March 2015 - 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:
March 24, 2015
Time:
4:00 P.M. or immediately following the scheduled 3:00 p.m. PADCOM
meeting
Place:
ADMINISTRATIVE BUILDING
1400 SOUTH LOOP 336 WEST
CONROE, MONTGOMERY COUNTY, TEXAS 77304
Open to Public: The meeting will be open to the public at all times during which such subjects are
discussed, considered, or formally acted upon as required by Texas Open Meetings Act, Chapter 551 of
the Government Code.
This Notice in detail was posted at least 72 hours prior to the beginning of said meeting with the County
Clerk’s Office and is on the Bulletin Board of the Courthouse and in the District’s Administrative Office.
Subject:
1.
2.
3.
4.
5.
6.
The agenda for such meeting shall include the consideration of, and if deemed advisable,
the taking of action upon:
Call to Order
Invocation
Pledge of Allegiance
Roll Call
Public Comment
Special Recognition
Items Involving Visitors
7. Consider and act on ratification of contracts with additional network providers for indigent care.
(Mrs. Wagner, Chair - Indigent Care Committee)
8. Consider and act on the renewal of District commercial package and business auto insurance
policy with VFIS. (Ms. Whatley, Chair – Personnel Committee)
District
9. CEO Report to include update on District operations, strategic plan, capital purchases, employee
issues and benefits, transition plans and other healthcare matters, grants and any other related
district matters.
10. Consider and act on Affiliation agreement between Montgomery County Hospital District and
Tomball Regional Medical Center. (Mrs. Wagner, Chair-Indigent Care Committee)
11. Consider and act on Montgomery County Hospital District agreement for Ambulance Transfer
Services. (Mr. Fawn, Chair – EMS Committee)
NOTICE OF A REGULAR MEETING OF THE BOARD OF DIRECTORS
MONTGOMERY COUNTY HOSPITAL DISTRICT - PAGE 1
12. Consider and act on Safety & Emergency Management Policies: (Mr. Posey, Chairman – MCHD
Board)
 SEM27-102 Exposure Control Policy
 SEM27-104 Hazardous Chemicals Communication Policy
 SEM27-103 Safe Lifting Policy
 SEM27-201 NIMS Training Policy
Emergency Medical Services
13. EMS Director Report to include updates on EMS staffing, performance measures, staff activities,
patient concerns and transport destinations.
14. Consider and act on sole source letter for radio consoles and equipment purchase for backup
center. (Mr. Fawn, Chair – EMS Committee)
15. Consider and act on purchase of radio consoles and equipment for backup center. (Mr. Fawn,
Chair – EMS Committee)
16. Consider and act on the Baylor College of Medicine agreement for Physician Assistant, Travis
Baker for Community Paramedicine. (Mr. Fawn, Chair – EMS Committee)
17. Consider and act on payment of TriTech CAD Server Annual Maintenance Agreement. (Mr.
Fawn, Chair – EMS Committee)
Infrastructure
18. COO Report to include updates on infrastructure, facilities, radio system, warehousing, staff
activities, emergency management, fleet and purchasing.
Health Care Services
19. Health Care Services Report to include regulatory update, outreach, eligibility, service,
utilization, community education, clinical services, epidemiology, and emergency preparedness.
20. Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver
providers processed by Boon-Chapman. (Mrs. Wagner, Chair - Indigent Care Committee)
21. Consider and act on ratification of voluntary contributions to the Medicaid 1115 Waiver program
of Healthcare Assistance Program claims processed by Boon Chapman. (Mrs. Wagner, Chair –
Indigent Care Committee)
22. Consider and act on revisions and modifications to Healthcare Assistance Program (HCAP)
which is comprised of the Montgomery County Indigent Care Plan and the Medical Assistance
Plan Handbooks (Mrs. Wagner, Chair-Indigent Care Committee)
Finance
23. Presentation of preliminary Financial Report for five months ended February 28, 2015 – Brett
Allen, CFO, report to include Financial Summary, Financial Statements, Supplemental EMS
Billing Information, and Supplemental Schedules.
24. Consider and act to add BCBS as a vendor we pay on-line through the ACH system. (Mr. Posey,
Chairman – MCHD Board)
25. Consider and act on ratification of payment of District invoices. (Mr. Posey, Chairman – MCHD
Board)
Other Items
26. Secretary’s Report - Consider and act on minutes for the February 24, 2015 Regular BOD
meeting. (Mrs. Wagner, Secretary - MCHD Board)
27. Convene into executive session pursuant to section 551.072 of the Texas Government code to
discuss real estate property including but not limited to MCHD Station 43 and any other related
matters.(Mr. Posey, Chairman – MCHD Board)
28. Reconvene from executive session and take action as necessary on real estate property including
but not limited to Station 43 and any other related matters. (Mr. Posey, Chairman – MCHD
Board)
29. Convene into executive session pursuant to section 551.074 of the Texas Government Code to
deliberate personnel matters related evaluation of Chief Executive Officer, Randy E. Johnson.
(Ms. Whatley, Chair – Personnel Committee)
30. Reconvene from executive session and make recommendations if needed on matters relating to
the evaluation of Chief Executive Office, Randy E. Johnson. (Ms. Whatley, Chair – Personnel
Committee)
31. 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
We Make a Difference!
To:
Board of Directors
From: Melissa Miller, COO
Date: March 24, 2015
Re:
New Provider Agreements
Consider and act on ratification of contracts with additional network providers for indigent
care. (Mrs. Wagner, Chair - Indigent Care Committee)
“No action needed, no new providers for the month”.
Agenda Item # 8
To:
Board of Directors
From: Brett Allen, CFO
Re:
VFIS Renewal
Consider and act on the renewal of District commercial package and business auto
insurance policy with VFIS. (Ms. Whatley, Chair – Personnel Committee)
Montgomery County Hospital District
Property and General Liability Insurance
Premium Summary
2015
Premium
Property
2014
Premium
Difference
169,986.00
167,531.00
2,455.00
281.00
149.00
132.00
5,878.00
5,174.00
704.00
Auto
131,514.00
146,265.00
(14,751.00)
General Liability
161,846.00
123,780.00
38,066.00
11,286.00
9,807.00
1,479.00
Crime
Portable Equipment
Management Liability
Excess Liability
Total Estimated Annual Premium
Surcharges and fees
Total
N/A
N/A
480,791.00
452,706.00
156.00
158.00
480,947.00
452,864.00
28,085.00
(2.00)
28,083.00
6.2%
The primary reason for the increased premium is due to the increase in call volume. The call volume
for 2013 appears to be under reported.
Year
2012
2013
2014
Call
Volume
40,143
28,786
42,150
This year, there is a new option to add Primary Liability for employees' use of personal vehicles while
used on behalf of MCHD.
The policy currently provides Excess Liability and Excess Physical Damage for employees' personal
vehicles while used on behalf of MCHD.
The additional cost to amend the Liability to Prmary would be $544.
Agenda Item # 9
To:
Board of Directors
From: Randy Johnson, CEO
Re:
CEO Report
Mr. Fawn and I returned from Austin Thursday, March 19th to discuss the
passage of our two House Bills. Representative Bell carried and discussed the
Bills and they met with no questions or opposition. Representative Bell believes
that they will pass with no interruptions.
All the Quarterly MCHD Organizational Projects (27) are trending to be
completed on schedule, except the Laser Fiche Form Processing and the Review
of Crew Scheduling Software. The Laserfiche Form Processing project will be
reviewed and completed early next year. The Review of Crew Scheduling
Software will be reviewed and completed during the next quarter (May, June, and
July). The entire staff has done an impressive job of working on improving our
organizational processes.
For the May – July quarter, MCHD Command Staff is considering doing the
following,:
1. 911 project improvement. This will be an attempt to improve networking of the 911
routing information from 911 to MCHD and between agencies.
2. Will plan for purchasing two to three new Ambulances (4500 versus 3500), and four
remounts. MCHD will also consider installing a new battery system, new stretcher
system, and new a safety system.
3. Will consider buying property for Station 41.
4. Will consider selling property at Rayford Rd.
5. Will have a comprehensive review of the Community Paramedicine program to include
volume, efficiency, effectiveness, and outcome processes.
6. Will plan to expand the HCAP provider network for Conroe, Kingwood, and Tomball
Hospitals.
7. Review and assess the program changes that have been implemented in IT.
8. Continue improving the Quality Evaluation and reporting program.
9. Complete the CAAS accreditation preparation process and receive the CASS
accreditation.
10. Begin and complete the Budget process.
11. Review the MCHD Compliance Program and consider obtaining some professional
Compliance Guidance Assistance.
12. Review the current recruiting, retaining, and training and promotional systems in place for
Medics at MCHD.
13. Complete the upgrade of the Purchasing systems at MCHD.
14. Complete an HR record audit.
15. Work with the Community/First Responder Liaison to plan and focus educational and
community outreach projects for the next eighteen months.
The Organizational Projects Dashboard is detailed on the following page.
MONTGOMERY COUNTY HOSPITAL DISTRICT BOARD REPORT
Organizational Projects
DATE: March 24, 2015
Task/Project on Schedule
Project
Project: HR Education of Supervisors & Managers
Objective: Assure that everyone is consistent in evaluating,
managing and training employees.
Final Deadline: 4/30/15
Budget: N/A
Project Manager: Randy Johnson
Project: Leadership Education of Supervisors & Managers
Objective: Provide training to maintain consistent leadership
philosophy.
Budget: N/A
Project: Billing Department Process
Objective: Maintain consistent billing production and process
evaluation.
Budget: N/A
Project Manager: Brett Allen
Project: Station 21 Construction
Objective: Putting in new station for EMS staff.
Final Deadline: Complete
Budget: 460 K
Project Manager: Melissa Miller
Objective: Remodel of station in The Woodlands.
Budget: 1.0 MM
Objective: Construct regional station for District 4.
Budget: 1.2 MM
Objective: Station replacement
Final Deadline: 12/2015
Budget: 600 K
Task/ Project in Danger of Not Meeting
Progress
Task/Project Not Meeting Schedule
Evaluation
Feb
Mar
Apr
The HR Department is updating managers and supervisors on: Workers Compensation, Payroll and Benefits,
Annual Evaluation strategies, Counseling Employee strategies. Interviewing Techniques, and will have a one
hour Webinar on moving from rank and file employee to supervisor and what you should know. This series is
to give the managers and supervisors the tools to educate, evaluate, praise and counsel employees.
Feb
Mar
Apr
The March lectures were on the leadership topic, “Building trust Through Connection”.
Feb
Mar
Apr
New Billing Coordinator position is being filled. Process and production are improving and collection are
strong.
Feb
Mar
Apr
Project Completed in February 2, 2015. MCHD served a “thank you” lunch to the A, B, and C shifts for
welcoming us into their Station. The lunch was very well received and The Currier ran a front page article on
the MCHD collaboration with South County ESD.
Feb
Mar
Apr
Station will be occupied in April, 2015.We are currently waiting on furniture and telephones to arrive.
Feb
Mar
Apr
Building is being constructed.
Feb
Mar
Apr
Property has been purchased. Plans are complete. Pad Com will meet before this Board Meeting to discuss
beginning construction.
Project
Progress
Project: Clinical Department Focus on Training and Review
Objective Organize and streamline operations and function of
clinical department.
Budget: N/A
Project Manager: Jared Cosper
Project: IT Department Restructure
Objective: #1- Hire a project administrator to assist with CAD
mapping. #2 – Reorganize IT department.
Budget: 80 K
Project: Laser Fiche Form Processing
Objective: Expand Laser Fiche functioning
Final Deadline: Postpone Until Summer
Budget: 5 K
Project Manager:
Project: Records Retention Policy
Objective: Review current policy vs state minimal retention
requirements.
Budget: N/A
Project Manager: Donna Daniel
Project: EMS Command Shift Supervisor Implementation
Objective: Have one command supervisor available every day
for EMS
Budget: 18 K
Project Manager: Jared Cosper/Kevin Nutt
Project: EMS Billing Process for Write-Offs
Objective: Have transparency in our billing, collection and
write-off procedure.
Budget: N/A
Project: Installation of New Recording System
Objective: Have quality recordings.
Budget: 200K
Project Manager: Matt Walkup
Feb
Mar
Apr
Evaluation
Jordan Anderson is working as Clinical department project manager. Jordan and team will evaluate existing
resources and production. This evaluation is to assure we are efficient without duplication of resources.
Jordan will present and begin executing his Clinical Department work plan before April 1.
Feb
Mar
Apr
MCHD has hired Phillip Wood to work and train under Shawn Trainor to become a CAD Administrator.
Phillip formally worked with OCS as a Level 1 Tech for the past 5 years. We are very pleased to have him
work with us and thank OCS for assisting with the smooth transition. We are working to reorganize the
department for better focus and efficiency.
Feb
Mar
Apr
We have attended the Laser Fiche Conference in February to see what additional capacities this program has
for our document storage and administration. We believe it can do much more to aid our organization and
management of records. We have decided to post pone further work on expanding Laser Fiche Form
Processing capabilities until Summer.
Feb
Mar
Apr
Ms. Daniels and Mr. Hudson are completing this task at the current time. I will report the results of their
work at next month’s meeting.
Feb
Mar
Apr
Command Shift Supervisors have been hired and have completed initial process. Are now finalizing their
responsibilities and training by doing case reviews and having frequent meetings with Command Staff.
Feb
Mar
Apr
Initial discussions conducted with Board of Directors. Plan to finalize and present to Board in April.
Feb
Mar
Apr
Project is complete.
Project
Progress
Project: KPI Quality Dashboard Implementation
Objective: Set benchmarks and identify key performance
indicators for each department.
Budget: N/A
Project Manager: Henrietta Valentine
Project: Full Operations of Community Paramedicine
Objective: To have a fully functioning program with 120
additional patients.
Budget: 1.4 MM
Project Manager: Andrew Karrer
Project: Field Training Officer/ Supervisor Promotions
Objective: Increase FTOs from 4 FTOs to 8 FTOs and to hire 1
new supervisor.
Budget: N/A
Project: CAAS Survey Completion
Objective: CAAS Accreditation
Budget: N/A
Feb
Mar
Apr
Evaluation
Phase 1 which included the identification, measurement and reporting of KPIs has been completed. Now, we
are reviewing KPI’s to review the relevance of each indicator and look for trends for operational
improvement.
Feb
Mar
Apr
Metrics have been set. Initial Paramedics and Case Managers have been hired and trained. Production and
quality metrics have been implemented and evaluated. EMR is being implemented in near future. Program is
marketing 10 new patients per month, with a goal of following 120 patients by the end of the year. A PA has
been hired to provide medical management of the patients. The PA will start in April.
Project: New Purchasing Policy Completion
Objective: Assure safe and appropriate procedures for
purchasing.
Budget: N/A
Project Manager: Brett Allen
Project: Alarm Operating Guidelines Completed
Objective: Have Field Operating Guideline for all alarm staff.
Budget: N/A
Project Manager: Matt Walkup
Project: Electronic Key System Implementation
Objective: Have key control of vehicles
Budget: 15K
Feb
Mar
Apr
Connie Case is currently working with potential candidates to get them ready for promotion by April.
Feb
Mar
Apr
Certification will be attained. In order to properly prepare all the metrics that assure an excellent CAAS
survey, the Command Staff has elected to not send the completed answer s to the standards questions until
June.
Feb
Mar
Apr
Purchasing policy was approved last year. MCHD Executive management is reviewing the current policy and
procedures including our credit card policy to assure that purchasing practices are transparent and protect
the company’s assets.
Feb
Mar
Apr
Completed and implemented.
Feb
Mar
Apr
System has been purchased and is awaiting installation.
Project
Progress
Evaluation
Project: Completion and Implementation of “Calvin Cad”
Objective: EMS supervisory tool that allows for tracking
location, time, service and duration of vehicles.
Budget: 3 K
Project: Implementation of One Note Work Folders
Objective: To develop a tool so that more than one person can
work on the latest generation of electronic work product
simultaneously.
Budget: N/A
Project Manager: Matt Walkup/Seth Montgomery
Project: Review of Evaluation Template
Objective: Update and complete the evaluation template for all
employees.
Budget: N/A
Project Manager: Marcy Hicks
Project: Review of Job Descriptions
Objective: Update and complete the job descriptions for all.
Budget:
Project Manager:
Project: Review of Crew Scheduler
Budget: N/A
Project Manager: Jared Cosper/Kevin Nutt
Project: Preparation for Ironman
Objective: Proper coverage of event and communication with
1st responders and medical personnel for event.
Final Deadline: May 16, 2015
Budget: N/A
Project Manager: Kevin Nutt
Feb
Mar
Apr
IT has the system virtually complete. Currently working to further simplify for use of supervisors.
Feb
Mar
Apr
Matt and Seth have evaluated the work product and have concluded that for only two potential users at the
current time, the program does not provide enough value.
Feb
Mar
Apr
Marcy Hicks Has completed the Annual Employee Template.
Feb
Mar
Apr
Marcy Hicks has completed the Job Descriptions for all MCHD employees.
Feb
Mar
Apr
Will begin evaluation this program in April.
Feb
Mar
Apr
Kevin Nutt and Matt Walkup are coordinating MCHD services with Ironman and all other involved responder
agencies. We expect this event to be very well organized.
Agenda Item # 10
To:
Board of Directors
Re:
Affiliation Agreement
Consider and act on Affiliation agreement between Montgomery County Hospital District
and Tomball Regional Medical Center. (Mrs. Wagner, Chair-Indigent Care Committee)
AFFILIATION AGREEMENT BETWEEN
MONTGOMERY COUNTY HOSPITAL DISTRICT AND
TOMBALL REGIONAL MEDICAL CENTER
This Affiliation Agreement (the Agreement) is entered into as of the ________ day of
January, 2015 (Effective Date), by and between by and between Montgomery County Hospital
District, a unit of local government within the State of Texas created as a Hospital District by
Section 106.112 of the Texas Special District Local Laws Code (the Governmental Entity), and
Tomball Texas Hospital Company, LLC d/b/a Tomball Regional Medical Center, a Delaware
limited liability company (the Hospital).
R E C I T A L S:
WHEREAS, the Hospital provides a significant amount of uncompensated care to the
Indigent in the communities it serves;
WHEREAS, reductions in reimbursement under the Medicaid program and the growing
uninsured population have created a gap between the costs the Hospital incurs for treating
Medicaid patients and the Indigent and the reimbursement the Hospital actually receives;
WHEREAS, the Governmental Entity and the Hospital recognize that the Indigent
numbers in the local communities will continue to grow, and that the burden of providing health
care to the Indigent will continue to shift to the Hospital, the Governmental Entity, and local
communities;
WHEREAS, the Hospital and the Governmental Entity desire to collaborate to ensure
that the Indigent have access to and receive quality health care services; and
WHEREAS, the Governmental Entity and the Hospital recognize that it is in their
mutual best interest and in the best interest of the Indigent population of the local communities to
increase Medicaid funding for the Medicaid population of the local communities and to access
local and federal funding to which the Hospital is entitled under the Section 1115 Demonstration
Waiver for the Texas Healthcare Transformation and Quality Improvement Program (the Waiver
Program);
NOW, THEREFORE, in consideration of the promises and covenants contained in this
Agreement, and other good and valuable consideration, the receipt and adequacy of which are
hereby acknowledged and agreed, the parties agree as follows:
ARTICLE I
DEFINITIONS
1.1
Health Care Services means those services necessary to enhance the delivery of health
care to the Indigent, as defined in Section 1.2 of this Agreement.
1.2
Indigent means any person eligible to participate in a state Medicaid program, a county
program adopted under the Indigent Health Care and Treatment Act, as defined by the
AFFILIATION AGREEMENT BETWEEN GULF BEND CENTER AND TOMBALL REGIONAL MEDICAL CENTER
AUS-6058768-1
eligibility criteria described in Chapter 61 of the Texas Health and Safety Code, or a
hospital charity care program.
1.3
Waiver Program means the Section 1115 Demonstration Waiver for the Texas
Healthcare Transformation and Quality Improvement Program, under which the
Governmental Entity transfers Public Funds via intergovernmental transfer (IGT) to the
Texas Health and Human Services Commission (HHSC) to generate the non-federal
share of Waiver Program Payments, and the Hospital receives Waiver Program Payments
from HHSC.
1.4
Waiver Program Payments means any Medicaid payments received by the Hospital in
accordance with the Waiver Program.
1.5
Public Funds means public revenue, generated by the Governmental Entity, which the
Governmental Entity agrees to transfer in part to HHSC via IGT to serve as the nonfederal share of Waiver Program Payments.
ARTICLE II
REPRESENTATIONS AND WARRANTIES
2.1
Hospital’s Representations and Warranties. The Hospital represents and warrants
that:
a.
The Hospital is a Delaware limited liability company duly established and created
pursuant to applicable law with all requisite power and authority to enter into this
Agreement in all respects;
b.
The execution, delivery, and performance by the Hospital of this Agreement are
within the Hospital’s powers, and are not in contravention of any other
instruments governing the Hospital and have been duly authorized and approved
by the Hospital to the extent required by applicable law;
c.
Neither the Hospital, nor any of its representatives are (i) currently excluded,
debarred, or otherwise ineligible to participate in the Federal health care programs
as defined in 42 U.S.C. § 1320a-7b(f) (the Federal health care programs); (ii)
convicted of a criminal offense related to the provision of health care items or
services but not yet excluded, debarred, or otherwise declared ineligible to
participate in the Federal health care programs; or (iii) under investigation or
otherwise aware of any circumstances which may result in the exclusion of the
Hospital, or any of its representatives from participation in Federal health care
programs;
d.
This Agreement has been duly and validly executed and delivered by the Hospital
and constitutes the valid, legal, and binding obligation of the Hospital,
enforceable against the Hospital in accordance with its terms;
AFFILIATION AGREEMENT BETWEEN MONTGOMERY COUNTY HOSPITAL DISTRICT AND TOMBALL REGIONAL
MEDICAL CENTER
AUS-6058768-1
e.
No funds derived from any Waiver Program Payment received by the Hospital
have been or will be returned or reimbursed to the Governmental Entity;
f.
No other funds have been used to reimburse the Governmental Entity in
consideration of any Waiver Program Payments paid to the Hospital;
g.
The Hospital will not use any of the Waiver Program Payments to fund any
contingent fee arrangement or agreement or to pay for third-party consultant or
legal services;
h.
The Hospital has not entered and will not enter into any agreement with the
Governmental Entity to condition either the amount of the Public Funds
transferred to HHSC via IGT by the Governmental Entity or the amount of
Waiver Program Payments the Hospital receives on the amount of indigent care
the Hospital has provided or will provide;
i.
The Hospital has not entered and will not enter into any agreement with the
Governmental Entity to condition the amount of the Hospital’s indigent care
obligation on either the amount of Public Funds transferred by the Governmental
Entity to HHSC or the amount of Waiver Program Payments the Hospital may be
eligible to receive;
j.
Neither the Hospital nor any other entity acting on behalf of the Hospital has
made or agreed to make cash or in-kind transfers to the Governmental Entity
other than transfers and transactions that:
k.
(1)
Are unrelated to the administration of the Waiver Program and/or the
delivery of indigent care services under this Agreement;
(2)
Constitute fair market value for goods and/or services rendered or
provided by the Governmental Entity to the Hospital; and
(3)
Represent independent, bona fide transactions negotiated at arms-length
and in the ordinary course of business between the Hospital and
Governmental Entity; and
Neither the Hospital nor any other entity acting on behalf of the Hospital has:
(1)
Taken assignment or agreed to take an assignment of a contractual or
statutory obligation of the Governmental Entity; or
(2)
Authorized or consented to the assumption of a statutory or contractual
obligation of the Governmental Entity by the Hospital or any other entity
acting on behalf of the Hospital.
MEDICAL CENTER
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2.2
Governmental Entity Representations and Warranties. The Governmental Entity
represents and warrants that:
a.
It is a unit of local government within the State of Texas created as a Hospital
District by Section 106.112 of the Texas Special District Local Laws Code, with
all requisite power and authority to enter into this Agreement in all respects;
b.
The execution, delivery, and performance by the Governmental Entity of this
Agreement are within the Governmental Entity’s powers, are not in contravention
of any other instruments governing the Governmental Entity and have been duly
authorized and approved by the Governmental Entity Board of Directors as and to
the extent required by applicable law;
c.
Neither the Governmental Entity, nor any of its representatives are (i) currently
excluded, debarred, or otherwise ineligible to participate in the Federal health care
programs; (ii) convicted of a criminal offense related to the provision of health
care items or services but not yet excluded, debarred, or otherwise declared
ineligible to participate in the Federal health care programs; or (iii) under
investigation or otherwise aware of any circumstances which may result in the
exclusion of the Governmental Entity, or any of its representatives, from
participation in Federal health care programs;
d.
This Agreement has been duly and validly executed and delivered by the
Governmental Entity and constitutes the valid, legal, and binding obligation of the
Governmental Entity, enforceable against the Governmental Entity in accordance
with its terms;
e.
