42
FINANCIAL REPORT Financials for two months: This month’s financial report contains details for the month of March and April 2019. Highlights of March Financials: Revenues: We received the first half settlement of Real estate taxes and the details of receipts are attached marked Annexure A. We also received our local match refund of $706,029 for SFY 2017. The other receipts included reimbursement for Random Moment Time study program and Active treatment services. Highlights of April Financials: We received the first half of Real estate roll back of real estate taxes to the tune of $725.987. We also received the fourth quarter SFY 2019 state subsidies from the Ohio Department of Developmental Disabilities. Details of breakdown of subsidy is attached marked Annexure B. The other items of revenue include Medicaid reimbursement for Targeted Case Management services and Title XX receipts for Part C EI and transportation services. Expenses: The expenses for both months are normal program expenses.

FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

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Page 1: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

FINANCIAL REPORT Financials for two months:

This month’s financial report contains details for the month of March and April 2019.

Highlights of March Financials:

Revenues: We received the first half settlement of Real estate taxes and the details of receipts are attached marked Annexure A. We also received our local match refund of $706,029 for SFY 2017. The other receipts included reimbursement for Random Moment Time study program and Active treatment services.

Highlights of April Financials:

We received the first half of Real estate roll back of real estate taxes to the tune of $725.987. We also received the fourth quarter SFY 2019 state subsidies from the Ohio Department of Developmental Disabilities. Details of breakdown of subsidy is attached marked Annexure B. The other items of revenue include Medicaid reimbursement for Targeted Case Management services and Title XX receipts for Part C EI and transportation services.

Expenses:

The expenses for both months are normal program expenses.

Page 2: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Annexure B - ODDD Subsidies

SFY 2019 Operating Subsidy Supported living Subsidy501 Subsidies Tax Equity Family Support POS Waiver Admin SERMAK 501 and other subsidies

First Quarter 2019 125,529 - 18,591 80 7,446 360 152,007

Second Quarter 2019 126,797 18,591 80 7,446 360 153,274

Third Quarter 2019 126,797 18,591 80 7,446 360 153,274

Fourth Quarter 2019 133,056 18,591 80 7,446 360 159,534 Operating Subsidy Supported living Subsidy501 Subsidies Tax Equity Family Support POS Waiver Admin SERMAK 501 and other subsidies

First Quarter 2018 125,785$ -$ 18,591$ 80$ 7,446$ 360$ 152,263$

Second Quarter 2018 127,055$ 18,591$ 80$ 7,446$ 360$ 153,532$

Third Quarter 2018 127,055$ 18,591$ 80$ 7,446$ 360$ 153,532$

Fourth Quarter 2018 128,326$ 18,591$ 80$ 7,446$ 360$ 154,804$

614,130.53$ SFY 2017 Operating Subsidy Supported living Subsidy501 Subsidies Tax Equity Family Support POS Waiver Admin SERMAK 501 and other subsidies

First Quarter 2017 129,490$ 146,474$ 18,875$ 80$ 7,446$ 360$ 302,725$

Second Quarter 2017 130,798$ 146,474$ 18,875$ 80$ 7,446$ 360$ 304,032$

Third Quarter 2017 130,798$ 146,474$ 18,875$ 80$ 7,446$ 360$ 304,033$

Fourth Quarter 2017 132,106$ 146,474$ 18,875$ 80$ 7,446$ 360$ 305,341$

1,216,132$

SFY 2016 Operating Subsidy Supported living Subsidy501 Subsidies Tax Equity Family Support POS Waiver Admin SERMAK 501 and other subsidies

First Quarter 2016 138,313$ 146,474$ 18,875$ 80$ 7,446$ 360$ 311,548$

Second Quarter 2016 139,624$ 146,474$ 18,875$ 80$ 7,446$ 360$ 312,859$

Third Quarter 2016 139,624$ 146,474$ 18,875$ 80$ 7,446$ 360$ 312,859$

Fourh Quarter 2016 140,935$ 146,474$ 18,875$ 80$ 7,446$ 360$ 314,170$ 1,251,436$

SFY 2015 Operating Subsidy Supported living Subsidy501 Subsidies Tax Equity Family Support POS Waiver Admin SERMAK 501 and other subsidies

First Quarter 2015 131,351$ 125,839$ 18,876$ 80$ 7,446$ 360$ 283,952$

Second Quarter 2015 132,678$ 125,838$ 18,875$ 80$ 7,446$ 360$ 285,277$

Third Quarter 2015 133,258$ 125,839$ 18,875$ 80$ 7,446$ 360$ 285,858$

Fourth Quarter 2015 134,005$ 125,839$ 18,875$ 80$ 7,446$ 360$ 286,605$

1,141,692$

SFY 2014 Operating SubsidySupported living Subsidy501 Subsidies Tax Equity Family SupportPOS Waiver Admin SERMAK

501 and other

subsidies

First Quarter 2014 138,019$ 155,874$ 18,875$ 80$ 7,446$ 360$ 320,656$

Second Quarter 2014 139,414$ 153,422$ 18,875$ 80$ 7,447$ 360$ 319,597$

Third Quarter 2014 139,414$ 153,422$ 18,875$ 80$ 7,447$ 360$ 319,597$

Fourth Quarter 2014 142,387$ 153,422$ 18,875$ 80$ 7,446$ 360$ 322,570$

1,282,419$

` Operating SubsidySupported living Subsidy501 Subsidies Tax Equity Family SupportPOS Waiver Admin SERMAK

501 and other

subsidies

SFY 2013

First Quarter 2013 144,685$ 178,086$ 18,875$ 80$ 7,446$ 360$ 349,533$

Second Quarter 2013 146,147$ 178,086$ 18,875$ 80$ 7,446$ 360$ 350,994$

Third Quarter 2013 146,147$ 178,086$ 18,875$ 80$ 7,446$ 360$ 350,994$

Fourth Quarter 2013 147,608$ 178,086$ 18,875$ 80$ 7,446$ 360$ 352,456$

SFY 2012 1,403,976$

SSA Subsidy

Operating

Subsidy

Supported

living

Subsidy 501 Subsidies Tax Equity

Family

Support POS Waiver Admin SERMAK

501 and other

subsidies

First Quarter 2012 combined combined combined 135,838$ 206,722$ 18,875$ 80$ 7,446$ 360$ 369,321$

Second Quarter 2012 137,210$ 206,722$ 18,875$ 80$ 7,446$ 360$ 370,693$

Third Quarter 2012 137,210$ 206,722$ 18,875$ 80$ 7,446$ 360$ 370,693$

Fourth Quarter 2012 138,582$ 206,722$ 18,875$ 80$ 7,446$ 360$ 372,065$

Projections 1,482,773$

SFY 2011

SSA Subsidy

Operating

Subsidy

Supported

living

Subsidy 501 Subsidies Tax Equity

Family

Support POS Waiver Admin SERMAK

501 and other

subsidies

First Quarter 2011 30,587 94,057 135,627 260,271 235,704 20,972 80 7,446 360 524,834

Second Quarter 2011 30,587 94,057 135,627 260,271 235,704 20,972 80 7,446 360 524,834

Third Quarter 2011 30,587 94,057 135,627 260,271 235,704 20,972 80 7,446 360 524,834

Fourth Quarter 2011 30,587 94,057 135,627 260,271 235,704 20,972 80 7,446 360 524,834

1,041,084.89 942,815.48 2,099,334.33

SFY 2010 ` Operating Subsidy

Supported living

Subsidy 501 Subsidies Tax Equity Family Support POS Waiver Admin SERMAK 501 and other subsidies

First Quarter SFY 2010 35,811.96 110,125 158,797 304,734 235,704 20,722 80 7,446 360 569,047

Second Quarter SFY 2010 35,811.96 110,125 158,797 304,734 235,704 20,722 80 7,446 360 569,047

Third quarter SFY 2010 35,811.96 110,125 158,797 304,734 235,704 20,722 80 7,446 360 569,047

Fourth Quarter SFY 2010 35,811.96 110,125 158,797 304,734 235,704 20,722 80 7,446 360 569,047

Total 143,247.84 440,500 635,188 1,218,936 942,815 82,889 320 29,786 1,441 2,276,187

SFY 2009 SSA Subsidy

Operating

Subsidy

Supported

living Subsidy 501 Subsidies Tax Equity

Family

Support POS Waiver Admin SERMAK

501 and other

subsidies

First Quarter SFY 2009 44,515.52 136,889 197,390 378,794 235,704 26,417 100 9,300 300 650,615

Second Qtr SFY 2009 33,577.00 103,253 148,888 285,718 235,704 23,247 73 6,829 330 551,901

Third Qtr SFY 2009 18,597.95 57,190 82,467 158,255 235,704 23,247 73 6,829 330 424,438

Fourth Qtr SFY 2009 18,597.95 57,190 82,467 158,255 235,704 23,247 73 6,829 330 424,438

Total 115,288.42 354,523 511,212 981,022 942,816 96,158 319 29,787 1,290 2,051,392

Page 3: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Annexure A

Levy Collection report

Clark County Board of DD

Levy Collections - First Half 04/01/10 4/1/2011 3/31/2012 3/31/2013 3/31/2014 3/31/2015 3/31/2016 3/31/2017 3/31/2018 3/31/2019

Res - AG Deliquent Tax 260,404.64 230,569.61 218,210.74 199,820.07 201,312.72 215,707.71 194,861.60 211,322.13 181,838.65 177,392.40

Res - AG Current Tax 3,577,729.56 3,589,452.61 3,500,331.45 3,651,241.20 3,721,729.75 3,718,016.46 3,694,263.87 3,786,295.56 3,868,466.39 3,884,180.10

Other Real Deliquent Tax 94,768.03 90,148.96 87,449.79 84,049.65 94,986.62 111,710.16 84,107.67 76,686.42 54,299.49 82,956.46

Other Real Current Tax 1,128,625.51 1,131,136.54 1,156,619.93 1,156,649.03 1,182,977.40 1,204,352.03 1,222,853.03 1,240,870.15 1,262,070.04 1,292,824.04

Utl Real & Pers Deliquent Tax 757.65 108.96 - 1.79 - 6,753.29 253.41 -

Public Utilities Current 188,223.87 195,814.34 201,611.98 219,237.63 235,064.52 256,349.81 274,665.44 313,229.94 360,237.16 379,046.02

Public Utility Reimbursement 68,979.00 68,979.00 - -

Total Receipts 5,319,488.26 5,306,210.02 5,164,223.89 5,310,999.37 5,436,071.01 5,506,136.17 5,470,751.61 5,635,157.49 5,727,165.14 5,816,399.02

Expenses

Audit Fees 12,342.40 12,326.45 12,272.45 12,318.91 12,535.77 12,635.93 12,637.65 12,782.90 12,823.64 12,888.15

REA Fees 53,439.11 57,844.84 57,519.23 57,731.84 58,720.80 59,114.15 59,122.54 59,759.93 59,876.02 60,115.34

Treasurer Fees 14,812.72 14,793.62 14,728.85 14,784.60 15,044.90 15,165.15 15,167.20 15,341.53 15,927.34 16,090.09

DRETAC 17,799.04 16,041.80 15,282.91 14,193.68 14,814.99 24,556.28 20,995.64 18,410.99 17,816.14 19,944.02

Deliquent Advertising fees 1,243.42 299.71 988.08 409.52 -

TPP Fees 6,560.00 - 9,164.64 3,307.96 2,572.86 1,837.75 2,132.23 734.37 374.82 -

Land utilization Reimbursement 2,587.61 - -

Total Fees and Expenses 106,196.69 101,306.42$ 109,956.16 102,746.51 106,276.93 113,309.26 110,055.26 107,029.72 106,817.96 109,037.60

Net Collections 5,213,291.57$ 5,204,903.60 5,054,267.73 5,208,252.86 5,329,794.08 5,392,826.91 5,360,696.35 5,528,127.77 5,620,347.18 5,707,361.42

Page 4: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Real Estate Tax

Clark County Board of Developmental Disabilties 2527 Kenton Street, Springfield, Ohio 45505

Finance Report

Schedule of Receipts-Budget and Actual For the Period Ended March 31, 2019

Annual Budget Actual Year to 2019 Date

$ 11,533,000.00 $ 5,718,630.27 Federal/Medicaid/Targeted Case Management $ 1,001,000.00 $ 225,756.30 Federal/Medicaid Administrative Claiming $ 450,000.00 $ 120,550.28 Federal/Title XX $ 95,000.00 $ 22,077.00 Federal - ICF DD $ 3,958,000.00 $ 897,232.42 Federal - Non Medical Transportation $ 125,000.00 $ 11,386.75 Federal - Part C - Early Intervention $ 268,000.00 $ 62,080.66 State/DD/Subsidy $ 310,900.00 $ 139,675.21 State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active Treatment $ 230,000.00 $ 46,078.81 Reimbursements/Refunds $ 79,000.00 $ 14,415.91 Rental ECC $ 24,000.00 $ 6,095.88 Rental Family Homes $ 58,000.00 $ 25,059.73 FCFC Reimbursement $ 79,400.00 $ 17,785.20 Capital Receipts $ $ 8,531.76 Other Receipts $ 11,400.00 $ 2,092.63 Total Receipts $ 18,947,700.00 $ 7,336,040.21

Schedule of Disbursements-Budget and Actual For the Period Ended March 31, 2019

Actual Year to 2019 Date

Salaries $ 7,114,500.00 $ 1,731,715.92 Fringes & Benefits $ 5,490,100.00 $ 1,495,715.23 Services & Materials $ 741,400.00 $ 150,561.21 Program Services $ 6,099,967.00 $ 1,184,934.83 Capital $ 635,100.00 $ 46,920.66 Total Disbursements $ 20,081,067.00 $ 4,609,847.BS

Note:1. Available resources from the CCBDD year end carry over are budgeted to fund the difference between budgeted receipts and disbursements.

%of Actual/Budget

50% 23% 27% 23% 23% 9%

23% 45% 25% 0%

20% 18% 25% 43% 22%

18%

39%

%of Actual/Budget

24% 27% 20% 19% 7%

23%

Note 2: lnterfund transfers of $0 are excluded from the Income and Disbursements in the statement above.

L:\Fiscal\Board Reports\2019 Finance Reports\Finance Report-Mar 2019

Page 5: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

......... ,, ... ".""""""""'"""""'"" --------�--==--�,--�----- n·o�-"•=•·•"•'''-"=''•�·•

.:-----,--- \

l- iClark County DD Revenue Report for March 2019 April 12,2019

Report Period: 03/01/2019 to 03/31/2019 9:48:04A.!'1

Account Budget March YTDTotal % Received To Be Received

EE Mueller Res.Cntr.

1271-220-421000.BODDFR40700 Medicaid I CF /MR $3,721,000.00 $248,186.16 $864,368.42 23.23% $2,856,631.58 1271-220-431 000.BODDLR50611 Res Fees/Social Security $237,000.00 $32,864.00 $32,864.00 13.87% $204,136.00 1271-220-431000.BODDLR50612 Rental Income $50,000.00 $7,009.98 $23,918.71 47.84% $26,081.29 1271-220-481000.BODDLR50609 lviiscellanous $0.00 $0.00 $20.00 100.00% -$20.00 1271-220-481000.BODDLR50610 Utility Reimbursement $8,000.00 $0.00 $1,141.02 14.26% $6,858.98 1271-220-540000 Transfer In $632,300.00 $0.00 $0.00 0.00% $632,300.00

$4,648,300.00 $288,060.14 $922,312.15 19.84% $3,725,987.85

Developmental Disabilities General 2080-220-411100 Real Estate $10,011,000.00 $5,707,361.42 $5,707,361.42 57.01% $4,303,638.58 2080-220-411300 Tax 1\fanufactured Homes $20,000.00 $11,268.85 $11,268.85 56.34% $8,731.15 2080-220-421000.BODDFR40400 Targeted Casemanagement $1,001,000.00 $83,435.88 $225,756.30 22.55% $775,243.70 2080-220-421 000.BODDFR40800 Title XX $95,000.00 $0.00 $22,077.00 23.24% $72,923.00 2080-220-421000.BODDFR41301 Fed Other MAC $450,000.00 $120,550.28 $120,550.28 26.79% $329,449.72 2080-220-421000.BODDFR41302 Home Choice $10,000.00 $367.00 $751.00 7.51% $9,249.00 2080-220-421000.BODDFR41700 JARC Grant Reimburseme11 $0.00 $0.00 $0.00 0.00% $0.00 2080-220-421000.BODDFR41800 State Funding/Bridges $0.00 $0.00 $0.00 0.00% $0.00 2080-220-421000.BODDL00000l Capital Assistance Grant $0.00 $0.00 $0.00 0.00% $0.00 2080-220-421000.BODDLR50600 Local F&CFC $79,400.00 $0.00 $17,785.20 22.40% $61,614.80 2080-220-421000.BODDLR50601 Local CAPTA/Service Coo $268,000.00 $21,023.92 $62,080.66 23.16% $205,919.34 2080-220-421 000.BODDLR50606 Waiver Refund $0.00 $0.00 $0.00 0.00% $0.00 2080-220-421000.BODDLR50607 11isc $730,000.00 $725.00 $14,395.91 1.97% $715,604.09 2080-220-421000.BODDSR20200 State POS $300.00 $0.00 $80.07 26.69% $219.93 2080-220-421000.BODDSR20300 State-Family Resources $74,000.00 $0.00 $18,591.40 25.12% $55,408.60 2080-220-421000.BODDSR20400 State Subsidy - Casemanage, $26,000.00 $0.00 $4,991.03 19.20% $21,008.97 2080-220-421 000.BODDSR20700 STATE SERMACK $1,400.00 $0.00 $360.31 25.74% $1,039.69 2080-220-421000.BODDSR20900 Operating Subsidy $253,500.00 $0.00 $126,797.38 50.02% $126,702.62 2080-220-421000.BODDSR21000 Tax Equity $0.00 $0.00 $0.00 0.00% $0.00 2080-220-421010 Title XIX Medicaid Cluster $125,000.00 $1,157.14 $11,386.75 9.11% $113,613.25 2080-220-422110 Homestead Rollback Realestate $1,502,000.00 $0.00 $0.00 0.00% $1,502,000.00 2080-220-431000.BODDLR50602 Camp Fees $0.00 $0.00 $0.00 0.00% $0.00 2080-220-431000.BODDLR50603 Active Treatment $230,000.00 $0.00 $46,078.81 20.03% $183,921.19 2080-220-431000.BODDLR50612 Rental ECC $24,000.00 $2,031.96 $6,095.88 25.40% $17,904.12 2080-220-481000.BODDSR20500 Wavier Administration State $29,700.00 $0.00 $7,446.42 25.07% $22,253.58

$14,930,300.00 $5,947,921.45 $6,403,854.67 42.89% $8,526,445.33

\ \APP1 \M&a \Infall1 \ReportsNet\CountyRevenueADO.rpt Modified: 08/17/2015 Page 1

