••••••••••••••••••••••• :
A1825 CARDINAL HEALTH
SUPPLIES NUC MEC
SUPPLIES NUC MED
C1992 CDW GOVERNMENT, INC.
SUPPLIES MM CLINIC
SOFTWARE MAINTENANCE
C1390 CENTRAL DRUGS
PHARMACEUTICALS
10350 CENTURION MEDICAL PRODUCTS
SUPPLEIS VARIOUS
10813 COKER GROUP HOLDINGS, LLC
TRAVEL EXPENSE ADMIN
10368 DEWITT POTH & SON
SUPPLIES MRI
SUPPLIES ER
SUPPLIES LAB
OFFICE SUPPLIES MRI
OFFFICE SUPPLIES HIM
OFFICE SUPPLIES HIM
OFFICE SUPPLIES
OFFICE SUPPLIES CS INV
OFFICE SUPPLIES RADIOLOGY
OFFICE SUPPLIES CS INV
OFFICE SUPPLIES MED SURG
10175 DSHS CENTRAL LAB MC2004
SUPPLIES LAB
OUTSIDE SRV LAB
M 08108534
08108551
031113 021513 021513
031113 022213 022213
w FEB2013
24331
24430
031113 022613 032513
031113 022613 032513
RUN DATE:
TIME:
03/14/13
16:05
PAGE:
3
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13
VEND#.NAME ••••••••• , •• , •• , ••••••••••• CLS.INVOICE# ••••••••• TRN DT.INV DT.DUE DT.CK DT •• PC ••••••• GROSS •••.. DISC •••• , .NO-PAY •••••••• NET
432.50
.00
432.50
031113 022813 031513
TOTALS., •••••••••••••••••••••.• , ••• , •••• , •• ,.:
43.76
43.76
.00
.00
43.76
43.76
M 6652486
022813 022113 032013
6790874
022813 022613 032513
022813 022613 032513
6790875
6848089
022813 022713 032613
TOTALS ••• , •• ,., •••••••••••••••••••••••••••••• :
199.21
854.32
910.05
700.50
2664.08
.00
.00
.00
.00
.00
199.21
854.32
910.05
700.50
2664.08
2350
031113 022413 032313
031113 022413 032313
2352
TOTALS •••••••• ,, •..•.••• , •••• , ••••••••••••••• :
188.99
476.15
665.14
.00
.00
.00
188.99
476.15
665.14
G0100 GE HEALTHCARE
INSTRUMENT REPAIR RADIOLO W 5599253
031113 022713 032613
TOTALS •••.••. , .. , •••••••••••••••••••• , ••••.•• :
765.04
765.04
.00
.00
765.04
765.04
031313 030113 031513
TOTALS •. , •••••••••••••••••••••••••••••••••••• :
960.00
960.00
.00
.00
960.00
960.00
A1292 GULF COAST HARDWARE I ACE
DEPT REPAIR OP
022613 022313 032213
w 074451
DEPT REPAIR LAB
047551
022813 022813 032513
DEPT REPAIR ADMIN
074495
022813 022613 032513
DEPT REPAIR LAB
074501
022813 022613 032513
DEPT REPAIR LAB
074520
022813 022713 032613
SUPPLIES PLANT CPS
074385
031113 022013 031913
SUPPLIES PLANT CPS
074437
031113 022713 032613
TOTALS ..•••• , ••••••••••••••••••••••.•••••• , •. :
33.53
1.99
9. 78
3.99
2.99
11.40
6.98
70.66
.00
.00
.00
.00
.00
.00
.00
.00
33.53
1.99
9.78
3.99
2.99
11.40
6.98
70.66
G1210 GULF COAST PAPER COMPANY
SUPPLIES HOUSEKEEPING
M 535512
022813 022613 032513
SUPPLIES HOUSEKEEPING CRE
345821
031113 021412 031312
SUPPLIES HOUSEKEEPING
470691
031113 101612 111512
TOTALS ••••• , •••. ,.,, •••••••••••••••••••• ,, ••• :
342.64
-28.40
99.90
414.14
.00
.00
.00
.00
342.64
-28.40
99.90
414.14
110.51
253.08
193.98
557.57
.00
.00
.00
110.51
253.08
193.98
557.57
652.04
9.45
.00
.00
652.04
9.45
TOTALS., •••.•••••••••• , •••••••••••••••••••••• :
F1100 FEDERAL EXPRESS CORP.
SHIPPING CHARGES
w 2-191-57681
F1400 FISHER HEALTHCARE
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
10678 FIVE STAR STERILIZER SERVI
INSTRUMENT REPAIR SURGERY
INSTRUMENT REPAIR SURGERY
G0951 GENEVIEVE OSORNIA
CONTRACT HIM
H0030 H E BUTT
SUPPLIES
SUPPLIES
SUPPLIES
GROCERY
DIETARY
DIETARY
DIETARY
w #3
M 032345
022813 022113 032013
034106
022813 022213 032113
022813 022613 032513
042375
TOTALS •••••••••••••••••• , •••••••••••••••••••• :
H1100 HAYES ELECTRIC SERVICE
DEPT REPAIR MAINTENANCE w A2130204-06
INSTRUMENT REPAIR SURGERY
A2130214-02
031113 020413 030313
031113 021413 031313
.oo
PAGE:
4
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13
RUN DATE: 03/14/13
TIME: 16:05
VEND# .NAME,,,,.,.,.,,,,,,,,, , , , , , , , , .CLS, INVOICE#,,,,,,,., TRN DT, INV DT .DUE DT .CK DT •• PC ••••••• GROSS ••••• DISC •.•••• NO-PAY ...•.•.• NET
TOTALS •• ,,,, •••••••.••.•• ,, ••• ,,.,., •• ,, ••••• :
661.49
.00
661.49
031113 021513 032513
PJIN0048815
TOTALS .......................... ,,,,,,,,,,,,,:
9166.67
9166.67
.00
.00
9166.67
9166.67
022813 022513 032413
6776604
TOTALS.,,,.,,,,,,, ••••••••••••••••••••••••••• :
650.49
650.49
.00
.00
650.49
650.49
031113 022713 032613
28140655
TOTALS.,,,,.,,,,,, ••••••••••••••••••••••• , ••. :
33.98
33.98
.00
.00
33.98
33.98
M 3229200
022813 022513 032413
3229782
022813 022613 032513
022813 022613 032513
3230006
TOTALS.,, •••••••••••••••••••••••• ••• •• •. • • • • ·:
3439.55
320.72
408.45
4168.72
.00
.00
.00
.00
3439.55
320.72
408.45
4168.72
1901102004061
022513 022113 032313
TOTALS.,,,,,,,,, ........ , •.•. ,,,,,,,,,,,,.,,,:
59.96
59.96
.00
.00
59.96
59.96
909606246
022813 022513 032413
TOTALS •• ,,,,,,,,,, ••• , •. ,,,, •• ,,,,,,,,,,,,,.,:
396.00
396.00
.00
.00
396.00
396.00
24332
031113 031513 031513
TOTALS.,,,,,,,,,, ••••••••••• ,,.,,.,,,.,,,,,.,:
750.00
750.00
.00
.00
750.00
750.00
031113 030113 030113
24427
TOTALS •• , .•••.•••••••••••••••••.•••••••• ·····:
88.74
88.74
.00
.00
88.74
88.74
32714-1
030813 012213 022113
35545
031113 021813 031813
TOTALS •• ,,,,,,,,,,,,.,,,,,,.,,,,, ............ :
510.00
510.00
1020.00
.00
.00
.00
510.00
510.00
1020.00
24336
031413 031313 031313
TOTALS.,.,,,,,,.,,,.,.,,,,,.,,,,,,,.,,,,,, •• ,:
2416.20
2416.20
.00
.00
2416.20
2416.20
3262003
031113 030113 030113
TOTALS ••• , ••• ,.,,, ••••••••••••• ,.,,,,,,,,,,.,:
2127.38
2127.38
.00
.00
2127.38
2127.38
586.80
.00
586.80
10298 HITACHI MEDICAL SYSTEMS
SRV CONTRACT 3/25 - 4/24
H0416 HOLOGIC INC
SUPPLIES MAMMO
I0415 INDEPENDENCE MEDICAL
SUPPLIES CS INV
I0950 INFOLAB INC
SUPPLIES VARIOUS
SUPPLIES BLOOD BANK
SUPPLIES LAB
10442 INTERSTATE ALL BATTERY CEN
SUPPLIES IT
J0150 J & J HEALTH CARE SYSTEMS,
SUPPLIES SURGERY
10285 JAMES A DANIEL
RENT APRIL
10823 KATHY MOTLEY
OUTSIDE SRV MM CLINIC
K1231 KONICA MINOLTA MEDICAL IMA
SRV CONTRACT 1/1 - 1/31
SRV CONTRACT 3/1 - 03/31
D1033 LAURA DAVILA
FLEX SPEND REIMBURSEMENT
10771 LCA BANK CORPORATION
PAYMENT HIM MARCH
M2659 MERRY X-RAY/SOURCEONE HEAL
SUPPLIES RADIOLOGY
M 30093508308
022513 022013 032313
RUN DATE: 03/14/13
TIME: 16:05
PAGE:
5
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13
VEND#.NAME ••• ,,,,,,,,,,,,,,,,,,,,,,,,CLS.INVOICE# ••••••••• TRN DT.INV DT.DUE DT.CK DT •• PC ••••••• GROSS ••••• DISC •••••• NO-PAY •••••••• NET