The Governmental Entity is legally authorized to and does receive ad valorem
taxes, generate public revenue, or receive and expend appropriated public funds
and will fund its obligations hereunder with such tax revenues;
f.
The Governmental Entity has entered into this Agreement after a public meeting
held in compliance with the Texas Open Meetings Act in Chapter 551 of the
Texas Government Code at which a majority of the Governmental Entity Board of
Directors voted to execute this Agreement;
g.
The Governmental Entity has transferred or has agreed to transfer Public Funds to
HHSC via IGT for use as the non-federal share of Waiver Program Payments to
the Hospital in accordance the Waiver Program;
h.
All transfers of Public Funds by the Governmental Entity to HHSC to support the
Waiver Program Payments to the Hospital under the Waiver Program comply
with:
(1)
The applicable regulations that govern provider-related donations codified
at section 1903(w) of the Social Security Act (42 U.S.C. § 1396b(w)), and
Title 42, Code of Federal Regulations, Part 433, subpart B, sections
433.52 and 433.54;
MEDICAL CENTER
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(2)
The conditions approved by the federal Centers for Medicare and
Medicaid Services (CMS) for governmental entities’ and private hospitals’
participation in the Waiver Program; and
(3)
Such regulations established by HHSC pursuant to the Waiver Program;
i.
The Governmental Entity does not and will not at any time receive any part of the
Waiver Program Payments that are made by HHSC to the Hospital under the
Waiver Program;
j.
The Governmental Entity has not entered into a contingent fee arrangement
related to the Governmental Entity’s participation in the Waiver Program;
k.
The Governmental Entity has not entered and will not enter into any agreement to
condition either the amount of the Public Funds transferred by the Governmental
Entity or the amount of the Waiver Program Payments the Hospital receive on the
amount of indigent care the Hospital has provided or will provide;
l.
The Governmental Entity has not entered and will not enter into any agreement to
condition the amount of the Hospital’s indigent care obligations on either the
amount of Public Funds transferred by the Governmental Entity to HHSC or the
amount of Waiver Program Payments the Hospital may be eligible to receive;
m.
With regard to any escrow, trust or other financial mechanism (an Account)
utilized in connection with this Agreement or an IGT issued for a payment period
that occurs after the Effective Date of this Agreement, the following
representations are true and correct:
(1)
The amount of any Account is not conditioned or contingent on the
amount of indigent care services that the Hospital provided or will
provide;
(2)
The Governmental Entity has disclosed the existence of any Account to
HHSC; and
(3)
Any such Account will not be used to effect a quid pro quo for the
provision of indigent care services by or on behalf of the Hospital;
n.
The Governmental Entity has not received and will not receive refunds of
payments the Governmental Entity made or makes to the Hospital for any purpose
in consideration for an IGT of Public Funds by the Governmental Entity to HHSC
to support the Waiver Program Payments;
o.
The Governmental Entity has not received and will not receive any cash or inkind transfers from the Hospital or any other entity acting on behalf of the
Hospital other than transfers and transactions that:
MEDICAL CENTER
AUS-6058768-1
p.
(1)
Following the date this Agreement is executed, are unrelated to the
administration of the Waiver Program or the delivery of indigent care
services under this Agreement;
(2)
Constitute fair market value for goods or services rendered or provided by
the Governmental Entity to the Hospital; and
(3)
Represent independent, bona fide transactions negotiated at arms-length
and in the ordinary course of business between the Hospital and the
Governmental Entity; and
The Governmental Entity has not:
(1)
Assigned or agreed to assign a contractual or statutory obligation of the
Governmental Entity to the Hospital or any other entity acting on behalf of
the Hospital; or
(2)
Authorized or consented to the assumption of a statutory or contractual
obligation of the Governmental Entity by the Hospital or any other entity
acting on behalf of the Hospital.
ARTICLE III
OBLIGATIONS OF THE HOSPITAL
3.1
Agreement to Cooperate. The Hospital agrees to work cooperatively with the
Governmental Entity to improve access, availability, efficiency, delivery, and funding for
Health Care Services provided to the Indigent.
3.2
Provision of Care. The Hospital agrees to provide Health Care Services and meet all
requirements for treating the Indigent; provided, however, the Hospital shall not provide
Health Care Services for which the Governmental Entity has a continuing contractual or
statutory obligation to provide.
3.3
Reports to the Governmental Entity Board of Directors. To enable the Governmental
Entity to perform its retrospective evaluation of the Health Care Services under Section
4.2, the Hospital will provide quarterly reports to the Governmental Entity Board of
Directors regarding the amounts and types of health care the Hospital has provided to the
Indigent. The Hospital shall provide such reports to the Governmental Entity Board of
Directors within ninety (90) days after the end of each such period.
ARTICLE IV
OBLIGATIONS OF THE GOVERNMENTAL ENTITY
4.1
Agreement to Cooperate with the Hospital. The Governmental Entity agrees to work
cooperatively with the Hospital to improve access, availability, efficiency, delivery, and
funding for Health Care Services.
MEDICAL CENTER
AUS-6058768-1
4.2
Retrospective Evaluation of Services. Consistent with its constitutional, statutory and
fiduciary obligations, the Governmental Entity may retrospectively evaluate the amount
and impact of the Hospital’s delivery of the Health Care Services and may rely on such
historical information in determining whether to continue this Agreement with the
Hospital, whether the Hospital’s participation benefited the community, whether the
Hospital’s continued participation is likely to continue to benefit the community and/or to
provide accountability to taxpayers.
ARTICLE V
MISCELLANEOUS
5.1
Term and Termination. The term of this Agreement shall be one year from the
Effective Date and shall automatically continue thereafter for additional terms of one year
each, unless terminated in accordance with this Section 5.1. Either party may terminate
this Agreement with ninety (90) days advance written notice of termination.
5.2
Compliance with HIPAA. To the extent applicable to this Agreement, the Hospital and
the Governmental Entity agree to comply with the Health Insurance Portability and
Accountability Act of 1996, as codified at 42 U.S.C. Section 1320d, et seq. (HIPAA) and
any current and future regulations promulgated thereunder, including, without limitation,
the federal privacy regulations contained in 45 C.F.R. Parts 160 and 164 (the Federal
Privacy Regulations), the federal security standards contained in 45 C.F.R. Parts 160, 162
and 164 (the Federal Security Regulations), and the federal standards for electronic
transactions contained in 45 C.F.R. Parts 160 and 162 (the Federal Electronic Transaction
Regulations), all as amended from time to time and, all collectively referred to herein as
HIPAA Requirements. The Hospital and the Governmental Entity agree not to use or
further disclose any Protected Health Information (as defined in the Federal Privacy
Regulations) or EPHI (as defined in the Federal Security Regulations), other than as
permitted by the HIPAA Requirements and the terms of this Agreement. In addition, the
Hospital and the Governmental Entity agree to comply with any state laws and
regulations that govern or pertain to the confidentiality, privacy, security of, and
electronic transactions pertaining to, health care information.
5.3
Access to Records. As and to the extent required by law, upon the written request of the
Secretary of Health and Human Services, the Comptroller General or any of their duly
authorized representatives, the Hospital or the Governmental Entity shall make available
those contracts, books, documents and records necessary to verify the nature and extent
of the costs of providing services under this Agreement. Such inspection shall be
available for up to four (4) years after the rendering of such services. If the Hospital or
the Governmental Entity carries out any of the duties of this Agreement through a
subcontract with a value of $10,000.00 or more over a twelve (12) month period with a
related individual or organization, the Hospital or the Governmental Entity agrees to
include this requirement in any such subcontract. This Section is included pursuant to
and is governed by the requirements of 42 U.S.C. § 1395x(v)(1) and the regulations
thereto.
MEDICAL CENTER
AUS-6058768-1
5.4
Notices. All notices required or permitted hereunder shall be in writing and shall be
sufficiently given and deemed to have been received upon personal delivery, by
overnight carrier, or by United States mail, postage prepaid, registered or certified mail,
addressed to the parties as follows:
If to Governmental Entity:
1400 South Loop 336 West
Conroe, Montgomery County, Texas 77304
Attn: Randy Johnson, Chief Executive Officer
If to Hospital:
Tomball Regional Medical Center
605 Holderrieth Boulevard
Tomball, TX 77375-6490
Attn: Thomas Jackson, Chief Executive Officer
With copies to:
Legal Department
4000 Meridian Boulevard
Franklin, Tennessee 37067
Attn: General Counsel
Eric J. Weatherford
Husch Blackwell, L.L.P.
2001 Ross Avenue, Suite 2000
Dallas, Texas 75201
5.5
Relationship between the Parties. The relationship between the Governmental Entity
and the Hospital is solely a contractual relationship between independent contractors.
Neither party hereto is an agent or employee of the other party.
5.7
Governing Law. This Agreement shall be governed by the laws of the State of Texas.
5.8
Venue. Venue for any action involving the Governmental Entity arising out of this
Agreement shall exclusively lie in State County Court in Montgomery County, Texas.
5.9
Assignment. No party may assign any right, obligation, or responsibility under this
Agreement.
5.10
No Third Party Beneficiary. The parties to this Agreement do not intend to establish
any third party beneficiary relationships by virtue of this Agreement.
5.11
Entire Agreement. This Agreement represents the entire agreement and understanding
of the Parties hereto with respect to the subject matter hereof, and all prior and concurrent
agreements, understandings, representations and warranties with respect to such subject
matter, whether written or oral, are and have been merged herein and superseded hereby.
5.12
Counterparts. This Agreement may be executed in several counterparts, each of which
shall be deemed an original, but all of which together shall constitute one and the same
MEDICAL CENTER
AUS-6058768-1
agreement, binding on all of the parties hereto. A facsimile copy or scanned image of an
executed, original counterpart shall be deemed for all purposes to be, and may be relied
upon as, an original, in which case each party shall immediately provide fully executed
originals to the others.
(Signature Page Follows)
MEDICAL CENTER
AUS-6058768-1
IN WITNESS WHEREOF, the parties have executed this Affiliation Agreement as of
the date and year set forth above.
By:
Title: ___________________________________
MEDICAL CENTER
AUS-6058768-1
IN WITNESS WHEREOF, the parties have executed this Affiliation Agreement as of
the date and year set forth above.
TOMBALL TEXAS HOSPITAL COMPANY, LLC D/B/A TOMBALL
REGIONAL MEDICAL CENTER
By:
Martin G. Schweinhart, Executive Vice President
MEDICAL CENTER
AUS-6058768-1
Agenda Item # 11
To:
Board of Directors
From: Jared Cosper, EMS Director
Re:
Ambulance Transfer Services
Consider and act on Montgomery County Hospital District agreement for Ambulance
Transfer Services. (Mr. Fawn, Chair – EMS Committee)
“Tabled until next month”.
Agenda Item # 12
To:
Board of Directors
Re:
Safety & Emergency Management Policies
Consider and act on Safety & Emergency Management Policies: (Mr. Posey, Chairman
– MCHD Board)
 SEM27-102 Exposure Control Policy
 SEM27-104 Hazardous Chemicals Communication Policy
 SEM27-103 Safe Lifting Policy
 SEM27-201 NIMS Training Policy
EXPOSURE CONTROL POLICY
Page 1 of 1
Department
Emergency Preparedness & Risk
Management
I.
Policy Number
SEM 27-102
CAAS Reference Number
202.02.01
PURPOSE
The purpose of this policy is to establish the Exposure Control Plan as the guiding
document for MCHD’s bloodborne pathogen and respiratory pathogen prevention
program.
II.
POLICY
Montgomery County Hospital District is committed to providing a safe and healthful
work environment for the entire staff. In accordance with OSHA standard 29 CFR
1910.1030, the Exposure Control Plan (ECP) is provided to eliminate or minimize
occupational exposure to bloodborne pathogens and/or contamination from other
infectious agents. The prevention of transmission of infectious disease agents and
providing a safe work environment for healthcare personnel and their patients is a
responsibility shared by all employees and administrative officials.
The Exposure Control Plan (ECP) is a key document to assist MCHD in implementing
and ensuring compliance with the standard, thereby protecting our employees. The ECP
includes:








Determination of employee exposure
Implementation of various methods of exposure control, including:
• Standard precautions
• Engineering and work practice controls
• Personal protective equipment
• Housekeeping and maintenance
Hepatitis B and seasonal influenza vaccination
Required TB testing
Post-exposure evaluation and follow-up
Procedures for evaluating circumstances surrounding an exposure incident
Communication of hazards to employees and training
Recordkeeping
The Exposure Control Plan will be reviewed annually by the Safety Committee and revised
as needed. The most current version will be available to all employees on the internal
MCHD website, and training will be provided annually.
References
Policy 10-705
Review/Revision Date
07/2014
X Supersedes all Previous
Date Approved by the Board of Directors 03/24/2015
SAFE LIFTING POLICY
Page 1 of 2
Department
Safety & Emergency Mgmt
I.
Policy Number
SEM 27-103
202.02.01
PURPOSE
This policy is intended to eliminate unsafe lifting practices, reduce lifting injuries and
prevent injuries related to improper lifting techniques.
II.
POLICY
Preventing injuries related to improper lifting techniques is a responsibility shared by all
levels of personnel.
Executives and directors will:
• Ensure that proper material handling equipment is available for staff.
• Ensure that training is provided for safe lifting techniques and the safe use of material
handling equipment in use at MCHD.
Managers and supervisors will:
• Evaluate tasks to determine if equipment is needed to ensure employee safety, or if
task rotation may prevent repetitive stress injuries.
• If material handling equipment is needed for a required task, the manager will ensure
the employee assigned to the task has access to the equipment and is trained to use the
equipment safely.
All employees will adhere to these safe lifting practices while at work:
• All employees should be familiar with safe lifting techniques, and are encouraged to
take available CentreLearn courses on back safety and ergonomics. Proper methods
of lifting and handling protect against injury. Proper lifting makes work easier and
safer. Advanced planning of what you are going to do before bending to pick up an
object can prevent an injury. Safe lifting techniques, over time, should become
routine and habitual.
• Employees will only use material handling equipment (including mechanical lifts and
transfer aids for patient care) that they have been trained to use safely.
• Manually lifting and/or moving any object over 50 pounds without assistance is
discouraged. Whenever possible, tasks which require lifting or moving over 50
pounds should be performed with a partner or using proper material handling
equipment.
Title of Policy
Policy Number
SAFE LIFTING POLICY
SEM 27-103
•
•
Page 2 of 2
Employees whose job descriptions and assigned tasks/duties do not include lifting
more than 10 or 20 pounds should avoid lifting heavier loads manually. They may
request assistance from a coworker or enter a resource ticket for assistance from
Facilities.
Employees should follow department- or position-specific guidelines for safe lifting
and handling.
References
Original Date
03/2015
MM/YYYY
HAZARDOUS CHEMICALS
COMMUNICATION POLICY
Department
Emergency Preparedness & Risk
Management
I.
Policy Number
SEM 27-104
Page 1 of 2
202.02.01
PURPOSE
The purpose of this policy is to ensure that all employees will have the knowledge
necessary to perform their work safely with or around any material or substances that
could potentially be hazardous.
II.
DEFINITIONS
CHEMICAL – any substance or mixture of substances
HAZARD NOT OTHERWISE CLASSIFIED (HNOC) – an adverse physical or health
effect identified through evaluation of scientific evidence during the classification
process that does not meet the specified criteria for the physical and health hazard classes
HAZARDOUS CHEMICAL – any chemical which is classified as a physical hazard or a
health hazard, a simple asphyxiant, combustible dust, pyrophoric gas, or hazard not
otherwise classified
HEALTH HAZARD – a chemical which is classified as posing one of the following
hazardous effects: acute toxicity (any route of exposure); skin corrosion or irritation;
serious eye damage or eye irritation; respiratory or skin sensitization; germ cell
mutagenicity; carcinogenicity; reproductive toxicity; specific target organ toxicity (single
or repeated exposure); or aspiration hazard
PHYSICAL HAZARD – a chemical that is classified as posing one of the following
hazardous effects: explosive; flammable (gases, aerosols, liquids, or solids); oxidizer
(liquid, solid or gas); self-reactive; pyrophoric (liquid or solid); self-heating; organic
peroxide; corrosive to metal; gas under pressure; or in contact with water emits
flammable gas
PYROPHORIC GAS – a chemical in a gaseous state that will ignite spontaneously in air
at a temperature of 130 degrees F (54.4 degrees C) or below
SIMPLE ASPHYXIANT – a substance or mixture that displaces oxygen in the ambient
atmosphere, and can thus cause oxygen deprivation in those who are exposed, leading to
unconsciousness and death
HAZARDOUS CHEMICALS
COMMUNICATION POLICY
III.
SEM 27-104
Page 2 of 2
POLICY
To ensure that information about the dangers of all hazardous chemicals used by MCHD
is known by all affected employees, a written Hazardous Chemical Communication
Program has been established. Under this program, employees will be informed of the
operations where exposure to hazardous chemicals may occur, the hazardous properties
of chemicals with which they work, safe handling procedures and measures to take to
protect themselves from these chemicals.
This program applies to all operations where employees may be exposed to hazardous
chemicals under normal working conditions or during an emergency situation. All
MCHD departments will participate in the Hazardous Chemical Communication
Program. Copies of the written Hazardous Chemical Communication Program are
available on the internal website or by request from Records Management or the Safety
Officer for review by any interested employee.
The Emergency Preparedness & Risk Manager is the Hazardous Chemical
Communication Program coordinator (“program coordinator”), with overall
responsibility for the program, including reviewing and updating the written program as
necessary. The Safety Committee will review the program at least annually.
References
Original Date
03/2015
MM/YYYY
National Incident Management
System (NIMS) Training
Department
Safety & Emergency Mgmt
Policy Number
SEM 27-201
Page 1 of 2
I.
PURPOSE
The Montgomery County Hospital District’s NIMS Training Policy is meant to formalize
MCHD’s approach to National Incident Management System (NIMS) compliance in a
consistent manner across the organization. The plan also details how MCHD will notify,
train, maintain records, and report on NIMS compliance. The MCHD Board of Directors
formally adopted NIMS on January 23, 2007.
II.
POLICY
All personnel are required to obtain at least a basic understanding of NIMS. Depending
on department, job function and likely assignments during disaster response, some
personnel will be required to take additional training. The courses listed on the table
below are only required to be taken once.
Designation
CMD
Dept/Position(s)
IS-100 IS-200 IS-300 IS-400 IS-700 IS-800
EMS Command staff/
X
X
X
X
X
X
Executive Staff/Directors
EOC
EOC Section Chiefs
X
X
X
X
X
X
PIO
Public Information Officer*
X
X
X
X
X
X
SUP
EMS Supervisors
X
X
X
X
X
LOGS
Facilities/IT/Radio/Fleet/MM
X
X
X
COM
Alarm (Communications)
X
X
X
X
OPS
EMS Field Staff
X
X
X
PH-OPS
Public Health Preparedness
X
X
X
X
X
X
PH-AUX
Public Health Clinic
X
X
X
X
AUX
All other staff
X
*The PIO position requires additional position-specific annual training, which is offered annually by Texas
Department of Emergency Management (TDEM) in the Houston area.
III.
PROCEDURES
New and promoted employees will receive an email expressing the expectation for
training to take place within the first ninety (90) days of employment/promotion (up to
365 days for ICS 300 and 400, based on regional availability of the in-person courses).
Employees will submit documentation of course completion to their respective manager
and the NIMS Coordinator. The NIMS Coordinator will enter the information in a
tracking database and ensure that the certificate is scanned into the employee’s personnel
file.
NIMS Training Plan
SEM 27-201
Page 2 of 2
Managers and the NIMS Coordinator will work together to ensure compliance with the
training plan.
MCHD will use this information to complete an annual NIMSCAST survey as required
by the Texas Department of Emergency Management (TDEM), and will provide
information to other agencies upon request regarding compliance with this training plan.
References
Original Date
03/2015
MM/YYYY
Agenda Item # 13
To:
Board of Directors
From: Jared Cosper
Date:
March 24, 2015
RE:
EMS Report
Executive Summary




Preparation continues as we prepare for CAAS survey. We are making progress as we refine
policies and procedures to align with CAAS standards. Several improvements will be needed on
our vehicles prior to our survey.
Jordan Anderson has fully assumed his role as the Manager of the Department of Clinical
Services. The transition from his prior role has been smooth. Jordan has also been instrumental
in onboarding his successor Stephani Ochoa as the manager of the Materials Management
Department.
The deployment changes made with the Float Pool has been an overwhelming success, and is
meeting our staffing needs well.
Preparations are being made for both the Woodlands Marathon and IRONMAN Texas 2015
races by all EMS departments.
ALARM Update




ALARM continues to train three new employees as well as several from the last hiring process.
Lake Conroe Water Rescues – We have requested mapping resources from Montgomery County
Sheriff’s Office to ensure that we are consistent with naming between all agencies. Consistent
naming of areas is very important because there are multiple names for areas in the lake and we
want to be consistent with each other. Once this is complete we will start training on the new
response guidelines.
ALARM in engaging the “National Q” through the International Academies of Emergency
Dispatch. The National Q is a service whereby the Academy evaluates and scores our QA/QI
grading to ensure we are consistent with their standards as the accrediting body.
We’ve experienced several failures of our 911 system recently that we want to make the Board
aware of. Three of the failures only affected MCHD and we were able to mitigate the issues
quickly by using MCHD’s backup infrastructure. Montgomery County Emergency
Communications District (MCECD), the agency responsible for our 9-1-1 infrastructure, found an
issue with one of their network switches which they have resolved. They are going through a
hardware and software upgrade which may cause additional issues over the next coming
months. We are working diligently with the Montgomery County Emergency Communications
District to ensure these problems are avoided in the future. We are also revising our backup
procedures so that we can more effectively mitigate these issues when they arise.
Department of Clinical Services Summary






DCS is planning for several promotion processes including Paramedic III, Field Training Officer,
Paramedic IV, and Supervisor (Paramedic V) positions
DCS and Command Staff have evaluated a GE ultrasound device that is designed for field EMS
use. The device will allow us to enhance the care we provide to several types of patients. The
devices and training will be within budget.
DCS hosted a Hemodynamics class taught by Devin Miracco for in addition to our routine
required certification courses.
DCS has completed the deployment of our revised Standard Delegated Orders to field staff
which will now be presented at 2nd Quarter CE. The content and format is a significant
improvement.
Evan Klemcke recently promoted to In-Charge Paramedic II and several others are preparing for
the process.
DCS will begin to evaluate a software system from Zoll Medical called Insight Analytics that will
allow us to prepare detailed reports on our system performance and dashboards to help drive
performance improvement.
Operations Summary




New hire process completed last week. We will extend offers to 7 full time employees and one
ALARM employee who will cross-train to Field Operations.
Physical Agility, Driver Training, and Fit Testing will be completed next week.
Ironman planning continues and is running smoothly.
Frazer has begun processing remounts for the year. Two of these remounts will be made with
the Stealth Power battery system in place of an Onan generator and we are planning that with
coordination between Frazer and Stealth Power. Frazer has expressed their excitement about
the project as they hope to find an alternative to generator power.
Dispatched Call Volume –YTD 2015
Hospital Drop Times – YTD 2015
Drive Cam
EMS Survey Report
Agenda Item # 14
To:
Board of Directors
Re:
Sole Source Letter – Radio Consoles and Equipment
Consider and act on sole source letter for radio consoles and equipment purchase for
backup center. (Mr. Fawn, Chair – EMS Committee)
1 each console and equipment:
Yes
X
No
N/A
Budgeted item?
X
Within budget?
X
X
Renewal contract?
Special request?
1 each console and equipment:
Yes
No N/A
X
X
X
Budgeted item?
Within budget?
X
Renewal contract?
X
Special request?
8105 North Beltline Road
Suite170
Irving, Texas 75063
Tele. 972.550.2302
Fax. 972.550.2364
October 24, 2014
Randy Johnson
1400 South Loop 336 West
Conroe, Texas 77304
Dear Mr. Johnson:
The Montgomery County Hospital District has purchased and installed an Enhanced Digital
Access Communications Systems (EDACS) manufactured by M/A-COM, Inc., now known as
Harris Corporation. This system provides the critical Public Safety and Public Service
communications for the hospital district as well as the city of Conroe and many other agencies
throughout the surrounding area.
At this time, EDACS/P25 equipment for this system falls under Harris Corporation intellectual
property rights and the proprietary protocols represent a patent, copyright or secret process
and are, therefore, currently only available from the manufacturer, Harris Corporation.
Dailey-Wells Communications is the only authorized Harris Corporation Network Solutions
Provider to provide system sales, service, system upgrades and repairs to include mobiles,
portables, control stations and other EDACS/P25 equipment for agencies operating on this
communications system. This assignment was made effective September 2004 and does not
have an end date. If this status should change at some point in the future you will be notified
by Harris Corporation in writing. Orders for Harris Corporation equipment, service and
associated accessories should be placed through Dailey-Wells Communications.
Thank you for your attention in this matter. Harris Corporation and Dailey-Wells
Communications look forward to the opportunity to continue the service and sales support of
EDACS/P25 Systems throughout your area.