Page 6: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

'I

Clark County DD Revenue Report for March 2019 April 12,2019

Report Period: 03/01/2019 to 03/31/2019 9:48:04A.1\1

Account Budget March YTDTotal % Received To Be Received

Developmental Disabilities Risk Mgt

2085-220-540000 MR/DD Medicaid Reserve Fund $0.00 $0.00 $0.00 0.00% $0.00

$0.00 $0.00 $0.00 0.00% $0.00

Supported Living/Wavier Match 2090-220-481000.BODDLR50608 Reimbursements $0.00 $0.00 $0.00 0.00% $0.00 2090-220-540000 Tranfer from General Fund $3,854,900.00 $0.00 $0.00 0.00% $3,854,900.00

$3,854,900.00 $0.00 $0.00 0.00% $3,854,900.00

Donation 2740-220-481000 Donation Revenue $0.00 $0.00 $770.00 100.00% -$770.00

$0.00 $0.00 $770.00 100.00% -$770.00

Bequest Neubert/Webb 2750-220-471000 Bequest Interest Earned $1,400.00 $183.65 $571.63 40.83% $828.37

$1,400.00 $183.65 $571.63 40.83% $828.37

Developmental Disabilities Capital 4040-220-481000 Other Capital Revenue $0.00 $0.00 $8,531.76 100.00% -$8,531.76 4040-220-502000 Note Proceeds $0.00 $0.00 $0.00 0.00% $0.00 4040-220-540000 Operating Transfer Capital Fund $635,100.00 $0.00 $0.00 0.00% $635,100.00

$635,100.00 $0.00 $8,531.76 1.34% $626,568.24

Grand Totals: $24,070,000.00 $6,236,165.24 $7,336,040.21 30.48% $16,733,959.79

\ \.APP1 \M&a \Infall1 \ReportsNet\CountyRevenueADO.rpt Modified: 08/17/2015 Page2

Page 7: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Revenue Received March 2019

Report Period: 03/01/2019 to 03/31/2019 Date Receipt No Description

1271 F.F. Mueller Res.Cntr.

1271-220-421000.BODDFR40700 Medicaid I CF/ MR

03/14/2019 03/14/2019

R00075-19 Title XIX !CF/MR Jan 2019 R00075-19 Title XIX !CF/MR Jan 2019

1271-220-431000.BODDLR50611 Res Fm/Social Security

03/26/2019 R00085-19 SS!Jan/Feb 2019

1271-220-431000.BODDLR50612 Renta/Income

03/14/2019 R00072-19 Rent 03/14/2019 R00073-19 Rent-Mar 2019 03/14/2019 R00074-19 Rent-Mar 2019 03/26/2019 R00086-19 Rent due per contract-Apr-Jun 2019

2080 Developmental Disabilities General

2080-220-411100 Rea/Estate

03/11/2019 R00076-19 Real Estate

2080-220-411300 Tax Manufactured Homes

03/31/2019 R00087-19 Manufactured Homes

2080-220-421000.BODDFR40400 TargetedCasemanagement 03/14/2019 R00070-19 TCM FEB19C 03/26/2019 R00083-19 TCM MAR19A

2080-220-421000.BODDFR41301 Fed Other MAC 03/26/2019 R00084-19 MAC July 2018

2080-220-421000.BODDFR41302 Home Choice

\ \APP1 \M&a \Infalll \ReportsNet\ReYenueADO.rpt Modified: 02/12/2013

Received From

Kimberly Muroieks Kimberly Murnieks

The Residential Ctr Medicaid Pa

Housing Connection

Pay In

Goodwill Easter Seals J\1iami V aJ Clark County ESC

Clark County Auditor

Clark County Auditor

Kimberly Mumieks Kimberly Muroieks

State of Ohio

Type

Check Check

Check

Check Check Check Check

Elect Transfer

Elect Transfer

Check Check

Elect Transfer

IHAC

00-00-0000-000000-00-0000-0000

00.00.0003.0000

00-00-0009-000000-00-0009-000000-00-0009-000000-00-0009-0000

Fund Total:

00-00-0001-0000

00-00-0000-0000

00-00-0000-000000-00-0000-0000

00-00-0000-0000

Check No

0039372065 0039372064

Total:

32398

Total:

3764 163657 023146

Total:

Total:

Total,

0039278125 0039443734

Total:

Total:

Invoice

A0017-19

April 12,2019

Amount

$122,380.20 $125,805.96

$248,186.16

$32,864.00

$32,864.00

$1,860.00 $360.00

S1,383.75 $3,406.23

$7,009.98

$288,060.14

$5,707,361.42

$5,707,361.42

$11,268.85

$11,268.85

$73.81 $83,362.07

$83,435.88

$120,550.28

$120,550.28

Page 1

Page 8: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

�--

Lf L✓

I

Clark County DD Revenue Received March 2019 April 12,2019

Report Period: 03/01/2019 to 03/31/2019 Date Receipt No Description Received From Pay In Type IHAC Check No Invoice Amount

2080 Developmental Disabilities General

2080-220-421000.BODDFR41302 Home Choice

03/14/2019 R00068-19 RAP-JAN & FEB 2019 State of Ohio Elect 00-00-0000-0000 S367,00 Transfer

Total: $367.00

2080-220-421000.BODDLR50601 Local CAPTA/ Service Coordination

03/14/2019 R00069-19 Salary & Fringes HMG Part C-LaCerais Jan FCFC Check 00-00-0006-0000 152832 A00J0-19 S6,280,10 2019Salary & Fringes I-L\1G Part C-Hobson Jan 2019Salary & Fringes HMG Part C-WheelerJan 2019Salary & Fringes HMGPart C-Willis Jan 2019

03/14/2019 R00069-19 Salary & Fringes fu\!G Part C-LaCerais Jan FCFC Check 00-00-0006-0000 152832 A00l0-19 $5,799,74 2019Salary & Fringes HMG Part C-I-Iobson Jan 2019Salary & Fringes HMG Part C-WheelerJan 2019Salary & Fringes HMGPart C-Willis Jan 2019

03/14/2019 R00069-19 Salary & Fringes HMG Part C-LaCerais Jan FCFC Check 00-00-0006-0000 152832 A00l0-19 $4,934,30 2019Salary & Fringes HMG Part C-Hobson Jan2019Salary & Fringes l-ll\!G Part C-WheelerJan 2019Salary & Fringes HMGPart C-Willis Jan 2019

03/14/2019 R00069-19 Salary & Fringes HMG Part C-LaCerais Jan FCFC Check 00-00-0006-0000 152832 AO0l0-19 $4,009,78 2019Salary & Fringes HMG Part C-Hobson Jan2019Salary & Fringes HMG Part C-WheelerJan 2019Salary & Fringes HMG Part C-Willis Jan 2019

Total: $21,023.92

2080-220-421000.BODDLR50607 Misc

03/14/2019 R00061-19 FINGERPRINTING FOR JACQUELINE Mental Health & Recovery Bd C: Check 00-00-0024-0000 152602 A0012-19 S30,00 CARRIER

03/14/2019 R00062-19 CPR/FA Johnson's Residential Facilities Check 00-00-0019-0000 56002 $50,00 03/14/2019 R00063-19 Certification Fee Tammy Leonard Check 00-00-0029-0000 282 $75,00 03/14/2019 R00064-19 CPR/FA Supporting Independence Cash 00-00-0019-0000 $370,00 03/26/2019 R00077-19 BC! Leanne Coil Cash 00-00-0024-0000 $30,00 03/26/2019 R00078-19 SSA Certification Lucas Keeran Cash 00-00-0029-0000 S50,00 03/26/2019 R00079-19 CPR/FA Lora Fielding Cash 00-00-0019-0000 $40,00 03/26/2019 R00080-19 CPR/FA Jo Mollett Check 00-00-0019-0000 1702 $50,00 03/26/2019 R00081-19 Fingerprinting for Geraldine Quick Goodwill Easter Seals 11:iami Val Check 00-00-0024-0000 164239 A0013-19 $30,00

Total: $725.00

2080-220-421010 Title XIX Medicaid Cluster

\ \APP1 \M&a \Infall1 \ReportsNet\RevenueADO.rpt Modified: 02/12/2013 Page2

Page 9: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Revenue Received March 2019

Report Period: 03/01/2019 to 03/31/2019 Date Receipt No Description

2080 Developmental Disabilities General

2080-220-421010 Title XIX Medicaid Cluster

03/14/2019 R00071-19 IO Waiver FEB19D 03/26/2019 R00082-19 I/0 LV1 MAR19B

2080-220-431000.BODDLR50612 Ronta/ ECC

03/14/2019 03/14/2019 03/14/2019

R00065-19 Rent-Mar 19 R00066-19 Rent due per contract-Feb 2019 R00067-19 Rent Mar 2019

2750 Bequest Neubert/Webb

2750-220-471000 Bequest Interest Earned

03/31/2019 ROOOSS-19 Bequest Interest

\ \APPl \M&a \Infalll \ReportsNet\RevenueADO.rpt Modified: 02/12/2013

Received From

Kimberly Mumieks Kimberly Murnieks

Pay In

l\fiami Valley Child Developmen Springfield Family YMCA Trumpet Behavioral Health, LL(

Clark County Auditor

Type

Check Check

Check Check Check

Elect Transfer

IHAC

00-00-0000-000000-00-0000-0000

00-00-0009-000000-00-0009-000000-00-0009-0000

Fund Total:

00-00-0000-0000

Fund Total:

Grand Total:

Check No

0039371424 0039528792

Total:

130927 037930 126424

Total:

Total:

½ April 12,2019

Invoice Amount

$221.58 $935.56

$1,157.14

$1,378.16 A0009-19 S361.80

$292.00

$2,031.96

$5,947,921.45

$183.65

$183.65

$183.65

$6,236,165.24

Page 3

Page 10: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

,,,,.,,,,--,�•mm---•-••,-•••-,••••·•<

Clark County DD Expenditure Report March 2019 r

April 12, 2019 9:48:32Alvl!

L ! •

! L\!

Account Allocation Carry Over Transfer March YTD Encwnbered Unencumbered % Spent Unspent

F.F. Mueller Res. Cntr.

1271-220-702000 Salaries F.F. Mueller $1,924,500.00 $0.00 $0.00 $209,630.86 $497,597.78 $0.0Q $1,426,902.22 25.86% $1,426,902.22

1271-220-711000 P.E.R.S./E.R.I $583,900.00 $0.00 $0.00 $80,570.97 $229,953.92 $0.00 $353,946.08 39.38% $353,946.08

1271-220-712000 Worker's Compenstaio: $52,300.00 $0.00 $0.00 $0.00 $0.00 $0.00 $52,300.00 0.00% $52,300.00

1271-220-713000 Unemployment $11,000.00 $0.00 $0.00 $1,060.00 $1,060.00 $0.00 $9,940.00 9.64% $9,940.00

1271-220-714000 Medicare $28,000.00 $0.00 $0.00 $2,966.54 $6,980.87 $0.00 $21,019.13 24.93% $21,019.13

1271-220-715000 Dental $16,600.00 $2,842.32 $0.00 $674.16 $3,746.02 $10,550.52 $5,145.78 19.27% $15,696.30

1271-220-716000 Life Insurance $2,400.00 $1,450.00 $0.00 $109.98 $457.22 $992.78 $2,400.00 11.88% $3,392.78

1271-220-717000 Medical Insurance $1,014,400.00 $144,551.45 $0.00 $46,826.62 $230,782.20 $162,800.85 $765,368.40 19.91% $928,169.25

1271-220-718400 Travels/Expense $3,900.00 $1,315.00 $0.00 $0.00 $210.65 $1,104.35 $3,900.00 4.04% $5,004.35

1271-220-721000 Supplies $128,700.00 $19,293.51 $0.00 $8,033.16 $28,974.72 $65,318.79 $53,700.00 19.58% $119,018.79

1271-220-732000 Advertising/Printing $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00% $0.00 1271-220-736500 Bed Tax $158,000.00 $0.00 $0.00 $0.00 $39,788.16 $0.00 $118,211.84 25.18% $118,211.84

1271-220-740000 Contract Repairs $800.00 $500.00 $0.00 $0.00 $0.00 $500.00 $800.00 0.00% $1,300.00

1271-220-743000 Contract Services $696,100.00 $143,520.96 $0.00 $49,555.10 $169,674.13 $273,846.83 $396,100.00 20.21% $669,946.83 1271-220-746000 Rentals $8,000.00 $3,034.47 $0.00 $550.98 $1,893.21 $9,141.26 $0.00 17.16% $9,141.26

1271-220-751000 Equipment $4,100.00 $3,541.00 $0.00 $0.00 $239.00 $3,302.00 $4,100.00 3.13% $7,402.00 1271-220-790000 Other Expenses $300.00 $300.00 $0.00 $0.00 $0.00 $300.00 $300.00 0.00% $600.00

Fund Total, $4,633,000.00 $320,348.71 $0.00 $399,978.37 $1,211,357.88 $527,857.38 $3,214,133.45 24.46% $3,741,990.83

\ \APPl \M&a \lnfall1 \ReportsNet\Count:yE:,."PenseADO.rpt Modified: 12/29/2015 Page 1

Page 11: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Expenditure Report March 2019

Account Allocation Carry Over Transfer March

Developmental Disabilities General

2080-220-702000.BODDl000000 Salarie $346,900.00 $0.00 $0.00 $37,674.55 2080-220-702000.BODD2000000 Salarie $1,786,300.00 $0.00 $0.00 $187,920.44 2080-220-702000.BODD3000000 Salarie, $531,000.00 $0.00 $0.00 $60,066.45 2080-220-702000.BODD4000000 Salarie $1,112,100.00 $0.00 $0.00 $111,939.13 2080-220-702000.BODD5000000 Salarie $415,300.00 $0.00 $0.00 $41,505.74 2080-220-702000.BODD6000000 Salarie $503,000.00 $0.00 $0.00 $47,378.79 2080-220-702000.BODD7000000 Salarie $495,400.00 $0.00 $0.00 $48,651.29 2080-220-711000 Pers/ER! $1,544,700.00 $0.00 $0.00 $111,934.03 2080-220-712000 Worker's Comp $134,900.00 $0.00 $0.00 $0.00 2080-220-713000 Unemployment $9,800.00 $0.00 $0.00 $0.00 2080-220-714000 Medicare $75,600.00 $0.00 $0.00 $7,526.86 2080-220-715000 Dental Insurance $31,700.00 $3,189.76 $0.00 $1,370.38 2080-220-716000 Life Insurance $5,100.00 $2,587.34 $0.00 $288.40 2080-220-717000 Medical Insurance $1,979,700.00 $222,209.97 $0.00 $117,439.90 2080-220-718400 Travel $83,000.00 $10,890.41 $0.00 $4,300.06 2080-220-721000 Supplies $213,300.00 $33,594.65 $0.00 $11,472.92 2080-220-732000 Advertising/Printing $5,200.00 $1,034.50 $0.00 $554.50 2080-220-740000 Repairs $65,400.00 $27,007.95 $0.00 $2,722.10 2080-220-743000 Contract Services - Fae $1,539,600.00 $280,764.00 $0.00 $98,247.37 2080-220-7 46000 Rental/Leases $33,400.00 $9,328.57 $0.00 $2,445.14 2080-220-749000 Capital Assistance $0.00 $0.00 $0.00 $0.00 2080-220-751000 Equipment $6,600.00 $6,010.48 $0.00 $1,403.95 2080-220-790000 Other $30,700.00 $28,565.00 $0.00 $762.00 2080-220-850000 Transfer out $5,122,300.00 $0.00 $0.00 $0.00

Fund Total: $16,071,000.00 $625,182.63 $0.00 $895,604.00

Developmental Disabilities Risk Mgt

2085-220-7 43000 Contract Services $0.00 $0.00 $0.00 $0.00 Supported Living/Wavier Match

2090-220-744000.BODD0000103 1/0 \X $2,948,700.00 $578,444.00 $0.00 $6,646.92 2090-220-744000.BODD0500311 Contra $806,200.00 $131,207.48 $0.00 $16,270.06 2090-220-744000.BODD0991914 RFW I $100,000.00 $50,000.00 $0.00 $9,655.69

Fund Total: $3,854,900.00 $759,651.48 $0.00 $32,572.67

Donation

2740-220-790000 Donarion Fund Expen, $9,367.00 $0.00 $0.00 $0.00

Fund Total: $9,367.00 $0.00 $0.00 $0.00

\ \APP1 \M&a\Infalll \ReportsNet\CountyE::-.. -penseADO.rpt Modified: 12/29/2015

• • ·•••••·••,-,-·•••••·w·,•--·,.,,ww,,•n•,�""�=�o/.�.=�---"•

YTD Encumbered Unencumbered

$88,028.46 $0.00 $258,871.54 $425,099.99 $0.00 $1,361,200.01 $134,076.52 $0.00 $396,923.48 $258,444.11 $0.00 $853,655.89 $96,674.47 $0.00 $318,625.53

$117,836.16 $0.00 $385,163.84 $113,958.43 $0.00 $381,441.57 $444,477.10 $0.00 $1,100,222.90

$0.00 $0.00 $134,900.00 $0.00 $0.00 $9,800.00

$17,154.76 $0.00 $58,445.24 $7,913.12 $5,648.96 $21,327.68 $1,190.02 $1,397.32 $5,100.00

$552,000.00 $546,632.78 $1,103,277.19 $8,911.78 $11,978.63 $73,000.00

$24,844.15 $58,750.50 $163,300.00 $656.50 $378.00 $5,200.00

$6,310.50 $60,697.45 $25,400.00 $283,448.45 $372,315.55 $1,164,600.00

$7,908.59 $21,419.98 $13,400.00 $0.00 $0.00 $0.00

$3,711.95 $2,298.53 $6,600.00 $27,112.00 $1,453.00 $30,700.00

$0.00 $0.00 $5,122,300.00

$2,619,757.06 $1,082,970.70 $12,993,454.87

$0.00 $0.00 $0.00

$606,408.10 $572,035.90 $2,348,700.00 $110,927.22 $230,280.26 $596,200.00 $14,476.93 $35,523.07 $100,000.00

$731,812.25 $837,839.23 $3,044,900.00

$0.00 $0.00 $9,367.00

$0.00 $0.00 $9,367.00

April 12, 2019 ,_,,/ __....,

9:48:32AM I

I

% Spent Unspent

25.38% $258,871.54 23.80% $1,361,200.01 25.25% $396,923.48 23.24% $853,655.89 23.28% $318,625.53 23.43% $385,163.84 23.00% $381,441.57 28.77% $1,100,222.90 0.00% $134,900.00 0.00% $9,800.00

22.69% $58,445.24 22.68% $26,976.64 15.48% $6,497.32 25.07% $1,649,909.97

9.49% $84,978.63 10.06% $222,050.50 10.53% $5,578.00 6.83% $86,097.45

15.57% $1,536,915.55 18.51 % $34,819.98 0.00% $0.00

29.44% $8,898.53 45.75% $32,153.00

0.00% $5,122,300.00

15.69% $14,076,425.57

0.00% $0.00

17.19% $2,920,735.90 11.83% $826,480.26 9.65% $135,523.07

15.86% $3,882,739.23

0.00% $9,367.00

0.00% $9,367.00

Page 2

Page 12: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Expenditure Report March 2019 April 12, 2019

