MID-MICHIGAN DISTRICT HEALTH DEPARTMENT...Dec 17, 2014 · MID-MICHIGAN DISTRICT HEALTH DEPARTMENT An Accredited Local Public Health Department CLINTON Branch Office 1307 E. Townsend

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT An Accredited Local Public Health Department www.mmdhd.org

CLINTON

Branch Office 1307 E. Townsend Rd.

St. Johns, MI 48879-9036 (989) 224-2195

GRATIOT Branch Office

151 Commerce Drive Ithaca, MI 48847-1627

(989) 875-3681

MONTCALM Branch Office

615 N. State St., Ste. 1 Stanton, MI 48888-9702

(989) 831-5237

ADMINISTRATIVE OFFICES 615 N. State St. Ste. 2

Stanton, MI 48888-9702 (989) 831-5237

MARK W. (MARCUS) CHEATHAM

Health Officer ROBERT GRAHAM, DO, MPH, FAAFP

Medical Director

BOARD OF HEALTH Bruce Delong

Jack A. Enderle Betty Kellenberger

Jane Keon Tom Lindeman

Laura McCollum

Your Public Health Team,

Connecting with our Communities to Achieve Healthier Outcomes.

BOARD OF HEALTH

FINANCE COMMITTEE MEETING

at

Mid-Michigan District Health Department

Gratiot County Branch Office

Ithaca, Michigan

Wednesday, December 17, 2014

9:30 AM

AGENDA

We take action to assure the health and well being of our community and the environment

by responding to public health needs and providing a broad spectrum

of prevention and educational services.

COMMITTEE MEMBERS: Tom Lindeman (Chair), Jack A. Enderle, Jane Keon

STAFF: Mark W. (Marcus) Cheatham, Ph.D., Health Officer; Melissa Bowerman,

Director of Administrative Services; and Cindy Partlo, Board Secretary

Please note change in time to 9:30 a.m.

A. Mid-Michigan District Health Department's Monthly Balance Sheet, Revenue and Expenditure

Reports for October and November 2014 - Attached.

2

B. Mid-Michigan District Health Department's Expenses for November 15 through December 12,

2014 -Attached.

15

C. Financial Status Report (FSR), FY 13/14

D. Employee Health Insurance - Attached. 28

http://www.mmdhd.org/


Monthly Balance Sheet, Revenue and Expenditure Report

OCTOBER/NOVMEBER 2014

Summary and Special Notes

As of the end of November 2014, actual revenues and expenditures should be at approximately 17% of

the $5,897,829 total budget. The total revenues through November were $1,232,226.46 and the total

expenses were $974,063.39. The overall actual revenues and expenditures (adjusting for in-kind space

costs and Vaccines for Children) were at 21% and 17% respectively representing a surplus of

$258,163.07.

Of note related to the balance sheet, the fund balance changes approved at the November Board of

Health meeting will be completed after the audit in January. Also, the reason that the deferred revenue

for Dental Outreach is negative is because funds have been transferred for match but the payment has

not yet been received back.

Revenues

CD and Varnish Fees (Line 13/18) – The reason for the negative amounts in current month is due to write offs.

Deferred Revenue Billing (Line 22) – Instead of doing deferred revenue only once at the end of the year, this will be a monthly journal entry that represents anything that is outstanding over

60 days. This amount will change monthly and also is represented on the balance sheet.

Medicaid Full Cost Reimbursement (Line 28) – This line represents two types of reimbursement. One reimbursement represents a quarterly billing for 50% of the costs

associated with Medicaid Outreach activities performed by staff. The second is the billing for a

percentage of the full cost of encounters performed in certain programs. We have been paid for

our FY 11/12 cost settlement in October. Additionally, the State has begun making interim

quarterly payments for the FY 14/15 fiscal year which we also received in October. As the

State is catching up on past settlements, we should be receiving the FY 12/13 settlement this

fiscal year. The FY13/14 settlement will be submitted in February; therefore, my expectation is

that it will be received next fiscal year.

Expenses

Memberships (Line 29) – Every year we pay many of our annual membership fees in the beginning of the year. This will balance out as the year progresses.

