February 2010 - Montgomery County Hospital District

Transcription

NOTICE OF A REGULAR MEETING
OF THE BOARD OF DIRECTORS
MONTGOMERY COUNTY HOSPITAL DISTRICT
Notice is hereby given to all interested members of the public that the Board of Directors of Montgomery
County Hospital District will hold a regular meeting as follows:
Date:
February 23, 2010
Time:
4:00 P.M.
Place:
ADMINISTRATIVE BUILDING
200 RIVER POINTE DR.
SUITE 200
CONROE, MONTGOMERY COUNTY, TEXAS 77304
Open to Public: The meeting will be open to the public at all times during which such subjects are
discussed, considered, or formally acted upon as required by Texas Open Meetings Act, Chapter 551 of
the Government Code.
This Notice in detail was posted at least 72 hours prior to the beginning of said meeting with the County
Clerk’s Office and is on the Bulletin Board of the Courthouse and in the District’s Administrative Office.
Subject:
1.
2.
3.
4.
5.
6.
The agenda for such meeting shall include the consideration of, and if deemed advisable,
the taking of action upon:
Call to Order
Invocation
Pledge of Allegiance
Roll Call
Public Comment
Special Recognition
• Employee of the Month
Items Involving Visitors
7. Consider and act on ratification of contracts with additional network providers for indigent care
(Mrs. Wagner, Chair - Indigent Care Committee)
8. Receive report from Conroe Regional Medical Center including Upper Payment Limit, trauma
designation, and other local healthcare matters
District
9. CEO Report to include update on District operations, strategic plan, capital purchases, employee
benefits, and other healthcare matters
10. Consider and act if necessary on the succession plan and proposed line of succession for Chief
Executive Officer (Ms. Whatley, Chair – Personnel Committee)
11. Consider and act on recommendation for revision to the District’s procedures related to assigned
cellular phone and data devices including cost recovery (Mr. Bourgeois, Board Chair)
NOTICE OF A REGULAR MEETING OF THE BOARD OF DIRECTORS
MONTGOMERY COUNTY HOSPITAL DISTRICT - PAGE 1
12. Consider and act on the annual evaluation of the Chief Executive Officer (Ms. Whatley, Chair –
Personnel Committee)
13. Consider and act on RFP submissions for general legal counsel (Mr. Bourgeois, Board Chair)
14. Consider and act on proposed Information Technology Policy (Mr. Bourgeois, Board Chair)
15. Consider and act on recommendations from HIPAA Security report (Mr. Bourgeois, Board Chair)
16. COO Report to include update on Construction Projects
17. Consider and act on purchase of VHF equipment as per the Montgomery County Fire Chiefs
Association (Mr. Posey, Treasurer – MCHD Board)
18. Consider and act on East County Tower RFP (Mr. Posey, Treasurer – MCHD Board)
19. Consider and act on proposed mutual aid agreement with Montgomery County for emergency
disaster response (Mr. Bourgeois, Board Chair)
Emergency Medical Services
20. EMS Director Allen Sims’ Report to include updates on EMS stations, staffing, performance
measures, staff activities and psychiatric patient transport to Tri County MHMR
21. Consider and act on the purchase of a replacement ambulance chassis from insurance funds. (Mr.
Ambrosia, Chair – EMS Committee)
Indigent Care
22. Healthcare Assistance Program Manager Penny Buchanan’s Report to include regulatory update,
outreach, eligibility, service, and utilization
23. Consider and act on Healthcare Assistance Program claims from Non-UPL providers processed
by Boon-Chapman (Mrs. Wagner, Chair - Indigent Care Committee)
24. Consider and act on ratification of voluntary contributions to the UPL account of Healthcare
Assistance Program claims processed by Boon Chapman (Mrs. Wagner, Chair – Indigent Care
Committee)
25. Discuss and act upon renewal of Cooperative Purchasing Interlocal Agreement with Williamson
County (Mrs. Wagner, Chair – Indigent Care Committee)
26. Consider and act upon an amendment to the District’s River Pointe office lease with Huntsville
Investments, such amendment adding Suite 310 and removing Suite 303, beginning on or about
March 15, 2010 (Mrs. Wagner, Chair – Indigent Care Committee)
Finance
27. Presentation of Financial Report for the four months ended January 31, 2010 – Michael J.
Nicknish, CFO, report to include Financial Summary, Balance Sheet, Income Statement,
Supporting Statements, and Supplemental EMS Billing Information
28. Consider and act upon recommendation for amendment to budget for fiscal year ending
September 30, 2010 (Mr. Posey, Treasurer – MCHD Board)
29. Consider and act on ratification of payment of District invoices to Henry Schein, Inc. (Mr. Posey,
Treasurer - MCHD Board)
30. Consider and act on ratification of District invoices, excluding invoices to Henry Schein,
Inc. (Mr. Posey, Treasurer - MCHD Board)
31. Consider and act on salvage and surplus equipment (Mr. Posey, Treasurer - MCHD Board)
Other Items
32. Secretary’s Report - consider and act on minutes for January 26, 2010 Regular Meeting (Mrs.
Wagner, Secretary-MCHD Board)
33. Consider and act on approval of fencing and road construction at East County Tower site (Mr.
Fawn, Chair – PADCOM Committee)
34. Adjourn
____________________________
Sandy Wagner, Secretary
The Board will announce it will convene into Executive Session, if necessary, pursuant to Chapter 551 of
the Texas Government Code, to receive advice from Legal Counsel, to discuss matters of land acquisition,
litigation and personnel matters as specifically listed on this agenda. The Board of Directors may also
announce it will go into Executive Session, if necessary, to receive advice from Legal Counsel regarding
any item on this agenda.
AGENDA ITEM : 7
MCHD HCAP NETWORK
Ratification of New Provider Agreements - 2-23-10
Physician/Facility
Specialty
Facility
Effective
Cypress Cardiology, PA
Thomas L. DeBauche
Peter Razeghi
Shaikh A. Ali
Memorial Hermann Surgery Center Richmond
Memorial Hermann Memorial Village Surgery Center
Liberty Medical Supply
Cardiology
Cardiology
Rheumatology
Ambulatory Surgery Centers
Ambulatory Surgery Centers
Diabetic Supplies and Related DME
NCMC, CFH, KH
NCMC, CFH, KH
TOM
RICH
HOU
FL, VA
2/17/2010
2/17/2010
2/10/2010
8/25/2009
8/25/2009
2/8/2010
*Facility Key:
CCH
FL
HOU
KH
NCMC
RICH
TOM
VA
-
Cypress Creek Hospital
Florida
Houston
Kindard Hospital
North Cypress Medical Center
Richmond
Tomball
Virginia
Note: New agreements highlighted in yellow.
Note: Additional providers added to existing contact highlighted in orange.
Agenda Item # 8
We Make a Difference!
To:
Board of Directors
Date: February 19, 2010
Re:
Conroe Regional Medical Center Report
Conroe Regional medical Center report including upper payment limit, trauma designation, and
other local healthcare matters.
Agenda Item # 9
To:
Board of Directors
From: Allen Johnson
Re:
CEO Report
Strategic Objectives
Objective 1 – Enhancing Information Flow to the Board
Board Report Format
I am trying a new format this month for my report. I received feedback from a Board member
that we had not provided ongoing updates on the strategic objectives. On reflection and review
of past reports, we did provide a substantial amount of information, but we did not correlate the
information back to the objectives. This month, I have listed the objectives and placed
information pieces with the related objective. I welcome your feedback on this change.
Objective 2 – Strengthening Continuity of Service
UASI Grant Funding for Medical Reserve Corps
The Montgomery County Medical Reserve Corps (MRC) has not met its potential. Since its
conception about four years ago, there has not been funding to support a coordinator for the
County. I was appointed by Judge Sadler to be a voting member of the Urban Area Security
Initiative (UASI) Grant – Health and Medical Committee. The UASI program received $50
million or so of Homeland Security money each year for the Greater Houston area. As my
committee reviewed proposals, I noted that Montgomery County was the only jurisdiction not
receiving $100,000 for a two year funding cycle to support MRC development and operations. I
raised the issue to the committee and ultimately, Montgomery County was included.
I have been in discussions with Montgomery County Emergency Management and UTMBConroe (the local health department) on how to execute the grant. UTMB’s local staff would
like to house the FTE, but they have not been able make it through the UTMB bureaucracy.
The County has requested that MCHD enter a sub recipient agreement and hire someone to
carry out the grant deliverables. The position would work closely with MCOEM, the hospitals
and UTMB.
Mutual Aid Agreement
There is a mutual aid agreement with Montgomery County on the Board agenda. We have
worked on and off for three years to make this happen. The agreement will link MCHD to the
regional mutual aid agreement. This will enable us to respond to regional mutual aid requests
and be compensated from the start. FEMA regulations state that without a mutual aid
agreement, reimbursement is not possible for the first twelve hours of the response.
Succession Planning
February 22nd was the deadline for managers to complete the revisions to their department
succession plans. It appears that we will meet our internal deadline. The Board agenda
includes my specific succession plan for review and endorsement. We have also added an
order of succession for the Chief Executive Officer in case several members of the Executive
Staff were to be unavailable for service.
Leadership MCHD
Leadership MCHD continues to receive very strong positive feedback. The participants are
growing in their leadership knowledge and skills. They have been exposed to details about our
industry and organization that will benefit them as they continue to serve. This past month,
their leadership topic was change management. In the afternoon, Karen Webb and Mike
Nicknish facilitated a discussion about the revenue side of our budget. Next month, Tax
Assessor J.R. Moore will provide an overview of county taxes, and we will begin a study of the
expense side of the budget development process.
Leadership Montgomery County
Mike Nicknish is a member of the Leadership Montgomery County Class of 2010. Mike is
enjoying the learning opportunity and is getting to know Montgomery County and the leaders
across the county. Their class project supports enhancements to the South County Community
Clinic.
Objective 3 – Employer of Choice
Wellness ROI
Recently I was updating a presentation on Wellness and calculated the three year estimated
return on investment for our Wellness Program. We have invested approximately $120,000
over three years. We have documented savings of $370,000 in premium savings (based on
peer group premium increases and illustrated in our reduction in loss ratios.) This program
continues to be a strong retention tool and a method of mitigating insurance premium increases.
Strong Retention
With Mr. Posey’s support and guidance, we completed a major recruitment and retention
initiative about 12 months ago. We monitor retention weekly in our Senior Staff meeting. For
the last six months, we have remained within our definition of 100% staffing and maintained a
waiting list of people wishing to work for us.
It has been eight months since our last new employee hiring process for the field. In the year
prior to that, we were conducting hiring processes every month, sometimes twice a month. We
are working to update turnover savings that have been realized by this process.
In the coming months, The Woodlands Fire Department will be hiring 24 new positions. As we
move forward, we realize the need to refocus energy on retention. We do not want to lose the
ground gained over the past 18 months.
Objective 4 – Fiscal and Operational Accountability
First Regional Station Opens
Station 10 opened last week on time and slightly under budget. As you recall, there was no
contingency fund for this project. Kelly and his staff worked diligently with Turner Construction
to successfully manage the handful of change orders that were needed. In the end, the net
impact was neutral. The station has been very well received by the staff. It offers a safe,
secure, and comfortable location, yet is very modest in comparison to other public safety
facilities that have been recently constructed around the community.
Worker’s Compensation
I am very pleased to report that our worker’s compensation premiums decreased substantially
below what was anticipated. We will save $190,000 from the changes to our modifier and our
base rate. The changes are the result of specific attention to reducing injuries in the workplace.
We are pleased that the coordinated effort between MCHD staff, our worker’s comp carrier and
VFIS for an education and safety awareness campaign is paying off.
Property Appraisal In Progress
We have engaged Whitney and Associates to conduct the appraisals on the George Strake
property. We should be ready to establish the minimum price for the bid at the next Board
meeting.
Six Sigma Project Explored
We are forming a joint task force with Conroe Regional Medical Center to review strategies that
will reduce hospital drop times. Times have stayed relatively flat over the past year. This
could be seen as good news in relation to the increased volumes seen by EMS and the
Emergency Department. The task force will be using Six Sigma methods to study the issue.
Sonar Project
In an attempt to reduce property damage from backing incidents, EMS Operations is pilot
testing a low cost sonar alerting system on the latest remount. I have asked Allen Sims to
periodically report the progress of this project to the Board. Backing incidents are generally not
very expensive, but they have high potential for serious consequences. We have a backing
policy that requires a “backer” to guide the unit whenever possible. However, during patient
care, this may not always be possible.
HCAP Savings
Each month, Penny’s report highlights savings from the HCAP various programs. Sometimes
the impact of that savings is lost in the fragmented nature of monthly reports. I thought it would
be a good idea to pull some numbers together. In fiscal year 2009, the savings from internal
management programs visioned and developed by our staff include:
Medicaid Reimbursement
Cost
Diabetic Supply Savings
Cost
$351,828 recouped on behalf of the taxpayer
Annual salary and benefits for one FTE, nominal software costs
$82,725
Prescription Assistance Program Projected Savings: If client only got med through PAP for one
month of their initial eligibility period, we saved $105,064.68. If we only paid for the med for one
month and the client got it for the other five months of their initial eligibility period then we saved
$525,323.40. We will be better able to track this figure using the MedData software USScript
provides us. On average, Brandi identified $8,755.39 of savings available by switching clients to
PAPs each month.
Respiratory Projected Savings: Estimated annual cost savings per client enrolled: $10,528. We
have about 40 clients enrolled each month. A VERY conservative annual savings estimate
would be $421,144. The program costs around $67,174 annually.
On an anecdotal basis, Bill Givens reported to Penny this week that this past winter two of these
clients were able to manage their respiratory conditions during the cold spells and avoid ER
visits when in the past they would have felt the need to go to the ER. One client was able to
stop using oxygen because she learned to use her medication properly and her breathing
improved. He verified this with her improved pulse ox score and discussed with her physician
before she stopped using the oxygen.
In the first four months of FY 2010, Penny reports:
Transition to USScripts
Medicaid Reimbursements
Diabetic Supplies
$137, 704 savings
$ 79,127 recouped
$ 35,996 saved
Objective 5 – Optimize Services
HCAP Volumes
HCAP volume continues to climb at a concerning rate. The staff has been working very hard to
maintain performance standards for application processing time. The public continues to be
served very well, but the staff is under a considerable amount of pressure to stay current. The
fiscal and administrative controls put in place since 2003 have kept enrollment at a manageable
level despite the current economic conditions. Kelly is working very closely with Penny to
insure that our controls are appropriate and they will continue to monitor key indicators.
RN/Paramedic Program
The diabetes disease management program has been stalled for a couple of months. Field
paramedic/RN Bonnie Bain is on light duty and has been assigned to work on this project. We
hope to report progress shortly.
Objective 6 – Support Responsible Healthcare Resource Development
United Way
The Montgomery County United Way has established Facilitating Access to Affordable and
Quality Healthcare as a strategic goal for 2010. They solicited proposals for projects to support
this initiative, but did not receive any that met their qualifications. The MCUW Board is
exploring the possibility of commissioning a study on issues surrounding the uninsured/under
insured in Montgomery County. They hope that by understanding the characteristics of the
uninsured and the causes specific to Montgomery County, they might better target their limited
resources toward solutions. I am serving on the steering committee that is interviewing and
reviewing proposals from various organizations wishing to perform the scope of work.
CRMC Submits for Trauma Designation
MCHD staff has been working closely with CRMC to develop their clinical pathways to support
Level III trauma service. The leadership of both organizations met to review the work this past
week. CRMC submitted their Level III application immediately following that meeting.
Representatives from CRMC will be at the Board meeting to report on their progress and the
utilization of UPL funding.
Health Information Exchange
Last month, I reported that the Healthcare Alliance of Montgomery County (HAMC) was shutting
down due to funding issues. We began talking with Conroe Regional Medical Center regarding
the possibility of CRMC funding a mini-HIE along with a disease management program for the
uninsured.
Before the HAMC could be closed, we received word that the Houston Endowment had
approved a $500,000 grant over two years for a Montgomery County HIE. The HAMC Board
met on February 16th to discuss options for accepting and implementing the deliverable of the
grant. The Board decided to continue due diligence with the hospitals while we study the grant
contract.
Health Department
I have been asked to work with CRMC, UTMB, and the County to explore some options for the
local maternal and child health programs. Currently those programs are contracted to UTMB.
Expecting Medicaid mothers receive care in Montgomery County, but are expected to give birth
in Galveston. Many deliver locally. There is a desire in the medical community to contract
locally for those services. MCHD does not provide funding for maternal and child health, but
the County recognizes MCHD as a healthcare resource for their decision making process. We
are pleased to be able to help in the process. One of our long range goals is to be seen as a
healthcare subject matter resource for the community.
Agenda Item # 10
To:
Board of Directors
From: Allen Johnson
Re:
CEO Succession Plan
At the request of Mr. Fawn, I am bringing the current draft of the CEO Succession Plan to the
Board for review and endorsement. The plan details initial steps should I become
unexpectedly unavailable to serve for any reason. The plan also provides a suggested order of
succession should other members of the executive team be unavailable.
Because the Board is directly responsible for the CEO position, Mr. Fawn recommended that
the Board review the succession plan for the position and receive regular reports on the
development of those expected to fulfill specific duties included in the plan.
I have attached a recently updated draft of the plan for your review, comment, and
endorsement.
Emergency Task Assignment/Succession Plan
Position: Chief Executive Officer
Procedure for the Appointment of an Acting Chief Executive Officer in the Event of an Unplanned
Absence of the Chief Executive Officer
Among the duties listed in the position description, the following are the key functions of the Chief
Executive Officer to be covered by an acting CEO:
•
Serve as the organization’s principal leader, representative, and spokesperson to local
governmental entities, legislative officials, hospitals, and greater community partners.
•
Support the Board of Directors:
o Establish and maintain strong working relationship with the Board Chair and Board
members
o Ensure continuing leadership to address issues around clarity of role, governance,
bylaws/policies, structure, and processes
o Assist with orientation of new Board members
•
Prepare Executive reports to Board of Directors and attend various Committee meetings.
•
Convene and lead the Executive Leadership Team.
•
Participate in recruitment, interview, selection and evaluation process for directly supervised staff
and other key executive level positions.
•
Establish, monitor and report on strategic objectives of the organization.
•
Serve as the primary media spokesperson.
•
Serve as the primary legislative liaison for the District.
•
Chair the internal Quality Council.
•
Provide official representation for MCHD and as requested for Montgomery County on local,
regional, and state appointments.
•
Oversee the organization’s short-range and long-range program and project goals, particularly in
organizing and planning for HCAP and EMS:
o identify overall resource deployment goals in conjunction with the Board;
o establish, maintain, and cultivate relations with community and other resources to support
organizational programs and activities;
o maintain accountability for current year operating budget and for financial performance
expectations.
•
Present an annual budget and financial reports as required by the District’s enabling legislation
and other statutes.
•
See Chief Executive Officer position description.
Succession Plan - CEO
Page 1 of 5
1/21/2010
Appointment Authority - Board of Directors
In the event of an unplanned absence of the Chief Executive Officer, the Ranking Executive Staff shall
immediately inform the Chair of the Board of Directors of the absence, and he or she will assume the role
of Acting Chief Executive Officer.
As soon as is feasible, the Chair shall convene a meeting of the Executive Search Committee to affirm
the procedures prescribed in this plan or to make modifications the Committee deems appropriate.
Compensation
To be determined by the Board of Directors.
Oversight
As with a Chief Executive Officer, the Board of Directors will have responsibility for monitoring the work of
the Acting Chief Executive Officer. The Executive Search Committee will be alert to the special support
needs of the executive in this temporary leadership role.
Communications Plan
As soon as possible after the Acting Chief Executive Officer has begun covering an unplanned absence,
Board members and the Acting Chief Executive Officer shall communicate the temporary leadership
structure to the following key supporters external to MCHD:
•
•
•
Local government officials
Civic leaders
Major stakeholders
Anticipated Line of Succession
Although specific duties may be may be delegated to various individuals, the following illustrates the
anticipated general line of succession for the Chief Executive Officer and the business units as of
February 2010.
Chief Executive
Officer
Administration
EMS
HCAP
FaST
Allen Johnson
Mike Nicknish
Allen Sims
Penny Buchanan
Kelly Curry
Kelly Curry
Traci Hurst
See Succession
Allen Sims Plan
David Hernandez
Frank Marshall
Mike Nicknish
Bill Dornbos
Connie Bryant
Page 2 of 5
1/21/2010
Task Assignment Planning Worksheet for Chief Executive Officer
Chief Executive Officer- Allen Johnson
Key Tasks
Person to Fulfill
Function
Serve as the
Kelly Curry
organization’s principal
leader, representative, and
spokesperson to local
governmental entities,
legislative officials, and
hospitals
Readiness
Level
2
Development Experiences Needed
Introduce to related parties as the backup
spokesperson for the District.
Attend routine briefings on related topics.
Attend meetings occasionally with hospital CEOs,
city managers, and other officials; make
presentations and receive feedback.
Serve as the
organization’s principal
leader, representative, and
spokesperson to greater
community partners.
Mike Nicknish
2
Attend chamber meetings and other community
organization events with Allen for an overview.
Receive briefing monthly on activities.
Occasionally attend meeting in place of Allen; make
presentation and receive feedback.
Support the Board of
Directors – develop
strong relationships with
the Board.
Ensure continuing
leadership to address
issues around clarity of
role, governance,
bylaws/policies, structure,
and processes.
Kelly Curry
1
Greg Hudson
2
Attend routine briefing on issues.
Remain current on District enabling legislation,
bylaws and related statutes.
Prepare Executive reports
to Board of Directors and
attend various Committee
meetings.
Convene and lead the
Executive Leadership
Team and Senior Staff as
necessary.
Participate in recruitment,
interview, selection and
evaluation process for
directly supervised staff
and other key executive
level positions.
Establish, monitor and
report on strategic
objectives of the
organization.
Mike Nicknish
and Kelly Curry
(dependent on
subject matter)
Mike Nicknish
1
Continue to work with Allen in the development of
current reporting.
1
Inform the Executive and Senior Staff of the
assignment.
Kelly Curry
1
Kelly Curry
2
Assist in development of objectives and current
reports.
Serve as the primary
media spokesperson.
Marlisa Briggs
2
Routine briefings with Allen.
Introductions to press representatives locally.
Consultation with Allen on media releases and
interviews.
Provide media briefings and receive feedback.
Page 3 of 5
1/21/2010
Serve as the primary
legislative liaison for the
District.
Kelly Curry
3
Chair the internal Quality
Council.
Kelly Curry
1
Provide official
representation for MCHD
and as requested for
Montgomery County on
local, regional and state
appointments.
See below
3
Identify overall resource
deployment goals in
conjunction with the
Board.
Kelly Curry
1
Present, implement and
monitor an annual budget
and financial reports as
required by the District’s
enabling legislation and
other statutes.
Mike Nicknish
2
Attend briefings on legislative issues.
Meet as needed with Allen and Board member(s)
assigned to legislative affairs.
Occasionally attend Chamber legislative committee
meetings.
Attend legislative hearings, provide comment, and
receive feedback.
Introductions to legislative delegation and staff
members.
Attend a meeting for orientation.
Occasionally attend meetings in place of Allen.
Assist in development of hearing calendars.
Review enabling legislation with Allen and Greg.
*As Connie Bryant is listed in the Line of Succession should all three members of the Executive Team be
unavailable for service, a separate readiness chart will be developed and maintain for her.
Rate Readiness Level:
1= Ready Now
2= Ready w/in 6 mos
3= Ready w/in 12 mos
4= Ready w/in 24 mos
Page 4 of 5
1/21/2010
Official Representation Recommendations:
UASI Health and Medical Committee
Frank Marshall
Southeast Texas Regional Advisory Council
Allen Sims
Local Health and Medical Planning Team
Connie Bryant
HGAC Health Policy Council
Kelly Curry
Healthcare Alliance of Montgomery County
Kelly Curry
Page 5 of 5
1/21/2010
Agenda Item # 11
To:
Board of Directors
From: Allen Johnson
Re:
Cellular Phone Procedures
MCHD contracts with Verizon Wireless to provide cellular phone and data connectivity. We
purchase from the Federal Government contract which provides us the best pricing for services
with no contract termination fees when we disconnect or temporarily suspend a line. We
routinely compare pricing and have tested coverage. Locally, Verizon outperforms other
carriers.
Recently, Verizon began offering a series of new cellular rates though the Federal Government
contract.
Prior to February 10th, the bundled rate for a Blackberry data plan and the lowest phone plan
place was about $85 per month. A data-only Blackberry is $40.49 per month. (Prices quoted
include our contracted discount).
We assign devices based on need. In some cases, we assign a Blackberry with phone and
data, others receive a data only phone. For example, a field supervisor needs a data
connection. We do not provide a phone line, as the supervisors for each territory share a
phone when they are on duty. We allow the supervisor to add a phone line to their data only
Blackberry, but they reimburse the total cost of the phone plan through payroll deduction.
For individuals with assigned phone and data accounts, we currently have them estimate their
personal usage and they participate in an ongoing payroll deduction that more than covers the
estimated cost for personal use. In many cases, the employee is covering almost all of the
phone plan cost. In consultation with our legal counsel and a CPA specializing in taxes, we
believe this fulfills the IRS requirements regarding imputed income and it protects the taxpayers
from paying for personal phone calls. However, we are always looking for ways to save
money, be more efficient and benefit our employees.
On February 10th we migrated to the new Verizon rate structure. The new rates drop the cost
of the phone plan. The data only Blackberry remains $40.49. A data plan bundled with a
phone plan is only $49.99 (300 minutes) or $62.99 (600 minutes) – both have free mobile to
mobile and free nights/weekends.
I am recommending that we revise our procedure so that the District covers an amount equal to
the cost of the data only Blackberry. For individuals for which we issue phones, we will add a
300 or 600 minute voice plan and have the employee payroll deduct the entire incremental cost
of the voice plan (either $9.50 or $22.50 per month). For employees that currently have a data
only Blackberry, they may continue to add a phone plan with the condition that the entire
incremental cost is paid by the employee.
If an employee maintains a personal phone and does not wish to payroll deduct, they will be
required to get a copy of their bill each month and reimburse the district for any personal calls.
As a side note, we did explore the possibility of releasing all our assigned devises and requiring
the employee to maintain their own account. In this scenario, we lose the benefit of pooling
our minutes, thus making the aggregated cost higher. We would also have the additional
administrative cost of processing reimbursements for business use.
The proposal will save the employees money as the phone portion will be less expensive. The
overall savings for the District of the new phone rates is about $4,000 annually.
We also believe this completely eliminates the imputed income issue as the employee is paying
for the personal use and the business use of the phone.
Fiscal Impact:
Yes
No
Positive $4,000 annually
N/A
Budgeted item?
Within budget?
Renewal contract?
X
Special request?
Agenda Item # 12
To:
Board of Directors
From: Allen Johnson
Re:
CEO Annual Evaluation
The summary report will be provided.
Agenda Item # 13
To:
Board of Directors
From: Allen Johnson
Re:
Legal Representation
We advertised the RFP for legal representation in accordance with District policy. A posting
ran in The Courier and was sent to the Montgomery County Bar Association.
The responses to the RFP are due on Friday, February 19th. We will present a summary to the
Board meeting for consideration of next steps.
Agenda Item # 14
To:
Board of Directors
From: Allen Johnson
Information Technology Policy
Re:
We recommend that that Board adopt the following Information System Policy. The policy does
not contain specific information on the topics. These will be addressed though a written
standards document that can be amended as needs dictate. The standards document is
attached for your review.
The Montgomery County Hospital District administration shall adopt and distribute procedures to
promote a safe and secure information technology environment to include, but not limited to the
following:
•
•
•
•
•
•
•
•
•
•
•
•
•
Network Control and access privileges
Logging, monitoring, and filtering
Computer virus and worm protection
Intellectual property rights
Data confidentiality and security
Securing and protecting critical data
Data integrity
Electronic mail
Internet access, communication and downloading of data
Telecommuting
Training and awareness
Security and reporting
Social networking
The responsibility for development, monitoring and enforcement of such procedures is the
responsibility of the Chief Operating Officer.
Policy #: 10-411
COMPUTER, E-MAIL AND INTERNET
Revision: October 28, 2008
Purpose
This policy provides guidelines for the general use of the MCHD computers, electronic mail, and Internet
access. It applies to both internal and external e-mail sent and received, all Internet access, and any
software or hardware installed on a MCHD computer. These guidelines do not supersede any state or
federal laws, or any other agency policies regarding confidentiality, information dissemination, or
standards of conduct. This policy is not intended to cover every possible situation. Instead, it is designed
to express the Montgomery County Hospital District's philosophy and set forth general principles when
using electronic media and services.
Certain terms in this Policy should be understood expansively to include related concepts. Montgomery
County Hospital District (hereinafter “MCHD”) includes its headquarters, offsite facilities, and other
locations where electronic communications are received on District-owned equipment. Document covers
any kind of file that can be read on a computer screen as if it were a printed page, including e-mails,
HTML-files read in an Internet browser, any file meant to be accessed by a word processing or desk-top
publishing program or its viewer, or the files prepared for the Adobe Acrobat reader or other electronic
publishing tools. Graphics includes photographs, pictures, animations, movies, or drawings. Display
includes monitors, flat-panel active or passive matrix displays, monochrome LCDs, projectors,
televisions, and virtual-reality tools.
E-mail and Internet Use
A. Business Use. The MCHD e-mail and Internet system is MCHD property. Use of the e-mail
system and access to the Internet, except in limited circumstances listed below, is for official
MCHD business only. It is understood that occasionally e-mail and Internet communications of a
personal nature may be received on MCHD property; in such event, employees upon receiving
such personal communications, shall read it and delete it. B. Confidentiality. Employees should have no expectation of privacy regarding their use of the email system, e-mail content, and the use of the Internet. All e-mail and Internet records are
considered records of MCHD and public records, and unless accepted by law are subject to
the Texas Public Information Act. All e-mail is subject to review by the management or its
representatives of any time, with or without notice. Therefore, employees should not assume
electronic communications are private and confidential and should transit sensitive information in
other ways. Use of MCHD e-mail and Internet system by an employee indicates that the
employee understands that the District has a right to inspect and audit all e-mail communications,
Internet usage, and consents to any inspections.
Furthermore, MCHD will comply with reasonable requests from law enforcement and regulatory
agencies for logs, diaries, and archives on individuals’ Internet and electronic mail activities.
C. Solicitation. E-mail and Internet access shall not be used to solicit, advertise, or otherwise market
for outside business ventures, personal parties, social meetings, charities, membership in an
organization, or other matters not connected to MCHD or the community.
The solicitation of funds for any purposes is prohibited.
The placement of logos or links used for personal, promotional, commercial, or partisan political
purposes are prohibited.
D. E-Mail Management. In order to facilitate the maintenance of the MCHD e-mail system and
preserve computer disk space, e-mails should not be saved or maintained on the system for longer
than necessary. MCHD will perform periodic back-ups of all e-mail communications on the
MCHD system.
Since a wide variety of materials may be deemed offensive by colleagues, patients, or third
parties, it is a violation of MCHD policy to store, view, print, or redistribute any document or
graphic file that is not directly related to the user’s job or MCHD’s business activities.
E. Security. The overriding principle is that security is to be every user’s first concern. An Internet
user, therefore, can be held accountable for any breaches of security or confidentiality.
Any employee who attempts to disable, defeat, or circumvent any company security facility will
be subject to discipline, up to and including dismissal.
Any file that is downloaded must be scanned for viruses before it is run or accessed.
No employee may use MCHD’s computer facilities to deliberately propagate any virus, worm,
Trojan horse, trap-door program, or illegal file-sharing activity.
F. Restrictions.
1. Accessing, posting, sharing, or e-mailing any racist, sexist, fraudulent, threatening,
unprofessional, obscene, or otherwise objectionable material (i.e., visual, textual, or
auditory) is strictly prohibited unless the visit is related to an official investigation.
2. Any e-mail and/or computer use is subject, at all times, to MCHD’s Anti-Harassment
Policy set forth above in Section10-403.
3. E-mail and the Internet should not be used for the operation or promotion of any outside
or side business.
4. E-mail and the Internet should not be used for political purposes.
5. Employees should not subscribe to mailing lists or mail services strictly for personal use
and should not participate in electronic discussion groups (i.e., list server, Usenet, news
groups, chat rooms) for personal purposes.
6. Employees are reminded that chats and newsgroups are public forums where it is
inappropriate to reveal confidential information, patient information, trade secrets,
District data, and any other material covered by existing MCHD privacy laws and
procedures. Employees releasing protected information via a newsgroup or chat –
whether or not such release is inadvertent – will be subject to disciplinary action
including termination and potential criminal liability.
7. Employees must not intentionally use the e-mail and Internet facilities to disable, impair,
or overload the performance of any computer system or network, or to circumvent any
system intended to protect the privacy or security of another user.
8. Employees should schedule communications-intensive operations such as large file
transfers, video downloads, mass e-mailings, and the like for off-peak times.
9. Employees should not impede the MCHD network bandwidth performance through web
sites with streaming or continuous audio or video for non-business use, i.e. radio station
broadcasts, video trailers, Internet games, etc.
10. Video and audio downloading should be avoided and, if absolutely necessary, should
only be scheduled for off-peak times.
11. Employees are prohibited from:
- Intercepting, eavesdropping, recording, or altering another person’s e-mail,
except as authorized by the appropriate department head.
Adopting the identity of another person on any e-mail message.
- Using another person's password, except where authorized by an appropriate
department head.
- Attempting to send e-mail anonymously.
- Using another person’s computer without consent of their Supervisor, such
use shall be for legitimate District business
12. MCHD retains the copyright to any material posted to any forum, newsgroup, chat, or
World Wide Web page by any employee in the course of his/her duties.
13. No employee may use MCHD’s computer facilities to download or distribute pirated
software or data.
Computer Use
A. Business Use. The MCHD computers are MCHD's property. Except as provided in Section 1, the
use of the computers is for official MCHD business only.
Harassment, including sexual harassment or other forms of prohibited conduct, may lead to
personal liability. Any person engaged in such conduct may be compelled by a court to pay
money damages to victims of harassment, and shall be subject to discipline including termination.
B. Software. To protect the integrity of the Montgomery County Hospital District computer network
environment, all software must be pre-approved by the Department Director or designated
personnel and a compatibility check completed through the IT department before installation.
Unauthorized software installation is strictly prohibited. Any software installed by the IT
Department shall not be removed or altered in any way.
To maintain compliance with U.S. Copyright laws and to protect the integrity of the Montgomery
County Hospital District computer environment from viruses, unauthorized installation or
downloading of any unauthorized software is prohibited. Employees are not permitted to install
their own copies of any software onto MCHD computers. Likewise, employees are not permitted
to copy software from a MCHD computer to be used on any other computer unless such
installation is in accordance with the applicable licensing agreement and has be previously
authorized by the Department Director or designated personnel. Any employee who knowingly
makes, acquires, or uses unauthorized copies of software licensed to the Montgomery County
Hospital District or who places or uses unauthorized software on the Montgomery County
Hospital District premise or equipment shall be subject to disciplinary action.
C. Hardware. Any employee's personal computer or equipment that is attached to the Montgomery
County Hospital District’s network is subject to all rules within this policy. No hardware shall be
installed or removed from Montgomery County Hospital District’s computers without
authorization from the Department Director or designated personnel and notification to the IT
Department.
D. Audits. MCHD reserves the right at any time to conduct audits of any or all of the Montgomery
County Hospital District’s computers to ensure that MCHD is in compliance with all software
licenses. Unauthorized software will be deleted upon detection.
Discipline
Any violation of this policy may result in disciplinary action, up to and including termination.
Additionally, violations of this policy, when appropriate, may be referred for criminal prosecution.
Login and Email
Employees are responsible for helping to insure the security of our network through the appropriate use of
your login. If you must leave your computer unattended, you are responsible for locking the keyboard
or logging out of the machine. It is not appropriate to leave the computer access wide open for the next
individual who walks by.
If you find a computer logged in and unattended, please lock the keyboard or log off. Please refrain from
sending joke email using the other person’s account. The person leaving the computer logged in and
unattended as well as the person sending the mass email may receive disciplinary action.
IT STANDARDS
Montgomery County Hospital District
IT Standards
IT Standards Manual
TABLE OF CONTENTS
Page
Introduction *****************************************************************
3
1. Network Control Standards
******************************************
5
2. Privilege Control Standards ******************************************
8
3. Logging Standards
*************************************************
9
4. Computer Virus and Worm Standards *******************************
9
5. Intellectual Property Rights Standards
**************************
10
******************************************
10
6. Data Privacy Standards
7. Data Confidentiality Standards
**********************************
11
8. Data Criticality Standards
******************************************
12
9. Data Integrity Standards
******************************************
12
10. Establishment of Access Paths and Systems Standards ***********
14
11. Downloaded Data Standards ******************************************
14
12. Electronic Mail Standards
14
******************************************
13. Telecommuting Arrangement Standards
***************************
15
********************************
16
15. Training and Awareness Standards **********************************
17
16. Reporting and Security Problem Standards
*******************
17
17. Responsibility for Information Security Standards *******************
18
18. Social Networking Standards ******************************************
18
14. Internet Communications Standards
Agreement to Comply with Information Security Standards
***********
19
MCHD Employee Remote Access Security Standards *******************
20
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Version: 2.0 - February 19, 2010
IT Standards Manual
Introduction
Information processing has become a critical support system for today's business. Managers and employees
at all levels depend on, and must have confidence in, the information required for routine operations and
major decisions. Such confidence is based on the integrity and continuing protection of information and its
processing.
Montgomery County Hospital District is highly reliant on electronic systems to support its business
processes. Computers are used in many critical points in the business: in operations systems, administration
systems and management systems. Many of these systems are either interconnected, or are planned to be
interconnected. Montgomery County Hospital District's infrastructure of systems continues to be highly
integrated.
This evolutionary process makes security even more important. It is becoming possible to access a wide
variety of information from a single terminal. Furthermore, a security flaw or failure in one system may allow
unauthorized access or misuse of other systems.
Montgomery County Hospital District possesses valuable information about its patients and their commercial
operations, which it is our responsibility to safeguard. Coupled with this should be an awareness of the
possibility of computer crime by people inside and outside Montgomery County Hospital District.
While security failures are, like any other quality failure, bad business practice, the repercussions of this type
of crime may be more serious.
There are many motivators for good electronic security. Montgomery County Hospital District is obliged
under the terms of its current insurance carrier to observe a Code of Practice on disclosure of patient’s
information. The business could also suffer through corruption or loss of data. There could also be personal
legal liability under the terms of the Data Protection Act in the event of security failure. All these possibilities
make the security of Montgomery County Hospital District computer operations increasingly important.
The usefulness of automated information requires both data availability and data integrity. The unauthorized
modification, deletion, or disclosure of information in Montgomery County Hospital District files and data
bases can interrupt operations, compromise the integrity of programs, violate individual rights to privacy, and
constitute a criminal act. The management of Montgomery County Hospital District is responsible for
protecting the confidentiality and security of equipment, data and information in the custody of the
Montgomery County Hospital District and the privacy rights of the Montgomery County Hospital District staff.
People, hardware, software, telecommunications, facilities and data together form an IT system that is highly
effective and productive. However, all IT systems involve certain risks that must be addressed adequately
through proper controls. The standards contained in this document represent management's commitment to
the security and control of Montgomery County Hospital District's IT resources, and this policy manual is
established to achieve the following:
• to establish prudent and reasonable practices for the protection of Information Resources
• to educate employees, and others who may use Information Resources about the responsibilities
associated with such use
• to ensure that System Administration and Components comply with all laws and regulations
regarding the use of and security of Information Resources
This manual is designed to introduce some of the basic security principles and procedures with which all
Montgomery County Hospital District employees must comply. It highlights some security responsibilities,
and provides guidelines for answering questions one may be asked concerning their association with this
company. Although we are all busy with our jobs, all are urged to become familiar with the security
information contained in this manual.
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IT Standards Manual
The technical, cultural, and legal environment of Montgomery County Hospital District as it relates to
information technology use and security is constantly changing. These standards will be revised as needed
to comply with changes in law or administrative rules or to enhance its effectiveness.
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IT Standards Manual
1. Network Control Standards
1.1. Minimum Password Length
The length of passwords must always be checked automatically at the time that users construct or select
them. All passwords must have at least five (5) characters.
1.2. Cyclical Passwords Prohibited
Users are prohibited from constructing passwords made up of a certain number of characters that do not
change combined with a certain number of characters which predictably change. In these prohibited
passwords, characters which change are typically based on the month, a department, a project, or some
other easily-guessed factor. For example, users must not employ passwords like "X34JAN" in January,
"X34FEB" in February, etc.
1.3. User-Chosen Passwords Must Not Be Reused
Users must not construct passwords which are identical or substantially similar to passwords that they had
previously employed for the last five passwords.
1.4. Passwords Must Contain Both Alphabetic and Non-Alphabetic Characters
All user-chosen passwords must contain at least one alphabetic and one non-alphabetic character. Nonalphabetic characters include numbers (0-9) and punctuation. The use of control characters and other nonprinting characters is discouraged because they may inadvertently cause network transmission problems or
unintentionally invoke certain system utilities.
1.5. Protection of Password Generation Algorithms
If passwords or Personal Identification Numbers (PINs) are generated by a computer system, all software
and files containing formulas, algorithms, and other specifics of the process must be controlled with the most
stringent security measures supported by the involved computer system.
1.6. Previous Password History File
On all multi-user machines, system software or locally developed software must be used to maintain an
encrypted history of previous passwords. This history file must be employed to prevent users from reusing
passwords. The history file must minimally contain the last ten (10) passwords for each user-ID.
1.7. Display and Printing of Passwords
The display and printing of passwords must be masked, suppressed, or otherwise obscured so that
unauthorized parties will not be able to observe or subsequently recover them.
1.8. Periodic Forced Password Changes
All users must be automatically forced to change their passwords at least once every ninety (90) days.
1.9. Assignment of Expired Passwords
The initial passwords issued by a security administrator must be valid only for the involved user's first on-line
session. At that time, the user must be forced to choose another password before any other work can be
done.
1.10. Limit on Consecutive Unsuccessful Attempts to Enter a Password
To prevent password guessing attacks, the number of consecutive attempts to enter an incorrect password
must be strictly limited. After a predetermined number of unsuccessful attempts to enter a password, the
involved user-ID will be either: (a) suspended until reset by a system administrator, (b) temporarily disabled,
or (c) if dial-up or other external network connections are involved, disconnected.
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IT Standards Manual
1.11. Passwords Never in Readable Form When Outside Workstations
Fixed passwords must never be in readable form outside a workstation.
1.12. Storage of Passwords in Readable Form
Passwords must not be stored in readable form in batch files, automatic log-in scripts, software macros,
terminal function keys, in computers without access control, or in other locations where unauthorized
persons might discover them.
1.13. Password Courtesy
When a user is entering a password, it is common courtesy for all others in the area to look away from the
keyboard so as not to see the user’s individual password.
1.14. Prevention of Password Retrieval
Computer and communication systems must be designed, tested, and controlled so as to prevent the
retrieval of stored passwords--whether they appear in encrypted or unencrypted form.
1.15. System Access Control With Individualized Passwords (Not Lockwords)
Computer and communication system access control must be achieved via passwords which are unique to
each individual user. Access control to files, databases, computers, and other system resources via shared
passwords (also called lockwords) is prohibited.
1.16. Changing Vendor Default Passwords
All vendor-supplied default passwords must be changed before any computer or communications system is
used for Montgomery County Hospital District business.
1.17. Suspected Disclosure Forces Password Changes
All passwords must be promptly changed if they are suspected of being disclosed, or known to have been
disclosed to unauthorized parties.
1.18. Password Changes After Compromise of a Multi-User Computer System
If a multi-user computer system employs fixed passwords as its primary access control mechanism, all
passwords must be changed immediately after evidence of system compromise has been discovered. At
this time, all users must be instructed to change their fixed passwords on other machines, if passwords on
the compromised machine are also used on these other machines.
1.19. Writing Passwords Down and Leaving Where Others Could Discover
Passwords must not be written down and left in a place where unauthorized persons might discover them.
1.20. Password Sharing Prohibition
Passwords should not be shared or revealed to anyone else besides the authorized user. To do so exposes
the authorized user to responsibility for actions that the other party takes with the password. If users need to
share computer resident data, they should use electronic mail, public directories on local area network
servers, and other mechanisms. However, if these alternatives are not available, and there is a need for a
password to be shared, the password should be changed after the task is complete.
1.21. Users Responsible for All Activities Involving Personal User-IDs
Users are responsible for all activity performed with their personal user-IDs. User-IDs may not be utilized by
anyone but the individuals to whom they have been issued. Users must not allow others to perform any
activity with their user-IDs. Similarly, users are forbidden from performing any activity with IDs belonging to
other users (except anonymous user-IDs like "guest").
1.22. Forced Change of All Passwords
Whenever a system has been compromised by an unauthorized party, system managers must immediately
change every password on the involved system. Even suspicion of a compromise likewise requires that all
passwords be changed immediately. Under either of these circumstances, a trusted version of the operating
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IT Standards Manual
system and all security-related software must also be reloaded. Similarly, under either of these
circumstances, all recent changes to user and system privileges must be reviewed for unauthorized
modifications.
1.23. When and How Passwords May Be Disclosed by Security Administrators
Security administrators must only disclose passwords if a new user-ID is being assigned, if the involved user
has forgotten or misplaced a password, or if the involved user is otherwise locked out of his or her user-ID.
Security administrators must not reveal a password unless the involved user has first provided two pieces of
definitive evidence substantiating his or her identity.
1.24. User-ID and Password Required for Computer-Connected Network Access
All users must have their identity verified with a user-ID and a secret password--or by other means which
provide equal or greater security--prior to being permitted to use Montgomery County Hospital District
computers connected to a network.
1.25. Unique User-ID and Password Required
Every user must have a single unique user-ID and a personal secret password. This user-ID and password
will be required for access to Montgomery County Hospital District multi-user computers and computer
networks.
1.26. Automatic Log-Off Process
If there has been no activity on a computer terminal, workstation, or microcomputer (PC) for ten (10)
minutes, the system must automatically blank the screen and suspend the session. Re-establishment of the
session must take place only after the user has provided the proper password.
1.27. Leaving Sensitive Systems Without Logging-Off
If the computer system to which they are connected contains sensitive or valuable information, users must
not leave their microcomputer (PC), workstation, or terminal unattended without first logging out or locking
their PC.
1.28. Logging Off Personal Computers Connected to Networks
If personal computers (PCs) are connected to a network, when unattended they must always be logged-off
or the computer must be locked.
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IT Standards Manual
2. Privilege Control Standards
2.1. Using/Storing Games
Games may not be stored or used on any Montgomery County Hospital District computer system.
2.2. Personal Use of Computer and Communications Systems
Montgomery County Hospital District computer and communications systems should primarily be used for
business purposes. Incidental personal use should not interfere with worker productivity or preempt any
business activity. Such personal use must not include creation or distribution of chain letters, moonlighting or
searching for another job, review or forwarding of jokes, participation in gambling activities, or engagement
in political activities. All users of the Internet should be aware that firewalls can create a detailed audit log
reflecting transmissions, both in-bound and out-bound.
2.3. Prohibition Against Non-Approved System Uses
Subscribers to Montgomery County Hospital District computing and communications services must not use
these facilities for soliciting business, selling products, or otherwise engaging in commercial activities other
than those expressly permitted by Montgomery County Hospital District management.
2.4. Granting User-IDs to Outsiders
Individuals who are not employees, contractors, or consultants must not be granted a user-ID or otherwise
be given privileges to use Montgomery County Hospital District computers or communications systems
unless the written approval of a department head has first been obtained.
2.5. Gaining Unauthorized Access Via Montgomery County Hospital District Information Systems
Workers using Montgomery County Hospital District information systems are prohibited from gaining
unauthorized access to any other information systems or in any way damaging, altering, or disrupting the
operations of these systems. Likewise, workers are prohibited from capturing or otherwise obtaining
passwords, encryption keys, or any other access control mechanism which could permit unauthorized
access.
2.6. All Software Must Be Regulated By Access Control Systems Software
All software installed on Montgomery County Hospital District multi-user systems must be regulated by
approved access control systems software. This means that a user's session must initially be controlled by
the approved access control systems software, and if defined permissions then allow it, control will be
passed to the separate installed software.
2.7. No Write Down Permissions to Access Sensitive Information
Workers must never be authorized to move information classified at a certain sensitivity level to a less
sensitive level unless this action is a formal part of an approved declassification process.
2.8. Information and Systems Access
Workers should never attempt to access folders which they are not authorized to view.
2.9. Unbecoming Conduct and the Revocation of Access Privileges
Montgomery County Hospital District management reserves the right to revoke the privileges of any user at
any time. Conduct that interferes with the normal and proper operation of Montgomery County Hospital
District information systems, which adversely affects the ability of others to use these information systems,
or which is harmful or offensive to others will not be permitted. Under normal circumstances, workers must
not test, or attempt to compromise internal controls, with the exception of planned and routine testing
approved by the CEO, COO or MCHD IT Vendor. Users must not exploit vulnerabilities or deficiencies in
information systems security to damage systems or information, to obtain resources beyond those they have
been authorized to obtain, to take resources away from other users, or to gain access to other systems for
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IT Standards Manual
which proper authorization has not been granted. All such vulnerabilities and deficiencies should be
promptly reported to the COO or MCHD IT Vendor.
2.10. Technical Staff Privileges and Production System Change Control
Beyond that which they need to do their jobs, computer operations staff must not be given access to--or
permitted to modify--production data, production programs, or the operating system.
2.11. Periodic Review and Reauthorization of User Access Privileges
The system privileges granted to all users must be reevaluated by management every six (6) months.
2.12. Signed Forms Required for Issuance of User-ID
Users must sign both a confidentiality agreement and an information system security agreement (provided
by Human Resources) prior to being given a user-ID allowing access to Montgomery County Hospital
District systems.
3. Logging Standards
3.1. Logging as Standard Practice
All MCHD computer equipment has the ability to record data, therefore workers should assume that all
activities may potentially be logged and retained. These logs may become public record, and could be made
public in the event of a subpoena or investigation. Any actions which violate any of MCHD’s security and
human resources polices will be logged. In the event remedial action is taken, computer operations or
security staff must review the records in a periodic and timely manner.
4. Computer Virus and Worm Standards
4.1. Users Must Not Attempt to Eradicate Computer Viruses
A computer virus is an unauthorized program which replicates itself and spreads onto various data storage
media and/or across a network. The symptoms of virus infection include considerably slower response time,
inexplicable loss of files, changed modification dates for files, increased file sizes, and total failure of a
computer system. Because viruses have become very complex, users must not attempt to clean them
without expert assistance. If users suspect infection by a virus, they must immediately stop using the
involved computer, disconnect from all networks, shut down the computer and call the corporate help desk.
To prevent infection by computer viruses, workers must not use any externally-provided software from a
person or organization other than a known and trusted supplier. All software must be approved and installed
by MCHD’s IT Vendor.
4.2. All User Involvement With Computer Viruses Prohibited
Users must not intentionally write, generate, compile, copy, propagate, execute, or attempt to introduce any
computer code designed to self-replicate, damage, or otherwise hinder the performance of any computer's
memory, file system, or software. Such software is known as a virus, bacteria, worm, Trojan horse, and
similar names.
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IT Standards Manual
5. Intellectual Property Rights Standards
5.1. Information as an Important Montgomery County Hospital District Asset
Information is an important Montgomery County Hospital District asset. Accurate, timely, relevant, and
properly protected information is absolutely essential to Montgomery County Hospital District's business. To
ensure that information is properly handled, all accesses to, uses of, and processing of Montgomery County
Hospital District information must be consistent with Montgomery County Hospital District information
systems related policies and standards. While an employee of Montgomery County Hospital District, all staff
members grant to Montgomery County Hospital District exclusive rights to patents, copyrights, inventions, or
other intellectual property they originate and/or develop, unless otherwise agreed upon in advance.
Additionally, all programs and documentation generated by, or provided by employees, consultants, or
contractors for the benefit of Montgomery County Hospital District are the property of Montgomery County
Hospital District. Montgomery County Hospital District has legal ownership of the contents of all files stored
on its computer and network systems as well as all messages transmitted via these systems, and reserves
the right to access this information without prior notice whenever there is a genuine business need.
5.2. When Making Additional Copies of Software is Permissible
Third party software in the possession of Montgomery County Hospital District must not be copied unless
such copying is consistent with relevant license agreements and either: (a) management has previously
approved of such copying, or (b) copies are being made for contingency planning purposes.
6. Data Privacy Standards
6.1. Right of Management to Examine Data Stored on Montgomery County Hospital District Systems
All messages sent over Montgomery County Hospital District computer and communications systems are
the property of Montgomery County Hospital District. To properly maintain and manage this property,
management reserves the right to examine all data stored in or transmitted by these systems. Since
Montgomery County Hospital District's computer and communication systems must be used for business
purposes only, workers should have no expectation of privacy associated with the information they store in
or send through these systems.
6.2. Disclosure of Information on Montgomery County Hospital District Systems to Law Enforcement
By making use of Montgomery County Hospital District systems, users consent to allow all information they
store on Montgomery County Hospital District systems to be divulged to law enforcement at the discretion of
Montgomery County Hospital District management.
6.3. Personal Information Necessary for Proper Functioning of Business
Montgomery County Hospital District must collect, process, store, and disseminate only that information
which is necessary for the proper functioning of its business.
6.4. Surreptitious Collection of Customer Private Data Prohibited
Montgomery County Hospital District computer and communications systems must never collect private data
from customers or potential customers without having first obtained their consent.
6.5. Personal Information Collection Permissible But Distribution Prohibited
The collection of personal information about potential customers and others with whom Montgomery County
Hospital District does business is customary and expected. Access to this information must be strictly
controlled on a need-to-know basis and the information must be used only for internal business purposes.
Unless the consent of the party described by the information is first obtained, all third party sale, exchange,
or other distribution is prohibited.
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IT Standards Manual
6.6. Privacy Expectations and Information Stored on Montgomery County Hospital District Systems
At any time and without prior notice, Montgomery County Hospital District management reserves the right to
examine archived electronic mail, personal file directories, hard disk drive files, and other information stored
on Montgomery County Hospital District information systems. This examination is performed to assure
compliance with internal policies, support the performance of internal investigations, and assist with the
management of Montgomery County Hospital District information systems.
6.7. All User Monitoring Reported to User's Manager and Logged
Whenever a user's computer or network account is monitored for investigative or disciplinary purposes, the
involved user's manager must be promptly informed of this activity. All user monitoring must itself be logged
for subsequent management review and possible use in disciplinary or legal actions.
6.8. Managers Receive Logs and Determine Appropriate Internet Usage
Montgomery County Hospital District routinely logs web sites visited, files downloaded, and related
information exchanges over the Internet. Department managers may receive reports of such information
and use it to determine what types of Internet usage are appropriate for their department's business
activities.
6.9. Privacy of Personal Files Stored on Computers and in Desks
Personal files on Montgomery County Hospital District computers and in Montgomery County Hospital
District worker desks must both be handled with the same privacy perspective given to personal mail and
personal phone calls. This means that other workers, including managers and system administrators, must
not read such personal files. Exceptions will be made if the action is part of: (a) a formal investigation
initiated by the Security Department, or (b) an effort to dispose of or reassign files after a worker has left
Montgomery County Hospital District. However, in accordance with the Public Information Act, employees
should remember that all MCHD records could be available for full public disclosure.
6.10. Monitoring of Electronic Mail Messages
Messages sent over Montgomery County Hospital District internal electronic mail systems are not subject to
the privacy provisions of the Electronic and Communications Privacy Act of 1986 (which prohibits
wiretapping), and therefore may be read by Montgomery County Hospital District management and system
administrators. For this reason, employees should not store personal information on District computers.