(i 9:48:32Ac\1:

Account Allocation Carry Over Transfer March YTD Encumbered Unencumbered % Spent Unspent

Bequest Neubert/Webb

2750-220-791300 Bequeath Trust Fund E $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00% $0.00 Developmental Disabilities Capital

4040-220-744000 CAPITAL CONTRAC $444,531.76 $187,062.08 $0.00 $5,483.00 $46,920.66 $198,673.18 $386,000.00 7.43% $584,673.18 4040-220-818100 PRINCIPAL REP A Y1 $155,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $155,000.00 0.00% $155,000.00 4040-220-818200 INTEREST REPA YM $44,100.00 $0.00 $0.00 $0.00 $0.00 $0.00 $44,100.00 0.00% $44,100.00

Fund Total: $643,631.76 $187,062.08 $0.00 $5,483.00 $46,920.66 $198,673.18 $585,100.00 5.65% $783,773.18

Grand Total: $25,211,898.76 $1,892,244.90 $0.00 $1,333,638.04 $4,609,847.85 $2,647,340.49 $19,846,955.32 17.01% $22,494,295.81

\ \APPl \M&a \Infall1 \ReportsNet\CountyE.:-..-penseADO.tpt Modified: 12/29/2015 Page 3

Page 13: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Fund Report

Report Period: 03/01/2019 to 03/31/2019

County Fund 2019 Starting Cash Balance

1271 F.F. Mueller Res.Cntr. Fund $628,427.28

2080 Developmental Disabilities General Fund $17,948,982.40

2085 Developmental Disabilities Risk Mgt Fnnd $2,249,048.16

2090 Supported Living/Wavier Match Fund $3,793,573.73

2740 Donation Fund $9,367.38

2750 Bequest Neubert/Webb Fund $93,456.79

4040 Developmental Disabilities Capital Fund $205,105.14

Grand Totals: $24,927,960.88

\ \APP1 \M&a \Infalll \ReportsN et\ CountyFundBalancesADO.rpt Modified: 07/24/2017

Trans fer Totals YTD Expenses

$0.00 $1,211,357.88

$0.00 $2,619,757.06

$0.00 $0.00

$0.00 $731,812.25

$0.00 $0.00

$0.00 $0.00

$0.00 $46,920.66

$0.00 $4,609,847.85

YTD Revenue

$922,312.15

$6,403,854.67

$0.00

$0.00

$770.00

$571.63

$8,531.76

$7,336,040.21

April 12,2019 9:48:49J\.J.v[

Balance

$339,381.55

$21,733,080.01

$2,249,048.16

$3,061,761.48

$10,137.38

$94,028.42

$166,716.24

$27,654,153.24

Page 1

Page 14: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Board Voucher List for 03/01/2019 to 03/31/2019

PO Number Vendor Description

Developmental Disabilities Capital

4040-220-744000 CAPITAL CONTRACT SERVICES 180012794 Intellinetics Clark DD Monthly software & maintenance: 180013324 National Seating & Mobility Inc. FF Mueller-Scooter (Dayton Foundation Fun 19001394 I Stacy's Flooring Clark DD Remove old Carpet and Replace w

Deve/op111e11tal Disabilities Capital

Developmental Disabilities General

2080-220-711000 Pers/ERi ERIMAR20 I 9GClark County Auditor ERi March 2019

Post Date

03/15/2019 03/29/2019 03/29/2019

03/31/2019

2080-220-715000 Dental Insurance 190014659 Superior Dental Care Group D6567-0l Clark DD Dental Ins. Prem 03/22/2019

2080-220-716000 Life Insurance 180012604 AMERICAN UNITED LIFE INSIGroup 0006144910002000 Clark DD-Life It 03/22/2019

2080-220-717000 Medical Insurance 180012175 Barbara Taylor Clark DD-Reimb. for overpayment ofCent:ra 03/08/2019 180012175 Thomas Shepard Clark DD-Reimb. for overpayment ofCentra 03/08/2019 180012175 Carol Sue Allen Clark DD-Reimb. for overpayment ofCentra 03/08/2019 180012175 Michael Swan Clark DD-Reimb. for overpayment ofCentra 03/08/2019 180012175 Virginia Dubie Clark DD-Reimb. for overpayment ofCentra 03/08/2019 180012175 William Eichelberger Clark DD-Reimb. for overpayment ofCentra 03/08/2019 180012175 Medical Mutual Group 552866 Clark DD SuperMed Share W 03/08/2019 180012175 Medical Mutual Group 552866 Clark DD SuperMed Share W 03/15/2019 180012175 Medical Mutual Group 552866 Clark DD SuperMed Share W 03/22/2019 180012175 Wage Works Inc Clark DD-Cobra -Feb 19 03/22/2019 180012175 Medical Mutual Group 552866 Clark DD Med Adj. Feb-Mar 03/29/2019 180012175 Medical Mutual Group 552866 Clark DD Med Apr. 2019 03/29/2019 190014327 Medical Mutual Group 552866 Clark DD Med Apr. 2019 03/22/2019 CSMAR2019 Central States H & W Fund Central State H& W Mar 2019 03/31/2019 EAPMAR20 l 9CC!ark County Auditor EAP Charges Mar 2019 03/31/2019 HSAACCDEP1\/Optum Bank Accelerated Deposits Mar 2019 03/3 l /2019

2080-220-718400 Travel 180013034 Alyssa Reule Travel Reimb l/3/19-2/13/19 03/08/2019 180013034 Patty Davis Travel Reimb 2/4/19-2/27/19 03/15/2019 180013034 Shannon Chatfield Travel Reimb 2/8/19-2/22/19 03/15/2019 180013034 Kylie Roncolato Travel Reimb 2/4/19-2/28/19 03/15/2019 180013034 Kyle Gambill Travel Reimb 2/4/19-2/27/19 03/15/2019 180013034 Tracy Hixon Travel Reimb 2/1/19-2/25/19 03/15/2019 180013034 Destiny Bessery Clark DD Travel Reimb 2/1/19-2/28/19 03/22/2019 180013034 Kristen Wheeler Travel Reimb 2/5/19-2/27/19 03/22/2019 180013034 Teresa Channels Travel Reimb 2/4/19-2/28/19 03/22/2019 180013034 Jill Stewart Travel Reimb 2/4/19-2/28/19 03/22/2019 180013034 Renae Hawkins Travel Reimb 2/7/19-2/28/19 03/22/2019 180013034 Joyce Crutchfield Travel Reimb 2/4/19-2/28/19 03/22/2019 180013034 Amy Allender Travel Reimb 2/4/19-2/22/19 03/22/2019 180013034 Mary Alice LaCerais Travel Reimb 2/5/19-2/28/19 03/22/2019 180013034 Melissa Hobson Travel Reimb 2/4/19-2/19/19 03/22/2019 180013034 Molly Lacey Travel Reimb 2/4/19-2/28/19 03/22/2019

C\ I I

04/12/2019

9:49:0IAM

Amount

$1,000.00 $1,695.00 $2,788.00

$5,483.00

$5,483.00

$39,614.00

$39,614.00

$3,584.88

$3,584.88

$288.40

$288.40

$5.88 $14.86

$6.86 $2.94 $3.84

$11.00 $4,360.78 $5,490.24 $1,627.73

$96.00 -$1,676.59 $6,614.78

$96,065.41 $8,320.90

$332.75 $4,333.33

$125,610.71

$36.54 $22.04

$105.90 $41.76

$107.30 $29.00

$464.00 $85.26

$156.02 $44.08 $56.26 $69.02

$107.30 $175.74 $71.92

$135.72

Page 1 of 8

Page 15: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

r-

"

�-

04/12/2019 Clark County DD Board Voucher List for 03/01/2019 to 03/31/2019 9:49:02AM

PO Number Vendor Description Post Date Amount

180013034 Erica Brown Travel Reimb 2/4/19-2/28/19 03/22/2019 $89.90 190013936 Clark State Community College Clark DD-Student ID 0004032 Education Pa: 03/08/2019 $500.00 190013936 State Employment Relations BoanClark DD-2019 SPBR Conf. 03/08/2019 $250.00 190013936 Melissa Abney Clark DD Travel Reimb 2/7/19-2/21/19 03/08/2019 $27.84 190013936 Brooke Penwell Clark DD Travel Reimb 2/7/19-2/15/19 03/08/2019 $125.28 190013936 Dawn Miller Clark DD Travel Reimb 2/1/19-2/15/19 03/08/2019 $180.96 190013936 Brooke Penwell Clark DD Travel Reimb 1/4/19-2/1/19 03/08/2019 $156.60 190013936 Karen Adkins Travel Reimb J/4/19-1/31/19 03/08/2019 $31.32 190013936 Melissa Treon Travel Reimb 1/11/19-1/28/19 03/08/2019 $17.40 190013936 Loretta Forshey Clark DD Travel Reimb 1/18/19-2/8/19 03/08/2019 $92.80 190013936 Leslie Crew Clark DD-Travel Reimb. Feb. 2019 03/15/2019 $97.44

190013936 Barbara Wolbeck Clark DD travel reimb 2/4/19-2/28/19 03/15/2019 $276.08 190013936 Angela Dawn Maroney Travel Reimb 2/1/19-2/22/19 03/15/2019 $14.50

190013936 Karen Adkins Travel Reimb 2/6/19-2/25/19 03/15/2019 $30.16 190013936 Melinda Wray Clark DD Travel Reimb J/10/19-2/19/19 03/22/2019 $106.72 190013936 Dawn Miller Clark DD Travel Reimb 3/11/19-3/12/19 03/29/2019 $69.60 190013936 Kristen Wheeler Travel Remb for 2/2/19 03/22/2019 $74.24 190013936 Katherine Stephens Clark DD Travel Reimb 1/7/19-2/25/19 03/22/2019 $157.76 190013936 Loretta Coffey Travel Reimb. Feb 2019 03/22/2019 $72.50 190013936 Melissa Baker Travel Reimb. Feb 2019 03/22/2019 $27.84 190013936 Greene County Educational ServicClark DD DECA Implementation 03/22/2019 $50.00 190013936 Wendy Hepp Travel Reim b 2/4/ 19-2/28/19 03/29/2019 $56.84 190013936 Kim Walker Travel Reimb 2/1/19-2/28/19 03/29/2019 $20.88 190013936 Amanda Van Tress Travel Reimb 1/10/19-1/29/19 03/29/2019 $24.36 190013936 Sandra Smith Travel Reimb 2/14/19-2/27/19 03/29/2019 $41.18

$4,300.06

2080-220-721000 Supplies 170009417 Shannon Chatfield Reimb for Lunch for Training 03/22/2019 $43.42 170009417 Wayfair Clark DD Tall Autoclose Safety Gate 03/22/2019 $116.87

170010162 National Trail Parks and RecreatioCompany ID# 31 Clark DD Shelter & playg 03/15/2019 $55.00 170010162 Aqua Falls Bottled Water Acct 027393 Clark DD Monthly Equipment I 03/15/2019 $35.00 170010293 Clark County Probate Comt Case# 20192014 Clark DD Gardianship filir 03/08/2019 $184.00 170010293 Adine Edwards Clark DD Reimb for therapy co-pays 03/15/2019 $40.00 170010293 Fun & Function Clark DD SkyBound Kids 40" 03/22/2019 $96.03 180010963 Handyman Ace Hardware Acct. 18348 Clark DD Maint. Supplies 03/22/2019 $16.55 180012496 City Electric Supply Acct 04440325001 Clark DD 6 Volt battery 03/08/2019 $128.32

180012496 Springfield Family YMCA Clark DD EI Outreach booth rental 03/22/2019 $10.00

180012496 Wayfair Clark DD Play tent, kids chair, & Fisher-Pric 03/29/2019 $116.96

180012496 City Electric Supply Acct 04440325001 Clark DD 6V Lead Batte, 03/29/2019 $160.40 180012496 Compton Power Equipment Cust 277977 Clark DD Maint Supplies 03/29/2019 $13.49

180013032 Home Depot Credit Services Acct. Ending 0230 Clark DD-Maint. Supplie 03/08/2019 $418.34

180013032 Lowe's Acct. 68669 Clark DD-Maint. Supplies 03/15/2019 $379.96 180013032 Brian Kuhn Clark DD Reimb for timer watch plus 03/15/2019 $70.94

180013032 Columbus Zoo & Aquarium Cust C 1777 Clark DD Family Zoo Members! 03/15/2019 $139.00 180013032 Handyman Ace Hardware Acct. 18348 Clark DD Main!. Supplies 03/22/2019 $291.19

180013032 Office Depot Acct 30234336 Clark DD Office Supplies 03/29/2019 $86.41

180013032 Wayfair Clark DD Arch gate & gate adaptors 03/29/2019 $253.96

180013347 Koenig Equipment, Inc. Clark DD Hi-Low shift cable 03/15/2019 $147.56

190013937 This Old Car Clark DD Parts for tractor 03/08/2019 $243.95

190013937 Wayfair Clark DD Studio designs fusion drafting tab], 03/08/2019 $148.99

190013937 Original Mattress Factory Clark DD Box spring & Mata·ess 03/08/2019 $479.00 190013937 A-1 Able Pest Doctors Acct 14311 Clark DD Bed Bug Kit 03/08/2019 $139.99

190013937 Staples Business Advantage Cust DET 1802173 Clark DD Maint Supplie: 03/08/2019 $448.95 190013937 Staples Business Advantage Cust DET 1802173 Clark DD Maint Supplie, 03/08/2019 $72.54 190013937 Wayfair Clark DD Play food, & pet gate 03/15/2019 $102.98

Page 2 of 8

Page 16: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

,.--- \ ·'!

r\i, 04/12/2019

Clark County DD Board Voucher List for 03/01/2019 to 03/31/2019 9:49:02AM

PO Number Vendor Description Post Date Amount

190013937 Staples Business Advantage Cust DET 1802173 Clark DD Maint Suppli, 03/15/2019 $37.29 190013937 Walmart Acct 1878 Clark DD Board meeting supplies 03/15/2019 $24.72 190013937 Taylar Kegley Clark DD Reimb for High Chair 03/22/2019 $214.49 190013937 Pitney Bowes Acct 8000-9090-0463-8784 Clark DD Post ai 03/29/2019 $2,000.00 190013937 Hillyard Ohio Cust 277977 Clark DD Main! Supplies 03/29/2019 $1,137.51 190013937 Staples Business Advantage Cust DET 1802173 Clark DD Maint Supp lie: 03/22/2019 $132.56 190013937 Pitney Bowes Inc Acct. 0015580820 Clark DD-Ink Supplies 03/22/2019 $167.97 190013937 Sierra Jones Clark DD Reimb for car seat & stroller 03/22/2019 $107.98 190013937 Hillyard Ohio Cust 277977 Clark DD Main! Supplies 03/29/2019 $3,174.62 190013937 City Electric Supply Acct 0444032500 I Clark DD Conduit mount 03/29/2019 $35.98

$11,472.92

2080-220-732000 Advertising/Printing 170009550 Atmst rong Printing Clark DD-Printing 03/08/2019 $231.00 170009550 Armst rong Printing Clark DD-Printing 03/22/2019 $323.50

$554.50

2080-220-740000 Repairs 170008467 WS Electronics, LLC Clark DD Tower space useage for March I tc 03/15/2019 $225.00 1700I0143 Fastenal Company Cust # OHSPR2429 Clark DD Parts 03/08/2019 $6.80 180012484 Prolift Cust Cl05137 Clark DD Maint on Quest for! 03/15/2019 $105.82 180012484 D & S Auto Parts Acct 70477 Clark DD Fuel tank o ring & mt 03/15/2019 $711.44 180012484 Clark County Glass Co Clark DD Kit & Instalation in ford 350 Van 03/29/2019 $] 98.05 190013938 Superior Petroleum Equipment, LIClark DD Complete planned maintenance se: 03/08/2019 $384.97 190013938 New Carlisle Cluysler Cust I 0357 Clark DD Tank fuel, tube fuel, & 03/15/2019 $889.27 190013938 BSA of Ohio Inc Clark DD Light Truck Aligmnent 03/29/2019 $80.00 190013938 Clark County Glass Co Clark DD Kit & Installation in Ford E350 Va 03/29/2019 $120.75

$2,722.10

2080-220-743000 Contract Services - Facilitie 170008354 Wittenberg University Clark DD-Temp Staffing 03/08/2019 $197.85 170008354 Wit tenberg University Acct. 5019415 Clark DD Off Campus Studer 03/29/2019 $134.36 170009688 Jessica Alfrey Clark DD Provider Reirnb 12/2/18-12/15/18 03/08/2019 $160.00 170009688 Melissa Baker Clark DD Reirnb. for Survey Monkey Subsc, 03/29/2019 $39.69 170009688 Linda S Stampley Clark DD Respite Services 3/8/19-3/13/19 03/29/2019 $60.00 l800 l l997 Shout It Out Design Clark DD-Webhosting 03/15/2019 $225.00 180012289 Columbus Zoo & Aquarium Cust Cl777 Clark DD Family Membership 03/08/2019 $139.00 180012289 American Red Cross Cust. 35076 Clark DD-Class Fees 2/13/19 03/22/2019 $292.00 180012754 Cintas Corporation Cust 11609039 Clark DD Rags, Rugs, & Uni 03/08/2019 $214.35 180012754 Priscilla Williams Clark DD Provider Reimb 2/15/19-2/17/19 03/08/2019 $l00.00 180012754 Vicki Crowe Clark DD Provider Reimb 1/12/19-1/18/19 03/08/2019 $140.00 180012754 Treasurer, State of Ohio BC! Cust. I TA495 Clark DD-BC! Fingerprinting 03/15/2019 $1,144.00 180012754 Cintas Corporation payer# 11609039 Clark DD Rags, Rugs, & l 03/15/2019 $175.08 180012754 ABC Therapies Inc Clark DD Therapy Services February 2019 03/22/2019 $3,492.00 180013244 Marilyn Riley Clark DD Reirnb for Pottery Clarsses 2/2/19 03/22/2019 $60.00 190013939 Springfield Balloons Clark DD-Balloon Bouquets for DD Awarern 03/08/2019 $491.00 190013939 4AIIPromos Clark DD-Fair & Festival Giveaways 03/08/2019 $4,181.38 190013939 Ohio Edison Acct. ll0014176215 Clark DD Electric Usa, 03/08/2019 $3,530.73 190013939 City of Springfield Acct. 8480017041 Clark DD Water/Sewer/St 03/08/2019 $505.70 190013939 Security IO I Ohio, Lie Clark DD Door repair at red & Kitchen(Adm 03/08/2019 $2IO.OO 190013939 Katherine Freeland Clark DD Provider Reirnb 1/16/19-2/6/19 03/08/2019 $390.00 190013939 Della Boucher Clark DD Provider Reimb 1/17/19-2/13/19 03/08/2019 $92.50 190013939 Mmy Bole Clark DD Provider Reimb 1/25/19-1/27/19 03/08/2019 $75.00 190013939 Faith Clune Clark DD Provider Reirnb 2/8/19-2/11/19 03/08/2019 $615.00 190013939 Ohio Edison Acct 110 062 058 968 Clark DD Utility Serv 03/08/2019 $56.l l 190013939 Ohio Edison Acct IIO 014 030 552 Clark DD Utility Serv 03/08/2019 $2,262.94 190013939 Ohio Edison Acct 110 014 030 495 Clark DD Utility Serv 03/08/2019 $501.16