2

1/4 12/12/2014

Mid-Michigan District Health Department NOVEMBER 17% FY 2015 AP: 2

Revenue Revenue and Expenditure Report

Account Budget Current Month Year-To-Date Balance

% of

Budget

1 Onsite Sewage 120,201.00 6,614.00 19,692.75 126,815.00 16%

2 Groundwater Quality 139,906.00 9,721.00 23,211.00 149,627.00 17%

3 Food Service 242,172.00 932.00 5,117.00 243,104.00 2%

4 Campgrounds 3,264.00 0.00 189.00 3,264.00 6%

5 Swimming Pools 5,304.00 100.00 496.00 5,404.00 9%

6 Waste Haulers 7,833.00 0.00 80.00 7,833.00 1%

7 DHS Facility Inspections 27,804.00 756.00 2,543.00 28,560.00 9%

8 Body Art Fees 1,300.00 0.00 0.00 1,300.00 0%

9 EH Misc Fees 760.00 134.45 214.49 894.45 28%

10 Vision Fees 25,000.00 2,916.40 7,474.00 27,916.40 30%

11 Hearing Fees 21,000.00 2,307.60 7,230.80 23,307.60 34%

12 MIHP Fees 115,000.00 6,177.87 14,870.88 121,177.87 13%

13 Communicable Disease Fees 600.00 -571.00 -366.00 29.00 -61%

14 Immunization Fees 145,000.00 9,032.34 41,687.76 154,032.34 29%

15 Family Planning/STD Fees 151,000.00 4,436.12 15,683.90 155,436.12 10%

16 Breast Cancer Fees 12,000.00 305.47 582.29 12,305.47 5%

17 Lead Fees 10,000.00 736.39 3,573.33 10,736.39 36%

18 Varnish Fees 15,000.00 -2,180.77 6,077.83 12,819.23 41%

19 WIC Varnish Fees 30,000.00 755.00 1,560.23 30,755.00 5%

20 Ched Miscellaneous Fees 600.00 0.00 0.00 600.00 0%

21 Miscellaneous Other Fees 100.00 1.15 8.15 101.15 8%

22 Deferred Revenues - Billing 0.00 39,054.55 39,054.55 39,054.55 0%

3

2/4 12/12/2014

22 VFC/317 Vaccine Revenue 400,000.00 12,574.18 46,129.31 412,574.18 12%

23 MDCH Grants 1,484,693.00 0.00 250,674.00 1,484,693.00 17%

24 Essential Local Public Health Services 726,412.00 0.00 121,824.00 726,412.00 17%

25 MDCH Fee For Service Revenue 56,000.00 2,160.00 6,840.00 58,160.00 12%

26 DEQ Grants 76,255.00 4,982.00 9,964.00 81,237.00 13%

27 Other Grants/Community Support 293,660.00 24,997.03 56,171.37 318,657.03 19%

28 Medicaid Full Cost Reimbursement 353,822.00 0.00 319,440.00 353,822.00 90%

29 Interest 5,000.00 161.20 338.30 5,161.20 7%

30 Donations 7,000.00 158.50 330.00 7,158.50 5%

31 Cash Over/Short 0.00 0.00 -5.00 0.00 0%

32 Clinton Co - Appropriation 391,015.00 32,584.59 65,169.18 423,599.59 17%

33 Gratiot Co - Appropriation 283,797.00 23,652.42 47,304.84 307,449.42 17%

34 Montcalm Co - Appropriation 425,661.00 35,471.75 70,943.50 461,132.75 17%

38 Prior Year Adjustments 0.00 0.00 0.00 0.00 0%

39 Space Occupancy 250,670.00 24,061.00 48,122.00 274,731.00 19%

40 Cigarette Tax - Clinton 2,000.00 0.00 0.00 2,000.00 0%

41 Cigarette Tax - Gratiot 2,000.00 0.00 0.00 2,000.00 0%

42 Cigarette Tax - Montcalm 1,000.00 0.00 0.00 1,000.00 0%

43 Deferred Revenues - Other 65,000.00 0.00 0.00 65,000.00 0%

TOTAL REVENUE: 5,897,829.00 242,031.24 1,232,226.46 4,665,602.54 21%

W/O SPACE & VFC 5,247,159.00 205,396.06 1,137,975.15 3,978,297.36 22%

4

3/4 12/12/2014

Mid-Michigan District Health Department NOVEMBER 17% FY 2015 AP: 2

Expenditure Revenue and Expenditure Report


% of

Budget

1 Board of Health Per Diem 4,000.00 0.00 574.00 3,426.00 14%

2 Salaries 3,221,608.00 248,296.66 550,255.97 2,671,352.03 17%

3 FICA 246,454.00 18,219.82 39,294.38 207,159.62 16%

4 Health Insurance 653,018.00 59,402.41 113,918.05 539,099.95 17%

5 Dental Insurance 47,384.00 3,719.41 7,566.73 39,817.27 16%

6 Retirement 253,091.00 19,193.04 47,396.19 205,694.81 19%

7 Work Comp 57,990.00 4,414.00 8,827.00 49,163.00 15%

8 Unemployment Comp 6,000.00 0.00 0.00 6,000.00 0%

9 Life Insurance 6,054.00 319.39 638.78 5,415.22 11%

10 Physicals 0.00 0.00 0.00 0.00 0%

11 Printed Materials 3,950.00 1,773.98 2,123.83 1,826.17 54%

12 Postage 22,800.00 -54.50 1,043.52 21,756.48 5%

13 Office Supplies 37,550.00 4,277.69 7,367.36 30,182.64 20%

14 Computer/Printer Supplies 3,000.00 1,800.01 1,858.41 1,141.59 62%

15 Medical Supplies 68,150.00 7,540.12 10,330.32 57,819.68 15%

16 CD Meds Biologics 88,600.00 8,124.51 8,431.90 80,168.10 10%

17 VFC Supplies 400,000.00 12,574.18 46,129.31 353,870.69 12%

18 Dental Supplies 700.00 0.00 0.00 700.00 0%

19 Contractual Services 106,500.00 5,710.54 8,502.11 97,997.89 8%

20 Legal Expenses 10,000.00 0.00 306.25 9,693.75 3%

5

4/4 12/12/2014

21 Communications 64,970.00 4,814.08 12,943.86 52,026.14 20%

Travel 120,000.00 12,739.98 27,199.74 92,800.26 23%

23 Advertising & Recruitment 4,000.00 0.00 266.36 3,733.64 7%

24 Liability Insurance 34,000.00 2,740.00 5,480.00 28,520.00 16%

25 Equipment Maintenance/Lease 53,000.00 5,808.44 9,807.86 43,192.14 19%

26 Rent 24,100.00 2,031.50 4,063.00 20,037.00 17%

27 Space Occupancy 250,670.00 24,061.00 48,122.00 202,548.00 19%

28 Training 22,000.00 836.87 3,283.66 18,716.34 15%

29 Memberships/Certifications/Subscriptions 15,040.00 862.00 6,885.45 8,154.55 46%

30 Tuition Reimbursement 2,000.00 0.00 0.00 2,000.00 0%

31 Laboratory 2,900.00 125.50 151.02 2,748.98 5%

32 Behavioral Risk Factor Survey 12,000.00 0.00 0.00 12,000.00 0%

33 Misc Other Expense 500.00 0.00 0.00 500.00 0%

34 Computer Support 51,800.00 0.00 0.00 51,800.00 0%

35 Service Charges 4,000.00 890.22 1,296.33 2,703.67 32%

36 Equipment 0.00 0.00 0.00 0.00 0%

37 Facility Development 0.00 0.00 0.00 0.00 0%

TOTAL EXPENSES 5,897,829.00 450,220.85 974,063.39 4,923,765.61 17%

W/O SPACE & VFC 5,247,159.00 413,585.67 879,812.08 4,367,346.92 17%

Revenue Over Expenditures (Deficit) 0.00 -208,189.61 258,163.07 -258,163.07 0%