7. Data Confidentiality Standards
7.1. Confidentiality Agreements Required for All Montgomery County Hospital District Workers
All employees, consultants, contractors, and temporaries must sign a confidentiality agreement at the time
they join Montgomery County Hospital District.
7.2. Exposure of Sensitive Information in Public Places
Secret, confidential, or private Montgomery County Hospital District information must not be read,
discussed, or otherwise exposed on airplanes, restaurants, public transportation, or in other public places.
7.3. Storing Secret Information on Transportable Computers
Workers in the possession of portable, laptop, notebook, palmtop, and other transportable computers
containing secret Montgomery County Hospital District information must not leave these computers
unattended at any time.
7.4. Transportable Computers Must Be Hand Luggage on Airplanes
Workers in the possession of portable, laptop, notebook, palmtop, and other transportable computers
containing sensitive Montgomery County Hospital District information must not check these computers in
airline luggage systems. These computers must remain in the possession of the traveler as hand luggage.
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7.5. Removal of Sensitive Information From Montgomery County Hospital District Premises
Sensitive Montgomery County Hospital District information may not be removed from Montgomery County
Hospital District premises unless there has been prior approval from the information's owner. This policy
includes portable computers with hard disks, floppy disks, hard-copy output, paper memos, and the like. An
exception is made for authorized off-site back-ups.
7.6. Log for Sensitive Information Removed From Montgomery County Hospital District Premises
Whenever sensitive information must be removed from Montgomery County Hospital District premises, a
record of the date, the information involved, and the persons possessing the information must be made.
7.7. Confidentiality of Montgomery County Hospital District Computer Related Documentation
All Montgomery County Hospital District computer related documentation is confidential, and must not be
taken elsewhere when an employee, consultant, or contractor leaves the employ of Montgomery County
Hospital District.
7.8. Confidential Information Sent by Electronic Mail
Unless each occurrence is specifically authorized by the CEO, readable confidential information must not be
sent by electronic mail. If encrypted with a Montgomery County Hospital District approved method, and if
encrypted at the source and decrypted only at the destination, then confidential information may be sent
over an electronic mail system.
7.9. Sensitive Information Access for Temporary Employees and Consultants
Activities requiring access to sensitive Montgomery County Hospital District information must only be
performed by full-time permanent employees unless one of the following conditions prevail: (1) the requisite
knowledge or skills are not possessed by a full-time permanent employee, (2) an emergency or disaster
requires the use of additional workers, or (3) permission of the Human Resources Department has been
obtained.
8. Data Criticality Standards
8.1. Users Must Not Distribute Information About System Vulnerabilities
Users must promptly report all information security alerts, warnings, suspected vulnerabilities, and the like to
the Information Systems Help Desk. Users are prohibited from utilizing Montgomery County Hospital District
systems to forward such information to other users, whether the other users are internal or external to
Montgomery County Hospital District.
8.2. Periodic and Supplementary Back-Ups Required for Portable Computers
Because theft of portable computers is so common, workers using these computers must make back-ups of
all critical information on a monthly basis and prior to taking out-of-town trips. These back-ups should be
stored elsewhere than the portable computer's carrying case. This precaution supplements the periodic
back-ups that must otherwise be made.
9. Data Integrity Standards
9.1. Management Must Be Notified of Information Integrity Attributes
To the extent feasible, management must be periodically notified about the accuracy, timeliness, relevance,
and other information integrity attributes which describe the information they use for decision making.
9.2. Management Notification of Information Integrity Controls Failure
If controls which assure the integrity of information fail, if such controls are suspected of failing, or if such
controls are not available, management must be notified of these facts each time they are presented with
the involved information.
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9.3. Authorization Required for All Production System Input Transactions
Methods must be in place to ensure that all input to production computer systems which has been submitted
for processing has been properly authorized.
9.4. Requirements for Change to Sensitive, Critical, or Valuable Information
Transactions affecting sensitive, critical, or valuable information must only be processed if the originating
individual or system has been shown to be authorized to submit such transactions.
9.5. Acceptable Risk of Undetected Information Alteration
Management must establish and maintain sufficient controls to ensure that Montgomery County Hospital
District information is free from a significant risk of undetected alteration.
9.6. Authorization for Changes to Production Data and Programs
Montgomery County Hospital District production data and production computer programs must be changed
only by authorized people according to established procedures.
9.7. Misrepresentation of Identity on Electronic Communication Systems
Misrepresenting, obscuring, suppressing, or replacing a user's identity on an electronic communications
system is forbidden. The user name, electronic mail address, organizational affiliation, and related
information included with messages or postings must reflect the actual originator of the messages or
postings.
9.8. Right to Remove Offensive Material Without Warning
Montgomery County Hospital District retains the right to remove from its information systems any material it
views as offensive or potentially illegal.
9.9. No Responsibility For Monitoring Content Of Information Systems
Montgomery County Hospital District reserves the right to remove any message, file, database, graphic, or
other material from its information systems. At the same time, Montgomery County Hospital District has no
obligation to monitor the information content resident on or flowing through its information systems.
9.10. Prohibited Uses of Montgomery County Hospital District Computer & Communication Facilities
Montgomery County Hospital District internal computer and communication systems (voice mail systems,
electronic bulletin boards, database management systems, and electronic mail facilities, etc.) must not be
used as an open forum to discuss Montgomery County Hospital District organizational changes or business
policy matters.
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10. Establishment of Access Paths and Systems Standards
10.1. Internal Network Addresses Must Not Be Publicly Released
The internal addresses, configurations, and related system design information for Montgomery County
Hospital District networked computer systems must be restricted such that both systems and users outside
the internal network cannot access this information without explicit management approval.
11. Downloaded Data Standards
11.1. Downloading Sensitive Information Prohibited Without Permission
Sensitive Montgomery County Hospital District information may be downloaded from a mainframe or
minicomputer to a microcomputer (PC) or a workstation only after two conditions have been fulfilled. For
this data transfer to take place, a clear business need must exist AND advance permission from the
information owner must be obtained. This policy is not intended to cover electronic mail or memos, but does
apply to databases, master files, and other information stored on mainframes, minicomputers, servers, and
other multi-user machines.
12. Electronic Mail Standards
12.1. Using an Electronic Mail Account Assigned to Another Individual
Workers must not use an electronic mail account assigned to another individual to either send or receive
messages. If there is need to read another's mail (while they are away on vacation for instance), message
forwarding and other facilities must instead be used.
12.2. Recording and Retention of Electronic Mail
Montgomery County Hospital District systems administrators must establish and maintain a systematic
process for the recording, retention, and destruction of electronic mail messages and accompanying logs.
The destruction of both logs and the referenced electronic mail messages must be postponed whenever a
subpoena, discovery motion, or other legal notice is received. Such destruction should also be postponed if
the material might be needed for an imminent legal action. MCHD adheres to the established governmental
policies relating to the retention of emails for a period of 180 days.
12.3. Periodic Destruction of Archived Electronic Mail Messages
While management encourages periodic back-ups of computer-resident data, internal correspondence must
be disposed of when no longer needed. To this end, all multi-user electronic mail logs must be destroyed
one year after being archived. Electronic mail messages relevant to current activities, or that are expected
to become relevant to current activities, should be saved as separate files and retained as long as needed.
12.4. Privacy Expectations and Electronic Mail
Workers must treat electronic mail messages and files as private information. Electronic mail must be
handled as a private and direct communication between a sender and a recipient.
12.5. Treat Electronic Mail as Public Communications
Consider electronic mail to be the electronic equivalent of a postcard. Unless the material is encrypted,
users must refrain from sending credit card numbers, passwords, research and development information,
and other sensitive data via electronic mail.
12.6. Authorization to Read Electronic Mail Messages of Other Workers
When the CEO, COO and the Director of Human Resources collectively agree to it, electronic mail
messages flowing through Montgomery County Hospital District systems may be monitored for internal
policy compliance, suspected criminal activity, and other systems management reasons. Unless specifically
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delegated this task by the above-mentioned managers, monitoring electronic mail messages is prohibited by
all other workers.
12.7. Profane, Obscene or Derogatory Remarks in Electronic Mail Messages
Workers must not use profanity, obscenities, or derogatory remarks in electronic mail messages discussing
employees, customers, or competitors. Such remarks -- even when made in jest -- may create legal
problems such as trade libel and defamation of character. Special caution is warranted because back-up
and archival copies of electronic mail may actually be more permanent and more readily accessed than
traditional paper communications.
12.8. Notification of Content Monitoring for Electronic Mail Transmissions
Montgomery County Hospital District routinely employs automatic electronic mail content scanning tools to
identify selected keywords, file types, and other information. Users should restrict their communications to
business matters in recognition of this electronic monitoring.
12.9. Reporting Offensive Electronic Mail Messages to the Originator and HR
Workers are encouraged to respond directly to the originator of offensive electronic mail messages,
telephone calls, and/or other communications. If the originator does not promptly stop sending offensive
messages, workers must report the communications to their manager and the Human Resources
Department.
12.10. Electronic Mail Messages Are District Records
The Montgomery County Hospital District electronic mail system is to be used only for business purposes.
All messages sent by electronic mail are Montgomery County Hospital District records. The District reserves
the right to access and disclose all messages sent over its electronic mail system or emails on designated
devices (such as Blackberrys), for any purpose. Supervisors may review the electronic mail
communications of workers they supervise to determine whether they have breached security, violated
District policy, or taken other unauthorized actions. The District may also disclose electronic mail messages
to law enforcement officials without prior notice to the workers who may have sent or received such
messages.
12.11. Personal Use of Electronic Mail Systems
Electronic mail systems are intended to be used primarily for business purposes. Any personal use must
not interfere with normal business activities, must not involve solicitation, must not be associated with any
for-profit outside business activity, and must not potentially embarrass Montgomery County Hospital District.
Personal use must not interfere with MCHD systems operations, and employees should keep in mind that
anything on MCHD computers may be fully disclosed to the public under the guidelines of the open records
policy.
12.12. Automatic Routing
Due to the sensitive nature of our business, it is MCHD’s policy that no employee may place an automatic
routing feature on their District e-mail account that will forward company e-mails to another e-mail address,
including the employee’s personal e-mail.
13. Telecommuting Arrangement Standards
13.1. Protection of Montgomery County Hospital District Property at Alternative Worksites
The security of Montgomery County Hospital District property at an alternative worksite is just as important
as it is at the central office. At alternative worksites, reasonable precautions must be taken to protect
Montgomery County Hospital District hardware, software, and information from theft, damage, and misuse.
13.2. Telecommuters and Structured Working Environments
To retain the privilege of doing off-site work, all telecommuters must structure their remote working
environment so that it is in compliance with Montgomery County Hospital District policies and standards.
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13.3. Telecommuter Remote System Information Security Procedures
As a condition of continued employment, telecommuters agree to abide by all remote system security
procedures. These include, but are not limited to, compliance with software license agreements,
performance of regular back-ups, and use of shredders to dispose of sensitive information.
13.4. Training Course Required Prior To Use of Remote Access Systems
Montgomery County Hospital District workers must complete an approved remote systems access training
course prior to being granted privileges to use dial-up, Internet telnet, or any other remote access data
communications system.
14. Internet Communications Standards
14.1. Montgomery County Hospital District Blocks Certain Non-Business Internet Web Sites
Montgomery County Hospital District information systems routinely prevent users from connecting with
certain non-business web sites. Workers who discover they have connected with a web site that contains
sexually explicit, racist, or other potentially offensive material must immediately disconnect from that site.
The ability to connect with a specific web site does not in itself imply that users of Montgomery County
Hospital District systems are permitted to visit that site.
14.2. Handling Software and Files Downloaded from Internet
All software and files downloaded from non-Montgomery County Hospital District sources via the Internet (or
any other public network) must be screened with virus detection software. This screening must take place
prior to being run or examined via another program such as a word processing package.
14.3. Workers Must Not Conceal Their Identity When Using the Internet
When using Montgomery County Hospital District information systems, or when conducting Montgomery
County Hospital District business, workers must not deliberately conceal or misrepresent their identity. This
policy includes participating in discussion groups and chat rooms, as well as establishing accounts on other
computers. Use of anonymous FTP log-ins, anonymous UUCP log-ins, HTTP (web) browsing, and other
access methods established with the expectation that users would be anonymous are permissible.
14.4. Up-Loading Software to Other Machines Via the Internet
Users must not up-load software which has been licensed from a third party or software which has been
developed by Montgomery County Hospital District, to any computer via the Internet unless authorization
from the user's department manager has first been obtained.
14.5. Real-Time Connections to Montgomery County Hospital District Production Systems Via Intranet
The intranet must not be used to provide real-time connections to any Montgomery County Hospital District
production information system which has extended user authentication access controls (anything beyond a
fixed password and a user-ID), unless the approval of the COO or MCHD IT Vendor has first been obtained.
14.6. Usage of District Equipment
When using District equipment, employees must adhere to District policies, even when they are connecting
to the Internet using a network outside of MCHD.
14.7. User Agreement
Employees must sign a User Agreement (at the end of this policy) in order to use their personal equipment
to connect to the District’s network.
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15. Training and Awareness Standards
15.1. Information Security Training Required for All Information Workers
All employees, consultants, and contractors must be provided with sufficient training and supporting
reference materials to allow them to properly protect Montgomery County Hospital District information
resources.
15.2. Information Security Training Time Required
Management must allocate sufficient on-the-job time for employees to acquaint themselves with
Montgomery County Hospital District security policies, procedures, and related ways of doing business.
15.3. Signed Acknowledgement for Understanding the Code of Conduct Form
All workers must indicate their understanding of the code of conduct by annually signing a form
acknowledging that they agree to subscribe to the code.
16. Reporting and Security Problem Standards
16.1. Required Reporting of Information Security Incidents
All suspected information security incidents must be reported as quickly as possible through the correct
channels.
16.2. Internal Reporting of Information Security Violations & Problems
Montgomery County Hospital District workers have a duty to report all information security violations and
problems to the Information Security Department on a timely basis so that prompt remedial action may be
taken.
16.3. Centralized Reporting of Information Security Problems
All known vulnerabilities -- in addition to all suspected or known violations -- must be communicated in an
expeditious and confidential manner to the Chief Operating Officer. Unauthorized disclosures of
Montgomery County Hospital District information must additionally be reported to the involved information
owners. Reporting security violations, problems, or vulnerabilities to any party outside Montgomery County
Hospital District (except external auditors) without the prior written approval of the Legal Department is
strictly prohibited.
16.4. Protection of Workers Who Report Information Security Problems
Montgomery County Hospital District will protect workers who report in good faith what they believe to be a
violation of laws or regulations, or conditions that could jeopardize the health or safety of other workers.
This means that such workers will not be terminated, threatened, or discriminated against because they
report what they perceive to be a wrongdoing or dangerous situation. Before taking any other action, these
workers must report the problem to their manager or the Internal Auditing Department, and then give the
organization time to remedy the situation.
16.5. Immediate Reporting of Suspected Computer Virus Infestation
Computer viruses can spread quickly and need to be eradicated as soon as possible to limit serious damage
to computers and data. Accordingly, if workers report a computer virus infestation to the Information
Security Department immediately after it is noticed, even if their negligence was a contributing factor, no
disciplinary action will be taken. The only exception to this early reporting amnesty will be those
circumstances where a worker knowingly caused a computer virus to be introduced into Montgomery County
Hospital District systems. However, if a report of a known infestation is not promptly made, and if an
investigation reveals that certain workers were aware of the infestation, these workers will be subject to
disciplinary action including termination.
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16.6. Required Reporting of Software Malfunctions
All apparent software malfunctions must be immediately reported to line management or the information
system service provider.
16.7. Required Investigation Following Computer Crimes
Whenever evidence clearly shows that Montgomery County Hospital District has been victimized by a
computer or communications crime, a thorough investigation must be performed. This investigation must
provide sufficient information so that management can take steps to ensure that: (1) such incidents cannot
reasonably take place again, and (2) effective security measures have been reestablished.
16.8. When To Seek Assistance With Unauthorized Access Problems
Whenever unauthorized system access is suspected or known to be occurring, Montgomery County Hospital
District personnel must take immediate action to terminate the access. If these actions do not completely
suppress the unauthorized activity, assistance from the Resource Center must immediately be sought.
16.9. Annual Analysis of Information Security Violations & Problems
An annual analysis of reported information security problems and violations will be prepared by the
Information Security Department.
17. Responsibility for Information Security Standards
17.1. Information Security is Every Worker's Duty
Responsibility for information security on a day-to-day basis is every worker's duty. Specific responsibility
for information security is NOT solely vested in the MCHD IT Vendor.
18. Social Networking
18.1. Standards Intent
The intent of these standards is to regulate the creation and distribution of information concerning
Montgomery County Hospital District, its employees and patients through electronic media, including, but not
limited to online forums and internet blogging sites. Protecting the District’s reputation and ensuring that an
employee’s communication with people outside the District, not only reflect positively on the employee as an
individual, but also on the District are essential to these standards.
18.2. Engagement in Social Networking
MCHD recognizes that employees may engage in “social networking” while off duty. “Social networking” for
purposes of these standards includes all types of postings on the Internet, including, but not limited to, social
networking sites, (such as Facebook©, MySpace© or LinkedIn©); blogs and other on-line journals and
diaries; bulletin boards and chat rooms; microblogging, such as Twitter©; and the posting of video on
YouTube© and similar media. Social networking also includes permitting or not removing postings by others
where an employee can control the content of postings, such as on a personal profile or blog. These
standards apply regardless of whether you are social networking while on or off duty.
18.3. General Social Networking Guidelines
Employees who engage in social networking should be mindful that their postings, even if done off premises
and while off duty, could have an adverse affect on the District’s legitimate business interests. For example,
the information posted could include patient information, could defame MCHD or create an untrue rumor
about the nature of its services. In addition, some readers may view you as a spokesperson for MCHD.
18.4. District Resources and Social Networking
Do not engage in social networking using any of MCHD’s electronic resources unless express permission
has been given by the CEO or COO.
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18.5. Social Networking Conduct
Your social networking is subject to all of the policies of MCHD, including “Anti- Harassment”, “Standards of
Conduct”, “Computer, e-Mail and Internet Use”, “District Provided Communications Devices”, and
“Confidentiality”.
18.6. Posting of Photographs
Do not take or post photos of patients or their related accidents/injuries or comment about their cases. This
is a clear violation of patient confidentiality.
18.7. Social Networking and MCHD
If your social networking includes any information related to the District, please make it clear to your readers
that the views expressed are yours alone and that they do not reflect the views of the District, by stating, for
example, “The views expressed in this post are my own. They have not been reviewed or approved by the
District.”
18.8. District Reputation
Do not defame or otherwise discredit the MCHD’s products or services, or the products or services of its
vendors or competitors. MCHD has spent substantial time and resources building its reputation and good
will. These are valuable and important corporate assets. Before you engage in any social networking that
identifies yourself as an employee of the District, or that identifies the District, please consider whether you
are damaging MCHD’s reputation. If you are uncertain, you should consult your manager or the Human
Resources Department before posting.
You are more likely to resolve complaints about work by speaking directly with your human resources
professionals, supervisor or other management-level personnel than by posting complaints on the Internet.
If you, nonetheless, decide to post complaints or criticism, avoid doing so in a way that is defamatory or
disparaging to the District or any of MCHD’s employees or be prepared to face possible discipline.
18.9. District Logo
Do not use the District’s logo, trademark or proprietary graphics or photographs of the Company’s premises
or products without express written consent.
18.10. District Monitoring
The District will, in its discretion, review your social networking activities if it has reason to do so. Please
note that these standards apply even if your social networking is anonymous or under a pseudonym. If you
do engage in such social networking, you should be aware that in appropriate circumstances MCHD may
take steps to determine your identity.
The District may request in its sole and absolute discretion that you temporarily confine your social
networking to matters unrelated to MCHD if the District determines this is necessary or advisable to ensure
compliance with securities regulations or other laws.
18.11. Clarification
If you need clarification of any aspect of these standards, contact your supervisor or the Human Resources
Department.
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18.12. Standards Noncompliance
Failure to comply with these standards may lead to discipline up to and including termination and if
appropriate, the District will pursue available legal remedies. MCHD also may report suspected unlawful
conduct to appropriate law enforcement authorities.
The following matters will be treated as gross misconduct capable of disciplinary action:
A. Revealing confidential information about Montgomery County Hospital District, its patients or
employees in a personal online posting. This might include, revealing information relating to
MCHD’s patients that is protected by HIPAA, business clients, plans, staff, or internal
discussions that are protected under the Texas Open Records Act as a “closed” record. Posting
any MCHD photograph, digital image or video recording is strictly prohibited without the
expressed written consent of MCHD management. Consult your supervisor if you are unclear
about what might be confidential.
B. The use of a blog to harass, threaten, libel or slander, malign, defame or disparage, or
discriminate against the District, co-workers, management, patients, vendors or suppliers, any
organizations associated with or doing business with the District or any members of the public,
including Web site visitors who post comments about blog contents.
C. The use of the District’s logo or trademarks or the name, logo, or trademarks of any business
partner, supplier, vendor, affiliate on any personal blogs or other online sites without prior
District authorization.
D. Accessing or updating a personal blog from MCHD’s computers during working hours.
You should remember that any messages or information sent to one or more individuals via an electronic
network – for example, internet mailing lists, websites, Facebook or Twitter – that identifies you as an
employee of the District are statements that can taint the District’s reputation or services. You should
include the following disclaimer in all of your postings to public forums that may either identify you as an
employee of the District or can identify the District, “The views, opinion, and judgments expressed in this
message are solely those of the author and do not reflect the views, policies, or goals of the Montgomery
County Hospital District.”
1.
If you already have a personal blog or website which indicates in any manner that you work for
Montgomery County Hospital District you must include the disclaimer on your personal blog or
website.
2.
If someone from the public, media or press contacts you about your online publications that relate to
Montgomery County Hospital District you should report this immediately to the Chief Executive
Officer.
3.
Your use of online forums and blogging must comply with the District’s policies regarding Computer
Software and Hardware use, Computer Electronic Mail (E-Mail), Computer Use, and Electronic
Media Policy when you are or may be identified as a District employee.
4.
The District’s policies prohibiting harassment and discrimination and Violence Prevention apply to
your on-line forums and blogging.
18.13. Removal of Inappropriate Electronic Postings to Public Forums
Electronic mail sent by Montgomery County Hospital District workers to Internet discussion groups,
electronic bulletin boards, or other public forums may be reviewed and removed if determined to be
inconsistent with Montgomery County Hospital District's business interests or existing Company policy.
Messages in this category include: (a) political statements, (b) religious statements, (c) cursing or other foul
language, and (d) statements viewed as harassing others based on race, creed, color, age, sex, physical
handicap, or sexual inclination. The decision to remove electronic mail must be made by the Information
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Security Manager or the Human Resources Manager. When practical and feasible, individuals responsible
for the message will be informed of the decision and given the opportunity to remove the message(s)
themselves.
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Agreement to Comply with Information Security Standards
Although Montgomery County Hospital District has specialists devoted to information security, it is the
responsibility of users to comply with all information security policies and procedures. When the
undersigned requests a user-ID on any Montgomery County Hospital District automated information system,
he/she acknowledges that he/she is a "user" as defined in the Montgomery County Hospital District
information security manual. As a user, the undersigned additionally acknowledges that he/she must
comply with the security measures dictated by both "owners" and "custodians," as defined in the information
security manual.
As a user, the undersigned acknowledges that he/she is a fiduciary in possession of Montgomery County
Hospital District information resources. This means that the undersigned must protect these information
resources from unauthorized activities including disclosure, modification, deletion, and usage.
The undersigned has read the Montgomery County Hospital District information security manual and
understands the standards and procedures described therein. The undersigned agrees to abide by the
standards and procedures described therein as a condition of continued employment. The undersigned
furthermore understands that violators of these policies and procedures are subject to disciplinary measures
including privilege revocation and/or employment termination. The undersigned understands that access to
Montgomery County Hospital District information systems is a privilege which may be changed or revoked at
the sole discretion of Montgomery County Hospital District management, and which automatically terminates
upon departure from Montgomery County Hospital District.
The undersigned certifies that he/she has received a copy of the Montgomery County Hospital District
information security manual for future reference.
The undersigned also agrees to promptly report all violations or suspected violations of information security
policies and procedures to the director of information security.
-------------------------------------------------------------------------------User's signature, today's date, and location when signing
-----------------------------------------------User's name in block capital letters
------------------------------------------------Witness signature and date
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MCHD Employee Remote Access Security Standards
The purpose of the following security guidelines is to make sure that confidential information that is
used or accessed remotely is protected to the same degree that it is when accessed or used at
MCHD. All District personnel who work remotely must follow these guidelines.
1.
Employee is responsible for taking precautions so that only authorized individuals can gain
access to any confidential or restricted MCHD information that is stored or accessed from their
computer.
2.
Employee must take the necessary precautions so that unauthorized individuals (i.e. spouse,
children, friends, colleagues, and others) cannot view confidential information that appears on
the screen when using the system.
3.
Employee must not share their passwords with anyone.
4.
Employee is responsible for the proper disposal of confidential information.
5.
Employee agrees to abide by software licensing and security agreements.
6.
The following security measures must be installed on the employee’s computer:
i.
A current version of approved anti-virus software (one of the following).
 Trendmicro Antivirus or PC-Cillin www.trendmicro.com
 Symantec Antivirus www.symantec.com
 McAfee Antivirus www.mcafee.com
 CA Antivirus www.ca.com
ii.
A current version of approved anti-spyware software (one of the following).
 Trendmicro Anti-spyware www.trendmicro.com
 Symantec Anti-spyware www.symantec.com
 McAfee Anti-spyware www.mcafee.com
 Ewiedo Antispyware www.ewido.net
 Counterspy Antispyware www.sunbelt-software.com
Note: Symantec, McAfee, Trendmicro and others provide an all-in-one security suite to protect
your computers from Spyware, Virus’, Malware, etc. An all-in-one suite will meet the
requirements of MCHD. Additionally, most of the free spyware products such as Adaware and
Spybot do not meet the requirements unless you upgrade to the paid subscription version.
7.
Employees are responsible for making sure the antivirus\antispyware software and signature
files are kept up-to-date on the computer that they are using.
By signing this document, you are agreeing to the above terms.
-------------------------------------------------------------------------------User's signature, today's date, and location when signing
-----------------------------------------------User's name in block capital letters
------------------------------------------------Witness signature and date
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Agenda Item # 15
To:
Board of Directors
From: Kelly Curry
Re:
Consider and act on recommendations from HIPAA Security report
OCS, our outsourced IT company, conducted a company- wide HIPAA security audit which included all
EMS Stations, Alarm, and River Pointe suites. They found that the majority of the District was
compliant. OCS also provided us a HIPAA IT policy and procedure manual.
The District wants to increase the awareness of the importance of patient confidentiality and security
among all District employees. We are considering and comparing a number of email encryption
programs to comply with new HIPAA digital encryption guidelines. We conduct regular business with
Boon Chapman, local hospitals, and HCAP physicians, therefore email encryption programs designed to
automatically encrypt communications to specific vendors and agencies will further improve the District’s
compliance. OCS suggested that we use a proven company call Zix Corporation which Sadler Clinic
uses. This solution is a SAS (software as a service) in which the District will lease the equipment and if
at any point we want to cancel our subscription, we will get a prorated refund. In addition, the Zix
encryption server will work with our current email firewalls and exchange email servers.
MCHD has a decentralized workforce, and we have mobile laptops in the ambulances for electronic
patient care reporting. We need to implement a laptop tracking system using the computer version of
“Lo Jack.” The newer computers come with a special security chip that, if stolen, allows the computer to
notify a reporting agency that will provide a physical location of the computer, as well as delete all data
on the laptop.
In addition, MCHD is promoting a new campaign to lock down the computer and enable the screensaver
when computers are left unattended. We would like users to leave computers on so nightly antivirus
updates and Windows security updates can be installed. We will also be looking at conducting password
resets on a more frequent basis.
Recommendation:
These recommendations and improvements will be conducted within the current year’s budgeted funds.
Fiscal Impact:
Yes
X
No
N/A
N/A
Budgeted item?
X
Within budget?
X
Renewal contract?
X
Special request?
Agenda Item # 16
To:
Board of Directors
From: Kelly Curry
Re:
COO Report to include update on Construction Project
A presentation will be given by Kelly Curry and / or Ian Powell. Attached is the Status
of Construction and Radio project spreadsheet.
Fiscal Impact:
Yes
No
See attachment
N/A
X
Budgeted item?
X
Within budget?
X
Renewal contract?
X
Special request?
Status of Building Construction and Radio System Projects
As of February 19, 2010
Project Description
Project Budget (Land, Construction & Professional Fees) Funds Expended Project Budget Remaining Projects In‐Progress
Administration Building
$ 9,726,800 $ 961,478 $ 8,765,322
Support Service Center / Station # 11
6,088,960 115,809 5,973,151
EMS Station # 32 (incl mobile gen & emergency supp storage)
1,131,104 42,968 1,088,136
Expected Completion Date
% Complete
April 2011
April 2011
10%
10%
May 2010
5%
Radio Improvement Project
Radio Infrastructure Project ‐ VHF
Radio Tower ‐ located on EMS Station # 31 property
1,023,000
1,125,000
750,000
924,593
385,043
33,615
98,407
739,957
716,385
Oct. 2010
July 2010
July 2010
90%
20%
5%
Projects Completed
EMS Regional Station # 10 (North Loop 336)
1,472,425
1,055,161
417,264
Jan. 2010
100%
Agenda Item # 17
To:
Board of Directors
From: Kelly Curry
Re:
Consider and act on purchase of VHF equipment as per the Montgomery County Fire Chiefs
Association Contract
Last July, the Board approved the VHF Radio System Improvement project with the
Montgomery County Fire Chiefs Association, and the Association later approved the
contract. To fulfill the contract, custom radio combiners, transmission systems, and
simulcast electronic systems that integrate with our existing 800 MHz radio system need
to be ordered.
Dailey Wells is a Board-approved sole source provider for the District. They have given
price quotes for the equipment and for technical installation which will provide
integration of the custom radio equipment into the VHF system and to the 800 Mhz
EDACS system. The bulk of the purchase components are the combiners and
multicouplers which are custom made for our 800 Mhz system.
We are asking the Board to approve this purchase order to Dailey Wells as they are the
sole source provider and have the ability to integrate this equipment to the EDACS
system. The funds for the VHF Radio System Improvement project have been
previously budgeted, leaving MCHD under budget.
Fiscal Impact:
Yes
No
$646,326 (Within Planned Budget)
N/A
X
Budgeted item?
X
Within budget?
X
Renewal contract?
X
Special request?
DAILEY-WELLS COMMUNICATIONS, INC.
3440 E. Houston St. San Antonio, TX 78219
To: Montgomery County HD, Justin
From: Dennis Vickery (281) 804-7970
Equipment For: Simulcast and Voting ‐ Control Point
PART DESCRIPTION
PART NUMBER
Qnty.
UNIT LIST
DISC. %
Harris Intraplex VF25 Voice Modules
VF25
12
10%
$
442.55
$
Harris Intraplex MA305 Module Adapter
MA305
12
10%
$
293.38
$
3,520.56
Harris Intraplex ACS163-ACC (standard T1 shelf)
AC163-ACC
6
10%
$
3,331.58
$
19,989.48
Harris Intraplex PSY60AC Add'l Power Modules for Redundancy
PSY60AC
6
10%
$
795.60
$
4,773.60
Spectracom Model 8195B-02-14 GPS Master Oscillator
8195B-02-14
1
10%
$
5,721.30
$
5,721.30
Spectracom 1.544 MHz Reference Distribution Amplifier
REFDISAMP
1
10%
$
7,168.50
$
7,168.50
Spectracom Model 8225 GPS Antenna
8225
1
10%
$
286.65
$
286.65
Spectracom Model 8226 Antenna Line Surge Supressor
8226
1
10%
$
269.10
$
269.10
SNV-12 - 5951-800000 Standard JPS Analog Voter Chassis
SNV-12 - 5951-800000
4
10%
$
5,709.60
$
22,838.40
SVM-2 - 5952-112000 Analog Voter Module
SVM-2 - 5952-112000
24
10%
$
1,029.60
$
24,710.40
Convex Model 2241A-AC Audio / PTT Distribution
2241A-AC
2
10%
$
3,369.60
$
6,739.20
Convex Model 806A-R TIMS Unit
806A-R
1
$ 491.73
$ 325.98
$ 3,701.75
$ 884.00
$ 6,357.00
$ 7,965.00
$ 318.50
$ 299.00
$ 6,344.00
$ 1,144.00
$ 3,744.00
$ 2,800.00
UNIT SALE
EXT. SALE
10%
$
2,520.00
Subtotal:
$
$
2,520.00
103,847.79
5,310.60
Equipment For: RPT Sites
PART DESCRIPTION
PART NUMBER
Qnty.
UNIT LIST
DISC. %
Harris Intraplex VF25 Voice Modules
VF25
12
10%
$
442.55
$
Harris Intraplex MA305 Module Adapter
MA305
12
10%
$
293.38
$
3,520.56
Harris Intraplex SynchroCast3 Modules for add'l TX sites*
SYNCHROCAST3
6
$ 491.73
$ 325.98
$ 11,326.25
$ 3,701.75
$ 884.00
$ 6,357.00
$ 877.50
$ 318.50
$ 299.00
10%
$
10,193.63
$
61,161.78
10%
$
3,331.58
$
19,989.48
10%
$
795.60
$
4,773.60
10%
$
5,721.30
$
34,327.80
10%
$
789.75
$
18,954.00
10%
$
286.65
$
1,719.90
10%
$
269.10
Subtotal:
$
$
1,614.60
151,372.32
Qnty.
UNIT LIST
DISC. %
1
$ 45,876.00
$ 6.30
$ 33.00
$ 33.00
$ 17.45
$ 18.05
$ 20.00
$ 15.30
$ 86.90
$ 725.00
$ 103.00
$ 172.00
$ 2.75
$ 40.00
$ 45.00
$ 85.00
$ 40.00
$ 40.00
$ 1.95
25%
$
34,407.00
$
34,407.00
10%
$
5.67
$
8,164.80
10%
$
29.70
$
89.10
10%
$
29.70
$
89.10
10%
$
15.71
$
565.56
10%
$
16.25
$
195.00
10%
$
18.00
$
108.00
10%
$
13.77
$
41.31
10%
$
78.21
$
234.63
10%
$
652.50
$
1,957.50
10%
$
92.70
$
278.10
10%
$
154.80
$
464.40
10%
$
2.48
$
248.00
10%
$
36.00
$
108.00
10%
$
40.50
$
121.50
10%
$
76.50
$
306.00
10%
$
36.00
$
144.00
10%
$
36.00
$
144.00
10%
$
1.76
Subtotal:
$
$
105.60
47,771.60
Harris Intraplex ACS163-ACC (standard T1 shelf)
AC163-ACC
6
Harris Intraplex PSY60AC Add'l Power Modules for Redundancy
PSY60AC
6
Spectracom Model 8195B-02-14 GPS Master Oscillator
8195B-02-14
6
Spectracom Model 1118-2 CTCSS Filter Assembly
1118-2
24
Spectracom Model 8225 GPS Antenna
8225
6
Spectracom Model 8226 Antenna Line Surge Supressor
8226
6
UNIT SALE
EXT. SALE
5,310.60
Equipment For: Magnolia Antenna System
PART DESCRIPTION
PART NUMBER
dBSpectraVHF Combiner and Multicoupler System
SPD-803-TX1 / SPD-803-RX1
7/8" Foam
LDF5-50A
1440
N-Female Connector
L5TNF-PS
3
N-Male Connector
L5TNM-PS
3
Snap-In Hangers
WSH-U78
36
Ground Kit
GK-S78
12
Hoisting Grip
WS-HG78P
6
Weatherproofing Kit
WKU
3
Coax Jumper 1/2" x 10'
LDF4-50ANN
3
Antenna
DB224
3
Polyphaser Protector
IS-NMP-C2-MA
3
36" Stand-Off Mount
WS-S300
3
Cable,Coaxial,1/2in Superflex
CA-015466-001
100
Connector,N Male,1/2in Coax
CN-015463-001
3
UNIT SALE
EXT. SALE
Connector,N Female,1/2in Coax
CN-015464-001
3
Connector,BNC-M,1/4in Coax,Shrink Sleeve
CN-015462-001
4
CN-015463-001
4
CN-015463-001
4
Cable,Coaxial,1/4in Cellflex
CA-015465-001
60
PART DESCRIPTION
PART NUMBER
Qnty.
UNIT LIST
DISC. %
1
25%
$
33,769.50
$
33,769.50
7/8" Foam
LDF5-50A
1710
10%
$
5.67
$
9,695.70
N-Female Connector
L5TNF-PS
3
10%
$
29.70
$
89.10
N-Male Connector
L5TNM-PS
3
10%
$
29.70
$
89.10
Snap-In Hangers
WSH-U78
44
10%
$
15.71
$
691.24
Ground Kit
GK-S78
18
10%
$
16.25
$
292.50
Hoisting Grip
WS-HG78P
6
10%
$
18.00
$
108.00
Weatherproofing Kit
WKU
3
10%
$
13.77
$
41.31
LDF4-50ANN
3
10%
$
78.21
$
234.63
Antenna
DB224
3
10%
$
652.50
$
1,957.50
IS-NMP-C2-MA
3
10%
$
92.70
$
278.10
36" Stand-Off Mount
WS-S300
3
10%
$
154.80
$
464.40
CA-015466-001
100
10%
$
2.48
$
248.00
CN-015463-001
3
10%
$
36.00
$
108.00
CN-015464-001
3
$ 45,026.00
$ 6.30
$ 33.00
$ 33.00
$ 17.45
$ 18.05
$ 20.00
$ 15.30
$ 86.90
$ 725.00
$ 103.00
$ 172.00
$ 2.75
$ 40.00
$ 45.00
10%
$
40.50
$
121.50
Equipment For: League Line Antenna System
Confidential
2/19/2010
UNIT SALE
EXT. SALE
Page 1
$ 85.00
$ 40.00
$ 40.00
$ 1.95
10%
$
76.50
$
306.00
10%
$
36.00
$
144.00
10%
$
36.00
$
144.00
10%
$
1.76
Subtotal:
$
$
105.60
48,888.18
Qnty.
UNIT LIST
DISC. %
1
$ 98,762.00
$ 6.30
$ 33.00
$ 33.00
$ 17.45
$ 18.05
$ 20.00
$ 15.30
$ 86.90
$ 725.00
$ 103.00
$ 172.00
$ 2.75
$ 40.00
$ 45.00
$ 85.00
$ 40.00
$ 40.00
$ 1.95
25%
$
74,071.50
$
74,071.50
10%
$
5.67
$
6,463.80
10%
$
29.70
$
89.10
10%
$
29.70
$
89.10
10%
$
15.71
$
706.95
10%
$
16.25
$
195.00
10%
$
18.00
$
72.00
10%
$
13.77
$
41.31
10%
$
78.21
$
234.63
10%
$
652.50
$
1,957.50
10%
$
92.70
$
278.10
10%
$
154.80
$
1,238.40
10%
$
2.48
$
372.00
10%
$
36.00
$
144.00
10%
$
40.50
$
162.00
10%
$
76.50
$
1,530.00
10%
$
36.00
$
360.00
10%
$
36.00
$
360.00
10%
$
1.76
Subtotal:
$
$
264.00
88,629.39
Qnty.
UNIT LIST
DISC. %
1
$ 31,746.00
$ 6.30
$ 33.00
$ 33.00
$ 17.45
$ 18.05
$ 20.00
$ 15.30
$ 86.90
$ 725.00
$ 103.00
$ 172.00
$ 2.75
$ 40.00
$ 45.00
$ 85.00
$ 40.00
$ 40.00
$ 1.95
25%
$
23,809.50
$
23,809.50
10%
$
5.67
$
9,015.30
10%
$
29.70
$
89.10
10%
$
29.70
$
89.10
10%
$
15.71
$
644.11
10%
$
16.25
$
243.75
10%
$
18.00
$
108.00
10%
$
13.77
$
41.31
10%
$
78.21
$
234.63
10%
$
652.50
$
1,957.50
10%
$
92.70
$
278.10
10%
$
154.80
$
464.40
10%
$
2.48
$
248.00
10%
$
36.00
$
108.00
10%
$
40.50
$
121.50
10%
$
76.50
$
306.00
10%
$
36.00
$
144.00
10%
$
36.00
$
144.00
10%
$
1.76
Subtotal:
$
$
105.60
38,151.90
CN-015462-001
4
CN-015463-001
4
CN-015463-001
4
CA-015465-001
60
PART DESCRIPTION
PART NUMBER
7/8" Foam
LDF5-50A
1140
N-Female Connector
L5TNF-PS
3
N-Male Connector
L5TNM-PS
3
Snap-In Hangers
WSH-U78
45
Ground Kit
GK-S78
12
Hoisting Grip
WS-HG78P
4
Weatherproofing Kit
WKU
3
LDF4-50ANN
3
Antenna
DB224 - 4
3
IS-NMP-C2-MA
3
36" Stand-Off Mount
WS-S300
8
CA-015466-001
150
CN-015463-001
4
Equipment For: Conroe Service Center Antenna System
CN-015464-001
4
CN-015462-001
20
CN-015463-001
10
CN-015463-001
10
CA-015465-001
Conroe site antenna system design requires 3TX and 1RX antenna,
Antenna designed is based on 1 existing antenna,
150
UNIT SALE
EXT. SALE
Equipment For: Grangerland Antenna System
PART DESCRIPTION
PART NUMBER
7/8" Foam
LDF5-50A
1590
N-Female Connector
L5TNF-PS
3
N-Male Connector
L5TNM-PS
3
Snap-In Hangers
WSH-U78
41
Ground Kit
GK-S78
15
Hoisting Grip
WS-HG78P
6
Weatherproofing Kit
WKU
3
LDF4-50ANN
3
Antenna
DB224
3
IS-NMP-C2-MA
3
36" Stand-Off Mount
WS-S300
3
CA-015466-001
100
CN-015463-001
3
UNIT SALE
EXT. SALE
CN-015464-001
3
CN-015462-001
4
CN-015463-001
4
CN-015463-001
4
CA-015465-001
60
PART DESCRIPTION
PART NUMBER
Qnty.
UNIT LIST
DISC. %
1
25%
$
23,809.50
$
23,809.50
7/8" Foam
LDF5-50A
1440
10%
$
5.67
$
8,164.80
N-Female Connector
L5TNF-PS
3
10%
$
29.70
$
89.10
N-Male Connector
L5TNM-PS
3
10%
$
29.70
$
89.10
Snap-In Hangers
WSH-U78
36
10%
$
15.71
$
565.56
Ground Kit
GK-S78
12
10%
$
16.25
$
195.00
Hoisting Grip
WS-HG78P
6
10%
$
18.00
$
108.00
Weatherproofing Kit
WKU
3
10%
$
13.77
$
41.31
LDF4-50ANN
3
10%
$
78.21
$
234.63
Antenna
DB224
3
10%
$
652.50
$
1,957.50
IS-NMP-C2-MA
3
10%
$
92.70
$
278.10
36" Stand-Off Mount
WS-S300
3
10%
$
154.80
$
464.40
CA-015466-001
100
10%
$
2.48
$
248.00
CN-015463-001
3
$ 31,746.00
$ 6.30
$ 33.00
$ 33.00
$ 17.45
$ 18.05
$ 20.00
$ 15.30
$ 86.90
$ 725.00
$ 103.00
$ 172.00
$ 2.75
$ 40.00
$ 45.00
$ 85.00
$ 40.00
$ 40.00
$ 1.95
10%
$
36.00
$
108.00
10%
$
40.50
$
121.50
10%
$
76.50
$
306.00
10%
$
36.00
$
144.00
10%
$
36.00
$
144.00
10%
$
1.76
Subtotal:
$
$
105.60
37,174.10
Equipment For: Tamina Antenna System
CN-015464-001
3
CN-015462-001
4
CN-015463-001
4
CN-015463-001
4
CA-015465-001
60
UNIT SALE
EXT. SALE
Equipment For: New Site Antenna System
Confidential
2/19/2010
Page 2
PART DESCRIPTION
PART NUMBER
Qnty.
UNIT LIST
DISC. %
1
$ 31,746.00
$ 6.30
$ 33.00
$ 33.00
$ 17.45
$ 18.05
$ 20.00
$ 15.30
$ 86.90
$ 725.00
$ 103.00
$ 172.00
$ 2.75
$ 40.00
$ 45.00
$ 85.00
$ 40.00
$ 40.00
$ 1.95
25%
$
7/8" Foam
LDF5-50A
1110
N-Female Connector
L5TNF-PS
3
N-Male Connector
L5TNM-PS
3
Snap-In Hangers
WSH-U78
30
Ground Kit
GK-S78
14
Hoisting Grip
WS-HG78P
6
Weatherproofing Kit
WKU
3
LDF4-50ANN
3
Antenna
DB224
3
IS-NMP-C2-MA
3
36" Stand-Off Mount
WS-S300
3
CA-015466-001
100
CN-015463-001
3
UNIT SALE
23,809.50
$
EXT. SALE
23,809.50
10%
$
5.67
$
6,293.70
10%
$
29.70
$
89.10
10%
$
29.70
$
89.10
10%
$
15.71
$
471.30
10%
$
16.25
$
227.50
10%
$
18.00
$
108.00
10%
$
13.77
$
41.31
10%
$
78.21
$
234.63
10%
$
652.50
$
1,957.50
10%
$
92.70
$
278.10
10%
$
154.80
$
464.40
10%
$
2.48
$
248.00
10%
$
36.00
$
108.00
10%
$
40.50
$
121.50
10%
$
76.50
$
306.00
10%
$
36.00
$
144.00
10%
$
36.00
$
144.00
10%
$
1.76
Subtotal:
$
$
105.60
35,241.24
CN-015464-001
3
CN-015462-001
4
CN-015463-001
4
CN-015463-001
4
CA-015465-001
60
PART DESCRIPTION
PART NUMBER
Qnty.
UNIT LIST
DISC. %
Antenna Install
INSTALL
1
0%
$
56,250.00
$
56,250.00
Additional Project Management for Site Work
PRJMAN
1
0%
$
25,000.00
$
25,000.00
Travel and Living
T&L
1
0%
$
5,000.00
$
5,000.00
Misc Install Materials
MISCMAT
1
$ 56,250.00
$ 25,000.00
$ 5,000.00
$ 9,000.00
0%
$
9,000.00
Subtotal:
$
$
9,000.00
95,250.00
Services
UNIT SALE
EXT. SALE
Totals Summery
PART DESCRIPTION
Equipment For: Simulcast and Voting ‐ Control Point
Equipment For: RPT Sites
Equipment For: Magnolia Antenna System
Equipment For: League Line Antenna System
Equipment For: Conroe Service Center Antenna System
Equipment For: Grangerland Antenna System
Equipment For: Tamina Antenna System
Equipment For: New Site Antenna System
Services
SECTION SUBTOTALS
$
103,847.79
$
151,372.32
$
47,771.60
$
48,888.18
$
88,629.39
$
38,151.90
$
37,174.10
$
35,241.24
$
GRAND TOTAL $
95,250.00
646,326.52
Price valid until February 28, 2010.
Terms: Net 30 days
Quote does not include shipping charges.
This quote is based on the original configuration and does not include
additional frequencies currently being considered.
Confidential
2/19/2010
Page 3
Agenda Item # 18
To:
Board of Directors
From: Kelly Curry
Re:
Consider and act on East County Radio Tower RFP
MCHD went out for sealed bid RFP for the East County Radio Tower. The opening of
the technical proposals will be the morning of the February 23rd for bid compliance
review. The cost portion will be opened at 1pm and added to the summary sheets of the
technical proposal for final presentation to the Board. RCC will also support us in the
process and assist with a report of the findings and provide a matrix of bidders and their
rankings.
We are asking the Board to approve the contract for the East County Tower site to the
winner bidder.
Fiscal Impact:
Yes
X
No
to be determined at bid opening
N/A
X
Budgeted item?
X
Within budget?
X
Renewal contract?
Special request?
INTERJURISDICTIONAL
MUTUAL AID AGREEMENT
MONTGOMERY COUNTY, TEXAS
STATE OF TEXAS
§
§
§
COUNTY OF MONTGOMERY
This Mutual Aid Agreement (Agreement) is entered into by and between Montgomery County, Texas, a political
subdivision of the State of Texas (County), and the Montgomery County Hospital District, a political subdivision of
the State of Texas established by special legislation in 1977 (District), collectively referred to as “Parties” and each of
which maintain their own emergency management plan approved by the State of Texas, Division of Emergency
Management.
RECITALS
The Parties recognize the vulnerability of the people and communities located within Montgomery County, Texas to
damage, injury, and loss of life and property resulting from emergencies and/or disasters and recognize that disasters
and/or emergencies may present equipment and manpower requirements beyond the capacity of each individual Party.
The Parties recognize that in the past the Parties have cooperated in providing mutual aid between or among the Parties
in the form of personnel, supplies and equipment during emergencies and/or disasters as well as during cleanup periods.
The governing officials of the Parties desire to continue that cooperation to secure for each Party the benefits of mutual
aid and protection of life and property in the event of a disaster and/or emergency.
The Parties wish to make suitable arrangements for furnishing mutual aid in coping with emergencies and/or disasters, as
authorized under Chapter 791 of the Texas Government Code, Chapter 418 of the Texas Government Code, and
Executive Order of the Governor of the State of Texas, RP 32, dated January 28, 2004.
The Parties recognize that a formal agreement for mutual aid would allow for better coordination of effort and available
equipment, and would help ensure that mutual aid is accomplished in the minimum time possible and, therefore, desire to
enter into this Agreement to provide mutual aid consistent with mutual aid plans developed by each of the Parties.
NOW, THEREFORE, the Parties agree as follows:
TERMS
1.
Recitals. The recitals set forth above are true and correct.
2.
Partv's Emergency Management Plan. Each Party shall prepare and keep current an emergency management
plan for its jurisdiction to provide for emergency/disaster mitigation, preparedness, response and recovery. The
emergency management plans shall incorporate the use of available resources, including personnel, equipment
and supplies, necessary to provide mutual aid. The emergency management plan shall be submitted to the
Governor's Division of Emergency Management as required.
3.
Emergency Management Director. The County Judge of Montgomery County shall serve as the Emergency
Management Director for the County and all Participating Joint Resolution Jurisdictions in the County’s plan
(Participating Jurisdictions) and shall take all steps necessary for the implementation of this Agreement on
behalf of itself and those Participating Jurisdictions. The District’s Chief Executive Officer (District’s CEO)
shall serve as Emergency Management Director for the District and shall cooperate with the County Judge for
Page 1 of 5
emergency management purposes. Hereinafter, references to the County Judge or the District’s CEO include a
representative designated by either to assist that presiding officer of the respective political subdivision in
carrying out the purposes of this Agreement.
4.
Upon Request. Upon request of the County Judge or the District’s CEO, each Party hereto shall furnish mutual
aid in coping with an emergency and/or disaster and the forces necessary to provide such mutual aid to a
requesting Party subject to the terms of this Agreement.
5.
Conditions. Any furnishing of resources under this Agreement, which includes but is not limited to equipment,
supplies, and personnel, is subject to the following conditions:
a.
Each request for aid shall specify the amount and type of resources being requested, shall
state the
location to which the resources are to be dispatched, and shall state the time period for which such
resources are requested;
b.
The Party rendering aid may take such action as is necessary to provide and make
available
the
resources requested; provided, however, the Party rendering aid, in its sole discretion, shall determine
what resources are available to furnish in response to the requested aid;
c.
The officer in charge of the forces of the Party rendering aid shall report to the officer in charge of the
requesting Party's forces at the location(s) designated by the officer in charge of the requesting Party’s
forces; and
d.
The Party rendering aid shall be released by the requesting Party when the services of the Party rendering
aid are no longer required, resources of the Party rendering aid are no longer available or when the officer
in charge of the Party rendering aid's forces determines, in its sole discretion, that further assistance should
not be provided.
6.
Coordinating Agency for Mutual Aid. In the event of a disaster or emergency affecting only one Party hereto,
the Party requesting mutual aid shall serve as the coordinating agency for that event, which includes
coordinating the call-up and assignment of resources to the affected area. In the event of a widespread
emergency or disaster affecting more than one Party hereto, a unified command will be established to
coordinate resources. If such event exhausts the resources of the unified command, then it may be necessary for
resources to be requested from the Montgomery County Emergency Operations Center (MC-EOC), if activated.
During such an event, the MC-EOC will generally be responsible for providing resource support for the
incident unified command operations. In such event, this Agreement shall be in effect.
7.
Rapidly Developing Emergencies Near Incorporated Area. As provided in the County’s plan, in the event of
rapidly developing emergencies occurring inside or near, but outside, of the incorporated area of a Participating
Jurisdiction and within the unincorporated area of Montgomery County, the police and/or fire departments of
the Participating Jurisdiction will respond, as it is able, without the prior request of Montgomery County. In
such an instance, the Participating Jurisdiction’s emergency response units will establish control of the scene
until the arrival of County officials; at which time, a unified command will be established to coordinate
resources. In such event, this Agreement shall be in effect and the Parties shall cooperate with the Participating
Jurisdiction’s emergency response units or the unified command, as appropriate.
8.
Declaration of Disaster. In the event of a declaration of a local state of disaster by the County Judge or the
Governor, pursuant to Chapter 418 of the Texas Government Code, this Agreement shall take effect without
further notice by any of the Parties hereto.
9.
Waiver of Claims Against Parties. Each Party hereto waives all claims against the other Party hereto for
compensation for any 1oss, damage, personal injury, or death occurring as a consequence of the performance of
this Agreement, except those caused in whole or in part by the intentional action or inaction resulting from
gross negligence and/or reckless conduct of an officer or employee of the other Party. Provided however, this
waiver shall not apply in those cases in which the claim results from the failure of the requesting Party to accept
Page 2 of 5
responsibility for any civil liability for which the requesting Party is responsible as determined by the Interlocal
Cooperation Act, Chapter 791 of the Texas Government Code, as amended.
10. Costs. A Party rendering aid may be reimbursed by the requesting Party, or a requesting Participating
Jurisdiction, for costs incurred pursuant to this Agreement in furnishing mutual aid, to the extent such costs are
eligible for reimbursement by state or federal aid available for emergencies or disasters. All Parties hereto shall
provide such documentation as is reasonably necessary to establish their respective costs and expenses in
furnishing services under this Agreement so as to allow a Party or Participating Jurisdiction to substantiate such
costs and expenses in connection with requests for state or federal aid.
11. Salaries and Wages. Personnel who are assigned, designated or ordered by their governing body to perform
duties pursuant to this Agreement shall receive the same wages, salary, pension, and other compensation and
benefits for the performance of such duties, including injury or death benefits and worker's compensation
benefits, as though the service had been rendered within the limits of the jurisdiction where the personnel are
regularly employed. All wage and disability payments, except for the payments the requesting Party is required
to pay under the Interlocal Cooperation Act, pension payments, damage to equipment and clothing, medical
expenses, and expenses of travel, food, and lodging shall be paid by the Party in which the employee in
question is regularly employed.
12. Equipment and Personnel. All equipment owned, leased or rented by the Party rendering aid and used under
this Agreement will, during the time the aid is being furnished, continue to be owned, leased, or rented by it and
all personnel acting for the Party rendering aid under this Agreement will, during the time the aid is being
furnished, be paid by the Party rendering aid. At all times while equipment and personnel of a Party rendering
aid are traveling to, from, or within the geographical limits of the requesting Party in accordance with the terms
of this Agreement, such personnel and equipment shall be deemed to be employed or used, as the case may be,
in the full line and cause of duty of the Party rendering aid. In addition, such personnel shall be deemed to be
engaged in a governmental function of their entity. No other Party or Participating Jurisdiction shall be
responsible for loss and/or damage of a Party’s equipment to the extent such arises from a Party’s provision of
services pursuant to this Agreement.