M2685 MICROTEK MEDICAL INC
SUPPLIES CS INV
M2621 MMC AUXILIARY GIFT SHOP
EMPLOYEE PURCHASES
10536 MORRIS & DICKSON CO, LLC
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
SPLIT BILL FEE PHARMACY F
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICAL CREDIT
PHARMACEUTICAL CREDIT
PHARMACEUTICAL CREDIT
PHARMACEUTICAL CREDIT
PHARMACEUTICAL CREDIT
PHARMACEUTICAL
SPLIT BILL FEE FEBRUARY
PHARMACEUTICALS
PHARMACEUTICAL CREDIT
PHARMACEUTICAL CREDIT
10601 NOBLE AMERICAS ENERGY
ELECTRICITY
10008 OMNI-PORT LAVACA 07, L.P.
RENT MARCH
OM425 OWENS & MINOR
SUPPLIES SURGERY
SUPPLIES CS INV
SUPPLIES VARIOUS
SUPPLIES CS INV
TOTALS ••••••••••••••••••••••••••••••••••••• ,.:
586.80
.oo
586.80
031113 010913 020813
M 3021292
TOTALS ••••••••••••••• , .• ,.,,,,,,,,,.,,,., •• ,.:
223.66
223.66
.00
.00
223.66
223.66
w 24335
031213 030513 030513
TOTALS ....................................... :
145.43
145.43
.00
.00
145.43
145.43
031113 030413 032513
4376900
4378040
031113 030413 032513
031113 030413 032513
4379057
4384209
031113 030513 032513
4384210
031113 030513 032513
4386432
031113 030613 032513
4387229
031113 030613 032513
4387230
031113 030613 032513
4388324
031113 030613 032513
4391772
031113 030713 032513
4392807
031113 030713 032513
4393197
031113 030713 032513
4393433
031113 030713 032513
4393434
031113 030713 032513
4393937
031113 030713 032513
7149
031113 030413 032513
7218
031113 030413 032513
CM17367
031113 030613 032513
CM17368
031113 030613 032513
CM17369
031113 030613 032513
4242074
031213 012313 021013
4286013
031213 020513 022513
4403147
031213 031113 032513
CM18577
031213 030813 032513
CM18578
031213 030813 032513
TOTALS ••••••••• ,, ••••••••••••• ,,, •••••••••••• :
907.24
3314.62
67.09
121.20
2281.71
634.12
187.41
1030.34
749.47
1000.00
2303.43
40.91
85.12
228.21
45.86
-7.15
-1375.16
-8.27
-1857.08
-118.63
4.10
1000.00
1850.45
-275.17
-57.94
12151.88
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
907.24
3314.62
67.09
121.20
2281.71
634.12
187.41
1030.34
749.47
1000.00
2303.43
40.91
85.12
228.21
45.86
-7.15
-1375.16
-8.27
-1857.08
-118.63
4.10
1000.00
1850.45
-275.17
-57.94
12151.88
130560002832663 031113 022513 030713
TOTALS ••••• , •••• ,,,,,,,,,,,,,,,,,,,,,,,, •• ,,.:
27924.05
27924.05
.00
.00
27924.05
27924.05
24333
031113 031513 031513
TOTALS •••••• ,,,,,,,,,,,.,,,, •• ,,,,,,,,.,,,,,,:
10320.70
10320.70
.00
.00
10320.70
10320.70
33.75
3.10
803.88
67.06
.00
.00
.00
.00
33.75
3.10
803.88
67.06
2059761
2059811
2060085
2060798
022513
022513
022813
022813
022113
022113
022113
022213
032013
032013
032013
032113
RUN DATE:
TIME:
6
PAGE:
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13
03/14/13
16:05
VEND#.NAME ••. , •• , . , ,, •• , • ,, , ,, ,, . , , , .CLS.INVOICE#.,,, •• , , .TRN DT.INV DT.DUE DT.CK DT •• PC ••• ,,, .GROSS.,,, .DISC.,, ••• NO-PAY •••••••• NET
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
SUPPLIES
2061581
022813 022613 032513
022813 022613 032513
2061877
022813 022713 032613
2062040
022813 022713 032613
2062095
2062134
022813 022713 032613
022813 022713 032613
2062226
2053840
031213 020713 030813
2053912
031213 020713 030613
031213 030813 030813
2066342
2066437
031213 030813 030813
TOTALS •••• , ••••••.••••••• ,,,,,.,, ••• ,, •• ,,,,.:
72.00
2697.17
100.20
212.30
317.40
137.82
1262.65
214.74
-214.74
89.46
5796.79
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
72.00
2697.17
100.20
212.30
317.40
137.82
1262.65
214.74
-214.74
89.46
5796.79
174388
031113 030113 030113
TOTALS ........ ,,,,,,,,,,, .................... :
275.45
275.45
.00
.00
275.45
275.45
w 24337
136.24
136.24
.00
.00
136.24
136.24
w 162343
60.57
8.28
68.85
.00
.00
.00
60.57
8.28
68.85
TOTALS •••••••••• , ••••••••••••••••••••••• , •••• :
150000.00
150000.00
.00
.00
150000.00
150000.00
9147546962
022813 022513 032413
TOTALS.,,,,,,, •• ,,,,,,,, •• ,,,,,, •• ,,,.,.,,,,.:
30.10
30.10
.00
.00
30.10
30.10
M 211469
022613 022113 032013
210883
031113 022613 022613
211276
031113 022613 022613
211818
031113 022613 022613
TOTALS.,,,,,,,,,,, ••••••••••••• ,., ••• ,,.,,,,,:
180.40
262.40
196.80
31.50
671.10
.00
.00
.00
.00
.00
180.40
262.40
196.80
31.50
671.10
w #1-2/1
031313 030113 031513
TOTALS.,,,,,,,,,,,,,,,,,,,.,.,,,,,.,,,,,,,,,,:
760.00
760.00
.00
.00
760.00
760.00
24428
24429
216.70
216.70
433.40
.00
.00
.00
216.70
216.70
433.40
45.00
.00
45.00
ICU
VARIOUS
MM CLINIC
CS INV
SURGERY
CS INV
VARIOUS
CS INV
CS INV CREDIT
CS INV
M1245 PANACEA HEALTHCARE SOLUTIO
SUBSCRIPTION
00450 PATRICIA OWEN
FLEX SPEND REIMBURSEMENT
031413 031313 031313
TOTALS.,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,.,,,:
P2200 POWER ELECTRIC
DEPT REPAIR PLANT OPS
SUPPLIES HOUSEKEEPING
022813 022513 032413
162363
022813 022713 032613
TOTALS ••• , ••••••.•• , •.••••• , •.•• ,, ••••••••••• :
10782 PRIVATE WAIVER CLEARING AC
PRIVATE WAIVER MARCH
10629 QUEST DIAGNOSTICS
OUTSIDE SRV LAB
R1050 R G & ASSOCIATES INC
SUPPLIES PLANT OPS
SUPPLIES PLANT OPS
SUPPLIES PLANT OPS
OUTSIDE SRV PLANT OPS
M1410 REBECCA MALONE
CONTRACT HIM
10812 ROBERT T HARDY
TRAVEL MM CLINIC2/25-3/1
TRAVEL MM CLINIC 3/4 - 3/
24334
031113 030113 031513
031113 030513 030513
031113 030513 030513
TOTALS •••• , •• , ••••••••• ,, •••• , •• ,., ••• , •• , ••• :
S0900 SAM'S CLUB DIRECT
MEMBERSHIP FEE
w 030813-030714
031113 012213 030813
RUN DATE:
TIME:
03/14/13
16:05
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13
PAGE:
7
APOPEN
VEND#.NAME .•.••••••••.••••••••••••••• CLS.INVOICE# ••••••••• TRN DT.INV DT.DUE DT.CK DT •• PC ••••••• GROSS •.••• DISC .••••• NO-PAY •••••••• NET
TOTALS •••••••• , ••••••••• , •••••••••••••••••••• :
45.00
.00
45.00
24335
031313 031113 031113
TOTALS ••••••••••••••••••••.•••••• , ••••••••••• :
134963.62
134963.62
.00
.00
134963.62
134963.62
S1800 SHERWIN WILLIAMS
RENOVATION BEHAVIORAL HEA W 6607-6
021913 020613 032013
RENOVATION BEHAVIOR HEALT
6608-4
021913 020613 032013
RENOVATION BEHAVIOR HEALT
6618-3
021913 020613 032013
RENOVATION BEHAVIOR HEALT
6642-3
021913 020713 032013
RENOVATION BEHAVIOR HEALT
7313-0
031113 022713 032613
RENOVATION BEHAVIORAL HEA
7318-9
031113 022713 032613
TOTALS ••••••• , •••••••••• , •••••••••••••••••••• :
192.36
191.94
21.41
132.95
58.49
30.28
627.43
.00
.00
.00
.00
.00
.00
.00
192.36
191.94
21.41
132.95
58.49
30.28
627.43
D0350 SIEMENS HEALTHCARE DIAGNOS
SUPPLIES LAB
M 971710212
031113 022713 032613
TOTALS ••••••••••••••••••••••••••••••••••••••• :
1017.72
1017.72
.00
.00
1017.72
1017.72
S2001 SIEMENS MEDICAL SOLUTIONS
SRV CONTRACT 2/18 - 3/17 M 95802093
031113 021813 031713
TOTALS •••••••••••••••••••••••••.••••••••••••• :
832.25
832.25
.00
.00
832.25
832.25
M 4453542
031113 110212 120112
TOTALS ••••••.•••••••••••••••••••••.••• , •••••• :
101.25
101.25
.00
.00
101.25
101.25
T2230 TEXAS WIRED MUSIC INC
MUZAK MARCH
MUZAK MARCH
w A712365
59.95
73.95
133.90
.00
.00
.00
59.95
73.95
133.90
T2303 TG
EMPLOYEE DEDUCTION
EMPLOYEE DEDUCTION
w 18380
031213 031213 031213
18381
031213 031213 031213
TOTALS ••••• ,, •••••••••••••••••••••••••••••••• :
42.77
132.89
175.66
.00
.00
.00
42.77
132.89
175.66
S2679 THE ST JOHN COMPANIES, INC
SUPPLIES CS INV
M 08090777
022813 022213 032113
TOTALS ••••••••• , •••.••••••••••••.••• , •••••••• :
205.00
205.00
.00
.00
205.00
205.00
022813 022313 032213
I00505389-0211 022813 022813 032413
TOTALS ••••.•••••••••••••••••••••••••••••••••• :
12.40
816.00
828.40
.00
.00
.00
12.40
816.00
828.40
24335
031313 031213 031213
TOTALS .•••••••••.•••••••••••••••••••••••••••• :
4118.00
4118.00
.00
.00
4118.00
4118.00
779.53
.00
779.53
10602 SERVICE ORGANIZATION
PROFESSIONAL FEE 10/12-12
S3940 STERIS CORPORATION
SUPPLIES SURGERY
V1050 THE VICTORIA ADVOCATE
SUBSCRIPTION
ADVERTISING
10192 THIE
MONTHLY INSTALLMENT
T0801 TLC STAFFING
CONTRACT NURSE
031113 030113 030113
A712366
031113 030113 030113
TOTALS •••..••••••••••••••••••••• , ••••• , •••••• :
w 930299
w 11136
022813 021913 032113
RUN DATE:
TIME:
03/14/13
16:05
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 03/26/13
PAGE:
8
APOPEN
VEND#.NAME ....••••••••.•..••• ,,,, ..•. CLS.INVOICE#.,,,,,, , .TRN DT.INV DT.DUE DT.CK DT •• PC •..• , .• GROSS •...• DISC ..• ,, .NO-PAY.,,,,, .• NET
TOTALS •••••• , ••••••••••••••••••••••• • ••• ·····:
779.53
.00
779.53
40038766
031113 121012 010913
40046507
031113 012413 022313
TOTALS.,,,,,,,,.,,,,,,,.,,,,,,,,,,,,,,,,,,,,.:
2362.50
4200.00
6562.50
.00
.00
.00
2362.50
4200.00
6562.50
M 7527771R1
022813 022113 032013
TOTALS ..••.•• ,., •.• •. ,, ••••.••.•••• ••••• ••••• :
213.03
213.03
.oo
.00
213.03
213.03
8150601933
022613 022613 032513
TOTALS .••••• , •..••...•.••..•...••••••.••••••• :
28.72
28.72
.00
.00
28.72
28.72
8400141604
022613 022213 032113
8400141605
022613 022213 032113
8400141763
022613 022613 032513
8400141764
022613 022613 032513
8400141765
022613 022613 032513
8400141767
022613 022613 032513
8400141768
022613 022613 032513
8400141824
022813 022613 032513
TOTALS.,,,,,,,,,,, ••••••••••••• ••••• •••••• , •• :
649.48
348.59
836.75
206.95
149.25
86.70
94.35
56.10
2428.17
.00
.00
.00
.00
.00
.00
.00
649.48
348.59
836.75
206.95
149.25
86.70
94.35
56.10
2428.17
U1400 UNITED WAY OF CALHOUN COUN
EMPLOYEE DEDUCTION
w 18378
031213 031213 031213
TOTALS.,,,, ••••••••••••.•••.•••••••...•. · • ••• :
33.50
33.50
.00
.00
33.50
33.50
24430
031113 031213 031213
TOTALS.,,,,,, ...• ,,,,,,,,,, •.. ,,,,,,,,,.,,,,,:
1000.00
1000.00
.00
.00
1000.00
1000.00
012913-022213
031113 022213 032213
TOTALS.,,,,,, , ... ,,,,,,,, •.• ,,, •. ,,, .•.•.• ,,,:
3358.47
3358.47
.00
.00
3358.47
3358.47
18383
031213 031213 031213
TOTALS.,,,,,,,,,,, ••••• ,,, •••••• ,,,,, •••• ,,,,:
400.00
400.00
.oo
.00
400.00
400.00
18382
031213 031213 031213
TOTALS., •.••••••••••••••••••••.••••••••• ·····:
495.00
495.00
.00
.00
495.00
495.00
4526,00
, 00
4526.00
4526.00
T1724 TOSHIBA AMERICA MEDICAL SY
DEPT REPAIR CT
MAINTENANCE CT
T3050 TRANE U. S. INC .
DEPT REPAIR PLANT OPS
U1054 UNIFIRST HOLDINGS
MAINTENANCE
w
U1064 UNIFIRST HOLDINGS INC
LAUNDRY HOSPITAL LINEN
LAUNDRY OR
LAUNDRY HOSPITAL LINEN
LAUNDRY HOUSEKEEPING
LAUNDRY PLAZA
LAUNDRY OB
LAUNDRY HOUSEKEEPING
LAUNDRY DIETARY SCRUBS
U2000 US POSTAL SERVICE
POSTAGE
10472 VISA
MISCELLANEOUS PURCHASES
10394 WILLIAM E HEIKAMP, TRUSTEE
EMPLOYEE DEDUCTION
10429 WILLIAM E HEITKAMP, TRUSTE
EMPLOYEE DEDUCTION
10811 WORKSPACE SOLUTIONS, INC.
RENOVATION - CS
022813 022713 032613
~ £/:=~:::::::::::::::::::::::::::::::::::
..:::::::APP;~VED
.s
fU. vt.!_
Michael J. Pfe1fer
r.alhoun County Jl!_jge
· r.::
13160
.oo
.oo
2f2- )7
:)• .
C~s ~ Is !4 ' 5 1
.ii
15
~ '.? :2-
\) 0 1D
~~s!L!?~,-s:..=,:...)-\-~-,lo-Ll-)
I 5:l~ Pi
MAR 1 3 2013
COUNTY AUDITOR
458770.78
RUN DATE:03/15/13
TIME:11:17
MEMORIAL MEDICAL CENTER
EDIT LIST FOR BATCH 556 1346
CRT#556
TRANSACTION SEQUENCE
PAGE
1
GLEDIT
,•...
SEQ.
ACCOUNT A.H.A.
NUMBER
NUMBER
1 20000000
2 40510041
TRANS
DATE JOURNAL
03/15/13 PJ
03/15/13 PJ
AMOUNT
SUB-LED
24338
24338
5,000.00CR 10812
5,000.00 10812
60510041
- - - - - - - - - -R E C A PJOURNAL YRMO COUNT
PJ
1303
2
TOTAL
2
REFERENCE MEMO
21624
- - - - - - - - DEBIT
5,000.00
5,000.00
CREDIT
5,000.00
5,000.00
G.L. ACCOUNT DESCRIPTION
ROBERT T HARDY
ROBERT T HARDY
INV DT=03/14/13 DUE=031413
OUTSIDE SERVICES
-MM CL
48676
A/P TOTAL
5, 000 . 00
ACCOUNT TOTAL RECAP ON NEXT PAGE
APPROVED
MAR 15 20\3
COUNTY AUDlTOR
~~1~
Michael J . Pfeifer
Calhoun County judge
Date: .3 $11'""'0
',",
RUN DATE:
TIME:
PAGE:
1
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/02/13
03/20/13
09:38
VEND#.NAME,,,,,,,,,,,,,,,,,,,,,,,,,,,CLS.INVOICE# .•••.•.•• TRN DT.INV DT.DUE DT.CK DT •• PC ••••••• GROSS .•••• DISC .•.••• NO-PAY .••••••• NET
A1350 ACTION LUMBER
DEPT REPAIR DIETARY
w 30942
85.18/
85.18
022813 022813 032813
TOTALS •• ,,,,,,,,,,,,.,,.,,,,,,,, ••••••.•••••• :
85.18
85.18
.00
.00
A1790 AFLAC
031913 031913 040113
ONLINE BILLING CHECK REMI W 810525
TOTALS.,, •• ,,.,.,,,,,,,,,,,,,,,,,,,.,,,,,.,,,:
3221.64
3221.64
.00
.00
3221.64
3221.64
9013220827
031513 022813 033013
031913 022813 033013
9908158174
031913 022813 032713
9908158175
TOTALS.,,,,,.,., •. ,,,,,,,, ••• ,,,,, •••• ,.,, •.• :
1761.63
198.70
408.76
2369.09
.00
.00
.00
.00
1761.63 /
198.70,....