6

MMDHD BALANCE SHEET AS OF 11/30/2014

CURRENT ASSETS

CASH TO TREASURER 1,043,399.00

CASH ON DEPOSIT/IMPREST CASH 2,790.00

ACCOUNTS RECEIVABLE 282,772.11

DUE FROM GOVERNMENTAL AGENCIES 1,016,984.30

INVENTORY - VFC IMMS 79,712.99

PREPAIDS 23,593.00

TOTAL ASSETS 2,449,251.40

LIABILITIES AND FUND BALANCE

ACCOUNTS PAYABLE -60,208.32

PAYROLL DEDUCTIONS 3,782.40

PAYROLL PAYABLES 163,440.42

OTHER ACCRUED PAYABLE 11,742.40

TRUST FUNDS 18,396.14

DEFERRED REVENUE BILLING 39,054.55

DEFERRED REV - BRFS 0.00

DEFERRED REV DENTAL OUTREACH -25,279.25

DEFERRED REVENUE MCDC 249,000.00

DEFERRED REVENUE-VFC IMMS 79,712.99

FUND BALANCE PRIOR YEAR -51,031.33

FUND BALANCE 288,168.60

FUND BALANCE EQUIPMENT 205,783.74

FUND BALANCE FACILITY DEV 124,580.00

FUND BALANCE SELF INS BONDS 13,949.72

FUND BALANCE-FUTURE RETIREMENT 308,829.80

FUND BALANCE-COMPENSATED LEAVES 522,410.47

7

FUND BALANCE-UNEMPLOYMENT 55,000.00

FUND BALANCE-TRAINING 35,000.00

FUND BALANCE/BRFS 11,522.00

FUND BALANCE-HEALTH INSURANCE 160,000.00

FUND BALANCE-POTENTIAL CLAIMS 12,234.00

FUND BALANCE - NAT'L ACCREDETATION 25,000.00

BALANCE SHEET NET INCOME 258,163.07

TOTAL LIABILITIES 2,449,251.40

TOTAL NET INCOME 0.00

8

1/4 12/12/2014

Mid-Michigan District Health Department OCTOBER 8% FY 2015 AP: 1

Revenue Revenue and Expenditure Report


% of

Budget

1 Onsite Sewage 120,201.00 13,078.75 13,078.75 107,122.25 11%

2 Groundwater Quality 139,906.00 13,490.00 13,490.00 126,416.00 10%

3 Food Service 242,172.00 4,185.00 4,185.00 237,987.00 2%

4 Campgrounds 3,264.00 189.00 189.00 3,075.00 6%

5 Swimming Pools 5,304.00 396.00 396.00 4,908.00 7%

6 Waste Haulers 7,833.00 80.00 80.00 7,753.00 1%

7 DHS Facility Inspections 27,804.00 1,787.00 1,787.00 26,017.00 6%

8 Body Art Fees 1,300.00 0.00 0.00 1,300.00 0%

9 EH Misc Fees 760.00 80.04 80.04 679.96 11%

10 Vision Fees 25,000.00 4,557.60 4,557.60 20,442.40 18%

11 Hearing Fees 21,000.00 4,923.20 4,923.20 16,076.80 23%

12 MIHP Fees 115,000.00 8,693.01 8,693.01 106,306.99 8%

13 Communicable Disease Fees 600.00 205.00 205.00 395.00 34%

14 Immunization Fees 145,000.00 32,655.42 32,655.42 112,344.58 23%

15 Family Planning/STD Fees 151,000.00 11,247.78 11,247.78 139,752.22 7%

16 Breast Cancer Fees 12,000.00 276.82 276.82 11,723.18 2%

17 Lead Fees 10,000.00 2,836.94 2,836.94 7,163.06 28%

18 Varnish Fees 15,000.00 8,258.60 8,258.60 6,741.40 55%

19 WIC Varnish Fees 30,000.00 805.23 805.23 29,194.77 3%

20 Ched Miscellaneous Fees 600.00 0.00 0.00 600.00 0%

21 Miscellaneous Other Fees 100.00 7.00 7.00 93.00 7%

22 Deferred Revenues - Billing 0.00 0.00 0.00 0.00 0%

9

2/4 12/12/2014

23 VFC/317 Vaccine Revenue 400,000.00 33,555.13 33,555.13 366,444.87 8%

24 MDCH Grants 1,484,693.00 250,674.00 250,674.00 1,234,019.00 17%

25 Essential Local Public Health Services 726,412.00 121,824.00 121,824.00 604,588.00 17%

26 MDCH Fee For Service Revenue 56,000.00 4,680.00 4,680.00 51,320.00 8%

27 DEQ Grants 76,255.00 4,982.00 4,982.00 71,273.00 7%

28 Other Grants/Community Support 293,660.00 31,174.34 31,174.34 262,485.66 11%

29 Medicaid Full Cost Reimbursement 353,822.00 319,440.00 319,440.00 34,382.00 90%

30 Interest 5,000.00 177.10 177.10 4,822.90 4%

31 Donations 7,000.00 171.50 171.50 6,828.50 2%

32 Cash Over/Short 0.00 -5.00 -5.00 5.00 0%

33 Clinton Co - Appropriation 391,015.00 32,584.59 32,584.59 358,430.41 8%

34 Gratiot Co - Appropriation 283,797.00 23,652.42 23,652.42 260,144.58 8%

35 Montcalm Co - Appropriation 425,661.00 35,471.75 35,471.75 390,189.25 8%

36 Prior Year Adjustments 0.00 0.00 0.00 0.00 0%

37 Space Occupancy 250,670.00 24,061.00 24,061.00 226,609.00 10%

38 Cigarette Tax - Clinton 2,000.00 0.00 0.00 2,000.00 0%

39 Cigarette Tax - Gratiot 2,000.00 0.00 0.00 2,000.00 0%

40 Cigarette Tax - Montcalm 1,000.00 0.00 0.00 1,000.00 0%

41 Deferred Revenues - Other 65,000.00 0.00 0.00 65,000.00 0%

TOTAL REVENUE: 5,897,829.00 990,195.22 990,195.22 4,907,633.78 17%

W/O SPACE & VFC 5,247,159.00 932,579.09 932,579.09 4,314,579.91 18%

10

3/4 12/12/2014

Mid-Michigan District Health Department OCTOBER 8% FY 2015 AP: 1

Expenditure Revenue and Expenditure Report


% of

Budget

1 Board of Health Per Diem 4,000.00 574.00 574.00 3,426.00 14%

2 Salaries 3,221,608.00 301,959.31 301,959.31 2,919,648.69 9%

3 FICA 246,454.00 21,074.56 21,074.56 225,379.44 9%

4 Health Insurance 653,018.00 54,515.64 54,515.64 598,502.36 8%

5 Dental Insurance 47,384.00 3,847.32 3,847.32 43,536.68 8%

6 Retirement 253,091.00 28,203.15 28,203.15 224,887.85 11%

7 Work Comp 57,990.00 4,413.00 4,413.00 53,577.00 8%

8 Unemployment Comp 6,000.00 0.00 0.00 6,000.00 0%

9 Life Insurance 6,054.00 319.39 319.39 5,734.61 5%

10 Physicals 0.00 0.00 0.00 0.00 0%

11 Printed Materials 3,950.00 349.85 349.85 3,600.15 9%

12 Postage 22,800.00 1,098.02 1,098.02 21,701.98 5%

13 Office Supplies 37,550.00 3,089.67 3,089.67 34,460.33 8%

14 Computer/Printer Supplies 3,000.00 58.40 58.40 2,941.60 2%

15 Medical Supplies 68,150.00 2,790.20 2,790.20 65,359.80 4%

16 CD Meds Biologics 88,600.00 307.39 307.39 88,292.61 0%

17 VFC Supplies 400,000.00 33,555.13 33,555.13 366,444.87 8%

18 Dental Supplies 700.00 0.00 0.00 700.00 0%

19 Contractual Services 106,500.00 2,791.57 2,791.57 103,708.43 3%

20 Legal Expenses 10,000.00 306.25 306.25 9,693.75 3%

11

4/4 12/12/2014

21 Communications 64,970.00 8,129.78 8,129.78 56,840.22 13%