13. Immunity Retained. No Party waives or relinquishes any immunity or defense on behalf of itself, its officers,
employees and agents as a result of its execution of this Agreement and the performance of the covenants
contained herein.
14. Expending Funds. Each Party, which performs services or furnishes aid pursuant to this Agreement, shall do so
with funds available from current revenues of the Party. No Party shall have any liability for the failure to
expend funds to provide aid hereunder.
15. Termination. It is agreed that any Party hereto shall have the right to terminate its participation in this
Agreement upon ninety (90) days written notice to the other Party hereto.
16. Term. This Agreement shall become effective as to each Party when approved and executed by that Party and
continue for one year thereafter. This Agreement shall automatically renew each year thereafter and thereby
continue in force and remain binding on each Party until such time as the governing body of a Party terminates
its participation in this Agreement. Termination by either Party shall also terminate each Party’s obligations
hereunder as to Participating Jurisdictions.
17. Entirety. This Agreement contains all commitments and agreements of the Parties as to mutual aid to be
rendered during or in connection with an emergency and or disaster. No other oral or written commitments of
the Parties concerning mutual aid shall have any force or effect if not contained herein.
18. Other Mutual Aid Agreements. To assist each other in the process of mutual aid response planning, each Party
agrees to inform the other Party of all mutual aid agreements that each Party has with other municipalities,
entities, counties, and state or federal agencies.
Page 3 of 5
19. Interlocal Cooperation Act. The Parties agree that mutual aid in the context contemplated herein is a
"governmental function and service" and that the Parties are "local governments" as those terms are defined in
the Interlocal Cooperation Act.
20. Severability. If a provision contained in this Agreement is held invalid for any reason, the invalidity does not
affect other provisions of the Agreement that can be given effect 'without the invalid provision, and to this end
the provisions of this Agreement are severable.
21. Validity and Enforceability. If any current or future legal limitations affect the validity or enforceability of a
provision of this Agreement, then the legal limitations are made a part of this Agreement and shall operate to
amend this Agreement to the minimum extent necessary to bring this Agreement into conformity with the
requirements of the limitations, and so modified, this Agreement shall continue in full force and effect.
22. Amendment. This Agreement may be amended only by the mutual written consent of the Parties.
23. Third Parties. This Agreement is intended to inure only to the benefit of the Parties hereto in their own capacity
and in their capacity to act on behalf of another jurisdiction participating in that Party’s own plan. This
Agreement is not intended to create, nor shall be deemed or construed to create, any rights in third parties.
24. Warrant. The Agreement has been officially authorized by the governing body of each Party hereto and each
signatory to this Agreement guarantees and warrants that the signatory has full authority to execute this
Agreement and to legally bind the respective Party to this Agreement.
25. Governing Law and Venue. This Agreement shall be governed by the laws of the State of Texas. Venue for an
action arising under this Agreement shall lie exclusively in Montgomery County, Texas.
26. Emergencv Assistance. Notwithstanding the provisions herein, any local government which is a Party hereto
may provide emergency assistance to another local government as provided in Section 79 1.027 of the Texas
Government Code.
27. Headings. The headings at the beginning of the various provisions of this Agreement have been included only
in order to make it easier to locate the subject covered by each provision and are not to be used in construing
this Agreement.
EXECUTED by the Parties hereto, each respective entity acting by and through its duly authorized official as required
by law, on duplicate counterparts each of which shall be deemed an original, on the date specified on the duplicate
counterpart executed by such entity.
Montgomery County, Texas
__________________________
Alan B. Sadler, County Judge
_________________
Date Signed
__________________________
Attest
_________________
Date Signed
Page 4 of 5
__________________________
Allen Johnson, Chief Executive Officer
_________________
Date Signed
__________________________
Attest
_________________
Date Signed
Page 5 of 5
Agenda Item # 20
To:
Board of Directors
From: Allen Sims
Re:
EMS Report
ePCR Changeover
We have continued to work through the issues of creating the interface from our new
ePCR vendor to our billing software. At the time of this report we have completed
multiple tests where we have successfully moved data from one system to the other. We
are tweaking a few final settings, and are now focused on a March 1st “go-live”.
EMS Transport to Tri-County MHMR and Satellite Emergency Departments
We met with Tri-County and Conroe Regional regarding the status of Tri-County and
their impact on the healthcare system. At the current use rate we will increase
Emergency Department bed availability by more than 1,400 hours per year. This is not
only a result of avoided ED transports as a result of direct transport, but in reduced length
of stay for patients that do require transport to the ED. This reduction is a result of the
collaborative efforts involving all three agencies. This increase in bed availability is
helping to pave the way for decreasing ED wait times for all EMS transports to CRMC.
Of the patients EMS transported directly to Tri-County, over 30% were admitted to the
Crisis Unit, 30% were sent to home or to a shelter, and just under 20% were admitted to a
private psychiatric hospital. 20% ultimately did require admission to a local Emergency
Department, but none of these experienced any significant impact as a result of our initial
transport to ICES.
Conroe Regional Emergency Department Initiative
We have started work closely with HCA officials and Conroe Regional leadership in an
organized approach intended to reduce our Emergency Department turnaround times.
We have met in small groups and in a larger group with our EMS Field Supervisors and
the CRMC ED Charge Nurses. We are setting common goals and plan to create shared
procedures that everyone can agree to. All of those involved are energized, focused, and
have a high degree of confidence that this process will succeed and have a significant
impact on this growing problem and dramatically decrease the amount of time our crews
are spending at the hospital dropping off patients.
CPR Save Reunions
We have multiple save reunions in the works. We are currently planning 4 individual
reunions for recent saves. We are also planning a group event for all of the patients who
received therapeutic hypothermia as we pass two years of providing this state of the art
care. Watch for an announcement soon for this milestone event.
Response Readiness
We have started a new effort to enhance our readiness to respond to emergencies across
the county. We hope to positively impact every EMS response as a result. This effort
involves renewed focus on our crews being prepared to respond in the most efficient way
possible at all times. We are looking at and changing the way crews are notified of calls,
their uniforms, the location of their quarters, their knowledge of their territory, the maps
they use, and more. We are working to reduce or eliminate events that cause them to
have to leave their assigned areas. We have moved to another level in our use of
conference calls and internet based meetings to accomplish this.
One aspect of responses that we are paying very close attention to is the chute times our
crews are reporting compared to the actual time of vehicle movement. It has been
common for the first person to arrive at the ambulance to press the button indicating they
are enroute as the 2nd crew member entered the truck. Now we are asking our crews to
wait until they are actually moving before they do this. We believe that more accurate
documentation and measurement will enable more effective management of this process.
You will see a slight increase in Chute Times in the measurements below as a result of
this change, that may actually increase more next month. This should result in a decrease
in drive time over the coming months.
Recent Promotions
None to Report
dashboard
http://members.mchd-tx.org/reports/dashboard.htm
Page 1 of 1
2/19/2010
resptimecompliance
Page 1 of 1
Response Time Compliance
Overall Compliance -- Standard 90%
Zone Compliance -- Standard 85%
http://10.1.101.19/administration/resptimecompliance.cfm
2/19/2010
Exemptio
Data Err
UCL
UCL
Data Err
Monthly Response Time
10.0
Data Err
Monthly Time to Dispatch
Avg Time from Answer to Dispatch (Filter >0 and <500 seconds)
90
9.8
85
9.6
80
Mean
Mean
9.4
75
9.2
70
9.0
LCL
Ja
O
Monthly Drive Time
Avg Time from Enroute to On Scene (Filter >0 and <1200 seconds)
20
nu
a
ry
er
ct
ob
Ju
Monthly Chute Time
Avg Time from Dispatch to Enroute (Filter >0 and <500 seconds)
10
09
20
09
20
ly
20
Ap
ril
nu
a
O
Ja
ct
ob
09
09
ry
er
ly
Ju
Ap
ril
20
20
08
20
08
20
20
ry
nu
a
Ja
1/
10
7/
/1
/2
1/
2
01
0
00
9
00
9
1/
2
00
9
1/
2
4/
10
1/
/1
/2
1/
2
00
9
00
8
00
8
1/
2
7/
4/
1/
1/
2
1/
2
00
8
00
8
08
65
08
LCL
UCL
450
UCL
60
440
58
430
420
56
Mean
Mean
410
54
400
390
52
LCL
380
50
LCL
10
09
ry
nu
a
Ja
er
ob
ct
O
20
20
09
20
Ju
ly
20
Ap
ril
20
ry
nu
a
Ja
er
ob
ct
O
09
09
08
20
08
ly
Ju
Ap
ril
20
20
08
08
Ja
nu
a
ry
20
ry
nu
a
Ja
er
ob
ct
O
20
10
09
20
09
20
Ju
ly
20
Ap
ril
20
ry
nu
a
ob
ct
Ja
er
ly
09
09
08
20
08
20
08
20
Ap
ril
Ju
O
Ja
nu
a
ry
20
08
370
droptime
Page 1 of 1
EMS Transport Data
Average Monthly Drop Time
By Facility
Average Transports
per Day By Facility
http://10.1.101.19/administration/droptime.cfm
Average Monthly Drop Time Average Transports
By Facility
per Day By Facility
2/19/2010
1/
20
10
9
09
09
00
20
20
/2
1/
1/
/1
1/
10
7/
4/
Hospital Drop Time - St. Lukes the Woodlands
09
1/
20
10
9
09
09
00
20
20
09
8
08
00
20
/2
1/
1/
1/
/1
1/
10
7/
4/
1/
/2
20
Hospital Drop Time - Memorial Woodlands
20
/1
1/
1/
20
10
9
09
09
09
00
20
20
20
/2
1/
1/
/1
1/
10
7/
4/
1/
8
08
08
00
20
20
/2
1/
/1
1/
10
7/
1/
Hospital Drop Time - Houston Northwest Medical Center
1/
10
7/
4/
1/
20
10
9
09
09
09
00
20
20
20
/2
1/
1/
/1
1/
10
7/
4/
1/
8
08
08
08
10
00
20
20
20
20
/2
1/
1/
1/
/1
1/
10
7/
4/
1/
1/
9
09
09
09
00
20
20
/2
1/
1/
20
8
08
08
08
00
20
20
20
/2
1/
/1
1/
10
7/
4/
1/
/1
1/
1/
1/
Hospital Drop Time Average
1/
8
30
00
Goal
/2
35
/1
36
10
42
08
UCL
20
30
1/
38
7/
46
08
Goal
08
30
20
35
1/
40
4/
Mean
20
10
Goal
08
1/
20
9
50
20
1/
1/
00
09
09
40
08
1/
/2
20
20
09
45
20
10
/1
1/
1/
20
8
10
7/
4/
1/
30
1/
1/
20
9
10
7/
4/
1/
00
08
08
08
55
4/
1/
1/
00
09
09
1/
/2
20
20
20
55
08
1/
/2
20
20
09
/1
1/
1/
1/
Goal
20
10
/1
1/
1/
20
10
7/
4/
1/
40
1/
20
10
7/
4/
1/
8
08
08
08
00
20
/2
1/
/1
1/
10
7/
20
20
Mean
1/
1/
9
09
09
00
20
20
/2
1/
1/
/1
1/
10
7/
4/
8
09
00
20
/2
1/
/1
1/
10
30
08
34
20
38
1/
1/
1/
30
7/
4/
1/
45
08
08
50
20
20
30
1/
1/
30
4/
1/
UCL
UCL
Hospital Drop Time - Conroe Regional
45
LCL
50
45
Mean
40
LCL
35
35
Goal
UCL
Hospital Drop Time - Kingwood
UCL
44
42
40
Mean
Mean
38
36
LCL
35
34
LCL
32
Goal
UCL
UCL
Hospital Drop Time - Northeast Medical Center
44
LCL
42
40
Mean
36
34
32
Goal
LCL
50
UCL
Hospital Drop Time - Tomball
40
Mean
45
Mean
40
32
LCL
LCL
Goal
1/
20
10
9
09
09
00
20
20
/2
1/
1/
/1
1/
10
7/
4/
09
Hospital Transports - St. Lukes Woodlands Pct.
20
LCL
1/
20
10
9
09
09
09
00
20
20
/2
1/
1/
/1
1/
10
7/
4/
20
8
08
00
20
/2
1/
/1
1/
10
1/
1/
20
10
9
09
09
09
00
20
20
20
/2
1/
1/
/1
1/
10
7/
4/
1/
8
08
08
00
20
20
/2
1/
/1
1/
10
7/
1/
08
Hospital Transports - Houston Northwest Pct.
1/
7.0
4/
20
10
1/
20
10
9
09
09
09
00
20
20
20
/2
1/
1/
/1
1/
10
7/
4/
1/
8
08
08
08
10
00
20
20
20
20
/2
1/
1/
1/
/1
1/
10
7/
4/
1/
1/
9
09
09
09
00
20
20
/2
1/
1/
20
8
08
08
08
00
20
20
20
/2
1/
/1
1/
10
7/
4/
1/
/1
1/
1/
1/
Hospital Transports - Daily Total
1/
10.5
8
11.0
00
7.5
/2
11.5
/1
8.0
7/
Hospital Transports - Memorial Woodlands Pct.
10
Mean
08
13.5
20
UCL
1/
14.0
7/
2.0
08
UCL
20
21
1/
24
4/
1/
20
9
LCL
08
1/
1/
00
09
09
1.2
20
25
08
1/
/2
20
20
09
0.6
20
10
/1
1/
1/
20
8
10
7/
4/
1/
62
1/
1/
20
9
10
7/
4/
1/
00
08
08
08
36
4/
1/
1/
00
09
09
1/
/2
20
20
20
1.0
08
1/
/2
20
20
09
/1
1/
1/
1/
1.4
20
10
/1
1/
1/
20
10
7/
4/
1/
70
1/
20
10
7/
4/
1/
8
08
08
08
00
20
20
20
/2
1/
1/
1/
/1
1/
10
7/
4/
1/
72
1/
1/
9
09
09
09
00
20
20
/2
1/
1/
/1
1/
10
7/
4/
20
8
08
00
20
/2
1/
/1
1/
10
1/
10.0
7/
12.0
08
08
0.4
20
20
1.8
1/
1/
68
4/
1/
74
UCL
UCL
Hospital Transports - Conroe Pct.
35
34
Mean
33
32
Mean
66
64
31
LCL
30
60
29
LCL
UCL
Hospital Transports - Kingwood Pct.
1.6
UCL
13
12
Mean
11
Mean
0.8
10
9
LCL
UCL
Hospital Transports - Northeast Medical Center Pct.
27
26
4.0
Mean
3.5
3.0
Mean
23
22
LCL
2.5
LCL
9.5
UCL
Hospital Transports - Tomball Pct.
13.0
9.0
12.5
8.5
Mean
6.5
6.0
LCL
1/
20
10
00
9
20
09
20
09
20
09
/2
1/
1/
/1
1/
10
7/
4/
1/
00
8
20
08
20
08
20
08
/2
1/
1/
1/
/1
1/
10
7/
4/
1/
1/
20
10
00
9
20
09
20
09
20
09
/2
1/
1/
/1
1/
10
7/
4/
1/
00
8
20
08
20
08
20
08
/2
1/
1/
1/
/1
1/
10
7/
4/
1/
40
UCL
Monthly Scored Events
35
30
25
20
Mean
15
10
Monthly Risk Score
140
UCL
120
100
80
Mean
60
40
20
MCHD
Client
6915
EMS System Report
01/01/2010 to 01/31/2010
Number of Your Patients in this Report:
99
Monthly Score
93.18
0
Monthly Report
Dispatch Analysis
This analysis details the section results that concern dispatch operations. The analysis contains the mean scores for each survey
question. The first column shows the company score, the second column details the total Database score and the third column is
the variance +/-.
Helpfulness of the person you called for ambulance service
Concern shown by the person you called for ambulance service
Extent to which you were told what to do until the ambulance arrived
Your Score
93.98
93.83
93.44
Total
DB
91.98
91.36
89.05
Variance
1.99
2.47
4.39
94.00
93.50
93.00
92.50
Helpfulness of the person you called for
ambulance service
92.00
Concern shown by the person you called for
ambulance service
91.50
Extent to which you were told what to do
until the ambulance arrived
91.00
Overall Section Score
90.50
Benchmark Section Score
90.00
89.50
89.00
Dispatcher
1
Monthly Report
Ambulance Analysis
This analysis details the section results that concern ambulance operations. The analysis contains the mean scores for each survey
the variance +/-.
Your Score
93.55
95.00
89.67
94.72
Extent to which the ambulance arrived in a timely manner
Cleanliness of the ambulance
Comfort of the ride
Skill of the person driving the ambulance
Total DB
91.60
93.64
87.05
93.47
Variance
1.95
1.36
2.63
1.25
95.00
94.00
Extent to which the ambulance arrived in a
timely manner
93.00
92.00
Comfort of the ride
91.00
90.00
89.00
88.00
87.00
Ambulance
2
Monthly Report
Medic Analysis
This analysis details the section results that concern the medics’ performance. The analysis contains the mean scores for each
survey question. The first column shows the company score, the second column details the total Database score and the third
column is the variance +/-.
Your Score
Care shown by the medics who arrived with the ambulance
Degree to which the medics took your problem seriously
Degree to which the medics listened to you and/or your family
Skill of the medics
Extent to which the medics kept you informed about your treatment
Extent to which medics included you in the treatment decisions (if applicable)
Degree to which the medics relieved your pain or discomfort
Medics' concern for your privacy
Extent to which medics cared for you as a person
96.00
Total DB
94.30
93.49
92.80
95.00
92.33
92.60
87.68
93.40
94.46
93.44
93.64
93.25
93.38
91.42
91.52
89.86
92.35
93.55
Variance
0.87
-0.16
-0.45
1.62
0.91
1.08
-2.18
1.05
0.90
Care shown by the medics who arrived with
the ambulance
Degree to which the medics took your
problem seriously
94.00
Degree to which the medics listened to you
and/or your family
92.00
Skill of the medics
Extent to which the medics kept you
informed about your treatment
90.00
Extent to which medics included you in the
treatment decisions (if applicable)
Degree to which the medics relieved your
pain or discomfort
88.00
86.00
Extent to which medics cared for you as a
person
84.00
Medics
3
Monthly Report
Office Staff Analysis
This analysis details the section results that concern office operations. The analysis contains the mean scores for each survey
the variance +/-.
Your Score
Professionalism of the staff in our billing office
Willingness of the staff in our billing office to address your needs
90.50
90.00
89.50
89.00
88.50
88.00
87.50
87.00
86.50
86.00
85.50
90.48
89.38
Total DB
87.35
87.42
Variance
3.13
1.96
Professionalism of the staff in our billing
office
Willingness of the staff in our billing office
to address your needs
Billing Office
4
Monthly Report
Overall Assessment Analysis
This analysis details the section results that concern the overall assessment of operations. The analysis contains the mean scores
for each survey question. The first column shows the company score, the second column details the total Database score and the
third column is the variance +/-.
Your Score
How well did our staff work together to care for you
Extent to which our staff eased your entry into the medical facility
Appropriateness of Emergency Medical Transportation treatment
Extent to which the services received were worth the fees charged
Overall rating of the care provided by our Emergency Medical Transportation service
Likelihood of recommending this ambulance service to others
96.00
Total DB
93.97
94.25
93.31
88.96
95.74
95.65
92.82
92.93
92.81
86.53
92.88
92.63
Variance
1.15
1.32
0.51
2.43
2.86
3.02
How well did our staff work together to care
for you
94.00
Extent to which our staff eased your entry
into the medical facility
92.00
Appropriateness of Emergency Medical
Transportation treatment
90.00
Extent to which the services received were
worth the fees charged
88.00
Overall rating of the care provided by our
Emergency Medical Transportation service
Likelihood of recommending this ambulance
service to others
86.00
84.00
Overall Assessment
5
Monthly Report
Question Analysis
This section lists a synopsis of the information about your individual questions and overall scores for this monthly reporting period.
Again the first column shows the company score, the second column details the total Database score and the third column is the
variance +/-.
Your Score
Total DB
Variance
Comfort of the ride
Skill of the medics
93.98
93.83
93.44
93.55
95.00
89.67
94.72
94.30
93.49
92.80
95.00
92.33
92.60
87.68
93.40
94.46
90.48
89.38
93.97
94.25
93.31
88.96
95.74
95.65
91.98
91.36
89.05
91.60
93.64
87.05
93.47
93.44
93.64
93.25
93.38
91.42
91.52
89.86
92.35
93.55
87.35
87.42
92.82
92.93
92.81
86.53
92.88
92.63
1.99
2.47
4.39
1.95
1.36
2.63
1.25
0.87
-0.16
-0.45
1.62
0.91
1.08
-2.18
1.05
0.90
3.13
1.96
1.15
1.32
0.51
2.43
2.86
3.02
Overall Survey Rating
93.18
91.77
1.41
6
Monthly Report
Monthly Breakdown
Below are the monthly responses that have been received for your service. It details the individual score for each
question as well as the overall company score for that month.
May09
Jun09
Jul09
Aug09
Sep09
Oct09
Nov09
Dec09
Jan10
93.84
95.52
93.75
92.62
93.79
92.74
94.09
92.38
93.98
92.93
94.13
93.87
92.70
93.28
92.28
93.18
92.22
93.83
92.17
92.67
93.54
91.80
92.82
92.84
91.20
92.24
93.44
94.56
94.28
93.60
94.50
93.89
92.89
94.09
93.84
93.55
96.03
96.99
95.38
95.34
95.62
95.49
95.10
94.77
95.00
Comfort of the ride
88.95
91.11
90.08
90.72
89.59
89.78
90.31
87.61
89.67
94.62
96.79
94.91
94.32
95.76
94.53
93.50
93.16
94.72
95.86
97.30
94.52
95.15
95.07
94.68
95.28
94.96
94.30
96.21
96.53
94.20
95.90
94.65
93.68
96.15
95.17
93.49
95.52
96.17
93.40
94.22
93.88
93.99
94.34
94.93
92.80
Skill of the medics
94.79
95.80
94.32
94.60
94.80
94.12
95.19
94.67
95.00
93.12
96.15
92.68
94.19
93.17
91.11
93.75
92.84
92.33
93.60
95.29
91.44
92.11
91.80
91.11
93.63
93.70
92.60
91.92
92.76
90.41
90.92
90.89
87.80
94.12
92.27
87.68
94.11
95.87
93.54
92.19
93.53
91.58
95.41
93.24
93.40
95.98
96.30
94.01
94.33
94.00
93.78
95.67
94.64
94.46
90.26
90.20
84.53
90.07
89.82
90.83
90.00
86.22
90.48
88.97
88.36
85.69
89.18
89.58
90.43
90.00
88.95
89.38
94.11
94.26
94.00
94.44
93.03
92.38
94.12
91.54
93.97
93.66
94.92
94.34
92.72
93.45
91.41
94.27
92.69
94.25
93.84
93.76
92.94
92.26
94.11
92.16
94.90
93.50
93.31
87.51
89.21
85.44
86.17
85.71
86.76
92.39
88.42
88.96
96.10
94.59
92.40
93.22
94.03
93.51
95.19
94.31
95.74
95.39
95.08
92.91
92.77
93.80
93.38
95.59
93.91
95.65
MCHD Survey Rating
93.70
94.59
92.63
92.97
93.10
92.31
93.93
92.81
93.18
156
149
165
146
182
153
58
136
99
Responses
7
Monthly Report
Monthly Breakdown Graphic
Below are the monthly scores for your service. It details the overall score for each month as well as the overall
benchmark score for that month.
96.00
94.00
92.00
90.00
88.00
86.00
84.00
MCHD Survey Rating
Overall Benchmark Rating
8
Monthly Report
Date of Service Monthly Breakdown
Below is an alternate breakdown of your service’s survey responses. In this analysis, the surveys are arranged by Date of
Service. With this type of analysis, a company can chart how internal operational changes may be affecting patient
satisfaction.
Apr09
May09
Jun09
Jul09
Aug09
Sep09
Oct09
Nov09
Dec09
94.56
94.26
93.23
93.06
95.37
92.42
92.15
91.98
95.51
93.54
93.45
92.95
93.49
94.43
92.35
92.18
91.83
94.08
93.14
91.09
92.13
93.00
94.58
91.99
91.90
92.50
93.92
94.87
94.33
93.57
94.52
95.08
91.96
94.25
92.24
94.32
96.64
95.99
94.70
95.47
97.39
94.55
95.04
92.86
96.43
Comfort of the ride
90.66
90.01
89.28
89.85
91.56
89.83
87.62
86.21
92.86
94.83
95.84
94.21
95.01
96.88
93.48
92.92
93.86
95.73
95.47
95.92
95.40
94.14
96.41
94.38
95.25
92.69
96.95
96.64
94.91
95.10
94.19
96.07
93.16
96.01
93.12
95.73
94.97
94.26
93.88
92.99
96.39
93.10
94.34
93.44
95.63
Skill of the medics
95.13
94.87
94.94
94.19
95.88
93.93
95.17
94.09
95.73
93.93
94.41
93.68
93.12
93.32
91.32
93.07
91.26
95.63
94.04
93.39
91.39
92.02
92.89
92.00
93.81
91.20
95.83
93.31
90.42
91.74
89.83
91.12
89.25
91.46
89.39
90.79
94.63
94.56
93.34
91.62
95.16
91.69
93.70
92.43
95.51
95.38
94.81
94.97
92.85
95.65
93.71
95.09
93.77
96.34
90.24
86.62
87.26
89.55
92.51
91.21
86.10
85.87
91.25
89.42
85.77
88.05
89.62
92.22
90.86
87.91
84.52
91.25
93.53
93.71
93.75
93.09
94.80
92.55
92.03
92.41
94.87
94.33
95.36
92.43
93.09
93.94
91.84
92.62
93.64
95.63
93.45
93.42
92.47
92.94
95.08
92.37
93.97
93.18
94.23
87.52
87.23
84.27
85.10
91.47
87.51
87.88
88.61
92.97
95.15
92.28
93.35
93.45
95.38
93.48
94.40
95.09
97.50
94.55
93.55
92.54
92.99
95.99
93.10
94.03
96.23
96.25
MCHD DOS Survey Rating
93.94
93.26
92.68
92.64
94.70
92.22
92.86
92.14
94.97
160
167
175
157
160
122
130
59
46
Surveys by DOS
Responses
9
Monthly Report
Date of Service Monthly Breakdown Graphic
Below are the scores for your service, arranged by date of service. It details the overall score for each service month as
well as the overall benchmark score for that month.
96.00
95.00
94.00
93.00
92.00
91.00
90.00
89.00
MCHD DOS Survey Rating
Dec-09
Nov-09
Oct-09
Sep-09
Aug-09
Jul-09
Jun-09
May-09
Apr-09
Mar-09
Feb-09
Jan-09
Dec-08
Nov-08
Oct-08
Sep-08
Aug-08
Jul-08
Jun-08
May-08
Apr-08
Mar-08
Feb-08
Jan-08
88.00
Overall DOS Benchmark Rating
10
Agenda Item # 21
To:
Board of Directors
From: Kelly Curry
Re:
Consider and act on the purchase of a replacement ambulance chassis from insurance funds.
At the time of preparation of the board book, we did not have adequate information to
report yet. We will present this agenda item at the meeting.
Fiscal Impact:
Yes
No
TBA
N/A
Budgeted item?
Within budget?
Renewal contract?
Special request?
Agenda Item 22
To:
MCHD Board of Directors
From:
Penny Buchanan
Date:
February 23, 2010
Re:
Healthcare Assistance Program Manager’s Report
Upcoming Handbook Changes
The State County Indigent Healthcare Program recently released some minor changes to
their handbook. The impact to our handbooks is minimal and will be brought forward at next
month’s Board meeting. We are taking this opportunity to review all of our handbook
guidelines and see if there are additional HCAP specific changes to suggest to the Board as
well.
First US Script Quarterly Meeting
On February 3rd, HCAP met with pharmacy benefit manager (PBM) US Script, Inc. account
representatives to review our first quarter of pharmaceutical utilization under their program.
The highlight of the discussion was that MCHD HCAP spent $112,141 less on prescriptions
for our clients than we did this same time last year. This was an average savings of 48% per
month over what we spent under Catalyst Rx. We discussed the ways US Script is available
to help us identify more savings such as by reviewing physician prescribing habits and
providing cost savings alternatives directly to the physicians.
We had the opportunity to do additional training with US Script on the MedData prescription
assistance program (PAP) application software to see how we can better capitalize on
available savings through pharmaceutical manufacturers. This software will help us
streamline the PAP application process and track the savings realized when we confirm that
a client has qualified for a PAP. Brandi is currently testing this software and working to
integrate it into to her daily workflow. Maximizing the positive impact of this available tool on
our prescription expenditures will be labor intensive and we may need to allocate additional
resources to help Brandi manage this tool, especially with the increased volume of HCAP
approvals this fiscal year.
Boon Chapman Expenses
Last month we explained why the administrative expenses for January were higher than
usual. Boon Chapman processed six check runs in December with a total of 5,251 claims
processed. As result the January administrative fees invoice was higher than our typical
rate. Boon Chapman typically does a claims processing push at the end of a calendar year
in order to bring their backlog down. As a result, in January our usual amount of claims was
processed and the administrative fees were more in line with our typical monthly
experience. We do have more active clients than we experienced this time last fiscal year
which also has impacted our administrative fees with Boon Chapman and associated
claims costs.
Montgomery County Prescription Discount Card
The January utilization statistics for the Montgomery County Prescription Discount Card are
not yet available. If they are available by Tuesday evening’s Board meeting the statistics
and associated graph will be distributed as a handout at the meeting.
Prescription Benefits Triage
In January, Brandi helped 27 clients sign up for 61 Prescription Assistance Programs to
assist with their medications, for a potential savings to MCHD of $11,008 per month, a
projected savings to the District of $55,039 for the time period these clients will initially be on
HCAP.
Diabetes Care Assistance Program (DCAP)
The Diabetes Care Assistance Program saved a total of $9,603 in January. This program
continues to allow us to provide diabetic supplies at no cost to our diabetic clients as long as
they participate in diabetic education classes. We have had strong attendance each month
at our onsite diabetic education sessions put on through our partnership with Diabetes
America. Registered Nurse Paramedic Bonnie Bain is assisting the HCAP department with
researching how we can improve our education efforts with diabetic HCAP clients.
Medicaid Reimbursement
For FY 09-10, in January alone, Ana Hernandez received $12,780.96 in reimbursement
from multiple providers. Four clients were found to have Medicaid using the Power Search
tool available in the Indigent Healthcare Solutions software. The total reimbursement
requested for these clients is $43,729 making the potential net value of Power Search for
January $43,360. Keep up the good work Ana!
Applications
During the month of January, 193 applications were sent out, 95% by mail and 5% by fax
with the greater majority being sent to the Conroe area followed by Magnolia and
Montgomery. Of the applications requested in January, 97% were turned around and sent
to applicants on the same day or the very next day following the request. All other
applications were requested over a weekend or during a District holiday and were sent out
the first day the office reopened.
While we did see a slight seasonal decrease in applications requested and received over
the holiday season, we still received on average 53 more applications per month than
usual for the first quarter of the current fiscal year. In January alone, we received 61 more
requests for applications than we did this same time last year.
HCAP Clients as of January 31, 2010: 732 (17 inmates included)
We reached a peak client count of 785 active clients on 2/15/2010 for the current fiscal
year. We are seeing mid-month spikes in eligible clients.
Level
Co-pay
FPIL Range
Total
Percentage
TA1
$5
TA2
$10
TA3
$15
TA4
$20
Inmates
-
0-21%
292
40%
21-50%
82
11%
50-100%
190
26%
100-150%
151
21%
17
2%
Number of Clients who have reached the Maximum Annual Benefit of
$60,000 or 30 inpatient days for FY 09-10 as of January 31, 2010: 3
October
November
December
January
Total
$60,000
0
0
0
0
30 Days
0
0
2
1
0
3
Catastrophic Oncology Program Update
We are currently working with Boon Chapman to review one client for eligibility for the
Catastrophic Oncology Program (COP). This client has reached the 30 inpatient day
maximum liability for the current fiscal year. This client has only expended $32,707 of the
$60,000 maximum liability for this fiscal year, so if qualified for COP the current COP
budget of $68,390 would not be initially impacted. We will report back to the Board next
month whether or not this client has been approved and what we estimate the potential
impact will be.
Applications Received
500
400
300
200
100
0
Applications Received
Avg for FY 08-09
Identifiable Applications
250
200
150
100
50
0
Identifiable Applications
250
Avg for FY 08-09
Incomplete Applications
200
150
100
50
0
Incomplete Applications
Avg for FY 08-09
40
Pending Applications
35
30
25
20
15
10
5
0
Pending Applications
300
Avg for FY 08-09
Number Enrolled
250
200
150
100
50
0
Number Enrolled
900
800
700
600
500
400
300
200
100
0
Avg for FY 08-09
Active at End of Month
Active @ EOM
Avg for FY 08-09
MCHD HCAP
Vendor Expenses
January 2009
$80,000
$70,000
B-C
Budget
$60,000
$50,000
$40,000
$30,000
$20,000
IHS
Budget
$10,000
$-
IHS
B-C
IHS Budget
B-C Budget
HEALTHCARE ASSISTANCE PROGRAM
STATUS REPORTS
February 23, 2009
Health Care Assistance Program
Status Report- January 2010
Eligibility
• Matching at 100%. Last time we did not match at 100% was January 13, 2010
Plan Building/Systems
•
•
In June, Boon Chapman’s claim system was upgraded. Boon Chapman is still in progress
updating Benefit Informatics with all of MCHD’s paid and pended claims data. This was
delayed by the claims system upgrade. Estimated timeline for completion is the last week
of October.
MCHD paid claims data from 2007 through present has been loaded into Benefit
Informatics. Pending claims data will be available within two weeks via a new reporting
tool.
Provider Network
• Pursuing the following providers:
o Health Center of SE Texas-completed
o Stephanie Bruce, MD-OB/GYN
o Mark Mettauer-Cardiovascular surgeon-completed
o Daniel Stroud-Cardiovascular surgeon-completed
o Fred Pauling-Cardiovascular surgeon-completed
o Clifford Kitten, MD-Thoracic surgeon-completed
o Gene Barclay, DPM-Podiatry
o Dimitrios Mantzoros, DPM-Podiatry
o Jason Miller-Podiatry
o Greater Houston Physicians Association – in process
o Town Center Foot Specialists – in process
o Northwest Cancer Center-Dr. Kleinbaum - reviewing
o First Surgical Partners – discussing with Medical Director – on hold for now
o Girling Health Care-reviewing to decide if regional agreement would work – on
hold for now
o Houston Northwest Hospital – agreement submitted, facility reviewing, in
negotiations
o Peter Kleinbaum, MD – agreement submitted
o UT Physicians- Hospital Based and Memorial Hermann, Multi-Specialtyagreement submitted
o Shaikh A. Ali, MD-Rheumatologist-completed
o IVA Homecare – in process
o Liberty Medical – completed
o Dr. Christine Lee (group) – in process
Claims/Customer Service
Currently on a 8.50 calendar day turnaround time for claims processing.
Outstanding Issues
Transition of MCHD report databases to new reporting tool. To be complete within two
weeks.
Benefit Informatics report writing documentation.
Customer Service Telephone Report
Plan Year: 10/1/2009-9/30/2010
Benefits
Verification
Month
FY 08-09 Avg
125
October
211
November
175
December
145
January
152
Totals
683
Status
45
113
88
179
116
496
Eligibility
Issues
48
180
159
139
154
632
Claim
Disputes
0.25
2
0
0
6
8
Outgoing
Calls
0.08
0
0
0
0
0
Other
(Referrals)
2
0
0
0
0
0
Co Pay
Waivers
14
13
20
24
11
68
Web
E-Mails
0
0
0
0
0
0
Subro
Accident
0
0
0
0
0
0
RX Issues
8
22
9
7
12
50
RX Copay
Waiver
9
11
3
2
10
26
Total
Calls
247
459
415
451
380
1705
MCHD HCAP Audit Summary January 2010
Analyst
Total #
Claims
Audited
Total #
Audited
Clms Pd
Correctly
EDI
10
10
$447.93
MG
47
46
TDS
1
Total
58
Totals $ of
$ Value of
Under/Over
Claims Audited
Pymt.
Total
Monetary
Accuracy
Minimum
Met?
Total
Financial
Accuracy
Minimum
Met?
Total
Procedural
Accuracy
Minimum
Met?
Total
Total $
Procedural
Errors
Errors
$0.00
100.00%
Y
100.00%
Y
100.00%
Y
0
0
$104,541.00
$3.82
97.87%
Y
100.00%
Y
100.00%
Y
0
1
1
$127.00
$0.00
100.00%
Y
100.00%
Y
100.00%
Y
0
0
57
$105,115.93
$3.82
98.28%
Y
100.00%
Y
100.00%
Y
0
1
MCHD HCAP Recap for 2010
Total $
Over/Under
Payments
Monetary
Accuracy
Total # Total # Claims
Claim
with Correct
Audited
Payments
Claim Turn
Around Time
Total #
Claim
Total #
Processed 14
Days or Less
% of Claim
Audited
69
86.40%
3216
2750
2.20%
58
57
99.08%
2720
2695
2.13%
58
57
99.08%
2720
2695
2.13%
Financial
Accuracy
'09 Avg
99.97%
$
107,699.01
$
54.03
99.75%
735
733
98.63%
70
Jan
100.00%
$
105,115.93
$
3.82
100.00%
754
754
98.28%
Total
100.00%
$
105,115.93
$
3.82
100.00%
754
754
98.28%
Total $ Amount
Procedural
Accuracy
Total #
Total #
Audited Correct
Fields
Fields
Month
Montgomery County Health District
Medical Management Activities Report
Plan Year October 2009 - September 2010
FY08-09
Average
Oct-09
Nov-09
Dec-09
Jan-10
Outpatient Authorization
117
135
125
117
124
501
Inpatient Authorization
33
40
54
36
33
163
Outbound Phone Calls
100
113
107
71
78
369
Outbound Faxes
348
418
385
316
312
1431
Electronic Mail
8
18
9
10
15
52
Claims Issues
1
0
0
0
0
0
Predeterminations
1
2
0
3
2
7
Referrals to UTMB
0
0
0
0
0
0
609
726
680
553
564
Activities
Monthly Total
Feb-10
Mar-10
Apr-10
May-10
Jun-10
July-10
Aug-10
Sep-10
FY Total
US SCRIPT, INC. REPORTS
FOR JANUARY 2010
Report: RPT-068
Date: 02/18/2010
Savings Summary Report
From 01/01/2010 to 01/31/2010
120501
Type: ALL
Montgomery Co IHCP-Retail
# of RXs
Totals:
%of
All RXs
Calculated
Total Cost
Average
Cost/RX
Avg
Qty
Avg
Days
---- Savings vs Submitted Amounts ---Amt Amt Saved
Pct
Requested
Saved
per RX
Saved
----- Savings vs Full AWP Price ----Amt
Saved
Full AWP
Saved
Per RX
Pct
Saved
1200
100%
$54,848
$45.71
57.4
24.9
$69,185
$14,336
$11.95 20.72%
$119,107
$64,258
$53.55
53.95%
New RXs:
763
63.58%
$32,713
$42.87
60.0
23.1
$41,199
$8,486
$11.12 20.60%
$69,701
$36,988
$48.48
53.07%
Refill RXs:
437
36.42%
$22,135
$50.65
52.8
28.1
$27,985
$5,850
$13.39 20.90%
$49,406
$27,270
$62.40
55.20%
$18,904
Generic RXs:
1011
84.25%
$18.70
62.7
24.7
$26,689
$7,785
$7.70 29.17%
$76,271
$57,367
$56.74
75.21%
Brand Equiv RXs:
2
0.17%
$705 $352.43
45.0
30.0
$839
$134
$67.13 16.00%
$839
$134
$67.13
16.00%
Brand RXs:
187
15.58%
$35,239 $188.45
28.9
26.1
$41,657
$6,417
$34.32 15.10%
$41,997
$6,757
$36.14
16.09%
Maintenance RXs:
758
63.17%
$32,300
$47.16
42.6
29.3
$39,046
$6,745
$8.90 17.28%
$78,018
$45,718
$60.31
58.60%
Non-Maint RXs:
442
36.83%
$22,548
$51.01
74.9
17.4
$30,139
$7,591
$17.17 25.19%
$41,088
$18,541
$41.95
45.12%
Savings vs. Submitted Amounts
Savings vs. Full AWP Price
This section compares amounts requested by the pharmacy with amounts actually billed to the plan.
This section compares the full AWP price of the drug against the amount billed to the plan
Type indicate the network type of the pharmacy. Values are Retail, Mail, or All.
All dollar amounts are based of Drug cost only.
Brand Equiv RXs refers to brands drugs filled when a generic equivilant was available
Note
This report is based of invoice close dates.
Report: RPT-147
Printed: 02/18/2010
Page: 1
Top 25 Therapy Classes by- Dollar Amount
From 01/01/2010 to 01/31/2010
120501
RETAIL
Rank
Code
1
2
3
4
5
6
7
8
9
10
11
12
13
1235
6627
6599
2710
4927
4420
6510
7260
2799
2760
5816
8515
5818
14
15
16
17
18
19
20
21
22
23
24
25
2210
3940
7510
3699
7250
3615
6610
0500
5685
3920
3400
9085
Drug Class
Retail Rxs Mail Rxs
*Hepatitis Agents**
*Anti-TNF-alpha - Monoclonoal Antibodies**
*Opioid Combinations**
*Insulin**
*Proton Pump Inhibitors**
*Sympathomimetics**
*Opioid Agonists**
*Anticonvulsants - Misc.**
*Antidiabetic Combinations**
*Insulin Sensitizing Agents**
*Selective Serotonin Reuptake Inhibitors (SSRIs)**
*Platelet Aggregation Inhibitors**
*Serotonin-Norepinephrine Reuptake Inhibitors
(SNRIs)**
*Glucocorticosteroids**
*HMG CoA Reductase Inhibitors**
*Central Muscle Relaxants**
*Antihypertensive Combinations**
*Valproic Acid**
*Angiotensin II Receptor Antagonists**
*Nonsteroidal Anti-inflammatory Agents (NSAIDs)**
*Fluoroquinolones**
*Prostatic Hypertrophy Agents**
*Fibric Acid Derivatives**
*Calcium Channel Blockers**
*Local Anesthetics - Topical**
SUBTOTAL FOR TOP25
:
Avg Days Avg Rx Cost
Rx Cnt
Total Billed
Percent of Totals
By Rx
By Amt
5
1
129
24
28
23
32
38
19
6
60
8
7
0
0
0
0
0
0
0
0
0
0
0
0
0
29.60
28.00
16.69
26.58
29.79
26.96
22.41
29.87
30.05
30.00
29.77
30.00
30.00
$1,613.06
$4,803.46
$25.78
$124.97
$105.56
$111.36
$71.40
$54.89
$90.04
$201.65
$19.70
$146.20
$151.00
5
1
129
24
28
23
32
38
19
6
60
8
7
$8,065.30
$4,803.46
$3,325.45
$2,999.22
$2,955.71
$2,561.35
$2,284.88
$2,085.84
$1,710.75
$1,209.88
$1,181.85
$1,169.59
$1,057.03
.42
.08
10.7
2
2.33
1.92
2.66
3.16
1.58
.5
5
.67
.58
13.9
8.28
5.73
5.17
5.09
4.41
3.94
3.59
2.95
2.08
2.04
2.02
1.82
11
77
37
28
6
9
30
9
4
15
39
3
0
0
0
0
0
0
0
0
0
0
0
0
14.82
29.81
23.92
28.54
30.00
30.00
25.43
8.89
30.25
30.00
29.62
16.67
$92.48
$11.92
$24.16
$31.73
$136.63
$76.95
$22.70
$67.41
$151.57
$40.38
$14.59
$189.43
11
77
37
28
6
9
30
9
4
15
39
3
$1,017.26
$917.48
$894.01
$888.31
$819.77
$692.58
$680.92
$606.72
$606.29
$605.66
$569.08
$568.30
.92
6.41
3.08
2.33
.5
.75
2.5
.75
.33
1.25
3.25
.25
1.75
1.58
1.54
1.53
1.41
1.19
1.17
1.05
1.04
1.04
.98
.98
$8,379.02
648
$44,276.69
648
0
657.64
Note
Code:
Avg Rx Cost :
Total Billed:
Theraputic Classification for the drug class
Average amount per script for the drug cost and dispense fe
Total amount of the drug cost and dispens
This report is based on Rx Dispensing Date. Totals could change if claims or reversals are
subsequently submitted and the dispensing dates are within this range. Invoices are based on
period close dates and may not balance to these amounts
Report: RPT-147
Printed: 02/18/2010
Page: 2
Top 25 Therapy Classes by- Dollar Amount
From 01/01/2010 to 01/31/2010
Rank
Code
Drug Class
Retail Rxs Mail Rxs
SUBTOTAL FOR ALL OTHER CLASSES :
Avg Days Avg Rx Cost
Rx Cnt
Total Billed
553
0
2,463.28
$5,612.36
553
$13,758.12
TOTAL FOR PLAN :
1201
0
3,120.92
$13,991.38
1201
$58,034.81
TOTAL FOR GROUP :
1201
0
3,120.92
$13,991.38
1201
$58,034.81
Percent of Totals
Note
Code:
Avg Rx Cost :
Total Billed:
Theraputic Classification for the drug class
Average amount per script for the drug cost and dispense fe
Total amount of the drug cost and dispens
This report is based on Rx Dispensing Date. Totals could change if claims or reversals are
subsequently submitted and the dispensing dates are within this range. Invoices are based on
period close dates and may not balance to these amounts
Report : RPT-156
Printed : 02/18/2010
Page: 1
Top 25 Physician Dispensing - by Claim Count
From 01/01/2010 to 01/31/2010
120501
RETAIL
Rank Physician Name
Dea #
1
Karimjee, Najmuddin
2
Brand RXs.
Amount
Generic RXs.
Cnt
Amount
Brd Equiv. RXs.
Cnt
Amount
Total
Billed
Rx
Count
Percent of Totals
By RX
By Amt
Avg Day
Supply
Avg Cost
DAW
Per RX C-II Ovrd
12
$1,628.22
62
809.83
0
0.00
$2,438.05
74
6.16
5.28
25.7
$32.95
0
0
KARIMJEE, NAJMUDDIN K MD BK2617489
5
$641.80
44
304.60
0
0.00
$946.40
49
4.08
2.05
24.3
$19.31
1
0
3
Dewitz, Scott
1114013406
6
$431.70
25
394.04
1
0.00
$825.74
32
2.66
1.79
26.3
$25.80
0
5
4
ROMEZI, MASOUD MD
BR4628698
3
$229.67
28
137.60
0
0.00
$367.27
31
2.58
0.80
27.2
$11.85
0
1
5
McKernan, Stephen
1407855547
5
$778.32
24
123.01
0
0.00
$901.33
29
2.41
1.95
26.6
$31.08
0
0
6
Porter, Daniel
1356555866
8
$851.94
20
180.16
0
0.00
$1,032.10
28
2.33
2.24
26.6
$36.86
0
0
7
Borcherding, Harlan
1902891849
2
$719.36
23
1,132.60
1
673.05
$2,525.01
26
2.16
5.47
29.1
$97.12
16
2
8
RAMAS, MARIE
1508012741
5
$459.88
19
220.41
0
0.00
$680.29
24
2.00
1.47
27.8
$28.35
0
0
9
Norris, Kim
1477767226
4
$352.97
18
393.87
0
0.00
$746.84
22
1.83
1.62
28.0
$33.95
0
0
10
Romezi, Masoud
1568408375
3
$134.87
17
137.42
0
0.00
$272.29
20
1.67
0.59
24.5
$13.61
0
0
11
Williamson, Allen
1548269566
0
$0.00
19
115.68
0
0.00
$115.68
19
1.58
0.25
15.5
$6.09
0
0
12
Hallbauer, Gregg
1922007343
0
$0.00
19
146.91
0
0.00
$146.91
19
1.58
0.32
29.2
$7.73
0
0
13
Altamirano, Ray
1609022847
2
$140.34
16
187.87
0
0.00
$328.21
18
1.50
0.71
28.3
$18.23
0
0
14
Kreit, Mark
1083771976
2
$424.87
16
42.58
0
0.00
$467.45
18
1.50
1.01
19.0
$25.97
0
0
15
Thomas, Angela
1164427530
1
$84.54
16
182.23
0
0.00
$266.77
17
1.42
0.58
23.5
$15.69
0
0
16
Joshi, Lata
1629077045
2
$244.19
14
231.56
0
0.00
$475.75
16
1.33
1.03
29.9
$29.73
0
0
17
DAUDJEE, MUNIB
1417141706
0
$0.00
14
61.64
0
0.00
$61.64
14
1.17
0.13
26.1
$4.40
0
0
18
CONROE MEDICAL EDUCA,
BC8444034
1
$82.00
13
163.89
0
0.00
$245.89
14
1.17
0.53
26.2
$17.56
0
0
19
Annamalai, Rajasekaran
1932210234
0
$0.00
13
28.45
0
0.00
$28.45
13
1.08
0.06
26.3
$2.19
0
0
Total Dollars:
% Total By RX:
%Total by Amt:
Avg. Qty:
1285660241
Cnt
Total calculated price for all RXs for Physician (including copay)
Percentage of RXs by Physician vs. total RXs
Percentage of dollars by Physician vs. total dollars (including copay)
Average quantity dispensed in each RX by Physician
Avg Day Supply:
Avg. Cost Per Rx:
C-II:
DAW Ovrd:
Average Number of days supply dispensed by Physician for each RX
Average total price for each RX by Physician (including member copay)
Total # of C-II Controlled RXs written by Physician
Total # of DAW 1 (Physician) and DAW 2 (Member) Overrides
Note
This report is based on Rx Dispensing Date. Totals could change if claims or reversals are subsequently submitted and the dispensing
dates are within this range. Invoices are based on period close dates and may not balance to these amounts
Report : RPT-156
Printed : 02/18/2010
Page: 2
Top 25 Physician Dispensing - by Claim Count
From 01/01/2010 to 01/31/2010
Rank Physician Name
Dea #
Cnt
Brand RXs.
Amount
Generic RXs.
Cnt
Amount
Brd Equiv. RXs.
Cnt
Amount
Total
Billed
Rx
Count
Percent of Totals
By RX
By Amt
Avg Day
Supply
Avg Cost
DAW
Per RX C-II Ovrd
20
Unlisted
MY1926178
3
$380.29
10
56.78
0
0.00
$437.07
13
1.08
0.95
27.5
$33.62
0
0
21
Molina, Alyssa
1598958258
4
$484.47
9
56.51
0
0.00
$540.98
13
1.08
1.17
28.5
$41.61
0
1
22
SIMBAHAN,
1275760746
1
$21.64
11
99.68
0
0.00
$121.32
12
1.00
0.26
27.9
$10.11
0
0
23
Brown, William
1851396212
1
$141.76
11
35.25
0
0.00
$177.01
12
1.00
0.38
22.7
$14.75
0
0
24
GARRETT-PRICE,
1235365750
1
$132.75
11
184.03
0
0.00
$316.78
12
1.00
0.69
28.8
$26.40
0
0
25
Tabor, Stephen
1497969240
0
$0.00
12
371.55
0
0.00
$371.55
12
1.00
0.81
25.3
$30.96
4
0
$14,836.78
557
650.72
$615.94
$31,316.34
644
5,660.28 $11,548.34
:
$46,153.12
1201
6,311.00 $12,164.28
TOTAL FOR GROUP :
$46,153.12
1201
6,311.00 $12,164.28
SUBTOTAL FOR TOP
25
:
SUBTOTAL FOR ALL OTHER PHYSICIANS :
TOTAL FOR
PLAN
Report : RPT-157
Printed : 02/18/2010
Page: 1
Top 25 Pharmacy Dispensing - by Claim Count
From 01/01/2010 to 01/31/2010
120501
RETAIL
Rank Pharmacy Name
NABP
Brand RXs.
Cnt Amount
Generic RXs.
Cnt
Amount
Brd Equiv. RXs.
Cnt Amount
Total
Billed
Rx Percent of Totals Avg Day Avg Cost
DAW
Count By RX By Amt Supply
Per RX C-II Ovrd
1
LONE STAR COMMUNITY
4534219
44
$4,678.97
185
2,754.49
0
0.00
$7,433.46
229
2
WAL-MART PHARMACY
4567472
15
$1,881.31
97
767.54
0
0.00
$2,648.85
112
9.33
3
WAL-MART PHARMACY
4592300
13
$1,316.94
86
579.46
0
0.00
$1,896.40
99
8.24
4
WALGREEN DRUG STORE 4512097
7
$4,518.70
48
2,483.15
0
0.00
$7,001.85
5
KROGER PHARMACY
4523064
4
$411.99
45
119.56
0
0.00
6
WAL-MART PHARMACY
4528052
8
$931.02
40
258.41
0
7
WAL-MART PHARMACY
4517148
4
$368.73
29
322.55
8
WAL-MART PHARMACY
4591877
1
$226.67
31
9
CVS PHARMACY
4564440
1
$181.58
10 KROGER PHARMACY
4569527
3
11 KROGER PHARMACY
4522997
12 KROGER PHARMACY
27.0
$32.46
4
2
5.74
26.1
$23.65
1
0
4.11
23.8
$19.16
0
0
55
4.58 15.17
24.4
$127.31
4
0
$531.55
49
4.08
1.15
21.3
$10.85
0
1
0.00
$1,189.43
48
4.00
2.58
26.6
$24.78
0
0
0
0.00
$691.28
33
2.75
1.50
22.8
$20.95
0
0
137.22
0
0.00
$363.89
32
2.66
0.79
19.1
$11.37
0
0
26
281.95
0
0.00
$463.53
27
2.25
1.00
24.3
$17.17
1
0
$244.69
23
12.33
0
0.00
$257.02
26
2.16
0.56
25.0
$9.89
0
0
4
$379.51
22
256.30
0
0.00
$635.81
26
2.16
1.38
27.0
$24.45
0
3
4511704
10
$1,343.28
13
87.56
0
0.00
$1,430.84
23
1.92
3.10
27.4
$62.21
2
0
13 WAL-MART PHARMACY
4565113
2
$108.56
20
92.49
0
0.00
$201.05
22
1.83
0.44
26.1
$9.14
0
0
14 CVS PHARMACY
4536528
3
$144.42
19
511.35
0
0.00
$655.77
22
1.83
1.42
20.5
$29.81
0
0
15 BROOKSHIRE BROTHERS 4594974
6
$510.84
14
243.88
0
0.00
$754.72
20
1.67
1.64
27.3
$37.74
0
0
16 WAL-MART PHARMACY
4567042
2
$165.23
17
174.19
0
0.00
$339.42
19
1.58
0.74
27.3
$17.86
0
0
17 HEB PHARMACY
4534790
6
$365.69
13
147.46
0
0.00
$513.15
19
1.58
1.11
24.8
$27.01
0
0
18 RECEPT PHARMACY
4587753
2
$719.36
15
810.29
1
673.05
$2,202.70
18
1.50
4.77
28.7
$122.37 15
2
19 WALGREEN DRUG STORE 4542204
5
$523.03
11
21.89
0
0.00
$544.92
16
1.33
1.18
24.6
Total Dollars:
% Total By RX:
%Total by Amt:
Avg. Qty:
Total calculated price for all RXs for Pharmacy (including copay
Avg Day Supply
Percentage of RXs by Pharmacy vs. total R
Avg. Cost Per Rx:
Percentage of dollars by Pharmacy vs. total dollars (including copay
C-II:
Average quantity dispensed in each RX by Pharmac
DAW Ovrd:
19.07 16.11
$34.06
1
0
Average Number of days supply dispensed by Pharmacy for each RX
Average total price for each RX by Pharmacy (including member copay
Total # of C-II Controlled RXs dispensed from Pharmacy
Total # of DAW 1 (Physician) and DAW 2 (Member) Overrides
Note
This report is based on Rx Dispensing Date. Totals could change if claims or reversals are subsequently submitted
and the dispensing dates are within this range. Invoices are based on period close dates and may not balance to these
Report : RPT-157
Printed : 02/18/2010
Page: 2
Top 25 Pharmacy Dispensing - by Claim Count
From 01/01/2010 to 01/31/2010
Rank Pharmacy Name
20 WALGREENS
NABP
Brand RXs.