Sincerely,
Brian Beatty
Manager Indirect Sales, Harris Corporation
Cc:
Jim Sawyer, Director of Sales, Dailey-Wells Communications
HARRIS | RF Communications
DAILEY-WELLS COMMUNICATIONS
3440 E. Houston St., San Antonio, TX 78219
To:
From:
Date:
Montgomery County HD, Justin Evans
Dennis Vickery (281) 804-7970
20-Mar-15
15. Consider and act on purchase of radio consoles and
equipment for backup center. (Mr. Fawn, Chair - EMS
Committee)
IP
Consoles - Maestro on Symphony Hardware, Encrypted - Package
Item
1
Part Number
UD-ZN2B
1a
1b
1c
1d
1e
1f
1g
1h
1i
1j
1k
1l
1m
1n
1o
1p
2
NS-SG2B
NS-SG2C
UD-AB1A
UD-CU6X
UD-AB1K
UD-AB1F
UD-AB1G
UD-AB1D
UD-AB1M
UD-AB1B
CM-022218-001101
CM-022218-001400
MM200UD
VSCR28
VS-MN3E
VS-CU5F
INSTALL
Description
CONSOLE,MIP,BUNDLE,SYMPHONY HDWR ENCRYPT
Package Includes:
LICENSE,CONSOLE
LICENSE,CONSOLE TALKPATH
SPEAKER, NANO, SYMPHONY
MONITOR, 21.5" CLASS,TOUCHSCREEN,HD
CABLE,DISPLAYPORT TO DVI-D,10FT
MOUSE, OPTICAL, USB, SCROLL WHEEL
KEYBOARD, 104 KEY, USB, HUB
SINGLE FOOTSWITCH, USB, SYMPHONY
DESK MIC, DB9
JACK BOX, 6 WIRE
License,Vocoder
Feature Licenses Kit
MANUAL,OP/INSTA/CONFIG,MIP,W/SYMPHONY,CD
Router,1921,Advanced Security,AC Power
KIT,MOUNTING HARDWARE,1921 ROUTER
8-PORT,EHWIC,GIGABIT ETHERNET,FIBER
Console Installation Services
Qnty.
2
2
12
4
2
2
2
2
2
2
4
2
2
2
1
1
1
1
$
Unit Sale
41,960.00
$
Ext Sale
83,920.00
$
$
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
10,000.00
93,920.00
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
SUB TOTAL
NOTE:
Price Valid Until April 30, 2015.
Terms: Net 30 Days.
Shipping: FOB Source, prepay and add to invoice.
DWC Confidential
3/20/2015
Page 1
Agenda Item # 16
To:
Board of Directors
Re:
Physician Assistant, Travis Baker
Consider and act on the Baylor College of Medicine agreement for Physician Assistant,
Travis Baker for Community Paramedicine. (Mr. Fawn, Chair – EMS Committee)
PROFESSIONAL SERVICES AGREEMENT
This Professional Services Agreement (“Agreement”), to be effective as of April 1, 2015 (the “Effective
Date”), is made and entered into by and between Montgomery County Hospital District (“MCHD”) and
Baylor College of Medicine (“BCM”) with reference to the following:
A.
MCHD desires to provide certain preventative health care services to its community through its
Community Paramedicine Program (the “Paramedicine Program”).
B.
BCM has in its employ Travis Baker, PA-C (the “Clinical Director”), a physician assistant who is
duly licensed to practice in the State of Texas and who is qualified and desires to render
professional services four (4) days per week (other than days the Clinical Director is out due to
vacation, illness, etc.) to the Paramedicine Program in order to accomplish MCHD’s aspirations
stated above; and
C.
MCHD desires to have the Clinical Director assist the MCHD Emergency Medical Services
Program’s Medical Director, Mark Escott, M.D. M.P.H. (the “EMS Medical Director”), with the
Paramedicine Program; and
D.
BCM, through its Department of Internal Medicine, Section of Emergency Medicine, desires to
allow Clinical Director to provide such services to MCHD and its Paramedicine Program.
E.
MCHD desires the professional services of the Clinical Director in connection with the
Paramedicine Program.
NOW, THEREFORE, in consideration of the foregoing, the provisions contained herein and the mutual
benefits to be derived from this Agreement, and for other good and valuable consideration, the
sufficiency of which is hereby acknowledged, BCM and MCHD agree as follows:
1.
Services.
1.1
11162.3
Generally. BCM agrees to provide Clinical Director to assist the EMS Medical Director in
performing the following duties:
1.1.1.
Develop procedures for providing high quality, appropriate, and efficient health
care services to the MCHD community.
1.1.2.
Increase the identification and referral of individuals who may benefit from the
Paramedicine Program, such as those who are at-risk for hospital readmission,
those who do not qualify for home health services, and patients that require
additional support in the home.
1.1.3.
Provide in-home visits on an as-needed basis.
1.1.4.
Assist the Medical Director in establishing an effective quality assurance and
quality improvement program for community paramedics.
1.1.5.
Provide educational training for both field medics and community paramedics.
1.1.6.
Work with the Montgomery County Emergency Communication District (the
“911 System”) to provide education and direction of EMS supervisors on
procedures related to the purpose and goals of the Paramedicine Program.
1
1.1.7.
Provide clinical decision making and continuing education training programs to
enhance the effectiveness of the Paramedicine Program.
1.1.8.
Exercise good faith efforts to reduce the number of individuals who overuse the
911 System regularly.
1.1.9.
Maintain all his necessary professional licenses and certifications in good
order.
1.2.
Professional Qualification: Licenses and Permits. BCM represents and warrants that
the Clinical Director (i) has the necessary knowledge, experience, abilities, skills, and
resources to perform his obligations under this Agreement, and (ii) has all the licenses
and permits necessary to conduct his business and perform the obligations contained in
this Agreement. Clinical Director’s sponsoring physician is Mark Escott, M.D., M.P.H.
1.3.
Standards of Performance: Compliance with the Law. BCM represents and warrants
that the Clinical Director (i) shall perform his obligations under this Agreement in a
professional manner, consistent with prevailing industry standards and practices, and (ii)
shall comply with all applicable federal, state, and local statutes, rules, regulations,
codes, and ordinances in performing his obligation under this Agreement.
1.4.
Independent Contractor Relationship. The parties intend that BCM’s relationship to
MCHD in providing services hereunder shall be that of an independent contractor.
Nothing in this agreement, nor any performance hereunder, is intended or shall be
construed to create a partnership, joint venture, or form a business enterprise, or
relationship of agency or employment between MCHD and BCM. BCM shall (i) remain
responsible and liable for Clinical Director’s salary and benefits, (ii) retain the right to
supervise, direct and control his performance hereunder (provided, however, that the
Clinical Director must comply with all applicable policies, procedures, rules and
regulations of MCHD while on the MCHD campus), and (iii) assume full responsibility
and liability for his act or omissions, whether pursuant to this Agreement or otherwise.
Neither BCM nor the Clinical Director shall enter into any agreements on behalf of
MCHD or otherwise bind MCHD to any obligation.
1.5.
Name or Logo Use. Neither party shall use the other’s name or logos in any manner or
media (including, but not limited to, press releases, promotions, advertisements or
solicitation), in each case, without the prior written approval of such party.
2. Compensation. In consideration of BCM performing its obligations under this Agreement through
the Clinical Director, MCHD shall provide the following:
11162.3
2.1.
For April 1, 2015 through June 30, 2015, an amount equal to Twenty-Seven Thousand
Three Hundred Twenty-Five and 43/100 Dollars ($27,325.43) (the “Initial
Compensation”), which includes salary support for the role of Clinical Director and a ten
(10) percent administrative overhead fee; and
2.2.
For July 1, 2015 through June 30, 2016, an amount equal to One Hundred Nine
Thousand Three Hundred One and 70/100 Dollars ($109,301.70), which includes salary
support for the role of Clinical Director and a ten (10) percent administrative overhead
fee (the “Regular Compensation,” and, together with the Initial Compensation, the
“Compensation”);
2
2.3.
The Compensation shall be payable on a pro rata monthly basis in arrears within thirty
(30) days of receipt of monthly invoice. MCHD shall remit all payments under this
Agreement to BCM at the following address:
Baylor College of Medicine
P.O. Box 301207
Dallas, Texas 75303-1207
2.4.
Appropriate office space, mobile unit, and support services for the Clinical Director while
he is performing services for the Paramedicine Program on the MCHD campus,
2.5.
Either an emergency response vehicle exclusively for the Clinical Director’s dedicated
use, with emergency lighting, communications and medical equipment, including
maintenance, and fuel, and liability coverage for such vehicle, or stipend of a Six
Hundred Dollars ($600.00) per month for mileage reimbursement, which will be issued
only if a vehicle is not available for Clinical Director.
2.6.
Appropriate emergency medical equipment, field uniforms for job performance,
communications equipment, including computer, mobile telephone and mobile telephone
service.
2.7.
Dues and fees required for Clinical Director’s licensure and one major job related
conference per year.
BCM shall be responsible and liable for all other costs and expenses related to the provision of the
Paramedicine Program hereunder, except that MCHD shall reimburse BCM for any federal, state
and local license and registration fees related to performing services for the MCHD Paramedicine
Program.
3. Indemnity. It is the intent of both parties that, to the extent permitted by law, neither party shall be
liable in any respect for the acts or omissions of the other, whether such acts or omissions be
negligent, grossly negligent, reckless, malicious or intentional. To that end:
3.1.
To the fullest extent allowed by law, MCHD shall indemnify and hold BCM, its
employees, agents, officers, trustees and legal representatives harmless from and
against any and all losses, claims, demands, liabilities, suits or actions, for injuries to or
death of any person, caused by or resulting from the acts or omissions of MCHD, except
that MCHD assumes no liability for the sole negligent or intentional acts of BCM, and
3.2.
To the fullest extent allowed by law, BCM shall indemnify and hold MCHD, its
employees, agents, officers, trustees and legal representatives harmless from and
against any and all losses, claims, demands, liabilities, suits or actions, for injuries to or
death of any person, caused by or resulting from the acts or omissions of BCM, except
that BCM assumes no liability for the sole negligent or intentional acts of MCHD.
4. Insurance. During the term of this Agreement and for two years after termination, both parties shall
maintain in full force and effect a policy or policies of general liability insurance limits of not less
than $1,000,000 per claim, $3,000,000 annual aggregate with responsible insurance carrier(s)
whose A.M. Best rating is no less than A- (A minus) or through an adequately funded program of
self-insurance. Additionally, MCHD shall maintain in full force and effect a comprehensive
automobile policy of not less than $1,000,000.00 combined single limit for bodily injury and property
damages each occurrence with responsible insurance carrier(s) whose A.M. Best rating is no less
than A- (A minus). Before commencing performance under this Agreement, each party shall furnish
11162.3
3
the other with certificates certifying that all insurance coverage required under this Agreement is in
full force and effect.
5. Term; Termination; Survival.
5.1.
Term. The term of this Agreement shall commence on the Effective Date and shall
continue until June 30, 2016, subject to earlier termination pursuant to Section 5.2
below.
5.2.
Termination. This Agreement may be terminated (i) by mutual written agreement of the
parties; (ii) by either party, without cause, upon 30 days prior written notice to the other
party; or (iii) by either party upon a breach of this Agreement by the other party, which
breach remains uncured 30 days after receipt of written notice of such breach from the
terminating party. In such event compensation paid to BCM for the Clinical Director will
be prorated to the date of termination.
5.3.
Survival. Not withstanding anything in the Agreement to the contrary, the provisions of
Section 3 above shall survive the expiration or termination of this Agreement, and each
party shall remain obligated to the other party under all provisions of the Agreement that
expressly or by their nature extend beyond and survive the expiration or termination of
this Agreement.
6. Miscellaneous
6.1.
Notices. Any notice required by this Agreement shall be given by prepaid, first class
mail as follows:
MCHD:
P.O. Box 478
Conroe, Texas 77304
With a copy to:
Greg Hudson
Hudson & O’Leary LLP
1010 MoPac Circle, Suite 201
Austin, Texas 78746
BCM:
Department of Medicine
One Baylor Plaza
Houston, Texas 77030
Attn: Administrator
With a copy to:
Office of General Counsel
One Baylor Plaza, Suite 106A
Houston, Texas 77030
6.2.
11162.3
Power and Authority: Due Authorization: No Conflict: Enforceability. Each party
represents and warrants to the other party that (i) such party has the power and authority
4
to execute, deliver and perform such party’s obligations under this Agreement, (ii) the
execution, delivery and performance of this Agreement have been duly authorized by
such party and do not and shall not conflict with any agreement or instrument to which
such party is bound, and (iii) this Agreement constitutes the legal, valid and binding
obligation of such party, enforceable against such party in accordance with its terms.
11162.3
6.3.
Entire Agreement: Severability: Further Assurances. This Agreement constitutes the
entire agreement between the parties, and supersedes all prior and contemporaneous
agreements, understandings and negotiations, with respect to the subject matter hereof.
In the event any one or more of the provisions of the Agreement shall be held invalid,
illegal or unenforceable in any respect by a court of competent jurisdiction, such
invalidity, illegality or unenforceability shall not affect any other provisions hereof, and
this Agreement shall be construed as if such invalid, illegal or unenforceable provisions
had never been incorporated and take such further actions as may be required or
reasonably requested by the other party to effectuate the purpose of this Agreement.
6.4.
No Assignment: No Amendment: No Waiver. This Agreement (i) may not be assigned or
transferred, in whole or in part, by operation of law or otherwise, by either party without
the prior written consent of the other parties, and (ii) may not be amended or modified,
by course of conduct or otherwise, except in writing duly executed by each of the parties.
Any waiver of any provisions of the Agreement shall be in writing duly executed by the
waiving party. The failure or delay by either party to seek redress for any breach under
this Agreement, or to insist upon the strict performance of any provisions of this
Agreement, shall not constitute a waiver thereof or of any other provision of this
Agreement, and such party shall have all remedies provided herein and at law and in
equity with respect to such act or any subsequent act constituting the same.
6.5.
Force Majeure: Specific Performance: Remedies Cumulative. In the event that any
party’s performance under this Agreement in any way prevented or delayed as a result
of causes or conditions (other than inability to pay) beyond such party’s reasonable
control, except as otherwise set forth in this Agreement, such party shall be excused
without liability with respect to such performance. The rights and remedies provided in
this Agreement are cumulative in nature and shall be in addition to any such rights and
remedies available at law or in equity.
6.6.
Governing Law: Jurisdiction and Venue: Attorney’s Fees. This Agreement shall be
governed by, and construed and enforced in accordance with, the laws of the State of
Texas (without regard to the conflicts or choice of law principles thereof). The parties
irrevocably consent to the jurisdiction of the State of Texas, and agree that any court of
competent jurisdiction of the State of Texas, and agree that any court of competent
jurisdiction sitting in the County of Harris, State of Texas, shall be an appropriate and
convenient place of venue to resolve any dispute with respect to this Agreement. In the
event either party commences any proceeding against the other party with respect to
this Agreement, the parties agree that the prevailing party (as determined by authority
before whom such proceeding is commenced) shall be entitled to recover reasonable
attorney’s fees and costs as may be incurred in connection therewith in addition to any
such other relief as may be granted.
6.7.
Section Headings: Counterparts. This section and other headings in this Agreement are
for convenience of reference only and shall not be construed, expressly or by
implication, so as to affect the meaning or interpretation of any of the provisions hereof.
This Agreement may be executed in counterparts, each of which shall be deemed an
original, but all of which taken together shall constitute one and the same instrument.
5
(Signature Page Follows)
11162.3
6
Each of the parties has duly executed and delivered this Agreement to be effective on the
Effective Date.
By
Name:
Title:
BAYLOR COLLEGE OF MEDICINE
By
Stephen K. Sigworth, M.D.
Vice President & Chief Medical Officer
By
Robert F. Todd, III, M.D., Ph.D.
Chair, Department of Medicine
11162.3
7
Agenda Item # 17
To:
Board of Directors
From: Calvin Hon
Re:
Consider and act on payment of TriTech CAD Server Annual Maintenance
Agreement. (Mr. Fawn, Chair – EMS Committee)
MCHD staff is requesting approval for payment of this year annual TriTech CAD
maintenance in the amount of $175,319.03. The Woodlands Fire Department will be
invoiced 43.3% of this amount ($75,913.19) according the terms to the CAD interlocal
agreement.
Yes
X
No
N/A
Budgeted item?
X
Within budget?
X
Renewal contract?
X
Special request?
Invoice No.
Remit To:
TriTech Software Systems
P.O. Box 203223
Dallas, TX 75320-3223
Contact: 858-799-7000
18892
Invoice Date 12/31/2014
Page
Bill To:
Ship To:
Attn Accounts Payable
PO BOX 478
Conroe TX 77304
Attn Accounts Payable
PO BOX 478
Conroe TX 77304
Customer PO
QTY:
Cust. No.
TX469
Item Number:
1T-4300-60
Ship Method
1
Payment Terms
Net 30 Days
Item Description:
Customer Support - 2/1/2015-1/31/2016
Unit Price: Ext.Price:
Ea
$0.00 $187,552.87 $187,552.87
Subtotal
Tax
Freight
Total
$187,552.87
$0.00
$0.00
$187,552.87
Agenda Item # 18
To:
Board of Directors
Re:
COO Report
Update on Objectives for February:
 The Key Watch Access System has been ordered with implementation planned for
May.
 Develop an acuity system for Community Paramedicine –this is an ongoing process
with the completion goal extended to April.
 Stephani Ochoa, Materials Manager has completed the on-boarding process and is
functioning independently in her role.
 MCHD and MCPHD representatives Dr. Mark Escott, Jared Cosper, Brett Allen,
Penny Wilson, Marcela Briers and Melissa Miller met with Judge Doyal to provide an
overview of services. The information was well received. Randy Johnson and
Melissa Miller attended a follow-up meeting with Judge Doyal and his Chief of Staff
to provide additional information.
 Evaluate the feasibility of bringing HCAP claims processing in house– this project is
on hold until a manager is hired and completes training.
 We moved into Station 21 on February 2. Station pictures attached.
Ongoing Project Updates:
 Closure of Medicaid 1115 Waiver Projects:
o MCPHD HEALTH AND WELLNESS CLINIC: We will submit our Waiver Project
Removal Form on or before March 27 with the last day of clinic operations
March 30.
o NAVIGATOR INITIAITVE: We will submit our Waiver Project Removal Form
on or before March 27 with the Navigation Project rolling under Community
Paramedicine on April 1.
 Station 23 (shared with WFD) is nearing completion; we plan to occupy the station
mid- April.
 Station 40 is scheduled for late July completion
o The building is up and the floors are stained. Station pictures attached.
 Station 43
o Proposals will be reviewed at the March PADCOM meeting
Objectives for March:
 Close out of the Health and Wellness Clinic and Navigator programs
 Develop job descriptions and function of the Navigators within the CP program
 Develop the project plan for the new Purchasing Process
o PM class for March will focus on the project
 Begin recruitment and hiring process for HCAP Manager
Agenda Item # 18
To:
Board of Directors
Re:
COO Report
Photos of Station 40 taken 3/16/2015.
Fleet Summary February 2015
Mileage
February 2015
January 2015
December 2014
November 2014
October 2014
September 2014
August 2014
July 2014
June 2014
May 2014
April 2014
March 2014
Total
Average
Annualized Amounts
Accidents
February 2015
January 2015
December 2014
November 2014
October 2014
September 2014
August 2014
July 2014
June 2014
May 2014
April 2014
March 2014
Total
Per 100,000 Miles
Service Interuptions
February 2015
January 2015
December 2014
November 2014
October 2014
September 2014
August 2014
July 2014
June 2014
May 2014
April 2014
March 2014
Total
Ambulance
Supervisor/Squad
64,311
105,730
107,314
65,247
109,071
78,519
85,836
100,812
96,926
108,926
77,483
75,507
10,403
15,869
16,508
12,119
16,784
13,159
16,104
17,371
16,112
19,685
15,369
14,082
MCHD-Fault
Non-injury
1
1
3
3
3
4
2
1
3
2
1
2
26
1.69
Injury
Command
Staff
Other
2,716
5,278
5,090
9,230
3,344
3,825
5,772
6,163
6,316
8,883
5,838
6,323
MCHD Non-Fault
Non-injury
1
1
15,146
22,965
17,950
12,539
21,919
16,205
17,677
20,755
14,557
20,242
15,612
18,664
Injury
1
1
1
2
2
1
-
Count Per 100K mIles
4
4.32
3
2.00
1
0.68
1
1.01
2
1.32
1
0.90
5
3.99
0
1
0.75
1
0.63
1
0.87
1
0.87
21
1.36
10
0.65
1
1
0.06
Monthly
Total
92,576
149,842
146,862
99,135
151,118
111,708
125,389
145,101
133,911
157,736
114,302
114,576
1,542,256
128,521
1,542,256
TOTAL
2
2
3
4
4
4
3
3
5
2
2
3
37
2.40
Weekly
Total
23,144
37,461
36,716
24,784
37,780
27,927
31,347
36,275
33,478
39,434
28,576
28,644
32,130
Agenda Item # 19
To:
Board of Directors
Date:
March 24, 2015
Re:
Healthcare Services Report
HCAP update:
HCAP Applications: We’ve processed 2,306 applications fiscal year to date with a 49.7% denial rate.
Denials are based a number of factors:



Eligible for another payer source (Medicare, Medicaid, Market Place, ect)
Above 133% of FPIL
Failure to complete application
Month
Feb. 2015
Jan. 2015
Dec. 2014
Nov. 2014
Oct. 2014
Apps. Received
268
238
218
229
342
Apps. Processed
452
483
401
415
555
Denials
228
233
223
200
262
50%
48%
56%
48%
47%
Census: As of July 1, 2011, new applicants are required to be <133% of FPIL to qualify for HCAP, the 2
clients above 133% were grandfathered into the program.
HCAP Clients as of February 28, 2015: 566
FPIL Range
0-21%
21-50%
50-10%
100-133%
Inmates
133-150%
FY 2015
332
59%
57
10% 134 24%
23
4%
20
<4%
2
<1%
FY 2014
390
55%
74
10% 163 23%
69
10%
19
3%
9
<1%
Clients who have reached the Maximum Annual Benefits of $60,000 or 30 inpatient days.
a. FY 14-15 = 2
b. FY 13-14 = 11
c. FY 12-13 = 27
Agenda Item # 19
To:
Board of Directors
Date:
March 24, 2015
Re:
Prescription Benefits Services:
Month
Number of Clients
Applying for PAPs
Number of Unique Rx
filled funded through
Patient Assistance
Programs
Total amount of medications provided
without charge to clients
(AWP-16% + Dispensing Fee)
Feb-15
42
52
$76,998.87
Jan-15
53
71
$45,963.93
Dec-14
39
52
$65,284.43
Nov-14
39
51
$41,659.75
Oct-14
57
81
$48,336.40
Sep-14
46
64
$18,122.39
Aug-14
62
89
$110,747.80
Jul-14
60
97
$60,125.91
Jun-14
54
79
$21,383.03
May-14
52
71
$15,900.97
Apr-14
54
81
$25,072.14
Mar-14
50
68
$77,214.55
*Patient assistance programs are run by pharmaceutical companies to provide free medications to
people who cannot afford to buy their medicine.
*AWP stands for Average Wholesale Price which is a “benchmark” used to determine how much
pharmacies and health plans pay for prescription drugs. AWPs are determined primarily by drug
manufacturers self-reporting them to publishers such as First Databank. First Databank lists these AWPs
in publications used by pharmacies, health plans and others in paying for drugs.
Agenda Item # 19
To:
Board of Directors
Date:
March 24, 2015
Re:
Medicaid Reimbursement from Providers to MCHD
We received reimbursement of $2,446.66 from providers for clients found to be covered by
Medicaid during the previous month’s HCAP enrollment period. During February, 6 clients were found
to be eligible for Medicaid through Power Search which will result in $14,853.87 provider
reimbursement.
Medicaid Reimbursement to MCHD by Fiscal Year
$450,000.00
$400,000.00
First full fiscal year
using IHS Power Search
Sadler Bankrupcy
$137,273 outstanding
reimbursements not
recoverable
$350,000.00
$300,000.00
$250,000.00
$200,000.00
$150,000.00
$100,000.00
$50,000.00
$-
FY 04- FY 05- FY 06- FY 07- FY 08- FY 09- FY 10- FY 11- FY 12- FY 13- FY 1405
06
07
08
09
10
11
12
13
14
15
MCHD HCAP
Vendor Expenses
Fiscal Year 2015
$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
Report : RPT-157
Printed : 03/10/2015
Page: 1
Top 25 Pharmacy Dispensing - by Dollar Amount
From 02/01/2015 to 02/28/2015
120501
Montgomery Co IHCP-Retail
RETAIL
Rank Pharmacy Name
NABP
Generic RXs.
Cnt
Amount
Brand RXs.
Cnt
Amount
Brd Equiv. RXs.