22 Travel 120,000.00 14,459.76 14,459.76 105,540.24 12%

23 Advertising & Recruitment 4,000.00 266.36 266.36 3,733.64 7%

24 Liability Insurance 34,000.00 2,740.00 2,740.00 31,260.00 8%

25 Equipment Maintenance/Lease 53,000.00 3,999.42 3,999.42 49,000.58 8%

26 Rent 24,100.00 2,031.50 2,031.50 22,068.50 8%

27 Space Occupancy 250,670.00 24,061.00 24,061.00 226,609.00 10%

28 Training 22,000.00 2,446.79 2,446.79 19,553.21 11%

29 Memberships/Certifications/Subscriptions 15,040.00 6,023.45 6,023.45 9,016.55 40%

30 Tuition Reimbursement 2,000.00 0.00 0.00 2,000.00 0%

31 Laboratory 2,900.00 25.52 25.52 2,874.48 1%

32 Behavioral Risk Factor Survey 12,000.00 0.00 0.00 12,000.00 0%

33 Misc Other Expense 500.00 0.00 0.00 500.00 0%

34 Computer Support 51,800.00 0.00 0.00 51,800.00 0%

35 Service Charges 4,000.00 406.11 406.11 3,593.89 10%

36 Equipment 0.00 0.00 0.00 0.00 0%

37 Facility Development 0.00 0.00 0.00 0.00 0%

TOTAL EXPENSES 5,897,829.00 523,842.54 523,842.54 5,373,986.46 9%

W/O SPACE & VFC 5,247,159.00 466,226.41 466,226.41 4,780,932.59 9%

Revenue Over Expenditures (Deficit) 0.00 466,352.68 466,352.68 -466,352.68 0%

12

MMDHD BALANCE SHEET AS OF 10/31/2014

CURRENT ASSETS

CASH TO TREASURER 1,444,631.09

CASH ON DEPOSIT/IMPREST CASH 2,790.00

ACCOUNTS RECEIVABLE 345,904.01

DUE FROM GOVERNMENTAL AGENCIES 919,711.17

INVENTORY - VFC IMMS 83,874.27

PREPAIDS 30,747.00

TOTAL ASSETS 2,827,657.54

LIABILITIES AND FUND BALANCE

ACCOUNTS PAYABLE -58,613.42

PAYROLL DEDUCTIONS 3,706.88

PAYROLL PAYABLES 171,403.70

OTHER ACCRUED PAYABLE 11,742.40

TRUST FUNDS 18,407.43

DEFERRED REVENUE BILLING 82,419.85

DEFERRED REV - BRFS 0.00

DEFERRED REV DENTAL OUTREACH 87,916.75

DEFERRED REVENUE MCDC 249,000.00

DEFERRED REVENUE-VFC IMMS 83,874.27

FUND BALANCE PRIOR YEAR -51031.33

FUND BALANCE 288,168.60

FUND BALANCE EQUIPMENT 205,783.74

FUND BALANCE FACILITY DEV 124,580.00

FUND BALANCE SELF INS BONDS 13,949.72

FUND BALANCE-FUTURE RETIREMENT 308,829.80

FUND BALANCE-COMPENSATED LEAVES 522,410.47

13

FUND BALANCE-UNEMPLOYMENT 55,000.00

FUND BALANCE-TRAINING 35,000.00

FUND BALANCE/BRFS 11,522.00

FUND BALANCE-HEALTH INSURANCE 160,000.00

FUND BALANCE-POTENTIAL CLAIMS 12,234.00

FUND BALANCE - NAT'L ACCREDETATION 25,000.00

BALANCE SHEET NET INCOME 466,352.68

TOTAL LIABILITIES 2,827,657.54

TOTAL NET INCOME 0.00

14

EV 1780 237,217.83$

EV 1781 205,853.49$

TOTAL 443,071.32$

MONTHLY EXPENSES FOR

November 15, 2014 - December 12, 2014

15

CK# EV 1780 11/28/2014

Payables

101234

thru Quantum Checks & Direct Deposits 96,372.20$

101270

Payroll

AFLAC Employee Deduction 401.31$

MERS Employee Electronic Transfer 3,540.50$

Chemical Bank Payroll-Ameriprise NBS 380.00$

Chemical Bank Payroll-Nationwide 1,725.00$

Chemical Bank Payroll-MERS 457 230.00$

Chemical Bank Payroll Tax Electronic Transfer

Federal 30,307.56$

State 9,020.60$

MERS Employer Electronic Transfer 14-Oct -$

Chemical E-Banking fee reverse 14-Oct (69.98)$

Chemical E-Banking fee correction 14-Oct 70.46$

Chemical Bank Interest 14-Oct -$

Direct Deposit Payroll 95,240.18$

State of Michigan Unemployment 4Q FY13 -$

TOTAL 237,217.83$


615 North State Street, Suite 2

Stanton MI 48888

(989) 831-5237

16

RUN DATE: NOV 25, 2014 - 13:15 Mid Michigan District Health Department PAGE 0001

ACCOUNTS PAYABLE CHECK REGISTER

BANK CODE 001 CHEMICAL BANK

CHECK CHECK\VOID REMIT-TO NAME INVOICE INVOICE VOUCH# P.O.-NO AMOUNT DISCOUNT CHECK

NO DATE VENDOR-# NO DATE PAID TAKEN AMOUNT

---------------------------------------------------------------------------- -------------------------------------------------------- -------------- ------------- ------------

101234 11/28/14 BLU008 BLUE CROSS BLUE SHIELD OF MICH 2014 DECEMBER 12/01/14 11998 2,485.55$ -$ 2,485.55$

0001 HEALTH INS

COMPUTER CHECK

DECEMBER 2014 11/12/14 11997 6,537.62$ -$ 6,537.62$

0000 HEALTH INS

CHECK TOTALS: 9,023.17$ -$ 9,023.17$

101235 11/28/14 BLU034 BLUE CARE NETWORK 143110006690 11/07/14 11996 42,713.99$ -$ 42,713.99$

DECEMBER 2014 HEALTH INS

COMPUTER CHECK

CHECK TOTALS: 42,713.99$ -$ 42,713.99$

101236 11/28/14 CDW016 CDW GOVERNMENT, INC. QN72667 11/05/14 11964 016095-00 1,739.29$ -$ 1,739.29$

LAPTOPS,MONITOR

COMPUTER CHECK

QP06892 11/05/14 11970 016093-00 30.36$ -$ 30.36$

KINGSTON MODULE

QQ98009 11/11/14 11969 016093-00 30.36$ -$ 30.36$

KINGSTON MODULE

CHECK TOTALS: 1,800.01$ -$ 1,800.01$

101237 11/28/14 CEN149 CENTURYLINK 1319580545 10/31/14 11983 85.18$ -$ 85.18$

CLINTON LONG DISTANCE

COMPUTER CHECK

CHECK TOTALS: 85.18$ -$ 85.18$

101238 11/28/14 CHA166 CHARTER BUSINESS NOVEMBER 2014 11/19/14 12002 135.99$ -$ 135.99$

CLINTON INTERNET

COMPUTER CHECK

CHECK TOTALS: 135.99$ -$ 135.99$

101239 11/28/14 CIT014 CITIZENS BANK DECEMBER 2014 12/01/14 11988 6,672.73$ -$ 6,672.73$

LEASE FOR DECEMBER

COMPUTER CHECK

CHECK TOTALS: 6,672.73$ -$ 6,672.73$

101240 11/28/14 COH003 COHL, STOKER & TOSKEY 44964 11/11/14 11992 306.25$ -$ 306.25$

LEGAL WORK

COMPUTER CHECK

CHECK TOTALS: 306.25$ -$ 306.25$

101241 11/28/14 COM047 COMMUNITY MENTAL HEALTH FY14/15 10/01/14 11987 2,600.00$ -$ 2,600.00$

BSCC FUNDING

COMPUTER CHECK

CHECK TOTALS: 2,600.00$ -$ 2,600.00$

17






---------------------------------------------------------------------------- -------------------------------------------------------- -------------- ------------- ------------