Cnt Amount
Generic RXs.
Cnt
Amount
Brd Equiv. RXs.
Cnt Amount
Total
Billed
Rx Percent of Totals Avg Day Avg Cost
DAW
Count By RX By Amt Supply
Per RX C-II Ovrd
4549575
2
$275.20
12
83.13
0
0.00
$358.33
14
1.17
0.78
25.5
$25.60
0
0
0
$0.00
14
392.27
0
0.00
$392.27
14
1.17
0.85
21.5
$28.02
1
0
2
$462.99
12
144.42
0
0.00
$607.41
14
1.17
1.32
26.9
$43.39
0
0
23 SAMS PHARMACY
4515310
1
$193.21
12
25.16
0
0.00
$218.37
13
1.08
0.47
28.8
$16.80
0
0
24 LIFECHEK
4511487
1
$38.81
12
267.28
0
0.00
$306.09
13
1.08
0.66
26.2
$23.55
1
0
25 BROOKSHIRE BROTHERS 4599126
2
$229.51
11
138.66
0
0.00
$368.17
13
1.08
0.80
21.5
$28.32
0
0
:
$32,006.28
976
SUBTOTAL FOR ALL OTHER Pharmacies :
TOTAL FOR PLAN :
SUBTOTAL FOR TOP
25
$14,146.84
$46,153.12
225
1201
1,021.92 $8,496.73
1,646.53 $9,324.62
624.62
$827.89
TOTAL FOR GROUP :
$46,153.12
1201
1,646.53 $9,324.62
FY2009-2010 Executive Summary Montgomery County Hospital District
MEMBERSHIP SUMMARY
Oct 09
Eligibility
Utilizing Members
Nov 09
Dec 09
Jan 10
FY Average
848
402
872
439
851
465
865
459
859
441
1,162
24.32
81.41
18.59
8.61
19.54
71.86
1.37
2.89
1,202
24.91
83.86
16.14
7.32
20.47
72.21
1.38
2.74
1,357
24.27
82.46
17.54
8.77
19.60
71.63
1.59
2.92
1,220
24.91
83.69
16.31
10.90
65.66
23.44
1.41
2.66
1,235
24.60
82.86
17.15
8.90
31.32
59.79
1.44
2.80
Rx SUMMARY
#Rxs dispensed
Avg Day Supply
% Generic-Rx
% Brand-Rx
% Formulary-Rx-PA
% Formulary-Rx-NonPA
% Non-Formulary-Rx
#Rxs/member
#Rxs/utilizer
Net Cost SUMMARY
Total Ingr Costs
Total Disp Fee
Total Copay
Total Sales Tax
Total Paid
Total Plan Cost
Avg Copay/Rx
Cost/Rx
Generic Cost/Rx
Brand Cost/Rx
Multi-Source Cost/Rx
Single-Source Cost/Rx
% Generic $
% Brand $
% Formulary $ PA
% Formulary $ NonPA
% Non-formulary $
% Member contribution
Cost/mem/month (PMPM)
Cost/util/month (PUPM)
$
$
$
$
$
$
$
$
$
$
$
$
50,711.00
3,416.00
13,633.00
40,494.00
40,776.68
11.73
34.85
10.63
140.91
153.07
140.80
24.84
75.16
46.11
31.38
22.51
25.19
$
47.75
$
100.73
$
$
$
$
$
$
$
$
$
$
$
$
48,717.00
3,537.00
14,457.00
37,798.00
38,183.13
12.03
31.45
10.41
140.76
330.19
135.75
27.75
72.25
44.85
31.64
23.51
27.67
$
43.35
$
86.10
$
$
$
$
$
$
$
$
$
$
$
$
57,247.00
3,985.00
15,874.00
45,358.00
44,842.82
11.70
33.43
11.09
138.42
344.10
135.79
27.37
72.63
53.14
24.64
22.22
25.92
$
53.30
$
97.54
$
$
$
$
$
$
$
$
$
$
$
$
$
$
57,633.00
3,596.00
12,119.00
49,111.00
46,733.86
9.93
40.25
13.32
178.45
336.53
176.84
27.69
72.31
18.15
23.94
57.91
19.79
56.78
106.99
$
$
$
$
$
$
$
$
$
$
$
$
53,577.00
3,633.50
14,020.75
43,190.25
42,634.12
11.35
35.00
11.36
149.64
290.97
147.30
26.91
73.09
40.56
27.90
31.54
24.64
$
50.30
$
97.84
Healthcare Assistance Program
Total Plan Cost
$100,000
$90,000
$80,000
$70,000
$60,000
$50,000
$40,000
$30,000
$20,000
$10,000
$0
Oct-09
Nov-09
Dec-09
Jan-10
Feb-10
Mar-10
Apr-10
May-10
Jun-10
Jul-10
Aug-10
Sep-10
Note: Average plan utilizers for FY 08-09 were 446. Average utilizers for FY 09-10 are 441.
Total Plan Cost
FY 08-09 Monthly Average
Healthcare Assitance Program
Net Claims
1250
1000
750
500
250
0
Oct-09
Nov-09
Dec-09
Jan-10
Feb-10
Mar-10
Net Claims
Apr-10
May-10
Jun-10
Jul-10
Aug-10
Sep-10
Jul-10
Aug-10
Sep-10
Generic % of Total Paid Claims
100
90
80
70
60
50
40
30
20
10
0
Oct-09
Nov-09
Dec-09
Jan-10
Feb-10
Mar-10
Apr-10
May-10
Jun-10
Note: Prior to November 1, 2004, our percent generic was at 51%.
% Generic-Rx
Total Paid Claims Copay
$16,000
$14,000
$12,000
$10,000
$8,000
$6,000
$4,000
$2,000
$0
Oct-09
Nov-09
Dec-09
Jan-10
Feb-10
Mar-10
Apr-10
May-10
Jun-10
Jul-10
Aug-10
Sep-10
Note: January and February 2009 net claims were down and generic utilization was up so total copay was lower than usual.
Total Copay
Avg Cost per Claim
$90
$80
$70
$60
$50
$40
$30
$20
$10
$0
Oct-09
Nov-09
Dec-09
Jan-10
Feb-10
Mar-10
Apr-10
May-10
Jun-10
Jul-10
Aug-10
Sep-10
Note: Prior to November 1, 2004, our avg. plan cost per claim was $ 67.57.
Avg Plan Cost per Claim
Avg Cost for Brand
$200
$180
$160
$140
$120
$100
$80
$60
$40
$20
$0
Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10
Note: Prior to November 1, 2004, our avg. plan cost for brand was $103.60.
Avg Total Cost for Brand
Avg Cost for Generic
$35
$30
$25
$20
$15
$10
$5
$0
Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10
Note: Prior to November 1, 2004, our avg. plan cost for generic was $21.80.
Avg Total Cost for Generic
AGENDA ITEM # 23
Consider and act on Healthcare Assistance Program claims from Non-UPL providers
processed by Boon-Chapman (Mrs. Wagner, Chair-Indigent Care Committee)
Summary of Claims Processed Through (TPA) Boon-Chapman
For the Period 01/28/2009 through 02/18/2010
Payments Made to All Other
Vendors (Non-UPL)
Disbursement Date
Month of January
January 7, 2010
January 14, 2010
January 21, 2010
January 28, 2010
Total January Payments - MTD
Yes
Yes
Yes
No
Monthly Budget - January 2010
Month of February
February 4, 2010
February 12, 2010
February 18, 2010
Total February Payments - MTD
Monthly Budget - February 2010
No
No
No
$
$
$
$
$
44,210.47
202,672.55
96,007.32
85,061.31
427,951.65
$
376,227.00
$
$
$
$
77,829.33
125,283.09
79,426.85
282,539.27
$
376,227.00
Note: Payments made may differ from the amounts shown in the financial statements due to accruals and/or
other adjustments.
AGENDA ITEM # 24
Consider and act ratification of estimate of voluntary contributions to the UPL account of
Healthcare Assistance Program claims processed by Boon-Chapma (Mrs. Wagner, Chair-Indigent
Care Committee)
Summary of Claims Processed Through (TPA) Boon-Chapman
For the Period 02/01/2010 through 02/28/2010
Disbursement Date
Month of February
Voluntary Contribution for UPL
Uncompensated/Undercompensated Care
Monthly Budget - February 2010
Board Reviewed
No
No
Value of Services
Provided by CRMC
and Affiliated
Providers (UPL)
$
$
$
250,000.00
250,000.00
500,000.00
$
308,567.00
Agenda Item 25
To:
Board of Directors
From: Penny Buchanan
Date:
February 23, 2010
Re:
Discuss and act upon renewal of Cooperative Purchasing Interlocal Agreement with Williamson County
(Mrs. Wagner, Chair – Indigent Care Committee)
In April of 2008 a representative from Williamson County contacted MCHD to discuss
our experience using the services of Texas Medical Foundation (TMF) Health Quality
Institute to perform clinical and hospital quality reviews of our providers. At that time they
decided they had a need for their services and requested a Cooperative Purchasing
Interlocal Agreement so that they could have access to TMF’s services under the
contract we currently have with TMF. The Board approved the agreement.
This month Williamson County requested that we renew this Interlocal Agreement to
ensure that they continue to have access to TMF’s services under our contract. Attached
is a renewal of the agreement for the Board’s consideration. We would appreciate it if
the Board would approve this renewal agreement.
Fiscal Impact:
Yes
X
No
N/A
N/A
X
Budgeted item?
X
Within budget?
X
Renewal contract?
Special request?
PURCHASING COOPERATIVE
INTERLOCAL AGREEMENT
This Purchasing Cooperative Interlocal Agreement (“Agreement”) is by and
between Montgomery County Hospital District, a political subdivision of the State of
Texas (“MCHD”); and Williamson County, Texas, a political subdivision of the State of
Texas (“Williamson County”) acting by and through their authorized officers.
RECITALS:
WHEREAS, this Agreement is authorized by Chapter 791 of the Texas
Government Code and Subchapter F, Chapter 271, Texas Local Government Code; and
WHEREAS, Section 271.102 of the TEX. LOC. GOV’T CODE authorizes a local
government to participate in a Cooperative Purchasing Program with another local
government or a local cooperative organization; and
WHEREAS, a local government that purchases goods and services pursuant to a
Cooperative Purchasing Program with another local government satisfies the requirement
of the local government to seek competitive bids for the purchase of the goods, services
and materials; and
WHEREAS, except for competitively bid contracts that are renewable, each party
has and will on an annual basis obtain competitive bids for the purchase of goods and
services; and
WHEREAS, the parties desire to enter into a Cooperative Purchasing Program
which will allow Williamson County to purchase services under MCHD’s competitively
bid contracts pursuant to Subchapter F, Chapter 271 of the TEX. LOC. GOV’T CODE;
WHEREAS, the parties, in performing governmental functions or in paying for
the performance of governmental functions hereunder shall make that performance or
those payments from current revenues legally available to that party;
WHEREAS, the governing bodies of each party find that the subject of this
Agreement is necessary for the benefit of the public and that each party has the legal
authority to perform and to provide the governmental function or service which is the
subject matter of this Agreement; furthermore, the governing bodies find that the
performance of this Agreement is in the common and best interest of both parties; and
that the division of cost fairly compensates the performing party for the services under
this Agreement.
NOW THEREFORE, in consideration of the mutual covenants and promises
contained herein, the parties agree as follows:
ARTICLE I
PURPOSE
The purpose of this Agreement is to establish a Cooperative Purchasing Program
between the parties, which will allow Williamson County to purchase services under
MCHD’s competitively bid contracts (Annual Contracts) pursuant to Subchapter F,
Chapter 271 of the TEX. LOC. GOV’T CODE.
ARTICLE II
TERM
The term of this Agreement shall be for a period of one (1) year commencing on
the last date of execution hereof (“Effective Date”). Thereafter this Agreement shall
automatically renew for successive periods of one (1) year each under the terms and
conditions stated herein, unless sooner terminated as provided herein.
ARTICLE III
APPOINTMENT OF PURCHASING AGENT; BIDDING PROCEDURES AND
SPECIFICATIONS
Williamson County hereby makes, constitutes and appoints MCHD as its true and
lawful purchasing agent for the purchase of specific services using Annual Contracts.
MCHD will maintain a listing of Annual Contracts which are available for Williamson
County’s use and will forward a copy of requested Annual Contracts to Williamson
County. Williamson County agrees that MCHD shall serve as the purchasing agent for
selected services, and agrees that the bidding shall be conducted by MCHD according to
its usual bidding procedures and in accordance with applicable state of Texas statutes.
Furthermore, Williamson County agrees that all specifications for selected services shall
be determined by MCHD.
ARTICLE IV
DESIGNATION OF REPRESENTATIVES
The Chief Administrative Officer or his/her designee is authorized to act on
behalf of MCHD in all matters relating to this Cooperative Purchasing Program and the
Williamson County Judge or his designee is authorized to act on behalf of Williamson
County in all matters relating to this Cooperative Purchasing Program.
ARTICLE V
PURCHASING AND PAYMENT TERMS
Williamson County agrees to pay the supplier directly for all services received
under a contract made pursuant to Subchapter F, Chapter 271 of the TEX. LOC. GOV’T
CODE. The successful bidder or bidders shall bill Williamson County directly for all
services purchased.
ARTICLE VI
RESPONSIBILITY FOR VENDOR’S COMPLIANCE
Williamson County shall be responsible for a vendor’s compliance with all
conditions of delivery and quality of the goods and/or services purchased.
ARTICLE VII
TERMINATION
Either party may terminate this Agreement by providing thirty (30) days prior
written notice to the other party.
ARTICLE VIII
MISCELLANEOUS
8.1
Relationship of Parties: Each party to this Agreement, in the performance of
this Agreement, shall act in an individual capacity and not as agents, employees, partners,
joint ventures or associates of one another. The employees or agents of one party shall
not be deemed or construed to be the employees or agents of the other party for any
purposes whatsoever.
8.2
Notice: Any notice required or permitted to be delivered hereunder shall be
deemed received when sent in the United States Mail, Postage Prepaid, Certified Mail,
Return Receipt Requested, or by hand-delivery or facsimile transmission addressed to the
respective party at the address set forth below the signature of the party.
8.3
Amendment: This Agreement may be amended by the mutual written agreement
of both parties hereto.
8.4
Severability: In the event any one or more of the provisions contained in this
Agreement shall for any reason be held to be invalid, illegal, or unenforceable in any
respect, such invalidity, illegality, or unenforceability shall not affect the other
provisions, and the Agreement shall be construed as if such invalid, illegal, or
unenforceable provision had never been contained in this Agreement.
8.5
Assignment: No party to this Agreement may assign or transfer its interest in or
obligations under this Agreement without the prior written consent of all parties to this
Agreement.
8.6
No Third Party Beneficiaries: This Agreement is for the sole and exclusive
benefit of the parties hereto, and nothing in this Agreement, express or implied, is
intended to confer or shall be construed as conferring upon any other person any rights,
remedies or any other type or types of benefits.
8.7
Compliance with Laws: Each party to this Agreement shall comply with all
federal, state, and local laws, statutes, ordinances, rules and regulations, and the orders
and decrees of any courts or administrative bodies or tribunals in any matter affecting the
performance of this Agreement.
8.8
Construction: Each party to this Agreement acknowledges that it and its counsel
have reviewed this Agreement and that the normal rules of construction are not
applicable and there will be no presumption that any ambiguities will be resolved against
the drafting party in the interpretation of this Agreement.
8.9
No Waiver of Immunities: Nothing in this Agreement shall be deemed to waive,
modify or amend any legal defense available at law or in equity to either party or their
past or present officers, employees, or agents or employees, nor to create any legal rights
or claim on behalf of any third party. Neither party hereby waives, modifies, or alters to
any extent whatsoever the availability of the defense of governmental immunity under the
laws of the State of Texas and of the United States.
8.10 Governing Law: Each party to this Agreement hereby agrees and acknowledges
that venue and jurisdiction of any suit, right, or cause of action arising out of or in
connection with this Agreement shall lie exclusively in Williamson County, Texas.
Furthermore, this Agreement shall be governed by and construed in accordance with the
laws of the State of Texas, excluding, however, its choice of law rules.
8.11 Entire Agreement: This Agreement represents the entire agreement among the
parties with respect to the subject matter covered by this Agreement. There is no other
collateral, oral or written agreement between the parties that in any manner relates to the
subject matter of this Agreement.
8.12
Recitals: The recitals to this Agreement are incorporated herein.
8.13 Counterparts: This Agreement may be executed in any number of counterparts,
each of whom shall be deemed an original and constitute one and the same instrument.
EXECUTED this _____ day of __________________, 2010.
MONTGOMERY COUNTY
HOSPITAL DISTRICT
By: ________________________________
Printed Name: Allen Johnson
Title: Chief Executive Officer
Address:
P.O. Box 478
Conroe, Texas 77305
EXECUTED this _____ day of __________________, 2010.
WILLIAMSON COUNTY, TEXAS
By:
Dan A. Gattis,
Williamson County Judge
710 Main Street, Suite 105
Georgetown, Texas 78626
Approved as to Form:
By:
Hal C. Hawes
Assistant Williamson
County Attorney
Agenda Item # 26
To:
Board of Directors
From: Kelly Curry
Date: February 23th, 2010
Re:
Consider and act on modifying the RiverPointe lease with Huntsville Investments to add
Suite 310 and remove suite 303, beginning on or about March 15, 2010.
Currently, the HCAP Department is split between two floors here at the River Pointe
building, which is not the most efficient manner in which to operate and requires the
client to go between floors for service. Another issue is that Penny really needs the
capability to directly manage her work group by being more proximal to them. Lastly, the
client volumes are substantially higher than in years past causing congestion of the work
area and overflow into the halls for clients waiting to be seen.
A suite has come available with sufficient space on the third floor to house the entire
department. Placing the entire department in this location would allow improvement for
this critical role of the District.
Other notes:





Change can be made without additional fund requirement
Landlord agreed to waive 15% improvement oversight fee.
Landlord agrees to further shop for best price on improvements
Landlord agrees to a “not greater than” arrangement for pricing.
Suite 303 will be deleted from the current contract.
Fiscal Impact: $25,000 for rent change and some improvements (all of which can be
managed within budget or the attached General Ledger amendment)
Yes
X
No
N/A
X
Budgeted item?
X
Within budget?
X
Renewal contract?
Special request?
AGENDA ITEM # 26
CONSIDER AND ACT UPON RECOMMENDATIONS FOR AMENDMENTS TO
BUDGET FOR FISCAL YEAR ENDING SEPTEMBER 30, 2010
BUDGET AMENDMENT – SEPTEMBER 30, 2008
THAT WHEREAS, therefore on August 25, 2009 the Board heard and approved the budget for the year 2009/2010
for Montgomery County Hospital District; and
WHEREAS, to meet unusual and unforeseen conditions, which could not by reasonable and diligent thought and attention,
have been included in the budget for 2009/2010 adopted on August 25, 2009; or a line item transfer has been requested with no impact on the
original budget.
NOW, THEREFORE, BE IT RESOLVED that upon motion of ___________________________________, seconded
by ___________________________________ and duly carried by the following vote: AYES:__________ NAYS:__________,
the following amendment(s) to said budget is/are hereby authorized:
Budget Amendment - September 30, 2008
Line #
1
1
Account
Number
Account Description
10-15-57400 Relocation Expense
10-02-55450 Leases/Contracts - Buildings
Total Amendment:
Reclass Relocation Expense to Rent
Expense - HCAP office space from Suite
303 to Suite 310
Annual Budget
Change
$
35,000.00
58,045.56
$
(25,000.00) $
25,000.00
10,000.00
83,045.56
$
93,045.56
$
-
93,045.56
BOARD MEETING DATE: February 23, 2010
APPROVED BY:
Francis Bourgeois, Chair
Georgette Whatley, Member
John Hennigan, Vice-Chair
Kenn Fawn, Member
Sandra Wagner, Secretary
Hans Ambrosia, Member
Harold E. Posey, Treasurer
Amended Budget
$
AGENDA ITEM # 27
Presentation of Financial Report for the period ended January 31, 2010
Michael J. Nicknish, CFO
TABLE OF CONTENTS
January 31, 2010
I.
II.
III.
IV.
V.
SUMMARY
BALANCE SHEET
INCOME STATEMENT (CONSOLIDATED)
SUPPLEMENTAL EMS BILLING INFORMATION
INCOME STATEMENT (UNIT SUMMARIES)
A.
Administration Unit
DEPT. 1:
B.
Healthcare Assistance Unit
DEPT. 2:
C.
HEALTHCARE ASSISTANCE
EMS Unit
DEPT.
DEPT.
DEPT.
DEPT.
DEPT.
DEPT.
DEPT.
D.
DISTRICT ADMINISTRATION
6:
7:
8:
9:
10:
11:
12:
EMS
EMS
EMS
EMS
EMS
EMS
EMS
COMMUNICATIONS
OPERATIONS
LOGISTICS
CLINICAL/TRAINING
FLEET MAINTENANCE
BILLING
ST
1 RESPONDERS
FaST
DEPT. 15:
FACILITIES MGMT & INFORMATION
SYSTEMS
SUMMARY
January 31, 2010
February 23, 2010
Memorandum
To:
The Board of Directors
From: Michael J. Nicknish, CPA
Chief Financial Officer
Re:
Financial summary for the four months ended January 31, 2010
Financial Summary
Cash and Investments
Total Consolidated Cash and Investments as of January 31, 2010 was $43,837,150, compared
to last month’s total cash balance of $37,002,622, representing an increase in cash of
$6,834,528. Compared to last year at this time, the District’s Total Consolidated Cash and
Investments decreased $2,006,156.
Fund Balance and Investment in Fixed Assets
Fund Balance as of January 31, 2010 is $45,773,383 compared to the $47,196,241 Fund
Balance this time last year. Investment in Fixed Assets of $50,600,190 has increased
$2,599,598 compared to January 2009.
Revenue
Total Revenue for the month ended January 31, 2010 was $10,298,406 compared to
$10,269,237 budgeted, resulting in a favorable variance of $29,169. This is due to higher
than budgeted Total Tax Revenue $117,131. Partially offset by lower than budgeted Total
Investment Income $29,787 and lower Total EMS Revenue $61,595.
February 23, 2010
Total Revenue for the four months ended January 31, 2010 was $25,897,845 compared to
$24,769,369 budgeted, resulting in a favorable year-to-date variance of $1,128,476. This is
due to higher than budgeted Total Tax Revenue $1,188,336, Education/Training Revenue
$29,174 and VHF Project Revenue $139,997. Partially offset by lower than budgeted Total
Investment Income $65,235 and Total EMS Revenue $146,150.
Expenses
Total Expenses, before Capital Purchases for the month of January totaled $2,601,694
resulting in a favorable variance of $124,241 compared to the $2,725,935 budgeted. This is
due to favorable variances for Payroll Expenses $6,823, Operating Expenses $103,154 and
Indigent Care Expenses of $14,265.
Year-To-Date Total Expenses, before Capital Purchases for the month totaled $10,438,062.
Compared to a budget of $12,070,231, there is a favorable variance of $1,632,168. This is
due to favorable variances for Payroll Expenses $76,567, Operating Expenses $719,946 and
Indigent Care Expenses of $835,656.
Payroll Expenses – Total Payroll Expenses for the month had a favorable variance to budget
of $6,823. This is due to favorable variance for Paid Time Off $16,175 and Health & Dental
$15,417. Partially offset by higher than budgeted Overtime Pay $24,664.
Year-to-Date Total Payroll Expenses are $76,567 less than budgeted. This is due to favorable
variances for year of Regular Pay $32,020, Paid Time Off $37,438 and Payroll Taxes
$27,482. Partially offset by higher than budgeted Overtime Pay $2.
I am working with our Payroll vendor to develop detailed reports in order to determine the
Regular Pay and Overtime Pay variances to budget for each department and employee. I
should have my actual to budget analysis complete by next Board meeting.
Operating Expenses – Month-to-Date Total Operating Expenses of $547,496 has a favorable
variance to budget of $103,154. This is due to lower than budgeted Computer Software
$20,778, Contingencies $18,444, Durable Medical Equipment $10,507, Relocation Expenses
$17,500 and Uniforms $10,586. Partially offset by higher than budgeted MaintenanceContract Equipment $10,140 and Management Fees $28,727.
Year-to-Date Total Operating Expenses of $2,153,944 has a favorable variance to budget of
$719,946. The favorable variance is a result of lower than budgeted Business Licenses
$22,985, Collection Fees $28,567, Contingencies $116,377, Disposable Medical Supplies
$54,348, Durable Medical Equipment $27,877, Fuel $35,066, Legal Fees $22,478,
Maintenance-Contract Equipment $67,693, Relocation Expenses $43,000, Training/Related
Expenses-CE $42,573, Uniforms $35,546, Vehicle-Parts $23,071 and Worker’s
Compensation Insurance $37,842. Partially offset by higher than budgeted Management Fees
$38,330. Management Fees are higher than budgeted due to increased number of clients and
the number of claims transactions processed by Boon-Chapman.
February 23, 2010
We received our revised Worker’s Compensation Insurance renewal rates for calendar year
2010 and we benefited from a 33% annual renewal credit that will result in an approximate
annual savings in our Worker’s Compensation Insurance costs of $190,000.
Indigent Care Expenses – Total Indigent Care Expenses has a favorable variance compared
to budget of $14,265 for the month ended January 31, 2010 due to lower than budgeted
Voluntary Contributions to UPL $58,567, partially offset by higher than budgeted payments
to Specialty Healthcare Providers $44,303.
For the four months ended January 31, 2010, Total Indigent Care Expenses has a favorable
variance to budget of $835,656. Voluntary Contributions to UPL $675,617 and Specialty
Healthcare Providers $160,039 are lower than budget.
Capital Purchases – Capital Purchases/Fixed Assets for the month of $68,394 has a
favorable variance of $57,456 compared to budget. January included Capital Purchase for a
budgeted remount of shop 25.
Year-to-Date Capital Purchases/Fixed Assets have a favorable variance to budget of
$473,132. This is due to the timing of the funding of $450,000 for the New CAD system.
Business Unit Summary
Administration – Total Administration Revenue is higher than budget by $87,723 for the
month. This is due to higher than budgeted Total Tax Revenue $117,131. Partially offset by
lower than budgeted Total Investment Income $29,787.
Total Payroll Expense for the month of $104,591 was less than budgeted by $10,270 due to
lower than budgeted Regular Pay $8,665.
Total Operating Expenses for the Administration Business Unit are less than budgeted by
$37,085 for the month. This is due largely to lower than budgeted Contingencies $18,444,
Legal Fees $6,468 and Professional Fees $19,584. Partially offset by higher than budgeted
Accounting/Auditing Fees $3,006, Employee Health/Wellness $3,775 and Training/Related
Expenses $6,767.
Capital Purchases are $1,744 lower than budget for the month.
Year-To-Date Total Administration Revenue is higher than budget by $1,126,241. This is
due to higher than budgeted Total Tax Revenue $1,188,336. Partially offset by lower than
budgeted Total Investment Income $65,235.
Total Payroll Expense for the four months ended January 31, 2010 of $433,575 was less than
budgeted by $74,537 due to lower than budgeted Regular Pay $60,948, coupled with lower
than budgeted Payroll Taxes $11,662.
February 23, 2010
Total Operating Expenses for the Administration Business Unit are less than budgeted by
$216,022 for the year. This is due to lower than budgeted Contingencies $116,377, Insurance
Expense $13,050, Legal Fees $21,278, Professional Fees $23,115 and Training/Related
Expenses $11,419.
Capital Purchases are $67 higher than budget for the year.
Healthcare Assistance – Total Indigent Care Expenses has a favorable variance compared to
budget of $14,265 for the month ended January 31, 2010 due to lower than budgeted
Voluntary Contributions to UPL $58,567, partially offset by higher than budgeted payments
to Specialty Healthcare Providers $44,303.
Total Payroll Expense for the month of $46,991 was less than budgeted by $14,066 due to
lower than budgeted Regular Pay $3,411 and Overtime Pay $7,427.
Total Operating Expenses for the Healthcare Assistance Business Unit are $8,725 higher than
the $98,050 budgeted for the month. This is due to higher than budgeted Management Fees
$27,060, partially offset by lower than budgeted Computer Software $7,345, Drug Supplies
$5,500 and Dues/Subscriptions $6,050.
Capital Purchases are $1,244 lower than budget for the month.
For the year, Total Indigent Care Expenses has a favorable variance compared to budget of
$835,656 due to lower than budgeted Voluntary Contributions to UPL $675,617 and Specialty
Healthcare Providers $160,039.
Total Payroll Expense for the four months ended January 31, 2010 of $199,435 was less than
budgeted by $71,115 due to lower than budgeted Regular Pay $24,149 and Overtime Pay
$33,645.
Total Operating Expenses for the Healthcare Assistance Business Unit are $33,766 higher
than the $398,805 budgeted for the year. This is due to higher than budgeted Computer
Software $26,175 and Management Fees $46,664. Partially offset by lower than budgeted
Drug Supplies $13,410.
Capital Purchases are $10,784 lower than budget for the year.
EMS Business Unit – For the month ended January 31, 2010, Total Revenue for the EMS
Business Unit is lower than budget by $57,274 due to unfavorable variance in Total EMS
Revenue $61,595.
Total Payroll Expenses are higher than budget for the month by $16,046 due to higher than
budgeted Regular Pay $7,937 and Overtime Pay $33,840. Partially offset by
February 23, 2010
lower than budgeted Paid Time Off $16,175 and Health & Dental $12,892
Total Operating Expenses were $48,910 lower than budget for the month. This is due to
favorable variances to budget for Collection Fees $6,514, Durable Medical Equipment
$10,507, Fuel $8,250, Relocation Expenses $12,500 and Uniforms $10,762. Partially offset
by higher than budgeted Maintenance-Contract Equipment $10,840 and Small Equipment &
Furniture $5,382.
Capital Purchases were lower than budgeted for the month by $19,633.
Year-To-Date, Total Revenue for the EMS Business Unit is lower than budget by $115,802
due to lower than budgeted Total EMS Revenue $146,150. Partially offset by favorable
variance in Education/Training Revenue $29,174. Transfer Service Fees are less than
budgeted for the year by $214,291, coupled with higher than estimated Contractual
Allowance $385,597. Provision for Bad Debt is $649,088 less than budgeted.
Total Payroll Expenses are higher than budget for the year by $80,385 due to higher than
budgeted Regular Pay $54,173 and Overtime Pay $80,029. Partially offset by lower than
budget Paid Time Off $37,438.
Year-To-Date Total Operating Expenses were $389,910 lower than budget. This is due to
favorable variances to budget for Collection Fees $28,567, Disposable Medical Supplies
$54,348, Durable Medical Equipment $27,877, Fuel $33,686, Maintenance-Contract
Equipment $23,790, Professional Fees $17,739, Training/Related Expenses $20,388,
Uniforms $33,334, Vehicle-Parts $23,071 and Worker’s Compensation Insurance $37,070.
Partially offset by higher than budgeted Employee Recognition $7,502 and Utilities $7,151.
Capital Purchases were lower than budgeted for the year by $449,437 as a result of the timing
of the funding of $450,000 for the New CAD system.
Facilities Management & Information Technology (FaST) – Total Revenue is slightly less
than budget by $1,505 for the month due to lower than budgeted Radio Repair Income.
Total Payroll Expenses are higher than budgeted for the month by $1,466 due to an
unfavorable variance in Regular Pay $2,745. Partially offset by lower Overtime Pay $1,263
Total Operating Expenses are lower than budget for the month by $25,882, primarily due to
lower than budgeted Computer Software $12,009, Leases/Contracts $8,268 and Relocation
Expenses $5,000. Partially offset by higher than budgeted Professional Fees $15,804. The
Professional Fees for the month includes $16,500 to RCC Consultants for the coordination of
the Radio System Improvements.
Capital Purchases are lower than budgeted for the month by $34,835.
February 23, 2010
Year-To-Date Total Revenue for the FaST Business Unit is higher than budget by $133,125
due VHF Project Revenue $139,997 from the Montgomery County Fire Chiefs Association to
offset implementation costs.
Total Payroll Expenses are lower than budgeted for the year by $11,301 due to a favorable
variance in Regular Pay $1,097 and Overtime Pay $7,869.
Total Operating Expenses are lower than budget for the year by $147,779, primarily due to
lower than budgeted Business Licenses $11,300, Computer Software $18,749,
Leases/Contracts $11,250, Maintenance Contract-Equipment $40,638, Relocation Expenses
$30,000 and Training/Related Expenses $10,030. Partially offset by higher than budgeted
Professional Fees $38,691.
Year-To-Date Capital Purchases are $12,979 lower than budgeted.
Cash and Investments
2010
January
Reserve - Catastrophic Fund - (HCAP)
December
November
2009
October
September
August
July
June
May
April
March
$ 10,000,000 $ 10,000,000 $ 10,000,000 $ 10,000,000 $ 10,000,000 $ 10,000,000 $ 10,000,000 $ 10,000,000 $ 10,000,000 $ 10,000,000 $ 10,000,000 $ 10,000,000
Reserve - Operations Fund
2009
January
February
$ 10,000,000
12,000,000
12,000,000
12,000,000
12,000,000
12,000,000
12,000,000
12,000,000
12,000,000
12,000,000
12,000,000
12,000,000
12,000,000
12,000,000
Reserve - Capital Replacement Sinking Fund
6,240,737
6,239,561
6,238,289
6,236,944
6,235,190
6,233,289
6,231,145
6,228,606
6,225,740
6,222,305
6,218,574
6,214,248
6,208,874
Projected Cash Needs for Remainder of Year
11,843,013
4,425,561
2,918,276
2,918,276
5,513,573
7,446,547
9,200,470
10,665,569
11,434,125
13,962,748
13,181,525
3,753,400
4,337,500
66,475
4,020,782
2,947,867
3,328,552
2,588,741
2,826,774
3,101,824
2,292,433
4,452,906
$ 43,837,150 $ 37,002,622 $ 29,538,764 $ 29,164,360 $ 31,219,941 $ 35,172,347 $ 36,692,585 $ 39,003,705 $ 40,014,951 $ 41,714,649 $ 42,754,523 $ 44,469,429
$ 45,843,306
Available Cash
Total Cash
1,300,475
927,416
45,000,000
40,000,000
35,000,000
30,000,000
25,000,000
20,000,000
15,000,000
10,000,000
5,000,000
January
December
November
October
September
2010
Available Cash
August
July
June
May
April
March
February
2009
Projected Cash Needs for Remainder of Year
Reserve - Capital Replacement Sinking Fund
Reserve - Operations Fund
January
2009
Reserve - Catastrophic Fund - (HCAP)
Payroll and Related Expenses
For the Four Months Ended January 31, 2010
Current Fiscal Year Actual
Current Fiscal Year Budget
Prior Fiscal Year Actual
Regular Pay
Overtime Pay
Paid Time Off
$
3,501,873 $
1,174,160 $
295,025
3,533,893
1,138,048
332,463
2,906,304
961,344
238,647
Other Payroll
Expenses
1,222,041
1,265,261
976,916
3,600,000
3,450,000
3,300,000
3,150,000
3,000,000
2,850,000
2,700,000
2,550,000
2,400,000
2,250,000
2,100,000
1,950,000
1,800,000
1,650,000
1,500,000
1,350,000
1,200,000
1,050,000
900,000
750,000
600,000
450,000
300,000
150,000
0
Regular Pay
Overtime Pay
Paid Time Off
Other Payroll Expenses
Operating and Other Expenses
Disposable
Medical Supplies Mgmt / Prof Fees
$
149,834 $
447,130 $
204,182
404,217
159,525
277,284
Fuel
Capital Purchases
137,982 $
359,403
173,048
832,535
134,067
1,052,843
1,100,000
1,050,000
1,000,000
950,000
900,000
850,000
800,000
750,000
700,000
650,000
600,000
550,000
500,000
450,000
400,000
350,000
300,000
250,000
200,000
150,000
100,000
50,000
0
Disposable Medical Supplies
Mgmt / Prof Fees
Fuel
Capital Purchases
For the One Month Ended January 31, 2010
Actual
Revenue
Total Tax Revenue
Total Investment Income
Miscellaneous Income
$
EMS Net Revenue
ALS & BLS
Transfer Service Fee
Contractual Allowances
Provision for Bad Debt
Other Revenue
Total Revenue
9,379,837
18,564
8,488
Budget
$
2,490,437
29,365
(1,014,675)
(691,656)
$
78,046
10,298,406
$
1,383,668
$
2,571,348
96,084
(926,364)
(879,761)
92,473
$ 10,269,237
Actual
Expenses
Total Payroll Expenses
9,262,706
48,351
4,400
Variance
1,390,491
$
(80,911)
(66,719)
(88,311)
188,105
$
Budget
$
117,131
(29,787)
4,088
Prior Year
(14,427)
29,169
2,356,159
102,547
(898,646)
(841,354)
$
Variance
$
6,823
8,950,955
35,899
5,672
229,112
9,940,345
Prior Year
$
1,313,381
Business Licenses
Computer Software
Contingencies
Durable Medical Equipment
Fuel
Leases/Contracts
Maintenance-Contract Equipment
Management Fees
Relocation Expenses
Uniforms
Other Operating Expenses
70
15,916
14,889
526
34,667
6,892
10,840
78,283
0
3,599
381,814
8 025
8,025
36,694
33,333
11,033
43,262
15,138
700
49,556
17,500
14,185
421,224
7 955
7,955
20,778
18,444
10,507
8,595
8,246
(10,140)
(28,727)
17,500
10,586
39,410
157
5,180
0
7,063
25,204
12,487
19,056
40,425
5,275
7,573
306,913
Voluntary Contributions - CRMC
Specialty Healthcare
250,000
420,530
308,567
376,227
58,567
(44,303)
240,000
396,957
Capital Purchases
Total Expenses
$
68,394
2,670,088
$
125,850
2,851,785
$
57,456
181,697
$
392,262
2,771,932
Actual
Revenue
Total Tax Revenue
Education/Training Revenue
VHF Project Revenue
$
EMS Net Revenue
ALS & BLS
Transfer Service Fee
Contractual Allowances
Recovery of Bad Debt
Other Revenue
Total Revenue
22,036,153
77,176
35,554
139,997
9,776,495
132,812
(3,798,735)
(2,889,818)
109,067
$
279,144
25,897,845
Actual
Expenses
Payroll Expenses
Budget
Variance
$ 20,847,817
142,411
6,380
0
$ 1,188,336
(65,235)
29,174
139,997
9,915,365
347,103
(3,413,138)
(3,538,906)
157,104
Prior Year
$
(138,870)
(214,291)
(385,597)
649,088
(48,037)
305,233
$ 24,769,369
(26,089)
$ 1,128,476
Budget
Variance
$
469,276
24,144,842
Prior Year
6 269 665
6,269,665
Business Licenses
Collection Fees
Contingencies
Drug Supplies
Fuel
Legal Fees
Management Fees
Relocation Expenses
Training/Related Expenses-CE
Uniforms
Vehicle-Parts
Worker's Compensation Insurance
Other Operating Expenses
70
44,048
16,955
149,834
36,152
16,755
137,982
40,190
60,047
232,602
0
30,579
16,494
60,261
71,191
1,240,784
23,055
72,615
133,332
204,182
60,114
44,632
173,048
62,668
127,740
194,272
43,000
73,152
52,040
83,332
109,033
1,417,675
22,985
28,567
116,377
54,348
23,962
27,877
35,066
22,478
67,693
(38,330)
43,000
42,573
35,546
23,071
37,842
176,891
240
41,328
4,400
159,525
33,473
28,671
134,067
77,617
104,866
155,006
20,730
42,421
48,483
94,430
101,941
1,235,046
Specialty Healthcare
746,151
1,344,869
1,421,768
1,504,908
675,617
160,039
1,127,606
1,285,045
359,403
10,797,465
832,535
$ 12,902,766
473,132
$ 2,105,301
$
76 567
76,567
9,167,304
354,015
(3,460,335)
(3,409,879)
140,257
6 193 098
6,193,098
Capital Purchases
Total Expenses
$
20,678,629
180,988
24,588
-
$
$
5 083 210
5,083,210
1,052,843
10,830,949
Actual
Total Revenue
$
Total Expenses
Revenue Over (Under) Expenses
$
Budget
10,298,406
$ 10,269,237
2,670,088
2,851,785
7,628,318
$
7,417,452
Variance
$
29,169
Prior Year
$
181,697
$
210,866
9,940,345
2,771,932
$
7,168,413
Actual
Total Revenue
$
Total Expenses
Revenue Over (Under) Expenses
$
Budget
Variance
25,897,845
$ 24,769,369
$ 1,128,476
10,797,465
12,902,766
2,105,301
15,100,380
$ 11,866,603
$ 3,233,777
Prior Year
$
24,144,842
10,830,949
$
13,313,893
EMS Revenue
ALS + BLS Revenue
Contractual Allowance
2009
2009
2010
January
February
March
April
May
June
July
August
September
October
November
December
January
$ 2,356,159 $ 2,223,486 $ 2,432,678 $ 2,314,743 $ 2,568,453 $ 2,437,006 $ 2,476,269 $ 2,430,180 $ 2,431,375 $ 2,429,601 $ 2,450,284 $ 2,406,173 $ 2,490,437
898,646
794,110
922,017
873,825
915,502
904,192
920,827
914,047
862,078
916,172
919,361
948,528
1,014,675
841,354
571,059
801,238
716,585
658,046
725,100
888,809
821,134
708,604
637,627
894,993
665,541
691,656
$2,700,000
$2,600,000
$2,500,000
$2,400,000
$2,300,000
$2,200,000
$2,100,000
$2,000,000
$1,900,000
$1,800,000
$1,700,000
$1,600,000
$1,500,000
$1,400,000
$1,300,000
$1,200,000
$1,100,000
$1,000,000
$900,000
$800,000
$700,000
$600,000
$500,000
$400,000
$300,000
$200,000
$100,000
$January
February
March
April
May
June
July
August
September
2009
ALS + BLS Revenue
October
November
2009
December
January
2010
Balance
Sheet
January 31, 2010
Combined Balance Sheet
January 31, 2010
Fund 10
Fund 12
Fund 14
Fund 18
Total
All Funds
Fund 20
Prior Year
Balance
ASSETS
Cash
Petty Cash-Adm.
Petty Cash-EMS Adm.
Petty Cash-Fam.Prac.
Capital Replacement-BA
Capital Replacement-WF
Pension Fund-BA
Employee Retirement-WF
Operating Account-BA
Operating Account-WF
HCAP Disbursement-BA
HCAP Disbursement-WF
Collections-BA
Collections-WF
Communications-BA
Communications-WF
Tax Revenue-BA
Tax Revenue-WF
Health Insurance-BA
Health Insurance-WF
Memorial Fund-BA
Memorial Fund-WF
MCHF-Bank of America
Total cash
Investments
Texpool-District
Investments-WF Bank
TexStar Investment Pool
Investments-Raymond James, Inc.
Raymond James, Inc. - Cash
Investments-WF-Spec. Liquidity Fund
Investments-WF-Govt. Portfolio
Investments-Frost Bank-CD's
$
1,100
1,750
20
91,597
27,125
1,716
(170,450)
12
62,737
86,114
2,434,536
9,250
125,573
2,671,080
Total investments
41,166,070
5,915,213
(4,620,366)
326,431
4,932,148
(703,104)
Total receivables
5,850,323
Total other assets
Capital assets
Land
Construction in Progress
Buildings
Equipment
Vehicles
Communications System
Leasehold Improvements
Total capital assets
Total assets
-
-
-
-
-
-
-
-
-
-
22,417,598
6,208,874
2,811,051
103,143
3,035,700
4,030,162
4,017,071
41,166,070
42,623,600
5,915,213
(4,620,366)
326,431
4,932,148
(703,104)
6,815,207
(4,623,955)
507,160
4,295,440
(703,104)
5,850,323
6,290,750
24,845
174,084
474,309
159,593
678,631
24,845
174,840
474,309
151,033
619,399
-
1,511,462
1,444,425
1,497,571
1,497,571
528,363
10,758,984
4,692,102
6,523,276
-
1,904,030
2,163,400
528,363
10,758,984
4,692,102
6,524,276
28,739
528,363
10,758,984
4,692,102
6,523,276
-
-
-
678,631
159,593
678,631
406,459
2,163,400
$1,000.00
28,739
1,100
1,750
20
155,045
27,111
1,716
88,451
107
62,706
86,071
2,660,873
9,246
125,510
-
10,402,061
6,240,737
10,401,926
4,251,715
103,143
3,051,279
4,037,315
2,677,894
159,593
-
$
3,219,706
24,845
174,084
474,309
673,238
1,100
1,750
20
91,597
27,125
1,716
(170,450)
12
62,737
86,114
2,434,536
9,250
125,573
2,671,080
10,402,061
6,240,737
10,401,926
4,251,715
103,143
3,051,279
4,037,315
2,677,894
Receivables
A/R-EMS Billings
Allowance for Bad Debts
A/R-Other
Taxes Receivable
Allowance for bad debt-tax rev
Other assets
Deposits
Prepaid Expenses
Inventory
Deferred Compensation
Amount Provided for L/T Debt
$
2,599,598
-
-
-
24,000,296
26,599,894
24,000,296
52,960,310
-
159,593
678,631
24,000,296
77,798,829
77,578,776
Combined Balance Sheet
January 31, 2010
Fund 12
Fund 10
Fund 14
Fund 18
Total
All Funds
Fund 20
Prior Year
Balance
LIABILITIES
Current
Payables and accrued liabilities
Encumbrance Payable
Accounts Payable
Accounts Payable-Other
Accrued Expenditures
Payroll liabilites
535,739
2,342
1,004,368
596,621
Total payables
2,139,069
Other liabilities
Deferred Tax Revenue
Due to Participants
Deferred Revenue
Interfund Payable
RP-Taxable Principal
RP-Non-Taxable Principal
Accrued Comp. Absences
-
-
-
-
4,229,044
159,593
678,631
Total other liabilities
Total liabilities
535,739
2,342
1,004,368
596,621
632,819
1,909
430,464
102,592
2,139,069
1,167,785
4,229,044
159,593
678,631
3,592,336
151,033
32,874
619,399
4,229,044
-
159,593
678,631
-
5,067,268
4,395,642
6,368,114
-
159,593
678,631
-
7,206,337
5,563,426
24,000,296
26,824
18,950
144,809
474,309
24,000,296
153,922
45,773,383
-
26,824
18,950
144,809
474,309
24,000,296
153,922
47,196,241
-
24,000,296
70,592,492
72,015,350
FUND BALANCE
Restricted-Retirement
Reserved - Capital Expenditures
Reserved - Legal Fees
Reserved - Inventory
Investment In Fixed Assets
Proprietary Fund-Unreserved
Reserved - Prepaids
Unreserved Fund Balance-MCHD
Unreserved Fund Balance-MCHF
26,824
18,950
144,809
474,309
153,922
45,773,383
-
Total fund balance
Total liabilities and fund balance
$
46,592,196
-
52,960,310 $
- $
159,593 $
678,631 $
24,000,296 $ 77,798,829
$
77,578,776
Income Statement
Summary
Consolidated
January 31, 2010
Income and Expense Recap by Unit
Unit
Revenue
Payroll
Expenses
Operating
Expenses
Total Expenses
Indigent Care Before Capital
Expenses
Purchases
Capital
Purchases
Total
Expenses
Revenues
over(under)
Expenditures
Administration
Actual
Budget
Variance
Healthcare Assistance Actual
Budget
Variance
EMS
Radio System
FaST
All Units
$ 9,408,045 $
9,320,322
87,723
13,225
13,000
225
104,591 $
114,861
10,270
46,991
61,058
14,066
Actual
Budget
Variance
876,474
933,748
(57,274)
Actual
Budget
Variance
-
-
Actual
Budget
Variance
662
2,167
(1,505)
57,099
55,632
(1,466)
Actual
Budget
Variance
1,174,987
1,158,940
(16,046)
$ 10,298,406 $ 1,383,668 $
10,269,237
1,390,491
29,169
6,823
106,141 $
143,226
37,085
106,775
98,050
(8,725)
241,444
290,354
48,910
93,137
119,020
25,882
547,496 $
650,650
103,154
-
$
670,530
684,794
14,265
-
-
670,530 $
684,794
14,265
210,732 $
258,087
47,355
756 $
2,500
1,744
211,488 $ 9,196,557
260,587
9,059,735
49,099
136,822
824,296
843,902
19,606
756
2,000
1,244
825,052
845,902
20,850
(811,827)
(832,902)
21,075
1,416,430
1,449,294
32,864
60,367
80,000
19,633
1,476,797
1,529,294
52,497
(600,323)
(595,546)
(4,777)
150,236
174,652
24,416
2,601,694 $
2,725,935
124,241
6,515
41,350
34,835
156,751
216,002
59,251
(156,089)
(213,835)
57,746
68,394 $ 2,670,088 $ 7,628,318
125,850
2,851,785
7,417,452
57,456
181,697
210,866
Income and Expense Recap by Unit
Unit
Revenue
Payroll
Expenses
Operating
Expenses
Total Expenses
Indigent Care Before Capital
Expenses
Purchases
Capital
Purchases
Total
Expenses
Revenues
over(under)
Expenditures
Administration
Actual
Budget
Variance
Healthcare Assistance Actual
Budget
Variance
EMS
Radio System
FaST
All Units
Actual
Budget
Variance
Actual
Budget
Variance
Actual
Budget
Variance
Actual
Budget
Variance
$ 22,137,000 $
21,010,759
1,126,241
30,113
45,200
(15,087)
3,588,940
3,704,742
(115,802)
141,793
8,668
133,125
433,575 $
508,111
74,537
413,724 $
629,747
216,022
199,435
270,549
71,115
432,571
398,805
(33,766)
5,323,362
5,242,977
(80,385)
236,727
248,027
11,301
971,196
1,361,107
389,910
336,453
484,232
147,779
-
$
2,091,020
2,926,676
835,656
-
-
-
$ 25,897,845 $ 6,193,098 $ 2,153,944 $ 2,091,020 $
24,769,369
6,269,665
2,873,890
2,926,676
1,128,476
76,567
719,946
835,656
847,299 $
1,137,858
290,559
4,967 $
852,266 $ 21,284,733
4,900
1,142,758
19,868,001
(67)
290,492
1,416,732
2,723,025
3,596,030
873,005
5,816
16,600
10,784
2,728,841
3,612,630
883,789
(2,698,729)
(3,567,430)
868,701
6,294,559
6,604,083
309,525
248,498
697,935
449,437
6,543,057
7,302,018
758,961
(2,954,117)
(3,597,276)
643,159
573,179
732,259
159,080
10,438,062 $
12,070,231
1,632,168
100,121
113,100
12,979
673,300
845,359
172,059
(531,507)
(836,691)
305,184
359,403 $ 10,797,465 $ 15,100,380
832,535
12,902,766
11,866,603
473,132
2,105,301
3,233,777
Income Statement - Summary by Unit
For the One Month Ended
Revenue
Taxes
Investments
Tobacco Settlement
EMS
Other
Current Month
January 31, 2010
$
9,379,837
18,564
870,903
29,102
Current Month
Budget
$
9,262,706
48,351
932,498
25,682
Prior Year Month
January 31, 2009
$
8,950,955
35,899
794,209
159,282
10,298,406
10,269,237
9,940,345
Expenses
Payroll
Operating Expenses
Indigent Care Expenses
1,383,668
547,496
670,530
1,390,491
650,650
684,794
1,313,381
429,332
636,957
Sub-Total Expenses
2,601,694
2,725,935
2,379,670
Capital Purchases
68,394
125,850
392,262
2,670,088
2,851,785
2,771,932
Total Revenue
Total Expenses
Revenues over(under) Expenditures
$
For the Four Months Ended
Revenue
Taxes
Investments
Tobacco Settlement
EMS
Other
Current Year
January 31, 2010
$
22,036,153
77,176
3,472,112
312,405
Current Year
Budget
$ 20,847,817
142,411
3,618,262
160,879
Prior Year
January 31, 2009
$
20,678,629
180,988
2,932,270
352,955
25,897,845
24,769,369
24,144,842
6,193,098
2,153,944
2,091,020
6,269,665
2,873,890
2,926,676
5,083,210
2,282,245
2,412,652
Sub-Total Expenses
10,438,062
12,070,231
9,778,106
Capital Purchases
359,403
832,535
1,052,843
10,797,465
12,902,766
10,830,949
Total Revenue
Expenses
Payroll
Operating Expenses
Total Expenses
Revenues over(under) Expenditures
$
7,628,318
15,100,380
$
$
7,417,452
11,866,603
$
$
7,168,413
13,313,893
Income Statement - All Units
For The Month Ended
January 31, 2010
Current Month
Budget
Actual
Variance
Year To Date
Budget
Actual
Variance
Total
Annual Budget
%
Remaining
REVENUE
Taxes
Tax Revenue
Delinquent Tax Revenue
Penalties and Interest
Total tax revenue
Investments
Investment Income - MCHD
Investment Income - MCHF
Total investment revenue
Tobacco Settlement Proceeds
EMS revenue
EMS - Advanced Life Support Reven
EMS - Basic Life Support Revenue
Transfer Service Fees
Non-Transport Fees
Recovery of Bad Debt - EMS
Contract Revenue (Net)
Stand-By Fees
Adjustment For P.A. - Transports
Total EMS Revenue
9,327,798
43,257
8,781
9,379,837
9,190,337
60,354
12,015
9,262,706
137,461
(17,097)
(3,234)
117,131
21,865,310
129,409
41,433
22,036,153
20,564,162
219,815
63,840
20,847,817
1,301,148
(90,406)
(22,407)
1,188,336
24,313,438
455,757
349,700
25,118,895
89.93%
28.39%
11.85%
87.73%
2,448,128
326,348
308,267
3,082,742
18,564
18,564
48,351
48,351
(29,787)
(29,787)
77,176
77,176
142,411
142,411
(65,235)
(65,235)
552,679
552,679
13.96%
0.00%
13.96%
475,503
475,503
-
-
-
-
400,000
0.00%
400,000
2,136,520
353,917
29,365
23,534
24,898
9,000
-
2,180,212
391,136
96,084
22,059
39,276
10,000
-
(43,692)
(37,219)
(66,719)
1,475
(14,378)
(1,000)
-
8,089,046
1,687,449
132,812
88,228
109,067
35,550
18,513
8,176,077
1,739,288
347,103
111,310
157,104
40,000
-
(87,031)
(51,839)
(214,291)
(23,082)
(48,037)
(4,450)
18,513
24,965,651
5,478,757
951,679
324,001
471,312
120,000
-
32.40%
30.80%
13.96%
27.23%
23.14%
29.63%
0.00%
16,876,605
3,791,308
818,867
235,773
362,245
84,450
(18,513)
2,577,234
2,738,767
(161,533)
10,160,665
10,570,882
(410,217)
32,311,400
31.45%
22,150,735
(88,311)
188,105
144
(3,798,735)
(2,889,818)
-
(3,413,138)
(3,538,906)
(576)
(385,597)
649,088
576
(10,374,334)
(10,870,684)
(1,728)
36.62%
26.58%
0.00%
(6,575,599)
(7,980,866)
(1,728)
99,938
(6,688,553)
(6,952,620)
264,067
(21,246,746)
31.48%
(14,558,193)
(1,014,675)
(691,656)
-
(926,364)
(879,761)
(144)
(1,706,331)
(1,806,269)
-
-
870,903
932,498
(61,595)
3,472,112
3,618,262
(146,150)
11,064,654
31.38%
7,592,542
2,798
662
1,250
1,667
1,548
(1,005)
35,554
78,500
1,796
6,380
80,100
6,668
29,174
(1,600)
(4,872)
44,640
175,400
20,004
79.65%
44.75%
8.98%
9,086
96,900
18,208
3,460
2,917
543
115,850
93,148
22,702
240,044
48.26%
124,194
-
-
-
-
-
-
180,000
0.00%
0.00%
180,000
Total restricted revenue
-
-
-
-
-
-
180,000
0.00%
180,000
Other revenue
Weyland Bldg. Land Lease
P.A. Co-Payments
P.A. Processing Fees
Recovery of Bad Debt - PA
EMS - Trauma Fund Income
Immunization Fees
Special Project Revenue
VHF Project Revenue
Other Financing Sources
8,266
8,488
5,690
426
2,774
8,265
4,400
9,200
400
500
-
1
4,088
(3,510)
26
(500)
2,774
16,531
17,731
17,883
1,640
139,997
2,774
16,531
10,800
36,800
1,600
2,000
-
0
6,931
(18,917)
40
(2,000)
139,997
2,774
33,062
25,600
110,400
4,800
6,000
-
50.00%
69.26%
16.20%
34.17%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
16,531
7,869
92,517
3,160
6,000
(139,997)
(2,774)
25,643
22,765
2,878
196,555
67,731
128,824
179,862
109.28%
(16,693)
10,298,406
10,269,237
29,169
25,897,845
24,769,369
1,128,476
37,736,134
68.63%
Fire / EMS Communications
Dispatch Fees
Radio Repair Income
Total Fire/EMS Communication
Restricted revenue
Radio User Agreements
Inter Local 800 Mhz
Total other revenue
Total revenue
11,838,289
For The Month Ended
January 31, 2010
Actual
Current Month
Budget
Variance
Actual
Year To Date
Budget
Variance
Total
Annual Budget
%
Remaining
EXPENSES
Payroll
Regular Pay
Overtime Pay
Paid Time Off
Stipend Pay
Payroll Taxes
401A Plan
TCDRS Plan
Health & Dental
Unemployment Ins.