Cnt Amount
Total
Billed
Rx Percent of Totals
Count By RX By Amt
Avg Day
Supply
Avg Cost
DAW
Per RX C-II Ovrd
1
LONE STAR COMMUNITY
4534219
7
$2,749.32
42
686.98
0
0.00
$3,436.30
49
3.72 17.16
27.0
$70.13
3
0
2
KROGER PHARMACY
4522997
6
$1,790.47
90
1,015.27
0
0.00
$2,805.74
96
7.29 14.01
26.3
$29.23
5
0
3
WAL-MART PHARMACY 10-
4567472
3
$326.87
127
1,038.02
0
0.00
$1,364.89
130
9.88
6.82
25.5
$10.50
8
0
4
WAL-MART PHARMACY 10-
4592300
6
$511.30
144
705.32
0
0.00
$1,216.62
150
11.40
6.07
26.8
$8.11
1
3
5
KROGER PHARMACY
4511704
3
$529.81
43
297.76
0
0.00
$827.57
46
3.50
4.13
27.6
$17.99
1
5
6
KROGER PHARMACY
4593112
2
$581.17
15
172.49
0
0.00
$753.66
17
1.29
3.76
27.8
$44.33
1
0
7
KROGER PHARMACY
4523064
3
$113.16
86
620.99
0
0.00
$734.15
89
6.76
3.67
27.3
$8.25
9
0
8
KROGER PHARMACY
4523088
2
$339.30
21
292.47
0
0.00
$631.77
23
1.75
3.15
28.3
$27.47
2
0
9
WAL-MART PHARMACY
4517148
4
$122.81
56
425.81
0
0.00
$548.62
60
4.56
2.74
24.5
$9.14
1
0
10
WAL-MART PHARMACY
4565113
3
$3.42
53
467.28
1
73.80
$544.50
57
4.33
2.72
25.6
$9.55
3
3
11
WAL-MART PHARMACY
4528052
2
$116.63
34
418.52
0
0.00
$535.15
36
2.74
2.67
26.0
$14.87
0
0
12
WAL-MART PHARMACY
4540870
1
$0.00
44
510.19
0
0.00
$510.19
45
3.42
2.55
24.8
$11.34
0
0
13
KROGER PHARMACY
4569527
1
$40.42
66
449.96
0
0.00
$490.38
67
5.09
2.45
27.2
$7.32
3
0
14
KROGER PHARMACY
4532241
1
$302.71
12
83.40
0
0.00
$386.11
13
0.99
1.93
26.9
$29.70
3
0
15
HEB PHARMACY
4530968
1
$191.35
26
193.35
0
0.00
$384.70
27
2.05
1.92
24.1
$14.25
1
0
16
BROOKSHIRE BROTHERS
4599126
2
$145.13
25
193.50
0
0.00
$338.63
27
2.05
1.69
25.0
$12.54
5
0
17
RANDALLS PHARMACY #3054
4587690
1
$337.20
4
0.59
0
0.00
$337.79
5
0.38
1.69
30.0
$67.56
0
0
18
CVS PHARMACY #
5906687
1
$249.95
7
84.59
0
0.00
$334.54
8
0.61
1.67
22.9
$41.82
2
0
19
MEDICINE SHOPPE
4523204
0
$0.00
20
331.56
0
0.00
$331.56
20
1.52
1.66
27.8
$16.58
3
7
Total Dollars:
% Total By RX:
%Total by Amt:
Avg. Qty:
Total calculated price for all RXs for Pharmacy (including copay)
Percentage of RXs by Pharmacy vs. total RXs
Percentage of dollars by Pharmacy vs. total dollars (including copay)
Average quantity dispensed in each RX by Pharmacy
Avg Day Supply:
Avg. Cost Per Rx:
C-II:
DAW Ovrd:
Average Number of days supply dispensed by Pharmacy for each RX
Average total price for each RX by Pharmacy (including member copay)
Total # of C-II Controlled RXs dispensed from Pharmacy
Total # of DAW 1 (Physician) and DAW 2 (Member) Overrides
Note
This report is based on Rx Dispensing Date. Totals could change if claims or reversals are subsequently submitted and the dispensing dates are within this
range. Invoices are based on period close dates and may not balance to these amounts
Report : RPT-157
Printed : 03/10/2015
Page: 2
Top 25 Pharmacy Dispensing - by Dollar Amount
From 02/01/2015 to 02/28/2015
Rank Pharmacy Name
NABP
Brand RXs.
Cnt
Amount
Brd Equiv. RXs.
Cnt Amount
Generic RXs.
Cnt
Amount
Total
Billed
Rx Percent of Totals
Count By RX By Amt
Avg Day
Supply
Avg Cost
DAW
Per RX C-II Ovrd
20
UNIV OF TEXAS MD ANDERSON 4541480
1
$308.79
6
0.00
1
20.75
$329.54
8
0.61
1.65
27.0
$41.19
1
0
21
CVS PHARMACY
4536528
1
$0.00
38
313.14
0
0.00
$313.14
39
2.96
1.56
23.2
$8.03
8
0
22
KROGER PHARMACY
4545399
1
$250.93
6
15.52
0
0.00
$266.45
7
0.53
1.33
26.1
$38.06
1
0
23
CVS PHARMACY
4564440
0
$0.00
24
263.30
0
0.00
$263.30
24
1.82
1.31
25.5
$10.97
4
0
24
HEB PHARMACY
4534790
0
$0.00
29
240.90
0
0.00
$240.90
29
2.20
1.20
24.9
$8.31
1
0
25
PINECROFT PHARMACY
5900611
3
$125.96
4
61.86
0
0.00
$187.82
7
0.53
0.94
17.9
$26.83
1
0
:
$18,114.02
1079
646.01
$584.06
SUBTOTAL FOR ALL OTHER Pharmacies :
SUBTOTAL FOR TOP25
$1,913.08
237
738.70
$262.88
TOTAL FOR PLAN :
$20,027.10
1316
1,384.71
$846.94
TOTAL FOR GROUP :
$20,027.10
1316
1,384.71
$846.94
Report:
Printed:
Page:
Top 25 Therapy Classes by- Dollar Amount
From 02/01/2015 to 02/28/2015
120501
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
1
RETAIL
Rank
RPT-147
03/10/2015
Code
2710
7260
4927
4410
3940
6599
4420
3920
6510
2770
3699
7510
6520
5818
4699
6610
4450
3400
2799
4220
0199
5025
2755
5816
3320
Drug Class
Retail Rxs
*Insulin**
*Anticonvulsants - Misc.**
*Proton Pump Inhibitors**
*Bronchodilators - Anticholinergics**
*HMG CoA Reductase Inhibitors**
*Opioid Combinations**
*Sympathomimetics**
*Fibric Acid Derivatives**
*Opioid Agonists**
*Sodium-Glucose Co-Transporter 2 (SGLT2) Inhibitors**
*Antihypertensive Combinations**
*Central Muscle Relaxants**
*Opioid Partial Agonists**
*Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)**
*Laxative Combinations**
*Nonsteroidal Anti-inflammatory Agents (NSAIDs)**
*Leukotriene Modulators**
*Calcium Channel Blockers**
*Antidiabetic Combinations**
*Nasal Steroids**
*Penicillin Combinations**
*5-HT3 Receptor Antagonists**
*Dipeptidyl Peptidase-4 (DPP-4) Inhibitors**
*Selective Serotonin Reuptake Inhibitors (SSRIs)**
*Beta Blockers Cardio-Selective**
SUBTOTAL FOR TOP 25
:
SUBTOTAL FOR ALL OTHER CLASSES :
Code:
Avg Rx Cost :
Total Billed:
Mail Rxs
Avg Days
Avg Rx Cost
13
53
55
4
84
65
14
21
33
2
33
38
5
7
11
32
15
52
3
19
8
8
1
41
51
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
668
0
618.21
$2,198.92
27.00
29.34
30.00
30.00
30.00
19.63
22.36
30.00
15.82
30.00
30.00
25.89
8.60
30.00
1.18
26.38
30.00
30.00
30.00
30.11
11.13
12.38
30.00
29.00
29.41
$355.19
$39.07
$29.94
$315.21
$14.51
$18.35
$82.22
$42.24
$23.87
$348.14
$17.48
$14.78
$111.33
$79.46
$42.55
$14.35
$30.56
$8.81
$148.39
$20.7
$47.18
$44.1
$335.8
$8.16
$6.52
Rx Cnt
13
53
55
4
84
65
14
21
33
2
33
38
5
7
11
32
15
52
3
19
8
8
1
41
51
668
Total Billed
Percent of Totals
By Rx
By Amt
.99
14.65
$4,617.53
4.03
6.57
$2,070.95
4.18
5.23
$1,646.84
.3
4
$1,260.84
6.38
3.87
$1,218.83
4.94
3.78
$1,192.68
1.06
3.65
$1,151.08
1.6
2.81
$887.13
2.51
2.5
$787.56
.15
2.21
$696.27
2.51
1.83
$577.00
2.89
1.78
$561.57
.38
1.77
$556.64
.53
1.76
$556.24
.84
1.48
$468.02
2.43
1.46
$459.08
1.14
1.45
$458.39
3.95
1.45
$458.05
.23
1.41
$445.18
1.44
1.25
$393.30
.61
1.2
$377.44
.61
1.12
$352.80
.08
1.07
$335.80
3.12
1.06
$334.48
$332.73
3.88
1.06
$22,196.43
648
0
2,477.39
$3,360.22
648
$9,320.90
TOTAL FOR PLAN:
1316
0
3,095.60
$5,559.14
1316
$31,517.33
TOTAL FOR GROUP :
1316
0
3,095.60
$5,559.14
1316
$31,517.33
Note
Theraputic Classification for the drug class
This report is based on Rx Dispensing Date. Totals could change if claims or reversals are subsequently
Average amount per script for the drug cost and dispense fee only
submitted and the dispensing dates are within this range. Invoices are based on period close dates and
Total amount of the drug cost and dispense fee
may not balance to these amounts
FY2014-2015 Executive Summary Montgomery County Hospital District
MEMBERSHIP SUMMARY
Oct-14
Eligibility
Utilizing Members
Nov-14
Dec-14
Jan-15
Feb-15
Mar-15
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
FY Average
658
426
650
408
633
396
616
410
599
389
631
406
1,522
25.22
95.80
4.20
10.84
74.57
14.59
2.31
3.57
1,385
25.19
95.81
4.19
11.12
72.71
16.17
2.13
3.39
1,383
25.70
95.59
4.41
10.63
75.56
13.81
2.18
3.49
1,528
25.70
96.01
3.99
10.60
74.08
15.31
2.48
3.73
1,332
25.86
95.20
4.80
11.34
74.40
14.26
2.22
3.42
1,430
25.53
95.68
4.32
10.91
74.26
14.83
2.26
3.52
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)
$
$
$
$
$
$
$
$
$
$
$
$
28,319.00
2,940.00
11,592.00
19,666.00
18,962.73
7.62
12.92
7.90
127.23
9.11
133.04
58.59
41.41
52.64
44.07
3.28
37.09
$
29.89
$
46.16
$
$
$
$
$
$
$
$
$
$
$
$
30,617.00
2,713.00
12,629.00
20,701.00
20,464.29
9.12
14.95
10.38
119.39
25.31
123.74
66.55
33.45
51.9
43.47
4.63
37.89
$
31.85
$
50.74
$
$
$
$
$
$
$
$
$
$
$
$
33,140.00
2,665.00
12,079.00
23,726.00
23,339.79
8.73
17.16
10.42
163.03
9.89
170.95
58.09
41.91
51.77
44.42
3.82
33.74
$
37.48
$
59.91
$
$
$
$
$
$
$
$
$
$
$
$
32,885.00
2,893.00
14,079.00
21,698.00
21,494.54
9.21
14.20
8.11
160.64
26.32
172.64
54.84
45.16
50.09
43.23
6.68
39.35
$
35.22
$
52.92
$
$
$
$
$
$
$
$
$
$
$
$
29,477.00
2,448.00
11,755.00
20,170.00
19,426.13
8.82
15.14
8.41
148.46
34.35
154.07
52.89
47.11
45.04
43.04
11.93
36.82
$
33.67
$
51.85
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
30,887.60
2,731.80
12,426.80
21,192.20
20,737.50
8.70
14.87
9.04
143.75
21.00
150.89
58.19
41.81
50.29
43.65
6.07
36.98
33.62
52.32
Healthcare Assistance Program
Total Plan Cost
$30,000
$25,000
$20,000
$15,000
$10,000
$5,000
$0
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15
Mar-15
Total Plan Cost
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
FY 13-14 Monthly Average
Healthcare Assitance Program
Net Claims
2000
1750
1500
1250
1000
750
500
250
0
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15
Mar-15
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
Jul-15
Aug-15
Sep-15
Note: Claims count includes 100% client paid claims.
Net Claims
Generic % of Total Paid Claims
100
90
80
70
60
50
40
30
20
10
0
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15
Mar-15
Apr-15
May-15
Jun-15
Note: Generic claims percentage includes 100% client paid claims.
% Generic-Rx
Total Paid Claims Copay
$16,000
$14,000
$12,000
$10,000
$8,000
$6,000
$4,000
$2,000
$0
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15
Mar-15
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
Note: Total copay includes 100% client paid claims.
Total Copay
Avg Cost per Claim
$20
$18
$16
$14
$12
$10
$8
$6
$4
$2
$0
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15
Mar-15
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
Note: Average cost per claim includes 100% client paid claims.
Cost/Rx
Avg Cost for Brand
$180
$160
$140
$120
$100
$80
$60
$40
$20
$0
Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15 Sep-15
Note: Average cost for brand includes 100% client paid claims.
Brand Cost/Rx
Avg Cost for Generic
$12
$10
$8
$6
$4
$2
$0
Note: Average cost for generic includes 100% client paid claims.
Generic Cost/Rx
Avg Per Member Per Month Cost
$40
$35
$30
$25
$20
$15
$10
$5
$0
Note: Per member per month cost only includes MCHD paid claims.
Cost/mem/month (PMPM)
AGENDA ITEM # 20
Board Mtg.: 03/24/2015
Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115 Waiver
providers processed by Boon-Chapman (Mrs. Wagner, Chair-Indigent Care Committee)
Summary of Claims Processed Through (TPA) Boon-Chapman
For the Period 02/19/2015 through 03/12/2015
Disbursement Date
February
February 5, 2015
February 12, 2015
February 19, 2015
February 26, 2015
Board
Reviewed
Yes
Yes
No
No
Total February Payments - MTD
Monthly Budget - February 2015
March
March 5, 2015
March 12, 2015
Total March Payments - MTD
Monthly Budget - March 2015
No
No
Payments Made to All Other
Vendors (Non-UPL)
$
$
$
$
143,518.83
71,519.98
61,509.38
85,181.55
$
$
361,729.74
450,224.33
$
$
84,592.98
102,341.91
$
$
186,934.89
450,224.33
Note: Payments made may differ from the amounts shown in the financial statements due to accruals and/or
other
adjustments.
\\internal\departments\Records\Electronic Board Book Materials\2015 BoardBooks\March 2015\20_BC pmt M'caid 1115 Waiver 02-19-2015 to 03-12-2015.xlsx
AGENDA ITEM # 21
3/24/2015
Consider and act on ratification of voluntary contributions to the Medicaid 1115 Waiver program
of Healthcare Assistance Program claims processed by Boon Chapman.
Summary of Claims Processed Through (TPA) Boon-Chapman
For the Period 03/01/2015 through 03/31/2015
Disbursement Date
Value of Services
Provided by CRMC
and Affiliated
Providers
March Voluntary Contribution for Medicaid 1115 Waiver Program
$
214,508.00
Budgeted Amount
$
214,508.00
Over / (Under) Budget
$
-
\\internal\departments\Records\Electronic Board Book Materials\2015 BoardBooks\March 2015\21_BC pmt M'caid 1115 Waiver 03-01-15 to 03-31-15.xlsx
Agenda Item # 22
To:
MCHD Board of Directors
Date:
March 1, 2015
Consider and act on revisions and modifications to Healthcare Assistance Program (HCAP).
Eligibility Criteria Budgeting Income
Compare the household’s monthly gross income to the 21% FPIL monthly income
standard, using the MCHD MCICP Monthly Income Standards chart below.
Household
Individuals
1
2
3
4
5
6
7
8
9
10
11
12
21% FPIL 4/01/14
Income Standard
$205
$276
$347
$418
$489
$560
$631
$702
$773
$844
$915
$986
21% FPIL 3/01/15
Income Standard
$206
$279
$352
$424
$497
$570
$643
$716
$788
$861
$934
$1,007
A household is eligible if its monthly gross income, after rounding down cents, does not
exceed the monthly income standard for the MCHD MCICP household’s size.

Potential Impact of revision: This change allows for increase to the income guidelines that
could result in more applicants applying for assistance. Minimal impact expected
Medical Assistance Plan Handbook Revisions
TO BE REVISED:
Section 2 Section 2 Eligibility Criteria Budgeting Income

INCOME GUIDELINES EFFECTIVE 04/01/2014 21-133% FPIL
Compare the household’s monthly gross income to the 21% FPIL monthly income
standard, using the MCHD MAP Monthly Income Standards chart below.
MEDICAL ASSISTANCE PLAN
# of
Individuals
in the
MAP
Household
21% FPIL
Income
Standard
133%
FPIL
1
$205
$1,294
2
$276
$1,744
3
$347
$2,194
4
$418
$2,644
5
$489
$3,094
6
$560
$3,544
7
$631
$3,994
8
$702
$4,444
9
$773
$4,894
10
$844
$5,344
11
$915
$5,783
12
$986
$6,222
Income
Standard
Note: Based on the 2014 Federal Poverty Income Limits (FPIL), which changes April 1 of
this year.
A household is eligible if its monthly gross income, after rounding down cents, does not
exceed the monthly income standard for the MCHD MCICP household’s size.
Revision:
Section 2 Section 2 Eligibility Criteria Budgeting Income (replace with new)
 New Income became effective 3/01/2015
Compare the household’s monthly gross income to the 21-133% FPIL monthly income
standard, using the MCHD MAP Monthly Income Standards chart below.
MEDICAL ASSISTANCE PLAN
# of
Individuals
in the
MAP
Household
21% FPIL
Income
Standard
133%
FPIL
1
$206
$1,305
2
$279
$1,766
3
$352
$2,227
4
$424
$2,688
5
$497
$3,149
6
$570
$3,610
7
$643
$4,071
8
$716
$4,532
9
$788
$4,992
10
$861
$5,455
11
$934
$5,916
12
$1,007
$6,377
Income
Standard
Note: Based on the 2015 Federal Poverty Income Limits (FPIL), which changes March 1 of
this year.
Potential Impact of revision: This increase is very slight for MAP applicants, but could result in
more individuals qualifying for assistance at this income level than in the past. There is more of
an impact as an applicant’s household size increases.
Financial Report
February 2015
Cash and Investments
At month end, the total for Cash and Investments was $32,936,723 compared to $26,237,008
at this time last year.
 Collections for the month were $947,395, which is $15,742 favorable to budget.
Tax Revenue
For the month, tax revenue was $6,435,118, which is $3,447,092 more than the budgeted amount.
Year-to-date, tax revenue is $2,493,391 more than budget.
Actual vs Budget
Actual
Budget
Current Year Actual vs Prior Year Actual
FY 2015
Month
Oct
Nov
Dec
Jan
Feb
YTD
FY 2015
1,191,040.00
1,868,555.00
13,015,909.00
10,081,652.00
6,435,118.00
32,592,274.00
FY 2015
1,059,772.00
1,868,555.00
13,021,258.00
11,161,272.00
2,988,026.00
30,098,883.00
Variance
131,268.00
0.00
(5,349.00)
(1,079,620.00)
3,447,092.00
2,493,391.00
Total
32,592,274.00
31,524,904.00
1,067,370.00
Actual
Actual
108.28%
Month
Oct
Nov
Dec
Jan
Feb
YTD
FY 2015
1,191,040.00
1,868,555.00
13,015,909.00
10,081,652.00
6,435,118.00
32,592,274.00
FY 2014
1,211,227.02
1,904,643.86
11,774,103.40
10,311,708.40
2,836,196.92
28,037,879.60
Variance
(20,187.02)
(36,088.86)
1,241,805.60
(230,056.40)
3,598,921.08
4,554,394.40
103.39%
Total
32,592,274.00
29,251,683.02
3,340,590.98
Tax Revenue is actual deposits received from the tax collector’s office. When the final February tax
reports are received from the tax collector’s office any necessary adjustments will be recorded in March.
EMS Net Revenue
This month, EMS Net Revenue is $415,760 more than budget. Revenue was positively affected due to
January being under accrued.
Year-to-date, it is $1,283,429 better than budget.
Thus far into the year, ALS trip volume is up 12% compared to the same period last year and total
billable trip volume is up 12%. EMS Net Revenue was budgeted to increase by 2%.
Total Revenue
Total MCHD revenue for the month was $10,806,431, while the budget was $8,509,962. This represents
a favorable variance of $2,296,469.
Year-to-date, total revenue is favorable to budgeted revenue by $1,678,979.
Total revenue is more than projected primarily due to Tax Revenue and EMS Net Revenue being more
than budget; however, the Ambulance Supplemental Payment Program was less than the budgeted
amount. MCHD received notification of the final amount for the Ambulance Supplemental Payment
Program, it will be $2,711,241.70. This is unfavorable to the budgeted amount of $4,410,000.00 by
$1,698,758.
1
Financial Report
February 2015
Payroll Expenses
For the month, total payroll expenses were $28,633 less than budget.
Year-to-date, payroll expenses are $58,209 less than budget.
Operating Expenses
Total operating expenses were $1,248,794, which was $55,332 more than budgeted.
Year-to-date, total operating expenses are $5,324,000 compared to a budget of $6,156,466; therefore,
this represents a favorable variance of $832,465.
The main accounts that comprise this favorable variance are:
 Computer Software
$169,508
 Fuel – Auto
$ 74,351
 Maint. Contract Equipment
$ 61,452
 Management Fees
$ 64,191
 Professional Fees
$171,385
 Small Equipment & Furniture
$ 46,296
 Training Related Expenses
$ 66,887
 Vehicle Parts
$ 52,509
Indigent Care Expenses
Total indigent care expenses were $572,129 compared to a budget of $664,732; thus, favorable to
budget by $92,604.
Year-to-date, indigent care expenses are running under budget by $1,173,911.
Year-to-date, uncompensated care is under budget. In December, an IGT payment was made for FY
2014. This expense was over accrued during that year. When the payment was made, the accrual was
released creating a credit in expense.
Specialty Healthcare Provider expenses are down year-to-date due to a decrease in utilization. During
the first five months of FY 2014, the average number of clients utilizing services was 853 versus 524
during the first four months of FY 2015.
Capital Expenditures
For the month, capital expenditures were $408,265 compared to a budget of $410,775. This creates a
favorable variance of $2,510.
Year-to-date, total capital expenditures are under budget by $1,300,827.
2
Financial Report
February 2015
Capital expenditures are low primarily due to the timing of purchases compared to when those
purchases were budgeted. The two most significant items creating the year-to-date variance are:
 The Station 41 project has not occurred yet. We are continuing to look for the right location. The
budgeted amount was $500,000 for land and $400,000 for the building.
Total Expenditures
Total MCHD expenditures were $3,997,295 compared to a budget of $4,065,709; therefore, $68,415 less
than budgeted expenses for the month.
Year-to-date, total expenditures are $3,365,413 below budget.
Revenue Over/(Under) Expenses
For the month, Revenue over Expenses was $6,809,136 compared to a budget of $4,444,252; thus
producing a favorable variance of $2,364,884.
Year-to-date, revenue exceeds expenses by $5,044,391.
