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1981 - 1982
l BOARD OF DIRECTORS MEETING BUSfNESS MINUTES Daf• September 23, 1982 Page The Board of Directors of Flow Memorial Hospital met in regular session at 7:00 p. . on Thursday, September 23, 1982 with the Chairman, Mr, Wyatt, presiding, Members resent: Also present: Mr. Ralph Havenhill Mrs. Mary Williams Mrs, Wilma Fritz 17~ Dr. Don Holt Mr, Leonard Watson Mrs, Gloria Madewell Mr. George Hilz Mr. A. E. Wyatt Mr, Brad Moore Members absent: Mr. Dan Trammell Dr. R. D. Nunn OCT $ 5 1882 The minutes of the previous meeting were presented, reviewed, and approved, New Business: i ance RM.0 rt--The financial statements were presented and reviewed by Mrs, Fritz She exp a ne t even though there has been an increase in the number of patients admitted to the hospital, because of a reduction in the length of stay the average daily census has decreased from the previous year to 92.2 adults per day. Cash collec- tions have decreased $222,742 from July, and the implications of this decrease were discussed. The Charity Charge-Off List in the amount of $45,347 and the Bad Debt Charg Off List in the amount of $108,052 were reviewed, Mrs. Fritz reported that the auditor have already visited the hospital for some preliminary work and will return the end of September for three months; it is planned that the audit report will be ready for presentation to the Board in January. Mrs. Williams moved that the Finance Report e approved, including the charge-off lists; this motion was seconded and passed by voice vote. I u_n~t on a ort--Mr. Havenhill reviewed the minutes of the September 9 meeting of the Flow oun at on Board of Oirectors, He noted that they had tentatively approved the funding of .$36,199 in neurosurgical equipment subject to the recommendation of the hospital's Board of Directors, Mr, Hilz moved that the Foundation Report be accepted; this motion was seconded and passed by voice vote, Mr. Watson explained that the list of equipment requested by the neurosurgeon had been presented to the Foundation for their consideration if approved by the Board of Directors. He added that some of the equipment could be used by other specialists. There was further discussion concerning the priority for purchasing this equipment and whether or not it should take precedence over equipment recommended by the Exodutive Committee for, purchase this year. It was agreed that the equipment would be for "a new service and would be an exception to the list, Dr. Nunn. commented on some of 1;ha surgeons comments regarding the equipment, Mr, Hilz moved thst the Board of Directors recommend that the Foundation purchase the neurosurgical equipment as presented; this motion was seconded and passed by voice vote. Safety--The minutes of the September 3 meeting of the Safety Committee were review I The summary of 44 of the 62 Incident reports was also reviewed. The Safety Committee the o Delivery,Mr~dHavenhit)nmove~trthatythegSafetyf~eport beeaccepted~oLhisdmo tion was ahd seconded and passed by voice vote. I za loo Review--The utilization review statistics for the month of Julyy were pressn ed and discussed. Medicare and Medicaid admissions and lengths of stay hod been justified, as well as a random sampling of admission reviews from other than Medicare or Medicaid. Mrs. Williams moved that the Utilization Review Report be accepted; this motion was seconded and passed by voice vote. j 3 IMawa'. rrw al..w r:r~.w x..♦ r.h r ..-..WVII,YMp. j . t BOARD OF DIRECTORS BUSINESS MINUTES oa,-~, eptember 23 Page Medical Staff Re ort--Dr, Nunn reviewed the September 20 minutes of the Executive C Commi ee ee ng. a stributed a copy of the minutes of the August 17 OB/GYN Departmental meeting which listed several objections or concerns about the Birthing Center, Mr. Watson answered some of the questions raised in the minutes. Dr. Nunn reported that the Executive Committee has begun their review of the re-appointment applications and will have their recommendations ready for the October Board meeting, Applications from Andre Roberge, M.D. for appointment to the Active Medical Staff with privileges in neurosurgery and Robert Holston, M.D., for appointment to the Courtesy Medical Staff with privileges in emergency medicine were presented and reviewed, The following physicians were recommended for approval of home health privileges only; 0Err• B. Hoover, Dr, Will'dm Powell, Dr. Barbara Miller, Dr. Morris Sanders, Or, Lewis Duncan, Dr, Robert Rosen, Dr. William Downs, Dr. Lyle Kali sher, Or, Charles Wysong, Dr. Perry Gross, Dr, Elizabeth Kondracka, Dr. William W, Dr. Dr, John Kozura. Dr, Nunn explained that a letter is to berwrittenRtoeDr.NSidney Roth regarding the negative recommendations from the Credentials Committee, the Department of Surgery, and the Executive Committee relative to his request for surgical privileges This letter, in accordance with the Medical Staff Bylaws, will inform Dr, adverse recommendations so that he can exercise his rigght for a hearing before the Board of Director's action on the request. Mr. Havenhili moved that t Roth of the Report be accepted; this motion was seconded and passed by voice vote, Mr. Havenhill also moved that Or, Holston and Dr, he Medical Staff the physicians so listed be granted privileges inphomeehealthhserviceaonly; this motion was seconded and passed by voice vote, I Nome a It --A request from the Homo Health Service to expand 'their services inT c u a occupat onal therapy was presented and discussed. Policies and proceduresto for this service had been approved by the Home Health Committee, that the Board of Directors authorize the Home Health Service to expand their services to include occupational therapy. This motion was seconded and passed by voice vote. B and oin a s--The Administrator reported that the Denton Record Chronicle pu s had ed stor a regarding the City's re-appointment-of Mrs. Williams to another two-year term and the County's re-appointment of Mr. Havenhili and Mr, Moore to another two-year term. Can uter Pro osals--Mr. Watson reviewed the proposals from Burroughs and MCAuto for rep acement o t e, oora Business Systems computer service tance of the McAuto proposal at $7,248/month on a five-year lease/purchase plan and' explained why he preferred the-McAuto sy period He recommended accep- j could be accomplished over a three-month Mrs. bFritz ack added that the conversion' j during installation of anew system, Mr.Havenhill h moved ~thup system atrtthhetBoardro vi recto s authorize Mr. Watson to enter: into a contract with McAuto as proposed. This mtion was seconded and passed by voice vote. Professional Office 8uildin Mr, maileT'qu s onna re surveys psome repornsted r spon eh from therphysiciansag indicated interest in some 17,000 square feet of space. Further reports from'HBE will be submitted in October. Birthing Center--The policies and procedures for the Birthing Center, 'which had been 'IIiT o e y e Department of Pediatrics, the,Department of Obstetrics and Gyne- cology, and the Executive Committee were presented and approved by the Board of Diracto s, t The Administrator announced that an open house will be held on Sunday, September 25 from 3:00 - 5;00 in the new Birthing Center. The Board ;members were given a tour of th new facility and a brief orientation from Mrs. Neva Alford, Perinatal Educator, United Fund--The Administrator reported that the em 1o ees had contributed ` approximately 82$00 to the United way campaign. p y .-naaMl,t..t.rrw!s~ r I ■ BOARD OF DIRECTORS Fj~INE S S MINUTES od. September 23, 1982 ►.q. ~ 3 Litigation--Mr. Watson announced that a settlement had been reached in the Collies VS Flow Hospital et, al., which was being presented this week in Judge Boyd's court, The settlement, J325,000, was significantly lower than the originally asked for $3k million. Mr. Watson added that another pending suit may be tried in the near future; this one is against the hospital and a physician wlio does not have malpractice insur- ance. He suggested that the Board adopt a policy requiring all medical staff members carry at least the minimum amount of malpractice insurance. Dro -ins--Mr. Watson stated that the obstetricians and pediatricians had discussed the pro em o the increasing number of drop-in patients. These drop-in patients take a considerable amount of the physician's time. Some resolutions were discussed, Mr. Havenhill moved that the Administrator address the Commissioner's future and appraise them of the problem from the standpoint of the pediatricians hand ar obstetricians. Sal~ar~--The Board members discussed the compensation for the Administrator, and the salary was increased to $47,000 per year and the car a per month. llowance increased to $250 There was no further business, and the meeting was adjourned at 9:45 p.m. 'i A. E. Wyatt, Chairman and Acting Secretary i 1 E gm f Ii i I r r f i .cN!#iP.~PNtfi9kA#MbYXPrp}{W.tFwwrewwe++e+asaw+~w.+wt~wwu•w.w...w..6........ r-._,.,.~:. ~ . ABC. FLOW MEMORIAL HOSPITAL BALANCE S11EET SEPTEMBER 30, 1982 1982 1981 1982 1981 Current Assets: Current Liabilities: Cash--Operating $ 3,679 $ 69,577 Currant Notes Payable $ 223,282 $ 140,728 Interest & Sinking 12,753 31517 Accounts Payable 942,764 547,938 Reserve Fund 39,797 70988 Accrued Payroll 331,858 287,733 Repair Fund 19,787 60386 Payroll Taxes 76,909 61,791 Group Health insurance 415 (566) Fees Payable 200,702 174,072 Investments/Board Designated 3071683 231,398 Hone Interest Payable 12,685 10035 Bonds Payable 10,000 65,000 Due Medicare 121j427. 39,000 Total Cash & Investments $ 3840114 $ 3180300 Total Current Liabilities $ 1,919,627 $ 1,327,197 Acownts Receivable 3,437,591 21516,920 Other Liabilities: Teas: Allowances 171111) 3690) Deferred Inooms Pat Patient Receivables 3,15 ,9 4 2, 5,230 Long Term Notes Payabla 409$44 281,142 Bonds Payable 420,000 430,000 Other Receivables 170,364 85,531 Inventories 2840616 252,086 Total Viabilities $ 2,748,971 $ 2,038,339 Prepaid Expenses 741,734 56,680 Capital: Total Current Assets $ 41072,752 $2,867,827 City of Denton $ 3030165871 $ 1393465 County of Denton property, Plant & 0:11ipments aubwment Flow Estate 240,461 240,461 band 37,598 37,548 lied. Grants Hill-Buxton 10868,910 1,868,910 ~ 256,371 256,371 Building & Inprovements 3,067,385 310330781 Federal Grants Furniture & Equ#ment 41 681,004 41077,959 Pledges and lifts 505,208 375,800 Gen, nuid Bal., Beg, of Yr. (6860770) (1,059,536) E $ 71785,937 $ 71149,288 Current Year 621,834 372065 t Acovirulated Depreciation (4,213,668) (3,833 969) 4,s807 Net Property, Plant ti Squipment $ 31572 269 3 315 319 Total Capital $ 4,896,050 $ 44144L8.07 TOTAL 6,183,146 OPERATM FUND $ 7,695,021 $ 6,183,146 TOTAL OPERATING FUND 7 645 021 - 3 ' Current Ratio 2.22 jS .jet.: Page 2 (fX FLOW MEMORIAL HOSPITAL STATISTICAL STATEMEWP SEPTEMBER 30, 1982 CURRENT MONTH YEAR-TO-DATE PRIOR Actual Budget Actual Budget Year-to-Date Adult Patient Days 21949 21970 330830 36,135 34,628 Average Per Day 98.3 99,0 92.7 99.0 94,9 Newborn Patient Days 385 390 41733 4,745 4,275 Average Per Day 12.8 13.0 12.9 13,0 11.7 Gross Patient Revenue/Pt, Day $ 412.49 $ 327.10 $ 395.92 $ 356.71 $ 329,91 Total Expense/Patient Day $ 360.98 $ 275.61 $ 335.88 $ 289.97 $ 279.86 Month Charity Bad Debt October $ 72,027 $ 49,546 $ 71406 NoveM)er 52,097 1580643 5,421 i December 250607 94,950 51666 I January 15,366 87,082 8,998 580795 71,137 50034 ; March 360925 54,005 8,630 April 55,591 76,375 130831 i Y 41,835 911M 6,236 22,460 90,444 50504 k Jay 31962 890855 51852 s fi i August 45,347 108,052 ~ X9,705 s September 44 371 $12.1)715 73 S 3 8 of Revenues ,58 8.19 .7~ r' r FLOW MEMORIAL HOSP IT AL Page 3 STATEMENT OF OPERATION/SEPTFISER 30, 1982 % of Salaries Supplies Total Direct Operatinc Revenue Revenue & Benefits & Other Fb erases Profit (loss) Daily Hospital Care 17 208,718 128,128 X68 133t796 sS ►9 922 Psychiatric Care 7 810684 32,257 797 33,054 48,630 OB/Post Partum 5 59,215 22,424 1,783 24,207 35,008 ICU 3 31,275 20,970 2,386 23,356 7,919 Nursery 2 30,143 14,643 6,420 21,063 90c80 Neo-Natal Nursery 3 30,375 17,118 354 17,472 12,903 Coronary Care Unit 3 32,866 28,450 1,673 30,123 2,743 Labor & Delivery 3 421128 23,948 7,424 31,372 10,756 Operating & Recovery 4 46,154 19,811 14,383 340194 11,960 Emergency Room 3 36,778 18,567 27,022 45,589 (8,811) central supply 7 81,683 70874 37,112 44,986 360697 Laboratory/Blood Bank 9 114,053 53,476 53,476 60,577 Radiology/Nuclear Medicine 7 86,928 16,164 18,420 34,584 52,344 Pharmacy/IV 16 189,471 11,062 36,378 47,440 142,031 ; Anesthesia 3 36,007 11,452 10,323 21,775 14,232 Cardiopulmonary 1 17,909 71448 71727 15,175 2,731 Respiratory Therapy 6 72,075 13,132 7,878 21,010 51,165 f~ Physical Therapy 1 1,5484 8 823 1 434 10257 $1227 15 1009 5,212,9 ~ 2 0,65 642t929 ,017 Deductions of Revenue $ (81663) $ Charity & Bad Debt (128,535) (128,535) E s Fhployee Heplth Ins, Up, $ 33,655 $ 33,655, (330655) Medical Records 394 $ 10,968 4,576 15,544 (150150) Gift Shop/Grounds MPF 1,435 2,601 11842 40443 (30008) } Cafeteria 10,918 24,592 26,809 51,401 (40,483) Plant 17,304 106,887 124,191 (124,191) Housekeeping/Security Service 250293 5,025 30,318 (30,318) t Laundry 50876 41416 100292 (10,292) 1 Fiscal Affairs/Data Proc. 81472 11;062 19,534 (19 534) Business Offices/Credit & Coll. 22,661 12,955 35,616 (35,616) Purchasing 2,127 1,704 31831 (30831) Personnel 3,609 1,635 51244 (50244) A&dni"tration 10,565 11048 11,613 (11,613) Quality Assurance 11797 200 1,997 (1,997) General & Administrative 344 28,813 28,813 (280469) DepiAtion - ...-.45j118 45 118 5 1 4 Gain (Loss) from operation 24p,300 t 37$88 flora-Operating Revenue 37,388 4 088 Foundation TOW L- ,315 S 538_,136 $ 526,403_ ,s%06~;y9 i 31 zt; t i *A"I 00,01 FLOW MEMORIAL HOSPITAL STATES OF OPERATIONS/Year-to-pate SEPTEMBER 30, 1982 Page 4 8 of Salaries Daily Hospital Care Revenue Revenue & Benefits Supplies 4bta1 Psychiatric care 17 $ -2,329,470 & ~~r - 2s Pziio 3rt Psychia Partum 6 781 671 $1,490,388 $ -57,055 5 1,548,257 5 363,595 11,055 $ 777, 13 ` ICU OB/ 682,227 215 011 374,650 407,021 Nuxsory 3 229,925 201,767 161018 230,492 451,735 Neesery l Nursery 2 389,229 190,650 36 057 217,785 12,140 Nata Ceo- ary Care Unit 267,720 1711797 ' 176,707 212,922 Labor & Delivery 4 51.6,756 394, 201 4,571 176,368 91,352 Operating & Recovery 3 435,196 270 355 36,206 429,407 87,349 4 596,799 243,932 64,337 334,692 100,504 E}nergenty Foom 3 124,827 Central Supply 7 411,396 196,055 276,481 368,759 228,035 Laboratory/ply Bank 8930344 103,731 472,536 (61,140) Radiology/Nuclear Medicine 10 1,288,98'1 - 399,206 502,937 390,407 6 849 550 594,663 594,663 694,324 Pharmacy/IV 15 2,012,279 190,393 202,379 392,772 456,778 Anesthesia 4 132,308 445B80 cardiopulmonary 470 955 + 578,188 434091 2 255 Respiratory Therapy ,911 175657 88,415 241,966 1228,931 spy 6 807,251 159,609 106,323 181,980 73,931 Physical 778,259 Total 100$ 135 137. .81 093 13 817 2494 860 8,992 139y,~98 dq,Og3 V8~ 40 277 Deductions of Revenue Otj ell I Charity & Had Debt $ (4890916) EVloyee Health Ins. Exp, (1,438,798) $ (489,916) M Gift edical Records $ 351,729 $ 351,724 (1,438,799) Cafeteria /Grounds Maintenance 21,9449 39 $ 126 9274 18 25,641 155,915 (151,466) Plant 129,990 315,112 3.1.0 1643 84 45,296 (23,622) keeVing/Security Services 200,361 721 827 625;296 (495,306) ,188) Laundry 330,377 50 975 381922,,352 188 (381(922,352) Fiscal Affairs/Data Proc, 80,434 BIbusineLs Office/Credit & Collection 96,508 31,728 112,162 (112,162) + i 1 Purchasing 2831339 130547 415,856 45g0886 (159 (415,88y 884 ) Personnel 19,777 17,803 ) f i Administration 43,753 30,018 37'780 (37,580) Quality Assurance Q'+•A4! 24,468 73,771 (73,771) GwWdl & Adftinistrative 2302Y1 3,427 107+513 (107,513) Depreciation 3,984 359j514 26,698 (26,698) 359,514 (355,530) Gain (Ines) from ~,~3) 42~1t,7,2,,.1, 421 721 4 7 1 Operation ` , y 1,a 1,575 ¢T ;W-10 1 $ ,21 ! Non-Operating Revenue Foundation 352,038 0591 Total 51,204 332,038 2.. 51, 204 1 Page 5 F L O W M E M O R I A L H O S P I T A L SUMMARY OF CASH RDMIPIS AND DISBURSEMENTS SEPTEMBER 30, 1982 Current Month Year-To-Date Beginning Balance $ 21,192 $ 68,074 Cash Received fromi Active Patient Accounts $ 899,668 $10,303,335 Bad Debt Accounts 40986 87,269 Cafeteria 11,573 136,995 Appropriations/Donations 7,544 453,998 Other 48,261 11261,104 Total !;ash 972 032 512 2 ,2,101 TOTAL CASE! AVAI MLE 1993',224 r , Cash Disbursementsi Payroll $ 461,972 $ 51264,855 Payroll Taxes 64,000 7790408 Patient Refunds 19,900 260,028 Capital Assets 51994 535,462 Notes Payable 18,666 311,348 Other 420,517 5,157,499 Total Diabureeomts 991 049 12 308,600 2, Cash Balance Cash' Irzvrestments 296 398 296 398 Total Cash r' 1 Groan Patient Revenue $1,214,985 $13,3800579 Lasso Allowances (110,416) 7 550 ~ ' Net Patient Revenue , , i' Cash Reoeived on Patient Accounts 899,668 $100303,335 Lasso Patient Refunds (19 9U0 (.2.60,00.28) 3,3Sfi^ Net Cash on Patient Aooounts , $10;043 Cash Rsoeived as a t of Revenue 80.26 80.5% i 1 { 1 a 1 ,f i Page 6 FLOW MEMORIAL HOSPITAL AGED Acccu 8 RESCEivAABLE SUMMARY SEPTEMBER 30, 1982 PritstiazY Payor current 31-60 _60-90 91-120 121-150 150± Total 8 of R $ 398,720 $ 77,794 $ 13,350 $ 31764 $ 275 $ 15,359 $ 509,262 16.8% Medicare Medicaid 21,001 280281 10,849 979 3,125 17,044 81,279 2.7% ' 4,956 21298 216,106 7.1% Blue cross 110,960 97,892 4,096 26,546 688,977 22.88 Commercial ins. 380,442 191,184 73,196 13,513 Self-pay 324,061 2410439 165,146 99,820 92,289 201,398 1,124,153 37.1% ; Balance after rns. 117,836 86,375 66,391 _37,647 36,265 63,247 407.761 13.5% $I,353,020 $722,965 $333,888 $158,021 $136,050 $37.3,594 $30027,538 100.0% 472,828 { In-House $3,50b,366 Total A/R - A/R by % 44.7% 23.9% 11.0% 5.2% 4.58 10,78 i i Numbor of Accounts: 71836 ' j i Days of Pavenues j Accounti Receivable 82.6 ! In-House 12.9 i Total 95.T i i 1 h 1 1 j~ ' J Page 7 F L O W M E M O R I A L H O S P I T A L H O M E H E A L T H BALANCE SHEET SEPTEMBER 30, 1982 i ASSETS LIABILITIES Cash $ 15,272 Accounts Payable $ --0- Accounts Receivable 98,186 Payable due Flow 4,410 Total Current Assets $ 113,458 Accrued Payroll 61525 Total Liabilities $ 10,935 IPMENT CAPITAL I Furniture & Equipment $ 11615 Pledge & Gifts $ 90 Less Accumulated Depreciation (1(075) County Homo Health 56,919 Net Mauipment $ 540 Retained Earnings 46,054 Total Capital $ 103,063 TOTAL OPERATING FUND $ 113,998 TOTAL OPERATING FUND $ 113,998 { f l= Page 8 FLOW MEMORIAL HOSPITAL HOME HEALTH STATEMERP OF REVkVUFS AND EXPF24SES SEPTEMBER 30, 1982 Month Year-to-Date REVENUES I Patient Revenues $ 33,926 $ 277,256 Deductions of Revenue (41701) (36,009) Net Revenues $ 29,225 $ 241,249 i EXPENSES ti Payroll & FICA Expense $ 18,283 $ 162,459 Supplies 21308 15,432 i Travel 10555 14,257 f Employee Bawfits 187 11972 Depreciation 90 1L075 ? Net Revenues $ 22,423 $ 195,195 Excess of Revenues over Expenses $ 6,802 $ 46,054 j E 1% i SEPTEDSBER 1982 CHARITY CHARGE OFF Patient Name Guarantor Name and Address Admit Date Balance Explanation Dismiss Date 1 Adams, Angela Angela Adams 5-28-82 $341.00 Balance after MA 1824 Ruddell 0217 6-3-82 Denton, Tx 76201 Barger, Charles Charles Berger 7-12-82 $23.24 MHMR 1200 N. Ruddell 7-13-82 Denton, Tx 76201 Biggins, Bobby Bobby Biggins 4-1-82 $4318.55 Indigent Care 309 Kirkland 4-7-82 Sanger. Tx 76266 Bullard Ann Ann Sue Bullard 4-16-82 $33.50 Balance after MA 1606 Village East 0103 4-20-82 Denton, Tx 76201 Byrd,Verle Jr Varlo Bryd 6-24-82 $21.48 MR Rt l Box 139 Lot 12 6-25-82 Coppell, Tx Calvert, Franklin Wayne Burroughs 6-16-82 $15.00 Balance after MA j 1509 Snyder 6-18-82 Denton, Tx 76201 Carlin,Ann Ann Carlin - 8-20-82 $46.72 MM P.O. Box 184 8-24-82 Plano, Tx 75074 ' i Clark, Andrea Robert Clark 2-22-81 $4166.75 Indigent Care 200 Highland Knoll 2-22-81 Lewioville, Tx 75067' Cougar, Sallie Sallie Cougar 3-22-82 $252.00 Balance after MArnd MC Cure, Inn 3-29-82 `anger, Tx 76266 Orono Robert Robert Ebron tl-G'82 $44.03 M11MR 1912 Osos g.. - Sanluisobi®p, CA 93401 i . . .f r , Pop 2 Patient Name Guarantor Name and Address Admit Date Balance Explanation Dismiss Date Francis, Norma Jim Reynolds 3-16-82 $791.85 Balance after MA 521 Windsor 010 4-17-82 Denton, Tx 76201 Garrett, Equilla Florine Duncan 5-1-82 $57.53 Balance after HA 6300 Truman Dr. 5-1-82 Ft. Worth, Tx 76112 Garrett, Leon Loon Garrett 8-4-82 $12.16 MHMR 608 Chambers 8-4-82 Denton, Tx 76201 I Hawkins, Loretta Loretta Hawkins 8-18-82 $40.00 Balance after-MA 209 Ave C 03 8-18-82 Denton, Tx 76201 Holstein, Dewitt Dewitt Holstein 8-09-82 $19.83 MHMR Rt 1 Box 11 8-10-82 Nixon, Tx 78140 Horn, Philamaa Philamae Horn 5-24-82 $3460 70 Indigent Care 609 Audra Ln 5-30-82 E Denton, Tx 76201 { Jackson, Jerry Josephine Dollarhide 6-38-82 $25.00 Balance after MA f 613 Chambers 7-1-82 Denton, Tx 76201 i E ~ Justice,Betty Ernest Justios 2-2-82 $6271.05 Indigent Care Rt 4 Exec, MHP 045 2-21-82 Denton, Tx 76201 1 1 Lester, Ruby Jerry Lester 7-25-82 $760.80 Indigent Care 127 N. Hook 7-28-82 Lake Dallas, Tx 75065 Natthewe, Mary Sue Mary Matthews 6.16-82 $24.50 Balance after HA 620 Robertson 6-16-82 Denton, Tx 76201 E Page 3 Patient Name Guarantor Name and Address Admit Date Balance F.xplanstion bismiae Date Parker, Stephanie Louis Parker 2-27-82 $847.06 Balance after MA Rt 1 Box 54 A3 3-4-82 Grapevine, Tx 76051 Patterson, Gerald Gerald Patterson 7-17-82 $41.00 Balance after HA 114 page Rd Rt 4 7-19-82 Denton, Tx 76201 Payne, Harvey Harvey Payne 6-13-82 701 Driftwood $4815.82 Indigent Cara 6-18-82 Tx 76201 -82 Pinson, Kermit Kermit Pinson 6-21-82 $59.00 Balance after MC 326 Scaly 6-21-82 Justin, Tx 76247 Richardson, Amanda Amanda Richardson 5-23-62 401 W. Prairie $32.00 Balance after HA. I~ 6-5-82 Denton, Tx 76201 1 Ricks, Barbara Barbara Rieke 8-7-82 824 Cross timber $18.00 Balance after MC and MA 8 Denton, Tx 76201 -7-82 Robbins, Barbara Barbara Rob'lina 7-26-82 At 1 Box 65t T 461.00 Balance after MA 7 Sanger, 'Tx 76266 26-82 1 Roberson, Freddie Fraddlo,Roberson 9-8-82 $40.40 Denton County Jail i ` Denton County jail 9-7-82 Denton, Tx 76201 Romines, Sharon Sharon Rominea 6-17-42 918 Bernard $852.20 Bala»ar after MA 7-3-82 ff lknton, Tx 16201 I! Sims,, Kevin Fannie Sims i B, 816.82 $18.00 1014 Balance Otar MA Mekory LJ Denton, Tx 76201 1 s r.l F Page 4 Guarantor Name and Address Admit Date Balance Explanation Patient Name Dismiss pat Sitzes,» Billie Billie Sitzes 2-19-82 $10.50 Balance after MC and MA 2500 hinkle 3-2-82 Denton, Tx 76201 1 Smizn, Shonna Tommy Smith 8-21-82 $10.00 Balance after MA 130F Adante 8-21-82 Pt Worth, Tx j 8-21-82 $46.75 City Jail St. John, Kimberly Kimberly St. John Denton County Jail 8-20.82 Denton, Tx 76201 ' Stimpson, James James Stimpeon 2-15-82 $16100.94 Indigent Care 620 Morse 3-1-82 Denton, 1'x 76201 Streight; Ronald Ronald Straight` 7x21-82 $56.50 MNMR 7-26-82 UNKNOWN., 0-28-82 $49.50 Indigent Care Thompson, Elwood Elwood Thompson 1310 Scripture 5-28-82 Denton, Tx 76201 Tucker, Beulah Beulah Tucker 3-31-•82 $26.00 Balance after MA P.O. Box 1044 4-7-82 r Sanger, Tx 76266 a i Vasquez, Louis Louis Vasquez 9-4-.82 $118,00 City Jail Denton County Jail 9-4-82 Denton, Tx `76201 7-30-82 $10.21 Texas Rehab. Vickery, Wendle Wondle Vickery 8-2-82 414 N. Bradley Denton, Tx 76201 Wallace Delilah Wallace, Delilah 9-17-82 $13.50 Balance after MA and MSC 428 Ruddell 6-4-82 Denton, Tx 76201 ;t. - I I i .Y 1!. Page 3 Patient Name Guarantor Name. and Address Admit Date Balance Explanation Dismiss Date j Webb, Billy Billy Webb 8-14-82 $178.95 City Jail t Denton County Jail 8-14-82 Denton, Tx 76201 1 , Cynthia White Denton County 7-22-82 $44.86 City Jail E. McKinney St. 1-25-82 ' ? Denton, Tx 762n1 $195.50 Balance after MC and MA ,81 _ k Wilson, Irene Irene Wilson 44-77-81 S€ Rt 2 Box 236 E Aubroy, Tx 76227 ff ~ I 1 ~ I ~ ! I TOTAL ACCOUNTS RECEIVABLEt $44371.38 j 1 i k i ~ I I c t;6 i { y Is 11 t _ DATE 9/00/82 ?1 00: P L0W HfiMDR I AL N08P i T A L ~ BAD C>£BT TRANSFER REPORT PDR PERIOD 9/01/82 THRU 9/3E0/82 q~g BA p~~ 4A~C ,J rrrrr pA7NT NAMg r «M rrrr♦ ARANT A rMrr AdMITTED DtBCHAROED T IE(1FpFP OP7 Pr--SET NUMB NUM-AR -----d R-..SE_STY-_8T'.--SP»"_.....__ AD--- 01T"D--~1p~---_ { J ~ 4 - r pgp I PEARL 7A7 EXp8N E PEARL 4/20192 9/29/82 18.00 401 lbSB4 701X F5Y TX 76201 DVNTOA~L~V TX 76201 NO response to collection efforts. J DEN), RI 00 UM 8/02/82 9/74/82 99. SO J 76249 1tRUf1 BOX 640E TX 76249 Movedi left no address, Zdl 43t8b6UH BOX 648E SANDRA JEANIE A~8 Lpp 1302 , CARLOS 4/30/82 5/08/82 9/29/02 3946.90 099 SOt 401D91 IgAik 1302 Oft 74745 PIDA Ei OK 74745 Unable to locate. J ` , TOM 5/21/02 9/29/82 131.25 201 407338 IAYBBb% 991 7K 76Z6h ARpY8 AY lox TX 76266 Movodl i left no address, ui IT BR X 94t AR YL , TOM 1. O 2 ggg A , PAMELA SUB. 2/10/02 9/i29/62 61.00 70177 BACK PAMELA 9CCARRGLL BLVD T% 76201 NT ROLL BLVD NT N0 response to eolleatlon efforts. CAR TX 74201 f„ D8a ON U~ZQp l~01UgH.CDlH1tSN , ICltV1H 4/01/82 9/it9/Bit 40.00 1 384776 J 4HWIBVI~E4Z03 CLATK 7506.1 LSNSBVSLL8D8 ST TX 75067 NO response to collection efforts, J , 201 3765 2/14/82 9/2.9/02 64,50 L p I A dp 90 p PpAY 137 TX RANDY 76266 AV B RANDY No response to collection efforts. y ~EY 132 7x 76766 Warta. 2 64,00 V M TOMMY WON CHARLENE 3/03/82 DE TON TX 76801 YX 76801 No response to collection efforts. 701 382069 DEVADCARRITLL BLl'D ARROLL BLVD k 4/24/82 4L l0 707 17723 g~ L1LLtE 76201 ~DVI LILLIE 3/04/82 it LL 6T90 1 TX 76701 NO Yesponse to collection efforts, J D8 SILL STREET TX jCN T N V M 4/04/8'2 9/89/82 103.50 A , BTAOY JOHN TX 75034 RbBCO842 TX 75034 _ No response to collection efforts, J tot 3912548 I'M I ;4A 8 pppp THOMAS 6/20102 6/21/62 9/89/82 440.35 a O% 1064 YX UNION TX 7401 Unable to 100S ' „j l01 416842 0OFj TX a" 1064 THOMAS 76201 101' 315931 WE TONS JOTWLifi1Olt a4D , AWITSN M 11/02/91 'W05/81 9/8V/B2 745.45 J t t~O ~~R 4n L0Q TX 76026 RtDOk.PRONNRT, AX '76026 No response to collection efforts / too. 00 I r' 201 372912 0 lLAOE BAST N101TX 76201 DBN nO uLLAOB EAST ~It~1IopR~TXt „76701 No response ttto collection efforts, S i r , l 1 r ~ ` DATE 9/30/82 7:55: f L D W M E 'M 'O R'I"A L' :N 0 A P I T"A L'"'... PAGE 2.... - 9 L BAD DEBT TRANSFER REPDRT FOR PERIOD,_9101/82 ,THRU 9/30/88 ♦r POTIENT NUMORR r**M4 PAT1ENi IMMg 4Me• ARANTOR NAME ♦f111M ATE D T DppT pp~~ EALgI J PX N_UM_ap ADDR, CITY, BTt_TIP_ _ A_DD_R, CITY.BTt IIPr AQMITT_ED_ D10C QED W fBOPF OF ACCOUNT y r w r n r rr ry.rr.r. r r. n__ rw n r r r r _ -Jr_ww ♦ t 201 364496 p3pgAgFQ{l,?N LA14E8 NIi BRIAN B THIN LAKES Ng, KEN' 1/20/S2 4/29/82 132,00 DENTON TX76901. NON Yk 76201' - T' %W No response to collection efforts. 202 300953 81 DFAOR Y , STEVEN ~o7+~ppjy$p py~?µD(~pp BECKY 5/06/92 9/29/02 45.00 DE~T~MIS TX 76201ElNTONBBSY 7x 76201 .No response to collection'efforts, 9" 229026 bApNCC~AHH KENNSrH 82gQ0ANCCHWN KENNETH 1/06/82 9/29/82 140, 00 OSNT011%'N 03 TX 7620t DENTON M~ TX 76201, No responseto'collection efforts. 201 341101 ~DENjENOOEWRE PATRICIA NNiER~01ER PATRICIA 3/10189 9/29/82 200.50 O VARRN p 6E Tx '°'761203 No response to collection efforts. f 4 TON Tx 76201 Y6~lfA~N~TCN~OAN J 1 400407W RUTTX "74067 611 C{;VAfI• gOAO '`.7kY No esponsezto collection effo9ts99/82 61.00, tir 1 82636 IC DORREBN C DORRHEN 2/96/02 9/29/88 33.00 M ~RUDDELL 0130 ~ ~ gUDOELI NQB NT TX 76101 NT TX `76201' No response to collection efforts. 4 p g MICHAE1 VIOLA 1/03/09 9/99/82 38.00 J QOS 3b4dQ1 ~y0 CMODELL,APT 160 . 9b0R81CEgVDDELL APT 160 , Dit 7QN TX 76201 : DSNTON TX 76901:No response to collection efforts. ` 1R9 D30~FH 8x~NCWI DAWN JsAtR9T7epGXC~ JANE 5/21/82 9/29/02 39.00 203 407436 B T OP L f CA ROLL70N _TX- 70006 ARROLum TX',.75006.,No response to collection efforts: p MA}~~~~ ~~jj J t, . t 400526 T:- . JAMEX 76958POLOTS]T.. JAMES 0/22/82 4/24/82 104.00 I 76200 NO'response to collection efforts. J ~•f4 201 388306 (OQg OT.^ ERNEST ~RjG08~ ORNEBT 3/93/82 9/29/82 63 00 T Tk ""76201 YDN -TX " 76201No response'to collection efforts, j 202 3041306 R ERNEST 00 , ERNEBT 1 4/04/62 9/29/02 211.00 „ AN': BT.... Y•Rf ig u~AND.,., . r . UkOS 7X 76903 DeNTON Tk "76It01'No response to collection efforts. i 3 201 370324 R ~OxE TApY Rr G , hIPN 79047 TNJ ~rAt~I0N 7b204 : ~I ~MVIt1W tX- 76130'No rasponse~to collectioh efforts. Qq/02 68.50 p~u~u M TX 1' ~1 1 pN1tL~tttt Bg M,LL 9..GG 201 366000 OENTOtd , CHApXOTT762tl1 DE TON PRUDD,E762O1 No response pto collection efforts IBZ J f r r ................r......n....rr....a.......~...a.........»..._..n..n- n-_.._...nr~rn.........~_n..........:... if 1 ' y "p` 1 PADS 3 r, ~ pAT6 9/30/BR 7.55i PLOW MSM OR 1 AL N08P ! TAL ',Y) BAD, DEBT TRAN8F8R REPORT FOR PSRIOD 9/01/82 TMAU 9/30/82 PATIfiNT NUMDEtt YAAiA PATIENT NA~1gg AMrA _ rAAAA puARANTOR Np~ AA#r ATg pp7g ~pTE 9ALpN~g PP% NUMBER ADDR, CITY, 8Y. 2IP ADDq, C1TY,87, Y1P ADNIT760 D18CHgROSD ►Nt1TSOPi OP+ AGCOUNT V 102 463!9 ggROCKE71 , PATRtCIA BROCKETT PATRICIA 1 VO1/B1 11/02/81 9/29/88 41.00 F' 0 gOX 107 P. S DOx 107 , ~ AGp7~tgy Tx 76227 AU ~EHY T% 76277 NO YBSgOn Se t0 COI leCC10n effOrtS. ,J f 201 346361 ~OJ1)AVB 0 N30 ' ALLAN 3R0O~AVB 0 N30 , ALLAY 10/30/81 9/Q9/8Q 80.00 -r. ~ DSNTQN T% 76QOS DENTGN TX 7620! No response to collection efforts. -~~t ~ 201 37039y BR0 N , DONALa BROWN , PEARLIS 1/24/82 9/89/82 R2. 11 ``Av K6RLHY tt4033 {{(~HRLEY DHN ON T% 76Q01 DENTON Tx 7bR01 NO reSpOnSe t0 CO110Ct10n effOrtS, - J : L tOQ QB606Q pgRppWnNpX Q09 , STEVEN gpRO g~0x p09 ' LSROV C 2/04/82 Q/08/88 9/89/88 234.41 ~ TNACKHRVILL6 gg OK 734D9 TMACRERVILL6 OK 734y9 NO reSgOnse t0 C0118cti0n effOrtS. 201 461711 ~RyYrAltE MARBNh~L~CREl~xM 76Q6R RRB~jYAnn% 8170 A ' TF~ODORE 0/OR/8R 4/89/82 38.00 ~ AOAf E pbA E TX, 76268 No response to collection efforts, J 101 3'S80Bt1 ggUCKNANAAN~ , JONNhIY iBiU~U~CCttRa , ORACV 12/09/tl1 1Q/l0/81 9/29/82 Q40.20 I~1 f ~ 10IIN9~KER8Y Tx 76201 DUENNTgpc~ Yk 76201 No response to Collection efforts. J l01 387309 DS~T(Nf~~N4WD ' B~TxNg 7bR01 OENYb~Sg~O ~ , 11CLSN 7bR01 NO re5p0nSe2t0 CD?1 Ct10n effOrtE~/92 27, 00 ` . L. ~}u ~N g ~ ROt 3BQ309 7p~T~~PNW00D ' BART%NE 76Q01 7i2itTOk~NWOtlD ' CNAXLS876f101 No resp0 fe2t0 COl1eCt10n @ff09lQ9/82 39.Of! J , I pU~C 201 354993 ~~~~ORTFNIOOD ' RAN~x 76001 QfiNS~ 7NNdOD RANDY 76ROi NO responselto collection effort6.4/82 v4. 00 3 J , j 1t11 3B144t gWil11N[ BETTY UR~I~tS , NORMAN x/01/82 3/03/82 9/29/82 f0, Y0 ~ ~ ~ AtTVRaRa T% 76Q2D gMT~VgExD Tx ` 7b2R8 No response to collection efforts. ,J j 001 386797 ~OQ ~D JU8T1N Rp T~TxEA762Qb ARAYOa ,Qa THHK8876R26 NO respOnse2to collectio4 efforts/62 247. 90 ~ f 1 3974f9 ~~~1ufiR BIL~YO 0 ~~Tt`~1VSR ~ ~lBOY G No response2to colleetion efforts~ig2 ~ QOf, 076187 ~9Nl.IVAR 808687 yyU~~p►~,gg~7L1VM , A08t{RT 2/13/82 9/29/OQ 39.00 NT Tx 7bR01 DHNTON Tx ~ 76Q01 No respons0 t0 ColleCifon effOrtS~ ,J ~ i _ . ~tir• ~ . p ;i 3 : 1 , r ri. • ~ i . . WWI PAOE R L O N M E M O p i A L H 0 8 P I'T A L DATE 9/30/82 7:551 pp gg PAD DEBT TRAN8FER REPORT FOR PERIOD 9/07/62 THRU 9/30/82 qq~~ pp cg U PpFXENTNNUMPRR ***»ADDRTICITYN/+97r42IP~___ - DD * ~Al)DRCITY BTA11PreY ADMITTED DIBCHANOED 10MA1TTgg 7EOFF ORPAACCOl1NT L yl DEBRA BACA MICHAEL 12/29/81 12/31/81 9/29/62 654.60 101 361204 5 Rt`I33ORpt~C g6 Cm*H l`gg ppUUC~HH gg J L A DALLAS 7X 75065 tSAME DALLA00 Cpl1RT 7X 75065 No response to CO11ectSOn efforts. ~ ~ ANA Ppu`6YAg 3TH 016 "N 4/10/82 J 201 393959 T N M16 TX 76801 DENTQ TX 762of No responi,a to collection efforts. » LEKVOUH BBY 12/06/81' 9/29/87 45.00 201 357236 T,CR ~ ~IV~ BO%06 0 75056 TFj@4COLON0 DR POX 82740 75056 No response to collection efforts. ` R 6y yY0 ~~pARR LEE 3/01/62 9/29/62 112 00 301 381434 ~H0000f! ' LE6MI 49247 70CUH~EHK M1 49286 No. response to collection efforts. ~ j , L gy $ 0 ~TgIETAj ~H9p gR1AN 12/25/61 9/29/92 38.70 203 175745 D~E+ITN ~O% 105 AdobSAMA y6a01 D& % 105 ANOUS LN IA 7bROS No response to collection efforts. ee J RT 0% 203C DAVID L 9/3!.'./61 9/23/Bt 9/x9/62 526.35 i 101 334664 BYR M DAVID VROM tt gg RT Y Box ¢030 TX 76227 No response to collection efforts, TX 76227 AUBREY AU6RfiY AC E~AApy AI 4/30/.e2 9/99/82 6q. 00 AC~A6 T% 75065 No response to collection efforts. TF L_ 201 401109 LAZE n OHOREh ARI 75065 AVtE RACE&i OHOREB CYOR 201 3+73670 Ang , MAR 10 2/05/62 9/29/62 49.75 HT&VA NT' TER YX A 76201 ITNOS 3REEK TX 75224 NO response to Collection efforts. 3p DAL , CHAR~E6 S107/02 4/24/62 60.50 C,~~ ggHERAtOAN ~ATLliNgiI 1006 N[VER6ITY OIi N0 TX 76201 DENTON TX 76201 `No response to collection efforts. xOl 403410 DSEEidN O~1^ l MELISSA DD„1~1 r RENE 6 12/3118t 1/02102 4/24/82 x4i:.71 ✓ 1 101 363598 OE DON ON YX 76201 No response to collection. efforts. TX T J T 76x01 QAp gR6E~ppn , WILLIAM 3/03/82 9/29/62 109.00 201 362267 AMY LA L~ALOR , TX 75065 1LAAMkADALLAB TX 7*065:NO response to rol lention efforts.' Lit O 6ARPARA 12/02/01 9/29/631 71.30 i Q IERIA Y% 76201 ~ip RICKEY NgitlRM Y% .76203 NO response to collection efforts.' 202 197392 ~NNOK V C , MRS Y% 76¢66 10/t5/01 11/04/01 4/29/62 400.00 101 349063 pARRpgACH RANCE 6p RPgg TX 76x66 ACH N4 response to collection 'efforts, AN06R ER V .af i r t,, { i • f _....~...+r....- ` k. OATH 9/30/82 7: SO: F L 0 W M. H M O R I A L H 0 S P 1 7 A L PAGE I DAD DEBT TRANSFER REPORT FOR PERIOD 9/01/62 THRU 9/30/82 rtk~ ~ f ~ T pp~g ~pTg I, Nag J Y PpT%HNTNUMM8BBEE rxxx ppo gT f1AMgg xrrr xrrrADOUANCAN149! 6TAMZtpxrx ADMIT ED DISCHARGED VN ItOFF QPHAA0001/NT IT ar FF AtlbA CITY, ST, XIp UORR _ ' 1. , BENJAI1IHr_`__ ~-~AbRTp Eqqqq I RANDAL 1/21/92 9/29/82 19, 00 JAYE 1 290627 m TAHH TX 74201 DHM70N TREE TX 76201 No response to Collection efforts, o s, J I 201 268887 CCpA``RTfiY KAREN QSQL`DEBAYAN DONNALD 2/19/82 9/99187 35:00 tllikT TX 76201 DHNTON TX`' 76201 ; Wresponse t0 Collection efforts, CCA T KARSN 1/01/62 9/29/82 05.25 204 26719510NOM TRAILak PHEggX CCA ~ 76201 T T W , Tk 76201 NO re once to collection efforts, /S2 300, 00 915 ' J q 47~p011I~ ~ S&T RONALD 3/10/02 o/ 1. Z02 385t12 LSN1 6V1110NA9 LN Mtab S xA' 7E067 - VHNLAND{T MO •i3114 ..Uneb18 to locate. .t 9V L 66 DAVID 0/2S/B2 9/24/82 38,00 203 226803 561 TCAR0INAL 00-11 CHARLES J YXfiS76201 gT INIVHABITY , -TX 76201 Moved; left no address. J t. pLN GGGpagaOaQNT WORTH DR 113 201 410969 CASTILLO M3 JIM7k 76201 D6NT0 9 11 =Tk " 761101 _NoVedi311eft no address. 9/29162 71.75 20l 362160 D $TO LL? JOST% 76201 NTOR, J,YX 76201 No 2response to collection effort IBR 10.39 J TX 19.00 ~0 cj~p 202 296806 Qtl lOL0VXSR APT 38 SALDOR76dOl 4j LW18H,APT 38r SALVADOR 1/16182 9/29/82 N1 DD ON TX 76201 No response to collection efforts. J ; ` V p2/14/92 9/29/82. 10,50 201 323022 RYESLq KELLY Rjefi CA , TRINITY TX 76234 g A tfR TRINITY Tk LARRY 7'6234 No response to Collection efforts J H6M~ADH A H8VA 12/01/91 9/29/92 119160 „ r. "-If 1 201 706917 H SEpbA~N EVA N36 y ONOUIbR MI6 TX 76201 ffilah XR PPYTX' 76201 No rOil'inse to CUI10CtIon efforts, J 1 ! l01 390563 ~H1AM7B8wRS BB2RTHA H MBSRS , ORVAL 11 /92 0/17'/62. 9/24/92 1694.70 DfiNtOf! HICKORY APT 4i~#` DELIVERY Tk 76201 No 1 ponse to Collection efforts, J OG TX 76201 77.60 202 329797 HAAMBHRR JAMES AMI& OWLBR JAWS 12/29/St 4/S14/92 A t1WI HR T mo 65559 MO" 66609 No response to Collection efforts, J ,JAM69 J ~ 1G1 331660 4p0jMDD!!LL 0141 I ORBTk 76201j1MTPUD LL *t41 ' ALBERT L 11/06/91 1t/t9/St 9/29/92 168,50 ~40 NY " TX` '76201 No response to Collection efforts, J t t r` \ 4\ 4 i K . ' (r DATE 9/30/82 7:56: P L0N N 9 M 0 A I AL 808P I T A L PAGE 6 BAD DEBT TRANSFER REPORT FOR PERIOD. 9/01/82 THRV 9/30/82 PATIENT NUMBER w rrr PATIENT NAMgg rrrr rrrrr 0uARANr0R NAME rrrr DATT ppATE 2A11 nnF 8 AC COUN PF NUMBER ADDR, CITY, BT, ?IP ADl7R. CITY,6T, ZIP ADMITTED DIN HAROED RIEOFF OP T 303 331553 NN 0T~.~p IaN , ORENE CCCCOoHAMRRPIOo , ALBERT L 12/05/81 12/16/83 9/29/82 133.50 TRU~OELL 0141 Tx 76ROI DENTOND tL N141 TX 76201 ,No response to collection efforts. ON !04 331553 GHp MpRU~1p4 ORENE ~HAM IpN ALBERT L I'M/82 1/15182 9/29/82 42.00 I NTIINDDEL4 N141 Tx 7601 Ni UD0EL4 0141 Tx 76201 No response to collection efforts, " e 203 45476 HAB MN , KUNNY 0qHtbbAAOT ~ewN VALLaY KENNY 6/12/82 W29/82 74,, 00 TUN VALLEY TX 76201 DENTd~"" Tx 76201 No response to collection efforts. " J V g i 1/1o 1/26/82 9/29/82 207,75 No response nse to collection•efforts, 102 343006 cNA N=l87 By BTATx 76244 !(UM x 463, 7% 76249 ubm V AJ 101 306162 BERRY OR6XOR7 3 No12 spouse to collect on effort24/82 636. 75 y 4AVM +T DUBTRfA4 SUBANA 76II01 UN N C9H0H0AAXx J No5r sponse to collect~n effort /82 575.25 301 316626 KAUMH FIRST BT Y~TxDA 76249 RUM 413 J TX 76249 1. N 'BIRD RICHARD 1/12/82 4/82 203 116186 g T IHIN&NOIRD NRATX 76207 DEN7tlE~ 762o1 ND response t0 collection efforts 38.00 J V E ~ 202 308874 J~j~UNN~, TIMIRON ~MWCALN{, , NOVELLA 3/16/62 9/99/82 2152.37 DBNTghEXANDER Tx 76ilOl OitiNTONBXANDKA TX 74,20, NO response to collection efforts. J 1/03/82 9/29/82 aCi1f9 AgL p nR p~ 11 120, 00 101 421495 QjO'LO.OCt16T RMMA X 76201 T LOCUST Nl0 EMMAA 76201 7/03/82 address. 201 364646 SLAM A~ CHARLES 4ARK L , CHARLES 1/0'3/62 9/29/82 143.00 1r L 61LE TX 75067 H tMULL6 TX 75067 NO response to collection efforts. RO1 374207 OLDVISR APT*9 OLETX 76201 DE T~ ;BE APT 19, OLTX 74,201 2/06/09 YAepOn4e to collection efforts. / 34,00 4 Np1( 7~A CgIT Cx7g~ 1 201 374165 N1fL~TBPOtNT SHAWNA 76256 PiL TBI~OfNT r RATXY 76955 NoIIrespo se to collection efforts.' 41. 90 J y } ppe6 F~r 101 357649 08SONALtMEAD3Al N~26Hfi7XY 76201 DENONALIIiEADON M2bTXRY76201 NO10Sp0 a to Col~ect610n efforts /82 11". 99 ON v ' • it 1 i ~ 1 4 DATE 9/30/84 7e 56. F L O W M E M O R I A L H 0 0 P I T A L PAGE 7 BAD DEBT TRANSFER REPORT FOR PERIOD 9/01/62 THRU 9/30/82 y pp pp gg p~ 7 N gg gg pp, PPFXHNiNUMBEAR ""IDDRrICITT TY~~A6T,f21P ■wr~ApOUARCITt~R$TAMZIPeer ApHI7T6D U!$CHAROHD MRITEO~F OFAACAMT J - - - 201 377870 CBllO~,SAyI~NTIo IFFAkY ►ggµp~~ftB Fgg TERRY 2/t9/02 9/29/$2 4Q.Qtl / pI jT~ O/602 MOR06; TX 76258 Pti.07N01NT TX 76258 NO response to Collection efforts, ~ INT agERU 4/11/82 201 394460 CI TOBE I YX DA 76901 ' BN?09"' BE TX NDA76201 No respOna to collection efforts /$2 47 tr 202 e~N aa46LpEpg~~pgHg $0365 J~EMEN LINOTONNT DR DONTTXD 76ofo ARL(NpTON DONALD 76010 NO r1/31/61 esponse to collection efforts/B2 88.00 101 350297 CC INS~jN LOUIBH + LOVIBH 11/09/$1 12/04/81 9/29/89 104.00 l ' DNTOFICCOJiM1C14 TN 76201 Nt C NCOAMICK TX 76201 NO response to collection efforts, 9o2 221368 B CHRAg , DONNA n6cxHft'NB PLDYD 3/10/82 9/29/62 18.00 / 4 INAS UM TX 76249 f~ntlgRpN1 TX 76249 No response to collection efforts, - J ; 2 39060 j N NON HRREY ""THY TX 7b901 DHNTONHM IERREY KATHY TX76201 No 11/04/01 rosp n..se to Collection effort 'B2 399 00 1J 201 370786 ~~CDrH TpN III E, ON OR 4/24/82 9/29/62 22.40 J ' ASNTOMQT 60 LN SHORE EB%A 76201 jUNTOM pT 6!! LK BHR, T R X 76201 No response to Collection effort. 102 221440 E HggAA Ty}~~{y~g,~~1I C A 3/04/92 3/10/02 9/29/02 381,30, J "MTAOT 66 LAKR 9'IpRETTOTAX&6201 tnLOT 60 LAKE O~IDRk70N TX 76201 No response to collection efforts, 0 '95074 rDrIN ggDX 607 2 JAMBS $Ik BOX 657 2 JAM68 3/30/79 9/29/Bit 286.45 J 1 UNAHR TX 76266 IDER TX 76626 No response to collection efforts, 201 25874 DIN JAMC$ IN JAMES 5/15/82 9/29/92 08.00 TT U%,667 2 1 BON ,607 2. INSSI TX 76264 N6 TX ' 76626 NO response t0 C01100tIOn efforts, 113 49770 jqtN B MARTHA qC !N JAMHB 12/21 /GL 1/06/62 s .q/Qq/BQ 75,00 WORD' 607-2 TX 76266 OANbEkpX 657-2 TX 76266 NO response to Collection efforts, 210, 49270 COIN MARTHA SM p s JAM99 11/00/01 9/99/82 93.00 J N~!<lox 60?-2 r >t 657-2 TX 76866 NNENO TX 76966 NO response t0 collection efforts: 270 IN MARTHA 1N OX 607-2 -2 JAMES C 4/18/02 9/29/02 152,05 214 4q ' O TX 76966 9ANQHRt1X 657 76266 No response t0 Collection efforts, ~ No ro,; ~ i i f 6 , 4f~, 1 ry 1 DATE 9/00/82 7,06: F L0N MEMtlR I AL H 09P 1 Y A L PAGE DAD DEBT TRANSFER REPORT FOR PERIOD ,9/01182 THRU 9/30/82 DR T Z ppATpp Dqq~~~ PATIENT UMg k rrrrr PATIENT NAM wrrr rrrrr OUARANTDR NAME rrr♦ ~jRA;TEp~~ OFB ACCOVNT ! 8$6 gg AD CITY,B , IF ADMITTED DtBCHAR08D PFX ADORE CST-, 8T, _-IP.__ -'r ' . ` i C PPgg JAMES Re i JA1m_' 11/10/9s It/21/01 9/99/81 178.00 102 324877 g~~OHRCAN @8A9b PECAN. B Tx 76266 C N08NTX - Y6A66- No response t0: CO11eCtiotl' efforts,' 201 413088 CON COL~INBX 86 ALLISON DD Na LIOX , SIDNEY 6/07/82 9/29/82 39.20 ft B6 6RO1 NU 7x•' • 746901 No response to'collection efforts. pFj Tx 7 E6 U Otl6 LMNgpynUR9TH R E t/08/82 IAA/02 9/29/82 42.00 - l01 366112. LE ' L6 10 YH R 8TX 70067 LB iso]aLL6 TX 70067' NO rOSpOASO t0 COl1eCt14n"effort5. J 8T pLMAN 2110/92 9/29/92 28.00 l 040091Q Q NTH DAt~IQ NS 8e2Lli WORTH DR M117,. i T; 76201 DEN nO Tx 76241 No response to collectlon:efforts. ; V , HOLMAN 3/10/92 9/29/82 98.00 203 307360 0 WORTH 09 N117 TxAB 76001 CBN ON NTH 0117 TX - 76201 No response to.colleCtion efforts ~r l 206 221090 C 1, TpN CCppOpp 188pI pp , MAN 0/29/88 9/29/82 60.00 2~N~OFT• NORTH CRIV WOLI 1.'76901 CapD6NTON NN T, WORTH DR. Mf X 76201 No response to Collection' efforts: Zl U N J 1.p~p aA 2/00/92 l03 374087 iTPAISLLY BRTTx' 76201 Cg~tl~iL~J 08NTW1 K O IBLEY , LA~XV T7620i No response to coliectl8on effort/f32 91 9q , ,J V JIMMY 12/12/91 9/29/82 38.00 204 43679 NT6 MILL JIMMY TX 76201 REIN MILL TX ' 76201 No response to Collection efforts,° ~ i L 201 384198 R~~NNNg xx AMANDA C N ,164 , fERESA 3/09/82 9/29/82 97.00 t AROYDL6' 169 7X 76226 POP TX 76926 No response to C011OCtioil efforts J AMY , RONNY' 2/00/82 2/08/82 9/99/92 437.60 i a 101 x81949~pp~N a~c . 269 LOT 49 TX OX 169. LOT AB TX' 76266`No respOAse to collection efforts.' ` J . AR L' r 0 L 7b296 Nab. JAMIE e0N L~Yy , CANIEL• 12/17/61 9/29/B2 38.00 201 360948 ¢Q 44 7X 7D206 DAt 6b20 p LAS 811RI18E TX.70906'. NO ;OSponse to collection efforts. gX SNROBd J d ' ~r ANN , ANN 0/99/92 9/29/92 47.00 s ~g r 201 390476 BNI I> LBBT, TX 760b7 I88V1LIE T TX 70060-No response to Collection efforts. J L t01 308689 a , BETTY coop RUADELL eRb HAYWARD 12/Ii/91, 12/29/81 9/29/82 2463.28 cpppOp Di8INy0T rnlpN 11 Tx 76201 TX 76201 No response, to collection efforts. J ~ ' DENT L d t t; f i , r , DATE 9/30/92 7:56: PL 0W M 9 M 0 R I AL H 0 8 P I TA L PAGE 9 BAD DEBT TNANSFER REPORT FOR PERIOD 9/01/82 THRU 9/30/82 pg p g Qu p p TF g p ~g PO;kENTNU_BERR *~N ADORTlffi 1JA$T,_+Z#* _ **~AD_DRARCNTYRBNAMI ADMS7FED D18CHAROED &PT[SOFF OFBAkCCOtJNT Y, lp _ J 201 y _ 81eNOV10 a_U.RTEL. _ ,rBENOVr. _ 344063 4 IINJSIV14CAN TX 76201 4log NCAN TX n76201 No response to collection eff09tQ9/82 y 45l 201 399324 N YBTEgIA CHATXEB 76801 9 WAYBTERSA RON 4/26/9 g TX ,76 No responseto collection effogrt6 p/B2 ~ 171.00 !^T ,J 201 347760, TO$TbiO , RANDY C6b~tl46TTON , BRUCE 4/20/9,7 9/29/82 38.00 ~ I a HNTONOX 134 TX 76201 QRiM6Q0 SOUTH UT 64007 No response to collection efforts, r FRED 5/14/92 9/29102 i8 00 201 405530 C 45ONHSCKIkIY FRED . jig r 10GU4 M 1i0~ W HICKORY ` ABNTO TX 76201 cp N O TX 76201 No response to collection efforts, i 336420 ~I CIICO OX 48 OIATk 76034 jg1j'RIX 40 D1TXE 75034 No response i to col l ecti on effor~ts.9/B2 90.70 J ,J 201 362269 110D9NAM6Y JAMES 1 C EN D(jAHEY JAMES 12/25/81 q/29/82 46,25 J~ ` t) Tk 76201 A 9T_ TX 76201- No response to Collection efforts, ' J 10l 360842 C coney C k LESLEY 12/21/81 12/22/01 9/29/82 461.50 A 03 1HWY 922> Tk 76238 ~ ABox B3 1. TX 76230 No response to colleCti0h efforts, J 201 404780 % p N PATTI C X N TOM 5/12/92 9/29/82 35.00 ` WI VILL6 N29 TX 7dO67 13 WIBVILL 029 TX ,75067 NO response to Collection efforts, y 202 214981 ~AAAIjOoIIDiCo CHRIBTAL IH~/L OX L r , MARILYN 3/11/92 9/99/09 69.00 AKk DALLA11 Tk 70065 $ DALLAS TX 75060 No response to collection efforts, J , 203 89052 JNAWFORD DAVID a~1R116AWFFgORp , DAVID 1/01/92 9/29/82 43.50 41 NT CARMOLL Nf) Tx 76201 DE~TONCAgROLL 917 TX 76201 No response to Collection efforts, 6E RR p 20l 414040 NT LAMB J W, TANSFlf0iV0VTX 75472TN,ZpEAKB TAWIKtONMATxAR7ET 6/ BA72 Unablelto/lOCete, 4/09/B2 42. 45 V 20t 370353 403 DAWN BgD~Ay N TI( 76201 p~MCO$ DBNT tp~jONe4C3 MICHAEL 2 T)t 76901 NO reSponS@to Collection effort 29/62 ' 46.2d 207 434'i6 D TONLL OLe ~X 76201 DE TONLL GL TX 76201 No lespons@ 2 to collection afforts~p/ 43. q0 a t. f' 1 +~.nr~~.r -...ter DATE 9/30/02 7. 56: FL 0W MBMDR I AL HOBP I T A L PAGE 10 *sy 1I DAD DEBT TRANSFER REPORT FOR PERIOD 9/01/02 THRU 9/30/0.2 4~1 PPF%ENT pUMg k MMMYM P~+AT1~JjfNT NAMgg .4M«r MMMMM 0VARANTOR NAM •*o* NUMDL+I ADDR, VITYI BT, ZIP ADDgr C1TY,9T, EIP DArg FArE DA 8 OF BALANCE " ")1 Z. ADMI TED DISCHARGED NR~T90FF OF_ACC`OV.N_T » 204 304766 $ANQ K THRYN R 9 LANtl KATHRYN t/02/bit q/29l82 200.65 1 N4 rH TOPE9t 67 }~%7 76247 , I ~94 7TH TOPEKA 8T p y~ y ~ T LN TX 76247 No response to collection efforts, 200 304766 881619 A4NDTH TOPEKA gf RYN JU82Ja4A46 TOPEKA'SJATHRYN 3/31/82 9/29/82 19.00 :J J T N 7 8T ¢X7 76247 p~ peTgOtxN' p TX 76247 No response to collection efforts, 5201 331934 JPUqCRgg 2 ff~ 34 NILYXA,76247 ,1UB7tN 294 I WILLIAM 1. 9 76247 No r95ponselto 0011ootloR effo ts99/B2 83.50 J 203 166827 O6OT0NWLLHAEY11N ABN ONE CANDICE QR,Q jgEY MARY 12/23/81 9/29/82 56.00 UN TX 76201 T x. 76001 No response to CellectiOA efforts, 201 339681 ink is LLA LINDA GACAROL IgIrle®VttLLA'LINDA W0 CARY IOiC418l 9/R9/82 30.75 J L JS Tx 79932 L FABq TX 19932 Bankruptcy, 201 355941 jj~HMAN R 9 RT 5, }W1NMOTTNY76201 G141 HMAN 5 ppgg 1 TIMOTHY 12/01/81 9/29/82 Op,pq J LA A~ CTY OK 731J5 No response to,collection efforts.' 101 274142 0 NjaRT 4 LAKE O1OR~Ng77TRX% IEL¢T 4 LAKE ~F1GRDA TAj 3/16/81 3/19/81 9/29/82 45.40 R OONN T T 7b2o1 UN?O pus N , 7 2p1 No response to collection efforts, 101 221527 1 J ~I~ fiNCLAIRB QlA 3 tlBFFLCLAIRE OLA 9/30/80 10/10/80 9/29/82 325.95 ' w q~ N 1X 76767 AU9~IN TX' 79767 No response to collection efforts, 101 391210y LRA , DNINABERRV D2A3ov[b CH ALICE INABERRY O LA , JOSHUA 5/06/82 5/16/82 9/29/82 811.20 Lv TX 76023 Y6DpORD TX. .:76021 Noved; left no address. ' 20.2 236505 RX&T141 TWIN Lk JIMMIII I LCH ' JIMMIE 10/29/81 9/29/82 $4,00 r NT 7X 76201 TON TX 76201 No response to collection Of forts. 201 274654 Z A C04A RAYWJ1400 01 A tgGA, RAYMUNDO 3/1 /81 9/29/BSt 41.00 J DIN o~ TX 76201 OA ^ TX 76201 No respertse to Collection efforts, 202 274664 DR A ~ q BA RAYMUNDO DHM~AROSA i RAYMUNDq 3/15/81 9/29/09 39 40 L `n 79 76201 d TX 76201 No respunse to collection efforts, 201 374389 M TONYA ` ~pRA~U~ , MtlNTV 2/07/62 9/24/82 48 25 V Aft 99999HAMBLE6~d INJY OA _...99999 Moved; eft no address., i ~ y , DATE 9/00/82 7. tlb: F L 0 w M E M O R I A L N 0 9 P 1 7 A L PAGE 11 pp gg gg DAD DEBT TRANSFER REPORT FOR PERIOD .9/01/S2 THRV. 9/3p0/112. ,pppp~~gg pppptt pppp ~~~~N~ gg PATIENT U N NMB MFEDRREk •rtrtrtADD J RI CITYI aT,~2IP «rt»MADDRAFCITYRBT2IP»»M ADMITTED D1sCHAROED NRITEOFF OF AACCO T . » _»Y_.r rr `&.y L /S4/82 1/29/82 9/29/82 54.00 J D Crl I 1 EADON`QAK ST', M _ 102 053029 D~NiI NUR9IN0 tlLlB`r»» Dr~DIJ HENRY No , D ~pYX 76201 D6NN 0 YX -76201' response to collection efforts. J 201 253112 ~DD~11a^R0HBg8gIMDDMMMMEE JEREMY OER6ppHSgEIVIOpM~ME , RICHARD 1/01/81 9/139/82 44.00 It O iN88V1LLERCB Tx 76240 02AINE®v11.L6RCF `-Tx -76240`0 response to collection efforts, 1 408542 28gANMt~~jgEEqLY=KKVu BAMA nQOEVSAtnMY.tRU , MAMA 5/24/82 9/29/82 24.65 LL[wiSV1 U T% 70067 Gew~ v1LLE YX '75067 No response to collection effort;. J 202 123364 D R8 Y HN DORY N 12/06/81 9/09/82 .33.00 i f, B VNIVERBIT1' 01501 pp UNIVERSITY N6, 9 & NT N , ' x 74201 UNT N T% '76201 No { tsponse to CO1lettion efforts., 201 340463 pTNLE JE80E Da NLF JS88E 1V/08/81 9/29/02 38.00 ¢ $MXRDNALK D OXRDWALK „t D 7k 76201 ppUu rdN Tx 76201 No r@~ponse to collection efforts. J + UNTON Tx 8,03/92 9/29/82 38.00 s1 201 432317 DUFPI IVERNITY CfTYA ROL N108IUNIVERSITY CIfY UAW AA EEEe AST DR 76201, D N77ON % 75201 MoVea{ left no Address,.. 201 399079 E6(~gAD VERNON EADY VERNON 4/ta/82 9/29/82 53,50 b IOHOATE LR,N~ HIQHOATE LANE Dp H bbpe66ag S , IIALRA9 Tx 77777 DA4LA 7x 77777 No re3pvns6 to collection efforts. J { 1 103630 HE 8L6ELY07 N54 7wLM~iNCYNTHIA AAS EYY64 Tw1 MS{~ DAVID 1/25/82 9/29/82 16.50 D~N70N Tx 761101 riEH t1N9.T 054 Tx 1'7601 No respons6 .o collection efforts, J I ti _ ON SHIRLEY 4/29/80 9/29/02 49. 50 202 105197 E RCN SUSAN jig I tlOC g~ROINA- NC-3 gy~1NNER BY j 4 Wrm TN 76201 TM Tx 76201 NO response to collection efforts. } 20Q 505197 NEW SUSAN ON 8HIRLEY 5/t2/81 9/29/82 10,10 ROINAL 40-3 ON IM4ER 8T y T T% 74201 $N7M TX 76401 NO response to collection efforts, J 101 241841 g ROD JON ELROD , JC1H 6/08/81 6/11/81 9/29/82 to. 06 1661 8Y OAK. It' W. OAK. DGNTON 1k 74201 DErNT3pN 1'x 76001 No response to collection efforts._ J 201 3922511 a ~ 1~ OxCROP7 TINT% 76201 EN qNb%CROPT i V1T%'' 76201 4103/82 9/29/82 18.00 RN 09 No response to collection efforts, J 205 233015 MERRpg DAVID CRQLEgRnBE , REOINA 12/08/81 9/29/82 76.00 kTON T% 76201 I NTQN T%. '76201 No response to collection efforts. ' J i I r loll 1 _v P LOW MEMOR I AL H08P 1 L'' P409 DATE 4/30/82 7ctl7: t DAD DEBT TRANSFER WORT FOR PERIOD9/01182 THRU 9p/30/8Z 1AkrCMNT +***eADDRARCITYABNN 'fAM11P*rrjr ADMITTED D108011091) 1JRITEO_F~ Off ODA~ I Yr 2SP - ppgggg _ RIIf BNTM MBBRR MN*rA PATI~NT 11A . ♦_M11fF - - - PPpp ~ 9/29/92 38,00 R r VICRY 12/0/at VICKY 17IJNVILLA09 E BZOI /231 to collection efforts. 201 218759 N E 0201 TX 76201 D86 TX 76201 No response ILLAOE 2/23/82 9/28182 3$.00 ' l~,~R FA S`A r ANITA 203 224287 AJMFAAME PAS U f AM i TX 76201 Arrangements not kept. 9/28/82 46.25 ~TON TX 76205 DBNT01~ J 1 DLIiADETH 901 405274 f 8 EFNARD f ~&FRNARD r TX JAMES 7620iNo 5/13/82 response to collection efforts. 40.75 RDA TX 76201 C 5/22/82 9/28/82 201 407825 FF 3AR µ~N CAROL fps A N ttNOSOk CAROL 013 ti3tlArrengements not kept. J {1JNp8Ag0R ONTARIO C 00 11151 ON 1A CANAA 4oePtS 9/28/82 69.00 APRIL9 BYRON t' 202 342246 F6~ Yg {~pP~,' xg T% 75065 NO response to collection efforts. 54 85 1 ~J i LA DiSL1.A8. TX 75065 , LU'1 A tl/Ob/eZ 5/1L/82 9/26/82 V' ` gg TX 76201 No response to collection afforts. v LUX ART 847 7X 76ZOS NT N q/ZB/B2 $2.60 t l01 402891 4ENTON~ ROLL it47 A 11 t~N~,{0p JUDY 1 373514 3/09/$2 F pqp JUDY p h,j AMS TX 76201 Unable to locate, r RgNA 3/07/82 9/28/82 77.25 $§yMONAt1E ONNk {4 NT TX 76201 NT ~p9g RNA FL%MeAppIWAL APT 4"A 208 383240 6pTR0INAL APT A" TX 76201 NT T% 76203 No response to collection efforts. 