Total payroll
787,311
259,599
55,521
1,562
81,049
65,999
126,346
6,280
788,705
234,935
71,696
3,000
84,021
65,241
141,762
1,131
1,383,668
1,390,491
2,588
4,346
542
2,251
1,971
70
10,246
3,976
15,916
4,479
14,889
52
304
3,307
7,159
55,130
8,582
1,514
526
6,792
1,277
34,667
31,270
73
560
6,892
24,065
7,399
1,757
10,840
78,283
1,011
245
61
1,767
2,710
100
5,336
1,983
1,225
550
1,340
500
8
1,417
1,550
8,025
16,760
5,688
36,694
2,692
33,333
50
603
42
3,947
3,650
50,908
15,391
6,940
11,033
3,517
2,011
150
43,262
150
31,492
104
750
15,138
27,185
14,167
7,398
700
49,556
335
1,260
330
475
2,274
1,833
337
5,470
1,750
2,155
1,394
(24,664)
16,175
1,438
2,972
(758)
15,417
(5,149)
3,501,873
1,174,160
295,025
10,584
356,729
293,671
551,189
9,867
3,533,893
1,138,048
332,463
18,000
384,211
298,329
559,549
5,172
32,020
(36,112)
37,438
7,416
27,482
4,658
8,360
(4,695)
10,429,739
3,382,573
879,673
33,429
1,126,488
874,693
1,693,645
15,165
33.58%
34.71%
33.54%
31.66%
31.67%
0.00%
33.57%
32.54%
65.06%
6,927,866
2,208,413
584,649
22,844
769,759
581,023
1,142,456
5,298
6,823
6,193,098
6,269,665
76,567
18,435,406
33.59%
12,242,308
2,588
9,988
542
284
5,886
3,688
70
44,048
13,501
126,177
11,165
16,955
45,922
28,978
1,115
11,783
18,006
149,834
36,152
7,437
16,755
11,500
20,452
137,982
620
122,918
447
2,435
44,178
97,364
40,190
8,971
60,047
232,602
431
5,422
617
1,090
6,684
6,873
400
25,464
7,095
5,962
2,200
6,030
3,134
262
5,668
17,835
23,055
72,615
24,920
124,218
11,203
133,332
51,450
33,070
2,412
168
21,556
14,300
204,182
60,114
19,043
44,632
18,338
19,530
778
173,048
600
135,968
440
3,000
55,698
101,239
62,668
24,442
127,740
194,272
2,770
7,607
1,720
2,345
9,816
7,332
6,848
21,880
7,000
7,032
6,600
56,920
9,470
361
17,000
39,989
24,345
206,695
131,086
430,084
32,859
400,000
205,800
33,470
7,281
504
51,534
44,400
611,996
180,792
26,444
134,795
150,000
43,974
40,967
2,343
524,044
1,800
402,902
27,105
9,000
279,423
302,091
185,004
73,830
257,100
605,420
4,910
21,424
5,745
6,743
28,504
21,996
11,094
65,640
21,000
18,550
39.21%
17.55%
5.72%
78.53%
34.62%
9.22%
0.29%
21.31%
10.30%
29.34%
33.98%
4.24%
22.31%
86.58%
0.00%
15.31%
0.00%
22.86%
40.55%
24.48%
20.00%
28.12%
12.43%
0.00%
0.00%
26.15%
49.92%
0.00%
26.33%
34.44%
30.51%
1.65%
0.00%
27.06%
15.81%
32.23%
21.72%
12.15%
23.36%
38.42%
8.79%
25.31%
10.74%
16.17%
23.45%
31.25%
3.61%
38.79%
33.79%
32.14%
4,012
46,932
8,928
78
11,114
36,301
24,275
162,647
117,585
303,907
21,694
383,045
159,878
4,492
6,166
504
39,751
26,394
462,162
144,640
19,007
118,040
150,000
32,474
20,515
2,343
386,062
1,180
279,984
26,658
6,565
235,245
204,727
144,814
64,859
197,053
372,818
4,479
16,001
5,128
5,653
21,820
15,123
10,694
40,176
13,905
12,588
Operating Expenses
Accident Repair
Accounting/Auditing Fees
Advertising
Bank Charges
Bio-Waste Removal
Books/Materials
Business Licenses
Collection Fees
Computer Maintenance
Computer Software
Computer Supplies/Non-Cap.
Contingencies
Contractual Obligations- County App
Contractual Obligations- Tax Collecto
Contractual Obligations- Crisis Stabil
Courier
Customer Property Damage
Customer Relations
Disposable Linen
Drug Supplies
Dues/Subscriptions
Election Expenses
Employee Assistance Program
Employee Health\Wellness
Employee Recognition
Equipment Rental
Fuel
Hazardous Waste Removal
Insurance
Interest Expense
Late Fees
Laundry Service & Purchase
Leases/Contracts
Leases/Contracts - Buildings
Legal Fees
Maintenance & Repairs-Buildings
Management Fees
Marketing Materials
Meals - Business and Travel
Meeting Expenses
Mileage Reimbursements
Office Supplies
Oil & Lubricants
Other Services
Oxygen & Gases
Paging System
Postage
(2,038)
(3,006)
(42)
8
(834)
(421)
7,955
6,514
1,712
20,778
(1,787)
18,444
(2)
299
42
640
(3,509)
(4,222)
6,809
5,426
10,507
(3,275)
734
150
8,595
150
222
31
190
8,246
3,120
6,768
5,641
(10,140)
(28,726)
335
249
85
414
507
(877)
237
134
(233)
930
(388)
(3,958)
2,592
(22)
(218)
14,147
22,985
28,567
11,418
(1,959)
38
116,377
5,528
4,092
1,297
168
9,773
(3,706)
54,348
23,962
11,606
27,877
6,838
(922)
778
35,066
(20)
13,050
(7)
565
11,520
3,875
22,478
15,471
67,693
(38,330)
2,339
2,185
1,103
1,255
3,132
459
6,448
(3,584)
(95)
1,070
For The Month Ended
January 31, 2010
Current Month
Budget
889
275
66,132
69,388
2,167
2,649
3,792
400
469
458
2,750
17,500
17,353
18,374
1,394
1,680
347
2,588
12
466
1,729
1,466
11,683
7,608
130
3,803
2,650
99
100
2,875
6,419
16,790
19,337
404
612
13,124
14,145
12,926
9,443
1,025
3,835
3,599
14,185
13,245
12,050
3,343
900
784
1,000
15,319
20,833
175
1,763
2,730
110
275
(527)
-
Variance
(614)
3,257
2,167
1,143
400
(11)
2,750
17,500
1,021
286
2,240
454
(263)
(4,075)
130
(1,153)
1
3,544
2,547
208
1,021
(3,483)
2,810
10,586
(1,195)
(2,443)
216
5,514
175
967
165
527
Actual
Printing Services
Professional Fees
Radio Repairs - Outsourced (Depot)
Radio Repair - Parts
Radios
Radio - Special Project Expenditures
Recruit/Investigate
Relocation Expenses
Rent
Rent-Storage Facility
Repair-Equipment
Shop Tools
Shop Supplies
Small Equipment & Furniture
Special Events Supplies
Station Supplies
Supplemental Food
Telephones-Cellular
Telephones-Service
Telephones - Long Distance
Tower Rental
Travel Expenses
Uniforms
Utilities
Vehicle-Batteries
Vehicle-Outside Services
Vehicle-Parts
Vehicle-Registration
Vehicle-Tires
Vehicle-Towing
Total Operating Expenses
Actual
2,586
214,528
4,531
10,518
822
916
69,410
5,214
2,763
912
5,931
31,921
14,375
1,031
20,127
62,519
1,737
52,497
30,579
16,247
16,494
47,685
6,683
1,668
60,261
9,974
205
71,191
Year To Date
Budget
3,355
209,945
8,668
15,168
800
1,832
6,950
43,000
73,496
7,310
9,800
1,765
5,864
30,282
520
10,600
1,800
25,676
77,348
2,448
56,580
73,152
25,597
52,040
49,700
3,600
4,000
83,332
700
10,920
1,100
109,033
Variance
769
(4,583)
4,137
4,650
800
1,010
6,034
43,000
4,086
2,096
7,037
853
(67)
(1,639)
520
(3,775)
769
5,549
14,829
711
4,083
42,573
9,349
35,546
2,015
(3,083)
2,332
23,071
700
946
895
37,842
Total
7,940
580,611
26,004
48,504
1,600
5,496
15,950
61,500
215,261
26,030
32,050
5,930
17,792
77,396
1,560
31,800
3,650
77,453
234,598
7,344
169,740
163,058
71,941
126,480
197,080
10,800
12,000
249,996
2,100
32,760
3,300
550,843
Annual Budget
%
Remaining
32.57%
5,354
36.95%
366,083
17.43%
21,473
21.69%
37,986
0.00%
1,600
14.96%
4,674
5.74%
15,034
0.00%
61,500
32.24%
145,851
20.03%
20,816
8.62%
29,287
15.37%
5,018
33.34%
11,861
41.24%
45,475
0.00%
1,560
45.20%
17,425
28.25%
2,619
25.99%
57,326
26.65%
172,079
23.65%
5,607
30.93%
117,243
18.75%
132,478
22.58%
55,693
13.04%
109,986
24.20%
149,396
61.88%
4,117
13.90%
10,332
24.10%
189,735
0.00%
2,100
30.44%
22,786
6.21%
3,095
12.92%
479,652
547,496
650,650
103,154
2,153,944
2,873,890
719,946
8,831,600
24.39%
6,677,655
Specialty Healthcare Providers
250,000
420,530
308,567
376,227
58,567
(44,303)
746,151
1,344,869
1,421,768
1,504,908
675,617
160,039
4,452,804
4,514,724
16.76%
29.79%
3,706,653
3,169,855
Total indigent care expenses
670,530
684,794
14,265
2,091,020
2,926,676
835,656
8,967,528
23.32%
6,876,508
2,601,694
2,725,935
124,241
10,438,062
12,070,231
1,632,168
36,234,534
28.81%
25,796,471
68,394
125,850
57,456
359,403
832,535
473,132
1,478,010
24.32%
1,118,607
2,670,088
2,851,785
181,697
10,797,465
12,902,766
2,105,301
37,712,544
28.63%
26,915,079
210,866
$ 15,100,380
$ 11,866,603
$ 3,233,777
Indigent care expenses
Total expenses before capital purchases
Capital Purchases / Fixed Assets
Total expenses
Revenues over/(under) expenditures
$
7,628,318 $ 7,417,452
$
$
23,590
N/A
N/A
Monthly Income Statement
October 2009 - September 2010
All Units
Oct. 2009
Nov. 2009
Dec. 2009
Jan. 2010
YTD Total
REVENUE
Tax Revenue
10-01-40000
Tax Revenue-Admin
$677,464.65
$2,017,334.07
$9,842,712.88
$9,327,798.48
$21,865,310.08
10-01-40100
Delinquent Tax Revenue-Admin
$44,156.76
$21,379.02
$20,615.86
$43,257.48
$129,409.12
10-01-40200
Penalties and Interest-Admin
$13,850.92
$8,748.29
$10,053.31
$8,780.82
$41,433.34
$735,472.33
$2,047,461.38
$9,873,382.05
$9,379,836.78
$22,036,152.54
$77,175.61
Total Tax Revenue
Investment Income
10-01-41100
Investment Income - MCHD-Admin
$18,297.75
$22,604.30
$17,709.79
$18,563.77
10-01-41200
Investment Income - MCHF-Admin
$0.00
$0.00
$0.00
$0.00
$0.00
$18,297.75
$22,604.30
$17,709.79
$18,563.77
$77,175.61
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,991,368.64
$2,004,697.63
$1,956,459.87
$2,136,519.97
$8,089,046.11
$438,232.65
$445,586.45
$449,713.01
$353,917.12
$1,687,449.23
$132,812.03
Tobacco Suit Litigation Proceeds
10-01-41300
Tobacco Settlement Proceeds-Admin
Total Tobacco Suit Litigation Proceeds
EMS Net Income
10-07-43100
EMS - Advanced Life Support Revenue-EMS
10-07-43200
EMS - Basic Life Support Revenue-EMS
10-07-43300
Transfer Service Fees-EMS
$31,977.27
$31,153.85
$40,315.74
$29,365.17
10-07-43400
Non-Transport Fees-EMS
$21,130.25
$21,712.87
$21,851.62
$23,533.53
10-07-43500
Contractual Allowance-EMS
($916,171.97)
($919,360.84)
($948,527.86)
($1,014,674.64)
($3,798,735.31)
10-07-43520
Provision for Bad Debt-EMS
($637,626.93)
($894,993.39)
($665,541.26)
($691,656.22)
($2,889,817.80)
10-07-43540
Adjustment For P.A. - Transports-EMS
$0.00
$0.00
$0.00
$0.00
$0.00
10-07-43600
Recovery of Bad Debt - EMS-EMS
$28,789.35
$23,821.42
$31,558.23
$24,897.93
$109,066.93
10-07-43700
Contract Revenue (Net)-EMS
Total EMS Net Income
$88,228.27
$8,550.00
$9,037.50
$8,962.50
$9,000.00
$35,550.00
$966,249.26
$721,655.49
$894,791.85
$870,902.86
$3,453,599.46
Miscellaneous Revenue
10-01-41400
Weyland Bldg. Land Lease-Admin
$8,265.51
$0.00
$0.00
$8,265.51
$16,531.02
10-**-41500
Miscellaneous Income-Admin
$4,843.65
$2,429.27
$1,969.87
$8,487.94
$17,730.73
10-02-42100
P.A. Co-Pay Fees-PA
$3,982.51
$3,720.00
$4,490.00
$5,690.00
$17,882.51
10-02-42200
P.A. Processing Fees-PA
$628.42
$280.00
$306.00
$425.58
$1,640.00
10-02-42400
Recovery of Bad Debt - PA-PA
$0.00
$0.00
$0.00
$0.00
$0.00
10-**-43800
Education/Training Revenue-Clini
$6,065.00
$4,934.00
$21,757.50
$2,797.50
$35,554.00
10-07-43910
Stand-By Fees-EMS
$13,697.50
$4,815.00
$0.00
$0.00
$18,512.50
10-07-43930
Immunization Fees-EMS
$0.00
$0.00
$0.00
$0.00
$0.00
10-06-45100
Dispatch Fees-Alarm
$78,500.00
$0.00
$0.00
$0.00
$78,500.00
10-04-46100
Radio Repair Income-Radio
$832.40
$236.42
$65.00
$662.00
$1,795.82
10-04-46200
Radio User Agreements-Radio
$0.00
$0.00
$0.00
$0.00
$0.00
10-04-46300
Inter Local 800 Mhz-Radio
$0.00
$0.00
$0.00
$0.00
$0.00
10-**-46400
Special Project Revenue-Radio
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$139,997.25
$0.00
$0.00
$139,997.25
$116,814.99
$156,411.94
$28,588.37
$26,328.53
$328,143.83
$1,836,834.33
$2,948,133.11
$10,814,472.06
$10,295,631.94
$25,895,071.44
$0.00
$0.00
$0.00
$2,773.58
$2,773.58
$0.00
$0.00
$0.00
$2,773.58
$2,773.58
$0.00
$0.00
$0.00
$2,773.58
$2,773.58
$1,836,834.33
$2,948,133.11
$10,814,472.06
$10,298,405.52
$25,897,845.02
10-15-46500
VHF Project Revenue
Total Miscellaneous Revenue
TOTAL REVENUE
INCOME - OTHER SOURCES
10-**-49000
Other Financing Sources-Admin
Total Other Financing Sources
Total
TOTAL INCOME - ALL SOURCES
EXPENSES
Payroll Expenses
All Units
Oct. 2009
Nov. 2009
Dec. 2009
Jan. 2010
YTD Total
10-**-51100
Regular Pay-Admin
$768,372.78
$778,495.73
$1,167,693.30
$787,311.21
$3,501,873.02
10-**-51200
Overtime Pay-Admin
$265,249.97
$273,684.51
$375,626.29
$259,599.12
$1,174,159.89
10-**-51300
Paid Time Off-Alarm
$45,907.24
$52,758.51
$140,837.69
$55,521.09
$295,024.53
10-07-51400
Stipend Pay-EMS
$3,899.00
$2,867.00
$2,256.00
$1,562.25
$10,584.25
10-**-51500
Payroll Taxes-Admin
$77,312.27
$78,348.57
$120,019.01
$81,049.38
$356,729.23
10-**-51600
401A Plan-Admin
10-**-51650
TCDRS Defined Benefit Plan
10-**-51700
Health & Dental-Admin
10-01-51800
Unemployment Ins.-Admin
Total Payroll Expenses
$0.00
$0.00
$0.00
$0.00
$0.00
$63,974.64
$64,960.45
$98,736.14
$65,999.40
$293,670.63
$146,685.87
$145,444.40
$132,713.52
$126,345.57
$551,189.36
$3,587.19
$0.00
$0.00
$6,280.07
$9,867.26
$1,374,988.96
$1,396,559.17
$2,037,881.95
$1,383,668.09
$6,193,098.17
Operation Expenses
10-10-52000
Accident Repair-Fleet
10-01-52100
Accounting/Auditing Fees-Admin
$0.00
$0.00
$0.00
$2,587.84
$2,587.84
$918.07
$2,871.04
$1,853.08
$4,345.92
$9,988.11
10-01-52200
10-01-52300
Advertising-Admin
$0.00
$0.00
$0.00
$541.53
$541.53
Bank Charges-Admin
$0.00
$0.00
$283.50
$0.00
$283.50
10-07-52500
Bio-Waste Removal-EMS
$0.00
$2,035.74
$1,599.60
$2,250.63
$5,885.97
10-**-52600
Books/Materials-PA
$525.85
$839.88
$350.75
$1,971.31
$3,687.79
10-07-52700
Business Licenses-EMS
$0.00
$0.00
$0.00
$70.00
$70.00
10-11-52900
Collection Fees-Bill
$13,048.70
$7,949.32
$12,804.11
$10,246.29
$44,048.42
10-**-53000
Computer Maintenance-Bill
10-**-53050
Computer Software-Radio
10-**-53100
10-01-53200
10-01-53310
Contractual Obligations- County Appraisal-Admin
10-01-53320
Contractual Obligations- Tax Collector Assessor-Admi
10-07-53330
Contractual Obligations- Crisis Stabilization Unit Fund
10-**-53400
Courier-EMS
10-07-53500
Customer Property Damage-EMS
10-09-53550
Customer Relations-Clini
10-07-53800
Disposable Linen-EMS
10-07-53900
Disposable Medical Supplies-EMS
10-07-54000
Drug Supplies-EMS
10-**-54100
Dues/Subscriptions-EMS
10-**-54200
Durable Medical Equipment-Clini
10-01-54300
Election Expenses-Admin
$0.00
$0.00
$0.00
$0.00
$0.00
10-07-54325
Employee Assistance Program-EMS
$0.00
$0.00
$0.00
$0.00
$0.00
10-07-54350
Employee Health\Wellness-EMS
$2,196.22
$2,121.23
$390.00
$6,792.44
$11,499.89
10-**-54450
Employee Recognition-EMS
$3,321.12
$9,717.46
$6,136.28
$1,276.86
$20,451.72
10-01-54500
Equipment Rental-Admin
10-07-54700
Fuel-EMS
10-10-54800
Hazardous Waste Removal-Fleet
10-01-54900
Insurance-Admin
10-01-55025
Interest Expense-Admin
10-01-55075
Late Fees-Admin
10-10-55100
Laundry Service & Purchase-Fleet
10-**-55400
Leases/Contracts-Bill
$21,083.74
$6,394.40
$9,808.10
$6,891.87
$44,178.11
10-01-55450
Leases/Contracts - Buildings-Admin
$22,649.63
$26,589.63
$24,059.63
$24,064.63
$97,363.52
10-**-55500
Legal Fees-Admin
$8,473.97
$12,645.07
$11,672.15
$7,398.61
$40,189.80
10-**-55600
Maintenance & Repairs-Buildings-Logis
$1,395.00
$4,461.96
$1,357.05
$1,756.84
$8,970.85
10-**-55650
Maintenance-Contract Equipment-EMS
$4,452.00
$21,833.74
$22,921.00
$10,840.00
$60,046.74
10-**-55700
Management Fees-Admin
$60,515.00
$45,993.25
$47,810.50
$78,282.75
$232,601.50
10-07-55800
Marketing Materials-EMS
$0.00
$0.00
$431.46
$0.00
$431.46
10-**-55900
Meals - Business and Travel-Bill
$248.50
$1,785.58
$2,376.90
$1,011.29
$5,422.27
10-**-56100
Meeting Expenses-Admin
$0.00
$159.06
$212.97
$244.91
$616.94
10-**-56200
Mileage Reimbursements-Clini
$0.00
$15.73
$1,013.29
$61.45
$1,090.47
10-**-56300
Office Supplies-Radio
$1,146.15
$2,817.26
$952.73
$1,767.49
$6,683.63
10-10-56400
Oil & Lubricants-Fleet
$844.71
$1,073.32
$2,245.10
$2,709.55
$6,872.68
10-02-56500
Other Services-PA
$100.00
$100.00
$100.00
$100.00
$400.00
$1,712.82
$6,624.77
$1,187.89
$3,975.89
$13,501.37
$58,323.37
$32,004.73
$19,932.11
$15,916.31
$126,176.52
Computer Supplies/Non-Cap.-Bill
$2,853.54
$3,522.63
$310.52
$4,478.73
$11,165.42
Contingencies
$1,600.00
$465.70
$0.00
$14,889.00
$16,954.70
$0.00
$0.00
$45,922.00
$0.00
$45,922.00
$17,015.21
$11,869.30
$41.70
$51.84
$28,978.05
$0.00
$0.00
$0.00
$0.00
$0.00
$445.29
$104.73
$260.36
$304.42
$1,114.80
$0.00
$0.00
$0.00
$0.00
$0.00
$172.90
$1,022.90
$7,280.27
$3,307.00
$11,783.07
$3,986.80
$0.00
$6,860.00
$7,159.00
$18,005.80
$30,764.44
$35,569.37
$28,370.17
$55,130.30
$149,834.28
$5,008.98
$12,303.88
$10,257.59
$8,581.95
$36,152.40
$173.17
$5,171.67
$578.17
$1,514.17
$7,437.18
$2,494.00
$3,277.36
$10,457.70
$526.19
$16,755.25
$0.00
$0.00
$0.00
$0.00
$0.00
$33,207.33
$36,062.93
$34,045.37
$34,666.57
$137,982.20
$0.00
$0.00
$620.00
$0.00
$620.00
$29,067.42
$31,311.38
$31,269.75
$31,269.75
$122,918.30
$91.08
$206.18
$77.19
$72.52
$446.97
$0.00
$0.00
$0.00
$0.00
$0.00
$450.94
$702.59
$721.18
$560.24
$2,434.95
All Units
Oct. 2009
Nov. 2009
Dec. 2009
Jan. 2010
YTD Total
10-**-56600
Oxygen & Gases-EMS
$4,688.77
$4,733.46
$10,706.18
$5,335.58
10-**-56700
Paging System-Alarm
$1,655.20
$1,746.45
$1,711.10
$1,982.54
$25,463.99
$7,095.29
10-**-56900
Postage-Admin
$1,798.21
$1,639.43
$1,299.05
$1,224.99
$5,961.68
10-**-57000
Printing Services-Bill
10-**-57100
Professional Fees-Radio
10-04-57200
Radio Repairs - Outsourced (Depot)-Radio
10-04-57225
Radio Repair - Parts-Radio
10-**-57250
Radios-Radio
$0.00
$0.00
$0.00
$0.00
$0.00
10-04-57275
Radio - Special Project Expenditures-Radio
$0.00
$352.91
$0.00
$469.45
$822.36
10-07-57300
Recruit/Investigate-EMS
$0.00
$589.00
$327.00
$0.00
$916.00
10-**-57400
Relocation Expenses-PA
$0.00
$0.00
$0.00
$0.00
$0.00
10-**-57500
Rent-PA
$18,211.58
$16,568.66
$17,277.62
$17,352.62
$69,410.48
10-**-57550
Rent-Storage Facility-PA
$1,254.84
$1,318.24
$1,246.34
$1,394.15
$5,213.57
10-**-57650
Repair-Equipment-Clini
$314.95
$1,517.81
$583.00
$347.40
$2,763.16
10-**-57700
Shop Tools-Radio
$63.62
$333.25
$502.68
$12.03
$911.58
10-10-57725
Shop Supplies-Fleet
$1,076.83
$1,051.41
$2,073.89
$1,728.87
$5,931.00
10-**-57750
Small Equipment & Furniture-Fleet
$5,603.58
$6,417.20
$8,217.36
$11,683.00
$31,921.14
10-07-57800
Special Events Supplies-EMS
$0.00
$0.00
$0.00
$0.00
$0.00
10-**-57900
Station Supplies-EMS
$2,124.54
$3,739.77
$4,707.44
$3,803.13
$14,374.88
10-**-58100
Supplemental Food-Clini
10-**-58200
Telephones-Cellular-Admin
10-**-58310
Telephones-Service-IS
10-**-58320
Telephones - Long Distance-Admin
10-04-58400
$684.12
$1,004.94
$8.50
$888.62
$2,586.18
$21,962.00
$51,088.01
$75,346.58
$66,131.62
$214,528.21
$0.00
$4,531.40
$8,402.55
$91.79
$0.00
($625.24)
$0.00
$4,531.40
$2,649.09
$10,518.19
$44.64
$226.28
$660.80
$99.33
$1,031.05
$5,923.00
$5,643.12
$5,686.38
$2,874.67
$20,127.17
$15,200.81
$15,385.92
$15,142.95
$16,789.58
$62,519.26
$444.79
$462.78
$425.68
$403.86
$1,737.11
Tower Rental-Radio
$13,124.33
$13,124.33
$13,124.33
$13,124.33
$52,497.32
10-**-58500
Training/Related Expenses-CE-Radio
($5,819.47)
$14,771.31
$8,701.25
$12,926.27
$30,579.36
10-**-58600
Travel Expenses-Clini
$1,490.14
$5,832.42
$7,900.35
$1,024.57
$16,247.48
10-**-58700
Uniforms-Radio
($7,101.10)
$7,374.53
$12,622.29
$3,598.71
$16,494.43
10-**-58800
Utilities-EMS
$9,630.02
$11,452.77
$13,356.87
$13,244.84
$47,684.50
10-10-58900
Vehicle-Batteries-Fleet
$1,881.82
$1,247.51
$210.88
$3,342.90
$6,683.11
10-10-59000
Vehicle-Outside Services-Fleet
$430.07
$453.86
$0.00
$783.81
$1,667.74
10-10-59050
Vehicle-Parts-Fleet
$9,337.80
$8,616.32
$26,988.25
$15,318.53
$60,260.90
10-10-59100
Vehicle-Registration-Fleet
$0.00
$0.00
$0.00
$0.00
$0.00
10-10-59150
Vehicle-Tires-Fleet
$3,112.56
$2,466.58
$2,631.85
$1,762.64
$9,973.63
10-10-59200
Vehicle-Towing-Fleet
$0.00
$0.00
$95.00
10-01-59350
Worker's Compensation Insurance-Admin
$0.00
$0.00
$71,718.00
$443,826.15
$513,405.25
$649,216.55
$547,496.22
Total Operation Expenses
$110.00
($527.00)
$205.00
$71,191.00
$2,153,944.17
10-02-53350
Contractual Obligations - Conroe Regional Med. Ctr.-P
$84,267.20
$261,781.15
$150,102.92
$250,000.00
$746,151.27
10-02-57850
Specialty Healthcare Providers-PA
$31,484.19
$204,099.65
$688,755.47
$420,529.50
$1,344,868.81
$115,751.39
$465,880.80
$838,858.39
$670,529.50
$2,091,020.08
$1,934,566.50
$2,375,845.22
$3,525,956.89
$2,601,693.81
$10,438,062.42
$73,790.73
$149,331.48
$67,886.49
$68,393.93
$359,402.63
$73,790.73
$149,331.48
$67,886.49
$68,393.93
$359,402.63
$73,790.73
$149,331.48
$67,886.49
$68,393.93
$359,402.63
$2,008,357.23
$2,525,176.70
$3,593,843.38
$2,670,087.74
$10,797,465.05
$422,956.41
$7,220,628.68
$7,628,317.78
$15,100,379.97
Total Indigent Care Expenses
TOTAL EXPENSES, BEFORE CAPITAL PURCHASES
CAPITAL PURCHASES
Capital Purchases - Fixed Assets
10-**-52750
Capital Purchases / Fixed Assets-Admin
Total Capital Purchases - Fixed Assets
TOTAL CAPITAL PURCHASES
TOTAL EXPENDITURES
REVENUE OVER (UNDER) EXPENSES
($171,522.90)
Total Tax Revenue
Oct.
Nov.
Dec.
Jan.
$ 735,472 $ 2,047,461 $ 9,873,382 $ 9,379,837
791,592
1,336,716
9,456,803
9,262,706
749,916
781,286
10,196,472
8,950,955
Feb.
2,638,339
1,708,222
March
406,858
497,464
April
278,591
290,884
May
June
July
Aug.
Sept.
270,292
191,302
259,356
199,813
208,559
171,080
128,900
91,545
80,183
61,573
May
June
July
Aug.
Sept.
$11,000,000
$10,000,000
$9,000,000
$8,000,000
$7,000,000
$6,000,000
$5,000,000
$4,000,000
$3,000,000
$2,000,000
$1,000,000
$Oct.
Nov.
Dec.
Jan.
Feb.
March
April
Total Tax Revenue
Oct.
Year-To-Date
Nov.
Dec.
Jan.
Feb.
$ 735,472 $ 2,782,934 $ 12,656,316 $ 22,036,153
791,592
2,128,308
11,585,111
20,847,817
749,916
1,531,202
11,727,674
20,678,629
March
23,486,156
22,386,851
23,893,014
22,884,315
April
May
24,171,605
23,175,199
24,441,897
23,366,501
June
24,701,253
23,566,314
July
24,909,812
23,737,394
Aug.
25,038,712
23,828,940
Sept.
25,118,895
23,890,513
26,000,000
25,000,000
24,000,000
23,000,000
22,000,000
21,000,000
20,000,000
19,000,000
18 000 000
18,000,000
17,000,000
16,000,000
15,000,000
14,000,000
13,000,000
12,000,000
11,000,000
10,000,000
9,000,000
8,000,000
7,000,000
6,000,000
5,000,000
4,000,000
3,000,000
2,000,000
1,000,000
0
Oct.
Nov.
Dec.
Jan.
Feb.
March
April
May
June
July
Aug.
Sept.
Total Net EMS Revenue
Current Fiscal Year Actual $
Oct.
Nov.
979,947 $ 726,470
911,238
884,041
714,720
803,937
Dec.
$ 894,792
890,485
619,404
Jan.
$ 870,903
932,498
794,209
Feb.
877,582
993,812
March
938,267
870,317
April
May
916,430
893,665
June
980,814
1,125,249
903,682
945,433
July
Aug.
Sept.
944,593
766,880
915,634
788,559
969,390
942,926
1,200,000
1,150,000
1,100,000
1,050,000
1,000,000
950,000
900 000
900,000
850,000
800,000
750,000
700,000
650,000
600,000
550,000
500,000
450,000
400,000
350,000
300,000
Oct.
Nov.
Dec.
Jan.
Feb. March April
May
June
July
Aug.
Sept.
Total Revenue - All Sources
Oct.
$ 1,836,834
1,830,581
1,629,517
Nov.
$ 2,948,133
2,262,621
1,671,131
Dec.
$ 10,814,472
10,406,930
10,903,850
Jan.
$ 10,298,406
10,269,237
9,940,345
Feb.
March
April
3,579,470
2,770,701
1,490,294
1,438,994
1,854,386
2,394,551
March
April
May
May
1,317,961
1,360,992
June
July
Aug.
Sept.
1,251,723
1,199,190
1,230,942
1,144,923
1,108,030
976,465
1,133,959
1,125,396
Aug.
Sept.
10,900,000
10,500,000
10,100,000
9,700,000
9,300,000
8,900,000
8,500,000
8,100,000
7,700,000
7,300,000
6,900,000
6,500,000
6,100,000
5,700,000
5 700 000
5,300,000
4,900,000
4,500,000
4,100,000
3,700,000
3,300,000
2,900,000
2,500,000
2,100,000
1,700,000
1,300,000
900,000
500,000
Oct.
Nov.
Dec.
Jan.
Feb.
June
July
Supplemental EMS
Billing Information
January 31, 2010
EMS Billable Trips - MEDICARE
1,200
1,000
800
600
400
200
October
November
December
January
February
March
Actual FYE 2010
April
May
Budget FYE 2010
June
July
August
September
July
August
September
July
August
September
Actual FYE 2009
EMS Billable Trips - MEDICAID
300
250
200
150
100
50
October
November
December
January
February
March
Actual FYE 2010
April
May
Budget FYE 2010
June
Actual FYE 2009
EMS Billable Trips - INSURANCE
500
450
400
350
300
250
200
150
100
50
October
November
December
January
February
March
Actual FYE 2010
April
Budget FYE 2010
May
June
Actual FYE 2009
EMS Billable Trips - FACILITY
35
30
25
20
15
10
5
October
November
December
January
February
March
Actual FYE 2010
April
May
Budget FYE 2010
June
July
August
September
August
September
Actual FYE 2009
EMS Billable Trips - BILL PATIENT
1,200
1,000
800
600
400
200
October
November
December
January
February
March
Actual FYE 2010
April
Budget FYE 2010
May
June
Actual FYE 2009
July
EMS Billable Trips - ALS
1,750
1,700
1,650
1,600
1,550
1,500
1,450
1,400
1,350
1,300
1,250
October
November
December
January
February
March
Actual FYE 2010
April
May
Budget FYE 2010
June
July
August
September
July
August
September
July
August
September
July
August
September
Actual FYE 2009
EMS Billable Trips - BLS
700
600
500
400
300
200
100
October
November
December
January
February
March
Actual FYE 2010
April
May
Budget FYE 2010
June
Actual FYE 2009
EMS Billable Trips - Transfers
90
80
70
60
50
40
30
20
10
October
November
December
January
February
March
Actual FYE 2010
April
May
Budget FYE 2010
June
Actual FYE 2009
EMS Billable Trips - Other
450
400
350
300
250
200
150
100
50
October
November
December
January
February
March
Actual FYE 2010
April
Budget FYE 2010
May
June
Actual FYE 2009
EMS Gross Charges per Trip - ALS
$1,340
$1,330
$1,320
$1,310
$1,300
$1,290
$1,280
$1,270
October
November
December
January
February
March
Actual FYE 2010
April
May
Budget FYE 2010
June
July
August
September
July
August
September
July
August
September
July
August
September
Actual FYE 2009
EMS Gross Charges per Trip - BLS
$920
$900
$880
$860
$840
$820
$800
October
November
December
January
February
March
Actual FYE 2010
April
May
Budget FYE 2010
June
Actual FYE 2009
EMS Gross Charges per Trip - Transfers
$1,800
$1,600
$1,400
$1,200
$1,000
$800
$600
$400
$200
$0
October
November
December
January
February
March
Actual FYE 2010
April
May
Budget FYE 2010
June
Actual FYE 2009
EMS Gross Charges per Trip - Other
$200
$180
$160
$140
$120
$100
$80
$60
$40
$20
$0
October
November
December
January
February
March
Actual FYE 2010
April
Budget FYE 2010
May
June
Actual FYE 2009
EMS Accounts Receivable *
FYE Sept. 2008
FYE Sept. 2009
FYE Sept. 2010
October
$ 5,975,400
$ 6,217,030
$ 5,624,327
November
$ 5,908,000
$ 6,073,419
$ 5,293,521
December
$ 6,115,200
$ 5,790,772
$ 5,514,656
January
$ 5,717,300
$ 5,922,943
$ 5,637,888
February
$ 6,421,100
$ 6,605,971
March
$ 6,112,600
$ 5,938,852
April
$ 6,419,500
$ 5,667,242
May
$ 6,024,200
$ 5,998,695
June
$ 5,740,700
$ 5,948,877
July
$ 5,862,200
$ 5,742,169
August
$ 5,912,800
$ 5,411,945
September
$ 5,984,100
$ 5,766,130
$7,000,000
$6,500,000
$6,000,000
$5,500,000
$5,000,000
$4,500,000
October
November
December
January
February
March
April
FYE Sept. 2008
* Collections days exclude previously filed liens held in accounts receivable.
May
FYE Sept. 2009
June
July
FYE Sept. 2010
August
September
EMS Cash Collections
Actual FYE 2009
Actual FYE 2010
Budget FYE 2010
October
November December
January
February
$ 818,648 $ 733,401 $ 830,356 $ 805,728 $ 539,960 $
$ 914,675 $ 903,283 $ 866,559 $ 797,552
$ 912,200 $ 912,200 $ 912,200 $ 912,200 $ 912,200 $
March
April
1,320,455 $ 943,509 $
912,200 $ 912,200 $
May
June
July
August
September Total For Year
936,769 $ 1,095,245 $ 956,370 $ 974,933 $ 834,919 $ 10,790,293
$ 3,482,069
912,200 $ 912,200 $ 912,200 $ 912,200 $ 912,200 $ 10,946,400
$1,400,000
$1,300,000
$1,200,000
$1,100,000
$1,000,000
$900,000
$800,000
$700,000
$600,000
$500,000
$400,000
$300,000
$200,000
$100,000
$October
November
December
January
February
March
April
Actual FYE 2009
May
June
Actual FYE 2010
July
Budget FYE 2010
August
September
Income Statement
Detailed - by Business Unit
January 31, 2010
Income Statement Summary - Administration Unit
For The Month Ended
January 31, 2010
Actual
Current Month
Budget
Variance
Actual
Year To Date
Budget
Variance
Total
Annual Budget
%
Remaining
REVENUE
Taxes
Investments
EMS revenue
Other revenue
9,379,837
18,564
9,644
9,262,706
48,351
9,265
117,131
(29,787)
379
22,036,153
77,176
23,672
20,847,817
142,411
20,531
1,188,336
(65,235)
3,141
25,118,895
552,679
400,000
45,062
87.73%
13.96%
0.00%
0.00%
52.53%
3,082,742
475,503
400,000
21,390
9,408,045
9,320,322
87,723
22,137,000
21,010,759
1,126,241
26,116,636
84.76%
3,979,636
Payroll
Operating expenses
104,591
106,141
-
114,861
143,226
-
10,270
37,085
-
433,575
413,724
-
508,111
629,747
-
74,537
216,022
-
1,502,760
2,039,820
-
28.85%
20.28%
0.00%
1,069,185
1,626,095
-
210,732
258,087
47,355
847,299
1,137,858
290,559
3,542,580
23.92%
2,695,281
756
2,500
1,744
4,967
4,900
4,900
101.38%
211,488
260,587
49,099
852,266
1,142,758
290,492
3,547,480
24.02%
$ 9,196,557
$ 9,059,735
136,822
$ 21,284,733
$ 19,868,001
$ 1,416,732
$ 22,569,156
Total revenue
EXPENSES
Total expenses
$
(67)
N/A
(67)
2,695,213
N/A
Income Statement - Administration Unit
For The Month Ended
January 31, 2010
Current Month
Budget
Actual
Variance
Year To Date
Budget
Actual
Variance
Annual Budget
%
Remaining
Total
REVENUE
Taxes
Tax Revenue
Total tax revenue
Investments
9,327,798
43,257
8,781
9,379,837
9,190,337
60,354
12,015
9,262,706
137,461
(17,097)
(3,234)
117,131
21,865,310
129,409
41,433
22,036,153
20,564,162
219,815
63,840
20,847,817
1,301,148
(90,406)
(22,407)
1,188,336
24,313,438
455,757
349,700
25,118,895
89.93%
28.39%
11.85%
87.73%
2,448,128
326,348
308,267
3,082,742
18,564
18,564
48,351
48,351
(29,787)
(29,787)
77,176
77,176
142,411
142,411
(65,235)
(65,235)
552,679
552,679
13.96%
0.00%
13.96%
475,503
475,503
-
-
-
-
-
-
400,000
0.00%
400,000
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
-
-
-
-
-
-
-
0.00%
-
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
-
-
-
-
-
-
-
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
Other revenue
P.A. Co-Payments
Immunization Fees
8,266
1,379
-
8,265
1,000
-
1
379
-
16,531
7,141
-
16,531
4,000
-
0
3,141
-
33,062
12,000
-
50.00%
59.51%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
16,531
4,859
-
9,644
9,265
379
23,672
20,531
3,141
45,062
52.53%
21,390
9,408,045
9,320,322
87,723
22,137,000
21,010,759
1,126,241
26,116,636
84.76%
3,979,636
EMS revenue
EMS - Advanced Life Support Revenu
Non-Transport Fees
Stand-By Fees
Total EMS revenue
Dispatch Fees
Radio Repair Income
Total fire/EMS Communication
Restricted revenue
Inter Local 800 Mhz
Total other revenue
Total revenue
For The Month Ended
January 31, 2010
Actual
Current Month
Budget
Variance
Actual
Year To Date
Budget
Variance
Total
Annual Budget
%
Remaining
EXPENSES
Payroll
Regular Pay
Overtime Pay
Paid Time Off
Stipend Pay
Payroll Taxes
401A Plan
TCDRS Plan
Health & Dental
Unemployment Ins.
Total payroll
82,303
718
5,918
4,840
8,542
2,270
90,968
1,205
7,051
5,475
9,574
588
8,665
487
1,133
635
1,031
(1,682)
345,362
2,978
19,832
20,526
39,020
5,857
406,310
5,382
31,494
24,453
37,783
2,689
60,948
2,404
11,662
3,927
(1,237)
(3,168)
1,199,486
15,851
92,973
72,189
114,375
7,885
28.79%
18.79%
0.00%
0.00%
21.33%
0.00%
28.43%
34.12%
74.27%
854,124
12,872
73,142
51,663
75,355
2,029
104,591
114,861
10,270
433,575
508,111
74,537
1,502,760
28.85%
1,069,185
4,346
251
1,188
1,430
300
14,889
52
463
6,792
273
31,270
73
1,279
19,443
7,399
416
459
6
437
-
1,340
500
8
200
1,188
2,500
150
33,333
50
34
102
3,017
300
31,492
104
1,248
19,548
13,867
83
1,250
625
185
60
875
-
(3,006)
249
8
200
0
1,070
(150)
18,444
(2)
34
(361)
(3,775)
26
222
31
(31)
105
6,468
83
834
166
179
60
438
-
9,988
251
284
4,752
1,856
468
16,955
45,922
28,978
23
993
11,500
5,887
122,918
447
5,085
77,840
34,190
416
987
12
699
2,229
-
6,030
2,000
262
550
4,752
3,867
850
133,332
51,450
33,070
136
1,583
16,338
12,377
135,968
440
4,968
78,190
55,468
332
1,250
1,797
740
240
3,500
-
(3,958)
1,749
(22)
550
0
2,011
382
116,377
5,528
4,092
113
590
4,838
6,490
13,050
(7)
(117)
350
21,278
332
834
810
728
(459)
1,271
-
56,920
6,000
361
1,100
14,256
16,731
2,215
400,000
205,800
33,470
408
3,521
150,000
37,974
14,613
402,902
1,128
15,285
235,045
166,404
1,000
3,160
1,250
2,622
2,220
720
10,500
-
0.00%
17.55%
4.19%
78.53%
0.00%
0.00%
0.00%
0.00%
33.33%
11.09%
21.13%
4.24%
22.31%
86.58%
5.65%
0.00%
0.00%
0.00%
0.00%
0.00%
28.19%
0.00%
0.00%
0.00%
30.28%
40.28%
0.00%
0.00%
0.00%
30.51%
39.63%
0.00%
0.00%
33.27%
33.12%
20.55%
0.00%
0.00%
33.28%
0.00%
37.63%
0.56%
97.08%
21.23%
0.00%
0.00%
0.00%
0.00%
46,932
5,749
78
1,100
9,504
14,875
1,747
383,045
159,878
4,492
385
2,528
150,000
26,474
8,726
279,984
681
10,200
157,205
132,214
1,000
3,160
834
1,635
2,208
21
8,271
-
Operating expenses
Accident Repair
Advertising
Bank Charges
Bio-Waste Removal
Books/Materials
Business Licenses
Collection Fees
Computer Software
Contingencies
Contractual Obligations- County Appr
Contractual Obligations- Tax Collector
Courier
Customer Relations
Disposable Linen
Drug Supplies
Dues/Subscriptions
Election Expenses
Equipment Rental
Fuel
Insurance
Interest Expense
Late Fees
Leases/Contracts
Legal Fees
Management Fees
Marketing Materials
Meeting Expenses
Office Supplies
Oil & Lubricants
Other Services
Oxygen & Gases
Paging System
For The Month Ended
January 31, 2010
Current Month
Budget
413
225
22,058
300
1,450
260
100
547
860
65
2,790
2,100
-
Variance
67
217
19,584
300
56
260
1
(13)
51
9
(6,767)
2,024
5
Actual
1,611
1,485
15,317
5,214
668
481
2,432
3,168
205
4,871
4,856
738
Year To Date
Budget
1,364
1,070
38,432
1,200
500
6,390
1,540
400
2,188
3,440
260
16,290
6,052
1,131
Variance
(247)
(415)
23,115
1,200
500
1,176
872
(81)
(244)
272
55
11,419
1,196
393
Total
4,050
3,040
81,646
3,600
1,500
23,270
3,620
1,200
6,419
10,370
780
27,680
7,132
79,908
Annual Budget
%
Remaining
39.79%
2,439
48.84%
1,555
18.76%
66,329
0.00%
0.00%
0.00%
0.00%
0.00%
3,600
0.00%
1,500
0.00%
22.40%
18,056
0.00%
0.00%
0.00%
18.45%
2,952
0.00%
0.00%
40.07%
719
37.89%
3,987
30.55%
7,202
26.25%
575
0.00%
17.60%
22,809
68.09%
2,276
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.92%
79,170
Postage
Printing Services
Professional Fees
Radios
Recruit/Investigate
Relocation Expenses
Rent
Repair-Equipment
Shop Tools
Shop Supplies
Station Supplies
Supplemental Food
Telephones-Cellular
Telephones-Service
Tower Rental
Travel Expenses
Uniforms
Utilities
Vehicle-Batteries
Vehicle-Parts
Vehicle-Tires
Vehicle-Towing
Actual
346
9
2,474
1,394
99
560
809
56
9,557
76
(5)
Total operating expenses
106,141
143,226
37,085
413,724
629,747
216,022
2,039,820
20.28%
1,626,095
-
-
-
-
-
-
-
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
210,732
258,087
47,355
847,299
1,137,858
290,559
3,542,580
23.92%
2,695,281
756
2,500
1,744
4,967
4,900
4,900
101.38%
211,488
260,587
49,099
852,266
1,142,758
290,492
3,547,480
24.02%
136,822
$ 21,284,733
$ 19,868,001
$ 1,416,732
$ 22,569,156
Total expenses
$ 9,196,557 $ 9,059,735
$
(67)
N/A
(67)
2,695,213
N/A
Income Statement Summary - Healthcare Assistance Unit
For The Month Ended
January 31, 2010
Actual
Current Month
Budget
Variance
Actual
Year To Date
Budget
Variance
Total
Annual Budget
%
Remaining
REVENUE
Taxes
Investments
EMS revenue
Other revenue
13,225
13,000
225
30,113
45,200
(15,087)
128,800
0.00%
0.00%
0.00%
0.00%
23.38%
98,687
13,225
13,000
225
30,113
45,200
(15,087)
128,800
23.38%
98,687
Payroll
Operating expenses
46,991
106,775
670,530
61,058
98,050
684,794
14,066
(8,725)
14,265
199,435
432,571
2,091,020
270,549
398,805
2,926,676
71,115
(33,766)
835,656
804,984
1,165,183
8,967,528
24.77%
37.12%
23.32%
605,550
732,612
6,876,508
824,296
843,902
19,606
2,723,025
3,596,030
873,005
10,937,695
24.90%
8,214,669
756
2,000
1,244
5,816
16,600
10,784
23,275
24.99%
17,459
825,052
845,902
20,850
2,728,841
3,612,630
883,789
10,960,970
24.90%
8,232,129
N/A
N/A
Total revenue
EXPENSES
Total expenses
$ (811,827) $ (832,902) $
21,075
$ (2,698,729) $ (3,567,430) $
868,701
$ (10,832,170)
Income Statement - Healthcare Assistance Unit
For The Month Ended
January 31, 2010
Current Month
Budget
Actual
Variance
Year To Date
Budget
Actual
Variance
Total
Annual Budget
%
Remaining
REVENUE
Taxes
Tax Revenue
Total tax revenue
Investments
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
-
-
-
-
-
-
-
0.00%
-
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
-
-
-
-
-
-
-
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
Other revenue
P.A. Co-Payments
Immunization Fees
7,109
5,690
426
-
3,400
9,200
400
-
10,590
17,883
1,640
-
6,800
36,800
1,600
-
3,790
(18,917)
40
-
13,600
110,400
4,800
-
0.00%
77.87%
16.20%
34.17%
0.00%
0.00%
0.00%
0.00%
0.00%
3,010
92,517
3,160
-
13,225
13,000
225
30,113
45,200
(15,087)
128,800
23.38%
98,687
13,225
13,000
225
30,113
45,200
(15,087)
128,800
23.38%
98,687
EMS revenue
EMS - Advanced Life Support Revenue
Non-Transport Fees
Stand-By Fees
Total EMS revenue
Dispatch Fees
Radio Repair Income
Restricted revenue
Inter Local 800 Mhz
Total other revenue
Total revenue
3,709
(3,510)
26
-
For The Month Ended
January 31, 2010
Actual
Current Month
Budget
Variance
Actual
Year To Date
Budget
Variance
Total
Annual Budget
%
Remaining
EXPENSES
Payroll
Regular Pay
Overtime Pay
Paid Time Off
Stipend Pay
Payroll Taxes
401A Plan
TCDRS Plan
Health & Dental
Unemployment Ins.