3
Accounts Receivable Analysis
Days in Accounts Receivable
A/R Balance
Charges
A/R Days
Mar-14
10,105,610
10,871,096
167
Apr-14
10,056,745
10,848,459
167
May-14
11,054,928
11,117,556
179
Jun-14
11,188,654
11,205,653
180
Jul-14
10,874,983
11,357,841
172
Aug-14
9,906,592
11,966,790
149
Sep-14
9,377,120
12,257,895
138
Oct-14
9,210,637
12,661,762
131
Nov-14
9,512,589
12,814,739
134
Accounts Receivable Aging by Dollars
Month
Mar-14
Apr-14
May-14
Jun-14
Jul-14
Aug-14
Sep-14
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15
Current
1,889,596
1,904,673
2,027,516
2,175,770
2,082,350
2,252,620
2,272,231
2,169,113
2,212,330
2,305,033
2,261,651
2,287,542
31-60
1,430,775
1,440,261
1,587,534
1,704,849
1,684,950
1,609,532
1,624,429
1,482,039
1,461,239
1,451,481
1,596,130
1,758,218
61-90
1,193,977
1,061,579
1,050,835
1,078,504
1,110,170
1,115,551
1,100,586
1,200,038
1,184,471
1,216,697
1,189,550
1,235,407
Days
91-120
1,065,956
994,596
948,822
908,939
920,634
976,242
981,932
979,050
1,115,616
1,067,972
1,131,922
1,081,900
121-180
1,768,214
1,639,870
1,810,628
1,676,173
1,645,258
1,612,991
1,611,699
1,697,602
1,746,679
1,823,252
2,000,036
2,026,827
>180
2,695,477
2,956,607
3,560,650
3,568,411
3,360,207
2,265,193
1,705,778
1,628,750
1,749,729
1,789,313
2,303,952
3,041,698
Total
10,043,994
9,997,586
10,985,986
11,112,646
10,803,569
9,832,128
9,296,655
9,156,592
9,470,064
9,653,747
10,483,250
11,431,591
> 90 Days
5,529,647
5,591,073
6,320,100
6,153,522
5,926,099
4,854,426
4,299,409
4,305,402
4,612,024
4,680,537
5,435,909
6,150,424
> 120 Days
4,463,691
4,596,477
5,371,278
5,244,584
5,005,465
3,878,184
3,317,477
3,326,352
3,496,408
3,612,565
4,303,987
5,068,525
> 90 Days
55%
56%
58%
55%
55%
49%
46%
47%
49%
48%
52%
54%
> 120 Days
44%
46%
49%
47%
46%
39%
36%
36%
37%
37%
41%
44%
Accounts Receivable Aging by Percentage
Month
Mar-14
Apr-14
May-14
Jun-14
Jul-14
Aug-14
Sep-14
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15
Current
19%
19%
18%
20%
19%
23%
24%
24%
23%
24%
22%
20%
31-60
14%
14%
14%
15%
16%
16%
17%
16%
15%
15%
15%
15%
61-90
12%
11%
10%
10%
10%
11%
12%
13%
13%
13%
11%
11%
Days
91-120
121-180
11%
18%
10%
16%
9%
16%
8%
15%
9%
15%
10%
16%
11%
17%
11%
19%
12%
18%
11%
19%
11%
19%
9%
18%
>180
27%
30%
32%
32%
31%
23%
18%
18%
18%
19%
22%
27%
Total
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
Dec-14
9,672,686
13,077,790
133
Jan-15
10,499,660
13,278,116
142
Feb-15
11,431,591
13,137,210
157
Payer Mix
Payer
Medicare
Medicaid
Insurance
Facility Contract
Bill Patient
Mar-14
1,364,313
288,255
534,496
0
757,715
Apr-14
1,305,630
319,965
574,472
3,297
678,301
May-14
1,265,501
309,148
649,865
2,280
812,060
Jun-14
1,337,698
299,654
616,059
1,284
888,520
Jul-14
1,274,909
367,313
598,376
2,356
898,614
Aug-14
1,410,078
372,320
707,499
9,764
992,365
Sep-14
1,383,547
445,737
703,199
20,316
924,135
Oct-14
1,449,602
408,687
689,966
21,904
977,711
Nov-14
1,504,106
390,083
683,590
10,814
914,194
Dec-14
1,670,296
398,868
740,778
7,451
971,679
Jan-15
1,757,259
393,549
624,757
7,117
955,141
Feb-15
1,493,920
367,339
670,387
7,422
815,993
12-Month
Total
17,216,859
4,360,918
7,793,445
94,005
10,586,428
Total
2,944,780
2,881,666
3,038,854
3,143,214
3,141,568
3,492,027
3,476,934
3,547,871
3,502,786
3,789,072
3,737,822
3,355,061
40,051,655
Payer
Medicare
Medicaid
Insurance
Facility Contract
Bill Patient
Mar-14
46.3%
9.8%
18.2%
0.0%
25.7%
Apr-14
45.3%
11.1%
19.9%
0.1%
23.5%
May-14
41.6%
10.2%
21.4%
0.1%
26.7%
Jun-14
42.6%
9.5%
19.6%
0.0%
28.3%
Jul-14
40.6%
11.7%
19.0%
0.1%
28.6%
Aug-14
40.4%
10.7%
20.3%
0.3%
28.4%
Sep-14
39.8%
12.8%
20.2%
0.6%
26.6%
Oct-14
40.9%
11.5%
19.4%
0.6%
27.6%
Nov-14
42.9%
11.1%
19.5%
0.3%
26.1%
Dec-14
44.1%
10.5%
19.6%
0.2%
25.6%
Jan-15
47.0%
10.5%
16.7%
0.2%
25.6%
Feb-15
44.5%
10.9%
20.0%
0.2%
24.3%
12-Month
%
43.0%
10.9%
19.5%
0.2%
26.4%
100.0%
99.9%
100.0%
100.0%
100.0%
100.1%
100.0%
100.0%
99.9%
100.0%
100.0%
99.9%
100.0%
Total
Accounts Payable Analysis February, 2015
Accounts Payable Aging by Dollars
Month
Mar-14
Apr-14
May-14
Jun-14
Jul-14
Aug-14
Sep-14
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15
Current
85,985
253,619
116,259
65,198
157,374
99,534
257,044
12,748
32,209
67,160
17,750
102,521
31-60
251
15,897
2,369
10
10,400
2,355
25,079
3,356
2,021
32,913
91
61-90
341
7,882
90
100
831
1,166
22,727
Days
91-120
4,328
4,344
2,534
1,177
2
2
3,888
2
2
502
2
17
Credits
(20,012)
(17)
(17)
(20)
(3,723)
(2,793)
(115)
(115)
(115)
(115)
(115)
(226)
Accounts Payable Aging by Percentage without Credits
Month
Mar-14
Apr-14
May-14
Jun-14
Jul-14
Aug-14
Sep-14
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15
Current
95%
90%
96%
98%
94%
98%
90%
100%
91%
95%
35%
82%
31-60
0%
6%
2%
0%
6%
2%
9%
0%
9%
3%
65%
0%
Days
61-90
0%
3%
0%
0%
0%
0%
0%
0%
0%
2%
0%
18%
91-120
5%
2%
2%
2%
0%
0%
1%
0%
0%
1%
0%
0%
Total
70,893
281,725
121,235
66,465
164,053
99,098
286,727
12,635
35,452
70,734
50,550
125,130
$ Total
minus Credits
90,905
281,742
121,252
66,485
167,776
101,891
286,842
12,750
35,567
70,849
50,665
125,356
Agenda Item # 24
To:
Board of Directors
From: Brett Allen, CFO
Re:
BCBS
Consider and act to add BCBS as a vendor we pay on-line through the ACH system.
(Mr. Posey, Chairman – MCHD Board)
AGENDA ITEM # 25
Consider and act on payment of District invoices (Mr. Grice, Treasurer-MCHD Board)
TOTAL FOR
INVOICES
$1,096,125.33
Invoice Expense Allocation Report
Board Meeting 03/24/2015 - District Paid Invoices
Vendor Name
ACCESS WIRELESS DATA SOLUTIONS
Invoice Date
3/5/2015
Invoice No.
INV-7205
Payment No.
Pending
Payment Date Invoice Description
3/5/2015
SIERRA WIRELESS AIRLINK
Account No.
Account Description
10-015-52754
Capital Purchase - Equipment-Infor
Amount
$4,128.82
Totals for ACCESS WIRELESS DATA SOLUTIONS:
ADVANCED MEDICAL REVIEWS
2/28/2015
10005469-548451
Pending
2/28/2015
MEDICAL REVIEW 548451 01/26/15
10-002-55700
Management Fees-PA
$203.00
Totals for ADVANCED MEDICAL REVIEWS:
ADVANTAGE FINANCIAL SERVICES
3/2/2015
16640076
81223
3/12/2015
COPIER AGREEMENT # 015-0803292-002
10-015-55400
Leases/Contracts-Information Technology
Totals for ADVANTAGE FINANCIAL SERVICES:
AIKEN, MICHAEL COTY
ALL TIRE SUPPLY CO.
ALLEN'S SAFE AND LOCK
3/5/2015
2/16/2015
3/5/2015
AIK030515
510010814A
02698669 03/05
81130
81077
1838
3/6/2015
2/26/2015
3/20/2015
MILEAGE REIMBURSEMENT
VACUUM DUST BAG FOR TIRE ABRASION TOOL
KEYS FOR STATION 20 & STOCK
10-007-56200
10-010-57700
Mileage Reimbursements-EMS
$40.25
Totals for ALL TIRE SUPPLY CO.:
$24.48
Shop Tools-Fleet
$24.48
10-016-55600
Maintenance & Repairs-Buildings-Facil
10-016-57725
Shop Supplies-Facil
907674
81131
3/6/2015
CATERING/MANAGERS COMP-BUDGET MATCH
10-007-56100
Meeting Expenses-EMS
$549.66
907654
81131
3/6/2015
CATERING/EMS CE
10-007-56100
$629.03
2/23/2015
907651
81131
3/6/2015
CATERING/EMS CE
10-007-56100
$455.18
$1,633.87
2/23/2015
2816893247/5794
81133
3/6/2015
STATION 30
10-015-58310
Telephones-Service-Information Technology
$234.06
2/23/2015
2816896865/2217
81134
3/6/2015
STATION 31
10-015-58310
$238.70
2/23/2015
2813670626/8117
81135
3/6/2015
STATION 22
10-015-58310
$230.02
10-015-58310
$75.51
10-015-58310
$115.70
10-015-58310
$65.40
10-015-58320
Telephones - Long Distance-Information Technology
10-015-58310
2814654022/3566
7131652005/3301
81136
81137
3/6/2015
3/6/2015
SQUAD 29
SQUAD 29
Totals for AT&T (105414):
3/4/2015
123611
1830
3/4/2015
BCBS PPO & HSA PREMIUMS 03/01/15-04/01/15
2/20/2015
MARCH 2015-116
81015
2/20/2015
STATION 44 RENT
$3.26
$238.58
$1,201.23
10-001-51700
Health & Dental-Admin
10-001-51700
Health & Dental-PA
10-002-51700
Health & Dental-Radio
$4,235.60
10-004-51700
Health & Dental-Accou
$3,659.56
10-005-51700
Health & Dental-Alarm
$22,149.29
10-006-51700
Health & Dental-EMS
$166,019.03
10-007-51700
Health & Dental-Matls. Mgmt.
$7,259.37
10-008-51700
Health & Dental-OMD
$5,687.32
10-009-51700
Health & Dental-Fleet
$6,331.33
10-010-51700
Health & Dental-Bill
$9,163.34
10-011-51700
Health & Dental-Information Technology
$3,874.68
10-015-51700
Health & Dental-Facil
$5,109.01
10-016-51700
Health & Dental-Human
$3,289.29
10-025-51700
Health & Dental-Recor
$2,270.80
10-026-51700
Health & Dental-Emerg
$1,603.88
10-027-51700
Health & Dental-Param
$5,870.14
10-039-51700
10-000-14900
Totals for BCBS OF TEXAS (POB 731428):
Prepaid Expenses-BS
Totals for BENTWATER ON THE NORTH SHORE, LTD. (44):
BONDS JANITORIAL SERVICE
$24.00
2/24/2015
2/21/2015
BENTWATER ON THE NORTH SHORE, LTD. (4
$4.00
$20.00
2/25/2015
2/21/2015
BCBS OF TEXAS (POB 731428)
$2,776.23
$2,776.23
$40.25
Totals for ALONTI CAFE & CATERING:
AT&T (105414)
$203.00
Totals for AIKEN, MICHAEL COTY:
Totals for ALLEN'S SAFE AND LOCK:
ALONTI CAFE & CATERING
$4,128.82
$7,025.00
$10,692.61
$264,240.25
$536.20
$536.20
2/15/2015
2424
81080
2/26/2015
JANITORIAL SERVICES FEB 2015
10-016-55600
$6,136.55
3/1/2015
2433
Pending
3/21/2015
JANITORIAL SERVICES MARCH 2015
10-016-55600
$6,136.55
Vendor Name
Invoice Date
Invoice No.
Payment No.
Account No.
Account Description
Amount
Totals for BONDS JANITORIAL SERVICE:
BOON-CHAPMAN
2/24/2015
BOO022415
Pending
3/11/2015
DECEMBER 2014 NETWORK DEVELOPMENT FEE
10-002-55700
Management Fees-PA
$1,950.00
Totals for BOON-CHAPMAN:
BOUND TREE MEDICAL, LLC
BOYCE, CHRISTOPHER
BROWN, CORI
BUCKALEW CHEVROLET
C & R WATER SUPPLY, INC
CAP FLEET UPFITTERS
81700391
81082
2/26/2015
MEDICAL SUPPLIES
10-008-53900
Disposable Medical Supplies-Mater
2/17/2015
81700392
81082
2/26/2015
MEDICAL SUPPLIES
10-008-53900
$28.70
$31.00
2/18/2015
81701780
81082
2/26/2015
DME ACCESSORIES
10-008-54200
Durable Medical Equipment-Mater
$883.90
2/18/2015
81701781
81082
2/26/2015
MEDICAL SUPPLIES
10-008-53900
$459.80
2/20/2015
81705384
81082
2/26/2015
MEDICAL SUPPLIES
10-008-53900
$93.00
2/20/2015
81705383
81082
2/26/2015
MEDICAL SUPPLIES
10-008-53900
$784.32
2/19/2015
81703564
81082
2/26/2015
MEDICAL UPPLIES
10-008-53900
$1,888.26
2/25/2015
81698229
81140
3/6/2015
SCHEDULE II SUBSTANCES, 222
10-008-54000
Drug Supplies-Mater
$3,114.18
2/23/2015
81707894
81140
3/6/2015
MEDICAL SUPPLIES
10-008-53900
$8,790.07
10-008-54000
Drug Supplies-Mater
$89.99
2/26/2015
81710831
81225
3/12/2015
MEDICAL SUPPLIES
10-008-53900
10-008-54200
$56.00
2/27/2015
81712403
81225
3/12/2015
MEDICAL SUPPLIES
10-008-53900
$31.00
2/26/2015
2/18/2015
BOY022615
BRO021815
81118
80976
2/27/2015
2/19/2015
MONIES OWED TO EMPLOYEE
HEARING TEST/INVESTIGATION
10-000-21400
10-025-57300
$1,457.25
Totals for BOUND TREE MEDICAL, LLC:
$17,707.47
Totals for BOYCE, CHRISTOPHER:
$133.21
Totals for BROWN, CORI:
$159.23
Accrued Payroll-BS
$133.21
Recruit/Investigate-Human
$159.23
2/17/2015
487164
81083
2/26/2015
SWAY BAR END LINKS
10-010-59050
Vehicle-Parts-Fleet
$114.00
2/24/2015
487435
81141
3/6/2015
WATER PUMP & THERMOSTAT
10-010-59050
Vehicle-Parts-Fleet
$300.14
2/26/2015
487507
81141
3/6/2015
CABLES FOR ROAD SAFETY BOXES
10-010-59050
Vehicle-Parts-Fleet
$46.07
2/25/2015
487449
81141
3/6/2015
POWER STEERING PUMP
10-010-59050
Vehicle-Parts-Fleet
$143.68
2/27/2015
1526
81142
3/6/2015
STATION 44
10-016-58800
Totals for BUCKALEW CHEVROLET:
$603.89
Totals for C & R WATER SUPPLY, INC:
$89.02
Utilities-Facil
$89.02
2/23/2015
510596
81040
2/26/2015
GAMBER JOHNSON FLOOR MOUNTS
10-010-52755
Capital Purchase - Vehicles-Fleet
2/26/2015
510655
81226
3/12/2015
3 LED SPOT LIGHT BULBS
10-010-59050
Vehicle-Parts-Fleet
$686.58
2/18/2015
SP80321
81084
2/26/2015
MICROSOFT SURFACE PRO EXT WARRANTY
10-015-53000
Computer Maintenance-Information Technology
2/20/2015
SR35984
81084
2/26/2015
MS SURFACE PRO 3 I5 128GB W8P
10-015-53100
Computer Supplies/Non-Cap.-Information Technology
$1,286.00
$95.00
$110.50
3/5/2015
SS46531
81227
3/12/2015
LEXAR 8GB S70 JUPMDRIVE
10-015-53100
2/23/2015
SR98650
81143
3/6/2015
LEXAR 8GB S70 JUMPDRIVE
10-015-53100
2/26/2015
ST88459
Pending
3/28/2015
LIND PAN TOUGHBOOK AUTO ADAPTER
10-010-59050
Vehicle-Parts-Fleet
2/26/2015
ST35376
81227
3/12/2015
KEYBOARD COVERS FOR ALARM
10-015-52754
$230.00
2/28/2015
ST29165
81227
3/12/2015
SURFACES FOR ALARM SUPS
10-015-52754
$3,540.00
2/25/2015
SS80739
81227
3/12/2015
SURFACE PRO I5
10-015-52754
$76.50
$140.00
$95.00
$5,573.00
2/18/2015
9811614-8
81042
2/26/2015
STATION 14
10-016-58800
Utilities-Facil
$48.29
3/4/2015
8879673-5
81228
3/12/2015
STATION 20
10-016-58800
Utilities-Facil
$256.27
3/2/2015
9201316-8
81228
3/12/2015
STATION 30
10-016-58800
Utilities-Facil
$19.65
Totals for CENTERPOINT ENERGY (REL109):
CENTURY LINK (Phoenix)
$259.30
$427.28
Totals for CDW GOVERNMENT, INC.:
CENTERPOINT ENERGY (REL109)
$1,950.00
2/17/2015
Totals for CAP FLEET UPFITTERS:
CDW GOVERNMENT, INC.
$12,273.10
2/19/2015
313194646
81144
3/6/2015
STATION 34
10-015-58310
Totals for CENTURY LINK (Phoenix):
$324.21
$211.81
$211.81
Vendor Name
CHIRDO, JOSEPH
CITY OF CONROE, WATER
CITY OF CONROE
Invoice Date
2/26/2015
2/23/2015
Invoice No.
CHI022615
72-0592-00
Payment No.
81119
81146
2/27/2015
3/6/2015
STATION 10
Account No.
Account Description
10-000-21400
Accrued Payroll-BS
10-016-58800
Amount
$131.95
Totals for CHIRDO, JOSEPH:
$131.95
Totals for CITY OF CONROE, WATER:
$81.96
Utilities-Facil
$81.96
2/24/2015
CIT022415
81086
2/26/2015
PAVILION RENTAL AGREEMENT/04/25/15
10-000-14900
Prepaid Expenses-BS
2/24/2015
CIT022415
81086
2/26/2015
PARK & RECREATION BASEBALL FIELD REQUEST/04/25/15 10-000-14900
Prepaid Expenses-BS
$78.00
2/24/2015
CIT022415
81086
2/26/2015
AMPLIFICATION FEE/SOUND EQUIPMENT/04/25/15
Prepaid Expenses-BS
$25.00
10-000-14900
$150.00
Totals for CITY OF CONROE:
CLEAR SOLUTION SERVICES
2/19/2015
7702
Pending
3/21/2015
SALT,ACID NEUTRALIZER RELOAD
10-016-55600
Totals for CLEAR SOLUTION SERVICES:
COMCAST CORPORATION
CONROE TRAILER & TRUCK INC.
CONROE WELDING SUPPLY, INC.
2/22/2015
8777701590077928
81148
3/6/2015
STATION 23
10-015-58310
3/1/2015
8777702080546356
81229
3/12/2015
STATION 21
10-015-58310
2/24/2015
166238
81149
3/6/2015
8 AIR BAGS
10-010-59050
$1,993.80
$1,993.80
2/19/2015
CT741791
81088
2/26/2015
2 02 REGULATOR REBUILDS
10-010-56600
Oxygen & Gases-Fleet
$58.42
2/23/2015
CT741355
81150
3/6/2015
OXYGEN MEDICAL
10-008-56600
Oxygen & Gases-Mater
$196.26
2/23/2015
PS367559
81150
3/6/2015
OXYGEN MEDICAL
10-008-56600
$50.59
2/24/2015
CT742237
81150
3/6/2015
OXYGEN MEDICAL
10-008-56600
$187.60
2/17/2015
CT741216
81230
3/12/2015
ADAPTER, CLYINDER VALVE
10-008-56600
$537.75
2/18/2015
CT741164
81230
3/12/2015
OXYGEN MEDICAL
10-008-56600
$115.79
2/18/2015
CT740938
81230
3/12/2015
OXYGEN MEDICAL
10-008-56600
$166.97
2/16/2015
PS367162
81230
3/12/2015
OXYGEN MEDICAL
10-008-56600
$86.50
2/16/2015
PS367161
81230
3/12/2015
OXYGEN MEDICAL
10-008-56600
$48.03
2/16/2015
PS367163
81230
3/12/2015
OXYGEN MEDICAL
10-008-56600
$74.53
2/19/2015
CT741112
81230
3/12/2015
OXYGEN MEDICAL
10-008-56600
$204.93
3/1/2015
06060MCD-S-15060
81151
3/6/2015
ACCT# 210 9MC-DSM3-MCD
10-015-58310
$356.37
$356.37
0009600146/0
80979
2/19/2015
MCHD CAMPUS
10-015-58310
$591.36
2/21/2015
9365393450/0
81089
2/26/2015
MCHD CAMPUS
10-015-58310
$129.26
10-015-58320
10-015-58310
$42.06
2/21/2015
9365391160/0
81090
2/26/2015
MCHD CAMPUS
10-015-58320
3/1/2015
9365825119/0
81152
3/6/2015
STATION 43
10-015-58310
$21.82
3/1/2015
9362642220/0
81231
3/12/2015
MCHD CAMPUS
10-015-58310
$71.34
3/1/2015
9365399272/0
81232
3/12/2015
MCHD/PHEP
10-015-58310
3/5/2015
02698669 03/05
1838
3/20/2015
SHORE LINES FOR STATION 21
2/25/2015
221083
81153
3/6/2015
8 PC 1220 BATTERIES
3/1/2015
COS022515
81091
2/26/2015
EMS LEADERSHIP ACADEMY
$6,241.63
$767.77
$34.61
$7,899.85
10-016-55600
$123.37
10-016-57725
Shop Supplies-Facil
$370.11
10-010-58900
Vehicle-Batteries-Fleet
10-007-55900
$493.48
$2,463.33
Totals for CONTINENTAL BATTERY COMPANY:
COSPER, JARED
$1,727.37
2/16/2015
Totals for CONSOLIDATED ELECTRICAL DISTRIBUTORS, INC.:
CONTINENTAL BATTERY COMPANY
$218.29
Totals for CONROE TRAILER & TRUCK INC.:
Vehicle-Parts-Fleet
Totals for CONSOLIDATED COMMUNICATIONS-TXU:
CONSOLIDATED ELECTRICAL DISTRIBUTORS
$164.76
$383.05
Totals for CONSOLIDATED COMMUNICATIONS-LUF:
CONSOLIDATED COMMUNICATIONS-TXU
$239.00
$239.00
Totals for COMCAST CORPORATION:
Totals for CONROE WELDING SUPPLY, INC.:
CONSOLIDATED COMMUNICATIONS-LUF
$253.00
Meals - Business and Travel-EMS
$2,463.33
$318.50
Totals for COSPER, JARED:
$318.50
Vendor Name
CROWN PAPER AND CHEMICAL
Invoice Date
Account No.
Account Description
2/26/2015
80408
Invoice No.
Payment No.
81154
3/6/2015
STATION SUPPLIES
10-008-57900
Station Supplies-Mater
Amount
$487.99
3/6/2015
80685 B/O
81233
3/12/2015
STATION SUPPLIES
10-008-57900
$121.01
3/6/2015
80686 B/O
81233
3/12/2015
STATION SUPPLIES
10-008-57900
$51.80
Totals for CROWN PAPER AND CHEMICAL:
DAILEY WELLS COMMUNICATION
2/25/2015
02/09/2015
81156
3/6/2015
LABOR-SYSTEM ALIGNMENT
10-004-57100
Professional Fees-Radio
3/1/2015
00051504
Pending
3/3/2015
RADIO REPAIR/BENCHED RADIO
10-004-57200
Radio Repairs - Outsourced (Depot)-Radio
$22,000.00
$85.00
3/1/2015
00051505
Pending
3/3/2015
RADIO REPAIR/REPLACED BAD SWITCH
10-004-57200
$223.75
3/1/2015
00051506
Pending
3/3/2015
RADIO REPAIR
10-004-57200
$235.00
3/1/2015
00051507
Pending
3/3/2015
RADIO REPAIR/REPLACE SWITCH
10-004-57200
$235.00
3/1/2015
00051508
Pending
3/3/2015
REPAIR RADIO/REPLACED CRACKED FRONT
10-004-57200
$426.56
Totals for DAILEY WELLS COMMUNICATION:
DALLAS DODGE
FG591332
81046
2/26/2015
2015 DODGE RAM VIN FG591332
10-010-52755
$40,170.00
2/18/2015
FG592835
81046
2/26/2015
10-010-52755
$40,170.00
2/18/2015
FG592834
81046
2/26/2015
10-010-52755
$40,170.00
2/18/2015
FG592833
81046
2/26/2015
10-010-52755
$40,770.00
2/16/2015
FG591333
81046
2/26/2015
10-010-52755
$40,170.00
2/16/2015
FG586232
81046
2/26/2015
10-010-52755
$40,170.00
213089
81094
2/26/2015
OFFICE SUPPLIES
10-008-56300
Office Supplies-Matls. Mgmt.