101242 11/28/14 CON187 CONTINENTAL CANTEEN 26929 11/05/14 11984 47.00$ -$ 47.00$

AP2 #3 REFUND VENDING PERMIT

COMPUTER CHECK

CHECK TOTALS: 47.00$ -$ 47.00$

101243 11/28/14 COV178 COVENANT MEDICAL CENTER 5756104 10/01/14 11989 25.52$ -$ 25.52$

LAB FOR 10066857

COMPUTER CHECK

110414 20940 11/01/14 11981 67.00$ -$ 67.00$

LABS

141104 22412 11/01/14 11982 43.00$ -$ 43.00$

LABS

NOV 2014 21654 11/01/14 11980 15.50$ -$ 15.50$

LABS

CHECK TOTALS: 151.02$ -$ 151.02$

101244 11/28/14 DEL007 DELTA DENTAL OF MICHIGAN 659512 11/11/14 11978 4,430.92$ -$ 4,430.92$

DECEMBER DENTAL

COMPUTER CHECK

CHECK TOTALS: 4,430.92$ -$ 4,430.92$

101245 11/28/14 FRO027 FRONTIER 11/13/14 11/13/14 11993 818.11$ -$ 818.11$

989-224-2195 11/13-12/12/14

COMPUTER CHECK

11/19/14 11/19/14 12000 94.18$ -$ 94.18$

989-875-2952 11/19-12/18/14

11/20/14 11/20/14 11999 60.08$ -$ 60.08$

989-831-7707 10/20-11/19-14

CHECK TOTALS: 972.37$ -$ 972.37$

101246 11/28/14 GSK052 GLAXO SMITH KLINE 32136139 11/04/14 11952 016091-00 340.03$ -$ 340.03$

BOOSTRIX

COMPUTER CHECK

CHECK TOTALS: 340.03$ -$ 340.03$

101247 11/28/14 LIN061 LINCOLN FINANCIAL GROUP DECEMBER 2014 11/10/14 11979 560.10$ -$ 560.10$

LIFE/LTD FOR DECEMBER

COMPUTER CHECK

CHECK TOTALS: 560.10$ -$ 560.10$

101248 11/28/14 LUC047 LUCCHESI MICHELLE 11/7/14 11/07/14 11985 100.00$ -$ 100.00$

SPEAKER @ DISTRICT WIDE

COMPUTER CHECK

CHECK TOTALS: 100.00$ -$ 100.00$

18






---------------------------------------------------------------------------- -------------------------------------------------------- -------------- ------------- ------------

101249 11/28/14 MAL010 MALPH FY14/15 10/01/14 11986 4,828.00$ -$ 4,828.00$

ASSESSMENT DUES

COMPUTER CHECK

CHECK TOTALS: 4,828.00$ -$ 4,828.00$

101250 11/28/14 MCK032 MCKESSON MEDICAL 48713106 10/16/14 11960 016058-00 404.91$ -$ 404.91$

ALCOHOL PADS,GLOVES,TISSUE

COMPUTER CHECK

49328222 10/31/14 11958 016081-00 1,436.53$ -$ 1,436.53$

NEEDLES,SHARPS CONTAINERS

49501440 11/05/14 11959 016058-00 102.81$ -$ 102.81$

GLOVES

CHECK TOTALS: 1,944.25$ -$ 1,944.25$

101251 11/28/14 MCL042 MCLAREN HEALTH PLAN REFUND 10/01/14 11995 7.00$ -$ 7.00$

DUPLICATE PMT ON ADMIN FEE

COMPUTER CHECK

CHECK TOTALS: 7.00$ -$ 7.00$

101252 11/28/14 MDR137 M.D. REFRIGERATION, CORP 7664 10/16/14 11957 016065-00 180.00$ -$ 180.00$

REPAIR TO IMMS FRIDGE

COMPUTER CHECK

CHECK TOTALS: 180.00$ -$ 180.00$

101253 11/28/14 MER016 MERCK & CO INC 7006569784 11/04/14 11949 016090-00 1,703.26$ -$ 1,703.26$

ZOSTAVAX

COMPUTER CHECK

7006570958 11/04/14 11950 016090-00 1,605.79$ -$ 1,605.79$

HEP A, HEP B

7006570959 11/04/14 11951 016090-00 2,689.66$ -$ 2,689.66$

GARDASIL

CHECK TOTALS: 5,998.71$ -$ 5,998.71$

101254 11/28/14 MIC006 MICHIGAN DEPT OF AGRICULTURE 55012 11/06/14 11990 272.00$ -$ 272.00$

FOOD FEES

COMPUTER CHECK

CHECK TOTALS: 272.00$ -$ 272.00$

101255 11/28/14 MIC172 MICHIGAN RECYCLING COALITION 3639 11/20/14 11977 50.00$ -$ 50.00$

DISCHER FIR TRAINING

COMPUTER CHECK

CHECK TOTALS: 50.00$ -$ 50.00$

101256 11/28/14 MIS005 MiSDU/FRIEND OF COURT 20141128 11/25/14 12007 234.68$ -$ 234.68$

913105050 11/28 PAYROLL DEDUCTION

COMPUTER CHECK

CHECK TOTALS: 234.68$ -$ 234.68$

19






---------------------------------------------------------------------------- -------------------------------------------------------- -------------- ------------- ------------