Total payroll
36,332
613
2,680
2,245
5,121
-
39,743
8,040
3,655
2,838
6,782
-
3,411
7,427
975
593
1,661
-
154,285
2,530
11,473
9,215
21,931
-
178,434
36,175
16,417
12,747
26,776
-
24,149
33,645
4,944
3,532
4,845
-
531,477
105,864
48,755
37,855
81,032
-
29.03%
2.39%
0.00%
0.00%
23.53%
0.00%
24.34%
27.06%
0.00%
377,192
103,334
37,283
28,640
59,101
-
46,991
61,058
14,066
199,435
270,549
71,115
804,984
24.77%
605,550
290
330
11,919
173
4,407
75,367
249
346
100
619
710
11,884
-
150
125
19,264
150
40
1,143
5,500
6,050
85
4,837
415
48,306
150
50
65
450
337
1,392
8,007
-
(290)
(180)
125
7,345
150
40
970
5,500
6,050
85
430
415
(27,060)
(99)
50
65
104
237
773
(710)
(3,876)
-
290
(190)
100,931
232
5,139
8,590
5,054
244
17,629
3,875
229,686
1,672
1,378
400
3,060
770
48,042
-
300
230
125
730
74,756
1,100
160
10,600
22,000
7,402
320
19,349
1,660
7,140
183,022
1,200
2,100
475
705
1,860
6,848
4,268
550
41,296
-
10
420
125
730
(26,175)
868
160
5,461
13,410
2,349
76
1,720
1,660
3,265
(46,664)
1,200
428
475
705
482
6,448
1,208
(220)
(6,746)
-
970
920
125
730
222,468
2,700
480
15,855
66,000
9,530
1,000
58,046
4,980
7,140
584,170
1,200
3,550
785
1,623
5,580
10,094
10,200
1,300
124,889
-
0.00%
0.00%
29.94%
0.00%
0.00%
-20.65%
0.00%
0.00%
0.00%
45.37%
8.59%
0.00%
0.00%
0.00%
0.00%
0.00%
32.41%
0.00%
0.00%
13.01%
53.03%
0.00%
0.00%
0.00%
0.00%
24.40%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
30.37%
0.00%
0.00%
54.27%
39.32%
0.00%
47.10%
0.00%
0.00%
24.70%
0.00%
3.96%
0.00%
0.00%
30.00%
59.20%
38.47%
0.00%
0.00%
0.00%
680
1,110
125
730
121,537
2,468
480
10,716
57,410
4,477
756
40,417
4,980
3,265
354,484
1,200
1,878
785
1,623
4,202
9,694
7,140
530
76,847
-
Operating expenses
Accident Repair
Advertising
Bank Charges
Bio-Waste Removal
Books/Materials
Business Licenses
Collection Fees
Computer Software
Contractual Obligations- County Appraisal
Contractual Obligations- Tax Collector Asses
Contractual Obligations- Crisis Stabilization U
Courier
Customer Relations
Disposable Linen
Drug Supplies
Dues/Subscriptions
Election Expenses
Equipment Rental
Fuel
Insurance
Late Fees
Leases/Contracts
Legal Fees
Management Fees
Marketing Materials
Meeting Expenses
Office Supplies
Oil & Lubricants
Other Services
Oxygen & Gases
Paging System
Postage
Printing Services
Professional Fees
Radios
For The Month Ended
January 31, 2010
Current Month
Budget
110
500
223
394
92
150
71
80
300
(3)
-
Actual
Recruit/Investigate
Relocation Expenses
Rent
Repair-Equipment
Shop Tools
Shop Supplies
Station Supplies
Supplemental Food
Telephones-Cellular
Telephones-Service
Tower Rental
Travel Expenses
Uniforms
Utilities
Vehicle-Batteries
Vehicle-Parts
Vehicle-Tires
Vehicle-Towing
Variance
110
500
171
58
9
300
3
232
982
377
330
1,965
1,517
368
Year To Date
Budget
440
500
1,576
600
320
2,700
3,510
400
563
Actual
106,775
98,050
(8,725)
432,571
398,805
250,000
420,530
308,567
376,227
58,567
(44,303)
746,151
1,344,869
670,530
684,794
14,265
824,296
843,902
756
825,052
Variance
440
268
594
223
(10)
735
1,993
400
195
Annual Budget
%
Remaining
0.00%
0.00%
0.00%
0.00%
1,320
0.00%
1,320
0.00%
0.00%
0.00%
1,000 23.20%
768
0.00%
0.00%
0.00%
4,728 20.77%
3,746
1,800 20.95%
1,423
960 34.42%
630
0.00%
10,600 18.54%
8,635
6,800 22.30%
5,283
1,200
0.00%
1,200
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
2,441 15.06%
2,073
Total
(33,766)
1,165,183
37.12%
732,612
1,421,768
1,504,908
675,617
160,039
4,452,804
4,514,724
16.76%
29.79%
3,706,653
3,169,855
2,091,020
2,926,676
835,656
8,967,528
23.32%
6,876,508
19,606
2,723,025
3,596,030
873,005
10,937,695
24.90%
8,214,669
2,000
1,244
5,816
16,600
10,784
23,275
24.99%
17,459
845,902
20,850
2,728,841
3,612,630
883,789
10,960,970
24.90%
8,232,129
Total expenses
$ (811,827) $ (832,902) $
21,075
$ (2,698,729) $ (3,567,430) $
868,701
$ (10,832,170)
N/A
N/A
Income Statement Summary - EMS Unit
For The Month Ended
January 31, 2010
Actual
Current Month
Budget
Variance
Actual
Year To Date
Budget
Variance
Total
Annual Budget
%
Remaining
REVENUE
Taxes
Investments
EMS revenue
Other revenue
870,903
5,571
932,498
1,250
(61,595)
4,321
3,472,112
116,828
3,618,262
86,480
(146,150)
30,348
11,064,654
220,040
0.00%
0.00%
0.00%
31.38%
53.09%
7,592,542
103,212
876,474
933,748
(57,274)
3,588,940
3,704,742
(115,802)
11,284,694
31.80%
7,695,754
Payroll
Operating expenses
1,174,987
241,444
-
1,158,940
290,354
-
(16,046)
48,910
-
5,323,362
971,196
-
5,242,977
1,361,107
-
(80,385)
389,910
-
15,401,509
4,160,562
-
34.56% 10,078,146
23.34% 3,189,365
0.00%
-
1,416,430
1,449,294
32,864
6,294,559
6,604,083
309,525
19,562,070
32.18% 13,267,512
60,367
80,000
19,633
248,498
697,935
449,437
974,735
1,476,797
1,529,294
52,497
6,543,057
7,302,018
758,961
20,536,805
Total revenue
EXPENSES
Total expenses
$ (600,323) $ (595,546) $
(4,777)
$ (2,954,117) $ (3,597,276) $
643,159
$ (9,252,111)
25.49%
726,237
31.86% 13,993,748
N/A
N/A
Income Statement - EMS Unit
For The Month Ended
January 31, 2010
Current Month
Budget
Actual
Variance
Year To Date
Budget
Actual
Variance
Total
Annual Budget
%
Remaining
REVENUE
Taxes
Tax Revenue
Total tax revenue
Investments
EMS revenue
Non-Transport Fees
Stand-By Fees
Total EMS revenue
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
2,136,520
353,917
29,365
23,534
24,898
9,000
-
2,180,212
391,136
96,084
22,059
39,276
10,000
-
(43,692)
(37,219)
(66,719)
1,475
(14,378)
(1,000)
-
8,089,046
1,687,449
132,812
88,228
109,067
35,550
18,513
8,176,077
1,739,288
347,103
111,310
157,104
40,000
-
(87,031)
(51,839)
(214,291)
(23,082)
(48,037)
(4,450)
18,513
24,965,651
5,478,757
951,679
324,001
471,312
120,000
-
32.40%
30.80%
13.96%
27.23%
23.14%
29.63%
0.00%
16,876,605
3,791,308
818,867
235,773
362,245
84,450
(18,513)
2,577,234
2,738,767
(161,533)
10,160,665
10,570,882
(410,217)
32,311,400
31.45%
22,150,735
(88,311)
188,105
144
(3,798,735)
(2,889,818)
-
(3,413,138)
(3,538,906)
(576)
(385,597)
649,088
576
(10,374,334)
(10,870,684)
(1,728)
36.62%
26.58%
0.00%
(6,575,599)
(7,980,866)
(1,728)
99,938
(6,688,553)
(6,952,620)
264,067
(21,246,746)
31.48%
(14,558,193)
(61,595)
3,472,112
3,618,262
(146,150)
11,064,654
31.38%
7,592,542
(1,014,675)
(691,656)
-
(926,364)
(879,761)
(144)
(1,706,331)
(1,806,269)
870,903
932,498
2,798
-
1,250
-
1,548
-
35,554
78,500
-
6,380
80,100
-
29,174
(1,600)
-
44,640
175,400
-
79.65%
44.75%
0.00%
9,086
96,900
-
2,798
1,250
1,548
114,054
86,480
27,574
220,040
51.83%
105,986
-
-
-
-
-
-
-
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
Other revenue
P.A. Co-Payments
Immunization Fees
2,774
-
2,774
2,774
-
2,774
-
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
(2,774)
2,774
-
2,774
2,774
-
2,774
-
0.00%
(2,774)
876,474
933,748
3,588,940
3,704,742
11,284,694
31.80%
Dispatch Fees
Radio Repair Income
Restricted revenue
Inter Local 800 Mhz
Total other revenue
Total revenue
(57,274)
(115,802)
7,695,754
For The Month Ended
January 31, 2010
Actual
Current Month
Budget
Variance
Actual
Year To Date
Budget
Variance
Total
Annual Budget
%
Remaining
EXPENSES
Payroll
Regular Pay
Overtime Pay
Paid Time Off
Stipend Pay
Payroll Taxes
401A Plan
TCDRS Plan
Health & Dental
Unemployment Ins.
Total payroll
627,327
252,845
55,521
1,562
69,000
56,394
108,326
4,011
619,390
219,005
71,696
3,000
69,850
54,238
121,218
543
(7,937)
(33,840)
16,175
1,438
850
(2,156)
12,892
(3,468)
2,829,604
1,146,438
295,025
10,584
312,279
252,337
473,084
4,011
2,775,431
1,066,409
332,463
18,000
320,708
249,024
478,459
2,483
(54,173)
(80,029)
37,438
7,416
8,429
(3,313)
5,375
(1,528)
8,191,409
3,172,999
879,673
33,429
939,220
729,295
1,448,203
7,280
34.54%
36.13%
33.54%
31.66%
33.25%
0.00%
34.60%
32.67%
55.09%
5,361,805
2,026,561
584,649
22,844
626,941
476,958
975,119
3,269
1,174,987
1,158,940
(16,046)
5,323,362
5,242,977
(80,385)
15,401,509
34.56%
10,078,146
2,588
2,251
1,641
70
10,246
448
701
380
260
3,134
7,159
55,130
8,582
890
526
975
34,667
560
1,791
215
1,757
10,840
213
175
61
776
2,710
5,336
1,926
550
1,417
1,017
5,000
16,760
800
1,055
218
251
42
2,804
3,650
50,908
9,891
550
11,033
500
1,601
42,917
150
750
1,800
2,800
4,105
335
235
93
275
847
1,833
5,470
1,700
(2,038)
(834)
(624)
4,930
6,514
352
354
(162)
(9)
42
(330)
(3,509)
(4,222)
1,309
(340)
10,507
500
626
8,250
150
190
9
2,585
2,348
(10,840)
335
23
(82)
214
71
(877)
134
(226)
2,588
5,886
2,847
70
44,048
5,598
2,689
475
713
6,644
18,006
149,834
27,563
1,081
16,755
14,235
137,982
620
2,435
7,163
1,895
6,000
6,226
50,410
431
2,564
513
367
2,642
6,873
25,464
6,893
2,200
834
5,668
16,323
11,630
72,615
8,438
6,145
1,057
1,004
168
10,956
14,300
204,182
38,114
9,020
44,632
2,000
6,733
171,668
600
3,000
7,550
3,700
6,000
15,370
74,200
1,570
2,860
397
1,100
3,368
7,332
21,880
6,800
(388)
834
(218)
13,476
11,560
28,567
2,840
3,456
582
291
168
4,312
(3,706)
54,348
10,551
7,939
27,877
2,000
(7,502)
33,686
(20)
565
387
1,805
9,144
23,790
1,139
296
(116)
733
726
459
(3,584)
(93)
6,600
2,500
17,000
35,769
11,720
206,695
32,050
14,585
2,881
3,057
504
35,679
44,400
611,996
114,792
12,160
134,795
6,000
25,054
515,004
1,800
25,977
9,000
163,578
9,000
15,000
46,110
148,500
3,710
12,096
2,416
3,500
10,144
21,996
65,640
20,400
39.21%
0.00%
0.00%
0.00%
34.62%
7.96%
0.60%
21.31%
17.47%
18.44%
16.49%
0.00%
0.00%
0.00%
23.33%
0.00%
18.62%
40.55%
24.48%
24.01%
8.89%
12.43%
0.00%
0.00%
0.00%
56.82%
0.00%
26.79%
34.44%
0.00%
0.00%
0.00%
27.06%
4.38%
21.06%
40.00%
13.50%
33.95%
0.00%
11.63%
21.20%
21.23%
10.49%
26.04%
31.25%
0.00%
38.79%
33.79%
4,012
2,500
11,114
32,922
11,650
162,647
26,452
11,896
2,406
2,344
504
29,035
26,394
462,162
87,229
11,079
118,040
6,000
10,819
377,022
1,180
25,977
6,565
156,416
7,105
9,000
39,884
98,090
3,279
9,532
1,903
3,133
7,502
15,123
40,176
13,507
Operating expenses
Accident Repair
Advertising
Bank Charges
Bio-Waste Removal
Books/Materials
Business Licenses
Collection Fees
Computer Software
Contractual Obligations- County Apprai
Contractual Obligations- Crisis Stabiliza
Courier
Customer Relations
Disposable Linen
Drug Supplies
Dues/Subscriptions
Election Expenses
Equipment Rental
Fuel
Insurance
Interest Expense
Late Fees
Leases/Contracts
Legal Fees
Management Fees
Marketing Materials
Meeting Expenses
Office Supplies
Oil & Lubricants
Other Services
Oxygen & Gases
Paging System
For The Month Ended
January 31, 2010
Current Month
Budget
345
50
7,675
1,000
292
400
2,450
12,500
18,374
1,400
225
1,000
2,365
130
2,590
4,818
8,170
437
6,103
1,135
14,125
7,500
900
1,000
20,833
175
2,730
275
-
Actual
1,272
332
17,711
916
69,410
2,456
599
3,232
22,846
14,231
550
15,112
27,045
1,097
23,744
9,727
16,226
38,651
6,683
1,668
60,261
9,974
205
69,740
Year To Date
Budget
1,380
1,635
35,450
4,000
1,168
800
5,750
12,500
73,496
5,600
900
4,000
15,735
520
10,360
1,400
19,272
32,680
1,748
44,132
13,645
49,560
31,500
3,600
4,000
83,332
700
10,920
1,100
106,810
Annual Budget
Total
%
Remaining
4,240
30.00%
2,968
3,350
9.90%
3,018
95,350
18.57%
77,639
12,000
0.00%
12,000
3,504
0.00%
3,504
1,600
0.00%
1,600
0.00%
12,350
7.42%
11,434
25,000
0.00%
25,000
215,261
32.24%
145,851
0.00%
16,800
14.62%
14,344
2,700
22.18%
2,101
12,000
26.94%
8,768
36,080
63.32%
13,234
1,560
0.00%
1,560
31,080
45.79%
16,849
2,450
22.46%
1,900
58,386
25.88%
43,274
98,040
27.59%
70,995
5,244
20.92%
4,147
0.00%
92,119
25.77%
68,376
45,125
21.56%
35,398
118,560
13.69%
102,334
98,500
39.24%
59,849
10,800
61.88%
4,117
12,000
13.90%
10,332
249,996
24.10%
189,735
2,100
0.00%
2,100
32,760
30.44%
22,786
3,300
6.21%
3,095
466,198
14.96%
396,458
Postage
Printing Services
Professional Fees
Radios
Recruit/Investigate
Relocation Expenses
Rent
Repair-Equipment
Shop Tools
Shop Supplies
Station Supplies
Supplemental Food
Telephones-Cellular
Telephones-Service
Tower Rental
Travel Expenses
Uniforms
Utilities
Vehicle-Batteries
Vehicle-Parts
Vehicle-Tires
Vehicle-Towing
Actual
257
171
4,323
17,353
347
12
785
7,747
3,750
1,714
8,013
260
3,369
948
3,363
12,224
3,343
784
15,319
1,763
110
(516)
241,444
290,354
48,910
971,196
1,361,107
389,910
4,160,562
23.34%
3,189,365
-
-
-
-
-
-
-
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
1,416,430
1,449,294
32,864
6,294,559
6,604,083
309,525
19,562,070
32.18%
13,267,512
60,367
80,000
19,633
248,498
697,935
449,437
974,735
25.49%
726,237
1,476,797
1,529,294
52,497
6,543,057
7,302,018
758,961
20,536,805
31.86%
13,993,748
Variance
88
(121)
3,352
1,000
292
400
2,450
12,500
1,021
1,053
213
215
(5,382)
130
(1,160)
3,104
157
177
2,734
187
10,762
(4,724)
(2,443)
216
5,514
175
967
165
516
Variance
108
1,303
17,739
4,000
1,168
800
4,834
12,500
4,086
3,144
301
768
(7,111)
520
(3,871)
850
4,160
5,635
651
20,388
3,918
33,334
(7,151)
(3,083)
2,332
23,071
700
946
895
37,070
Total expenses
$ (600,323) $ (595,546) $
(4,777)
$(2,954,117) $ (3,597,276) $
643,159
$ (9,252,111)
N/A
N/A
Income Statement Summary - Facilities Management & Systems Technology Unit
For The Month Ended
January 31, 2010
Actual
Current Month
Budget
Variance
Actual
Year To Date
Budget
Variance
Total
Annual Budget
%
Remaining
REVENUE
Taxes
Investments
EMS revenue
Other revenue
Total revenue
662
2,167
(1,505)
141,793
8,668
133,125
206,004
0.00%
0.00%
0.00%
0.00%
68.83%
64,211
662
2,167
(1,505)
141,793
8,668
133,125
206,004
68.83%
64,211
57,099
93,137
-
55,632
119,020
-
(1,466)
25,882
-
236,727
336,453
-
248,027
484,232
-
11,301
147,779
-
726,154
1,466,035
-
32.60%
22.95%
0.00%
489,427
1,129,583
-
150,236
174,652
24,416
573,179
732,259
159,080
2,192,189
26.15%
1,619,009
6,515
41,350
34,835
100,121
113,100
12,979
475,100
21.07%
374,979
156,751
216,002
59,251
673,300
845,359
172,059
2,667,289
25.24%
1,993,989
N/A
N/A
EXPENSES
Payroll
Operating expenses
Total expenses
$ (156,089) $ (213,835) $
57,746
$ (531,507) $ (836,691) $
305,184
$ (2,461,285)
Income Statement - Facilities Management & Systems Technology Unit
For The Month Ended
January 31, 2010
Current Month
Budget
Actual
Variance
Year To Date
Budget
Actual
Variance
Annual Budget
%
Remaining
Total
REVENUE
Taxes
Tax Revenue
Total tax revenue
Investments
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
-
-
-
-
-
-
-
0.00%
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
-
-
-
-
-
-
-
0.00%
-
662
1,667
(1,005)
1,796
6,668
(4,872)
20,004
0.00%
0.00%
8.98%
18,208
662
1,667
(1,005)
1,796
6,668
(4,872)
20,004
8.98%
18,208
-
-
-
-
-
-
180,000
0.00%
0.00%
180,000
-
-
-
-
-
-
180,000
0.00%
180,000
Other revenue
P.A. Co-Payments
Immunization Fees
VHF Project Revenue
-
500
-
(500)
-
139,997
-
2,000
-
(2,000)
139,997
-
6,000
-
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
6,000
(139,997)
-
-
500
(500)
139,997
2,000
137,997
6,000
2333.29%
(133,997)
662
2,167
(1,505)
141,793
8,668
133,125
206,004
68.83%
EMS revenue
Non-Transport Fees
Stand-By Fees
Total EMS revenue
Dispatch Fees
Radio Repair Income
Restricted revenue
Inter Local 800 Mhz
Total other revenue
Total revenue
64,211
For The Month Ended
January 31, 2010
Actual
Current Month
Budget
Variance
Actual
Year To Date
Budget
Variance
Total
Annual Budget
%
Remaining
EXPENSES
Payroll
Regular Pay
Overtime Pay
Paid Time Off
Stipend Pay
Payroll Taxes
401A Plan
TCDRS Plan
Health & Dental
Unemployment Ins.
Total payroll
41,349
5,422
3,451
2,520
4,356
-
38,604
6,685
3,465
2,690
4,188
-
(2,745)
1,263
14
170
(168)
-
172,622
22,213
13,145
11,593
17,154
-
173,718
30,082
15,592
12,105
16,530
-
57,099
55,632
(1,466)
236,727
248,027
2,340
1,866
3,799
45
161
28
3,822
2,500
91
64
208
57
183
2,900
3,700
13,875
2,174
278
238
25
150
345
12,090
300
2,795
700
250
2
75
102
50
183
2,900
1,360
12,009
(1,625)
233
77
(3)
150
345
8,268
300
2,795
700
(2,500)
159
(62)
75
(106)
(7)
1,031
3,152
20,701
9,990
378
310
87
31,930
2,745
5,762
2,500
200
91
24
435
203
732
11,300
11,000
39,450
8,196
1,112
1,038
100
778
1,380
43,180
1,200
7,080
46,400
10,000
850
108
300
1,088
200
1,097
7,869
2,447
512
(624)
-
507,367
87,859
45,539
35,354
50,034
-
34.02%
25.28%
0.00%
0.00%
28.87%
0.00%
32.79%
34.28%
0.00%
334,745
65,646
32,394
23,761
32,880
-
11,301
726,154
32.60%
489,427
(299)
11,300
7,848
18,749
(1,794)
734
728
14
778
1,380
11,250
1,200
4,335
40,638
7,500
650
17
276
653
(3)
2,200
12,500
84,050
176,300
25,063
3,336
1,233
300
2,343
9,040
100,560
3,600
21,740
98,300
20,000
3,156
324
900
2,280
1,000
600
0.00%
0.00%
0.00%
0.00%
0.00%
46.87%
0.00%
0.00%
3.75%
11.74%
39.86%
0.00%
0.00%
11.35%
0.00%
0.00%
0.00%
0.00%
0.00%
25.14%
0.00%
0.00%
0.00%
0.00%
28.83%
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
31.75%
0.00%
0.00%
12.63%
5.86%
12.50%
0.00%
6.33%
28.24%
2.69%
19.08%
0.00%
0.00%
0.00%
33.79%
1,169
12,500
80,898
155,599
15,073
2,958
923
214
2,343
9,040
68,630
3,600
18,995
92,538
17,500
2,956
233
876
1,845
1,000
397
Operating expenses
Accident Repair
Advertising
Bank Charges
Bio-Waste Removal
Books/Materials
Business Licenses
Collection Fees
Computer Software
Contractual Obligations- County Apprai
Courier
Customer Relations
Disposable Linen
Drug Supplies
Dues/Subscriptions
Election Expenses
Equipment Rental
Fuel
Insurance
Late Fees
Leases/Contracts
Legal Fees
Management Fees
Marketing Materials
Meeting Expenses
Office Supplies
Oil & Lubricants
Other Services
Oxygen & Gases
Paging System
For The Month Ended
January 31, 2010
Current Month
Budget
4
5
47,452
31,648
1,167
2,649
3,500
469
458
5,000
120
1,188
241
944
466
3,936
4,483
53
60
378
660
7,876
10,157
18
30
13,124
14,145
250
600
236
60
1,021
4,550
(3)
-
Actual
Postage
Printing Services
Professional Fees
Radios
Recruit/Investigate
Relocation Expenses
Rent
Repair-Equipment
Shop Tools
Shop Supplies
Station Supplies
Supplemental Food
Telephones-Cellular
Telephones-Service
Tower Rental
Travel Expenses
Uniforms
Utilities
Vehicle-Batteries
Vehicle-Parts
Vehicle-Tires
Vehicle-Towing
1
(15,804)
1,167
851
(11)
5,000
120
1,188
241
(478)
547
7
282
2,281
12
1,021
250
600
(176)
3,529
3
18
133,458
4,531
10,518
822
307
313
2,699
8,175
144
1,601
31,930
105
52,497
148
268
9,034
345
Year To Date
Budget
20
100
94,767
4,668
14,000
1,832
30,000
480
4,200
865
1,864
12,507
240
2,640
40,628
120
56,580
10,030
2,390
2,080
18,200
529
Variance
Actual
Variance
Annual Budget
%
Remaining
60
30.00%
42
250
0.00%
250
278,726
47.88%
145,268
14,004
32.36%
9,473
45,000
23.37%
34,482
0.00%
5,496
14.96%
4,674
0.00%
35,000
0.00%
35,000
0.00%
1,440
0.00%
1,440
15,250
2.01%
14,943
3,230
9.68%
2,917
5,792
46.59%
3,093
36,696
22.28%
28,521
0.00%
720
20.00%
576
0.00%
7,920
20.22%
6,319
124,388
25.67%
92,458
360
29.18%
255
169,740
30.93%
117,243
32,658
0.00%
32,658
12,884
1.14%
12,737
6,720
3.99%
6,452
98,580
9.16%
89,546
0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
2,296
15.04%
1,951
Total
2
100
(38,691)
137
3,482
1,010
30,000
480
3,893
552
(835)
4,332
96
1,039
8,698
15
4,083
10,030
2,243
1,812
9,166
184
93,137
119,020
25,882
336,453
484,232
147,779
1,466,035
22.95%
1,129,583
-
-
-
-
-
-
-
0.00%
0.00%
-
-
-
-
-
-
-
-
0.00%
-
150,236
174,652
24,416
573,179
732,259
159,080
2,192,189
26.15%
1,619,009
6,515
41,350
34,835
100,121
113,100
12,979
475,100
21.07%
374,979
156,751
216,002
59,251
673,300
845,359
172,059
2,667,289
25.24%
1,993,989
Total expenses
$
(156,089) $ (213,835) $
57,746
$
(531,507) $
(836,691) $
305,184
$ (2,461,285)
N/A
N/A
AGENDA ITEM # 28
CONSIDER AND ACT UPON RECOMMENDATIONS FOR AMENDMENTS TO
BUDGET FOR FISCAL YEAR ENDING SEPTEMBER 30, 2010
BUDGET AMENDMENT – SEPTEMBER 30, 2008
THAT WHEREAS, therefore on August 25, 2009 the Board heard and approved the budget for the year 2009/2010
for Montgomery County Hospital District; and
WHEREAS, to meet unusual and unforeseen conditions, which could not by reasonable and diligent thought and attention,
have been included in the budget for 2009/2010 adopted on August 25, 2009; or a line item transfer has been requested with no impact on the
original budget.
NOW, THEREFORE, BE IT RESOLVED that upon motion of ___________________________________, seconded
by ___________________________________ and duly carried by the following vote: AYES:__________ NAYS:__________,
the following amendment(s) to said budget is/are hereby authorized:
Budget Amendment - September 30, 2008
Line #
Account
Number
1
1
2
3
4
5
6
6
7
8
10-01-51100
10-01-51200
10-01-51500
10-01-51650
10-01-51700
10-11-51100
10 11 51100
10-11-51200
10-11-51500
10-11-51600
10-11-51700
Account Description
Regular Pay-Admin
Overtime Pay - Admin
Payroll Taxes-Admin
TCDRS Retirement Plan-Admin
R
Regular
l P
Pay-Billing
Billi
Overtime Pay - Billing
Payroll Taxes-Billing
TCDRS Retirement Plan-Billing
Health & Dental-Billing
Total Amendment:
Reclass Salary and Benefits for Executive
Assistant position to A/R Specialist in the
EMS Billing Dept
BOARD MEETING DATE:
Annual Budget
Change
$
1,199,486.00
15,851.00
92,973.43
72,188.86
114,375.32
474,039.29
474 039 29
34,207.14
38,882.57
30,190.29
78,632.47
$
(47,070.00) $
(1,528.00)
(3,718.00)
(2,887.00)
(7,180.00)
47,070.00
47 070 00
1,528.00
3,718.00
2,887.00
7,180.00
1,152,416.00
14,323.00
89,255.43
69,301.86
107,195.32
521,109.29
521 109 29
35,735.14
42,600.57
33,077.29
85,812.47
$
2,150,826.36
$
-
2,150,826.36
February 23, 2010
APPROVED BY:
Francis Bourgeois, Chair
Georgette Whatley, Member
John Hennigan, Vice-Chair
Kenn Fawn, Member
Sandra Wagner, Secretary
Hans Ambrosia, Member
Harold E. Posey, Treasurer
Amended Budget
$
AGENDA ITEM #29
Consider and act on ratification of payment of District invoices to Henry Schein, Inc. (Mr. Posey,
Treasurer-MCHD Board)
TOTAL FOR
Henry Schein
Invoices
$12,460.25
Invoice Expense Allocation Report
Board Meeting 02/23/10 - Henry Schein Invoices
Vendor Name
HENRY SCHEIN, INC.-MATRX MEDICAL
Invoice Date
Invoice No.
01/08/10
14477223
12/29/09
5211890-01
Draft/Ck No.
Pmt Date Inovice Description
10-07-53900 Disposable Medical Supplies-EMS
ACCT 1228573
ACCT 1228573
$24.00
ACCT 1228573
$2,175.68
CUSTOMER 1228575
$125.28
ACCT 1228573
10-07-54000 Drug Supplies-EMS
$772.50
$56.94
02/19/10 ACCT 1228573
02/19/10 ACCT 1228573
$36.96
$1,954.86
$3,420.05
02/19/10 ACCT 1228573
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
306214-02
01/04/10
9482675-01
12/31/09
5211898-01
01/08/10
306214-01
02/01/10
7815740-01
01/25/10
5548572-01
59334
59334
01/22/10
306214-03
59334
Amount
INV 9482675-01 / PO 10747
59093
59093
59093
59093
59093
01/12/10
Account No. Account Description
HENRY SCHEIN, INC.-MATRX MEDICAL:
($11.90)
$3,887.40
$18.48
$12,460.25
Account Summary
Account Number
Description
Net Amount
10-07-53900
10-07-54000
Drug Supplies-EMS
Totals:
$9,677.45
$2,782.80
$12,460.25
AGENDA ITEM #30
Consider and act on ratification of payment of District invoices, excluding invoices to Henry Schein, Inc.
(Mr. Posey, Treasurer-MCHD Board)
TOTAL FOR
INVOICES
$1,388,403.29
Board Meeting 02/23/10 - Invoices to be Paid
Vendor Name
BAXTER HEALTHCARE CORP.
Invoice Date
Invoice No.
02/04/10
26514555
Invoce Description
ACCT 34221685
Account Number Account Description
10-07-53900
Amount
BAXTER HEALTHCARE CORP.:
BOUND TREE MEDICAL, LLC
02/04/10
87126201
ACCT 109723
10-07-53900
$59.04
87127216
ACCT 109723
10-07-53900
$564.57
10-07-54000
Drug Supplies-EMS
$166.18
10-01-54350
Employee Health\Wellness-Admin
$154.11
RQW4178
MS WRLS NB MOUSE 8000
10-15-53100
Computer Supplies/Non-Cap.-IS
02/05/10
RQS4477
RNW BE SRV 12.5 WIN ESS S
10-15-53050
Computer Software-IS
02/08/10
RRH2872
HP SB DL380
10-15-52750
Capital Purchases / Fixed Assets-IS
$11,665.00
02/10/10
RRV5331
HPE SB WARRANTY
10-15-52750
$600.00
02/15/10
i10-2252
MOTOROLA MINITOR V PAGER
10-15-52750
02/05/10
19352
ACCT MCH100
10-07-57900
02/04/10
061-95319
CUSTOMER 74746
10-10-59050
Vehicle-Parts-Fleet
02/08/10
597647
CUSTOMER 0000005682
10-07-53900
CVC INCORPORATED:
DEMONTROND
$1,999.40
$1,999.40
$453.21
$909.74
CUMMINS SOUTHERN PLAINS, LTD.:
CVC INCORPORATED
$12,590.84
$453.21
CROWN PAPER AND CHEMICAL:
CUMMINS SOUTHERN PLAINS, LTD.
$127.20
$198.64
COMMAND COMMUNICATIONS:
CROWN PAPER AND CHEMICAL
$943.90
02/05/10
CDW GOVERNMENT, INC.:
COMMAND COMMUNICATIONS
$2,214.72
02/09/10
BOUND TREE MEDICAL, LLC:
CDW GOVERNMENT, INC.
$2,214.72
$909.74
$3,802.66
$3,802.66
02/04/10
488455-1
FL0210-1007
10-10-59050
Vehicle-Parts-Fleet
$84.47
02/04/10
488509
FL0210-1006
10-10-59050
Vehicle-Parts-Fleet
$188.24
02/10/10
488725
FL0210-1016
10-10-59050
Vehicle-Parts-Fleet
$53.24
Vendor Name
Invoice Date
Invoice No.
Invoce Description
Amount
02/10/10
488757
CUSTOMER 49800
10-10-59050
Vehicle-Parts-Fleet
$10.04
02/11/10
488765
FL0210-1021
10-10-59050
Vehicle-Parts-Fleet
$348.22
02/11/10
488763
FL0210-1021
10-10-59050
Vehicle-Parts-Fleet
$187.65
02/10/10
488745
FL0210-1020
10-10-59050
Vehicle-Parts-Fleet
$19.76
02/10/10
488736
FL0210-1019
10-10-57725
Shop Supplies-Fleet
$21.56
10-10-59050
Vehicle-Parts-Fleet
$232.44
DEMONTROND:
FRAZER, LTD.
02/12/10
37110
REMOUNT SHOP 12
10-07-52750
Capital Purchases / Fixed Assets-EMS
FRAZER, LTD.:
GULLO FORD MERCURY
981269
FL0210-1011
10-10-59050
Vehicle-Parts-Fleet
$103.63
981963
FL0210-1015
10-10-59050
Vehicle-Parts-Fleet
$975.18
02/09/10
SE33788812.002 ACCT 21813
10-10-59050
Vehicle-Parts-Fleet
02/01/10
53268
MARCH 2010 SERVICES
10-02-53050
Computer Software-PA
$11,353.27
02/04/10
51492
FL0210-1008
10-10-59050
Vehicle-Parts-Fleet
$768.24
02/04/10
51490
FL0210-1008
10-10-59050
Vehicle-Parts-Fleet
$29.28
02/10/10
52481
FL0210-1018
10-10-59050
Vehicle-Parts-Fleet
$402.02
12/17/09
2405
LASERFISCHE ANNUAL SUPPORT
10-00-14900
Prepaid Expenses-BS
10-01-53000
Computer Maintenance-Admin
01/13/10
LEE011310
PER DIEM - EVT TRAINING
10-10-55900
$1,199.54
$13,066.73
JPI DATA RESOURCES:
LEE, KEVIN
$220.00
$11,353.27
J AND B AUTO SUPPLY:
JPI DATA RESOURCES
$1,078.81
$220.00
INDIGENT HEALTHCARE SOLUTIONS:
J AND B AUTO SUPPLY
$43,525.00
02/10/10
HD SUPPLY ELECTRICAL, LTD:
INDIGENT HEALTHCARE SOLUTIONS
$43,525.00
02/05/10
GULLO FORD MERCURY:
HD SUPPLY ELECTRICAL, LTD
$1,145.62
Meals - Business and Travel-Fleet
$1,187.89
$14,254.62
$66.00
Vendor Name
Invoice Date
Invoice No.
Invoce Description
Amount
LEE, KEVIN:
LONE STAR UNIFORMS
02/04/10
02/11/10
164680
165345
LAND, RHONDA
RIVAUX, EMILY
10-07-58700
Uniforms-EMS
$67.90
10-07-58700
Uniforms-EMS
$5.00
10-07-58700
Uniforms-EMS
$67.90
10-07-58700
Uniforms-EMS
$2.00
Uniforms-EMS
$117.85
02/11/10
165344
SHAW, JACOB
10-07-58700
10-07-58700
Uniforms-EMS
$5.00
02/11/10
165343
DAVIS, ALESHA
10-07-58700
Uniforms-EMS
$67.90
10-07-58700
Uniforms-EMS
$5.00
02/11/10
165342
MULLINS, MEGAN
10-07-58700
Uniforms-EMS
$74.70
02/05/10
164858
SPITZER, SAM
$85.90
02/05/10
02/05/10
164849
164832
MCKELVEY, BRENT
JACKSON, RICHARD
10-07-58700
Uniforms-EMS
10-07-58700
Uniforms-EMS
$6.50
10-07-58700
Uniforms-EMS
$24.90
10-07-58700
Uniforms-EMS
$6.00
10-06-58700
Uniforms-Alarm
$75.90
LONE STAR UNIFORMS:
MCMINN, JEREMY
01/13/10
MCM011310
10-10-55900
MCMINN, JEREMY:
MILSTEAD AUTOMOTIVE
02/08/10
327565
FL0210-1013 - SHOP 39
10-10-59200
02/04/10
3036598
ACCT 12476
10-07-53900
10-07-54000
Drug Supplies-EMS
$66.00
$66.00
$297.95
$1,410.60
$45.00
02/09/10
3041361
ACCT 12476
10-07-53900
02/09/10
3041062
ACCT 12476
10-07-53900
$45.00
02/09/10
3041059
ACCT 12476
10-07-53900
$653.40
MMS-A MEDICAL SUPPLY CO.:
NUTT, JOSHUA
$612.45
$297.95
MILSTEAD AUTOMOTIVE:
MMS-A MEDICAL SUPPLY CO.
$66.00
01/13/10
NUT011310
10-10-55900
$920.00
$3,074.00
$113.00
Vendor Name
Invoice Date
Invoice No.
Invoce Description
Amount
NUTT, JOSHUA:
P.E.D.I.
02/04/10
87276-P
CPAP UNIT RECALIBRATION
10-07-57650
Repair-Equipment-EMS
$200.00
P.E.D.I.:
PHILIPS MEDICAL CAPITAL, LLC
02/05/10
4788465
ACCT 172284
10-09-55400
Leases/Contracts-Clini
312511
ACCT M10640
10-07-53900
$45.75
02/09/10
312979
ACCT M10640
10-07-53900
$199.75
4001424734
ACCT 2201596
10-07-52500
$81.18
01/18/10
4001424279
ACCT 2200308
10-07-52500
$124.77
01/18/10
4001424317
ACCT 2200429
10-07-52500
$81.18
01/18/10
4001424347
ACCT 2200503
10-07-52500
$118.77
01/18/10
4001424403
ACCT 2200666
10-07-52500
$393.90
01/18/10
4001424409
ACCT 2200684
10-07-52500
$118.77
01/18/10
4001424441
ACCT 2200788
10-07-52500
$1,120.11
01/18/10
4001424470
ACCT 2200873
10-07-52500
$87.18
01/18/10
4001424618
ACCT 2201329
10-07-52500
$124.77
01/13/10
TUT011310
10-10-55900
$2,250.63
$113.00
TUTT, HOWARD:
WASTE MANAGEMENT
$245.50
01/18/10
STERICYCLE, INC:
TUTT, HOWARD
$1,790.68
02/04/10
SOUTHEASTERN EMERGENCY EQUIPMENT:
STERICYCLE, INC
$200.00
$1,790.68
PHILIPS MEDICAL CAPITAL, LLC:
SOUTHEASTERN EMERGENCY EQUIPMENT
$113.00
$113.00
02/01/10
1620574-1792-3 ACCT 792-0074560-1792-5
10-07-58800
Utilities-EMS
$85.88
02/01/10
1620573-1792-5 ACCT 792-0041512-1792-6
10-07-58800
Utilities-EMS
$100.65
02/01/10
1620572-1792-7 ACCT 792-0040276-1792-9
10-07-58800
Utilities-EMS
$328.20
02/01/10
1620571-1792-9 ACCT 792-0008105-1792-0
10-07-58800
Utilities-EMS
$92.78
02/01/10
1620570-1792-1 ACCT 792-0002348-1792-2
10-07-58800
Utilities-EMS
$76.58
WASTE MANAGEMENT:
$684.09
Vendor Name
XL PARTS
Invoice Date
Invoice No.
Invoce Description
02/11/10
20-244298
FL0210-1022
10-10-59050
Amount
Vehicle-Parts-Fleet
$618.69
XL PARTS:
ZOLL MEDICAL CORPORATION
02/05/10
1663715
CUSTOMER 6559
10-07-54200
Durable Medical Equipment-EMS
ZOLL MEDICAL CORPORATION:
$618.69
$1,728.00
$1,728.00
Account Summary
Account Number
Description
Net Amount
10-00-14900
Prepaid Expenses-BS
10-01-53000
Computer Maintenance-Admin
10-01-54350
10-02-53050
10-06-58700
Uniforms-Alarm
10-07-52500
10-07-52750
10-07-53900
10-07-54000
Drug Supplies-EMS
10-07-54200
10-07-57650
$200.00
10-07-57900
$453.21
10-07-58700
Uniforms-EMS
$536.55
10-07-58800
Utilities-EMS
10-09-55400
10-10-55900
10-10-57725
Shop Supplies-Fleet
10-10-59050
Vehicle-Parts-Fleet
10-10-59200
10-15-52750
10-15-53050
10-15-53100
$13,066.73
$1,187.89
$154.11
$11,353.27
$75.90
$2,250.63
$43,525.00
$9,915.49
$211.18
$1,728.00
$684.09
$1,790.68
$358.00
$21.56
$5,150.84
$297.95
GRAND TOTAL:
$14,264.40
$198.64
$127.20
$107,551.32
Board Meeting 02/23/10 - Paid Invoices and Patient Refunds
Vendor Name
200 RIVERPOINTE
Invoice Date
Invoice No.
Draft/Ck No.
01/25/10
420
01/14/10
419
59046
59046
Amount
01/28/10 OCT - DEC 2009 / 204 RIVER POINTE
01/28/10 DECEMBER 2009 AFTER HRS A/C
10-09-56100 Meeting Expenses-Clini
10-15-58800 Utilities-IS
$3,959.22
$175.00
10-12-55450 Leases/Contracts - Buildings-FR
02/01/10
FEBRUARY 2010-030
59163
02/01/10 SUITE 200, 204, 205, 303
$140.00
10-01-55450 Leases/Contracts - Buildings-Admin
$19,442.50
10-02-55450 Leases/Contracts - Buildings-PA
$3,207.13
200 RIVERPOINTE:
ACCENT INSURANCE RECOVERIES
09/15/09
09-35295
59237
02/09/10 PATIENT REFUND
10-00-14100 A/R-EMS Billings-BS
$470.34
ACCENT INSURANCE RECOVERIES:
ACE PROPERTY AND CASUALTY
10/19/07
07-38610
59238
01/06/10
A233315
59185
02/05/10 ANNUAL MEMBERSHIP RENEWAL
10-09-54100 Dues/Subscriptions-Clini
08/02/09
09-29250
12/21/07
07-47403
59240
59240
02/23/09
09-7119
59239
$120.47
$788.93
12/07/09
1090560
59281
02/19/10 SHORELINE FOR STATION 30
10-07-55600 Maintenance & Repairs-Buildings-EMS
ALCO ELECTRIC INC:
AMERICAN TOWER CORPORATION
01/27/10
766467
01/25/10
37202
59186
59282
02/05/10 CUSTOMER 24517
02/19/10 LEAGUE LINE TOWER MODIFICATIONS
10-15-58400 Tower Rental-IS
12/15/09
09-47395
59241
02/01/10
FEBRUARY 2010-039
59164
02/01/10 STATION 41 RENT
01/12/10
AND011210
59048
01/28/10 EDUCATION REIMBURSEMENT
$284.00
$12,700.00
$196.71
10-07-57500 Rent-EMS
$196.71
$630.00
ANDERSON, DONNA:
ANDERSON, JORDAN
$284.00
$2,500.00
AMERIGROUP:
ANDERSON, DONNA
$886.38
$10,200.00
10-15-55700 Management Fees-IS
AMERICAN TOWER CORPORATION:
AMERIGROUP
$909.40
$886.38
AETNA:
ALCO ELECTRIC INC
$860.00
AETNA LIFE INSURANCE:
AETNA
$746.95
$860.00
ACEP:
AETNA LIFE INSURANCE
$470.34
$746.95
ACE PROPERTY AND CASUALTY:
ACEP
$26,923.85
10-07-58500 Training/Related Expenses-CE-EMS
$630.00
$113.00
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
ANDERSON, JORDAN:
APCO INTERNATIONAL, INC.
01/14/10
323617
59049
01/28/10 JUSTIN EVANS - 2010 MEMBERSHIP DUES
10-15-54100 Dues/Subscriptions-IS
$92.00
APCO INTERNATIONAL, INC.:
AT&T LONG DISTANCE
01/26/10
856954995
59284
02/19/10 STATION 40
10-07-58310 Telephones-Service-EMS
01/15/10
836735112X01232010
59051
01/28/10 ACCT 836735112
10-15-58200 Telephones-Cellular-IS
$155.59
AT&T MOBILITY:
01/13/10
2812591182
01/07/10
2813638742
01/07/10
8329342978
01/13/10
2812985107
01/13/10
2812596639
01/13/10
2813562469
01/13/10
2812593370
01/17/10
2812960355
01/21/10
2814654022
01/23/10
2816899322
01/23/10
2813679986
01/23/10
2813670626
01/23/10
2813999975
01/27/10
2814197830
02/07/10
8329342978
02/07/10
2813638742
59050
59283
59283
59050
59050
59050
59050
59050
59187
59187
59187
59187
59187
59187
59283
59283
01/28/10
02/19/10
02/19/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
02/05/10
02/05/10
02/05/10
02/05/10
02/05/10
02/05/10
02/19/10
02/19/10
01/21/10
7131669010
01/21/10
7131668007
01/21/10
7131652005
01/21/10
7131203000
59188
59188
59188
59188
02/05/10
02/05/10
02/05/10
02/05/10
STATION 24 VOICE
$111.59
$84.15
STATION 40 VOICE / FAX / INTERNET
$319.06
STATION 24 FAX / INTERNET
$130.30
$117.68
STATION 42 VOICE
$125.49
STATION 41 VOICE
$84.64
STATION 29 VOICE
$121.32
STATION 29 INTERNET
$114.63
$204.67
STATION 23 VOICE / FAX
$215.44
$222.27
STATION 31 VOICE / FAX
$174.17
STATION 29 FAX
$61.82
$318.98
STATION 24 VOICE
$85.75
02/12/10
2-10-3408
59285
10-15-58310 Telephones-Service-IS
$276.90
T-1 BETWEEN TAMINA & OCS
$234.30
T-1 TO HISD RADIO SYSTEM
$316.41
T-1 FOR STATION 31
$260.00
02/19/10 02/13/10 THRU 03/12/10
10-01-57100 Professional Fees-Admin
AVESTA SYSTEMS, INC.:
BAXTER HEALTHCARE CORP.
01/07/10
26212224
01/21/10
26380480
59286
59286
$2,491.96
TAMINA TO VERIZON WIRELESS
AT&T:
AVESTA SYSTEMS, INC.
$222.18
AT&T:
AT&T
$2.73
$66.59
10-01-58200 Telephones-Cellular-Admin
AT&T
$92.00
$2.73
AT&T LONG DISTANCE:
AT&T MOBILITY
$113.00
02/19/10 ACCT 34221685
02/19/10 ACCT 34221685
$1,087.61
$1,390.00
$1,390.00
$1,776.32
$1,289.40
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
BAXTER HEALTHCARE CORP.:
BAYVIEW LOAN SERVICING, LLC
02/01/10
0400006399
59189
02/05/10 FEBRUARY 2010
10-01-55400 Leases/Contracts-Admin
$1,166.38
10-01-55025 Interest Expense-Admin
$67.82
BAYVIEW LOAN SERVICING, LLC:
BCBS - ATTN CASHIER
05/20/05
05-14522
05/23/05
05-14826
59242
59242
12/04/09
09-45853
59243
$413.63
$480.00
12/01/09
09-45573
10/31/09
09-41414
05/28/09
09-20398
59244
59244
59244
02/01/10
FEBRUARY 2010-060
59165
$376.57
$259.52
$5.63
10-07-57500 Rent-EMS
01/04/10
1444
59052
01/28/10 TOBOGGANS - MCHD
10-07-58700 Uniforms-EMS
01/08/10
BOO010810
01/08/10
BOO010810
02/10/10
BOO021010
02/03/10
BOO020310-1
02/03/10
BOO020310-2
59053
59053
59287
59287
59287
01/28/10
01/28/10
02/19/10
02/19/10
02/19/10
$387.50
DECEMBER 2009 NETWORK DEV. FEE
10-02-55700 Management Fees-PA
$2,025.00
JANUARY 2010 SERVICES
$70,146.50
JANUARY 2010 NETWORK DEV FEE
$1,850.00
JANUARY 2010 PHYSICIANS REVIEW
$189.00
JANUARY 2010 CASE MGMT FEE
$1,156.25
BOON-CHAPMAN:
BOUND TREE MEDICAL, LLC
$536.20
$387.50
BILMAR GRAPHICS & DESIGNS:
BOON-CHAPMAN
$641.72
$536.20
BENTWATER ON THE NORTH SHORE, LTD.:
BILMAR GRAPHICS & DESIGNS
$17.86
BCBS OF TEXAS:
BENTWATER ON THE NORTH SHORE, LTD.
$893.63
$17.86
BCBS OF TEXAS:
BCBS OF TEXAS
$1,234.20
BCBS - ATTN CASHIER:
BCBS OF TEXAS
$3,065.72
$75,366.75
01/20/10
70065623
EXPIRED MEDS
($11.56)
01/20/10
70065658
EXPIRED MEDS
($30.80)
01/20/10
70065655
EXPIRED MEDS
($2.05)
01/20/10
70065654
EXPIRED MEDS
($11.88)
01/20/10
70065652
EXPIRED MEDS
($14.82)
01/20/10
70065641
EXPIRED MEDS
($5.94)
01/20/10
70065636
EXPIRED MEDS
($9.46)
01/20/10
70065634
EXPIRED MEDS
($26.16)
01/20/10
70065633
EXPIRED MEDS
($15.58)
01/20/10
70065632
EXPIRED MEDS
($7.98)
Vendor Name
Invoice Date
Invoice No.
01/20/10
70065631
01/20/10
70065630
01/20/10
01/20/10
Draft/Ck No.
Amount
EXPIRED MEDS
($30.16)
EXPIRED MEDS
($0.41)
70065627
EXPIRED MEDS
($0.82)
70065626
EXPIRED MEDS
($80.65)
12/30/09
87117314
12/29/09
87116982
59054
59054
01/28/10 ACCT 109723
01/28/10 ACCT 109723
01/15/10
87121249
59190
02/05/10 ACCT 109723
$619.30
$1,348.30
$1,256.44
$2,258.38
12/30/09
87117315
59054
01/28/10 ACCT 109723
$902.54
59288
59288
59288
59288
59288
59288
59288
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
ACCT 109723
$731.90
ACCT 109723
$1,017.96
ACCT 109723
$25.93
ACCT 109723
$73.80
ACCT 109723
$22.14
ACCT 109723
ACCT 109723
$521.67
$486.28
02/19/10
02/19/10
02/19/10
02/19/10
ACCT 109723
$28.08
ACCT 109723
$352.30
ACCT 109723
87123651
59288
59289
59290
59290
ACCT 109723
87125775
59290
02/19/10 ACCT 109723
01/06/10
87118761
01/20/10
87122270
01/21/10
87122627
01/20/10
87122269
01/26/10
87123650
01/11/10
87119806
01/08/10
87119471
12/30/09
80359749
01/01/10
87117605
01/05/10
87118334
01/26/10
02/03/10
$87.22
BOUND TREE MEDICAL, LLC:
5068
59291
02/19/10 CHARGER FOR GPS
10-15-53100 Computer Supplies/Non-Cap.-IS
BRADSHAW CONSULTING SERVICES, INC.:
BUCKALEW CHEVROLET
01/06/10
14807
59055
01/28/10 FL12091050
10-10-52000 Accident Repair-Fleet
01/15/10
CAG011510
59056
01/28/10 BAGGAGE FEE - LASERFISCHE CONF
10-01-58600 Travel Expenses-Admin
11/19/09
QXC5948
11/24/09
QXV9435
12/07/09
RCB3252
12/04/09
RBS3654
01/08/10
RJR1553
11/28/09
QZJ1141
01/15/10
RLF0030
59057
59057
59057
59057
59057
59057
59191
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
02/05/10
$18,575.53
$76.00
$76.00
$2,587.84
$50.00
CAGE, ANGELA:
CDW GOVERNMENT, INC.
$697.15
$2,587.84
BUCKALEW CHEVROLET:
CAGE, ANGELA
$376.34
$4,336.25
12/30/09
$158.67
$1,308.51
BRADSHAW CONSULTING SERVICES, INC.
$931.94
$1,282.70
$50.00
DIGITAL VIDEO CASSETTES
10-09-52600 Books/Materials-Clini
$69.50
DIGITAL VIDEO CASSETTE
$208.52
CAT5E SNGLSS PATCH CABLE
10-09-53000 Computer Maintenance-Clini
$439.04
CAT5E SNGLSS PATCH CABLE
10-09-53000 Computer Maintenance-Clini
INFOCUS REPL LAMP
10-09-57750 Small Equipment & Furniture-Clini
HP SERVER MAINT
10-15-53000 Computer Maintenance-IS
WENGER SWISS SYNERGY BPK
10-06-56300 Office Supplies-Alarm
$8.96
$552.95
$2,340.00
$78.30
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
01/15/10
RLD5608
12/16/09
RDZ4164
12/18/09
RFP8158
12/18/09
RFP4504
01/13/10
RKS3210
59191
59057
59057
59057
59057
59057
59191
59058
59058
59058
59058
59058
59058
59058
59058
59058
59058
59292
59292
59292
59292
01/12/10
RKH8077
01/14/10
RKW7578
11/20/09
QXF4689
12/21/09
RFZ5820
12/10/09
RCV7871
11/20/09
QXF7045
11/16/09
QVZ1484
11/03/09
QSR5460
11/06/09
QTK7930
11/04/09
QSZ2532
12/04/09
RBM2014
11/23/09
QXQ8627
01/26/10
RNG3535
01/25/10
RNB5700
01/28/10
RPC3224
01/20/10
RMG7066
02/05/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
02/05/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
02/19/10
02/19/10
02/19/10
02/19/10
Amount
TECHSMITH SNAGIT
10-15-53050 Computer Software-IS
CRUZER MICRO SKIN-CO USB
$112.35
THINKPAD 90W AC ADAPTER
$275.00
MS STREETS & TRIPS GPS 2010
10-07-53050 Computer Software-EMS
BARRACUDA 80GB HARD DRIVES
10-15-57750 Small Equipment & Furniture-IS
$123.60
BACK-UP TAPES FOR SERVER 3
$656.50
LOGITECH WRLS WAVE KEYBOARDS
10-01-53100 Computer Supplies/Non-Cap.-Admin
$300.00
HI-SPEED 2.0 USB HUB
SAMSUNG 2443BWT 24 WIDE
10-07-53100 Computer Supplies/Non-Cap.-EMS
SAMSUNG 2443BWT 24 WIDE
10-09-52750 Capital Purchases / Fixed Assets-Clini
APC SMART UPS
$80.00
$68.20
12/28/09
0000008829
01/22/10
0000008859
59059
59293
10-06-57750 Small Equipment & Furniture-Alarm
COMFORT CURVE KEYBOARD
$90.00
OEM 3PK LASER MOUSE 6000 USB
$160.00
OEM 3PK LASER MOUSE 6000 USB
$160.00
LVO 3YR PRIORITY ENT WTY
$50.00
LVO TP W500 T9400
ACRONIS
$1,850.00
$450.00
APC MOUNTING KIT
AT&T HEADSET / PLANTRONICS VOYAGER
WARRANTY EXTENSIONS FOR LAPTOPS
10-15-53000 Computer Maintenance-IS
01/28/10 LAND CLEARING - STATION 31
02/19/10 LAND CLEARING FOR STATION 31
02/03/10
4461368-5
01/29/10
4461340-4
01/29/10
8036333-6
01/29/10
7496259-8
59192
59192
59192
59192
02/05/10
02/05/10
02/05/10
02/05/10
01/22/10
107-040
01/22/10
107-040
59060
59060
01/28/10
1000570584
01/28/10
1003121688
01/23/10
1003121129
59193
59193
59193
01/19/10
2813544835
59061
$12,377.19
$12,142.86
$1,680.00
$13,822.86
299 GEORGE STRAKE
10-07-58800 Utilities-EMS
$3,096.66
301 GEORGE STRAKE
$150.82
297 GEORGE STRAKE
204 RIVER POINTE
01/28/10 01/12/10 THRU 02/11/10
01/28/10 02/12/10 THRU 03/11/10
02/05/10 STATION 38 VOICE / FAX
02/05/10 STATION 34 FAX
02/05/10 STATION 34 VOICE
01/28/10 STATION 34 FAX
$27.41
$148.62
$3,423.51
10-09-58500 Training/Related Expenses-CE-Clini
$1,263.55
10-09-58500 Training/Related Expenses-CE-Clini
$1,121.28
$2,384.83
$3.40
$3.18
$5.58
CENTURYLINK COMMUNICATIONS, INC:
CENTURYLINK
$840.00
10-00-16131 Buildings-Station 31-BS
CENTRELEARN SOLUTIONS, LLC:
CENTURYLINK COMMUNICATIONS, INC
$114.39
CENTERPOINT ENTERGY:
CENTRELEARN SOLUTIONS, LLC
$350.00
$1,200.00
CELLXION:
CENTERPOINT ENTERGY
$380.00
$1,000.00
WES DIG VELOCIRAPTOR
CDW GOVERNMENT, INC.:
CELLXION
$39.88
$380.00
$12.16
$60.73
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
01/19/10
2813547322
01/19/10
2813543976
59061
59061
Amount
01/28/10 STATION 38 VOICE / FAX
01/28/10 STATION 34 VOICE
$225.09
$164.69
CENTURYLINK:
CERIDIAN
01/31/10
331678932
59294
02/19/10 COBRA ADMINISTRATION
10-01-55700 Management Fees-Admin
$103.50
CERIDIAN:
CHANNING L. BETE CO., INC.