$472.51
2/26/2015
213608
81157
3/6/2015
OFFICE SUPPLIES
10-008-56300
$344.56
3/5/2015
213977
81234
3/12/2015
OFFICE SUPPLIES
10-008-56300
$342.40
3/5/2015
DAN1042015-03
81158
3/6/2015
MILEAGE REIBURSEMENT
10-026-56200
Mileage Reimbursements-Recor
DERALD HUDSON (43)
DIRECTV
44693379
81159
3/6/2015
COPIER AGREEMENT ACCT # 364942
10-015-55400
$80.50
2/21/2015
44693618
81159
3/6/2015
COPIER AGREEMENT ACCT# 364942
10-015-55400
$461.40
3/2/2015
44771711
81159
3/6/2015
10-015-55400
$289.15
3/7/2015
44901385
81235
3/12/2015
10-015-55400
$29.08
$860.13
2/26/2015
CM151974
CREDIT
10-010-59050
Vehicle-Parts-Fleet
($175.00)
2/26/2015
CM155302A
CREDIT
10-010-59050
Vehicle-Parts-Fleet
($500.00)
2/19/2015
157512
81095
2/26/2015
DODGE EMBLEM
10-010-59050
Vehicle-Parts-Fleet
$42.46
2/16/2015
157335
81095
2/26/2015
2 POWER STEERING LLINES
10-010-59050
Vehicle-Parts-Fleet
$119.90
2/23/2015
157647
81161
3/6/2015
TRANSMISSION FILTERS & GASKETS
10-010-59050
Vehicle-Parts-Fleet
$647.90
2/23/2015
157613
81161
3/6/2015
COMON RAIL & TOP HEATER CORE HOSE
10-010-59050
Vehicle-Parts-Fleet
$712.09
2/23/2015
157640
81161
3/6/2015
RADIATOR & 2 STARTERS
10-010-59050
Vehicle-Parts-Fleet
$2,230.50
3/4/2015
158026
81236
3/12/2015
2 VSIM MODULE
10-010-59050
Vehicle-Parts-Fleet
$446.60
3/5/2015
157957
81236
3/12/2015
STOCK FOR PARTS ROOMS
10-010-59050
Vehicle-Parts-Fleet
$1,733.11
3/4/2015
158023
81236
3/12/2015
SHOCKS
10-010-59050
Vehicle-Parts-Fleet
2/20/2015
MARCH 2015-002
81016
2/20/2015
STATION 43 RENT
10-000-14900
$69.91
Totals for DEMONTROND:
$5,327.47
Totals for DERALD HUDSON (43):
$1,200.00
Prepaid Expenses-BS
2/25/2015
25222143959
81162
3/6/2015
STATION 30
10-016-58800
Utilities-Facil
2/22/2015
25199379562
81163
3/6/2015
MCHD CAMPUS/ACCT# 035677337
10-016-58800
Utilities-Facil
$1,200.00
$70.48
$8.73
Totals for DIRECTV:
DISH NETWORK
$52.22
2/21/2015
Totals for DE LAGE LANDEN:
DEMONTROND
$1,159.47
$52.22
Totals for DANIEL, DONNA:
DE LAGE LANDEN
$241,620.00
2/18/2015
Totals for DANIEL OFFICE PRODUCTS:
DANIEL, DONNA
$23,205.31
2/18/2015
Totals for DALLAS DODGE:
DANIEL OFFICE PRODUCTS
$660.80
$79.21
2/25/2015
8255101017410383
81164
3/6/2015
STATION 31
10-016-58800
Utilities-Facil
$75.61
2/22/2015
8255101016411291
81165
3/6/2015
STATION 20
10-016-58800
Utilities-Facil
$75.61
2/25/2015
8255101013199873
81166
3/6/2015
STATION 41
10-016-58800
Utilities-Facil
$75.61
Vendor Name
DUKE, TERRI
ELLIOTT ELECTRIC SUPPLY, INC
ENTERGY TEXAS, LLC
FIREHOUSE PRINTING SRVC
FLEET PHYSICS
FRAZER, LTD.
Invoice Date
Account No.
Account Description
2/25/2015
8255101011104370
81167
3/6/2015
STATION 43
10-016-58800
Utilities-Facil
$75.61
2/25/2015
8255101010582444
81168
3/6/2015
STATION 10
10-016-58800
Utilities-Facil
$75.61
2/25/2015
8255101010137520
81169
3/6/2015
STATION 32
10-016-58800
Utilities-Facil
$75.61
2/27/2015
8255101013165650
81237
3/12/2015
STATION 45
10-016-58800
Utilities-Facil
3/13/2015
2/16/2015
Invoice No.
DUK031315
69-31981-01
Payment No.
81300
81238
3/13/2015
3/12/2015
MONIES OWED TO EMPLOYEES
LED FURNITURE FLOOD 18W COOL
10-000-21400
10-004-57750
Amount
$75.61
Totals for DISH NETWORK:
$529.27
Totals for DUKE, TERRI:
$409.55
Totals for ELLIOTT ELECTRIC SUPPLY, INC:
$3,035.00
Accrued Payroll-BS
$409.55
Small Equipment & Furniture-Radio
$3,035.00
2/17/2015
3749679
81097
2/26/2015
STATION 31
10-016-58800
Utilities-Facil
2/17/2015
3613175
81098
2/26/2015
SPLENDOR TOWER
10-004-58800
Utilities-Radio
$395.31
2/16/2015
3707791
81099
2/26/2015
THOMPSON RD TOWER
10-004-58800
Utilities-Radio
$613.98
2/20/2015
2621561
81100
2/26/2015
STATION 43
10-016-58800
Utilities-Facil
$268.34
2/25/2015
3581680
81170
3/6/2015
STATION 10
10-016-58800
Utilities-Facil
$1,083.25
2/23/2015
2924599
81171
3/6/2015
STATION 44
10-016-58800
Utilities-Facil
2/26/2015
3707796
81172
3/6/2015
GRANGERLAND TOWER
10-004-58800
Utilities-Radio
3/3/2015
3890500
81240
3/12/2015
ROBINSON RD TOWER
10-004-58800
Utilities-Radio
$37.54
3/3/2015
3965628
81241
3/12/2015
ROBINSON RD TOWER
10-004-58800
Utilities-Radio
$537.91
3/5/2015
3693376
81242
3/12/2015
MCHD CAMPUS
10-016-58800
Utilities-Facil
$12,348.61
3/5/2015
3606474
81243
3/12/2015
STATION 32
10-016-58800
Utilities-Facil
$727.64
3/10/2015
3950733
81303
3/18/2015
STATION 14
10-016-58800
Utilities-Facil
2/18/2015
2/25/2015
58775
2757
81049
81173
2/26/2015
3/6/2015
EMS PROVIDER OF THE YEAR CHALLENGE COINS
2 TAHOE REAR ROTORS
10-007-57000
10-010-59050
$461.71
$178.28
$1,437.23
$193.24
Totals for ENTERGY TEXAS, LLC:
$18,283.04
Totals for FIREHOUSE PRINTING SRVC:
$93.00
Totals for FLEET PHYSICS:
$191.80
Printing Services-EMS
$93.00
Vehicle-Parts-Fleet
$191.80
3/6/2015
53010
81245
3/12/2015
FLOOR PLATES
10-010-59050
Vehicle-Parts-Fleet
$50.00
3/3/2015
52984
81245
3/12/2015
2 POWER STEP MOTOR & TRANSMISSION
10-010-59050
Vehicle-Parts-Fleet
$384.81
Totals for FRAZER, LTD.:
G & K SERVICES
GATEWAY EDI, LLC
GFRC ACQUISITION, LLC DBA GFRC SHELTER
2/18/2015
1165134260
81050
2/26/2015
LAUNDRY
10-010-55100
Laundry Service & Purchase-Fleet
$120.94
2/25/2015
1165140534
81174
3/6/2015
LAUNDRY
10-010-55100
$120.94
3/4/2015
1165146925
81246
3/12/2015
LAUNDRY
10-010-55100
3/1/2015
121Y031500
81247
3/12/2015
ELECTRONIC CLAIMS CHARGE
10-011-57100
$120.94
Totals for G & K SERVICES:
$362.82
Totals for GATEWAY EDI, LLC:
$312.00
Professional Fees-Bill
$312.00
2/17/2015
6620-2F
80984
2/19/2015
REPLACEMENT AC REMOVAL OF OLD AC
10-004-52754
Capital Purchase - Equipment-Radio
2/17/2015
6621-2F
80984
2/19/2015
REPAIR OF CEILING & ROOF BAL DUE
10-004-55600
Maintenance & Repairs-Buildings-Radio
$11,592.50
Totals for GFRC ACQUISITION, LLC DBA GFRC SHELTERS:
GILLUM, LEE
GOODYEAR WHOLESALE TIRE CENTER
GSGA MANAGEMENT GP, LLC (41)
$434.81
3/10/2015
3/1/2015
2/20/2015
GIL031015
41450270
MARCH 2015-016
81248
81249
81017
3/12/2015
3/12/2015
2/20/2015
MOULAGE FOR SHATTERRED LIVES REIMBURSEMENT
6 GOODYEAR EAGLE TIRES
STATION 41 RENT
10-009-52600
10-010-59150
10-000-14900
Books/Materials-OMD
$3,612.50
$15,205.00
$415.00
Totals for GILLUM, LEE:
$415.00
Totals for GOODYEAR WHOLESALE TIRE CENTER:
$775.62
Vehicle-Tires-Fleet
Prepaid Expenses-BS
Totals for GSGA MANAGEMENT GP, LLC (41):
$775.62
$630.00
$630.00
Vendor Name
Invoice Date
H & H OIL, LP
3/2/2015
HARRIS CORPORATION - PSPC
HEREFORD, LYNCH, SELLARS & KIRKHA, P.C
3/5/2015
3/5/2015
Invoice No.
02012015
93194986
02012015
Payment No.
81176
81250
81176
3/6/2015
3/12/2015
3/6/2015
HAZARDOUS WASTE REMOVAL
TRAINING, RF TEST & TROUBLESHOOTING/JERMAINE
PROGRESS BILL AUDIT 2014
Account No.
Account Description
10-010-54800
Hazardous Waste Removal-Fleet
10-004-58500
10-005-52100
Amount
$35.00
Totals for H & H OIL, LP:
$35.00
Totals for HARRIS CORPORATION - PSPC:
$2,000.00
Training/Related Expenses-CE-Radio
$2,000.00
Accounting/Auditing Fees-Accou
$3,590.00
Totals for HEREFORD, LYNCH, SELLARS & KIRKHA, P.C.:
HERNANDEZ, MARIA
3/12/2015
HER031215
81222
3/12/2015
10-000-21400
Accrued Payroll-BS
$129.97
Totals for HERNANDEZ, MARIA:
HOME DEPOT CREDIT SERVICES
3/5/2015
02698669 03/05
1838
3/20/2015
HOME DEPOT/KEY FOR STATION 20
10-016-55600
HUDSON & O'LEARY, LLP
IMPACT PRINTING
2/19/2015
3/2/2015
HON021915
1226
81179
81304
3/6/2015
3/18/2015
401.08-PATIENT CARE
10-015-56200
10-001-55500
Mileage Reimbursements-Information Technology
Totals for HUDSON & O'LEARY, LLP:
$1,521.00
Legal Fees-Admin
$1,521.00
38710
81102
2/26/2015
BUSINESS CARDS/OCHOA,ANDERSON,THIEBACH
10-008-56300
3/4/2015
38761
81180
3/6/2015
BUSINESS CARDS/CHRIS GOODRICH
10-008-56300
34528281
Pending
3/3/2015
MEDICAL SUPPLIES
10-008-54200
$150.00
$50.00
Totals for INDEPENDENCE MEDICAL:
INDIGENT HEALTHCARE SOLUTIONS
2/26/2015
60484
81181
3/6/2015
NURSES APPLICATION TO ALLOW EDITS
10-002-57100
Professional Fees-PA
3/1/2015
60448
81181
3/6/2015
PROFESSIONAL SERVICES FOR APRIL 2015
10-015-53050
Computer Software-Information Technology
2/19/2015
29620
81057
2/26/2015
CATS FOR SHOP 616
10-010-59000
Vehicle-Outside Services-Fleet
2/24/2015
309272
81183
3/6/2015
A/C FILTERS
10-010-59050
Vehicle-Parts-Fleet
2/23/2015
309174
81183
3/6/2015
BX-37 BELT
10-010-59050
Vehicle-Parts-Fleet
$12,626.27
$12,876.27
$215.95
$302.26
$77.94
Totals for J AND B AUTO SUPPLY:
JP MORGAN
$600.00
$600.00
$215.95
Totals for IT'S MUFFLER TIME:
J AND B AUTO SUPPLY
$200.00
$250.00
Totals for INDIGENT HEALTHCARE SOLUTIONS:
IT'S MUFFLER TIME
$8.05
$8.05
2/18/2015
2/16/2015
$2.29
Totals for HON, CALVIN:
Totals for IMPACT PRINTING:
INDEPENDENCE MEDICAL
$129.97
$2.29
Totals for HOME DEPOT CREDIT SERVICES:
HON, CALVIN
$3,590.00
$380.20
2/20/2015
CM10130025 02/05
CREDIT
10-001-58600
Travel Expenses-Admin
($330.18)
2/20/2015
CM02698669 02/05
CREDIT
10-016-57725
Shop Supplies-Facil
($151.75)
2/20/2015
CM02642170 02/05
CREDIT
10-004-57700
Shop Tools-Radio
3/5/2015
CM00036741 03/05
CREDIT
10-008-56300
($297.29)
10-005-58500
Training/Related Expenses-CE-Accou
($595.00)
3/5/2015
02435740 03/05
1841
3/20/2015
EMERGENCY RESPONDER/UNIFORMS
10-008-58700
Uniforms-Matls. Mgmt.
3/5/2015
02435740 03/05
1841
3/20/2015
WILLIAMSON-DICKIE/UNIFORMS
10-008-58700
$134.95
3/5/2015
02435740 03/05
1841
3/20/2015
EMERGENCY RESPONDER/UNIFORMS
10-008-58700
$196.19
3/5/2015
02435740 03/05
1841
3/20/2015
SAM'S/STATION SUPPLIES
10-008-57900
$64.08
3/5/2015
02435740 03/05
1841
3/20/2015
WALMART/STATION SUPPLIES
10-008-57900
$243.41
3/5/2015
02435740 03/05
1841
3/20/2015
10-008-57900
$740.00
3/5/2015
02435740 03/05
1841
3/20/2015
HANCOCK FABRIC/UNIFORMS
10-008-58700
$19.17
3/5/2015
02435740 03/05
1841
3/20/2015
HANCOCK FABRICS/UNIFORMS
10-008-58700
$20.75
3/5/2015
02435740 03/05
1841
3/20/2015
WALMART/STATION SUPPLIES
10-008-57900
$115.79
3/5/2015
02435740 03/05
1841
3/20/2015
10-008-57900
$493.61
3/5/2015
02395217 03/05
1841
3/20/2015
DIRECTV/ACCT# 035677337/INV 24977845332
10-016-58800
Utilities-Facil
$244.49
3/5/2015
08689925 03/05
1841
3/20/2015
PLANET HOLLYWOOD/LODGING LAS VEGAS/K WEBB
10-011-58600
Travel Expenses-Bill
($1.59)
$302.39
$99.68
Vendor Name
Invoice Date
Account No.
Account Description
3/5/2015
08689925 03/05
1841
3/20/2015
PLANET HOLLYWOOD/LODGING LAS VEGAS
10-011-58600
3/5/2015
08689925 03/05
1841
3/20/2015
NATIONAL ACADEMY OF CODING/MAURIA SHAPIRO
10-011-58500
Training/Related Expenses-CE-Bill
3/5/2015
02358710 03/05
1841
3/20/2015
FRED PRYOR CAREER TRACK EXCELL SEMINAR
10-005-58500
$79.00
3/5/2015
02358710 03/05
1841
3/20/2015
FRED PRYOR CAREERTRACK/EXCELL SEMINAR
10-005-58500
$79.00
3/5/2015
02358710 03/05
1841
3/20/2015
FRED PRYOR CAREER TRACK/EXCELL SEMINAR
10-005-58500
$79.00
3/5/2015
02358710 03/05
1841
3/20/2015
10-005-58500
$49.00
3/5/2015
02358710 03/05
1841
3/20/2015
10-005-58500
$49.00
3/5/2015
02358710 03/05
1841
3/20/2015
FREDPRYOR CAREER TRACK/EXCELL SEMINAR
10-005-58500
$49.00
3/5/2015
02358710 03/05
1841
3/20/2015
10-025-58500
Training/Related Expenses-CE-Human
3/5/2015
02358710 03/05
1841
3/20/2015
ATT/ACCT# 28146540223566
10-015-58310
3/5/2015
02358710 03/05
1841
3/20/2015
HOME DEPOT/QUICK CONNECT TEE
10-016-55600
3/5/2015
02642170 03/05
1841
3/20/2015
ELLIOTT ELECTRICAL/ANNEALED COPPER WIRE
10-004-57900
Station Supplies-Radio
3/5/2015
02642170 03/05
1841
3/20/2015
HOME DEPOT/THERMOSTAT WIRE
10-004-57225
Radio Repair - Parts-Radio
$17.67
3/5/2015
02642170 03/05
1841
3/20/2015
HOME DEPOT/MISC HARDWARE FOR RADIO REPAIRS
10-004-57225
$31.89
3/5/2015
02642170 03/05
1841
3/20/2015
HOME DEPOT/DEWALT 20V RECIPROCATING SAW
10-004-57700
Shop Tools-Radio
$119.00
3/5/2015
02642170 03/05
1841
3/20/2015
HOME DEPOT/6 OUTLET CORDS
10-004-57225
$165.52
3/5/2015
02642170 03/05
1841
3/20/2015
HOME DEPOT/FLUORESCENT LIGHT & BULBS
10-004-57225
$150.79
3/5/2015
02642170 03/05
1841
3/20/2015
HOME DEPOT/FLUORESCENT LIGHTS & TEST EQUIP
10-004-57900
$414.82
3/5/2015
02642170 03/05
1841
3/20/2015
QUALITY COMFORT/HVAC REPAIRS
10-004-55600
3/5/2015
02642170 03/05
1841
3/20/2015
CHICK-FIL-A/EMPLOYEE APPREC LUNCHEON/CHAD/JUST
10-004-55900
Meals - Business and Travel-Radio
$23.23
3/5/2015
07540244 03/05
1841
3/20/2015
HCTRA VPC TOLL FEE
10-009-58600
Travel Expenses-OMD
$38.25
3/5/2015
07540244 03/05
1841
3/20/2015
EVT CERTIFICATION
10-010-58500
Training/Related Expenses-CE-Fleet
3/5/2015
07540244 03/05
1841
3/20/2015
CONROE MILL SUPPLY/ANGLE IRON
10-010-57725
Shop Supplies-Fleet
10-010-59000
10-010-57725
Shop Supplies-Fleet
3/5/2015
Invoice No.
07540244 03/05
Payment No.
1841
3/20/2015
LOWES/REMOUNT EQUIPMENT
Amount
$99.68
$299.00
$99.00
$115.87
$9.30
$324.86
$2,562.43
$100.00
$23.00
$1.50
$65.05
3/5/2015
07540244 03/05
1841
3/20/2015
RUDY'S/WORK LUNCH DELIVER SHOP 35 TO FRAZIER/WA
10-010-55900
Meals - Business and Travel-Fleet
3/5/2015
07540244 03/05
1841
3/20/2015
HARRIS CO TOLL ROAD
10-010-58600
Travel Expenses-Fleet
$27.64
3/5/2015
02698669 03/05
1838
3/20/2015
DIGITAL MEDICAL TRANSMITTER
10-016-55600
$128.70
3/5/2015
02698669 03/05
1838
3/20/2015
HOUSTON AUDIO/S/B CREDIT NEXT STATEMENT
10-016-55600
$547.30
3/5/2015
02698669 03/05
1838
3/20/2015
RADIOSHACK/MISC ELECTRONIC CONNECTORS
10-016-55600
3/5/2015
02698669 03/05
1838
3/20/2015
COMPLIFT
10-016-57750
Small Equipment & Furniture-Facil
3/5/2015
02698669 03/05
1838
3/20/2015
LOWES/SHOP TOOLS
10-016-57700
Shop Tools-Facil
10-016-55600
$49.85
$37.40
$200.00
$14.47
$1,817.50
$207.79
3/5/2015
02698669 03/05
1838
3/20/2015
HOME DEPOT/10-3 600V RUBBER SOOW CORD
10-016-57725
Shop Supplies-Facil
3/5/2015
02698669 03/05
1838
3/20/2015
DOOR STOPS, CASTERS & MOP FOR STATION 21.
10-016-55600
$36.59
3/5/2015
02698669 03/05
1838
3/20/2015
RUSTIC OUTLET/TABLE PURCHASE FOR STATION 21
10-016-55600
$115.21
3/5/2015
02698669 03/05
1838
3/20/2015
WASHING EQUIPMENT/SERVICE CENTER CAR WASH SUPP 10-016-55600
$178.90
3/5/2015
02698669 03/05
1838
3/20/2015
SEARS/DISHWASHER REPAIR STATION 10
10-016-55600
$95.97
3/5/2015
02698669 03/05
1838
3/20/2015
HOME DEPOT/MISC REPAIR SUPPLIES
10-016-55600
$72.39
3/5/2015
02698669 03/05
1838
3/20/2015
HOME DEPOT/MISC SHOP SUPPLIES.
10-016-57725
Shop Supplies-Facil
$60.53
3/5/2015
02698669 03/05
1838
3/20/2015
LOWES/COAT RACK ADMIN/ALARM
10-016-55600
3/5/2015
12474900 03/05
1841
3/20/2015
AMAZON/GARMINS FOR FLEET
10-010-57750
Small Equipment & Furniture-Fleet
3/5/2015
12474900 03/05
1841
3/20/2015
DICKIES/UNIFORM PANTS
10-008-58700
3/5/2015
12474900 03/05
1841
3/20/2015
AMAZON/SUPPLIES
10-008-54200
$78.60
3/5/2015
12474900 03/05
1841
3/20/2015
AMAZON/IPHONE CASE FOR SARAH COTTAR
10-008-56300
$29.86
3/5/2015
12474900 03/05
1841
3/20/2015
AMAZON/SHREDDER & 3 GARMINS
10-010-57750
$359.58
10-008-56300
$120.10
$34.78
$359.97
$82.22
3/5/2015
12474900 03/05
1841
3/20/2015
AMAZON/DESKTOP REFERENCE SET & CALCULATOR
10-008-56300
3/5/2015
11059090 03/05
1841
3/20/2015
FRED PRYOR CAREER TRACK/FMLA Seminar
10-025-58500
3/5/2015
11059090 03/05
1841
3/20/2015
ELI RESEARCH LLC WEBINAR
10-025-58500
$179.00
3/5/2015
11059090 03/05
1841
3/20/2015
FRED PRYOR/CAREER TRACK SEMINAR
10-025-58500
$149.00
3/5/2015
11059090 03/05
1841
3/20/2015
FRED PRYOR CAREER TRACK SEMINAR
10-025-58500
$149.00
3/5/2015
11059090 03/05
1841
3/20/2015
SHRM MEMBERSHIP/MARCY HICKS
10-025-54100
Dues/Subscriptions-Human
$190.00
3/5/2015
11059090 03/05
1841
3/20/2015
INDEED/JOB POSTING
10-025-57100
Professional Fees-Human
$185.97
3/5/2015
11059090 03/05
1841
3/20/2015
AMERICAN MGMT ASSOC/CRASH COURSE NEW MANAGE
10-025-58500
$149.00
3/5/2015
11639933 03/05
1841
3/20/2015
SHIPLEY DONUT/WOODLANDS MARATHON APPRECIATIO 10-007-54450
Employee Recognition-EMS
$42.37
3/5/2015
11639933 03/05
1841
3/20/2015
BROTHER'S PIZZA/WOODLANDS MARATHON APPRECIAT
$62.50
10-007-54450
$68.28
$199.00
Vendor Name
KARRER, ANDREW
KENNEDY, MICHAEL DR. KENNEDY CHIROPR
Invoice Date
Account No.