101257 11/28/14 MNA004 MICHIGAN NURSES ASSOCIATION NOVEMBER 2014 11/25/14 12006 595.21$ -$ 595.21$

UNION DUES

COMPUTER CHECK

CHECK TOTALS: 595.21$ -$ 595.21$

101258 11/28/14 OFF001 OFFICEMAX INCORPORATED 373429 11/13/14 11967 016097-00 57.13$ -$ 57.13$

WRITE ON DURABLE TABS

COMPUTER CHECK

373592 11/13/14 11968 016096-00 55.61$ -$ 55.61$

DRY ERASE BOARD, LABEL TAPE

972038 10/31/14 12004 016077-00 137.80$ -$ 137.80$

HP 95 INK

CHECK TOTALS: 250.54$ -$ 250.54$

101259 11/28/14 ORA002 ORASURE TECHNOLOGIES, INC 90184478 11/06/14 11956 017002-00 205.00$ -$ 205.00$

ORASURE HIV KITS

COMPUTER CHECK

CHECK TOTALS: 205.00$ -$ 205.00$

101260 11/28/14 PAT052 PATTERSON DENTAL 575/2522250 10/30/14 11953 016060-00 73.06$ -$ 73.06$

MIRROR LITE

COMPUTER CHECK

CHECK TOTALS: 73.06$ -$ 73.06$

101261 11/28/14 PER009 PERSPECTIVE ENTERPRISES 48141A 11/14/14 11974 016099-00 443.25$ -$ 443.25$

HEALTHOMETER DIGITAL SCALE

COMPUTER CHECK

CHECK TOTALS: 443.25$ -$ 443.25$

101262 11/28/14 QUI003 QUILL CORPORATION 7496351 10/31/14 11955 016082-00 94.47$ -$ 94.47$

MULTI FOLD TOWELS

COMPUTER CHECK

7572209 11/06/14 11972 016088-00 29.99$ -$ 29.99$

3X2 CORK BOARD

7572317 11/04/14 11966 016089-00 86.97$ -$ 86.97$

BLACK INK

7591586 11/05/14 11971 016088-00 8.49$ -$ 8.49$

STYLUS CLASP PEN

101262 11/28/14 QUI003 QUILL CORPORATION 7626910 11/06/14 11973 016088-00 6.99$ -$ 6.99$

CAR CHARGER/DUAL USB

7628258 11/06/14 11948 016089-00 129.99$ -$ 129.99$

CHAIR

7820830 11/12/14 11975 017000-00 259.98$ -$ 259.98$

OFFICE CHAIRS

CHECK TOTALS: 616.88$ -$ 616.88$

20






---------------------------------------------------------------------------- -------------------------------------------------------- -------------- ------------- ------------

101263 11/28/14 SAN020 SANOFI PASTEUR INC 903885086 11/04/14 11946 016092-00 443.11$ -$ 443.11$

TUBERSOL

COMPUTER CHECK

CHECK TOTALS: 443.11$ -$ 443.11$

101264 11/28/14 SHR011 SHRED-IT USA LLC 9404493976 11/19/14 12001 91.50$ -$ 91.50$

MONTCALM SHREDDING

COMPUTER CHECK

CHECK TOTALS: 91.50$ -$ 91.50$

101265 11/28/14 TEA001 TEAMSTERS LOCAL 214 NOVEMBER 2014 11/25/14 12008 2,165.75$ -$ 2,165.75$

UNION DUES

COMPUTER CHECK

CHECK TOTALS: 2,165.75$ -$ 2,165.75$

101266 11/28/14 TEA031 TEAM FINANCIAL GROUP, INC 115078 12/01/14 11991 3,769.44$ -$ 3,769.44$

XEROX PRINTERS/COPIERS

COMPUTER CHECK

CHECK TOTALS: 3,769.44$ -$ 3,769.44$

101267 11/28/14 TOB020 TOBY'S INSTRUMENT REPAIR 32410 10/16/14 11962 016062-00 377.00$ -$ 377.00$

CALIBRATIONS CBO

COMPUTER CHECK

32411 10/16/14 11961 016061-00 596.00$ -$ 596.00$

CALIBRATIONS GBO

32412 10/16/14 11963 016048-00 886.00$ -$ 886.00$

CALIBRATIONS MBO

CHECK TOTALS: 1,859.00$ -$ 1,859.00$

101268 11/28/14 WIN053 WINTER NANCY 20141120 11/20/14 12005 100.80$ -$ 100.80$

SIGN LANGUAGE INTERPRETER

COMPUTER CHECK

CHECK TOTALS: 100.80$ -$ 100.80$

101269 11/28/14 WINN73 WINN TELECOM NOVEMBER 2014 11/15/14 11999 2,075.26$ -$ 2,075.26$

LOCAL/LONG DISTANCE

COMPUTER CHECK

CHECK TOTALS: 2,075.26$ -$ 2,075.26$

101270 11/28/14 WRI076 WRIGHT BONNIE 29537 11/18/14 11994 230.00$ -$ 230.00$

AP2 #2 REFUND WELL PERMIT

COMPUTER CHECK

CHECK TOTALS: 230.00$ -$ 230.00$

21






---------------------------------------------------------------------------- -------------------------------------------------------- -------------- ------------- ------------

BANK CODE TOTALS: 96,372.20$ -$ 96,372.20$

37 COMPUTER CHECKS

0 MANUAL PAYMENT CHECKS

0 VOID CHECKS - TRX

0 VOID CHECKS - STUBS

0 VOID CHECKS - ERROR

0 VOID CHECKS - FORM ALIGNMENT

0 DIRECT DEPOSITS

37 CHECKS TOTAL

COMPANY TOTALS: 96,372.20$ -$ 96,372.20$

22

CK# EV 1781 12/12/2014

Payables

101271

thru Quantum Checks & Direct Deposits 57,228.39$

101295

Payroll

AFLAC Employee Deduction 401.31$

MERS Employee Electronic Transfer 3,537.28$

Chemical Bank Payroll-Ameriprise NBS 380.00$

Chemical Bank Payroll-Nationwide 1,725.00$

Chemical Bank Payroll-MERS 457 230.00$

Chemical Bank Payroll Tax Electronic Transfer

Federal 29,564.48$

State -$

MERS Employer Electronic Transfer 14-Nov 19,193.04$

Chemical E-Banking fee 14-Nov 83.78$

Chemical Bank Interest 14-Nov (6.22)$

Direct Deposit Payroll 93,516.43$

State of Michigan Unemployment 4Q FY13 -$

TOTAL 205,853.49$


615 North State Street, Suite 2

Stanton MI 48888

(989) 831-5237

23

RUN DATE: DEC 10, 2014 - 13:01 Mid Michigan District Health Department PAGE 0001




------------------------------------------------- -------------------------------------------- -------------- ------------- ------------