Page 3 of 8

Page 17: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Board Voucher List for 03/01/2019 to 03/31/2019

PO Number Vendor Description

190013939 Ohio Edison Acct ll0 013 657 439 Clark DD Utility Serv 190013939 City of Springfield Acct 85940-17269 Clark DD water, sewer, & 190013939 City of Springfield Acct 84830-17047 Clark DD Water, Sewer,, 190013939 City of Springfield Acct 865505-17391 Clark DD Water & Storr 190013939 Cincinnati Bell Acct 937-328-0553 574 Clark DD Phone Ser 190013939 Cincinnati Bell Acct 937-322-3961 930 Clark DD Phone Ser 190013939 Cincinnati Bell Acct 937-322-4439 893 Clark DD Phone Ser 190013939 Jessica Alfrey Clark DD Provider Reimb l / l /19-1/12/19 190013939 CMG-Ohio Remittance Adress Client# 16755 Clark DD Ad for Summer Ca 190013939 Hauck Bros Inc Cust 13912 Clark DD Monthly service agree 190013939 Columbia Gas of Ohio Acct 11593512 001 000 5 Clark DD Utility e190013939 Columbia Gas of Ohio Acct ll593511 001 000 7 Clark DD Utility, 190013939 Bayliss Lawn Care & Landscape Clark DD Plowing Snow & Salt Lot 1/10/19-190013939 Security 10 I Ohio, Lie Clark DD Monitoring 2/1/19-2/28/19 190013939 Justifacts Credential Verification Clark DD-Background checks for new hires 190013939 John Deere Credit Acct. Ending 53547 Clark DD-Maintenance, 190013939 Kelli Scudder Clark DD Reimn for wheelchair lift repairs 190013939 Jessica Alfrey Cl.ark DD Respite Services for 1/14/19-2/9/1 190013939 Autunm Trails Stable Clark DD 2019 Spring Session for Mazie B 190013939 Ohio Performing Arts Institute Clark DD OPAi Special Abilities Yoga class. 190013939 Springfield City Schools District Clark DD Glen Helen Camp 3/19/19-3/22/19 190013939 Downsize Jobs Clark DD-Shredding 190014657 Waste Management of Ohio Inc Cust. 94132122003 Clark DD Commercial R 190014657 Supporting Independence LLC Clark DD Transportation Services 12/9/18-21 190014657 Wiggins Cleaning and Carpet ServClark DD Custodial Services for March 201S 190014657 Bayliss Lawn Care & Landscape Clark DD Snow plowing & Salt 2/1/19-2/20/ 190014657 Waste Management of Ohio Inc Cust 9-41327-92002 Clark DD Refuse Servi< 190014657 Waste Management of Ohio Inc Cust 12-31366-33002 Clark DD Refuse Serv 190014657 Prolift Cust CI05138 Clark DD Planned main! oil cl 190014657 Housing Connection of Clark Cou;Clark DD Individual Monthly Rent March 2( 190014657 Linda S Stampley Clark DD Respite Services 3/1/19-3/6/19 190014657 Carolyn Shaw Clark DD Respite Services 2/18/19-2/23/19 190014657 Wittenberg University Acct. 5019415 Clark DD Off Campus Studer 190014657 Autumn Trails Stable Clark DD Spring 2019 Riding lessons for Dr, 190014657 Columbia Gas of Ohio Acct 11556654 002 000 9 Utility Services 1/: 190014657 Cynthia Wyant Clark DD Respite Services 2/12/19-2/26/19 190014657 Vicki Crowe Clark DD Respite Services 1/23/19-2/24/19 190014657 Downsize Farm Support/B Custer Clark DD Training for February 2019 190014657 Roost Real Estate Co. Clark DD Rental assistance for March 2019 190014657 Spectrum Enterprises Acct. 057766001 Clark DD-Internet/Phone S 190014657 Go Concepts Cust. 20925 Clark DD-Managed IT March 2< 190014657 Generator Systems Clark DD-Monitoring Services I Year 190014657 Columbia Gas of Ohio Acct. 115544970030004 Clark DD Gas Usag 190014657 Clark County Combined Health Clark DD Translation Services Februa1y 20 I' 190014657 Tac Industries Inc. Clark DD Janumy 2019 Day Service for indi' 190014657 Tac Industries Inc. Clark DD Transportation Services 2/3/19-3/2 190014657 SPRINT Acct 474169884 Clark DD Phone Services fc 190014657 Hauck Bros Inc Cust. 639 Clark DD HVAC Maint. Mar 2019 190014657 Hauck Bros Inc Cust 13912 Clark DD Monthly Service Agre, 190014657 Cincinnati Bell Acct 937-322-4439 893 Clark DD phone ser 190014657 Cincinnati Bell Acct 937-328-0553 574 Clark DD Phone Ser 190014657 Ohio Edison Acct 110 062 058 968 Clark DD Utility Serv 190014657 Ohio Edison Acct 110 014 030 552 Clark DD Utility Serv 190014657 Cincinnati Bell Acct 937-322-3961 930 Clark DD Phone Ser 190014657 Ohio Edison Acct 110 014 030 495 Clark DD Utility Serv

Post Date

03/08/2019 03/08/2019 03/08/2019 03/08/2019 03/08/2019 03/08/2019 03/08/2019 03/08/2019 03/08/2019 03/08/2019 03/08/2019 03/08/2019 03/08/2019 03/08/2019 03/15/2019 03/15/2019 03/15/2019 03/15/2019 03/29/2019 03/22/2019 03/22/2019 03/22/2019 03/15/2019 03/15/2019 03/15/2019 03/15/2019 03/15/2019 03/15/2019 03/15/2019 03/15/2019 03/22/2019 03/22/2019 03/29/2019 03/22/2019 03/22/2019 03/29/2019 03/29/2019 03/31/2019 03/22/2019 03/22/2019 03/22/2019 03/22/2019 03/22/2019 03/22/2019 03/22/2019 03/22/2019 03/22/2019 03/29/2019 03/29/2019 03/29/2019 03/29/2019 03/29/2019 03/29/2019 03/29/2019 03/29/2019

( '/i �· '')I ...

04/12/2019

9:49:02AM

Amount

$2,043.76 $242.86 $386.39 $121.15 $207.28

$51.82 $51.82

$] 95.00 $193.20 $377.92

$1,573.30 $665.60

$4,050.00 $50.00

$548.75 $109.94 $590.23 $405.00 $280.00 $225.00 $45.00 $18.48

$202.64 $571.50

$2,257.20 $2,640.00

$473.16 $154.57 $95.64

$15,748.25 $140.00 $440.00 $71.16

$280.00 $3,207.81

$75.00 $125.00

$2,557.44 $103.00

$2,281.25 $17,089.85

$756.00 $2,410.13

$679.50 $6,504.24 $2,761.36

$368. l 0 $581.64 $377.88 $51.82

$207.28 $59. I 7

$2,294.37 $51.82

$455.58

Page 4 of 8

Page 18: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Board Voucher List for 03/01/2019 to 03/31/2019

PO Number Vendor Description

190014657 Duro-Last Inc Cust 1295000 Clark DD Fixed roof

2080-220-746000 Rental/Leases 180012756 U S Bank Equipment Finance Acct 806554 Clark DD Copier Rental 2/20/1' 180012756 Pitney Bowes Global Financial SelAcct. 0015580820 Clark DD-Postage Meter. 180012756 Pitney Bowes Acct 0016513748 Clark DD Potage lease 121

2080-220-751000 Equipment 180012090 Compton Power Equipment 180012090 National Business Furniture

2080-220-790000 Other

Cust 1023 Clark DD Oil and shred n vac Clark DD-Bow Front Desk

180013542 OSCBDD Clark DD-Superintendent Dues 2019 180013542 Greater Springfield Chamber ofC<Clark DD-Membership Dues 2019

Developmental Disabilities General

F.F. Mueller Res.Cntr.

1271-220-711000 P.E.R.S./E.R.I ERIMAR2019RC!ark County Auditor

1271-220-713000 Unemployment UNEMPMAR2CC!ark County Auditor

1271-220-715000 Dental

ERI March 2019

Unemployment Charges Mar 2019

Post Date

03/29/2019

03/15/2019 03/22/2019 03/29/2019

03/29/2019 03/22/2019

03/15/2019 03/15/2019

03/31/2019

03/31/2019

190014330 Superior Dental Care Group D6567-0l Clark DD Dental Ins. Prem 03/22/2019

1271-220-716000 Life Insurance 180012605 AMERICAN UNITED LIFE INS1Group G0061449 l 0002000 Clark DD-Life h 03/22/2019

1271-220-717000 Medical Insurance 180013098 Medical Mutual 180013098 Medical Mutual 180013098 Medical Mutual 190014326 Medical Mutual EAPMAR20 l 9FClark County Auditor HSAACCDEPIVOptum Bank

1271-220-721000 Supplies 180010960 Walmart 180012133 Quest Adult Services 180013031 Remedi SeniorCare 180013031 Direct Supply Inc 190013934 Hillyard Ohio 190013934 McKesson Medical-Surgical 190013934 Hillyard Ohio 190013934 McKesson Medical-Surgical 190013934 McKesson Medical-Surgical 190013934 Hillyard Ohio 190014765 McKesson Medical-Surgical

Group 552866 Clark DD SuperMed Share W Group 552866 Clark DD Med Adj. Feb-Mar Group 552866 Clark DD SuperMed Share W Group 552866 Clark DD Med Apr. 2019 EAP Charges Mar 2019 HSAAccelerated Deposits Mar 2019

Acct 1878 Clark DD Supplies Clark DD-Reimb. for Terminal License Fee Cust. FFMCTG FF Mueller-Medication for I Acct. 41056 FF Mueller-Pendant Holsters Cust # 277977 Clark DD Main! Supplies Cust. 20011206 Clark DD Nursing Supplies Cust 277977 Clark DD Maint Supplies Cust. 20011206 Clark DD Nursing Supplies Cust. 20011206 Clark DD Nursing Supplies Cust 277977 Clark DD Maint Supplies Cust. 20011206 Clark DD Nursing Supplies

03/08/2019 03/22/2019 03/22/2019 03/22/2019 03/31/2019 03/31/2019

03/15/2019 03/29/2019 03/22/2019 03/29/2019 03/08/2019 03/08/2019 03/08/2019 03/15/2019 03/29/2019 03/29/2019 03/29/2019

r· i 1\

04/12/2019

9:49:02AM

Amount

$257.66

$98,247.37

$2,203.94 $81.00

$160.20

$2,445.14

$279.95 $1,124.00

$1,403.95

$50.00 $712.00

$762.00

$291,006.03

$51,242.00

$51,242.00

$1,060.00

$1,060.00

$1,778.40

$1,778.40

$109.98

$109.98

$84.12 -$3,522.80 $2,335.62

$49,867.77 $272.25

$1,333.34

$50,370.30

$139.37 $323.50 $440.07 $242.64 $397.68

$1,562.93 $393.28

$1,398.53 $1,681.89

$342.62 $1,ll0.65

$8,033.16

Page 5 of 8

Page 19: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

� \C; 04/12/2019

Clark County DD Board Voucher List for 03/01/2019 to 03/31/2019 9:49:02AM

PO Number Vendor Description Post Date Amount

1271-220-743000 Contract Services 170008603 SPRINT Acct 474169884 Clark DD Cell Phone Servi, 03/22/2019 $6.84 180013243 Cynthia Hackworth-Rogers FF Mueller-Occ Therapy Jan-Feb 2019 03/22/2019 $1,885.00 190013935 Ohio Edison Acct. 110014176215 Clark DD Electric Usa, 03/08/2019 $2,453.56 190013935 City of Springfield Acct. 8480017041 Clark DD Water/Sewer/St 03/08/2019 $758.56 190013935 City of Springfield Acct. 24841049763 Clark DD Water/Sewer/1 03/08/2019 $51.00 190013935 Gordon Food Service Cust. 513230028 Clark DD Food Supplies 03/08/2019 $2,926.76 190013935 Creation Gardens FF Mueller-Mill<: & Produce Supplies 03/08/2019 $753.86 190013935 PointClickCare Technologies Inc FF Mueller-Sandbox/SLS/IMM Feb 2019 03/08/2019 $364.78 190013935 Time Warner Cable-SWO DivisiorAcct. 103030594370015001 Clark DD-Digit 03/08/2019 $75.47 190013935 AMITA R PATEL MD INST PSY<FF Mueller-Psychiatric Services for Feb 20 I' 03/08/2019 $622.30 190013935 Cinus Concept Consulting Clark DD Temp Staffing 03/08/2019 $2,239.21 190013935 Express Services Inc Acct. 11130679 Clark DD Temp Staffing 03/08/2019 $1,547.75 190013935 Waste Management of Ohio Inc Cust. 94132122003 Clark DD Commercial R 03/15/2019 $303.97 190013935 Waste Management of Ohio Inc Cust. 123808773006 Clark DD Commercial 03/15/2019 $109.60 190013935 Creation Gardens FF Mueller-Mill<: & Produce Supplies 03/15/2019 $125.40 190013935 Express Services Inc Acct. 11130679 Clark DD-Temp Staffing 03/15/2019 $1,968.00 190013935 Downsize Jobs Clark DD Shredding 03/22/2019 $15.00 190013935 Creation Gardens FF Mueller-Mill<: & Produce Supplies 03/22/2019 $229.51 190013935 Gordon Food Service Cust. 513230028 Clark DD Food Supplies 03/22/2019 $3,010.88 190013935 Express Services Inc Acct. 11130679 Clark DD Temp Staffing 03/22/2019 $1,619.50 190013935 Cirrus Concept Consulting Clark DD-Temp Staffing 03/22/2019 $3,776.74 190013935 Hauck Bros Inc Cust. 639 Clark DD HVAC Maint. Mar 2019 03/29/2019 $404.23 190013935 Creation Gardens FF Mueller-Milk & Produce Supplies 03/29/2019 $332.38

190013935 PointClickCare Technologies Inc FF Mueller-Sandbox/ALS/IMM-Mar 2019 03/29/2019 $364.78 190013935 Express Services Inc Acct. 11130679 Clark DD Temp Staffing 03/29/2019 $1,240.25 190014656 ArthurH Win FF Mueller-Physician Services Feb 2019 03/15/2019 $600.00 190014656 Cirrus Concept Consulting Clark DD-Temp Staffing 03/22/2019 $1,740.75 190014656 Columbia Gas of Ohio Acct. 115544970030004 Clark DD Gas Usag 03/22/2019 $392.35 190014656 Columbia Gas of Ohio Acct. 115544970020005 Clark DD-Gas Usa, 03/22/2019 $607.93 190014656 Columbia Gas of Ohio Acct. l l 5544970050002 Clark DD Gas Usag 03/22/2019 $184.18

190014656 Columbia Gas of Ohio Acct. 115544970060001 Clark DD Gas Usag 03/22/2019 $239.88 190014656 Hauck Bros Inc Cust. 639 Clark DD Repair to Boiler-Red 03/29/2019 $724.34 190014656 Clark Co Bd of Development FF Mueller-Day Hab Feb 2019 03/29/2019 $16,849.97 190014656 Tac Industries Inc. FF Mueller-Day Hab Feb 2019 03/29/2019 $1,030.37

$49,555.10

1271-220-746000 Rentals 180012755 U S Bank Equipment Finance Cust 806554 Clark DD Copier Rental 2/20/1' 03/15/2019 $550.98

$550.98

RR Mueller Res.C11tr. $162,699.92

Supported Living/Wavier Match

2090-220-744000.BODD0000103 1/0 Wavier Match 190014329 Ohio Treasurer of State Cust CLARK CTY BD Clark DD CDC Dire, 03/22/2019 $6,646.92

$6,646.92

2090-220-744000.BODD0500311 Contract Services 180010966 James M Hudson Clark DD Provider Reimb 2/1/19-2/28/19 03/15/2019 $114.00

180012468 Choices in Community Living Cust CLA 100 Clark DD Provider reimb for I 03/15/2019 $992.16 180012468 Self-Reliance, Inc. Clark DD Provider Reimb 1/16/19-2/22/19 03/15/2019 $2,380.12 180012468 Michael H Flora Clark DD Provider Reimb 2/2/19-2/23/19 03/22/2019 $520.29 180012468 Goodwill/EasterSeals Miami ValleClark DD Day Service & Transportation 02/( 03/29/2019 $936.05 190013940 Frank A Wilson Clark DD Provider Reimb 2/1/19-2/12/19 03/08/2019 $240.84

190013940 Supporting Independence LLC Clark DD Provider Reimb 11/12/18-12/30/H 03/08/2019 $936.48 190013940 Supporting Independence LLC Clark DD HPC Services for 12/29/18-1/30/1' 03/08/2019 $6,217.56

Page 6 of 8

Page 20: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Board Voucher List for 03/01/2019 to 03/31/2019

PO Number Vendor Description Post Date

190013940 Stephanie Hudson Clark DD Provider Reimb 2/1/19-2/16/19 03/08/2019 190013940 Frank A Wilson Clark DD Provider Reimb 2/15/19-2/26/19 03/22/2019 190013940 Frank A Wilson Clark DD Provider Reimb for 3/1/19-3/15/lS 03/29/2019 190013940 Stephanie Hudson Clark DD Provider Reimb 3/1/19-3/16/19 03/29/2019 190013940 The Ability Builders Clark DD ADS & Transportation until waive: 03/22/2019

2090-220-744000.BODD0991914 RFW Room/Board 180013104 Self-Reliance, Inc. Clark DD Room & Board for Oct 2018-Dec: 03/22/2019

Supported Living/Wavier Match

�- \ : , IC,/

L'·

\ J

04/12/2019

9:49:02AM

Amount

$1,060.80

$240.84 $289.80

$1,060.80 $1,280.32

$16,270.06

$9,655.69

$9,655.69

$32,572.67

Page 7 of 8

Page 21: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Board Voucher List for 03/01/2019 to 03/31/2019 04/12/2019

9:49:02AM

PO Number Vendor

1271

2080

2090

4040

MRDD General Fund Payroll & Benefits

MRDD General Fund Vouchers

l\1RDD General Fund Total

F.F. Mueller Fund Payroll & Benefits

F.F. Mueller Fund Vouchers

F.F. Mueller Fund Total

Description

Salaries F.F. Mueller

P.E.R.S./E.R.I Medicare

Dental

Life Insurance

Medical Insurance

Salaries Facilities Management

Salaries Community Living

Salaries Early Childhood Center Salaries Administration Salaries Adult Services

Salaries Transportation

Pers/ERi Medicare

Dental Insurance

Life Insurance

Medical Insurance

VO Wavier Match Contract Services

RFW Room/Board

CAPITAL CONTRACT SERVICES

Post Date Amount

$209,630.86

$80,570.97 $2,966.54

$674.16

$109.98 $46,826.62

$340,779.13

$37,674.55 $187,920.44

$60,066.45 $111,939.13 $41,505.74 $47,378.79

$111,934.03

$7,526.86 $1,370.38

$288.40 $117,439.90

$725,044.67

$6,646.92 $16,270.06 $9,655.69

$32,572.67

$5,483.00

$5,483.00

$725,044.67

$121,908.04

$846,952.71

$340,779.13

$59,199.24

$399,978.37

Grand Total of all Funds: $1,284,986.75

Page 8 of 8

Page 22: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Real Estate Tax

Clark County Board of Developmental Disabilties

2527 Kenton Street, Springfield, Ohio 45505

Finance Report

Schedule of Receipts-Budget and Actual

For the Period Ended April 30, 2019

Annual Budget Actual Year to

2019 Date

$ 11,533,000.00 $ 6,444,617.80

Federal/Medicaid/Targeted Case Management $ 1,001,000.00 $ 301,441.77

Federal/Medicaid Administrative Claiming $ 450,000.00 $ 120,550.28

Federal/Title XX $ 95,000.00 $ 22,077.00

Federal - ICF DD $ 3,958,000.00 $ 897,232.42

Federal - Non Medical Transportation $ 125,000.00 $ 11,386.75

Federal - Part C - Early Intervention $ 268,000.00 $ 83,136.80

State/DD/Subsidy $ 310,900.00 $ 280,618.38

State/DD/Family Resources $ 74,000.00 $ 37,182.80

Prior Year Medicaid Match Reconciliation $ 651,000.00 $ 706,029.44

Prior Year Medicaid Day Services Reconciliation $

Active Treatment $ 230,000.00 $ 62,928.78

Reimbursements/Refunds $ 79,000.00 $ 20,996.91

Rental ECC $ 24,000.00 $ 8,781.64

Rental Family Homes $ 58,000.00 $ 29,083.48

FCFC Reimbursement $ 79,400.00 $ 38,635.79

Capital Receipts $ $ 8,531.76

Other Receipts $ 11,400.00 $ 2,531.10

Total Receipts $ 18,947,700.00 $ 9,075,762.90

Schedule of Disbursements-Budget and Actual

For the Period Ended April 30, 2019

Actual Year to

2019 Date

Salaries $ 7,114,500.00 $ 2,229,756.28

Fringes & Benefits $ 5,490,100.00 $ 1,834,208.26

Services & Materials $ 741,400.00 $ 196,931.39

Program Services $ 6,099,967.00 $ 1,992,963.20

Capital $ 635,100.00 $ 90,822.76

Total Disbursements $ 20,081,067.00 $ 6,344,681.89

Note:1. Available resources from the CCBDD year end carry over are budgeted to fund the

difference between budgeted receipts and disbursements.