Account Description
3/5/2015
11639933 03/05
1841
3/20/2015
UNITED/BAGGAGE
10-004-58600
Travel Expenses-Radio
$25.00
3/5/2015
11639933 03/05
1841
3/20/2015
WEBEX
10-007-54100
Dues/Subscriptions-EMS
$96.34
3/5/2015
11639909 03/05
1841
3/20/2015
OFFICE DEPOT/OFFICE SUPPLIES
10-008-56300
3/5/2015
11639909 03/05
1841
3/20/2015
MEETING EXP/EMP APPREC LUNCHEON'S/ALARM
10-006-56100
Meeting Expenses-Alarm
3/5/2015
11639909 03/05
1841
3/20/2015
UNITED LOAS VEGAS/SUTTON/BURKETT/WOOD
10-006-58600
Travel Expenses-Alarm
3/5/2015
08689917 03/05
1841
3/20/2015
KROGER'S/COMPLIANCE FAIR TRAINING
10-026-58500
Training/Related Expenses-CE-Recor
3/5/2015
11942212 03/05
1841
3/20/2015
MAGNOLIA PARKWAY CHAMBER OF COMMERCE
10-001-54100
Dues/Subscriptions-Admin
$20.00
3/5/2015
11942212 03/05
1841
3/20/2015
COMMUNITY CHAMBER OF NEW CANEY
10-001-54100
$30.00
3/5/2015
11942212 03/05
1841
3/20/2015
HOBBY LOBBY/PRINTING FOR BULLETIN BOARD
10-007-57000
3/5/2015
11942212 03/05
1841
3/20/2015
TROPHY HOUSE/PLAQUES
10-025-54450
Employee Recognition-Human
3/5/2015
11942212 03/05
1841
3/20/2015
CVS/BULLINTIN BOARD SUPPLIES
10-007-57000
3/5/2015
11942212 03/05
1841
3/20/2015
SUBWAY/EMPLOYEE BDAY GIFT CARDS
10-025-54450
3/5/2015
11942212 03/05
1841
3/20/2015
SUBWAY/EMPLOYEE BDAY GIFT CARD
10-025-54450
$10.00
3/5/2015
10130025 03/05
1841
3/20/2015
CONSTANT CONTACT
10-001-54100
$21.32
3/5/2015
10130025 03/05
1841
3/20/2015
GREATER CONROE SUBSCRIPTION
10-001-54100
$20.00
3/5/2015
10130025 03/05
1841
3/20/2015
COMMUNITY CHAMBER OF COMMERCE
10-001-54100
$100.00
3/5/2015
10130025 03/05
1841
3/20/2015
CORNER BAKERY CAFE/EMS CE MEETING EXPENSE
10-007-56100
$332.69
3/5/2015
10130025 03/05
1841
3/20/2015
CORNER BAKERY/EMS CE MEETING EXPENSE
10-007-56100
$260.50
3/5/2015
10130025 03/05
1841
3/20/2015
THE TOASTED YOLK/MEETING EXPENSE/Randy
10-001-55900
Meals - Business and Travel-Admin
3/5/2015
10130025 03/05
1841
3/20/2015
WILD GINGER/MEETING EXPENSE/Randy
10-001-55900
3/5/2015
10130025 03/05
1841
3/20/2015
UNITED LAS VEGAS/KAREN WEBB
10-011-58600
3/5/2015
10130025 03/05
1841
3/20/2015
AMAZON/BOOKS
10-009-52600
Books/Materials-OMD
3/5/2015
01966430 03/05
1841
3/20/2015
AMAZON/OFFICE SUPPLIES
10-008-56300
3/5/2015
01966430 03/05
1841
3/20/2015
TROPHY HOUSE/EMPLOYEE NAME PLATE
10-008-56300
$8.50
3/5/2015
01966430 03/05
1841
3/20/2015
AMAZON/IPHONE CASE
10-008-56300
$41.96
3/5/2015
01966430 03/05
1841
3/20/2015
AMAZON/BOOK
10-008-56300
3/5/2015
01966430 003/05
1841
3/20/2015
AMAZON/PILL BOX
10-008-53900
3/5/2015
01966430 03/05
1841
3/20/2015
ELECTRONIC SECURITY/2 MEDISAFES
10-010-52755
3/5/2015
01966430 03/05
1841
3/20/2015
ALLEN EDMONDS/UNIFORMS
10-008-58700
$254.00
3/5/2015
01966430 03/05
1841
3/20/2015
JOHN WILEY & SONS/BOOKS
10-009-52600
Books/Materials-OMD
$168.82
3/5/2015
10051700 03/05
1841
3/20/2015
CONTINUING EDUCATION DALLAS, TX
10-007-58500
Training/Related Expenses-CE-EMS
$250.00
3/5/2015
10051700 03/05
1841
3/20/2015
FIRE SMART PROMOTIONS
10-007-55800
Marketing Materials-EMS
$340.00
3/5/2015
10051700 03/05
1841
3/20/2015
CORNER BAKERY/EMS CE MEETING EXPENSE
10-007-56100
$390.61
3/5/2015
10051700 03/05
1841
3/20/2015
MCKENZIE BBQ/EMS CE MEETING EXPENSE
10-007-56100
3/5/2015
10051700 03/05
1841
3/20/2015
SHERATON DALLAS TX, EMS CONFERENCE
10-007-58600
Travel Expenses-EMS
3/4/2015
2/16/2015
Invoice No.
KAR030415
KEN021615
Payment No.
81124
80967
3/4/2015
2/19/2015
PER DIEM/1115 WAIVER EVENT/AUSTIN, TX
WELLNESS PROGRAM/LAURIE SUTTON
10-039-55900
10-025-54350
Amount
$39.67
$334.63
$1,058.10
$7.98
$54.36
$481.00
$35.46
$250.00
$73.95
$39.40
$364.70
$20.75
$101.30
$5.20
$176.40
$2,481.00
$73.88
$2,773.52
Totals for JP MORGAN:
$23,114.07
Totals for KARRER, ANDREW:
$88.50
Meals - Business and Travel-Param
$88.50
Employee Health\Wellness-Human
$165.00
Totals for KENNEDY, MICHAEL DR. KENNEDY CHIROPRACTIC:
KENT, KARISA
LAKE SOUTH WATER SUPPLY CORPORATION
LINEBARGER GOGGAN BLAIR & SAMPSON, L
2/26/2015
2/23/2015
2/28/2015
KEN022615
1-00-00190-00
EMMOR01 02-28-15
81058
81184
81306
2/26/2015
3/6/2015
3/18/2015
STATION 45
GROSS COLLECTIONS FEE
10-000-21400
10-016-58800
10-011-52900
Accrued Payroll-BS
$154.28
Totals for KENT, KARISA:
$154.28
Totals for LAKE SOUTH WATER SUPPLY CORPORATION:
$99.70
Utilities-Facil
$99.70
Collection Fees-Bill
$8,319.65
Totals for LINEBARGER GOGGAN BLAIR & SAMPSON, LLP:
LOWE'S COMPANIES, INC.
$165.00
3/5/2015
02642170 03/05
1841
3/20/2015
LOWES/THERMOSTAT WIRE & SET SCREW CONNECTORS
10-004-57225
3/5/2015
02642170 03/05
1841
3/20/2015
LOWES/SHOP VAC
10-004-57900
3/5/2015
02642170 03/05
1841
3/20/2015
LOWES/RADIO REAPIRS
10-004-57225
3/5/2015
02698669 03/05
1838
3/20/2015
LOWES/EXTERIOR LIGHTS FOR STATION 14.
10-016-55600
$8,319.65
$40.07
$372.92
Totals for LOWE'S COMPANIES, INC.:
$53.44
$69.92
$536.35
Vendor Name
LSE CONTRACTORS, LLC
MAGNOLIA ISD (40)
MANCIA, OSCAR
MCMINN, JEREMY
METLIFE - GROUP BENEFITS
Invoice Date
Invoice No.
Payment No.
Account No.
Account Description
Amount
10-004-52754
2/16/2015
4617
81185
3/6/2015
MANUAL TRANSFERS SWITCH INSTALL @ MCHD
2/16/2015
4624
81258
3/12/2015
INSTALL 30 AMP CIRCUIT & TWIST LOCK RECEPTABLE IN 10-004-57200
$398.24
2/16/2015
4623
81258
3/12/2015
$398.24
2/16/2015
4621
81258
3/12/2015
$199.12
2/16/2015
4622
81258
3/12/2015
2/16/2015
4620
81185
3/6/2015
MANUAL TRANSFER SWITH INSTALL MAGNOLIA
2/16/2015
4619
81185
3/6/2015
MANUAL TRANSFER SWITCH AT ROBINSON
10-004-52754
$4,986.00
2/16/2015
4618
81258
3/12/2015
MANUAL TRANSFER SWITCH INSTALL THOMPSON
10-004-57200
$4,986.00
2/26/2015
4639
Pending
3/28/2015
REPLACE EXISTING EXTERIOR LIGHTING
10-004-57225
$185.00
2/26/2015
4640
Pending
3/28/2015
10-004-57225
$185.00
2/26/2015
4641
Pending
3/28/2015
10-004-57225
2/20/2015
2/18/2015
2/18/2015
3/4/2015
MARCH 2015-032
MAN021815
MCM021815
KM05913104
81018
80987
81062
1831
2/20/2015
2/19/2015
2/26/2015
3/4/2015
STATION 40 LEASE
PER DIEM/EVT CONF & TESTING
METLIFE DENTAL, LIFE & AD&D MARCH 2015
10-004-52754
10-000-14900
10-007-56200
10-010-55900
$185.00
$19,399.84
Totals for MAGNOLIA ISD (40):
$500.00
Totals for MANCIA, OSCAR:
$24.32
Totals for MCMINN, JEREMY:
$319.50
Prepaid Expenses-BS
$500.00
$24.32
$319.50
10-001-51700
10-002-51700
Health & Dental-PA
$704.83
10-004-51700
$440.04
10-005-51700
$443.15
10-006-51700
$2,353.79
10-007-51700
Health & Dental-EMS
$16,842.45
10-008-51700
$679.43
10-009-51700
Health & Dental-OMD
$718.25
10-010-51700
10-011-51700
10-015-51700
$513.55
10-016-51700
$415.85
10-025-51700
$546.86
10-026-51700
$101.79
10-027-51700
$135.74
10-039-51700
$495.72
$1,207.90
$706.81
$1,157.81
2/17/2015
215073
81063
2/26/2015
SMART CARDS & KEYS
10-016-57725
Shop Supplies-Facil
2/19/2015
215078
81063
2/26/2015
ACCESS CONTROL INSTALLATION MAGNOLIA TOWER
10-004-52754
2/19/2015
215077
81063
2/26/2015
CAMERA INSTALL FOR MAGNOLIA TOWER
10-004-52754
2/25/2015
313046001
81259
3/12/2015
STATION 45
10-016-58800
Utilities-Facil
$1,200.00
$3,733.80
$5,723.80
$206.00
Totals for MID-SOUTH SYNERGY:
MILLER UNIFORMS & EMBLEMS, INC.
$27,463.97
$790.00
Totals for MICRO INTEGRATION & PROGRAMMING SOLUTIONS, INC.:
MID-SOUTH SYNERGY
$398.24
$4,986.00
Totals for LSE CONTRACTORS, LLC:
Totals for METLIFE - GROUP BENEFITS:
MICRO INTEGRATION & PROGRAMMING SOL
$2,493.00
$206.00
3/5/2015
2614
81260
3/12/2015
UNIFORMS
10-008-58700
3/3/2015
3318
81260
3/12/2015
UNIFORMS
10-008-58700
$10.97
2/16/2015
3936
81260
3/12/2015
UNIFORMS
10-008-58700
$118.60
2/16/2015
3940
Pending
3/18/2015
UNIFORMS
10-008-58700
$688.49
2/16/2015
3932
81260
3/12/2015
UNIFORMS
10-008-58700
$52.50
2/16/2015
3933
81260
3/12/2015
UNIFORMS
10-008-58700
Totals for MILLER UNIFORMS & EMBLEMS, INC.:
$208.50
$58.62
$1,137.68
Vendor Name
MILSTEAD GLASS CO., INC.
MONTGOMERY COUNTY ESD #1 (STN 13)
MONTGOMERY COUNTY ESD #10, STN 42
Invoice Date
2/24/2015
2/20/2015
2/20/2015
Invoice No.
20150960
MARCH 2015-114
MARCH 2015-098
Payment No.
81188
81019
81020
3/6/2015
2/20/2015
2/20/2015
WINDSHIELD
STATION 13 RENT
STATION 42 RENT
Account No.
Account Description
10-010-59000
10-000-14900
10-000-14900
Amount
$279.00
Totals for MILSTEAD GLASS CO., INC.:
$279.00
Totals for MONTGOMERY COUNTY ESD #1 (STN 13):
$1,025.00
Prepaid Expenses-BS
$1,025.00
Prepaid Expenses-BS
$950.00
Totals for MONTGOMERY COUNTY ESD #10, STN 42:
2/20/2015
MARCH 2015-121
81021
2/20/2015
STATION 34 RENT
10-000-14900
Prepaid Expenses-BS
$900.00
MONTGOMERY COUNTY ESD #8, STN 21/22
2/20/2015
MARCH 2015-122
81022
2/20/2015
STATION 21 & 22 RENT
10-000-14900
Prepaid Expenses-BS
2/20/2015
MARCH 2015-121
81021
2/20/2015
STATION 33 RENT
10-000-14900
Prepaid Expenses-BS
2/20/2015
MARCH 2015-121
81021
2/20/2015
STATION 12 RENT
10-000-14900
Prepaid Expenses-BS
2/25/2015
MARCH 2015-001
81027
2/25/2015
RENT STATION 46
10-000-14900
Prepaid Expenses-BS
3/11/2015
CM10402505
CREDIT/TAX
10-008-53900
2/26/2015
98554370
81261
3/12/2015
MEDICAL SUPPLIES
10-008-53900
2/25/2015
82685405
81261
3/12/2015
MEDICAL SUPPLIES
10-008-53900
MUD #39
NAPA AUTO PARTS
NEW CANEY MUD
NEW LONDON TECHNOLOGY, INC.
3/9/2015
2/28/2015
2/18/2015
2/27/2015
6922
10-0009-01
196542
1-04-28262-00
81262
81263
81105
81190
3/12/2015
3/12/2015
2/26/2015
3/6/2015
ANNUAL INSPECTION/SERVICE ON 5LBS FIRE EXT.
STATION 20
DRIVE SHAFT
STATION 30
10-008-57650
10-016-58800
10-010-59050
10-016-58800
($154.12)
$2,057.64
Repair-Equipment-Matls. Mgmt.
$117.00
$117.00
Totals for MUD #39:
$224.42
Utilities-Facil
$224.42
Vehicle-Parts-Fleet
$358.10
Totals for NAPA AUTO PARTS:
$412.10
Totals for NEW CANEY MUD:
$49.68
Utilities-Facil
$49.68
2/27/2015
AB-0502
81264
3/12/2015
RADIO REPAIR S/N 120967297 (33341)
10-004-57200
2/27/2015
AB-0503
81264
3/12/2015
RADIO REPAIR S/N 120967271
10-015-57200
Radio Repairs - Outsourced (Depot)-Information Technology
NIC021815
80970
2/19/2015
10-001-56200
Mileage Reimbursements-Admin
$121.61
NIC030615
81129
3/5/2015
PER DIEM/EMERG MGNT PIO TRAINING 05/03-05/08-2015
10-000-14900
Prepaid Expenses-BS
$638.91
2/25/2015
NSP022515
81065
2/26/2015
MEMBERSHIP 2015-JENNIFER NICHOLS
10-001-54100
3/1/2015
NUT022515
81106
2/26/2015
EMS LEADERSHIP ACADEMY/LAS VEGAS
10-007-55900
2/24/2015
42447967
81192
3/6/2015
ELLIS, ASHLEY WK ENDING 02/20/15 40 HRS
10-025-57100
$760.52
$30.00
$30.00
$318.50
Totals for NUTT, KEVIN L.:
OFFICE TEAM a Robert Half Co
$1,122.04
$2,244.08
3/6/2015
Totals for NORTH SHORE REPUBLICAN WOMEN:
NUTT, KEVIN L.
$1,122.04
2/18/2015
Totals for NICHOLS-CONTELLA, JENNIFER:
NORTH SHORE REPUBLICAN WOMEN
$3,787.04
Totals for MOSLEY FIRE AND SAFETY, INC:
Totals for NEW LONDON TECHNOLOGY, INC.:
NICHOLS-CONTELLA, JENNIFER
$600.00
$1,883.52
Totals for MOORE MEDICAL CORP.:
MOSLEY FIRE AND SAFETY, INC
$950.00
$600.00
Totals for MONTGOMERY COUNTY ESD#3 (#46):
MOORE MEDICAL CORP.
$850.00
$950.00
Totals for MONTGOMERY COUNTY ESD 12, STN 12:
MONTGOMERY COUNTY ESD#3 (#46)
$1,600.00
$850.00
MONTGOMERY COUNTY ESD 12, STN 12
$900.00
$1,600.00
Totals for MONTGOMERY COUNTY ESD #8, STN 21/22:
$950.00
$318.50
$785.20
Vendor Name
Invoice Date
Invoice No.
Payment No.
Account No.
Account Description
Amount
Totals for OFFICE TEAM a Robert Half Co:
OGH SERVICE CO. INC
2/27/2015
34231
81307
3/18/2015
BOILER SERVICE REPAIR
10-016-55600
$1,382.00
Totals for OGH SERVICE CO. INC:
OPTIMUM COMPUTER SOLUTIONS, INC.
INV0000070279
81193
3/6/2015
SERVICE LABOR
10-015-57100
Professional Fees-Information Technology
$783.75
2/17/2015
INV0000070285
81193
3/6/2015
SERVICE LABOR
10-015-57100
$783.75
2/17/2015
INV0000070289
81193
3/6/2015
SERVICE LABOR
10-015-57100
$142.50
2/17/2015
INV0000070290
81193
3/6/2015
SERVICE LABOR
10-015-57100
$71.25
2/19/2015
INV0000070313
81193
3/6/2015
TIER 2 SERVICE
10-015-57100
$807.50
2/18/2015
INV0000070318
81193
3/6/2015
TIER 2 SERVICE
10-015-57100
$522.50
2/17/2015
INV0000070321
81193
3/6/2015
TIER 2 SERVICE
10-015-57100
$760.00
2/16/2015
INV0000070322
81193
3/6/2015
TIER 2 SERVICE
10-015-57100
$1,068.75
2/20/2015
INV0000070335
81194
3/6/2015
SERVICE LABOR
10-015-57100
$47.50
2/19/2015
INV0000070341
81194
3/6/2015
SERVICE LABOR
10-015-57100
$783.75
2/23/2015
INV0000070376
81194
3/6/2015
SERVICE LABOR
10-015-57100
$783.75
2/16/2015
INV0000070273
Pending
2/16/2015
SERVICE LABOR
10-015-57100
$807.50
OPT101022715
1834
2/27/2015
EMPLOYEE HSA ET FUNDING
10-000-21595
P/R-Health Savings-BS-BS
2/27/2015
OPT022715
1835
2/27/2015
EMPLOYER HSA ET FUNDING
10-001-51700
$6,721.62
$125.00
10-002-51700
Health & Dental-PA
$375.00
10-004-51700
$187.50
10-005-51700
$187.50
10-005-51700
$3,500.00
10-007-51700
Health & Dental-EMS
$5,562.50
10-008-51700
$187.50
10-009-51700
Health & Dental-OMD
$312.50
10-010-51700
$312.50
10-011-51700
$437.50
10-015-51700
$250.00
10-016-51700
$125.00
10-025-51700
$187.50
10-026-51700
$125.00
10-027-51700
$62.50
10-039-51700
$125.00
3/2/2015
CS7503
81196
3/6/2015
FURNISH THE LABOR-ADJUSTMENT ON DOOR
10-016-55600
PANORAMA, CITY OF
PAYOR LOGIC, INC.
PAYSCALE, INC
PERFORMANCE TINTERS
2/22/2015
05B0123390957
81197
3/6/2015
STATION MCHD CAMPUS
10-016-58800
Utilities-Facil
2/16/2015
05B0123393332
81199
3/6/2015
STATION 30
10-016-58800
Utilities-Facil
2/27/2015
3/3/2015
3/1/2015
2/18/2015
102-01590-06
3559
58996
8237
81200
81308
81265
81108
3/6/2015
3/18/2015
3/12/2015
2/26/2015
STATION 14
MONTHLY FEE PAYMENT ADVISOR ADDRESS CHECKER
MARKET RATE SUBSCRIPTION
WINDOW TINT
10-016-58800
10-011-52900
10-025-54100
10-010-52755
$18,784.12
$185.00
Totals for OVERHEAD DOOR COMPANY of CONROE:
OZARKA
$7,362.50
2/27/2015
Totals for OPTUM HEALTH BANK:
OVERHEAD DOOR COMPANY of CONROE
$1,382.00
2/17/2015
Totals for OPTIMUM COMPUTER SOLUTIONS, INC.:
OPTUM HEALTH BANK
$785.20
$185.00
$27.88
$41.34
Totals for OZARKA:
$69.22
Totals for PANORAMA, CITY OF:
$51.32
Totals for PAYOR LOGIC, INC.:
$1,329.00
Totals for PAYSCALE, INC:
$1,895.00
Totals for PERFORMANCE TINTERS:
$360.00
Utilities-Facil
$51.32
$1,329.00
$1,895.00
$360.00
Vendor Name
PITNEY BOWES GLOBAL FINANCIAL SVCS LL
Invoice Date
2/16/2015
Invoice No.
47536271
Payment No.
81109
2/26/2015
ACCT# 21459094864
Account No.
Account Description
10-008-56900
Postage-Meter
Amount
$2,072.14
Totals for PITNEY BOWES GLOBAL FINANCIAL SVCS LLC:
POINT RECOGNITION
2/28/2015
22421
81201
3/6/2015
EMPLOYEE AWARD FROM BOARD
10-025-54450
$96.68
Totals for POINT RECOGNITION:
PRE CHECK, INC.
PRECISION PRINTING
PRESS GANEY ASSOCIATES, INC.
PRIME DX
QUEST DIAGNOSTIC
RELIANT ENERGY
REVSPRING, INC.
S.A.F.E. DRUG TESTING
SAFETY-KLEEN CORP.
SPLENDORA, CITY OF
SPOK - USA MOBILITY WIRELESS, INC
STERICYCLE, INC
2/25/2015
0021042-CM
2/28/2015
9147891
2/24/2015
2/28/2015
60904
INV000093201
81202
81266
Pending
3/6/2015
3/12/2015
3/30/2015
CREDIT
10-025-57300
ACCOUNT # 1213
10-025-57300
WHITE WOVE RIGHT WINDOW ENVELOPES
CONTRACT TERM 11/1/14-10/31/15
10-011-57000
10-002-53550
$2,072.14
$96.68
($125.00)
$136.00
Totals for PRE CHECK, INC.:
$11.00
Totals for PRECISION PRINTING:
$181.76
Totals for PRESS GANEY ASSOCIATES, INC.:
$316.39
Printing Services-Bill
$181.76
Customer Relations-PA
$316.39
3/1/2015
183
Pending
3/16/2015
PHYSICAN REVIEW 02/24/15--1147
10-002-55700
Management Fees-PA
$63.00
3/1/2015
167
Pending
3/16/2015
PHYSICIAN REVIEW 02/17/14--4389
10-002-55700
Management Fees-PA
$63.00
3/1/2015
156
Pending
3/16/2015
PHYSICIAN REVIEW 02/05/14--2223
10-002-55700
Management Fees-PA
3/4/2015
9157294225
81205
3/6/2015
CLIENT # 05931100
10-002-57850
$63.00
Totals for PRIME DX:
$189.00
Totals for QUEST DIAGNOSTIC:
$2,198.57
Specialty Healthcare Providers-PA
$2,198.57
3/4/2015
70448524-2
81269
3/12/2015
MAGNOLIA TOWER
10-004-58800
Utilities-Radio
$20.33
3/4/2015
70461539-2
81270
3/12/2015
MAGNOLIA TOWER
10-004-58800
Utilities-Radio
$573.22
3/4/2015
70367171-9
81271
3/12/2015
STATION 40
10-016-58800
Utilities-Facil
$477.85
3/4/2015
9112370-3
81272
3/12/2015
STATION 40
10-016-58800
Utilities-Facil
$39.20
3/4/2015
70332033-3
81273
3/12/2015
STATION 40
10-016-58800
Utilities-Facil
2/28/2015
3/2/2015
2/19/2015
2/25/2015
2/28/2015
DSI1185329
9408
66236333
1-01-01350-00
Y2075033C
3/1/2015
CM4005402145
3/1/2015
4005402145
81309
81274
81070
81276
81211
81112
3/18/2015
3/12/2015
2/26/2015
3/12/2015
3/6/2015
2/26/2015
MAILING FEE/ACCT PPMCHD01
02/01/2015-02/28/2015
SAFETY KLEEN PARTS WASHER FLUID REMOVAL
STATION 31
ACCT# 0275033-9
10-011-57100
10-025-57300
10-010-54500
10-016-58800
10-007-56700
$57.26
Totals for RELIANT ENERGY:
$1,167.86
Totals for REVSPRING, INC.:
$5,037.53
Totals for S.A.F.E. DRUG TESTING:
$925.00
Totals for SAFETY-KLEEN CORP.:
$139.92
Totals for SPLENDORA, CITY OF:
$73.24
Totals for SPOK - USA MOBILITY WIRELESS, INC:
$434.48
$5,037.53
$925.00
Equipment Rental-Fleet
$139.92
Utilities-Facil
$73.24
Paging System-EMS
$434.48
CREDIT
10-008-52500
Bio-Waste Removal-Mater
ACCT# 2055356
10-008-52500
($184.03)
$180.47
10-008-52500
$1,093.89
10-008-52500
$75.78
10-008-52500
$75.78
10-008-52500
$136.39
10-008-52500
$75.78
10-008-52500
$168.92
10-008-52500
$71.45
10-008-52500
$75.78
10-008-52500
$116.18
Vendor Name
Invoice Date
2/28/2015
Invoice No.