408.76 --2369.09
A1360 AMERISOURCEBERGEN DRUG COR
PHARMACEUTICALS
w 711774856
031813 031513 032513
TOTALS.,, •. ,,,,,,, ••••••••••••• , •.• ,,,,,,,,,,:
306.81
306.81
.00
.00
306.81 /
306.81
A0777 ANDERSON CONSULTATION SERV
COLLECTIONS
w MMC031113
031513 031113 033013
TOTALS.,, •••• ,,,,,,,, •••••••• ,, •••••• ,,,,, ••• :
3116.97
3116.97
.00
.00
3116.97 /
3116.97
4985
031513 030813 032313
TOTALS •••••• ,,,,,, •••••••••••••••••• , •••••••• :
2024.50
2024.50
.00
.00
2024.50./
2024.50
M 39566670
031113 022813 032713
39610257
031113 030113 033013
39612251
031113 030413 040213
TOTALS ......................... ,,,,,,,,,,,,,,:
318.67
2767.00
190.50
3276.17
.00
.00
.00
.00
318.67/
2767
190.50 /
3276.17
M 5289132
031113 022813 032713
103364248
031513 030113 033013
TOTALS .................. ,,,,,,,,,,,,,,,,,,,,,:
5382.13
15460.80
20842.93
.00
.00
.00
5382.13 /
15460.80 , /
20842.93
BK00136568
031813 012013 022013
BK00150666
031813 030713 030713
TOTALS.,,, •• ,,.,,, ••.•••••••••••••••••••••••. :
11802.52
9245.58
21048.10
.00
.00
.00
11802.52 /
9245.58 ,/
21048.10
M 98850
031513 012413 022313
TOTALS .• ,,,,,.,,,, •• , ••• ,.,,.,,,,,,,,,,,,,,,,:
48.20
48.20
.00
.00
48.20/
48.20
286.50
286.50
.00
.00
286.50
286.50
226.64
.00
226.64 /
A1680 AIRGAS-SOUTHWEST
OUTSIDE SRV PLANT OPS
SUPPLIES PLANT OPS
SUPPLIES PLANT OPS
M
10719 AUSTIN MEDICAL PRACTICE
MEDICAL BILLING SERVICE W
B1075 BAXTER HEALTHCARE CORP
SUPPLIES CS INV
LEASE IV PUMPS
LEASE IV SOFTWARE
B1220 BECKMAN COULTER INC
SRV CONTRACT/LEASE LAB
SUPPLIES LAB
10599 BKD, LLP
AUDITING FEES
AUDITING FEES
B1650 BOSART LOCK & KEY INC
SUPPLIES PLANT OPS
C1010 CABLE ONE
OUTSIDE SRV - PO/IT
w 031613-041513
A1825 CARDINAL HEALTH
SUPPLIES NUC MED
M 08108569
031913 031613 032513
TOTALS.,,,,,,, .• , .... ,,,,,,,,,,,,,, •• ,.,,,,,,:
031513 022813 022813
,/'
.oo/
J
RUN DATE:
TIME:
PAGE:
2
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/02/13
03/20/13
09:38
VEND#.NAME •••••••••.• , •••.••.••..•... CLS. INVOICE# .•.•••••• TRN DT. INV DT .DUE DT .CK DT • •PC .••..•. GROSS •• ••• DISC • ••••• NO-PAY •• .•••• •NET
385.88
612.52
.00
.00
385.88
612.52
031513 031213 031213
TOTALS •..•.••••• •• •••••••••••••••••••••••.•.. :
550.00
550 . 00
.00
.oo
Sd_5.oo 55~00
.00
Z292183
031513 022713 032613
Z855545
031813 031213
TOTALS •••••••• , ••••••••••••• • •.•••••••.••.••• :
258.28
677 . 03
935.31
.00
.oo
.00
258.28 V'
677.03 t /
935.31
1251357811
031513 030313 040213
TOTALS •••••••••••••••••••••••••• • •• • •••• • ••• • :
236 . 61
236 . 61
.00
.00
236.61 ,/
236.61
031913 013113 022813
TOTALS . • ...••.•. • •.• ••.•..•. • •••.••• •. ••••.•. :
151.00
151.00
.00
.00
151.00 ,/'
151.00
45D2054209
022813 030413 040213
TOTALS •• ••••••• •..••••. •• •.••..•.••• ••••.••• • :
150 . 00
150.00
. 00
.00
15o.oo
150.00
24339
031813 031513 031513
TOTALS •••••••••• • ••••• • •••••..••..••••. • •.••. :
400.00
400.00
.00
.00
400 . 00 /
400.00
022813
031513 022813 032713
TOTALS •• •••••••••••••••••••••• • •••••••• •••• •• :
4865 . 50
4865.50
.00
. 00
M 786939
031513 022713 022713
787502
031513 022813 022813
A1303041378
031513 030413 030413
788845
031813 030713 030713
788844
031913 030713 030713
031913 031113 031113
789790
790271
031913 031213 031213
TOTALS ••••.••• • •• •• •••• • •••••••••••••••• • ••• • :
28.80
440.62
15607.00
148.75
8874.57
266 . 66
124.80
25491.20
.00
.00
. 00
.00
.00
.00
.00
.00
28.80 /
440.62 ,/
15607.00 /
148.75 /
8874.57 ./
266.66 /
124.80 /
25491.20
151901
031113 022813 032713
TOTALS •••••• • •••••••••••••••••••••••••••••••• :
65.27
65.27
• 00
.00
65.27 ..........
65.27
312 . 45
312.45
.00
.00
312.45 ,/
312.45
10.00
.00
031513 030613 030613
08108583
TOTALS .•••.••.••••••••••••••.•••••. • •....•.•. :
SUPPLIES NUC MED
Z0850 CARMEN C. ZAPATA-ARROYO
SPEECH THERAPIST
w 24339
C1992 CDW GOVERNMENT, INC.
SUPPLIES IT
SUPPLIES IT
M
10661 CENTURYLINK
TELEPHONE
C1600 CITIZENS MEDICAL CENTER
OUTSIDE SRV LAB
w 74601295
10723 CLIA LABORATORY PROGRAM
CERT FEE 2/15/13 - 2/14/1
C1708 CLINICAL & LABORATORY
MEMBERSHIP
10786 CLINICAL PATHOLOGY
OUTSIDE SRV LAB
C2510 CPSI
STATEMENE PROCESSING
EBOS
TECH SUPPORT
ELECTRONIC PAYSTUBS
PRIVATE PAY
EBOS
FORMS PFS
10006 CUSTOM MEDICAL SPECIALTIES
SUPPLIES RADIOLOGY
D1200 DETAR HOSPITAL
OUTSIDE SRV LAB
w 2012CU
D1710 DOWNTOWN CLEANERS
OUTSIDE SRV HOUSEKEEPING w
031113 030113 033013
TOTALS ••• • ••• •• ••••••• •• ••.• •••• ••• • •••••••• • :
24338
031513 012813 022813
v'
I
4865.50 .,/
4865.50
10.00
J
RUN DATE:
TIME:
PAGE:
3
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/02/13
03/20/13
09:38
VEND# .NAME,, , .,,,,,,,,,,,, , ,, , , , , , , •. CLS. INVOICE#,,,,, , , , , TRN DT, INV DT .DUE DT .CK DT,, PC,,,,,,. GROSS ..•.• DISC •..••• NO-PAY • •••... •NET
TOTALS.,.,,,,,,,,,,,,,,,,,,,,,,,,,, .•.•.•.• ,,:
10.00
.00
10.00
022813 022813 032713
M 46982
TOTALS .. , ••.•••••••••••••••••••••••.•.•...••. :
80.00
80.00
.00
.00
80.00 /
80.00
031113 030113 033113
03A13MMC
TOTALS •. , •.• •••••• ,,,,,,,,,,,,,,,,,,,,,,,,,,,:
495.00
495.00
.00
. 00
495.00
495.00
031513 030413 032213
TOTALS.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,:
43.76
43.76
.00
. 00
43.76
43.76
100257367
031913 030813 031813
100257419
031913 031113 032113
TOTALS.,,,,,,,,,,,,,,,,,,,,,, , ,,,,,,,, , ,,,,,,:
4592.00
421.00
5013.00
.00
.00
.00
4592.00 , /
421.00 /
5013.00
M 6961885
031113 030113 033013
TOTALS ...• ,., •.• ,,,,,,,,,,,,,,,,,,, , ,,,,,,,,,:
449.22
449.22
.oo
.00
449.22 /
449.22
0180300-IN
031513 030113 033013
TOTALS.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,:
530.00
530.00
.00
.00
530 . 00 /
530.00
24339
031913 031313 031313
TOTALS.,,,,,,,,,,,, •••••••••••• • ••••••••••••• :
82.00
82.00
.00
.00
7810576
031513 022613 032513
TOTALS .. • • , ••.•.• ,.,.,,,,,,,,,,,,,,,,,,,,,,,,:
66.83
66.83
.00
.00
66.83 /
66.83
G1210 GULF COAST PAPER COMPANY
SUPPLIES HOUSEKEEPING
M 491097-1
031813 112712 122712
TOTALS.,,,.,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,:
35.56
35.56
. 00
.00
35.56 /
35.56
M 046190
022813 022813 032713
088877
031413 020113 020113
TOTALS.,,, , ,,,,,,,,,,,,,,,,,, •. ,,,,,,, •.•.•.. :
157.77 ..
50.04
207.81
.00
.00
.00
157.77 . /
50.04 /
207.81
w A2130214-06
031813 021213 022213
TOTALS., , .,,.,, .• , •. , ••• ,, •••• , •••.•••. • •••• ,:
825.79
825.79
.oo
.00
825.79 /
825.79
2457
031113 022813 032713
TOTALS.,, •• , • •••. , ••• , •• ,.,, •• , •• ,.,.,.,,.,,,:
852.50
852.50
.00
.00
852.5o. /
852.50
11550.00
.00
11550.00 . /
E0500 EAGLE FIRE & SAFETY INC
SUPPLIES PLANT OPS
10689 FASTHEALTH CORPORATION
MONTHLY OUTSIDE SRV
F1100 FEDERAL EXPRESS CORP.
SHIPPING CHARGES
w 2-198-96230
10788 FIRETROL PROTECTION SYSTEM
DEPT REPAIR OB
DEPT REPAIR MAINTENANCE
F1400 FISHER HEALTHCARE
SUPPLIES LAB
F1653 FORT BEND SERVICES 1 INC
OUTSIDE SRV PLANT OPS
10826 FRANCES FOSTER
TRAVEL EXPENSES
G1001 GETINGE USA
SUPPLIES SURGERY
H0030 H E BUTT GROCERY
SUPPLIES DIETARY
SUPPLIES
H1100 HAYES ELECTRIC SERVICE
SUPPLIES PLANT OPS
10804 HEALTHCARE CODING &CONSUL
OUTSIDE SRV HIM
10423 JOHNGSELF ASSOCIATES INC
OUTSIDE SRV ADMIN
003-119
031513 031013 032513
~oK.