%of

Actual/Budget

56%

30%

27%

23%

23%

9%

31%

90%

50%

108%

27%

27%

37%

50%

49%

22%

48%

%of

Actual/Budget

31%

33%

27%

33%

14%

32%

Note 2: lnterfund transfers of $0 are excluded from the Income and Disbursements in the statement above.

L:\Fiscal\Board Reports\2019 Finance Reports\Finance Report�Apr 2019

Page 23: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

;::: \

Clark County DD Revenue Report for April 2019 May 13,2019

Report Period: 04/01/2019 to 04/30/2019 11:54:23AM

Account Budget April YTDTotal % Received To Be Received

RR Mueller Res.Cntr.

1271-220-421000.BODDFR40700 Medicaid I CF /MR $3,721,000.00 $0.00 $864,368.42 23.23% $2,856,631.58 1271-220-431 000.BODDLR50611 Res Fees/Social Security $237,000.00 $0.00 $32,864.00 13.87% $204,136.00 1271-220-431000.BODDLR50612 Rental Income $50,000.00 $4,023.75 $27,942.46 55.88% $22,057.54 1271-220-481000.BODDLR50609 Ivfiscellanous $0.00 $0.00 $20.00 100.00% -$20.00 1271-220-481OOO.BODDLR50610 Utility Reimbursement $8,000.00 $0.00 $1,141.02 14.26% $6,858.98 1271-220-540000 Transfer In $632,300.00 $0.00 $0.00 0.00% $632,300.00

$4,648,300.00 $4,023.75 $926,335.90 19.93% $3,721,964.10

Developmental Disabilities General

2080-220-411100 Real Estate $10,011,000.00 $0.00 $5,707,361.42 57.01% $4,303,638.58 2080-220-411300 Tax Manufactured Homes $20,000.00 $0.00 $11,268.85 56.34% $8,731.15 2080-220-421000.BODDFR40400 Targeted Casemanagement $1,001,000.00 $75,685.47 $301,441.77 30.11 % $699,558.23 2080-220-421000.BODDFR40800 Title XX $95,000.00 $0.00 $22,077.00 23.24% $72,923.00 2080-220-421000.BODDFR41301 Fed Other MAC $450,000.00 $0.00 $120,550.28 26.79% $329,449.72 2080-220-421000.BODDFR41302 Home Choice $10,000.00 $235.00 $986.00 9.86% $9,014.00 2080-220-421 000.BODDFR41700 JARC Grant Reimbursemen $0.00 $0.00 $0.00 0.00% $0.00 2080-220-421000.BODDFR41800 State Funding/Bridges $0.00 $0.00 $0.00 0.00% $0.00 2080-220-421000.BODDLO0000l Capital Assistance Grant $0.00 $0.00 $0.00 0.00% $0.00 2080-220-421000.BODDLR50600 Local F&CFC $79,400.00 $20,850.59 $38,635.79 48.66% $40,764.21 2080-220-421000.BODDLR50601 Local CAPTA/Service Coo $268,000.00 $21,056.14 $83,136.80 31.02% $184,863.20 2080-220-421000.BODDLR50606 Waiver Refund $0.00 $706,029.44 $706,029.44 100.00% -$706,029.44 2080-220-421000.BODDLR50607 Nfisc $730,000.00 $6,581.00 $20,976.91 2.87% $709,023.09 2080-220-421 000.BODDSR20200 State POS $300.00 $80.07 $160.14 53.38% $139.86 2080-220-421000.BODDSR20300 State-Frunily Resources $74,000.00 $18,591.40 $37,182.80 50.25% $36,817.20 2080-220-421 000.BODDSR20400 State Subsidy - Casemanage1 $26,000.00 $4,991.02 $9,982.05 38.39% $16,017.95 2080-220-421000.BODDSR20700 STATE SERMACK $1,400.00 $360.31 $720.62 51.47% $679.38 2080-220-421 000.BODDSR20900 Operating Subsidy $253,500.00 $128,065.35 $254,862.73 100.54% -$1,362.73 2080-220-421000.BODDSR21000 Tax Equity $0.00 $0.00 $0.00 0.00% $0.00 2080-220-421010 Title XIX Medicaid Cluster $125,000.00 $0.00 $11,386.75 9.11% $113,613.25 2080-220-422110 Homestead Rollback Realestate $1,502,000.00 $725,987.53 $725,987.53 48.33% $776,012.47 2080-220-431000.BODDLR50602 Camp Fees $0.00 $0.00 $0.00 0.00% $0.00 2080-220-431000.BODDLR50603 Active Treatment $230,000.00 $16,849.97 $62,928.78 27.36% $167,071.22 2080-220-431000.BODDLR50612 Rental ECC $24,000.00 $2,685.76 $8,781.64 36.59% $15,218.36 2080-220-481000.BODDSR20500 Wavier Administration State $29,700.00 $7,446.42 $14,892.84 50.14% $14,807.16

$14,930,300.00 $1,735,495.47 $8,139,350.14 54.52% $6,790,949.86

\ \APPl \M&a\Infall1 \ReportsNet\CountyRevenueADO.rpt Modified: 08/17/2015 Page 1

Page 24: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

,-1 i t-

Clark County DD Revenue Report for April 2019 May 13,2019 Report Period: 04/01/2019 to 04/30/2019 ll:54:23AM

Account Budget April YTDTotal % Received To Be Received

Developmental Disabilities Risk Mgt 2085-220-540000 J'vJR/DD Medicaid Reserve Fund $0.00 $0.00 $0.00 0.00% $0.00

$0.00 $0.00 $0.00 0.00% $0.00

Supported Living/Wavier Match

2090-220-481000.BODDLR50608 Reimbursements $0.00 $0.00 $0.00 0.00% $0.00 2090-220-540000 Tran fer from General Fund $3,854,900.00 $0.00 $0.00 0.00% $3,854,900.00

$3,854,900.00 $0.00 $0.00 0.00% $3,854,900.00

Donation

2740-220-481000 Donation Revenue $0.00 $0.00 $770.00 100.00% -$770.00

$0.00 $0.00 $770.00 100.00% -$770.00

Bequest Neubert/Webb

2750-220-471000 Bequest Interest Earned $1,400.00 $203.47 $775.10 55.36% $624.90

$1,400.00 $203.47 $775.10 55.36% $624.90

Developmental Disabilities Capital 4040-220-481000 Other Capital Revenue $0.00 $0.00 $8,531.76 100.00% -$8,531.76 4040-220-502000 Note Proceeds $0.00 $0.00 $0.00 0.00% $0.00 4040-220- 540000 Operating Transfer Capital Fund $635,100.00 $0.00 $0.00 0.00% $635,100.00

$635,100.00 $0.00 $8,531.76 1.34% $626,568.24

Grand Totals: $24,070,000.00 $1,739,722.69 $9,075,762.90 37.71% $14,994,237.10

\ \APPl \M&a\Infalll \ReportsNet\CountyRevenueADO.rpt Modified: 08/17/2015 Page2

Page 25: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

FS Clark County DD Revenue Received April 2019 May 13,2019

Report Period: 04/01/2019 to 04/30/2019 Date Receipt No Description Received From Pay In Type IHAC Check No Invoice Amount

1271 F.F. Mueller Res.Cntr.

1271-220-431000.BODD LR50612 fun ta! Income

04/10/2019 R00112-19 Rent-Apri12019 18020 Check 00-00-0009-0000 Sl,860.00 04/10/2019 R00l 13-19 Rent Ap,il 2019 I-lousing Connection 18020 Check 00-00-0009-0000 3786 $360.00 04/10/2019 R00114-19 Rent-April 2019 Goodwill Baste, Seals Miami Val18020 Check 00-00-0009-0000 164368 $1,383.75 04/29/2019 R00124---19 Cleaning in Respite Unit BWindow blind Supporting Independence 18281 Check 00-00-0009-0000 1059 A0027-19 S164.00

replacementDoor replacementBed replacement

04/29/2019 R.00124-19 Cleaning in Respite Unit BWindow blind Supporting Independence 18281 Check 00-00-0009-0000 1059 A0027-19 S46.00 replacementDoor replacementBed replacement

04/29/2019 R.00124---19 Cleaning in Respite Unit BWindow blind Supporting Independence 18281 Check 00-00-0009-0000 1059 J\0027-19 $90.00 replacementDoor replacementBed replacement

04/29/2019 R.00124-19 Cleaning in Respite Unit BWindow blind Supporting Independence 18281 replacementDoor replacementBed

Check 00-00-0009-0000 1059 A0027-19 $120.00

re lacement

Total: $4,023.75

Fund Total: $4,023.75 2080 Developmental Disabilities General

2080-220-421000.BODDFR40400 TargetedCasemanagement

04/29/2019 R00125-19 TCMAPR19C Kimberly Mumieks 18279 Check 00-00-0000-0000 0040150192 $75,685.47

Total: $75,685.47 2080-220-421000.BODDFR41302 Home Choice

04/10/2019 R00l 10-19 FY19 RAP Mru:ch 2019 State of Ohio 18021 00-00-0000-0000 $235.00

Total: $235.00 2080-220-421000.BODDLR50600 uca!F&CFC

04/29/2019 R00115-19 Salary Reimbursement-Jan-March 2019 FY19 FCFC 18281 Check 00-00-0006-0000 154895 A0024-19 $17,746.40 3rd Qtr.Travel Reimbursement-Jan-March 2019 FYl 9 3,d Qtr.Fringe Reimbursement-Jan-March 2019 FY19 3rd Qtr.

04/29/2019 R00l 15-19 Salary Reimbu<Sement-Jan-Mru:ch 2019 FYI 9 FCFC 18281 Check 00-00-0006-0000 154895 A0024-19 $349.56 3rd Qtr.Travel Reimbursement-Jan-March 2019 FYl 9 3rd Qtr.Fringe Reimbursement-Jan-March 2019 FY19 3rd Qtr.

\ \APP1 \M&a \Infalll \ReportsNet\RevenueADO.rpt Modified: 02/12/2013 Page 1

Page 26: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

1-4 -

Clark County DD Revenue Received April 2019 May 13,2019

Report Period: 04/01/2019 to 04/30/2019 Date Receipt No Description Received From Pay In Type IHAC Check No Invoice Amount

2080 Developmental Disabilities General 2080-220-421000.BODDLR50600 Loca/F&CFC

04/29/2019 R00115-19 Salary Reimbursement-Jan-1\farch 2019 FY19 FCFC 18281 Check 00-00-0006-0000 154895 A0024-19 $2,754.63 3rd Qtr.Travel Reimbursement-Jan-March 2019 FY19 3,d Qtt.Fringe Reimbursement-Jan-March 2019 FY19 3rd Qtt.

Total: $20,850.59

2080-220-421000.BODDLR50601 Local CAPTA/ Service Coordination

04/29/2019 R00116-19 Salary & Benefits for Service FCFC 18281 Check 00-00-0006-0000 155087 A0014-19 $6,311.66 Coordination-LaCerais Feb 2019Salary & Benefits for Service Coordination-Hobson Feb 2019Salary & Benefits for Service Coordination-\Xlheeler Feb 2019Salary & Benefits for Service Coordination-Willis Feb 2019

04/29/2019 R00l 16-19 Salary & Benefits for Service FCFC 18281 Check 00-00-0006-0000 155087 A0014-19 $5,799.73 Coordination-LaCerais Feb 2019Salary & Benefits for Service Coordination-Hobson Feb 2019Salary & Benefits for Service Coordination-'Wheeler Feb 2019Salary & Benefits for Service Coordination-W.tllis Feb 2019

04/29/2019 R00l 16-19 Salru:y & Benefits fo, Scrvice FCFC 18281 Check 00-00-0006-0000 155087 A0014-19 $4,009.78 Coordination-LaCerais Feb 2019Salary & Benefits for Service Coordination-Hobson Feb 2019Salary & Benefits for Service Coordination-W'heeler Feb 2019Salary & Benefits for Service Coordination-Willis Feb 2019

04/29/2019 R00l 16-19 Salary & Benefits for Service FCFC 18281 Check 00-00-0006-0000 155087 A0014-19 $4,934.97 Coordination-LaCerais Feb 2019Salary & Benefits for Service Coordination-Hobson Feb 2019Salary & Benefits for Service Coordination-\Xlheeler Feb 2019Salary & Benefits for Service Coordination-Willis Feb 2019

Total: $21,056.14 2080-220-421000.BODDLR50606 Waiver Refund

04/10/2019 R00109-19 FYl 7 Waiver Reconcilliation State of Ohio 18021 Elect 00-00-0000-0000 $706,029.44 Transfer

\ \APP1 \M&a \Infall1 \Repo-rtsNet\RevenueADO.rpt Modified: 02/12/2013 Page2

Page 27: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Revenue Received April 2019

Report Period: 04/01/2019 to 04/30/2019 Date Receipt No Description Received From Pay In

2080 Developmental Disabilities General

2080-220-421000.BODDLR50607 Misc

04/10/2019 04/10/2019

04/10/2019 04/10/2019 04/10/2019 04/10/2019 04/10/2019 04/10/2019 04/10/2019 04/10/2019 04/10/2019 04/10/2019 04/10/2019

04/10/2019 04/10/2019 04/10/2019 04/29/2019 04/29/2019 04/29/2019 04/29/2019 04/29/2019

R00089-19 BC! Tonyal--Ielton 18021 R00090-19 CPR/FA/ AED Review Course for Lindsey New Neighbors Residential Servi18021

castle and Valerie Kramer R00091-19 CPR/FA R00092-19 CPR/FA R00093-19 CPR/FA R00094-19 CPR/FA R00095-19 CPR/FA R00097-19 CPR/FA

K D Justice 18021 Tonya Helton 18021 Rebecca Sanders 18021 Ron Green 18021 Larry Grunden 18021 Valerie Herdman 18021

R00098-19 CPR/FA NickLubbers 18021 R00103-19 COPR/FA/AED Training for Eva FemandezClru:k County JFS 18021 R00104-19 Maintenance Worker 13 weeks Clark Co Combined Health Dist:18021 R00096-19 CPR/FA Sandy Falkner 18021 R00099-19 CPR/FA/ AED Training for Sandy Miller, Clru:k County JFS 18021

Angela Evans, I'vlicheal Adams, Lorie Delaney, Jack McKee, Mark Cole,Jamie Myers, Amy Estep

R00l00-19 CPR/FA R00101-19 Certification Fees R00102-19 Say Group Donation R00l 19-19 BC! R00120-19 CPR R00121-19 CPR R00l 22-19 CPR R00123-19 CPR

Corie Tohnson Virginia Aylwru:d David Howard James Rayburn Helena Scaggs Supporting Independence The Ability Builders Sheila Fambro

18021 18021 18021 18281 18281 18281 18281 18281

2080-220-421000.BODDSR20200 State POS

04/10/2019 R00l 11-19 FY19 4th Qtr. Subsidy State of Ohio 18021

2080-220-421000.BODDSR20300 State-Family &sources

04/10/2019 R00111-19 FY19 4th Qtr. Subsidy

2080-220-421000.BODDSR20400 State Subsidy - Casemanagement

\ \APP1 \M&a\Infall1 \ReportsNet\RevenueADO.rpt Modified: 02/12/2013

State of Ohio 18021

Type

Cash

Check

Check Cash Check Cash Check Cash Cash Check Check Check Check

Cash Check Check Cash Check Check Check Check

Elect Transfer

Elect Transfer

f'.'5 ]\fay 13,2019

IHAC Check No Invoice Amount

Total: $706,029.44

00-00-0024-0000 $30.00 00-00-0019-0000 6429 A0020-19 $80.00

00-00-0019-0000 447 S40.00 00-00-0019-0000 $40.00 00-00-0019-0000 6312 $40.00 00-00-0019-0000 $40.00 00-00-0019-0000 1488 $40.00 00-00-0019-0000 $40.00 00-00-0019-0000 S40.00 00-00-0019-0000 154221 A0019-19 $50.00 00-00-0020-0000 154221 A0022-19 $416.00 00-00-0019-0000 4208 $80.00 00-00-0019-0000 154277 J\0021-19 $320.00

00-00-0019-0000 $50.00 00-00-0029-0000 1061 $75.00 00-00-0020-0000 52831589 $5,000.00 00-00-0024-0000 S30.00 00-00-0019-0000 1373 $40.00

00-00-0019-0000 3545 $50.00 00-00-0019-0000 1441 $40.00 00-00-0019-0000 1858 $40.00