5t 00 M4 OOOhhhIIl F11~Bq SCOTT 3%02/92 9!/82 I 201 381657 F IM A eCD=N 76201 Fi1j'22LMEADOW 81hl TX 76205 'Arrangements not kept. t ALLMEADOW 8121 9120182 4'3.75 P 0bRFBBkt$~ ANDIE 3/21/82 201 398215 on 1LASHR AV ANO~ 43440 LAStEBIDS AV 43440 No response to collection efforts. i CzFI DS Ds 3/27/82 9/28/82 40.00 CHERYL V 0~p TAMVAV.A {gyp TX 76201 N0 response to collection efforts. J ; { 20i 389981 NTON~ 960 APT TX 76101 BHT 4 208 APT P6 9/28/8# 39.00 ~ DENVER 0/01/92 l+ 201 3$1475 Ipp~ W%',~j PATRICIA 6@WLEy~IND8OR 81 pNTBNNCSGII APT 5 TX' 76801 0 NTOIg. T% 7b20i tbved{ left no address. 9/28/82 316.00 i TED 1/26/12 i ' NiMDERLY F 621W1 BROOK I"O 1LLE T% 7E067 LHeViLLR T% 75067 Novedt left no address. 4 363002 F AZ(1~[ SROOV. W1 i I I i i i ~ DATE 4/30/82 7: 6Y: FLbN MBMOR I AL H 00p 1 TA L PAOE to BAD DEST TRANSFER REPORT FOR PERIOD 9101/92 THRU 9/30/82 PApTIENT NUMBER v**** PgqTIggNT NANgg f**w ***w* pVARAMTTppR NA J PFX NUMBER ADORI CITY1 ai1~1IP-----y-~ ^ _-----ADMi: C1TY.6T. l1Pww*_~_ AOMItT&D D19CHA .OkD NRITEOK nPB ACCOVNT ~I 1. r- pp y 9 ~ 201 383621 00pg00LbIPAPI L 21 MEADOW K2X9IIN 3O3AOO0L0IFAFALII MEADOW 2 QiEVVIN 3/07/02 9/Q8/8Q 40.75 DBNiON T% 76201 ppNT011 TX 76201 No response to collection efforts. / ` 201 379711 WE ObALMY CHRISTIAN 76066 No r spogse to collection effort~s~~B2 36 r~ 70065 UAG. DALLAS CHRISTIAN 1 R BONNIE OA W8 BONNIE 4/29/81 0/08/81 4/28/92 34.00 t04 143900 11 CCORMICK ~ ~ 0 CORMICK 1 4 trii Tx 7a2o1 a TX 76206 No response to collection efforts. _j 201 406496 0 RRETTr VIVIAN 0 RREIS , VIVIAN 0/19/82 4/28/82 79.00 810 FALLMEADOW 41121 3 2 P LLMEADON 0121 gNTON TX 76201 D NON T% 76201 MO response to collection efforts. 201 411280 OAOIAB LOCUST 4116 1 OINA OIAROX6A LOCUST 010 ' RUDY 6/02/02 9/20/92 60.00 J D¢NTDN TX 76201 SENTON TX 76801 i1DyAdl left no address, 203 247821 p7A(~ppq2AA/~ NN RUBIN pp!}0ggng g71 # SHARON 4/11/82 9/28/62 76.00 LANfiLDALLLABO TX 71061 LAKE DALLAS Tx 7006s No response to collection efforts. J p ) HENRY, 11/23/81 11/23/81 9/28182 326.00 + 101 303690 4NIVE p N1 RUOlATU WIVE F 411 l` NT~tj 7X 76201 NT N TK 76201 Arrangements not kept. ; 1 ~11 202 210391 jjOYRRVYtlDHLL 0129 WESLEY DO~TRUDDELL 0129 ' W9SLP.Y 4/09/02 9/29/92 96.00 1? NT 7X 76201 ENTON TX 76201 No response t6' Collection efforts. J i 1 202 309042 Ap&CR~g VAN 30~R9TRW0 VAN 12/14/91 9/20/02 181.00 30 BTROUD HT T% 76201 NT TX .':76261 No r@sQ0p5e t0 collection effOrtS. J V pC Q ION l01 300903 gTH~~OX 30 FRANK p~a0X ^0 4 FRANK 12112/61 12/11/01 4/20/62 164.♦3 14 DgN TX • 7620f DINTOA TX 76801 Arrangements not,kept.-- ' 4 , Qol 399049 1110C DEVORANT 4/24/02 9/20/02 39.00 NTRUODELL 9HANflnN MIT N # 102 7% 76201 RUDDBLL 102 J # N Tx 14,201 No response to col}ectton efforts; 76067 MOYedinleft no addr855.' 4/20/02 330. 16 l if { 4 1 2,12126 L61116VILl.a RI1+g LAVTX$ 76067 16.~4011rVtLL6DRIVg LAURIE { 201 263007 tl AN 36THELYN O~VA~}N WILLIAM 4/24/02 9/29/92 39.39 DDNTON COLLIER APT 0 TX 76201 D NTOCN Lte" N 0 TX,' 76201 Movedl left no address., i ~ S. 1 DATE 9/30/82 7:67: F L 0 W M E M 0 R t A L " H O A P I T A L PACE " 14 l A}~9/01/82.THRU 99/7380/02 ..._.q~. Fg p gg PP gg TT gg BAD DEBT TRANSFER RtPDRTOUFOR PERIOD PPFXENTNUMdMHAR *+arAD ORTIC1TYtIA8Tr421P MMMNADOR C1TVp8Tr 2tP*MM ADMITTED 010D 1:OED IDJRSTEOaF OFOAAWOIEkIT l P TOM RA BOX 134 - TOMMY , . ; ,p.B ' v /20/92 44.10 J l68836 OX 134 ~ ~XN sR TX 76226 SIN H $4 TX `".A162h26 No response to c011oC1on eefforts. s' 9/29/82 y 38.75 201 411744 J0CM GLENN ' N[NTX 70066 7►1R*C f1NY GLENN r MARTY 6/03/82 , `+ni X' :~S0S6.No.,response to collection-effOrts o~DHMHMOONM t 4fA060 ?8 AN D APT gas FRATXEg 70067 YLEWjSJ UD APT E6PRtk ~70067.NO response to cOllectton'ef 9/28/32 38 00 forts. LW L 20t 360099 Q Imes r JAMES 1MiRS JAMES 12/17/81 9/29/62 t3$60 J HIIA N 632 TX -75006 SpONOX TX .76006 Movedl,left no address. 1 I 801 416008 7t .9 CHERYL E 632 BEVERLY 6/16/82 9/90/52 63,50 ON ON TX 761201: N ON BS TX '.7620INo response to collec I I ~~1l~ R Lion efforts. y 7/92 1 202 243471 NT TND1 ~EBa CHAD TX 76201 OENTFR6 L`TX i'76201:Unable1t locate. , Z7, 9/28/88 30.00 202 361619 DH(lEp CIA CURTIS 2/23/82 9/29/82 Ilt 00 1J; ~ t AKES MHP 041 KELLY a AR SYCAMORE _ x11 N1 AARp M~L, 1tpTX' 76201 t~51TryN cLLLE -TX' `76201 M6Ved1 left no 'address., 201 377587 i06NICENTRAL EPNE69NA 70248 pA110ASAt MMM _'VRAL.EX~RE6 , No response2to cOltectlod effcrts26/92 109.25 l 410042 A L d0 LANE . NA14CCY {{{yyy(~~~w~u'ggL8NUNO LANE JAMES 7B241i N 6/09j82 9/28/82 40.00 ' - c6~TON TX 76201 T Tk 712!0! No response to collection efforts. + 201 404947 N$$ EOA1tLAN0 ROt1ELLF. 7k LAND. r. R08ELLE 8/19/82 9/29/82 42.00 ~6 ON TX 76201 WON 7X 76901 No response to collection effertsr ~ 1r 1 379032 H „ 1 014191. ~jMM~ I lRp ROSA 2/22/92 9/25/92 899.00 ALL RM 037/hi ~l~ M k76200 WWOI.DOgggg HIL CA 91064 Moved! left no address. 204 318490 R13 11EVIN ApNp 0 %At$ 12/26/81 9/25/52 46 00 u OWLIN0 ORfiliBOWLING OREEN t L TX 76201 MON TX :76201 Unable to locate. 7 201 390310 A OUIBS AM R . DOYLS 3/20/82 9/29/02 104.40 ~pP 280 APT 1~ i6~pp 259 N17 y 6NTON Tk 76201 6NTOH TX '16201 Unable to locate. 3 ' _ -.....-.a......~.r .......................e..s......._. o.......e.~.....-~......_.........»..~.............................~.....................w..ar.awwaeev.p,~paa or.......°_..:-. - a ti 1 r J~ PAOB 15 J H O B P 1 7 A BATE 9/30/82 7:67: PLOW ISE NO R 1 AL L BAD DEBT TRANSFER REPORT FOR PERIOD 9/01/02 THRU 9p/3T0/82 p~g p~Tg p PPF OIS23 Quo MNEOFF OF AACC,OlN1T NNrr {MJfigFa wwww+t OUARANjY ~A wwww AAMjTTSD pp[7Y1Ap ^ l - l~2 _tN^..^ AD Rr Cf1 TT gg w*wyA0 KENTNUM11 RRT1 N r 38,00 1 r 6/02/82 9120/02 1 JEFF 201 ~ a; 11SCHA'iL to collection efforts. s 411412 A CJ e 4 TI, 75045 LAII9 CALLAB Tk 76065 No response 9/29/92 44. f0 ii i art 4';s, A E AL A 1 OUENITH 3/20/02 A. g , oUENtTH HpA1 HAIIMMWELL ILLO TX 76201 No response to collection efforts, J 201 389302 S TRARILLO TX 76201 DSNTDN CAR aL , CYNTHIA 12/26/81 12/26/01 9/28/82 148 50 V , FRANKLIN A AS8K [ g NyB IRNLAND Tx 76266 No rosponso to collection efforts- 3e J lOl 362129 9A90 gs AK[RKLAND TX 76266 NG k 4/28/92 41pp pp€~iZ DORA $/08182 TX 76201 NO YASpOrise t0 C0118Ct10n efforts. 69 i 201 37A6b0 RNApN~OE DORA ANA (r Z 1 0 NTONnPBELL TX 76201 1 NT 5/11/92 9/28/92 REBECCA J 205 80946 L Ii1CHAEl ;JNTM%AO T% 76201 No response to Collocti0n efforts. 00 E TEkA0 TK 76201 T 9/29/92 6/14/82 HH10 LCi9HWiCH 1 JO ANN 20t 415208 HMOOT f L SJOeyX 74258 i'j njM' T% 76249 Moved{ left no address. 900 15 J HpT p1 L 9 3/22/92 3/23102 9/29/92 NNIO a TROY IA76Q01 ~E0 96 NTONOT 25 CAP91CbtiN IX 76201 MOYOdi left no address, 103 140220 D E OT Q5 CAPRICORN 2 1251. 111 101 340192 ,1DHN SCOTT 11/24/gl 11/28/91 9029/R ~GNTO „~e~_` AN„ 1r $ , Dixie PAR SpIXi 036 TX 760-13 ArrangeMnts not kApt. ' HOL~AN pTRAD186 836 TX 76073 ADI 00 1 p~, gD , JOHN 10/29/01 11/Ol/8l 4/x/92 71 LFY 76259 A[L OTBPOiNi T% 76250 No response to collection efforts' 46.00 IJ 101 168849 RI L 1 J" H g V/29/87 RL TXPOINT 10Ei L' 4/19/82 ctt A H LLtOW0%Y , NARVIN J 201 397406 ~OL OWAY 109 C TX 76247 JUSTIN TX 76247 No response to c011eon efforts, L N 2/09/82 9128/82 752 !W f unu BARRY 1 WAR ' BARRY ptl ARO 3LM TX 75060 No response to collection efforts. 9/26/92 46, 10 201 674645 1 NLn TX 75069 TO TO p T jgOof , JACKIE 6/04/82 w ; SANDRA 3 a .M25 J 203 248237 ~~rn~ N~5 DE , T% 76201 NO response to collet tion efforts) 41.24 TX 76901 NT 2/09/82 9/20/89 JOSHUA ~T ax JOEL 045 1,1 76247 No response to collection efforts. 201 374034 NHTgaT 'UPYN TX 76247 JUST N • f r1 i r r ' ..w._. ..sue"'^~._'.`..»~. _...._...~.......r.........~-..+... - .._.._........_......_~.....a..a..~~.....-.•^..•. k i 4 DAYS 9/30/82 7157: FLOW MRM0R I AL H 0 9 P I T A L PADS 6 1 DAD DEBT TRANSFER REPORT FOR PERIOD 9/01/82 THRU 9/30/82 v P TIENT N H ♦twww PAT1 N NA H +www wNwww GUARANTOR NAM CHARO60 WRITEOFPF' OF ~gg gg TT pp DDRR V T wwww pp TTED D18 A0 ADMI PFX NVMB1R ADDR) CITY 9T,-21P CIT ,Br` IPr r__ 101 3834t4 H r ~NI1 B 6R LRTGERO0ER7 fH~1T+Ttu1NV1~B8tER , ROBERT 3/07/82 3/12/92 9/28/92 240.00 ~N p LA 70918 84 7IN1 ADU08 LA 70815 No response to collection efforts. 203 402909 ~Rp 108YCAMORE LATANYA Rpp~I~u~pEYCAMORE ' CARMEN 8/66/82 9/28/82 7Z. 0O p6NY9N Tx 76201 BNYON TX 76POI No response to collectlon efforts. r 104 150011 ACN8011X 196A LVIIEACHBgOX 126 A , NORMA 1/03/82 1/06/92 9/28/92 1737.16 j CI43OR TX 76968 WEN YX 76266 Arrangements not kept. i CQ~x 64 A RAN Tx L 76034 aJn*C149gOpK 04A JAMES 5/30/82 9/28/92 24,96 201 200476~Ig cgs g 41jCO YX 75034 No response to collection efforts. V f 3/01/0 9/ 383384 33N8FALLMBADOH MIi~DDLTORXES 76903HN~OHALLNEADOW NQ~06A6NC762O1 No response to collection efforts/82 40,00 O b DGG fO]NN CD JOHNSON OA 201 399593 3/26/9 N6p0N SOBT% 75923 DALLAS YFLOWER 80TxY, 70921 NO respon e2to collection effp9ts9/8R 8i. 9O LABAYFLOWER ti 1 279836 HN ~ SVRVEADR r BRITTANY P~ke8OpYN1R8 ~ KYNNISA 4/92/82 9/98/82 63.90 R1 TX 76927 AUN V TX 76927 No response to collection efforts. f YX 76201 N8 ANTHONY 12/28/91 12/33/81 9/118/811 380 95 lot 362764 J FLORENCE N~OENCH 6~C11 NS 11 Hb ' NTON TX ` 76901 " Moved; left no address 3 216793 D NNSQq % 578 JA'dON HN89N NORMAN 4/12/09 9/29182 22.00 3 ux 576 TX 76234 CAY Tx 76x34 No response to collection efforts. UECATIMt 201 395716 HN KAfHLgPN Uhl KATHLEEN 4114/89 9/98182 61,110 RNARD RNARD. NO response to collection efforts, V T LILLIE 76Qtl1 ^{8 LILLI6 78201 4126/82 9/98/92 38.00 NT PI NORTH APT J T% 76203 No response to collection efforts. 201 419041 0WORTH APT J T% 7bQ0i NTON 79 BON It NEON M. J. 4/19/92 .50 i ti 201 394841NTO HICKORY Tlf 78201 0iQON, HICKORY ` YX - 76201 No response to collection efforts. J ttl3 373581 J CN MARILYN ~HNBtl~ JOANNA 2/03/89 2/0O/9x 9/28182 9044.90 24p C IN ►27 YDN ALL 027 Tx 78201 j Tx 76901 No response to collection efforts, f l., i~ t ` r {.r 1 PAGE S7 DATE q/30/82 7:57: PLtlN M 9 M tl R I AL H08P I T A L PA LENT NUM K r++ BAD DEBT TRANSFER REPORT FOR PERIOD 9/01/82 THRU 99/300/87 p ~q g pp A~, M*,8W ARAN4?R Y4M1 PN** AQMiTTfiD D18CHAR06D NR1tt3UPF _ Dp8 TT n ACC q Nk R(~TIgN7 NkMg A, C1 r9 r I AQDRr CITY, 8T, ZIP PF% NUM9fi - rcrl , g r It[CHfiU 6 JON~O~ 1840 ~ MICHELLE 6/10/95 9/20192 64.00 L IIOl 41 957 0p12®gNx 1o40 p 41 0V TX ' 75067 No rASponsC to Collection' efforts, ~a IBVILLE TX 75Qb7 Cfi 1 V LL V p DONNY 4/S27/62 9/28/87 00.00 J. H 14 7 1K HABLEY 210 201 400592iTTABLLY APT 2i0TX 76201 06NT 1k ' Ybtt02 Moved,, left no address - DD~ 9/20/8II 38.00 , 5201 412312 Jpppp7NONQtlNAID lALYX J1nppHN78ppCDDNALD ZATX^ 76201 No response z to collection efforts, L~NION 7% 7b20t AHNTgON 9/29/62 38.00 ROY N~OX 3465 ROY 5/01/02 IIOt 401331 0' A 11 X AN 3464 T% '18501 MC~qpA t AN T% 70601 MOYAdi left no address. V SHERRY JQNE6 MICHAEL 8/26/95 8/29/81 9/28/82 613500 M ' J A f05 28092 U 8Y 00% 5J TX 74227 906 OX DJ _ TX 7622') Arrangements not kept.. U~~g 3/07/82 9/29/82 13II~00 66ONpfi 0p8ttNN 801 393281 ~ON fip ~NT V197A RT 3 WILLTXIAM 76201 JOE86 T VISTA AT 3 uIYXt 76501 No response to Collection "efforts, ~ N N CHARL88 - 3107/82 9/28/97 82.00 201 383457 p R 8Ng!(~3 NfiBLEY~og 6a3 ' LDT~Lg &LM Y% 75069 ~IF1'~~ ElM 7k"' 74064 No response to Doll@ctlon efforts, ~ JOIEP 4 ,JDi H BRENDA 6/29/92 9/20/09 93.00 201 420265 ED NA 18TH 9T BRfiMNA 77A16 ESgt{ NA 18TH 8i MN ` 77416 Unable to 10CAte. J R r JANIfi `4/04/85 ,9/28/92 38 A0 i fi 703 219396 JANIE 1VAR 68NT LAKE8 MHP 098 X f11{~ AKE9 MHP 098 Tk'`'T6201 NO rA4penAA t0 CO11ACli0n efforts. _ ON Y T4201 D N O I' 501 394619 Dp EABLBY Lit N15~ ~TXE 76201 WONgAtB.CY LN N1~f5 RUBY . 'TX' 76201 Unable 4/1to'l2/92 9/78/82 158,50 ocate, CIt T 9/29/82 38.70 b p~2E ANTHONY Nfi , JVLI2 4/12/87 fijO tLINOTON D TX 76201 D ICON 7K - '76201 No response to Collection efforts, / 202 320309 DDENTON LLINpTON DR ~ 5/03/92 q/S29/B2 38.00 ' N ' BRIAN 76201 No response to collection efforts. / 204 287631 C NTtlN9Dl2R gH1TXH 76201 HNTCYHANDOR k V 4/73/02 9/29re2 37.00 pp JANICE 0p UDDELL 01311 JANICE 0 limp 0 uDDtiLL •132 TX 76201 No response !0 collection efforts, II01 308106 ~ONTON Tk' 76201 DDNTON J s. f \..1 Yr It i. t 71 c1r . PAO$ :19 PL0'W HEMDIt 1 AL HDBp C TA , DATE 9/30/112 7f 07: A{ OF BA AC8 BAD DEBT TRANSFER REPORT FOR PERIOD 9/01/82 THRV 9/30/82 lr 11R1'f80FP OP T www■w t~ARANTgR NAMgg wwww DATE ppN pp`_••^ggy»^~~ ~„_w„__„_ qT: gg rr ApIq, CITY, 8T,-21P ADMITTED 011 1. DRt~~fY,." PpENTNUMBERA __MyAOVnA8T, +t1P___,.___...- I' y 9/28/87 38.00 SHARON 4/29/88 ` K N1N1EDg J '20t 400846 11ENNNag ill SHARON 762II7 ATX 90-00 RA7UBA1Y KIER OW ODUOLAt3 5/22/82 F U No response to collection effo gsIIB/82 57 to THOMAS Tx 76201 4/22/92 203 75499 MN 1py~ IO 0 NHOMAB TX DOVOLA3 76201 DENTON MARY y pg K RTN'~EUu9A TURTLE BEND DB~lTONR~XE 76801 Oj%,'B BENO TX 76201 No response t0 collection efforts. 3g 00 201 398529 fONTON 4/II0/9II 9/49/82 D& PATSY 4/Ob/112 DENNIS p11iODENIBON , TX 76201 NO response to collection efforts, 51.70 01 } 101 3931190 L~HNISON Tx 762 D TT HH 5/26/92 6/02/02 9/28/82 u T RGOOR ar nH 9Z 61,60 e yps 140476 K111 `f/.~ W COLLINh ROGER 7X 76no, Mooed{ left no address. Tx 7b201 DBN~ ON/° W CgLL1N8 4/11/92 pMNON RICHARD 1 CINDY pi OR BOX 452 TX 76201 NO response t0 collection efforts. 241.00 L 201 394395 D % 45Z TX 76201 U$N ON 7/21/82 9/RB/BZ NT yp J , OWHN a 210 b567IIAP~Pq RANCH ~VIPWBTX 76201 11pM7 OSNYON1 M•H.P, TX 76201 Moved. left no, address. 823.05 T 0/11/92 9148/82 ON 6/06/H2 JIMMIE 1gt 15,00 V JtMMtB t1 V088 TIMBERS 101 403030j~tlg9 TIMBlAB . 7X 76201 DBNTON Tx 76201 No response t0 collection efforts EE VALTON 5/01/82 5/07/87 4/20192 VALTON 1116 AL7O D01 Tic 70029 No response to collection efforts. 75. 0o J t' 102 435504 pb ALTOOA_OT TX 75020 L FISH 7/09/91 4/28/92 OWBRR MMOOVVNNPP JIM BHERRI [Ll. ROAD Unable t0 100ate Tx 7bIIa1 a/~B/9R 94 ao 1 31t59a" as o1 1 p ILL' ROAD TX 76201 MACK 3/17/82 L BOBBIE big'"Ir ATTAM No response to collection efforts. J 201 390004 ~oAtR NHATTAN DEENT TX 76201 9129/82 237.06 E9NTON Tx 76801 3/03/82 3/06/02 AN~ SATHER FRaD i N Tx 76201 No response to Collection afford. J V FRED ` O O 9/20/92 117.10 j tot 308085 ~~ATHER TX 76401 2/07/92 0a V40 A ptE1ppppNµN~ 11gg p3 1LLA02 EAST 42~+~QA f 206 17566QNfLLAOE EAST' 0 R01TX 76201 DBN O7% 76201 No response to collectlon efforts. +6fTT 1r 1I rrV . ....fir.. .•f -+rA~ll~rfflill 1 , fl. DATE 9/30/82 7:08: F L 0 W 11 E M 0 A 2 A L H 0 8 P 1 T A L PAGE 19. y t W y DAD DEBT TRANSFER REPORT FOR PERIOD 9/01/82 7HRU 9/30/87 1 gg T gg UU N2~ gg p g pDpp~~gg ATTgg ( ~~gg PATIENT NUMCERR rrrrADBAT2CITY~2A9T,*ZIP rrrrADDRARCITY,Mi IPrr~ ADMITTED D28CHAROED NRtTEOFF OFOA~CCOUNT 1 204 78341 PAp'.' , FRANK LpATRSO2 , FRANK 5/10/82 ~ 9/31S/S2 18.00 ~ NU.Ui1x 88-A TX 76259 OWE OX 88A Tx 76254 L by No response to collection effort 201 398537 6A04VTEit ELIZABETy6Q0l LAWA~NMAS BT f PAUL 4/22/82 9/20/89 76.00 2. L aaWWN 76201Ho response to collection efforts. lOf 388411 DDD6 OT h o RNT AUDDELL RULE TxTg7620t CBNTONRUDOELL C XtE 76201 3/28/82 3/27/82 9/20102 48.70 r 6 No response to collection efforts, II 203 709486 g3 gl OhATTIMORE TROTX 76201 ~HN O ~ATTIMORE f T61 T I 76201 4/01/0Q 9128/82 39.40 1. DE bb No response to collection efforts, 201 403717 ON SCOTT LJ~INR 7bQOt dDk SCOxr 76801„ 5/09/02 9/28/82 10.00 1DENT t W SYCAMORE SYCAMORE l ,e response to collection efforts. 201 389494 L [ NY RIOO vJkiN 3/25102 9/20/02 96.76 l 1 DONNIE BRAF A T 80] LORENCE D MT Y, 71'201 MEECnlJ TX 75069 NO response t0 collection efforts, 203 52000 Ljg 16M2NOtl ROAD ' 14ORMAN O $ NINOO ROAD NORMAN 3/11/89 9/20I0it 7t: 50 s3 j TON TX 76201 N 011 TX 76801 No response to 0114stibn efforts, / t 3735274 L1JTTLI , JAN CITTLF , JAN 2/02/02 9/20/84, Il1.80 R 1 OX 650 T 1 8O% 100 V A OYL TX 76201 AROYLE TX 76201 NO response t0 Collection efforts. 201 410720 LIT ILLPRAIRIE , GLORIA T ABLL , MICHA5L 5/31102, 91$0/02 39,00 ✓ ! ~^±304. ~M 081.. PRA1Rfb 7620f*/ T% 76201 T% TX 76201 ~ Unable to locate. J lot 270453 MA , 14ILLIAM L AX , FLOYDIE 11/26/01 12/07/01 9/220/02 373.12 L3003 xg BRADSHAW 3~ 6 1RAD8HAW DBNI ' Tx 76201 DENTON IX 76901 Arrangements not kept, 203 34421 0 NO 1N11 o VERNON 4/13/07 4/26/92 59.00 eO¢ T WORTH Vfll+SJog ~J FT FORTH Man ✓ ; 1. HN x 76901 D 0 TX 76201 No, response to collection efforts. 201 390361 HNI 1'2 RACHEL ~NO~R "s2 RACHEL 3/00/02 4/120/8if E9. 50 K U TX 76249 UM X TX 76949 NO response to C011ecti011 efforts, 1. • GeQ6g L ✓ J 9/20/09 39.00 J 201 3k1y047 LOU186 APT 2lAWTXtC 7620t D6NTONOV19K APT 2l'.TX DAVID . 76201 " MoYed0/i I /go i left n0 eddreS4. ON l ~ i { DATE 9/30/012 7:08; F L 0 W 119 M 0 A I A L H0 6 P 1 TAL PA09 .:,20 3 BAD DEBT TRANSFER REPORT FOR PERIOD 9/01/89 THRU 9/30/02 ****r p T1 N 11AM ~»M* " P 1ENT USM R * x qq NN gggg AA gg rr gg Uu AQCOlk1T BALLAANN~p NUMHH »»ADDA~ C17Y: 8T_»S[p ****D S !pg 2p0q7T6g pp TTggE0FF OO~~ P» » SRARA ,_6»"__»_SAM*** DAi 18CHAROED 41Rt7 ADMIT---9D D OF » ,A.»» » lo! 360123 Dp E pp X 303tl MA SOI.EDAD PD0 T L gUND 411 . . y A , 91NT1 TX 76201 BA INWO YXr Y LASARD '79im 12/17/01 APran oments not 1'ke t.""2/20/01 9/28/82 992,82 201 389346 0 g 0 EH DALE 3/24182 p ' 46.50 ' OT 4 R. O, 11. JANE /90/82 E, QT 4, A. 0. W. ~ . , k,. N ~ TX .76201 U309 Tx ..762ot NO response to collection efforts, 201 314799 L 6R7' p~{p WANDA L TTDb~177ttpp pp . WANDA 1/19/82 q/p0/Q2 72,~ 41N18V1LL0E TX 75067 LIVfL~6E 7x 715067 NO response t0 Collection efforts. 101 289695 A fi AATTH CHRIS A KF RAH CHRIS 5/01/81 0/03/81 9/28/82 670,60 fRt46TH 8T CA 902513 9$HRtbTH 8T - CA 90288 NO response to Collection efforts, lot 375006 ppQ D Vxxn N 90 T , HAZEL RD UBxOX 90 06NV64 2/09/82 2/10/02 9/28/92 166.00 R g J CHI C0 LL TX 76030 HI 0 TX ::1yb030.NO response to Collection' efforts, 1 4 E 202 310714 N AIUATTlMORB RDST 76201.' Q~AAT ROD IN A77IMOR8 , _!"'7620f NO re0/16/82 spOnSe to colloetton'9ffort 1181 t1D J 701 092324 MA D H JOHN MAL H M 8 LANDS eR 109 ' LN PO SX 069"" 4/03/82 9418/99 60.00 %w TX 76962 Alt Tit' '76269 No response to Collection efforts. f ; 1.1 102 365122 R IHAMX 154 MARY R OH X 104 , 9LISABSTH 1/27/02 1/29/82 0/28/02 36,00 L Yx 76226 AO3L uTX -`7bR26;NO response to collection efforts: 202 61144 oNoV LUTHGR L gMA~NUIIE.IAAMM THftA 1/09/82 9/28/02 04.00 V NT KKY oy TX y62ot tON "TX 76201 NO response to collection efforts, 1 1 701 3811177 pnQ4R Ljox 3b7 , WHSLBY p~/~,R9PLR0x 3tl , VIVIAN 3/d1/82 9120/82 72.00 ` plL r POINT TX 762tl6 N;LaTBPDINT7 Tx 761169 No response to collection efforts. ? 4 201 416347 jjVjAT . ?TH 8T a CLIFTON MMeA , 1AL J CLIfYTDN 6/17/82 9/29/02 ftd.00' 1 v~ LA 71109 gHHV6Pt1AYH sr LA 71109 No response to collection efforts, 7 202 947746 MA~ IN WALLACE MARTIN r HALLACK 2/26/82 DEMT4~VENVH e 't 0 pV6NliE B q/OS/812 36.66 A tv TX 769o1 DHNPON TX '76g01 NO response to collection effort's, 1101 398511 o ~A10N7ON I8AC MMUUCP ArAIOHTDN OLOA 4/22/02 9/28/82 70,00 I 1r N TX 76201 TX - 7b2ot NO response to collection efforts, J 4 ~ _ . ' is iz~ DATR 9/00/62 7: be: F L 041 M E M O R I A L H 0 8 P I T A L' PAGE at J DAD DEBT TRANSFER REPORT FDA PLRIOD 9/01/62 THRU 9/00/82 ; T PATT BNT NUMB8EgR w%*Mw pppp,tgNT fIAME swws wrw*w QQ~~ARANTpq NNAME wrw• ppAttgg DqqTT& ppAArrgg nnpp ` ~g PR)} NUMAER ADDR~T CITY' BT, tIP ADM- CITY, 67, TIP _ ADMI?TED DISCHAROED bR1TE0FF OFDAACAN8&T i ryrr r • rr I•rrrrrrrrw rryr yrr .••wrM..•wryrrrr yr r.. r r rr4hrrrr gYrrA..rr.. 103 244632 'MATLOCK ELIXADPTH T OC M[CHAEL 9/29/81 10/05/6l 9/II8/82 562`80 t 3 yOZINOp RHTA lg T~1N.LAKES N3f25 ' L DBNrpN TX 76001 DrtNTON TX 76201 Arrangements not kept. 201 38819v MA JAMRB K R H C fJ RANCH LOT 10T J9 1N RANCH LOT 10S OWEN 3/21/02 9/28/82 40.70 + w G ON TX 14,001 N ON TX 76201 No response to Collection efforts. 202 414380 vD g , JOE LINDA ~~NfONOX 107 TX 76201 R D ~ N B~ 0 107 ~ 6/27/62 9/28/62 107.00 L TX 76201 MOVedI left no Address. 1 391024 AYFIELD r MARIE YFt3~40 DILL 3/00/82 ~jp9 WOODFORD LANE 1EL0 9/28/82 26.00 L A6NTON YX 76201 NTaN TX 76201 NO re5ponSe to collection efforts, 201 366916 JACK 9/99/9II 0US88 M5 , -JACK ~~iqpY LCUI6E ex 3/18/82 50 ~ L TX 76201 HOON TX 762oi No response to Collection lfforts. f 201 410389 ~JADPMJ APT 181 Willy? LABHONOA APT 18l ' LUYRtCH[A 8/00/82 9/26/8II 12.40 J 1r F iTX 76001 NO response to collection efforts, ' 207 64410 TX 76201 ;~~AtFALCON 8T ' BOBBV M RVO FALCON 8TRB8f8901BY 7/S9/62 9/28/62 93,00 i 1 TK 70062 tik TX 70062 MOmd, left no ;address. 1 L lOl 052112 C tl& x ;IN DANA ?~O N ;IN SCOTT U 2/08/82 2/10/82 9/28/82 508.10 l 1 N BV LLE TX 75056 lBW 9 L TX 750a6 Arrangements not kept. 204 257911 pM $jUt~NXYrpLL 8 Y pp yCAtNNpL ONALO 4/22/82 9/28/82 !44.00 f 1, LAK CALLA6PKrU 8bX 63zX 70060 LAI1e ILA8PK-BOX 637. TX 75065 No response to collection efforts. 209 365254 JJJQ~NI80H CLAY B 1,pN , CLAY 4/26/82 ~HN[~ON 9/29/42 1q, to L N TX 76201 N 0r4 TX 74201 NO response to collection efforts, 901 006563 OE91JOq_1+1 MARSHALL yG1SUFVYH MARSHALL 3/Ia/8II 9/28/80 119, 70 NT TX 76201 ENTON TX 76201 MO response to Collection efforts, '901 130294 MME L R AL LEVI ~ OA f BV LBE TX 76040 QgjLj5j16LE BONNIE 2/14/82 9/28/6II 56.30 101 369064 pA ~~~~~~NFkfV L TX 76240 Unahle t0 IOCAte. Wp 4 O t ~~~ArgRK APT :q TK 76240 SNERMANE14l7rC NII KE TX 1T 75040 Arran/ 9/28/82 48.00 / E V 0 9eme is nof kept. i s DATE 4/30/82 70 58. P L 0 W t1 E 1, 0 0 1 A L H 0 8 p 17 A L (jam) PAGE 22 - ' it T~ 'nfh qqTTCC ~~~~~pf gg pppp gg E LAD DEBT TRANBPEq REPORT PfNt pSplpp 4/01/82 THRV "1 9/30/92 pPFXENTNUM9 ___6RN ~~_rrr_ wAD _DRT1CjTYNABT,*~Ilp ARA ~p ►►A wrwrADOV` C~Y+BT+ IIP»w♦ ADMITTED D19CppHARpp~~gg0ED DIU; _UPBA~CCOIMtT L. - _ 801 68031 M CINN _ ttpp & ENDA 0 NgN~ I ~T&BNBRWOOD MHA M3 7X 76201 ~~JN "WOOD NFL 43BRENDA 4/06/82 W ! r 76201 9/28/88 91.50 a TX 801 079156 1f0V+LyALE 808 j~ U y ALE + 808 No response t0 collection efforts, 1LJY YX 70067 L 8190[559 2123/82 9188/82 75,00 lOl II5740II M VpI LORA TX 76067 No response to collection efforts, R d ~ $NEWCQ#18E rx 76288 B~WCOMBE LORA 1/16/01 t/21/93 9/II8/82 735-00 ~ RN 208 323692 W. NO~Sll 7x '75220 No response to collection efforts. 1. BT HICKORY' giTOJA97 HICKORY ' VERNICB T 6/06/98 0/29/82 T 30' TX 76201 TX 76801 tot 374941 M N} 8 No response to collection' efforts, MN$3 HICKORY TELITHA M t , TELITHA ~ Tx 76901 $OICKgRY 2/26/82 4/29/92 1I1II.60 Id 801 38097[2 MC MT g~{ VERNICE TX 7 6201 Arrangements not kept. . b~ ~ HIGKDRY N PHICKORY ' YERNICE 2/99/82 9129/92 i 7X 76II01 69.110 VA I r 2701 217091 OLVBR ON 112CHAEL I An Wg No response to collection'eff JSMi MILLA06 EAST 429"'' TX 76201 UAW 4/16/BII 9/20/82 TX 76901' No response to collection efforts, 40. 76 I 480828 K LA LINDA M g6 r i AK JNO U4 TX '18065 L LASNO LN ' DAVID 7/01/82 9/119/88 ; q TX' 76066 B7. JO j 205 11264 1 y y NOR 24/92 t0 collection eff912 ~ 20! 397604 N'~NI'RAIRIE BViANNa olRA1R1E, ' "'"NO 7X 76801 NT TX' 76801 response to C611ection effort8/ <9.IIB i h t 11A010AR4T ~y ttg L ~NTp~D Y% 76201 Nr~ARNARD MARGARET 4/20/88 9129/9II 119.10 201 386169 a TX' 76201-'IMOVedl'left no'address; I qq Q~ , ORBOORY 1r D~N ~ VALLEY Tx 76801 LA%UJN VALLEY ' WILLIAM 3/14/82 9/II8/82 TX 76201 Unable to locate, 16. f0 802 377R67 33M~~MAr J6N! ~~{{y~M jj 1i DE~TQN~t><1D TX 76201 It D ' J8R1 3/10/98 9/29/0II 110.90 S 101 3ti0184,CH1Ll1N rx 76201 Unable to locate. } XI 607 ' LAND011 - ~ tt CHRISTINE r P hum oGUM Tx 76249 fl 11[11/91 11/16W 1/28/02 46.00 ' kR ~0 607 TX 76249 No response to collection efforts, J I I' f 1 1 , r; le. F *"Vol t, PAOE 23 ✓ , DATE 9/30/82 7:501 FL ON ti9M0 R 1 AL. H 0 8 P 1 7 A L BAD DEBT TRANSFER REPORT FOR PERIOD 9/Ot/09 THRU 9/20102 2/1 018CHAA0t0 WRITEgpF OF CCGIJN7 ~t J A.-- FPFENT NUM9HRk **y* A Dpppp DAT C11 NAM9gg,4*ZIP A **k**&Rffl Ys OR 011 7+ ip4M~ »--A--- 88gg _ .__N g~ 1 » ~.g-------- lot 076517 JJN aOYAL OAKS N1Z OYCE 76201' GENTONOYAL OAKS M1~ Dfltk6°76flO1 NO response2to collectioe effOgL¢8/82 191.44 J 119 O~INKLI RtCfIKiY 76¢01 Arran9/27161 gements not kept/91 9I¢S/B¢ 194,75 1) E 101 136354 MB UINKLE REOTXCA76201 i t• Mq T MMgE966 oQ1iT~{ 3/06/0¢ 9/29/8¢ 43. 50 ' 1 2tli 383117 8AN O H 87 oA87XEt76266 8AN08RH ' BBT%Y 76266 NO response to collection efforts. + J i tot 349456 MRNBBYRBOX 334A TAFFY M 9 Y 34A TAFFY L 4/17/92 2/22/82 9/7918¢ 2533.90 i. ! 6Sp y MO 63084 gBNVORiiT.LH16Wp Tk 75067 Moved; loft no address J f oloocate, 9120/92 69. 50 QOl 406769 TtN ( 78067 Unable10182 L9 I8Vti VOOD Tk 75067 LB t9VILL8 O ANDY L L ~J 101 346502 ~ z D~ ANTHONY M A MIOUOL 10/30/81 it/04/®t 9/20/8¢ 277.73 ; a QX 2664 OaUgOBTOWN 1 N T% 76201 M6MIK'LBLfett,'M1ATteptN T%-'.76140.N0`reSpOnSe to cO118CtI0n efforts. J 20t 392879 pglx ct IVBCMHP L07 ZIAROkB 76¢Ol SNBCUNTtV~Cl1HP LOT ,~tCAlRx4 .1620i No respOnse2to C011eCttOn efforts /82 109.00 .,t J 7 COINt N T f 7t !q ~H O~W 201 391474 N ~HSTtS OAit, 711KTk 76201 DJ4:'M17E OAK OATXD-;76¢01 NO response2to collection efforts ,02 ls.00 i 7pa p K r VICKY 5/22/92 9/90/92 19.00 DBVE . 201 407692 N LOPMFN~ C8N'l R ;tANCHACA RD ' NT 76201 t1 N Tx Unable to locate. J 1 Out r 1 397190 IL12 OLETA ~j~ NaTY A T0Rg + 4/17/92 9/20/92 27.00 .•pt,Dt~ TX `76201 CE NTNCA~~bLI.'YLVD - -7K'"`76201 No response to collection efforts.' 201 376220 at NNR0 ~t N71 % ROa/13/2t0 9/28182 63. 75 I 81TY CITY APT NX 762 Tx 76241 NO response 01 UNI0CITV.'J 7 lab collection efforts, R TTT000 9gD~1iNN 116 65144 DNf4N ~W00D r~T%E 76201 DjTOkO D CA k1B 76201 No respWi?/92 3/21/02 onse to col 8etion'effOtts~s/ 1300 J 163 191719 Mt~ r, , CHRfBTOPHfi M Ja11gH I~g MANbR HAROLD 10112/st f0/s4/ot 9129192 140.0 t~lai, dVa T% 45067 L kIQ wooo T%'"'7d46Y No response to Collectioe efforts. , F~y r . L 1 yDATE 9/30/89 7:09: F L 0 W M E M 0 R I A L H 0 8 P I T A L 1 PAGE 25 n V DAD D90T TRANSFER REPORT FOR PERIOD 9101/82 THRV 9/30/99 i PATIENT NVM9HR *+re4 PAVIffgNT~` IhAppgg AarM MMMNi1 0 ARANTOR NNAMg MMMr DATgg AA EE g p L ~g PPX NUMeEERR ADDR, Yr BT, YIP ADD!!, CITY,BY, IF ADMITTED D18CHAR06D WH[TEQFp OPBAACCOVNT J «W,.__..,....... 101 964099 D P~R;A O OX 13 LAKE 61107~BTJSTA ;6201 OTR AN07 13 LAKE GHORHBHY 3/24/81 3/24/81 9129/62 049,10 J UN~A TX 76201 Arrangements not kept. 201 357837 M3ti~SOA~rN/~ IIARTHA O`pOPNqLLM9ADOW 0211JaJAM118 3/19/02 9/28/82 18.00 J1f L DS~TgaLLMfiAOON MII17fs TX 76201 BNTON TX 76901 Unable to locate, 201 400790 Mjj?A RTn J ry VALLMEADOW 4T11t 2197V J21 7 AMES 0/10/82 t 9198/82 43,60 RX 76201 N 04 ALLMEAOOW AP~ X 76201 NO response to collection efforts, II0f 408570 7y~tlROAPN ~ SHARON GROAN r JOANNE 0/24/83 DHNTBNdLLd ~joQ0 pOLLO 9128/92 38.00 TX 76201 p0NTBN _ TX 74201 No response to collection efforts. 109 719q.3 10106 FT WORTH* GREGORY Rpp AN , JUDITH 11/07181 11/14/91 9/28/82 1 900, 20 L NTON T% 76201 DNON06 PT WOR TH. 20! 403931 R Sgp DODO ~ TX 76201 Arrangements not. kept: a. N D~ f TX 76201 OEN o 1 99 TX 76201 Unable to 8 locate, 9/90/82 t0, 70 1J 202 6391e FBTC S4 DONALD 7E060 gM gTE c WILLIAM Oi02/82 MAIN 8~ 9/28/82 4t.00 IM J D L KE1DLAB TX 75060 No response to collection efforts, II 214614 gU RN p 64 DARLR UL EN Z DARRELL 3117/89 A R7 ~ Dd% 64 9/98/82 1976 ~ TX 76297 AUIIREY TX '76207 No response t0 collection efforts. t 402669 API lBIL@LINS BRUCE L 0 27 BRUCE 4/10/02 '0/28/02 c 22 pM VG 3 j 244.70 J L L[TTng IN ~ TX 70068 t iT L HLM 101 TX 70068 No respons9 to Collection efforts, Q]Q7fO i1N8 HOLLY M §`L`IN gg MOLLY 3/07/81 3/10/81 9/26/62 147.84 „ 1nQLNNDALE DR OH 101 3023!3 49324, ~A1RBSNNDALH OR RR aR N p OH 46324 No response to collection efforts," i 16kQ ILLAOH EA97 JUD7% 76201 `M6UOfEVILLAOE EAST 42S AVID L 9/26/81 9/99/61 9/28/82 590 80 DG 1f DEN qN T% 76201 NO response t0 collNCtton efforts. i ! 384090 RRENLHH J0 ION 8 I X 76201 MR PHQ P44HHyyS L6H JOH 3/22/92 9/29/8II 76.10 L H T y u~77 ~ , TX 76201' Arrangements not kept. IX ONVV 201 071283 1 6C8 COLONY 6LVb DO x 75096 t016~CtlLON WVY r DONNA 70064 No response 7/S@ t0 collection effO 150/82 46.91! J I/ ;t f . fit1 DATE 9/30/02 7: 09: F L 0 W M E M D R I A L H 0 8 P I T A L PAGE 26. S BAD DEBT TRANSFER REPORT FOR PERIOD 99/01/02 THAV 9/3g0/8St _ p . g_. LA g 01 PPFfENT NU16 I N *rN*ADDRrIC2IP *q**AtI8N GYTY.ST, 11;*** AOMtTTOD IItBCQAROED ~ITTgEo~; OFBAACCOUNT rYr r»rrrr rrrrr.,rrr~rrr. Yrrrr»r »s»rrr rr~rrr.» r»r»r rr»rrrrr rY.rrrrrrrr 201 401166 i3 RAAYERNARO CLINT l1. MM RAY CLINT 0/01/82 9/20/82 38.00 .'I Tx 76201 D6NTONSp p 7620(" NO response to collection'efforti, URRAY aNOS~gf73 IVY LN MICHAEL 102 323287 AANK73 IVY LN MA 01.E 6262 R; 762" Nolr response to collection efforts 1 /23/81 12/04/91 0/8Z r 173.76 N0KS1 A 201 36472D, NT~uTH PHILIP MM6ptt URRAY Rp PHILLIP 11/26/01 9/28/02 89.00 76201 DBMTON H" : T%.,'.76201 No response t0 collection efforts, 103 44502 ~%ER60r , RON MAIN RDN it/1e/81 11/19/01 9/26/82 40,00 AbA TX 75147 "TX '76147 No response to collection effort6.' 204 69907 X{Ot~ ,TA N60 Tx ' 77034 T ADOWCW-K NhbWAYXA 77437 ' No respon alto collection effo~rts~/02 52.00 J 101 X96234 ~T~° NURBtNO CHfll N QVBNY AVERY 4/72/02 4/28/82 9/29/B2 2b2.00 , TX 76203 h NUR0N0 CRNT RTk 76201 No response to collection efforts, i 202 312092 1N1fGf fQQ~~MM CRYSTAL De TON ND18 g TTQMAN ND"Ab 3/76/62 9/29/02 30.00 1 ,.4 TK 76203 Tk 16,101'No response to collection efforts. i !Of 364976 „gL~ gTRegi KBICA 75660 N'1r pl~p OTRRET.,. TeCAY775650.' No espone 2to c. lsetion efforts.p/8~ I76ft.40 ✓ E 10/25/9 E 102 321612 1 NTON PTXA 76201 DiHTON CAyk76201 No rosponselto C011ection eff 929/82 233,03 ' J 1 ROLE 03 AOLB 02 1 369709 tlN1DN ' N tH rd tT DERRY LN~MR DONDERAY LN i ~Rp~ U T% 56201 3~T% 7640[ No esponse2t0 collection 9/29/02 319.40 efforts ?J110 101 263416 &ATSON , LOMB I1V14goIMLY OERARDO 4/li/St 4/13/61 9/29/82 1164.56 V L TK 9 3999 ALIA • Tk 76211 No response to Collection efforts, J 1 006765 UKAN JASON `P$KAMpAKW~D EDWARD 3/29/62 9/29/631 14.00 d~I>"WI>na TX 76.01 ~~DiQQN~DN TX "76201 No response to'Collection efforts, ~ lot 337644 N OK 1063 TERESA 76201 13BNKO OX 1063. TIY 2/10/112 2/13/62 9/29/67 204.02 AU 1 X 76201 NO response to collection efforts, r I .i ""T 7 i DATE 9/30/92 7; 59; F L 0 W It 9 M 0 R 2 A L H 0 8 P I T A L PA06 27 ~~q i.J g X"10"" p Tg pprg pp7g LA T PPAF%BNTNNMgIjjR www»ADART2C[TYk/gT,1*PD DEBT TRAN6FE<R www~AOGRpUIRCN I7pq Y_,_B THRUADMITYtiDQ D19CHAR06D WRST90 f BAACCWNT _ l01 367910 pPyp72 TTI V2 R8 6CHRR 8T' YRUBYX 75067 L k' e Lj4tjV@~CH9R 8T poYXLD 7b067 No Yospon58e to C0118CtS8011 effOrtsqleft 2033, 18 r LHU T% D6 NYNYJ 14 80X 921 , PHILLIP f /?S/a2 9/29/92 40. t 37093311"I NDOX 921 KIM 76201 NY TX /&got , No response to Collection efforts, ~ f D6 .b . 1 390559 4qP2gBARFpBON AMY qPE AEON , AMY 3/29/82 9/29/02 21, 00 V D6NTONLTON TX 76201 ~ TgNLYON TX 76201 No response to C011e0tion efforts. 1 L 101 994050 PUNtl6B00X0?75 lRT jIJANA ~ENNN2NNQTSNS , STEVEN 6/20/81 7/04/01 9/29/82 1810,00 L P 0 RR TX 76259 bNb16B~Ra 7 TX 76259 No response to tbll8Cti0n*fOrts. 1201 389505 P316RkC~f~pgx , TERESA p35RRCCH19%, P CAROLINE 3/326/82 9/29/8!2 69.00 ` 314TCAMPBELL TX 76201 D9NTQN 8ELL TX 1,620i No response to collection efforts. 101 285479 PD66Ra P6DR0 67 PEDRO 2/10/82 31/21/82 9/319/02 270.00 L 8 ~j RUDDELL b57 HRg RUDDELL 8,57 1 gNtON Y% 76itDt t>BNT N pp YX 76203 No response to collection' efforts. 201 38802 UN&ENA RDBY%TO74201 PEN 0N6NA ROTXRT762tl1 NO reSAOns~e to collection effOrt9q/82 56.00 J I • lot 36,3747 P2$ROI~2 ADOWB D!~ ' HRLSN P9 A1>OH8 OR HBL(1N Ig/3t/e1 2/97/02 9/;19/02 237. ti0 ' PLANNo TX 75074 PL YX 75074 ' Unable to locate. E 201 3847739 S ~ TETU MILL L~7TM3TxM6 7SD67 LBNI BV24L6 MILL LOf U~VSNE 67 No respon e2 t0 collection efforts, q/02 36.0tl 1 6 10t 0291193 t`LIIpx RD60tE 2LL og P LARRY 1/27/62 2/12/82 9/29/82 " 286,00 Rum t 90% 000 80k 800 ' TX 76234 IItM TX 76241 V No response to collection efforts, tOb 24968 1PCQRICCHEAND WOOD APT 1QANST PR CsgtM9 8T P ARK J 5/10/82 5/t91$2 9/119/!92 961,36 BAU YX 76266 eA OL.R TX 76766 No'response to collection efforts. 102 72063 R ieF.uATcH M2NN%1T 76256R; F ab~~" O BRTxL6Y76280 No response2to eolle tfon effort 29/92 469.05 Psi V q 3/36/82 3/20)02 9/29/82 911,6. 96 10l 084230TF~B 640 LYNtlA pYR~OX JERRY It 0 TX 76226 64C A Q L . TX 76226 No response to collection efforts, 1 ~ s 1 I 1 i 1:1 I DATE 9/30/92 7:09: FLOW 11E M 0 A I AL H 0 9 P 17A4. PAGE 29 DAD DEOT TRANSFER REPDRT'POR PERIOD 9/01182 THRU 9/30/02 rYYYY ARAN A YYMA ATg ppAA~~ ggµ~g~ pPPLENT ~~UUMggggk YYYMY pATt N t,4/0g 4+~YY DIX uu Tpp «r «p°j TT RGED NRiTE0F0R OPDAAGCOUNT ' x NUMOHR ADDR, CITY, 9T, TIP ADSR, C1TY,07_ 2P A._1~«ED _ DENT0P9LH AD T%s 76201 ,10 Bspnseft0 Col3/01/81 lection efforts. 24/8Z 27es• 00 J 1 1C 103 41809 `oNn DLts RD MATT%gW 74401 6MJF DE Y RgeT NrB~EDNy% 4 1 091079 11N DE1Td%1I9 76026 No eS¢ ns02to Col3/26/02 lection efforts. R w1932r20 102 064900 6R1 8 10 DENTxE 76026 BRI OePORTC g H ngqqtt6 HHAA TMYNEB SANDRA TXY76201 No es3onse to collection effort99/82 76201 DH TMYNF8 OR ~ DN c0G t PW It Nl BD pp 1 NLR tEL 76067 No response tttl collection efforts. 29/B2 2193. 80 102 349811 1$ IUJ[RN000 JAMI 70067 I 1 GWACH 18V11JRWOOD DRiVRATlf L H I 101 320014 CYHRI DE0911s~N ROGER 11/1a/91 it/17/01 9/79/92 677.64 r A TX 76247M T TX 76247 No response to collection efforts. J I V 1 12 p g , RANDY 3/17/82 9/29/92 , 721 201 407134 f?R&BDx 190 RAN TX, 76249 Rp1U H ! II n VM NR M O% TX 76249 No response to Collection efforts. 1 101 476697 R618HpR~D , HENR91TTA 6~~H~ARDWAWt ~ HENREiTTA 2/16/02 2126/92 9/29/82 244.:0 DA'NTONARDWALII TX 76801 DD NT TX 761201 No response to collection efforts, I 10l 396060 D HOARRRp?g CL2PP WON JERRY HAgqpDggppNN JERRY 3/14/92 9/29/92 26.00 Mid Mid Tx 76201 ~NTON 7x " 76201 No response t0 cgllectl0n efPoPEs. 90982 pp~ gg lot 341626 CHARDDitAR7% 74201 DENHONJIFTX 720es'pons F VRIAN 1 No 12/24/8 t0 C012IeCtiOn efforts, 20E 377242 CHARDOg~ SANDRA OA{1 /82 234, q6 T ARDgpN , SANDRA 2/16/82 9/24/02 O• , . OAK 016 collection efforts, l Tx 76201 026 Tx 76201 No response to C01 f qt goHN 1/02/09 101 364174 R ;0O E A L'STx 76201 i!QUOXM609 VET%7b844 No response to co111ecti n2efforts/9Z 1441, 00 ~ b~~ aQ 40; y0 J 202 909175 Rt EO~O~a NCO A!!ANTRA 76266 COR 6AU03 DAVID 70110 No re1 /00/02 sponse to collection efforts, 1 394100 R C D MELODY , MELODY L 3/26/02 9/29/92 Mppe pppp~ggan9x pp~~ 1N [LLB TX 76201 MOMD8A88A9, FL- 32446 No response to collection 67,00 L I V efforts, , , ~ V ! l ip I r is 1 ~tf' r • DATE 9/30/82 7:39: F L 0 W N H M 0 R 1 A L 'N 0 0 P I T A L PAGE 29 «s tir y SAO DEBT TRANSFER AkPORT FOR PORIOO. 9/01/82.THRU 9/30/e2 PgpTIENT NUppgqggR N**r♦ PAT1ggNNTT IfAMgg +x■w NrMr* VVARANTOp N/~ *r** OA~E D p 8~/~~~g PF% NUMBER ADURr C[7Y 8Ti IlP ADSRi C~TY,BTi Zlp ADMITTED DISCHARGED WRITSDFf DF ACCOUNT 102 90624 ffgtOX 303, TIATxA 76811 TjRflAA KARON ;76271 ' No 0/24/2 response CO 3/98/02 Collection eff/29/82 724.68 M l 'J A e; 1.. IOL 387169 0pg 0RpDp p~/tNH TRAIL/ VHRNON R3pa1TOµgpAVtN6 TRAIL ' DAVID 3/17/82 0/23/82 9/29/82 344.60 AROLLTt)N Tx 73007 CAHRgLLTON "Y%' 70007 No response to collectfon efforts, a iof 223743, J N $x 977 VICKI TX 71201 UN'QSX,977 JAMXg x76201 No response to 'Colecton effort9/82 1239, e3 i L TX 101 367441 gpHHRTTZZ MICHAEL HERTZ SANDRA 1/13/82 1/19/82 9/29/82 39.80 RYVH 80% 118C TX 76249 RRVM 80%, 110C YX:76949 No response t0'collectf6n`effo Nte. RR ';l1 202 - 326423 1011Ca1C1T1pp SILLY i01[~i1WA6pgN JAMES 9!24/81 9/29/80 263.00 ~ i gHNTDN IN N.CTYX 76201 g7BLfNgiTON IN :`TX 76201 No response to'colleotion efforts. "k t 'Il I ; 202 309298 jj~jy ILLAOH a DRS AP~104 7.201 giD D9NY0NILLA09 H DR iOUATxY 76201 , "Unable to2lOCetn, 9/29/82 $7.00 t 201 284825 pl nnxx 77 MELANIE pRK 77 RAYMOND 0 3/18/82 9/29/82 183.09 J ' I ` L YNp01NT0 TX 76202 L T8P01NT TX " 716238 :No response to'coilection efforts. 'Z J € 101 391037 RJABRB 27 CHRISTINA hlA1&8MAS1127 RODURT 3130102 4/01/02 9/29/92 71.00 , ` TX 76201 T Tx 76201 No response to.COllecton efforts. r 203 379048 7P EANARD N34 WILLIAM ~j~ P~~D D N34 WILLIAM 3/31/82 4/29/82 18.00 4 NTtlN Tx 76201 DBNTOFI' TX 1 76201 No response to Collection efforts. N , ZONA eRL , 20" 3/17/82 3122/82 9/29/82 386.00 f1, i t J 104 316430 Bra H 1 L ODHAVEN e r,. HN TIM 7% 76201 0 NRQY TOWORTH OR N17T1MXA 76201 NO response to 3/24/02collection @fq/99 101 308934 T J a M 9/29/82 274.60 ~a~oRO F T WORTH,DR t H 3/93/02 { t` INT0N Tx 76201 jB6NO TON T% 76201 No response to collection efforts. I 204 16147 DOROTHY ~U31 , DOROTHY 8/01/81 9/29/02 46.73 n, V UM TX' 76249 HE TX 76249 No, response to collection efforts. J 200 16147 IflUM1 ; DOROTHY oHRRUM , DOROTHY 4/lO/82 9/29/02 69.00 ` M TX " 76949 RUM TX 76249 No response to collection efforts. J f , h I DATE 9/00/87 7:09 FL 0W I1 9 M0R I A L H 0 6 P I T A L PACE 00 Y BAD DEBT TRANSFER REPORT POR PERIOD 9/01/82 THRU 9/30/412 rrrr Pqp 1ENT ADM NUpggN M~kMM ppAATIgNrr NAhEE IN Ilr»rr pVARANfOR pp pDpp gg ppgqTTgg aap A~,~g P X NUMBER ADnRI OITYI BT1 z1P AD CI 18 IP IT -ED D16CHXR--D WR-TEOFP DFB ACCOUNT , Vw V.V.MV V w V Vtiw-wr wwww ...w w Y^ L Rot 091441 LV J L A JUAN 3/31/62 9/99/02 79.00 MLLOT 37 LAKE 8H OT 37 MHP NT 76901 N p~ TX 762p1 No respponse to collection efforts, f L A Ap7pHA }}L A p~ IE 3/27/82 9/29/02 5713.00 090187 N ~OX 437 KAYHILr ~TY 76201 BN ON X 437 MAYHILLRDTX 76201 No respponse to collection`efforttsl 101 306618 gO UTH BY ' CHARMYN IMgO~1UTH BY ' MIKE R 3/l4/82 3/91/82 9/ft9/02 473.0!! ; ~ NT TX 76901 0, TX 76201 No response to collection efforts, 201 297267 B 1oNETOONARDS VORA 811 I4T OTT41WODD ' JIMMIE 77p16 3/19/82 9/29/02 739 00, TON TX 76201 INIfA No response to collection efforts, 3101179 3/09/79 9/29/8? 2027.30 101 `M 8pN A WILLARD (0199 l ~ N 62L@NTONE 6yl TX 75067 No response to collection effortts. lot 368269 6~~BMEO6 1 NI TA Sims 366 BILL 1/16/82 1/18/82 9/99/82 31.19 JUBTiNb TX 76947 PJ[U9TINN TX 76947 No response to collection efforts, lot 286 816 N NN1D T 035 BELRxDA 0 to collection efforEsp/82 31y.63 762o1 DEHiO T 4030 PETXY 76=1 No /04/81 9/091 V J 3/04/92 101 309028 ffiK11 I& 1 CHERYL 76068 LST~LR ELM ' STEVE 73068 No response to co110ect12on effort/02 ~ 633.9!1 ` J k V 011000E 3/20/02 9/29/92 46.!10 1 381902 L X 402 REBECCA L gp ~ B x 402 TZR RX 76234 ssbDMEpO[pd TUR Tx 76234 No response to collection efforts. v' I 101 827927 $ ~ WORTH DR 4042 , 765301 NTON WORTH DR 40412 D'* 76901 No ?esP onse to col lectl~on effor 29/412 180. 98 1 ILT V $ gp J /8'70 203 346893 159 TX 76262 RA19RIX 169. OENE 76962 No bresp response to collection efforts. J esponse to Collection effort/8f: 42 Op 201 366336 DE NA 103 OERTXG 76201 UNYON IUD OETXD 76201 No r1/09/92 got 408067 ~N~4'~D 441; ~PAULIN6 76208 IuTpNIf a41INO HO~IEPAUIItgt 0/24/82 9/29/82 67.02 1( ItIT oT PGINi R;. 76209 No response to collection efforts. ' I I. J I 1 L ` rw 1 DATE 9/30/82 8:00: FLON MEMO a I AL H08P 1't AL PAGE •31 r /1 gggg pp gg ppgg BAD DEBT TRANSFER REPORT uFOR PE~Hyy10NN0 84/01/82 THOU p9/30/e2 pppp £g ~~ppTTEg pp ~~BB PPFMeNT NN NUMdMBRR' rrwwADDRTICITYf1F8Tr4210 wwwwDSRARCITYRBTAMZSPwww AdMITI6D 0I8CHARCEA 41R17EOF~ UFShA0001JNT L ,701 397059 gRTMSIHgg NA47EA gqggMT1 TiN WALTER 4/l9/82 9/29/82 41.00 BANOERO% 673 T% 76201 B1NOEkOX 673 TX 76266 No response to collection efforts, J 208 75403 N7DNEACE WILT%AM 76205 eSuTNC6 NST%1AN76Qg1 No NASpon B t0 Collection BffOrtg9182 74.00 102 354522 J~%AOX 6 ROWE BILLY 76201 DNNTONOX 6 RONE JOHNNY 76201 No response t0 collection efforts. 547.51 ON J NT V2! ,,1~0p 102 982699 J N tlOK 6 ROYAL OCA1Hl XN 76201 RN70N 0% 6 ROYAL 0ARSTX R 76201 NO response z to ' 9/13/82 collection effort R9/8Q 713. i3 J 11 101 354217 k0% 6 ROME MYRTX 76201 DEH~ONOx 6 ROWS JOHN x.76205 No1respOn el to collection effo9tQ9/t1i1 779.47 j » 201 51318 gyD a gg~ NN p pR ~N ~pp 8 2/03/82 9/24/02 7112.40 r~ it PLENA4t AVE X b PATIE N76360 BLH A AVE % D PA7THR80N76*60 No response to C0110CN0n efforts. tr gLg R TTR 201 389736 81081 H OAR HOLLY L 1111 0 DEYANIRA 3/23/82 9/24/82 57.00 DEN7oN TX 76201 NN A. 76201 No response to collection efforts. 102 204466 A 9 Y Cay TAL 8P11 tl Y CEO 2/26/62 0105182, 9/29/82 500,00 j N O% 474 NAYHiLI RC 76201 NN[~G~ X 424 MAYHfLL ~$x 74901. No response to collection efforts. J 403 197418~N AINg O% 533 THOYkB 76201 DENT ONUNI 633 THOMAS NO esponA 3/99/02to co~leCtion efforts. 39.00 lot 279786 991p0I1210EN ON LINDA 880TAIIritRBON OR OROROE 3/31/el 4/03/81 9/29/82 400.90 COLD SP08 co 80910 gCT01AA70ii8P0p2 CO 80910 No response to collection efforts. J 104 999203 QANSIFkACART MARTI N 76249 NRUN'51MCARY MA TX IN 76244 No /22/e2to 5/0002 efforts, 226.90 1 V U V J1 102 904007 jjAAAFjjQOBX 57 , THELMA STAR`NIaX,57 , EDWARD E 3103/82 3/18/e2 9/29/0: 179.00 AUO9 TX 76227 AUS 9 TX 76227 No response to collection efforts, lol 171322 lgggYQA fi DOVER LANG , ADAM 8 S ~CLOVtiR LANE ADAM 1/02/01 1/02/81 9/99/82 350,00 i1T CS iT¢ fT OHN7C7N TX 76201 DENTON Tx 76201 No response t0 collection efforts. ~ r.. • 1 ~ I y 1 . PATE 9/30/92 9: 001 F L O W If B M 0 R 1 A t . ' H O O P I T A L PADS 32 BAD DEBT TRANSFER REPORTpFORpPTnIONDpy~9/01/89 THOU 9/380/92 TE_,..... , pAFTKK1eNT N gjjR «xxxADDNT[CNTyNAMj rZIP xrrr_ ADDII CIT'/~ST~ ZCPrr* ADM17T9D p1BCpHAROED DWRI ATVSORF OPB ACACOUNY pp 1K1 S Y rrw { rrr r..wwrw r_r r rw r rwrrrrrrr ww wr rr r ww r rr rr - i 1J wY. rruwrrrrwrrrrrur ...r r..-... rr 101 390810 jE E1.. . MICHAEL 7b234 SYLMARTUCKER AVE MICHAEL No'r3/p response COI/ 2/02effo9 49/92 961.60 L gp~ TgMy Ng +9 109 228866 iOH[AL THELMA 76201 14NTpMICH1AL OLIN . 7"01 No responselto collection efforts. 99.91 ~ 6ee~j Eqg[ CHN Bg 9gDHp7 R BBtN CC~~1{ Eg 109 73064 99 NG8V2LLE BILTXF 76240 O~IN68ViLL6 BATX2;776240 NO resp nse2tc Coll ction efforts 9/29/02 107.00 ~ Ot 201 557970 gbTOOMECAPHEA BROWNI9 tNpEVDRALN BROWNIE 12/04/81 9/99/02 85.00 D6NT9 49 TX 7620.1 NA~+ TX 76201 40 10400$e to colleetlonOffOta. ; I 102 274084 1TrONEq JOSHUA TONE DALE, 2/02/92 2/06/97 9/99/82 830.99 NNgE 3 OX 483 ~sRADOBRADOHAW ' JAMES No response to collection efforts, 4 AtIl1ONO% JeNN[FttiR7690i 76201. !44.50 a; 201 388491 gg61Yp7BN t J DEkTON :TX -76IIOi No response to Colleeti,on efforts' DHNf 7NNOOD TX 7620! 2 ~i 6 201 398140 G0TRgApN1RO12 LOREN6 g JAIJ~1Q2 A 3/21/82 4/99/92 411. QS ENTAME TX 76201 DENTONA 7X ,76901 No response to collection efforts, OL LN 9 08LIRE? f STANLEY 12/=/S1 4129/02 42.00 201 361344 OpLgFIg p 9TANLEV C 11 f TX 76201 T OK 270 TX 7690! No response to collection efforts, 901 389874 N a T L OX 274 BLtTZBFT76226 AROYLI ELTX-g 76926 No respnse2to Collection efforts 9/99/02 48.00 J If AR 101 386458 TURM RICHARD 8p~~g RICHARD 3/15/09 3/17/02 9/99/62 22.50 ' T TX' '76201'No response to coileotion.efforte, J 1 i r 402529 OALDN POX302 TX 76201 HNT11CNUK 302 DE , 201 8 9 s DELPHIA 5/05/62 9/29/62 76.20 L WYVJ N D Tk DELPHIA 7SO67 ~~Wt~~~LLS ~ ' TX %.76Qp1 NO response t0 Collection effertslr 4 J ~ lot 393406 e0e~TRa~Apq B1RER ®9p VRpA~ 10[RS0 3/07/82 3/08/82 4/99/02 130.00 DHNTONV`APT 4 TX 76201 D NTy AP`T 4 TX 76201 No ralponse to collection efforts, J 1 201 387004 gu Ft WILLIAM FFT ' WILLIAM 3/17/92 4/29/02 111.25 JA 5 ARKFOAD 6 ARKPAftD DA LA~ T% 75939 LA~ T% 702" No response to collection efforts. , L' (f rl. I . yr DATA 9/30/02 M, 00; P L O W M Q M 0 R I A L H 0 0 P I T A L PAGE 33 1 v BAD DEBT TRANSFER REPORT FOR PERIOD 9/01/82 THRU 9/30/02 ppTkENTN~M~I~R rrr~r PATIENT NAP rrrr rrrrr pUARAN4OR NAME rrrr pATg 0 OpT F 5 AN~g rF ADD R, ITY 98r ZIP _ ADD RV 01Y,8T, ZIP ADMITTED DISCHARGED WRITBORP . OF. ACCOUNT i 102 510069 D6NI BOX 34 DEN iDN HSTPA 76201N~O34W DENTON ~90 176208 -NO 3response to ollectan effor29/92 M 196 47 V AN T 7X 76201 N ON SANDY 3/01/02 3/08/02 9/29/82 409.39 1i ltli 381632 90LOC1NCHE07HR C4 LARRY g Oct ' ``DN qq u NCNESTEN C7 Tx -Y"01 No response to collection-efforts, i 201 334490 LTAhDjRN94 . JAMI aThROIJ00 BOX 901►4JAME8 9/23/81 9/29/82 69.70 IARf: DALLAS TX 78065 THS CO l7N Tx 76066 No response to collection efforts. ' t06.3Y 101 30074 T~A~S`K ERUW , EFFIE ~$D RQOQ GEORGE 2/12/82 2/18/02 1/09/109 `I DECA ALL TX 76934 E R TX ',76fYJ4 No response to collectlovefforts. "i 101 351460 j ))ROADWAY , ROBERT 7420E RN ROADWAY ROBERT 7620E NolresponSSe to1COlOiectton'effor~/6Q R80 2d J 4 spy Tr ~yp pN 1/23/81 .20 102 309682 IHQpR ON Oi.HSM PB 76201 N DYAL OAKS M106TH A076Q01 No`respon a to19/02/61 collection effOr / 7~ NT X RTft. fC~HH11BtE1p% 7 lOl 3617e0 EVA iresponse to collection efforts/02 143p,00 T ,A;5A T% 76258 f POI~TQA 'AWN' yX 76252 No ll J I PjLO s V g Qgp ppiigg I. QCL 385644 ~$D__ ItLLE , TERRY 76067 No r3/22/02 espon a to toltection efforts 70,60 i 71!067 ~JJD 1LLE TERRY ij gg TQ{p, ~,~ygq 101 306211 jj0V6T'ONTY MILI.6 kf lpkEY (p~~ROORY /11/69 76 CARROLL70NNE09 ORTX 76007 No3response to collection of ores /A2 3115 t, 06 A L TT tpb NgEO $Fj a 204 147661 JQFJ 1044 LAWRENCE U 76Q66 8AN06 1044 I LAiMTx 76266 ENCE W No response to collection effort! /82 130 0~ J 4 8R M 202 382136 ANER RALPH Tl~ N11ES SOUTHERN RALPH 0116/02 •/Q9/Q2 437.60 01kLfX017UTHERN AY 05041 A BNIx Al SD044 No rosponse to collection efforts. H 9/29/112 38.00 ~ , BUOBNE 2/90/82 201 078349 * ge TRRRY aaaaaa T% 76201 Nf TX 76201 No response to collection efforts. ~ Ir 9TtkIRNARq URN 10t 306191 Irma i VICKI AID K MICHAEL P 11/14/61 Ii/16/81 9h14/SQ 1101.30 III pYULTON 07 Nr$QCIFIC rg 76201 ~~NTON TX 76Oot No rosponse to collection efforts. ~ i t . X14 , i { ,I r r DATE 9/30/02 8:00: FLOW M EM0A I AL H 0 9 P 1 TAL: 'PAGE 34 .r 1 »p»pN~__r. p»Yp«~g»_.pPF ».BAL 1 PP;LENT R ♦ ww ADATtggNNTT 1l/:Mgg ~w*wD DbBT TRANBFBR'%*wwOR*TawP~~MANTRp~IOA »Si/M«»M13-7HRU» 9/30/82 4 i} ~~Mg a ' AMT X N»_»_UMBE_ C[TY,_0T,'21p» ADDq, all 01111 YIP ADMIY ED DIBClSA 08D WgIfEOFF OF 101 366043 VVee ;COHBNDRR1X ' DONNA VAggD~pp1% BOIL pf~ll Y 1/10/02 1/26/02 9/29/02 147.00 J S~TONY TX 7500b No response to collection efforts, i OLONV Tx 75066 C980" 4 101 303364 ~ TQNPRAR1g BAUN%NA 76201 CML CREEK 4AgMION No 3/0"80 to co111ocNon effort/a2 144 00 D ~ f~DBLfi , JACKIE 3/01/02 9/29/02 46.40 201 368107 `22~0~1 10ilLL , JACKIE l TX 7620! p~NENO TX 76001 No response to collection efforts, J S 387411 IRN T RONADp DR OANrxLA 76201 NTON ONADO DR D xg"76001 No ~esPOnee to collection effort/~ 90.90 iJ V 8N LwRWE~ A8A8LnfM1' bb33 101 301600 B HAi~ Ao pATTx51A76240 GAi O ILLBO ' PATRICIA 3/1/89 3/01/99 76240 No response to collection effor t/~ 40. 00 qT E FR , ANNIE 0/15/02 9/29/02 30.00 202 06053 u"{EELOR ANNIE 2 00X 33 1iT B0X 42 U11R S TX 76227 Win pA~TX 76227 No response'to collection efforts, 1 202 222140 VANY 1LeAGE LAKE ~{AISNT f 765101 ~~"Y' Q Box tOW"Y 76201 No 2response to coliectton'sffartStl/~ 046. 30 J 1. DBB 10/22/ ! 101 343566' DBNiONING , JIMT% 76201 a C~ ~ , J Tx 76201 NOfres2pOnse to Col aCtlOOn'effortSp/~ 482,75 V y g / i 106 23911 j L4 0f! 1421 NANDA fiLk1~~ 1421 , ANTHONY 1/29/82 2106/82 9/29/62 7630.20 NCT Tx 76201 NTdN TX 761101 NO response to cOllection efforts, / 1 241310 LLOggOX 247 CYNTHIA fit.1.R , ROBERT l/Zl/BQ 9/29/02 bb. 00 11 V AUBIEY TX 76227 AUP, l~bx 247. TX '76227 NO,rOSpOASO t0 C01160t10n effOetS. 2 241316 V;L OrOx 247 CYNTHIA NJL~6B0% 247 , ROICRY 2/10/62 9/29/02 to, go L 4 AU8 5Y T% 76227 AUB RY TX 76227 No response to collection efforts, 101 310192 wl~1D~0 Y173 , SARA pffCWV VYV3 , DANIEL 8/11/81 0/14/01 9/29/02 106.05 1 MtOYI B Tx 76226 AIIOVLq TX un6 NO response to collection efforts. I-J p 101 006400 ~am BHANNA 06111UN , JOHNNY 0/12/62 0/17/82 9129/82 10.00 990MILLR TX 76245 36m6mLE TV 74246, 00 reSponti t0 collection efforts 1 ~ I I I j i PAGE 35 1 OATS 9/30/82 8:00: P L 0 W M 9 M 0 RA A L H-0 8 p I .7.A L... 7-';`, BAD DEBT TRANSFER REPORT FOR PEERRRBNIOD.-pIP9/.01/82,THAV. 9130/82 T Z ~g PApTTIIFXENTNU NNUMMpgggR ***M*ADDR~ CI'lVlgIr~• j 0g r +*M* ***11* ADDR . ARANITY IC ADMIMppI SD 0I-ppA1Tgg ED 49POOK OPSA CCOUNT ZIP r PMBBR --T rp---- «rrr ~ ......«r..rrTrrr..°. ".._..,,._»rr» rte.. . ~r~..r..rrr 202 301967 WW~B~aap1yJ ?YfiN . ARTHUR TCCN ARTHUR 3/29/82 9/29/02 39.70 A~ ARI1♦LO 11 p~ARILLO. D$NTDN YK 76201 DENY Tx'-Yaos'No response to collootion'efforts. 103 323915 zA R KRISTINE ROBERY K 1/14/92 1/10/82 9/29/92 48100 UNC r0 OX 61 ROWtl TX 76201 CNQ0X 61 ROW 4 77YX'.`::76901`No response `to'CO1lection efforts: TOTAL BAD WEST WRITE-OPP'TH18 PERM: 191714.03 'I'll . i , 1 t r, ~ a ` s, 17 1 .BOARD OF DIRECTORS MEETING S S BUSINESS MINUTE befe August 19, 1982 The Board of Directors of Flow Memorial Hospital met in regu ` ptim. on Thursday, August 19, 1982 with the Chairman, Mr. Wyatt, p Membors present: Also present: Mr, Ralph Havenhill or, Roger Nunn Mrs, Wilma Fritz _ r N Mr, George H1lz Mr, Dan Trammell Mrs. Margaret Lest4L P 2 7 i0W Dr, Don Holt Mr, Leonard Watson Mrs, Gloria Madewell Mr. Brad Moore Mr. A. E. Wyatt Members absent: Mrs. Mary Williams The minutes of the July 22 meetingg were presented, reviewed, and approved, The minutes of the called meeting of July 29 were also presented, reviewed, and approved. 'r. Medical of Re tj--Dr, Nunn reviewed the minutes from the August 17 meeting of the Exeve Omni ttee. He noted that several physicians have been interviewed' for the Chief of Anesthesia position, The Executive Commt,ttee'had been informed by Dr. Mantri that the Birthing Center is scheduled to open October 1 and that sub committees.have been formed to establish policies and procedures for the unit. 