off
.;"""
v
~
RUN DATE:
TIME:
4
PAGE:
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/02/13
03/20/13
09:38
VEND#.NAME ........................... CLS.INVOICE# ......... TRN DT.INV DT.DUE DT.CK DT .. PC ....... GROSS ..... DISC ...... NO-PAY ........ NET
032013 030513 032013
003-117-1
TOTALS •••••••••••••••••.•..•.•.•••••••••••••• :
OUTSIDE SRV ADMIN
2089.98
13639.98
.00
.00
..(DCfD ,OD
9
2089.98
13639.98 t3J~'lo . o~
L0700 LABCORP OF AMERICA HOLDING
031113 030213 040113
OUTSIDE SRV LAB
M 40349493
TOTALS ••••••.•••••••••••••••••••••••••••••••• :
53.00
53.00
.oo
578.10
578.10
.00
.00
578.10
578.10
022813 022813 032713
TOTALS •• • ••••••• , • ••. • ••• • ••• • ••••••••••••••. :
84.32
84.32
.00
.00
84.32
84.32
M2659 MERRY X-RAY/SOURCEONE HEAL
SUPPLIES RADIOLOGY
M 30093497119
031513 020613 030513
SUPPLIES RADIOLOGY
30093499582
031513 020813 030713
TOTALS • ••••.•. . ...•....••.••.•.•.•. •.•••••••• :
1397.30
2157.49
3554.79
.00
.00
.00
031913 031913 030113
TOTALS •.•••..•...•.••••••••.•••.••••••••••••• :
258.52
258.52
.00
.00
24342
031913 031913 031913
TOTALS ••••••••••••••••••••••••••••••••••••••• :
3500.00
3500.00
.00
.00
3500.00 .,/
3500.00
4408497
031513 031213 032513
4408498
031513 031213 032513
4416821
031813 031413 032513
4416822
031813 031413 032513
4416823
031813 031413 032513
CM20677
031813 031413 032513
4420645
031913 031513 032513
8787
031913 031413 032513
TOTALS .••• • •• • •• • ••••••••••••••••••••••••••.• :
391.97
7085.23
224.63
484.98
903.82
-7.86
319.52
-10.36
9391.93
.00
.00
.00
.00
.00
.00
.00
.00
.oo
391.97 /
7085.23 /
224.63 ~
484.98 /
903.82
-7.86 .,/
319.52 .;'
-10.36 ,../
9391.93
197924
031113 030213 040113
197925
031113 030213 040113
TOTALS .••.•••..•.••• • •••••••••••• • ••••••••••• :
250.00
45.00
295.00
.00
.00
.00
250.00 /
45.00 /
295.00
2063083
2063331
2037415
2069008
2069009
2069048
962.11
43.26
59.36
15.99
50.64
28.56
.00
.00
.00
.00
.00
. 00
962.11
43.26
59.36
15.99
50.64
28.56
L1001 LANDAUER INC
OUTSIDE SRV RADIOLOGY
w 100051601
L1288 LANGUAGE LINE SERVICES
INTERPRETATION SRV
w 3107967
M2650 METLIFE
INSURANCEMARCH
031513 022813 032713
TOTALS •••••••••••••••••••••••••••••••..•...•• :
w 18111
10827 MORENO BROS BRICK CONTRACT
DEPT REPAIR PLANT OPS
10536 MORRIS & DICKSON CO, LLC
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICALS
PHARMACEUTICAL CREDIT
PHARMACEUTICALS
PHARMACEUTICAL CREDIT
10777 OSCAR TORRES
PEST CONTROL MARCH
PEST CONTROL
OM425 OWENS & MINOR
SUPPLIES VARIOUS
SUPPLIES CS INV
SUPPLIES CS INV
SUPPLIES CS INV
SUPPLIES CS INV
SUPPLIES CS INV
022813
022813
031513
031813
031813
031813
022813
022813
010313
031413
031413
031413
032713
032713
020213
040213
040213
031313
.00
53.00 ,./
53.00
,/
~
v
1397.30
2157.49 ..,....3554.79
258.52 /
258.52
/
./
/
,/
v
.I
RUN DATE:
TIME:
PAGE:
5
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/02/13
03/20/13
09:38
VEND#.NAME ••••.•••••••••••••••••••••• CLS.INVOICE# ••••••••• TRN DT.INV DT.DUE DT.CK DT •• PC ••••••. GROSS ••••• DISC •••••• NO-PAY •••••••• NET
TOTALS ••••••••• , ••••••••••••••••••••••••••••. :
1159.92
.00
1159.92
031513 022613 032513
925581772
TOTALS ••••••••••••••••••••••••••••••.•••••••• :
2626.58
2626.58
.00
.00
2626.58 ./
2626.58
501.00
501.00
.00
.00
5000.00
5000.00
.00
.00
5000.00 ..,/
5000.00
031913 031913 031913
TOTALS .••.••••••••••••••••••••••••• , ••••••••• :
15000.00
15000.00
.00
.00
15000.00/
15000.00
P2370 PROGRESSIVE DYNAMICS MEDIC
SUPPLIES SURGERY
031113 030113 033013
M 130330
TOTALS ....................................... :
175.94
175.94
.00
.00
175.94 /
175.94
031513 031313 031313
TOTALS •.•••••.••••••••.•••••• , ••••••••••••••• :
350.00
350.00
.00
.00
350.00
350.00
v'
24339
216.70
216.70
.00
.00
216.70
216.70
./
24339
031513 031413 031413
TOTALS •••••••.••••••••••••••••••••••••••• , ••. :
3927.00
3927.00
.00
.00
3927.00 ./
3927.00
M T829831
031913 030113 040113
T859485
031913 030113 040113
TOTALS •••••••• , ............................ ,.:
107.15
524.38
631.53
.00
.00
.00
107.15 /
524.38 v
631.53
S1850 SHIP SHUTTLE TAXI SERVICE
OUTSIDE SRV ER
w 24423
022813 022813 032713
TOTALS •••••••••••••• , •••• ,,,., •• ,., •••••••• ,.:
126.00
126.00
.00
.00
126.00 /
126.00
137.98
137.98
.00
.00
137.98/
137.98
S2001 SIEMENS MEDICAL SOLUTIONS
SRV CONTRACT 2/27 - 3/29 M 95805241
031513 022813 032713
TOTALS ....................................... :
697.58
697.58
.00
.00
697.58/
697.58
S3960 STERICYCLE, INC
WASTE PICKUP
548.63
.00
548.63
10032 PHILIPS HEALTHCARE
SRV CONTRACT NUC MED
P2100 PORT LAVACA WAVE
ADVERTISING FEBRUARY
w 184
TOTALS ••••••••
022813 022813 032713
I
•••••• '
••••• 0 •••••••••• I
•••••• :
P1725 PREMIER SLEEP DISORDERS CE
031113 022813 032713
SLEEP STUDIES FEBRUARY
M 22
TOTALS ....................................... :
T0500 PRISCILLA STEPHENS
INTERIM BILLING
R1268 RADIOLOGY UNLIMITED, PA
READING FEES
10812 ROBERT T HARDY
TRAVEL EXPENSES
w 24342
w 24339
TOTALS ..••••••
10431 ROY ALLEN MARTIN
PHARMACIST RELIEF
S1200 SEARS
SUPPLIES MM CLINIC
SUPPLIES MM CLINIC
10672 SIEMENS INDUSTRY, INC.
SRV CONTRACT 3/1 - 3/31 L
901139058
031913 031913 031913
I
I
•• I
••••• I
••••••••• I
I
•••••• :
031513 030113 033013
TOTALS ••••••••••••••••••
4004007737
•• I
I
• • • • • • II • • I
•••• I. I
031913 022813 032713
••• :
501.00
501.00
v
J
RUN DATE:
TIME:
PAGE:
6
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/02/13
03/20/13
09:38
VEND#.NAME .•••••••••••••••••••••••••• CLS.INVOICE# •••.•••.• TRN DT.INV DT.DUE DT.CK DT •• PC ••••••• GROSS ••.•• DISC •••••• NO-PAY •••••.•. NET
TOTALS ....................................... :
548.63
.00
548.63
1487747
031813 030713 040113
TOTALS •••••••.•••••••••••••.•.••••••••••••••• :
22688.57
22688.57
.00
.00
22688.57
22688.57
031113 022813 033013
TOTALS ••••••••••••••••••••••••••••••••••••••• :
4107.00
4107.00
.00
.00
4107.00..,.....,
4107.00
07-2293
TOTALS •••••••••• , •• ,, ••••••••••••••••• , •••••• :
1200.00
1200.00
.00
.00
1200.00 V'
1200.00
D1641 THE DOCTORS' CENTER
OUTSIDE SRV LAB2/1 - 2/28 W TDC022813
031913 022613 032513
TOTALS •..••••.••••••••••••••••••••••••••••••• :
45.00
45.00
.00
.00
031113 022613 032813
TOTALS ....................................... :
2005.30
2005.30
.00
.00
2005.30 /
2005.30
10044689
031513 021813 031713
TOTALS •••••••••••••••••••••••••••••••••• , •••• :
9874.50
9874.50
.00
.00
9874.50/
9874.50
8400142031
031113 030113 033013
8400142032
031113 030113 033013
TOTALS ....................................... :
668.02
348.87
1016.89
.00
.00
.00
668.02/
348.87/
1016.89
18112
031913 031913 031913
TOTALS ••••• , ••••••••••••••••••••••••••••••••• :
4591.35
4591.35
.00
.00
4591.35/
4591.35
26.50
26.50
.00
.00
26.50
26.50
575.00
575.00
.00
.00
575.00
575.00
205.09
42.28
1400.08
48.24
304.27
1999.96
.00
.00
.00
.00
.00
.00
480.00
.00
10333 SUNTRUST EQUIPMENT FINANCE
MONTHLY PAYMENT MARCH
T2539 T-SYSTEM, INC.
ELECTRONIC DOCUMENTATION
w 205EVB32557
10611 TELE-PHYSICIANS, P.A. (TX)
TELE-NEUROLOGY CONSULTS
T0801 TLC STAFFING
CONTRACT NURSE
w 11147
T1724 TOSHIBA AMERICA MEDICAL SY
SRV CONTRACT 3/20-4/19
U1064 UNIFIRST HOLDINGS INC
LAUNDRY HOSPITAL LINEN
LAUNDRY SURGERY
U0414 UNUM LIFE INS CO OF AMERIC
INSU~CE 4/1 - 4/30
U1500 UROLITHIASIS LABORATORY
OUTSIDE SRV LAB
V0552 VERATHON INC
INSTRUMENT REPAIR MEDSURG
w 13M457802
031513 022813 032713
TOTALS •••• ,.,.,., ..•.•••••••.•••••••••••••••• :
79437
TOTALS •••••••••••
V0555 VERIZON SOUTHWEST
TELEPHONE
TELEPHONE
TELEPHONE
TELEPHONE
TELEPHONE
031813 022813 033013
M 5512513030713
5523521030113
5526713030713
5528103030713
5537803030713
031113 022513 032713
I
••••••••••••••••••••••••••• :
031513
031513
031813
031813
031813
030713
030113
030713
030713
030713
040113
032613
040113
040113
040113
TOTALS ••• , •• , •••• ,.,, •• , •••• ,.,.,,.,., ••••••• :
V1471 VICTORIA RADIOWORKS, LTD
ADVERTISING
w 103020313
022813 022813 032713
v
/
45.oo/
45.00
/
J
205.09./
42.28/
1400.08 v
48.24 ./
304.27/
1999.96
480.00
J
. .
RUN DATE:
TIME:
03/20/13
09:38
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/02/13
PAGE:
7
APOPEN
VEND# .NAME .•••••.••••••••••.. •••••••• CLS.INVOICE# •..•...•• TRN DT.INV DT.DUE DT.CK DT •. PC ••••••• GROSS ••••• DISC •••••. NO-PAY •••••••• NET
ADVERTISING 2/18 - 3/15
10793 WAGEWORKS
FSA ADM FEE FEBRUARY
24341
031913 010513 020413
TOTALS •••••••.•••••••••...•••••••••••• ••• , ••• :
480.00
960.00
.00
.00
480.00
960.00
125AI0228075
031813 032013 032013
TOTALS •••••••••••••••••••••••••••..• ••.• • • ••• :
140.00
140.00
.00
.00
140.00 ,/
140.00
GRAND TOTALS ••••••••.•••••••••••••• ••••••• , • , :
210771.99
.00
cI<S.Jr
/5bl 9. 3 b
+o
~ / S~3o~
p,_
210771.99
:;2..
~c+~ c':r"JJ,....
~~wwo
~+
( SSt> ,ot>)
5~5 . oo
<_ ).JDgt:t!J
(
+ ;?, O'fD . DD
~\OJ 1~1 0 \
APPROVED
MAR 2 O
.... 2013
·;
COUNTY AUDITOR
p "(<; 3
g>
~
<~
I
'2.. 00f
rfl.JD;f.q(q 5 .D I
RUN DATE : 03/20/13
TIME: 09 : 50
PATIENT
NUMBER
PAYEE NAME
MEMORIAL MEDICAL CENTER
EDIT LIST FOR PATIENT REFUNDS ARID=0001
DATE
PAY PAT
AMOUNT CODE TYPE DESCRIPTION
031813
85.03 /
032013
158 . 68 /
031813
308.54 /
031813
1377.86 /
031813
105.60 /
031813
27.09 /
031813
3oo.oo
I
031813
47.20 )
031813
32.61 /
031813
11.67
031813
11 .12
031813
22.30 ,1
I
1
031813
488 .49 I
031813
148.61
031813
I
1o.oo I
PAGE 1
APCDEDIT
GL NUM
RUN DATE: 03/20/13
TIME: 09:50
MEMORIAL MEDICAL CENTER
EDIT LIST FOR PATIENT REFUNDS ARID=0001
PATIErfr.
~~~"
PAYEE NAME
DATE
PAGE 2
APCDEDIT
PAY PAT
AMOUNT CODE TYPE DESCRIPTION
GL NUM
---------- - --- ---~-··- - ------- ----------------------------- --- '-----~-----------..
----~-....__
031813
75. oo I
031813
10.00
4
/
4
_ _ _ _____J------------------------------.___ _ _ _
ARID=0001 TOTAL
3305.40
(!, 1-{S.:H /S';? 3 ot:,
3305.40
-fD
:li j5;) 3 ;{3
APPROVED
MAR 2 0 2013
COUNTY AUDITOR
~
_ _ _ _ _ _.....
RUN DATE:03/20/13
TIME:15:37
SEQ.
ACCOUNT A.H.A.
NUMBER
NUMBER
1 10000000
20000000
MEMORIAL MEDICAL CENTER
EDIT LIST FOR BATCH 556 1358
TRANS
DATE JOURNAL
03/20/13 CD
03/20/13 CD
AMOUNT
SUB-LED
REFERENCE MEMO
21,556.93CR 10814
21,556 . 93 10814
30000000
- - - - - - - - - -R E C A P- - - - - - - - - JOURNAL YRMO COUNT
DEBIT
CD
1303
2
21,556.93
TOTAL
2
21, 556 . 93
CRT#556
TRANSACTION SEQUENCE
A/PC152234 ALLIED BENEFIT SYSTEMS
A/PC152234 ALLIED BENEFIT SYSTEMS
21628
304468
CREDIT
21,556.93
21, 556 . 93
ACCOUNT TOTAL RECAP ON NEXT PAGE
PPROVED
MAR 2 1 2013
COUNTY AUDlTOR
PAGE
1
GLEDIT
G.L. ACCOUNT DESCRIPTION
OPERATING
ACCOUNTS PAYABLE
-CASH
-A/P
RUN DATE:03/21/13
TIME:08:34
SEQ,
ACCOUNT A.H .A.