Total: $6,581.00

00-00-0000-0000 $80.07

Total: $80.07

00-00-0000-0000 $18,591.40

Total: $18,591.40

-

Page 3

Page 28: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Revenue Received April 2019

Report Period: 04/01/2019 to 04/30/2019 Date Receipt No Description

2080 Developmental Disabilities General

2080-220-421000.BODDSR20400 State Subsidy- Casemanagement

Received From

04/10/2019 R00111-19 FY19 4th Qtr. Subsidy State of Ohio

2080-220-421000.BODDSR20700 STATE SERMACK

04/10/2019 R00111-19 I-Y19 4th Qtr. Subsidy

2080-220-421000.BODDSR20900 Operating Subsidy

04/10/2019 R00l 11-19 FY19 4th Qtr. Subsidy

2080-220-422110 Homestead Rnl/back R,a/estate

04/05/2019 R00126-19 Homestead Rollbacks

2080-220-431000.BODDLR50603 Active Treatment

04/10/2019 __ R00108-19 Day Hab-Feb. 2019

2080-220-431000.BODDLR50612 R,nta/ ECC

State of Ohio

State of Ohio

Clark County Auditor

F.F. Mueller

Pay In

18021

18021

18021

18021

04/10/2019 04/10/2019 04/10/2019 04/29/2019 04/29/2019

R00105-19 Rent-Apr. 2019 1fiami Valley Child Developmen18021 Springfield Family YMCA 18021 R00106-19 Rent Due Per Contract-March 2019

R00107-19 Rent-Apr. 2019 Trump et Behavioral Health, LLC18021 Springfield Family YMCA 18281 R00117-19 Rent Due Per Contract-April 2019

R00118-19 Rent-May 2019 Trumpet Behavioral Health, LLC18281

2080-220-481000.BODDSR20500 Wavier Administration State Subsidy

04/10/2019 R00l 11-19 FY19 4th Qtr. Subsidy State of Ohio

2750 Bequest Neubert/Webb

2750-220-471000 Bequest Interest Earned

\ \APP1 \M&a \Infall1 \ReportsNet\RevenueADO.rpt Modified: 02/12/2013

18021

Type

Elect Transfer

Elect Transfer

Elect Transfer

Elect Transfer

Check

Check Check Check Check Check

Elect Transfer

IHAC Check No

00-00-0000-0000

Total:

00-00-0000-0000

Total:

00-00-0000-0000

Total:

00-00-0000-0000

Total:

00-00-0011-0000 153714

Total:

00-00-0009-0000 131153 00-00-0009-0000 037983 00-00-0009-0000 126777 00-00-0009-0000 038002 00-00-0009-0000 127059

--

Total:

00-00-0000-0000

Total:

Fund Total:

Invoice

A0016-19

A0015-19

r\0026-19

I

f°lY May 13,2019

Amount

$4,991.02

$4,991.02

$360.31

$360.31

$128,065.35

$128,065.35

$725,987.53

$725,987.53

$16,849.97

$16,849.97

$1,378.16 $361.80 $292.00 $361.80 $292.00

$2,685.76

$7,446.42

$7,446.42

$1,735,495.47

Page 4

Page 29: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Revenue Received April 2019

Report Period: 04/01/2019 to 04/30/2019 Date Receipt No Description

2750 Bequest Neubert/Webb

2750-220-471000 Bequest Interest Earned

Received From

04/30/2019 R00127-19 Bequest Interest Clark County Auditor

Pay In Type

Elect Transfer

r1 May 13,2019

IHAC Check No Invoice Amount

00-00-0000-0000 S203.47

Total: $203.47

Fund Total: $203.47

Grand Total: $1,739,722.69

\ \APPl \IvI&a\Infall1 \ReportsNet\RevenueADO.rpt Modified: 02/12/2013 Page 5

Page 30: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Expenditure Report April 2019

r1 May 13, 2019

11:55:09AM

Account Allocation Carry Over Transfer April YTD Encumbered Unencumbered % Spent Unspent

F.F. Mueller &is. Cntr.

1271-220-702000 Salaries F.F. Mueller $1,924,500.00 $0.00 $0.00 $155,018.12 $652,615.90 $0.00 $1,271,884.10 33.91% $1,271,884.10 1271-220-711000 P.E.R.S./E.R.I $583,900.00 $0.00 $0.00 $118,578.71 $348,532.63 $0.00 $235,367.37 59.69% $235,367.37 1271-220-712000 Worker's Compenstaio, $52,300.00 $0.00 $0.00 $0.00 $0.00 $0.00 $52,300.00 0.00% $52,300.00 1271-220-713000 Unemployment $11,000.00 $0.00 $0.00 $0.00 $1,060.00 $0.00 $9,940.00 9.64% $9,940.00 1271-220-714000 Medicare $28,000.00 $0.00 $0.00 $2,179.73 $9,160.60 $0.00 $18,839.40 32.72% $18,839.40 1271-220-715000 Dental $16,600.00 $2,842.32 $0.00 $640.50 $4,386.52 $8,875.44 $6,180.36 22.56% $15,055.80 1271-220-716000 Life Insurance $2,400.00 $1,450.00 $0.00 $111.14 $568.36 $881.64 $2,400.00 14.76% $3,281.64 1271-220-717000 Medical Insurance $1,014,400.00 $144,551.45 $0.00 $42,470.59 $273,252.79 $117,725.00 $767,973.66 23.58% $885,698.66 1271-220-718400 Travels /Expense $3,900.00 $1,315.00 $0.00 $0.00 $210.65 $1,104.35 $3,900.00 4.04% $5,004.35 1271-220-721000 Supplies $128,700.00 $19,293.51 $0.00 $13,630.63 $42,605.35 $51,688.16 $53,700.00 28.79% $105,388.16 1271-220-732000 Advertising/Printing $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00% $0.00 1271-220-736500 Bed Tax $158,000.00 $0.00 $0.00 $0.00 $39,788.16 $78,300.00 $39,911.84 25.18% $118,211.84 1271-220-740000 Contract Repairs $800.00 $500.00 $0.00 $0.00 $0.00 $500.00 $800.00 0.00% $1,300.00 1271-220-743000 Contract Services $696,100.00 $143,520.96 $0.00 $43,772.67 $213,446.80 $230,074.16 $396,100.00 25.42% $626,174.16 1271-220-746000 Rentals $8,000.00 $3,034.47 $0.00 $550.98 $2,444.19 $8,590.28 $0.00 22.15% $8,590.28 1271-220-751000 Equipment $4,100.00 $3,541.00 $0.00 $239.00 $478.00 $3,063.00 $4,100.00 6.26% $7,163.00 1271-220-790000 Other Expenses $300.00 $300.00 $0.00 $0.00 $0.00 $300.00 $300.00 0.00% $600.00

Fund Total: $4,633,000.00 $320,348.71 $0.00 $377,192.07 $1,588,549.95 $501,102.03 $2,863,696.73 32.07% $3,364,798.76

\ \APPl \M&a \Infalll \ReportsNet\CountyExpenseADO.rpt Modified: 12/29/2015 Page 1

Page 31: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Expenditure Report April 2019

1rc� May 13, 2019

11:55:09A.Lv!

Account Allocation Carry Over Transfer April YTD Encumbered Unencumbered % Spent Unspent

Developmental Disabilities General

2080-220-702000.BODDl000000 Salarie $346,900.00 $0.00 $0.00 $25,170.67 $113,199.13 $0.00 $233,700.87 32.63% $233,700.87 2080-220-702000.BODD2000000 Salarie $1,786,300.00 $0.00 $0.00 $113,150.82 $538,250.81 $0.00 $1,248,049.19 30.13% $1,248,049.19 2080-220-702000.BODD3000000 Salarie, $531,000.00 $0.00 $0.00 $39,011.38 $173,087.90 $0.00 $357,912.10 32.60% $357,912.10 2080-220-702000.BODD4000000 Salarie $1,112,100.00 $0.00 $0.00 $72,853.95 $331,298.06 $0.00 $780,801.94 29.79% $780,801.94 2080-220-702000.BODDS000000 Salarie $415,300.00 $0.00 $0.00 $27,432.82 $124,107.29 $0.00 $291,192.71 29.88% $291,192.71 2080-220-702000.BODD6000000 Salarie $503,000.00 $0.00 $0.00 $33,343.20 $151,179.36 $0.00 $351,820.64 30.06% $351,820.64 2080-220-702000.BODD7000000 Salarie $495,400.00 $0.00 $0.00 $32,059.40 $146,017.83 $0.00 $349,382.17 29.47% $349,382.17 2080-220-711000 Pers/ERI $1,544,700.00 $0.00 $0.00 $47,777.21 $492,254.31 $0.00 $1,052,445.69 31.87% $1,052,445.69 2080-220-712000 Worker's Comp $134,900.00 $0.00 $0.00 $0.00 $0.00 $0.00 $134,900.00 0.00% $134,900.00 2080-220-713000 Unemployment $9,800.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9,800.00 0.00% $9,800.00 2080-220-714000 Medicare $75,600.00 $0.00 $0.00 $4,741.94 $21,896.70 $0.00 $53,703.30 28.96% $53,703.30 2080-220-715000 Dental Insurance $31,700.00 $3,189.76 $0.00 $1,729.56 $9,642.68 $16,757.36 $8,489.72 27.64% $25,247.08 2080-220-716000 Life Insurance $5,100.00 $2,587.34 $0.00 $282.82 $1,472.84 $1,114.50 $5,100.00 19.16% $6,214.50 2080-220-717000 Medical Insurance $1,979,700.00 $222,209.97 $0.00 $119,980.83 $671,980.83 $433,533.22 $1,096,395.92 30.52% $1,529,929.14 2080-220-718400 Travel $83,000.00 $10,890.41 $0.00 $5,417.35 $14,329.13 $21,561.28 $58,000.00 15.26% $79,561.28 2080-220-721000 Supplies $213,300.00 $33,594.65 $0.00 $15,363.18 $40,207.33 $43,387.32 $163,300.00 16.29% $206,687.32 2080-220-732000 Advertising/Printing $5,200.00 $1,034.50 $0.00 $400.00 $1,056.50 $5,178.00 $0.00 16.95% $5,178.00 2080-220-7 40000 Repairs $65,400.00 $27,007.95 $0.00 $8,004.65 $14,315.15 $52,692.80 $25,400.00 15.49% $78,092.80 2080-220-7 43000 Contract Services - Fae $1,539,600.00 $280,764.00 $0.00 $96,065.97 $379,514.42 $776,249.58 $664,600.00 20.85% $1,440,849.58 2080-220-7 46000 Rental/Leases $33,400.00 $9,328.57 $0.00 $2,298.41 $10,207.00 $19,121.57 $13,400.00 23.89% $32,521.57 2080-220-7 49000 Capital Assistance $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00% $0.00 2080-220-751000 Equipment $6,600.00 $6,010.48 $0.00 $315.98 $4,027.93 $1,982.55 $6,600.00 31.94% $8,582.55 2080-220-790000 Other $30,700.00 $28,565.00 $0.00 $150.00 $27,262.00 $1,303.00 $30,700.00 46.00% $32,003.00 2080-220-850000 Transfer out $5,122,300.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5,122,300.00 0.00% $5,122,300.00

Fund Total: $16,071,000.00 $625,182.63 $0.00 $645,550.14 $3,265,307 .20 $1,372,881.18 $12,057,994.25 19.56% $13,430,875.43

Developmental Disabilities Risk Mgt

2085-220-743000 Contract Services $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00% $0.00 Supported Living/Wavier Match

2090-220-744000.BODD0000103 1/0 IX $2,948,700.00 $578,444.00 $0.00 $592,402.09 $1,198,810.19 $1,479,633.81 $848,700.00 33.99% $2,328,333.81 2090-220-744000.BODD0500311 Contr, $806,200.00 $131,207.48 $0.00 $73,216.65 $184,143.87 $157,063.61 $596,200.00 19.64% $753,263.61 2090-220-744000.BODD0991914 RFW J $100,000.00 $50,000.00 $0.00 $2,570.99 $17,047.92 $32,952.08 $100,000.00 11.37% $132,952.08

Fund Total: $3,854,900.00 $759,651.48 $0.00 $668,189.73 $1,400,001.98 $1,669,649.50 $1,544,900.00 30.34% $3,214,549.50

Donation

27 40-220-790000 Donation Fund Expen, $9,367.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9,367.00 0.00% $9,367.00

Fund Total: $9,367.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9,367.00 0.00% $9,367.00

\ \APP1 \M&a \Infalll \ReportsNet\CountyE�1)enseADO.rpt Modified: 12/29/2015 Page 2

Page 32: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Expenditure Report April 2019

Account Allocation Carry Over Transfer April

Bequest Neubert/Webb

2750-220-791300 Bequeath Trust Fund E $0.00 $0.00 $0.00 $0.00 Developmental Disabilities Capital

4040-220-744000 CAPITAL CONTRAC $444,531.76 $187,062.08 $0.00 $43,902.10 4040-220-818100 PRINCIPAL REPAYJ\ $155,000.00 $0.00 $0.00 $0.00 4040-220-818200 INTEREST REP A YM $44,100.00 $0.00 $0.00 $0.00

Fund Total: $643,631.76 $187,062.08 $0.00 $43,902.10

Grand Total: $25,211,898.76 $1,892,244.90 $0.00 $1,734,834.04

\ \APP1 \M&a \Infall1 \ReportsNet\CountyE:--..-penseADO.rpt Modified: 12/29/2015

YTD Encumbered Unencumbered

$0.00 $0.00 $0.00

$90,822.76 $154,771.08 $386,000.00 $0.00 $0.00 $155,000.00

$0.00 $0.00 $44,100.00

$90,822.76 $154,771.08 $585,100.00

$6,344,681.89 $3,698,403.79 $17,061,057.98

- - -,-c-,--,�,�--"�

f\D % Spent

0.00%

14.38% 0.00% 0.00%

10.93%

23.41%

May 13, 2019 11:55:09AM

Unspent

$0.00

$540,771.08 $155,000.00

$44,100.00

$739,871.08

$20,759,461.77

Page 3

Page 33: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Fund Report

f \ \ May 13,2019 11:55:44Ac\1

Report Period: 04/01/2019 to 04/30/2019

County Fund 2019 Starting Cash Balance Trans fer Totals YTD Expenses YTD Revenue Balance

1271 F.F. Mueller Res.Cntr. Fund $628,427.28 $0.00 $1,588,549.95 $926,335.90 ($33,786.77) 2080 Developmental Disabilities General Fund $17,948,982.40 $0.00 $3,265,307.20 $8,139,350.14 $22,823,025.34 2085 Developmental Disabilities Risk Mgt Fund $2,249,048.16 $0.00 $0.00 $0.00 $2,249,048.16 2090 Supported Living/Wavier Match Fund $3,793,573.73 $0.00 $1,400,001.98 $0.00 $2,393,571.75

2740 Donation Fund $9,367.38 $0.00 $0.00 $770.00 $10,137.38 2750 Bequest Neubert/Webb Fund $93,456.79 $0.00 $0.00 $775.10 $94,231.89 4040 Developmental Disabilities Capital Fund $205,105.14 $0.00 $90,822.76 $8,531.76 $122,814.14

Grand Totals: $24,927,960.88 $0.00 $6,344,681.89 $9,075,762.90 $27,659,041.89

\ \APP1 \M&a \Infalll \RcportsNet\CountyFundBafancesADO.rpt Modified: 07/24/2017 Page 1

Page 34: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Board Voucher List for 04/01/2019 to 04/30/2019

PO Number Vendor Description

Developmental Disabilities Capital 4040-220-744000 CAPITAL CONTRACT SERVICES 180011825 Go Concepts Cust. 20925 Clark DD-Lenovo Think Centre,

180012794 Intellinetics Clark DD Monthly Fee- Software & Mainten 180013323 Go Concepts Cust. 20925 Clark DD-Aironet/Smartnet 190013941 Go Concepts Cust. 20925 Clark DD Computers

190013941 Continental Flooring Company Job# 0158739 Clark DD New carpet in Adm 190013941 Go Concepts Cust. 20925 Clark DD-Displayport cable & a 190014824 Go Concepts Cust. 20925 Clark DD-Lenovo ThinkCentre,

Post Date

04/19/2019 04/19/2019 04/19/2019 04/05/2019 04/30/2019 04/19/2019 04/19/2019

Develop111e11tal Disabilities Capital

Developmental Disabilities General 2080-220-715000 Dental Insurance 190014659 Superior Dental Care Group D6567-0l Clark DD Dental Ins. Prem 04/26/2019

2080-220-716000 Life Insurance 180012604 AMERICAN UNITED LIFE INS I Group G006 l 449 l 0002000 Clark DD-Life II 04/26/2019

2080-220-717000 Medical Insurance 180012175 Medical Mutual Group 552866 Clark DD SuperMed Share W 04/05/2019

180012175 Medical Mutual Group 552866 Clark DD SuperMed Share W 04/05/2019 180012175 Medical Mutual Group 552866 Clark DD SuperMed Share W 04/12/2019

180012175 Medical Mutual Group 552866 Clark DD SuperMed Share W 04/19/2019

180012175 Medical Mutual Group 552866 Clark DD SuperMed Share W 04/30/2019 180012175 Medical Mutual Group 552866 Clark DD SuperMed Share W 04/26/2019

180012175 Wage Works Inc Clark DD-Cobra-Mar 19 04/30/2019

190014658 Medical Mutual Group 552866 Clark DD-Medical Adj. Mar-, 04/26/2019 190014658 Medical Mutual Group 552866 Clark DD Med May 2019 04/26/2019

CSAPRIL2019 Central States H & W Fund H&W APRIL2019 04/30/2019

HSAACCDEPAOptum Bank I-ISA ACCELERATED/PRORATED DEPOS 04/30/2019

2080-220-718400 Travel 180013034 Susan Sweeney Clark DD Travel Reimb 1/8/19-3/21/19 04/19/2019

180013034 Alissa Bole Clark DD Travel Reimb 3/11/19-4/4/19 04/19/2019

180013034 Destiny Bessery Clark DD Travel Reimb 3/6/19-3/19/19 04/19/2019

180013034 Melissa Abney Clark DD-Travel Rein1b. 3/7-3/21/19 04/12/2019

180013034 Tammy Leonard Clark DD Reinlb for OADSP Coference regi: 04/19/2019

180013034 Katherine Stephens Clark DD Travel Reinlb 2/28/19-4/1/19 04/26/2019 180013034 Melinda Wray Clark DD Travel Reimb 3/5/19-4/1/19 04/26/2019

180013034 Barbara Wolbeck Clark DD Travel Reimb 3/6/19-3/19/19 04/26/2019 180013034 Loretta Coffey Educational Reimb. for Autism Spectrum Di, 04/19/2019 180013034 Sham1on Chatfield Educational Reimb. for Autism Spectrnm Di, 04/19/2019

180013034 Melissa Baker Travel Reinlb. March 2019 04/26/2019

180013034 Leslie Crew Travel Reimb. March 2019 04/26/2019 190013936 Greene County Educational ServicClark DD-FLIP-IT Training 04/05/2019