01/11/10
52075841
59062
01/28/10 CUSTOMER 11953960
10-12-52600 Books/Materials-FR
01/05/10
8522 10 022 0010441
02/05/10
8522 10 022 0010441
59063
59063
01/28/10 STATION 21 CABLE / INTERNET
03/10/07
07-8136
59245
$116.21
$116.21
01/31/10
DJ89024452
59296
02/19/10 PAYER 2754
10-01-57550 Rent-Storage Facility-Admin
01/04/10
30-0460-00
01/04/10
73-0523-00
59194
59194
02/05/10 301 GEORGE STRAKE
02/05/10 2920 N LOOP 336 E
$140.75
$84.39
02/01/10
FEBRUARY 2010-050
02/15/10
TP-09-005543
59166
59280
02/16/10 1400 S LOOP 336 W
10-00-16101 Buildings-Administration Bldg.-BS
02/15/10
BC-09-005542
59280
02/16/10 1400 S LOOP 336 W
10-07-57500 Rent-EMS
CITY OF CONROE:
02/04/10
DECEMBER 2009
02/04/10
JANUARY 2010
216
217
02/04/10 CONTROL NO. E3387610
02/04/10 CONTROL NO. E3387610
01/15/10
8777 70 136 0092552
01/22/10
8777 70 159 0077928
59064
59195
02/05/10 STATION 23 INTERNET
$9,445.00
$9,445.00
$29,809.50
$49,449.50
10-00-21590 P/R-Premium Cancer/Accident-BS
$2,516.85
10-00-21590 P/R-Premium Cancer/Accident-BS
$2,531.19
COLONIAL LIFE:
COMCAST
$225.14
$750.00
10-00-16102 Buildings-Support Services/Stn. 11-BS
COLONIAL LIFE
$158.85
CITY OF CONROE, WATER:
CITY OF CONROE
$1,111.20
$158.85
CINTAS DOCUMENT MANAGEMENT:
CITY OF CONROE, WATER
$232.42
$1,111.20
CIGNA:
CINTAS DOCUMENT MANAGEMENT
$1,046.40
CHARTER COMMUNICATIONS:
CIGNA
$103.50
$1,046.40
CHANNING L. BETE CO., INC.:
CHARTER COMMUNICATIONS
$450.51
$5,048.04
$164.48
$137.42
COMCAST:
$301.90
Vendor Name
COMMUNITY CHAMBER OF COMMERCE
Invoice Date
Invoice No.
Draft/Ck No.
01/15/10
COM01152010
59065
01/28/10 2010 MEMBERSHIP DUES
10-01-54100 Dues/Subscriptions-Admin
COMMUNITY CHAMBER OF COMMERCE:
CONROE BOLT & FASTENER PRODUCTS
02/02/10
10-124
59297
02/19/10 SHOP SUPPLIES
10-15-57725 Shop Supplies-IS
CONROE BOLT & FASTENER PRODUCTS:
CONROE DOOR & HARDWARE
01/27/10
47832
59298
02/19/10 REPAIRS FOR FLEET DOOR
CONROE DOOR & HARDWARE:
CONROE INDEPENDENT SCHOOL DISTRICT
02/04/10
020410
59299
02/19/10 JANUARY 2010 FUEL USAGE
10-07-54700 Fuel-EMS
CONROE INDEPENDENT SCHOOL DISTRICT:
CONROE WELDING SUPPLY, INC.
11/30/09
CT542580
10/30/09
CT538635
11/02/09
CT540076
11/03/09
CT540233
11/03/09
CT540180
11/25/09
CT542133
12/10/09
CT543398
12/14/09
CT543636
12/15/09
CT543774
12/17/09
CT544091
12/22/09
CT544410
12/30/09
CT544951
01/05/10
CT545285
01/05/10
PH105101
01/06/10
CT545545
01/06/10
PH105099
01/06/10
CT545484
01/08/10
CT545767
01/11/10
CT545938
01/11/10
CT545949
01/11/10
CT545991
01/12/10
PH105116
01/12/10
PH105115
01/12/10
PH105114
01/13/10
CT546105
01/13/10
CT546252
01/14/10
CT545014
01/14/10
CT545922
01/15/10
CT546238
01/15/10
CT546440
01/15/10
CT546299
01/19/10
PH105138
59066
59196
59196
59196
59196
59196
59196
59196
59196
59196
59196
59197
59066
59197
59066
59066
59301
59301
59302
59302
59302
59197
59197
59197
59302
59302
59066
59301
59301
59302
59302
59300
01/28/10
02/05/10
02/05/10
02/05/10
02/05/10
02/05/10
02/05/10
02/05/10
02/05/10
02/05/10
02/05/10
02/05/10
01/28/10
02/05/10
01/28/10
01/28/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/05/10
02/05/10
02/05/10
02/19/10
02/19/10
01/28/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
Amount
$75.00
$75.00
$34.20
$34.20
$16.26
$16.26
$33.14
$33.14
ACCT 58779200
10-10-56600 Oxygen & Gases-Fleet
ACCT 58779200
10-07-56600 Oxygen & Gases-EMS
$44.67
$63.36
ACCT 58779200
$111.32
ACCT 58779200
$111.32
ACCT 58779200
$128.04
ACCT 58779200
$84.66
ACCT 58779200
$106.16
ACCT 58779200
$33.96
ACCT 58779200
$150.00
ACCT 58779200
$130.66
ACCT 58779200
$99.30
ACCT 58779200
$125.69
ACCT 58779200
$143.99
ACCT 58779200
$70.29
ACCT 58779200
$346.02
ACCT 58779200
$84.66
ACCT 58779200
$50.95
ACCT 58779200
$116.02
ACCT 58779200
$111.32
ACCT 58779200
$137.71
ACCT 58779200
$135.36
ACCT 58779200
$62.97
ACCT 58779200
$207.83
ACCT 58779200
$113.67
ACCT 58779200
$101.65
ACCT 58779200
$188.95
ACCT 58779200
$420.72
ACCT 58779200
$74.99
ACCT 58779200
$404.04
ACCT 58779200
$72.64
ACCT 58779200
$87.01
ACCT 58779200
$38.66
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
01/19/10
PH105136
01/20/10
CT546816
01/20/10
CT546842
01/20/10
CT546842
01/21/10
CT542450
01/21/10
CT546812
01/21/10
CT546787
01/21/10
CT546703
01/26/10
PH108709
01/26/10
CT547266
01/26/10
CT547266
01/26/10
CT547199
01/27/10
CT547477
01/27/10
CT547187
59300
59301
59301
59301
59196
59302
59302
59302
59300
59301
59301
59303
59301
59301
59300
59300
59300
59300
59300
59300
59300
59300
59303
59302
01/31/10
R01101275
01/31/10
R01101274
01/31/10
R01101273
01/31/10
R01101272
01/31/10
R01101271
01/31/10
R01101270
01/31/10
R01101269
01/31/10
R01101885
02/03/10
CT548045
02/08/10
CT548384
02/19/10
02/19/10
02/19/10
02/19/10
02/05/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
ACCT 58779200
$96.68
ACCT 58779200
$239.65
ACCT 58779200
$169.30
ACCT 58779200
$22.33
ACCT 58779200
$123.34
ACCT 58779200
$120.99
ACCT 58779200
$142.68
ACCT 58779200
$99.03
ACCT 58779200
$150.00
ACCT 58779200
$185.63
ACCT 58779200
$185.63
ACCT 58779200
$239.92
ACCT 58779200
$94.33
ACCT 58779200
$108.97
ACCT 58779200
$10.50
ACCT 58779200
$70.00
ACCT 58779200
$3.50
ACCT 58779200
$3.50
ACCT 58779200
$14.00
ACCT 58779200
$10.50
ACCT 58779200
$28.00
ACCT 58779200
$782.40
ACCT 58779200
$472.00
ACCT 58779200
$135.36
CONROE WELDING SUPPLY, INC.:
CONSOLIDATED COMMUNICATIONS
01/16/10
0009600539
01/16/10
0009600146
02/11/10
9360437002
59067
59067
59304
01/28/10 01/16/10 THRU 02/15/10
01/28/10 01/16/10 THRU 02/15/10
02/19/10 02/11/10 THRU 03/10/10
02/10/10
06060MCD-S-10041
59305
02/19/10 ACCT 210 9MC-DSM3 MCD
$1,229.82
$2,101.37
$82.68
CONSOLIDATED COMMUNICATIONS-LUF:
CONSOLIDATED COMMUNICATIONS-TXU
01/21/10
9365391160
59068
01/28/10 01/21/10 THRU 02/20/10
$7,666.83
CONSOLIDATED COMMUNICATIONS:
CONSOLIDATED COMMUNICATIONS-LUF
Amount
10-01-58310 Telephones-Service-Admin
$3,413.87
$173.59
$173.59
$750.00
$2,432.63
10-09-58310 Telephones-Service-Clini
$250.00
10-11-58310 Telephones-Service-Bill
$594.63
10-01-58320 Telephones - Long Distance-Admin
$42.28
10-02-58320 Telephones - Long Distance-PA
$38.84
10-15-58320 Telephones - Long Distance-IS
$16.22
10-06-58320 Telephones - Long Distance-Alarm
$114.80
10-07-58320 Telephones - Long Distance-EMS
$23.73
10-08-58320 Telephones - Long Distance-Logis
$0.10
10-09-58320 Telephones - Long Distance-Clini
$28.34
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
10-10-58320 Telephones - Long Distance-Fleet
$3.98
10-11-58320 Telephones - Long Distance-Bill
$88.51
10-12-58320 Telephones - Long Distance-FR
01/21/10
9365393450
59068
01/28/10 01/21/10 THRU 02/20/10
01/21/10
9365393302
01/21/10
9364413940
59068
59068
59198
59198
01/28/10
01/28/10
02/05/10
02/05/10
02/01/10
9365825119
02/01/10
9362642220
$94.83
10-02-58320 Telephones - Long Distance-PA
$33.22
01/21/10 THRU 02/20/10
10-06-58310 Telephones-Service-Alarm
$30.53
01/21/10 THRU 02/20/10
$106.23
02/01/10 THRU 02/28/10
$18.70
02/01/10 THRU 02/28/10
$28.22
CONSOLIDATED COMMUNICATIONS-TXU:
COSPER, JARED
02/10/10
COS021010
59306
02/19/10 POLAR HEART RATE MONITOR
10-01-54350 Employee Health\Wellness-Admin
COSPER, JARED:
COTTON SURVEYING COMPANY
01/21/10
0160217
59307
02/19/10 W5692-001-00 EXXON RD / FM 1314
10-00-16032 Land-Station 32-BS
COTTON SURVEYING COMPANY:
CROWN PAPER AND CHEMICAL
01/04/10
18154
01/15/10
18605
01/25/10
18901
01/07/10
18283
01/11/10
18407
01/22/10
18827
59069
59199
59308
59308
59308
59308
01/28/10
02/05/10
02/19/10
02/19/10
02/19/10
02/19/10
5121415
5196061
59070
59309
01/06/10
061-84116
01/20/10
061-89189
59071
59310
02/01/10
CUR020110
01/09/10
CUR010910
01/21/10
CUR012110-2
01/21/10
CUR012110-1
01/21/10
CUR012110-3
01/21/10
CUR012110-4
59311
59311
59311
59311
59311
59311
ACCT MCH100
10-07-57900 Station Supplies-EMS
$129.96
ACCT MCH100
$780.35
ACCT MCH100
$219.08
ACCT MCH100
10-10-57900 Station Supplies-Fleet
$52.90
10-15-57900 Station Supplies-IS
$52.89
01/28/10 CUSTOMER 605MH50179
02/19/10 CUSTOMER 605MH50179
01/28/10 FL0110-0110
02/19/10 FL0110-1043
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
$4,954.87
$1,429.05
$540.83
$87.44
$358.55
$3,651.05
10-02-57100 Professional Fees-PA
$315.14
$540.90
$856.04
10-10-59050 Vehicle-Parts-Fleet
$389.78
$418.53
CUMMINS SOUTHERN PLAINS, LTD.:
CURRY, KELLY
$4,954.87
CSC CREDIT SERVICES:
CUMMINS SOUTHERN PLAINS, LTD.
$109.99
10-07-57750 Small Equipment & Furniture-EMS
CROWN PAPER AND CHEMICAL:
01/31/10
$109.99
ACCT MCH100
12/31/09
$4,698.13
ACCT MCH100
10-01-58100 Supplemental Food-Admin
CSC CREDIT SERVICES
$2.34
10-02-58310 Telephones-Service-PA
$808.31
FaST CAPITAL BUDGET MTG
10-15-55900 Meals - Business and Travel-IS
$17.29
LUGGAGE FEE - NAEMSP
10-07-58600 Travel Expenses-EMS
$25.00
LUNCH MTG W/ M FOLSOM
10-15-56100 Meeting Expenses-IS
$13.93
LUNCH AT HIE MTG
$5.80
BUSSINESS DINNER
$43.49
SUPPLIES FOR FaST DEPT RETREAT
10-15-54450 Employee Recognition-IS
$28.46
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
CURRY, KELLY:
CUT-N-SHOOT VOL FIRE DEPT.
02/01/10
FEBRUARY 2010-065
59167
10-07-57500 Rent-EMS
$950.00
CUT-N-SHOOT VOL FIRE DEPT.:
CVC INCORPORATED
01/04/10
596410
59072
01/28/10 CUSTOMER 0000005682
CVC INCORPORATED:
DANIEL OFFICE PRODUCTS
01/20/10
121844
59200
02/05/10 PAPER
120678
12/30/09
120684
01/27/10
122385
59312
59312
59312
02/19/10 FURNITURE FOR STATION 10
02/19/10 FURNITURE FOR STATION 10
02/19/10 CHAIR MATS FOR STATION 10
01/19/10
DAN011910
59073
01/28/10 MILEAGE REIMBURSEMENT
01/31/10
DSI1091281
59201
02/05/10 JANUARY 2010 SERVICES
$105.00
$70.00
$1,410.00
$400.00
$157.73
10-01-58600 Travel Expenses-Admin
12/06/09
XDJW3NMM9
59313
02/19/10 19 IN MONITORS
10-11-57100 Professional Fees-Bill
$26.35
$3,958.10
$3,958.10
10-01-52750 Capital Purchases / Fixed Assets-Admin
$755.82
10-02-52750 Capital Purchases / Fixed Assets-PA
$755.82
DELL MARKETING, LP:
DEMONTROND
$2,352.73
$26.35
DANTOM SYSTEMS, INC:
DELL MARKETING, LP
$3,260.51
$210.00
DANIEL, DONNA:
DANTOM SYSTEMS, INC
$3,260.51
10-11-56300 Office Supplies-Bill
DANIEL OFFICE PRODUCTS:
DANIEL, DONNA
$950.00
10-01-56300 Office Supplies-Admin
10-02-56300 Office Supplies-PA
12/30/09
$133.97
$1,511.64
02/11/10
CM488757
PARTS RETURN - INV 488757
($2.07)
01/15/10
CM484379
PARTS RETURN
($81.18)
FL0110-1006
$196.00
FL0110-1001
$205.88
FL0110-1001
$140.51
FL0110-1032
$252.66
FL0110-1040
$125.61
FL0110-1041
$119.69
FL0110-1020
$94.64
CUSTOMER 49800 COIL
$94.78
FL0110-1011
$2.92
FL0110-1022
$284.44
FL0110-1051
$25.65
FL0110-1057
$22.51
FL0110-1055
$478.84
01/06/10
487308-1
01/04/10
487255
01/04/10
487257
01/14/10
487654
01/20/10
487881
01/20/10
487905
01/12/10
487538
01/08/10
487425
01/07/10
487398
01/12/10
487542
01/22/10
488033
01/25/10
488078
01/25/10
488074
59074
59074
59074
59202
59202
59202
59074
59074
59074
59074
59314
59314
59314
01/28/10
01/28/10
01/28/10
02/05/10
02/05/10
02/05/10
01/28/10
01/28/10
01/28/10
01/28/10
02/19/10
02/19/10
02/19/10
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
01/26/10
488075-1
02/03/10
488444
59314
59314
Amount
02/19/10 FL0110-1055
02/19/10 FL0210-1005
$457.40
$207.06
DEMONTROND:
DIGITEC OFFICE SOLUTIONS
01/16/10
INV205480
59315
02/19/10 ACCT 503096-018
10-15-55400 Leases/Contracts-IS
$4,457.63
DIGITEC OFFICE SOLUTIONS:
DIRECTV
01/22/10
1180394959
01/29/10
1184876002
59203
59203
02/05/10 ACCT 035677337
02/05/10 ACCT 026299011
01/18/10
8255 70 708 1555190
01/18/10
8255 70 708 1555521
01/18/10
8255 70 708 1556016
01/18/10
8255 70 708 1556347
01/18/10
8255 70 708 1556487
01/25/10
8255 10 101 0137520
59075
59075
59075
59075
59075
59204
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
02/05/10
$997.79
$15.00
02/05/10
02052010
59278
$59.26
STATION 44 CABLE
$59.16
STATION 10 CABLE
$59.26
STATION 43 CABLE
$59.16
STATION 41 CABLE
$59.16
STATION 32 CABLE
$47.49
02/10/10 FIRE CHIEFS ASSOC MTG DINNER
10-12-56100 Meeting Expenses-FR
12/21/09
4082164-IN
12/21/09
4082163-IN
59316
59316
02/19/10 RENEWAL 2010
02/19/10 RENEWAL 2010
12/31/09
231
59076
01/28/10 OCTOBER 2009 THRU DECEMBER 2009
$1,320.00
10-07-55650 Maintenance-Contract Equipment-EMS
$9,240.00
10-09-53550 Customer Relations-Clini
EMS SURVEY TEAM:
ENTERGY
01/21/10
2621561
01/22/10
2924599
01/21/10
3581680
01/21/10
3542398
01/26/10
2433968
02/05/10
3565260
02/05/10
3565259
02/04/10
2344654
02/04/10
1533424
02/03/10
1065566
02/01/10
2458021
02/08/10
1065538
59077
59077
59077
59077
59205
59317
59317
59317
59317
59317
59317
59317
01/28/10
01/28/10
01/28/10
01/28/10
02/05/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
$500.00
DRIVECAM, INC:
EMS SURVEY TEAM
$343.49
$500.00
DIVINE CATERING:
DRIVECAM, INC
$1,012.79
STATION 31 CABLE
DISH NETWORK:
DIVINE CATERING
$4,457.63
10-06-58800 Utilities-Alarm
DIRECTV:
DISH NETWORK
$2,625.34
$10,560.00
$3,134.10
$3,134.10
10615 COMMERCE ROW
$338.31
102C FM 1097
$320.92
2920 N LOOP 336 E
$614.48
2920 N LOOP 336 E
$196.41
14092 OLD HWY 59
$359.76
1300 S FRAZIER STE 213
1300 S FRAZIER STE 308
299 GEORGE STRAKE
$1,528.04
301 GEORGE STRAKE
$706.84
14920 WIGGINS RD
$223.02
7400 FOREST LN SPC A
$326.18
8400 LONGMIRE RD
$239.72
$74.26
$9.20
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
ENTERGY:
ENVIRONMENTAL, RISK MGMT & SAFETY, INC
01/20/10
42632
01/19/10
42377
59078
59318
01/28/10 OSHA & EPA MONTHLY MAINTENANCE
02/19/10 OSHA / EPA EMPLOYEE TRAINING
10-10-57100 Professional Fees-Fleet
$100.00
10-10-58500 Training/Related Expenses-CE-Fleet
$300.00
ENVIRONMENTAL, RISK MGMT & SAFETY, INC:
EVERCARE OF TEXAS LLC
01/30/09
09-3735
59246
01/28/10
499695
59319
02/19/10 CUSTOMER 73351
FAIRWAY SUPPLY, INC.:
FALGOUT, CHRISTOPHER
01/26/10
FAL012610
59079
FALGOUT, CHRISTOPHER:
FEDERAL EXPRESS
01/21/10
9-473-80950
02/04/10
9-489-16618
59080
59320
01/28/10 ACCT 1670-0125-4
02/19/10 ACCT 1670-0125-4
01/26/10
94046663
12/29/09
94046356
59321
59321
02/19/10 PARTS FOR STATION 10
02/19/10 CONTROL BOARD
01/15/10
99101
01/15/10
99102
59322
59322
02/19/10 FL0110-1002
02/19/10 FL0110-1002
01/01/10
170
02/03/10
213
59081
59323
01/28/10 JANUARY 2010
02/19/10 FEBRUARY 2010 SERVICES
01/13/10
52512
59082
01/28/10 CUSTOMER 12-13159500
10-15-57275 Radio - Special Project expenditures-IS
12/31/09
36854
12/18/09
36826
01/15/10
36960
01/15/10
36949
59083
59083
59206
59206
01/28/10
01/28/10
02/05/10
02/05/10
$287.50
$75.55
$108.65
$2,375.00
$2,483.65
$387.72
$387.72
$775.44
10-15-57100 Professional Fees-IS
$540.00
$580.00
10-07-57650 Repair-Equipment-EMS
$1,120.00
$150.00
FLOTEC, INC:
FRAZER, LTD.
$287.50
$30.71
FLEETEYES, LLC:
FLOTEC, INC
$50.47
$44.84
FLEET SAFETY EQUIPMENT, INC.:
FLEETEYES, LLC
$50.47
10-09-53400 Courier-Clini
FEDERAL SIGNAL CORP.:
FLEET SAFETY EQUIPMENT, INC.
$50.00
10-15-53400 Courier-IS
FEDERAL EXPRESS:
FEDERAL SIGNAL CORP.
$400.00
$50.00
EVERCARE OF TEXAS LLC:
FAIRWAY SUPPLY, INC.
$4,937.14
$150.00
FL1209-1043
$151.60
FL1209-1040
$33.22
FL0110-1029
$48.78
FL0110-1036
$77.04
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
01/08/10
36877
01/08/10
36900
01/27/10
37017
01/15/10
36952
12/07/09
36730
59083
59324
59324
59324
59324
01/28/10
02/19/10
02/19/10
02/19/10
02/19/10
FL0110-1005
10-07-52750 Capital Purchases / Fixed Assets-EMS
FL0110-1038
$566.72
FL0110-1021
$151.94
FL1109-1024
$222.31
REMOUNT SHOP 25
Amount
FRAZER, LTD.:
FRIENDSHIP CENTER, THE
02/01/10
FEBRUARY 2010-033
59168
02/01/10 TRANSPORTATION SERVICES
10-02-56500 Other Services-PA
01/20/10
1165161312
01/13/10
1165155459
02/03/10
1165173077
01/27/10
1165167201
02/10/10
1165178898
59084
59084
59325
59325
59325
01/28/10
01/28/10
02/19/10
02/19/10
02/19/10
01/28/10
GAR012810
02/09/10
GAR020910
59085
59326
10-10-55100 Laundry Service & Purchase-Fleet
$136.35
ACCT 0011422
$135.18
ACCT 0011422
$148.71
ACCT 0011422
$135.77
ACCT 0011422
$135.18
01/28/10 REFUND OF MISC PAYROLL DEDUCTION
02/19/10 WELLNESS REIMBURSEMENT
10-00-21400 Accrued Payroll-BS
02/01/10
121Y021000
59327
10-11-57100 Professional Fees-Bill
GATEWAY EDI, LLC:
GIVENS & ASSOCIATES
01/29/10
JANUARY 2010-078
02/05/10
FEBRUARY 2010-079
02/12/10
FEBRUARY 2010-080
02/19/10
FEBRUARY 2010-081
59086
59207
59279
59328
01/28/10
02/05/10
02/12/10
02/19/10
01/01/10
JANUARY 2010
02/01/10
FEBRUARY 2010
217
59329
12/30/09
9150110063
01/13/10
9158512849
01/13/10
9158512831
01/14/10
9160060324
10/02/09
9090246647
11/03/09
9113404173
01/28/10
9170605811
59088
59088
59088
59208
59330
59330
59330
$264.58
$264.58
10-02-57850 Specialty Healthcare Providers-PA
$1,003.00
$1,003.00
RESPIRATORY CARE & MGMT
$1,003.00
$1,003.00
02/04/10 299 & 301 GEORGE STRAKE
02/19/10 299 & 301 GEORGE STRAKE
01/28/10
01/28/10
01/28/10
02/05/10
02/19/10
02/19/10
02/19/10
$638.00
$4,012.00
$950.00
$950.00
GRACEY'S COMMERCIAL CLEANING SERVICE:
GRAINGER
$38.00
GIVENS & ASSOCIATES:
GRACEY'S COMMERCIAL CLEANING SERVICE
$691.19
$600.00
GARCIA, JUAN:
GATEWAY EDI, LLC
$100.00
ACCT 0011422
G & K SERVICES:
GARCIA, JUAN
$54,660.21
$100.00
FRIENDSHIP CENTER, THE:
G & K SERVICES
$53,125.00
$283.60
$1,900.00
FL12091058
$119.26
FL01101026
$447.12
FL12091058
$596.30
FL01101034
10-10-57725 Shop Supplies-Fleet
$14.09
FL1009-1002
$953.00
FL1109-1001
ACCT 848899241
$46.62
$424.50
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
01/28/10
9170274139
01/14/10
9160060332
01/26/10
9167937219
59330
59330
59330
Amount
02/19/10 ACCT 848899241
02/19/10 ACCT 848899241
02/19/10 ACCT 848899241
$66.00
GRAINGER:
GULLO FORD MERCURY
979935
PARTS RETURNED
979084
PARTS RETURN
($54.97)
01/08/10
977115
CORE RETURN
($1,545.00)
FL0110-1010
FL0110-1027
$45.21
FL0110-1030
$1,545.40
FL0110-1033
$8.24
FL01101046
$968.41
FL0110-1047
$384.88
FL0110-1049
$38.10
FL01101048
$364.08
FL0110-1054
$22.12
FL0110-1053
$236.35
FL0110-1063
$203.55
FL0110-1060
$279.52
FL0110-1061
$2,466.96
FL0110-1059
$1,859.95
FL0110-1069
$518.09
FL0110-1065
$279.52
FL0110-1068
$204.78
FL0110-1064
$29.82
FL0110-1070
$150.77
01/07/10
976761
01/13/10
977786
01/13/10
977888
01/14/10
978006
01/20/10
979025
01/20/10
979049
01/21/10
979222
01/21/10
979121
01/25/10
979532
01/25/10
979530
01/26/10
979851
01/26/10
979778
01/26/10
979785
01/26/10
979744
01/27/10
980130
01/27/10
980057
01/27/10
980089
01/27/10
979936
01/28/10
980147
59089
59089
59089
59209
59209
59331
59331
59331
59332
59332
59331
59331
59332
59332
59331
59331
59331
59331
59331
01/28/10
01/28/10
01/28/10
02/05/10
02/05/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
($36.41)
$672.40
01/25/10
HAH012510
02/03/10
HAH020310
59090
59210
01/22/10
HAN012210
59091
01/28/10 EMS CONF REIMBURSEMENT
10/01/09
SE33462412.001
01/15/10
SE33726065.001
59092
59211
01/28/10 ACCT 21813
02/05/10 ACCT 21813
$28.15
$28.15
10-07-58600 Travel Expenses-EMS
SE33760912.001
01/28/10
SE33756603.001
01/28/10
SE33756603.002
59333
59333
59333
02/19/10 ACCT 21813
02/19/10 ACCT 21813
02/19/10 ACCT 21813
$56.30
$129.60
$129.60
$29.91
$14.24
01/28/10
$8,641.77
HANNES, MATTHEW:
HD SUPPLY ELECTRICAL, LTD
$2,901.00
01/20/10
HAHN, JERALD:
HANNES, MATTHEW
$178.58
01/27/10
GULLO FORD MERCURY:
HAHN, JERALD
$55.53
$61.74
$412.00
$268.00
$72.00
HD SUPPLY ELECTRICAL, LTD:
$857.89
Vendor Name
HI-LINE
Invoice Date
Invoice No.
Draft/Ck No.
01/15/10
10018750
59094
Amount
01/28/10 FL0110-1019
$538.86
HI-LINE:
HOUSTON COMMUNITY NEWSPAPERS
01/31/10
249847
01/31/10
249847
59335
59335
02/19/10 ACCT 2028855
02/19/10 ACCT 2028855
10-01-52200 Advertising-Admin
$251.16
10-02-52200 Advertising-PA
$290.37
HOUSTON COMMUNITY NEWSPAPERS:
HUDSON & O'LEARY, LLP
01/13/10
2023
01/13/10
2031
01/13/10
2030
01/13/10
2037
01/13/10
2026
01/13/10
2029
01/13/10
2028
01/13/10
2025
01/13/10
2022
01/13/10
2027
02/15/10
2055
02/15/10
2056
02/15/10
2057
02/15/10
2058
02/15/10
2067
02/15/10
2068
02/15/10
2049
02/15/10
2050
02/15/10
2051
02/15/10
2053
59095
59095
59095
59095
59095
59095
59095
59095
59095
59095
59336
59336
59336
59336
59336
59336
59336
59336
59336
59336
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
01/15/10
2139936
01/27/10
2142761
01/29/10
2143474
01/28/10
2143132
59212
59338
59338
59338
02/05/10
02/19/10
02/19/10
02/19/10
10-01-55500 Legal Fees-Admin
$1,345.50
FILE NO 401.03
$280.15
FILE NO 401.05
$431.50
FILE NO 401.07
$78.00
FILE NO 401.08
$780.00
FILE NO 401.09
$2,145.00
FILE NO 401.10
$351.00
FILE NO 401.12
$1,896.00
FILE NO 401.16
$370.50
FILE NO 401.22
$994.50
FILE NO 401.10
$487.50
FILE NO 401.12
$316.50
FILE NO 401.16
$449.90
FILE NO 401.22
$624.00
FILE NO 401.09
$2,243.90
FILE NO 401.07
$253.50
FILE NO 401.01
$681.00
FILE NO 401.03
$1,384.31
FILE NO 401.06
$292.50
FILE NO 401.08
$643.50
12/23/09
2136070
59337
10-04-57275 Radio - Special Project Expenditures-Radio
$353.47
ACCT 112185
10-15-57225 Radio Repair - Parts-IS
$354.01
ACCT 112185
$827.20
ACCT 112185
$60.91
02/19/10 ACCT 112185
10-01-53200 Contingencies-Admin
HUTTON COMMUNICATIONS, INC:
INDIGENT HEALTHCARE SOLUTIONS
01/01/10
53168
01/04/10
53206
02/02/10
53309
59096
59096
59339
$16,048.76
ACCT 112185
HUTTON COMMUNICATIONS, INC.:
HUTTON COMMUNICATIONS, INC
$541.53
FILE NO 401.01
HUDSON & O'LEARY, LLP:
HUTTON COMMUNICATIONS, INC.
$538.86
01/28/10 FEBRUARY 2010 SERVICES
01/28/10 DECEMBER 2009 POWER SEARCH SVCS
02/19/10 JANUARY 2010 POWER SEARCH
10-02-53050 Computer Software-PA
$1,595.59
$3,440.99
$3,440.99
$11,353.27
$384.50
$369.00
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
INDIGENT HEALTHCARE SOLUTIONS:
INTERFAITH EMP ASSIST CTR
01/01/10
JANUARY 2010
02/01/10
FEBRUARY 2010
217
59329
02/04/10 EAP SERVICES
02/19/10 EAP SERVICES
10-07-51700 Health & Dental-EMS
$1,052.00
$1,052.00
INTERFAITH EMP ASSIST CTR:
IRON MOUNTAIN
12/31/09
45H01
01/31/10
45H01
59341
59341
02/19/10 BFV8888 - BFV8892
02/19/10 BKJ1408 - BKJ1412
$872.39
$948.30
$1,820.69
11/17/09
38787
PARTS RETURNED
($4.25)
11/18/09
39009
PARTS RETURNED
($81.62)
01/20/10
48797
01/06/10
45578
01/04/10
45102
CORE CREDIT
59099
59099
01/28/10 CUSTOMER 30028
01/28/10 CUSTOMER 30028
10-10-58900 Vehicle-Batteries-Fleet
01/11/10
46806
01/19/10
48583
01/13/10
47564
01/20/10
48805
01/20/10
48796
01/21/10
48952
01/07/10
46015
01/13/10
47446
01/07/10
45945
01/07/10
45949
01/13/10
47393
01/12/10
47262
01/13/10
47451
10/23/09
34692
11/18/09
39008
11/17/09
38758
10/05/09
31688
10/21/09
34305
01/28/10
50353
01/28/10
50221
01/28/10
50218
01/29/10
50471
01/22/10
49299
01/25/10
49638
$98.64
$35.94
JOH010810
$12.03
59099
59213
59099
59213
59213
59342
59099
59099
59099
59100
59100
59100
59100
59342
59342
59342
59342
59342
59342
59342
01/28/10
02/05/10
01/28/10
02/05/10
02/05/10
02/19/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
CUSTOMER 30028
FL0110-1039
$21.46
FL0110-1031
$26.34
FL0110-1045
10-10-56400 Oil & Lubricants-Fleet
$95.76
FL0220-1044
$1,119.90
59342
59343
59343
59343
02/19/10
02/19/10
02/19/10
02/19/10
FL0110-1071
59045
$1,963.76
CUST #30028/WIX 33425 FILTER
$75.11
FL0110-1014
$76.50
CUSTOMER 30028
$76.50
FL0110-1012
$17.65
CUSTOMER 30028
$284.78
CUSTOMER 30028
$331.64
CUSTOMER 30028
CUSTOMER 30028
$5.07
FL1009-1060
$13.50
FL1109-1039
$81.62
CUSTOMER 30028
$4.25
FL1009-1006
$58.96
FL1009-1047
$274.82
FL0110-1072
$14.99
FL0110-1071
$663.56
$665.94
$107.46
CUSTOMER 30028
$51.00
FL0110-1052
$30.98
FL0110-1058
$145.13
J AND B AUTO SUPPLY:
01/08/10
($406.70)
10-10-57700 Shop Tools-Fleet
JOHNSON, MELISSA
$2,104.00
IRON MOUNTAIN:
J AND B AUTO SUPPLY
$12,106.77
01/27/10 MANUAL PAY CHECK - 01/08/10
$47.88
$5,908.60
$60.46
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
JOHNSON, MELISSA:
JONES OIL, INC.
01/26/10
467523
01/26/10
467524
59344
59344
02/19/10 CUSTOMER 001902
02/19/10 CUSTOMER 001902
$530.62
$2,035.29
JONES OIL, INC.:
JOURNAL WATCH EMERGENCY MEDICINE
12/03/09
100940155
59345
02/19/10 SUBSCRIPTION - K CURRY
10-15-54100 Dues/Subscriptions-IS
02/01/10
590847310 4002
02/01/10
590847310 2002
02/01/10
590847310 3002
59346
59347
59348
02/19/10 ACCT 590847310 4
02/19/10 ACCT 590847310 2
02/19/10 ACCT 590847310 3
01/06/10
386
59101
01/28/10 QUARTERLY SUPPORT
$92.82
$3,209.65
$27.26
10-06-55650 Maintenance-Contract Equipment-Alarm
KFH TECHNOLOGIES:
KIMMEY, KAREN
02/01/10
KIM020110
59183
02/02/10 REIMBURSEMENT FOR FUEL - M43
10-07-54700 Fuel-EMS
01/25/10
77404
59349
02/19/10 REPAIR / REFINISH BADGE 8893
01/22/10
KOV012210
59214
02/05/10 NAEMSP EXPENSES
01/03/10
265697
01/03/10
098468
01/03/10
159612
01/30/10
139437
59350
59350
59350
59350
02/19/10 CUSTOMER H31970
02/19/10 CUSTOMER H31970
02/19/10 CUSTOMER H31970
02/19/10 CUSTOMER H31970
11/17/06
06-2944
59247
10/31/09
1171610-20091031
11/30/09
1171610-20091130
59047
59047
01/28/10 10/01/2009-10/31/2009
01/28/10 11/01/2009-11/30-2009
$8.82
$793.62
$123.50
$917.12
10-06-54450 Employee Recognition-Alarm
$120.00
10-07-54450 Employee Recognition-EMS
$525.00
10-01-56100 Meeting Expenses-Admin
$5.98
10-01-58100 Supplemental Food-Admin
$11.89
10-01-54450 Employee Recognition-Admin
LEAGUE CITY VOLUNTEER EMS:
LEXISNEXIS RISK DATA MGMT, INC
$47.38
10-09-55900 Meals - Business and Travel-Clini
KROGER-SOUTHWEST KMA:
LEAGUE CITY VOLUNTEER EMS
$5,100.00
10-09-58600 Travel Expenses-Clini
KOVAR, JAY LANCE M.D., P.A.:
KROGER-SOUTHWEST KMA
$5,100.00
$8.82
KOLOR KOATED, INC.:
KOVAR, JAY LANCE M.D., P.A.
$3,329.73
$47.38
KIMMEY, KAREN:
KOLOR KOATED, INC.
$69.00
KEY EQUIPMENT FINANCE:
KFH TECHNOLOGIES
$2,565.91
$69.00
JOURNAL WATCH EMERGENCY MEDICINE:
KEY EQUIPMENT FINANCE
$60.46
$200.00
$862.87
$417.60
$417.60
$1,610.00
$1,379.10
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
12/31/09
1171610-20091231
01/31/10
1171610-20100131
59047
59351
01/28/10 12/01/2009-12/31/2009
02/19/10 01/01/10 THRU 01/31/10
$1,168.80
$1,567.50
LEXISNEXIS RISK DATA MGMT, INC:
LIBERTY OFFICE PRODUCTS
01/05/10
145360
01/07/10
145821
12/17/09
143642
01/15/10
147260
01/21/10
148044
01/29/10
149360
11/25/09
140780
59102
59102
59102
59102
59102
59352
59352
01/28/10 PAPER, MULTI PURPOSE
01/28/10
01/28/10
01/28/10
01/28/10
01/31/10
EMMOR01 01 2010
59353
$29.39
10-15-56300 Office Supplies-IS
$29.39
OFFICE SUPPLIES
10-10-56300 Office Supplies-Fleet
$59.39
OFFICE SUPPLIES
10-09-56300 Office Supplies-Clini
$30.76
OFFICE SUPPLIES
$251.25
OFFICE SUPPLIES
02/19/10 CUSTOMER 79203
02/19/10 CUSTOMER 79203
02/19/10 01/01/10 THRU 01/31/10
01/15/10
161949
01/06/10
160840
01/06/10
160828
01/06/10
160874
01/06/10
160875
01/06/10
160839
01/11/10
161367
01/11/10
161369
01/11/10
161368
01/11/10
161366
01/11/10
161379
01/11/10
161319
01/14/10
161781
01/14/10
161778
01/19/10
162339
01/19/10
162342
01/19/10
162340
01/19/10
162341
01/20/10
162421
02/01/10
164204
01/11/10
161370
01/25/10
162931
01/25/10
162946
01/25/10
162945
01/25/10
162939
59215
59103
59103
59103
59103
59103
59103
59103
59103
59103
59103
59103
59215
59215
59215
59215
59215
59215
59215
59354
59354
59354
59354
59354
59354
02/05/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
02/05/10
02/05/10
02/05/10
02/05/10
02/05/10
02/05/10
02/05/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
$3.99
$26.79
$149.40
$49.90
10-08-56300 Office Supplies-Logis
$73.50
10-11-52900 Collection Fees-Bill
LINEBARGER GOGGAN BLAIR & SAMPSON, LLP:
LONE STAR UNIFORMS
$5,725.40
LIBERTY OFFICE PRODUCTS:
LINEBARGER GOGGAN BLAIR & SAMPSON, LLP
Amount
$703.76
$8,850.39
$8,850.39
MCKELVEY, BRENT
CLAY, TRAVIS
$109.85
$9.95
STOCK
10-06-58700 Uniforms-Alarm
$44.75
ARREDOND, RAYMOND
$153.85
TRAYLOR, JESSICA
$153.85
BAIN, BONNIE
$9.95
MCGEE, ALICIA
$86.40
TRAYLOR, JESSICA
$19.90
JENKINS, CHRISS
$13.95
RUTLEDGE, ZACK
$70.40
WARD, BRAD
$21.05
GEAR BAGS
$53.50
MCKELVEY, BRENT
$33.95
MCKELVEY, BRENT
$12.95
LAND, RHONDA
$33.95
DIAZ, MATTHEW
$94.65
CLARK, MORGAN
$115.55
PELCZAR, SCOTT
$194.75
WARD, BRAD
$204.80
SPITZER, SAM
$33.95
$4.00
BEDAIR, WAYNE
$2.50
JACKSON, RICHARD
$39.95
RUSH, ANDERSON
$12.05
JACKSON, JAMES
$17.05
MULLINS, MEGAN
$149.85
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
01/25/10
162935
01/25/10
162958
59354
59354
Amount
02/19/10 GUTIERREZ, JASON
02/19/10 CUNNINGHAM, KIMBERLEY
$122.25
$20.05
01/25/10
162957
59354
02/19/10 LANGAN, PATRICK
01/25/10
162918
01/25/10
162912
59354
59354
02/19/10 CRIVELLI, MELISSA
02/19/10 GRINDSTAFF, JASON
01/25/10
162890
01/25/10
162906
01/25/10
162937
01/25/10
162925
01/25/10
162885
01/25/10
162915
01/25/10
162921
01/25/10
162928
01/25/10
162952
59355
59355
59355
59355
59355
59355
59355
59355
59355
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
$2.75
$27.00
$80.18
$2.22
$30.00
BROWN, KIMBERLY
$25.00
CAPERS, CHRIS
$27.00
MCDONALD, AARON
$34.95
DIAZ, MATTHEW
$12.95
STOCKTON, KRISTIE
$1.50
$27.00
WHEELER, CHRISTINA
$17.05
PERKINS, LISA
$17.05
ALEXANDER, KYLE
$9.95
CLANCY, LOIS
$7.10
$17.90
WITT, LACY
$27.00
TRAINOR, SHAWN
$17.05
ELLIOTT, BRANDON
$22.00
FITZGERALD, KEVIN
$30.00
MINAMYER, CHRIS
$173.75
163590
59355
59355
59356
59356
59356
59356
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
01/28/10
163591
59356
02/19/10 TAYLOR, PHILLIP
$3.50
01/28/10
163592
59356
02/19/10 COLLINS, TERRI
$12.95
$1.95
01/29/10
163920
$49.95
158691
02/19/10 ALEXANDER, CHRISTI
02/19/10 HAHN, KEITH
12/14/09
59356
59356
$36.00
01/25/10
162880
01/25/10
162920
01/25/10
162924
01/25/10
162938
01/25/10
162943
01/28/10
AIKEN, SHANNON
$3.50
$181.80
LONE STAR UNIFORMS:
LOWE'S COMPANIES, INC.
12/25/09
925207
12/25/09
924392
12/25/09
924998
01/25/10
924578
59357
59357
59357
59357
02/19/10
02/19/10
02/19/10
02/19/10
12/30/09
5208
59104
$26.86
ACCT 9900 144743 4
$55.06
ACCT 9900 144743 4
$17.98
ACCT 9900 144743 4
$12.69
01/28/10 FEB 2010 MEMBERSHIP DUES
MAGNOLIA AREA CHAMBER OF COMMERCE:
MAGNOLIA ISD
02/01/10
FEBRUARY 2010-017
59169
$2,853.25
ACCT 9900 144743 4
LOWE'S COMPANIES, INC.:
MAGNOLIA AREA CHAMBER OF COMMERCE
$2.50
$112.05
10-07-57500 Rent-EMS
$112.59
$50.00
$50.00
$500.00
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
MAGNOLIA ISD:
MAGUIRE, JESSICA
01/21/10
ROB012110
59105
01/28/10 PER DIEM - OSHA CONFERENCE
MAGUIRE, JESSICA:
MCMINN PHOTO SPECIALIST
01/20/10
309
59106
01/28/10 AWARD BANQUET PHOTOS
10/14/09
10420
11/16/09
10520
59358
59358
02/19/10 ACLS CARDS
02/19/10 PALS CARDS
METLIFE - A/C
01/30/10
0000033130
01/29/10
0000033061
12/31/09
31756
59216
59217
59107
02/05/10 SCHNEIDER, HOMER
02/05/10 STAUSS, CARL
01/28/10 EGN NUMBER 1008809
$135.00
$270.00
02/09/10
KEN020910
02/11/10
KEN021110
59359
59359
02/19/10 SPINAL WELLNESS PROGRAM
02/19/10 SPINAL WELLNESS PROGRAM
$46.75
$41.25
01/02/10
MIF010210
59108
$22.30
$22.30
MEMORIAL HERMANN WOODLANDS HOSPITAL:
$44.60
10-01-55700 Management Fees-Admin
$312.50
01/05/10
479244
01/06/10
478372
01/29/10
476398
59109
59109
59360
01/28/10 NOOTKA JACKET
01/28/10 CP93 BLK/NAT
02/19/10 JACKETS FOR FaST DEPT
$150.00
$150.00
10-07-56200 Mileage Reimbursements-EMS
01/20/10
323693
02/02/10
320491
59218
59361
02/05/10 FL0110-1050
02/19/10 FL0210-1002
01/20/10
3018720
04/30/09
7530960.000
12/10/09
7980001 001
59219
59362
59110
02/05/10 ACCT 12476
02/19/10 ACCT 12476
01/28/10 ACCT 12476
$12.95
$12.95
$79.99
10-15-58700 Uniforms-IS
$155.59
$569.41
$804.99
10-10-59200 Vehicle-Towing-Fleet
$110.00
10-10-59200 Vehicle-Towing-Fleet
$116.00
MILSTEAD AUTOMOTIVE:
MMS-A MEDICAL SUPPLY CO.
$300.00
MILLER UNIFORMS & EMBLEMS, INC.:
MILSTEAD AUTOMOTIVE
$312.50
MIFFLIN, KEVIN:
MILLER UNIFORMS & EMBLEMS, INC.
$88.00
MICHAEL D KENNEDY, D.C.:
MIFFLIN, KEVIN
$405.00
METLIFE - A/C:
MICHAEL D KENNEDY, D.C.
$42.00
10-07-54450 Employee Recognition-EMS
MEMORIAL HERMAN LIFE FLIGHT:
MEMORIAL HERMANN WOODLANDS HOSPITAL
$42.00
MCMINN PHOTO SPECIALIST:
MEMORIAL HERMAN LIFE FLIGHT
$500.00
$226.00
$940.50
$488.40
$128.80
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
12/17/09
8009923 000
12/22/09
7993496 001
12/29/09
8030674 000
01/12/10
3008949
01/12/10
3008938
01/19/10
3016705
01/19/10
3016253
01/20/10
3018569
59110
59110
59110
59110
59362
59362
59362
59219
59362
59362
59362
01/26/10
3025624
01/26/10
3025623
01/28/10
3028275
01/28/10
01/28/10
01/28/10
01/28/10
02/19/10
02/19/10
02/19/10
02/05/10
02/19/10
02/19/10
02/19/10
ACCT 12476
ACCT 12476
$203.28
ACCT 12476
$3,085.10
ACCT 12476
$58.50
ACCT 12476
$2,214.60
ACCT 12476
$623.80
ACCT 12476
$17.50
ACCT 12476
$432.00
ACCT 12476
$88.80
ACCT 12476
$2,999.90
ACCT 12476
$35.00
MMS-A MEDICAL SUPPLY CO.:
MONTGOMERY COUNTY EMERGENCY
12/22/09
2009-A013
02/02/10
2010-A001
59112
59220
01/28/10 MONTHLY RENT - JANUARY 2010
02/05/10 FEBRUARY 2010 RENT
02/01/10
FEBRUARY 2010-037
59171
02/01/10
FEBRUARY 2010-065
59167
$3,346.00
$3,346.00
10-07-57500 Rent-EMS
10-07-57500 Rent-EMS
MONTGOMERY COUNTY ESD #1:
MONTGOMERY COUNTY ESD #5
02/01/10
FEBRUARY 2010-031
59172
10-07-57500 Rent-EMS
MONTGOMERY COUNTY ESD #6, STN 93
02/01/10
FEBRUARY 2010-023
59174
10-07-57500 Rent-EMS
MONTGOMERY COUNTY ESD #6, STN 93:
MONTGOMERY COUNTY ESD #6, STN 90
02/01/10
FEBRUARY 2010-065
59167
10-07-57500 Rent-EMS
MONTGOMERY COUNTY ESD #6, STN 90:
02/01/10
FEBRUARY 2010-034
59175
10-07-57500 Rent-EMS
02/01/10
FEBRUARY 2010-065
59167
10-07-57500 Rent-EMS
09/21/09
09-36149
59248
$14,550.78
10-06-57500 Rent-Alarm
$3,234.60
10-06-57500 Rent-Alarm
MONTGOMERY COUNTY EMERGENCY:
Amount
$6,692.00
$850.00
$850.00
$1,025.00
$1,025.00
$900.00
$900.00
$300.00
$300.00
$900.00
$900.00
$550.00
$550.00
$750.00
$750.00
$49.06
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
MONTGOMERY COUNTY HOSPITAL DISTRICT:
MONTGOMERY COUNTY
01/22/10
01222010
59111
01/28/10 MEMBERSHIP DUES - N WASSERMAN
MONTGOMERY COUNTY:
MOORE MEDICAL CORP.
12/30/09
81198407EI
12/31/09
81198708EI
12/15/09
81189872EI
12/22/09
96026330RI
01/06/10
81201597EI
01/07/10
81202044EI
12/10/09
81186524EI
12/10/09
96009788RI
12/02/09
81180994EI
01/20/10
96058550RI
01/13/10
96048907RI
02/01/10
96073366RI
59113
59113
59113
59113
59113
59113
59113
59113
59113
59363
59363
59363
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
02/19/10
02/19/10
02/01/10
FEBRUARY 2010-022
59177
01/21/10
DT3093
59364
$378.72
$57.60
CUSTOMER 2081249
$87.50
CUSTOMER 2081249
$3,305.40
CUSTOMER 2081249
$315.20
CUSTOMER 2081249
$1,450.00
CUSTOMER 2081249
10-07-54200 Durable Medical Equipment-EMS
$225.52
CUSTOMER 2081249
$158.17
CUSTOMER 2081249
$1,160.00
CUSTOMER 2081249
$1,115.52
CUSTOMER 2081249
02/19/10 CUSTOMER 2081249
$312.91
$30.54
$3,699.56
$82.72
10-01-57300 Recruit/Investigate-Admin
$44.52
02/01/10 UNIT D005 & D006
02/19/10 ANNUAL MAINT / RETAG
01/07/09
17503
59114
01/28/10 FL0110-1013
$167.00
10-15-57550 Rent-Storage Facility-IS
$120.00
10-07-57650 Repair-Equipment-EMS
11/01/09
09-41533
59249
10-10-59000 Vehicle-Outside Services-Fleet
02/01/10
FEBRUARY 2010-052
59178
10-07-57500 Rent-EMS
01/08/10
098379
01/11/10
098550
59115
59115
01/28/10 FL0110-1015
01/28/10 FL0110-1018
$169.86
$169.86
$99.64
$275.00
MYERS, GRACE:
NAPA AUTO PARTS
$58.50
$99.64
MUTUAL OF OMAHA, CO.:
MYERS, GRACE
$287.00
$58.50
MUFFLER TIME:
MUTUAL OF OMAHA, CO.
$12,423.88
MOSLEY FIRE AND SAFETY, INC:
MUFFLER TIME
$75.00
CUSTOMER 2081249
MORNINGSTAR MINI-STORAGE:
MOSLEY FIRE AND SAFETY, INC
$75.00
CUSTOMER 2081249
MOORE MEDICAL CORP.:
MORNINGSTAR MINI-STORAGE
$49.06
$275.00
$262.57
$175.69
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
02/02/10
010541
01/26/10
100089
59365
59365
Amount
02/19/10 FL0210-1003
02/19/10 FL0110-1056
$276.99
$175.69
NAPA AUTO PARTS:
NATIONAL ACADEMIES OF EMERGENCY DISPATC
01/25/10
131795
59366
02/19/10 C HARRISON -CERTIFICATION FEE
10-06-54100 Dues/Subscriptions-Alarm
$30.00
NATIONAL ACADEMIES OF EMERGENCY DISPATCH:
NEW LONDON TECHNOLOGY, INC.
01/05/10
W-0025
01/05/10
W-0031
01/05/10
W-0030
01/05/10
W-0032
01/05/10
W-0035
01/05/10
W-0037
01/05/10
W-0036
01/05/10
W-0026
01/05/10
W-0027
01/05/10
W-0028
01/05/10
W-0033
01/05/10
W-0034
59116
59116
59116
59116
59116
59116
59116
59116
59116
59116
59116
59117
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/19/10
249744
59221
$74.00
ACCT N-3505
$296.40
ACCT N-3505
$89.00
ACCT N-3505
$99.00
ACCT N-3505
$154.00
ACCT N-3505
$155.40
ACCT N-3505
$209.00
ACCT N-3505
$164.00
ACCT N-3505
$109.00
ACCT N-3505
$74.00
ACCT N-3505
$217.00
ACCT N-3505
$88.00
02/05/10 CUSTOMER MO5921
10-02-57000 Printing Services-PA
02/04/10
NIN020410
59184
02/04/10 MANUAL PAYCHECK - 02/05/10
02/10/10
293
59367
12/25/09
46700
59118
01/28/10 ENVIRONMENTAL TESTING
01/20/10
NUT012010
59119
01/28/10 PER DIEM - ASM COURSE
10-07-55900 Meals - Business and Travel-EMS
NUTT, KEVIN L.:
OFFICE DEPOT
11/25/09
498162326001
12/29/09
502437633001
01/21/10
505736567001
INV 495502465001 / PO 10210
59121
59368
01/28/10 LOCK CABINET
02/19/10 ACCT 88519688
$1,329.00
$1,147.00
NOVA BIOLOGICALS, INC:
NUTT, KEVIN L.
$796.67
$1,329.00
NOAH MANAGEMENT GROUP:
NOVA BIOLOGICALS, INC
$701.12
$796.67
NINI, GLORIA:
NOAH MANAGEMENT GROUP
$1,728.80
$701.12
NEWBART PRODUCTS, INC.:
NINI, GLORIA
$30.00
ACCT N-3505
NEW LONDON TECHNOLOGY, INC.:
NEWBART PRODUCTS, INC.
$890.94
$1,147.00
$364.00
$364.00
($69.99)
10-08-56300 Office Supplies-Logis
$52.68
$72.23
$78.44
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
$133.66
01/21/10
505739364001
01/12/10
504374948001
12/18/09
501401950001
12/15/09
501398909001
59368
59368
59368
59368
02/19/10
02/19/10
02/19/10
02/19/10
ACCT 88519688
ACCT 88519688
ACCT 88519688
ACCT 88519688
$54.97
$3.99
$232.32
$17.99
$48.39
$221.12
$23.08
$13.77
OFFICE DEPOT:
O-MATIC SOFTWARE
01/18/10
1577
01/18/10
1577
59120
59120
01/28/10 INVANTAGE - 01/01/09 THRU 12/31/09
01/28/10 INVANTAGE - 01/01/10 THRU 12/31/10
10-01-53050 Computer Software-Admin
$1,430.00
10-01-53050 Computer Software-Admin
$1,430.00
O-MATIC SOFTWARE:
OPTIMUM COMPUTER SOLUTIONS, INC.