60 12/12/14 KEL038 KELLENBERGER BETTY NOVEMBER 2014 11/26/14 12041 91.48$ -$ 91.48$

TRAVEL/PER DIEM

DIRECT DEPOSIT

CHECK TOTALS: 91.48$ -$ 91.48$

61 12/12/14 LIN033 LINDEMAN TOM NOVEMBER 2014 11/26/14 12042 114.44$ -$ 114.44$

TRAVEL/PER DIEM

DIRECT DEPOSIT

CHECK TOTALS: 114.44$ -$ 114.44$

101271 12/12/14 CEN012 CENTER MEDICAL SUPPLY CO 1259438 09/26/14 12012 016007-00 89.95$ -$ 89.95$

HEMOCUE LOW LEVELS

COMPUTER CHECK

1260830 10/15/14 12011 016044-00 91.95$ -$ 91.95$

HEMOCUE BLOOD CONTROLS HI

1261273 10/21/14 12009 016044-00 89.95$ -$ 89.95$

HEMOCUE LOW LEVEL

1262611 11/07/14 12010 016044-00 31.90$ -$ 31.90$

PRO TOWELS 3 PLY 1 CASE

CHECK TOTALS: 303.75$ -$ 303.75$

101272 12/12/14 CEN021 CENTRAL MI DIST HEALTH DEPT OCTOBER 2014 12/02/14 12022 5,068.00$ -$ 5,068.00$

MD FOR OCTOBER

COMPUTER CHECK

CHECK TOTALS: 5,068.00$ -$ 5,068.00$

101273 12/12/14 COT139 103014 10/30/14 12053 44.64$ -$ 44.64$

MIHP TRAVEL

COMPUTER CHECK

CHECK TOTALS: 44.64$ -$ 44.64$

101274 12/12/14 COV178 COVENANT MEDICAL CENTER 120414 12/04/14 12056 15.50$ -$ 15.50$

LAB

COMPUTER CHECK

11/2014 20940 12/09/14 12034 91.00$ -$ 91.00$

LABS

CHECK TOTALS: 106.50$ -$ 106.50$

101275 12/12/14 CRY023 CASAIR-CRYSTAL AUTO SYSTEM 166854 12/01/14 12038 1,500.00$ -$ 1,500.00$

BUSINESS INTERNET

COMPUTER CHECK

167198 12/01/14 12049 017018-00 785.00$ -$ 785.00$

2 YR NETWORK PROTECTION

CHECK TOTALS: 2,285.00$ -$ 2,285.00$

101276 12/12/14 FRO027 FRONTIER 11/28/14 11/28/14 12051 73.42$ -$ 73.42$

989-224-4300 11/28-12/27/14

COMPUTER CHECK

CHECK TOTALS: 73.42$ -$ 73.42$

24





------------------------------------------------- -------------------------------------------- -------------- ------------- ------------

101277 12/12/14 GRA005 GRATIOT ISABELLA RESD 3121 12/02/14 12058 40.00$ -$ 40.00$

11/7 COFFEE/WATER

COMPUTER CHECK

CHECK TOTALS: 40.00$ -$ 40.00$

101278 12/12/14 HOS101 HOSPITAL NETWORK HEALTHCARE 34407 11/30/14 12047 59.00$ -$ 59.00$

GRATIOT SHARPS

COMPUTER CHECK

CHECK TOTALS: 59.00$ -$ 59.00$

101279 12/12/14 KEO043 KEON JANE NOVEMBER 2014 11/26/14 12040 70.96$ -$ 70.96$

TRAVEL/PER DIEM

COMPUTER CHECK

CHECK TOTALS: 70.96$ -$ 70.96$

101280 12/12/14 MCK032 MCKESSON MEDICAL 50249316 11/21/14 12013 017005-00 126.73$ -$ 126.73$

LANCET DEVICE UNISTICK,GAUZE

COMPUTER CHECK

CHECK TOTALS: 126.73$ -$ 126.73$

101281 12/12/14 MIC006 MICHIGAN DEPT OF AGRICULTURE 55334 11/20/14 12045 145.00$ -$ 145.00$

FOOD FEES DISTRICT WIDE

COMPUTER CHECK

CHECK TOTALS: 145.00$ -$ 145.00$

101282 12/12/14 MIS005 MiSDU/FRIEND OF COURT 12/12/14 12/10/14 12061 234.68$ -$ 234.68$

913105050 12/12 EMPLOYEE DEDUCTION

COMPUTER CHECK

CHECK TOTALS: 234.68$ -$ 234.68$

101283 12/12/14 MOO092 MOORE MEDICAL, LLC 826165101 11/21/14 12017 017008-00 399.11$ -$ 399.11$

KLEENEX, PREP PADS, SANITIZER

COMPUTER CHECK

CHECK TOTALS: 399.11$ -$ 399.11$

101284 12/12/14 MOS084 MOS/MICHIGAN OFFICE SOLUTION IN252682 11/13/14 12044 98.46$ -$ 98.46$

OVERAGE ON COLOR COPIES

COMPUTER CHECK

CHECK TOTALS: 98.46$ -$ 98.46$

101285 12/12/14 NET026 NETSMART TECHNOLOGIES PAPH011124 07/24/14 12060 8,255.00$ -$ 8,255.00$

7/14-6/15 CONSUMER/ORDER CONNECT

COMPUTER CHECK

101285 12/12/14 NET026 NETSMART TECHNOLOGIES RCB000034170 01/01/15 12059 29,570.66$ -$ 29,570.66$

2015 INSIGHT MAINTENANCE

CHECK TOTALS: 37,825.66$ -$ 37,825.66$

101286 12/12/14 NOV039 NOVARTIS VACCINES/DIAGNOS 91987300 11/27/14 12035 739.08$ -$ 739.08$

CLINTON MENVEO

COMPUTER CHECK

91987301 11/27/14 12037 328.48$ -$ 328.48$

MONTCALM MENVEO

25





------------------------------------------------- -------------------------------------------- -------------- ------------- ------------

101286 12/12/14 NOV039 NOVARTIS VACCINES/DIAGNOS 91987302 11/26/14 12036 574.84$ -$ 574.84$

GRATIOT MENVEO

CHECK TOTALS: 1,642.40$ -$ 1,642.40$

101287 12/12/14 OFF001 OFFICEMAX INCORPORATED 552162 11/21/14 12019 017012-00 67.79$ -$ 67.79$

FOLDERS,FILE LABELS,MESH CLIP

COMPUTER CHECK

578372 11/24/14 12021 017013-00 185.28$ -$ 185.28$

TAPE,PAPER,JACKETS,WIPES

578380 11/24/14 12020 017006-00 211.90$ -$ 211.90$

STAPLER,WALL CALENDARS,INK

CHECK TOTALS: 464.97$ -$ 464.97$

101288 12/12/14 PEO083 102914 10/29/14 12054 5.76$ -$ 5.76$

MIHP TRAVEL

COMPUTER CHECK

CHECK TOTALS: 5.76$ -$ 5.76$

101289 12/12/14 PLE041 PLEASANT GRAPHICS INC 23731 11/05/14 12016 017015-00 300.00$ -$ 300.00$

ANNUAL REPORT POSTCARDS/MAIL

COMPUTER CHECK

23732 11/05/14 12014 017014-00 1,473.98$ -$ 1,473.98$

ANNUAL REPORT 750 QTY.

CHECK TOTALS: 1,773.98$ -$ 1,773.98$

101290 12/12/14 SAN020 SANOFI PASTEUR INC 903991527 11/24/14 12018 017003-00 695.69$ -$ 695.69$

IMOVAX RABIES 3 DOSES

COMPUTER CHECK

CHECK TOTALS: 695.69$ -$ 695.69$

101291 12/12/14 SHA199 SHAFFER AMANDA 11/25-12/4/14 12/08/14 12043 165.00$ -$ 165.00$

PARENT LIASON

COMPUTER CHECK

CHECK TOTALS: 165.00$ -$ 165.00$

101292 12/12/14 STA002 STATE OF MICHIGAN/DEQ 895547 10/30/14 12039 578.00$ -$ 578.00$

GRATIOT WATER FEES

COMPUTER CHECK

895554 10/30/14 12050 612.00$ -$ 612.00$

CLINTON WATER FEES

895558 10/30/14 12052 1,000.00$ -$ 1,000.00$

MONTCALM WATER FEES

CHECK TOTALS: 2,190.00$ -$ 2,190.00$

101293 12/12/14 UPS002 UNITED PARCEL SERVICE 474 11/22/14 12046 7.05$ -$ 7.05$

FOOD TEST EXAMS RETURNED

COMPUTER CHECK

CHECK TOTALS: 7.05$ -$ 7.05$

26





------------------------------------------------- -------------------------------------------- -------------- ------------- ------------