NUMBER
NUMBER
1 10000000
20000000
MEMORIAL MEDICAL CENTER
EDIT LIST FOR BATCH 556 1364
TRANS
DATE JOURNAL
03/21/13 CD
03/21/13 CD
AMOUNT
SUB-LED
- - - - - - - - - -R E C A P- - - - - - - - - JOURNAL YRMO COUNT
DEBIT
CD
1303
2
350.00
TOTAL
2
350 . 00
REFERENCE MEMO
350.00CR 10441
350.00 10441
30000000
CRT#556
TRANSACTION SEQUENCE
A/PC152235 MMC EMPLOYEE BENEFITS
A/PC152235 MMC EMPLOYEE BENEFITS
20882
304470
CREDIT
350.00
350 . 00
ACCOUNT TOTAL RECAP ON NEXT PAGE
APPROVED
MAR 2 1 2013
COUNTY AUDITOR
PAGE
1
GLEDIT
G.L. ACCOUNT DESCRIPTION
OPERATING
ACCOUNTS PAYABLE
-CASH
-A/P
RUN DATE:
TIME:
PAGE:
1
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/09/13
03/27/13
09:23
VEND#.NAME ...... ,., •. ,,, ........ , •••• CLS. INVOICE# •••••••.• TRN DT .INV DT .DUE DT .CK DT •• PC ••••.•• GROSS •.•.• DISC ...... NO-PAY •••••.•. NET
A1350 ACTION LUMBER
DEPT REPAIR PLANT
DEPT REPAIR PLANT
DEPT REPAIR PLANT
DEPT REPAIR PLANT
w 31080
151.54 .,/
96.70/
145.15 V'
95.35 ./
488.74
031513 030713 040613
31107
031513 030813 040713
31120
031513 030813 040713
31064
032713 030613 040513
TOTALS •••••••••••••••••••••••••••••••••.•.••• :
151.54
96.70
145.15
95.35
488.74
.00
.00
.00
.00
.00
18120
032513 032513 032513
TOTALS ..•••••••••••••••••••••••••••.••••••••• :
21869.87
21869.87
.00
.oo
21869.87 ~/""
21869.87
A2218 AQUA BEVERAGE COMPANY
OUTSIDE SRV WOMEN CLINIC M 463223
032513 022813 032713
TOTALS ••••••••.•••••••••••••••••••••••••••••• :
10.09
10.09
.00
.00
10.09 /
10.09
A2276 ARTHROCARE MEDICAL CORPORA
SUPPLIES SURGERY
M 91116686
031513 030613 040513
TOTALS ....................................... :
717.41
717.41
.00
.00
717.41 ,./
717.41
M 39645912
031513 030713 040613
39651012
031513 030813 040713
39632550
032513 030613 040513
TOTALS .••••••••••••••••••.•..•.••••••••• ·····:
36.95
498.77
156.67
692.39
.00
.00
36.95/
498.77 ./
156.67 ...-692.39
M 103367318
031513 030413 040313
103370006
031513 030513 040413
103366280
031913 030413 040313
103366551
031913 030413 040313
103131266
032513 100312 110212
102996094-1
032613 071212 081212
102995392-1
032713 071212 081212
TOTALS •••••••••.••••••••••••••••••••••.•••••• :
400.22
1204.47
5078.28
4987.94
229.75
271.29
424.28
12596.23
.00
.00
.00
.00
.00
.00
4987.94
229.75/
271.29,..
424.28 /
12596.23
M 6926361RI
031513 030713 040613
TOTALS., •• , ••.•••.•••••••••••••••••.••••••••• :
136.64
136.64
.00
.00
136.64 /
136.64
11950
031113 030613 040513
TOTALS •••• , ••.••••••••••••••.•••.•.••.•• ·····:
43.00
43.00
.00
.00
43.00/
43.00
M 43748743
031113 030613 040513
61244370
031113 030613 040513
TOTALS •••••••••.••••••••••••••••••.••.••••••• :
216.75
116.00
332.75
.oo
.00
.00
216.75 /
116.00/
332.75
201708
032513 022813 032713
TOTALS., •• , •.••••••••••••••••••••••••••.••••• :
944.00
944.00
.00
.00
944.00 /
944.00
25.00
.00
25.00
OPS
OPS
OPS
OPS
10814 ALLIED BENEFIT SYSTEMS
EMPLOYEE BENEFITS
B1075 BAXTER HEALTHCARE CORP
INFUSOR PUMP LEASE
SUPPLIES CS INV
PHARMACEUTICALS
B1220 BECKMAN COULTER INC
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
SHIPPING CHARGES
SHIPPING CHARGES
B1800 BRIGGS HEALTHCARE
OFFICE SUPPLIES PFS
B1115 BRUCE'S AUTO REPAIR
OUTSIDE SRV TRANSPORTATIO
B0437 C R BARD INC
SUPPLIES CS INV
SUPPLIES CS INV
C1033 CAD SOLUTIONS, INC
CAD CASES FEBRUARY
C1030 CAL COM FEDERAL CREDIT UNI
EMPLOYEE DEDUCTION
w 18124
032613 032613 032613
.oo
.00
.oo
.oo
400.22/
1204.47/
5078.28~
/
RUN DATE:
TIME:
03/27/13
09:23
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/09/13
2
PAGE:
APOPEN
VEND#.NAME ...... ,, ....... ,.,,,,,, .• , .CLS. INVOICE#., ... ,,,, TRN DT. INV DT .DUE DT .CK DT, .PC., ..... GROSS., ... DISC •.• ,, .NO-PAY.,,,,, .. NET
TOTALS .............. ,,,,,,,,,,,, ............. :
25.00
.00
25.00
9104100274
031513 030613 040513
TOTALS •• ,,,,,,,,,,,,,,, ...................... :
79.29
79.29
.00
.00
79.29/
79.29
91233783
031113 030613 040513
91234773
031113 030713 040613
TOTALS.,.,,,,, •••• ,,,,,,,,,, •••••••••••• ,, ••• :
188.00
529.00
717.00
.oo
.00
.00
032513 031913 040513
020813T0031013 032513 031913 040513
TOTALS •• ,.,,,,,,,., ••••••••• ,, ••••••• ,, •..••• :
3456.35
116.50
3572.85
.00
.00
.00
3456.35 ,/
116.5o I
3572.85
011177
032613 022813 032713
TOTALS •• ,,, •.••••• , •• ,.,, ••• ,, •••• , •.•••• ,.,.:
8717.62
8717.62
.00
.00
8717.62 o/
8717.62
M 498157
031113 030613 040513
TOTALS ....................................... :
108.41
108.41
.00
.00
108.41 /
108.41
M 3113447
031513 030713 040613
TOTALS ••••••.•••••• , •••••••••• ,,, •••. , ••• , ••• :
54.08
54.08
.00
.00
54.08 /
54.08
18140397
031813 030813 040713
TOTALS •• , •• ,,.,, •. , ••••• ,., ••••• ,,,,.,,., .•.• :
4715.28
4715.28
.oo
.00
4715.28 /
4715.28
14836
031813 031013 040913
TOTALS •••• , •• ,,, •••••••• , ••• ,, •.•••• ,,.,, •••• :
14350.00
14350.00
.00
.00
14350.00/
14350.00
M 778533
032513 012113 012113
783530
032513 021313 021313
783841
032513 021313 021313
784447
032513 021813 021813
789365
032513 031113 031113
TOTALS •• ,, •••••••• , ••• , ••• , ••••. ,., •• ,., •• , •. :
13.00
35409.60
1476.00
6750.00
29.40
43678.00
.00
.00
.00
.00
.00
.00
13.00 . /
35409.60 .,/'
1476.00/
152319
031113 030713 040613
152170
031513 030513 040413
152319-1
031813 030713 040613
TOTALS .•.•.•• , ••• ,.,,, .• ,.,.,,,, ••• ,,., •• ,,,,:
158.26
58.26
571.57
788.09
.00
.00
.00
.00
158.26 /
58.26
571.57/
788.09
242597
180.70
.00
180.70 /
10650 CAREFUSION 2200, INC
SUPPLIES MM CLINIC
10350 CENTURION MEDICAL PRODUCTS
SUPPLIES CS INV
SUPPLIES CS INV
C1730 CITY OF PORT LAVACA
WATER /SEWER 2/8 - 3/10
WATER 2/8 - 3/10
10813 COKER GROUP HOLDINGS, LLC
OUTSIDE SRV ADMIN
C1970 CONMED CORPORATION
SUPPLIES SURGERY
C2157 COOPER SURGICAL INC
SUPPLIES MM CLINIC
10646 COVIDIEN
INSTRUMENT SURGERY
10556 CPP WOUND CARE #28,LLC
WOUND CARE
C2510 CPSI
SOFTWARE LAB
SERVER
SERVER
SERVER INSTATLL
STATEMENT PROCESSING
10006 CUSTOM MEDICAL SPECIALTIES
SUPPLIES RADIOLOGY
SUPPLIES RADIOLOGY
SUPPLIES CT SCAN
10042 ERBE USA INC SURGICAL SYST
SUPPLIES SURGERY
w 020813-031013
031113 030613 040513
188.00
529.00
717.00
~
6750.00~
29.40
43678.00
RUN DATE:
TIME:
03/27/13
09:23
PAGE:
3
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/09/13
VEND#.NAME ........................... CLS.INVOICE# ......... TRN DT.INV DT.DUE DT.CK DT .. PC ....... GROSS ..... DISC ...... NO-PAY ........ NET
F1400 FISHER HEALTHCARE
SUPPLIES LAB CREDIT
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
SUPPLIES LAB
TOTALS ••••••.•••.•••••••.••••••••••••.••••.•• :
180.70
.oo
031513 030413 040313
M 7017878
7017879
031513 030413 040313
7078838
031513 030513 040413
7150187
031513 030613 040413
031513 030713 040613
7201339
032513 031413 040913
7486855
7561427
032513 031513 031313
TOTALS •••••••••••••••••••••••••••••.••••••••. :
-854.32
40.00
1323.70
528.92
1734.25
46.03
181.90
3000.48
.00
.00
.00
.00
.00
.00
.00
.00
24348
032613 032213 032213
24349
032613 032213 032213
TOTALS ••••••.••••••••••••••••.••••.•••••••••• :
170.14
316.14
486.28
.00
.00
W 5606981
031813 030413 040313
5606991
031813 030413 040313
'5617485
031813 030613 040513
TOTALS ••••••••••••••••••••••••••••••••••••••. :
447.91
3504.39
690.00
4642.30
10826 FRANCES FOSTER
TRAVEL EXPENSES PER AGREE
TRAVEL EXPENSES PER AGREE
G0100 GE HEALTHCARE
SRV CONTRACT 3/1 - 3/31
SRV CONTRACT 3/1 - 3/31
SRV CONTRACT
G0120 GE MEDICAL SYSTEMS, INFO T
SRV CONTRACT OB
180.70
-854.32 ,/
40.00 .-/
1323.70 -528.92 .........1734.25 /
46.03 .......-"'
181.90 /
3000.48
.00 ~0~
.00
.oo
.00
.00
0
kk
447.91 ...-'
3504.39 ........690.00 /
4642.30
7391630
031513 031013 040913
TOTALS •••••••••••••••••. , .••••••• , •••.•••.••• :
171.00
171.00
.oo
.00
171.00 .......-'
171.00
7812439
031513 030713 040613
TOTALS •...••••••••......•••••.••••••••••••••. :
213.81
213.81
.00
.00
213.81 /
213.81
105439549
032513 020513 030413
TOTALS •••••••••••••••••••••••.•••.•........•• :
78.76
78.76
.00
.00
78.76 /
78.76
M 9084254326
031513 030613 040513
TOTALS ••.••••••••••••••••••••••••••••••• ····.:
84.23
84.23
.00
.00
84.23 .......-"'
84.23
w
074679
031513 030813 040713
074712
031513 030913 040713
TOTALS •••.••.•••••...•••••••••••.••••••• ·····:
43.97
23.98
67.95
.00
.00
.00
43.97 ,/
23.98 /
67.95
G1210 GULF COAST PAPER COMPANY
SUPPLIES HOUSEKEEPING
M 539636
031113 030513 040413
TOTALS •••••.••••••••••.•••••••••..•••••.••••. :
72.00
72.00
.00
.00
72.00 /
72.00
179.08
84.30
.00
.00
179.08 .
84.30 /
G1001 GETINGE USA
INSTRUMENT REPAIR SURGERY
10653 GLOBAL EQUIPMENT COMPANY
SUPPLIES DIETARY
W1300 GRAINGER
SUPPLIES PLANT OPS
A1292 GULF COAST HARDWARE I ACE
DEPT REPAIR MM CLINIC
DEPT REPAIR MM CLINIC
H0030 H E BUTT GROCERY
SUPPLIES DIETARY
SUPPLIES DIETARY
M 672799
679753
032513 030113 033013
032513 030513 040413
/I
RUN DATE:
TIME:
03/27/13
09:23
PAGE:
4
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/09/13
VEND#.NAME ••...•••••••••••••••••••••• CLS.INVOICE# .•••••••• TRN DT.INV DT.DUE DT.CK DT •• PC ••••••• GROSS ••••• DISC •••••• NO-PAY •••.•••• NET
032513 030713 040613
682923
032613 032613 032613
24350
TOTALS .•••••••••••••••.•••••••••••••••••••••• :
304.76
1.69
569.83
.00
.00
.00
304.76/
1.69 __..