01/06/10
INV0000037748
10/02/09
INV0000036398
10/06/09
INV0000036442
10/06/09
INV0000036483
10/07/09
INV0000036463
10/07/09
INV0000036481
10/08/09
INV0000036488
10/08/09
INV0000036469
10/08/09
INV0000036492
10/09/09
INV0000036512
10/09/09
INV0000036514
10/12/09
INV0000036542
10/12/09
INV0000036519
10/12/09
INV0000036529
10/12/09
INV0000036543
10/13/09
INV0000036574
10/13/09
INV0000036573
10/13/09
INV0000036548
12/07/09
INV0000037304
12/23/09
INV0000037580
01/04/10
INV0000037672
01/06/10
INV0000037768
01/07/10
INV0000037769
01/07/10
INV0000037770
01/08/10
INV0000037778
01/08/10
INV0000037795
01/11/10
INV0000037797
01/12/10
INV0000037820
01/12/10
INV0000037861
01/13/10
INV0000037860
01/14/10
INV0000037882
59122
59370
59370
59370
59370
59370
59369
59369
59370
59369
59369
59369
59369
59369
59369
59369
59369
59369
59371
59371
59122
59122
59122
59122
59122
59122
59122
59123
59123
59123
59122
01/28/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
$882.65
$2,860.00
SERVICE LABOR
$356.25
TIER 2 SERVICE
$902.50
SERVICE LABOR
$166.25
TIER 2 SERVICE
$380.00
SERVICE LABOR
$166.25
TIER 2 SERVICE
$427.50
TIER 2 SERVICE
$570.00
SERVICE LABOR
$617.50
TIER 2 SERVICE
$118.75
TIER 2 SERVICE
$403.75
TIER 2 SERVICE
$688.75
PROGRAMMING
TIER 2 SERVICE
TIER 2 SERVICE
10-15-52750 Capital Purchases / Fixed Assets-IS
$332.50
$475.00
SERVICE LABOR
$285.00
SERVICE LABOR
$855.00
TIER 2 SERVICE
$950.00
TIER 2 SERVICE
DROBO ELITE 8BAY DUAL ISCSI
LABOR FOR DR PROJECT
10-06-52750 Capital Purchases / Fixed Assets-Alarm
10-01-53200 Contingencies-Admin
ADAPTEC RAID 5405Z STORAGE CONTRON
TIER 2 SERVICE
$950.00
TIER 2 SERVICE
$855.00
SERVICE LABOR
$760.00
TIER 2 SERVICE
$878.75
TIER 2 SERVICE
$95.00
TIER 2 SERVICE
$902.50
SERVICE LABOR
$950.00
TIER 2 SERVICE
$855.00
SERVICE LABOR
$380.00
TIER 2 SERVICE
$855.00
$23.75
$498.75
$4,961.95
$14,250.00
$1,639.00
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
01/14/10
INV0000037856
01/15/10
INV0000037884
01/15/10
INV0000037885
59123
59122
59122
59123
59123
59371
59371
59371
59371
59371
59371
59371
59370
59371
59371
59370
59370
59370
59370
01/15/10
INV0000037670
01/18/10
INV0000037951
01/19/10
INV0000037952
01/19/10
INV0000037943
01/20/10
INV0000037958
01/21/10
INV0000037983
01/21/10
INV0000038039
01/22/10
INV0000038013
01/22/10
INV0000038041
01/25/10
INV0000038042
01/26/10
INV0000038046
01/26/10
INV0000038062
01/27/10
INV0000038076
01/28/10
INV0000038092
01/28/10
INV0000038129
01/29/10
INV0000038154
01/28/10
01/28/10
01/28/10
01/28/10
01/28/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
Amount
SERVICE LABOR
$902.50
TIER 2 SERVICE
$285.00
$855.00
$2,046.49
$475.00
SERVICE LABOR
CISCO CATALYST EXPRESS / SMARTNET
TIER 2 SERVICE
TIER 2 SERVICE
$875.00
SERVICE LABOR
$878.75
TIER 2 SERVICE
$926.25
SERVICE LABOR
$427.50
TIER 2 SERVICE
$878.75
SERVICE LABOR
$855.00
TIER 2 SERVICE
$712.50
TIER 2 SERVICE
$902.50
TIER 2 SERVICE
$878.75
SERVICE LABOR
$855.00
TIER 2 SERVICE
$807.50
SERVICE LABOR
$807.50
TIER 2 SERVICE
$760.00
$736.25
TIER 2 SERVICE
OPTIMUM COMPUTER SOLUTIONS, INC.:
OPTIQUEST INTERNET SERVICES, INC.
01/01/10
33629
59222
02/05/10 QUARTERLY CHG FOR T-1 BACKUP
$492.00
OPTIQUEST INTERNET SERVICES, INC.:
OPTUM HEALTH BANK
02/01/10
OPT020110
02/05/10
OPT020510
220
221
02/01/10 HSA FUNDING - 02/01/10
02/05/10 HSA FUNDING - 02/05/10
02/01/10
FEBRUARY 2010-003
59179
02/01/10 1300 S FRAZIER STE 213 / 308
$4,059.87
10-02-55450 Leases/Contracts - Buildings-PA
12/29/09
INVOICE 1
59372
02/19/10 RFP TESTING SERVICES
01/13/10
9801:19-010
59124
01/28/10 WHITEPAPER ELIGIBILITY FRAUD
$1,320.00
$1,320.00
01/06/10
5869
59125
01/28/10 ENDOTRACHEAL TUBE
$2,640.00
$1,500.00
PALADINSG:
PARKER MEDICAL
$1,200.00
P2MG:
PALADINSG
$4,747.37
$1,200.00
OWEN PROPERTIES:
P2MG
$492.00
$687.50
10-00-21595 P/R-Health Savings-BS-BS
OPTUM HEALTH BANK:
OWEN PROPERTIES
$52,414.94
PARKER MEDICAL:
$1,500.00
$444.04
$444.04
Vendor Name
PBK
Invoice Date
Invoice No.
Draft/Ck No.
01/31/10
238463
01/31/10
238462
01/31/10
238461
01/31/10
238460
01/31/10
238459
01/31/10
238458
01/31/10
238457
59373
59373
59373
59373
59373
59373
59373
Amount
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
02/19/10
MCHD STATION 32
$335.38
MCHD STATION 32
$3,851.39
MCHD EMS STATION 10
$5,885.00
MCHD SERVICE CTR / STATION 11
$3,717.38
MCHD SERVICE CTR / STATION 11
$5,691.18
MCHD AMINISTRATION BLDG
$2,394.16
MCHD ADMINISTRATION BLDG
$4,443.15
PBK:
PEARSON EDUCATION
02/04/10
BK60816307
59374
02/19/10 ACCT 087-29056-002
$1,920.23
PEARSON EDUCATION:
PETTY CASH
02/04/10
CAS020410
59223
02/05/10 JANUARY 2010 EMP OF THE MONTH
PETTY CASH:
PHILIPS MEDICAL CAPITAL, LLC
01/08/10
4483482
59375
02/19/10 ACCT 172284
10-09-55400 Leases/Contracts-Clini
02/01/10
FEBRUARY 2010-034
59175
02/01/10 SITE 871289 - ACCT 393952
10-15-58400 Tower Rental-IS
01/17/10
8000-9090-0476-5611
59126
01/28/10 JANUARY 2010 POSTAGE
707406
01/01/10
706539
12/03/09
699158
12/19/09
703641
59127
59127
59127
59127
01/28/10
01/28/10
01/28/10
01/28/10
01/19/10
478
02/03/10
BR78004-001
59128
59224
$2,924.33
$245.62
$618.59
$14.56
10-09-56900 Postage-Clini
$14.56
10-11-56900 Postage-Bill
$224.38
10-12-56900 Postage-FR
$3.64
10-15-56900 Postage-IS
$3.64
$1,124.99
ACCT 200607733
10-02-52600 Books/Materials-PA
$64.15
ACCT 200607733
$137.44
ACCT 200607733
$64.15
ACCT 200607733
$64.15
PMIC ORDER PROCESSING:
POSTMASTER
$1,790.68
10-02-56900 Postage-PA
PITNEY BOWES POSTAGE BY PHONE:
01/08/10
$100.00
10-01-56900 Postage-Admin
10-07-56900 Postage-EMS
PMIC ORDER PROCESSING
$100.00
$2,924.33
PINNACLE TOWERS, INC.:
PITNEY BOWES POSTAGE BY PHONE
$1,920.23
$1,790.68
PHILIPS MEDICAL CAPITAL, LLC:
PINNACLE TOWERS, INC.
$26,317.64
01/28/10 12 MONTH RENEWAL
02/05/10 REPLENISH BRM ACCOUNT
$329.89
$100.00
$300.00
POSTMASTER:
$400.00
Vendor Name
PREMIER GLOBAL SERVICES
Invoice Date
Invoice No.
Draft/Ck No.
01/12/10
02849527
59129
01/28/10 ACCT 8071370
Amount
$78.85
10-01-58310 Telephones-Service-Admin
$59.43
$67.56
$97.88
10-09-58310 Telephones-Service-Clini
$10.92
PREMIER GLOBAL SERVICES:
PRESS GANEY ASSOCIATES, INC.
01/14/10
IN000085218
12/31/09
IN000082932
59225
59130
02/05/10 REGIONAL SYMPOSIUM - A. JOHNSON & K. CURRY
01/28/10 INFO TURN INITIAL SURVEY W/OUT COMMENTS
10-01-58500 Training/Related Expenses-CE-Admin
$798.00
10-02-53550 Customer Relations-PA
$172.90
PRESS GANEY ASSOCIATES, INC.:
PRIORITY DISPATCH
01/05/10
53367
59376
02/19/10 PRINCIPLES OF EMD
10-06-52600 Books/Materials-Alarm
01/12/10
57540839
59377
02/19/10 ACCT 666465
10-09-54000 Drug Supplies-Clini
12/24/09
129480
59378
02/19/10 ACCT 01150100038940
RADIOSHACK CORPORATION:
RCC CONSULTANTS, INC
12/11/09
0024568-IN
12/11/09
0024567-IN
59131
59131
01/28/10 MCHD / WFD CAD PROJECT
01/28/10 800 MHz / VHF IMPLEMENTATION
01/15/10
199000204479
02/02/10
164002098506
01/28/10
176001917976
02/04/10
147002249061
59132
59226
59226
59379
01/28/10
02/05/10
02/05/10
02/19/10
01/04/10
6884
59133
12/03/09
28404
59380
$3,568.40
01/20/10
005363
01/20/10
004714
$167.86
ACCT 7106344-0
$340.06
ACCT 7123634-3
$330.27
ACCT 1841856-6
$114.85
01/28/10 EXTENDED WARRANTY
02/19/10 OILY WATER REMOVAL
01/20/10
004853
INV 004853 - SALES TAX REFUND
59381
59381
$15,249.65
ACCT 1841856-6
10-10-54800 Hazardous Waste Removal-Fleet
ROGUE WASTE RECOVERY & ENVIRONMENTAL, INC:
SAM'S CLUB DIRECT
$115.98
$11,681.25
ROAD SAFETY:
ROGUE WASTE RECOVERY & ENVIRONMENTAL,
$115.98
RELIANT ENERGY:
ROAD SAFETY
$67.40
RCC CONSULTANTS, INC:
RELIANT ENERGY
$67.00
$67.40
PSS - HOUSTON:
RADIOSHACK CORPORATION
$970.90
$67.00
PRIORITY DISPATCH:
PSS - HOUSTON
$314.64
02/19/10 ACCT 0402 73590841 0
02/19/10 ACCT 0402 73590841 0
$953.04
$5,740.00
$5,740.00
$150.00
$150.00
($8.23)
$548.03
$107.99
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
07/20/09
005025
59381
Amount
02/19/10 ACCT 0402 73590841 0
$151.97
SAM'S CLUB DIRECT:
SANOFI PASTEUR
01/11/10
97194899
59382
02/19/10 CUSTOMER 74016170
SANOFI PASTEUR:
SATS2GO
02/03/10
1481
59383
02/19/10 SATELLITE MOVE FOR STATION 10
12/31/09
29040
59227
02/05/10 CLIENT 01527
01/28/10
70992
59384
02/19/10 SCRIPTLOGIC RENEWAL
01/13/10
9761710-JA10
59134
01/28/10 CONTRACT 9761710-301
10-01-55400 Leases/Contracts-Admin
01/15/10
68466
01/15/10
68465
59385
59385
02/19/10 TOWER SECURITY INSTALLATION
02/19/10 TOWER SECURITY
SECURENET, INC:
SERVICE LLOYDS INSURANCE COMPANY
07/16/09
09-27027
59250
08/28/09
44166
59135
01/28/10 LOGISTICS PARKING SIGNS
10-08-57000 Printing Services-Logis
09/30/08
08-36696
59251
01/14/10
1000157014
59228
02/05/10 01/14/10 THRU 02/13/10
01/25/10
SMI012510
59136
$4,156.39
$743.46
$162.00
$432.80
$368.45
SKYTERRA:
SMITH, BILLY
$3,091.35
$1,065.04
$432.80
SKILLED HEALTHCARE, LLC:
SKYTERRA
$141.98
$162.00
SIGNS, ETC.:
SKILLED HEALTHCARE, LLC
$7,485.00
$743.46
SERVICE LLOYDS INSURANCE COMPANY:
SIGNS, ETC.
$22.00
$141.98
SECAP FINANCE:
SECURENET, INC
$190.00
$7,485.00
SCRIPTLOGIC CORP:
SECAP FINANCE
$237.54
$22.00
SCHWARTZ, JUNELL, GREENBERG & OATHOUT, LLP:
SCRIPTLOGIC CORP
$237.54
$190.00
SATS2GO:
SCHWARTZ, JUNELL, GREENBERG & OATHOUT, L
$799.76
SMITH, BILLY:
$368.45
$60.00
$60.00
Vendor Name
SMITH, RICHARD E.
Invoice Date
Invoice No.
Draft/Ck No.
01/25/10
SMI012510
59136
Amount
01/28/10 REIMBURSEMENT FOR WORK BOOTS
10-08-58700 Uniforms-Logis
$125.71
SMITH, RICHARD E.:
SNIDER TIRE, INC
02/03/10
3565595
01/26/10
3554427
01/19/10
3546257
59386
59386
59386
02/19/10 FL0210-1010
02/19/10 FL0110-1067
02/19/10 FL0110-1042
10-10-59150 Vehicle-Tires-Fleet
$1,817.44
$961.44
$801.20
SNIDER TIRE, INC:
SOUTH MONTGOMERY COUNTY VFD
02/01/10
FEBRUARY 2010-066
59181
10-07-57500 Rent-EMS
01/12/10
309323
12/30/09
308046
01/29/10
311769
59138
59138
59387
01/28/10 ACCT M10640
01/28/10 ACCT M10640
02/19/10 ACCT M10640
01/22/10
0110 2176732 3677798
01/23/10
0110 2189709 3705530
59229
59229
02/05/10 ACCT 21767323677798
02/05/10 ACCT 21897093705530
02/08/10
8494
59388
02/19/10 QTRLY PEST SERVICES
$558.00
$1,015.17
01/31/10
1-01-01350-00
59389
02/19/10 14090 OLD HWY 59
$1,781.35
$100.62
01/07/10
00009476
02/11/10
00009476
59139
59139
01/28/10 10615 COMMERCE ROW
01/28/10 10615 COMMERCE ROW
01/20/10
STE012010
59140
01/28/10 PER DIEM - ASM COURSE
01/29/10
EARNEST MONEY
59230
02/05/10 PROPERTY FOR STATION 21
02/05/10
681912M
59391
02/19/10 ACCT 1078125
$45.19
$32.30
$32.40
10-07-55900 Meals - Business and Travel-EMS
10-00-16021 Land-Station 21-BS
STEWART TITLE COMPANY:
STRYKER SALES CORPORATION
$400.00
STEINER, GREGORY D.:
STEWART TITLE COMPANY
$400.00
STANLEY LAKE M.U.D.:
STEINER, GREGORY D.
$1,881.97
$45.19
SPLENDORA, CITY OF:
STANLEY LAKE M.U.D.
$2,908.17
SPARTAN PEST COMPANY:
SPLENDORA, CITY OF
$1,335.00
SPARKLETTS:
SPARTAN PEST COMPANY
$800.00
SOUTHEASTERN EMERGENCY EQUIPMENT:
SPARKLETTS
$3,580.08
$800.00
SOUTH MONTGOMERY COUNTY VFD:
SOUTHEASTERN EMERGENCY EQUIPMENT
$125.71
$64.70
$364.00
$364.00
$1,000.00
$1,000.00
$477.73
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
02/04/10
681191M
59391
Amount
02/19/10 ACCT 1078125
$165.75
STRYKER SALES CORPORATION:
SUDDENLINK
01/26/10
301 GEORGE STRAKE
01/26/10
200 S KENNEDY
02/03/10
200 RIVER POINTE
59231
59231
59392
02/05/10 ACCT 100001 8605 709484001
02/05/10 ACCT 100001 8605 709532001
02/19/10 ACCT 100001 8605 708803601
$30.16
$123.90
$53.17
SUDDENLINK:
TAYLOR HEALTHCARE PRODUCTS, INC.
01/11/10
6073736
01/26/10
6073772
59141
59393
01/28/10 ACCT MCHD936
02/19/10 ACCT MCHD936
$3,503.00
10-07-53800 Disposable Linen-EMS
$1,300.00
6073651
59393
02/19/10 ACCT MCHD936
$190.80
01/26/10
6073651-B
59393
02/19/10 ACCT MCHD936
$763.20
12/28/09
T091995
01/29/10
T098365
01/29/10
T098367
59142
59394
59394
01/28/10 PROJECT NUMBER 97091089
02/19/10 PUBLIC SAFETY COMPLEX
02/19/10 PUBLIC SAFETY COMPLEX
01/05/10
800237
10/30/09
543635
12/04/09
686289
10/21/09
501924
01/26/10
888773
01/26/10
888772
59143
59143
59143
59143
59395
59395
01/28/10
01/28/10
01/28/10
01/28/10
02/19/10
02/19/10
RENEWAL
59396
$467.50
$12,300.00
$3,000.00
01/01/10
114754
59144
$15,767.50
ACCT 2253607
$505.37
ACCT 2253607
$196.21
ACCT 2253607
$28.15
ACCT 2253607
ACCT 2253607
$352.60
ACCT 2253607
$424.81
02/19/10 2010 MEMBERSHIP DUES - A SIMS
10-07-54100 Dues/Subscriptions-EMS
TEXAS AMBULANCE ASSOCIATION:
TEXAS ASSOCIATION OF COUNTIES
$8,876.20
TESSCO TECHNOLOGIES INC.:
02/15/10
$2,356.00
TERRACON CONSULTANTS, INC:
TEXAS AMBULANCE ASSOCIATION
$763.20
12/04/09
TAYLOR HEALTHCARE PRODUCTS, INC.:
TESSCO TECHNOLOGIES INC.
$207.23
TERRACON CONSULTANTS, INC
$643.48
01/28/10 CONTRACT 1623 - 1ST QUARTER
$51.03
$1,558.17
$300.00
$300.00
10-01-59350 Worker's Compensation Insurance-Admin
$329.01
10-02-59350 Worker's Compensation Insurance-PA
$163.78
10-15-59350 Worker's Compensation Insurance-IS
$153.89
10-06-59350 Worker's Compensation Insurance-Alarm
10-07-59350 Worker's Compensation Insurance-EMS
$280.43
$29,166.49
10-08-59350 Worker's Compensation Insurance-Logis
$65.45
10-09-59350 Worker's Compensation Insurance-Clini
$164.07
10-10-59350 Worker's Compensation Insurance-Fleet
$1,234.59
10-11-59350 Worker's Compensation Insurance-Bill
$135.27
10-12-59350 Worker's Compensation Insurance-FR
$25.02
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
01/01/10
116426
59397
Amount
02/19/10 CONTRACT 1623 - 1ST QUARTER
10-01-59350 Worker's Compensation Insurance-Admin
$409.45
10-02-59350 Worker's Compensation Insurance-PA
$203.82
10-15-59350 Worker's Compensation Insurance-IS
$191.51
10-06-59350 Worker's Compensation Insurance-Alarm
10-07-59350 Worker's Compensation Insurance-EMS
10-08-59350 Worker's Compensation Insurance-Logis
$81.46
10-09-59350 Worker's Compensation Insurance-Clini
$204.18
10-10-59350 Worker's Compensation Insurance-Fleet
$1,536.45
10-11-59350 Worker's Compensation Insurance-Bill
$168.34
10-12-59350 Worker's Compensation Insurance-FR
$31.14
TEXAS ASSOCIATION OF COUNTIES:
TEXAS DEPARTMENT OF STATE HEALTH SERVICE
01/20/10
TEX012010
59145
01/28/10 ECA CLASS
10-12-58500 Training/Related Expenses-CE-FR
TEXAS DEPARTMENT OF STATE HEALTH SERVICES:
TEXAS DEPARTMENT OF STATE HEALTH SVCS
02/05/10
300189
59232
02/05/10 EMS PROVIDER LICENSE RENEWAL
10-07-52700 Business Licenses-EMS
TEXAS DEPARTMENT OF STATE HEALTH SVCS:
TEXAS DEPT OF STATE HEALTH SERVICES
01/26/10
01262010
59146
01/28/10 FIRST RESPONDER LICENSE RENEWAL
10-12-52700 Business Licenses-FR
TEXAS DEPT OF STATE HEALTH SERVICES:
TEXAS HEALTH SPRINGS
01/04/09
09-527
59252
TEXAS HEALTH SPRINGS:
TEXAS MEDICAID & HEALTHCARE PARTNERSHIP
10/19/08
08-39329
05/06/08
08-16594
59253
59253
01/12/10
99-991956-1
59147
01/28/10 REIMBURSABLE UNEMPLOYMENT
01/15/10
606
59148
01/28/10 MEDISPAN CHGS - JANUARY 2010
01/14/10
162
59398
02/19/10 FILE NO. 28
11/24/09
2009-1013
59149
01/28/10 HEARTSAVER CPR FIRST AID CARDS
$6,450.00
$6,450.00
$70.00
$70.00
$426.34
$426.34
$78.54
$373.90
10-01-51800 Unemployment Ins.-Admin
$2,269.50
10-07-51800 Unemployment Ins.-EMS
$4,010.57
10-02-53050 Computer Software-PA
THE LITTLETON GROUP:
THE WOODLANDS FIRE DEPT.
$30.00
$295.36
THE DATASOL GROUP, INC:
THE LITTLETON GROUP
$30.00
TEXAS WORKFORCE COMMISSION:
THE DATASOL GROUP, INC
$71,191.00
TEXAS MEDICAID & HEALTHCARE PARTNERSHIP:
TEXAS WORKFORCE COMMISSION
$349.00
$36,297.65
10-12-58500 Training/Related Expenses-CE-FR
$6,280.07
$566.00
$566.00
$262.50
$262.50
$125.00
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
01/11/10
2010-1001
01/08/10
2010-1000
02/01/10
FEBRUARY 2010-057
12/17/09
2009-0020
12/09/09
2009-0021
12/21/09
2009-0022
59149
59149
59182
59399
59399
59399
01/28/10
01/28/10
02/01/10
02/19/10
02/19/10
02/19/10
Amount
HEALTHCARE PROVIDER CPR CARDS
$125.00
HEARTSAVER CPR & FIRST AID CARDS
STATION 24, 20, 23, 29 RENT
10-07-57500 Rent-EMS
CLASSROOM USAGE 12/17/09
10-15-56100 Meeting Expenses-IS
$50.00
10-09-55450 Leases/Contracts - Buildings-Clini
$75.00
10-01-56100 Meeting Expenses-Admin
$50.00
$125.00
$2,812.50
THE WOODLANDS FIRE DEPT.:
TMF HEALTH QUALITY INSTITUTE
12/31/09
000005109
59150
01/28/10 INPATIENT REVIEWS (12/1/09-12/31/09)
TMF HEALTH QUALITY INSTITUTE:
TRAIL BLAZER HEALTH ENTERPRISES
07/13/07
07-24917
12/04/09
09-45853
59254
59243
01/08/10
TRA010810
59151
08/02/09
09-29243
59255
$361.66
$376.57
TRICARE FOR LIFE:
TROPHY HOUSE, LLC
01/04/10
13466
01/06/10
13473
01/22/10
13559
01/08/10
13488
59152
59152
59400
59152
01/28/10
01/28/10
02/19/10
01/28/10
NAME PLATE - T NELSON
10-11-57000 Printing Services-Bill
EMP OF THE MONTH PLAQUES & ENGRAVING
NAVY PLASTIC NAME PLATE - D. KLEIN
10-02-57000 Printing Services-PA
PLASTIC DESK PLATES - N AARON & N WASSERMAN 10-09-57000 Printing Services-Clini
10-01-57000 Printing Services-Admin
09/30/09
13042
01/14/10
13520
59152
59400
01/28/10 SLIDE IN SAVE PLAQUES
02/19/10 BRASS PLATE ENGRAVED FOR SAVE PLAQUE
01/11/10
1609100
212
02/10/10 MCHD EMS STATION 10
02/14/09
09-5891
02/25/08
08-7211
07/12/08
08-25687
59257
59257
59257
07/17/08
08-26307
59258
$1,549.88
$124.78
$124.78
$8.50
$178.50
$8.50
$8.50
$8.50
10-09-54450 Employee Recognition-Clini
$30.00
$302.50
$262,935.12
$262,935.12
$453.61
$828.30
$78.54
UNITED HEALTHCARE INSURANCE COMPANY:
UNITED HEALTHCARE OF ARIZONA
$1,549.88
$60.00
TURNER CONSTRUCTION COMPANY:
UNITED HEALTHCARE INSURANCE COMPANY
$738.23
10-09-54450 Employee Recognition-Clini
TROPHY HOUSE, LLC:
TURNER CONSTRUCTION COMPANY
$5,526.00
TRAYLOR, JESSICA:
TRICARE FOR LIFE
$5,526.00
TRAIL BLAZER HEALTH ENTERPRISES:
TRAYLOR, JESSICA
$3,362.50
$1,360.45
$219.60
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
UNITED HEALTHCARE OF ARIZONA:
UNITED HEALTHCARE
01/08/10
0019373469
224
02/01/10 02/01/10 THRU 02/28/10
10-01-51700 Health & Dental-Admin
$9,435.85
10-02-51700 Health & Dental-PA
$6,201.37
10-15-51700 Health & Dental-IS
$4,734.14
10-06-51700 Health & Dental-Alarm
$10,549.04
$100,284.20
10-08-51700 Health & Dental-Logis
$3,270.76
10-09-51700 Health & Dental-Clini
$3,953.60
10-10-51700 Health & Dental-Fleet
$6,927.25
10-11-51700 Health & Dental-Bill
$8,444.65
10-12-51700 Health & Dental-FR
$447.82
$447.82
UNITED HEALTHCARE:
UNITED HEALTHCARE
07/15/09
09-26897
59256
02/06/10
0000A690R4060
59401
02/19/10 SHIPPER A690R4
02/01/10
T0275033B
59402
02/19/10 ACCT 0275033-9
$67.14
10-08-53400 Courier-Logis
$114.97
10-10-53400 Courier-Fleet
$46.76
10-06-56700 Paging System-Alarm
9368560060
59153
01/28/10 ACCT 10 5293 2851352431 10
10-08-56700 Paging System-Logis
$22.60
01/09/10
6368961467
01/07/10
6368083270
01/09/10
3638961466
59154
59154
59154
01/28/10 ACCT 920161350-00002
01/28/10 ACCT 221324303-00001
01/28/10 ACCT 920161350-00001
$22.60
10-12-56700 Paging System-FR
$316.37
10-15-56700 Paging System-IS
$56.49
VERIZON SOUTHWEST:
VERIZON WIRELESS
$146.88
$1,412.35
USA MOBILITY WIRELESS, INC:
01/04/10
$228.87
10-07-56700 Paging System-EMS
10-09-56700 Paging System-Clini
VERIZON SOUTHWEST
$869.30
10-07-53400 Courier-EMS
UPS:
USA MOBILITY WIRELESS, INC
$154,696.50
$869.30
UNITED HEALTHCARE:
UPS
$219.60
10-07-58200 Telephones-Cellular-EMS
$1,977.29
$97.77
$97.77
$822.45
$23.00
10-01-58200 Telephones-Cellular-Admin
$584.51
10-06-58200 Telephones-Cellular-Alarm
$398.96
10-11-58200 Telephones-Cellular-Bill
$80.61
10-09-58200 Telephones-Cellular-Clini
$175.51
$531.67
10-10-58200 Telephones-Cellular-Fleet
$198.16
10-12-58200 Telephones-Cellular-FR
$75.59
Vendor Name
Invoice Date
02/07/10
Invoice No.
6381343319
Draft/Ck No.
59403
02/19/10 ACCT 221324303-00001
Amount
10-02-58200 Telephones-Cellular-PA
$267.56
10-08-58200 Telephones-Cellular-Logis
$187.97
$2,706.95
$23.00
VERIZON WIRELESS:
WASTE MANAGEMENT
01/01/10
1616160-1792-7
01/01/10
1616159-1792-9
01/01/10
1616158-1792-1
01/01/10
1616157-1792-3
01/01/10
1616156-1792-5
214
214
214
214
214
01/31/10
01/31/10
01/31/10
01/31/10
01/31/10
ACCT 792-074560-1792-5
$83.80
ACCT 792-0041512-1792-6
$100.19
ACCT 792-0040276-1792-9
$326.70
ACCT 792-0008105-1792-0
$83.80
ACCT 792-0002348-1792-2
$76.23
WASTE MANAGEMENT:
WAVEMEDIA, INC
12/24/09
404869
59155
01/21/10
1530296
59404
02/19/10 CUSTOMER 36439
02/01/10
WEB020110
59233
02/05/10 PER DIEM - AAA 2010 WORKSHOP
10-11-55900 Meals - Business and Travel-Bill
WEBB, KAREN:
WEBB'S UNIFORMS
01/18/10
9354
01/27/10
9373
59156
59405
01/28/10 KELLY GREEN POLO'S
02/19/10 SIMANONOK, JULIE
02/19/10
WHE021910
59406
02/19/10 MANUAL PAY CHECK - 02/19/10
01/03/10
94737294
01/23/10
94774799
02/03/10
94797571
59157
59234
59407
01/28/10 CUSTOMER 13038374
02/05/10 CUSTOMER 13038374 - STATION 31
02/19/10 CUSTOMER 13038374 - STATION 21
02/10/10
WOO021010
59408
12/23/09
11103
59158
01/28/10 MEMBERSHIP INVESTMENT (2/1/10-1/31/11)
$57.90
$169.65
$223.43
10-07-57500 Rent-EMS
$693.96
$783.96
10-07-57500 Rent-EMS
$693.96
10-07-56200 Mileage Reimbursements-EMS
WOOD, RICKY:
WOODLANDS CHAMBER OF COMMERCE
$149.00
10-07-57500 Rent-EMS
WILLIAMS SCOTSMAN:
WOOD, RICKY
$149.00
$223.43
WHEELER, CHRISTINA:
WILLIAMS SCOTSMAN
$589.47
$111.75
WEBB'S UNIFORMS:
WHEELER, CHRISTINA
$4,067.00
$589.47
WAYTEK, INC.:
WEBB, KAREN
$670.72
$4,067.00
WAVEMEDIA, INC:
WAYTEK, INC.
$6,075.94
$2,171.88
$13.50
$13.50
$210.00
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
WOODLANDS CHAMBER OF COMMERCE:
WORKSPACE SOLUTIONS, INC
12/21/09
9644
59159
01/28/10 FOLDING TRAINING TABLE
WORKSPACE SOLUTIONS, INC:
WRIGHT EXPRESS-FLEET FUEL
01/29/10
0496001185974
02/09/10
0496001185974
223
223
02/09/10 JANUARY 2010 FUEL USAGE
02/09/10 FEBRUARY 2010 FUEL USAGE
07/08/09
20-219528
07/29/09
20-222557
02/01/10
20-243125
PARTS RETURN
59160
59409
01/28/10 FL0709-1110
02/19/10 FL0210-1000
01/01/10
36535
12/01/09
35947
01/01/10
36536
59161
59235
59410
01/28/10 RESCUENET MAINT - 02/01/10 - 04/30/10
02/05/10 01/01/10 THRU 01/31/10
02/19/10 RESCUENET - 02/01/10 - 02/28/10
$11,941.48
$12,592.51
01/07/10
1655160
12/30/09
1653259
01/15/10
1657426
01/26/10
1660052
01/27/10
1660478
59162
59162
59236
59411
59411
01/28/10
01/28/10
02/05/10
02/19/10
02/19/10
$24,533.99
($449.14)
$755.13
10-10-57700 Shop Tools-Fleet
$26.02
$332.01
10-11-53000 Computer Maintenance-Bill
$4,625.00
10-06-55650 Maintenance-Contract Equipment-Alarm
$9,564.00
$632.67
$632.67
ZOLL DATA SYSTEMS:
ZOLL MEDICAL CORPORATION
$372.62
10-07-54700 Fuel-EMS
XL PARTS:
ZOLL DATA SYSTEMS
$372.62
10-07-54700 Fuel-EMS
WRIGHT EXPRESS-FLEET FUEL:
XL PARTS
$210.00
$15,454.34
CUSTOMER 6559
$2,832.00
CUSTOMER 6559
$1,792.00
CUSTOMER 6559
$142.50
CUSTOMER 6559
$1,792.00
CUSTOMER 6559
$1,352.00
ZOLL MEDICAL CORPORATION:
$7,910.50
Account Summary
Account Number
Description
Net Amount
10-00-14100
A/R-EMS Billings-BS
10-00-16021
Land-Station 21-BS
$11,779.35
$1,000.00
10-00-16032
Land-Station 32-BS
$4,954.87
10-00-16101
Buildings-Administration Bldg.-BS
10-00-16102
Buildings-Support Services/Stn. 11-BS
$58,987.99
10-00-16110
Buildings-Station 10-BS
$263,457.68
$14,482.38
10-00-16131
$29,122.86
10-00-16132
$4,186.77
10-00-21400
Accrued Payroll-BS
$1,680.56
10-00-21590
P/R-Premium Cancer/Accident-BS
$5,048.04
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
10-00-21595
P/R-Health Savings-BS-BS
10-01-51700
$4,059.87
$9,435.85
10-01-51800
Unemployment Ins.-Admin
$2,269.50
10-01-52200
Advertising-Admin
$251.16
10-01-52750
Capital Purchases / Fixed Assets-Admin
$755.82
10-01-53050
Computer Software-Admin
10-01-53100
Computer Supplies/Non-Cap.-Admin
10-01-53200
Contingencies-Admin
$2,860.00
$300.00
$17,690.99
10-01-54100
Dues/Subscriptions-Admin
$463.17
10-01-54350
$801.83
$823.37
10-01-54450
Employee Recognition-Admin
10-01-55025
Interest Expense-Admin
$67.82
10-01-55400
Leases/Contracts-Admin
$1,308.36
10-01-55450
Leases/Contracts - Buildings-Admin
$19,442.50
10-01-55500
Legal Fees-Admin
$16,070.76
10-01-55700
Management Fees-Admin
10-01-56100
Meeting Expenses-Admin
10-01-56300
Office Supplies-Admin
$437.35
$645.62
$416.00
$55.98
10-01-56900
Postage-Admin
10-01-57000
Printing Services-Admin
$8.50
10-01-57100
Professional Fees-Admin
$1,676.25
10-01-57300
Recruit/Investigate-Admin
10-01-57550
Rent-Storage Facility-Admin
$44.52
$2,146.54
10-01-58100
Supplemental Food-Admin
$99.33
10-01-58200
Telephones-Cellular-Admin
$740.10
$809.43
10-01-58310
Telephones-Service-Admin
10-01-58320
Telephones - Long Distance-Admin
10-01-58500
Training/Related Expenses-CE-Admin
10-01-58600
Travel Expenses-Admin
10-01-59350
Worker's Compensation Insurance-Admin
$42.28
$798.00
$76.35
$738.46
10-02-51700
Health & Dental-PA
10-02-52200
Advertising-PA
10-02-52600
Books/Materials-PA
$329.89
10-02-52750
Capital Purchases / Fixed Assets-PA
$755.82
10-02-53050
10-02-53550
Customer Relations-PA
10-02-55450
Leases/Contracts - Buildings-PA
$6,201.37
$290.37
$11,919.27
$172.90
$4,407.13
10-02-55700
Management Fees-PA
10-02-56300
Office Supplies-PA
$75,366.75
$346.23
10-02-56500
Other Services-PA
$100.00
10-02-56900
Postage-PA
$618.59
10-02-57000
Printing Services-PA
$709.62
$14,360.94
10-02-57100
Professional Fees-PA
10-02-57850
Specialty Healthcare Providers-PA
10-02-58200
Telephones-Cellular-PA
10-02-58310
Telephones-Service-PA
$94.83
10-02-58320
Telephones - Long Distance-PA
$72.06
10-02-59350
Worker's Compensation Insurance-PA
$4,012.00
$267.56
$367.60
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
10-04-57275
Radio - Special Project Expenditures-Radio
10-06-51700
Health & Dental-Alarm
10-06-52600
Books/Materials-Alarm
10-06-52750
Capital Purchases / Fixed Assets-Alarm
10-06-54100
Dues/Subscriptions-Alarm
10-06-54450
Employee Recognition-Alarm
Amount
$353.47
$10,549.04
$67.00
$4,961.95
$30.00
$120.00
10-06-55650
Maintenance-Contract Equipment-Alarm
10-06-56300
Office Supplies-Alarm
$14,664.00
$78.30
10-06-56700
Paging System-Alarm
$146.88
10-06-57500
Rent-Alarm
10-06-57750
Small Equipment & Furniture-Alarm
$6,692.00
10-06-58200
Telephones-Cellular-Alarm
$398.96
10-06-58310
Telephones-Service-Alarm
$466.54
$760.00
10-06-58320
Telephones - Long Distance-Alarm
$114.80
10-06-58700
Uniforms-Alarm
$527.58
10-06-58800
Utilities-Alarm
$997.79
10-06-59350
Worker's Compensation Insurance-Alarm
$629.43
10-07-51700
Health & Dental-EMS
10-07-51800
Unemployment Ins.-EMS
10-07-52700
Business Licenses-EMS
10-07-52750
10-07-53050
Computer Software-EMS
10-07-53100
Computer Supplies/Non-Cap.-EMS
10-07-53400
Courier-EMS
10-07-53800
Disposable Linen-EMS
$103,523.52
$4,010.57
$6,450.00
$53,125.00
$1,333.54
$380.00
$67.14
$7,159.00
10-07-53900
$54,522.44
10-07-54000
Drug Supplies-EMS
$10,187.68
10-07-54100
Dues/Subscriptions-EMS
10-07-54200
10-07-54450
Employee Recognition-EMS
10-07-54700
Fuel-EMS
$300.00
$1,169.67
$795.00
$24,614.51
10-07-55600
Maintenance & Repairs-Buildings-EMS
$2,757.31
10-07-55650
Maintenance-Contract Equipment-EMS
$16,300.00
$728.00
10-07-55900
Meals - Business and Travel-EMS
10-07-56200
Mileage Reimbursements-EMS
10-07-56600
Oxygen & Gases-EMS
$7,622.16
$1,412.35
10-07-56700
Paging System-EMS
10-07-56900
Postage-EMS
10-07-57500
Rent-EMS
10-07-57650
10-07-57750
Small Equipment & Furniture-EMS
$26.45
$14.56
$14,700.58
$208.50
$2,564.09
10-07-57900
$3,697.34
10-07-58200
Telephones-Cellular-EMS
$3,575.40
$5,998.79
10-07-58310
Telephones-Service-EMS
10-07-58320
Telephones - Long Distance-EMS
10-07-58500
Training/Related Expenses-CE-EMS
10-07-58600
Travel Expenses-EMS
10-07-58700
Uniforms-EMS
$23.73
$1,950.38
$154.60
$2,833.74
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
10-07-58800
Utilities-EMS
$12,227.28
10-07-59350
Worker's Compensation Insurance-EMS
$65,464.14
10-08-51700
Health & Dental-Logis
10-08-53400
Courier-Logis
$3,270.76
$114.97
10-08-56300
Office Supplies-Logis
$126.18
10-08-56700
Paging System-Logis
10-08-57000
Printing Services-Logis
$162.00
$187.97
10-08-58200
Telephones-Cellular-Logis
10-08-58320
Telephones - Long Distance-Logis
10-08-58700
Uniforms-Logis
10-08-59350
Worker's Compensation Insurance-Logis
10-09-51700
Health & Dental-Clini
10-09-52600
Books/Materials-Clini
10-09-52750
Capital Purchases / Fixed Assets-Clini
10-09-53000
Computer Maintenance-Clini
10-09-53400
Courier-Clini
10-09-53550
Customer Relations-Clini
10-09-54000
Drug Supplies-Clini
10-09-54100
Dues/Subscriptions-Clini
10-09-54450
Employee Recognition-Clini
10-09-55400
$22.60
$0.10
$125.71
$146.91
$3,953.60
$491.02
$2,280.00
$448.00
$30.71
$3,134.10
$67.40
$860.00
$90.00
$1,790.68
10-09-55450
Leases/Contracts - Buildings-Clini
$75.00
10-09-55900
Meals - Business and Travel-Clini
$123.50
$175.00
10-09-56100
Meeting Expenses-Clini
10-09-56300
Office Supplies-Clini
$30.76
10-09-56700
Paging System-Clini
$22.60
$14.56
10-09-56900
Postage-Clini
10-09-57000
Printing Services-Clini
10-09-57750
Small Equipment & Furniture-Clini
$552.95
$8.50
10-09-58200
Telephones-Cellular-Clini
$175.51
10-09-58310
Telephones-Service-Clini
$260.92
10-09-58320
Telephones - Long Distance-Clini
10-09-58500
Training/Related Expenses-CE-Clini
$28.34
$2,384.83
10-09-58600
Travel Expenses-Clini
$793.62
10-09-59350
Worker's Compensation Insurance-Clini
$368.25
10-10-51700
Health & Dental-Fleet
$6,927.25
10-10-52000
Accident Repair-Fleet
$2,587.84
10-10-53400
Courier-Fleet
10-10-54800
Hazardous Waste Removal-Fleet
$46.76
$150.00
10-10-55100
Laundry Service & Purchase-Fleet
$691.19
10-10-56300
Office Supplies-Fleet
$138.68
10-10-56400
Oil & Lubricants-Fleet
10-10-56600
Oxygen & Gases-Fleet
$44.67
10-10-57100
Professional Fees-Fleet
$100.00
10-10-57700
Shop Tools-Fleet
10-10-57725
Shop Supplies-Fleet
10-10-57900
Station Supplies-Fleet
10-10-58200
Telephones-Cellular-Fleet
$2,709.55
$38.05
$828.53
$52.90
$198.16
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
10-10-58320
Telephones - Long Distance-Fleet
10-10-58500
Training/Related Expenses-CE-Fleet
Amount
$3.98
$300.00
10-10-58900
Vehicle-Batteries-Fleet
10-10-59000
Vehicle-Outside Services-Fleet
10-10-59050
Vehicle-Parts-Fleet
$19,833.74
$3,580.08
10-10-59150
Vehicle-Tires-Fleet
10-10-59200
10-10-59350
Worker's Compensation Insurance-Fleet
$3,342.90
$1,060.80
$226.00
$2,771.04
10-11-51700
Health & Dental-Bill
$8,444.65
10-11-52900
Collection Fees-Bill
$10,223.99
10-11-53000
Computer Maintenance-Bill
10-11-55900
Meals - Business and Travel-Bill
$4,625.00
$149.00
10-11-56300
Office Supplies-Bill
$451.78
$224.38
10-11-56900
Postage-Bill
10-11-57000
Printing Services-Bill
$8.50
10-11-57100
Professional Fees-Bill
$4,222.68
10-11-58200
Telephones-Cellular-Bill
$80.61
10-11-58310
Telephones-Service-Bill
$594.63
10-11-58320
Telephones - Long Distance-Bill
10-11-59350
Worker's Compensation Insurance-Bill
$88.51
$303.61
10-12-51700
Health & Dental-FR
$447.82
10-12-52600
Books/Materials-FR
$3,091.63
10-12-52700
Business Licenses-FR
10-12-55450
Leases/Contracts - Buildings-FR
$140.00
$70.00
10-12-56100
Meeting Expenses-FR
$500.00
10-12-56700
Paging System-FR
$316.37
10-12-56900
Postage-FR
10-12-58200
Telephones-Cellular-FR
10-12-58320
Telephones - Long Distance-FR
10-12-58500
Training/Related Expenses-CE-FR
10-12-59350
Worker's Compensation Insurance-FR
10-15-51700
Health & Dental-IS
$3.64
$75.59
$2.34
$155.00
$56.16
$4,734.14
10-15-52750
$6,515.34
10-15-53000
Computer Maintenance-IS
$3,540.00
10-15-53050
$8,015.00
10-15-53100
$3,913.12
10-15-53400
Courier-IS
10-15-54100
Dues/Subscriptions-IS
$44.84
$161.00
10-15-54450
Employee Recognition-IS
10-15-55400
Leases/Contracts-IS
$8,279.36
$28.46
$2,500.00
10-15-55700
Management Fees-IS
10-15-55900
Meals - Business and Travel-IS
10-15-56100
Meeting Expenses-IS
10-15-56300
Office Supplies-IS
$208.11
$56.49
10-15-56700
Paging System-IS
10-15-56900
Postage-IS
10-15-57100
Professional Fees-IS
10-15-57225
Radio Repair - Parts-IS
$108.58
$63.93
$3.64
$45,632.90
$3,476.29
Vendor Name
Invoice Date
Invoice No.
Draft/Ck No.
Amount
10-15-57275
Radio - Special Project expenditures-IS
10-15-57550
Rent-Storage Facility-IS
$403.21
10-15-57725
Shop Supplies-IS
$1,755.11
$4,776.26
$120.00
10-15-57750
Small Equipment & Furniture-IS
10-15-57900
Station Supplies-IS
10-15-58200
Telephones-Cellular-IS
$649.29
$8,560.92
10-15-58310
Telephones-Service-IS
10-15-58320
Telephones - Long Distance-IS
10-15-58400
Tower Rental-IS
10-15-58700
Uniforms-IS
10-15-58800
Utilities-IS
10-15-59350
Worker's Compensation Insurance-IS
$52.89
$16.22
$13,124.33
$804.99
$5,170.22
$345.40
GRAND TOTAL:
$1,277,169.45
Bank Register Report - Operating Account-WF
Patient Refunds - One Time Checks
Check No.
Type
Check Date
Reference
59259
One-Time Check
02/09/10
PATIENT REFUND
$85.90
Outstanding
59260
One-Time Check
02/09/10
PATIENT REFUND
$25.00
Outstanding
59261
One-Time Check
02/09/10
PATIENT REFUND
$85.00
Outstanding
59262
One-Time Check
02/09/10
PATIENT REFUND
$85.00
Outstanding
59263
One-Time Check
02/09/10
PATIENT REFUND
$125.00
Outstanding
59264
One-Time Check
02/09/10
PATIENT REFUND
$100.00
Outstanding
59265
One-Time Check
02/09/10
PATIENT REFUND
$450.10
Outstanding
59266
One-Time Check
02/09/10
PATIENT REFUND
$73.11
Outstanding
59267
One-Time Check
02/09/10
PATIENT REFUND
$776.00
Outstanding
59268
One-Time Check
02/09/10
PATIENT REFUND
$10.08
Outstanding
59269
One-Time Check
02/09/10
PATIENT REFUND
$529.14
Outstanding
59270
One-Time Check
02/09/10
PATIENT REFUND
$79.11
Outstanding
59271
One-Time Check
02/09/10
PATIENT REFUND
$38.60
Outstanding
59272
One-Time Check
02/09/10
PATIENT REFUND
$119.53
Outstanding
59273
One-Time Check
02/09/10
PATIENT REFUND
$882.28
Outstanding
59274
One-Time Check
02/09/10
PATIENT REFUND
$25.00
Outstanding
59275
One-Time Check
02/09/10
PATIENT REFUND
$68.00
Outstanding
59276
One-Time Check
02/09/10
PATIENT REFUND
$26.03
Outstanding
59277
One-Time Check
02/09/10
PATIENT REFUND
$99.64
Outstanding
Total Paid:
Payments
$3,682.52
Status
Need to be declared salvage/surplus
ITEM
Intubation Module
Medication Module
IV Module
Intubation aiway roll
QUANTITY
3
26
156
58
MINUTES OF A REGULAR MEETING
OF THE BOARD OF DIRECTORS
The regular meeting of the Board of Directors of Montgomery County Hospital District was duly convened at 4:00
p.m., January 26, 2010, in the Administrative offices of the Montgomery County Hospital District, 200 River Pointe
Suite 200, Conroe, Montgomery County, Texas
1. Call to Order
Meeting called to order at 4:00 p.m.
2. Invocation
Led by Mr. Posey
3. Pledge of Allegiance
Led by Mr. Fawn
4. Roll Call
Present:
Georgette Whatley
John Hennigan
Hans Ambrosia
Francis Bourgeois
Harold Posey
Kenn Fawn
Sandy Wagner
5. Public Comment
None
6. Special Recognition
•
Employee of the Month
Deferred to next month
•
Proclamation in honor of Holly Pichette – Recipient of the 2009 Texas EMS Public
Information-Injury Prevention Award
Mr. Allen Sims made Proclamation presentation to Holly Pichette.
7. Consider and act on ratification of contracts with additional network providers for indigent
care (Mrs. Wagner, Secretary – MCHD Board)
Mrs. Wagner moved to ratify the contracts with additional network providers for indigent care.
Ms. Whatley offered a second and the motion passed unanimously.
8. CEO Report to include update on District operations, strategic plan, capital purchases,
employee benefits, and other healthcare matters
Mr. Allen Johnson presented a report.
9. Receive progress report from the CEO regarding the 2009 Strategic Goals (Mr. Bourgeois,
Board Chair) (Attached)
Mr. Allen Johnson presented a progress report regarding the 2009 Strategic Goals.
10. Consider and act on proposed Order for Montgomery County Hospital District Board of
Directors election on May 8, 2010, for the position of Director Precinct 3, Director Precinct
4 and Director At Large Position 2 (Mrs. Wagner, Secretary-MCHD Board)
Mrs. Wagner moved to consider and act on proposed Order for Montgomery County Hospital
District Board of Directors election on May 8, 2010, for the position of Director Precinct 3,
Director Precinct 4 and Director At Large Position 2. Ms. Whatley offered a second and the
motion passed unanimously.
Mr. Bourgeois requested unanimous consent to move item 22 ahead of item 11. Consent granted.
11. COO Report to include update on Construction Project
Mr. Kelly Curry presented a report.
Ian Powell, Partner with PBK answered questions from board members.
12. Consider and act on staff recommendations regarding purchase of property in the Rayford
Road area (Mr. Ambrosia, Chair – EMS Committee)
Mr. Steve Hailey with Hailey-Sadler Properties Incorporated presented a report.
Mr. Ambrosia made a motion to follow the staff’s recommendations and execute the purchase of
property at Rayford Road as proposed . Mr. Hennigan offered a second. The motion passed six
(Ms. Whatley, Mr. Hennigan, Mr. Ambrosia, Mr. Bourgeois, Mrs. Wagner, Mr. Posey) to one
opposed (Mr. Fawn).
13. Radio system update regarding East County and VHF systems
Mr. Kelly Curry and Mr. Justin Evans presented a report on the radio system update regarding
East County and VHF systems.
14. EMS Director Allen Sims’ Report to include updates on EMS stations, staffing,
performance measures, staff activities and psychiatric patient transport to Tri County
MHMR
Mr. Allen Sims presented a report.
15. Consider and act on awarding bid(s) for the purchase ambulance chassis and remounting of
ambulance modules (Mr. Ambrosia, Chair – EMS Committee)
Mr. Allen Johnson presented negotiated Frazer documentation and HGAC quote to the board.
Mr. Ambrosia made a motion to award bid(s) for the purchase of ambulance chassis and
remounting of ambulance modules. Mr. Hennigan offered a second and the motion passed
unanimously.
16. Consider and act on a proposed interlocal agreement for the joint purchase and operation
of a CAD system with the Woodlands Fire Department and/or Woodlands Township. (Mr.
Ambrosia, Chair – EMS Committee)
No action needed.
17. Healthcare Assistance Program Manager Penny Buchanan’s Report to include regulatory
update, outreach, eligibility, service, and utilization
Ms. Penny Buchanan presented a report.
Mr. Bourgeois offered for the record that Mr. Hennigan had to step out of the Boardroom.
18. Consider and act on Healthcare Assistance Program claims from Non-UPL providers
processed by Boon-Chapman (Mrs. Wagner, Chair - Indigent Care Committee)
Mrs. Wagner made a motion to consider and act on Healthcare Assistance Program claims from
Non-UPL providers processed by Boon-Chapman. Ms. Whatley offered a second and the motion
passed unanimously.
19. Consider and act on ratification of voluntary contributions to the UPL account of
Healthcare Assistance Program claims processed by Boon Chapman (Mrs. Wagner, Chair –
Indigent Care Committee)
Mrs. Wagner made a motion to consider and act on ratification of voluntary contributions to the
UPL account of Healthcare Assistance Program claims processed by Boon Chapman. Ms.
Whatley offered a second and the motion passed unanimously.
20. Presentation of Financial Report for the three months ended December 31, 2009 – Michael
J. Nicknish, CFO, report to include Financial Summary, Balance Sheet, Income Statement,
Supporting Statements, and Supplemental EMS Billing Information
Mr. Mike Nicknish presented a report.
21. Presentation of Investment Report for the quarter ended December 31, 2009 – Michael J.
Nicknish, CFO
Mr. Mike Nicknish presented Investment Report ending December 31, 2009.
22. Presentation by staff of estimated impact to the Fund Balance and General Revenue due to
construction of Buildings and Radio System Projects, including presentation of status
report of construction projects (Mr. Posey, Treasurer – MCHD Board) (Attached)
Mr. Mike Nicknish presented a report.
23. Consider and act on ratification of payment of District invoices to Henry Schein, Inc. (Mr.
Posey, Treasurer - MCHD Board)
Mr. Fawn recused himself and left the room.
Mr. Posey made a motion to ratify payment of the District Invoices to Henry Schein, Inc. Ms.
24. Consider and act on ratification of District invoices, excluding Henry Schein, Inc. (Mr.
Posey, Treasurer - MCHD Board)
Mr. Fawn returned to the Boardroom.
Mr. Posey made a motion to consider and act on payment of District invoices as presented. Ms.
Mr. Bourgeois offered for the record that Mr. Hennigan returned to the Boardroom.
25. Consider and act on the re-affirmation of the original policy for The Billing Department to
file liens in accordance with: The Texas Property Code specifically Chapter 55, Hospital
and Emergency Medical Services Liens and The Code of Federal Regulations specifically
Section 411.50 thru 411.54, Exclusions from Medicare and Limitations on Medicare
Payment for services covered under Liability or No-Fault Insurance. (Mr. Ambrosia, Chair
– EMS Committee)
Mrs. Karen Webb presented a report.
Mr. Posey made a motion to consider and act on the re-affirmation of the existing policy for the
district to file liens in accordance. Mr. Fawn offered a second and the motion passed
unanimously.
26. Consider and act on salvage and surplus equipment (Mr. Posey, Treasurer-MCHD Board)
(Attached)
Mr. Posey made a motion to consider and act on salvage and surplus equipment. Ms. Whatley
offered a second and the motion passed unanimously.
27. Secretary’s Report - consider and act on minutes for December 22, 2009 Regular Meeting
(Mrs. Wagner, Secretary-MCHD Board)
Mrs. Wagner made a motion to approve the Secretary’s report for December 22, 2009, Regular
Meeting. Mr. Fawn offered a second; Ms. Whatley abstained since she was not in attendance for
the 12.22.2009 meeting. The Motion passed unanimously.
28. Consider and act on establishing a process to solicit and review request for proposals for
legal counsel (Mr. Bourgeois, Board Chair)
Mr. Bourgeois made a motion to consider and act on establishing a process to solicit and review
request for proposals for legal counsel. Mr. Fawn offered a second and the motion passed
unanimously.
29. Consider and act on the process for the annual evaluation of the Chief Executive Officer
(Mr. Bourgeois, Board Chair)
Mr. Bourgeois made a motion to accept the document that has been prepared for the annual
evaluation of the CEO. Ms. Whatley offered a second and motion passed unanimously.
30. Adjourn
Meeting adjourned at 6:15 p.m.
____________________________
Sandy Wagner, Secretary
Agenda Item # 33
To:
Board of Directors
From: Kelly Curry
Date: February 23th, 2010
Re:
Consider and act on approval of fencing and road construction at East County Tower site
The planned development of the East County Tower site may include an EMS station, a
Fire/Police Station, and city park, in addition to the communications tower. Certain
infrastructure must be built to accommodate the construction of the tower and to be later
used by the other projects as well. There are three items on which staff is requesting
action.
1.
2.
3.
Road Construction approx. $149,000
Fencing $17,000(minimal) - $60,000 (whole site)
House relocation - approx. $20,000
Fiscal Impact: As stated above. (Much of this cost will be recovered in the sale of the
residual property.)
Yes
X
No
N/A
X
Budgeted item?
X
Within budget?
X
Renewal contract?
Special request?

February 2010 - Montgomery County Hospital District

Transcription

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MONTGOMERY COUNTY Advanced Placement Expands in Montco

16-022890 (Unknown)

Midtown Living Mar - Apr 2006

Financial Settings

Emergency Preparedness Guide

Program Book - Women`s Center of Montgomery County