190013936 Loretta Forshey Clark DD 'fravel reimb 2/ 15/19-3/22/2019 04/19/2019 190013936 April Marshall Clark DD Travel Reinlb 3/7/19-3/28/19 04/19/2019 190013936 Shaquawana Taylor Clark DD Travel Reimb 3/5/19-3/29/19 04/19/2019

190013936 Mary Alice LaCerais Travel Reinlb 3/7/19-3/27/19 & Lunch 04/19/2019

190013936 Danielle Hopkins Clark DD-Travel Reinlb. 1/8-3/25/19 04/12/2019 190013936 Dalia Velazquez Clark DD-Travel Reinlb. 2/27-3/13/19 04/12/2019

190013936 Karen Adkins Travel Reinlb. March 2019 04/12/2019

190013936 Patty Davis Travel Reimv. March 2019 04/12/2019

F"ll 05/13/2019

l l:55:59AM

Amount

$240.00

$1,000.00 $808.89

$30,591.81 $4,279.70

$969.70 $6,012.00

$43,902.10

$43,902.10

$3,891.60

$3,891.60

$282.82

$282.82

$2,212.68 $355.09

$5,523.22

$2,506.46 $224.70

$4,450.51 $96.00

-$5,572.26 $103,303.16

$9,987.00 $5,166.67

$128,253.23

$290.00 $90.48 $72.72

$27.84 $70.00

$182.12

$106.72 $154.61 $50.46 $69.00 $70.18

$201.84

$100.00 $153.12

$88.16 $344.52 $106.08 $55.10

$208.80 $56.84 $46.40

Page I of 9

Page 35: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

r1; 05/13/2019

Clark County DD Board Voucher List for 04/01/2019 to 04/30/2019 I l:55:59AM

PO Number Vendor Description Post Date Amount

190013936 Tracy Hixon Travel Reimb. March 2019 04/12/2019 $25.52

190013936 Sam Minier Travel Reimb. 2/6-3/26/19 04/12/2019 $26.68 190013936 Joyce Crutchfield Travel Reimb Mar. 2019 04/12/2019 $137.34 190013936 Amanda Van Tress Travel Reimb Feb. 2019 04/12/2019 $55.68

190013936 Erica Brown Travel Reimb Mar. 2019 04/12/2019 $145.26

190013936 Teresa Channels Travel Reimb Mar. 2019 04/12/2019 $157.76

190013936 Jill Stewart Travel Reimb Mar. 2019 04/12/2019 $119.48

190013936 Melissa Hobson Travel Reimb Mar. 2019 04/12/2019 $95.78 190013936 Kristen Wheeler Travel Reimb Mar. 2019 04/12/2019 $109.96

190013936 Sally Clingman Travel Reimb 3/1/19-3/27/19 04/19/2019 $34.80

190013936 OACB Clark DD OACB SSA Forum 3/27/19 04/26/2019 $520.00 190013936 OCCRRA Clark DD Early Childhood Cross System Co 04/26/2019 $145.00 190013936 Wendy Hepp Travel Reimb 3/7/19-3/28/19 04/19/2019 $29.58

190013936 Amy Allender Travel Reimb 3/1/19-3/21/19 & Lunch 04/19/2019 $232.56 190013936 Molly Lacey Travel Reimb 3/1/19-3/29/19 04/19/2019 $187.34

190013936 Shannon Chatfield Travel Reimb 3/6/19 & Lunch 04/19/2019 $60.20

190013936 Kylie Roncolato Travel Reimb 3/6/19-3/26/19 04/19/2019 $30.74

190013936 Lucas Keeran Travel Reimb 3/18/19-3/19/19 04/19/2019 $19.72

190013936 Kim Walker Travel Reimb 3/5/19-3/28/19 04/26/2019 $11.60

190013936 Alyssa Reule Travel Reimb 1/3/19-4/4/19 04/26/2019 $54.52 190013936 Kyle Gambill Travel Reimb 3/1/19-3/29/19 04/26/2019 $54.52

190013936 Angela Dawn Maroney Travel Reimb 3/1/19-3/21/19 04/26/2019 $3.48

190013936 Mike Carlson Travel Reimb 3/15/19-4/12/19 04/26/2019 $63.22

190013936 Tammi Shaffer Clark DD Travel Reimb 1/5/19-3/23/19 04/30/2019 $500.00

190015213 Melissa Treon Travel Reimb 3/6/19-3/28/19 04/30/2019 $51.62

$5,417.35

2080-220-721000 Supplies 170007814 Fast Lane Wash & Lube Clark DD Car wash servicesl2/l/18-12/31/li 04/30/2019 $18.65

170010162 Apple Store Cust. 717283 Clark DD-lPAD Screen Repair 04/12/2019 $49.00

170010162 Office Depot Acct 30234226 Clark DD Office Supplies 04/30/2019 $63.95

180012496 Handyman Ace Hardware Acct. 18348 Clark DD Maint. Supplies 04/12/2019 $111.89

180012496 Home Depot Credit Services Acct. Ending 0230 Clark DD Maint. Supp lie, 04/12/2019 $106.19

180012496 Wayfair Clark DD Play house, play set, & water table 04/26/2019 $128.97

180012496 Marci Dowling Reimb. for Postage 04/19/2019 $8.30

180012496 Gan-igan1s Inc Cust. 3233755 Clark DD Office Supplies 04/19/2019 $46.33

180013032 Madison Avenue Pharmacy Acct 892 Clark DD 2 cases of wipes 04/19/2019 $40.00

180013032 Flaghouse Inc Acct. 0000238782 Clark DD-Basketball Hoo 04/05/2019 $581.00

180013032 Sairong Ngeruangel Clark DD-Reimb. for Car Seat 04/05/2019 $214.49

180013032 Wayfair Clark DD Mattress protector, Mattress, & pla 04/19/2019 $199.27

180013032 Angelica Jackson Clark DD-Reimv. for PediaSure 04/12/2019 $87.92

180013032 Benik Corp Client 94780 Clark DD-Compression Shorts 04/12/2019 $211.00

180013032 Batteries Plus Cust. 9373282675 Clark DD-Batteries 04/12/2019 $662.00

180013032 Handyman Ace Hardware Acct. 18348 Clark DD Main!. Supplies 04/12/2019 $62.58

180013032 Lowe's Acct. Ending 68669 Clark DD-Maint. Suppli 04/12/2019 $11.36

180013347 Office Depot Acct. 30234336 Clark DD-Office Supplies 04/05/2019 $167.82

180013347 Amanda Bennett Clark DD-Reimb. for School Fees 04/05/2019 $125.00

180013347 Office Depot Acct 30234336 Clark DD Bulletin cork boan 04/19/2019 $230.68

180013347 Megan Newell Clark DD Reimb for Car seat 04/26/2019 $107.23

180013347 Hillyard Ohio Cust 277977 Clark DD Maint Supplies 04/26/2019 $2,722.09

190013937 Staples Business Advantage Cust. DET1802173 Clark DD-Maint. Suppli, 04/12/2019 $150.55

190013937 Aqua Falls Bottled Water Acct 027393 Clark DD Monthly Equipment I 04/\9/2019 $35.00

190013937 Wayfair Clark DD-Supe1yard Color Play & Ultimate 04/05/2019 $180.98

190013937 This Old Car Clark DD-Tires/Paiis for Mower 04/05/2019 $490.00

190013937 Plastic Lumber Store Clark DD-PVC Railing 04/05/2019 $1,500.00

190013937 Staples Business Advantage Cust. DETI 802173-Clark DD-Cust/Maint Sc 04/05/2019 $91.47

Page 2 of 9

Page 36: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

r1y 05/13/2019

Clark County DD Board Voucher List for 04/01/2019 to 04/30/2019 l l:55:59AM

PO Number Vendor Description Post Date Amount

190013937 4 Imprint Acct. 4598385 Clark DD-Cell Phone Wallets 04/05/2019 $455.03 190013937 Cara Neal Clark DD Reimb for Kings Island Membersh 04/19/2019 $584.99 190013937 Sue's Furniture Showroom Clark DD Full & Twin Matress Set 04/19/2019 $578.00 190013937 Walmait Acct. Ending 9083 Clark DD-Board Supplie, 04/12/2019 $110.06 190013937 Theresa Nischwitz Clark DD-Reimv. for O1thotics 04/12/2019 $185.20

190013937 Office Depot Acct. 30234336 Clark DD-Office Supplies 04/12/2019 $478.85 190013937 Garrigan's Inc Cust. 3233755 Clark DD-Supplies 04/19/2019 $142.67 190013937 McKesson Medical-Surgical Acct 20011206 Clark DD Gloves & washclo1 04/26/2019 $525.08 190013937 ID Ville Cust. 2204300 Clark DD-Badge Machine Su 04/30/2019 $295.79 190013937 Hillyard Ohio Cust 277977 Clark DD Maint Supplies 04/30/2019 $448.37 190013937 Melinda Wray Clark DD Reimb for Developmental toys 04/30/2019 $15.00

190013937 Garrigan1s Inc Cust. 3233755 Clark DD-Copy Paper 04/26/2019 $1,154.65 190013937 Hillyard Ohio Cust 277977 Clai·k DD Maint Supplies 04/26/2019 $1,985.77

$15,363.18

2080-220-732000 Advertising/Printing 170009550 Armstrong Printing Clark DD-Printing 04/05/2019 $65.50 170009550 Armstrong Printing Clark DD-Printing 04/12/2019 $59.50 170009550 Armstrong Printing Clark DD Printing 04/26/2019 $253.00 190015149 Armstrong Printing Clark DD Printing 04/26/2019 $22.00

$400.00

2080-220-740000 Repairs 180012484 Tesco Transportation, LLC Clark DD-Repair Parts 04/12/2019 $345.36 180012484 D & S Auto Parts Acct. 70477 Clark DD-Repair Parts 04/12/2019 $1,069.47

180012484 Tesco Transportation, LLC Cust C0007778 Clark DD Mirror 04/19/2019 $533.05 180012484 National Safety Compliance Clark DD Driving Safety Training Kit 04/19/2019 $162.00

180012484 Cox Ohio Advertising Acct 16755 Clark DD Bid Ad for Pole barn 04/30/2019 $420.90

190013938 Clark County Glass Co Clark DD-Glass Repair 04/05/2019 $423.87 190013938 Jasper Engine Acct. 1381439 Clark DD-New Transmission 04/12/2019 $4,825.00 190013938 WS Electronics, LLC Clark DD Tower Space useage for 4/1/19-4/3 04/19/2019 $225.00

$8,004.65

2080-220-743000 Contract Services - Facilitie 160006508 Flaghouse Inc Clark DD-Temp Staffing 04/05/2019 $79.56 160006508 Della Boucher Clark DD-Respite 2/21-2/26/19 04/05/2019 $15.00

170010142 Gordon Food Service Acct. 513230028 Clark DD-Food Supplies fc 04/12/2019 $49.67

170010142 Springfield Arts Council, Inc Clark DD-Arts Council Ad 04/12/2019 $315.00

170010142 Priscilla Williams Clark DD Respite 3/1-3/17/19 04/05/2019 $250.00

170010142 Timea Anderson Clark DD-Reimb. for Swim Lessons 04/05/2019 $153.31 170010142 Amanda Bennett Clark DD-Reimb. for Dental Services 04/05/2019 $213.60 170010142 Corie White Clark DD Winter A1t Class 2019 04/26/2019 $108.00

170010142 Della Boucher Clark DD Respite Services 3/21/19-4/15/19 04/30/2019 $35.00 170010142 Melissa Baker Clark DD-Reimb. for Survey Monkey Subsc, 04/26/2019 $39.69

170010142 Anthony Andrews Clark DD-Reimb for Work Shoes 04/30/2019 $96.53

170010142 Glenn Vemick Clark DD-Reimb. for Work Shoes 04/30/2019 $94.88

170010425 Tippierosa Transport Services Clark DD Transpmtation Services for 2/26/1 1 04/19/2019 $162.00

180010965 Zashin & Rich Clark DD-Professional Services Feb. 2019 04/05/2019 $780.20

180010965 Zashin & Rich Clark DD-Professional Services March 2019 04/30/2019 $685.70 180011997 Kroger Cust CN1443 Clark DD Food for training 04/19/2019 $103.97

180011997 Walmart Acct. Ending 9083 Clark DD-Supplies 04/12/2019 $32.86

180012289 American Red Cross Cust. 35076 Clark DD- Class Fees 4/2/19 04/30/2019 $90.00 180012289 Exchange Club of Springfield Clark DD-Membership Dues 4th Qtr Apr-Jur 04/26/2019 $40.00

180012754 Southern Ohio Council OfGovemClark DD Med QA'S for Feb. 2019 04/05/2019 $1,246.78 180012754 Kroger Cust CN1443 Clark DD Candy for Career Fa 04/19/2019 $23.54

180012754 ABC Therapies Inc Clark DD Physical Therapy Services for Mar 04/19/2019 $1,440.00

180012754 Viking Group Inc Acct. DDC2535 Clark DD Food for New Hit 04/19/2019 $23.56

Page 3 of 9

Page 37: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

\=\b 05/13/2019

Clark County DD Board Voucher List for 04/01/2019 to 04/30/2019 ll:55:59AM

PO Number Vendor Description Post Date Amount

180012754 Mercy Health-Occupational Healt!Clark DD-Physicals, TB, Lifting & Drng Tes 04/19/2019 $336.00 180012754 John Deere Credit Acct. Ending 53547 Clark DD Maint. Clothii 04/19/2019 $154.96 180012754 Mercy Health-Occupational Healt!Clark DD-Physicals, TB, Lifting & Drug Tes 04/30/2019 $682.00 180013244 Southern Ohio Council Of GovernC!ark DD-Med QA'S Jan 2019 04/12/2019 $1,568.44 180013244 Viking Group Inc Acct. DDC2535 Clark DD-Food for Oriental 04/05/2019 $136.52 180013244 Springfield Family YMCA Clark DD-Family Membership 04/05/2019 $373.00 180013244 Viking Group Inc Acct. DDC2535 Clark DD Food For New Hi 04/30/2019 $44.59 180013244 Boonshoft Museum of Discovery Clark DD Boonshoft Membership 04/26/2019 $60.00 180013244 Corie White Clark DD Winter Att class 04/26/2019 $108.00 190013939 Justifacts Credential Verification Clark DD-Background checks for New Hires 04/12/2019 $388.70 190013939 Go Concepts Cust. 20925 Clark DD-UPS Battery 04/19/2019 $203.29 190013939 Corie White Clark DD Winter Art Class 04/26/2019 $879.00 190013939 Downsize Jobs Clark DD-Shredding 04/30/2019 $31.95 190014657 Ohio Edison Acct. 110014176215 Clark DD-Electric Usai 04/05/2019 $3,570.63 190014657 City of Springfield Acct. 848001704 1 Clark DD Water/Sewer/St 04/05/2019 $518.90 190014657 Waste Management of Ohio Inc Cust. 94132122003 Clark DD Commercial R 04/12/2019 $282.66 190014657 Columbia Gas of Ohio Acct. 115935120010005 Clark DD Gas usag, 04/12/2019 $1,298.89 190014657 Columbia Gas of Ohio Acct. 115935110010007 Clark DD Gas Usag 04/12/2019 $545.77 190014657 Primmy Solutions, Inc. Clark DD-Remote Support 04/05/2019 $180.00 190014657 Cintas Corporation Acct. 11592523 Clark DD-Unifotms & Rugs 04/05/2019 $175.08 190014657 Family Service Association Clark DD-Interperter Services 3/19/19 04/05/2019 $101.62 190014657 Carolyn Shaw Clark DD-Respite 2/28-3/15/19 04/05/2019 $240.00 190014657 Brittany Wells Clark DD-Respite Feb. 2019 04/05/2019 $552.00 190014657 Security 101 Ohio, Lie Clark DD-Monitoring for March 2019 04/05/2019 $50.00 190014657 Ohio Edison Acct. 110013657439 Clark DD Electric 2/20- 04/05/2019 $2,147.65 190014657 City of Springfield Acct. 8483017047 Clark DD-Water/Sewer/SI 04/05/2019 $411.26 190014657 City of Springfield Acct. 8594017269 Clark DD Water/Sewer/St 04/05/2019 $242.12 190014657 City of Springfield Acct. 8655017391 Clark DD Water/Sewer/St 04/05/2019 $120.38 190014657 Carolyn Shaw Clark DD Respite Services 3/25/19-3/29/19 04/19/2019 $320.00 190014657 InDistressCo Clark DD Training and safety equipment for 04/19/2019 $470.00 190014657 City of Springfield Acct 833730-63645 Clark DD Stormwater 04/19/2019 $87.01 190014657 City of Springfield Acct 833720-63643 Clark DD Stormwater 3/ 04/19/2019 $83.09 190014657 Cintas Corporation Sold to 11609039 Clark DD Rags, Rugs, & l 04/19/2019 $175.08 190014657 Atjo Inc Clark DD Service Contrace KMC 04/19/2019 $649.92 190014657 Treasurer, State of Ohio BC! Cust. I TA495 Clark DD-Fingerprinting 04/12/2019 $415.00 190014657 American Red Cross Cust. 35076 Clark DD-Class Fees 3/7/19 04/12/2019 $270.00 190014657 Profiles International, Inc. Cust. CLA00041 Clark DD-Annual Fee 04/12/2019 $150.00 190014657 Cintas Corporation Acct. 11592523 Clark DD-Rugs, Rags & Un 04/12/2019 $87.54 190014657 Shirley Masters Clark DD-Respite 3/25-3/29/19 04/12/2019 $100.00 190014657 Vicki Crowe Clark DD-Respite 3/9-3/27/19 04/12/2019 $115.00 190014657 Priscilla Williams Clark DD Respite 3/22-3/24/19 04/12/2019 $100.00 190014657 ThyssenKrupp Elevator Corp. Cust. 51923 Clark DD-Elevator Maintenance 04/12/2019 $579.33 190014657 Security IO I Ohio, Lie Clark DD-Monitoring for April 2019 04/12/2019 $50.00 190014657 Bayliss Lawn Care & Landscape Clark DD-Salting Mar. 2019 04/12/2019 $750.00 190014657 Glenn Venrick Clark DD-Reimb. for Work Clothing 04/12/2019 $154.94 190014657 Wiggins Cleaning and Carpet ServClark DD Custodial Services for April 2019 04/12/2019 $2,257.20 190014657 Waste Management of Ohio Inc Cust. 123136633002 Clark DD-Commercial 04/12/2019 $166.10 190014657 Waste Management of Ohio Inc Cust. 94132792002 Clark DD-Commercial R 04/12/2019 $335.0 I 190014657 Housing Connection of Clark Cou:Clark DD Reimb for Vacant Room Fee for M 04/19/2019 $14,771.25 190014657 Spectrum Enterprises Acct. 05776600 I Clark DD-Phone/Internet S 04/19/2019 $2,291.23 190014657 Go Concepts Cust. 20925 Clark DD Acrobat Pro DC 04/19/2019 $2,5 I 7.84 190014657 MoneySoft Sales Clark DD-Fixed Asset Pro 2019 04/19/2019 $199.00 190014657 American Red Cross Cust. 35076 Clark DD-Clas Fees 3/21/19 04/19/2019 $382.00 190014657 Works International Inc Clark DD-Annual License for EmployeeSafe 04/19/2019 $4,302.00 190014657 John Deere Credit Acct. Ending 53547 Clark DD-Maint. Clothi1 04/19/2019 $204.87