'The EI following applications were presented for consideration: Philip D. Isbell, D.O „ i Family Practice; Ross Sinclare, M,4,, Family Practical and Joseph R, Williams, II, M.D. Otolaryngology, All applications were presented with the `favorable recommendations f from t e Credentials Committee, the Executive Committee, and the appropriate clinical, department. Mr. Havenhill moved that the three physicians be appointed to the Active Medical Staff; this motion was seconded and passed by voice vote. Dr. Nunn also reported that a request from Dr. Barry Sanders to increase his privileges to include laparoscopy%and directed liver biopsy had boon recommended by the Department of Surgery and the Executive,Comnitteo, Mr. Havenhill moved that 1 Or. Sanders be approved for the additional privileges; this motion was seconded and ' passed by voice vote. Another request from Sidney Roth, OPM to perform surgical correction of ingrown' { top nails, excision of small growths, warts, cysts, and the surgical correction of - hammertoes, tenotomies, tenectomies, and tendon lengthening of the digits had received i negative re ommendations from the Executive Committee and the Department of Surgery, Mr. HavenMl moved that the Board of Directors not approve the surgical.priVilegas requested by or, Roth, r Dr. Nunn reported that an application had been received. from a neurusurgeon Who will be moving to Denton the first art of September. Additional instrumentation will be required if the neurosurgeon is granted surgical privileges. This W 11 be discussed later, Quality Accountability--Mr, Watson reviewed the minutes of the August 5 meoting !t has dean repor e o e committee that the pendingg isoenzyme audit will be'Completo next month. A request to participate in the Medical Device and Laboratory, Product Problem Repbrtin Program had been approved by the committee, Qualityy accountability studies from Sol l Services and Nursing Service had been reviewed. Mr. Moore moved that the Quality Accountability Report be accepted;'this mntion was seconded and passed by voico vote, Safety--The minutes from the August 6 meeting were reviewed, as well as 'a summary repor o_ 19 of the 0 incident reports. The Administrator commented that the ex~~enses proposed in improving the helicopter landing site may not now' be necessary with re I s1 N.u. nYP bM,. ~n Irv1N hUYAq i w~'O~'LLiYN1MK9FYpKSitbM•IXWW.INKJYgyB.vIRaNN:tiW11MAM.a,aYiHJr+rrsw.a.a .v. 1 BOARD OF DIRECTJRS MEETING BUSINESS MINUTES Daft Augo~9, 182 P'9~ 2 arrival of a nearosurg~eon to the community since the majority of the cases transferred j to either Dallas or Fort Worth are head injury cases. To comply with a recommendation from the Fire inspector, the gas meters will be moved from the boiler room to outside j the building. Mr. Moore moved that the Safety Report be accepted; this motion was j seconded and passed by voice vote. Rt 1 tilt `Nation Review--Mr. Watson reviewed the minutes of the July 27 meeting of the anTisdsnonire asvwellCasnMedicare MandcMedicaidicai , extensions of stay, The committee had received a report that there were 136 delinquen enhil accepngd; this privileges motionwas suspended. seconded and records JUtilization Review y Report s be admitting moved that the Y passed by voice vote. Financial Report--Mrs, Fritz reviewed the financial statements for the month of July an reportied that the average daily census had been 85.3 and that the revenues had increased- especially in the specialty units, She noted that accounts receivable ; had improved 3.4.days from June, and with cash collections improving, current l'iabiliti s s, had been decreased by $332,000, The accounts receivabie~summary was further reviewed, and it was noted that 60% of the accounts are in either solf-pay or balance after insurance. While collections had improved from Medicare, Medicaid, Blue Cross, and, { commercial insurance, the Board recognized that self-pay and balance after insurance have increased possibly due,to the unfavorable economic conditions, Mr. Moore also suggested that the Credit Bureau might be a successful way to collect bad debts. Non- emergency admissions of self-pay patients and patients with, bad debts will be discourag d. The bad debt charge-off list in the amount of $89,855 and the charity charge-off list in the amount of $3,962 were reviewed. The statistical reports for the Horne Health Service were also reviewed. Mr. Hilz moved the the Financial Report be approved; this motion was seconded and passed by voice vote. Professional Office Buildin •-Mr. Watson reported that he had talked with the County Commissioners regar"dingte proposed office building, and they had supported the proposal to have a third party finance, build, and lease such a building. He stated that he will talk with the City Councilmen next week, The proposal from HBE Medical Office Buildings to initiate their ten-step design/build program was presented and reviewed. Mr Watson recommended that aletter of intent be sent to HBE'for tho 10- step program, Mr. Hilz mbvdd that the Board authorize the letter of intent; this motion was seconded and passed by voice vote, The ten steps i,n the design/development stage would include the conducting of physician demand, determining project size and scope, design, cost analysis, financial feasibility, determining ownership financing,, obtaining financing, obtaining regulatory requirements and approvals, establishing project time frame, and client approval--all at no cost to the hospital. At any stage of the program, either party can tvminate the agreement. ?r Dees_iy_n_/Conceit.--The Administrator stated that he had received a proposal from a consu a'f"t nt fin- Fs gn of office buildings but that he had not felt that such would be of benefit, C~om~~ppu~t~~e~~r--Mrs, Fritz reported that two computer systems have been reviewed--McAuto and B rLT' ougfs--and that bids should be received soon, She stated that a decision would need to be made in the next 60 days regarding replacement of the 'present system. The meeting was adjourned at 8.45 p.m. for Executive Session to discuss pending litigation, At 8.45 p.m, the Board of Directors met in Executive Session pursuant to Article 6252-17, Section 2 (g) V.A.T.C.S. .r 1 i yy.,j~yr~e, t, J I 7 " °BOARD OF DIRECTORS f BUSINESS MINUTES Date August 1982 page The Board of Directors reconvened at 8155 p.m, No action was takAn, and the meeting was adjourned, f 1{ 1 J Dan Trammell Secretary gm 1 1! I { 1 i 1 { I i , i i f DATE 9/02/87 D!58: P L 0 W It'E M 0 R 1 A L H 0 8 P 1 T A L PAGE 1' r I 7t R 1 p HAD DEBT TRANSFER REPORT FOR PERIOD 8/01/82 THRU.-813110Q , AT1ENT NUMg$R rrrrr pATIENT NAMBr1Nrr Ql RANTOR NAME rrrN PATE DATE DAIjqp HA4AN gU ~ trNrr «ITY , ST, ZIP _ _A_ D I CITY P »U~ 11 EH A R, _ C _ u ,B T+ ZIP A-MITTEU D79CHAROEd WRIEOpF OF ACCNT I.1 101 386656 A{8~HL~]IR0 j~jRTH MMN LQAMC YWIH~ LLti T #68JAMC$ 3/16/82 3/19/$2 $/30/87 199.76 75067' L1g I V A E!!,I O+ N`pRTH IfNP V L ydq E IL LE Tk . 75063 Unable to'loCOte, 20l 390153 A' SgN VICKI ACTT014 VICKI 3/27/82 8/30/82 38,00 it t~1 414T 014ONDHRRI' Lh #H2T% 7!,401 SE9N?OhONDONDRRRY OH2 7k 76101 HOVedj }aft no address, i 5/15/02 8/30/82 38. 00 201 405$71 f glpN ST KATHY pACUpPagOX t KATHY V TI OA T% 76271 T100A T% ` 76271 llmd; left no address, a I+ l 331314 pp AM8 ANNN ADAMS ANN 2105182 8/30/82 407.93 I R ~j OT 153 THIN LANES U NIA 153 TWIN LAK99 D NTO~ TX 76201 DEMON k 16201 NO response to'collettion efforts. lot 372870 ADA 8 BETTY ADAM BETTY 2/01/82 2/05/82 0/30/82 1150,00 1 0& ggpMLg~jDB LN N42 5J41 ggujjNN TT ` L N SVIL T% ' 75067 LUSVIL~Rr LN TX' 15067 Ito response to'6o11ettion efforts,' 202 149987 /~DAY 8j{ INgIk EY 76201 SAN~,% H ADAY SHIRLEY 4/,30/82 8130/82 99.00 gONBOx 131 CORIOL~ APTT 131 CORNELL APT y ) AA CERR Tk 76166 Ito response to collection efforts, 16101 424409 AHANO SHANALA Ap ANO SHAHALA 7/11/$.^. 8/30/82 38.00 y RDL N' 9379 N I SU L 9379 NTSU % ` NAptONLAND, T%' 76203 N7gNO O TX 76903 No response to codedtion efforts, r ) 1 397746 AL TUN' BART%RA 7640f gALo Tarl oUTk -'76205°° 3Mo reSS4on9e t0 dollen 0/30/82 70.00 01? p tion efforts, 201 390371 AL(pL N CINDY ALLEN CINDY 0/28/82 8/30/82 65.00 j QN E ) 4 201 419296 AgLljgbNp~OROAAV JOANk 76201 SCH~ff~~M~ ` Tk 76201 No response to collection efforts, ANN , PAUL 6/05/82 8/30/82 .7L bQ , (IC.N 1 CA 44804 ggggppSCHU~ RICNLAN?"AV' CA' 94004 Movodj left no address, A 101 370254 tqpLLpIgNgED 66 HARpLD ALLjjLApEn DR PO 8% b2 AROLD 1/73/82 1/28182 8/30/82 R103.10 i } AKEDOAt2go -HUNIILaY DRk 75065 LAKE DALLAS Tk 75068'' No'relpon9e't0 collection efforts, y SHIRLEY 6/15/84 8/30/84 46.70 + 201 415165 AL R RDINAL APT b 11 T SHIRLEY AI AEM RDINAL APT D It ~jjj 5 ; t~ UANTM T% 76101 DB tQl1 Tk '76it0f . ;v HCVedI left no address, 1 202 351577 CHARLES RALT AT&L CHTjRIL0T76R01 • 2/01/02 QspOn9e tOto 0/30/$2 14100 UESIRU 76ii0 1` U80tRD „ , T% llectlon efforts. r J r 3 1 A, I i P L g W N E M tl;~, I,A,~., N tl`'e p 1 7 A L'" •a.. c7 L1 DAT9 9/012/82 ' 0: W G;'YAao., p40e.. ' E DAD DEBT TRANOW REPORT FOR PERIOD 8/01/02 THRU R ~ POpTZENT NU5jghR 41+00r WppIpNT NAME wrrk rwa<+♦r ~JARANRrpR MMAMg •+rkM ppA7E DAATE ppTg OF BALANCE POT NUMER AUDR CITY, 8Tr ZIP ADSR, CITY,8T1 ZIP YDMITTED DtBCHAROED WOMEOFF OF ACCOUNT r row rwrrwn vrrrw.yr rrrr wr Mr ..rwr rrrrr rrrw ru+n yrlyrr w.,r ,w~ y r r. wwrww 102 182675 pp Vqg AgDO SARA RpO2D4R4I~~OU Zgg AMADA 2/06/02 2/10/88 8/30/82 155 65 ' V B YM UR13..,;.' : ' TX 76380 QEkiOIl, TXDES TX ' 76201 No response to`collection efforts', 101 286799 NDJkSVU CATHIB eNO RSB CATHIE ,10/10/91 10/13/81 0/30/02 291.65 4 . T X 21 3,; BTT ggu} 21~ ~L~N ON Tx 76201 fiN ON 1X' 76201 NO response t6C0118Ct1on Afforts 1 201 385641 PND k X 2✓} JAMES ANO~R $ 5 y / JAMES 3/12/02 8/30/02 69.00 r r A60YL TX 76226 A CYL TX 76226 No Pas onse' tO eO' Dect{on efforts, 202 220756 ~MDE gtlNLOND6RRY 013SUZANNE 9ANDERSON NN06P~RY N1 WOENE 1/25/89 8/30/82 igloo T V DLNTON X 76201 5 DENTaN ` " Tx` 7,1 " NO response t0'collection efforts: p 30/82 570.04 101 363150 AN BRiON , LEWIE 1NOt`iRLT N , LEWIS 14/09/01 3/05/88 B/ 1tlN 1 p p 6 LOOP 288HNT J~,OP.288 Lt}N Tx 76401 di TX 76201 Bankruptcy. I 201 366344 ANFINB N TODD ANF NOD TODD 1/09/02 9/30/02 122.00 , i pp1~TUMN OAK `0110 UY , VMN qAK TX 761101 IX 76201 No response•to collection efforts. j V ~~NTON :I : D 103 01.721 ppppOVUVpgRR~B ELICIA ppd tRR , Jesus 1/06/02 1/11/82 8/30/02 2625.50 ~V DONTONX 065 7X 76201 ; 'DffNfOt1X.265: TX ' 76001 MOvedl left••n0 address..,. q 104 1 63306 A ANT NEE 4 DIANE A ANTl~ MARK 208 3/02/g2 8/30/82 375. 0b C ppg 'T' M19.,, TX 76026 N0 response to collection efforts. EP B~~D wrt01„ 4 f3 Op0 OgORT~ N TX 76026 ``WAVE ~~yybEPOHT.. 16704 RIAOA 90ILA ARRIA A REY14ALOO 6120/82 6/26/82 8/30/80 2707.00 1 NiON TX' 76201 TX 76201 Movedl left no address, V ~ 201 416704 N~1R1ORpILAaRAOS& EBILA Ag1RRtpRCOA REYNALDO 6/19/82 8130/92 30.00 } 1Y 4 r' OGNS~ • 7X 76901 06NTONSa Tx y6L'Ot MOv6dt left no gddress. 201 376640 % PY LB~RT SANDRA A Y SANDRA 2/18/82 8/30/02 86,05 1r 0 7x 75050 1NDARAIfiI6 TX': 7eoso ,Y 201 30'1191 K N RA R1 1 MARC PAKEgkhYptl,ggRTC, r MARC 0/17rd58pOnse t0 COIIACtiOnB/efforts. 30 8d 2.4 5 - No f v gp q gp A p e q 'J V i C LOIlYDAH9 OR TX 75056 HOU DAM$ If~lw TT~XN" ; 75456 No response-t0. co118ct100 efforts. r 201 f 11. J~L L 375162 N QNQT 05 p01'eJ UfFiFIE;jAJ136201 . a NOO~YD7 , 05,ROVAU~ OAV4r~kA,1k2o1 NoOrAeponsA to cul lectlon efforts 40.'00 .N 1. v i t-4 f \ I < l 0-1-1.01 Moir n f r L DATE 9/02/82 a:W F L O W 11 E M 0 R 1 A I. H 08 P I T A L PAOE' 3 BAD DEUT TRANSFER REPORT FOR•PGRIOD 8/01/92 1HRU 8/31/82 PAT]tNT NU~~yURH PATtffl f1AMgg sMr► yrxee 0uARANYYOR 11~~AMgg Mk4■ DATE 0p gg D g OF SALAN~g :t I PFk NUM6EF2 ADOR, CITY, 81', tIP ADDH, CI'TY,BT, ZiP ADMITTED D19CH ROfiD Wgti'IIOFF OF ACCT. ( rYr rwrwrwYwrrYY-- r+++r+wrr rrrr rrrr.rrwww rw wYrrYrwwrw 77-77 r rrrrrr rrrrrwrr V { wwwYr ' 201 366220 I AU RD 165 TERRY RTL2AB0% 169 FRED 19/02/91 9/30/62 119.00 AUB MY TX 75226 AUU E Y TX 76227 No response to Collection efforts, 201 370431 BARBER 116LANIR DAR ER MELANIE 1/24/92 S/30/bid 69.50 I r 1120AA HICKORY 11~ A HICKORY UP TX 76201 D ON TX 76201 No response t0 Collection efforts. 201 402499 gApN CARRId BARNES CARRIE 5/04/92 9/30/82 38,00 LBBRRY APT C DENTON LBfiRRY NC fIMO T;C 76251 TX 76201 Unable t0 locate; 204 270520 ARD , RANDY J ApD , RANDY 3/09/82 9/30/82 44.45 d RGGtt ppox 89 q p BOx 89 DGJON TX 76L01 D ON TX 76201 NO response to collection efforts. U 201 382333 ggp8 FppCnog~r g , LONNIE EEpLpppEERLpupUgg gg DOROTHY 3/03/8? 8/30/82 116.00 R HA 09tlkR 211 TX 75074 R?214 U80NR 211 TX 75074 No response t0 collection efforts, 201 364966 P LL~ARX 998/113 BIRCH TX DPL~8X 65/113 BIRCH NDY 1/04/82 8/30/92 107.75 1 V R AJDKE TX 76262 A KE Tx 76262 No response to Collection efforts. r I 201 376723 1 L JUDY DgLL JUDY 2/15/82 8/30/89 46.50 ad Jo OOP 288 ON It OS LOtlP 88O M 11 NT~N' TX 76201 DQ6NTON 'TX 76201 NO response to Collection efforts. 1 „ lot 254300 DRLLAR ELIZABETH SELLAR ELIZABETH 1/04/82 1/20/82 8/30/02 24.00 FILOT POINT Tx 76298 PILOT POINT TX 76056 No response to collection efforts, 204 278994 BENNETT BRENDA ggNN TT BRENDA 6/l7/SR 6/30/82 89.311 7J4 BkLL14 DELL DENTGG TX 76201 HENT014 TX 76201 MOVedl left no address, E.. 10t 370510 tl R ROBERT 000 ROBERT 1124/82 7,/05182 0/30/62 3259.30 t $ N EDOX 047A 019 1'X 15020 OTN3 ISUNX 347A 0fY Tx 75000 NO response to collection efforts, 14 0 S 202 356369 GTHAN , CAROL BETHANY , GARY 2/28/82 8/30/bit 73.87 f pppp Hpp Ox 301 P. BOx,3Zl 1 V JUSTIN TX 76247 gJSTSN TX 76247 No response'to collection efforts. YVR NHTBgX 189 IiTEPHBN 2/12102 9/l5/ts2 8/30/62 216.44 l01 375626 ~UkN6T&+tX 189 MER ggUTX 76292 hRIUT &rt TX 76252 No response to collection efforts. 203 259630 M NOHAMOAK 01 HANK g(gt SOM. Wnkl HANK 4!116/82 9/30182 99.75 ti NTDH TX 76201 bfiNTON rc' TX -76201 No response to Collection efforts. v ' T , II , 1 I t ' DATE' 9/02/82 8: 513: P L 0 W M E M'0 R I A' H O`8 P I' T A i PAGE' 4:S ar 9 1' 1 is i BAD DED1' TRANSFER REPORT FOR PERIOD 8/01/82 THRU V~ PATIENT NUMQER 44444 PATIENT NAME 44411 444M4 GUARANTOR NAME 44k4 DATE DATE DATE OF BALANCL PPX NUMB EnR ApDR, CITY1 811 XIP _ADDRL CITY,BT,.+1pyr ADMITTED DIB HA GEp W I EO F OF ACCOUNT 101 313643 gt1gHOP DEBRA HOP DAVID 2/19/82 2/23/82 8130/82 154.92 7 y 4¢0 MULBERRY 10tl MULBERRY NT N TX 76201 T N TX 76201 No response to collection efforts, 201 368787 gpLAKEq MICHAEL LA MICHAEL t/lo/8R 8/30/132 70.00 1 1 4 DGN~ N APTB 0212 TX 76201 ~N ON AP78 k212 TX 76201 Unablb to locate,'`' BOk 9 KATHRYN 6/12/82 8130/82 73.00 t 201 414334 p000 pOX 4 KATHRYN H as DIINTON TX 76201 DENTOtJ TX 76120! 'Unable t0 leCeto. t 101 416271~ORDAK k30 JUOT% 74201 BORANEROAK 030 MICHAEL 76201 Unable 8 t0 IOddte~4/82 B/30/k112 756.40 1 201 416271 B tl N~jR JUDY 91N 8RONIE~R , MICHAEL 6/17/82 8/30/82 62.00 N ON OAK 030 TX 76201 DitlrJ OAK 030 TX 76201 Unable to locate, 1 g6n 8 Ay 101 303321 p?N jD~O% 607 RUF1X 769,01 . , 6/14101 7/ EN70ARBORBRODK DR RUYX8 76201 Unable to loC te13/81 B; 30/82 351. 20 " S 201 414631 84 1:N , TA11M1R WE1N~ 1 RICHARD 6113/82 8/30/87 52,35 V ATON 1 W ODLAppND TX 76201'', NYNODLApWN, TX 76i2o1'` `Unable to IOCate:`"" t C S 102 400614 2NTtlNCHA1ILOTTE, HEL DOT% 76201 N&NTpN'"DLtlTTE. HgTkN 761201 ' Unable to lOCate 4/82 8/30/82 25. 00 5101 420067 9RR1G0l0I ALICIA R1D0 ALICIA 6/21/82 8/30/62 58. t0 ~ LLn ou1NTA MOTEL 0 OR 2966 I` t D NiQN Tx' 76201 ' 7 W H "YX 76901 Unable to locate, 101 280008 H8I7tOC14KEOQTkxf LINDA gpg10 KEOTfTC pp EDDIE 4/01/81 4/03/81 8/30/82 172.40 ? ° P1LVT POtN~ Tx 76258 AtLOTBP01NTr TX 76258 MaVed; left no address. 1 { 3 106 66738 A11OK HRH SHELIA BA KEN PHILLIP, 1/27/81 10/23/81 8/00/82 2 3 MA0, 020 6RNARD ~ (4. 10 i QNT N TX 76201 9 ' vi TON TX 76901 Moved;.loft-n6 'addross; j 201 393843 011 JAMES B ONBNN 0AME8 4/09/82 8/30/82 70.00 O% 2 LOT 02 Rpr OX 2 LOT 02 i ~ NTOM TX 76201 0 JON TX 76201- MOVedl left no address. I 8/30187 162035 y tOl 3995x8 I E8VILLE BILLIE I, '76240 MO3/25/e2 ' 3/18/82 Yedl left no address, 76240 QAINE8V2lLEV-, KEVIN V N ~ I 11 I ~1 I 11! t/ I ~1 ' ~r.._..........Y.... rn.~.~r.-.....~~.........~v.n.a.w,u~w.Tww..w.+~.wwrrsw 1 r 9" 1. DATE 9/02/82 8 58: P L 0 W 11 E M 0 R I A L H' 0 8 P'I T' A L rT ! DAD DEBT TRANSFER REPORT FOR PERIOD 8/01/02 THRU 8/31/88 gg gg ~1 1, PAATXENINNMUERggR #*a#ACPATICITY12A8T,0ZIP uy*a*O8UARACI Y, N4CR8hMI1P*11♦ ADD TEED D18CIAROEU DA11COPa OPOAkAN86NT - lot 376277 dR``tlIT WORTH DR A} ~RNE8T gt01J~1 WORTH APT A! ERNEST 2/$3/82 2/18/82 8/30/02 1860.10 DCNTtlN TX 76201 uHHp6gppEtlppNEgTOpPC 77 TX 76901 Unable to locate, 20t 403428 fflN ABPALODOE r JERT% 76307 WrCH1R1A81'ALOJOK JERRY 76307 Moved; 81eft no address," 3o/S2 277.25 W ]7 H , 202 181990 paA6mgHELTa N LINDA nORR6oW6H8 T DOROTHY 1/27/82 8/30/82 32. 00 1 FAKE DAHM T% 75067 LaRE DALLAB TX 75067 Unable to locate. I Rot 398883 GROWN . VICKIE BROWN , VICKIE 4/94/82 8/30/82 38.00 l f11IT COLLIER APT 4 ``flyy COLLIER APT 4 1„ OCN ON TX 76201 OENTCH "rX 76201 UnAb18 to locate,' 201 428383 ERWUWppCeI, qq WAYNE Rwuwqce gg ALVIN 7/23/82 8/30/82 143,225 I PILOTKptfINT' TX 76258 A1N 8VILLE TX 7624o` Unable to locate, l I 201 391383 pp ggTRKtlFppN NEO g3g3 STRpKp R MEADOW N31dR 40REO R 3194/82 8/30/08 Ai. 25 n 1, 3CN?&LLMEADON M1J2~911TX 7620f G~N7ONTX 76201 Unable to locate,' CfiN J T 9/29/82 8730/82 38.00 ppDD++~~AO uu yy IRd 203 4fOQt7 CAIRO E8T OAK ApTr5gd9 D F18T tlAK APT dgJ T% 76201 D N O N TX 088PH 7620S` Moved; left no address, 801 402214 pA LAHAN ROBERT f,ALLA AN ROBERT LEW1N5fLLE 7k 73067 LEWtNVILLE TX 3/04/82 8/30!02 96.50 ' p 75067 Unable to locate. { p , BRYAN 6/t4/92 8/30/82 72.50 ~ 803 4$5224 CATLOg$W~B1Y . SUSAN CRALyOUgqYO X4 Ty ` LGN1$ p V1LLE5 T% 79067 LEW18ViU5 TX 75067 Unable to locate, ; } 201 484507 g LVERT DAMNY V T DANNY 7/t2/R2 8/30/87 129.25 p ; DNTtlNNTON T% 76201 NBgT N NTON TX 7680$ Unable t0 locate. I~ { 701 361956 IpAM2P9 I VE 1003 JOHN JA PBLp A JOHN 12/24/81 8130/82 40.75 v .I I rL LEW?CIN.LE TX 78067 LLB pG LLB-VE.'3003 TX 75067 MoVAdi 19ft ~0 addresS. lot 4f6578 pJ";'ZKORTH DNNi2EEtl7k 76201 D N~ 190RTH DRNS>t LLDXn 76201 UnablAto lOCatA?2/88 8/30/82 giS.iS a y 201 357871 AR gp~j~~ qq8 EDOAR &AppAddEN qp p Stl TX a 75006 19/08/1 Unable to locate. 8/30/82 23,60 CRQILTdN 7X 75006 CARROLLTON Y V I 01 3.' jay paoe 6, ~ P L 0 W M E H O R 1 A L H g 8 P 1 T A 4 DATE 9/02/02 0:091 DAD DEBT TRANBF'ER REPORT FOR PERIDO 0/01/62 THRU 0/31/87 DAtt DpSp ppp DALANCg 7 1 ApMUi~ ARANTOR MiAME wwww _rdArrrTr ^CHA OED WRIT1.09; Of~ ACCOUNT gg wwrrw OR, ClSY,B~, ZIP__ ADMITTED 01$-^.~-- yl pA~jILNT 1JVM8 $ wNwy+ p YiNjYNA9T,4X1N_-- - y F' % NUMBE ADDR~ IlT "T 8/30/82 32.60 g CCpARpTp Hflfl EDGAR 4/20/$2 _ EDGAR 202 307871 EAOTVALFO CIRCLR TX 77777 NJ AL~D CIRCLE Y% 77777 Unable t0 IoCate. 1 EA T 8/30/82 100.28 V ARTS JAMES 17./14/61 202 480362 ` A~lj JAMES pgt4 ICKORY T% 76201 Dk&T YX 76201 Moved; left n0, address. 12/l0/SS 8/00/84 33,00 G HlCIlORi CfAgRTO"NR , LEON 201 39BA16 1ja ¢q UDDELL 0133 •LEUSx 76201 dH rtltdUdDELL N133 TX 76401 Movedi left no address. 2/17/e4 $/30/e4 38,00 STEVEN 201 377996 AApROVppEs g BTEM'9gidBSHANNON SA;?V2h& BTbMMONB 7X 75067 Unable t0 lOCata. 10144/81 B/3O/82 76.00 GWI9ViLLIE TX 78067 L W .i , DEBBIE 1 O JOKU SHANNON l TT TX 76261 OA ONE TX 76262 Moved; loft no address. 63, 7D 1 l 204 1966I8 BALI ' RDANtlNH 6130/82 8/30/82 ' ' V Cqgg ILLO , TOMMY 480 TWORTH DR N19 401 4203it1 CCAgg0T1 LO LUp' E 76201 Moved; loft no address. ~t opk0T WORTH DR1VE LOk1 76201 D N 0 Yk B/30102 133,39 i tSS TT Cpp NRAd , MICHAEL 2/08/87. 1715 207 371 CI ADMAN ppNti gb "I WORTH DR 1 &RALLA6 DRIVE RnOMT~ 76401 dBNSON 7X 76701 Movedlleft no address, 9/30/02 38.00 y 901 472949 CDDCCCCCBTTM N7 14ELD014 C41~MnNMAVNILL RD MHpWELdON 7/07/82 9/$Z lOCate. 0/30/92 38.70 D NYjNMAYHILL ROAD 11HPYk 76401 ~0IE,E NTSN TX 76401 Unable I 0 gg Tk 'JOHN S ON X 033 I 1 419929 LLrrEMMONBS% E33 OEBOIE cp8 76401 Moved; left no addrASS. 8/30/84 91, 00 ~ 1 I AN O G' Y% 76401 D NTON' 6/02/82 I li c L A 7H0MA8 ILpLVTHIRD THOMAS li 201 411498 ggt1t: ATHIRD ~pEKA Ito Unable to'locate. 30.00 I R6 99999 2/27/02 0/30/02 1 340200 8011bK~~{{ppgg9W~yOD MANOR TERTX 76201 L! W V114EOd MANOR 7k Unable to locate. LCWIBVILLE 8/30/02 4!1.70 RAYMOND ~,aDpUGHERTY RAYMOND 4/29/82 400080 C $D VOHERTV Tk 76401 ~SNYCN TX ' 76201 ''Movedl left no address. I 201 b r~~ SIDNEY 1/10/84 1/lid/B2 8/30/02 679,60 I 1L N 101 d6B040 ENBpHpAy~ DIANNA CgRy NgpA MAN.NZ... Movedl left no address. RNIOkOYAL DARO N~16 7K 76205 PAW P M]° A9079 V V l 1 r~ L, DATE 9/02182 8:89: F L 0 N M E M O R I A L H 0 8 P I T A L 1A0L 7^ :``1 f N ppgg BAD DEUT TRANDFER REPORT FOR PERIOD 8/01/82 THRU p8/3g1/82 PppT1ENT !4444 PATIENT NAM 44rr4 A 1 f/ UM A w44a DAT OF BALANCE x 13, PFX NUMD&R _ ADDR, CITY, ST, ZIP ADbRr C1RANTTYR ,BI, ZIP I4AME 4we4 DATE AS ADHITTED » _ « DSBcOFH1A 0£D 3dR1TEOFF OF ACCOUNT 201 394684 FAVAS 441 DANNY AV[pIISX ~4 RT 2 CAROL 4/12/02 8/30/82 41. 7b 4 KNUH TX 76240 RUM TX 76240 Moved; left no address, 201 405308 ppDpAVt0pI8 SHELLEY 6DlA3VIDS LEON 9/14/09 8/30/82 89.25 y b DONTbf2DOX 7455 !JI 8TA TX 76201 DEDFtlRDAt,D LANE TX 76021 Unable to locate, IOP 134908 SylpO Y WILLIAM 76x01 DLNAATO~Y WILLIAM 7b20f Unable 7/14/82 locate. 8/3O/83 2219.90 201 403968 LHWIBVILL;ARK DR 08.... 79067 l EW[SV~IDIgARK OR N140~Txt675gb7 HOVetle' eft no address, 8/30/82 46, 50 / 102 260620 RDQLIBEOT BO CHRISTINE knTBI. S LARRY 1?/16/82 2/17/80 8/30/82 198,50 1v DCCNTON T% 76201 HNYO BO TX 76201 Unable t0 locate,' G 1 101 382961 TAMIB pH TAMIE 4/09/42 4/19/89 B/30/92 605171 L D N NL DELIVERY T% 74201 D LNTp~jL DELIV2SKY IN 16401 Unable to locate. 1201 0 4490 $ JEAN 138 JEAN 6/12/82 8/30/92• 90.20 v 1 1r ~ L;ROLLLER PARK 141 Tx 79068 T0 n [3,ER PARK 04 75068 U I t„ 203 394290 D LY OEOAOE g LEY ~ , OEOROE " 0/05/82 locate. L a;~ MAKES MHp 9/30/82 301.50 { ~ T IN LAKES 14 7x 76801 RTON TX 76051 MovBdl left no address. 102 269694 qqD RRbS6 1fIS , DANIAL qNq 6 TyyggTT1E , DEBRA 3/11/82 3/14/82 8/30/82 350.25 7 y D NTD Tx 76201 RNT 1 Otd TX 76201 ;,vedl left no address, 3 I, 101 364448 QF+BLUDLIVERY , LEE O5NBHAI.{lURL1VEkY LEE ' 1/03/89 1/06/82 8/30/82 984,10 %.0 9 L P LA 70601 M 9HH DDL pF LA 70601 Moved; left no address. W i 102 270836 P 1 s JIM lli F ppSNgg HAR01E' 1/14/82 1/16/82 8/30/82 toQ7 00 i 1 $ ~CDONAIp 311¢ MCOONALI) V 0 TO TX 76201 T01 TX 76201 No response to collection efforts, 201 376400 F RRE JULIAN RkLII{S JULIAN 9/14/89 0/00/88 193.25 ~(pp3, CUNT AT 13 ~3 0 {,OCUOT APT 13 V if NTO TX 76201 MIR TX 76201 MOved3 left no address. y 202, 367990 f ggMl Dp l1gR0US P MINA MARCUS 1/20/83 8/00/92 64.00 J Jv NTR27A0B N233 TX 76001 dT~~RITAS2F M903 Tx 76201 Unable to locate, .01 1 h ~ I 1 'DATE 01/02/02 8:59: rL0W 11RM0 R 1 AL H08P I TA4 PAGE 8 - U~ qp EE tt BAD DE'°T' TRANSFER REPORT FOR PERIOD, 8/0:/82 THRU 8/31/62 ttg pp fifi EE 1]I + PPF%ENTNUMOERR »*M*ADDRTICITVrNAlil',4ZIP *MMNADDR,yRCtTYnB7ANX[P~«» ADMIT~E.q OIBCHA409D WRITEORF OFBApCCQUNT - 1 i y rMMV4ruw.wrw.,wr.Mww+,.ww•w -Mwuu.. Mwnrwwww 4 wrw J 901 +?46484 R OVD JEREMY LpYD PATRICIA 1/w .ww `^w_rwww p 09/89 8/30/82 39.50 nBNTob6 64 Tx 76201 UJOR6 64 TX 76801 Arrangements not kept, 201 356721 ~10gg~TaAit , CNRIBTOPHF p71d TEE ICE , WILLIAM 12/11/61 8/30/82 80.00 1, JI q>~'iTOR Tk 76201 DENTO14 Tx 74901 No response to collection efforts, 209 383964 F URt Bk TOMMY FOURNA[ R THOMAS OR 3/17/82 8/30/82 38.00 } $ fi 0~L DALIV6RY TX 76201 K004 E OgLIVEkY TX 76201 Unable to locate, 4 204 307272 Ttltl7nNANNA INN RM:3l`tTTk 76861 P$Nf6NANA INN Jnrx6 74201 Movodg/left no address. 6/30/812 82.00 V 201 393520 AA~ JON J~Aj JOHN 4/07/82 B/37/e2 38.00 A j1RC40489 fl'040459 ~1✓ TX 75234 LgQ TX 75234 Roved; left no address, ! u t 7701 344009 # R~D ELL APT 115° OEOTNE 74201 DjNT°NE4L APT tip ° 0ET%76101 pe10/95/1 fusedt0 pay, 8/30/89 42 90 ~x01 377DID ~L (tE%A~IDHR DUANE ;U64rR CAR04YN 9/17/82 8/30/bit 110.35 i p Cp0 ppLE%ANOBR to tx 76401 ORNTON TX 76201 Moved! left no address, 101 348784 J~LJVJ6X 67 MAIN LAV MAX 11/07/41 12/09/81 0/30/82 74y.05 ' ttoa , V I ' TX 7DO340X 67 v tee Tx 70034 No response to Co11eCllen efforts. 101 328435 OAR I Al- IC IA OAR IA LUCIA 8/31/81 9/06/81 8/30/82 404,41 1IjCgOpM1CR JON 11141 pT WORTH DR 060 T% 7620T TX 76401 'No response to collection efforts, i 201 346791 r~ DCN dh - JML49IDA MANIA MILKS MARIA 10/31/Bt 8/30/82 120.85 1 ILPORT, v t ~v T203 490803 OARR ILFdRT response YX 75M No I y bb11 z ILLIE 7J2C'I INTO ARRT LILLIE 11/06/01 8/30/82 38.00 8AT f1KLAN6 TX 76401 R~RK LANE Tx 76ao1 ' No response to collection efforts, ~ f 3 „ 1 901 356592 ~9RIN086 TIMUORR° f1' IITXE 76001 U MTQROlB TIMBSIR 820016 [2/03/81 8/00/82 98, 00 V.0 rx 76901 Arrangements not kept, 204 199750 0 `R ~jONN NA140Y OA~Rfgtlgi~NqN 14ANCY 11/26/81 D/30/84 146 90 4 W1 VILlfi TX 70067 LlR42GGBVI wwLL6 TX 75067 No response to collection efforts, [~v UIMIMDUI{~.~Mp1MIdiMNlI1RN1MIR09MI11Y1bINM1Y~nlttiwrrwrw . r z'! s' r 1 ~ u. DATE 9/02/82 8:59: F L 0 W M E M B R I A L H O 9 P I T A-L PAGE -9 BAD DEBT TRANSFER REPORT FOR PERIOD 8/01/87 THRU 8131182 PApTIENT UUMORH M4*0* PATIENT NAME aMMr wN~~r QUARANTgR NAMI •Kr♦ BAT RAIR Vfl pp SALANCF~ I pFX N MB ADOR, ITY, ST, ZIP ADDRi CIT r91r ZIP ADMI1' 11) D19HA_0_ED WR EONP OF ACCO NT s.ww rru wy rwwrrrr rwwwwwr rrr-rwwwrw ...ww. rrrr r-Yrw ~.rYw ± `rYr rw 202 286328 OARZA ANOELA (1ARIA DAVID 12105/Bl 8/30/82 38.00 g1 c1{ESTNUT Nh 915 CHESTNUT NA V U NITON TX 76201 NNT TX 72201 .'n response to collection efforts, 201 413419 CJARZCARA1JAFORB ROY bARZgpAppA1JFORD ROBERT 6/08/92 0/30/62 307.25 ! tw U NTON TX 76201 DOT ON TX 76201 UneblB t0 locate, 101 222026 SP] N BARBARA BGgAApSTgOqN REOIIE 2/22/82 2/23/82 8/30/82 18.50 V SYKJ008 TX 76265 9TXJOQ3 TX 7626E No response to collection efforts. I, 201 36BU94 YANUB11aaxg 11INOY goTY NByO11 DALE 1/10/82 8/30/82 67.50 RRDteE 717 TX 0 BAR 0 737 TX No response to collection efforts, 203 340075 QgsPP0AR1IION ROBERT PPPAR40N6 ROBERT 10/25/81 8/30/82 255.19 k.,, MTON 06 TX 76201 TON TX 76201 Moved; loft no address, 201 89177 11~'{AAkl HA88AN }IAF~~•A({1 HABSAN 12/26/81 8/30/82 20.00 NET U N NO 2 YO Htj N APT 2 yL N TX 76pU1 NT I TX 76205 Arrangements not kept, ! 203 335495 ioQfD~jl~,oOgO PALER IF CQ` 0pDON ROBERT 31/24/81 6/31/d2 290.50 L BGNY0 ~AK LN 033 TX 76201 D~NtONAK 41 933 TX 76201 No response to collection efforts, l u 201 79343 ~•LM RE BOX LM RE BOBBY 2/24/82 8/33 /82 38.00 1~ AFJO ~t 9DX 412 TX 76966 No W, OK 417 TX 76ROi No response to collection efforts,- 1 OSWA400 1/22/Sit 8131/02 14.00 {{1 t 360183 ql n IAANNINO M ALOXANDRI f0 8 D N DN TX 76201 D NTdN 1N0 Yk 76201 No response to collection efforts. 1 Ili 904 199380 UasR , PRANC18CA p Cg CHARLOTTE 9/20/82 9/111/82 23.50 g 7 B0ARDWALK E00 OENG DNTON TN 76901 N7 ARAWALK TX 76201' Arrangements not kept, tot 335562 pp D 1~ N 'D... 1Wt PAT 9/24/01 9/27!9! 8/31M 47.00 5101 367029 pIANO~"gL12.OW ANJOSEX 76466 tlOHFLLOW , gELORR87626b Nlol /t l~ dp to Collection efforts. 9/31 /d2 `30. 00 ~ 8V D N ONH TAW TX 76201 pfiN ON tlTAW TX 76201 No response to collection efforts. E 901 389207 9~Pp 'HIFFLIN JADIN E~ADITIPFL1N. JADIN 3/01/92 6/31/99 52.00 V L NO NO MI 40912 L NO NO YX 40919 NO response to Collection efforts. , S 4 OATH 9/02/02 8: 59; r L 0 W 11 E M 0 R 1 A L N O 6 P I T A L PA;; t0 SAD DEBT TRANSFER REPORT POP PERIOD 8/01/82 THRU 8/31/02 PATIENT NUMIg .++++ADUqTIENT NAM 4+++ a+r+r GUARANTOR TAME +w++ DATE DAT£ OATL Ot OALAN E ppX NUMB R CITY, 0 , 41P AIIOR, CITY, OT, Zlp ADMITTED D19CHAROEO WRI7&OFF OF ACC UNT / «wr rrwrrr rrrra.wrrrarrrw r_...wrw._rrrrr~. rrwr rawrr ,w. rrr..wrwrrwrw..r. _ ar_rrr 4 201 345124 pa WIN SCpoT ItOLOOnppWtN JaaRNY 10/25/81 0/31/82 45.00 ~10~. SUMMONS LOT aTX 76201 014 SUMMONS LOT a0%, 76201 NO r03ponse to collection efforts. + 201 301574 CbG L HVERErT HVBRHrr 3/01/82 8/01/02 56100 V D NTDN WORTH DR N26 TX 76ZOS p NT0IJ tiORTH OR 02b TX 76201 No response to collection efforts. l01 52787 tl~gjfigANOROH 1AYH pgpqSVAPpAa& , PAYS 10/06/61 10/12/01 2/31/82 146.65 L A(INTON TTX 7(201 UENTOId TX 76201 No response to collection efforts, 11 201 170426 flAJJ 552 203 !OUiHL!}x0 ,76266 MANNA 55't JATXO 7bD66 Unatilo 2/13/92l 8/31/02 47.00 RRAHAM 201 353706 ~ NAHAM 994 ELM $T~iCM-TI TXR 76366 SANSFI 194 ELM STA~HTATXHR 76266 No re popse t0 Collection effa tll/e2 153,110 201 357145 WNT CALVIN OR NT4 CALVIN 12/06/81 0/31/82 84.00 f $ xna4 NT0 TX 76201 QQLOT POINT 7X 76250 Un6b10 to locate. ' 37 101 34;096 9991 NTTTppL[PBRRO FRANCrO zO`R NTT LIPHRRU TERRY 11%01/81 IS/04/81 0/31/80 1166.45 t f~ EH TRN TX 16201 FB~YDH TX 76voi Arrangements not kept, 5204 2993$4 ~UbRHY BOx Cp CAR TX YN R 76847 AUbRHY ~O% SF CATNLYNnew No 1/tS/02 8.131/02 response to collection efforts, 43.50 y l01 329524 0p AYHg CYNTHIA IAY` g JOHN Z 9/04/01 9/05/91 S/31102 40.40 1 I RN6ERtlX 613 TX 76966 ANIiORdx 610 TX 76266 No response to collection efforts. p MO ke l 36921 !&Y°E RT a DHLTXRT 76226 Y4 T 2 OETXEpr76226 No 1/19/02 response to collection efforts/e2 59.40 102 230730 My gN HAMMY AYg SAMMY H 11/20/01 11/30/ui 8/31/82 221.20 a OMINNIR N0 OH[NNHR r ppuugg TX 76201 gNTHpuu gg 1J TX 76201 No response to collection efforts, 102 361405 MICH I PI. It 0tJ T I ~~0 A7TIMORO 1 6 RT IMORt MICH[IL R 0/13/eR 5/17/82 0/31/22 1405,70 i T E ~1r N O - TX 76201 0 0N TX 76201 UMW O to locate, too 069946 WIN BARBARA CpR1EEN CARL 1/19/02 0/31/07 40.60 V Pf11 000Ox 46 TX 70034 PR18OBOX AO TX 75034 Arrangements not kept, r. ; 1 f y ' fir i I ,uel L DATE 9/02/82 0: 59: F L 0 W ti E M 0 R I A L H 0 8 P I T A L PAQE It DAD DENT TRANSFER REPORT FOR PERIOD 0/01/02 THRU 8/31/02 PAT ENt NUM R 9**0 PATt NT tVI.ME 4*** N**N* GUARANTOR 14AMI *NN* ADMl DATgg ppT&& ppAI E TEOFF OF DA1, CC-ANCCgg PF NUMB ADDR, ITY, ST, ZIP ADDR, CITY,BT, YIP TTfiO DCOCH A AOED W R 201 037048 Opfi N BRENDA ORU N BUDIE 7120/01 9/31/82 76.00 1RtTT gz BOX 40 AT BOX 43 AUBREY TX 76227 AUD EY TX 76287 No rOSpOASO t0 C01100110n effOrtS, ! 4902 390075 Ol N CYWH1A O`R1tfi3Np. CYNTHIA 4/30/02 B/31/92 20.70 dG &Vt,TON TX 76201 t)HNTONUL.ON TX 76201 ` Unable to locate, , Qpg WW e+1p kEprrgr lOQ 266148 LCWJOV[LI gOpD II1LrXA 1 79067 tgW~gpl[Lf OD WI7%IAM/0067 Unable 3/14/82 0/31/82 1057, 60 ' T 202 340661 HAS EltirFN IMA DRJFP?N 117 pAK ' IMA 10/11/S1 8/31/82 01.30 J2Z0, 117 phlt NSA pp B fi% 76262 N0K8 TX 76960 Balance after Medlcnre. 001 387894 0411IFIN PHYLIS ERNEST 3/19/98 9/31/82 19.00 arr VE" T% 7620 nNN TX 76201 No response to e011actlOn efforts. r`r ~RNT~1 T tIBRBON i 201 369249 O F1 iH OUY PIP'~IJTH OUY 11140102 0/31 /02 39.00 HARLOTTH 016 Est HARLOTTh Nld ~~~~p~ TX 76901 ~~FITpr~ TX 76001 No response to collection efforts, 202 301330 R~1~910X 04. LENA pPfI~R~ON 89 OENB 11/20/81 B/31/B2 102 76 .A O L T% 76226 UOM TX 762Q6 No response to collection efforts, ,II lot 341391 tl` jMC DARRYL 00YA1E ppyy ® GERALD 0 to/i2/US fo/1/Bl L/31/02 70,00 L W 8~t~LitADEp Tx 76067 I fti~1LLHADEB, TX 70061 Arrangemints•not'kept, 6 r ilhn/al 201 301247 .HALL 0817B @Y BSIiXL 76909 OAQII.ABnODC61FF tJATXAN Arrangements not kept 8/31/B2 44.00 16 201 394100 $1~L FppYgg 3133 DONNIf ~ LLg X 133 DONNIE 4/20/92 0/31/92 38 00 D N tlN TX` 76701 MT H 1 TX 76Qol No response to collection efforts. I 300990 L Y $HIRLHY LBY 9HIALRY 19/O2/W 8/31/92 38,00 DRUDD6LL ~ N Rupp@LL T TX 76901 TON 7X 76201 NO re50039 t0 C0110Ct1on effOrtl. 201 300500 N OU18@. Ml1 TROY ppug NqNq QUIOK Mil TROY 12/11/91 8/31lost 107.00 . 4 TX 76901 Wob TX 7bQ01 Unable to locator i 201 381129 p N R , 0 UNTH(tR JANfiT 0/28/82 8/31/89 36 D0 j OT 141 TWIN l~ilC M T 0 LOj 1q` TWIN LAKRg NO respOnSe to Colltletlon Offorts, u N b R 76901 Hp uEN7DN TX l ~ ml 1 1 1 2 L' DATE 9/03/64 9: 00: F L 0 W M E M 0 R T A L H 0 8 P I T A L PAOE cta• i e V I DAD DHDT TRANSFER REPORT FOR PERIOD 8/01/82 THRU 8131/132 PATIENT NUMIIEK w+y1r PATIENT NAME *auw ***m* GUARANTOR NAME 00** DATE DATE DATE tlF OALANCE pFX NUMD R ADDR, CITY, $T, 21p ADDR, CITY,S , 21P ADMITTED U[6CH ROE, WRITEOFF OF ACCOU14T . 60 701 350975 0 RLIsHM~Yl EARL , 11/14/81 8/31/02 38.00 T V ~RIA4ARTOP FARM TX 75034 2gUrUr942I U~J] gg No response to collection efforts. RO! 403640 I T E~ RHARIE Apf 8/067%p 76201 Mt~WEL{ NOTX 76067 No5Y89pO Se t0 collection offort4/02 38 25 0/3 ` 201 411314 DGu~C~NIN AR0TX111R76201 1160~U8TIN JAT%VEL76Z01 No response to collection efforts/t3a 313. 00 201 379394 ~q{gGAMEBVCAMORE 0201' MARK HHAAKEYgYCAMORE M204 HARK 2/23/"2 8/31/62 48,00 1r OL~NTON TX 76201 D SNTON TX 76201 No response to collection efforts. 4 347971 DApLE ST/Pp POX 4I ANA FpIAAJOX 55 , RU099LL E 11/15/61 8/31/62 76.50 KrS~l1 TX 76249 IfKi TX 76249 No response t0 collection efforts, 1 201 407676 pHArLE o PATTI HALE , PATTI 5/22/82 8/31/82 38.00 i I+OIJ~BNOx 1360 R7ON0EROX S3BA T% 76959 P TX. 76259 No response to collection efforts, } i 205 38837 HALE pH1LLlti HALE 11AR0RETT 12/27l6f 8/31/03 43. 00 'N, tfl7M314 TX 76249 RR&1114 Tx 76244 No response to collection efforts, 201 419426 HpryLLEggY pp p 11ARK VA V.gYY Ngry HARK 6%27/09 8/31/62 151,45 9 q C ISVIHLRLES L"111 TX 75067 lE C8 CHAR1.L6L.68 N435 V1 TX 75067 No response to Collection efforts. w q 501 363539 6HtlALLtI~~ A0I1LEY ppNON R STI{ BT MET%NDA 7622b NO 3/07/62 0/0 1 reSpO sP to C0110Ctlon efforts 82 33. SO 4 6NOEROTH BY A TX 76266 8A LE I~ 101 392266 bHAl1tL 0 , Jt881E IIAAtLt! O, RODBRT A 4/03/62 4105/84 8/31/82 1'316.60 11i~ nALLAgLBTA TX 75217 DALLAS LEY TX 702f'/ No response to Collection efforts, t 102 40915 H l , RHOMDA Ha g , WtLLARO 14/49/81 L2/13/61 0/31/62 946.23 4 V ~~NtlNEMjNOL6 T% 76201 ~FNO011Hf1INOLlj TX '76901 No response to collection efforts, 1. 203 59405 VA PAIN , 11"AL•O HpAp PAIN , BARBARA 4/38/82 8/31/82 '67.00 V 1TT118 8LM TX 75068 lITLR4ELM 7X 7506t1 No response to collection efforts. 201 386524 6HAgMI TUN , 009DRA14 6HbAMI T ryI~ BUTANNE 3/15/02 tl/3t/84 41.00 y COLLEGE TX 76201 DINT N aLL&4E YX' 76201 No response to collection efforts, 'i t • r 1 1 1 + r' uw~ wrxwr»w.rtrrww.__wuw..«M.~ I•-~+ •.....-r+a+/~ It r DATE 9/02/02 9:00: PL 0W 11 EM0R I AL H08P I T A L ZBe f3 DAD DEBT TRANSFER REPORT FOR PERIOD 8101/82 THRU 8/31/82 PATMIT UUM0EH R4NMY PATIENT NA.r4 #40* . ****r AuuARANTOR NAMgg M~~♦ pATg gATROF 4ppTTE P BALAN PFX NMtlER ADDR. CITY 8 2IP ADDR, CITY, BT, 2Ip ADMITTED DIflCHAED WRSTEtl F OF ACORN't ` w- ----wr ...mow.... w--ww-w V 201 383513 ppSIMAgNgOWLINO ORE►~ CHRI6 PAR2A~OWliNO ORBEN KEVIN 3/07/82 0/31/82 98,00 20 L Hr~1T0N TX 76201 BE TON TX 76201 No response to collection efforts. 202 307218 H ,9M ANN JDHN HpAMMAIJ DORIS 3/17/89 8/31/82 54.75 « 4 HH9gq010INNNOWLINO GREEN TX 76201 TTNTON~6ba~jOWL1NA ONEEN TX . 76201 No resp0uso to collection efforts. ZOl 368423 OLtltllj X i42 RIM7NRLV76201 ppH DEDk 142 JANELL 76201 AM 1/17/92 not kOPt, 8/31/B2 80.00 i 201 283622 QHAAJC RRT RUSSELL H~gRgBggHkT AMANDA 3/08/82 0/31/82 38.50 1r AUR Y4yy TX 76227 AAUUREY44yy TX 76227 NO response to Collection efforts. 209 77321 H16.?IpLATT1MORE CL1T%dRU7601' 1121OLATTIMORE KENNETH 3/25/87 0!3!/82 56,00 TX ' 76201 No respOuse to collection efforts. 1 409219 HA AWAY LRIOH WTI DAWAY RBNNB'TH !7120!02 8/31/92 27.00 7 v 4ATT1MORg 1'X 76201 ~~~7O~jATTIMORE TX 76201 NO response to collection effortS. 1i 1 406660 ION"= ATSY HgA R~Vg ROMNIB 0/18/82 8/31/82 852,25 I { y DBLL 0112P TX 76201 DP.~$C11J RVpDEU M112 TX 76201 No rotpome to collection efforts. 207 36806 N~NjAR ADNp8HIILL1A RHHqA7qTALAgNg GHHLLIA 2/17/82 8131182 89.00 V D11N ONOX d31 TX 76ROI DHN~ONOX 631 TX 76201 No response to Collection efforts. ~ 101 380352 AA~Rq ` ONITAN TR DAR qA 3 QN TX ?6201 UE NTOITAN TR C TX L 76201 Arr2/26/02 ellgnmnts not kept.e 8/31/82 195.60 I 201 410617 0AAR ~p~pyyAyN387 DONNA pMARRrg{M~AN STANLEY 6/09/ap 8/31/82 86.50 4`. ROAN Ri[ TX 76262 ROANOK~ ae7 TX 76262 Na response to collection efforts. pp~ t` 0o tft~ a8a8 4 202 332270 BAN08 ~~5TM BdNTft 76266 9An1j. OTH A1YR8Y 76266 NO J response to collection efforts. /82 250. b0 201 369919 H RaTpaN TLTLI,tt , ROSANNA HCn gTNtT7IT.Lt ROSANNA )/21/82 8/31187 419.00 V LIB I~LBOAD88 7X 70067 L6i8 Illg8Al1¢t! TX 75067 NO response to collection efforts. v 201 076419 MAP OY , LUKE pA EwY LUKE a^/14/89 8/31/82 68.60 ti !r D&MTAcne at rx 79201 CENTONEBq or TX 76201 No response to collection efforts, v I ~ :i ` X.er I v, • I I i ~ I L' DATE 9/02/82 9: 00; r• L 0 W 11 V 'M D R I A L' H 0 8 P T 7 A L PAGE, 14 .y PAD DEBT TRA144FER REPORT FOR PERIOD 8/01/82 THOU 8/31/62 PATIENT WUM ggR %r■ar Pqq!ICNT NAME 404Y Y401* 8UARANTCR NAMT ***o DATE ~AT& WATCEQCF CF ACCOUNT PrX NUMB CR AOUIi CITY. 87. ZIP AD 11P CITY.ST, IP ADMITTED RIS~0 RO"D RIT _ _ 101 391789 HA KELL , CINDY tH g~yAI3q9ERµLL , CINDY 4/02/82 4/05/82 8/3(/62 86,00 bCTtl~VODELL 0111 T% 76201 ~fiNTgNUODE44 #117 TX 76201 No response to collection efforts. F N 202 2987110 H{AVN T T . 7% LYNDA 76247 JI rn 8 ~Ugpp%% fld6 . CHARLE8 12/02/81 8/31/82 t46.40 D 6/317 W 6TH ) TN TX 76247 tibyedl left no address. B S 415399 IAWrgHgR E FRANC~B HAWT14npRN t FRANCES 6/15/92 9/31/87 36.00 1 L, ?4WORTHE LANE TX 75116 FT4NOflT1j LANE TX 75116 NO response to Collection efforts, 101 37.8567 HHq DOrgg_9ROUD MICHAEL HEROES I , MICHAEL WWII] 9/021'91 8/31/82 195.00 11 NTRipCCN T% 76801 0 NNTSlNBROUD, TX 76201 No response to collection efforts. QOt 388041 'MOOJ TH KEITH T% 76Rtl1 j NOf`UTH CHARLYE Unable t0 locata, S/3l/8a 18.00 l y H4 6gNN 0p /gN gk LI, 202 49955 U1NT gE tlN99Y CITY APT9LMCk3 76Qtl1 14VDN ITY CITY AP~e aqk 76201 No response to collection efforts. 101 342352 pHD NLPY JERRY H5NLEZNERRY LANG WIRRY 10/f6/9l 10/17/81 8/31/8Q 391.59 3 8400 CHHRRY LH 9aEVop d~NT6N CT% 76201 DENTON S, Tx 76201 No re4pOnSe t0 011W ion efforts, ~ J 201 395920 DN O OX 437 M•SLLB RQATX 76201 CBNYCN111 407 MILLS RU T%A 76201 No 4/24/02 response to collection efforts, 101 $99914 pHy~{RROAN ppppq 11ARY gHqggRRRNppBBppqq RW10HT 3/30/62 4/OR/82 8/31/92 37.19 !l, TIjbC~LONY GLUW T% 75056 7Ht6C4LtlNY GLEN TX 70056 No response to collection efforts. f 101 373597 N RrG JOE HppTKi MARIA 2/04/02 2/04/02 9/31/62 358.00 I p t 6 7IAD }p~ k 60% 649 1~ UM TX 76249 Ft iJDRfH Y% 76100 No response to Collection 8ff0rts. ,J j `I 201 412759 E 7 R 5pALOII H T k RALPH 6/07/82 8/31/82 'Pe. 00 B VILLA Jblw' APT 76201 ~ ~ Na E VtLLA1612N.20 . ✓ 7 k 76201 No response to collection efforts. 6 204714 H T !CK CLARA HETRICK CLARA 1/06/8:7 8/31/02 21,50 q~rC NN LOCUST ``qq0Q LOCUST j F` N>iN QN YX 76Q01 pHNTON N TX 76201 Balance after Medicare, 201 421966 11p1CCpKgPORSTAMY H K6(7µ RICK 7/04/8? 9/31/02 d.50 { ~gPiTDNLLUQ$ 7% 76201 D T I1' "OE TX 76201 Movedl left no a"dress. ' lo 3 1 ' r; •'k~ - ' ' 4,, ~ 1. ~ y (may N Upd y ftV■t l CATS 9/07/02` 9!00! F L 0 W If E 14 0 R I A L 11 0 S P I T A L PAOC to, { DAD DEOT TRANSFER REPORT POR PERIOD B/01/82 THRU.,.8/31/0+ _ y PATIENT IJUMBER aaarw PATi N7 NAME ♦raw aarrr OUARANiDR NAF1E rrrr DATE _ RATE DATF~ F BAL.o PFX NUMB EEAR _ADDR, I Yr T, ZIP ADDR, CITiYPS , ZIP ADMMITTED DIBCHA QE0 R fi0 F OF 44C NT 4 _ Rpf 346577 IipONE NRtOTSN HtLOEH , R9NNY l0/30/Sl 8/Ol/82 13.30 y RISTOL 8973OgA1StOL HO response to collection efforts, T% 76RO1 NT TX 76201 lot 406553 H LL RHONDA HIL RONALD 5/20/82 5/91/82 8/31/02 16.44 Pt BOX 46 W2EB0% 46 1'X 76230 No response to collection efforts. R WIE TX 76230 209 231548 H LIARD JERIIY H LL1ppRD , JHRRY 4/18102 8/31/82 164,7$ I I p,OLIVAR 1 U1O ttJ BOLIVAR DENTO TX 76201 N T% 76201 No response to Collection efforts, V gg FFff 901 416430 N ON~U~~fi N104 LOYTX 75201' .~Ek~p~0M N104 LOTX 76201 6/15/82 6/31/82 38,00 No response to collection efforts, 101 39.0674 i1OD0ES LARRY HOWES LARRY 3/13/82 3/ltl/82 8/31/02 199.20 3qq 1'2 gR1AR CLIFh 9q12 BRIAR CLIFF No response to collection offorts, DGNTCN TX 76ROIBNTON T% 75900 . 201 207862 pRUMON , TERGBA HDRTON 1Gx T% JOHN H 76249 5/30/88 8/31102 26,611 lt, 1 1. i tl% '62 T% 75249 KR pppoUM TFp NO response. to collection efforts, 203 02790 ffiAR SHAUNCRA SMITH VICH1 9/09/02 8/31/02 39.00 rO~ERNARD T% 76201 8RA?O?E1NARD TX 75901 NO response to c011ect1on efforts, I ,V p , lot 299306 ~MhQTTUB BT 9U8AL 36701 LA 9 8 VRD r6 JOHN 89!19 b/19/tl1R` 5/23/81 8/31/82 181. 56 ' 4 Moved; 10 14 address, 75258 f/28/92 $/30/02 0/3l/02 31,30 p 101 343657 HU$O~ PxxQaN DEL I% A 7bA58 64U OLEPONT CALVIN V PILV ( No response to collection efforts, 901 395983 H D4CK Y,ATML&R1d {~gDAC {gK RONALD 4/16/02 8/30/87 79.00 2 Nd0 WORTH DA N6l TX 76901 NUONr' NORTH OR N61 TX 76201 No response to Collection eff0tti. l U T "I i E f 101 393007 HUO8LH %ON4 REBECCA UyIjLa~XDl4 JOHNNY 4/06/02 4/07/02 8/31/82 797.90 +r AECAYU TX 76234 DEC TV TX 76234 NO response t0 Wl leCNOR effort, f 909 14536 H 1~T A q~AMES H` TSk4TM 8T BOX D~2LANCU 1k/26/81 8/31/02 26.75 ~1} ypf 4TH ST BOY B 9 NO response to collection efforts, W 1~ANOgR TX 76266 6R TX 76265 I 204 16630 HUNNT R JAMHO H NT H LANCE: - 9/04/92 8131/92 99.76 ~4D 4TH ST BOY iSgk 9 aTli RT BOX 599 Ho response to collection efforts. L, NO R TX 76265 NOM TX 76f16b y; I J DATE 9/02/82 9:00: FLOW HE140R I AL HO8P I TA L ~r - PAOL'- 16 U DAD D40T TRA14SPER WORT FOR PE410D 8/01!02 THRU a/31 /OR PO WNT NUMB NUMD R Ek ****0 0P A TION'Y, ZIP INAt18 ~rrr rrw*r CuupkAN QR NAMgg wwrw MIg PF E C 8 rr T, ADD- C -T Y, BY, ppppTTgg 77gg QA4ANCCE y - , _,~y ADTTED DIBCHAROED WA DAITEQ` ~P Of ^GCOVNT 11 202 14874 Hf NT R , JOSHUA H NTER D S 4TH Tk LANCE 1/30/02 8/31!87 63.00 MO R ' 76264 O~R4kTH 201 378745 ~1 T u TX 76266 No response to collection efforts, p LANCE ~1IDUNT H' i, p a d (11$ 8. 4TH) TX 76866 gANO Rg LANCE 2!22/8.+ 0/31/82 60.40 1 101 383786 ~jM1B aa Tx 76266 No response to 0110 tlOn Afforts. CN~ONOk 33 LOLT% 7di201 DN~09pX 53 LURE 3/08/02 3114198 8/31/82 10.00 806 275123 `A`RR TX 76201 No response to collection efforts, ~II"'V~hHAB 015 ER10 77J1A1$AgtpphDHLL REBECCA 3/24/82 8/31/82 TX 76201 UNTQl4 TX 76201 87.00 101 339836 ~AY 8 S EMMETI g px 37 No response to collection efforts. TTILST P01N~ TX 76238 CLtfTBA01NT1 EMMHTT 9/20/81 8/,31/02 06.00 7 2011 jj~i / TX 76258 No response to collection efforts, NB p zz ALMA 101 370528 84 N pNELLA 03 g JIV lI7ELI.A 05 JOSE 4/26/912 9/31/82 162,93 C TX 76ROI N 01 ~ t TX 76001 No response to collection efforts, pH NW qq gpIJ pp O Jw AY 181 y ' LE I YILLIE TX ANDA6A 75067 L IV~L49 08TXOE 75067 +1/24/82 1/27/82 8!31/82 976,85 121 q49V HHIww 4 1 373928 4 wILLHDOD 56T'TIE JO HNNNB NN BETTIE t2 !02/8RIOCete. 8/11 rx 73067 L~W(BVLEOtlD Tx 75067 No response t0 collection efforts/82 53.00 r 201 381111 4gQp11N pppp BRENDA 1(Ng N p fSWf6~ lLfD TX 73064 gVI8~ILLE JERRY .7/29!83 8/31/8.2 b3, 10 ' Sul 342133 p,J 1INSO p E TX 75064 No responsA to collection efforts, II~~ G NTQt4OX V63 CARrX q 76201 ~ NTO¢ x 963 ' JOHN R 12121101 12/24/91 9/31/92 260,84 101 38151 DHNS W CHRYBTA J E TX 761201' 'Balance after insurance;' g9 14DONDERRI' 03 011, 20 CHRY9TA 11/01/01 11703/81 8/31/82 146,10 v iaNT~" T% 76801 TO~~DONAeRRY 03 TX 76201 1 399168 HNBgpN DONALD g " No response to CO11eCtioA efforts. D NTQNXAS ~HN8 XA8 DONALD 4/75/82 8/31/82 48.50 v 7 ~TQ fX 76801 TX 76.101 No res 901 385906 ,R/$Ht4g JOHN R1aTHpN80N POna9 t0 Co1leCtiOn efforts, CNTOOx 263 T% Y6201 DBMTQpQ% J~Tx 76801 Mo 841'18(1 ho address. E/31 /8R 18 00 v v ? M~'.n.swe..n.a...r...i.www~..r... v ..............a.... v..... ..rw .a .._....e .....r....,~yo.,lY~, ,.~n«... _ ...,..~_...i 1 PAGE 17 t , DATE 9/02/02 1-00: FLOW MEMQR I AL HQS P I T A!- `a t 3 BAD DEST TRANSFER REPORT FOR PERIQQ^ 8/01/92 THRU 8/31188 pp TT pp ~CCNUNT PATIENT AN_EFr ; msNMr PATIENT NAME' *0*** BUARANTQR NAME M*•M _ ADMIT~EU h19CHAHCED WRITEOFF OFOA IUMQNR 25P HAR - P_F% NI~HnE ADDR, CITY, 9T, 21P-------------- A Q RI - C CI ITY, 9T, _ --T gp J62g L SCHUN 3/09/02 9/31/82 10.00 Vt4 401 384073 NTQft088Y1MBER9 LASTX 76201 DENTO 0pNROQBTIMBRB TX 76a0t Balance after insurance, 1/04/02 0131/02 194.00 V 203 3045233 JpI1Np9D0%J89 111LLlAft J~1H 80pppX989 WtTX1AM76227 Balance after insurance. R L AUOAEY TX 76227 RAUQRBY 2/19/82 9/31/82 77,00 me% Jgfy Jg6t , JAMES r 201 070026 OON NT pN4 ~YCAMDNE JAMES 76401 DE5 /2 SYCAMORE TX 76201 Movedt left no address. V JAMES 4/13/02 9/31/82 106.00 1 202 378096 NEWS~1 JAItEB q ~,W HICKORY #2 TX 76201 Movedi left no NiONHICKl3RY N4 TX 76201 DD TON address. 27,10 ~y 01412 gg V1CKtE 4/.4/82 9/31/92 203 00070 J1DNEg9ttl! VETUNE AVE F AATM9 ' 6'stg NCOTT TX 76401 NTON TX 76201 Moved{ left no address. qUpy &g SILLY S 9/17/02 0/19/94 0/JS/82 1147 3D lol 399016 jffi NILLA06 E N202VIV1AN PY I gTELLA TX 76201 Moved-, left nn address. IS TX 76201 DENTUN S131189 63, .50 Iv RD~+Id , SANDRA 2/041812 373647 RDA SANDRA $$i 1gRITAGE #201 201 1 14 RITAO6 #201 TX 76901 BNTOIJ TX 76405 No r09p0115e t0 C0119Ct1An effoPtS, JAN 1nQ 197."14 J . 1F. I In3/t!1 JAMB 1Uyr,1AH~NjELl2 404 715396 UW~ EZAKRS MHO N9E1 TX 76201 iENIONAK98 MHP_N98 TX 76201 Unable tc 10cat0,' Iy DAN 01, , PATRICIA 4110/04 S/31~94 97.10 200 148301 h 2 PATRICIA RIUTTAR 20pX 19 j Box 19 TX 76201 AhT N TX 76201 Movedt left no ad&assx 9.31/92 4198 RICHARD XIL 391193 00 MOTEL PAMELA 77005 690TTHItDR6 MOV di left no address. N Br 3/49/08 9/01/92 13.40 } 202 365907 N TELLA MlOI JBR7X 76201 jB'jONTCLLA 0103 JET%Y 76401 NO rospoASA to collection efforts. 2/V4/82 8/3t/02 29.:3 1 DOUGLAS LINDA NOL6[OX p 204 0X 99A TX 76226 No TBSPOnSe to collection efforts, _ is 321396 0N0 j OX 76447 A OY 1329 4/OM1/92 9/3!/84 4e. 80 373570 K1~0 LUClNDA K! LUTXND70703 00 reSpAnsa t0 40110 ti0n effOrtS. yyJJSYCAMORE TX 71,201 S3NBALMORAL qq``NTON pg V .ww..w.w.w.++n...e.r"^'nw"""r'.~nw.r•>f~.r'•".o'^^^'°'."..~,.. i i I 1 I DATff 9/02/92 9:01; F L O W t1 E M C R I A L 11 0 8 P I T A L PAGE 18 T qq££ AA r BAD DEBT TRANSFER REPowr FOR PERIOD S/01/02 THRV ,00/31/87 TT oo pp pp CCgg Vl PPFXENTNUMUERR *R***PPgr1RITY14ABT.+ZIP _ »***yADORpRCSTYpSTAMZIP,rM»-» ADMITTED H A U[SRROED 4'AAITOOFF OFBAAfCOVNT f - 201 380949 {A{~IN1O1 H0% 357 RICHARD ROBERT 2/.8/82 DENTCN Tx 76201 UJON0% 357 TX 76201 No response to collection efforts. J SOS 410032 K} OHpfCC Y pOlftl CENT2pTTY 664 OHkTOCCgqY PpOINT CENTApNNTCE 5/30/82 0/31/OS 35.00 FL WLR MOUND 7X 0 fgL~WERpggAM{}UNO " TX 0 Moved; left no address. .^O1 374173 gtIOW KEVTX 75040 91 LAARAD1710LD KSTXN , 75040 NO /0 response t0 Collection BffortS~ d6. 00 ~ J . 115.25 L. I 201 35044 NN II~~ppLa L1NOA RV Eft NDA 3/03/Or 8/31/82 1 D 100RAL1.MHADON Ni?8 1 ALLMEApOW 02 0 TX 76201 " NO reSpOnSO to collection efforts, ,J V D 7T Tx 7620! DIN 44 20D 181933 KICHApNN I NHET _ OOLDIh 75067 1 WHO~AOI NITST OOLDtfi 9/1D/80 8/31/92 65,00 V ! ¢ $ [L TX 70067 UnAbl0't0 locate. 101 26401 NK E JERRY K5 N6VkK R0999T 2/19/02 V22/92 0/31/02 817.83 r TX 76201 O NTt1IiAMfi TX 76JOI No response to CollAtit,'a efforts. TRAWL RODGRT 2/20/92 2/27/02 0/31182 318.76 101 379875 dKRR. 8118ANyK11jAME T% 76801 NTf1N 76201 110 rOSP098 to C011PCttOn efforts. 1 N p E 101 392639 4 4 COWWAN A1'6, eT,LLIAH Lin tS NN CEVylAN AVE. 47SETTY 4/04/02 4/00/82 9/31/82 21 49. 55 L W 8 ILL6 Tx 75067 L~WlOV1L TX 75067 No response t0 collection efforts, , 101 414700 ~AM{!~0R µµuu TT CNC•RYL /MBO$ppppU{~ MICHAEL 6/13/02 6/16192 0/31/92 1709.35 ` 1'116 COLD Y T% 7500f, HCOCOLDNIT TX 75056 Novedl left no address, r 101 374421 p16TDRADOHAW PAVOTINA AARABpAOf1MAW ARTVNO 2!07/0? 2/09/02 8/01/02 913.05 Kwdl left no address. v f ` R01i tC 7x 7620{ CtITON T% 700; ~j 801 077499 AROIJOSEPH ROE J00EPH 2/17/92 8131/82 39.00 V TX 16271 q0A T% 76271 No re%ponae to 0114000n efforts- (01A 1 801 338376 LAWOnnN TACHBRY AopiB ppRONApO;.,N1041, CHARLES R. 1/22/02 0/31/0$ 38,50 5TQORONA00 MfD4l 7% ^6801 ENT II TX 76201 NO respoASO to Collection efforts. I jV dV dR vvN qq BB CNKTA 1/Iq/OR 0/31/02 30,00 4 205 156180 DiNTCNOx Sm ON6TX 76201 9,50 OX 23 Tx 76201 Arrangements not kept. , T N 1141~ 14 ,lIAIM 1 DA7e 4/02/$2 4:01 r PLOW tlCM0n 1 AL 14 08P 1 TAL - PAU 19 DAD DEOT TRANSFER REPORT FOR PERIOD 0/01/00 THRV 0/31/82 1111 pPFX6NTNUMDhRIt xxxxADUR, CIT1'ftn'E3T,a2111 xxxxADCUARC TYRBTAMZIPxxx ADMITTED lliSCHARORD WU TEOFF OFDAACCpVN7 + P - fi._. 204 66738 4Uy4 ppgg , SHELIA EE SHELIA 8107181 0/31/82 y103,00 L UBNTONRNARD E8O TX 76701 N1iO4X 127 VA 22947 No response to collection efforts, 201 564835 LI0GHT(?OO7 DORA igtlfgOHIIFO t JOHN 1/21/82 8/31/Sft 49.00 ClfiCtl 0 1752 TX 76437 CtSCO SU711 TX' 76437 NO response to collection efforts, 1, 201 386070 RI SCO OX 327A RALPH 'd RALPH 3/16/02 kw F~ OX 327A b/3l/8R 170. CO ` 7X 78034 LOI C8 OX 70034 MOYedI left no address. Li 102 47014 ffjO ITHno JULIA ONO R A JULIA 3/04/82 3/!4/ g 1D pgf ITI . 82 F3/31/02 1411.30 TX 76801 DENTptl~ TX 76201 MOvedl left no address. ' 101 313850 HO~J COR A IIARIA R NN03RTA- , 61PRIANO /1 76/01 7/10101 8/31/86 252.00 v i kw RSANnr~ 7x 76262 0 6YIN - TX 76247 Moved; left no address;. j I 3 401208 ~QCpPEZ PATRIC IA L0pal J086 8!31/82 160 60 RNTLOGUNA q0 LA - !1/26/82 TX 7b201 pEAT ONOUNA TX 76201 140VeJ1 left no-&duress. 201 404087 4N H CINDY N H JACK 5/04122 8/31/82 47,75 R C2 DOX 25 BOX 25 I 1r DIINiON TX 74901 N OP TX 76201 Moved; left no address. j ~ 201 373084 V Lf~UT~yVTL~U r tggSHA MAUgh Ng 8H M}1P ~fl7a7A 2!01!02 8/31/8:[ 74. S0 P f1 d AYH 11~iM N178TX 79067 V LL& TX 75067 N0-rosponse to collection efforts, j%.0 201 76570 gjQfO~ OAK APT 2A' 11AR7% 7620[ D OTOFN ! OAK APT 2A 1, MAR 76201 Mo '018 eft no address, 0/31/02 18.00 ~ RI ry~i 203 2Z067b +nUUUDDSLL 52 JASON MA I N01ILL 52 JANET 11/28/81 0!31/82 1!#.11 DUNITON T% 76901 99 TON 7Z 76801 No response to collection efforts, t J 201 030951 HA NOLA bMA Itl Jt NOLA 12/06/91 UpCKSON C T% 74201 A~ ~OIIOON 8/31/82 2tlb.20 ` T T Tx 76201 6olom after Medicare, s 201 W6576 yA ,JBY JIMMY 2/13/02 0/81/87 40 70 j p0 MpgRTON LN TX ~I~MpO 5gggRTON LANk 41 TIICOLOt1Y NANCY ?$()67 H CONY TX 75056 NO response to Collection efforts. 101 240257 LO140 JOHN kdY ~Q DO% SOA LANTRIeO% 971.80 ¢ q 12/I /00 12/17/80 8/3 682 J w AVSRAY TX 76227 ARUTNReYa ' 1, dA T% -,76227 Arrangements' not kept. . ~ I Jj .J I le' ~ ' 1 11 I I ;,f; .1•, 7 , 1 1 {ur ' DATE 9/02/82 9:01: P L O W 11 IS M 0 R I A L_.. H'0 9 P-t T A L PAGE' 20^S:':.;',' Nswwr T NAME *ww*D DEBT TIIANftPER wNREPORT GUFOR ARANPERIOD AME/xwxx2 YNAU;: DATF/92 D T AT OP SA1,AN T PATIENT IJUMtlttk PATIEN NN qq g pp gg I, PPX NUuMDEEfAd ADDR, CITY 8T, ZIP AODq. CIPY,BT. E ZIP ADMITTED DISCHAfiGED URI7EOPP OF ACC Ni « - 11 01 1- 201 141523 QJN SYLVIA MpAATL3O3NgEg pp , CLARENCE 32/10/88 8/31/92 91.00 " a (r 6WIB IL4£3 _ TX 75067 LEWI8VIL1.63 TX 74067 `140 reSp0AW tO-Collection efforts. 187765 M`0p, gNg GREGORY M`a gN SIERRA OREGDRY 11/17/81 11/19/81 8/31/82 987.45 °t03 RCT4NIfiRNA, TX 76201" DfiiOW 7X 76x01 "Arrengement5•not,kept..: 412049 MMAURk pAVID ~MAIU DAVID 6/03/82 9/jual 51.00 1 HIL<fB DAL BTAjE.B L07 Mix : LtTMORLAeTAit$ LOT 1TX75068 11116. Moved.'-left no address. LLLSSTT E M T tT S 201 417162 Y~jL a 1e JAMfiO QQYgL pp ttpp JAMES 6/90/92 8/31/87 148.00 l 1r ~~K ~AIT.LAB TX 75065 PAK6 ALLAB" TX' 70065 Noyedl left no address.. S/31/82 61.60 ' 201 381809 IONORNUE 0 4355 KIMBERLY 76201 ~TnN6E D 0355 , KIT%E;t1'y6201 Moyed;8leftn0 address. NTON 101' 357301 MAYO VANUS62 AUMYO VANHBSE t2/06/Bl 12/09/81 0/31/99 64.10 rt t qT U21 ► DOX 63 TX 7624 1 BOX 63 t RR1 q N TX 76049 Arrangements not kept. I I 2/27 201 390565 A~~~I.~0VUST FLOOR 97321 ALBAN QIOT PLORD. 