569.83
H1135 HEALTH CARE LOGISTICS INC
031813 030813 040713
OFFICE SUPPLIES PHARMACY M 4722855
SUPPLIES PHARMACY
4717788
032713 030413 040313
TOTALS ••••••••••••••••••••••••••••••••••••••• :
331.51
187.63
519.14
.00
.00
331.51 v
187.63
v
519.14
28165578
031113 030413 040313
28187722
031813 030613 040513
TOTALS •••••••.•••••••••••••••••••••••••••••.• :
16.74
63.08
79.82
.00
.00
.00
M 3235801
031913 030813 040713
TOTALS ••••••••.••••••••••••••••••.••••••••••• :
871.06
871.06
.00
.00
871.06 /
871.06
2012CL0515-5-12 032513 030113 033013
TOTALS ••••••••••••.•••••••••••••••••••••••••• :
458.33
458.33
.00
.00
458.33 ./
458.33
909672060
031513 030613 040513
TOTALS ••••••••.•.•••••••••••••••••••••••••••• :
2591.26
2591.26
.00
.00
2591.26./
2591.26
M 11354058
031813 030713 040613
TOTALS .•.••••••••••••••••••••••••••••••.••••• :
314.04
314.04
.00
.00
314.04 /
314.04
M 574724
032613 031813 032813
TOTALS .••••••••••••••••••••.•••••••••.••••••• :
68.45
68.45
.00
.00
68.45 /
68.45
M 1544212
031513 030613 040513
TOTALS ••••.••••••••••••.•••••••••••.••••••••• :
186.00
186.00
.00
.00
186.00./
186.00
30093520578
031113 030613 040513
30093520579
031113 030613 040513
32590230788
032513 061412 071412
30093454696
032613 121112 011313
30093456071
032613 121212 011113
TOTALS •••••••...•••••••••.•••••••••.••••••••• :
357.25
714.51
281.25
49.32
285.78
1688.11
.00
.00
.00
.00
.00
.00
357.25 .,./
714.51/
281.25 ......
49.32 /
285.78 /
1688.11
4240382
032613 012313 021013
4242075
032613 012313 021013
TOTALS ••••••••••••••••••• , •••••••••• ,, ••••••. :
94.59
5512.36
5606.95
.00
.00
.00
94.59
5512.36
5606.95
13-03-2117
3250.00
.00
3250.00 /
SUPPLIES DIETARY
FINANCE CHARGES
I0415 INDEPENDENCE MEDICAL
SUPPLIES CS INV
SUPPLIES CS INV
I0950 INFOLAB INC
SUPPLIES BLOOD BANK
10671 INNOVATIVE X-RAY SERVICES
SRV CONTRACT RADIOLOGY AP
J0150 J & J HEALTH CARE SYSTEMS,
SUPPLIES SURGERY
M2310 MEDELA INC
SUPPLIES CS INV
M2320 MEDIBADGE
SUPPLIES ER
M2827 MEDIVATORS
SUPPLIES SURGERY
M2659 MERRY X-RAY/SOURCEONE HEAL
SUPPLIES RADIOLOGY
M
SUPPLIES RADIOLOGY
SERVICE CALL MAMMO
SUPPLIES RADIOLOGY
SUPPLIES CT SCAN
10536 MORRIS & DICKSON CO, LLC
PHARMACEUTICALS
PHARMACEUTICALS
M1002 MPULSE MAINTENANCE SOFTWAR
SOFTWARE PLANT OPS
032513 031913 040113
.oo
16.74 /
63.0879.82
j
RUN DATE:
TIME:
03/27/13
09:23
PAGE:
5
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/09/13
VEND# .NAME ••••..... , ...••••.•••.•..•. CLS. INVOICE# ••••• ••.. TRN DT. INV DT .DUE DT .CK DT •. PC . ••.••• GROSS •.••• DISC .•.• • •NO-PAY •.•.•••• NET
TOTALS ••••••. ••• ••••• • • ••••••••• •••••••••••.• :
3250.00
.oo
3250.00
W021648
031513 030613 040513
TOTALS ••••••••••••••••••••••••••••••••••••..• :
312.63
312.63
.00
.00
312.63
312.63
2064603
031113 030513 040413
2064618
031113 030513 040413
2064673
031113 030513 040413
2064875
031113 030513 040413
2065104
031113 030513 040413
2064233
031513 030413 040313
2066454
031513 030813 040713
2066573
031513 030813 040713
TOTALS .•.•..•.••......•••••••.•.••••••.••••.. :
18.76
342.00
9.18
2592.86
66.04
476.03
71.55
1838.38
5414.80
.00
.00
.00
.00
.oo
.00
.00
.00
.00
18.76 ./
342.00 /
9.18 ....
2592.86 ...-'
66.04 .476.03 /
71.55 /
1838.38 ./
5414.80
P1260 PENTAX MEDICAL COMPANY
INSTRUMENT REPAIR SURGERY M 91940247
031513 030813 040713
TOTALS •••••••••. •.• • ••••. •..••..••••••••.•••• :
603.78
603.78
.00
.00
603.78 v-'
603.78
M 925655698
031813 030813 040713
TOTALS •••••••..•.••••••••••••••..•••••••••••• :
271.32
271.32
.00
.00
271.32 ........271.32
P1800 PITNEY BOWES INC
SOFTWARE CHARGES
w
907924
031513 030413 040313
TOTALS •••••.••••••••••••••.••••••••••...••.•• :
229.00
229.00
.00
.00
229.00 . /
229.00
P2200 POWER ELECTRIC
DEPT REPAIR PLANT OPS
w
162486
031513 030913 040813
TOTALS ....................................... :
8.97
8.97
.00
.00
8.97 /
8. 97
18115
032513 032513 040113
TOTALS .•..•..•••• • •••. • •.•.••••• • , ........••• :
1616.95
1616.95
.00
.00
1616 . 95 /
1616 . 95
24351
032613 062513 032513
TOTALS ••••••••...•....•••••••..•• • ••••••••..• :
15000.00
15000.00
.00
15000.00 /
15000.00
130353
031513 030713 040613
TOTALS ••••••••••••••••••••••••••••••...•.•••• :
153.92
153.92
.00
.00
121625
032513 010713 020713
TOTALS .•.•••••..•••.•.••••••..•• • •••••••••• •. :
3788.00
3788.00
.00
.00
3788.00 /
3788.00
180.40
.00
180.40 /
10824 NEWMATIC MEDICAL
SUPPLIES MRI
OM425 OWENS & MINOR
SUPPLIES CS INV
SUPPLIES VARIOUS
SUPPLIES CS INV
SUPPLIES VARIOUS
SUPPLIES VARIOUS
SUPPLIES SURGERY
SUPPLIES CS INV
SUPPLIES VARIOUS
P1476 PHILIPS HEALTHCARE
INSTRUMENT REPAIR ICU
10326 PRINCIPAL' LIFE
INSURANCE APRIL
T0500 PRISCILLA STEPHENS
INTERIM BILLING
w
f'\1\a r ch 'lo L3
P2370 PROGRESSIVE DYNAMICS MEDIC
SUPPLIES SURGERY
M
10800 PROVIDENCE HEALTHCARE STAF
CONTRACT NURSE F.,. A..t' c. e .S. f=os +e.<
R1050 R G &ASSOCIATES INC
SUPPLIES PLANT OPS
M 212217
031513 030713 040613
.oo
../
153.92 ./
153.92
RUN DATE:
TIME:
03/27/13
09:23
PAGE:
6
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/09/13
VEND#.NAME .......•••..•.........•.... CLS.INVOICE# ••....••• TRN DT.INV DT.DUE DT.CK DT •• PC ••••••• GROSS ••.•. DISC •.•..• NO-PAY •..••••. NET
TOTALS ..•.• ••. ..•••••••..••••••••.•..•••.•••. :
180.40
.00
180.40
03201325
031513 030813 040713
TOTALS •••••••••••••••••••••••••.•••••••...••• :
375.00
375.00
.00
.00
375.00
375.00
031813 031113 040513
M 88701854
TOTALS ••••••••••••••••• •••• •••.•••••••••••••• :
4870.00
4870.00
.00
.00
4870.00 . /
4870.00
24345
032613 032613 032613
24347
032613 032613 032613
TOTALS ••••••••••••••••••••••••••••••••••••••• :
5000.00
216.70
5216.70
.00
.00
5000.00 .,.,.
216.70 /
5216.70
100009087
031513 030413 040313
100009102
031513 030513 040413
TOTALS ..•..•••..•.•..••••••.•..•.•••••••••••• :
29.29
17.00
46.29
.oo
.oo
S1800 SHERWIN WILLIAMS
DEPT REPAIR BEHAVIOR HEAL W 7683-6
031813 030713 040613
TOTALS ••••••• •.•••••••••••••••••••...•••••... :
58.49
58.49
.oo
.00
58.49
58.49
S2400 SO TEX BLOOD & TISSUE CENT
SUPPLIES BLOOD BANK CREDI M 20130656
031513 030413 040313
SUPPLIES BLOOD BANK
20130724
031513 030413 040313
TOTALS ••••••••••••••••••••••••••• , •.••••••••• :
-2460.00
4353.00
1893.00
.00
.00
.00
-2460.00
4353.00
1893.00
24343
032613 032513 032513
TOTALS ••.••..••••••..•••••••.•••••••••••••••. :
315.52
315.52
.00
.00
315.52 /
315.52
M 303070716
032513 030713 032713
303140952
032513 031413 040113
TOTALS •..•.••...•....••••..•.....•••••.•.•••• :
774.77
1112.64
1887.41
.00
.00
.00
774.77 /
1112.64 /
1887.41
M 27337
031513 030513 040513
27362
031513 030613 040513
TOTALS •.•••••.••••••••••••••••••••.•.•••••••• :
197.10
99.56
296.66
.oo
.00
.00
197.10
99.56
296.66
100-APRIL
032613 032513 032513
TOTALS ••••••.•••••••••••••••••••••••••••••••• :
590.80
590.80
.00
.00
590.80
590.80
032613 032613 032613
18126
032613 032613 032613
TOTALS ..••••••..•.•••••..•••.••..•....•••••.. :
22.43
125.67
148.10
.00
.00
.00
22.43 /
125.67 ,/
148.10
24343
667.00
.00
667.00 /
10645 REVISTA de VICTORIA
ADVERTISING
I0520 RICOH USA, INC.
COPIER RENTAL
10812 ROBERT T HARDY
CONTRACT
TRAVEL EXPENSES MM CLINIC
10343 SCAN SOUND, INC
SUPPLIES RADIOLOGY
SUPPLIES RADIOLOGY
W1131 SUE WILLIAMS
FLEX SPEND REIMBURSEMENT
S2951 SYSCO FOOD SERVICES OF
SUPPLIES DIETARY
SUPPLIES DIETARY
T1900 TEXAS ELECTRICAL SUPPLY
SUPPLIES PLANT OPS
SUPPLIES PLANT OPS
10821 TEXAS LAKESIDE RV RESORT,
TRAVEL EXPENSES Ro\,ec-4- \-\tv· ~
T2303 TG
EMPLOYEE DEDUCTION
EMPLOYEE DEDUCTION
10828 THE WESTIN AUSTIN
TRAVEL EXPENSE VARIOUS
w 18125
032513 032113 032113
.oo
.00
./
29.29 //
17.00
46.29
/
v
/
~
.,/
RUN DATE:
TIME:
03/27/13
09:23
PAGE:
7
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/09/13
VEND#.NAME .••••••.•••••••••.•••• ,,,, .CLS. INVOICE#.,.,,,.,. TRN DT .INV DT .DUE DT .CK DT •• PC •••••.• GROSS ••••. DISC •••••. NO-PAY •.•.•••• NET
667.00
667.00
.00
277.00
2070.71
2347.71
.00
.00
.00
450.00
450.00
.00
.00
031113 030513 040413
8150602854
031113 030513 040413
TOTALS •••••••••••.••••••••••••• •·•••••••·••• •:
30.62
32.97
63.59
.00
.00
.00
30.62/
32.97/
63.59
8400142181
031113 030513 040413
8400142182
031113 030513 040413
8400142183
031113 030513 040413
8400142184
031113 030513 040413
8400142185
031113 030513 040413
8400142186
031113 030513 040413
8400142506
031513 030813 040713
8400142507
031513 030813 040713
8400142247
032513 030513 040413
TOTALS.,,, ••••••••••••••••• , ••••••••••••••••• :
1008.34
206.95
167.48
177.66
86.70
94.35
866.67
348.59
56.10
3012.84
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
1008.34 /
206.95 /
167.48 /
177.66 ..,/
86.70 /
94.35 /
866.67/
348.59"'
56.10 /
3012.84
031513 021813 040613
TOTALS.,,,., .•••••••••••• , •••••••••••••.••••• :
128.91
128.91
.00
.00
U1400 UNITED WAY OF CALHOUN COUN
EMPLOYEE DEDUCTION
w 18123
032613 032613 032613
TOTALS.,,,,., •.. ,,.,,,,,,,,,,,, •• ,,,,,,.,, ••. :
58.50
58.50
.oo
58.50 /
58.50
032613 031613 032713
TOTALS.,, ••••••• , •••••••• ,,.,, .•••••• ,, •••••• :
908.10
908.10
.00
.00
908.10 /
908.10
3060578
032513 031413 040113
5619662
032513 022213 031213
5784326
032513 030513 032513
5831213
032513 030713 032713
5831214
032513 030713 032713
5748474
032613 030113 032013
5748475
032613 030113 032013
5851422
032613 030713 032713
TOTALS.,,,, •••.••••••••••••••• , •••••••••.•••• :
4108.17
374.41
218.57
4301.78
252.13
48.69
29.70
27.75
9361.20
.00
.00
.00
.00
.00
.00
.00
.00
4108.17,/
374.41/
218.57 /
4301.78 /
252.13 /
48.69 /
29.70/
27.75 /
9361.20
24346
1200.00
.00
1200.00/
TOTALS ••• ,.,, •••••••.• , ••••••••.••••••••..••• :
T0801 TLC STAFFING
CONTRACT NURSE
CONTRACT NURSE
w 11186
031513 030513 040413
11228
032513 031913 031913
TOTALS., •• ,,., •••••••••.•••••••••••.••••••••. :