Page 4 of 9

Page 38: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Fl� 05/13/2019

Clark County DD Board Voucher List for 04/01/2019 to 04/30/2019 ll:55:59AM

PO Number Vendor Description Post Date Amount

190014657 Priscilla Williams Clark DD Respite Services 4/5/19-4/8/19 04/19/2019 $150.00 190014657 Hauck Bros Inc Cust. 639 Clark DD-Monthly HVAC Main!., 04/26/2019 $568.37

190014657 City of Springfield Acct. 84190065423 Clark DD-Stotmwater 31 04/26/2019 $91.06

190014657 City of Springfield Acct. 84188065419 Clark DD Stormwater 31 04/26/2019 $132.10 190014657 Suppotting Independence LLC Clark DD Transportation for 2/10/19-04/0611 04/26/2019 $508.00

190014657 Huber Heights YMCA Clark DD Family membership & swim lessrn 04/26/2019 $1,000.00

190014657 Roost Real Estate Co. Clark DD Rental Assistance for May 2019 04/26/2019 $103.00 190014657 Ohio Edison Acct 110 014 030 495 Clark DD Utility Serv 04/26/2019 $445.81

190014657 Ohio Edison Acct 110 014 030 552 Clark DD Utility Serv 04/26/2019 $2,130.48

190014657 Ohio Edison Acct 110 062 058 968 Clark DD Utility Serv 04/26/2019 $59.63 190014657 Cincinnati Bell Acct 937-328-0553 574 Clark DD Phone Ser 04/26/2019 $207.28

190014657 Hauck Bros Inc Cust 11236 Clark DD Quarterly Service Agn 04/26/2019 $478.75 190014657 Cintas Corporation Sold to 11609039 Clark DD Rags, Rugs & U 04/30/2019 $46.27 190014657 Columbia Gas of Ohio Acct. 115544970030004 Clark DD Gas Usag 04/19/2019 $1,984.09

190014657 Priscilla Williams Clark DD Provider Reimb 4/12119-4/14/19 04/26/2019 $100.00 190014657 Cynthia Wyant Clark DD Provider Respite Voucher 3/5119-3 04/26/2019 $100.00

190014657 Ohio Edison Acct I 10 124 337 772 Clark DD Utility Serv 04/26/2019 $175.00

190014657 American Red Cross Cust. 35076 Clark DD-Class Fees 3/22, 3/25 04/30/2019 $484.00

190014657 Tac Industries Inc. Clark DD February 2019 Day Service for Inc 04/19/2019 $9,053.19

190014657 Columbia Gas of Ohio Acct 11556654 002 000 9 Clark DD Gas Ser 04/19/2019 $999.97

190014657 SPRINT Acct 474169884 Clark DD Phone Services 2. 04/19/2019 $366.67 190014657 Primary Solutions, Inc. Clark DD-Remote Support 04/26/2019 $112.50

190014657 Go Concepts Cust. 20925 Clark DD-Managed IT April 20 04/26/2019 $16,774.20

190014657 Response Fire Protection Clark DD-Fire Alarm Monitoring 04/26/2019 $243.00 190014657 Hauck Bros Inc Cust 13912 Clark DD Monthly Service Agre, 04/26/2019 $406.67

190014657 Cincinnati Bell Acct 937-322-3961 930 Clark DD Phone Ser 04/26/2019 $51.82

190014657 Cincinnati Bell Acct 937-322-4439 893 Clark DD Phone Ser 04/26/2019 $51.82

190014657 Response Fire Protection Clark DD work compleated at Early Childho, 04/26/2019 $430.00

190014657 Citran Occupational Health LLC Clark DD-Drug Testing 04/30/2019 $73.00

190014657 Wittenberg University Acct. 5019415 Clark DD Off Campus Studer 04/30/2019 $205.35

190014657 Ohio Edison Acct. 110014176215 Clark DD-Electric 3/19 04/30/2019 $3,157.69

190014657 Farnham Equipment Company Job# 6675 Clark DD Bleacher inspection 04/30/2019 $310.00

190014657 Olive Me OT (Gina Ley) Clark DD Occupational Therapy Services for 04/30/2019 $1,200.00

190014657 Hauck Bros Inc Cust 13912 Clark DD Instal circuit board alo 04/30/2019 $359.31

190014657 Cintas Corporation Sold to 11609039 Clark DD Rags, Rugs & rn 04/30/2019 $41.27

$96,065.97

2080-220-746000 Rental/Leases 190014972 U S Bank Equipment Finance Cust 806554 Clark DD Copier Rental 3/2011' 04/12/2019 $2,203.94

190014972 Pitney Bowes Account 8000-9090-0826-9891 Clark DD Po 04/26/2019 $94.47

$2,298.41

2080-220-751000 Equipment 180012090 City Electric Supply Acct 0444032500 I Clark DD Spray without 04/30/2019 $315.98

$315.98

2080-220-790000 Other 180013542 Springfield Rotary Club Clark DD-Meals 2nd Qtr. 04/12/2019 $150.00

$150.00

Deve/op111e11tal Disabilities General $260,443.19

F.F. Mueller Res.Cntr. 1271-220-711000 P.E.R.S.IE.R.I ERIAPR2019R Clark County Auditor ERi Payment April 2019 04/30/2019 $98,639.00

$98,639.00

1271-220-715000 Dental

Page 5 of 9

Page 39: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

f\7 05/13/2019

Clark County DD Board Voucher List for 04/01/2019 to 04/30/2019 11:55:59AM

PO Number Vendor Description Post Date Amount

190014970 Superior Dental Care Group D6567-01 Clark DD Dental Ins. Prem 04/26/2019 $1,675.08

$1,675.08

1271-220-716000 Life Insurance 180012605 AMERICAN UNITED LIFE INSlGroup G0061449l0002000 Clark DD-Life 11 04/26/2019 $111.14

$111.14

1271-220-717000 Medicallnsurance 180013098 Medical Mutual Group 552866 Clark DD SuperMed Share W 04/05/2019 $636.34 180013098 Medical Mutual Group 552866 Clark DD SuperMed Share W 04/12/2019 $1,656.83 180013098 Medical Mutual Group 552866 Clark DD SuperMed Share W 04/19/2019 $1,480.93 180013098 Medical Mutual Group 552866 Clark DD SuperMed Share W 04/30/2019 $604.84 180013098 Medical Mutual Group 552866 Clark DD Med Adj.Mar-Apr'. 04/26/2019 -$2,814.38 190014326 Medical Mutual Group 552866 Clark DD Med May 2019 04/26/2019 $43,511.29 HSAACCDEPAOptum Bank HSAACCELERATED/PRORATED DEPOS 04/30/2019 $500.00

$45,575.85

1271-220-721000 Supplies 170008838 Handyman Ace Hardware Acct. 18348 Clark DD Maint Supplies 04/12/2019 $141.23 180010960 Gmrigan's Inc Cust. 3233755 Clark DD Office Supplies 04/19/2019 $57.26 180013348 Remedi SeniorCare FF Mueller-Medications for Individuals 04/19/2019 $632.93 190013934 Hillyard Ohio Cust 277977 Clark DD Main! Supplies 04/19/2019 $237.69 190013934 Hill yard Ohio Cust. 277977 Clark DD-Cust./Maint. SuppliE 04/12/2019 $503.36 190013934 GatTigan1s Inc Cust. 3233755 Clark DD-Supplies 04/19/2019 $46.00 190013934 Hillyard Ohio Cust277977 Clark DD Maint Supplies 04/26/2019 $706.37 190013934 Hill yard Ohio Cust 277977 Clark DD Maint Supplies 04/30/2019 $420.09 190013934 Ga1Tigan1s Inc Cust. 3233755 Clark DD-Copy Paper 04/26/2019 $164.95 190014765 McKesson Medical-Surgical Cust. 200 I I 206 Clark DD Nursing Supplies 04/05/2019 $884.82 190014765 McKesson Medical-Surgical Cust. 20011206 Clark DD-Nursing Supplies 04/12/2019 $3,396.03

190014765 McKesson Medical-Surgical Cust. 20011206 Clark DD Nursing Supplies 04/19/2019 $1,594.01 190014765 McKesson Medical-Surgical Cust. 20011206 Clark DD Nursing Supplies 04/26/2019 $885.65 190014765 McKesson Medical-Surgical Cust.20011206 Clark DD Nursing Supplies 04/30/2019 $3,960.24

$13,630.63

1271-220-743000 Contract Services 170008603 SPRINT Acct 474169884 Clark DD Phone Services 2. 04/19/2019 $6.84 180012928 Cynthia Hackworth-Rogers FF Mueller-Occ Therapy for March 2019 04/19/2019 $585.00 180013243 Hauck Bros Inc Cust. 639 Clark DD HVAC Repair 04/05/2019 $156.85 180013243 D Elaine Dyar FF Mueller- Dietician Consulting Jan 2019 04/19/2019 $936.00 180013243 D Elaine Dyar FF Mueller-Dietician Consulting Feb 2019 04/19/2019 $915.20 190013935 Express Services Inc Acct. 11130679 Clark DD Temp Staffrng 04/12/2019 $968.62 190013935 Creation Gardens FF Mueller-Milk & Produce 04/05/2019 $610.34 190013935 Gordon Food Service Cust. 513230028 Clark DD Food Supplies 04/05/2019 $746.80

190013935 Cirrus Concept Consulting Clark DD-Temp Staffrng 04/05/2019 $1,549.00 190013935 Express Services Inc Acct. 11130679 Clark DD Temp Staffing 04/05/2019 $1,886.00

190013935 Express Services Inc Acct. 11130679 Clark DD Temp Staffing 04/30/2019 $898.25 190013935 Cirrus Concept Consulting Clark DD Temp Staffing 04/30/2019 $285.75 190014656 City of Springfield Acct. 8480017041 Clark DD Water/Sewer/St 04/05/2019 $778.33 190014656 Waste Management of Ohio Inc Cust. 94132122003 Clark DD Commercial R 04/12/2019 $423.98 190014656 Waste Management of Ohio Inc Cust. 123808773006 Clark DD Comrnerical 04/12/2019 $118.81 190014656 City of Springfield Acct. 24841049763 Clark DD Water/Sewer// 04/12/2019 $51.00

190014656 Creation Gardens FF Mueller-Milli: & Produce Supplies 04/12/2019 $260.60 190014656 Gordon Food Service Cust. 513230028 Clark DD Food Supplies 04/12/2019 $1,260.70 190014656 Arthur H Win FF Mueller-Medical Services-March 2019 04/12/2019 $600.00 190014656 Express Services Inc Acct. 11130679 Clark DD Temp Staffing 04/12/2019 $322.88 190014656 Cirrus Concept Consulting Clark DD Temp Staffrng 04/12/2019 $1,243.25 190014656 Ohio Edison Acct. 110014176215 Clark DD-Electric Usa1 04/05/2019 $2,481.28

190014656 Time Warner Cable-SWO DivisiorAcct. I 0303059437001500 I Clark DD-Cab!< 04/05/2019 $75.47

Page 6 of 9

Page 40: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Board Voucher List for 04/01/2019 to 04/30/2019

PO Number Vendor Description Post Date

190014656 AMITA R PATEL MD lNST PSY<FF Mueller-Psychiatric Services for March 2, 04/05/2019 190014656 Brady, Ware & Company Client 14330 FF Mueller-Professional Servic 04/05/2019 190014656 Gordon Food Service Cust. 513230028 Clark DD Food Supplies 04/05/2019 190014656 Cinus Concept Consulting Clark DD-Temp Staffmg 04/05/2019 190014656 AAA Wastewater Services Inc Clark DD-Grease Trap Clean Out 04/12/2019 190014656 Creation Gardens FF Mueller-Milk & Produce Supplies 04/19/2019 190014656 Gordon Food Service Cust. 513230028 Clark DD Food Supplies 04/19/2019 190014656 Hauck Bros Inc Cust. 639 Clark DD-Monthly HVAC Maint., 04/26/2019 190014656 Hauck Bros Inc Cust. 639 Clark DD 2019 Annual HVAC Ma 04/26/2019 190014656 Response Fire Protection Clark DD-Sprinkler Repair 04/26/2019 190014656 City of Springfield Acct. 84189065421 Clark DD Stonnwater 3/ 04/26/2019 190014656 City of Springfield Acct. 95385061301 Clark DD Stormwater 3/ 04/26/2019 190014656 Gordon Food Service Cust. 513230028 Clark DD Food Supplies 04/26/2019 190014656 Creation Gardens FF Mueller-Milk & Produce Supplies 04/26/2019 190014656 Belair Plumbing Clark DD Backflow Rebuild 04/26/2019 190014656 Express Services Inc Acct. l 1130679 Clark DD Temp Staffing 04/30/2019 190014656 Columbia Gas of Ohio Acct. 115544970060001 Clark DD Gas Usag 04/19/2019 190014656 Columbia Gas of Ohio Acct. l l 55449700200005 Clark DD Gas Usa 04/19/2019 190014656 Columbia Gas of Ohio Acct. 115544970050002 Clark DD Gas Usag 04/19/2019 190014656 Columbia Gas of Ohio Acct. 115544970030004 Clark DD Gas Usag 04/19/2019 190014656 Cirrus Concept Consulting Clark DD-Temp Staffmg 04/19/2019 190014656 Express Services Inc Acct. 11130679 Clark DD Temp Staffing 04/19/2019 190014656 Response Fire Protection Clark DD-Fire Alano Monitoring 04/26/2019 190014656 Ohio Edison Acct. 110014176215 Clark DD-Electric 3/19 04/30/2019 190014656 Creation Gardens FF Mueller-Milk & Produce Supplies 04/30/2019 190014656 Gordon Food Service Cust. 513230028 Clark DD Food Supplies 04/30/2019 190014656 Time Warner Cable-SWO DivisiorAcct. 103030594370015001 Clark DD-Cab!, 04/30/2019 190014656 Tac Industries Inc. FF Mueller-Day Hab Services March 2019 04/30/2019 190014656 Cinus Concept Consulting Clark DD Temp Staffing 04/30/2019

1271-220-746000 Rentals 180012755 US Bank Equipment Finance Cust 806554 Clark DD Copier Rental 3/20/1' 04/12/2019

1271-220-751000 Equipment 180012088 Go Concepts

F.F. Mueller Res.C11tr.

Cust. 20925 Clark DD-ThinkPad Panel

Supported Living/Wavier Match 2090-220-744000.BODD0000103 1/0 Wavier Match 190014329 Ohio Treasurer of State Cust CLARK CTY BD Clark DD Waiver IO 190014329 Ohio Treasurer of State Cust CLARK CTY BD Clark DD CDC Dire, 190015129 Ohio Treasurer of State Cust CLARK CTY BD Clark DD Waiver IO

2090-220-744000.BODD0500311 Contract Services 180010966 James M Hudson Clark DD-Provider Reimb. Mar. 2019 180012468 Choices in Community Living Cust CLAI00 Clark DD HPC & Mileage for I 80012468 Suppmting Independence LLC Clark DD Provider Reimb for 3/1/19-3/20/19 190013940 Destiny Bessery Clark DD Reapite Services 3/20/19 & 3/27/1

190013940 Frank A Wilson Clark DD Provider Reirnb 3/19/19-3/29/19 190013940 Daniel D Hrinko Clark DD Adult Evaluation 190013940 Supporting Independence LLC Clark DD Provider Reimb 2/1/19-2/27/19 190013940 Stephanie Hudson Clark DD Provider Reimb 4/5/19-4/13/19 190013940 Goodwill/EasterSeals Miami ValleCJark DD March Transpmtation & Day Servi

04/19/2019

04/19/2019 04/19/2019 04/19/2019

04/12/2019 04/19/2019 04/26/2019 04/19/2019 04/19/2019 04/26/2019 04/26/2019 04/26/2019 04/30/2019

05/13/2019

ll:55:59AM

Amount

$622.30 $835.00

$1,440.34 $2,833.15

$225.00 $279.96

$1,233.15 $394.96 $702.00 $280.00 $131.29 $13.50

$1,414.37 $316.26 $471.44

$1,192.75 $195.33 $490.36 $143.88 $322.99

$1,032.00 $943.00 $162.00

$2,194.32 $304.90

$2,076.66 $75.47

$1,084.60 $5,200.74

$43,772.67

$550.98

$550.98

$239.00

$239.00

$204,194.35

$564,676.81 $7,359.09

$20,366.19

$592,402.09

$108.00 $1,125.54 $3,326.35

$348.00 $240.84 $250.00

$2,537.10 $1,060.80

$585.82

Page 7 of 9

Page 41: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Board Voucher List for 04/01/2019 to 04/30/2019

PO Number

190014328

Vendor

Ohio Treasurer of State

Description Post Date

Cust CLARK CTY BD Clark DD Administn 04/19/2019

2090-220-7 44000.BO D D0991914 RFW Room/Board 180013104 Johnson's Residential Facility Clark DD Room & Board for April-June 201 04/30/2019

Supported Living/Wavier Match

05/13/2019

ll:55:59AM

Amount

$63,634.20

$73,216.65

$2,570.99

$2,570.99

$668,189.73

Page 8 of 9

Page 42: FINANCIAL REPORT · State/DD/Family Resources $ 74,000.00 $ 18,591.40 Prior Year Medicaid Match Reconciliation $ 651,000.00 $ Prior Year Medicaid Day Services Reconciliation $ Active

Clark County DD Board Voucher List for 04/01/2019 to 04/30/2019 05/13/2019

11:55:59AM

PO Number Vendor

1271

2080

2090

4040

MRDD General Fund Payroll & Benefits

MRDD General Fund Vouchers

MRDD General Fund Total

F.F. Mueller Fund Payroll & Benefits

F.F. Mueller Fund Vouchers

F.F. Mueller Fund Total

Description

Salaries F.F. Mueller

P.E.R.S./E.R.I

Medicare Dental

Life Insurance

Medical Insurance

Salaries Facilities Management

Salaries Community Living

Salaries Early Childhood Center

Salaries Administration

Salaries Adult Services

Salaries Transpmiation

Pers/ERI

Medicare

Dental Insurance Life Insurance

Medical Insurance

1/0 Wavier Match

Contract Services

RFW Room/Board

CAPITAL CONTRACT SERVICES

Post Date Amount

$155,018.12

$118,578.71

$2,179.73

$640.50

$111.14

$42,470.59

$318,998.79

$25,170.67

$113,150.82

$39,011.38

$72,853.95

$27,432.82

$33,343.20

$47,777.21

$4,741.94

$1,729.56

$282.82

$119,980.83

$485,475.20

$592,402.09

$73,216.65

$2,570.99

$668,189.73

$43,902.10

$43,902.10

$485,475.20

$128,015.54

$613,490.74

$318,998.79

$58,193.28

$377,192.07

Grand Total of all Funds: $1,702,774.64

Page 9 of 9