97021 Noyed181eft 00 address., 8/31/82 118.00 I 1,0 4 1 y got 190884 MCp0 NNp"1322 WQMrN'1$T'1I Yr&0 '"8"%1322 WOMEN1B IVgLTN 6/16/90 9/01/87 44.00 DGN~ON 76201 DEN 8IJ 7)7 76201 Unable t0 locate..,.:" 201 3611940 M U lfi , . RHONDA M I1CK1E KENNNTH 1/0e/ev 1/15/92 9131/92 171,80 J T DOGE CA 50501 ~BkAagLtVERY to 50501 MoVedt left no address. Ft L T i 1ft ENNA M gN R JUNNA 6/28/09 8/31/82 91.50 11r L. 201 A1g3g0 r[ D J DO 0 M pn vGWAY s 00 0 Novedl left no address. 1i11 LI 201 410797 M181109 1 YEWAY PENNY M LOCUST JAMES 8/31/02 9/01/82 0,75 I ! M t` .CUBT J N ON TX . 76201" D N ON TX 76801 MoVedl-left no addrsss.u . . , 'L 11 101 65532 LP AMANDA L BILLY L R/127/94 3/03/SR 8/31/82 115,6. UDOOLL Q , 4 J 9 C TX 76266 tlNT TX76201 Arrsngmots;not.kept. t. lot 070069 M` {NG H 87 R 11IANN yy2 Mt7lfLEq ILLAGEEAST N NOY 2/01/e2 '8/03/09 9/31/82 410.70 t a 1LLAOE EA81 DR N 0 j NLt tt"V it 0~ u T x 16201 DENTQN -°-TX 76201 ~ No response to collection efforts. J ~1 1 ~ 11 t. I i ti 1 .1 1 ~ _ Vy ' 1 DATE 9102/82 9:01: F L 0 W 11 H M 0 R I A L N 0 8 P 1 T A L LL PAGE 21 DAD DEBT TRANSFER REPORT FOR PERIOD 0/01/82 THRU- 9/31/02 Oc li J1.I xwwxw pUARANT{~N NAM xxxw tlATg pqT DATV pF OFDAACC PATIENTNU (I~Ulj EH xwwxw PATIENT I-9E_+xww ADtlftl CITYiBFI 1IP ADMITTEA DISCHAROEO WRITHtlPF NT PFX MD R AQOR1. I Yl 8T1 »ZIPY « 204 63974 ttM249O ppNf~Opp PLAZA ' AMY g0cpNN0k PLAZA 1 LARRY 1/19/02 0/31102 313.00 I ` LEWIVILL6 TX 78065 ~~WIflVILLfi ' T% 75065 HO response t0 Co118ctt0A efforts. 18. 00 a 1 , 201 367292 M RELEgg RAUL 11(1ILE RAUL 1/12/84 8/31/82 tDO A COLLIN8 ~OQ~A ROLLINS W a2HNTONI 1X 76201 8i`EEE2HO eU NI' TX, 761201 No response to collection efforts., . 114 55144 OLNY EWOOD CALTX 76201 D tTinnT4NT6NOkW~D CATX 76201 Balance after Medle aere, 8/31 /82 239. 13 1 i 101 258071 MITCHELL 1 MARY M HBI~DRA V1fi0iL 5/04/81 5/10101 8/31/82 1255 50 S Oil TX 76201 Moveds left no address 201 054902 MOFFA 1 8TE ON 2FFA LOW CRgHK 02BTHVEN 11/27/01 8/31/02 19.00 ILLQW CREeK 02110yq G6q v i` ~0UeTpp1b TX 78752 AWOL T% 79752 Movedl left no address, MARY p $p 7/01/82 8/31/02 47.00 ~'f 11 i 201 4121074 O I g4~16RY OR ' SHAT%M 76010 RRY,QRIVH BH TXAM760(4 Unable to locate. 1 N 368864 kk 376 B/31 /82 442. 50 i 1 CYNTHIA 316b7 I1YLgN IIT WN Rink GVkiH7A 1/14/02 ~YL Cp E RTAqN Mt 39667 Balancd after inSUrance. i 37$ /82 33 02 ,00 i 375660 MQN LSApT 158 11GLIBBA M NQFkYlilpt 180 MELIBHA A/10/ rrangements not kept. 0/01 ,00 101 3764!7 AM88p0NA TX RH8118ILA 76201 p ~MRhTONtEp~dx 3IgH WOODROW762O1 ;k 8/02 2/20/82 8/31/82 831 90 1gJOBUL919H TX 76066 LHW[BVILLH T% ` 75061 Moved; left no address. l 381731 H RAN WILLIAM MI ppAN WILLIAM R/t6/02 0/31/02 181.80 v 1 CORDELL 05 0 COROELL,00 Balance after insuranCel 1 d~j#ON 7X 76201 ~NTOk ~fX 76201 » 201 41346$ D BNI60N BT r JACT%2876201 jigSO~04 90N 81 JAUE~6201 MO6/06/82 Yedl left no address, 8/31/82 24 .10 w j j 1 tOl 1g39t21 ~I RHY HQ1E q~N4H,N 1sT BT, EDWIN 11/21/Bl 11/723/01 0/31/62 1360.88 $Q ley at TX '76266 No response to Collection eftortsl w ' 9 0018 , TX 16266 A too 23062'1 1,~atlRd NMILL BRIAN d NILL RONALD 12/,1./90 12/.8/80 0/31/92 1140.46 i E V 61iCATUR 7X 76234 CATto YX 76234 Mnvedl left no address. l y i 1 ~ I Y t'y 1 ' •71MMta/MII~P 1 i DATE 9/02/92 9t 01: P L O W 11 E M 0 R I A L H U 8 P' I T A L' PAGE ` k2 L+ f gggg pp,AA gg77 rrY DAD DEBT TRANSFER REPORT Pon PERIOD 8/o1/8~2 THRU 8/3gg1/9a Pp PF%BNTNCNBRRR *+NyAD_bA73C1hST,4ZIP M*NeADDNARCITYR87 xIPAtlH[TTE3 p18CHAR6lD NA[TSOPa OPS ACCOUNT .7 301 349371 » g ' . ..a .C»»»_» V8N U?AN jJ08TtVB MHP #621'31 gUSAN 4/22/92 a/.1 ' L, TIVE MHP LOi'b 35 C . 1/87 39.00 2 T% 76201• T N Tx 76201 MOvedl left no address, 206 293830 1M LILLINS WARREN HU7L 1L-I(N;p WARREN 2/24/02 1 l r DN~d VINLLAGE a, 0102 Tx 76201 MNLON 11 LAOS N10R Tx 76201 Movedl left no ad /31/02 34.10 ~ N dress, fOQ 34$918 1N SMdgN KATHY p gMAIN JO* PR~bb~4a Un3/01/82 able to beat/03/82 8/31/82 3015, to LBRIN r% ' 76345 AE 101 354320 NVWD~MAN , DEB21E N9i r r MAN EDWARD 3/00/82 T 3/13/82 0/31/82 9074,75 1 7X 76201 6HO Y I Tx 76201 No response t0 collection efforts, lot 376099 MHEIgg AMANDA gg1TttDO pp DAVID ONTT[g 712 HOP Till 2/17/87 9/21/02 8/31/62 1311.65 i h DD T TX 76203 D TO Tx 7626t No r9spon5e to collection efforts, i' R : 202 281900 7HY AA ILL CARAIE qqRTRAA JOHNNY 3/13/02 ' 1~pp N 99pp 1Ea44 8131102 71. 75 11 f, 1 V VAL V..V1HW TX 768711 VALFLIVV16N T% 76272 No response to Collection efforts, 1 101 395309 FITWB l, Ur14Ox 62AJ DINA gpDptpTTwE L DENNIS 11/29/81 12/03/81 15/31/82 (8 00 Tx 76R49 NgUM ~Ox 62AJ Tx 76249 No response to collection efforts, • 103 305136 1p1 K NTQ CHUKWUbIN( ti yyhKj SOLOMON 2/21/82 2/28/02 8/31/82 2701,75 r bQ . ~0V NUDDBLL APT l 'Tx 76901 N T fxODgI.(. ApT ll+~ Tx 76201 No response to collection afforts,, f 201 380212 PRHAIDBONRY OR ' TIMT% 75080 RHAM RY DR TIM 2/26/82 V &4A j b ~~ggggRR 6/31/92 bL 00 ''1 J 202 350733 PgqA~j HAJ128A ' Tx 75000 No respOnsO to C0110COOn efforts, D NTf}NSYOAMORS M? TINT R~C ANAN MSLRA 1/13/08 41 SYCAMORE M3. 8/31/82 204.00 v Tx 76201 D66NYOV Tx '76301 ` NO resPOnse to c01100ion efforts,. 201 07401 P K { W t} g8 T ' RDOUR Ph ~K11gg , R008R 2/1'7/02 1,r AI?,L6. Tx 76240 990 ~ BT' 8/31/02 38.00 k ~A LL " ' 7x 76240 04 eOSPonse to 001164tl0n efforts, IL,,I 101 374413 PaAII CALLL CELIA PIS S4 0¢ t~AACH APT V• P A~~, ROBERT 8/07/82 2/09/82 8/31/02 562,00 TX 76201- P qAD B9[{ 1. Tx 76073 Nn response to c01160%n efforts, 201 376764 d~P~tA1JRLI KKP Q1i8 OH b SCOTT PER SCOTT r n8NT0 l D Q/t5/92 .0/31/02 67, 50 f TX 76201 T1 fiP„ AB NH 1D. Tx „ 76201 •-c NO retponse,to 011e0tion efforts, y I I rDATE 9/02/82 9; O1: F L D W It E M 0 R 1 A L it 0 8 P 1 T A L PAGE - 23- U AD DEBT TRANSFER REPORT FOR PERIOD 8/01/82 THRU 8/31/82 PATIENT IJUMnnggk rrrrr PATIENTT IIA!1E irrr ♦rr~r 01/ARAyMp 11DAME r444 DATE yDATE - D~jff_ dP _BALAN~E J/ PFX NUMHLR AD OR, CITY, ST, ZIP _NADDN^ CTV,BT, ZIP ADMITTED DISCNHAAROED W HOPP OP ACC UNT _ 201 3P9507 PJTr4RSO JF'REMY HAROAyAY TERRY 1/04102 0131/82 97.00 I6 10LATTiMORH TX 76201 `g ` NATTIMORE DH TT N OH~TdN TX 76501 No response to collection efforts, , 201 382341 P TrONMOS CRHKD MATTHEW P 13 ATTOONLMOS CALMK GEORGE 3/03/82 0/31/92 20.00 1a OL NTON TX 76001 HNT014 TX No response to collection efforts. 803 2955112 PG CE , RUTH PE~icE WILLIE 2/:8/82 8/31/82 39,00 hJUPITER 2 J~1P1TldR CL~"ON TX 76201 DENTON TX ' 76501 No response to Collection efforts, f 501 380389 ~GCqARCUqEX 237 AT , JO ANNb F U0Ux0 ~7 IT 1 , LINDA 8/26/82 8/31/82 30,00 4AYL& TX 76556 AkOYLa TX 76226 No response to collection efforts, 301 270363 PEMGGRgTTONqbp SARK RpH2MMpU NTT ANp y WILLIAM 2/21/81 3/01/81 0/31/87 70.50 1 1 R% 9HORH8 TX 75065 Arrangements not kept. ' „ L KHNpA~I AY SHORES y% ?0065 LAKHNDA 8/31/87 4057.20 1 105 I10973 iWtpaiI1H AIR~68145 DIANA TX 76273 WH1Th~BORp1AB JOTXNY 76273 Arrangemonts not kept, 1 pttl - gg R TX 76Tb9 JAMH0 B 8/27/81 8/48/81 8/31/85 158.38 lot 327189 PIIILI-10k 55 ALI PaLLI~I~TLVAR 11,,II TN 379501 No response to collection efforts. I1, 105 59816 3HhLMA}i HALL MVRRAY PHOLQO%8575 MURRAY 9/02/81 9/07/Mi 8/31/62 74.65 TX 76266 AN0 H TX 76266 NO response t0 Collection efforts, ~ i 503 91413 Pyy UND6AB CH&RYL PPgSUN&&OR$ CHERYL 0/13/82 0/01/Bi fYJ3,75 I L D WON' TX 16501 DHNTtlN TX 76501 No response to collection efforts, ! 103 257607 W LL RICKY pP WLI. RICKY 5/58/81 6/04/61 9/31/82 1767,00 Q T t10 TWL11H D hOT 110 rWLMH N Cho 76201 N 0 TX 76201 No response to collection efforts. SOt 386964 PPpApp YM UNTB GREG {~ATFFfA SHARON 3/10/60 0/31/82 bl•6o W D~N10 TX 16ROI IN" AL48 TX 99099 No response to collection efforts. 0 051674 k1Rt JAMES PR 01 GMg JAMBE 1100/82 8/3VS2 18.50 i171b6 N LOCUST TX 76201 8A1NJLErHkT' TX 76540 ArrAngentnts net kept, ' DttNT00NN _ 501 306370 ENO !10TH G :I8OD AP ggppN``rRR PRO RAY 3/16/82 0/3l/82 48.90 1 " TX 76566 l3A4111 IT R, TX 76566 No response to collection offorts. N kk t f _ r', V 'DATE: 9/02/02 9:02: F L O W It R M 0 R I A L H 0`8 P .i T A L' - - PAGE 24' N ~~1~pp gg gg DAD DEBT TRANSFER REPORT FOR PERIOD 0/01182 THRU 0/31/87, pppp g pp CC PAA PFX TIENTNUOR M4y*ADDRTICITY,IIBT,{XIp ****ADORAHCITYRBTnMZ1N ADMITTED DIRCHAgOED' HRITEgF OFBAACC4UNT V V a6 r A ~ 205 227413 `qINEPV1EAVE EVE TX N 76240 UP~INR IpNR MEV~' RV TXYM 76240 No 11/20/81 response to l aollactioo efforts82 203.20 103 145644 njg~ 1OAK , BURT%CF 7h201 D6NTgN OAK , DUTXIC8 7620! 9/28/81 00/31/02 79.60 response t 10/10e8tion efforts. 201 370620 ~N9qROX 104 J DAVID RRFD Dox Ka 13 ' DAVID 2/22/82 8/31/02 23.00 TX 76201 PPJgpU9gVTgptNpp TX 76247 No response to Collection efforts. 102 207274 EOTXRQINt NANCY 76&68 flrO ~ N7Y ' JIM 0 76258 Arrangements not l %pol 8/31/82 66, 25 0~( 3 ~r 701 43117 AGIt'E`YW MANY RINE~Y , MARY 3/07/n8 8/31/02 39,95 4 } V DfiNTONHiTti OAK CT, TX 76201 Ep69yNTOHH1YE OAK CT. TX - 762oi No response to collection efforts, f 902 332999 b!$TpUO~ LENNX 76E101 ANCRUIrH LIT%IR''7b201 NO xsponsa to collection offorts02 138.25 , u q 791 386276 AArtD1D1p~N~IRJ LONNIE A3 1I~JARL LONNIE 3/15/80 8131/82 141,00 l- T V RAT0 4 Tx 1%P01 D~NT TX 76201 Unable to locate, 101 370633 AtlLEO SHIRL R~1gglF0 + ROBRRT 2/10/82 2/15/82 0/31/82 2138,10 y 1 5 W W LTKR8 1Qtl W ~fA1 TgRO 4 LNfOVILLB T% 1506) ' L WfV LL TX 75667 No response to collection efforts, pp E , CALVIN 3/05/82 313031 !tOMN CONNtB A 8/31182 31.00 4 a1n{f UDULL t1ry{N8 NN nUOUBLL tr AllN~OJ TX 76110, n N 011 TX 76201 No response to collection efforts. 902 160000 p L , RHONDA R L pKM gO , RHONDA 1/20102 0/01/82 63,05 I ~ 1 ~ tl kL9TE NDRTH tl VII V L W a I4LE, T% 75041 L W V ltiTB NORTH - T% 71067 ~ No response to collection efforts. 101 368241 :PF,0 0 pBOAN P DANNY O pOM AO 445 MAX 1/16/02 1/I9/82 8/31/02 17,04 y `Y ^~ID X ~R C R T% 76266 AN H Tk 76266 NO r84pOns8 t0 001100ti0n efforts, ~ j 114. 201 274167 k64N 9;{ LARRY SANDERS VICKI 2/16/02 8/31/8'2 23,00 1v AU6 8Y 49' TX 76227 y1V¢ O W FOREMAN RD OK 73079 116 rasPOnse t0 0114ttion efforts, 201 361111 o4yN0WEBY 76946 OA~NB ho13 WeTXEY 76240 1/10/02 V V sponl4 to collection efforts, 69,00 RN 9 TX LL 8 , r r ' ' It 1 i i u i DATE 9/02/02 9:07: F L 0 W 11 C M O R I A L H 0 0 P 1 T A I. PACE 20 S S , gg BAD DCOT TAANSFHR REPOAT'FUuOR PERIOD 0/01102 THRU 8/31102 ppTT ppgqTTgg pp CCgg PAFZENTNUMBERA M410ADDRTICITY"A9 T14 r~NMADDR,, CITY01I87AMZIP*eM ADMy7~^D DISFUREOHD NR[TEOf'R OFBA~CCtlt1NT , ZIP . _ _ - V 101 302031 T0TCANCrfigWOOD TR FK SHERRI OCUOTIO% 247 TERRY 3/04/02 3/09102 0/31/02 1913,10 Asf10Y~B TX 74226 AANRO17YL9P TX 76226 Arrangements not kept. 101 300690 2410 7&W8 MEMEN I KIMBERLY 99999 Arrangements ' notl kept, 9/31/82 14017. 40 99979 tIHHWBBTTLRMENT KIMBERLY 703 237818 W0t40gUDDELL APT Sh2EARNEST IgS8 RUDDELL APT'IJQRNH87 3/10/02 8/31/02 107.00 i EATON TX 76201 D NT f4 TX 76201 No response to collection efforts, » I, 102 173306 56ttlM8t},da , MARY (0g101MeL STANLEY 9/14101 9/20/01 8/31/92 60.00 V DUNTpNOP 188 L1 TX 76201 me t68 00 TX 76201 No response to collection efforts. ' 201 381605 MH L Y , LAURIE gME L Y KENNETH 3/02/E2 8/3S/62 39. A70 pppT gpOk 222J pT ggggOX 222J UJREY TX 76227 AUDRHV TX 765227 No eespon0 to Collection efforts, 203 97080 `spgrFn,E86Y_N10 RU09NH a ~tTHgEMINOLH HUOBNH 3/14/62 1/31/92 3789,70 1 PRNTO TX 76201 ~ N7tlN TX 76201 1 NO response to collection efforts. _ t 701 378702 111JH80X 170 REDTkCA 76201 D N OjO% 176, TOM T% 76201 No response to collection efforts. 101 373910 2 74.00 1 ggM T TRAVIS q8q , IRBORAH 2/09/82 0/09182 8/31/02 1399.00 D~WONLdCU97 Nb 7X 76201 D NTTMgNLOCUtlT N6 TX 76201 Arrengovnts not kept, V , r 01 367449$OLBn11K3048 uHNTkH 76226.VIHINOTON AVE 2/01 ~ R MIMAAE021D1 Arrangements not Bpt2 8/31102 174,00 V 102 367409 g K L$$WOK} DCNI86 j~ObK LJgIHI?g tt Ii1CHA9L 2/09/81.' 2/12/82 8/'01/02 939.80 144 A 0 4Bgk 048' 7X 76226 RHVNEHINsiTQN AVH MA 0010f No response to collection effprte, 1 391723 IARI~Ifi~V1LtBVL JOESPH t8$`R481R1~Ctt AVg OARY 2/01/87 8/31/8.9 20100 y 5„ B TX 74240 OA`NEB+VIIL¢ TX 76040 No response to collection efforts, 10t 272015 pg^Qa tl~7N r DIANE 14ILLARD q/06/01 3/10/01 8/'31/82 628,'30 ' IRE bti TX 76201 JFu2JOIIi{ON aMtsx LOT 60 TX 76201 NO response to collection efforts, 1 102 181230 N10~INR0 RD KATHSAIN762ot 1FN71N"NGO RD KA7NAR1N6 201 1/17/02 meets not kept, 8/21/62 666.14 T 1 - 4 s Yy,.yrnwwyx.^•wr~r~rirw•.i~.~ •...a.w~'r4r.~r+wir•~~•ra...~..~Mrm.~+wY~Iws..w..isMY1/IrM :1. 1. f IF, 1 "Wi DATE 9/02/02 9:02: F L U H M E M 0 R 1 A L H 0 9 P I T A L . PAOE 26 - s•} DAD DEBT TRANSFER REPORT FOR PERIOD 6/01/87 THR_U 0/31/82 1~I PAT[[FNi NUMppR rwwww PATIENT NAME 4wrw rw»rV OUARANTOR NAM wwww ppAIg DolE ~~AATT OF BALANCgg PF% NUMBER --ADDRs CITYiST,ZIP ADDR, CITY,BT, IIP ADFIITTEO 0lSCAROED PARSOPF -F- APBST 201 382338 gTALpY WILLIAM STALEY THOMAS 3/03/82 a/Ul/82 36.00 11 APOLLO 011 APOLLO bGNTON TX 76901 DENTON TX - 76201 No response to collection efforts. - , . 202 179093 pSTTARRzRgg TAMMY 9rARR DETTY 32/00/81 9/3t/02 29.70 AUQAEYO% 621C TX 76227 pUQ EyO% 621C T% 76227 No response t0 0116CHOn efforts, t v 101 339325 'tTO0C2NNOWWELSTW00[) KAREN Q0 2NOt&~~aT1100D KAREN 10104181 10/00/0l 8/31/82 130.74 ? D~NTON TX 76201 DEN T0 TX 76401' No response to collection efforts, 'J i 229 74310 &TTENARTT MARALYN q8 EWART JAMBS 2/27/e2 8/31/82 38.00 V kI1M B0X $B TX 76249 NRum mOk ~ TX 76249 No response to collection efforts. 102 307888 gR'TgCK Ro SHANE 00Q%C}}7~~A D BLAKE 1/79/83 2/03/62 0/31/82 946.80 } ~1r JU8T1 TX 76247 JVBTI~ TX 76247NO reSpOnse to collection effOrtS, , I y 102 283494 gg RIDAND BULAS pBpTTTRIJp(%K D448• , QULAS 7/21/01 7/28/81 9/31/8f! 42.00 ,r V 6NO RRKXLANE TX 76266 OANOR 1 TX 76266 No response to'coltoction efforts. y 1 76984 70p1AYLf+Rpp BARBARA 1AyYLORAq EARL 3/01/02 8/31/82 61,00 s D~NTON T8 76201 ~ENTdIJRV LANG TX 76401 NO response to collection efforts. v 1 4~ 401 371997 T{I~~WIBVId PP fi NASH RTgTETMPSpLF NASH 1/20/82 2/31/012 23.80 CVE gCH 7X 7$067 TEMPLOnX 798A L E TX 76501 No response to Co}1ectlon efforts. U 1202 88096 T 1PgICCORMICK. 1RA tTpDNP4ENN000RMICK IRA 2/32/82 8/81/82 $4,00 NTON TX 76401 DBgNrdN -TX 76201 No response to Collection efforts, 465.62 7. 3~ 1 10t 3$$040 pTOYTA ANOEk 4VICTX 76466 6ANOPkOX 211. PAY, 1/27/01 12/16/91 2 tX 76266' No response t0 C0)1BCti0ri efforts, 14 301 365156 4V W194 LLE9T,APT8 NQp80xAH 75067 46~~9V LL95T APT #2OCHT%LE875o67 Ar angewls otOkept, 6/31/04 1377.15 -k sll. 101 370940 111& LE JANIS PPTHOPaNT$f JAMES 1/25/8.7 2/03162 B/31/82 1134,75 AT LA63. TX 70060 LRTTLp 94M1PA - TX 75060 No response to collection efforts.: 1 201 390075 TT1ppD E tp, CHAALEB TTD[pgsl6.'E ~{A CHARLES 3/12/02 8/31/84 48.10 LRN A OLLBARLfiS A100. 7X 75067 LEW1Id LLB ARLES Nlh ? l,X 75067 NO response to. collection efforts.. R I 1 l .10 a r Kim t ' i. . DATE 910A/02 9-021 P L O W 11 E M 0 R I A L H 0 R P 1 T A l PAGE 27- i DAD DEPT TRANSFER REPOPT POR PUR1UD 8/C1/8? YHRV 8/31/82 4I PATIF.Nt NUt1pEN r+*M* pAT1fNTT NAME -001* r***a O~IARANTOR NAME Mr** OAT ATE OATgg OP DALANCE 1 PX WU11 ER ADDR, ITY, ST, ZIP ADD , CITY18 1P ADMTThD 010 ROED N HeOP OF ACCOUNT ........._..r....._.,..._.___. F-------- _.r» u.._r.._..,....,....u+.....rr_......_ ........ter.... ...4-------- 1 1+ 101 358374 pTtgDlppJEOyLtL p TERR1 TtO~jDpWpEOpIKNL xg CHARLES 17/l0/81 12/15/81 2/31/82 1039,05 lEWI0VIM Tx 75067 LEW ILL6 TX 75067 No response to collection efforts, 201 327996 VANIANNpprr NICKY WWgpQ`OPEN OWENDA 2/21/82 0/31/82 54.40 D11jtp ANILLO TX 76201 DENTtlI4AR1LL0 TX 76901 NO response to collection efforts, DDCC i 1 56838 ~JAgL~PEY ANrIONE WALLARey ANNETTA 2/22/82 8/31/02 34.00 6-NT Tx 76201 D NT 1 TX 76201 No response to collection efforts, a 207 69300 6W0AbTaMaN6gH ggAq MAN ALVIN WA TBHgNgg61gqMAN ALVIN 3/15/82 8/3l/82 94.00 ? PILOT POINT YX 76259 P?~ aD1NT Tx 76259 No response to collection efforts, 201 382549 WARD GLYNNA ppWtltlARggDnnYgg , STONEY 3/04/82 0/31/82 173.50 ) E No response to Collection efforts. fy D NTO~t WORTH OR X9 7% 76801 b6NTOfJ 974 TX 76201. gg qq ppss SSp0gg { 201 373315 NN ~86 274 11400 h UIMH 76901 DfiNTtlIJ 274 LEOX 76201 NO 2/02/92 response t0 collection efforts.R 26.00 I Sv 101 360503 YAYJONp~7 % 72 VICKI WW~]1`9064X 72 DONALD 1/06/82 1/07/82 8/31/82 1672,00 OAN59 Tx 76262 ROOANOEKa Tx 76262 No response to collection efforts. 101 297499 W6LAIHIRIBY H 16N LYDT% 76278 VALLHVaV 1~N N17x1AY6tt7a A6/27/81 6/01/91 rrangements not kept, 8/31/82 375. 00 ty t04 660570 ALL 8 LELA W LLB LELA 1t/09/81 11/11/01 8/31/82 210.80 ±i RT ~ gOX 16 R$BOX 16 6 TX 76227 AUB~EY TX' 76227 No response to collection efforts, W see AUB EY ` 109 280586 yq~ 8 e4D%K1pp0 CHRISTOPIIR Wg78T0RO0K MARK 1/14/62 1/16/82 8/01/82 104.00 i 0 1N>tBVDiLL6 TX 76240 ROAINESVILLC TX 76240 No response to collection Worts, t 380549 `j I'LLAU 6 RqNALD 0 76201 U~N?0VILLA06 E N 202ROTXIg76S201 NO response to CO110Ct1on efTOrt6 ~ 11 00 tw D(i ppqq IpJ p1~j 0 201 3824174 F1 SS ~OA4LA8 9118Tx E75045 I,AttP. ?X ~A49 ROYXRY75065 Mo eolBieft no address, 0/01/02 64.00 266346 dfi okAaUNA JACK 19 SHIJW~RROU + RAYMOND A 11I4182 8131/S2 234,10 202 vv W A, y tx 76901 E o Tx• 7ARO1 No response to collection efforts. G ,r Y i 1 it "DATE 9/02/92 9: O2; F L 0 W 11 E M 0 H I A L H 0 8 P 1 7 A L PAGE 28 U BAD DEBT TRANSFER REPORT FOR PBRIOD 9/01/021 THRV 9/31/92 ! r Ppp%EkTNNMBMbB,«H aaawADOR, ITYf1h8o ZIP aawwADR, CITY,$T,4M2lpawa A MIT [BCHAAOEO 41FIT FF OFBAACCOVNT UU OMITTED D -tHCO% LINDA 7b249 S/ot . .00 12 14TH 8T /01/982 2 8/31/88 7 711.00 1 261'378 W O D;931b N~9VILL~B RAYMOND L V HL o response to Collection efforts, 101 313170 W) IN&gN BILLIE Hpp1gNg ON BILLIE 1/19/8,2 1/23/82 9/31/99 362:34 4 ' 25 TD~O11VAfl TX 76201 NTp11 LIVAR ' TX 76701 " NO responso to collection efforts. V 201 384669 GH59TIN0X BOA PAUL TX 761247 JUsIE~OX BOA PAUL TX 76x947 NO response t0 Collection efforts, 142.00 I 201 390428 00 1 MB CATHERINE lJ L[p~19 CATHERINE '2/127/82: 0/31/89 61,00 { 1► ~dUIBE APT N. TX 76201TOIJaVIBE Apt N2 TX 76201 No response to collection efforts, 201 3919x2! hfALh~ H VENITA 5W5 l~LtB8t~MMA+Z~N 41TA 3/02/02 102 06.2'5 ~1r O NT TX 76201 D 87pN 'rX 76201 No response to collection efforts. q 201 393612 L & COAL C L 1~j$ pM RONALD 3/07/82 8/31/02 77.'50 i ,1r aN 0~E0AL DR TX 76201 L N 8VI EYRE DR TX 75067 NO response to collection efforts. s 201 372805 W J~BQµNµINNBR CALVIN 6WLjLLSjNN1NNfiR CALVIN 2/01/82 0/01/92 62.00 3 V C NT N 7% 76201 ANT IS TX 76201 No response t0 Collection efforts, ' 1+.~ tob 92999 CTL SOX 936 IRBNB RTL ONdx 236 IRENB 4/07/01 4/14/91 0/31/!42 100.50 J gg t. AUDIEY TX 76227 AUDREY TX 76227 NO response t0 Collection efforts, l 207 11910 11ARY 13~ LpBgpN MARY C 3/09/82 9/'3]/82 63.3'5 1 1._ NURRINO CBNhiN D N CORDNAQp 0183 r (V TX` 761201 DDEE T000O 7X 76201 No response to collection efforts, 208 t1010 08 NRONADO N18~" 11ARY OB ORONAQD N103 ' MARY 0 2/122/92 8/3!/92 60.02 j~V ~1 N7 T% 76201 NT N 7X ' 765201 No response to collection efforts, 2 i 202 370S7b L8 4 APT SC TERRY LB N AT 10 TERRY 2/92/92 0/01/92 122,1'!1 F bAC R~ k 6 [S~NTON TX 76201 919 T1 N0 TX 76i20f NO respoRSd t0 Co11eCt1on efforts. L1 ; 111, l 375167 B RICHARD AICHANQ 2/02/02 0/32102 112,70 I j t 9 MCKINNBY ly1 N ON TX 7b201 IN Of MCKINNBY TX 76001 NO response to Collection efforts. 5 2/1 0/01 C'y101 360100 nV~ 474 DEBdzHA 76280'lV0 474 r DATXY 76290 NO1reePOn9e t0 COlpiectidh efforts 529.60 5 w ~ I tilt,-. L 'DATE 9/02/82 9~ 02• F L A W M E M Q R 1 A L H`Q 8 P I T A L PA09 Rip, BAD DEBT TRANSFER REPORT FOR PERIOD 8/01/82 THRU , V fi PATIENT NUMBER •4x4x EATIENT NAME 8/3$/82 sxwx xxxxx QUARANTOR NAM xxxx b p Irl PFX NUMBER AD R, ITY,8T, ZIP ADD R, CITY, ST, I,* g pp BALAN I Cg , ADMITTED D18CHA 9D DOTE FF ACCQ_UNT ~ t » 203 263914 bGR[ONt ANN t ~j3A E00 {g8~~`R` QNgqi800 ANN 3/09/82 5131/82 got _»»4f 8D 4 385740 NYSM TONY Tx 76.01 AENTMN TX 7624$ No response t0 C0118ct10n effoYlS. gg7A E gg V OAr~+a ~ 382A' NTA4NEgioX 182E LEO 3/13/82 8/31/82 104,00 I Tx 76262 ROANORB TX 76262 No response to collection efforts, d I fOl 346478 J111aMQRpELL I , LU18 y NOROEhL , LOIB 10/34/81 $1/09/81 8/31/82 208:24 ~ `r V TX 76201 Ta 2 378430 TX 762oi No response to collection 'e£forts, r Y$OfdQApttCg Dk OUADALUPE YjgNpQk l G DR TDB1A8 2/20/82 31/rte 155.00 V LaWIBVfLLE TX 70067 L WE La tx 70067 No response to collection dflOrts. I TOTAL BAD,DEBT WRITE»OFF'THiB p$R1QDr 10061.62 17 ~ f cI { t~ L v I I " 7. A':' 1 ~ ~ 1 ~ pATE S/30/8x 91 a6. FLOW ft S M p R 1 A L H O 8 P 1 T A L ~ PAOE 1 ACCOUNTS RlCEIVABL! ACCOUNT STATUS RGPbItT CHARITY CHARGE-OFF LIST ppg TIIxxI NNNNUqqu ggpp UUAAgqpppprrpp ppMMgg pp CC gptlgM11AA nppp TTgggg MMggpp CC ppAUMGUST GI, 1982 r V1 wINDIfISCTTPAT~~NO.w QU/IRAf11QR0ADDR688R•-NFHDNB NUMN6R R%C Ci9CHAA0B DATE M6D~GAItS N [NS N PADU~"T CINiR6NT 6AlANCH ± AT~~HRRY 41Q361Al1. 9 b y8 AA~~OMRDLVD ~ DHHRA S~ g%13%9 lIOQ 16a tibl 160 00 47. 00 g pp ` ~ W N~+ T~Cuuuuuu 4 , WA g849t3 4~, 00 w yy w Balance after Medlcaiggd, NAZ~IY 35474~Lg P1l.OTOPO~~T L6V ',MT%TLC76~~a?04 9~ 0%~~%S~ Q3Q 16 1Q460;100,00 143 60 143;6 • w Expiredi left no asggsets. 4 6 i , ~'i NAR~B 4Q7i61RAHrlA~~DOOHHB~Kp&S I , DT%~A76961 S~ ~%~4%~~ 1 D0. 00 13D. 00 1 {~e~ 36 I " ppgg ggT~~~QQ" App g Balanc~yyafter Mgqedicggalggd, ' b 00 ' NA~Otg 1219586E l`i14 AVS I;NW[1100oR PL litli~L g7 !1492 S9 9%~it/d0 400, C4 67. 0!I 6 " " PENTQN , T% 7A~C1 indigent care... 6~;~~ qp~ p~qN g pp r1 ~ AYROQ 1767+4bA LH1119VILL~HA~tEI ROAR ,NAA[NH76~~~531967 SB ~%H7%6S 80.30 5,30 I ~ w w lndigent care, I Cy f 01 307b79«g p6NTOtJALLHF.q~fOW MQlO1~ ATkNR6I76RSlOROS Sb ~%0~% g00~ 41 bil. 4b ~ ~ pp gg Indigent care, gg ~ CA~OtA 31~~7~ A % Q~~u11TY AVD[T, 7740 S~ B%Q~%~~ 900.00 101,70 ' ~a~r~i , Tx 76~$~ v ~~i i. ' w'- pp » Indigent care, QQ V CA~N.HD 4Q810it ROpgNTON COUNTYAJAIL ,RTXHAR~6C01 S` ~~Q9%O" 900.45 56,00 ! ~ w ~ ~ e Denton COUntY J7ra11`, a pp I,V C~0 37Q7601`D DBNTON N6YHAM4dN 'iRTkALD7~~010Qg9 0~ 7%~{%B.T 100 00 10 00 1,00 e w Indigent care, DAVT~ 09487aLl9MBLLIN9A OAVtS , ~ C7ARL675077291;6 DQ 4%Iit%Nil iCO, 00 1Q0, 00 i~~; 00 r r M, QQ..~~.ri! NB M ~.~g lndigent care. pp~~ 1: { : r ~ p2~~C 'JR~176YLklRT 0 iO% I~GRAR1 CA"tF16RI~6-Q03,6 9'~ ' ~%3~%9Q . Q; 1A0. 00 i210~ ~i9 ~ fOiB, 70 ~ ~ 1 I, i 4 i 4' t ~i F - it I i j., . i .r . rti _ ~ v.' I ,i f / i _ _+.Y+.........-_ _ L DATE 9/30/82 90 40: P L 0 W M B M 0 R I A L H 0 9 P I Y A L PAGE ~pMgg ACCOUNTS AECEtVABLE ACCOUNT 81 ATUB WORT gg pp gg CpTpLT BAI R pp``LL gg~~ IfIt7 D DRAT INS PA pA ENT M9 0 A P/ T AT MBD[CASD M M DO URRENE pppggAppTTt( ~U E pp ~uJ ppryryTooR--F'ND~qMg Q p r1ND[RCT PAT. Np.r OUARAE110R AO~g669 NC NUMdEH R/C DISUNAROE A7 Q10.94 r DINTON T% 76201' 3/17/02; w t Balance after Medicaid, 900.00 65, to j : 00 1 EVkOVICH 37"jHERIg~tEkTOAAROLLA90LVDCH CT%HIR7192 4667 Balance ~after M~ T 10~9.1g r 14.00 pq ~p ~y @ 114,QO qyygg W1~ pp NJ p { PRAf~C18 l0$l7 DH70NNDSORAMIUO ~VtlxMA 718 15340 07 11%%x+ t43 e z2vv~~ r _r Balance after Medicaid. g •~pppp WAS" 4 0 900.00 07.60 07:60 OUS ~SY 431MY B¢OOINS ' f JC809INS8 052401 Indigent care. %0}% 4, b • » ggee STEVE 900.01 13.46 2% OW UP REµpE 2 0~pp~~Q1~ui Ikupp S// 4b 1r ~99 41:3i740~ L NIBVILL6 ~ N300 Y% 700672908 / / 1, r Cp~1 DpDDBBN~y~TIOpN~ Ht7 Balance after M77HMco6gntract. 14.00 t`+4 0p0~ b20Z 42435PDENTQN 000111V JAIL CLIFFORD W 8$ 7%RS%8 11:00 i 1 , Y% 7b2ot Denton County Ja1111L a 1[ r N+► AUp a 9800 01.00 6: ~1 JACKJON 219360!8O•nµT>3uIyHICY.DRYT~B O1~Ff nrZT 1? 14201 DentonCounty Auditor's Office. ; 6~ 88 . 3g ? r, 900.01 23. 74 " 41 1 r I~.,.AA_1},1~rRR„ ggAAgr A14 ¢S~ !1p! ~ 4t807gY LONOVIlM B LTkRy 721437Q881 Ian o$after W,/ 1. : 1 rp p w pp~~ p~ gg ~~pp ONNfON8ERAN CHARl." 8j Q%~~%8R 248.87 6908 100. 00 86. 00 3IM f1i. 00 JORIIAN F A,, T1~O~J 2CC~2 ~ae~ Y% 76 l Balance after Medicaid,' r y p~ µµpppp 33ggpp gg kk 900.00 880.60 Grrpg qq~~ IV Kf13G1 343~10A ~NOOX 97AP C7KDA76QOl 4348 81%%1' 12A68:60 ~bo Balanto after yyMedicaid. 3 i Inn qp ~p • pp r LATHI.M l,$7%A N1 76R~1b48i1 01 A%1 i1~ 19 b SIA i~00:SO 06 DO 'J6:DO LAUFOIAIM 21l040~ DBN EINQ% 40q r 1r r r Balance after MaJicare and Medicaid. i X54 ~ f t, ~ r a: i DATE 8/30/82 9749: P L O W M E M 0 R I A L H 0 S P 1 T A t. PAIDE 3 pp AA x 99pp ggpp uugqppppryry pp AgCCC~OOUNTS RECEIVABLE CA0001 TT STATUS REPORT ` g ~pr 4 xCN 16CTTPA7M HO x OVARANTOROADTJRE68R«-NPHONB NUMBER R%C 6 CIHARO[ DA 6 M 0[CAlb N INS M PAINT CURpQhY BALANCE J Bggpp ~q M ~~~~qqN~~ g og ~ 4 MANVP,L Q4~SgA ICANTONCDONAy ,,87%TRI~ Qtl19O46 61 B00661193 31, 160.00 Q26.6~ R6:~0 x x BaIwe after MaddIcaid. ++44,{{ggA 77 SA' 6 1103EN 90030THY''pplpp yy HICHORYBN DORtl7HY8ttyyC663162 Bp % % 2 1b737~3A 198;88 780.00 991:g SENTON , TX1 76801/Oi/~ i x ggpDp • Quo Q PP gg pp {q~ Indigent care 1 21111 PEAS ;6R 39019 DEN~aHUA11.E0UtI"1OAD 1 ETkIE 71 4713826 88 7. 04 112. 84 r x Balance after Texas Rehab,; J ~~ggNT ~N q Ck ~pgp p 21141 R'&O"I ' 41MP DENTt1N COWII YAJAILN / JT B 7bif01 89 900, 01 48. DO gyp 1 +e~ 9i NTON a 60 1. ♦ Denton County Jail. iitlOQ 48. DO qgg yypo ? RICHgIlDBON 41 MS N CDVtIrV JAIL IJAME8 01 ~/DM ~~qq rrpp~N► 4E. BO Ir DCNTflN , Tk 76201 1 R Qg gppplIx NN Denton County )npilg, RIB81 IRIT111 SgOYT~9VEt DOROTHY 83 b8lffl NERD 1750.00 18100 16.00 r p w veN Balance after Medicaid. t" RU?U 411111LOY WaRRY PLACE SHIRLEY424 ~ 61 1 51; 900.01 37.01 6 ` L , TX 7 14 Ob t 1640 g~ML~ ` ~!'AC x `gy Balance after WAR contract. QO i 40: 8? --QO 3M9741r ~4~Fl0 HOME 1' JTXA 76i161272 Balance after ~ MM contract. 183A 66 ~bo rz6Q pQpQ 24041T PJU641AOX 1 JUBUITA6Al7Q698 Sit lt%tNI 284746901 150.00 75.00 TX 7 70. 4V M . N Indigent care. - ~ 900.00 32017D 3~p y~y YAAll" 0? pt &n to 01 ,EDWIN OR 3/10/81 32Q~70 Z01 37p007 DIN /0MX 30i•N . TX 70tlQONOWN » . Expired) left no asseti. YH1Etl6dN L IV Ajj pNM7 CAROL 88 6/ /f9/ /6 10.04 1 38J81~ 228 6 UNidB1TV NONE a, 02, CID 4.~+WYMt.,.IJrNMIV•IN,Y.FM.Mw~i,r.^".««++.r..e.~_..~.......-'• 1 i 1 DATE 19/30/07 101001 p L 0 N M C M 0 R I A L H O B P I 7 A L PACE A 1 1 ACCOUNTS RECEIVAOLE cACCCOUtNT STATUS RSPOAT i "]N107TpANO." OUAf7ANIdROADDRE>9R-- pNB NUMBER %C DQHAR06 DA MEDICAID N INS N pADUNT CURAghT 9ALkNCB y DENTON TX 7620L 10.04 r " Balance after Texas Rehab. THOf030MANH C1XAu4SON 9 N LOOP It1NOPHANH . VANISO S SD70 Sit % 503810061 1D0, 00 26, 10 93 pp j 1 DHNTON ~i6p8 TX 76?Ot/20/ iib.90 • tt gg p" Balance aftereSMedicald. t TI1~6S 1630it fJNT'IiQkTHI~.N66~ ETXA 761p?992037 eB HIM 150.00 446.96 ppqqpp ~~pp gg~ RIM pQ~~~~~pprr,, Balance afterg9Meppd1calld. 1~r TCSPOt 2491M DE~TON NC COUNT TX 02 MUM 900, 00 77. 79 7 .73 Indigent care,' 9 % 32. 900.Ol 4D 39 7 g 39 t -ggTT-}}~~- qq 11 pp gg~~yyyy~~ , ` VAiOlRVBBk AC SIB P0~lCXR 3!`67 AND NUSER I BTXH 71ft,2967' SS ZMvwtract. • A~.} A~NNa Balance after r 4, y NS ANQURZAN 377389~A DENTpfj00 INEN RrX 76 01 ga 10/1 900,00 14L180. b6 slim; 38 Indigent Caro. MI AMMNJ 374661" DENTON?. HOR~H OR 453 LTX MA 'W/W'"69 1Ane dite ~MAdiCA1d. 2381,31,102 a "0" it3. DO 1 .11 At: 98 0 3b33i~a 6,Sb T hIjLPE / 00ltIS 76it01 150 .00 .~61b7. 7Q 616: 7~ NT HONA StAOS 1 / / 502909014 Balance efts`Id~y, c d, I u1 r 4 V l DATE 6/00/Si! 10:03: P L 0 N M E M 0 R I A L H 0 8 P I T A L PACE 0 ACCOUNTS 09CEIVABLO ACCOUNT STATUS REPORT SUMMARY PATIENT CLASS COUNT PAWT INSIIRANCfi TDOTAL r aiUnfi DDUUEE VE I OUTPATIENT 4 198.08 .00 198.00 INPATIENT 10 43604.87 .00 43654.97 j kw SMERoENCY RO 1493.55 . 00 1493.b5 - 1 I TOTAL ACCOUNTS RRCEIVARLP 39 45347,00 .00 45347.00 i i rrrN4 TOTAL NUN9ER OF ACCOUNTS IN ERROR rrr, rrr I ~ J rt r III k Y J t+' i r. +rrrr.r R FLOW MEMO,RIA~ I HOSPITAT, Bl)L m SHEET AUGUST 31, 1982 1982 1981 1982 1981 Current Assetst Current Liabili,ties4 Cash--Operating $ 20,980 $ 86,997 Current Notes Payable $ 1740119 $ 129,546 Interest & Sinking 14,481 81107 Accounts Payable 767,216 570,612 Reserve Fund 20,412 45,461 Accrued Payroll 293,200 229,004 Repair Fund 1,847 14,808 Payroll Taxes 109,173 90,H99 Group Health insurance 11000 2,070 Fees Payable 248,587 1310582 Investments/Board Designated 298,588 1711398 Bond Interest Payable 91331 7,581 Bonds Payable - - Due Medicare 121,427 Total Cash & Investments $ 357,308 $ 328,841 Total Current Liabilities $l?72 1 03 Accounts Receivable $3,388,753 $2,495,944 Other Liabilities: Least Allowances 313 ~209.) 361 028 Deferred Income $ 29,088 $ 25,451 Net Patient Receivables 3, 5,544 Long Term Notes Payable 477,670 308,431 Bonds Payable 430 000 4 Other Receivables $ 115,405 $ 96,282 Total Liabilities r2 -06-5'9' 11 $leqU80106 Inventories 2744897 289,038 Prepaid Mgmses 74,903 54,279 Total Currant Assets $3,898,057 $209030356 Capitals City of Denton $ 393,165 $ 393,165 Property, Plant & tlquipments County of Denton 116961811 1,696,871 Land $ 37,547 $ 37,547 Endowment Flow Estate 240,461 240,461 i Building & Improvements 3,067,385 3,033,782 Fed. Grants, Hill-Burotn 11868,910 118681910 Furniture & Equipwnt 4,656,050 4 065 193 Federal Grants 256,371 256,371 X7076008? 3i,5 Pledges and. Gifts 504,488 373,300 Getz. htuldBal. , Beg. of Yr. (686.,770) {1,059,536) Aracunulated Depreciation (4,169,675) (3,799,829) Current Year 566,057, 492#491 Not Property, Plant & Equip. 3 5$ , 91,307 3 336 693 Total Capital $4,829,553 $4,251,943 TOTAL OPEMING FUND 7 489 364 $6,240,049 TOTAL OPMTING FUNK t7 4891364'. $61240,049 Currant Ratio 2.26 i i ~~MpIMMYeMYOEr.rwtwa 4,..IwI.MI.w~IS~wwWMM~+wMwwM+wMre.w..r•..... e.i-...-....... I ' Page 2 FLOW MEMORIAL HOSPITAL SPATISTICNj STATFTWNT August 31, 1982 CURRENT 14 0NTH YEAR- TO- DATE PRIOR Actual Budc~st Actual Bud et Year-to-Date Adult Patient Days 31043 31069 30,881 33,165 31 935 ! Average Per bay 98.2 9910 92.2 99.0 95.3 t t Newborn Patient Days 408 961 41348 4,355 3o893 Average Per Day 13.2 13.0 13.0 13.0 11.6 Gross Patient Revenue/Pt. Day $ 410.15 $ 327.01 $ 394.33 $ 359.36 $ 323.44 Total Expanse/:Patient Day $ 330.71 $ 271.51 $ 333.48 $ 291,26 $ 274.88 9 Month' Charity Bach Debt Recovery 3 October Ii $ 72,027 $ 491546 $ 7 406 November 52,097 158,643 5,421 ! December 25,607 94,950 51666 w January 15,366 87,082 8,998 brrhuary 58,795 71,137 5,034 36,925 54,005 8,630 III April 55 49.1 76.375 13,83l MAY 41,835 91,069 61236 June 22,460 80,444 5,504 July 31962 890855 5o852 August ~„45~t~347 1 9705 T930 ruff . , 81',2 3 of Revenues 3.48 7.78 0.7% r r y, Page 3 ' F L O W M E M O R IA'L H O S P I T A L ' STATEMENT OF OPERATIONS/AUGUST 31, 1982 i % of Salaries Supplies, Total Direct Operating Revenue a on e & Bona its & ther yEx e0 Pr f'ss~^ Daily Hospital Care 2752 36;,720 46,287, 81,,007 32,968 . > 38;628 Psychiatric Care 6 55,616 18 1774 10213 19,997 OB/Post Partum 2 285876 17,946 31127 21,;072 7,803 # ICU 33,266 13,808 5 347 14,627 140407 Nursery 3 269100 14,280 11,473 ? Noonatal Nursery 2 50,671 360609 21169 38,768 11,903 Coronary Care Unit 4 5 600 31,005 12,407 Labor & Delivery 4 43,412 25,405 36,236 16,819 t 53,055 20,855 15;381 Operating & ,Recovery 3 419545 190946 26,084 46,0300 469) Embrgency Room 86,604 89719 39;316 48,035 Central Supply 7 60,231 60,231 307 Laboratory/Blood Bank 10 127'538 31,534 A8,718 Radiology/Nuclear Medicine 6 80,252 14,913 16,621 47,640 '128,017 # Pharmacy/IV 14 175,567 11,378 36ci62 22,292 19,330 Anesthesia 3 41,622 13,733 8,519 I CardiO ulmonary 21,601 7,355 92112 16,467 5,134 2 24,258 630713 j Respiratoryy Therapy 87,971 15,100 1 387 8 860 1 J34 473 1 387 Physical Therapy 1 10j 94 71 , l To-r- $ TTITO-893 $ 57, -61767 Total g $(1300070 Deductions Of Revenue $ (130,070 $ $ 31,121 - Charity:& Bad Debt (31,121; 23,461 23,461 23,461 ! Employee Health Insurance Exp. 12,141 352 10,037 20104 11,789 Medical Records 1,813 2,629 1,971 40400 (2,567 Gift Shop/Grounds Maintenance 109631 21,249 25,920 63,169 (420538 1 160655 66,162 83;117 (83;117 Cafeteria ( f Plant _ 6 616 33,227 33,227 HPUBekeeping/Security Services 26,091 2,398 $1489 (8,489 1 Laundry, 80026 51192 13,217 (13,217 Fiscal Affairs/Data Processing 23,992 110961 36043 35,943 Business Office/Credit & Collections 16635 2+245 3,880 3,880 1 Purchasing 31106 623 93 729 ,327 3j720 _Personnel 69951 2,376 Administration 10960 is 1,965 90 327) quality Accountability 166 29,281 29,116 General & Administrative 33'216 3 36 33 42b Depreciation - Two -m- TM30051 T---348t782 011) 91;106 Gain (Loss) from Operation 27,200 279200 Non-operating Revenue 6 158 6 16 Foundation Total - ',y STATFZW" OF OPERATIONS/Year to Date August 31, 1982 `uyy ` i 8 of s Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other Egpenses profit (Ions) Daily Hospital Care 17 $ 211160753 $1,3621260 $ 52,201 $11414,461 Psychiatric Care $ 702,292 OB/Post Partwp 6 699;987 331,338 10,258 34,596 358,391 { ICU 5 623,012 192,587 13,698 206,285 416,727 2 1980650 180,797 130632 1940429 40221 Nursery 3 359,086 126,007 29,637 155,644 203,442 Neo-Natal Nursery 2 237,345 1540678 4,217 158,895 78,450 Coronary Care Unit 4 483,890 365,751 33,533 399,284 84606 Labor & Delivery 3 393,068 246,407 56,914 303,321 89,747 operating & Recovery 5 550,641 224,121 110,444 3340565 216,076 urgency Roam 3 374,618 177,489 249,458 426,947 Central Supply 7 811,660 951858 362, (52,329) Laboratory'/blood Bank 10 1,179.935 094 957,952 353,708 Etadiology/Nuclear Mectiaine 6 762,625 179229 541,187 541,187 633,748 Pharmacy/IV 15 ~ 183,959 358,188 404,433 Anesthesia 11822,808 121,245 409,502 530,747 11292,061 3 434,949 1.42,100 78,091 2200191 214,758 } Cardiopulmonary 2 238,002' 68,209 98,596 166,805 71J97 Respiratory Therapy 6 735,175 146,477 81,505 227,982 507,193 ; k` physical Therapy 1 119 652 72 220 s,. TO'AI 1-~ 12 383 84 603 35 049 r.32, , 1, Q 6,5 ' ` i 116,1 , 61 Y Deductions of Revenue Charity & Bad Debt S(1{310,263) $ (481,253) 8hployee Health Ins. Exp. ' ) (1,310,263} Medical Records $ 318,069 $ 318,069 (318,09) r Gift Shop 4,004 119,306 21,065 «140,371 200505 (1360317) j Cafeteria ,505 24,31.7 160801 " 11, .`118 Plant 119,072 290,520 283,375 0%3,895 (454,823) 3 Laundry service 183,056 305,084 61445, 941 45,950 3511034 (351,634) i$ca1 Affairs/Data Prop, 740558 27,312 1010870 (101,870) Fil"Ias fairs/Data & oo 88,036 52,393 1400429 (140 429) Buojha. Purchasing 262,678 117,592 380,270 (380,270) 11traonnel 17,650 16;099 33,749 (33,749) Admini$tratidn 40,143 28,384 .68,527 (60,527) Quslityy Aasi~rancae 72,480 230420 95,900 (95 500) Quality & stir nistrative 21;474 3,227 24,701 (24,701) Depreciation 31690 330,701 330,'}03 (3271061) { 376,603 37 6 3 376 6Q3 Gain (IA$g) from Operation , 291 Non-Operating Revenue 314,650 192 Pbundlation ; MTA~ iTb 4 116 ,2 56, ~ ICI ' I d 'I { ~ I ~yy ' I 1 mw mmbRIAL HOSPITAL Page 5 S(HWY OF CASH RECEIPTS AND DISBURSEMENTS AUGUST 31, 1982 Current bbnth Year-To-Date Beginning Balance $ 99,095 $ 68,074 Cash Received froml Active Patient Accounts $ 747,244 $ 9,4031667 i Bed Debt Accounts 9,705 82,283 Cafeteria 11,181 125,422 Appropriations/Donations 348 446,454 Other 10,176 112121842 Total Cash 778r654 11 270 668 TOTAL CASH AVAILABLE , + 42 Cash Disbursements: Payroll $ 420,018 $ 4,802,883 i Payroll Taxes 93,307 715,408 { Patient Refunds 20,026 240,128 Capital Assets 77,635 529,468 Notes payable 21,230 292,682 other 224,341 4,7361981 Total Disbursements 856 557 11 317 550 f i 'Cash Balance r , Cash 2Cash rents 9,6 39 8. 296j398 ~ Total Cash Gross Patient Revenue $ 11247,004 $ 12,165,595 14891 Allowances 51,200) 7 9 135) Net Patient Revenue 804 110386, { Cash Received on Patient Accounts $ 747,244 $ 9,403,667 Less: Patient Refunds 20 026) 240 128) Net Cash on Patient Ac=unts 7270218 , , Cash Received as a 8 of Revenue 60.88 80.58 j C Page 6 FLOW MEMORIAL HOSPITAL ACID ACCOUM.M RBMIVABLE SLtVARY AUGUST 31, 1982 i c i Primary Payer Current 31-60 61-90 91-120 12.1-150 150+ Total % of A/R MWicare $ 376,683 $ 81,235 $ 51839 $ 1,334 $ 31475 $ 12,625 $ 4810191 16.2% i Medicaid 34,761 19,838 51128 41435 17,235 41533 850930 2.9% Blue Cross 126,401 39,220 41519 11013 - - 171,153 5.8% Co mtjrcial Ins. 428,086 208,001 45,000 81444 26,874 1,299 717,704 24.2% Self"PaY 334,297 207,213 142,640 1090200 147,436 176,169 111161955 37,68 { dance after Ins. 1061947 86,289 52,748 49,025 42,400 59,569 396,978 13.3$ 1 407 175 641 796 L255,874 $ 173,451 $_237,420 $_254,195 2,9690911 100.0% In-House 478,419 Thtal A/R 3 A/R by % 47.4% 21.6% 8.0 5.8% 8.0% 8.6% Ntmber of Acxuntst 7,280 Days of Rpvanuet Accounts Receivable 81.8 In-House X3.2 E ' Total ' r s: ti "Oil r r y Page 7 ~r FLOW MEMORIAL HOSPITAL HOME HEALTH BALnt XE SHEET AUGpST 31, 1982 e i ASSETS LIABILITIES s Cash $ 36,006 Accounts Payable $ 243 i Accounts Receivable 89,652 Payable dps Flow 24,554 I Total Current Assets $ 125,658 Accrued Payroll 5,231 f~ Total Liabilities $ 30,028 r CAPITAL I rorniture & Equipment $ 11615 Pledge & Gifts $ 90 Less Accumulated Depreciation 986 County Hare Health 56,919 Net Equipment 629 Retained Earnings 39,250 Total Capital 96 259 TOTAL OPERATING PM 26,287 TOTAL OPERATING FIJNO 126t287 ~r f ~ rr 4 } 2 f to l r:. ' r , . 1 ~ Pdr , 8 v 1 FLOW MEMORIAL HOSPITAL HOME HEALTH STATEMM OF RE,'VUW S AND EXPENSES AUGUST 31, 1982 Month Year-to-Date s REVENUES Patient Revenues $ 32,623 $ 243,332 Deductions of Revenue 3 912 (31,308) Net Revenues $ 28,711 $ 212,024 EXPENSES Payroll & FICA Expense $ 18,406 $ 144,176 Supplies 21562 13,124 f 1 'travel 11714 12,702 m7ployee Benefits 186 11785 3 Depreciation 90 987 Net Revenues $ 22,958 $'172,774 Excess of Revenues over Expenses $ 51753 $ 39,250 f i . " 1 - R.,ASfll, { 1 BOARD OF DIRECTORS BUSINESS MINUTES Dole June 24, 1982 - Pago I The Board of Directors of Flow Memorial Hospital met in regular session at 7:00 p.m, on Thursday, June 24, 1982 with the Chairman presiding. Members present: Also r_ p esent: Members absent: Mr. Ralph Havenhill Mrs. Wilma Fritz Mrs, Mary Williams Mr. George Hilz Mrs. Gloria Madewell Dr. Don Holt Mr. Brad Moore Mrs. Margaret Lester J Dr. Roger Nunn Or. W. E. Coleman Mr. Dan Trammell Mrs, Donnie Poindexter Mr. Leonard Watson Mr, A. E. Wyatt The minutes of the May 20 regular meeting and the June 17 called meeting were presented, reviewed, and approved. Old Business: v fps i_onal Office Building--Since the information requested from an attorney and the in'ormat on from Feat, Marwick, Mitchell is not yet available, further dis- cussions will be postponed. Mr, Watson stated that if this information is available before the next regular meeting, a called meeting might be scheduled, I i New Business; f ' --The monthly statistical reports were reviewed, as well as the charity an a debt accountings for the month of May. Mrs. Fritz reported that the average daily census for the month was 81,1 with year-to-date average census of 93.3. With such a low census, expenses had exceeded revenues for the month by $30,679, k It was noted that there are delays in receiving payments from patients in the self. pay and balance after insurance categories with more than $462,000 in accounts past 91 days, Mrs. Lester reported that Blue Cross, commercial insurance, Medicare, and Medicare are paying promptly and that there is only $117,000 in accounts past 91 days I In these four categories. Cash received from patient accourts had decreased in May from $902 in April to $690 causing an increase in accounts receivable days by ten II additional dellys, Mr. Watson proposed that he be authorized to borrow $126,000 from I the First State Bank for a period of 30 days with the $125,000 CD which matures on July 27 as collateral. This loan could be used to reduce accounts payable and could f n I then be paid off with the CD when it matures, This proposal was furtNdr discussed, and fir, lavenhill moved that Mr, Watson be authorized to make the loan as propposed, This motion was seconded and passed by voice vote. It was suggested that a D in the amount of $100,000 be purchased to replace this CO as soon as funds are availble-- either through the quarterly contribution from the County or as patient receipts increase. In an effort to increase collections of self-pay, accounts, Mr, Watson stated that he is planning to increase the advance deposit required from $450 to $600, The physicians will be asked to inform their patients coming to the hospital for'slecti e admissions to make prior financial arrangements with the hospital, Mr. Watson also stated that he will communicate with the other hospitals 'in the county and discourage them from transferriOg us patients after the patients insurance or Medicare benefits have been exhausted, Mr. Havenhill moved that the Finance Report be approved, Including l the Bnd De'~t List in the amount of $91,069 and the Charity Charge-Off List In the amount J of $41,836. This motion was seconded and passed by voice vote, Mr. Moore voiced his concern about the high amount of bad debt accounts and suggested that a collection agene might be more effective that the present system, t ,eAk B•E Ib Aenvurr At te.e ft. k,,ll. Ill W II f - t.W.hwwfy"HMNVf9lA.Y i.ABStiK'Y.v\1 .l U.vM'V•!M I\ L i. +ar..-.. ~..e.....u mne•N •tiHM\.Iw. ~.-.Wa'N.A WY Mp$ . N./.P~1y49'(p'NJYYY4AlIHUA~Wr~4A1i1~41MW611x4tp'M aMy:..v i h BOARD OF DIRECTORS _ Pa" 2 BUSINESS MINUTES Data June 24 1982 Budget--The 1982-83 proposed budget was discussed, The Administrator explained that a udget is based on an average daily census of 99 creating a forecasted $14,995,000 in revenues minus $415,000 for indigent care, $1,030,000 in bad debts„ and $931,000 in contractural adjustments or a total of net revenues of $11,210,000, Expenses are forecasted at $10,810,000. In order to meet the capital equipment requirements for the budget, an additional $3549000 would be needed. The Hume Health Service budget was also presented, Net revenues were'o-+imated at $367,805 and net expenses at $340,121, leaving a $27,684 margin of jenue over expanses. Mr, Moore their both the budgets as This motion was seconforward the ded and passedby movd heACity a and the County d for approve t voice vote, Home Heal h--The minutes of the June 15 meeting of the Home Health Committee were distr ute an reviewed. The committee had recommended that the services be expanded to include speech pathology, and this was further discussed by the Board of Directors, The Home Health Committee had also proposed a policy to approve physicians not on the medical staff of Flow Hospital to refer patients to our Home Health. The committee had also reviewed laboratory policies, a quality accountability study, and a three year pprojection of census growth, Mr. Havenhill moved that the Home Health Care Service be approved for expansion of their services to include speech pathology and moved that the Home Health Report be accepted by the Board, this motion was seconded and passed by voice vote. Joint Co f n e--Mrf Watson reviewed the minutes of the June 23 'meeting of the Joint Co~ n~erako Co ltteef He noted that they had discussed the success and growth of the Home Health Service and had commended the Director, Mrs. Peggy Fogle,'for her direction in the program. Mr. Watson had reported that the problem in the Emergency Room had been solved with the departure of one of the physicians and that no further complaints accepted; thise mobeen tion received was sconded and passed moved by t voice h votelnt Conference Report be Qua1i o Dtability/Medical Aud_it_ a rt--Mr, Watson reviewed the minutes of the June 3 meeting. As requested at t at meetingg, the new informed consent forms as designed by the Texas Medical Disclosure Panel are now available for the physician's use.. The committee had reviewed the nursing QA studies, It was noted that in order for the nurses to receive increases in salary, they must participate in QA activities, The Quality Accountability Plan, including policies and procedures and authorizations, was presented and reviewed, Mr, Hilz moved that the QA Report and the QA Plan be approved, this motion was seconded and passed by voice vote. I Safety Report.-Mr. Watson read the minutes of the June 4 meeting of the Safety Commie ancTst`ributed summarized reports of the incidents for the review 4f the Board members. He noted that during the month of May, there were 51 incidents reported ministrator. The Safety Committee had expressed their concern about the safety helicopter landing siteand had made certain suggggestions for improvement, J fLHavennhh;1111 llw-up on each incident had been done by either the Director of Nursing Service or ing wind sock, lights for night landings, a specific painted landing site, etc. uent to this meetingg, Mr. Watson reported that representatives from Care Flight' e have made an appointment to talk with him regarding their sugggestions for ements, Mr, Moore moved that the Safety Report be accepted; this motion was ed and passed by voice vote. E issue and Transfusion/Medical Records/Ut-ilization Review--Mr, Watson read the rI7i'""tlie"1ry 25"r'A`i;'iig, R1 ev IM I Eho a mss on and length of stay reports the committee, as well as their report on delinquent medical records, Mr, hill moved that the Utilization Review Report be accepted; this motio n was ed and passed by voice vote, IOIM b.d I! IMip P.b•IIt,I>CO.,, u,feJUlnen .......,aalwlra9WAWWMF 7 BOARD OF DIRECTORS ` BUSINESS MINUTES Data UAL- Page Medical Staff Re ort--Dr, Nunn reviewed the minutes of the June 21 meetin of the Exemiu ve omm ee o t e Medical Staff, Dr, Nunn explained that the Executi g ve Committee had rsceived the report fruan the Institutional Review Committee regarding the investigational study of intraocular lens implants for the year, had approved the f study,of additional lens and chrondroitin sulfate and had approves the establishment of a multi-institutional committee to include Low3sville Memorial Hospital and the Surgi-Center, The committee had recommended a changge in the routine order in the Emit Incy Room from tetanus toxoid to Td, tetanus diptheria for adults; this will be initiated by Dr. Little. Twelve applications were also presented upon the recommendati of the Credentials Committee, the Executive Committee, and the clinical departments n to which the individuals will be assigned, Mr. Moore moved that the Medical Staff Report be accepted; this motion was seconded and passed by voice vote, The following credentials were reviewed by the Board of Directors: N. A. Patel, M,D „ Reappointment to Courtesy Medical Staff, Hematology S Oncology I L. Jane Crowder, M.D „ Appointment to Active Medical Staff, Anesthesiology John F, Cuchia, M, D., Appointment to the Active Medical Staff, Pediatrics James V. Palermo, M, D., Appointment to the Active Medical Staff Surggery Jyoti N, Patel, M,D., Appointment to the Active Medical Staff, psychiatry I Alexis Geslani, M,p., A ! Wanda F, Neely, M,D., Appointment to the Courtesy MMedical Staff edical Staff, phth0mploMedicin ' Jonathan E. Walker, M.D., Appointment to the Courtesy Medical staff, Neurology and Psychiatry Jeffrey Cantrell Appointment to Allied Health Professional Staff, Physician's Technician If for Or, Terry, Orbie Cockburn, Apppointment to Allied Health Professional Staff, Consultant to the Physician--Re hab111tation Counselor AllisQn N6lson, Appointment to Al+•iad Health Professional Staff, Consultant to the Physician--Speech Pathologist Ines Palmer, CRNA, Appointment to Allied Health Professional Staff, Consultant to the Physician-- Nurse Anesthetist After review of the credentials, Mr, Havenhill moved that all appointments be approved by the Board of Directors; this motion was seconded and passed by voice vote, Dent i 5taf ' Mr. Haven moved t at -they bevapprovedtas presentedawthisrmotion ewAs dseCOnded i'sd, passed by voice vote, and Bylaws of Bo o _,QZr ct s--The Bylaws of the Board of Directors as adopted in 1980 were prosetan rev eWo No changes were recommended, Mr. Moore mooed that the bylaws be approved as presented; this motion was seconded and passed by voice vote. AuxiBylaws--The Constitution and Bylaws of the Auxiliary to Flow Memorial Hospi "ar M and procedures were reviewed by the Board of Directors. Mr, Moor moved that they be approved as presented, This motion was seconded and passed by voice vote. presena r, Medical Staff B laws--The Medical Staff Bylaws and Rules and Regulations owever, reported that they are in the process of lbeingsrevwere to incorporate all previous amendments and to update the olicies. gar 0 off ised Directors encouraged Dr, Nunn to continue with the revisions and thenhsubmitdthe i E new Bylaws and Regulations when completed. ,auf.NtM Inrua..r pro., co.,auarnJlnre„ f j { ~rbtY ' 1 BOARD OF DIRECTORS 1 BUSINESS MINUTES Date June 24, 1982 Palo Personnel Policies--The Personnel Policies and Benefits for Flow Hospital were presented an rev ewe , No changes were recommended; and Dr. Holt moved that they 1 be approved by the Board of Directors. This motion was seconded and passed by voice v Ite V canc 1n Aneathesia--Mr, Watson announced that Dr, Love had resigned from the Medica to f`To move to Tennessee, creating a vacancy as chief of anesthesia. Also, Mrs, Vicki Hyberger Love had resigned as Chief Nurse Anesthetist to move to Tennessee. Mr, Watson assured the Board that their departure has not caused any problems in anesthesia coverage, A CRNA has already been employed, and an anesthesiologist has been contacted about the position as chief of anesthesia, @in Rad of pn1 y--Mr. Watson also announced that Dr, A. M. Finlay had resigned as Chie o adiollogy and had requested a change In status from Active Medical Staff toy Courtesy Medical Staff. Dr. Finlay has accepted a position at Medical City Dallas Hospital. Consideration of his change'ln status will be delayed until re-appointment time. Mr, Watson reported that Dr, Nunn had appointed Dr, J. P. Brown to fill the vacancy until the end of the current medical staff year, He is monitoring the s#tuatic to see that the coverage is adequate; If not, another radiologist will be recruited, V 1 The Administrator requested approval of the Board to be on vacation 'I from une - rough July 12, and this request was approved. TAHGB Sam nar--An announcement was made concerning the Texas Association of Nospita overn ng Boards Seminar planned for Houston August 20 and 21. Mrs, Madewell was asked to contact the Board members to make their reservations for the workshop. All Board members were encouraged to attend, Gifts t s #t 1--fir. Watson reported that a recent project of the Business and Profess ona omens ubs of Denton had netted $11,620 for the purchase of 32 chair beds for the private rooms. He explained that the chair beds will be used by persons staying overnight with very ill or very young patients, He stated, that the organixatio is to staying commended for their goodwill toward the hospital and their successful pro,iect, Additionally, a check in the amount of $6,000 had been received today from the family of a pre-mature infant born at the hospital recently. The family had been so impressed with the service provided them that they wanted to make the money available for anythi 9 needed for the Neonatal Intensive Care Unit, ~►dla~nt re Re olution--Mr, Watson reported that according to a recent article in the Denton ecor C ron c at the Denton County Commissioners had reelected the roposal from Wichita County to establish unlform standards for #nd # by state 1 pp 5enr .Y Y _ awe The Board of directors had recommended at their last meeting that the Commissioners consider supporting this proposal, i En a e ent Auditors--Mr, Watson recommended that the firm of Peat, Marwick, Mitchell an Company a engaged to perform the audit for fiscal year ending September 30, 19920 The cost for the audit woa.'d be $18,000 plus out-of-pocket expenses Mr, Havehnill moved that Peat, Marwick, Mitchell and Company be so engagedi this motion was seconded and passed by voice vote. Denton Emergency Alert System--Mr. Watson explained that he had been asked by representatives from the First Presbyterian Church to artict g called Denton Emergency Alert System, This system is designeda for ishut-in Individuals 1 meeting certain health criteria. The individuals would be given a transmitter which J is to be worn on their person and could signal through the transmitter if they need help. The church would purchase 16 transmitters initially and purchase a receiver to be set up in the Emergency Room, The hospital could chargs the patients $10 for the costs involved In receiving the messages, Mr. Watson recommended that this le,Y.k•E16 IrLrznrr ,tteu to„ate+rx. I,urue Inrtlonuf- I Owl BOARD OF DIRECTORS BUSINBSS MINUTES o.