4005439456
Payment No.
81277
3/12/2015
STATION 34
Account No.
Account Description
10-008-52500
Amount
$75.78
10-008-52500
$75.78
10-008-52500
$75.78
10-008-52500
$75.78
10-008-52500
$116.18
Totals for STERICYCLE, INC:
STEWART ORGANIZATION
STROUHAL TIRE
STRYKER SALES CORPORATION
2/28/2015
908427
81212
3/6/2015
ACCT# 1110518
10-015-55400
2/28/2015
908426
81212
3/6/2015
ACCT# 1110518
10-015-55400
$5.24
2/28/2015
908428
81212
3/6/2015
ACCT# 1110518
10-015-55400
$2,268.72
2/18/2015
2/16/2015
015957-08
1654812
81213
Pending
3/6/2015
3/18/2015
12 AMBULANCE TIRES
SERVICE CONTRACT FOR STRYKER COTS
10-010-59150
10-008-55650
$67.52
Totals for STEWART ORGANIZATION:
$2,341.48
Totals for STROUHAL TIRE:
$2,208.00
Vehicle-Tires-Fleet
$2,208.00
Maintenance-Contract Equipment-Mater
$26,563.35
Totals for STRYKER SALES CORPORATION:
SUDDENLINK
1400 SO LOOP 336
81005
2/19/2015
MCHD CAMPUS / ACCT# 1000001-8605-714445701
10-015-58310
2/21/2015
1818 LEAGUE LINE R
81006
2/19/2015
STATION 14/ACCT# 1000001-8605-717712401
10-016-58800
Utilities-Facil
$169.57
10-015-58310
$69.95
$103.98
$43.37
2/24/2015
21084 LOOP 494
81278
3/12/2015
STN 30 /ACCT# 100001-8638-719772101
10-015-58310
2/24/2015
200 S KENNEDY ST
81279
3/12/2015
STN 13/ACCT# 100001-8605-709532001
10-015-58310
$128.42
SUL022015
81074
2/26/2015
10-010-56200
Mileage Reimbursements-Fleet
$19.03
2/24/2015
SUL1042015-02
81214
3/6/2015
10-010-56200
$60.78
2/18/2015
2/25/2015
60789973
60790005
81115
81216
2/26/2015
3/6/2015
BLANKETS
BLANKETS
10-008-53800
Disposable Linen-Mater
10-008-53900
10-008-53800
3/4/2015
3/11/2015
TCD030415
TCD031115
1832
1837
3/4/2015
3/11/2015
TCDRS FEBRUARY TRANSMISSION
FEBRUARY TRANSMISSION
10-000-21650
$617.00
$1,970.50
$99,373.72
TCDRS Defined Benefit Plan-BS
$104,768.29
10-000-21650
$210.09
10-000-21650
$221.49
2/24/2015
295355
Pending
3/26/2015
BASE STATION ANTENNA
10-004-57725
Shop Supplies-Radio
2/24/2015
295354
Pending
3/26/2015
BASE STATION ANTENNA
10-004-57725
Shop Supplies-Radio
Totals for TESSCO TECHNOLOGIES INC.:
TEXAS ASSOC. OF EMERGENCY VEHICLE TEC
3/5/2015
07540244 03/05
1841
3/20/2015
REGISTRATION FEE 2015 SW EVT TRAINING CONF
10-010-58500
Totals for TEXAS ASSOC. OF EMERGENCY VEHICLE TECHNICIANS:
TEXAS WORKFORCE COMMISSION
2/20/2015
99-991956-1
1823
1/30/2015
REIMBURSABLE UNEMPLOYMENT QRT DEC 31,14
10-025-51800
Unemployment Ins.-Human
Totals for TEXAS WORKFORCE COMMISSION:
THE WOODLANDS TOWNSHIP (23/24/29)
2/20/2015
MARCH 2015-118
81025
2/20/2015
STATION 23, 24, & 25 RENT
2/24/2015
TRA022415
81075
2/26/2015
WELLNESS PROGRAM/MASSAGE
$204,573.59
$379.67
$272.25
$651.92
$299.00
$299.00
$7,470.00
$7,470.00
10-000-14900
Prepaid Expenses-BS
$1,000.00
10-000-14900
Prepaid Expenses-BS
$1,000.00
10-000-14900
Prepaid Expenses-BS
Totals for THE WOODLANDS TOWNSHIP (23/24/29):
TRAINOR, SHAWN
$3,307.50
Totals for TCDRS:
TESSCO TECHNOLOGIES INC.
$79.81
$720.00
Totals for TAYLOR HEALTHCARE PRODUCTS, INC.:
TCDRS
$515.29
2/20/2015
Totals for SULLIVAN, WAYDE:
TAYLOR HEALTHCARE PRODUCTS, INC.
$26,563.35
2/21/2015
Totals for SUDDENLINK:
SULLIVAN, WAYDE
$2,305.69
10-025-54350
$1,000.00
$3,000.00
$25.00
Vendor Name
Invoice Date
Invoice No.
Payment No.
Account No.
Account Description
Amount
Totals for TRAINOR, SHAWN:
U-SELECT-IT CORPORATION
2/27/2015
58821275
Pending
3/27/2015
ANNUAL RENEWAL OF MONT SOFTWARE 21615861
10-015-53050
Totals for U-SELECT-IT CORPORATION:
WASTE MANAGEMENT OF TEXAS
3/1/2015
5200385-1792-3
1836
3/1/2015
ACCT# 792-0082477-1792-2
WEBB, KAREN
2/26/2015
3/1/2015
WILLIAMS SCOTSMAN
WAT022615
WEB021215
81120
81116
2/27/2015
2/26/2015
AMB BILLER & CODER CONFERENCE/LAS VEGAS
10-016-58800
Utilities-Facil
$110.90
Utilities-Facil
$116.74
10-016-58800
Utilities-Facil
$116.74
10-016-58800
Utilities-Facil
$117.42
10-016-58800
Utilities-Facil
$684.99
10-016-58800
Utilities-Facil
$113.34
10-016-58800
Utilities-Facil
$117.42
10-016-58800
Utilities-Facil
$117.42
10-016-58800
Utilities-Facil
($76.91)
10-000-21400
10-011-55900
Accrued Payroll-BS
$138.39
$138.39
Totals for WEBB, KAREN:
$407.50
Meals - Business and Travel-Bill
3/3/2015
98190014
81299
3/12/2015
STATION 21 - KNOCKDOWN & RETURN FREIGHT
10-016-57500
Rent-Facil
2/22/2015
98167722
81299
3/12/2015
STATION 40
10-016-57500
Rent-Facil
2/24/2015
WIL022415
81026
2/24/2015
ONLINE COMPLIANCE WEBINAR
10-002-58500
$407.50
$1,320.00
$1,271.31
Training/Related Expenses-CE-PA
2/20/2015
WRI022015
1829
2/20/2015
ACCT# 5974
10-010-54700
Fuel-Fleet
3/2/2015
WRI030215
1833
3/2/2015
ACCT# 5974
10-010-54700
Fuel-Fleet
$8,576.64
2/17/2015
2213407
81220
3/6/2015
MEDICAL SUPPLIES
10-008-54200
2/18/2015
2213731
81281
3/12/2015
MEDICAL SUPPLIES
10-008-54200
Totals for ZOLL MEDICAL CORPORATION:
Account Summary
Account Number
Description
$116.10
$11,860.14
Totals for WRIGHT EXPRESS-FLEET FUEL:
ZOLL MEDICAL CORPORATION
$2,591.31
$116.10
Totals for WILSON, PENNY:
WRIGHT EXPRESS-FLEET FUEL
$1,418.06
Totals for WATSON, OKEIA:
Totals for WILLIAMS SCOTSMAN:
WILSON, PENNY
$2,400.00
$2,400.00
10-016-58800
Totals for WASTE MANAGEMENT OF TEXAS:
WATSON, OKEIA
$25.00
Net Amount
10-000-14900
Prepaid Expenses-BS
$13,633.11
10-000-21400
Accrued Payroll-BS
$1,097.35
10-000-21595
P/R-Health Savings-BS-BS
10-000-21650
10-001-51700
10-001-54100
10-001-55500
Legal Fees-Admin
10-001-55900
10-001-56200
Mileage Reimbursements-Admin
$121.61
10-001-58600
Travel Expenses-Admin
($330.18)
10-002-51700
Health & Dental-PA
10-002-53550
Customer Relations-PA
10-002-55700
Management Fees-PA
$2,342.00
10-002-57100
Professional Fees-PA
$250.00
$6,721.62
$204,573.59
$7,854.83
$221.32
$1,521.00
$113.35
$12,275.51
$316.39
$20,436.78
$143.46
$474.41
$617.87
Vendor Name
Invoice Date
Invoice No.
Payment No.
Account No.
Account Description
Amount
10-002-57850
Specialty Healthcare Providers-PA
$2,198.57
10-002-58500
Training/Related Expenses-CE-PA
10-004-51700
$4,863.14
10-004-52754
$28,991.30
10-004-55600
$6,174.93
10-004-55900
Meals - Business and Travel-Radio
10-004-57100
Professional Fees-Radio
10-004-57200
$8,707.19
10-004-57225
$1,014.38
10-004-57700
Shop Tools-Radio
10-004-57725
Shop Supplies-Radio
10-004-57750
Small Equipment & Furniture-Radio
$3,035.00
10-004-57900
$1,112.60
10-004-58500
Training/Related Expenses-CE-Radio
$2,000.00
10-004-58600
Travel Expenses-Radio
10-004-58800
Utilities-Radio
$3,615.52
10-005-51700
$7,790.21
10-005-52100
Accounting/Auditing Fees-Accou
$3,590.00
10-005-58500
10-006-51700
10-006-56100
Meeting Expenses-Alarm
10-006-58600
Travel Expenses-Alarm
$1,058.10
10-007-51700
Health & Dental-EMS
$188,423.98
10-007-54100
Dues/Subscriptions-EMS
$96.34
10-007-54450
$104.87
10-007-55800
Marketing Materials-EMS
$340.00
10-007-55900
10-007-56100
10-007-56200
$64.57
10-007-56700
Paging System-EMS
$434.48
10-007-57000
$182.82
10-007-58500
Training/Related Expenses-CE-EMS
10-007-58600
Travel Expenses-EMS
$2,773.52
10-008-51700
$8,126.30
10-008-52500
$2,305.69
10-008-53800
$2,690.50
10-008-53900
$18,143.84
10-008-54000
Drug Supplies-Mater
$3,204.17
10-008-54200
$2,236.37
10-008-55650
Maintenance-Contract Equipment-Mater
$26,563.35
10-008-56300
$1,477.05
10-008-56600
$1,668.95
10-008-56900
Postage-Meter
$2,072.14
10-008-57650
Repair-Equipment-Matls. Mgmt.
10-008-57900
$2,317.69
10-008-58700
$2,147.35
10-009-51700
Health & Dental-OMD
$6,718.07
10-009-52600
Books/Materials-OMD
$604.57
10-009-58600
Travel Expenses-OMD
$38.25
10-010-51700
$7,350.64
10-010-52755
10-010-54500
Equipment Rental-Fleet
10-010-54700
Fuel-Fleet
10-010-54800
Hazardous Waste Removal-Fleet
$35.00
10-010-55100
$362.82
10-010-55900
$347.14
10-010-56200
$79.81
$116.10
$23.23
$22,000.00
$117.41
$651.92
$25.00
($211.00)
$24,503.08
$334.63
$637.00
$2,691.55
$250.00
$117.00
$244,720.30
$139.92
$20,436.78
Vendor Name
Invoice Date
Invoice No.
Payment No.
Account No.
Account Description
Amount
10-010-56600
Oxygen & Gases-Fleet
$58.42
10-010-57700
Shop Tools-Fleet
$24.48
10-010-57725
Shop Supplies-Fleet
$88.05
10-010-57750
$719.55
10-010-58500
$399.00
10-010-58600
Travel Expenses-Fleet
$200.00
10-010-58900
Vehicle-Batteries-Fleet
$2,463.33
10-010-59000
10-010-59050
Vehicle-Parts-Fleet
10-010-59150
Vehicle-Tires-Fleet
$2,983.62
10-011-51700
$10,758.65
10-011-52900
$9,648.65
10-011-55900
Meals - Business and Travel-Bill
10-011-57000
Printing Services-Bill
$181.76
10-011-57100
$5,349.53
10-011-58500
Training/Related Expenses-CE-Bill
10-011-58600
10-015-51700
$4,638.23
10-015-52754
$7,993.82
10-015-53000
Computer Maintenance-Information Technology
10-015-53050
$15,026.27
10-015-53100
$1,473.00
10-015-55400
$5,977.84
10-015-56200
Mileage Reimbursements-Information Technology
10-015-57100
$7,362.50
10-015-57200
Radio Repairs - Outsourced (Depot)-Information Technology
$1,122.04
10-015-58310
$9,827.01
10-015-58320
10-016-51700
$5,649.86
10-016-55600
$15,562.14
10-016-57500
Rent-Facil
$2,591.31
10-016-57700
Shop Tools-Facil
10-016-57725
Shop Supplies-Facil
10-016-57750
Small Equipment & Furniture-Facil
$1,817.50
10-016-58800
Utilities-Facil
$19,418.55
10-025-51700
$4,023.65
10-025-51800
Unemployment Ins.-Human
$7,470.00
10-025-54100
$2,085.00
10-025-54350
$190.00
10-025-54450
$837.68
10-025-57100
$971.17
10-025-57300
$1,095.23
10-025-58500
10-026-51700
$550.45
$9,857.35
$407.50
$299.00
$564.06
$95.00
$8.05
$813.09
$207.79
$1,126.29
$924.00
$2,497.59
10-026-56200
Mileage Reimbursements-Recor
10-026-58500
Training/Related Expenses-CE-Recor
10-027-51700
$1,802.12
10-039-51700
$6,490.86
10-039-55900
Meals - Business and Travel-Param
GRAND TOTAL:
$52.22
$7.98
$88.50
$1,096,125.33
Bank Register - Operating Acct-WF
Patient Refunds - One Time Checks (02/15/2015 - 03/20/2015)
Transaction No.
Source
Transaction
Transaction
Type
Date
Vendor Name
Payments
$89.03
Status
Cleared
Outstanding
Post Date
81282
Accounts Pay able
Computer Check
3/13/15 AETNA (POB 14079)
3/19/15
81283
Accounts Pay able
Computer Check
3/13/15 AETNA (POB 14079)
$100.62
Outstanding
3/19/15
81284
Accounts Pay able
Computer Check
3/13/15 AMERIGROUP (POB 933657)
$100.84
Outstanding
3/19/15
81285
Accounts Pay able
Computer Check
3/13/15 CITY OF LEAGUE CITY
$9.74
Outstanding
3/19/15
81285
Accounts Pay able
Computer Check
$29.22
Outstanding
3/19/15
81285
Accounts Pay able
Computer Check
$48.70
Outstanding
3/19/15
81285
Accounts Pay able
Computer Check
$48.70
Outstanding
3/19/15
81285
Accounts Pay able
Computer Check
$48.70
Outstanding
3/19/15
81286
Accounts Pay able
Computer Check
3/13/15 COMMUNITY HEALTH CHOICE (POB 4605)
$190.09
Outstanding
3/19/15
81287
Accounts Pay able
Computer Check
3/13/15 CONVENTRY ADVANTRA FREEDOM
$217.41
Outstanding
3/19/15
81298
Accounts Pay able
Computer Check
3/13/15 MOLINA HEATHCARE OF TEXAS
$293.71
Outstanding
3/19/15
81289
Accounts Pay able
Computer Check
$293.71
Outstanding
3/19/15
81290
Accounts Pay able
Computer Check
$107.74
Outstanding
3/19/15
81291
Accounts Pay able
Computer Check
$269.44
Outstanding
3/19/15
81292
Accounts Pay able
Computer Check
$180.18
Outstanding
3/19/15
81293
Accounts Pay able
Computer Check
$130.59
Outstanding
3/19/15
81294
Accounts Pay able
Computer Check
$33.06
Outstanding
3/19/15
81295
Accounts Pay able
Computer Check
$279.36
Outstanding
3/19/15
81296
Accounts Pay able
Computer Check
$184.50
Outstanding
3/19/15
81297
Accounts Pay able
Computer Check
3/13/15 TEXAS CHILDREN'S HEALTH (POB 841976)
Total
$167.79
$2,823.13
Outstanding
3/19/15
Bank Register - Operating Acct-WF
Patient Refunds - One Time Checks (02/15/2015 - 03/20/2015)
Transaction No.
Source
Transaction
Transaction
Type
Date
Vendor Name
Payments
$89.03
Status
Cleared
Outstanding
Post Date
81282
Accounts Pay able
Computer Check
3/13/15 AETNA (POB 14079)
3/19/15
81283
Accounts Pay able
Computer Check
3/13/15 AETNA (POB 14079)
$100.62
Outstanding
3/19/15
81284
Accounts Pay able
Computer Check
3/13/15 AMERIGROUP (POB 933657)
$100.84
Outstanding
3/19/15
81285
Accounts Pay able
Computer Check
$9.74
Outstanding
3/19/15
81285
Accounts Pay able
Computer Check
$29.22
Outstanding
3/19/15
81285
Accounts Pay able
Computer Check
$48.70
Outstanding
3/19/15
81285
Accounts Pay able
Computer Check
$48.70
Outstanding
3/19/15
81285
Accounts Pay able
Computer Check
$48.70
Outstanding
3/19/15
81286
Accounts Pay able
Computer Check
3/13/15 COMMUNITY HEALTH CHOICE (POB 4605)
$190.09
Outstanding
3/19/15
81287
Accounts Pay able
Computer Check
3/13/15 CONVENTRY ADVANTRA FREEDOM
$217.41
Outstanding
3/19/15
81298
Accounts Pay able
Computer Check
$293.71
Outstanding
3/19/15
81289
Accounts Pay able
Computer Check
$293.71
Outstanding
3/19/15
81290
Accounts Pay able
Computer Check
$107.74
Outstanding
3/19/15
81291
Accounts Pay able
Computer Check
$269.44
Outstanding
3/19/15
81292
Accounts Pay able
Computer Check
$180.18
Outstanding
3/19/15
81293
Accounts Pay able
Computer Check
$130.59
Outstanding
3/19/15
81294
Accounts Pay able
Computer Check
$33.06
Outstanding
3/19/15
81295
Accounts Pay able
Computer Check
$279.36
Outstanding
3/19/15
81296
Accounts Pay able
Computer Check
$184.50
Outstanding
3/19/15
81297
Accounts Pay able
Computer Check
3/13/15 TEXAS CHILDREN'S HEALTH (POB 841976)
Total
$167.79
$2,823.13
Outstanding
3/19/15
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., February 24, 2015 in the Administrative offices of the Montgomery County
Hospital District, 1400 South Loop 336 West, Conroe, Montgomery County, Texas.
1. Call to Order
Meeting called to order at 4:00 p.m.
2. Invocation
Led by Mr. Bagley
3. Pledge of Allegiance
Led by Mr. Fawn
4. Roll Call
Present:
Bob Bagley
Mark Cole
Kenn Fawn
Sandy Wagner
Harold Posey
Not Present:
Chris Grice
Georgette Whatley
5. Public Comment
There were no comments from the public.
6. Special Recognition –
Non Field -
Ashton Herring/December
Field -
Jack Maddox/January
7. Consider and act on ratification of contracts with additional network providers for indigent
care. (Mrs. Wagner, Chair - Indigent Care Committee)
Mrs. Wagner made a motion to consider and act on ratification of contracts with additional
network providers for indigent care. Mr. Fawn offered a second and motion passed unanimous.
8. Presentation to be given on Radio Towers. (Mr. Posey, Chair – MCHD Board) (attached)
Mrs. Melissa Miller, COO gave a radio tower presentation to the board.
9. CEO Report to include update on District operations, strategic plan, capital purchases,
employee issues and benefits, transition plans and other healthcare matters, grants and any
other related district matters.
Mr. Randy Johnson, CEO presented a report.
10. EMS Director Report to include updates on EMS staffing, performance measures, staff
activities, patient concerns and transport destinations.
Mr. Jared Cosper, EMS Director presented a report.
11. COO Report to include updates on infrastructure, facilities, radio system, warehousing,
staff activities, emergency management, fleet and purchasing.
Mrs. Melissa Miller, COO presented a report.
12. Director of Health Care Services Penny Wilson's Report to include regulatory update,
outreach, eligibility, service, utilization, community education, clinical services,
epidemiology, and emergency preparedness.
Mrs. Melissa Miller, COO presented a report.
13. Consider and act on Healthcare Assistance Program claims from Non-Medicaid 1115
Waiver providers processed by Boon-Chapman. (Mrs. Wagner, Chair - Indigent Care
Committee)
Mrs. Wagner made a motion to consider and act on Healthcare Assistance Program claims from
Non-Medicaid 1115 Waiver providers processed by Boon-Chapman. Mr. Fawn offered a second
and motion passed unanimously.
14. Consider and act on ratification of voluntary contributions to the Medicaid 1115 Waiver
program of Healthcare Assistance Program claims processed by Boon Chapman. (Mrs.
Wagner, Chair – Indigent Care Committee)
Mrs. Wagner made a motion to consider and act on ratification of voluntary contributions to the
Medicaid 1115 Waiver program of Healthcare Assistance Program claims processed by Boon
Chapman. Mr. Fawn offered a second and motion passed unanimously.
15. Presentation of preliminary Financial Report for four months ended January 31, 2015 –
Brett Allen, CFO, report to include Financial Summary, Financial Statements,
Supplemental EMS Billing Information, and Supplemental Schedules.
Mr. Brett Allen, CFO presented a report to the board.
16. Consider and act on Billing Policies: (Mr. Grice, Treasurer – MCHD Board) (attached)





BIL 11-101 Customer Service
BIL 11-102 Collections
BIL 11-103 Exceptions / Write-Offs
BIL 11-104 Complaint Handling
BIL 11-105 Insurance Denials
Mr. Posey made a motion to consider and act on policies as outlined in the boardbook on BIL 11101 Customer Service BIL 11-102 Collections, BIL 11-103 Exceptions / Write-Offs, BIL 11104 Complaint Handling, BIL 11-105 Insurance Denials. Mr. Bagley offered a second.
After board discussion the motions passed unanimously.
Staff will look at BIL 11-103 Exceptions/Write-Offs with legal counsels input at the request of
Mr. Bagley and bring back to the board if needed.
17. Consider and act on ratification of payment of District invoices. (Mr. Posey, Treasurer MCHD Board)
Mr. Fawn made a motion to consider and act on ratification of payment of District invoices. Mrs.
Wagner offered a second and motion passed unanimously.
18. Consider and act on salvage and surplus equipment. (Mr. Grice, Treasurer – MCHD
Board) (attached)
Mrs. Wagner made a motion to consider and act on salvage and surplus equipment. Mr. Bagley
offered a second and motion passed unanimously
19. Secretary’s Report – January 27, 2015 Regular BOD Meeting. (Mrs. Wagner, Secretary MCHD Board)
Mrs. Wagner made a motion to consider and act on minutes for the January 27, 2015 Regular
BOD Meeting. Mr. Fawn offered a second and motion passed unanimously.
20. Adjourn
Meeting adjourned at 4:35 p.m.
____________________________
Sandy Wagner, Secretary
Agenda Item # 27
To:
Board of Directors
Re:
Convene into Executive Session – Station 43
Convene into executive session pursuant to section 551.072 of the Texas Government
code to discuss real estate property including but not limited to MCHD Station 43 and
any other related matters.(Mr. Posey, Chairman – MCHD Board)
Agenda Item # 28
To:
Board of Directors
Re:
Reconvene from Executive Session – Station 43
Reconvene from executive session and take action as necessary on real estate
property including but not limited to Station 43 and any other related matters. (Mr.
Posey, Chairman – MCHD Board)
Agenda Item # 29
To:
Board of Directors
Re:
Convene into Executive Session – CEO Evaluation
Convene into executive session pursuant to section 551.074 of the Texas Government
Code to deliberate personnel matters related evaluation of Chief Executive Officer,
Randy E. Johnson. (Ms. Whatley, Chair – Personnel Committee)
Agenda Item # 30
To:
Board of Directors
Re:
Reconvene from Executive Session – CEO Evaluation
Reconvene from executive session and make recommendations if needed on matters
relating to the evaluation of Chief Executive Office, Randy E. Johnson. (Ms. Whatley,
Chair – Personnel Committee)

March 2015 - Montgomery County Hospital District

Transcription

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