101294 12/12/14 VER004 VERIZON 8736071418 11/23/14 12055 218.81$ -$ 218.81$

MIHP BROADBAND

COMPUTER CHECK

9735894440 11/21/14 12048 1,247.68$ -$ 1,247.68$

CELL PHONES/EQUIPMENT

CHECK TOTALS: 1,466.49$ -$ 1,466.49$

101295 12/12/14 FIR003 FIRST NATIONAL BANK OMAHA 120314 12/03/14 12057 907.56$ -$ 907.56$

LUNCH/TRAINING/US AIRWAYS

COMPUTER CHECK

#1 8046 NOV 201 12/09/14 12033 15.51$ -$ 15.51$

PARKING/LUNCH

#10 NOV 2014 12/03/14 12032 017019-00 83.40$ -$ 83.40$

BELKIN 7,10,20 FT CABLE

#4 NOV 2014 12/03/14 12026 51.00$ -$ 51.00$

BOH CLOCK-RETIREMENT

#5 NOV 2014 12/03/14 12027 89.97$ -$ 89.97$

NOVEMBER STAMPS.COM

#6 NOV 2014 12/03/14 12028 017007-00 231.80$ -$ 231.80$

INTRANET PARTS

#7 NOV 2014 12/03/14 12029 017004-00 62.99$ -$ 62.99$

BUSINESS CARDS

#8 NOV 2014 12/03/14 12030 017011-00 51.97$ -$ 51.97$

LAPTOP BAG, STYLUS PENS

101295 12/12/14 FIR003 FIRST NATIONAL BANK OMAHA #9 NOV 2014 12/03/14 12031 017009-00 82.92$ -$ 82.92$

TEST TUBE MICROTUBE COMBO

2 4418 NOV 2014 12/03/14 12024 016094-00 52.39$ -$ 52.39$

LEATHER PLANNER/KEON

4418 NOVEMBER-1 12/03/14 12023 016083-00 47.72$ -$ 47.72$

LETTER PORTFOLIOS

NOV 2014 #3 12/03/14 12025 017001-00 52.99$ -$ 52.99$

4418 BUSINESS CARDS

CHECK TOTALS: 1,730.22$ -$ 1,730.22$

BANK CODE TOTALS: 57,228.39$ -$ 57,228.39$

25 COMPUTER CHECKS

0 MANUAL PAYMENT CHECKS

0 VOID CHECKS - TRX

0 VOID CHECKS - STUBS

0 VOID CHECKS - ERROR

0 VOID CHECKS - FORM ALIGNMENT

2 DIRECT DEPOSITS

27 CHECKS TOTAL

COMPANY TOTALS: 57,228.39$ -$ 57,228.39$

27

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT An Accredited Local Public Health Department www.mmdhd.org

CLINTON

Branch Office 1307 E. Townsend Rd.

St. Johns, MI 48879-9036 (989) 224-2195

GRATIOT Branch Office

151 Commerce Drive Ithaca, MI 48847-1627

(989) 875-3681

MONTCALM Branch Office

615 N. State St., Ste. 1 Stanton, MI 48888-9702

(989) 831-5237

ADMINISTRATIVE OFFICES 615 N. State St. Ste. 2

Stanton, MI 48888-9702 (989) 831-5237

MARK W. (MARCUS) CHEATHAM

Health Officer ROBERT GRAHAM, DO, MPH, FAAFP

Medical Director

BOARD OF HEALTH Bruce Delong

Jack A. Enderle Betty Kellenberger

Jane Keon Tom Lindeman

Laura McCollum

Your Public Health Team,

Connecting with our Communities to Achieve Healthier Outcomes

Board of Health Action Sheet

Date: December 12, 2014 Administrator: Melissa Bowerman Director of Administrative Services

Subject: Employee Health Insurance ☒ Information Only ☐ Action Needed

I. Authority For This Action:

☐ Local Policy ____________________________ ☒ Law or Rule P.A. 152__________________

II. Strategic Objective, Health Issue, or other Need Addressed: (What priority should be given in relation to goals? Include reason for recommending change in priorities and how the need will be introduced into planning process.)

N.A.

III. Summary: (Previous board action relating to this item? Background information and if any future action anticipated.)

As some of you may be aware, the Mid-Michigan District Health Department utilizes a Health Insurance Task Force comprised of stewards from each union and human resources/management to decide insurance options for the agency. The task force looks at options that provide the best insurance for employees with a reasonable cost for both the agency and the employee.

IV. Fiscal Impact and Cost: (Immediate, ongoing, and future impact.)

There was an increase in employee cost for the family plans, but the single and double plans are similar to what is currently paid or even decreased in cost for the employee. As mentioned above, the agency is capped in what it can pay for health insurance now; therefore, the remaining cost of the plans is paid by the employee.

V. Alternatives Considered: (Scope of options reviewed. Reasons for rejecting alternatives.)

As the agency is required to follow Public Act 152 which caps the amount that the agency can pay for employees insurance, the choices that we were able to make were more limited due to the cost that

28

http://www.mmdhd.org/

would be placed on employees or the risk of increased costs for the employee in having a health reimbursement arrangement as we have had in the past.

VI. Recommendation: (Advantages/benefits of proposal. Expected results. Possible problems or disadvantages of proposal. Effect of action on agency. Consequences of not approving recommendation or taking action.)

One of the companies that we explored to provide our insurance was Consumers Mutual. Consumers Mutual is a Co-Op that originated from the Affordable Care Act as an affordable product that consumers could purchase on the Marketplace. The task force reached a consensus that this product made the most sense for the agency and the employees. It will become effective January 1, 2015. The benefit is similar to our current benefit, although the employee is now responsible for the deductible.

Provided for information only.

VII. Monitoring and Reporting Time Line: (Evaluation method and timeline. Next report to the Board.)

N.A.

29

AgendaMid-Michigan District Health Department's Monthly Balance Sheet, Revenue and Expenditure Reports for October and November 2014 - Attached.Oct Nov 2014 Highlights.docxRev-Exp Rpt Nov.pdf2014-12-17 Balance Sheet Nov.xlsxRev-Exp Rpts Oct.pdf2014-12-17 Balance Sheet Oct.xlsx

Mid-Michigan District Health Department's Expenses for November 15 through December 12, 2014 -Attached.BOH EV SUMMARY.pdfEV 1780.pdfBOH NOVEMBER 28 REGISTER.pdfEV 1781.pdfBOH DECEMBER 12 REGISTER.pdf

Financial Status Report (FSR), FY 13/14Employee Health Insurance - Attached.2014-12-17 Employee Health Insurance.docx

MID-MICHIGAN DISTRICT HEALTH DEPARTMENT...Dec 17, 2014 · MID-MICHIGAN DISTRICT HEALTH DEPARTMENT An Accredited Local Public Health Department CLINTON Branch Office 1307 E. Townsend

Documents