~. Jane 24, 1982 _x----= - _ project be approved by the board. Mr. Havenhill moved that the hospital participate in the project,, this motion was seconded and passed by voice vote. It was agreed that this project would provide a needed service to the community. Public Relations--Mr. Havenhill suggested that additional articles in the newspape woul e o pos ve benefit to the hospital, Mr. Watson stated that Mrs, Graham is now working on an article about the new high-speed screens being used in X-Ray which significantly reduce the amount of radiation exposure to the patients, There was no further business, and the meeting was adjourned at 9x20 p.m, 1 1 Dan Trammell Secretary gm _ I ~ 4 j F i vx,l!curP Mrro,n Cdn l,lvq,,nineu ."IlM1 iruv. i ...__..._.:...~.......wyvtiiHr~FWJ1►t,M,uMYNYe4iMq.M.'. FLOW MEMORIAL 11 PIT AL BALANCE SHEET JUNE 30, 1982 1982 _ 1981 1982 9 1 i Current Liabilities: $ 301,844 $ 138x174 Current Assets 133,519 Currant Notes Payable 719,187 636,313 Cash--Operating $ z1xx181 $ 1,400 Accounts Payable 350,2410 Interest & Sinking 14,4x1 436,000 591 Reserve Fund 20,412 35x213 Accrued Payroll Repair Fund 1,847 14,033 Payroll Taxes 1916,165 50, 131,344 618 650 Fees Payable 2,624 874 Group Health Insurance 171 39e Bond Interest Payable - Investments/Board Designated 42~ ?•98 Bonds Payable 35,y69 Due Medicare j 356,413 $ 752,848 $1r307,526 Total Cash & Investments $ 7°6,939 - $ Total Current Liabilities 1x c Accounts Receivable 2,256,790 Other Liabilities: 76,354 Less; Allowances $2,997,290 $ 87j263 $ 328,A75- {372x740).__ (286 97 08ferred Income 493J73 I; Net Patient Receivables 20574-r500 1. 1969,815 Long Term Notes Payable 495,ooo $ 430~O0O_. 172,945 180,774 Bonds Payable Other Receivables 280,906 2 $2,207,355 InVentOrieS 274x171 $ x763,284 62,x70Total Liabilities Prepaid Expenses ----6-- $3,797,988 $ 21850,778 Capital: $ 393,165 $ 393x165 j Total Current Assets City of Denton 1,6961871 1x696,671 County of Denton 240r461 240,461 Property,;plant & Equipment $ 37,547 $ 37,547 Endowment Flow Estate 1,4168x910 118681910 Land Buil 3,058,386 3,0330781 Fed, Grants, Hill-Burton 256,371 256,311 Building & improvements 454a___s_ 41?_._ 4,056,606 Federal Grants 493,748 373,300 Furniture & Equipment , 7,127,928 (686,770) {1,059,530) $7,640x350 $ Pledges and Gifts Gen, Fund Bal., Beg. of Yr. 302 L722 268,203 Accumulated Oepreciatic~n Ain M (3,7 ? Current Year - 5,478 $q 037,745_ 11 22 Total Capital j3,530~779 $ 3r 3_ 9 Net property, Plant & Equip. 8,762 $6~2A5,100 $7 32 6,200."- TOTAL OPERATING FUND $ 7_..,32L- 11 TOTAL OPERATING FUND Current Ratio 2,17 I Page 2 ' J FLOW MEM0RIAI. HOSPITAL STATISTICAL STATEMENT JUNE 30, 1982 CURRENT MONTH{ YEAR-T0 0 ATE PRIOR Actual Budget Actual_ budget Year-to-Date Adult Patient Days 2,486 2,970 25,149 270,027 25,805 Average Per Day 8219 99.0 92,1 99.0 94.5 Newborn Patient Days 317 360 3,491 3,549 3,028 Average Per Day 10.6 13.0 12.8 13.0 11.1 Gross Patient Revenue/Pt. Day $ 411.43 $ 357,'.5 $ 384187 $ 366.71 $ 316,27 Total Expense/Patient Day $ 381.95 $ 292.28 $ 331.43 $ 295.72 $ 272.51 ( Month C arit Dad Debt Recover October $ 72,027 $,149,546 $ 7,406 November 52,697 158,643 5,421 1 December 25,607 94,950 51666 January 150366 87,082 80998 February 58,795 71,137 5,034 March 36,925 54,005 81635 April 55,591 76,375 13,831 May 41,835 91,069 60236 June 22o460 _-801444 51454 ~ $ 380,700 $ 763,251 $ 66,676 I R of Revenue 3.9% 7.9t 1.01 i I i t' i .i: V L 0 W MEMORIAL HOSPITAL Page3 ' STATE14ENT OF OPERATIONS/ JUNE 30, 1962 J % of Salaries Supplies Total Direct Operating 1 Revenue Revenue & Benefits & Other Expenses Profit (Loss) Daily Hospital Care $ 167,114 $ 120;274 $ 40030 $ 124,304 $ 420810 32,123 647 32,770 40,077, Psychiatric Care 72,847 OD/post Partum 54,900 {18,882 11137 20,019 3q,881 ICU 27,050 15,951 10524 17,475 (425) Nursery 24,864 11,444 2,416 13,860 110004 -Neo-Natal Nursery 13,020 12,381 284 120665 355 Coronary Care Unit 22,456 26,851 2,528 29,379 (6)9231 Labor & Delivery !51156 23,660 51501 28,561 21,595 Operating & Recovery 52,502 20,620 10,362 31,002 ,500 17t540 26,233 4307B1 (81380) Emergency Room 35,901 320737 41,104 24,743 Central Supply 65,847 8,367 Laboratory/blood Bank 950865 - 48,111 48,111 47,754 Radiology/Nuclear Medicine 66,299 14,607 9,841 24,449 41,851 1 10,551 330313 43,864 124,046 hharntdsla 41167,,001 910 16,479 70686 74,160 16,841 An@StheSi Cardiopulmonary 201137 6o524 60171' 14,695 51442 Respiratory Therapy SR ,;!06 140043 50666 1q.•,70g 36;997 ; Physical Therapy 1.<,748 71359 30494 10 453 3 296 0. '"j;(SE2; 3 7, 9 $ 20 )1 $ 8o; 960 4 4 41 4pW Total i a Deductions of Revenue 65,275 65,275 (2$5,466) ! ChOrity & Dad Debt (214'466) 22,729 22,728 (22,7'28) Employee Health Ins, Exp. Medical Records 597 11,938 2,247 14,185 (130588)' Cafe Shop/Grounds Mt@, I r 960 2,556 2,)517 50073 (3ti113) fff 10,861 260194 24r210 50x404 (39;5'43) Pla 72,860 880368 (88,368) Plantteria n 15,506 Housekee in /SecuritY Service 264667 3r7ao 60,627 (36,667) p 9 6,591 4,195 10,786, (10,786) F'iscalyAffairs/Data Proc. 7,780 S t145 12,925 (12,925) 11,841 35,721: (35,721) Business Office 21,585 1,337 2,922 (2,922) 1,328 40880 4;880) Purchasing Personnel 3x552 ( ) Administration 7,002 913 7,915 (4,600 Quality Aeeueanaa 10888 77 1,966 (10965) General & Administrative 856 45,259 45,259 (44,403) 350606 35,606 (350606), Depreciation (134,917) $ 135,161 4234,003 369 4 - d- 5311719 s Gain (Loss) from Operation Non-Operating Revenue $ 31,719 r PoUndation 4 058 4,058: Total 8 9`"" z3;~ 1"6_a" A-7 512 z, ' o' fi=r m ag~r nq z5 ao 1 . 1 r I Y FLOW MEMORIAL H 0 5 P I T A L Page 4 I ~ STATEMENT OF OPERATIONS/YEAR-TO-DATE,oUNr 30, 1982 l % of Salaries Supplies Total Direct Operating Revenue Re,venUe & Benefits & Other txnenses Profit Loss tiail Hospital Care 18 $ 1,758,175 $ .1,107,702 $ 430575 $ 1,151,9..77 $ 606,898 Daily 6 544,339 8661628 6,377 273,005 271,334 Psychiatric Care 5 506,417 153,699 11,468 165,167 341,250 ICUC/PQSt Partum 1 137,600 143,274 9,638 152,912 (15,312) I Nursery 3 294,406 98,979 21,840 1200819 173,587 2 171$645 123,999 3,405 127,004 44,641 CoronaarryyCare Uni Nursery t a 396 ,a7.2 298,624 28,821 327,445 681977 Coron Labor & Delivery 3 308,080 196,299 44,665 240,964 670116 448,955 178,890 86,683 265,573 1830 32 Emergency & Recovery 3 291,151 139,152 197,213 336,365 (451214) Room Central Supply 7 694,894 78,736 290,824 369,560 271,334 Laboratory/Blood Sank 9 916,887 433,817 433,817 483,070 Radiology/Nuclear Medicine 6 611,614 144,213 147,910 292,123 319;491 Pharmacy/IV- 15 10449,984 98,906 327,938 426,844 1,023,140 Anesthesia 4 352,168 122,542 52,726 175,268 176,900 k Cardiopulmonary 2 196,786 53,985 82,002 135,987 60,799 Respiratory Therapy 6 560,539 117,241 62,777 180,018 380,521 Physical Therapy 1 93,056 56 657 9,523 66,180 26 876 0" $ 9,679,118 $ 3,379,126 $ 1,861,202 $ 5,240,328 $ 4e4PMoO Total (305,543) (305,543) Deductions of Revenue Charity &Isd Debt (11141,014) (1,141,014) i Employee Hoops Ins, Exp. 273,108 273,108 (273,108) 97,753 170223 1140976 (111,705) Gift Shop/GrounShop/Grounds Mte. 173,'27 125 1 19,191 14,195 33,386 (161261) Gi 467,761 (369,029) 980732 234,687 233'074 651,459 (651,455) Cafeteria Plant 149,116 502,339 287,248 (281,248) ' Housekeeping/Security Guard 250,397 36,051 62,380 230626 86,006 (86,006) FiscalY < 71,794 420465 114,259 (114,259) Bsi Affairs/Data PrC 213,696 90,651 304,347 (304,347) Business Office/Cr. & Coll. 14,494 12,941 27,435 (270435) Personnel9 330757 26,603 60,360 (600360) Administration n58,531 18,412 76943 (76 ,43) 17,565 3,155 200720 (20,720) (~uAliby ]leguzdhne 265,898 2650898 (2700418) General & Administrative (41520)1 310,831 310,831 (w~310j831). 426,68$). Depreciation -Fn-33T;'9j1~3T -3 I bI^ $`17 3"72 3,094,732. $(41121108 - - j Gain (LOSSrOm Operation Non-Operat mg Revenue 253,744 2$31744, 316 374 Foundation 6. , $ 4,602,487 $ 3,732gTi $ '~33 8g.06-~' Tot , ,.,.A.~.._....487 _ - ---r-"~ v~ . FLOW MEMORIAL HOSPITAL Page 5 SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS 31, 1982 i Current'Montth, Year-To-Date Beginning Balance $ 107,426 $ 68,074 Cash Received from; Active Patient Accounts $ 945,052 $7,686,487 Bed Debt Accounts 5,454 66,676 Cafeteria 11,380 104,041 Appropriations/Donations 160520 364,103 Other 260,316 11036,516 Total Cash 1,238,723 9y257i823_ TOTAL CASH AVAILABLE $1,346,149 89,325,897 s Cash Disbursements; Payroll $ 407,116 $3,795,192 Payroll Taxes 62,823 560,363 Patient Refunds 20,775 195,990 Capital Assets 11,405 430,135 Notes Payable 18,666 131,865 Other 574,281 3,961x269_ Total Disbursements 1L095,066 $9,074.814 Cash Balance $ 251,083 251083 Cash.Investmen''s 421,398 421,398 . - 672,481 Total Cash $ 672,481. Gross Patient ReVenue $1,025,234 $9,697,658 Less; Allowances (60,814) (670149 i Net Patient Revenue 964,420 891027,509 Cash Received on Patient `Accounts $ 945,052 $7,686048'l i Lost Patient Refunds _ (20,775) 195,990) Net Cash on Patient Accounts $ 924,277 $7,490,497 ' Cash Received as a % of Revenue •$y a3.o♦ 95 M„a,N,,.,r...,u.r...~n.....,».n-.w..........r.....«.....n...w.......r-..ti.rr«........r..w..........w..v+..+».......`...,._.. _ ~ f r Page 6 F L 0 W M E 14 0 R I A L II 0 S P I T A L AGED ACCOUNTS RECEIVABLE SUMI4ARY JUNC 31, 1982 Primary Payor Current 31-00 61 -90 '~1 121-150150+ Total % o Medicare $ 195,129 $ 30,798 $ 15,223 $ 5,667 $ 110882 $ 17,696 $ 276,395 10.8% E Medicaid 29,669 54,248 130160 4,249 5,956 6,970 114,252 4.5% fi ( Blue Cross 82,657 46,946 6,480 180 - 21876 139,139 5.5% Comm9rcial Ins. 313,997 182,209 70,490 21,406 190426 7,034 614,562 24.1% Self-Pay 347,011 178,842 194,'127 112,875 136,446 105,682 1,075,583 42.1% f Balance after Ins, 84,491 75,160 48,506 36,633 39,447 'i5,483 331,720 13.0% $1,0521954 $ 568,203 $348,586 $183,010 $ 213,157 $ 185,741 $2,551,651 100.1 In-110uSe 441,836 f Total A/R $21993x487 ASR by % 41.3% 22.3 13.7% 7.28 8.3% 7.28 p Number of Accounts: 6346 Days of Revenues Accounts Receivable 71.8 IM-14ouse 12.9 8A 22 Total j _ W"i Page 7 FLOW MEMORIAL H O L HOME HEALTH LANCE SHEET JUNE 30, 1982 `I ' i ASSETS LIADII;ITIES Cash $ 33,428.57 Accounts Payable $ 242.93 Accounts Receivable 62,867.10 Payable Due Flow 11618.94 Total Current Assets $ 961296.07 Accrued Payroll 9,786.69 Total LiabilW es $11,647.67 CAPITAL k E UYQ PMEN7 Furniture d~ Equipment $ 1,615.00 Pledge d Gifts $ 90.00 ~ Less Accumulated Deprec, (407.41) County Homo Health 56,318.66 Not Equipment $ 807.12 Retained Earnings 28,446.37 TOTAL OPERATING FUNn $ 97,103.59 TOTAL OPERATING FUND $97,103.59 t 1 out-- 10 Page 8 'j y y FLOW MEMORIAL HOSPITAL NOME HEALTf! STATEMENT OF REVENUES ANO EXPENSES MONTH YEAR TO DATE REVENUES Patient Revenues $ 29,536,10 $ 181,492.22 Deductions of Revenue (2,722.07) 126,017.69) Net Revenues $ 26,814.03 $ 156,474.53 i EXPENSES i Payroll $ FICA Expense $ 16,844.00 $ 107,686,16 Supplies 1,087.20 91762.84 Travel 1,164.56 81441.15 d Eirployee Benefits 165.21 1,330,53 k ( Depreciation 89.72 807.48 Not Expenses $ 19,350.69 $ 128,028.16 _Excess of Revenues over Expenses $ 7,463.34 $ 28,446.37 { 41 i . II W MI'1°9` KTG ~ b/Qetesr '"'f7!~9;+ _ F L O W M E M 0 R I A L H 0 0 P I'l" A t. ~ I ~ I EST TRANSFER REPORT FOR PERIOD 6/01/92 THRU 6/308/82 p AY E pp g gg C1p BALAr V DAD D ~a*rrr OWARAN7 R yAME ♦rrr CAi N 4~ PA I$NT --UMBCRR r4rrr ppATIEN7 NAMgg **rtM ADD C1Tf,e , EIP ADMITTED DtOCAAOSD WMr.-FF OF ACCOUNT i TT gg AOOR, CITY, 8T, ZIP r - J O T% 762ot 6/26/92 ",Do A" ?Afl'1OOELL Ni04 W 209 542438 `A`$?i~L UDDELL 9109 AHM LON7 W)D wATxY 76201 Unable Rto/locate, tlENT tr KENT A AM8 KENT 10/98/81 6/28/85 18.00 2C1 345992 AD AgMggk 89! 7% 76501 No response t0 collection efforts, , 490.00 DENTIN TX 76501 PNN¢CN e0b W BRSOII p ANTHONY A 10/03/81 10/00/91 6/29/89 :y T 7058 NT9U ~ 7X 76503 NO rOSponse to cOllectl0n efforts. W J' 101 308312 00NMN Tx 76203 ~ NfON 709$ NTBU 1 201 3$0071 ALDpACO JOSE AAgLtBAyCW~O OLLEOE J09fi 2/29/92 6/50/85 ~ 00 b1tgPW1CBLLE0E i% 76051 ORAP6VJNE TX 75065 NO response t0 collection efforts. I W 00 VV 1/20/02 1/22/02 6/58/85 37.40 {{It RASAA A 1MER FOUAD i tot 304604 S D AVRO 0116 AV 0 N116 TX 76201 NO response to collection efforts, W D NTON TX 76201 GN 3116/92 6/28/92 04.59 V RICARDO IL AgADO DAVID ALVARARO 505 238108 6ENTON HANDLE 00 PANHANDLE TX 76201 NO response t0 collection efforts. Tx 76901 B TON 6/26/82 509.29 AV A DERB , NEIL 11/20/81. i 2 302760 ANDERS GAIL pp ERS CA J ; 0RUSOLE CR Tx 76249 4LA TX 76244 I10 response to collection efforts. 12 00 V ANDERSON 09ARY 2/13/82 2/14/82 6/28/82 102 324691 ANpE 8 N R08ERT 719 SUN VALLEY 713TgU[f VALLEY ?X 74201 DONTON Tk 76901 'No response t0 collection'effOrts. 3q. 00 DEN ON 40 ROBIN NDREflt~a ROBIN 2/23/05 6/5$/$2 201 379321 yN3 1fqaVERT6 t ttoX 1004 TX 7pSt66 NO response t0 col lection' efforts. / J D6TON 7X 76201 NOBR 60,00 41 A 39 , ARTHUR It t/20/09 1/31/89! 6/28/82 1 102 240473 ANOLIpN CLABOVRNE ptltlxx AµQlJ 4V OACNE841A TX 76240 OAINgVILLE YX 76240 No response to Collection Worts. w) TAMMY CHU ETA STEVEN 11/29/Bt 11/27/01 6/98/82 743'92 102 390739 H 1 CtHtV ~j•jX8362 ATM X.362 Tx 761234 No response t0 Collection ofrortst balance after 1n9, T „ DCATR Tk 76534 ChTUR 12/21/81 12/?3/81 6/28/82 203.10 IN OERRI ARISP DANNY 104 10305( 8P t LLAIRH f GILLACRE TX 76501 DENTItII 7X 76281 No response to collection effprtsti 5alanc@ after ii 14 00 1 ~ i TGG , BDWINA 12/21/81 6/98/82 901 360974 tI~MOR11 DARRELL ARMOR1 BOX 14CC itU~IR6YBOk 19GC TX 76227 AA7VhR6Y, Tk "7621!7 No response to COl leWOn frfOrt9•," " l f Il I ' i - 1 ~J ~ DATE 6J48/92 M59. P L d W N E M tl R S A L H p'8 P S T A L n" y BAD DEBT TRANSFER REPORT FOR PERIOD 6/01/92 THRU 6/30/82 ppVV pp NN g pp gg. n g PATSBNT ~IJMDpR w000µ PATIFypT NAMMEg 4µ0w 04 OADUftaRCITYRBTAM IPµ40 ADMITTED DISCHARGED ~9TREOF~ OFH ACCCOEVN7 ✓ PF% NUMDBR ADDRf C-TYf 6T. Zt _ ' xT6R x W LARRY 3/69/92 6/28152 00, DO LARRY 20t 384206 y 1204pW HICKORY T% 76201 01 ~NpON HICKORY DA DANNY 7b4ClUnab4/o8 1DOfate 9/30/OS 6/79/82 198 17 T, TX' ' 103 249730 NIR 506 OAVLA pO gg RX 506 76266,' Unable locato;~7' h/25/92 13706.60 ~ 01 349391 DIppACaKX T% 76266 JLAJIF UNIVERSITY 878x8 b loc 9ANllERgg E • 1 RION UNIVERSITY DRRIY~X 76201 NON _GH,-TX-Y6201'No'rasponsol'DalanC@'aftor insuranse, r, 20 op I f LILLY 4/06/91 4/tl/al 6/28/02 102 290339 RRRLrAYttLOogY 469 THEREEAlfAILBQ 469 to locate, EVNeBT TX 76270 WO TX ":7b770'Ungb1A p 20' E 6/2l/Sl 7/0381 6129/92 3349. w1 ~ i w AVR RLrV2 O ?X 5 NLACK JACKORN f0l 251243 kw r • 1 lSVCLL6 T 11067 1. HISV LL TO 75067 -No response to collection efforts. t12 60 HVENE 4g~L OR D 14/09/81 6/ gp X t6 BLACK J NE o -TX ' 7b471.N0;respOnsA t0'CO1}ettl0n'9ffOMt/29/6 /02 202 74772 18 L83 GO Ft • 1- TI04P T% 76it71 0 6128/82 38.00 f BHARdN 1/29/82 ~ 201 372037 ZAfRSfTt1H SHARON ~pZA0 qy CQ79 8/48/52 140.10 L6W18VILLE TX 76067 8BV>ZN PptNT6~ TX- 7SA43'No response to eollecti0nvefforts '''r} ~ • I,.., WE L 3/31/82 u~E L1ILLtE WILLIE 202 379487 C„;po1 p LWORTH OR M40 T% 76201' gE WOR7H DR 040 TX 7") 1 No frog Pon so to. collection efforts. N 7aN. q 1/07/84 1/13/92 6/26/92 4522.31 103 347708 HANpj EOAK 209 JOHNNY HNiNION M%AK 209 TX 76201 OS + OAR % ,76s:01 ;No response to col 18Ct1omefforts, • C I 6129/82 119.67 • 1/27/82 MARIA DOOF AME MARIA 1 228928 SO~pAMB 7X^-° 76401 DkNT IX-0-K- . 7601 NO;;respon5e to,tollooflon'effortsr' 1 ~ ~O~J. ~ i . T 11/07/01 b/25/L'2 7700 ,1tt pC~D~yLINO 6gNNpp BLVD + JILL 20! 348730 Q LL N~NBS RD Pd B 9xL X4 76266 CAPBNOBNANDB MO;, 61701 'Unable to locate • , 5 Ev0 R 3/14/92 3/14/82 6/28/82 443.90 J QppT gpy7g M 10l 389930 R N KAREN JIM KB . 0144P, -00010 to tocate+ f, UDgL 90X b0 , R AOX 60 + L K9 67146 Ag L 6/96/92 70NY TOMI 12129/S1 O~1 e~pp~ 901 362905 e82ECd1ONY ~.l TX 79066 COLt1NY "T%' f7SOd6Unable to locate. TFil2 gg~~ppppgg h 1 1 PA0k U ti P L O W M li M U k t A L H U S P 1 4 A L a DATE 6/28/89 Im; Dv; DAD DEBT TRANSFER REPORT FOR PERIOD 6/01/82 TWNV• b/30/82 pp rr pp EE pDATg pp BALAN~gg 'l pp ''++~U1 ppg rwwww pUARANipR ANH wwww ADMSTf.O D18CHAAOED WRl7EOFp' ACC UN7 n FPF%HNTNUM0 wrN+w ~q»q71ENT_T NAME`awww»_ -----R-_CSTY B- - I ADOR C17Y 8T. ZIP 7 » - ~ » r 6/48/82 64.50 4► _ . NORMA 5AQ/TM6ANCNpRLES i WILLIAM ,1/P9/62 : ,1..,,0 201 384370 RAeTMgACNHApLES 6 tLL6 7D067 'Unable'td 1otat0.' LEW1ti'111.LL Tk 75067 Le Wf V JA90N 2/Sp/62 6/28/82 10 00 201 376082 060MOX 130 LOI87 ST6QN RTE BBOX f3O LOIGT OT TX 76927 Moved! left no address." `,,x r RAUBRtY 7X 76627 AUB EY 6/28/S2 39 00 Zr BARBARA Ht` 4Vq1AyNSd Ccfg~ gg BARBARA 12/12/81 201 274431 EVA1NoS CppppggBY OA1052 7X 70006 CARRQLLTONBY NA2b5: 7% 75006 Unable CO locate. CANR8LL70N 6/28/82 166.75 p KEVIN 1/07/82 ~ 201 365492 N 0 o :IBVIN f R ON 0 C8T OAK N3h IN 76241 FJR "387 OAK 036 TX 76701 Unablo to 1oCata w Rg 4NI 2gEqgq NW SUSAN 11/02/01 6/28/82 56.00 2p1 347362 nENTONORjCKQaY N204SU6TX 76901 DENTOOR~CKQRY N2o4 TX 76201 Unable to locate. 6/96!92 60.00 .r t 366030 Rqy TPHOINE% RT 2' ARLT`X 76230 19WIF ARLEN ablet 6l y4. b0 Tk 76900 Unahle t0 lOCat@. 6/26/82 6OW 4 qp p NN7 g y 1/29/67 + 906 ~28b68 gpp INORN TRAILER'PAR1lr01476201 CAPTIIC~ORN TRAILER PAIRJ14769Ot No response to Collectlon efforts. CR 6/48/82 NN 00 D6N0 + 1► G C R A RONN16 12/10/8l 38.00 204 314369 DEN eOYAL OAKS Na06ARYx6 76201 AeN ONOYAL OAKS N406 7x 76201 'Novedt left no address. W a OFj 11/25/8! 6/98/82 31.50 1 S r REBECCA ~p BONNIE 206 149307 0 ~INMEADOW LOT 13 RYH~NROYAL OAKS 0406 TX 76201 MOYedI left RO eddrea:. r ~ENTON TX 76201 DD N QN 1/47/82 6/26/62 38.00 t 207 199307 InNQNCCLEVELAND RHBIiCCA 80NCLEVELAND R67xCCA762pt NoYedt left no address. t sTf 7% 76801NTON 6/48/82 136.00 l H WILMA 1/09/82 g 6702'! NALE W1LMA a0RTBRLARWAY RT8 1 $p Tgp1 A'RWAY RTe 1 T% 76x01 D8 T TX 76901 ' NO response to c011eCNen of forts. ` 4v € C6N OONN p t9/At/9l 6/98/82 13";• 60 + 243 240656 i ~VRRQ ~t ORCHARD A 2~ 7N I#bWtSVgO{,pNp ORCHARD J'.N ,~67 NO response to c0118CtfOn'OffOrtS. r L WISV LLE 75067 L$WISVILIH p Vy 94ASNE 'KENN91H 1//09/61 tl/t2/81 6/28/62 1!!81.00 lOl 349274 HAJ2 A ATtMORE T% 76201 p,jo ATIMORH TX 76901 No response to dotlecElun efforts. W 1 ~ D6Nf YY NN i ' ~ ` rS tl s ~'t PA00 4', W `:""'%DATE 6/2#/82 fur 591 F L 0 W M& M 8 R SAL N 0 8 P 17 A L 5 J+ ~ DAD DEBT TRANBPER REPORT FOR PERIOD 6/01/82 THRU 6/30/82 c ~~NrS PARENT NUMBER rArk• pRI T1' NAMEp 4*M - **M** GpUuARANTTOpR AM EE*+FNr DATES 2Aqjt~jg kCCpUt1 I P X HUMBER ADO rv, 8T, IIP ADDR.-C17TSY -21P- ADMITT50 DIBHAROID NP_ifi ?EOFpp{pp * OF BA T _ r A 6f7 CA77 SHERRY 12116/81. 6/28/82 1787,30 201. 295527 H R 1N' , JOSEPH HARDI E IMOR 'IMDHE Tx 76801 IgNTON TX 76401 No response to c011ectfon efforts. lb 101 331694 35p1 , AKKALI HqAryRIp4Agg AKKALI 9/t2/81 9/14/8l 6/4S/82 39.26 4[9 ::AR CREEK COq 4LCAR CREFK PS ~ f 46 C r L TX 75019 PPEI L YX 70019 No response, balance after inserance, J 201 34961.0 1! ILENOBLE BRAND014 Ht`ARKqLENNQSLg BERKLEY It/10181 6/28/82 48.85 r TON TX 76201 pENYON TX 76201 No response to Collection efforts, 10 102 314031, RRII 14ARK HAppRI9g MARK 9/09/81 9/13/81 6/28/82 3730.40 49 HADY HILL Dk 4z4q 9H~DY HILL OR ' r WO TH rx 76041 F W R H TX 76044 No response to Collection efforts, .03 2 13, HpApRnjS BHELDA SPA OpERR1N SHELBA 1t/16/8l 6/28/82 218.25 « UKCA UR PERRIN TX 76734 SPA UR TX 76234 No response to collection efforts. 10 103 17 HART HLL THBA H]RTfBfELL TIM A 12/18/81 12/23181 6/28/82 429.56 CCHIC TX 76030 CHICO pp TX 76030 No response to collection efforts. M 111 103 340000 ENT~ NNIE BRAp ' KIMT% 76201 j V0 WILLIAM DREWS790 TXB 75069 Nolesponselto Collection effortsg/BR 164.9t 102 161690 H N Y JUDITH P NpgpYg 2146 RICKY ]0/20/81 10/97/81 6/28/82 91.0.40 $DENWYN SCHOOL Tx 76201 D6NTOf4 YX' 76201 No response to collection efforts.' v~ E /0618 201 183843 ip~CpK[N8 DR. R CTxRO 76461 DgN4NnpttlNB DR. RSTkp76241 No rospo selto collection efforts e/87 190 00 M r ! i ~ SOl '328633 H b ~@ (JOHNSON , JOYCE Hj~01AJOHN80N ' MICHAEL 10/17/91 10/19/81 6/28/82 077.25 NTON TX 26901. F3 N ON TX ' 76201 No response to collection efforts,' 11 T1 ' 101 343301 0b6~NVilLgERB WILLIAM WILLIAM , 'LB~ISVtLL6gR0 %IAM7 D 067 ;HO;responselt0 collection efforts/8 4749 40 g1 HU8 o SCOTT ETON , JOHN CARL 7/08/81 7/16/81 6/28/82 3141.70 101 311,060, D6 1 6C NTINOTON 26091IN HUNTINGTON TX 76201 NT HN O TX DfORD LN C D 9611.01. O.rretl9Emehts not'kept I 102 3.3071 y1ALBERT A K , Al BgRT K 10/15/81 10117/81 TX 76201 6/98/89 52 S O FORD LN jj6 NTiMI , I TX " 76201 No'responlel balanee•after'insurance. " , 41 P, I ...,DATE 6/29/961 )P~ SY: I; L U H M k M U N 1 A L H U U P I i A L PAVIi b . r.,: : n--.HY:4 ` w. # DAD DEBT TRANSFER REPORT FOR PERIOD 6/01!82 7HRU 6/30/92 PATJENT F{UM8£R 0#*** PATIENT NAM AO" 040*x GUARANTOR NAME ■+~+IM DATL DAT~ DA~~ ppF BALAN¢~, II 1 .1 i~~t~t PF N~U~M05R AvOR, CITY, 8 ZIP ADrPR__ CITY,11 ZIP ADMITTED UIB A OED R EpPF OF C T rrr -rr rw rrr r...°- -------..-r ----r ,---p.-..... r.... ..---4w~.. ..r . r+. r. 17 H 101 326140 A1RIVII.IEVER TIFFANY W 0pPM g 0o 1NN0p¢appEEND£NCE 76240 GA1N£4V1lLE DONNA '76240 No rOSponsef balaACAgafer insurance 92 110 00 t W 107 18713 JJApgti RUDDfiLL 046 JOHN aJa0ApMES RUADELL N06 ' JOHN D 11/14/81 12/04/81 6/28/82 0030.69 40 DENT N TX 76201 OWN TX 76201,No response to C0110ation efforts, pg • y 1 347013 p HDOXN930 EIRA JppHgNSON530 BART !t/01/81 6/29/07 353.25 kRUM TX 76749 PKRUM _ TX 76249 No response to Collection OffortS. , LAURA 12/26/81 12/99/81 6/28/82 18.00 W 102 279190 OpHNSON , LAURA JaOHN NI rlr I GNNTONRBE TX 76201 DENT N TX' 74202 NO responsef balance after Insurance, rt 105 215479 2HNRQN N1KIA Mq? INTO H B VfiRN1CE if/08/81 11 /10/81 6/28/82 26. 20 0 Q . HICKORY CKORY f" TON TX 76201 AUCtN TX 76201 No response; balance after, insurance, 101 33Y900 6SbESWf LCy} EVgLYN 5;fiN1 y~ , SVELYN 10/O1/81 10/04/01 6/20/92 1448.90 r1 l 4r ( L6H18V~LLS TX 75069 NtSY~LOLLS 7X 70065 Arrangements not kept. 204 230847 JONT6 SPOLLY N L SALLY 9/1?/01 6/20/92 18.00 09 OUIB£ APT N 10 $ 0 ONOUIBE APT 0107 O~ 7X 76201, N TX 76201 NO, response! balance after'insurance, I Jp g g{, 102 102012 DE~j~{ W. TRAILER PKHMpSY Qt{~~E0 SHELLY 9/S3/81 9/14/91 6/28/82 616.80 DENTON 7X 76201 Fe TON TRAILER PR ~10 TX 76401 NO.ebsponse to Collottlon efforts, ! W E ' f 202 2SZ965MTBT PRARIE l1iLTX 76x01 ~QNTNPRAIRI£ WIT%A; 761101.: Np;respons~e to C0llcctfon efforts8/c2 15.30 i I 99 JOHN a I/17/82 6/28/02 42:70 y, 201 369498 i ~ 3605 ~NTpH1TR OAK TX 76201 No response to!cO110ction efforts. fff 60 J, ffR CHARITY JJpp~lER9tg FILL 12/19/01 112/22/81 6/29/92 167,80 ~ 311V[N VDOR TX 75060 1 gNtl100R IX 73060 No,responsel balance after 1ASUrance 20101 1 378205 ,AIAREZ RAYMOND U1ARIg0Z i %YD1A 9/.72/82 6/20/82 70.00 MY 9 RUDOOLL 057 M TON RUDDELL 007 r - iIN TX 74901 pp'eeNTONN 'gg X 76;01 response t0 collection efforts, 157.00 1 Ill It - 332799 PARASIS190 KATTXSN76073 H01818890. j'TXY 76070 Refused to sign insurance 6/20/02 response, w M i 160 1 t i l r ~ • .vr~ rowwrr.w•rw•nawrnw. ~ .-_-.+.r...yar+•.:.i l V, ' XN-j f"" DAtL 5/28/82 13:00: P L 0 W 11 E M 0 R S A L H 0 8 P I T'A L PAGE b fl 1 DAD DfiDT TRANSFER REPORT FOR PERiONNU ggG/01/82 THRU 6/30/82 ~g , PnnT1ENT NUMB N "**AnOR~ICI7V~Al~T,*YSP **µ*ADOpARCITpRBTAMTIP*** AnMl7TEU DISCHAROED NRTT'aFF OPBAkCY I'PX NU MBE -----_-rr»-------------- wr»» _r.._» cr»w r 11 . rw r»rr..rrrw r » _ w. . ' ~e; 1'i 101 362335 K NO CLIFF090 W144LfD~EN , eiAMARY 12/?4181 (2/30/81 6/28/82 15.00 5 D N1ON HICKORY TX 76201 1lENTON HICKORY TX 76201 No response to collection efforts, .S d 104 43554 AVRIEYOX 128 ' MICHAEL. KING g0% l28 ' MICHAEL 9/17/81 10/l0/Si 6/28/82 1107.00 TX '76227 AV! EY TX - 76201 NO responsel balance after insurance,' rr"~ 4 TX 76266 , N DOVI.E 10/.72/81 10/23/81 6/26/82 1690,10 102. 311850 KrtN~ B , PEOAY H6 BpX 773 aAN fi O6 779 HOER Tx 76266, No response to collection efforts, i 203 163574 Aµµ~y011pgpp TH0HAS LAN0 A THOMAS S2/14/St 6/7.8/82 10'5.50 ~ DiNTNYAN M55 TX 76201 A~NI~NAYN 112 TX 76201 NO response to Collection,efforts. ~ 0p0p2g ppBL9+ M 10/ 11/09 l01 205286 pBLtjR g16 CANOX 75432 MCA4E0TSRAge W10KIA74501 Moved~l0ft no dddress~0 6/28/82 2395,80 , II n 1 t` pp ►7t 9127/ 101 180604 L• N tlrINDBEY CLATXSSC762o1 fIECIALINDSEY CLTXflH7bSiDf No response t0 c01 ectlon efforts /92 528.20 q lOl 332862 AWWyySpOpNpNppp fiDNA W9/01 Bg NQJDO-IN PA „ 76240 No respons0l balance after insurance? 59 50 1+ 1, N&ILLO TX 76240 A BSV 6/2 itOR 218381 ,UO~,lox 156 JENTXF6R76259 A NDRHb FRTX 76254 NO respOn85@ t0 Col l@Ct10n effOrt58/82 94. $4 " loft 216036 L HOPEqg KERRY LgOPEk , GERALD E 11/06181 11/09/81 6/28/82 Sob. 90 r AVORHYO% 10 TX 76227 AUBRSiYpx iO TX 76027 No response t0 collection efforts. T yy gg j lOl 357921 DENTON 54 0187%A 76201 HNTONx 54 GITX A 70201 .H0 response; balance 6after 4nsurance.2' 1 266.39 p~~ u LW ~uqqp LNµ~Hy~g{A Ag st0f 361451 gf01[NEL PTO 2 PATSY 7btt40 oAINE8ViLL67S pATxV 76240 He response to collection efforts,/t)2 , 311.00 tjug$ CCROLYN t/17/1 12/20/81 gg Sot 315982 CENTgg t~Y N CAPRICORN 111P 76201 L TXpA NT HENRY 76259 No1re5Ponse to Collection aff0rt58/832 1827, 00 ' 901 057640 M~jAjg IppNVEan18 B JAMES MAglINVENVE 8 ' JAMES 12/07/81 6/28/82 16.75 R i>gN ON YX 76901 ANION 1'X 76I201 No response to collection efforts, 1 i t Y" . i r r; 1 I yfir,`DATE 6120182 10:00: F L O W M E, M 0 R I A L H 0 J P I T A L PAQE 7 t DAD DEBT TRANSFER RDPORT FUR PERIOD 6/01/82 THRU 6/30/82 PATIENT NUMDESI *#*M• PAT1 1 NA 8 g wax M+•aMA DR. C TppR NNA"W"---"--- ~~yyAUTg pp ~~gg ppX N MDE ADD , I Y, 6T, ZIP ADDR, 1TV7f3TiADRM1477ED D19RpAqTTE CFiAROED WREdRF OF~AkCOOl1NT 102 344184 MAY40PRR11G DONNA 8600g CHAqRLH9 M42 RICHARD 11/17/81 11/21/91 6/26/92 1963.'05 LEWISVILEE TX 19069 LEW18VILLS Tx 79065 No rosponse to collection efforts, w f • ' ! 319350 VC8RASppX 417 PATRICK PjCSE8YI17 , $TELLA 12/23/81 6/26/92 19,00 , OA1NE8VILLD 7x 76240 0 1N 8V LLtE TX 76240 NO "aSponse t0 Collection efforts, l W 101 357470 MgDDUOAL 14ONTY McD JU pL , OURWIN 12/07/81 12/12/01 6/28/82 102.03 7 ;y p R1 SOx 3R AUB E OX 32 TX 76227 AUD EY TX 76977 No response,, balance after insurance, r pg C g 702 360941 MMCC4QEEN V~1ISLIINE EDNA 0448EN V]LL111E EDNA 12/23/81 6/28/82 76,00 NtieWSDRLEANB LA 70 W NppEEEEECppcxW ORLEANS LA 70117 No response to collection efforts, ~ { y 309121 bC%H26 DDNTX 79249 SCRUM 6FN , 4 D6TxIS7634q No response' balance after lnsuraRe@e2 12,00 r ttyyx ggbpp gg gpgp gg gg W 101 303669 M5?R 1LtLBORtlOK ' JANET 75097 LM YEN EIYJISVI4BL8BRDDit ' KURT19 LIED 9/23/81 9/26/81 6/98/82 1897,79 L TX 70067 No response to collection efforts, W 101 204821 M1L91:8R RK COURT PATRRIC1 76262 yM gLEERSEK COURT ROBERT 11/o1/81 11/02/81 6/28/82 186,61 r ROAN ROATTNSIKgI Tx 76262 No responses balance after insurance, r 1 300470 gllygg NARD MARY D8YO;RNARD MARY TX 76901 NO respo Sesto collection effOrts~e/62 424.80 D8 0 1W y C Tx 76901 N 12/07181 6138/02 400,00 3 209583 M1OlRR19 DP 288 #50 LARRY Mpp1O1NLORRIS OP ~ LARRY 280 N50 11DS CNTIO N TX 76201 DE T N TX 761X01 NO response to C019@Ction efforts, 0 0 101 341764 10 , RtTA M , WILLIAM 10/14/91 10/17/61 6/28/02 1713.60 r M pRDiYBE Tx 76201 611 OMORBE 7X 76201 No response to collection efforts, 204 231046 51U14% MILDRED MtyRPHkY P DAVID 12/06/8t 6/26/62 351.45 4 8 LL AVENUE 774 8ELL AVEf1UE r G NT N TX 76201 NT J. TX 76901 No response to collection efforts, W 102 322669 &&ATRJ 8 JEWELL &QR tlN9 JEW9LL 12/19/61 19/22/91 6/26/02 331ti,60 RDTNON 162A Tx 76201 ABN JOX 162A Tx 76901 Arrangemunts not kept, 6T Sr w 901 349043 71NTNaB9RADOHAW E 7x 76901 NePADSHAW J.R' 76201 No responYei baldnCe'after ins N nC@9 34, 00 D O lr i l f i i I tiATII 6/20/82 1'5:00: F t 0 W M E M 0 R I A L H O O P I TA L PAGE r"0' BAD DEOT TRANSFER REPORT FOR PERIOD Dk 66/01/82 THRV 6/33r00/82 rrrrAOOUARCITYR87AMxIP*rr AOM[tTEO DISCHAAO¢q WRtTOOOF Op6AACC0UNT P 7 ENT UMMBER rtirr~t ppppT1CggNTT NAME 4r00 PF N~MlTER At1DN ITY BT ZIP D_ - _ 3139 A HICHAEL PECOORA CONNIE 11/00/81 11/09/81 6/20/62 '16.25 pp 102, b;i?ONOX 964 7X 76205 KJORO' 964 T% 76201, No response to'CO'ilection effort4 OJT a ROYCE 12/08/tlf 6/28/02 83.25 203 1787 a.ic gg JAMEO ss1p SELENE 0~1'10NELk~NE JUANITA 76201 ~BkTLOEN JVTX-' 76201 No B/tp2nse to'col lection'eff rt20/02 61.00 ~ 202 20045 WTONDgELL N23 TX 76201 `ipTQ I3DELl' 023 TX 76201' No response to collection efforts, v ApCCO0 TTHH gg OERTAUOE ~UjEOVRTaHEtELD AT ' GERTRUDE W SI/61 6/26/02 79.00 e" 202 x13775 CHILDq&68T NE TX 79201 CHILDRE80 T%` 79201 No response to collection efforts: 9/ 101 590033 Bfi0 TX 76901 I 30LANS0 AD VICKI pQLLANE60 a RONALD f 4/80 9/22/80 6/28/82 !60.60 1 PAIROAKS 816 T% 76039, 'WrOsponsO t6 collection efforts. 201 337162 BALLE I TX 11A98000 T6201 E O.A1,NTOGH[SYCAMORE , MA0£OUD 9/29/81 6/70/02 85.50 4yN7N 4 SYCAMORE N1 4~9 y1N N1 TX 74201 No response to coll8ction'cfforts. 1 r UO AOt 349694 77AL10 8;Y12B DONALD Sp46BANDCRBON XLD 780b4 N01reSpurlBe'tO CAl10Ct1 60n Of forts 8/02 233 61 . , i gR1f8C TX 75034 1 VINE r 101 346957 A9f~9pR0 , 0 1 LNC 27203 ot tgt~HHOQRO 464 , OI~Y:Q7203,':"N01reSP response to Cc1 eCtiOn AffOrtSO/62 1110.50 ` R7 gng 464 tt pppp%% RIC p gg ~ tot 225639 6 0 OII INOO ' RICHARD ~~GnnI~ZINAO HAAO C 8/05/91 8/09/81 6/20/82 107.05 r3 N 40 TX 76201 D N ON TX "76201',"NA'MOSpOn4e'to col 1action efforts. T T PRANK 11/24/21 6/20/02 1..00' 1 t S t 354159 THAT FRANK Ctl 1 `f, fIlleeti 1 efforts. r-- THh KBRVIL46 OK' 49949 HA KERVI1 LUE N~t1K "''94499'.N4 /Ob/8 l response t0' CCO18Ction OffO c} 101 340057 pgH VEIL BRAY 0px 93 0,00 i i 6/2weg q. 150 f.. P1 oAY ~OT8Rpx PO[NY~ TX 76258 Y}f:bT P01~T URXL1ANbR00 'N 12/02/01 10 collection Off/6/90/82 S3~ 102 305179 6 tt``NH 0~RqNETT , DU6TtN 9 MME pApNETI A,T% 76740' Arrangements' not kept. 6 CNE~IL48 TX 76240 A N86V11.1.8 . . kDt/8l 6/28/02 1259.10 EMIT 102 y { 234756 921rH TB LOCUST amp, TX 76201 NLOCUST Ns TX HY' 76201 Arr12/06/01 an4ements not J2 ir f 413 1 E f . I ~ i i 7 f R LtlW M6 M OR I AL HOBP 1'f A 4PAOH Y il"°'DATft 6/29/82'131 00. " °r `er>vtw;ti,r a,rrN; + BAD U68T TRANSFER RLrPDRT FOR PERIOD 6/01/82 7HRV 6/30/82 1 y rwrww UARA_MOR»FyNAH M»ZyY»_-__N _ nnpp- - ppi~gg tl R; Nr rrlww' qrg- T60FP Op2AkCACOUNT u pptgNT NNUMDER wrrrr PATIgNY NAME wwrr p X NUMUSR ADDR, CITY, 8T, ZIP ~ OAT DIDC Ag ROED NRI AOtl C1TY,97, IP ADMIT 6D - r a 206 - 61226 £M T}}pp~~pp SHANNON SMITH , TERRY 12/#0/81 6/29/82 76.50 ANOE 161/2ND 8T DO}f, 161 C 7X 76266 SA 016 7X 76266 NO response t0 CO11eCt10n efforts. r 102 287102 gppg Tl1fRLAND SONVA RU7HE(lO Ng164 JEFFREY 4/29/81 6?01/$t 6/29/82 335 38 w ~17711 ROX 1164 TX 76801 DE TTNT pp u ~.A r DENfiOON Y% 76201 Arrangements not kept. r 202 199869 JaXLEOR41 46TH CHRISTOPHE JAAXl6,OR8W 46TH 51051E 1/27/82 6/28/02 40.00 OK CITY OK 73119 Olt CITY OK 73119 RD response t0 collection efforts. ~ ~ 104 170324 1 YL ~C DORts TAYLOoR0 JAM88' 12/22/81 12/22/01 6/28/89 1174.36 R pqpp ANO A a(77 11 fx 762.62 ROA DOX 7NOhti YX 7626R Arrangements not kept. O • Y 201 360794 Iy44OCHARLE:S JON16 1gOCHARL98 K6NN8TH 12/20181 6/28/02 38.00 TD1111DOC 7x 76201 No response to collection efforts. 40 NTDN T% 76901 /06/81 101 291146 a g~ dad 4 JOSTXA 76026 BRT6 pPOf♦? MAUTXICE76026 NO Dresponse to Cal lectiOn effortS~i92 134.7D 201 348698 1~OMA8 DILLY 7ROMI`AS BILLY 11/06/81 6/28/82 40,00 AVVOW" 92 Tx : 70227 AUNRSYOX 52 TX 75227 NO reaponle to C011eCti0n efforts. 1 203 97196 ,,HOo14Agg PAT Y &Hp$MAgg PATSY a/lb/9l 6/98/82 45,75 y DUNNT9tlUTFS RUDDI~.L N15 X 761201 DGNTONUYN RUDDILL 0155 TX 76201 Arrangements not kaptl returned check. 4 101 353904 SHHOOMtlAMOSNNAaC SOMER WARREN q JEFF 11/¢3/81 11/25/81 6%28/82 565,70 LCW18vtLLI TX 70067 LStlV1t0.L 7X 75067 Arrangements not kept, r } 81 6/28/82 1945,97 i T g A p4pP[1 OOX 20 lOQ 42598 00X 20 Ix PR6 I JUbTI pR 7X A 76947 Arrangeenta dot 9 kept, j U~7N ' 76947 JUST ~ Ir , JOHN l0/t4/tit (0/17/81 6/28/82 223.70 tOQ 15926 TOD BTHPHANIB~ ,.J TX 76201 No'respon$d to Collection efforts, 1q2 UDURN i~HN 0ATX, 76901 1OI TX 76201 No'responso to Collection efforts, i i SANDRA RRIg ROBERT 12/2b)81 6/49/92 46,95 206 40324 t~RREB tLOtf AKWOOD 1fSN1 OAKWO00 TX 76201 DBMONH TX 76201 NO PesponSe t0 Collection 9ffort$.' ' t ( 109 104454 DSNTeONMH POND JULTX 76921 NN~15TH POND CA7X'N 76301 No re?ponge t0 coll9ect48on effort 109.01 T T t2 . 1 SY } 1,. 1 w. I' DATE 6/48/09 13:00: FLOW M&M0R I AL H39P I TAL PgOE f0 DAD DEBT TRANSFER REPORT FOR PERIOD 6/01/82 THRU 6/30/82 t ~ , PpFXHNTNNN UMdLR r+r►gDORt ITY~tA9T:*ZIP T ggR E gg g nn pp •TfEE F(r _ _r` rrrwADbRARCITOYRpIAMZ[prrr ADMITM OISCHAROED HR[7HOpi DFBA r `A lb t 309693 IAIMpELNA RYAN I~ 3 RtaNANNA , JAMES 14/01/1 6/00/82 00.50 tly DENTpN TX 76201 DHNION TX 76801 No response to C0110Ction efforts, 201 338713 TUr0gg0LN pp ppEA DARBARA G LF. RRpppp MICHAEL 12/I1/91 i IINER L~9 L5T AD TX 76067 N'07aE281RT RD TX 76067 6/78/92 39,30 Ard g pQ No response to Collection efforts= 903 213041 VNa4R(I10VQ8E N3 CHARLES N3 0L VICE 43 CHARLES 11/28/81 6/28/92 160,00 DENTON TX 76901 E,~l ON TX 76201 No response to collection efforts. 1 328963 g " T , CI!NDY UggggapgNY JE89IE LHH 11/24/01 6/RSlD2 98.70 NOO , WORTH OR N90 TX 76201 DENTONT WORTH DR oic IX 76901 $ 401 RT I No response to collection offuets= ~ED87tlNE , HARIA IN P5L1X 12/13/81 399133 2 6/20/82 68.00 N 0 TX 76901 ~~~~O~E08TONH TX 76201 NO response to collection efforts, 201 309179 PENT COTr , J age 7/01/e1 6/29/92 18.00 DEgqBEg ' J EN7 N TX 76201 NTONOTI TX.; 76201 ~ No response to collection efforts, ' ROR 47639 JA LppKHR DOUGLAS LKE DOUGLAS 12/11/81 6/~8/9R 38 00 NTONARROLL 706 TX 76201 J1N70NARROLL 206 TX 76201 NO response to COllection efforts, R01 344861 1 xxLK T ANRVIEW HASrxA 76148 ;~&0f¢gKVfEN ' MA M%HA 76148 10/24/81 6/09/82 96.79 40 10l 322867 tiittW b' g No response tocollactlon efforts: RIQHTON EE6TTX 76901 g(N, O DA7XIN 7bQOl 9/64/81 9/07/91 6/f28/02 /Z00. Op 6 0 ~T6HrON 103 211499 N Lgg NO response to collection efforts: ( N GInk DCLIVERY ' L82LlE 6 MFARAELIVERY DORSEY 0 Vowel 5/29/81 6/25/82 196,30 _OK 74749 H OD r = OK 74740 No response 'to, collection efforts; i 101 390458 WA 1 CAROLYN 1ALLI[ATHER LANG CAROLYN 11/12/81 11/13/51 6/28/82 403.70 00 941#OWgAT1i6A LANG TX 76201 6ttN0OT01~~°° TX . 76201 No response to collection efforts, lot 037733 pg L J3A CtH8 1,$ WHITHZY LL 5 BILLY JR 10/20/81 10/30/81 6/ftB/SQ 311. SO ~ AR 4EWIgVIt. ST 09I3 TX 79067 L WtSVALLtls ~r 0913 Me p g i •TX 7DOac arrangements not Xept.._., _ ..1 ~ 901 362467 gjNf eTT22 CAPRICORN" 76201 N ACT R CKNW4 , BETTY 1R/47/Ol 6/2e/02 41.00 I - fX 76201 No response to collection efforts, i 1 i ' 1 r i law.UAJid•, b/JJY/Y1lawilUJW1.., r,""P L U W ,.,M H M 0-1411*A„L H O'9'P+I*:7~tA';k tf~iaHfrPi'H7Ye"CASK"""."'!1!atP'tCq~w.wvyn,nl~.,, q -iP+7tl"."r) D DEBT TRAN9FHR THRU 6/30/02 SAVA PpPprrIENT NNU„~1ggggR wrwww pA71gNT J1n,MH wwww **~OwrO p ~JARUAN EOR D NAM 6g/gwwM z ADMITTED 010CNAROEA WRITHOFp ORBA CCWMT v pF% NUMBER ADDR CITY, 0T, ZIP ADDk, CiTYiS7. XIp - a 202 930192 399 p0 AWWUH 6Y VINceNi76886 ~AgUD B~.309 BRTXDA761t47 Na response to Colle0tl 6/20/02 131.90 on efforts. t,n~ w 7K Myy JH09tE 12/03/01 12/06/01 6/20/02 42,90 ; tot 396949 u TK Npp J50016 8~1ANDPIPERBl ~ANDPIPER response t0 COIleCt1011 @ff6/28 fff DINT N TX 76201 HNTON 7X"'.76403 No I~ 701 394992 W T ON ALICE AY [IN RICH 5I/27/01 6/20/02 42.75 P OX 34 4 BTt<'VENS is LAKE DALLAS TX 75069 L O gpOAKfi X DAULA~ TX" "70069;'No r@SpOns@ t0 Collection OffOrtsi r :7♦ 201 354971 ATODN LYNDA ~ATBON WELDON 31/29/91 6/40/02 17.10 T 1 SOX 120 T 1 BOX 120 AUM Tx 76844 RUM Tx ° :,76249 No Nesponse to CO119otion efforts, T DH T AGE SLAINii 11/19/01 6/80/02 60.50 r. 201 392309 Wg THRLgqOE ELAINE WEg7ER 10 1ONAVE P NB Tk 76801 D MN ON SC8T A~E D NB T% '76201 No response t0 collection efforts. . 801 393¢39 . ,r ♦ Wt{ pKR g STEVEN WHITAKHU STEVEN 11/21/01 6/20/09 30.00 y~ppb 7NUDDELL 706 N tlDELL r- tlHNY N TX 768J1 DENY & TX 765201 No response to collection' efforts. 9200 199145 L A6pp0tltl AMHS i A ARTHA 12/20/01 6/28/82 98.20 ♦ 0 tH or 9 I.OT 2~ rN BY H LOT Q e AM ^A ~i FL 33614 A ARRC ' gTREE} PL 334W NO response t0 Collection efforts, 7 r 102 13466 Ws LIAMgg HENRIETTA l ICA HENRIfiTTA 11/01/Bl 11/04/01 4/80/52 764,6' 43 TCDRNBLL 0T ! Yx 77022 H V TOjRNHLL TX: 77029 No response to 0110010n efforts. " H0000 QOII~I + • Wt L ~ 262 , KfiNNETH R 10/14/81 10/17/01 6/29/98 1170.90 tdt 343750 RYL I OX 262 KfitJNETH rLLR8IBOX I W I;: - AU9 E T% 76227 AVSRBY TX 76447 Arrangements.not kept, ' - w 202 30197 N LLggIAr8CUOT Oil TOMMY ~J~LJALICCUST Nl1 TOMMY 11/21 /Sl b/ZB/82 06.70 I r l._.. _ p NTON Tx 76201 19 T N , Tx :74401" No response to collection efforts. 201 337121 1 LI DONNA y~1~,LEqpg ON , DONNA 9/29/,Jt 6/29/02 19.00 Qj ~,80TNU7 0T M0 TX 76201 g1NTCHffbTNVT 8T NB Tx• 76f)011 NO response t0 Collection efforts. ♦ 103 92933 WIEIL1L1Ig99g DEVON III DDW&TLL`ttjMO% 108 t , DEVON JR 10/09/01 10/14/91 6/28/62 330.91 • RAi9CO0x 1021, TX 75034 pR18G TX, 7500, Arrangements not kept, 1 103 304220 L i JEREMY NN9 LIg SHERRY 10/06/91 10/07/01 6/20/02 11.50 1 TELLA N136 P SOX 05314 TWU N T% 76201 DkNTDH Tk ,,.76904 No r9sponse.t0;co11eeti0n efforts, d ♦t> f r 1 wI~MIMWw.rrs~,wRwww~rrYNMw,wn,WM_MOMxt~rw,+~wwra++r u+..r..........~__ 4i I f" DATE 6/2$/82 0:01: F L O W M E M 0 R I A L H 0 8 P I T A L PAGE• 1? ~ v DAD DEBT TRANSFER REPORT F0' PERIOD 6/01/82 THRU 6/30182 AATIENT NUMBER /+++ti PppT1€NT NAMgg = ##r# GUARANTOR NAME r##♦ DAY' EpAE CA7E per I E J J P COUNT oT NUMBER ADO R, 4ITYr ST, _ZIP ADDR, CITY,BT, ZIP ADMITTED DIBCHSRGED WRITEOFF OF_ AC #60 101. 337204 WILSON , BETTY W`L$Of1 JAMES F 9/O9/81 10/02/81 6/28/82 44,00 ``b to VILLAGE VILLAGE EAST 0207 TX 76201 1 D EEEEE6 t0 V NTON ILLAGE EAST 0202TX 76201 NO response t0 collection efforts'. , , J l R 101 325886 I1.80N RUBY W LEON , RUDY I 9/14/81 9/25/81 6/28/82 100.00 V • i02,FANNIN TX 76255 WN~LO~ANNIN TX 76255 NO response t0 CO1leCt10n"@ffOrLs, .'S J DEBRA RT81 BOX 2511 DEBRA 9/05/81, 6/k1/82 53.00 / 202 106889 Wp?11$F~ pp0pX 25H UANOfIE TX 76262 ROANOKE TX 76262 No response to collection efforts, 160 206 9,03562 WISE iLL ROY in ugt16EHN ' 11L JOSHUA 12/12/81 4/28/02 221.00 e1NTH 76201 E ttl1NN DENTO TX 74201 No response to collection efforts. 202 92494 HOOD BENTLEY WOOD BENTLEY 1/31/82 6/28/82 171.75 60 PEN JFRANKLIN TX 75415 BEN FRANKLIN TX 7541E No response to Collection efforts, 1r u gp 206 12807 006 CQI? CHARLES 7620f NO response t0 collection effOrtse/82 390, A5 76201 DBNnCOOIT CHARLES DEOoNgTppOOgpqnri pp J 40 6/1 201 345866 LEWISVILLE $TEYXN 75067 LHW SV1LES BTTX$N70067 No 0 sponse to Collection effOrt$. 82 145.50 E 1 V 2D3 250266 MR`OHT JERRY WRpIGHT JERRY 11/07/81 6/28/82 70.00 f13ML0YD 8T ROM- BOK 310 TX 7624? No response t0 Collection Of forts. RAAUUUU 7% 76249 K lIlpM vl 101 244843 WgIOHT TIMOTHY WR HE TIMOTHY 5/19/81 6/02/81 6/28/$2 1493. 5 « aR TX 75067, No response to collection efforts{ balance after Ins tE3N70N AVE A 10 03 TX 76201 LEW SOME ST PARK 60 D. J 201 358473 oVNNO , JAN , 12/10/0{ 6/28/05 38,00 nENTOM' OAK 107 TX 76201 NO response to collection efforts; r lot 344036 YOUNG ANN YOUNG WAINWRIGHT JOHN 11/06/$1 11/09/81 6/2$/82 329.08 bit wOINWRIGHT 11 7 A/ TX 76201 NO response to collection efforts. r DENTO p TX 76201 DEN 0 ; 11/1 202 242461 ~JNO FAOLMEADON N3 IQDg%IE 76201 a?ONALtl A,DDW M lpG7XTI876Q01 110 r@Spon85e t0 COlI@CtIOn BffOYES0/82 71.00 ; T0N 40 i TOTAL DAD, DEBT WRITBrOFF THIS PERIOD: 00444.47 d 4 G r s z 5 i z ,V (a]sr~ •.OATU . 6128/09 9:38; S f ' 1 Q W . . . . ' , MIR M Q ' R VA L H O O P I T' PAOS 7 i'; • . - ; 'P/St.S+1 f ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT CHARITY CHARGE-OFF I.J$T JUNE 30, 1982 ppgPATIENT NA 1Eg pp pRgM-AgM1T BATE rr g g x,H 1.1 w1NOIRHCT-PAT.DND.w OVARANtOROADDRESS - NPHONE NUMBER R/C D BCHAROE OA78 MEDICAID 0 INS M PAT~,EN7 CVAFIENT ANCE - tltl 9 TWINS gg DvU AD101S 4020 3 MpNAOUE 77H[W,8 CARLTX 76¢33157 82 %pg%g2 3;150,00 260.00 27 ¢440.05 y w t 1144 9da2 q O0 `r 1 qq Balance after Medicade. AVIOBER 4O A57Y PT 0` 9O% AVINOER ,MARTY 03 5/if/BZ 900,00 89.50 ' ty 2 LEW18V1LLR TX 75067 8 , 5/tl/B2 3. sq; " Indigent care, 4, em p MAUD tt J BEBeON ,MAUD p 83 / 99/82 r 459 40 9705A /.1p0 00 46;50 1y 10 66977 pENTONARL T%, 769013260 1 % f%822 0.150 00 620. 10 d u " Balance after Medicare and, Medicaid. 4, 6.50 10 BI19ABIL 258 NI 4 3L YANBIRABIL ,CHRISTIANN 9B 7%28,1r 1 1 900,00 1264.00 76.45 oo pppp 0203 NNp ENT « DE * DENTDN TX 76801 7/31/gggg 9I 3, 1864.00 Ar a M Hill-Burton criteria. 4' t BLERIS a490NICA 2yOA FtlXCBLEESS MONICA gg25982 86 0:900.01 550.03 3Oy 'J w w D$NTON TX 76201 3, yyy 0.83 a gE_, g p1 Balance after Texas Rehab. 880210 63263E pppp BOg1137%004 9 RUDD LLS[E Bzz 3927 82 '1%38/8¢ 12908-2Oq-01 1.150 00 24.50 6 0p S DENTgN 7X 7 201 ' n8 1 V w • N ggqqpp Be ance after Medicaid. s pp gg ; 1 S 88201 354370 DE4 &LOCUSIt+41 TTX 7630 96 I I%2!1%8I : 3 , 900, 90•.,,, 78.00 381 y w w 38 88 1 qq ggpp ``fit Hill-Burton criteria { 202 3y4173 D N70N YCANOAE 7X 76 Ol 8 2/2`/82 j 77 2j r y BR h YEw 1 Q, PAYE Hil' Burton criteria. 400.00 77.25 77. 2 BRSOWg 354D73 S O W BYCARIORE TERRY 3g7 ai20 96 6%86%82 1.900.00 Bf.70 70 ,1 w DRNTON , TX 76201 8. 8I. 70 • + qyy @@ Hill-Burton criteria, 4, d « BRJIIII 161207EANR O% GROWN TERRY. 3a8,02:3? 98 3%81%60. R.00 71. 10 TT pp 7I: 18 ND w « D$NBON 7X 76 Hill-Burton criteria. 11 , 6R ANT LA YB ggRYAN1 ,L$0 30 40 M.00 101 37609T PO BOX 3~3 459 7926 86 2%09%82 503122355 150, 00 2419. 'IS" el { , j GATE 6/20/82 9;40: F LDW MidM UH 1 AL H09M 1 T AL " ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT _ ggpp -a J -qOMIT A TO C ASC PRE ]N8 M PATIENT D CAR 0 g` gN ~ _.CTOTAL B AE 1 PFppF`T`1RNT ~k~kppUU-Ht; 0XAHAI F TOR NAME F/ 4. r]Nb[RECT+r OVARA1110R DORE69 PHONE NUMBER R/C DISCgHAROH AN AYE H itEDlCAlp PATMRNi1. v 2/14/02 400.00 BAWOR T% 76266 M w Balance after Medicaid, 900,,01 44. 99 `i ELLA' M CLARK rNILDUR CLARK k NE 61 . @9 .410 J 101 253116 l02 N WOOD T% 7401 ° / / i7 «n DENTON Balance after MHMR contract,., ° a 03 11/18/11 498 48 9681A ' 1 100.80 178. 00 9799 . ~V COLF92 32X7Y7@ 3%80PEECANCOLE JT%ES 762663464 1 1% t%_. 3:90D.vt 7@. 00 r Balance after Medicare and Hedicaid. J 38. DO N 1.900.01 V DE YON CARL' 0DEtiTON CARL 0 83 6%12%82... _ 3, _ OB. 00 1 J ~Ol 414399 OE~~ON COUNTY JAIL Tx' 76201' 4. i V r.... M _NN_ii_•~ u gg Denton County Ja11.83. / b/ _ 1.900:01 25.52 4p4.39 , EBT¢1LY 390038A 3S8LAVENUEBDERLY FRANK ;;0,1/11 3. 26.2 J llvv 368177 3212 6 0 E NTON Ca pala~I after MNMR. 4' g Q e1 1.900:00.. 49.00 q p - AYE NONE p8 9%28%Bl 1. 49. Q J d.w { Ftl2d2R ISA04D 2g00 PFT WORTHNDR 051"', OENTON T% Hil/laBurton criteria. 4 1 r r * 303.20 32.50 .4 FAME q7 3%01%79 3 i. 3.22.50 to FOSTER 12404D AT U Htl% FOSYhR NONE b DENTON T% 76201 4, 1 J t r Hill-Burton criteria. 1, . a a gq g r g pp FDfTBR HAROLD 2 9239 96 1%R~%80 1 68.90 9.5 40 F TER' t40g64A 9l9 flVDDC(L Hillgg r i. r OF.NTN ON , T% 7bS-B . ggigg w urtoncrltorla.,g00:00 118,29 µ FaIITRR. 14894+A T WORnOTLA 060 FAYE 7 01 _ ':'6 , 2. t3~.29 4 Inn~tl~1 T OR , Ix M • ; Hill-Burton criteria. 100, 00 14, 00 449141610A 2017 g 1~g FAUST1 8 4.00 r f'' OOMf? 20~~1IT1 g 4 CARRp OLI- TLVD 7p3g7050@ t!% L3TCN1 T% 9Ai201 4, ! i » » Balance after Medicaid and Medicare. t, 900 Ol 96. 46 1 gR N q 8b / /0 gtf6.49 HAAP TT / / f SDE 399220 IOtH COMOR269EK F016872 D » « DEN ON T% Balance after MRMR contract. J t V 34 DATA 4129/192 "9. 49. F L tl W M 9 M D A I A L H O'B P I T A L" PAAa.' A/ r:{ r, Rss~ y ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT ' p0~1JENT NAh1F0ER 0uARANTOR NpME c +INDIR~CT~pA NO.+ OUARAfJIOR ADDRESS PHONE NUMBER pp/ ARpMMEi-iTDMIT ggAA{ EDICARE M INS N PA IENT TOTAL B kW D R/C D16CHARGE DATI MEDICAID 0 , CURRENT B 1 tr HARRISON 3777267 267 D H4RflI1dN TERRY 83 p/p 7/12 21. 900, 01 30. Yl bg 73 lO1s 316 N W000 7?B 2734 6 4%04%6Q 2; 430. rt t, C( rt V " + DEN Balanc77e after iIMMR contract, 4, ,JOHN8IN! MACK' Hg JOHIl80N MACK 1 g y +10 270464+ bENT O HRADBHAN NONE 12 D B .900,00 2560.80 bb ON TX 76204 "2r 2060: 80 111 Indigent care. 4. L+ I SIR 2B43J LYa0R7bFT WORTH OR 053ISTxE LyNONE S2 1;13/92 000 70 7894DC ,150,00 15.00 10 00 1 0 UD ga33 1 1 J: 00 ~1{ - " g Balance aftur Medicaid. g 4. NA1HJ 416404 S P Ni0N COUNTY JAIL JTXEB 76201 19 6/19%92 900.01 35.00 p 1 f 20 08: 00 to + g " ppqq Benton County jail, 4. PA80Z 406y02RT OENTON COUt sr? JAIL ALBERT L e9 0// 2 1 39,00 40 DENTON T% 76201 15/ 22 99g „ g8 f Denton county Jail. 4. 3R: Yd ~ PA803 406700*T D NTpN CDUt18fY JAIL. ALBERT L 83 9/211/ 12 TX 900. of 47,it9 7 y Y 0puu D 7 76201 9 9 67:2f1 d 201 410 QQ 6 CITY JAIL Denton Oaunty Ja11, P£20 B HY pE~{pjON CITY PETTY 90BBY 8q 91/8841 900.00 04. 10 ,..1 + .M bEnTfN1 T% 76201 $2: ie / tr Denton County Jail, "1 079!0 Cti M pp0£ LOYAL 13 1Q/ Q/p 2 .90 101 3307.0 606 CARPHNTER 6 5046 8 w + IDOk 0A TX 76026 3, qOG.00 l3619 13619. VII 41 i y g gg- q- Medically Indigent,' 4 I PR1Q1 376y8~N pppp pp pppp10ICgg OLCIS qb 83 /33t! V 160 + + LHW 8VILHR T R PA , 1X 11393 6 /l / 3, g00.O1 43.93 1 i / /ggg 7~ : B ~pppp~~ Balance after HHMR, 4. ° J PR~lE7T 140097RT iptr L)NDOi1~3fiRRY 0201 'ROBERT 387 3b6A Sb E 0 MIR T% 76201 i1 900. 01 17. 04 99 0 r , 35 4, 1T, 54 cJ } PUG, N JAC ppU1,Lttt~~ JACMBalance after MMMR, 8 ! 1 401738 D£NTON CdU1JTY JAIL 0/2$/82 Z. 38.00 39. 00 Donton County jail. ; f 1' t .l y i a %W M' DATE 6/28/82 10:04: F L O W M E M 0 N I A L H D S P 1. T A L • Y- PAPE. 4 • ,....y swn.. 71 } ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT J I PREF1XF.NT NUMbR 0~IARANtOR NAME F! AApDM 70MIT DAT Mc` 1 ARE M INS tI PATIENT TOTAALL g1LLgD *INDIRECT PAT. N0.■ OUARA14FOR FDURESS PHONE NUMBER RIC DIB~HAROE DAt MEDICAID M OUE CURRBNt BALANCE 46, DENTON Y TX 76201 3. 38.00 ~r I ■ x 4. RAGLAND ROBERT £ RAOLA14D ,ROSRRT E 83 1/18/63 1,900.01 38.00 ~ 203 198,336 DENTpoN COUNTY JAIL 8 2, DENTtlN T% 76201 33 00• W • + Denton County jail. 4• RITCyBY 3991IZABE1305 1/2 FANUINYAPT BYELIYABENONE S2 4%26%02 243948601 150.00 12.00 41, p .40 .ZZCC 9 4477 OENTON TX 76201 12.00 Balance after Medicaid, aa gg pp 4 Rtl103 1077671E %ZT&ENW0O0LEY YYEDXTN 76a013061 S1 e~0a1e 50176855012A 111881.80 27.50 42Q T.000 EE bb Balance after Medicaid. SP103B 54401 LEI80pE LODGEH8 MAMIE 113 111 1/82 4-289468^04 .150.00 18.00 2Q00.4y 460 LEWI VILLE T% 75067 4/2 / 2 1 0 Balance after Medicaid, 8%1;/12 q qq 4. SP2INCE 307804 5 5 8M1THSPEENCE DORA NONE 8! 4612;R0087A 1.100.00 18.00 ggg 00 J D NTON TX 76201 3, 1d, 00 " c gEgg Balance after Medicaid. 4' THID1 3B3BSJL 225 E UN1V1H'.g81TYN07 rCARDL NONE 82 a/1 /111 1'900.01 133.41 9,81 ~0 ~ DENTON T% 76201 6 3/ / 3. SON r 4 60 OPSON SAR A stance after Texas R~ ab. SARA / /82 900.01 1748.45 10] 40561] DggNr0N TkCOUNT IO JAIL / 2 1y48 5 DLNTON TX 76201 6/! /82 1748.15 p Denton County Jall.gg 03E 2874?5 CAREEINN REBTtHOME OASRE 4 B 4Y 15.00. Eit.r_Y_ 66 3208 81 ~ 882 462264977-A :4:1 gg ~ SA TX 763 t g -'yy-' NN Balance after Medicar$3 nd Me TAN 3 91.60 ' TIZOY9 245332 301N gg. MCV[NNEY COUNTY 9 /01/0a 21. ,6 1 DENTON TX 2 65 r p qq r pp Denton County Jail, 4 rI TIM 245072 301W MCY.Ivm COUNTY 03 !%18%0E :900.01 39. 10 0 J ~ qq 1 9. 1 gg TX 31 j 4>r • Denton county 3a11, . Y ~ i 1 E Y 1 Y 4' t ti 11: f• ONTO 6/28/02 IO.OY: P L 0 W M 0 M 0 R I A L H O O P I T A t PA06 ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT 3 P¢¢A77`kIIENT NAAuMfOggqq GUARpANTOR NAMMgg p/C App IT BT MEDICARE N INS N PATIENT TOTAL BtL~ED +1Nb1RECT PAT. NO.r OUARANIOR ADtlRESS P05NE NUMBER k/C DISCHARGE UA7 MEDICAID N DUE CURRENT BALANCE TOWERY GLORIA TpWEMY ,GLORIA gggg 83 /2j99/82 1.900.01 36.08 ~~qq 10t 400671 &Ni~QSTELLA 7X 762013348 8 /g/02" " 636: 0 DH ~0 • Balance after MHMR, VARDAS. PETE'JR VEST LtLLIAN 82 _0%02%BO..:.. 2"77177101 100.00 10.50 D.~ 201 70677° I00 E NAR 8 ^3392 V LEWt V LLE TX 7007 rq q Balance after Medicaid. 9/01/8 WA00 N 401ILLIE 91N WWq BO% 3aREN OILLIR 32831820 80. /0 /80 "T..0D032Z470 100:00.. 1,2. 