T3334 TRINITY PHYSICS CONSULTING
MAMMO SPOT CHECK
w 24343
032513 032113 032113
TOTALS, , , •••••••••••• , ••••••••• , ••••••••••••• :
U1054 UNIFIRST HOLDINGS
LAUNDRY MAINTENANCE
LAUNDRY MAINTENANCE
U1064 UNIFIRST HOLDINGS INC
LAUNDRY HOSPITAL LINEN
LAUNDRY HOUSEKEEPING
LAUNDRY PLAZA
LAUNDRY DIETARY
LAUNDRY OB
LAUNDRY HOUSEKEEPING
LAUNDRY HOSPITAL LINEN
LAUNDRY SURGERY
LAUNDRY DIETARY
U1056 UNIFORM ADVANTAGE
EMPLOYEE PURCHASE
U1350 UPS
SHIPPING CHARGES
10172 US FOOD SERVICE
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
SUPPLIES DIETARY
U2000 US POSTAL SERVICE
METER POSTAGE
w 8150602713
w 4867334
w 0000778941113
032613 032613 032613
.00
.oo
277.00 ..2070.712347.71
450.00
450.00
/
128.91
128.91
/
RUN DATE:
TIME:
03/27/13
09:23
PAGE:
8
APOPEN
MEMORIAL MEDICAL CENTER
AP OPEN INVOICE LIST THRU DUE DATE OF 04/09/13
VEND#.NAME.,,,,,.,.,,.,,,,,,,,,,,,, •. CLS.INVOICE#.,.,,,,, .TRN DT.INV DT.DUE DT.CK DT •• PC.,,,,, .GROSS.,, .• DISC.,, .•. NO-PAY ..••••.. NET
TOTALS.,,,,,,,,,,, ••••••••••••••••••••••••.•• :
1200.00
.00
K1751 VICKY KALISEK
FLEX SPEND REIMBURSEMENT W 24344
032613 032513 032513
TOTALS.,,,,,,,.,.,,,,,,,,,,,,,,,,.,,,,,,,,,,,:
234.35
234.35
.00
MARCH2013
032513 020613 040113
TOTALS .•.•.••. ,., .•••••.•.•••••••• , .•.••••.•. :
2668.49
2668.49
.00
.00
2668.49 - 2668.49
9110012667
031913 030513 040413
TOTALS.,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.:
1268.54
1268.54
.00
.00
1268.54
1268.54
18121
032613 032613 032613
TOTALS •.•..•..•••.•••••••••••••••••••.•• ·····:
325.00
325.00
.00
.00
325.00 /
325.00
18122
032613 032613 032613
TOTALS •.•••• ,,,, .•••.•••••••••••••••••••••••. :
495.00
495.00
.00
.00
495.00 /
495.00
GRAND TOTALS, , •.•..• , , , , , , , , .• , . , , , , , , , , , , , , , :
206304.21
.00
10472 VISA
MISCELLANEOUS PURCHASES
I1110 WERFEN USA LLC
SUPPLIES LAB
1200.00
234.35 /
234.35
.oo
/
10394 WILLIAM E HEIKAMP, TRUSTEE
~PLOYEE DEDUCTION
10429 WILLIAM E HEITKAMP, TRUSTE
EMPLOYEE DEDUCTION
PPROV!E.D
206304.21
<'-{~to .'J.<t)
~+' ~
Pea>
MAR 27 2013
~o~8n . q3
/
COUNT'! AUD!TOR
(
Run Date: 02/21/13
Time: 10:17
MEMORIAL MEDICAL CENTER
Payroll Register
( Bi-Weekly )
Pay Period 02/08/13 - 02/21/13 Run# 2
Dept. Sequence
Department 038
Page
P2REG
*-- Em p l o y e e -----*-- T i me --------------------------------------------*-- De d u c t i on s -------------------------*
INum/Type/Name/Pay/ExemptiPayCd Dept Hrs IOTISHIWEIHOICBI Rate
Gross I Code
Amount
I
*- ----------------------- *--- ---------------------------------------------------- *----- ------------------------------------------ -*
FT Hrly:
14.9900
P
038
Fed-Ex: M-00 St-Ex: -00
*----------------------------*Total:
16.00 N
N N N
14.9900
16.00 ---------------- (Gross:
239.84 FICA-M
239.84
3. 48 FICA-0
Deductions:
14.87 TSA-R
35.14
Net:
16.79
204.70 )
Department Summary
*-- P a y C ode S u m m a r y -----------------------------------------*-- D e d u c t i on s
I PayCd Description
Hrs IOTISHIWEIHOICBI
Gross I Code
Amount
p
16.00 N
N N N
*---------------Department Totals:
16.00 ------- (Gross:
I Checks Count:- FT
1 PT
Other
Female
1 Male
/
((:) {
/
(
239.84
239.84
Credit
A/R
CAFE H
CAFE-F
CAPE-L
CLINIC
DEP-LF
FICA-0
FUTA
GRP- IN
ID TFT
OTHER
REPAY
STUD EN
TSA-C
TUTION
AWARDS
CAFE-C
CAFE-H
CAFE-P
CREDUN
FEDTAX
14.87 FLEX S
GIFT S
GTL
LEAF
PHI
SIGNON
TSA-1
TSA-P
UW/HOS
S u mm a r y -------------*
I
BOOTS
CAFE-D
CAFE-I
CANCER
DENTAL
FICA-M
FORT D
GRANT
HOSP-I
MISC
PR FIN
ST-TX
TSA-2
TSA-R
Deductions:
35.14
Net:
OverAmt
ZeroNet
Term
3.48
16.79
204.70 )
Total:
1 I
MEMORIAL MEDICAL CENTER
{ Bi-Weekly )
Payroll Register
Pay Period 02/08/13 - 02/21/13 Run# 1
Run Date: 02/26/13
Time: 09:51
i
Page 85
P2REG
Final Sumary
*--
P a y C o d e S u m ma r y -----------------------------------------•-- De d u c t i o n s
Hrs IOTISHIWEIHOICB I
Gross I Code
Amount
I PayCd Description
S u m m a r y -------------•
• ---------- .............. --- ........... --------------------- ............. -- ------ ... ------------ .... i- .................... -- ........... - .. --------------- ..... ------------------
1
1
1
1
2
2
B
c
D
ll
E
I
J
K
p
p
X
X
z
REGULAR PAY -81
REGULAR PAY -81
REGULAR PAHl
REGULAR PAY-S1
REGULAR PAY-S2
REGULAR PAY-S2
REGULAR PAY-S3
REGULAR PAY -S3
SICK BONUS
CALL PAY
DOUBLE TIME
EXTRA WAGES
EXTRA WAGES
INSERVICE
.roRY LEAVE
EXTENDED-ILLNESS-BANK
PAID-TIME-OFF
PAID-TIME-OFF
CALL PAY 2
CALL PAY 2
CALL PAY 3
7559.50
1465.25
. 139.50
2.25
2603 .so
80.00
1651.50
98.25
72.00
2250.75
11.75
N
N
N
N
y
N
y
N
N
N
y
N
N
N
y
N
N
N
N 1 N
N
N
N
N
N
N
13.00 N
N
1. 75 N
N
72.00 N
N
86.56 N
N
825.00 .N
N
96.00 N
N
60.00 N 1 N
96.00 N
N
*--------------------
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
Grand Totals: 17184.56 ------- ( Gross:
I Checks Count : - FT 163 PT 18 Other 33 Female 181 Male
*
N- N- M
M- • - M
-------------- -- M
---- M
- - - - - - - - - - - - - - - - - - .. -
COMBINED TOTALS
FED TAX
32,179.48
I
FICAO
37,150.60
/
FICAM
8,688.42
/
TOTALS
78,018.50
M
I
*
763.50 AWARDS
BOOTS
133363.12 A/R
CAFE-C
662.84 CAFE-D
997.50
47088.16 CAFE H
25L57 .
CAFE~H
9308.00 CAFll-I
4214.08 CAFE-F
392.71 CAFE-P
99.63 CANCER
12.68
42.32 CAFE-L
53140.54 CLINIC
CREDUN
25. 00 DENTAL
402.50
2681.38 DEP-LF
329.80 FEDTAX 32086.91 FICA-M 4312.48
38666.62 FICA-0 18439.64 FLEX S 1322. 86 FORT D
2991.40 FUTA
GIFTS
92.32 GRANT
129.26 GTL
HOSP-I 3545.00
1714.32 GRP-IN
LllAF
4501.50 ID TFT
MISC
PR FIN
2624.07 PHI
509.66
712.75 OTHER
ST-TX
SIGNON
1091.61 REPAY
128.60 TSA-1
TSA-2
1060.00 STUDllN
TSA-P
TSA-R 21731.75
370.54 TSA-C
41.23 TUTION
UW/HOS
83.50
1152.64
1825.29
15194.58
192.00
120.00
288.00
310452.08
33 Credit
----- --------- M
212195.30 )
Deductions:
98256.78
Net:
OverAmt 10 ZeroNet
Term
Total: 214 1
- - - - . , - - MMM - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ..
t
Run Date: 02/27/13
Time: 13:58
MEMORIAL MEDICAL CENTER
Payroll Register
( Bi-Weekly )
Pay Period 02/08/13 - 02/21/13 Run# 4
Dept. Sequence
Department 031
Page
P2REG
*-- Em p l o y e e -----*-- T i m e --------------------------------------------*-- D e d u c t i o n s -------------------------*
INum/Type/Name/Pay/ExemptiPayCd Dept Hrs IOTISHIWEIHOICBI Rate
Gross
Code
Amount
I
*- ----------------------- *------------------------------------------------------- *----------- ------------------------------------- *
I
' Hrlv·
:n.3700
K
031
Fed-Ex: S-00 St-Ex: -00
*----,----:------------------*Total:
~~015~
26.00 N
N N N
33.3700
26.00 ---------------- (Gross:
867.62 FEDTAX
TSA-R
867.62
92.57 FICA-M
60.73
Deductions:
12.58 FICA-0
219.67
Net:
53.79
647.95)
Department Summary
*-- P a y C o d e S u m m a r y -----------------------------------------*-- D e d u c t i on s S u mm a r y -------------*
I PayCd Description
Hrs IOT ISH IWE IHOI CB I
Gross
Code
Amount
*-------------------- ------------------------------------------------------ *---- ------------------------------------------------ *
K
26.00 N
N N N
867.62 A/R
AWARDS
BOOTS
CAFE-C
CAFE-D
CAFE H
CAFE-H
CAFE-I
CAFE-F
CAFE-P
CAFE-L
CANCER
CLINIC
CREDUN
DENTAL
DEP-LF
FEDTAX
92.57 FICA-M
12.58
FICA-0
FORT D
53.79 FLEX S
FUTA
GRANT
GIFT S
GRP-IN
HOSP-I
GTL
ID TFT
MISC
LEAF
PR FIN
OTHER
PHI
REPAY
SIGNON
ST-TX
TSA-1
TSA-2
STUD EN
TSA-C
TSA-P
TSA-R
60.73
TUTION
UW/HOS
I
*---------------Department Totals:
26.00 ------- (Gross:
I Checks Count:- FT
1 PT
Other
Female
1 Male
867. 62
Credit
I
Deductions:
219.67
Net:
OverAmt
ZeroNet
Term
647.95)
Total:
1 I
*---------------------- -------------------------------------------------------------------------------------------------------- -*
Run Date: 02/27/13
Time: 08:51
MEMORIAL MEDICAL CENTER
Payroll Register
( Bi-Weekly )
Pay Period 02/08/13 - 02/21/13 Run# 3
Dept. Sequence
Department 001
Page
P2REG
-----*-- T i me --------------------------------------------*-- De d u c t i on s -------------------------*
INum/Type/Name/Pay/ExemptiPayCd Dept Hrs IOTISHIWEIHOICBI Rate
Gross
Code
Amount
I
*-- E m p l o y e e
I
*----- ------------------- *---- --------------------------------------------------- *------- ----------------------------------------- *
FT Hrlv:
N N N
-3.50 N
001
N N N
-7.50 N
001
Fed-Ex: M-06 St-Ex: -00
-8.75 N
001
N N N
001 -17.50 N
N N N
001
3.50 N
N N N
001
7.50 N
N N N
8. 75 N
001
N N N
001
17.50 N
N N N
*------- --------------------- * Total:
.00 ----------------
azi!
28.6000
&,i~t9
3. 0000
3. 2500
4. 0000
4. 2500
32.8500
31.8500
33.8500
32.8500
(Gross:
-10.50 FICA-M
15.67 FICA-0
67.00 TSA-R
-24.38
-35.00
-74.38
ll4.98
238.88
296.19
574.88
1080.67
Deductions:
158.32
Net:
75.65
922.35 )
Department Summary
*--
P a y Co d e
S u mma r y -----------------------------------------*-- D e d u c t i o n s
I PayCd Description
Hrs
IOTISHIWEIHOICBI
Gross
I Code
S u mm a r y -------------*
I
Amount
*------- ------------------------------------------------------------------- *----- ----------------------------------------------- *
REGULAR PAY -82
REGULAR PAY -83
N
N
*--------------- Department Totals:
I Checks Count: - FT
1 PT
Other
N N N
N N N
------- ( Gross:
Female
1 Male
318.98
761.69
1080.67
Credit
A/R
CAFE H
CAFE-F
CAFE-L
CLINIC
DEP-LF
FICA-0
FUTA
GRP-IN
ID TFT
OTHER
REPAY
STUD EN
TSA-C
TUTION
AWARDS
CAFE-C
CAFE-H
CAFE-P
CREDUN
FEDTAX
67.00 FLEX S
GIFT S
GTL
LEAF
PHI
SIGNON
TSA-1
TSA-P
UW/HOS
BOOTS
CAFE-D
CAFE-I
CANCER
DENTAL
FICA-M
FORT D
GRANT
HOSP-I
MISC
PR FIN
ST-TX
TSA-2
TSA-R
Deductions:
158.32
Net:
OverAmt
ZeroNet
Term
15.67
75.65
922.35)
Total:
1 I
*------------ -------------------------------------------------------------------------------------------------------------------*
Tax Payment Report Worksheet
EFTPS Voice ResponseS\ (Photocopy this worksheet for future use.)