00 ID y * TON 77 tt TX 7601 4, 1.00 %0 I WATOINS 39NITTA ONE LANE WAWNN23 I.14alaNONEfter Medical 4%14 8¢ SZ.900,01 69.61 t1b9.61 1 J 559 PL LI77TLE ELM TX 75068 4/19/82 3 Balance after MHMR J r # + %)A , DAVID WILL AM8 DAVID I 20~, 410142 ENT COUNTY COUNTY JAL County 8 a 900.01 47,69 47 DENi$~ TX 76201, ~ ' Si~i~a ~ 47. ~ J I... r %0 N B¢fltOn WOO CNARLES Nrp~~ WOOD ,CHARLES Y Jail, 83 tl/ /8 1.900.01 52.75 yy p' 02~ 7D „ d ty .201 .410266. D MTON CITY JAIL , 7X 76201 ' 19: ; 9/it9/0 N N i3 yK1OpgON pL*MSTRICl pp WWppbbDIPANN[HO3n County Jail. B / t/g 2' L 100.00: 23.50 701 3209713 DEN7DNE HICfSSOBnN/BIMB TX 762011338 2 0/O1/82 503144 659 3;' 1~QJ.60 r N u 4. i ~ i'. Balance after Medicaid, W I1 1 r to y ~1 - l it ~ 3 1 I rr- I r°'VA7E 6/28/82 10x10! F L O W M E M 0 R I A L H O O P I T A L"< PACE 6 raw V ~ si :3 ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT SUMMARY v PATIENT CLASS COUNT PATIENT INSNCE TOITAAL, J r OUTPATIENT GG ou ;i J INPATIVIT 23 21279. E17 .00 21279. 197 EMERGENCY 26 1ISO. 79 00 1183.78 I TOTAL ACCOUNTS RECEIVABLP 49 2?499.62 .00 22469.62 rr+rr TOTAL NUMBER OF ACCOUNTS IN ERROR rrr rwr I r I r ~ 40 r 4 } III ft { { i 7 BOARD OF DIREC70RS j BUSINESS MINUTES n.,. _ .lay Z~, 1982 The Board of Directors of Flow Memorial Hospital met ` in regular 7;00 p.m. on Thursday, May 20, 1982 with the Chairman, Mr, W session at Ps9s Members resent: y , presiding. Members absent: Dr. D. H. Holt Mr Mrs, Wilma Fritz , Brad Moore Mrs. Gloria Fritz li Mr, Ralph HaVenhill Dr, Roger Nunn Mr, George Hilz Mr. Dan Trammell Mrs, Mary Williams Mr. A. E. Wyatt The minutes of the previous meeting were presented, reviewed, and approved. Old Business: Com uters -Mr, Watson was asked if there were further developments in selection systems new are b comp eing uter eva system, He stated luated, no selection has yet been made, that alternative New Ru~ 91ness; Fi~anc Re ort--Mrs, Frietz reviewed the monthly financial statements and report. census at 96,61the xcess of revenue e Charge Off List in the amount of $76,375andthexCharityW I amount of $55,591 were reviewed, Mr. Debt Cha$86035f'List0 Bathe' ( this motion was seconded and passed by moved that the Finance Report be accepted; P Y Voice vote. Williams. d do a t- -The minutes of the May it meeting were reviewed by Mrs, Williams, he exp a n`ed J Wi that the Foundation had approved t I pe, which has a head been used o remove foreign he payment for the onchus of two children, Mr, Trammell moved that the Foundation Reort bodies beracceptedrothiss motion was seconded and passed by voice vote, Safet a or --The minutes of the May 7th meetingg were outlined b Mr. Wotsons and t e summar es of incident reports for the month of A ril j review of the Board members, Mr. Trammell moved that the SafetyeReportibetacceptedhe this motion was seconded and passed by voice vote, j Utili.zation,Review Re ort--The minutes of the Tissue and Transfusion/Medical i Recorc7s"jC) {fin ev ew ommittoo were presented and reviewed, The review for `t appropriatness of care in admissions and for lengths of stay was presented. Mr. moved that the Utilization Review Report be accepted; this motion was seconded and passed by voice vote. Tramp 1 f Medical Staff le ort--Dr, Nunn reviewed the minutes of the May 17th meeting of ehe rdd g~s about tIve Committee, In response to a complaint lodgedu1b ane what of the tExecutive CO mnittee had established a policyrwherebybtheophysicians wo gged "ate on a a rotatispecificon radiologists radfoiogglsts for all his patients y interpretations + handl Dr, Nunn added that work naed to ns, and undesignated cases s wrev1be desi of the Bylaws and Rules & Re ulatDr is continuing on the Report `J g Mr, Moore moved that the Medical Staff Report i ( be accepted; this motion was seconded and passed by voice vote. I Professional Office Bui din --Mr. Watson stated tat a report ot een rece Mitche an ve ; t erefore, discussionshwere deferredruntilaa~late (date { aM~uwwnw.w wr;sww«.r.,.xuwa„ru, ,I ' J BOARD OF DIRECTORS BUSINESS MINUTES Dale May 20, 1982 _2 Indigent Care Proposal--At the request of Denton County Judge George Preston, I the Board reviewed and discussed a letter from Wichita County Judge Tom Bacus 1 proposing support of new legislation establishing uniform standards for dotermination of indigency y state law. The proposal would allow certified indigent patients to receive care at any hospital, with the hospital reimbursed from the state with monies jjj contributed by counties. Mr, Moore moved that the Board of Directors urge the Denton County Commissioners to consider supporting the proposal as submitted by Wichita Count. This motion was seconded and passed by voice vote. ICU/CCU--The Administrator reported that the census has been very low in both the C an 1CU recently and suggested that it might be more cost effective to combine the units in some way. He stated that he had discussed this with the Critical Care Committee and had received their support. He suggested that an architect be contacted to determine the feasibility of combining the units. Dr, Holt moved that the Board approve the employment of an architect to determine the feasibility of the project. This motion was seconded and passed by voice vote, If the architect determines that the project is feasible, a proposal will be presented to'the Board for their approval. THA Convention--The Administrator was given approval by the Board of Directors to athon the exas Hospital Association Convention in San Antonio, Texas May 28 through June 3, Denton Benefit League--Mr, Watson reported that the Denton Benefit League had presented tine hospital w t a check in the amount of $59000. Since 1974, the Benefit League has contributed approximately $44,000 to the hospital. JCAH S rve --The Board was 'informed that the Joint Commission on Accreditation of Hospitals will survey flow on July 20 and 21. hesia/X-Ra --Mr. Watson stated that with the resignation of Dr. Finlay as Chiefofa o ogy an the resignation of Dr. Love as Chief of Anesthesia, it may be necessary to offer fixed contracts to another radiologist and another anesthesiologist, Bu et--Copies of the proposed' 1982.83 budget were distributed to the Board members, he capital equipment budget was not included and will be mailed to the members prior to the June 24th meeting. Employee elf- a q.%--TheAdministrator was asked to comment on the effectiven s of the self»fisurance program for employees. Mr. Watson reported that the program continues to be successful and explained what improvements it has over the previous insurance plan, I The meeting was adjourned at 8:20 p.m. for Executive Session to discuss the receipt of a request for financial information about the hospital, At 8:26 p.m. the Board of Directors met in Executive Session pursuant to Article 6262-17, Section 2 (9) V,A,T,C,S. The Board of Directors reconvened at 8:40 p,m, No action was taken, and the meeting was adjourned, Dan Tramn;oll secretary 9m i N r FLOW MEMORIAL HOSPITAL BALANCE SHEET MAY 31, 1982 i 1982 1981 1982 1981 Current Assets: Current Liabilities: Cash--Operating $ 97,630 $ 830884 Current Notes Payable $ 180,923 $ 142,488 Interest & Sinking 14,315 149339 Accounts Payable 770,889 5759465 Reserve Fund 20,181 Accrued Payroll 3976592 3170672 Repair Fund 1,826 4,862 Payroll Taxes 63,559 495144 Group Health Insurance 1,127 2,596 Fees Payable 199,553 130,486 Investments/Board Designated 5212398 271,398 Bond Interest Payable 16,768 17,293 I Bonds Payable 65,000 65,000 1 Due Medicare 21,015 Total Cash & Investments $ 656,477 $ 377,079 Total Current Liabilities $1,715,299 $ 1,297,548 Accounts Receivable $3,008,930 $2 260,697 I i Less: Allowances 247 986 22662 859 Other Liabilities: 111 Net Patient Receivables 4 ~l+yy Deferred Income $ 1169351 $ 1010806 Long Term Notes Payable 5070309 3409375 Other Receivables $ 200197 $ 180,975 Bonds Payable 430,000 495,000 Inventories 2769414 2769718 Prepaid Expenses 75,976 691307 Total Liabilities $297689969 $ 2,234,729 Capital. 1 Total Current Assets $397909008 $2,9019917 j City of Denton $ 3930165 $ 393,165 y Property, Plant & Equipment: County of Denton 1,696,871 19696x871 I Land $ 370547 $ 37,547 Endowment Flow Estate 240,461 240,461 ; f Building & Improvements 30060,002 3,0150878 Fed. Grants, Hill-Burton 1,868,910 1,868,910 Furniture & equipment 4 556 384 4 051 335 Federal Grants 256,371 256,371 3t 33 Pledges and Gifts 4775228 373,300 ' Gen, Fund Bal., Beg. of Yr. (686,770) (10059,536) Accumulated Depreciation $411009184) x$3,701,859) Current Year 3282562 302,547 3 404 901 798 4,02o089 Net Property, Plant & Equip. 3 563 749 Total Capital X4,574,_ TOTAL OPERATING FUND z343 757 .6,306,818 TOTAL OPERATING FUND 17,343.,757$ 6,3061818 F Current Ratio 2.21 1 i i I Page 2 FLOW MEMORIAL HOSPITAL STATISTICAL STATEMENT MAY 31, 1982 i CURRENT MOUTH YEAR - TO -DATE P R 1 0 R Actual Budget Actual Budget Year-to-Date f~ Adult Patient DLys 2,731 31069 22,663 24,057 23,259 / Averar,e Per Day 88,1 99.0 93,3 99,0 95.7 Newborn Patient Days 452 403 3,1174 39132 2,653 i Average Per Day 14.6 13,0 13,1 13,0 10.9 Gross Patient Revenue/Pt. Day $ 406.61 $ 357.23 $ 383.04 $ 367,88 $ 311.56 ~ Total Expense/Patient Day $ 368.69 $ 267.95 $ 325,89 $ 296,18 $ 265.52 k Month Charity Bad Debt Recover October $ 72,027 $ 49,546 $ 71406 November 520097 158,643 5,421 December 25,607 949960 50666 s January 15,366 870082 81998 February 58,795 71,137 5,034 f March 360925 54,406 81630 April 55,591 76,375 13,831 May 41,835 ,,91,069 61236 $ 3589243 $ 682,807 $ 61,222 t 't % of Revenue 4,1% 7.8% 1.0% } i f y F 1 0W 11 EM 0 R I A L H 0 S P I TA L Page3 STATEMENT OF OPERATIONS/MAY 31, 1982 % of Salaries Supplies Total Direct Operating Revenue _ Revenue & Benefits & Other Expenses Profit Loss Daily Hospital Care 15 $ 170,033 $ 125,353 $ 49267 $ 1290620 $ 41,213 Psychiatric Care 7 74,050 319337 564 HIM 420149 OB/Post Partum 6 679755 210260 11948 , 44,547 2 199525 189297 1,308 195605 (80) 15,032 ICU Nursery 4 39,504 12,175 29857 24,472 149460 Neo-Natal Nursery 1 14,700 14,241 219 241 I 34,726 Coronary Care Unit 3 38,867 31,544 39182 29,599 4+141 4 39,193 25,023 45572 91594 Labor & Delivery 5 51,723 19,523 7,662 27,185 24,538 Operating & Recovery 3 36,025 17,940 X26,230 440170 (80145) Emergency Room 46,974 Central Supply 7 76,083 9,276 370698 53,851 28,109 s Laboratory/Blood Bank 9 1010199 53,851 325841 479348 Radiology/Nw lear Medicine 6 68,231 15,379 17,462 48,730 35,790 Pharmacy/IV 15 ]72,247 10,959 37,771 24,212 123,517 Anesthesia 4 41,991 169117 8,095 17,779 2 22,588 6,853 51271 169124 61464 Cardiopulmonary 20,585 f Respiratory Therapy 6 62,130 13,168 7,417 8 41,545 Physical Therapy k 1 11.089 6 898 1 557 ,455 4,7,E 5, 5, 5 $ 486,655 958 Total 100 $1,107:933 $ Deductions of Revenue $ (47,958} $ 129:4 Charity & Bad Debt (129,433) (]29,433 $ tO35 5 Employee Health Ins. Exp. $ 44,035 44,035 {44 ((11,26.8 h Medical Records 391 $ 100388 1,271 11,659 2,140 Gift Shop/Grounds Mte. ],622 2,654 10108 (g1,77y Cafeteria 9,870 260637 250410 51,647 (83,630 Plant 15,557 68,073 83,630 33,429 Housekeeping/Security Service 299623 3,806 33,429 6,505 3,636 10,141 100141 Laundry 8,139 6,828 14,967 149967 Fiscal' Affairs/Data Proc. 24,742 16,096 40,838 40,$38 8uass Office 19517 1,859 39376 31376 PurchPurchasing Personnel 49997 2 649 70646 7,646 I Admtnistratton 7,813. 20494 10,307 10,307 2,697 2,697 Staff Education 1,968 729 32,112 31,992 General & Administrative 120 32,112 359373 351373 Depreciation 35,373 ! $ (1659388) $ 140,540 $245,079 $ 385;619 64933 G41n (Loss) from Operation 50 Noh-Operating Revenue 290685 0685 Foundation ~4,088 , 30$ 679)" Total* $ 976,218 -T- ~3~,883 $ 4719014 $ ],006,897 POW y i BLOW STATEMENT UB MEMORIAL HOSPITAL OPERATIONS/ YTD MAY 31, 1982 Page 4 % of i Revenue Revenue Salaries supplies Daily Nospita! Care & Benefi is & Uthor Total Direct Operating Psychiatric Care 18 $ 1,591,061 $ 987028 - - Bx ensos Profit rLoss OB/Post Partum 5 471,492 234,505 $ 39'545 $ 1,026,973 { 64,089 1 ICU 5 451,617 134o817 6,730 240,235 $ 5231257 Nursery I 120,560 10031 145,148 306,69 Neo-Natal Nursery 3 269,542 127,323 8,114 306,369 Coronary Care Unit 2 87,535 19,424 135,437 {14,887) Labor & Delivery 4 158,625 121)228 106,959 262,583 Operati 373,966 271,773 3,121 I14,339 44,286 ng & Recovery 3 272,924 173,239 26'293 2989066 Emergency Room 3 396,453 158,270 76,301 212,403 6075,900 Central supply 255,750 1210604 234,571 ,521 Laboratory/81ood Bank 7 575,047 '1170,980 292,584 16108$2 Ra8lology/Nuc?ear Medicine 10 821,022 70;369 258,087 328,456 {36,834) Pharmacy/IV 6 545,315 385,706 385,706 2461591 Anesthesia 15 1,282,074 129,606 1380069 267,675 27 7 04 6 Cajdiopulmonary 4 311,167 88,365 294,025 382,980 9,:094 Respiratory Therapy 2 176,649 106,068 45040 151,108 899,094 Physical Ther•dpy 6 503,833 1031461 98 73'831 121,292 1609059 Total 1 79 307 ' 570111 160,309 65,367 Ju' 49298 6 429 55 727 343>524 3 Deductions of Revenue , 23 580 ` Charity & Bad Debt $ { 370,818) , Employee Health Ins. Exp, ( 926,548] Medical.Records $ ! Gift Shop/Grounds Mte, 2,674 $ 250,380 923700 ,8 81 818 $ 85 $ `250;380 Cafeteria 15,165 '815 14,976 25003$0 Plant 87,872 16,635 11,678 100,791 98,127 H4u40keeping/Security Service 208093 208,864 28,313 13;148 Laundry 1330608 429,479 417,367 329,486 Fiscal Affairs/Data Proc. 223;720 33,121 563'087 663,087 Business Office 55,789 19,431 2560821 256,821 Purchasing 64,014 37,320 76'220 76,220 { P4rsonnel 189,816 78 10 1016334 101,334 12,909 11,604 268;626 268,626 4 Administration $0;505 24,513 24,513 Staff.Education 26,275 56,480: 24§613 i General & Administrative $1,677 17'499 69 028 Depreciation {51376} ;755 69,028 220,6378 9 220 18,639 18,785 Gain (Loss) from Operation 275 225 27 225 2260016 tlon-Operating Revenue ' $ I,088,2o0 0 , 275 225 Foundation 222,025 ~ ~ ~ Total otal { Page 5 F L 0 W MEMORIAL HOSPITAL SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS MAY 31, 1982 Current Month Year-To-Date Beginning Balance $ 164,748 $ " 689074 Cash Received from: Active Patient Accounts $ 690,431 $ 6,741,435 Bed Debt Accounts 6,236 619222 Cafeteria 10,395 92,661 Appropriations/Donations 26,475 347,583 Other 69,873 7769200 Total Cash 803,410 88 019 101 TOTAL CASH AVAILABLE 158 $ , Cash Disbursements: 1 Payroll $ 416,119 $ 3,388,076 i Payroll Taxes 61,569 497,540 Patient Refunds 149380 175,215 / Capital Assets 72,222 418,730 i Notes Payable 20,109 1139199 { Other 276,332 31386,988 Total Disbursements 860.731 7,979 f r _ 748 Cash Balance U7-" ,7 I Cash investments 521,398 521,298 Total Cash 6289825 6?8 25 8 Gross Patient Revenue $ 1,119,&59 $ 8 672,423 Less: Allowances 60 ..1609,329) Net Patient Revenue T~i 0640:08L $ 8j0631094 Cash Received on Patient Accounts $ 690,431 $ 6 /41,435 , Less: Patient Refunds (116380) Z 175 2115 ;Not Cash on Patient Accounts 2 i Cash Received as a % of Revenue 65.0% 81,4% • I . J r; a Page 6 FLOW MEMORIAL HOSPITAL. AGED ACCOUNTS RECEIVABLE SUM14ARY May 31, 1982 Primary _Payer. Current 31-60 61.90 %_120 121.150 150+ Total x of A/R Medicare 226,997 $ 93,025 $ 129261 $ 15,442 $ 81106 $ 19,017 $ 374,848 14.0% ` Medicaid I 830308 310014 5,468 51,682 29600' 12,924 186,996 7.0% Blue Cross 112,140 45,341 6,733 6,795 21818 29 ' 173,856 6.5% Commercial Ins, 355,106 179,433 86,602 28,040 8,634 7,110 6649925 24.8% Self-Pay f 292,269 200,056 129,767 157,657 54,102 127,391 9610242 35.9% Balance after ins. 96,863 70,008 27,867 50,823 2~9 50,286 $ 1066,683 $ 618,877 $ 2681698 $ 310,439 $ 98.369 216.75 1 S2,674,823 100.0% ~ E~ in-House f 'total A/k 371,091 A/R by % 53,050,914 43.5% 23.1% 10.0% 11.6% 3,7% 8.1% Numbar of Accounts; 6,870 Days` of nedenue; Accounts'Rereivable 75.1 In-House 10.4 Total 9:5 u 4 r; Y 1 r. r Y. • r r l 1 WA"l i Page 7 FLOW MEMORIAL GHOS ALANC£S}i AL HOME HEALTH EET May 31, 1982 I jr 1 ASSETS LIABILITIES $ 40,114.91 Accounts Payable $ 242.93 + Cash j Accounts Receivable _ 481090.27 Payable~Cue Flow 31331,02 Total Current Assets $ 88,205.18 Accrued Payroll 7,c,33.7, 8 Total Liabilities $ 11,110.73 II CAPITAL E UI~ PMENT i i ~ Furniture & Equipment $ 11618.00 Pledge & Gifts $ 90.00 I i Less Accumulated Dsprec, 717.76 County Nome Health 56,918.66 897.24 Retained Earnings 20,983.03 Net Equipment $ TOTAL OPERATING FUND $ 89,102.42 TOTAL OPERATING FUND $ 89,102,42 f. i Page 8 IiEM0R1 AL NOS P I T A L N 0 M E NELTN 1 F L 0 VI STATEMENT OF REVENUES AND EXPENSES MAY 31, 1982 YEAR TO DATE t10NTN - s REVENUES $ 23,565.12 $ Y51,956,12 Patient Revenues 2 269,52 f22 295.62? Deductions of Revenue $ 1280669.50 i Net Revenues $ 21,295.60 EXPENSES $ 15,177,68 $ 90,842.16 Payroll G FICA Expense 2,132.68 8,675.64 I Supplies 1,117.14 7,276.59 4 Travel 1,165.32 183.90 Employee Benefits 717.76 f B9.72 Depreciation $ $ lOg,677.47 { 18r 7,, 0 - 77- I• Net Expenses 2,594.48 $--20.~-- 9 - Excess of Revenues over Expenses $__2_.594.41_- 1 it . 1ATE 5/27/02 11, 20: P L O N M EC11 0 R ICi1ARGE-OFF O Sf P I T A L PAGE s I ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT ryl PgppTIONT NAM vv NN Pppq ADMIT pgpqATE IA~ ggtt gg~~ *INDSRECT-PAY. 140. r OVARANIORp DAGR8R-^NPHONE NUMBER R/C 018CHARgOE DATE MEDICAID M 1N6 N PADDUE CURRENT BALANCE AL1d3 197 SNALD i1Rpp0E ggDilOflll)6CN199 DONALD 436 3232 8a.. %~8l81 ~;900.tr0 15.50 113 LOS ILII TX 75067 " Balance after MHMR, 4' AUSOIN OJAAVII 15 E. I1JNTE1 COUNT, 07~ 55%U9%8~ 2; q00: Ol 4 46. 49 46.45 ) v tlENTON 1 T( 76201 43. 46.45 • * Denton County Jail. PARNES AGUpRT BARNG'8 ,ROAERT 02 3/10/02 1.150 00 79,00 QJ 20l 38800Y OENTON DEVELOPHENI CE14TV 2 3/20/02 415 26 1101 2. 79.00 ENTON TX 76201 31 79.00 • + Balance after Medicaid, 4' Q) I 0[101a 20nIVeIAM2a.10MAPLDIERMEAA WILLIAM T 828 8/01/28 d: 713.90 7818,q0 N TX 76201 08/06/80 3• g " a Indigent care. 4.~ BOUlA LAO RO DENTOY COUNT, 08 /14/82 1.900,01 123,75 201 3766 p8 9 8/14/02 2. 123.7'9 AJ » » Indigent care. 4, 123'75 WW q 8( 3. 10.00 an TROY NOR COVNTYEJA14 TRxY 76201 09 7%74%81 202R 223 99.08 E r ~~qq gg Denton County Jail. g ` 4' Qy BU101M ER 3901380 DEN00 aaALI .i*ADOW N 1 29 ' ORES R 302 1017 ~6 0% tS~ 2: 900, OS 11.01 103.55 TX 76201 4/ 1/ R; 11.01 Balance after MMMR, gg gg DUX22T02a" ' 25A 102oM RUDtlfiARTN214 JOAN NOIJE 99 0%27%81 2.900.01 61.25 '29' DEMON TX 76201 3. 8.i~f+1 • Indigent care. 4' QH20IAIN 402198 DENTON COUNT Ali JACK 69 d%04/9 30.00 3~.Q0 DENTON TX 76201 3 Denton County Jail. CHAVIS Jttm11V C~{lVSB ,JIMMY 82 4/17/92 1, 46.00 t3J 201 39gB24 DENTON CSUr1?N JAIL 9 4/27/62 2. 46,00 Denton County Jail, f i I 11~4 t s. f, 'Yi; 1 I . l+ DATE 3/27/02 11:31: FLON 11 F.MO R 1 AL H08 P I T AL PAGE 2 `7~ uMMF1 Nt~ pp ACCOUNTS RECEIVABLE ACCOU14T STATUS REPORT qq ggpp`CC pµ gt ~p E FfATB MEAICAID M' INS M PATDIUEENT C T BALLANCB;..; r +~[NOIRECTTPATIDDO•0 OVARANfOR XDDRE6BR_.t1APHO HGNE NUMBER R/C aIB~HAROIT AT e DENTON Tx 76201 4. 46.00 ~ yy { 1, 72, 00 app V CH202 399174' DENfOo COIJN Y JAI1 J I MIIY S9 %f0%02 72;00 G E rvs 66 4 D N D r rx De~~ntonlCount,Y Jail, 8. 1 DgfTON COUNT, gg q 1.900.01 303.02 104E 16 COEITTEE 382379 3jkkrJp,E.MCKidIr1ES' 06 0%24%802 D 30 .OII 0 ON 0 J Tx 76201 3/30/82 Denton County Jail, 41 gE ppppWWBOr FRUDDY B9 7%¢4/01 g1' 40.00 pp OA2$4N 316S88DY NOR COUr1iY ~Ai1 Tx 76201 a 4; 40.00 1,.) M 0 + WWqp Denton County Jail, q 73.215 V EDrZ0DS 316 0 L0 pENTONN COUNt1'RJA11 07%ALO 76201 7/24191 4 73.20 Ui 5 UENTON 4 73. 2a e Denton County Jail, g1 std. 66 y o r1. fiNOI.E 3q0@6BA pT R gOx 860E IMYRNA S6 4%0;%82 g 49 S » LEU8VI1.1 Tx • 75067 66 A. J Wince after Texas Rehab, 1.900.01 20. lb AIIp EALER DAVID 82 3/~2/8 HRLER pp 11 05 J / .'102 2370t3 UNTO 0 ROBE 6 / / V: 16 N T% 76201 Balance after MMNR. Cqq ppDR ,MARKALETA 82 6/09/0 1. 96.00 6FANHINO 430326 SOOINU66Y Tx 737PIbb70 6 6/08!81 99:800 1nd1gent care, 4' 05514 EvA» y 7 ORggE¢N EMMA TOgM14 02 / / y6 34 p62A 100.00 18. C0 6` 0 J 4 206 66tS14 DENTON1t AVE e124 , Tx 76201668 1 12/L4/01 4ttOb2$'5-01 18.00 ~ggtyy, p h Balance after 14dicare and Medicaid. 66,so g6 p 1~ f t204 346037RT R HASTY ROBERT 89 4%27%02 1 tJb.60 Denton County Jail, 44. ~y g 400.01 62,00 HAJU 30'9gJ0809g9g 37RT 11 HASTY ROBERT 89 %16%0 62.88 Denton County Jill. 4. + V e SOO, l 1 I~ J I i; y. r -`r 1 • I .I i 1 + ,.r DATE 5/27/82 1139: FL 0W 11E 140 R I AL HtlBP I T A L PAGE 3 ' ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT TT PgRPEptTt%EI27 NAMREIlI~ OUpRANTOR NAIIE P/C ADtiI``TD111T GATE MEDICARE a INS 0 PATIENT TppTpp L11,,gg0 a1NUIRECT PAuT. A.9.• OUARANTOR ADDRESS PHONE NUMBER R/C DISCHAROE DATE MEDICAID 0 DUE CURTAT libRE HILLIARb EUt11CE P O. kox yHyILLLIARD ,EV141CE 447 24339 Si ,~3/006~82 1.too .d0 46.00 10 38330016 LAKE BALL A9 T% 79069 33/2$/822 0:160. 0 7046:88 1 • p Indigent Cara, 4 HOL lot MMAN 376366ICK5gq9 KENT AOLHAN PATRICK 82 /e2 900.00 to. 36 276 • L W1$VILIE1 T% 7'00673466 B 3%; %82 3, 5.36 i qq pp Hpprr Balance after MHMR, 4' 88.88 J Hp2204IBS 2B03IJD 501'SV1lB,EHT9%BLIXS86615DTKID 75096 69 5/04/82 ; 18.00 k poqqgg pp HEEEp Denton County Jail. R/ p 4' pp i H0~051B8 2803rD LEW18V1lBEETB%gOXS8661JD7X1D 98056 B2 t0%82 38.00 3g 99.00 14 " {N~ HH ff~~ Denton County .1a11, 4' l ~ Htl1ot 3422@24A PO 6 5020n~D4TH 'ERV[t1 459 3056 A8.. to/ 7/21 ;900.00 4645.70 4615.70 1 t SANDERX 1 7X 76966 101 9/ t 31 4614. 7A J ; 41 Q Indigent care, 4. Hf]22060 266019 9%NOERH QRWPODBp% 153I7ZI140767263056 BB t%21%82 900.00 7710.35 77b4;8; J A Indlgont care, C HYDE Jh>4~8 HYDE JAMES 82 5/04/82 1. 46.00 ) ' 201 402180 DEtIT& COUNTY JAIL 9 5/V4/02 2, 4¢6 DEJ T TX 7620£ 3. 46. 88 r r Denton County Jail, 4. J JONE Jn;IN JpJES JOHN 82 / 2/ 2 900.01 2.54 10? 385'542 609 NW POUk~H 6/ i/2 675.74 j OKLAHOMA It OK 99999 / / ft,lS 1 Balance after MHMR, ) J n ! t r r I pp g g NA20 15b000 170 OLD 14IL4CtIRCL DAIt 3392-4694 88 2%04%81 12:900.00 92.10 97.50 . 9 1:; PAGE 4 DATE 9/27/82 1'1: 46: F L 0 W M£ MDR I A L H D 8 P I T A L ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT ~qg PRE-ADMIT ATg g C pp ggPpppgpgAT~[{Etd7 IJaBgg q ARANTtlR_y NAME A T pp/C ADM Y ATELU1CA1 N 1N8 N PATIENT CVRRENT B~LANCE ✓ «INDIRECT PAUT, M0.« OVARANIOR ADDRESS PHONE NUMBER R/C UI80HAR0E E 3• 92890 * LEWISVIILE TX 79067 1. « Indigent care, 1, 900. OS 213,06 ae0 65 PAROON 376637URIN6S6OC MIN00AROGAPI 201 MCLAURj N011E S6 S/Z6/8j q, EENTtlN TX 762011 v/01/99 « « Balance after MHHR. J i ~ 2. 900.01 56.70 PAGE, 40(711117 DEkTON CUVrITB JAIL. 'ALBERT Oq */IS/ 2 4 96.70 DENTON TX 74201 1v - « « MM pp Denton County Jail. 1. 900-00 2012,20 1 p 4/tWOR 2. PAt02RSQN 189.203 193T 0NOLKIN081RD DXlSf90TK 7160 o17044 e2 4 4/82 4 2012.2$ J , « • Indigent e9re, b3%9`1 900,00 290x.00 g' 0 ; S408.Otl J 1. RAl02E 31FJ473AN 949LABhWORAMIRE2 PADIAN qq b 6367 98 12% LEWISVILIE TX 79367 12/13/81 +r Hill-Burton criteria. 900.00 16.27 7qq J RtQOS 0"*a II~~ RIDOg JAMES 8 0bl S2 3/02/B2 216.47 101 30Y966 OEtdt0NCR1PTURE TX 76X13 /02/82 Balance after HHHR, pp p `p RINEY Z487S6L qq 3VN WOOD HAZEL 9g2 2407 S1 3%13/82 404031:301100 3,100.00 18.00 Il9 I I 03NTON TY 76dOS 4. V ■ + Balance after Medicaid, gggggggg 900. OS 37OW 49 q NA gERS. affil £ DENTON CUUItT, JAIL s9 4/11 3708. 9S v a DENTON TX 76201 T0j , o1, t~rr Denton County Jail, a 590100 19D.04 V SC~r4 5TWINEPtlB~}X 1133%504 RVUOEI. L Tx OLADIN'IJ IIE S2 1%2 %9 42479,7~J : 4p00: o° 1 2/0/8; * « ale DENT4N Balance after Medicaid. SC00~ 4230371 2x84 CARROLnY9LVU 81 LA8 52464-b0-3904A,88&. S8 f26,00 124863.' DE TON Tk 76201 4, t J Balance after Medicaid. 82 339Sj' ggHg6 gg 33 p g 150,00 09.00 BEAO) 989A OENi0N0YUsEsltlA V TX KI76R01 4340 9019694-37 111 1 V BalanCe after tWitaid, III is I DATE 9/27/02 W DO: DO: F L O W 11 E A O R I A L H 0 8 P I T A L PAOC 9 ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT L' PRE-ADMIT ATE gp 1 i PRPPIRLUT NAME p 0 ARANTOR NAME F/C ADMIT GATE DICARE p INS N PATTtENT CVRRL VTqtpL 8 kQ , «1N IREC? PAT. t.0,« OUARAt1IOR YDDRESS PHONE NUMDUR R/C DISCHARGE DATE MBDICAID M PUE NT B NCE 46, 88 J SH2OIOO 402206ETHDFIMN COUI7~'`R'RJAIL KENNETH B9 gf04/8a 2. 46.00 L or, N T% 76POI 4. rt CC + Denton County Jail. 900 a 8 14/81 4'.00 16359.%9 16319.75 J ~S, S11011R 33~Er9b[ TR 8 BOX laCEq +RONNIfi 4x)74985 8 i 2/ 16315.75 OAINESVILL6 T% 76240 1211423/8 « Medical Indigent. 8120f 406b94EN bfirirffl COUNT Bq %;8//8a 1•900.01 79.50 79.50 ✓ 3. 79. 50 Denton County Jail. 4. } 1 9KALANDA HELEN V SV,ALANDA .HELEN 91 2/2/02 1.190.00 20•50 3487.95 f 001 375936 1920 RVDD9LL,tll92 30? 3906 2 / 2/ 2 20.90 DENTON + TK 76241 a/ 5/82 3. J 4 4• 11111-Burton criteria. SMITH LhtltrlTTA 9112TH .LORE14E 82 5/``I/S2 11900.00 414.25 5 9^9 SCOTT T% 760054712 S 5/11/82 2. 414;80 2 3178 7 J L D.14TON 4. 1 4 Indigent care. WITH LORENE 82 9/1110/811 1.900.00 .18.00 38.00 l SMITH ' A FITTAq 302 4712 8 9/0/SS 2. 38.00 3I~8~5 29 SCOTT 3. Ol DENTON T% 76201 4, Indlgontcare. 7AOUE 8Vd N p pp TAOUE 6U8AN p 82 4/09/82 1.900.01 11.74 176.3' 101 393764 L'STTlfiBB%M72 T% 75069921179 6 4%Oq%82 3. I1.7~ ` « p q « Balance after MHMR. 4' ' T110 NS 140778 a{~/ gg DOK 1064GN9 .bo" S 387^6292 69 8 /d1 1;800,00 139.27 1549. 33pp ' r l 1 » * DENTON TX 76201 8/12/9 4. 114. 2i J Balance after Texas Rehab. 900.00 40.$0 VV WOSDPIN JOHN N 140ODF114 + JOHN 82 10/27/81 2 10;30 3 001 349637 pALLA9RRY HltlaB BLVD T% 73 78446 D 10/27101 Oen A County Jail. 4• i 2 34.79 579.05 J WRIOIT 39~h0~TH 1719 CROWWHIOHI JUDITH 307 1484 S6 3% 9i6 2. D titON T% 76901 4/00x/68 x+ " Balance after MHMR x f ZAMORA 376971STIP0 M 40ZAMORA ELENA 212 1799 a2 1/151/12 275 55 5702 1.lbo.00 18.00 54:90 j, • ~ 1 ix rr: R BOX 2 1 5/8 2, Y; r PAGE 6 1. DATE 9127/82 11:sa: r• LOW M E 11 0 R 1 A L N O 8 P 1 T A L ACCOVNTS f1EcEIVABLE ACCOUNT STATUS REPORT T A PRE-ADMIT ppA7T77J MEgR` ARE INS M PADVEEN7 CURR4NT 9ALL.ANCI PRET p 18. 0O '1103F R ME R%C A[SGHpRRE pAT e, D7CAID PRpolIE14T 6UA NAME NUMBER •INDD 1RECT PAT. O.+ OVARANIOR AORE68 1 LITTLE Ei M TX 99068 Balance after Medicaid, TOTAL CHARITY CHARGE-OFF b 41,894,98 J I lid J 1 V 1 H { y0 - tt; I a 1 ~ > w ' ~ nnie 9!'.'8!82 9' 14: P I. b IJ M[ 11 0 R I A L H 0 B P I T A L PAQe I i 1 fiI BAp DE01 TRANSFER REPORT FOR PERIOD 5/03/82 TNRV 9/31/H2 Y~I PATICNI hJLN~p ER •~R4~r PATIEIJI fJhME M++ X~MX aM O~JARAIJTDR ME ~xM• pATG DnTF. DA76 tlF BALANCE ' PFX NUJ4DER ADORE CITY, 8!, ifA __'ADDR, CITY,BT_uTIP_ _ ADMITTED D[SCHANOF.U WRLTEOFF OPr ACCOUNT ' 101 201476 2A2RERNATHY IJAr_rEN nBERNATHY WALTEk l0/23/Bl 10/27/B1 5/27/82 '49.00 , CENTONT WORTH N9 2800 FT WORTH. N9 ~ T% 76x01 DENTOry TX 76201 ko response to Coliectlon efforts. • 801 332098 k2CgVNpAF ~ 11 CHAEL ACUNk , p[AtJA 9/13/91 5/27/82 76.00 t CEN1'DMT. WORTh{ OR Lb~ 17 2800 FTNORTH DR LpT 17' ~ CE T' N Tx 76x01 OENTCN T.Y 76x01 No response to collGCtton efforts, y ~ 203 2190'10 AhAMB . COREY AOAMB ~ DDYCE 12/37/Bt 5/27/92 4.50 t 200 9AWVER 2E0 SAiJYtR f ~ pEfJTpN TX 76301 D IJTON TX 76201 No response to CO110ctfon efforts. r t 201 360779 knAM9 IJAOE ADAhf3 WAOC 1/IB/B2 9/27/8: :11.00 yy8834 pUDDELL N217 1624 ~VODELL 8217 i7ENTON TX 76201 DEtatplJ TX 76201 k0 re5pOn59 t0 Co1laCtian efl~rts. 1 102 339403 AI DURD1' , 1Mr,!JA ALBURUY 9AIJDRA 12/12/81 k7?/15/91 9/27/82 82. 2p ~~yy 12p E HLCitDRY 112p E H1CNtlRY. / ~irNTON TX 76203 DEfdTDN TX 76201 No response to collection efforts, ~ i 2tl3 204313 AICAhJTAq , IIARIA ALCANTAR f~ARIA ,l2/14/Bf 9/27/02 123.79 1„ E ~ GENTONtll1IBE N208 ~ 2909 II,,tlUIGE 208 V TX 76201 CENTCtJ TX 76801 NO re3pORSe to collection efforts, J ~ 701 361354 HIDACO RA?ALINpA aLOACtl AIJpY 12/22/91 9/27/92 42.00 120E tJA01{ 1:0 E 1JR8H ' 4 GRAPEVINE TX 76091 ORAPCVlhJR T% 76051 NO 1'e5pOn58 to coliettton efforts, ~ 1 101 32019A AI EXANCHR ~ LlltriA hLEXANpPN 8A14MV R k0l06/91 10/04/8! 9/27/82 27:, f5 ggT 2 BO 29 RT 2 DOX 29 k0 res onse to collection efforts, ~ 9ANOER TN 76266 9kN0ER TX '76x66 P ,y 201 363492 AIOHANiN SARAH ALRHANIN KA9U1, .1101/B2 9!27/92 38.00 1g 0 30TH STREEI iiaa00 p0TH BTAEFT ' L 9+hULDSR Cp 80303 OdULI?ER Cp 80303 Nn response to collection efforts. 303 38402 kJ LpF.IJ , VICKI ~ AI.J. N DAVID 10/23/91 9/x7/92 90.00 , BENT MpNTCLAi>I 3C0~'~UItICLAIR NO rOS OnSe t0 CO1~OCtI00BffOrt9, ~ tlIJ TX 76301 D.fd Ot TX 76x01 P • 201 372342 ~!~O~REI~K 19 REkt:CCA AIJOEggR ON 7REVl, I!<9/92 0/27/82 39, 0~? ,,N ER TX 7G26b 9hNOF~OX 19 TX 76x66 NO rOSpOnSe t0 C011BCt10n efforts, J , L i 201 272593 kgNg~~TgHgp0p1JV , ?tlIJV ANTgHg'O'iiNI' , TDNY 3/07/tll 5/27/8$ 18.00 DEFITl1NL DELIVERY TX 76205 OEI~TOJJL DE1IVERY Tx 76x01 Ho response to collection efforts, J 1s 201 399962 kN p IJE , JOSEPH Ah'TTOiIJE JOSEPH 12/3A/OI 5/27/92 69, 90 i 7 ALEKANDEA 71S 2 ALCXANpER ~ G~~T'~N Tx 76201 DENib~i Tx 76x01 No response to collection offorts, .J , V E i v ~ ~ ,1 i~, ~ , x}r; ~ t ;w',: 1 I ~ , r :~:H , / ~ I tf . ' ' i f y,. ,1l. 'f.~ i ~ CI ~ ` 1%I., ' 1 ` I I ~ ' I ~ T i h - - ~ L rt 1 DHI'E 3/2O/82 9:14: f L ON M£11OR I AL HQ9P I TAL PA4E 2 ~y BAD DEBT TRAIJBFE:l REPORT FOR PERIOD 5/01/82 THRU 5131/02 PATIENT U110ER <~4«! PATIEIJT NAM 44014 *OX14 OUARA14TOR NAME nrat• PATE pppT UppTE OF DALANCCgg PFk N MMVl1BER ADOR, CITY, $ , 211. ADOR, CITY,fiTo ZIP ADMITTED DI9CHANOEp W'RITEOFF Of COIJNT L }~~rr+ CC _ 201 390664 H4II cg BV IL LEB N•107 DOROTHY 1944U8K~HARLFfi 0409 DOROTHY 21/23/61 9/27/82 120.39 TX 79065 LEIJtO®00V1ii111LI,E TX 76060 No response to collection efforts. lot 306878 ARMJ2pAp MARIHA ARM h TERRY 11/02/81 11/04/81 9/27/82 1651,20 L AUBEYOX 49 • TX 76277 ADD 680% 49 TX 76227 Arrangements not kept, . I 101 368696 ARNOLD REnECCA AR14OLD SAMMY 1/10/82 1/20/82 9/27/82 1253.90 RT qq BOX 129 RT 4 DUX t29 DEIJTON TX 76201 DENTtlN TX, 76201 No response to collection efforts, 202 357657 ARRIAOA ADRIAN ARRIAOA R£YNALnO 12/08/BL 5/27/82 42,90 file ROSE t DFNTON TX 73201 DENTONBE Tk 76201 No response to collection offorts, 1 101 341739 A I+.A OLtlktA AVILA JOSE EI_IAS 10/23/81 LO/25/81 5/27188 987.80 1 914 CAMPBELL 914 CAMPBELL + V DENTONN Tk 76201 DENTON TX 76201 Arrangements not kept,' 201 357809 AVILLA JESUS AVILLA , JOBE 12/08/01 5/27/82 4L, 00 'J I 0 COOK 8y10 COOK CENTON TX 76201 DENTON T% 76201 NO response to collection efforts, 1 197669 BA80CkL LV: IYN BAOWEIL EVGLYN 9/22/81 5127182 294 40 ao n gSW OD IIANOR 202G14000 MANOR LENI9VILL Tx 79067 Lt:NI9VILIE TX 75067 No response to Chile^*ion efforts, 201 374901 K£R THEODORE RgAKER THEODORE 2/08/0x 9/27/82' 40,79 j I ,`LNIJYIBH£R TX 79036 CLTLONYt9HEH TX 79096 No response to collection efforts. f E 202 f1707 PARKS VECKI_ 1/30/8. 2800 FT WORTH DR LT 63 BARV,9 ED + 9/27/62 30.50 C T 2900 FT WORTH DR LOT 63 i ~ EIJ tlN TX 76201 DENT?N TX 76201 Unable t0 locate, , 1 35,7286 AAIJ9 i11MI BARNS MIM1 I1/to/B1 5/27/02 89, l0 1 ~j1 7 WESTOROVE 5107 WEBTOROVE QALLAB TX 75248 DALLAS TX 79248 NO response to Collection efforts, l 707 124096 9jRROREENW000 P500Y PEIERRgR~gM7JWtlrIl1 HAR016 11/11/01 5/27/82 38.00 J 1 OaT N TX 76201 D wTg}J TX 76a01 Unable to locate, 802 309987 BARTON S k qy 2 OX 998 f1IK> ATNEN,Ox 598 LINDA 9/07/01 5/$7/82 33.70 1 A 'nh TX 76227 AUJaY Tx 76227 NO response t0 Collection efforts, ? 201 367227 bjgggNDERRY V1LI.AOFCMB;l6 lOpEjUaNU~1ERRY VILLAO~ DTUT B (/12/02 "J/Z7/82 38,00 J f NT N TX 76201 DENTUR TX 76201 Unable to locate, i n 'I fro, DATE 5128/82 9:15r FL 014 MEMOR I AL H 0 8 P I T A L PACE 3 (I~~ BAD DEBT TRANSFER REPCRT FOR PfiR10D 5/01/92 THRU 9/31/82 T PATIENT NUMUER 4,4404 PATIENT NAME t*44 **,%A* OVARANTOR NAhV *4** DATE DATE. DATE OF BALANCE / PFX NUMBER ADDR, CITY. BT. ZIP y ADDR4 CITY.BT, ZIP ADMITTED DISC HAaoFn wRITECFF OF ACCOUNT M J 102 2491:36 BEARD CHP,RLOTTE BEARD RANDALI. 10/18101 10/21/8l 5121/82 634.88 314 E HVFFMAN 314 E HVFFMAN f KR UM TX 76204 KRUM TX 76249 Arrangements not kept, J 3 12146 DECK i EDNA SHARKER RITA li/10181 0/97/62 92.90 9 7 ROBE 917 ROBE C NI'ON TX 76201 DENTCW TX 76201 No response t0 Collection efforts. J 201 371724 ECK JIMMY gg8gK JIMMY 1/21/02 9/27/02• 74.90 10? Z'ALLMEADOW APT 3102 .fJ00 FALIMEADOW 003122 Iioy@d; left no address. NON TX 76201 DENTON TX 76201 J 101 19073 DjNNETT SANDRA SENNETT, JR. BU.I_Y 10/30/01 11/02181 9/27/112 36.00 R 4, BOX 30, RT 4 BOX 30 NO reSQOn50 t0 COl18Cti0R efforts. j kw DENTON TX 76201 PEN4~TOON TX 76205 J 1~ 15/8) 103 178640 73EN R3TD NTON OT 9UST% 76201 D4f,lF8EI41ON BT THOMAS 765201 Arrangements not kept 91 9/27/82 480, 20 J 201 090991 REAROW HELINDA EOOLESTCta DANNY 11/14/91 9/:7/02 39;00 T LLOT 23 LAKr IORES NR A 2 LOT 23 LAAE6HOREB L DEJON TX 76201 DENTON TX 76201 No response to Collection efforts. J 201 391379 DIBB.S UALTER 11/19/01 9/27/92 40 00. { 511 RUTI< OT ' kw DENTON TX 76101 No response to collection' efforts. J IIIIIIi t 203 845670 IpARIL CHRISTIAN UIRADIL CHRISTIAN 10/17/81 9/27/82 42.00 t$i EgpD FT WORTH DR 0041 629 Fl WORTH OR 0041 CENTON TX 76201 DENTON T.< 76201 NO response t0 COll"tion efforts. ` 101 312409 01I SHTOP' dATHY BISHOP p CATHY 11/26/01 11/27/81 9127182 294.00 C JOUIR4 LE DBIJiI TX 76201 DEN70NTLa BEIJD TX 76201 No response to collection efforts, 102 290910 11 ACK JOYCE BLACK SIDNEY 6/09181 6111181 9/27182 339. Be gIQ,9 PEARL Ip4 PEARL G gErJTON TX 76201 0 11TON T% 762.01 Arrangements not kept. J 1 201 396691 BLACK ELK OI.ORIA BLACK E+K. OLORtA 12/04/01 9/$7/82 209.90 V 1420 PFALABADES 14520 PALASADES J I 49W SVILLE 7X X9067 LES LVIILE Ti 79067 No response to Collection efforts. 104 40940 DLAKE VICKY BLAKE BILL 7/07/81 0/13/81 9/27/02 197,24 RT 2 OX 710 RT - BpOY 71n AR9YL TX 16226 AALRpp01k TX 76226 NO response to COIJOCtion efforts, 201 336139 VLDpN~gqNAL 0143 ' EDDIE 3C12NCAR0INAL NHS MARIE 9/27/95 9/28/02 135.00 I V 2£NT NgDI TX 76201 DENTON TX 76201 No response t0 collection efforts. J J --~•-_r_-....+r.n.sn esw..~.w.w~.s--..... -rte.-~'r..1 wPWfy.....s._..m.rsM nwr...~r.r.i ✓._.r. _ M.: "Owl PATE 5/28/82 9:15: FL0 IhE MOR i AL H 0 8 P I T A L PAGE 4 } Bhp DEBT TRANSFER REPORT FOR PERIOD 5/0(/82 TNRU 9131/82 PATIENT NUTSyy R wwwwa PATIEIJI rIA1hE wI Aw wwsaw gUARANroR t A14E wwww GATE DA7[ GATE OF DALANC 1 PFX NUNOE ADOR, CiTYV BT4 ZIP_yr AOR_ CITY;81iP ZIP _",_Y ADMITTED DISCHARGED WRIT$OFF OF__A0005NT 1 i 2022 303967 BLED19 , T11':Ol'HY BLEDSOE TIMOTHY 31/30/01 5/20/02 61,00 pp p0 1697/000 0 RUDD%L PO 90x 3691 CLENTON TX 76201 DENTON Tx 761201 No response to collection efforts. 201 398499 BJCANE RA , OEHARUO DOCANEOHA OERARDO 12/10/81 0/28/02 40,79 p 22fo4 VISE k24 2522 LOUISE N24 t. N N TX 76201 DE14TON TX 76201 NO response to collection efforts, 201 399022 30 MAN 8UShN HgpLMAN , SUSAN 4/24/02 5/28102 38.00 DENtONEIJT DR T% 76201 DEN 014 0ENT DR T% 76201 Unable to locate. V 4 .J ; 201 349142 RSLLA0920S I WILTXAM71228 tlA14A6020S WILLIAM 11/OD/0l 3/88/92 35.90 t. TX 75228 No response to collection efforts. J 201 '334399 OYDBTON OCUORAH BOYDBTON DEBORAH 11125/81 5/28/82 10.00 114 W MULBERRY MO 814 H NULOHARY 00 EN14N 7% 76201 DEIJTON T'k 76201 No response to collection efforts. 00 DOROTHY 11/0!/81 5/226/02 18.00 204 166488 YE WILLIAM BgppgYE TON WORTH k39 TX 76201 DENTON WORTH N39 T% 76201 No response t0 collection efforts. 104 129996 B Np8 P L1NDA 3 K8 RICKEY 0/29/81 S/31/Tit 5120/02 149, e4 12 T NMHERST 1 20 dN'iER6? DEr O Tx 76201 DEN OW T% 76801 No response to collection efforts. tots 140277 DRETHppRT2N TH NA0 BR07H•RTON THOMAS 10/10101 10111/81 5/20/02 1037.76 7 t N9ALEY LANe' Nl7d ppnn pppp 314 1 DE ON TX 76201 DEIJiO T% 76201 Arrangements not kept. 201 314373 CR~W FAYb, BRQWIJ 7 11/25/91 5/20/02 38.00 92 LOCUST 04 9jN fJ IOCUBT N4 I V OSN7 N Tx 76201 DIJTtlN TX 76201 No response to collection efforts. 'r 201 161257 0O1J , FAYHEAN DROWN TERRY 3/81/80 9/28/82 71.10 BOX 649C RT 140X 64eC WON Tx 76201 DEW OP 40X 76201 NO rOSpOnsO'to collection efforts, r 11. Rol 376954 1R$N!J , HARVIN BROWN 14ARVIN 2/16/02 1/29/92 74.50 2 8g RVDOSLI 018 04 5 AUUDELL 040 dA 1 N Tx 76201 NT IJ TX 76201 NO response to collection efforts. ✓ 201 353177 AQWN SHIRLEY DR01414 SHIRLEY 11/21/01 5/29/92' 51.00 N RUDDELI 310 N 80000 L DNTON TX 76201 DENTON Tx 76201 No response to collection efforts, ~ 101 273997 AOWN TAI+M!<Y BROWN GILL 6/11/01 6/14/01 '5/29/82 079,00 1 i j KR Eyy DR VYl8 TR PO BOx 153 } 4 h4~ oALLA Tx 79069 LAKE DA41 AB TX 70069 Arrangements not kept, I rt i r' ~1.Iwwl~ls,r..eo.wnrr ww~-j Q&T IS I r (SATE 8/28/02 9:15! A L 0 IJ M E 11 O P I A L H O B P I T A L PACE 5 r Vin DE01 TRANOFI,R REPORT FOR PERIOD 9/0!/82 tHAu 0131/02 L PATIENT NUIIREA 41444 PATTFIJT JJAME 4114 444** COARAUTOR NAMgg MMIIM DATE DATE WAIF OF AAI.ANCcE { PF% NUMOER ADORE CITY, BT, 7Sr' AODR, CITY-13T, 2[P ADMITTED D18CHAROED WRITEOF'F CP ACCOUNT 201 393037 BNOWIJIND I PAl1 DROWNING I HOLLY 11/x^.3/81 5/20/82 65.00 FO DOX124963 114U STATION 3001 11000WATJ CENTON 1X 76204 HOUSTON 7% 77777 NO response t0 t0118Ct10n efforts, 2 33fJ327 DRYANT YUCNNE DPYANT YVOTJNE 1 V16/0l 9/28/8? 39.00 f1 BpRADLEY R8 008 BRADLEY X8 f V32 NTON TX 76201 DENTON T% '76201 No response to collection efforts, 201 36670 DUCK T11CJ1A8 BUCK THOMAS S/11/88 9/28/82 117.00 1122 0 ERSKIN 1122 D ENSKIN LUDOOCK TX 79408 LVOPOCK TX 79400 No response to collection ifforts. } 101 16949 ppURCFTT RIIA BII~ROETT CLAUDE 6/06/Bl 7/03/81 9/20/82 838.86 9q0 LA'WREry CE 920 LAURENCE CAINEEVILLE TX 76240 GAINES11L TX 76240 Arrangements not kept, 201 393383 UURKHAM iCNICA DURKHAM VIC 11/22/81 9/28/032 32.79 1 ppg CIRCLF 4 Fp% CIRCLE k, iNTON TX 76201 DEIJTON 1'X 76201 No response to ool o/ul on of /90/ ~ 102 219600 ccOppLX~rSn T N10IAM CAI WERT TOM11Y 1/10/81 1/20/01 9/20/87 734.96 P0X 752 PO OX 792 1r ANON TX 76.66 SANDER TX 76266 Arraogoments not kept, 201 359032 CAMOELL JtlHrJ CAItOEI I JOHN 11/20/81 5/28/ea 43,29 5001 HETNER114070 5001 HEIHENMOTO1J THE COLONY TX 79096 THE COLONY T% 79096 NO Y85pOn58 to collection efforts. V t 205 11262 CANTRE DILIIE CATRELL I DII_LtE 14/17/81 9/aB/Ba 02.45 L 2T 9 ~LT5R ST P O BOX 1912 LAKE CALLA TX 79065 DENT N TX 76201 Nc response to collection efforts- 101 360487 ccyyA37RgpgpLL NA'2CY CAtJT ~~E 1 RONALD 12/19/81 12/20/01 9/20/02 296,60 p TX 76201 Unable t0 100% J , RENTbNOP 20e APT K-11 'CX 76201 DENTOIJ P 288 K-Yl 201 346449 CAPR10T1{ I RICHARD CAt+RIdTI[ RICHARD 1Q/30/Bt 9/28/82 114,00 1419 LIN 8EY 1419 L1140SEY jj - DENTON TX 7L201 DHNTON T% 76201 No response to colloction efforts- J 201 1 397624 {tb CHERYL CARD ^.HERYL 12/07/81 9128/02 41. 6h ~ g 7 LEW IB5VCOWEN ILIS TX 7:067 Unable to locate, J 4 14. h'13VgLLEN TX 7506 427 206 140254 CARRERA JR JUAN CARRENA JR JUAN 10/23/81 V/28/62 8.00 tt1z JOHNSON 01 T tg JOJINSCN NS j v CE}NiON TX 76201 D~NfON T% 76201 No response to collection efforts. J 1 A R ` tlARDA1,:. CARR LL , CHAOLiE 11/2.1/01 5/28/83 6.00 201 393136 KRUMTX 762-19 IKRU 33 arix M TX 76249 NO response to collection efforts, J 4. J t ~ l r. : I 1 J`; ~ 1 r 1 - PAOE b ~DATE 3/20/0¢ 9;18' FLOW 11 E11DR L AL HOBP 1 T AL J BAD DEBT iNANSFGR REPORT FtlR PERIOD- 5/01/82 ,YHRU 5/31/92 f ` wa404 OI~ARANiOR IJAM* «►w♦ DATE BA TE 1£ DF BALAN P Cg- _ N E - ADD 1 CITY.87. 2IP ADMITTED gIBAROED WIt17E0FF OF ACCUUWT PATIENT UlS3ER 4AA*► PATIENT NAME 44011 rt ,.V_-_»_» -p_------ FX NUHO R AODA, CITY, 0T, zip 11/0%/8l 5/28/00 34.00 JA1iF8 CART R JA15E6 202 10/735 CARTER T% 76227 AVQR Y7 Tx 76227 No response to collection efforts. Qb% 11,7 75.00 ~ AUBAEY 11/23/01 9/28/82 501 354001 4HAMppERB RElt,ilE No response to collection efforts. J 2 00 E WILLOW TX 76266 ANOER 9/20/01, 9/27/81 9/28/82 109.00 KAPaHQAON%BL 719 ♦ , V,AREN CR gHAPMAN QOX 719 T DARR% 16073 No response to collection efforts cADI YL i 101 333098 q T% 76073 PARADISE ~ 1,0/24/01 10131!01 5128/82 1340,00 MELANIE r,LONTt MEL.ANIE 101 55!170 CLOFITZ rx 76501 No response to collection efforts. i£2TONVE B T% 7f,201 OFIJfONVE B 30.75 D tJ , NYLA 10/17/01 8/28182 201 342+573 C,Jull~~~IL'N , 0897 CgOHQN TX 75221 No response to collection efforts. pAI LABHALL. 71JU/935 OBtlt x 75221 DALLA960'J LN j p HEIDI COLEMAIJ HEIDI L 0/14/01 6117!81 5/20/62 1647,85 101 323394 L"g& AO IL oo tx , 76250 No response to Collection efforts. / IL T POINT TX 76258 POTQPOINT 8/29/62 40.75 V C LqMAN HERMAN 1.!16/81 201 360269 O LABLPEPYl1OL.LOW IJEHI4MJ 1 30 BLWYHOLLOW TA 70221 Moved{ left no address. j D 9 Tx 75221 DALLAS SCO EDIitl1i08 elf6 JIMMY b 30/04/6! 10/09/61 9/28/82 1699.05 NNgg CIihRYL CEEL.I 101 329557 ~OIDthONp9 N116 Tx 75067 Arrangements not kept. L WIS ILLS TX 75067 L W BV1U.B 5/28182 47.10 V gLl SYDNEY COLLINS 16 SYDNEY 3/03/8: 2201 382036 N 2INpX 16 p 9 T% 76201 Ne response t0 collection efforts. J 5/xtl/82 Sb,67 I CENYtlN T% 76201 DCIJ 111LUREn. 10/26/61, 501 359995 CuM6 tl , 11ILDREp Cp1XtE DM9 g gg qq Tx 75065 No response to collection efforts. 80x7901 520 S LAVEV1EWTk 75065 '594 783 8 LAKEVSEW !Alt D LA n , ALFRED 2/I3/H1 0/28/92 41.25 l l 20; 16'7,105 jj~l YAN M4 ALFRED' Cg9KBRYAN 04 J TB~ T% 76201 AENTON TA 76201 MOYed{ left no address. E MICHAEL 11/09/01 5/80/02 39.00 349183 Olt I,ICHAML C??AOQKQ E UIJIVERSLTY d04 e01 NO reapOnl@ to o011@ct10n efforts. J ' E 0 E UNIVERSITY 20 T% 76201 DEtWON T% 76201 62.00 ENTON II~~ q qq l2/56/01 5/28/02 ` 201 365343 L10 3~A' UENA VISTA gnT02¢7~r1 78221 f)A13 A8UbNp VISTA 207NOTXAN 70221 linable to locate, r / f a y l I. , PAGE 7. F L 0 IJ 1I E 11 O R I A L H 0 8 P I T A L DATE 9/20/82 9,19 1 DAD DL•01 1'RAIt9fER REPORT FOR PEftfUO 9/01/82 THIiU VATR 2 DATE DAZE OF --DALANCE - aart♦ OUARAIJTOR IIAMS ■a4a UATE -UNT ♦4aka PAtSEItI IIA'J¢ ~sla♦ A00R, CITY, 01, 21P ADMITTED UIBCHAROHD WRI7EOFF UP A-- FAI LENT W RER - PF% NUIIPER u - 76,00 11/01/01 9/28/82 C , OREOORV 3+6074 CrIRTEt ORtAORV 621 T aAKLAND J 621 OAKLAND 7K 76201 Arrangements not kept. 201 06NTON T% 76P.01 DEWTtlN " 71.19 I4ILI (AM COSTA , WILLIAM 17/22/81 $/28/8.. ^Of 061180 COSTA 00 EOIt000 600 gE01JO0D yy qq TX 76201 NO reapOnSO to collection efforts. 146,00 DENTONN a TX 76201 DENTON 33/03181 9/28/82 CRAWFORN CO'tN1E c pp , CON'JIE to()_ W IR2Y 8T 201 347497. pTA2F0U% t!8 TX 762x7 UYLIE T% 79098 No response t0 Collection BffOrtS. 67.00 A'JUROY 12/31/01 5/20/82 L LE1A CppEASY DAVID 383895 CREASY RC 5 SOX 200 TX 76201 Unable t0 locate. R6pNTONUX 2BO TX 76201 DENTON 1054.75 11/01/01 11/03/et 5/28/02 JA.tF Cfl I Id JANE ✓ !O1 346990 Cppl 4 TX 76201 DENTOM TA 76201 Moved; left no address. 124 85 CENTON 1111941 0/78/82 16{ C BARBARA VENADLF~ 'f ill lay 391197 ISPpp u TX 79064 No response to collection efforts, (.F1416V tigA1 TX 79067 LCW18VILI G18AD 5/20182 40. 50 L CRO88 MARY 11/09/01 j CnOSe IfAfl,~ RT, 2 BOX 1174 TX 76'201 No response to Collection efforts, ,J 2py 348191 2T. 2 DOX 1174 43,00 ENTON TX 76201 DENTON 2/2L/02 5/29/92 V~ CROWLSY HARLES I! 370802 OR CH/'RLES IpRPICANAMOTEL All 30V T 76201 Unable to locate. 201 77rr~PI CA NA 11OTkL ROOM 30',21 76201 OENTON 22. 50 DENTON 11/20/81 9/28/82 EARL CULW•I L , EAflI,.' _ ' gpl 3921300 C=6WtLI~LENCOE 122 Cg QLFfiCOE T% 76307 No response to collection efforts, WSC)II8{TA FALL TX 76307 IiICHITA PAU 113.75 , WANDA 11/20181 9/20/82 i ItANOA CURRY TX 75067 No response to Collection efWtt, ` x01 392915 CURRY e30 ytLl O. NORTH 1 h 8 VILLA?E NORTH COW,N13 76067 LEWt8V1L~9 5/28/88 90,90 LOW1flVILL, , SUSAN 10/29/01 V , SUSAN nAf E N r I y 344205 DALE RT 1 BOX 362C TX 76201 Arrangements not kept. RI t 00% 0620 TX 76201 OF14TON DENTON JACOUITA lo/26/91 It/03/131 5/9^.0/82 741.98 , JACOUITA tot 3'15264 DANI9LnUD0ELI M135 500 5 RUow. 0139 TX 76205 NO response to collection efforts. 0,~N70N TX 76201 DENTON 5/70/02 840.47 1 HURBCIJELL 1/04101 ~ 1 208 109631 yDAAU4110TV fiV1(BCHELL 13;0 W- OCNORES9 nse ' GHNTONCONGRESS T% 76201 OEIJTpIJ TX 76201 NO YeSPo t0 C0148Ct1on efforts. ~ , i t' f 4 f f I . r - DATE' 9/20/02 9: FL014 ME1109 1 AL H 0 8 P I TAG PAOE S L 9.1 . OAD DEOT IRANSFER REPORT FOR PERIOD 5/OI/82 THRU 5/31182 ` rrar* GUARANTOR NAMF xx*+s DALE DATE pA7E OF BALANCE tr~ PATIENT NU110ER 144rr DR, CITY, J{A11E •N++1 PF% NUI1CERn AD CITYi 8T, Xlp ADDR CITY OT 21P ADMITTED DISCH ROED WRITEOF'F OF-`ACCOUNT - 9/01/01 9/04181 9/28/52 119.99 329b99 pqpp7A7V 0$ON µE1?NETIi RAV15DS N MARK 101 tlEN ON OX 26 T% W/ 0`11 DINTOSN 26 T% 76201 NO response t0 50llectl0n efforts, i" DAIUJY DAVIS DANNY 8/19/DI 9/28/82 2769:20 ! iv 2t3 69227 /V S RI',3 PO BOX 373 > T % 373E TX r9D67 EA9TVILLF T% /909b No response to collection efforts. > EA8 VILE 5/28/82 97.85 p a ~ tlARLEI•!F. 0 OAVl6 OARLEPiE S1/fq/81 28x04,. !1VIB 1 7% 7b201 NO response t0 cOllOCtlOn Worts- 204 5 141 TWIN LAKT% 76201 DkT.•JTpNLOT lhl TiJII4 LAKE i 4 CEIJTON n 38.00 KAREN 10/.'.0/£31 5/..0/02 t 201 346056 orppwrr~~t~ t' Kq X DAV:1pp FN 00% 23693 ,i 7% 7620a EJJ"ON 7% 76201 No response to collection efforts, CBNTONHALL N2P7/Tl1U 8tl.' DTWU L• , RONALD 9/22/01 9/29/81 5/20/82 1395.20 4{ tot 167317 DAVIS 4 LA1',>-LDq AV O UDDELI N141 } 500 kUDDt:LL Nl4I T% 76201 900 DEIJiL'N 7% 76201 NO response .to 'collection efforts. CENT ON 53. 75 380170 pHU LIP D VENT& T% 76201 AVI DENT& S JOHNNY 2/26/82 9/28/82 , 1. 201 RTV18 BOX 65 Btlx 65 7% 76201 Unable tOlOtate, - J 5/28/82 106.70 L y[ g REBECCA 10/19/00 202 191973 DAVIS RERrCCA T1'070Aki=D D 7 OAKWOOD T% 76201 D~CN70W TA 76201 No respOnSe to collection efforts, TON 5/28/tl2 70.00 302 266385 pp°LEON STACEY 0gLEOqN RIANE 11/09/81 4 RIi00D 11H T% 76201 No response to Collection efforts. pI' 4 B% 44 SH1sRNODD 111{w RTh tl%44 81{E ff I DQlJT09 7% 76201 0EN7 N J /28/82 35 IN T SO CHRISTINE U eble/t0 lOCatB, .00 qq 201 260844 [IAOLOT 80 TIL T%NY '!6201 ggrr DENISH DEBORAH DE~S10 DEBORAH 11/07/01 9/78/82 90,19 201 940961 CgV1 70 it 5 AUSTIN 1tRONUSTIN T% 76201 T% 76201 Unable t0 10cale. TT DEN 70 N THOMAS D 3/31/00 4/01/00 5/20/82 20.00 tot 16417 YNa WGhUI FELLER ppk 1251 P 0 SOX 1281 T% 76230 MOYedl left no address.' J IE T% 76230 DOW I gpg Ii 0/0 + 20l 379410 tqOVTPIICNA MOTLL R111H2H 76201 ?AQEICA'W; MOT61 203 DAT%EL 71,201 Unable o2locate, 5/29/82 I V tl8 4/07/02 5128/82 47,10 201 391920 C PL T NIN0TEMM 2R N$ DNdN 2DOERFL 05 $TIIICER JACK I, NOS R 209 J314 NO FHIJY Moved;, left no address. J l T% 74201 tlE11TOW T% 76201 V Jt 1 i1J i l i I I y 3 DATE 9/28/02 9. 16! F L 0 IJ 11 E 11 0 R I A L H 0 8 P 1 T A L PAGE 9 ' { ATI » PAILy-- CAD CLOT IRANBrER REPORT FOR PF.HIUD 9/01/82 THRU 0/31/02, PAYIF.Ni 1515;10g R <,I rr♦ PAT FNI N4'1P. er+1 rrrr♦ OUARAIlTOR 1409 •rrr DATE DATE: DATE OF VALANCCE tLf PFX NUIIOER AOOR, CITY, 8T, ZIP AODR, CITY,ST, ZIP ADMITTED DISCHARGED WRITEOFF OF ACCtlU14T 201 394290 paOL.EY , GEORGE DCOLV~ OCOROE 11/29/01 9/28/82 38.00 RT 9 BOX 210 RT 9 BOX 210 L DENTON TX 76201 DENTON TX 76091 No response to collection efforts. 201 300343 pCOUGHgRTY JACOB MIJOHERTY RODH 6/OE/81 9/28/82 20.00 RPD x2 CORRALI MHP PC 86 V A40YLE TX 76226 TER AL OK 73969 No response to collection efforts. lot 307462 COUGL 9 HAZEL DOVOLAS DONALD 9/22/8) 9/29/61 9/28/82 2699.90 A90YL OR 71 T% 76226 AWLE0% 71 T% 76226 No response to collection efforts, ' 101 391852 DOZIQA PATRICIA DOZMR OARELD 11/17/81 l1/i26/0f 9/28/02 33.88 RT 11OT 2 YACHT CLUD CUT LiS 1 OT 2 YACHT CLUB FRISCO T% 79034 rA1SC~% 79034 No response to collection efforts. 206 226496 EOROcN ROC'HEVELT FSPON ROOSEVELT 10/31/01 9/28/82 221.29 ' V CENTONAMBCRO TX 76;301 DrNTONAMtlEHB T% 76201 No response to collection efforts. 203 174433 E FE,RCY A11IRA EL FCKVpY 11AHOUD 4/;!9/01 9/28/82 2L.00 z1?,06 gTCLLA x12 206 9TEI LA Ml2 E CEfJTON TX 76201 UENTON TX 76201 No response to collection efforts. 202 308:394 VERETT GINGER EVERETT , GINGER 11/27/01 5/28102 47.10 f 900 142 PARKWAY Soo /2.PARK14AY V CENT4TX 76201 DENT~N TX 76201 No response to collection efforts. J 202 339028 FAIN BOBBY FAI~ BOBBY 11/01/81 S/28/82 183,69 ULAN BOX 630A TX 76201 DfNTONOX 630A TX 76201 NO'reSponS6 t0 Collection efforts. J 209 27106 FpbpAO N , JOHNNIM rg AO N8 40114NIE 11/20/.81 91281B2 119.'50 CEtiT N00D TX 76201 DENT NWOt7q TX 76201 No response t0 Collection efforts. 1 201 309120 LCH CY141HIA PCLCH CYNTHIA 7/01/81 9/50/82 30.00 ghQS HIQHDATE LN 3709 HI?ROATE Ltd L CAAAAn11OLLr00 TX 75007 ARROLLON IX %9007 NO response to collection efforts I 201 397147 FGRGU ON WILLIAM rsAOUSON lJILL1A11 9/;29/01 9128/02 23,80 OE% C RQNADO NIObO 3 1 CORONAVO x1060 j V 02 NT N TX 76201 1)EU ON TX 76201 Unable t0 locate, J I 101 301192 ftgneR , ANN r£RRCR J0I14 9/26/81 4/29181 0/20/82 1168.90 pp3a LOOP 298 NHb pp3 LnOP 200 0116 M' CE N191.1 TX 76201 CBNTON TX 76201 No response to C611OCt10n efforts. i to$ 105928 FJ/Ethnon 111CKEY R GLOOM JAMES 10/10/04 10/24/01 b/2B/0^. 617.00 L qq tt~~ RRYWOOU WAY qq3 EuRY400D WAY S OA(Id20t(LLE TX 76240 ~ [MISVIIL 1X 76240 No response to collection efforts, .l ~~p'+rreuwww.r..l..,~«..'.-.......e....a,..,......___.r..._«....__._..__..._......,.___._.w_,...V._,....^...__._........___v....,.,.wa,......... .......__.~..1, r Y I N Ii , DATE 9/28/82 9:16: FL 014 MEM0R I AL H 0 8 P I T A L PAGE 10 DAD DEBT TRANSPSR REPORT. FOR PERIOD 8/01/82 THAU ~5?/31/82 PATIENT NUMRER 4440* PAT1EN fJAME 44-v* A*13* GUAPANTOR 14AME_****_ _ „^ATEE0 - DAIEE DAT£ FF DALANCfi PF% NUCCER ADDR, CI~Y, ST, ZIP ADDR. CITY,ST, 11P AD ITT AISCH RQD N ITEO^F OF ACC-NT 102 246306 FP E~p9 ire FIELU9 JAKFS 10/31/81 if/01/81 8128/82 13.40 V. X 430 P Btl% 430 VR TX 76249 KRUt1 Tx 76249 No'rosponso to collection efforts. U1 810 101 3411316 OR~~X 39034 0 CYIJIH1A F ORRI 39034 KAREN R 11/09/81 11/12/81 9/28/82 296.37 D LL 8 T% 79239 DALLAS Tx 78235 No response to collection efforts. CE 141 LL 11= 9/20/01 9/2^2/81 8/28192 1248.65 101 334378 FLO14ERD DORCAS r4owELgl1i8E 24 8TO1,GUISE Tr 76261 DENTCN 7X 76201 No response t0 CO11CCtiC1 BffOrCS. ~J J 201 395438 C N~QNH4839 NTEU k1A40'fH:N 76203 6EpQpNTONi~839 NTBU PARAMAR76203 Unable toe1ocate. 9/28/82 39. SD 1r J g THOMAS SR 3/08/02 9/28/82 41.90 201 383904 POUuRNIEgR , 10~1riY POUAIJ L 809 STEMMONB 0110 2505 81a11110N9 k310 1r 2NTON NN TX 76$01 DEWTON T% 76201 Unable to locate. J 11/09/81 11/11/8l */28/82 117,85 101 349241 ;NANROUTI4 LOUIS 76201 DE FR TON ANKLIN LOUIS ROVIH TX 761201 No response to collection efforts. 4 TON I J 202 147675 NI14A14KO ALTARHUE FRANKI ALTARHU9 9/18/81 8/28182 18.00 1 1 BOX 18-P R1•.` tl% 18-P AUl'4REY TX 76227 AUAEY TX 76227 No resly'nae to Collection efforts, J l 319109 P4 'ANKID% ISP JEFFSRY FRANKS RENEE 12/21/61 .8/28/02 14.00 FR 7r NT BOx 18P 1 AURREY TX 76227 AUBREY T% 762127 No response to collection efforts. J j 101 349979 PRANKS , JUL12 PPyRANCCKMISHDLM JULIE 10/26/9l 10/29/81 8/28/82 262.31 RSATO~IBHOLM rx 76701 4,164 ON TX 76201 No response to collection efforts, J EEn CATHY 7/01/81 7/04/81 8/20/02 137 47 f 101 308781 PRP E CATHY FRAXE 35+. SUNNEYDAI E BjLl 00 SUidNfiYDAKfi DGOorQg11-opN Tx 76itol TON rx 75201 No response to collection efforts. ~ l 201 279721 CHNTUND ARVFITTA OAONAR AR14ETTA 11/23/81 5/29/82 18 oo 7 P ISLFY 702 PAISLEY i TX 76201 DENTON T% 76201 NO response to Collection efforts, J t I 339463 RAIN NATHAN GAIN OLORIA 11/23/81 6/28/82 298.00 H?? 4 SPACE 76 RT 4 SPACE 76 y DEiJTON TX 71,701 DENTON T% 76901 NO response to collection efforts, i10Ved1281erE no address, 5/28102 87.50 251 390302 EN~pNCARROLI CHtT%TIN76201 Z41ANCARROLL CHRISTINA ~ J 1 j VA~ m.....~..,.e4.. UATE 0/28/82 q: 16: F LOW H E 11 0 1t t A L H 0 8 P 1 T A L PAGE l1 fy HAD DEBT 111AN8rER REPORT FOR PERIOD 5/01/88 THRU 0/31/02 .+sa aaaxa GUARANTOR NAME waw4 DATE BATTE 1111 11 BALANCE } 1" PATIENT NUt1pp&&R ♦a«aa PATSE14T NAVE ZIP ADDR, CIM ST, ZIP ADMITTED DIBCHAROED WAITEOPF OF ACCOUNT PFX NUISDER AODA, CITI', ST, Zl - 201 34671$ 9/28/82 116.25' ppRC! ARTURO ARIJRO 10131/81 1:310 SCRIPTURE 13t01yCRtPTURE D NTON TX 76201 DEI4TON TX 76201 Unable t0 locate, ; ..01 349407 ARCtA JOSE GARQ A 11ERCEDE$ 11/20/81 5/2e/ee 3e. 00 GENTON DELL N13+ Tx 76201 900 DENTOrJ VDUELI N136 Tx 76201 No response to collection efforts. j 12/28/81 12/31/81 9/28/02 473, a5 i 101 360529 f~I+RNER , 11f,P,' fOA77Rf(EA , MARY' TX 76271 ,TOGA Tx 76271 Unable t0 IOCatO. 101 2a9949 CHhRaLA OErOlls OARZA DENNIE 2/14/82 12/16182 5/28/82 676.40 H~3DNEOSTOtIF 3813 REt,$TONE r Tx 76201 DENTON TX 76201 No response to collection efforts, T 1 BOX 200 OX 200 JUAN 7/02/et 7/O$/8l 'QC3/8a Sg7q.45 lot 309439 CANTA It& M OARZA ~~tt CAINESVILLE TX 76240 OAiNEOVILLF TX 7624o Arrangements not kept, E CHRIStiNE, 12/18/S/ 5/28/82 30.00 { 360412 CARLA YVONNE GARZA 201 ' 814 ROSE St4 ROBE Tx 76201 Unable to locate, DENTON T% 76201 DEHTON J 3 4/30/81 10/02:53 5/28/82 942.20 101 3'37535 CT QRtl'1ER RTE4HIOX 252 ' GARY RT 4 GOX 252 TX 76262 No response to collection efforts, ROAI4tKE TX 76262 ROANOKE ll/22/81 5128/42 661150 .'1.G1 353402 OLLADY C1114Y GULLAp1' RAY ply6g5 W 60TH 763 W 60TH AV CO 80004 Unable to locate, J AA6ADA CO 80004 ARVADA ONZALE g~ YOLANOA OOIJ2AL4Z 8A4TIA00 9/22/81 9/24/91 5/2B/82 966.90 I 1101. 335u99~NTtlIJ~TH N13 515 eMIrH Nl3 - + 1 aj~ Tx 76201 OEMN TX 76201 No response to collection efforts,. i 201 352249 00ROdN PAU, Q RDON PAUL 11110/81 5/28/82 41.50 i 206 E OAK 206 E OAK r J DENTON Tx 162UI DENTON TX 76201 Unable to locate. lot 342667 COYETTE GREGO QOYEjTE QREUG 10/17/81 10/43/81 y/28/02 2679.20 gqlO.EAOLE N114 Tx 76201 DL.WTONCI N118 T% 76201. No response to collection efforts. ~ DBNTpN 55 d 203 262394RAHAM LAURIE VP'p BOX 552 JAMF$ 4/03/41 9/28/42 1268 i 0 Box 952 T% 76266 BAIJOER ' TX 76226 Arrangements not kept. ANOEIi 1 201 330970 OKAY ANGELA META NANCY 1010618,1 p/25/Ba 70,00 f 66Id VILt.AOE NABf N104 bSag VlU AOE EAST 0104 , bBiJTON TX 76201 1ENTON Tx 76201 NO response t0 collection efforts, t ~ i ~ I f 17 I Y • DATE. 5/2n/92 9: 16: F L 0 IJ M F. 14 O R I A L H 0 8 P 1 T A L PAGE 12 } BAD DEBT TRANSFER REPORT FOR PERIOD 5/01/02 THRV 5/31/02 PATIENT NUMBER 44#0 PATIC141 I4AIIE 4«+ea'x GeRAWOR NAME •4** DATgg D~pTTfi DATE nF BALANCE pFX NUMBER ADOk,~C[TYoy9LYZIN ADD~ LITv_8TIy21P AOMITT&'D D19CIIAROED WRITI:OFF OF ACCOUNT' e ;w 201 329730 ORSsEEpEpNpRAID MARTIN 9/04/61 5/26/82 09.30 111LH1GAt~ C~IJTER MI 49254 NO response to collection efforts. r 101 332601 CCREIORY OLIVIA 4REGORY DOVOLAS 9/15181 9/17/81 5/28/02 840.20 7 OX 47 PO BOX 47 j CR IIIINA TX 79009 CELINA TX 75009 NO response to collection efforts, 101 355966 N• AEON SHIRLEY NIIASON , SHIRLEY 12/02/Bt 12/05/81 0/77/02 274.229 ? 1100 W ELM 910 1108 N. ELM #10 DENTON TX 76261 DENTON TX 76201 NO response to collection efforts. 101 335471 A:OR34AN , JEEs1E NORMAN , JES91L 0 9/211/01 9/24/S1 5/27102 3496.05 RT BOX 233 AT 2 BOX 233 AUB EY TX 76227 AUBREY TX 76227 Arrangements not kept. 201 320943 WWAEKE , LOVr. NWAEKE i LOVE 2/04/62 5/27/62 47.{0 ~.1OD B RVDDELI 0163 500 S RUDDFLL #163 DENTON TX 76201 DI?NTON TX 761201 NO responsR to collection efforts. J 12Q181 0/27/02 1211.50 102 358267 ~JOE)ON HICKORY 4t01A"WE 76201 QErJIOA' HICKORY APT 2ATX 76201 Arrangemen9Ss not12kept. Pot 372907 p I HAZP.L OKOLI 1%EL 1/31/82 $/27/82 110.50 UN TENN&88E AbT 5» • tzOQ N TEN1668EE APT 5t N lY tX 75069 14FKINNEY TX 70069 NO response to collection efforts, 101 319934 PAR ` R011Ir PAIR ROHIE 8/03/01 8/15/01 5/27/62 142,73 601C q DINAt. #F1 6p4 CARDINAL #F1 DENTON .TX 76201 1) 14TON TX 76201 Salancf after Insurance; no response, to$ 358812 PANAGANS 140141CA PA14AOAKJS MONICA 12/12/01 12116/81 5/27/82 56,00 5 LOW" SURF IqI14 525 8UR #14 I LOWSBVILLE TX 75067 l.cN18Vlld TX 75067 Balance after insurance; no response. 101 33$942 PARAHILL KELLY PARKHILI ion 10/27181 10/99/B1 5/27/82 1007.20 gg 4 W. OAK #114 2,Jpp4 W. OAK *114 CBNTON TX 76201 DE4TO14 Tx 76201 Arrangements not kept, J 201 372393 PANRENT CHARLES PARRENT CHARLES 1/30102 5/27/62 1W50 flOI CAMDEN COURT 02 lZol CAMVEN COURT 02 NT ON TX 76201 D N I N TA. 76201 No resPonce to collection efforts. 201 2007 PqTRggON8 4 WILMA PARJONOgx . WILMA 1/14/02 0/27/8.". 49.00 i B 1 .N O T'X 76201 Balance after lnsuruco; no response. J ~ 4 0 NT ONO% 1624 TX 76.2.41 D 162A 106 222t25 CATTEpB011 PATRICIA PATpTP'qRSON E JOIBJ 3/09/81 3/15/61 5/27/62 1740,37 ` 17 ONILLAOE 6 del TY. 76201 6AXINNHORgOVE BY 3lH CA 97640 Arrangements not kept. I DE J I11 li s i . c Y 1 ~ DATE 9/28/82 9'167 1' L O tJ H E N O R I A L N O 9 Y i T A L PAGE. 13 ~ UAD UEIIT 1RANSf:LR REPORT FOR PERIOD 9/OL/82 THRU 9/31182 PATIENT W111gR 4**** PATIENT NAME 4440 O'JARANIOR NAME DATE DATE DOpTS OF BALANO£ PFX 11UYBER AVOR, CITY, 8T, TIP ADDR, CITY,ST, ZIP ADIIITTEU U18CHAROED WRITEUFF OF ACCOUNT . I------- ' w 209 76663 PATTON P(1LI YANNA P?ta J POLLYAIJNA S1/2a/BS 9/27/841 L23.00 910 BERNARD 910 UEAIIARD D NTON TX 76201 DEIJTON TX 76201 No response to collection efforts, j 202 330r.'.9 NE BAIL PAY E , BAIL 1/16/82 9/27/B249.75 MV CITY APT 2,09 PO DX 01 CITY APT POBX 279yy r4TON TX '76.^.01 VFN 014 Tk 76201 No response to collection efforts, - lJ I 170241 PAYEE BA1411RA PAYNE RICK 1i/10/81 9/.77/82 512.05 604 L4KEHDALLAS gR11L TX 79J6D LPO BOX 219 low S TX 79069 No response to collection efforts. 11 AKE NAILA II ccff~~LAl10 101 34398.2 PEIERRnllLhNU OARS' 6P6l0EROtlD GARY 30/1^OIDI 10/'21/81 5127/02 179 67 J J 1 NTUN Tx 76201 DENTON TX 76201 No response t0 collection efforts, J 101 297309 PHILLIPB ARt1CE PHIILIPB all 9/26/81 9/30/81 b/27/82 170.22 ii 9 BLiiF'BIRU CIRCLE 119 BLU~BIRU CIRCLE M ti TON TX 76201 DE14TON TX 76201 NO rOSpOM to ColleWon efforts. 201 37?441 F 14.LIP5 LAKES HR PHILLIPS LAItNY 1/30/82 J pHp % 2993 TWIN LA8 HH FO 0 999 9/27/82 47.00 t DfdNTON TX 76201 LAJDALLA9 TX 79069 No response to Collection efforts, i 201 273706 PHILLIPS (1ATIHBW PHILLIPS OUe I/24/82 9!27/62 29. 90 ' RT 2 ROYAL OAKS 0409 PT 2 tlYAL OAKS 0408 i DENTON T% 76201 DEIJTOiJ T% 76281 No response t0 C6118Ct10n efforts. 202 371249 PRICHARC , PATRICIA PRICHARD PATRICIA ./02182 9/27/8.^. .176.79 J~i1 PECAN STHEEI. LOS PECAN STREET NOER TX 76866 UAIIBER TX 76266 No response to collection efforts, j 202 331626 0' MILES HELEN OVAnLFR HELBN 1/04182 9/'17/02 110. 50 IF RUDBELL #23 1 2 RUDDELL 023 E TON TX 76201 n~NTON N TX 76201 No tesporoe t0 collection efforts. J 202 264915 PI lay CCII~RIE AI E CHERIE 1/06/82 5127/02 94:80 CE fry BOX lal TWIN Lt,KF7k RY BOA 1St TWIN LAKES 1 CNTON 76201 ppDIl ON TX 762D1 No response to Collection efforts, J 1 101 313312 rg11 RGt PRANCES Mill JVAN NUNU 11/:0/81 11/26/81 5!27/02 810.11 ~t f JUHNSOW 1J. I Laa J 11N80IJ BWTON Tk 7620J O IJtON TX 76201 86141144 after instlaencel"no response, 101 393672 RAY ANIrREW 4PAY 27 AICHARD 11/23'/81 l1/a^^3/81 9/27/82 24,rJ0 CLARK HALL 427 CAM11RIUOE OR V DENTON TX 76201 RICHhROSON TX 79080 No response to Collection efforts. 251 327387 RER6(KRR ORADEN Pall ROURTA R/2R/81 5/27/62 49.00 J LA AVEN EST LOT 021 LAKE HNAVEN it LOT 21 f 4 LAKE DALLAS TX 715869 LAKE BALI AS TX 75065 No response to collection efforts. 1. ~ ut , , I , ' I ~f I , .r' 1 y i f q DATE 5/P8/02 9: 16: F L 0 ,J - 14 E M U R I A L H 0 8 R I T A L PAGE 14 rJ 040 DEUT TRANSFEk kfptlRT FOR PERIOD 5/01/82 THNV 9/.31/82 A J i Pp TIENT NUI~UCCR csral4 pATIEN`r IIA4V 444w ,414♦ OVARAItibR tJA11F. ♦wNM gg qq gg qq cc PFX NUISDEk ADUA, CITY. ST, ZIP ADOR, CITY,BT, ZIP _ AUNIiTED DISDAIEGaD WRITEOFkF' OPSALACC ANSE T 202 309250 A%g DIANA-_ v NVID TOMMY ~ 00 nn 0 MEADOiJ = 24/82 9/a>/A^ 38.00 lr U6NTONEADbIJ T op X 76201 DEN70N TX 7620t No response to Collection efforts', 207 11775 al ROBERT RE' 7 AUDERT 11/29/81 1815 MORSE 5/27/89 38.40 j NTON t TX 76201 DE1~~OEJDREE. TX 76201 101 395511 AHBENDIL OL04 n. No response to collection efforts. 500 8 RUDDELI 0136 SOpE 0RU1tDELL #136 EPEDIftl' 11/30/0I 12/03/81 h/27/82 P323.90 J DEtJipN TX 76201 D NT 9N TX 76601 Arrangements not kept) 201 071984 &t7TYNOk08 DItNY R YNOLDS HAROLD 1/28/82 4 nX 26 MA5'HILI 800 R 4 BOX 26 MAVHILL RD 5/27/82 47.00 JJ L, DENTON Tx 76201 D N TON 3 TX 76201 No response t0 Collection efforts. J 102 351270 pV9fU~NJ0b34 11ASTX 76247 JUST1ND63a ROTxR 761;a7 No response t0 Co1118Ct10n @ff0t9~7/82 J84.00 f 204 0dt105 Rt0 P SOX 81000 JOHN 3/18/02 2 659,04 RT P SOX 179 H RT.1 BOX 179 E 5/27/0 FRISCO TX 75034 FHISCO TX 75024 No response to collection efforts, 101 276485 ILpY~ax 191 CYIJIHIA RILEV DA'/ID 7/16/81 7/21/01 5/,~7i82 I T UENB ER T% 76252 tfUEN0g6A .191 Yx 76852 ArrdngeAl@htS not kept, 1645.60 103 195978 RILftY PATRICK RftLEY PATRICK 121IVSI 12/14/S1 9727/82 1900 SAM BASS OJ2 Rf 4 BOX 46 627.50 4 DEN DTX 76201 DENTON TX 76201 No response to collection offoPts, 202 190218 t`LEY STAGY R VEYADUOX 5/27/82 MOO 0 MADDOX M L04'1E It/20/Hl 3 f33 ` ENTON Tx 76201 NLNTON TX 76201 No response to ^611eotfon efforts, 204 140376 RIPPY NANCY RRgg[PgpgY ANDY N36 5/27/82 38.00 g~7 7~ONtlll[d6 TX 76701 UF:NTUNOV1sE N36 T'X 76201 No response to Collection efforts. t.0 201 379792 LJARON OA1TX 76201 5/27/8. NT 1/,2 HICKORY 2/24/02 76. 00 1 372433 HpB.VRTO No response to collection efforts, J RT J DOX 965 ' LOIS R? pTT LOIS 1/30/0'. 5/y7/82 55 50 4 DENTON TX 76201 n61J3ONNX 960 rX 76201 No response to collection efforts, 201 369353 HOU1143aN SP7111ETTA ROSlNUN DENOEITA 1/20/02 g016 NASH OR 1 MACH DR 5127/02 49,00 4 MONY 19 73096 28M NY NY TX 75056 No response to co11tion effort9. ' e^_ ~ v K) t t i >I 1 !r' I 1 DATE 5/29/92 q' 17:' F L O N 11 F. 11 O R I A L H O 8 f' I T A L PACE is BAD DEBT 1NAN£FCR RCPCRT ;:on PIiRIOD .5/01/82 TNRU 9/33/32 11,, rax r PATIENT NUMSERR '1aaaADOR, C1ITYN BY, .IP , ~ADLR, Ctlyssr, ZIpsaa ADMI IED DISCHANOED WRITEOFF OF AACCOUNT - 1'r' J 20.1 370668 R1.IBINSON , Rlch NDf31N8gqY RICKY P/01182 D/27/R2 t47.95 8 CROHSiTINBER$ 606 CH 0STIMME110 b, CC6 NTON TX 76201 DENTON TX 76201 No response to collection efforts, IJ O EZ FIOENCIO 12/27/81 12/29/81 5/27/02 1712.70 ,J 103 13228',2 07RS06~M LET'Id A [±QS%aUE H3NTON L fX 76201 8814toN TX 76201 NO response to collection efforts 101 349789 R21AS SH~k,.NA ROJ/~fS JOELLA 10/27/81 11/01/81 9/27/82 449.00 y6 y AUBTIN 1419 UST1N CNTON TX 76801 OENTOH TX 76201 No roSpapSe to collection efforts. 201 368472 OLLB UAi,_.TER R LLS , WALTER 1/17/82 9/27/8.'. 40.00 1 Itts~ AKES M11P RT 9 8X60 ` 9 $ RUDDELL M20 0~14tOU TX 76201 p 14TON TX 76201, No response to collection efforts. 2 330:419 ROpT BUNT ROOT BURT 11/19/81 9/27/62 124.^.s 119 W LLD 0AK LANE 119 WILT) OAK LANE LAKE ~ALLAS TX 70069 LAKE AALIAS TX 75069 No response to collection efforts. J 101 2940118 R y8ya3 JA*a R08gy9 , JAMES 5/16/01 5/27/82 83.90 E ` 08HK08HYER 141 94901 8SHKOHHYER 141 94901 NO response to collection efforts, 201 354989 RfiSB p J£NEMIAH 80.96 JEREMIAH I1/2B/81 0/27/82 22.99 ENTONT WORTH M2 p NTU TX 76201 R1 WORTH MB• TX 76201 No response to collection efforts, J ' 101 3:17367 TIMI ADV113OLA ROf1Ml A05WALE 11/07/01 11/09191. 0/27/02. 1172.80 H3 =iHONA9 M2$ 3 3 7~OI1AS M28 NTON TX 76201 DSN701d TX 76201 Arran9e'9nts not kept. i 11 lot 320/09 RUU➢D {{,AUHA RuDD LAURA 9/06/81 0/07181 3/27/02 876.20 E 00 OON1419 BRAE M803 500 &NNIE nRAE.0203 I OENTON TX 76201 3DITNNTOn TX 76201 Arrangements not kept. 101 3333`73 ao 1, U?IIT'Y (.ODOErX 7GJ01 RUJ; LTLj 11 UNITY LAETTY.. 76~OJ Arrangements kept/B1 9/127/02 1399.35 ,J f 201 36933B SjLA2AR BLANCA SIAIAJAR LUDY 1105182 5/27/82. 38.00 9 2 3 ELM C 932 EL11 a D NTON 1X 76201 DENT N TX 76201 NO response to collection efforts. J ; 102 189712 SALAtAR ELtBA 9A AZ~R ELIUO 12/03/81 12/05/01 9/27182 905.09 } ppT N7 TWLMHP fJt M, TOLKHP tir CGNTBN TX 76201 OENTON 'tX 76201 NO response t0 collection efforts, 1 J 202 287907 ppNDER8 AIITONIO HpHggAgRR14Q014 nOBnY 1/07/82 5127/92 25.00 I6NTONL9BN, TX 76201 DAII'M LgONTX 76201 NO response t0 collection efforts, 1 J ' P' 14 1 {tt r 1 i <i Ip f f ...,.....o..+,.......,w..,.garww.r.,u.~n.oi„wn.e.w+a.w _ r All i r( DATE 8/28/82 9! 17: F L 0 iJ M f; M 0 R I A L J ¢ f... ¢ k O 8 p ! T A L PAGE 7- b OAD DEUT TPA149FER REPORT FOR PEI<IOD 9/OS/8i! THRV 5/31 ,(1;? PATIENY NUMpER aO+IM♦ PATIENT IJAI4E w>•,r *AVIVa PFX Null R ADDR, CITY, ST, ZIP QUARANIOR NAff66 psra DATE r Y^Dqq.T_TI:pAlt OF DAII,,ANrgg f - AODR, CITY,sT, 2IP ADMITTED DISCHARtlED WNTEOFF OV ACC6UN7 { I, 3 59154 pp9/N R8 C1lJlly I ~j gg7y Br~A~jIJI pENU IV8y RICKY 8/09/81 5/27/82 1199.80 J I P~ILOYXPOINT TX 76089 PILOYXpOINT TX 76258 No re1POnSe to CO11oCtion efforts. 203 383466 N Eqg gLIIABETH BAf4pR g 19N~eFV WORTH DR N19 8800 r WORTH. OR 0"0Y 5/27/8^w 197. 50 1 TX 76201 KNTO4 TX 76201 No response to Collection efforts, 3 316984 BANppU@ERB EULA NDEg9 4 CENTONT WORTH DR 141N 019 ~P. r1' WORTH DR NI4 LEROY 11/14/81 5/27/8: 7 TX 76301 ti 'N ON 3.00 204 37640 ~JAN Eps HE9tEp TX 76201 NO response t0 collection efforts, i42? LOUSBE N32 8AtJ11 h HEBTER 9/22/dl L CEN ON TX 76201 DOXOE3 5/27/J12 130.25 DENTON TX 76201 No respOns- to Collection efforts, 101 380473 EIANOF•Rtl REN"E 9ANVEHB 5412 ALPHA 52 2C ALPI1{{pp KENNETH (1/05/al 8/00181 5/27/m S271,60 V THE COLONY T% 7t)56 THE 0101JY TX 75056 NO'responSO to collection efforts, 201 336822 6AN ~SRgg , A HRs qqT Bt1X 100 TWIN 1-244 "g M y R TA !0/04/81 5/27/di2 357. 50 V UNTON TX 76201 DEIJT•nNOX SUO TWIN LAK B Tx 76201 No response to collection efforts. 201 345215 ffprya)pqt 14 RICKY 8A1 p i J DBNTONRDINAL APT E-I RICA 10/25/81 5/R7/82 J 6a~ CARDINAL APT g-f0 $4.25 TX 76203 UNTON TX 76201 NO response to collection efforts, 202 99,103 RANF(~ o VAIt~ g p0 Dtl 255t HVNDLkY DRIVEA, pAIJFURD DELILAH 1/07/82 5/27/82 37.00 J DENT N E Iii OX 2051 HUfJDLEY 4R TX 76201 D'pNTON TX 76201 No response to collection efforts. 204 105167 6/11 FOIi1y WAVE ppggpppA qRgp '1yV 9 E1. PK E13 PO pX 2 WAYIJE 1 /!0/82 5/x^7/82 118. 50 tr L~4R~ D LAS TX 75065 LAKEXI) LI A9HUIJOLEV DR 1 334987 pAV 8NN OAK 0146 LESIA gAULS TX 78065 No )`espouse to collection efforts. `+61~ agq RtlLAND, 9/e!3/81 r tlr/ TX 76201 UEIJTON OAK #146 S/87/02 406,76 201 366104 CaFagR TX 76701 NO response to collection efforts. 8yy11h EY CkapFER SHIRLEY I/OD/e. ~I V A bERO$ eel (POND CRCIL > O, p0% 881 ' S/27/D2 484,45 J TX 761.'66 am6 t TN 76266 NO response to collection efforts, i 201 316000 C R R gAIJURA: ' qqJf Ngg((JOB I4AIJOR Aq.HffRLEk HAROLD 7/22/01 j LAKfi'DALAS > YO1JNO 9T PO DOX 82701 5/27/8.. 60,75 TX 75065 1Ht~ VOLONY T% 75056 No response to collection efforts, 101 359059 JJUL~N poggN REIiTCCA lRRE1 / 8S pp JAMES 12/12/81 12/15181 5/27/8.^_ 1068.30 V NT N [ON TX 76.201 8111ggTONNs1014 1 Tx 76201 No Tceoonse to collection efforts. f4 J' 1 ! ( 1 1 I ' 414. I 1 DATE 5/28/82 9:17: F L 0 W M r M C R I A L H 0 8 P I T A L PACE 17 ' DAD DED1 1'RANRFER REPORT FOR PERIOD 5/01/82 THRU 3/31/82 ' PAT IENI NUMDER 4aea♦ PATIENT W ME 4t-,N a+ae■ GUARA14TOR 14m% •xer DATE BALE DATE OF BALANCE ' PFX NUMBER ADDR, CITY, ST, ZIP Am. CITY,BT, Zip AD141TTED DISCHARGED WRiTEOFF OF ACCOUNT 101 834714 SCOT{ JAWIS SCOTT JAMB R 9/22/01 I1/07/8l 5/27/82 39.00 1.B yT?NEOATh 278 STONFOATE L~W[DVLLE TX 75067 CEWISVILIE TX 78067 No response to Collection efforts, J 201 301003 UTr PAUL SCOTT L gg DAVID 6/013/81 5/27/02, 70.50 p NOEROX 322 TX 76266 COLUMDiANAKS OH 44408 No response to Collection efforts, J 1 3762276 W i HM LET 514AW HAIJ_£T 1/29/B2 9/27/82 60.90 BNOELM 81-REI•T EL14 STREET 4, DENTON TX 76201 D807NTON X 76201 No response to collection efforts. ? 102 2:7197 W VAIORIE SHAW PETER 11/12/81 11/14/81 9/27/02 443.07 BNAD10 FALL111MOW APT. fli01 `.10.10 FAI.LMMOW HA41101 DEI4TON TX 76201 6E147014 YX 76201 No response to Collection efforts. J 101 340367 SHELTON RINA SHE!. 014 KEW 11/05/at tl/14/81 $/27/82 1698.30 P O BOX 316 P O qX 316 AVDR4Y TX 76227 AUBR Y TX 76227 Arrangements. not kept. 101 348268 SHELTON SUS!,N SHELIC14 . KENT 11/05/81 11/00/81 5/27/82 ' 923.75 l H MAIf Pn DOX 316 L AUDRE~ TX 76227 AUBREY TX 76227 Arrangements not kept. j 208 278523 g DEpOTTOM , DRENDA 8 95 OrT M , BRENDA 9/26/81 9/27/82 6~3 EAOLE OR #107 60.1 CALL DR 017 N... DENTON TX 76201 DENTON TX 76201 No response to collection efforts'. J l 308981 D MMONS , ROYCE NiMONS , ROYCSS .7/01/81 5/27/82 56.120 i ``EOO 99AM BASS 14-1 1900 SAM BASH 14-1 1 { V QNTON TX 76201 DE14TON TX 76201 No response to collection efforts, J TOI 210393 1g1 18q8 DESNA 81148 RICHARD n115180 8/18/80 9/27/02 400.00 BOX 548 BOX 948 -j 4 S?,F,bER TX - 76266 SANOhR - TX 76266 No response to C0118CtlOn efforts. J li 202 237810 8 rigg EARNg9T 81118 EARWEDT 4/29/81 9127/82 187.20 t # AR OftrAD CIRCLE/PO 2162 03 ARpONHEAn CIRCLE RAE pALLAS TX 79065 LAKE !)ALIAS TX 79065 No response to collection efforts. 201 340034 IN , Porto 111 , YONO 10/o7/81 810/82 20,00 g33OI DRIERCLIFF M301 BRII:RCLIFF 1 I GF.NTON TX 76201 DENTON TX 76201 No response to Collection efforts. 1 201 337897 b$b1~LELYNNpp JEFF 9122S1LE{.Y JERRY q/30/01 5/27/80. 64,00 Qt2i NE1,, LLF TX 762140 0W AAVILBLE TX 76240 No response to collection efforts. /92 1/07 22 II. NN p J ILL 51 1 277541 INHIIVDSEY ISAH;X 76240, 62 INfiINVE.FY JETXY 76240 HO respo se to collection efforts,/02 54.00 J I r 7 4 1 a" mw t 'owl ' J f. DATE W20/82 7'. 17, F U 0 W 11 E 11 0 R I A L 14 0 8 P 1 T A L PAGE 1B j RAD DEBT TRANSFER REPORT FOR PERIOD 5101/02 TNRU 5/31/02 PATIENT NUM flR t+*** PATIEfJI NAMg *4.** M4•.1.1,1 OUARAt1TgR NAMS. +r*w DATE DATE DATE OF DALAN fi pFX 11U11UER AUOR yCITY.~B1__21N. gpDR, C1TV,UT, ZIP _ ADMITTED DIBCHAROED' WRITEOFF OF ACC~UNT 202 10536 13611TH AWI'HONY 3/27/8^> 110. 10 T61 EDWARDS 06 BMfTHggD AIJTl17NY ;/07/82 DENTON TX 76;01 DEN~ONk'ARDB N6 TX 76201 No response to C0110WOR efforts. - 201 271866 PoIIOOX 1205 BEVERLY , R~H~jj1UpHpgg 1705 BEVERLY 3/04/8f 5/27/82 62.50 DEN ON T% 76201 DEIJTOIJ TX 76201 No response to collection efforts, lot 298913 >~I11TH ♦ , C1101Y AAVANT& 65 LAVON 5/31/81 6/05/81 8/27/82 2572.70 I.+JV. 156 BB0D88 1. RRUH TX 76249 PARABIJE TX 76073 NO COOperation. 201 367946 By 1 T11 GARY 1111Tr1H GARY 1 / 15/82 5/27/82 38, 00 CNO% 362 TX 76201 DENTONDX 362 TX 76201 No response to collection efforts, 101 108969 dITH JA`i~8 III 6616 WW OAK 0201 RjtOBpp% 75 JAISES.A 7/27/81 7/x.7/81 .5/27/82 82.00 • ~„51JT47M TX 76201 T8HMII104~ DN No response to collection efforts. 203 #84730 eliIrH JESSICA &11 T}}w{{ RODBRTA 2/21/82 5/27182 3800 bba3yg W SYCAMORE ggl 0 SYCAMORE L ` 689109 TX 76201 DE1 TOW TX 76201 NO response to collection efforts, 201 30195 4s H JOHNNY 811305 1tTHDENNISON ST 0A A 11/17/81' 5/27/82 ' 3O DENNISON ST 0A 42.50 i 4 ILN ON TX 7620( RENTON TX 76201 NO response to Collection efforts. 202 346924 o11 TH//~ HICHAFL 68611tTFI 111CHACI 1/01/82 0/27/82 .20 aEMTONRp[IJAL NF5 TX 76201 AHJTONRDINAL 0P5 30 T% 76201 No response to collection efforts, ?Ol 362731 71ITH THWAS 1108 JH BETTY 1.^./20/01 5/27/b2 78.50 0e CHARLOTI& 5 CHARLOTTE V RN1bN TX 76201 IJ tltJ T+f 76901 No rospcnse to collection efforts. ' i 1 20662 ggq 1 141LAUR ggf11TH W1LnUR 403 HUM 403 1120182 5/27/(89 31.00 I PO8%. 1V KNUI TX 76247 NNHUM TX 76249 No response to collection efforts. j 201 3313115 JIJKL~hNO RUSSELL BIJELL%G ROBBRTA 9/10/01 5/27/82 106 50 J OX 4 RT 9 P, 0 DOX 384 ` ENT IX 76201 D£NTON T%. 76901 No response to collection efforts, ~t 201 356733 yDER RICIJARO SNYDER WILLIAM Y 12/119/Jll 5/27/82 74.00 J 1 00 SAM nABS aF2 1900 8AI1 BASS 0F2 IJTON TX 76201 E14TON T% 76201. NO response to Collection efforts, ' 201 362475 ROTO GRACE P 0 eflb~~11 399 12/a7/81 5/27/02 41.00 ORAPt07J ND 08237 No response t0 collection efforts. J ~v J E 1 ; 1 - ~r - DATE 9/:14182 9: 17• F L O N 11 E M O R i A 1. Ii p 3 P 1 i A L PACE 14 BAD D4nT TRANW'ER RVORT FOR p4RIOD 910082 MAU 5/31/O2 104** DATE DATC DATE OF nALaNE ~ aawa_.._. .'.aw,~+ADDR, C,IlYjST, ;+•FYr__r ^Y.... _D PNUMBE ADUR, CITY, 6TI ZIP ADOR CI 21P ADMITTED DISCHARGED WRITEOFF OF ACCCUNT E L,J~ PATIENT NUN,OBR aawwa PATIL•N1 tJAhlE: J s LAUR~NC]n 0s/8? 9/27/02 38,00 201. 286038 OOTO VICTORIA ITT0 i 316 FRA14E Tx 76201 b 33E3J 6TON FNArSE T% 76201 No response to Collection efforts, 110E 379935 BRARKB Rn!!rJili 9FARKgq9 I RONNIE 2/12/82 9/27/82 69.00 i R1, a 510% 263 T% 76201 ~EWTONPQ% 263 Tx 76801 No response to collection efforts. JERRY 12/23/81 9/27/02 269.90 110'°2 :334045 MARS JF~KRY SPf AliB pq tigx 451 907 6TH T PU NOX <191 907 6TH'liT TX 76266 No response t0 collection efforts, J I I ,140E TX 76266 9AtJ0CR :03 327221 BP❑❑FARB gANny S'EAR0 HOLLON I.t/O6/81 9/27/82 368.60 8/R 401 903 6TH ST Bp% 91 403 6TH 31 / TX 76266 SAIJO R TX 76366 No response t0 C0118Ct10n efforts, .00. 'NOER j 9/27/62 38 GTL~UPppQx 114A ' 31AROARET 7/01/81 202 20V088 1 R1 dAdp% 119A JOHN KSSC TX 75034 Rt8C0 TX 79034 No response to collection efforts, J ttll 380652 7A0A~Y LINDA 111PORAtlARY ROOER 11/13/8l It/19/81, 9/27/02 961.69 IIIsOXOjk TX 76266 SA40EH Tx 76966 No rosponse to C011eW O6 efforts. r ' 201 370312 PRAOGRRY I1EL1SSA ~TTRUUL4LL0Ul8E 2 WILDA 1123/02 9r'27/8^n 41.00 4pgU10U18E 2 TX 76201 D1:IJTON TX 76201 No response to collection efforts, +v E T IV 9 ELnERT BpRAYtlEkRY ELgERT 7101/85 9127/62 91:90 t 1 309302 8PTTRAYIppIEOZRS93 RT 9 OX 193 CSN~ON Tx 76201 DF14TON T% 76205 NO response to c0118Ct1on efforts. ,l 304 9tO60 STAN dRD Wry 930NPAt'4tN0 BETTY 10/10/81 10/16/81 9/27/82 297.88 q330 AiJIJIN TX 76201 DENTON TX 76201 No response to Collection WOOS. J 1✓ C MILK KYLE 2/06182 9/27/82 7E1.00 201 374219 ~trrAPgqL~OX 93 IJORA g8gTA4LBOX 53 1. pEMTgN Tx 76201 UE'iJfiON TX 76201 No response to collection efforts, J LUCY 1:'./tl6/OI 6127/82 88'00 2 269609 STANLEY SHARON 733F1~LEXANUER 1113 HILL TX 76201 OGNTCN TX 76201 No response to collection efforts, bQNTON loi 324149 BRTAPR % t04 Hm nY 9TAnR JERRY f0/0R/81 10!08/B1 912718.^. 623.69 RT 2 ox 1,94 AU3RggE?}~ TX 76:^7 AM Y TX 76227 NO response t0 C011eCttOn efforts. 798 AUx 390 CHARLES 9117/81 9/19/81 9/P7/flS .8 4 tot 333070 STARR MARTHA STARR3R0N Tx RT 3 Box 290 76205 No response to Collection effortt, CENTON TX 76201 0ENi - J J I ( 1, MIA, Sl~ i t kr Ali F ' III t 1 i RATE 5/20/8; 9: l1: FLtlIJ 11e Mon I AL H08P.I TAL PAGE 20 f° A BAD DEOT TRANSFER REPORT FOR PU"IOD 9/01/02 'fHnU 5/31/92 td PATIENT IJUIJUg pp A DDUU R 44444 ATIENt IMME 6444 44144 GUARANTOR NAME 4+44 DATE DATE DATE 1K DALANCE .y PFX NUMBER ADDA, CITY, ST, ZIH ADDR, CIM ST, ZIP ADMITTED DISCHARGED WRITEOPPF OF CC NT 201 379170 FTL•DHAM Lap 91'EDHA14 LEE P/09/02 5/27/82 70.00 tOTLLOELMOa (N-41 eT ADt~%E 73068 L'ITTTLEOEiM a TX 70065 NO response t0 collection efforts, 202 130008 T)CWARTC GMEW18 HEATHER STE114ART LEMENTB DE14AINF 10/29/81 0/27/82 42.50 r 13300 NN p0 CC Cr11148V]LLE TX 76240 ~AkNE81'l1 L.F TX 76240 No response to Collection efforts. 7 VOl 379:,27 S 1 OPANDY STINSON JANICE 2/10/82 9/27/8; 30.00 J ..T N9g1! , f l7~8 BOYD 706 nDYn CENTON TX 76201 ~ENTDN Tx 76201 No response t0 collection efforts, .r _ 701 3 M;I9 ST~NSON KRISTI. STINSON JAWICE P/10/82 9/27/82 38.00 112E€7 9ONtlY0 TX 76201 UCRTOBOID TX' 76201 No response to Collection efforts. 283283 STSCKARD , JONATHAN SIIAFFOIID , RAY II/93/el 0127/82 140.60 520 alAVEk R IN 8 LL q CIN VI SLL Si% 76240 A1N 8 1N9'tILF TX 76240 NO response to collection efforts. 1 201 367003 ONE DE14VER S E MOLLIE I.I1/e2 0/2+7/82 38.35 1 i0Tg33 NMHT 1 NIGHT T% 76201 No response to collection efforts. f gppNTON TX 76201 DE~tJ4N t 201 345163 509VF AME r CARY 041 RA11F , GARY 10/:9/S1 9/a%/9e 40,75 i 1'4TOrrvv TX 76901 fifJT R TX 76201 No response to collection efforts, 201 35N002 STRAW VICKI STRAW VICKI 12/09/91 9/97/82 42.00 Op AµµE OppD DRIVE 0 AKSIlOOD DRIVE V = LAKC DA AB TX 1006 5 LAK BALI AS T% 75065 NO YOSpOnse to collection efforts, v 301 351910 DBDART BECKY MART , BECKY 11/16/81 5127/e2 49.10 I a & NORMAL a 4 D NORMAL NTON TX 76201 DL14 ON TX 76POI NO response to collection efforts, 202 V6393 pgTUAAJ ViROMIA RTUJRLPRICORN 09 JAMES 12/17/81 5/27g/(12 9'/ 00 " 9 RT A V ' OG pp ik 762011 DEN ON TX 76201 No response t0 CO11BCt1611 efforts, ~ 3/16/80 lOf 137/79 OMTW 1COLU IS CErTX 76201 D~JTW. OLL+9 JOTX 76201 No response to olieCtton efforts /p2 ab. ao J lot 28590? SULLENNENOSR SARA SULLENOF5 , SHIRLEY 0/16/81 6/21/81 9/R7/9a 1639,83 NAI,I~ TREEI P O O% 378 LAHH.DALLAS. T:( 75069 LAKR O3ALLA TX 7506D 'Arrangements not kept, J lot 3413623 ~~'S99TAtqq%T% KATHERINE L6ARACVI Nj DAVID A 11/06/Bl 11/07/81 0/27/82 626.35 IiU3TON ORO TX 77008 HOUSTUUB PPFF+ f YX 7700e Arrangements not kept. 1 F-1, jl~ , }s t 1 .1131. DATE 0/28/82 9: IB: F L O iJ 11 E 11 a R I A 1. H D S P 1 T A L PAGE 21 1 DAD DEBT TRA149FEN REPORT I°OR PGRIOD U/01/82 THRU 9/31/88 PATIENT NUIIOER PA1'IEItT NAME +'I+* nM*a♦ GUARA141OR NAM5 DATE DATE. OATH OP BALAN E L I( PFX NUMBER ADUR. CITY, ST, 4IP ADD", CITYr8i,-LIP-----_ ADMITTED GIB------p WRITE--_ - _aP__ ACC _ 1295/81 9/77/82 39.60 201 396873 8~'OtlUpA r LAURA OVOBaDA kT 4 R„„ 19 11ATTX 76201 No response to collection 'efforts. xx 4 g0A1JUNE Sb TX 76P.01 ROANN i 9/27/82 95.50 201 380774 SWEAT ROBERT SWEAT ROBERT 2'27/a2 2807 WELCH APT A 2007 WEIC11 APT A TX 76201 NO response to collection efforts, EN aN { TX 76201 DE14TO14 101 314941 THONNFI[ L TEtNI iF'0(~NiIll TERRL 9/03/01 9/06/81 9/27/07 1296.80 1021 N UDDEi L 214 tF~BM1 6bl)DELL 214 No response to collection efforts. CEIJ, TX 76201 ]I 014 TX 76201 TOW 12 SOl 360689 TORRES JEN11IFER WE.GMS r JIMMY /19/R1 . 12/0^1 701 9/27/82 1503.40 3000 N.E. BTk11MDNS 3000 N L STEMMON3 TX 79006 No response to collection efforts, TOWER DAY TX 79006 TOWER SAY 1202 130427 THAI HITCH HUITER , JOHNNIE 10/09/80 9127/82 34.90 300 CORONAnO 62 OAKLAND J NTON TX 76201 DE1JTON TX 761201 NO response t0 CO11eCt10n efforts, t ry DAVID 6/23/01 6126/81 5/27/82 25,00 I 101 306189 ry33{A{,I UNNINQQHh11 AMANDA 7361 tt~~NNIN HAM ~AINEBVILLE TX 762'10 GAIN£BVILL TX 76240 NO rWOW to Collection effartS, ` MARTIN 0/13/81 0/18/01 012718c 335,91 II 101 38406 7REVINNO Egl" RALDA 1414 1XIIEK T% 79067 NO response to collection efforts. 12y14 NXITER 9 J y. DF~LLAB TX 713067 DALLA 201 339200 TUCMq Oti1N T CKEk ANOR W 10/09/81 9/27/N2 $1.00 ' 1g0A CARRIAGE HEE C1R 0301 k 04 CAJRIAOE HOE C1R 1%9176011 No response t0 C0110COO11 effer~t$~ I L ARLINGTON TX 76011 LIN1 201 382994 RNgggggggM DONALD TYUHIJER BRI;IJDA 3/06/02 9/77/82 6n. 00 l fi13 ITH R4 T% 76201 0 5 BMIIH 124 TX 76101 No response to Collection efforts. ttt pp 0 14 lot 313668 1'TLENIUAELBDX 670 r ALICIA VALRN2UEDOX 673 MACROS 7/10/81 7l17/Ol D/27/82 197.90 RRWild- TX 76;)47 JUSTIN TX 76247 NO response to collection efforts. 101 19b939 L•'A 0/27/82. 5237.75 V OIJE CRC , CNARLEB jgjNREAV[8 r CHAIILES 3/00/80 3121180 i V I2 I,LfiAV1gW TX 76272 VALLEY VIEW TX 76272 No response to collection efforts, r p GLENN 2/16/82 8/27/87 667.90 } f g01 48140 499'ALTggRB CABBIE 705 9B XAG ZEN 18%AB E14 O14 4 &NT N T;t 76~01 aF.IJTON 7X 76201 No response to collection efforts. ~ f 179, 3 379683 I11.TgRS Op WALYFR9ApRICDRIJ MHh PPATT TY 2/11/02 5/0//2 ,75 o CAPRICORN Ot9 360 NO response to Collection efforts' 4 NT N TX 76201 DENT IJ X 76201 J 4l y .i 1 1 it 1 I a 1 q] J L, I/A7F. 6/28/82 4: !d' V L O W M C 11 O F 1 A L~ H 0 8 P I T A L # PACE 22 BAD DEer TRANSFER REPORT FOR PEHIDI) 5/01/02 THRU 5/31/82 AT NUHBHR ADDRC1Yr B 71N A*I** OVARAN'OR NA11F rww♦ III FAT1i NT UMOER +wwww DR, . T IJAt1 waww OF ACCOUNT PFX ADOR, CI~Y,BT, ZIP DALE DATE UATg OF BALANCE • ADMITTED UISCHAROF.D, WRITEOFI: DP ACCOUNT 201 379362 U A SKIP IJARItEN » - R NT tl RNARD 425 ppggAMRD Skip 2/24/82 9/27/6: 196.00 tlDBNT N Tx 76201 DENTON ~X 76201 No response to collection efforts. 243 292169 0yASHINOTON TRVUIE ItAyyH1NOTON l~ UC.NTONLL NA TX 5i6 MILL pA TNUDIE 5/10/81 1/27/62 d;. 10 761 I 76204 OEI T N TX 76201 NO response to collection efforts, p! P 0 0 833054 gT6SOk 303 KATHY 14AISON KATHY 9/17/01 9/27/02 70, 79 t. ROAIIOKE TX 76262 ROANDOKEx 3B3 TX 76262 No response to collection efforts, / 99 627140 W 1TE E/H~L iIHl E JERRY 5/12/76 O at BONNiI' 6HAE 1201 N DONNIE BRAE 6/12/78 $/27/8p. 60.00 Tx 76201 MrNlON TX 76201 No response to collection efforts, 201 364313 VHIre JACKIE ld TE ' Rrr 3 BDY 373 E JACKIE 3/09/A i 1. EABTVALE T% 79056 3 Btlx 373E 6/27/62 76.00 83 000 7x 76066 No response to collection efforts, I 101 266174 OHITS , JEFFREY 'WH 7g - BO% 766 JOHN W 1/09/81 1/14/81 6/27/02 426 10 Jr 1LOT POINT T% 76256 BA~OER6TH 701 289806 I(ILLIAMBON pO~y TX 76266 NO response to Collection efforts, q CC EEBTNVT STREET 86 VILh gqlIlggggtlNN pppoNNA i Cb gOUNUT 6TARET p8 11/16/00 .9/27/e~ 53,00 If ! ~r t7r?NTOM T'x 7620t I)NTVN. TX. 76201 NO response to Collection efforts, i 101. 386136 WggttLyppyOpNNp 11ARSHALL I ErrEpp6 COLONY i'Igg[[ p$ON ttcc~~ 11ARSHALL 3/14/62: 3/17/82 6/27/82 I066.6L V CA ROLLT0 TX 75006 CARROIPTOtJ6 COLONY Tx 76006 ArrangenlOntS not kept. TOTAL BAD MY WRITE-OFF THIS PeRIOD:' 41069.29 I .J 4 U c BOARD OF DIRECTORS y BUSINESS MINUTES oe~e June 17 1982 Pege 1 The Board of Directors of Flow Memorial Hospital met in a special, called session at 7,00 p,m, on Thursday, June 17, 1982 with the Chairman presiding, Members present: Also present, Members absent: Mr. Ralph Havenhill Dr, Roger Nunn Mr, Don Simmons Dr, Don Holt Mr, George Hilz Mrs, Wilma Fritz Mr. Bruce Stewart Mrs. Mary Williams Mr, Brad Moore Mrs. Gloria Madewell Dr. W. E. Coleman Mr, Dan Trammell Mr. Leonard Watson Mr, A. E. Wyatt Mr. Wyatt announced that the meeting had been called to hear a presentation from Peat, Marwick, Mitchell & Company regarding the proposed professional office building, Mr, Simmons and Mr. Stewart were introduced and given the opportunity to make - their presentation. Eight scenarios were reviewed for alternative approaches in estimating the cost of the building All scenarios involved a partnership between the hospital as a general partner (with 1% of shares) and physicians (with 99% of the shares) as either limited parners or limited non-partners, The Board members were in agreement that a professional office building is needed adjacent to the hospital and that before such a project is undertaken, it is necessary to receive a commitment from the City and the County and from a certain number of i physicians, There were some legal questions raised concerning what the building could be ' r utilized for and what some of the limitations might be for such a partnership. Mr. Havenhill moved that an attorney be employed to research the legality of such a protect and to draw up a round draft of a partnership agreement, This motion was seconded and passed by voice vote, Mr. Trammell was asked to recommend an attorney for this project, and he said he would make a recommendation, Mr, Moore moved that Peat, Marwick, Mitchell & Company be asked to provide additional information for the Board--1.e,, more scenarios at 10 and 20 year financing, with a construction loan, with permanent financing by tax-free revenue bonds, and partners only, This motion was seconded and passed by voice vote, Both the legal survey and the additional information from PMM are to, be presented to the Board of Directors on June 2;. If such is available at that time, The meeting was adjourned at 9:25 p,m, I A. E. Wyatt, Chairman Acting Secretary gm f 30ARD OF DIRECTORS MEETING ~ BUSINESS MINUTES Dale A ri 1 22 1982 2? P'a' I The Board of Directors of Flow Memorial Hospital met in regular session at 7,00 P.M. on Thursday, April 220 1982 with the Chairman presiding, All members were 9resent--i,e „ Mr, Ralph Havenhill, Mr. George Hilz, Dr, Don Holt, Mr, Brad Moore, ' ' r, Dan Trammell, Mrs, Mary Williams, ~)nd Mr, A. Wilma Fritz, Mrs, Gloria Madeweli, Mr, Leonard Watson~aand Dr. JohneAndersoneI n rthe absence of Dr. Nunn, f~ The minutes of the previous meeting were presented, reviewed, and approved, 1 Old Business: Boilers--The Administrator stated that the new boiler is now operational, New Business: Fipg a Re o --Mrs. Fritz reviewed the Monthly Financial Report and summarized the operat ons fur the month of March. She noted that the average daily census had been 90.5 with an excess of revenue over expenses of $60,038. Accounts payable had decreased from 28% of patient receivables to 22% of patient receivables, and vendor payables had decreased $65 000 during the month, The Bad Debt Chargge-Off List in the amount of $61,005 and the 6harity Charge-Off List in the amount of $36,926 were both reviewed, Mr. Hilz moved that the Finance Report be approved; this motion was seconded and passed by voice vote. u IIty A__~,___ccountab111t Reort--The Administrator reviewed the minutes from the April 7 meetingg and explained that the committee is reviewing biotic usage within the hospital. They had approved the QA Maualt andnhadfreviewed I ` a this n anesthesia agent study, -Mr. Havenhill moved that the 8 motion was seconded and passed by voice vote, oard accent the QA Report; i Saf--The minutes of the April 2nd meoting were reviewed, The Administrator Staten a the possibility of installing some mini-transformers to prevent damages caused by the electrical power surges is being studied, A summary report of the March incident reports was presented and reviewed, Mr, C Safety Report be accepted; this motion was seconded and pHavenhll moved assediby_voice vote, he Revi il ,zti~tion~ ~~evie a ort--The minutes of the March 23 meeting of the Utilization Utfi di aRacQr s, slue ew, a cfF and Transfusion Committee were summarized by the i Administretur, Mr, Havenhill moved that the Utilization Review Report be accepted; i this motion was seconded and passed by voice vote, Medical Staff Re or .-Dr, Anderson reviewed the minutes of the April 19th meeting j of the ,xecut ve Committee, He noted that Or. Love had resigned as Chief, of,Anesthesi until the Bylaws can be revised to more clearly differentiate the supervisory respon. sibilitles. Or, Anderson added that Dr. Love Is the Chairman of the Bylaws Committee which is currently meeting to propose the revisions, Executive Committee has recommended changing blood supplDr. iers ~~fromothee0al?es'Blood~he Bank to the Wadley Blood Bank and explained the reasons for the recommendation, The credentials from the following were presented with favorable recommendations from I the Executive Committee, the Credentials Committee, and the departments to which they are assigned; Active Medical Staff, Walter Carr, M.D, Courtesy Medical Staff, Kenneth Pool, M,D.Neurolo s Psychiatry and Neurology Courtesy Medical Staff, Muhammad Awan, M.D., Emergency Medicine Allied Health Professional, Sandy Hilliard, Physician's Technician I ! Re-appointment to Active Medical Staff, Ronald Wilson, M.D. OB/OYN Mr, Havenh111 moved that the four appointments and the one re-appointment be approved rein r.e u ra it rra IN CIA. BOARD OF DIRECTORS BUSINESS MINUTES Dole Peye by the Board of Directors; this motion was seconded and passed by voice vote. 'Mr. H11 moved that the Board of Directors approve the change to the Wadley Blood Bank; this, motion was seconded and passed by voice vote. Mr. Moore moved that the Medical Staff Report be accepted; this motion was seconded and passed by voice vote. Professional Office Building--Some estimates on cost of the proposed building war :Ilesen"hed, 'Me co§ o a ree-story building with a total of 37,500 square feet, only 80% of which would be leaseable, was estimated at costing $2,350,000. Twenty- five thousand square feet would be finished at $70/sq, ft, 12,500 would be left in the shell at a cost of $32/sq, ft., and approximately $2000000 would be needed for site work, A projection was presented of the yearly costs if a 20-year loan at 12% interes was assumed, This was discussed. Dr. Holt recommended that another alternate be studied and that costs be estimated if surh a building were built with the hospital as general partner and private practitioners being limited partners. The Board asked the Administrator to pursue this alternative and contact Peat, Marwick, Mitchell and Company about presenting such estimates to physicians who might be interested in becoming the limited partners. NA~Ional Ho§r)ital Week Activities--The date of Monday May 10 was set for a dinner honoring past n3`prese- t members of the Board of D~rectors. The date of Tuesday May it was set for a luncheon meeting with the City Council and County Commissioners, It was also agreed that the Foundation Board should be invited to attend the May 11th luncheon also. Other activities for National Hospital Week were summarized, O dget Pre rations--The Administrator proposed that the Board approve an overall 7% increase in salary expenses to be included in the 1982-83 budget. This was dis- cussed and appproved. The Board asked that the budgets be submitted to them early enough to allow them ample time to review them. Suspense Litigation--The Board members were brought up to date on pending cases. Lourrg~,e-a-bed Protect--Mr, Watson reported that the Business.and Professional Women's Club had started a project to purchase 32 lounge-a-bed chairs for the private rooms. He explained that currently cots are used whenever a family member needs to stay the night with a patient and that the lounge-a-beds would replace the cots. Mr. Watson reported that Moore Business Systems has notified the hospi as A' eq it Intent to discontinue their hospital computer business and have { already suld their software systems, They will however, support Flow's system until April l0 1983. Alternative computer systems wd l be investigated, There was no further business, and the meeting was adjourned at 9:25 p.m, - j Dan Trairmtell Secretary 9m i 3 s f i i jaw 0 NMI FLOW MEMORIAL- HOSPITAL BALANCE SMELT April 30, 1982 1982 1981.1982. 19$1 ' Current Assets; Current Liabilities: Cash--Operating $ 165,466 $ 105116Q Current Notes Payable $ 185,002 $ 1469 2 Interest & Sinking' 14,315 70631 Accounts Payable 5920862 516,877 Reserve Fund 20,181 Accrued Payroll 3359675 260,912 Repair Fund 1,826 4,087 Payroll Taxes 740673 58,325 Group Health Insurance 1,074 116 Fees Payable 183,213 127,716 Investments/Board Designated 521,398 271,398Bond Interest Payable 13,414 13,939 a Bonds Payable 66,000 65,000 ` Due Medicare 21 016 Total Cash & Investments $ 724,260 $ 3881401 Total Current Liabilities $104709A55 $10189,571 Accounts Receivable $29774,903 $2 073343 Less: Allowances 4246,1 2 191:215) Other Liabilities: Net Patient Receivables 38 * 7 51 + Deferred Income $ 145,439 $ 127,267 Other Receivables $ 43,A94 $ 191,676 Long Term Notes Payable 522,598 352,025 Inventories 268,764 273,074 Bonds Payable 430,000 495,00 3 I Prepaid Expenses 896428 720605 Total Liabilities $2,568,892 $2,163,853 Total Current Assets $3,6555097 $2,8070784 Capital:, Property, Plant & City of Denton $ 3939165 $ 393,165 Equipment: County of Denton 1,696,871 1,696,871 Land $ 37,547 $ 379547 Endowment Flow Estate 240,461 240,461 Building & Improvements 310609002 39006,220 Fed, Grants, 653 Nill-Burton 10868 910 1,868 910 ~ 'Furniture & Equipment A~468 793 ~ 4 .015,653 Federal Grants 256,371 256'l371 > Pledges and Gifts 459,380 373,300 j Gen, Fund Bal,, Beg. of Yr. (686,770) (100599536) II Accumulated Depreciation (41064,919) (31668,213) Current Year 3591240 265,696 Net Property, Plant & Equip, $31501,423. $3,391,1207 total Capital 4 587,628._, $41035j138 TOTAL OPERATING FUND $7,156,620 $6,198,991 TOTAL OPERATING FUND 7 156 5 0 __6L198,99?, ; Current Ratio 2.49 r III ~ i i t I { I y Page 2 PLOW MEMORIAL HOSPITAL STATISTICAL STATEMENT April 30, 1982 U R R E N T MONTH YEAR»T0-DATE PRIOR Actual Budget Actual Budget_ Year-to-Date Adult Patient Days 21898 2,970 19,918 ?.0,990 20,381 ~I Average Per Day 95,6 99.0 94.0 99.0 96.1 1 i Newborn Patient Days 432 3,900 2179 2,756 20307 Average Per'Day 14.4 1310 12.9 13.0 10;9 Gross Patient Revenue/Pt. Day $ 396.87 3 357.25 $ 378.97 S 369.43 $309.08 Total Ex•)ense/Patient Day t 324.79 $'292.11 $ 320,25 $ 297.45 $2631,15 1 Month Chart Dad,Dept Recovery r October $ 720027 $ ,49,90 $ 70406 November 52,097 15A;643 51421 December 25,607 941960 5,666 January 15,366 87,082 8,998 February 58,7![5 71',137 5,634 March 36,925 54,005 8163n April 55 691 76 375 1 831 6 14 0,9 54,986 I % Revenues 4.2% 7,8% 110% t F L 0 4 J M E M O R I A L H O S P I T A L page 3 STATEMENT OF OPERATIONS/ April 30, 1982 - % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other Expenses Profit (Loss) 4 D611Y Hospital Care 18 s 2086556 $ 126,252 $ 60296 5 132,548 $ 76,008 Psychiatric Care 5 620582 27,684 5A5 28,369 34,213 Q8/Post Partum 5 610485 17,907 1,863 19,770 41,715 , ICU 1 16,225 160015 220 16,235 (~0) Nursery 3 38,936 91453 21495 11,948 26,989 E Neo-Natal Nursery 1 ' 11,100 13,512 317 13,829 (2,729) Coronary Care Unit 4 420077 32,879 2,909 35,788 61289 Labor & Delivery 3 37,248 21,300 6,250 27,550 9 698 Operating 6 Recovery 5 58,148 190776 10,927 30,703 27,446 Einergency Room 3 32,617 18,245 20,756 39,001 (6,384) Central Supply 7 76,464 8$72 34,380 420752 339712 Laboratory/blood Bank 9 101,784 460095 46,095 56,689 j Radiology/Nuclear Medicine 6 .699265 1G,560 170927 34,477 34,788 Pharmacy/IV 17 190,244 10,066 44;751 540817 135,427 Anesthesia 4 44,787 121818 615134 19'402 2513$5 Cardiopulmonary 2 24,214 50906 110163 17,069 70145 Respiratory Therapy 6 67,312 12,013 7,850 20,663 46,649 Physical Therapy 1 10 539 7 077 1,407 8 484 2 055 Total 160 $1 O , 55q,UB3 Deductions of Revenue $ (50,856) $ (50,856 Charity & Bad Debt (118,301) (118,301 Employee Health Ins. Exp. $ 33,710 $ 33,710 (331110 Medical Records 294 $ 109324 2,187 12,611 12,21,7 Gift Shop/Grounds Mte, 11713 2,350 11759 41109 (21396 P Cafeteria 119221 26,293 27,617 53,910 (42;689 Plant . 15,866 51,484 61,350 (67,360 Housekeeping/Security Service 27,04 39783 30,907 (30,90/ Lavj.dry 61401 2,168 8,569 (8,5,69 Fiscal Affairs/Data Proc. 7,597 4,244 120841 (11041 Business Office 23,453 7,414 3Q,867 (30,867 Purchasing , 1,679 16389 3,0664 g'3Q f Personnel 31626 41768 893 , 4 L Administration 70226 2,448 9,674 staff Education 1,853 128 10981 991' I General & Administrative 66E 299673 29,673 29,017 I Depreciation 34 986 34,98§ 34 9'86 it Z01,748 341~5 40 $ [3gin (Loss) from Operation: 57,270 Non-Operating Revenue 25,000 25,000 Foundation 49w 4,088 Total - --"~..,..M..1fMl~I~..U..........rn....u.~.......~. ...._.._..,...~._..,._.~....r~w.w~.a+.r ..n.._....n.. ~t 1 PLOW MEMORIAL HOSPITAL Page4 STATEMENT OP OPERATIONS/YEAR-TO-DATE, Apricl 300, 1982 % of Salaries Supplies Total Direct'Operating i Revenue Revenue & Benefits & Other Expenses Profit (Loss) Daily kospital Care 19 $1,4201228 $ 862,076 $ 35,278 $ £91,353 $ 522,875 Psychiatric Care 5 397,442 203,167 5,167 208,334 18991'08 OB/Post Partum 5 383,762 113,557 8,383 121,940 261,822 ICU 1 101,025 109,027 6,805 116,832 (14,807) Nursery 3 230,038 75,360 16,567 91,927 138,111 Neo-Natal Nursery 2 143,924 965977 2,902 99,879 44,045 Coronary Care Unit 4 335,099 2400229 23,111 263,340 71,759 k Labor & Delivery 3 2339731 148,217 34,597 182,804 50,927 Operating,& Recovery. 6 344,730 138,748 68,639 207,387 137,343 Emergency Room 3 219,725 103,664 ~ 144,750 248,414 (28x 689) Central Supply 7 4999963 61,094 2200389 281,483 218,480 Laboratory/Blood Bank 10 7190823 - . - 331,855 331,855 3870968 Radiology/Nuclear Medicine 6 476,684 114,227 1200606 234,833 241,851 f Pharmacy/1V 16 1,109,828 77,397 256,863 334,250 776 578 I Anesthesia 3 269,176 89,951 36,945 126,896 1241280 Cardiopulmonary 2 164,061 400608 64,559 105,167 48,894 Respiratory Therapy 6 441,704 90,030 49,694 1391724 301,980 I Physical Therapy 1 67,418 42 401 4 871 47 272 20j146 Total l0061729 $1,4311961 $4sU38169U 3;509167I"~.. j Oeduetions of Revenue $ 322,8610 $ 322,860 j Charity & Bad, Debt ~797,115~ 797,115 f Employee Health Ins. Exp. $ 208,345 $206,345206,3,,6 Modical Records 20282 75,426 13,705 89,131 (8618 9 i GIft $hop/Grounds Mte, 13,543 13,981 10,570 24,551 (11,008 Cafeteria 789001 181`,855 183,865 3651710 (287,709 } II Plant., 11'3,052 361,466 479,4 68 4791455 Housekeeping/Security Guard 1940OA7 29,305 223,392 ~223139Z Laundry 49,285 15,794 65,079 (65,379 ( FlsCal Affairs/Data Proc, 55,175 30,493 86,368 86, y Business Office/Cr. & Coll. M o 074 62,713 227,787 (221,7 8.7 PurGhpsing . 110392 91745 21,137 21,13:7 ` f pel±4q'AnQ 25,200 22,626 47,834 47,834 Adrgin.tstration 43,716 15,006 58,722 58,7x2 Staff'EduWion 136709 20349 161058 16,0$8 General,& Administrative (5,496) 188,527 188;527 194,023 Depreciation - 239,852 239,852 239 852 Gain (Loss) from Operation 138,076 ¢ Non-Operating Revenue 1920440 1929440 F'oundatfbn 28$725 28,725 ! Total 6 737 881 3-,6 4,389 $29824,252 002,181641 $ 359,240__ _ 9 Page 5 FLOW MEMORIAL HOSPITAL ` SUMMARY OF CAST{ RECEIPTS AND DISBURSEMENTS • April 30, 1982 t r2 z i Current Month Year-To-Date Beginning Balance $ 227,202 $ 68,074 Cash Received from Active Patient Accounts $ 902,416 $6,051,004 I Bed Debt Accounts 13,831 54,986 Cafeteria 11,845 82,266 C ! Appropriations/Donations 3219108 6,352 70613?.7 Total Cash $ 934 444 $7 215 691 ; -$r~ 16 1 M- $7,283,765 TOTAL CASH AVAILABLE Cash Disbursements: Payroll $ 407,513 $2,0710957 Payroll Taxes 62,184 435,771 I Patient Refunds 39,640 160,835 Capital Assets 28,382 3460508 Notes Payable 179223 ?31090 Other_ 441,946 3,I101656 Total Disbursements $ 996,898 $7 119 017 X11' 164,748 i Cash Balance Cash Investments 525211339988 Total Cash Gross Patient Revenue 'Less: Allowances $1,166,413 $7 562;954 Net Patient Revenue 88 G50 540 4 ; x $1,0679863 tsuflovW Cash Received on Patient Accounts 9020416 $6,051,,004 Less: Patient Refunds 39 650 16 835 062 766 Net,. Cash on Patient Acc,qunts I!I!,f Cash Received as a $ of Revenue 80.8 i I4 I r rays; Page 6 F L 0 W M E 11 0 R I A L 11 0 S P I T A L i AGED ACCOUNTS RECEIVABLE SUMMARY } April 30, 1982 € Primary__PMor Current 31-60 61-90 nI-1?.O 121•.150 150+_ -Total % of A/R Medicare $ 244,490 $ 48,672 $ 229843 $ 81128 $ 1,616 $ 19,550 $ 345,199 14,2 Medicaid 739897 149857 539123 31452 50090 14,498 1649917 6.8 Blue Cross 125,788 330460 13,042 838 11189 29 174,346 7,2 Commercial Ins, 261,052 164,966 54,665 19,924 301 110319 5120227 21,1 266,768 1790393 154,642 765948 780799 137,408 8930958 36,8 Self-Pay Balance after Ins. 111,639 - 590992 580247 32,458 24,315 519652 338,303 13,9 $1,083,634 $ 5019340 $ 356$62 $ 141,748 $ 111,210 $ 2340456 $20428,950 100,0% - Advance Medicare (113 9) Net Billed A/R $29315,361 Y 4.,9. I In-house 492.49 1 1 Total A/R Number of Accounts; 71567 i Days of Revenue, Accounts. Receivable 64,9 j In-House 13.8 Total . 4 I t li r I r L i Page 7 i 1 FLOW MEMORIAL HOS P I TAL 11014£ II EALTII , BALANCE SHEET April 30, 1982 I ASSETS LIABILITIES„ Cash $ 62,304.44 Accounts Payable $ 242,93 r Accounts Receivable 36,552,31 Payable 'Due Flow 18,859.53 i Total Current Assets $ 98,856,75 Accrued Payroll 59344,04 Total Liabilities 3 24,446.50 f r- EQUIPMENT CARITAL i Furniture G Equipment $ 11615.00 Pledge & Gifts $ 90.00 Less Accumulated Deprec. (628,04) County Home Health 56,918.66 Net Equipment $ 986,96 Retained Earnings 18,188,65 ri TOTAL OPERAT1140FONO $ 99,843.71 TOTAL OPERATING FUND S 99,843.71 01, a ~wMr Pale 8 F L 0 W M E M 0 R I A L H O S P I T A L 11 0 14 E 11 E A L T N STATEMENT OF REVENUES AND EXPENSES April 30, 19A2 1 MONTH YEAR_TO DATE, REVENUES Patient Revenues $ 24;183.53 3 128,391.00 Deductions of Revenue (9,652 97) (20,028.10) Net Revenues $ 14,530,56 $ 108,354.90 EXPENSES S` 13;821,53 $ 95,664.48 Payroll 6 FICA Expense I c Supplies 588.24 61542.96 s Travel 11190.52 61159.45 Employee Benefits- 98.99 981.42 i Depreciation 179.44 628.04 r .891975.35-- Net Expenses $ 150878,54 ~ ~ Excess of Revenues over Expenses S (11l A 38A.55 $ i iC t I 1 i I . r DATE a/2U/02 13:04; F L 0 N M It M D R I A L H 0 8 P I T A L PACE ACCOUNTS REI:CIVAELE ACCOUNT STATUS REPORT CHARITY CHARGE-OFF LIST ppggqTt IIENT rM NN pp PRE -[ADMIT pUATE gg tCCVAIL 30, 1982 g ppTT LL g~~Lgp w1N DIJtAC PAT" VC. w OUARANIDROXOgfiCdBR^-IJPHONE NJI1FSQR R%C 648CHAROE DATE HL+p1CAl0 w INS N PADUENT CVHRBNT BAI AtJCB ~ D I ` f A0103 199011RIE 7ggM PnYuuADAMS 4ONNIE X21^4053 B1 1 /131 1 876913601 ;190.00 468.34 1g LLVIIBVIrLE RAO TX 7067 3 10/82/81 31 423104 ti w + Balance after Medicaid, 4. ` ADAMS 394%[N H DENTON COUNT, JAIL 8lS S ~S 1.400.00 1924. 95 4g4,g 1 tot S DENTON IX 76201 4/ 1/ 2 8: 1924,99 • nnJJw Denton County Jail, gg g' L RS101N 349bQ71fA DBNTIIJDX 1$OTI1WLIiHP ! JT%I~rJA762G07Q3 L %85%91 1. 150100 Ik94,70 4 u I t RR 9 12~,. ~Q Balance after Medicaid! MpN CA ggEp C8 pp ggLEgggSB 14Df'tCA 2 R7 I J1192 900.00 !0199.88 tqq gp 4 PLC 91 104 2477 DEN tlNOXCRtlRT TY 76205 99Li$ B 2/ %62 18199:18 BL 8889 84~9~1CA ppp,yCgg01 Eb43ESS 14ONtCA s BB2H111•Burt$~ rrite~~~ ~g8 1, 900.00 36.50 3b y 1r RN,gN TX 7620 88BB 8. 35, 68 w w N111•Durton criterlal 4• BRdwwpp gHANNON R gRpNN SHANNON 8 /`7/8p 461q 40 6011 C2 pD. tl 112.00 V 10'3 11489 PT, C80X 331 U~-2490 1 / /83 50~T R0 0844 :180:80 4308:88 w o T% 70 4 Balance after Med ~A ~8~ 44 t11 puu~ 11 V COLLIOAN f798081C14SW18V1L{E9Lk1$a11 PT%RiC793W062 819 9/2w/ g1 J, 123,00 1881 Q0 I J w r Indigent,wo. 4 4, 88;98 CRBYOg 37~f28Y gigT80 COMPJAIL I'`TXRY 76201 Denton Co8I41tY Jat3'/W/ 3800 w w 014 PR8 MCB I' JD%N 7009 60326 86 HIM 900. 01 38. 48 9 { btifO1 351670 TH24,82A 4 ggD _A qp pp ppgg g Balance after MNMR 190.00 41, 79 l7 Q ' V pO80LN 276 L 41 t1E14AVa 6SAP0fr1h114 IFTXREtJ76^.Ot0522 9t 18%1 %@1 $1;78 1 w * D 0 R 7 ppg ry Balance or Mad c i g1 1 'ROOEfiVE362 2068 t!6 % %8Z .01 89 48 490.30 { 1r EBRa.1 2itb496BVE d28 CHARg LOTTB NO 4 900 Balance after MHMA, %bo j f I I A 5 1 t 3 PACE 2 1 DATE 4/88/82 13;12: F4 tlW MEHOR 1 AL HtlBP 1 T: L ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT ADMIT ry p p e p V~ p N 1,~ pR Ng p ` NC6 T 9 IN 16CFTPIN.T BNi1.+~ OUARAIlIDROhDORC88^•PHONE NUMBER R/C UIBCNAROE FATE MCDI AID N INS N PAUUCNT CV RA N ALA DENTON TX 76201 3/17/82 ' 24'42 4. 