[]ij .
Youdial:
EFTPS responds:
You enter:
I&11J EFTPS.prompts:
You enter:
1-800-555-3453
"Welcome to the Electronic Feder-al Tax Payment System"
"If you are calling from a Toi1c~Tomi phone, press 1."
1 (For Touch Tone phone)
"Enter your 9-digit Taxpayer Identification Number"
[TilJl][k][Q][QJ12J[t][Z][ZJ
(9-digit Employer Identification Number)
m
EFTPS promt~:
You enter:
llit!lll
EFTPS prompts:
You enter:
11::~:_.:~]
EFTPS prompts:
You enter:
c=
"fnter your 4-digit PIN"
=--=digit Personal Identification Numb
lists the Main Menu Selections
Press 1 (to initiate a tax pryment}
"Enter the Tax Type number followed by the pound (#)sign.".
1LJ [!Z] ITJOD D
the IRS Tax Form-Table in Appendix A)
EFTPS re~ponds:
lblldl EFTPS prompts:
You enter:
lll[ll EFTPS prompts:
You enter:
(d EFfPS prompts:
You enter:
(3-to 6 digit tax type number from
.
"You entered Tax Type/Tax Description (Based on the selection in step #5)
"Enter Tax Payment Type"
1 digit number Tax Payment Type
{Tax Payment Type specific to Tax Form Code in Appendix D)
"Enter the 4-digit Tax Fili~g Period starting with the year followed by month"'
.
.
rn [!] [1[] 13:] (Valid 4-digit Tax Period base~ on IRS Tax Form
~ i.n Appendix A).
.
"Enter the payment Amount followed by the pound (#)sign."
(You must enter cents even if you are reporting a whole dollar amount.)
$oo.ornm.rnmm-rniQJ
(Your payment amount cannot exceed $99,999,999.99)
EFfPS prompts:
Enter the 2-digit Verification Code."
c::Jc::J Verification Code*
*(See Appendix E for' Verification Co~e Calculation)
EFTPS responds:
i'~
fvU
1\\ ~\1
~~ '\
J
Youenter:
"Enter the 6-digit tax payment settlement date by month, ay, year."
·{Note, the next business date you enter must be at least one business day
in the future).
rifll]i][1[]JO~ IQ:J
~it tax payment settlement day in MMDDYY format)
~~
...... ·.···.
(Continue)
WhlW
., '" ''!f!bi!J ,. cf\
Run Date: 03/12/13
Time: 10:21
MEMORIAL MEDICAL CENTER
( Bi-Weekly )
Payroll Register
Pay Period 02/22/13 - 03/07/13 Run# 1
Page 86
P2REG
Final Summary
*-- P a y C ode
S u m m a r y -----------------------------------------*-- D e d u c t i on s
Hrs loTI sHjWE IHoi CB 1
Gross
Amount
I PayCd Description
Code
S u m m a r y -------------*
I
I
*- ------------------------------------------------------------------------ -*----- -----------------------------------------------*
B
c
c
E
E
I
J
K
p
p
X
X
y
z
REGULAR PAY -S1
REGULAR PAY -S1
REGULAR PAY -S1
REGULAR PAY -S1
REGULAR PAY- S2
REGULAR PAY-S2
REGULAR PAY -S3
REGULAR PAY -S3
SICK BONUS
CALL PAY
CALL PAY
EXTRA WAGES
EXTRA WAGES
INSERVICE
INSERVICE
JURY LEAVE
EXTENDED- ILLNESS-BANK
PAID-TIME-OFF
PAID-TIME-OFF
CALL PAY 2
CALL PAY 2
YMCA/ CURVES
CALL PAY 3
PHONE & DATA
7755.50
1440.00
187.75
2. 50
2531.00
73.00
1589.25
93.75
36.00
64.00
2530.75
N
N
y
y
N
y
N
y
N
N
N
N
N
39.00 N
2.50 y
13.00 N
116.00 N
126. 00 N
728. 00 N
64.00 N
94.00 N
N
96.00 N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
136145.43
46467.91
4826.55
76.88
51967.17
2267.53
37449.50
3612.59
436.32
128.00
5061.50
8785.70
720.00
974.66
109.31
211.25
3237.56
2016.62
14559.68
128.00
188. 00
45.00
288.00
510.00
863.50 AWARDS
BOOTS
A/R
CAFE H
CAFE-C
655.55 CAFE-D
972.50
CAFE-F
CAFE-H 9255.00 CAFE-I
241.88
. 12.68
CAFE-L
417.22 CAFE-P
91.88 CANCER
CLINIC
CREDUN
25.00 DENTAL
397.54
DEP-LF
329.80 FEDTAX 34090.19 FICA-M 4455.23
FICA-0 19061.09 FLEX S 1322.86 FORT D
FUTA
158.13 GRANT
GIFTS
GRP-IN
HOSP-I 3315.00
129.26 GTL
ID TFT
LEAF
MISC
OTHER
2509.22 PHI
PR FIN
508.66
ST-TX
REPAY
SIGNON
TSA-2
STUD EN
175.66 TSA-1
TSA-R 22414.94
TSA-C
TSA-P
TUTION
33.50
UW/HOS
*--------------------Grand Totals: 17582.00 ------- (Gross:
218776.87 )
320213.16
Deductions: 101436.29
Net:
I Checks Count :- FT 164 PT 16 Other 32 Female 181 Male 31 Credit
OverAmt 13 ZeroNet
Term
Total: 212 1
*- ------------------------------------------------------------------------------------------------------------------------------ *
Run Date: 03/18/13
Time: 13:58
Department 00 5
MEMORIAL MEDICAL CENTER
Payroll Register
( Bi-Weekly )
Pay Period 02/22/13 - 03/07/13 Run# 2
Dept. Sequence
Page
P2REG
*-- Em p l o y e e -----*-- T i me --------------------------------------------*-- D e d u c t i on s -------------------------*
INum/Type/Name/Pay/ExemptiPayCd Dept Hrs IOTISHIWEIHOICBI Rate
Gross I Code
Amount
*----------- ------------ -*--- ---------------------------------------------------- *--------- --------------------------------------- *
I
" FT Hrlv,
005 -23.50 N
N N
005 -45. so N
N N
Fed-Ex: M-09 St-Ex: 0-00
005
-6. so N
N N
-2. so y
N N
005
E 005
N
N N N
*Direct Deposit
3/14/13-* Total: -78.00 *w* Net Pay -ve
?1 1;700
23.6700
24.6700
21.6700
37.0050
( Gross:
-556.25 DENTAL -10.00 FEDTAX -880.80 FICA-M -63.98
-1122.49 FICA-0 -273.55 HOSP- I -105.00 TSA-R -308.85
-140,86
-92.51
-2500.00
-4412.11
-2769.93 )
Deductions : -1642.18
Net:
Department Summary
*-- P a y C o de S u m m a r y -----------------------------------------*-- De d u c t i on s S u m m a r y -------------*
I PayCd Description
Hrs joTjSHIWEIHOICBI
Gross
I Code
Amount
*- ---------------------- --------------------------------------------------- * ---------------------------------------------------- *
REGULAR PAY-S2
-23. so N
N N
-556.25 A/R
AWARDS
BOOTS
CAFE-D
REGULAR PAY-S3
-45. so N
-1122.49 CAFE H
CAFE-C
N N
CAFE-I
REGULAR PAY-S3
-2. so y
N N
-92.51 CAFE-F
CAFE-H
EXTRA WAGES
N
N N N
-2500.00 CAFE-L
CAFE-P
CANCER
E
INSERVICE
-6.50 N
-140.86 CLINIC
-10.00
N N
CREDUN
DENTAL
DEP-LF
-63.98
FEDTAX -880.80 FICA-M
FICA-0 -273.55 FLEX S
FORT D
FUTA
GRANT
GIFTS
GRP-IN
GTL
HOSP-I -105. 00
ID TFT
LEAF
MISC
OTHER
PHI
PR FIN
ST-TX
REPAY
SIGNON
TSA-2
STUD EN
TSA-1
TSA-R
TSA-C
TSA-P
-308.85
TUTION
UW/HOS
I
*---------------Department Totals:
-78.00 ------- (Gross:
I Checks Count:- FT
PT
Other
Female
Male
-4412.11
Credit
Deductions:
-1642.18
Net:
OverAmt
ZeroNet
Term
-2769.93 )
Total:
I
*------- ----------------------------------------------------------------------------------------------------------------------- -*
Page
P2REG
MEMORIAL MEDICAL CENTER
Payroll Register
( Bi-Weekly )
Pay Period 02/22/13 - 03/07/13 Run# 3
Dept. Sequence
Run Date: 03/18/13
Time: 14:08
Department 005
*-- E m p l o y e e -----*-- T i me --------------------------------------------*-- D e d u c t i o n s -------------------------*
INum/Type/Name/Pay/ExemptiPayCd Dept
Hrs
IOTISHIWEIHOICBI
Rate
Gross
J
Code
Amount
I
*-- ----------------------*-- ----------------------------------------------------- *-- ----------------------------------------------*
005
005
Fed-Ex: M-09 St-Ex: 0-00
005
005
E 005
*----------------------------* Total:
FT Hrly:
21.6700
N N
N N
N N
y
N N
N
N N
78.00 *w* High Net
23.50
45.50
6.50
2.so
N
N
N
N
N
N
N
N
Pay
23.6700
24. 6700
21.6700
37.0050
( Gross:
63.98
556.25 DENTAL
10. 00 FEDTAX 334.72 FICA-M
308.85
1122.49 FICA-0 273.55 HOSP-I 105.00 TSA-R
140.86
92.51
2500.00
3316.01 )
4412.11
Deductions:
1096.10
Net:
Department Summary
*-- P a y C o de
Summa r y -----------------------------------------*-- D e d u c t i on s
I PayCd Description
Hrs IOTISHIWEIHOICBI
Gross I Code
Amount
S u m m a r y -------------*
I
*-- ------------------------------------------------------------------------*---------------------------------------------------- *
E
REGULAR PAY -S2
REGULAR PAY -S3
REGULAR PAY-83
EXTRA WAGES
INSERVICE
23.50 N
45.50 N
2. 50 y
N
6. 50 N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
*---------------Department Totals:
78.00 ------- (Gross:
I Checks Count:- FT
1 PT
Other
Female
1 Male
556.25
1122.49
92.51
2500. 00
140.86
4412.11
Credit
A/R
CAFE H
CAFE-F
CAFE-L
CLINIC
DEP-LF
FICA-0
FUTA
GRP-IN
ID TFT
OTHER
REPAY
STUDEN
TSA-C
TUTION
AWARDS
CAFE-C
CAFE-H
CAFE-P
CREDUN
FEDTAX
273.55 FLEX S
GIFT S
GTL
LEAF
PHI
SIGNON
TSA-1
TSA-P
UW/HOS
BOOTS
CAFE-D
CAFE-I
CANCER
DENTAL
334.72 FICA-M
FORT D
GRANT
HOSP- I
MISC
PR FIN
ST-TX
TSA-2
TSA-R
Deductions:
1096.10
Net:
OverAmt 1 ZeroNet
Term
10.00
63.98
105.00
308.85
3316.01 )
Total:
1 I
*- ----------------------------------------------------------------------------------------------------------------------------- -*
Tax Payment Report Worksheet
EFTPS Voice Responses, (Photocopy this worksheet for future use.)
1-800-555-3453
"Welcome to the Electronic Federal Tax Payment System"
"If you are callfng from a Touch Tone phone, press 1."
You dial:
lLd EFTPS responds:
j
.
You enter:
ILA31
1 (For Touch Tone phone)
nEnter your 9-digit Taxpayer Identification Number"
EFTPS .prompts:
ILJ[}[][k][QJ[QJ[L][!l]CZJ[ZJ
You enter:
(9-digit Employer Identification Number)
[:]£11
EFTPS promt::;:
"Enter your 4-digit PIN"
You enter:
!L{1JI
[__ _ _ _ digit Personal Identification Numb
EFTPS prompts:
Lists the Main Menu Selections
You enter:
11:::-xn
Press 1 {to initiate a tax pryment)
EFTPS prompts:
nEnter the Tax Type number followed by the pound (#)sign."
You enter:/
rnrn mooD
(3-to6digittaxtypenuniberfrom
the IRS Tax Form-Table in Appendix A)
(L\ ,ff}l
EFTPS responds:
nvou entered Tax Type/Tax Description (Based on the selection in step #5}
EFTPS prompts:
"Enter Tax Payment Type"
You enter:
[[]I
EFTPS prompts:
You enter:
1 digit number Tax Payment Type
{Tax Payment Type specific to Tax Form Code in Appendix D)
nEnter the 4-digit Tax Fili~g Period starting with the year followed by !llonthn·
,_/fTI [TI 1::?2:] [3LJ {Valid 4-digit Tax Period base? on IRS Tax Form
Table in Appendix A}
m
EFTPS prompts:
You enter:
"Enter the payment Amount followed bythe pound (#) sign."
(You must enter cents even if you are reporting a whole dollar amount.)
$oo,o[]JUIJ,[5][2JGJ.~EJ
{Your payment amount cannot exceed $99,999,999.99)
~ EFTPS prompts:
Enter the 2-digit Verification Code."
D D
Verification Code*
*(See Appendix E for Verification Co~e Calculation)
EFTPS responds:
"Enter the 6-digit tax payment settlement date by month, day, year."
· (Note, the next bl)siness date you enter must be at least one business day
in the futuf\e}:
/
./ ·
[]]til c:a;J[Q:J ITJ
m
(6-digit tax payment settlement day in MMDDYY format)