1. ptl8r R AVtD Jpg6pN DRpUIl PAYE 47 / 6/8 1,400.00 558.15 NSA 101 l24$4 DENTON SHL pP N18 TX 7620 8 E//1911 NSA i Hill-Burton criteria, 3! 4, «gg pnp ~ ppppLL kk pp33 gg gg g8 flB: CC t PRftO3AN 90896RT AENTdNAl1APRME20 5 ROBERT 73 62813555 B7 O11/ , 400,01 BB.00 „y pp//,, Indigent ca}a°}re, l7 4' P«101 3604 0 70JR68~114Y ANA1 88352 Balance after Hli i %E~ 400, 01 32.81 8l : ~O ✓ O 'r FULL1 341990A 78U1NATHAAYENUPKIII LINDA D6 MI I BV ll% 2%81 800.00 bSt QO 6 .^0 1 ~1 ~0 Indigent care. 1,1: 1' M g SO I i190 { 4 OILCAN BuHLSY g g EtITON COUNT, 3/`/ 2 f. f 1 3SSli74M II NTONMCNNNEY TX 76201 aa 91,50 N Denton County Jail. 4, J 38.00 I 01 AM g1~p EV p pENTON COUyL 04 /2 1 04 382Rtf~ DB15 NTONMGKENNEI 7X 76201 88 Denton County Jail. tlI LAM guuy„{1L EY gg DpENTON COUNT, !dl C1$;182 l; 900.01 47.25 OA 382869; O~iTONMChE11NEY TX 76201 Denton County Jail 4; ! li Li gU g nngg r s 3/88/81 900.01 133, 50 13 , SO 0 206M 363P 9~Y D~N70NMGK6NiJE~N CtlUNT+ TX 76201 6~ * Denton County Jail, 4. { 86121 1.900.01 75.00 R3 0.00 V Whom 3821Ao D~NTONMCKErEINVP COUNrr TX 76201 8; 11/ 61 4 Denton County Jail, rr g1~ + J j *L p~ k EY i g nI+N N COUNT, 84 aIC1%E'? 04, 60 g ~p C 128 383 08NT(7NMCkBf1N6Y Ix 76201 4. ti9, 30 J I l Denton County Jail. i l IE; 4; • ~ r ~ 1~i S rW~VYe...... ..WYY,~yy~,. wr •WMIMJJW JJJJ.IJWJJMIJJ J~.~ ~ LM DATE 4/28/02 13;14: F L 0 H M E 14 0 R I A L H 0 8 P I T A L PAGE 3 ; l _ .F l i ACCOU1476 RECEIVABLE ACCOVIIT STATVB REPORT I pp~g~g++A gglEtti ! p & qp pp pg T~~g M[ND1tECT~Pp~ ATIM,Is OUARANIORO~OU4E6CR-~IIPSNE I2UMBER A/C DiaCMARGE DATE MEDICAID M INS M PAUU NT C RRCNT BALAtICE 1 00102 AM pp A9g KiNl000 t1HP '1fARRY 493736 86 3% I/ 0 11900.01 3D 83 68:85 ~ l w a LANE OANAc088881UL T% 70066 Balance after MMM / 4 O0~1CQ 3042'1ARECNTOM 110RTNnDR k26' ET%Rt T~52Cf3089 900.01 39. 17 639: 17 i wg g pp Balance after MMMR, 4• # OR'«OIIE 363'0'910 DpEg~IT CtlUtlfYtIJAIL DAVID 91 3/12 ~ 1. 38, 00 f 2/ 2. w OE~TEM T% 746201 Denton County Jail, 9 as: 88 OREpNE RAV D Qq ~LIr DAVID pl 3/ q/g2 1.900.01 38.00 / 203 363036 BIOTBN 00011f5 JA14 T% 761101 9 3/119/81 C6: by w w F! 0 Denton County Jail, 00 ORIPFEY OPAL ppMgg CRiFF1s1' OPAL MA 6 81 6/8 g8O 34 ;1 0 19A.50 ~3qq ~ys J j fOR 346115 AV9REY% 42 TY 762272P70 f %8,2.00 $4 165,50 w + III bb Balance after W capi7d. A V NA2O~IN 10C693 DA RT. 6 LOTH59PA8LVERDf1M XBAR7b2~1OD36 e8 12%07%79 28t609004F 160.00 76.00 76.58 i p ppgg DENTON Medicaid not filed until past deadline, t J IX 0 8 I MM 160.00 76.60 f ;"c I 1J HA4.02IN I10161RTA RMg LOTHAI-PA 14 2 2 DLNT8N 8I RDOMI<T% 762010$3 1 /0~/ 9 281609'503 74 00 Medicaid not filed until past deadline,: 746 HANn1 2974W9A AT DO% 63~{tJ V(eLMA 389V509 I / 1,198: 88 40.00 46 J 1„ w DEJON TK 766/ 8/61 b~;~$ Balance after Medicaid/Medicare, HA Ho 30RR88035RT R HASTY ,ROOFAt 81 4%20%8 fff 38.00 w v0 w Denton Cou9nty Jail.7G 8 4. C8 00 lr Hb8g 39PN9ER PEqNNT0N crH4a~1,IL MILLER B1 9%SC%~0 900. 01 38.00 600 j1 W % CGNTJN T% 76201 Sg: Denton Cou9nty Jai). 1 ON cb ppk/ S 0 1r JAC§ 9 D ORNYON C VNTS 0'BJAIL DAVID J 6d 76.00 AM D 00 ✓ ' Denton County Jail. ~I l ~ 'i ks~ 1 ~ ,tl 1 r 4i''~r ! a I i I ....w.wMAYYraiYlwMw•.. f ...~l.r....~s.n~«+rr.~.~w....~........,i......._...... `h:"..:. pATF A128/82 13, 17. F L U IJ N E It O R [ A L H U 8 P [ T A 1. PAO& 4 ` ACCOVIJTB kEC1aVA8LR ACCUVNT BTATVB REPORT ~'SI pp TIls'Wf 81I gp FF P (i- DMtT gA t: ry pp CC gg pp pp L pp 41N~~RFCi+pATN~NAO.a pVARIdtfOROApDkfiG~k~-nf'HgN& WUMNER K%C U~BCHAAOti DATE M~D~CAID k INfJ q PATpU~NT CI~RR~NT BA~AWCB p1:Ni0N . 7X '76201 ~!y~ 78.00 ~ a 9 N, l., KBRR JI~MY 3 „r,~, KfNR rJ11711Y 36y 8 :900.01 18.^c0 SB 101 37 9 LL~WiBVlil6 . Tx 7~067tl9aq / / 27 , ` q p 4 6 g Balance after MHMR. 11! g8~g .i ~ ~~SORB 3772~~2L 41fdD~~! 1419/~t,LE r,kU%GkT76~s05739 gd, /1~/®3 t.g00,01 35.91 yq Q 6 O / / 535, 91 Balance after MIiM ' LBSOIR 178914RT ~gROLO FT SJ~RT~PLOT d0 'RO8$kT 9A 5f 35 8l j~ap% 1,900.00 62.00 248 .6 , i M 9y » pFN?ON r T% 7b~ag1 Balance aftter Mad a1Sdr~ 62.05 > 4. 1.811 'JS0~90~f V1R011NIAR8EA~Hh rDVAIU tJB144991871 8~ 2%09% ~./tl0.00 117.00 S~>~~.00 1 a ' Balance after Medicaid,gg MA80N 39651 ppp 8p % 17g790P1 r JOHIt ~~yy6b 700 86 % %82a q00. OS 22. 54 qr5.yy ~ ' ~p OEWTgN . T% 76SC~ Balance after MNM~~~~J82 3' Q2. 54 { a 4 4. ~ MOROAN JO'f'E Y MMACp~! rJOYCB 81 / 4/82 1.150.00 53.00 1 1 8468 zzOB ~ RUD~5ll. NB NOWk. 2 ~/~4/85? ?9637!90! ¢~•g$ 4 a 4 IYBNT N , Tx 7b201 Balance after Medicaid, ~ 4. FWA~18 03'7f~3[AMDEIJTONDCLCRE8T8 t l t ' . WT%l.1A767010t8 8d V%~0%8~ 4~ 900. O1 17, 87 257,97 a Un+ Balance after MNMR, C g9 ~1 `g7 p 1v ~~04 219491DORkf BOX ~~>j1 ~ THBOUOA 8 /~4/8~ 9G~4f98Y019 A ~~jO:Og 351, 00 77 Dp 1 AUD~gY . 7x 7627 Balance after Hed$ceid 3.80 _1 i ■p Jqq a 1 ~v Nf20~R 3g1997g. DY~TON COUTITI'SJAtt, r JT%2p 76201 8~ 4/~+6%6~ 4. l4. 00 wl ~ Denton Co ty Jal ~ ■ a ' i ~ NiPP~R JA:~ 8 11PPEIt . JAIJ88 D B 4/ St/8 400. OS lI3, 90 ~3, ~ ~ I' E~ ~ *20 3gf9874 g~1~~o~1 caGNrY JAt~ r T% 76205. Uanton COU~Iy Jail/~2/8~ 4, r,' ' f 1 ~ J I i ~ 1 ~'I r i ` ' . y r r qi ~ i';i r...r~...-..r......... ' i r 51~ ~ ...r. w......... , . PACE 9 P L 0 tJ t4 P M O R I A L. H 0 S P I T A L L, DATE 4/40/97 13:23: ArCOUIJTE RHCEIVADLE ACCOUIJT STATUS REPORT 11' CJa ApIL111 A'DMIT BATE M•DICARH N INS N PATIENT TOT§ ppILLHD ttAltE DUE CURRENT BALANCfi Pgg TILNT Alh qq RANTOR F/C +INp~PfCT^PhfM EO 011ARAWOR AOt;`1HSS P41(INE h'JMDtiR R/C DISCHAROE DATE MDICAII) N g p ZZ 00 34. 39 t034. ~6 f H/79 PE10 103389A ppTT BOX 80HRDYAi OA1l0lS%[LL~b2JC 96 1Q%iag UEfJDN 1 2 0 r,• y 4 indigent carp. 4. OLtlR I A 2 1; 90o, of 39.01 4q pp gp 663, R 39.91 RpB&RT E R Ir Y 0201 397 3966 86 POYEIT 0 011rON11 RR g ~ % 1 1A0 97 EE4 ON TX 74201 N Defence after MIIMR, 900.01 39.00 88: p g C AND RODHRT v 84 %Oq%$ $8 t, aaIS~ND t99C3bRT ug caA li~rI Iau TX 76201 Denton County 401, RAN9 91 kk%k6%~k 900.00 132,00 131:88 J N RANg M W`lE R {{yyN WILLIE 20~ 35A bog-L #159 TX 76p 201 Patient DOA/n0 assets, it « 1 J'/ 00,00 18.00 qy g LAWANNA 9 R 0 k 'PATRICI A049 9] k6%ppxx 92 .237121402 16.0 RIBS 131466 SJO Cot 1H LOt 2J j TX 7298 ! 4, Balance after Medicaid, 69. 00 ~9 0o J SCHA PERT 7HNRY gC4{t1UMgRT TERRY L 9 00 y 90 370$13 Bj,'8N CDUNIS JAIL TX 76701 Denton County Jail, pp j Soo. of 70.00 'I N 4 p 70 0 84 s 70 00 J f j 1. 9C381L 396% &42%DALLA901'ARV.NAY AP~xD 77777 Denton County Jeiti~g~8i2 l N N t g d too. 00 1149,26 ttb4 p 10 00 o Anl~lt{. OTI OLADSNEtJtltJ a J8gj/8j 4207017-05 1f49, q 3 3 OI~05 t $9 5 /0 TX 76 40 1 /e s 11111 Burton, Niia elJeoe• >3 ~i~~i8k 900.01 46,00 f1M~04 10896q® 6y8 COUtJiVHJAtL JTt%H9 76a01S61Denton County Jail, ' b N * at $ 4~94b4 A 10.80 ' tlMk1;0Y 34100 U q MCK11111tRY AL7A a`%0% 1 6361 188:88 l01tl ~0 8,N,ON' tx 760 Balance Oter Medicaid~gp a8 poq~'bA 11, 00.88 21,10 2350. 90 y 9PAAgICARY Rpgt8 ~t pgARgARY RQfa11f 302 2421 k/8k/00 10~04b1 2.150 101 1461iQ Stlp NORMAN J Balance aster Medicaid, ' ~ I1 1 of { , , j, _ ,Y " 0..V WWI , 1 I, , A 1~I77NS I i Vl flYYl _ ~11 DATE 1/28/82 13; 27: 1: L 0 W M E 11 0 R I A L H 0 9 P 1 T A L PAQE 6 J ACCOUNTS 11ECEIVAQLE ACCOUNT VATUB REPORT Pp FAIN && C PnRnE-ADMIT ppATE M pp11 gg gg J 4 E +IN 16Cd." QUARANIOROhp~UkVgrOlR--t'PIdNE NUMBER R%8 0C8CNARQE DAY ~iEUICAI a INS M PADDUENT CURHEMT pA~Af1Cpp6 DENTON 24.00 » T% 76201 1/l3/82 R. 8PIA18ARY R03SE M ggPRADEARV 1ROSIE g` y(, o o 0 146118 11 lgg NORtgAN '1g^ 2321 1 1%8%62 4101046301 I$R:$g 26.00 gg gg5y * 4 DNTON Tx 762aS b6. 00 VANM TER N M Balance after Modipp d2 . ' ~S ppqq pp%% ANIIETER 11AOM 8 76274tO7 U R% a2. $8 pp " 3822 OM DECTUR13 Tx 7634 hj2 ZR,69 q Balance after Texas Rehab. q; 59 W LL0Oll T IAMB 30667' 117OT0pfi Lw tA148 CATHEt211JpE 81 NV; 900. 01 83. 92 4 1l N Tx 76It01 6 W wtt LLttpp ggTM46rr pp Balance after MHMR1 7T pgg A lw <~C~AMB 35R81f~{ ARUYLgtlx 09LLDLCNICTxRY 76866 8; 900,01 208,00 27 b 208: ag WI NS ?M pg r N I,~ ~~yy J Balance after Texas Rehab, f 3Y8009g DETRId COUNNiYtlJAt~ 7% 08 76201 89 4%06%8^. 7.1 . 1;5 j " Q vp• WWpp~~rr Denton County Jail,y gg 7:11 1 Rol 36964 ppggNNTTaa~} COV►1 ' JAIL DAVE 84 ~ii24i81~ 38.00 3 ~ 46 p8 4 e NN , D5Nf0 Tx 74201 aR.2 364i1~4 Denton County Jail 8 / pp ~}trnnNN UN DATE W'192 y g e % oRtOM COUt1T~ JAII Tx 76201 4/89/82' A2. 65 4x A2 gg ppppgqpp [ nn W Denton County Jell.: 42 ~w W*fUt 3t33Dd:HYV~hO11 pNGx a~ g RTXPH7b201 4247 81 % % 900.00 196.80 1q 6 Indigent CCare 11 lag, q~ Tolkington Charles Talkington, Inf, t0.20•B1 Cauoie Ranch, Box 1928 1.8.82 Oerltnn Hlll•8urten crtterial 361199 L TOTAL S 86,891 v, I ty. ri 1 OATIt 4/29/82 13:04: P L 0 W M E M U R I A L H 0 8 P t T A L PAGE NN n pp DAD DEBT TRANSFER REPORT FOR PERIOD 4/01/8'2 THRU 44/30/82 1l, gg PPjTENTNUM131W <r**ADPRr1ClTYtA57,'*21P wrt►AryOUAR`I1TOR8TAt12IPrxr ADMITTED 0T8C1HAFOliD Wk11E0~p Of6AACCOUN7 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 204 J39192 ISEN , BARRY ALLEN KATHERINE l0/00181 4/29/02 38.00 b WEIiDURN 736 WE1•nURN L A'.LAS TX 79229 DALLAS T% 75229 No response to collection efforts. 101 272421 Al LEN CLARENCE `409NW CLARENCE 3/06/81 3/oVet 4/29/82 299,36 S4N ONIWD80R TX 76201 6ENOTOfJ11JD80R TX 76201 No rosponse to collection efforts, OpE1[{, gg ~~11 pp 6H j 4 203 54484 PILOTUpTIN R[CTK X 7b29S P1L80TOpTIN JOTXB 76268 N10/11/91 4/9 a response to collection efforts/ !0! 337968 159,00 B$ 919.05 I ~jp pp pp PILtlT P INT LONT% nna PIILgGOTXk09gPOppgg F` T J ~ INT LOTX 762'58 NO response toCoOla cticn efforts, 201 342717 ANpLIM , SUSAN ANp IM , JDDRPH 10/t7/el 4/29/87 140,75 $604 LOCUST S ONflNDALE COURT N O TX 76201 RoQOAAANOOKk T% 76862 No response to collection efforts, ~ 101 129635 q JA ' TX 76201 fiNfONACOUELIN9 D17x 86201 Na 0/03/91 response LoBO11e tlon offorts'82 11?. 75 p98BUu1~ pgpg0p pp gt Eg 0n tOpN ~y41, 101 520050 L1TTL@XE494 COTT1{'1J000t%~ 75068 lP1TTLCXE494 COTTONWOt7DCx1A 75068 No response tocOxlOtton efforts/82 302. 00 J I? 206 80234 LLOYD LggYAfft LLOYD 9/~O/01 4/,09/82 295,00 90 DWAROB M5 1D 001RgpGIfARDB NO ry CSNTOM TM 760,01 DENTON TX 76201 No response to'colloction efforts,' J 22/01 201 3145810 T RITT% 76201 DN+TdNT 4ATXY 76'201 NO/respOnSe to Ctl11eCt1on BffortS ~2 92'70 MCKIN.JgV Si tS B MOKINNBY 8T 203 125344 ppLA[pA 6 g 16? MARTY gppgLA Rpp MARTY 9/02/81 4/29/02 125.20 i j V LITTLE LM TX 75068 L't T 4fi0ti M62 T% 75068 No r4spon50 to collection efforts, f 1 195438 LAKE , JAMP8 CPO" t JpiH88 17/10/81 4/49/82 447.00 pgT 4 DOX 39 MAYHILL R 35 MAYHILL pD J i Ify L` (~~D 76201 T% 76021 No response to Collection pNtON 7 e((Ot`tS. 1101 342162 E2 1~ft~H LL QRE~X. MARVIN 10/15181 4/29/82 20.60 j ~ KK~RR HALI 9OX 8 T ~1T 05 6000$ CIR&M f410N T 76201 HOCKWXLI TX ' 75087 No response to Collection effort/.' lot 299659 pPON OLOT 6 TAHMY OgN %N1193 JAH80 8/12/91 8114/81 4/29/82 317.91 fty nnDS~IT TX 76201 NT A TX 76201 No rESpOnseto Collection Worts- ' 1 J < i r 1 ~ a, } 3r,. DATE 4/29/82 33;55, PLO 3J M N tl N [ A L H 0 8 P 1 T A L ' tlHT FOR PERIOD 4/Ol/82 THRU 4 pAOE 2 DAD DEBT TRANSFER REP /30/82 404gwsnOVARANTOR NAMg +IM*N DATF Op 2 DATTr 'tlP rBALANCfiY- PASIENT NVM R IMIAM PATIENT NAME JZ If' A. CITY, BT, ZIP ADMITiF'I3 DIBQH RUED WRI EOFK DF ACCOUNT R - gg PA PFX NUMB ADDR, CITY, ST i 4 4/29/82 78.00 201 334011 5606v1JWW tlAFt NB4 BYLVIA JRJ", OAK 084 BYX O respo 1 IINTON TX 76201 ifJJ TX 76201 No response to collection efforts. gOXIB l3/17/81. 4/24/82 344.00 205 33709 U fi RJXIE 0' 88OX 49,7 1A D0x 447 AA TX 76201 DEN ON TX 74203 No response t0 collection efforts, 72,00 NAIJ y~ t HAROLD !0/17/81 4/21/82 ROMY 203 342790 A4 IVAIVy14WRI "T HAHtlLEO 68803 JRANtlAjV0.NAHT NE 68801 No response to collection efforts, At ULAN V A a I VV g BRUCE 7/23/81 4/29/83 213 00 1 336373 pO A11tJ BTRtkT ' µEL41 7pS(1l~NN STREFt N5 YX 76P0 No response to collectlon efforts. r N~j TX 76201 81410 1 87.50 , LINDA 9/18/81 4/99182 201 333690 r~N KARRIS 0t~NJppx 381 TX 76247 No response to collection efforts. DNNTON TX 76247 J0 T N 4/29/82 74,05 ` p gp CLRMCNCtq fdp0gg , JOHNNY 10/21/83 301 343814 c gq1OMCK1NN6V T.% 76201 1'1N 0MCKINNEY YX 76201 NO response to collectlon efforts, }NNNJ 1+ 9/02/Ot 9/04/01 4/29/82 83.00 R SHAWN ~~jjAp~B OTUNE PAUL No response to collection Efforts. i 303 300038Dna PTUNfi TX 7690! D~WT TX 76201 NN 0/10/81 4/229/82 04, 50 1 (M PENN CARL &Q Tx 75034 NO response to.collectlon efforts. QO1 3:2133 pill A BRIAN t 0% 935 TX 70034 R1608011" 17.50 SANDRA 8/12/01 4/29/82 j I 173376 R`Y7 SANDRA QA~TI ' TX 76227 NO response to collection efforts. 1 S TX 76227 qAV R Y 4/29/82 !80.70 RUSSELL RUSHLLL 10/02/81 201 338426 Cu R yY unq LOOM NO response to collectlon efforts. p~hffN6GDOH TX 76201 Rh N T% 76201 7/13/81 7/90/81 4/99/02 203.60 , ViROIL' 4 AµµItg CHAPEL Tx 76092 NO response to eolleetlon efforts. ! 10t 31256! 9H T8 CHArrHL SSV JA gg y'+' SSpB yyV(Ng Wu}}~~tt TXH 76052 b PHV1 r 70711J8fNd TONN9HN0 !0!04/81 4/29182 340,50 203 207345 AO8 69LL It C TX 76901 No relponAe to cOllecdon Offortl. E 'J VDD6L1. ~tdT~N TX 76201 O T N 4/14/83 4/29/112 146.00 j N MICHAEL. APP N i MICHAEL 0 Tx 76201 TX 76201 Ne9pon4e t0 Collection efforts. , 203 63404 A PJ6RNARO 1~ 6J NNWAND ~ IJ tlI ! 1P i :il, E y F DATE 4/29/82 13:95: F L 0 IJ M 5.14 O R I A L H 0 B P I T A L PACE 3 I - DAD DEBT TRANSFER REPOAT FOR POKILD 4/01/02 THRV 4/30/02, PATIENT NUI1pRR 4~Iwww PATIENT WAM 444w rww4w OUARANTOR NAME wwww DAT DpAq77CC DAZtE OF OALANCg PFX N MOER ADDR, CITYe S ZIP ADDR, CITY,ST, ZIP ADMIT EO DIQCHAflOLtD WRtTEOFF OF ACCOUNT 101 333427 R7 ~ NN LEYVOl1W JdL~%E 76272 Raup VAI LEYI VIippitW RT%C t876D72 agres8podnse to collection eff0 is/82 749, 35 4 102 22970 C CHRAM HELEN UN HRANS FLOYD D 8/3l/at 9/05/91 4/29/112 265.00 ` UM' o TX 76249 CH0i7UXtN6M g TX 762241 No response to collection efforts, ✓ 101 309351 CHNTONOX D12 DESTX 7620. UHNTDNOX 312 ALTXRT 76201 No/r response to collection efforts, 260,06 9/09/91 4/29/ ~ qp I,yg t% 6 1r1 S 3303970 DAWN response t0 OOlieCtlOn eff0 tsS2 475.45 J , 75069 L}TTEB4Ef M JE1XY 19069 NO lot 342766 Q Wp~~(K EVOENE C WtCK EUOENU. 10/17/81 10/17/91 4/29/92 439 $0 N8NTpNiBLEY TX 76201 Q NTQ~ISLEY lk .76201 No rospoose t0 collection efforts, d 201 294012 jjfWWp4~CGpK LAURA CyppLWUUtCpCpt'JYD JOE 8/15101 4/29/02 118,50 6 NT0 TX 76201 D6NTON T% 76201 o response to collection efforts, j ' JVSE 9/02/01 9/i4/01 4/29/82 994.00 ppLLA N140 nn i 101 320823 R` I~TH ' J08E ¢lnN>YhLLA N140 NN O TX 76201 DEN)'ON TX 76201 No response to collection efforts, 0/1 1 201 31i1652 CiTNIFTWOOD C1{NTXL 76201 'NNTr4IFtH4OD CHTXYL 76201 SNO response t0 COl1BCtI0n OffOrts~ 647.95 lr 809 pANT QO VLORg COII~ORA ~IJ EL cHARLBS l0/04/til 10/07/81 4/pq/82 143.66 ✓ .I 101 33 &LE TX 76201 1 pn~IJ E 81. 61 LAKE9H~1R6 TX 76201 No respinsA to collection efforts, 201 115073 02AR81HNUQ HE 0 A16 (y 3 N OLE!W aqR NYAN OLEN 8/22/91 4/29/02 56,00 I ~ 1E AV ' { I)ENidH T% 76201 NT TX 7620. No response to collection efforts.- J 101 291212 pfA3UpjHTRnYg BRErdph 1D UCA$HNMlppYB gg TONY 5/01/01 6/03/81 4/29182 95 35 W pAtUV14L2 -TX 16240 A NN86V ILLE TX 76240 0 response'to collection efforts. J 101 298828 ~/3 NOPPLE TQNTXBU76240 NEB ROLE TONY 0/31/01 6/03/61 ''76940 NO reSp6m to'c011 Ctloo eff0tsej x44, 65 J { 901 325670 inAVl~Vyag 0tlAµµ LN, JEAN O6A6VIfyg 0nAµµ LN UVERLY S/x2/el 4/29/02 68,50 +O 1kKk DALLAH TX 75069 LAKk AALlAB TX '70060 No response to collection efforts. ' J 1 s i' 1 `Ii ft' 1 V DATE 4/29/92 13, 99: F L O W M H M 0 R I A L H 0 8 P I T A L PAGE q V DAD DEtlT TAANSFbH HUPORT FOR PERIOD 4/01/92 rHRU 4/30/89 PATIENT MMU11tl~~iR 4**** PgqTIENrr NAME ♦4i* - ++»1N*av!D pVARA14TOR 14AMS UATgg pqTE DATTgg OF DALANCSNT PFX NUMDf.A ADD I1# C17Y, ST, ZIP_ DR, CITY Sr, ZIP ADMN790 DIOCROAROaD WRITEnFF OF ACC « 201 ~ 339333 pnnVLlggµg{~ pp , MAROIE DAVIB MAROIb 30/05/91 4/29/92 163.80 99 EabAI,CAS DRIVE $9 {,AKE:100pp DR L K L TX 70069 LAKE DALI TX 70068 No response to collection efforts, ' 109 14423 BpAQX~ BRp UUT 210N1E QAV 9qpOt~ TE , MONTE 9/31/81 6/02/91 4/29/82 366,60 j br Oh11~E881LLE Tx 76240 $ 1 a VILLP Tx 76240 No response to collection efforts. 201 339196 g KANT KAIIALA ANr OA1L 110/01/81 4/29/92 102.00 CEN E tlUSON ffi R414 WAY CHASE s TONN TX 79067 p p9 tlN TX 77072 0 response to collection efforts, 11( 1101 339414 ~JMAg n„EUDE r HPkWlgL 79067 4 y gj g j pg HUSK, 10/06/81 10/07/91 4/29/92 141.00 1. TL TX 79067 No response to collection efforts. J 101 307920 BppQpg0pU ppJt MOHAMMED np gRo 1A 2 , MOHAMMED 6/27/81 6/29/111 4/29/SR 972,10 G[{NTtlN EY M46 rx 76201 D.td,N~AVEY 040 Yx 76201 No response to collection efforts. 101 340821 N ng g94 CINDY DUN 0x 94 DRYANT 110/09181 10/12/91 4/29/92 931.10 J ~i 1r I L6VILLt3 TX 74240 QAI E6V LLE TX 76240 No response to collection efforts, 076861 / 203 qq TggnA pp , rgppRY 12/19/81 4/29/92 19,00 0~j TSASEL6`Y LAN M2 03 YUAO941Y LANE 019 5 (w NTON T 76702 UN70N TX 76201 balance after Insurancol no respome, J 101 1396224 HD~ft , LARRY Ilg , LARRY 10/03191 1'0/06/81 4/29/92 1609.60 V GgNTONE TX 76201 WNIONgYx 76201 NO response t0 collection efforts. J } 1201 323392 RTAN9gOk 9 , JAODN g.VAi9Hpk 8 MICHAEL 11/29/91 4/29/02 .00 V AVDAEY TX' 76201 AUD hY TX No response to collection efforts, 101 109142 IS51 5"AP PRAIRIa. LORETIA P MdN~~ LORETTA 9/07/91 9/13/8! 4129/99 238. 7R D YA° PRAIRIE I W N: Tx 76201 U. ON rx 76201 No response to collection efforts, 1I y 201 199994 P} I~0gg~ITH OV*NTIN M 8g , SHERRY 9129/91 4/29/89 96,00 J p~NTDN TX 76201 ~~WT p1YH TX 76201 No respOnlO to cotlectlOn efforts , 1 344117 F ANCI9 9 7 RUBY FniANC1f81 DAVID 10/21/91 4/29/9*2 a9. 00 J AI Gh6 MMDp88 8g lp6y Mq0n A9 { 60 QIJlf9VILLd TX 76240 OA~kpgU[lDL6T TX 76240 No responso t0 eolleCtidn efforts, J 102 293179 ``P DD~HII 1~ AIUIIE yyF D NIIo~~{{ ANNIP 9/09/91 8/11/01 4/129/92 all. 90 V U NTONM~ERS BTH6f, YX 76201 ONTMAM~4R9 rX 76201 No response t0 tOlleotitln afftlrtt, J k-OL ~ f r, ,t Ike DATE 4/Q9/82 13:86: P L 0 W .7EM0R I AL H 0 8 P I T A L FADE 0 t pp pp gg~~JJ11 BAD DEBT TkAN6FER REPORT FOR PERIOD 8g4/01/82 THRV 4/30/02, ppqqrr&&~ rr pp CCgg / ppp p~%BNT NNMIiE NUNR ~4e«ADDI2TICITY~JABT,4ZIP A•a+ADppuutlRnRClTapBTpMttP*4» A MIT7ED D2BCHAHQED Wk1TE0FP OFOALAN83NT j ACC - 2 268409 U1Ltq CYNTHIA Wick Ek MARY 10%Ol/6l 4/29/62 63.00 TONE iTN11 T% 74201 O% 166 J 0 q KNIOO9 T,1 74201 No response to collection efforts, 401 338036 DENTONBO% 76 DO2JTXE U AIN '/6201 DIANE" 76 DOTX a 76201 1Noresponse to collection efforts. 70.00 t 101 321163 BoANN LE~1 KlITH OAN LgN KIM M 8/27/81 8/28/61 4/29/BZ 46,60 lJTCLAIR TX 76201 3F3~OMDIJTCIAtq V 30N ON A T% 76903 NO response to collection efforts, i CCCBE G+~+~2NgQ LAN 2 61.90 QAAC 207 1130436 2 O40UIBE N39 ' DGMT%QO 79201 nHtd7OIJOUI6E N36 40TXNOO7d40t NOYespOnSe t0 col leCtl on efforts, r D 1J 204 117368 Ak08gpl(}CCORMICst LVCSA AR to LUCIA 8/16/81 4/29/02 74.78 ``1 n CCORMICK 60 ON T% 76201 DRN7ON TX 76201 NO response to collection efforts, 101 349399 AppCI~~A MERCEDES pApRCgt9 MERCEDES 11/09/01 I1/11/81 4/99/02 904.70 J i jDNTBUDDELL N136 TX 761201 ~FWTONDtlELL N136 T% 76201 NO response t0 collection efforts, ' { 202 37747 BAR 0CK , EDWARD AR OCCµµ SWARD 8/20/81 4/29/02 69, 20 RT OtlX 104 RT BO% l0A V DEN ON TX 76201 DEN ON T% 76901 NO response t0 Collection efforts, { 201 3a2066 ARR TT all IY JR AOgSTT BILLY JA 9/13161 4;99/82 74:00 i 010gry KILARNBY 4p109 KILAR14EY ALL AB TX 7021B UhLLAB T% 70216 No response to collection efforts, J 203 176364 RA Tr 70111E Q pp Tr TONIE 9/08/111 4/09/69 904.10 , 9 r:?ADBHA41 3 q ~j BRAOBHAW 140 NTON TX 76401 b NT ON Tk Y6901 No response to collection efforte; ; 101 143763 jjT~ EN DAVIN AT~TJEJ DAVIN 6/24/90 7/01/00 4129/62 188.20 I Q ONIIJE TX 76201 ~N000Nt11E TX 76201 NO response to collection efforts. S J 201 331009 ypAINEVILLAOE EAST NPAO 1LA $pq1 gVILI AGE EAST 4,giLLIAM 9/09/61 4/'99/69 25.00 D&NTDN T% 76201 DENYON TX 76201 NO respOn48 to C011400n efforts. 1 338281 AYp DC ARIJATLT'1 DONALD OAYF RD DONALD 10/02/61 4/94/84 410,70 oosspppp J~ I 1p6 byp Ci BANWATBR LRWIVILI ttLLTX 76067 LSW18VILM TX '75067 NO r09pOn9e t0 CO1140t10R efforts; ZO1 340907 %I 6622 IJ} SiTTIOIrI IAN MMpAOJHHILI6ERT SHIRLEY 10/20/01 4/29/82 07.30 J 0 N TX 76901 UBTON TX 77028 "No response t0 Collection efforts," v DATE 4/29!82 13:66: P L 0 N 11 5 M 0 R I A L H O 8 P I T A L PAOC b DAD DEOT TRANSFER REPORT FOR PBRIOD 4/01/82 114RU 4/30/82 PATIHNT IJUIIOHR *NNNN pppTIENTT ttAl1H N*<* NNY%d CUARAflTdR NA16 NxN* AATE DATE DATH OP BALANf~~ f PFk N HO R AggN, ITY, BT, YIP AD CITY,O , IP Aq ITTEO d1A6HAROED HRI ED F OF ACC NT f - 102 118840 p SUN PAMELA OIOSON OARY 6/06/R1 4/10/81 4/29/112 227.22 3 LpOP 280 Apr 16 301 LOOP 1T8B APT ld G NTON TX 76901 DENTON T% 76201 NO MBSpOnSe t0 Co11,1CC1on efforts. 201 332130 pf Oak 11111T S QN ROBERT 9/13/01 4/29/82 27.60 ~ 25N LDl,lA6 UN 4OOU189 039 1 N OH T% 76201 G dN Tx 76201 No rOSpOnse t0 collection efforts, 201 335671 t0gi~ AHAWNEH 11ICHARL 10`10b LD gHANNEF MICHAEL 10/06/81 4/89/82 46, 00 pEI4 ON TX 76201 DFS4ON TX 76201 NO response to Collection efforts. ✓ IDS 243816 QT{tL 1 1 D,} 8D11ARb R0 I I Al D E O 12/02/00 12/04/80 4/29/22 420.70 BhR NOOWN7 TX 76082 0pR~NOTWN7 TX 76002 NO response t0 CO11eCt10n efforts, 203 193U96 0 RE STEVEN R JUNH 6/22/81 4/29/6: 11.10 J BOX 4b8D DdN7ON TX 76201 D~EHTTON BOX 46AD TX 76201 No response t0 40110Ct10n OffOrW. 2 190096 Qping STEMS RQe71~R JUNE 6/20/81 4/85/82 29.60 y~ bE14T014 4660 TX 76201 NO response t0 c011ect1nn.efforts, RT409" 4680 TX 76201 DEB 288 901 334706 EE00 6ABS8 KATHY OoIpASLS RONALD 9/22/01 4/29/02 40,76 t ~T N CANROLI Masb Tx 76201 L NOVIENWAATER TX 7a601 No response to collection efforts. 101 329167 90fRLff'ppfHV SHANNON B DONALD 0/19/01 0/21/81 4/29/80 24,00 J DANTCN TX 7620: 1470 HEY TX 76261 No response to Collection Offor"' J ' 201 338914tlBNTXItH 76201 DKIdTgNaTt DATXYNH761T01 No response to collectlon efforts./B2 32e1.00 J Qp j V 101 397428 y~1NypNOX 200 CAROXYN 76201 O N ONDx 208 M1TX L 76201 No response to collection efforts.! a 100.00 8$ tt v a 4 202 228906 T UTH RUDD91.L N ITXBY 76281 JJPT kVTH RUDDBLL N~i7%LEY7b2A1 NO respos a to c~'leCtfon efforts, /gC 40, 76 J ; 201 336081 RpgGB x 112 , DOROTHV POORAAM xx , DOROTHY 5/26/81 4/its/02 76,00 Cp i, l,'IT1L6~BLH TX 76062 L.Vtdb911112 ` TX 7E068 NO respOnee to colleotl0n efforts J 201 326414 apROAfl(- 112 ' RA"Y p0QR 13 112 RANDY 6/24/81 4125/02 IMOO (,tTYb6XBLH T;'. 76068 GI K E111 TX 76068 No response to co1}ectlon efforts, J s rbs , S s~: _ _.._.__w.._. _ _W_. _ _ 1--mm -MI&W , WWI , e i s. 1 II 1 V DATE 4/29/82 13:96: P L 0 IJ M F 11 0 R I A L H 0 8 P I T A L PADE 7 1 + DAD DEBT TRANSFER REPORT FOR PERIOD 4/01182 THRU 4/30/82 ' PgqTttENT UttggER •vK►«» PnnTIENT NAM&& »x»n ■»a»» GUARANTOR NAME DATE DATE DA7E OP DALP PfX N MB6R ADDR. C[TY. 8T. TIP pDOR, CITY. BT, ZIP ADMITTED D18CHAROED WRITEOF! or ACCOUNT -------QRAIJAM /06/01 201 320486 t1N~AVE A %LYDA hE ~ITX 76201 p NTgi4V6 A %LYDA D C MTZ 76201 NO8 YespOn58 t0 CO11eCtI0q BifOr2S/8C 48.10 101 326868 AAbHANUUTII, DARLA GRRgAN1T~ RICKEY 8/2-/81 8/28/91 4/29/82 320.00 NTpNA11D TX 76201 DENTOA4D T% 761:01 V Uu 612(g~ l No response to Collection efforts. , 201 326868 ?~gNT DAR TX 76201 t A00 J In RICKEY 76201 No 0/26/1 response to collection efforts/82 183,90 101 ;M668 RANT~p1 . W RY GRANT pp TERRY 9/08/81 9/08/81 4/29/82 641.96 CANDPIP 138 TX 76262 NOANOiIHX 138 TX 76262 1 1400 Arrangements not kept. 201 339497 ORA ELEY HARVEY ORAVELEY HARVEY' 10/06/81 4/29102 38,00 h0~y/ VILLAOS EAST 4101 01 VILLAGE EAST 0101 OI$7J ON TX 76201 dPNT01J TX 76201 No response to collection efforts. J 201 336994 o AY SUZANN6 RAY JOHN 9/27/81 4/29/8R 91.90 p qqOX 4863 pp BOX 486.1 1 B YAW TX 7,~i09 BRYAN T% 77009 No "9SpOnse to collection efforts, I lot 344t19 REECN DEPRA GREEN DEDRA 10/22/81 10/23/91 4/29/82 231,30 NNTCNRNADD APT0102 iX 76201 9 DiC~ORVADO 0102 TX 76201. (r TT No response to collection efforts. 209 199307 019?~hAND REDTXCp N 76201 GE OROYAL AAKS 04o6ROTxIE76a01 HoarespOnse to Collection efforts/82 267.49 j 201 334200 p74 E RICHARD R C . RICHARD 9120/81 4/09/02 144.90 NVAAL[ANT CIRCL~ . 0ry4 CA LAND T% 99999 dARLANLD1ANi CIRCLE T% 99999 No response t0 Collection efforts. t 201 344267 EEN p I A D pRE N RO11ALD 10/22/91 4/29/82 56. 79 ON N TRAILER PARK Lg>f RT NOYAL OAKS 046b L NUNN. TX 76201 GPN 0 TX 76201 No response to collection efforts. J 207 163006 PREpN SUSIE QQRHIqN T 2 81181E 9128/81 4/29/82 38.00 A t3OX 43 R i DqX 43 AUDR9 TX 76227 AUD J OX 76227 1 NO response to collection efforts. J 332460 ~RE~NWOOD DBest6 RRRERNWJOD '6689IN 9/1I/at 4/79/62 11.60 w 0RE8TDURO Tx 76239 OR&1NWOOD TX 76209 No response t0 collection efforts. 201 041970 RER AM 8A68 APT 714ANDY 0 8p gRAM 8A88 APTM 4 RANDY 10/14/91 4/29/82 74.00 0 - HP0 T% 111201 WTaN Tx 76201 No reSponle to collection efforts. J J . BATE 4/29/82 13:06: F L 0 W ^ M 9 M 'O R 1 A L H 0 8 P I Y A L PAOLf 8 BAD DEBT TRANSFER REPORT FOR PERIOD 4/01/82 THRU 4/30/82 PATIENTwNUMtl&R 4*0,AoyNATILNT_N-411E-*q" -Y".___.. __**44* 8UARAWTORrNAMgg_ - DATE- RAINEOE OATTH OF IIALANCE - - PFX NUMB EEF7 ADOR, CITY, 8 ZIP AD R, CITY, BT, 21P ADMITTED D18HROED WRITpOFF OF^'ACCOUN, L 108 84889 p AY yr , DI.ANLYII 00a AY M~1 , LARRY 7/09/81 7/12/01 4/29/82 93.20 gNTOMCCORMICH TX 76201 p 11TtlNCCORLtlCK TX 76201 No response to Collection efforts, 201 32A192 I LLORY JAiOVELINE jg~ LvRY ~AOOUEI INE 8/17181 4/29/02 94.00 NM SELEY LANK 0210 op ASELEY LANE N S Tx 76POI EIJ ON TX 76201 No response to collection efforts, 201 323618 0 ltRKtE pp pp KIMOERLY S/1D/81 4/29/82 38.39 L KLIDkIS.lLA TX 78069 No response to collection efforts, :~01 308393 HkLE DAPHNE HALE DAPHNE 6/30/81 4/29/82. SB,hO 4o0 CARDINAL NCS 202 SOLARWAY RT 1 DHNTON TX 76201 DENTON Tx 765201 No response to collection efforts, 202 2812a71 HAL# N WILLARD HAI. 14ILLARD 12/20/81 4/$9/62 43.90 1 EMINOLF 1911 SEMINOLE N O TX 16201 DEW ON TX 76001 No response to collection efforts, " KEVIN HAILIA Dan is 8/18/81 4/29102 22, SO J B1NG OREEIJ ab~ OWL1N0 OREEN l# 202 18493 ~A~?AOWl TX 76201 DEN OMJ TX 76201 No response to collection efforts, I 18,00 J $OS 347732 C NTG~OZ1HOa JOETX 76201 ENTONp""0 JOE 76201 No response to,cnilectfon efforts. 1v 201 396840 ANSggNN TAIIYA HhNSppqNq , GARY 12104/81 4/29/02 30.00 1NT $(lADLEY TX 76201 D NfONA0l6[Y TX 76201 No response to collection efforts. 1 1, + 209 339408 HARDYa aMICHAEL. IIAR0 DEDRA 10/06/01 4/29/82 40,20 V .100TBp RUDDfiII. 021 TX 76201 a?OTN RUDnELG N2l TX 76201 No response to collection efforts, r 207 79016 JARRPOERpNTLAB OLE14DA ~AAO RRppTLAB VICTOR 10/08/81 4/99/82 195.90 6NTDN TX 76701 DgN ON TX 76201 No response to collection efforts, J i 201 346763 HARRINOJON VICKY HARRJNOTON LEROY 30/3!/8f 4/2q/87 187.39 t 8840 TX 76036 CROWN? tx 76036 No response to collection efforts. 4 901 39680$ H TLIN&g LARRY HARTL f1a LARRY 17/04/01 4/29/812 66, 70 ss ~p0 9AM BA68 M7 1 N TX 76901 D 14 OTOAM 8A88 M7 T% 76001 linable to locate. J D iO 102 49744 /~N ELL DEPfIA I flWgg5133_L DOWALD 3/09/81 0/lW/9l 4/29/82 P07.40 4 IL97 POINT Tx 76oo OURSV TX 76907 No response to collecti0n efforts, Arrangements not J dept, i V J 7 ,f `tip, nttf x ,Z DATE 4/29/82 13:36; F L 0 IJ M E 11 D R I A L H O 8 P I T A L PAGE` q at t-~ BAD DEBT TRANSFER REPORT FOR PRR10D 4/01/82 T1',RU 4/30/82 T` PATIFNT NNU1lDggR rrrww PATICNT NAME r4w4 PFX NUMOEH ADDR, ITY, sit, 21N wrraw OUAAANTOR NAMpp rrrr pA'1E DATE ~~AT$ OF BALANCE - ADDIF, CITY,BT, 21P ADMITTED 018C tlED I4RTll OF OF ACCOUNT 201 336337 HWAD" AHKKINS LORETTA 41 IE 013 12/03/01 4/29/82 38.00 1'x 762ol no response to collection efforts, 201 362400 HAYS JEPNIFSA "AYR JAtJICE 12/26/81 4/29/02 23. DO ~~Sf0701J 6LM TX 76201 Dt1TON Ci14 TX 76705 No response to Collection efforts. 201 362186 `Hi. UMHIJOAK FREO H„L1~U118 BR FRED 1;1/25/01 4/27/02 77.83 J (,r U N DNH TX 74201 RA ON 1~OAK TX 76901 NO response to collet,, en efforts, 204 300087 RI E211.86 ROBpp~ 111L11REO HIgNDERBpp14 , JAf1E8 11/26/81 4/99/82 / ` $IL BON 091M AN tltltlN TX 76201 UENTON TX 76901 No response to cailution efforts, 201 2029,12 ,NAY DENRA fRY 4/29/82 PO DX 1311 , KENNETH 11/19/81 guo NOXCROFT 91.90 NON TX 74201 NTO TX 76201 No response to corlection efforts. 201 3D 1036 JD 2s A tl UP I RNANgHZER p+:rih 9j9NAUPg1ER ANNE 11/14/81 4/29/u t 32,00 { ENTON Tx 76801 OENT8N TX 76201 NO response, to C011eCt10n efforts, 201 337061 Iii ?tL 6 y JOtY I+E88L8Y P pp'pp'~~ygg 5 ?16 NE1 L JDGY IP/00/01 4/9q/BL' 77. SO V F~ WpRTHL TX 76100 F WORTH ~nUTX 76100 No response to C011eCtfOn effnrts, I 907 323x37 B AIIDX SO BHERIJO(7pL114 A R 18W4AU& bJ BHfiRIJ0JDt111P0 12/16/81 4/R9/88 3E. 00 1 ? M. N U U TX 76201 D NTON TX 76201 No response to collection efforts. f 101 332304 STH1~1~ , fAI111Y 19TE}J TIM 9/14/01 9/16/01 4/29/812 }q}q.I 2,16, xq i RjSt` VAL nAAS M417 TX 76901 p 2^tiDYAL OAKS 0417 NTT N TX 76201 Arrangements not kept. 802 1. 5%/806 66 2 2Ald MUREL LrJ BYLVIA 66 ~jJ4E REL SYLVIA 10/12/81 4/29/82 t18.2y 66LILIV ko VATAUQ TX 76148 wARIJOA TX 76148 No response to collection efforts, j' 20tl It 7457 ~J~tKM N ALAN ~JCK% 4/29182 74?. 70 + tir a G DX 634 T% 1 BOX 634 ALAN 11/02/01 E 1201 346801 HrLL klLl !4+176366 ANOSR ee to Collection efforts. HIJY 121 N230lIJILLiAM 6266 MO/27/gl p1 39. ttC 1 1 ~J WV 121 N21J01 I f V L W 9t1JCLE TX /0067 L w SVILIE YX /SOd7' No response to collection efforts. 101 3109911ylCppp DiSDdf AH li I JAkD CHARLES JR 7/on/81 7/1J:81 41119/89 980. 00 i iHARLOTI4 NIl TX 76201 $ 1 C AALDTTE 011 Tx 76201 Un4610 to locate. j i r DATE 4/29/82 13; 56' P L 0 IJ M E 11 0 R I A L H 0 8 P 'I T A I. PAOE 10 DAD DEDT TRANSFER REPCRT FOR PERIOD 4/01/02 THRU 4130/82 PATIENT NUI,DOR PA!tTIENT NAME **t* *0XAIw OVARANTUR NAME ***~r DATE DATE DATE OP DALANC6 PFX NUMSC ADDR, 1Ta', 8T, ZIP DDR, CITY, BT, ZIP ADMITTED OISCHAROED WRITEOFP or ACCOUNT liw ~ 3e. co 201 350249 PIILp~ Pd Ni 304 CNUAOHT% 7b28t! AILQT18 N 11/12/81 XP61,1 304 CHUpCHA7XY 76258 NO response to collection efforts. 1 369439 HI1NDI , ROBIN HIN 1 TAISEEN 1/20/82 4/29/92 13.00 021JOOPAL.LMEADOW TX 76201 .121j OFALLMEADOW T% 76201 Unable t0 locate. ar @ N 0E N D T618mkR I1/03/81 4/29/82 147,20 1 124854 HJ101FpALLMEAItlW TAMER gHg31101FALLIIEADDW NTON TX 76203 O NT014 TX 76203 Unable to locate, 201 363987 HIJINR9 11gLANIE H'IJEB GLENDA 1101182 4/29/82 39.20 J 54 OLLAf10YAL LANE N1214 TX 73221 0A64LASL:AL LN N121A TX 7829,1 No response to collection ,fforts, ~ 8 202 102941 gHgfiTryh JAlde. HITT gg JANE 10/12/81 4/29/82 13.70 OENTOPTUNH TX 76201 EE14TONPTUNE TX 76201 Arrangements not kept. 4 102' 16345 l+~INIrE~% 131 WAY PG6/27 TX 76259 NbEtTOX 131 OLTX 76299 Arrangements not kep81 4/1.9/02 273.54 ENoN JOHNNY 9/30/81 4/'99/82 23.20 ~ 0002 267'559 ~`dp0a0 ppT WaRrll pp ~6JOH14NY ~~OµO pT WORTH OR Nb7 TX 76201 66HNTOtqN~ TX 76201 No response to collection efforts, t0 4/29/82 108,60 201 380461 IRIk8 04CO 011N W11 TMAn 78034 pRplloGCp lsrrJ WILLIAM M 92 70034 Unable 2/27/0 1 tT t I1O~~X q2 locate, J . 201 347104 GE 1N' j$H1T,ON 214 R. OW.EMELINDA 1~V0TLtli,911 R. O. W,EM&LVIN 11/01/01 4/29/82 78.00 1~r NTOfJ TT TX 76701 D NTON TX 76201 R,lable to locate. 201 352989 IQvggp INORID H~YjV@gggk DOD 11/20/81 4/29/82 91.70 J j Ir 'kBTON TX 75097 14 8TON TX 75097 No response to collection efforts. I 201 350739 If wA 0 D1 AWE HOWApD RtlDERT l2/11/81 4/29/82 92.50 J 1 J QOWAN Iti9 N CCO'dAW y L WI MLLE TX 75067 LEWI VIW E TX 70067 No response to 0114CtiOn efforts, y I 201 364773 1I WE L MICHAEL HpWfr I LARRY 1102182 4/99/02 76 00 l gl k CARPOLI APT 210 524 CARROLL NR10 %0 8WT N TX 76201 UEIdTOQN pp gg TX 76201 No responte to collection efforts, J ' 26/01 201 327064 j~LAiREBNVILIE PAULA DALLAgOti-NVSLLit V Tx 75251 No/reSpOn9tl t0 collection of/ortsB2 26.40 J 3 E (In H ~ L 1 1~ I n ~ 1 17;. DATE 4/29/82 13:96: F L 0 N M E M O If I A L H D 8 P I T A L 1 SAD DEBT TRANSFER REPORT .FOR .PERIOD 4/01/82 THRU 400/82 . - PATIENTNU1UDR R 4»*N4 PATIENT-NAM9,44* a- - +a~ara GUARANTOR NAME- +t*+* DATE _ DATE _ DATt F Y BALANCCE J r y DE ADDR, 11Y, ST, ZIP ADUR, CITY,ST, ZIP ADMITTED DISCHARGED WRIIE0 F OF ACCC'INT g n pp 6/2 102 79990 3~r~ OCHB NC1~ ROW t1ICT% 790G% hENTpX 2593 IIJT% 76201 Unabl2e t0 locate 0/81 4/79/82 229.18 LAISV LL pp II ~j 202 277640 G t4TON 40 611 Y8.RbOt18EI14, 76201 L~{{ DSANkgO SILVERDOME~~TX 76201 NO response to / Collection ef4/29/02 forts. 46.80 (r G N 201 31L843 JA~~tS 9 JIM `RCS N' JIM 7/24/01 4/29/02 $2.60 JAW B APT RZ DD d 88 APT R2 UNTO T% 76Lr01 IJ tl T% 76201 NO response to collection efforts.. V 101. 3691364 A OB NORMAN JA D ON NORMAN 19./16/'31 12/23/91 4/29/82 91.70 E 1i1 A M DLLA~ T% 79069 A S 1AFLA~ TX 77069 No response to collection efforts, V t 9 149487 AOEgJNIE STREET DOLOREB 7O3NTJAIJIE STREET DOgRE8 76201 No 10/30/111 response to collection BffOt5T2 40.00 NT 76201 T A pp g 4/29/82 129.79 2 201 363:109 AMC J jpjEE PRAIRIE J 12/21/01 L R1 pRA1A15 N TX 76201 Unable t0 locate, •I V I~lT 11 TX 76201 DLNTO p ~ I/97/S0 1 101 242937 N p 200PXNHANDLR J LT% 76201 'jU?9XPWAIJDLE JET%'2762013 1Arrengement9 not kepttl 4/ 4/8d 330.00 , 201 C147740 Hg++WPr.`T`NNT NORMAN WE T NORMAN IS/04/81 4/24/82 1:6.70 y lNQERSd% 797-N TX 76266 ColnI1~% 797-M TX 76266 N4 response to Colleotlon efforts, S g 4/29/92 33.00 TX 76201 1006/81 not kept. 1 286310~tl79Ll.A 020 EVETXN 765205 DD~IJ1ON~~ILA N20 JOSE 1 377998 JULIO 21N ZZ LA 09 JOSE l0/Wel 4/29/82 189100 D 2LLA N9 111 r y TX 76203 VTOL TX 76201 HO response t0 collection efforts. ~~~~d j ~{~Qp JOHN ODO`N JOH14 lI/19/81 4/29/82 10.87 1 201 391184 St1N0EROk 284 0 BO% 284 F% 8 R TX 76766 ASJ kA T% 76266 No response to collodion offorts, , 1 I 202 127604 QHpN OIJgYCAMORE r OIL, Y 01111~N eyCAMCtE ' DILLY 10/10/81 4/24/:12 110.29 TN TX 76201 NTO rX 76201 NO response to Collection efforts, 1. l 207 104200 !S N , CAEB[E O` Npp8~IIHICKORY , CA88IE !/03/8k 4/i2q/S2 93.60 WIN HICKORY TX' 76201 ~6~7q Y%' 76201 NO respoole t0 Collection efforts.' Iv , rti ,a- 1 .S r t4,i JJ Y(p 1 DATE 4/29/82 13:66 F L 0 W 14 E 14 0 R I A L H'0 8 P I T A L PAOE 12 i j DAD DEDT T1iAN8FE.R REPORT FOR pERltle 4/01/68 THRV .4/30/82 J ppTIENT NUM R ~aa,la PATIENT NA115 aaaa +aaaa SUARANTOR NAME agaa DATE dATgg DAIEEOOFF OPDAACCO{ UNT VFX NU14D. ADDR, CITY, 8T ZIP AD R, CITY, ST, ZIP » ADMITTED DIS ARbEO WRIT 7/26/131 1 201 31633 ~E3TN RTH EL14 UAVjX 76201 OENTONRTH ELM DATxD 76201 No response t0 collection effort 82 122.50 I 201 341347 JONHNSE DONALD ~1 H S N DONALD 10/12/81 4/29/8: 44,00 RT DO% t1Qn TX 76201 ~4 N 0 0% 1178 TX 76201 NO response t0 collection efforts. r ~ CEN UIJ 202 317173 up'~F N6UN ITER EL14 T0k 7620 J I4N501 ELMO 12/26/81 4/29/32 38100 7 4 DENAUN JUt~ITHR TX 76201 No response to collection efforts. 1AJ,/pEg DEN NT?ON pKy~ 101 325361 1y. H~gkNCLA84P CAYLE 70065 LKE[p ADALIIRCLE WALTER 75065 lU 10/81 loc /26/81. 4/29/82 15404, 70 103 239988 pHlJggON GWENDOLYN ,1 UN ON TOMt4Y E 12/19/81 12/23/81 4/09/82 P34,04 CRAWFORD TX 7620t DENT D CRAIIFtlgD J j ~ BB TgO~N Tx 76201 NO response to collection efforts. N I 14190 HNSryoBC JVUY RJRTOTHNSOOgN JUDY 1102/82 4/29/02 61.10 202 I$NgEq % 3A T%' 76259 PQN6HRO% 3A TX 76249 No response to Collection efforts. j 404 96430 0ENIGNCDONALn KEVTX 76201 0694P DONALD ROT% 76701 sN0 PespOnSe t0 collection efforts, 49. DO a ej 101 289353 U4914 lJYCbIEWRHPT ' LAIJTX 76272 dL~~VI6W' DES%aL17Gt272 Arrangements notIIkept1 4/29102 400.00 1.0 S 1/22/9 t01 47027 ItQNCRANFORG LEET% 76201 ~HNT NCRAWOORD LET% 76201 1No response to collection effort ~2- 135. 07 r t 201 194233 HISJCn WILLIAM 11/24181 4/29/82 41 00 i 4 pC% li9 _ No response to collection efforts, 4 AUO HY TX 76227 201 308178 pI E JERIMIAH IIHgg OR11EVA 10/01/81 4/210/02 18.00 ¢ PRARIH S6 6. PRARIE 5 T TX 76201 ENTg014 TX 76201 No response to Collection efforts, n03 61 646 pNBtl AILROAD AV9 RULEIJE o R 11 RCA0 AVE RVI.ENS 10/07/61 4/29/82 97.60 4 , OoNE pp ANRCR t% 76266 ldOHR Tk 76266 No response t0 collection efforts. 201 315070 YyA E gg ggNN JOH KME gygpg JOE 10/01/61 4/29/82 66 AO ~I V LF101~9~11pt6 TX 70061 LIVIL1 N T% 70067 No response t0 collection efforts. J ' , i tn~ k i - l~.w.__- -..n.......a_... - .~......e.~-.- - - I L DATE 4/74/82 13167; F L p W M E M O R I A L H 0 8 P 1 T A L PAGE t3 ; DAD DEBT TRANSFER REPORT FOR PERIOD 4/01182 THRU 4/30/82 Ir PATIENT NUI1ppggR ♦xd4d PATIEIJT NAIlE ndrw xxxrd GUARANTOR WAt1E xwrx rr qq- I~ gg -F% -NUMB i+--ABDR_--- - -B---ZIP AGUR, CITY, ST, ZIP ADMITTED UIB~HAkCED WRITEOpF OFtlAhCCUUNT 201 368217 KFLLgY DAI E 4/x9/82 6L $0 2{11 SHADY SNORES NO 2 . N£11aaE lY~AKE 1F{AVENS GALE 1/tb/92 t., LAKE ALLA fX 75p66 LAKE UAILAB TX 75065 NO response to collection efforts. 101 287318 Y11,af1WYyy~~EST OAK N11 SHKILA K11tE`~Typ 2pp1AC LN N10/1ARVIN 5/09/81 5/12/81 4/29/82 300,00 17i NTON TX 76201OALLLLA8 TX 762;39 Arrangements not kept. 216 140473 Va0 ROOER K5nR ROODR 1.0/27/81 4/99/82 19.66 UPON 1 033 MEWCEDES ` EN ON TX 76201 DEVON TX 76201 NO response t0 Collection efforts, 1 lot 48W27 gpII%N%03ga DAVID ALItIx,~ENg FRANCES 10/19/81 11/11/81 4/29/82 360:97 JUBi1N TX 76247 JQBT[IJ3 TX 76247 No response to collection efforts, 201 344903 V ~WKLE , DOROTHY VUNK f DOROTHY 10/2$/01 A/29/0a 95:25 ` 0U1p0 C RONADD #179 0 RONApa #179 SIJTON TX 76201 9ENX TX 76201 No response t0 Collection efforts, 201 292699 KUgTIS TRACY KUIJptt 04EN 9/31/81 4/29/82 60:76 V U 2I 26ONTkLLA #107 TX 76201 DHIJ1'0ND% 438 C TX 76201 NO response to collection efforts, i 201 347065 1L,411g H81`tlpt LAN&41 gg AAqVEL 11/06/01 4!29!82 47,10 D VV j AORCOX 212 , $83 N PFC~N 76f227 M XY212, 555 14. PQCANTX 76287 Arrengements'got kept; - 1 102 94046 EA ~ IN080R 808TX 76:01 DI~;Z1A11408Ok ROSIN 4/29/82 020;50 L L, 761201 A1/10/91 VPangements n0t l kept, Q 71,60 ` 1 pT1IN4HAM T 11T N /14/01 203 36955821J$ONOTTINOHAM ' K1f1TX 76201 HNTON CLT%fiNC~6201 1H0 response to CO11eCHOn efforts, 1 337717 AIJIfHN JESSIE AW4~ R LAN01 9130/81 4/129/92 20.20 1r VENSTER TX 76262 U5N tSH TX 76252 Arrangements not kept, J ; ] 101 333211 g$1J8aaNN AWA A148 N HARLES R 10102191 10/05/91 4/99/82 d7. 70 I fit CORONADO #1041 01 ORONADO OR Ntb41 V NO bp TX 746201 ENT N TX 76201 No response to Collection efforts, j 201 3466161 k7E LOT 51 CORRAL C.1TYY L pp R F7 Qf 6t CORRAL CT}LLY 1/08/82 4/29/82 39.50 AROYLE TX 16226 A dtB TX 7bt12A' Arrangements not kept. 902 114249 6NX MISSY Lf'f•. 1466 FRED 1/09/67 4/21/87 1 156 U Nun 72,00 0 D' TX 76!264 ~~NOL~R TX 76249 NO response to Collection efforts, W ~ F''; Mal k 1111L. DATE 4/89/02 13:87: F L O W M E 11 0 R I A L H 0 0 P I T-A L Paae 14 DAD DEBT TRANSFER REPORT FOR PERIOD 4/01/02 THRU 4/30/02 qTF F BALANCg ~l PATIENT NUMD6R PATI011T NAME OVARANTOR NA119 -'bATE DATE p_ - - ADDR, C1TY,0T, TIP ADMITTED DISCHARGED IJHITEO F OP ACCOUNT - PFX NUMBER ADDR,,CITY)ST,-ZIP `y » MARIANWE 1a/18/O1 4/29/02 10,00 301 390796 E77NZqz MARIANNE `vizC N LOCUST No response to tollection efforts, L~IdTf1NN LOCUST TX 76201 DEN11pN TX 76801 DQGRA 13/!7/01 4/24/02 71,35 201 339778 l8 DEBS IN Iq No response to Cellectlon effOTts, t 24OMGR0E % 76201 DS~TOHORBE TX 76201 T D IJT N $ TTg 1/18/02 4/24/02 109.00 TX 76301 ~199SAB TOTIZY 76201 Unable tO locate. 201 367260 L9TONXAO TOM;1ky 0 g ' T Ng g J 0/28101 4/2WU2 30.70 801 32Y700 kjTTL 8147 PAtiTX A 76727 gUBREVOx0E47 TX 76277 No rospOnse to collection effort. Rt 4/79/02 170. .10 liblel 201 3512,13 RITTpL 8 0 47 TQRRI L7ttLEppnXC847 TERRS iNO response to collectlon efforts. aVBRE T% 76237 ARAVppCCBEYpp 22 TX 762."7 76165 MOVed20eft no eddre99~' 4/:14/02 6Z7,C0 µ 1318 IJ JEPFERBOk h 101 319241 `p 3XpkACg ~1 FF"SO11 ROyT% 70160 WAXAHACHIL ROGER V 63K~bLlVAR H 12/24/01 4/29182 82.50 R a TX 76201 No responsO to collectlon efforts. 4/29/82 q0 7t! 701 361832 6JNTdNLiVaR H TX ?60101 01 D flflN TON p JAMBS 11/19/01 s i gg , AI( BHHAVgN E8TATE H2 9 1 180706 1A~~ik A8~67AT1i M2 PAYKYXSOIA 75069 L ~AK~ S GAL~AB TX 75065 Arrengellents not'kOPt.' l u JUANITA p tL DAVID 9/IA/81 9/16/81 4/24/82 802.70 OVIBI Ntl1 TX 76261 Arrangements not kept j 102 174896HNOb T% 76401 N ONOVSBs W i 7/10/01 4/29/82 40 70 VA 1 :01 313551 ~ NTGNgAK ]i CTXBL 76401 b N O}4SAx TXR ~7b201 Ho rOspOn9e to dollectlon effort$# 1 V 1JOb/0:: 4/29/04 38.00 ADRIAN WA LBOPOLDO 407 1.~091tl NA , TMINWRIOHT TX 76201 Arrangements not kept. i l T% 76201 4 LVA &11TOtd 4/29/82 43. DO CHERRY 4q1 361729 N H , CHERRY YW H i4ngemen N HTITAN TRAtL Sl Tl1AN TRAIL TX 76401 Arragements'not kept. J E Tx, 76?/i1 EN ON E tv MILDRCO 11127191 4/24/02 6q•60 1 1 284 18119 CIIJ~! 141y OAK J 9 OAK t ^ '~`b201 NN' TX 76201 _Ilo re9pOnee to Collection Offurt9, NT , J 1. , ii II 1 nl. 5 y~r1 '1 1 ff~~ 1. t. . DATE 4/79/82 13:57: » PLOW ME MOR t A L H00P I T AL PAGE to I ( A EAU DEBT TRANSFER REPORT FOR PERIOD 4/01/92 THRU 4/30/82 PATIENT NVIIDER 4444a PATIENT NAME 444* 4k1i/4 OUARAIdrrOR NAME K4#~ WA g Dprg pAT& pF DALANCE PrX NUM3ER AD~Re CITY, ST, ZIP _ _ ADOR,. WY-6T-uXIP_ ADMITTED 0180161) WR17EtlFF' OFN ACCOUNT I ,.I N I 101 337097 {{.YpNa oRTIY 4O Ngg PETTY 10/08/01 10/09/81 4/29/82 663.95 P,4 WOg 803/604 E WOLCOTT Btl% 203/604 E IJOLCpr 4 AIILbTT{{S~POINT TX 76258 bbLBOOTTKKPT g 7X 7625S NO reSpOnse to collection efforts- 201 300'66 L DEI/92 E [BVINOSTOIJ Tx 79067 ILEWi6VILlgYON IJtT%1AM75034 Unab1e7to lOCdte• 4/29/82 38100 101 344341 11ANUEL MARION I1 (TAMS BEATRICE 10/22/61 10/25/01 4/29/82 623.00 510 L~ItEY 910 LAKEY St 6, CENTo4 Tx 76201 Oll££NTON tX 76201 Arrangements not kept- II 201. 345157 MARINO JOHN MARINO JAMIE 10125/61 4/29/82 359.39 tRJ4~ILROAD AV TX 76401 821844A ILROAD AVE 1 Tk 761201 NO response t0 Co11oCtI0n efforts. lot 325282 ~1 N KATHY 14ARION RICKY 10/29/01 11/01/61 4/29/e2 300.05 ~aa11ppl OOP 200 kL12 pp1 LOOP 209 kLt2 O44NT N TX 76201 2ENTON Tx 762ot No response to collection efforts, lot 319149 RS 1$pL t LARRY Mgg RRxGH I LARRY 8/03/01 0/03/81 4179/82 81.69 ' f 4 1.0 tOINT TX 7b29q PLO DINT Tx 762&8 NO rOSpOnse to C011OCtIOn effOrt$ 38.00 r q AIJN JAMES 3/16/82 4/29/62 284946 1q1TSIL D I10 IJ THERE6A7b201 I1p6/2l9/81 no address. 4/29/82 t04,50 aol 346247 /~7NHOpNpOT 10 TH"NESA 76201 O^7N OgN Y l0 4 IT pRIJA0D0 pC k10517 TX 76201 BgNTtlNRIlAODO k1057 TX 76201 Arrangements not kopt W NN NN t1 101 4/9 lot 161166 QN a ODINWOOD 11ARTX 76201 199T O~gg o""OD LATXY 76201 NO 1`011011611 to c011a t on eff6rtq/82 236,90 lot 191932 11 R Dg - PAUL IN11 Mg ROE MELVIN 10/00/01 l0/31/61 4/29/92 343-05 'g@ ACKINN9Y nj MCKINNBY 1 T IJ TX 76201 JT IJ pp TX 76201 No response to C011ection efforts., t j 202 291716 I9 C I~TOoN . DAVID Mf~C~ ~TTXCROPT DAVID 1/16/82 4/29/82 900.00 QQ gg p%CROFT t 1r tl N O TX 76201 UNTO Tx 76201 IiWruptty• 101 355339 M E Y#ax t49 - 8ILIY 0 " YDflX 149 SILLY 11129/01 12/02/61 4/79/88 259.08 RAUGHY TX 76227 AUDREY TX 76226 Arrangements not kept- S k 201 OB9427 pRp~ AUHEN 11~~jj A RICHARD 11 /10/8l 4/i29/02 10, 04 },T4ptJDQNU6RRY M13~ Tx 76201 410O9NOT NO. 60502 No response to Collection efforts, uu S -NO~~T ~+nwVN-M•.w~-~M.W sM~.O 11MIIMYYY~~-~M~Y 1 - 1 I , A jx. {{f r, DATE 4/29/82 I3i91: F L 0 W M B'14 0 R 1 A L H Q 3 P 1 T A L PAGE 16 i s& gE BAD DEBT TRANSFER REPORT 96R PERIOD 4/01182 THRU 4/30M bb np g ~VI AMI PpT%f!NTNUIU04R **rADDR, FI TY, NAME,0Z41IP *MkeADDR, CITY, 8N, IP**a, ADMITTED D19CHARM WRIETEOPP QPBAA0006NT 202 217091 t 3oNJOHNS0II 11ICHXEL 76201 uNN~ON HIJBOtJ 1117%AEL7620t NOOeSpOflSe to COt1eCt10n of 49.75 of T 101 330639 ~ LJRMII.I. ESTELLA 76201 D ~TONIIILL , ESTELLA7620i No response to Co110/01 4/29/82 210.00 102 116442 1jd rRA9T 9YCAMORh alt"ON, 76201 bj~¢b~AST BYCAMCHE SIT%N"76RO1 H08r84pOSe to collection effOMtc,/82 200.90 lOl 331912 LEH1BViLLL JAMTk 70067 LEWI9VILIE LUBXRTtI70067 NO~e4pOne t0 011 CEOs efforts,/92 910,-09 V tot 322123 ??10TH N SHIRLEY I N CECIL 9/10/9l 0112/f;l 4/129/82 21 90 PIL~T POINT TX 76260 P[L~T POINT TX 76259 NO rOSponse to C011OCti0n Offor!$- 203 64949 1t';P00(RIEBCTtlR PAUL 14~UnbEB PAUL 2114/82 412l/02 20.00 OpNTON T# 76201 n14 0NC10R 0 TX 76201 MoVedl left no address, 1 7G1 366179 111 ENb ANTONIO RH4 ANTONIO 1/09/02 4/09/02 64,00 11 { C Tgo[LROAD AVG T% 76201 419y ~ILROAD AVE TX Y620t No response to Collection efforts, 2 199349 R?AU 1 3 DVOGRAH 11pR AN DEBDRAH 10/24/81 4/29/82 129.84 20 % p r gOV g 20 (L8Y V1EW TX 76^."Z VALLEYI W3' TX Y627i2 flenkrUptcy, ky 1 338707 pppp!?OA V1"NGLL I4 Al 0ph~ VBRNELL 10/03181 4/29/812 100.00 € I JQt ~&IIPHINE 8T 'JQJUBENHIN2 8T 1 ! 11 LL TX 76634 HOLLAANDD TX 76534 NO response t0 Collection efforts. I` 202 196147 h, p A ttr WOMB 11/03/01 4/29/92 77, 5Q ~.2 0~tlL1VA 1ANt f44 11dd A T% 76201 g 04jBiIVAR T% 76201 No response to collection efforts. i 1 11 201, 360750 h; gS ON JAMES Wq 0HTG , WILLIAM 12/20/81 4/29/82 99.00 7 BIN80N 4t2;IN80N C NT TX 76201 O NTON YX 76ROI NO response to Coll "006 efforts, 202 103006 YL1 EPKW00D MARK 116~EfA MIN 11125/81 4/09/92 30.00 I,v 1rbN 0 TX 76201 i~ H OWRIfOt1O _ TX 76201 No reSpenso t0 col lootion efforts, J 201 05 S It N X 1071 TROY fiIJ151S07t MART 12/06/01 O1'tl.i . l 1d 7^.25 ~j'RON TX 76201 N 1 TX 76201 No respOltle t0 CO114Cti0n eff x29/88 117.05 .J i spasm Y it is 1 l' FJ ? Pa,r it DATE 4/29/82 13; 57: F L 0 W ti E 11 b P I A L H U 8 P 1 T A L PAGE 17 BAD DEDT TRANSFER REPORT FOR PERIOD 4/01/02 THRU 4/30/92 PATIeNT 14UIIUNeR C*4** PpATIENT (IA11E 44A4 14•x14 pUARANTOR NAME N4Mi, DATE Upq7 ~1AThh' pP DA AN~H PFX NVMDER ADC R, CITY, ST, ZIP AODR, CITY,ST, ZIP AbMITTED D18CHA 0186 URI7EOF'F OF ACC NT 201 396801 It 11AROAW✓ T NAIL , 11AROAR9T l2/03/81 4/29/82 BL IO DIIX 69 TX 76201 UNIONS, 89 TX 76201 No response to collection efforts, V 701 363614 Nit-Tp SH448 IJLBtlN , STEVE 12/31/81 4/24/82 40.00 FRRIBCUDOX 192A TX 78034 Ida D0% f92A TX 78034 NO respenso to collection efforts, V p 201 367315 N`H TIIMAN ED14ARD WIN' IAN , EDWARD f/1 /0d 4/8.9/82 70.00 Tbti Tx 76201 TX 7620t' No response t0 Collection efforts, 701 364386 NOONEY PATHtCIA Npppp EY ppqTRICIA 1/02/82 4/29/02 68,00 9S~ D OKLAHOMA PLACE `91g G OOKLAHOMA PLACE UL A OK 7'4110 4UUpL CCA IIJJ TX 74110 No response to collection efforts, 202 340993 ~JJNCHAWORTH OR 30 RON GYDNFTAItQRTH DR 30 RtlN 12/13/81 4129/182 1!!6.00 4 4 NTfOTN TX 76201 DENTON TX 76101 No rosponse,t0 Collection efforts. 202 187704 PERRY SOFILA p BE RV , BHEILA 12/09/81 4/R9/82 49.00 71f 8OX 946 RT BOX 946 CANT & Tx 76goi SfJT TX 76201 No response to collection efforts, ; f 201 360886 gptl@$ 8LL ppNN1168T DtIL DEL ELIZABETH 12/19/O1 4/29/88 105.00 4 b a pHCREST A~L1N~TtlN T% 7b0lY gp ~ ILIN~TGN TX 76017 - No response to collection efforts, 201 360602 pp EL 111KF ~}ppIILL„ MIKE 12/19/8t 4/29/02 111100 q 6 ~IOHCREST q?6 N 1tREOT A LiftttttJJJJJJGGTYON YX 76017 AAAARRLINNNNOT6N YX 76017 No response to Collection efforts, I 2401 399488 Jto'~,y~6li;I.MWEOD 01140Y ~1 1 110 on CINDY 18/14/81 4/29/82 62.00 LF~ 9 [LL TX 79067 L .WIB 1L1 eC Tx' 76067 NO response to C011e0ti0n efforts, 201 212597 UA!tho 4N AI % 141 DOIIALO 9/21/80 4//19/82 87.75 631 X 191 1~ efforts, TX 76201 IA 0 Tx 76266 No response to cotloction _ ! lot 196956 CIANUSt , UOOCHVKURV g qN 1 , 14ILFRED 7/04/80 7/07/80, 4%29/812 134,50 I j gj ~OT OAK N12 03 NT /TA too N q T% 7b00t 174 N? TX 76943 No response to C0114ct1^n 4001 s, i 203 214902 Y 4 , OARY Qf~T i , JOHNNY l1/018/18! 4/19/02 60.45 g e NA ~~L~6Y ~IEW 7X 76272 AL ?g VIUW ' TX 761272 NO response to COl1eCt10n effOrt9, L . , ~ NgpOX 08 ' CHRtBT1NA Pfee~ tltlLgQMkgglp g RONALD 1/01102 4/29/82 !11,45 J 203 76$923 RI C0 TX 75034 MEN9 BkhNCN TX 701134 No re6penle CO C011eot10n effgrES; r I } l I i ' i ...r...+.- PAGE 1S DATE 4/29/82 13x57: F L 0 W M U M O R I A L N O 8 P I T A L p DAD MDT TRANSFER REPORT FOR PERIOD 4/01/82 THRU 4/30/82 PPFXENTNUMDECR "araADDRT1C2ITY, UT,aZ'Ip_ « upAUDRARCtTV~BT, ZIP*" a ADMITYEU U------ WRICFgQC Y Y PAAgGE Rqtt r HICHA£L A33AOEPRttCF 14tCHAEI. V 10/19/8: 10/36lS1 4124/82 92.90 102 bB48b 4& P1 ILl&IR TX 78od7 LF:WISVILI EDR T% 78067 No response to collection efforts. 4/29/02 40,75 204 82899 P RF~je Jt1'D1Y p RKK7ERR IlliilY 12/29/81 2M TELLA T% 76201 2EWTOV0 1.A TX 76201 No response t0 collection efforts, DEN 01 µ p pTR[C1A 10/20/81 4/29/82 04.00 201 348173 PAR O PATThU ARpjSg No response to collection efforts. 9`0 g SLM. B% 2776 TTU 76704 DFNTON ELM, 8X23776 TWU DHN ON Tk 76204 201 337239 PAJY RS?N AN pRANKiC PATT R3fIJ pRANK1TE 9/99/81 4/29/82 128 29 LRWI VILL. T% 78067 LLgIWISVII`coo'ORAN T% 70067 No response to collection efforts, 201 262741 1TNNRRADBHAW J=RTSV 76201 08NTQNR A'DSHAW OATX 76201 No/rsponse to Collection efforts~2 X9,00 f 204 01495 J pLAZ HAVEN ESTATES LItAA b AKZg F~AVgN B9TATEOr2dARIA 9/14/81 4/29/02 134. 1U No response to Cpllection efforts. [qKE DALLAS 70069 ~AR6 RAVL AS EN T% 75065 I `pTH VIVIAN 1l/20/Bl 4/?4/82 31.00 1299214 Opppp ACCEHH 0£Ur AN ifiN N I D~NTONpM9LR8 TX 76201 T N T% 76201 NO Y44pOnSB to C0114ct100 efforts. {i ARAN 10/08/80 4/29/87 02.50 203 207639 P8pCg PRAM P ~gUPITEH No response to collection efforts. U ; n 7 JUPITER NTON TX 76201 BR'18N f% 76201 103 234633 W06/al 9/09/61 4/29/12 287.70 140 44 CHARLES Pp& ACCffIJ JAMES ;IAIIN oq N TX 70034 pkf23C0 tx X0034 No response to collection efforts. J 203 103236 P1111 BTpN RTMULDENRY TDONALD P 10JO NTOULHSRgY DONALD 11/29181 4/29/09 40 QO qq~~jj qgQ No response to collection efforts. IS% 76201 DHWT N TX 76201 N {{,1'OA PpRGz , PETE 1!/01/11 4/29/82 79.00 901 347118 MR IN AP~ 37 pg g RUDnEIL 037 NO r69peR90 t0 collection offorts. - TX 76201 CEIITON T% 7690, i 203 107616 ppgRRY r JAM89 PgZR4YHArPY CANYON r JAN,fiS 12/07/81 4/99/19 38.00 3 lt4AHAPPY VALt.RY T% 70241 DALLAS Tk 70941 No response to collectIDA efforts. 0/19/01 44W02 201 341396 KBY9 r JACKSON 20067 L o t3V LAR KEYS JArM8ON70067 `No response t0 Collection eff0 t%' 71.00 J 1 1 i y, i _ . 1 1 yb s~ ll DATE 4/29/82 13:88: F L O W M E H 0 R I A L H 0 8 P I T .A L PAGE 19 i lr 1 A DAD DEBT TRANOPEK REPORT FOR PERIOD 4/01162 THRU 4/30/82 4 tt qq OUARAI47OR NAME awlu DATE DATgg Bq PATIENT i UMBER +x•*~ O TIEl4T t1AHE /ZIP PP' N 11BER ATE OF 8A ANCE I" ADDR, CITY. 9T, ZII' ADDR, CI1Y,8T, ZIP _ ADM[TTGI) DIBCHAft OED WRITEOPF DF ACCO.UNT 4 201 349247 PPH11AARNgF.LM LARRY PPHtARI8 X11 LARRY 10/26/81 4/29/82 20,00 CENTON T% 76201 DE14TO14 TX 76201 No response t0 C0110Cti0n efforts, ~ i 101 ,10854 ILL P9 D1ANF. PHILL P8 , CLIPTUN 10/09/81 SO/12/91 4/29/02 609.20 OX 650T NT ` bX 650T to collection efforts, INV JE TX 1,11.66 8ANQE TX 70U66 NO response 201 347773 PitlH ppgg 174 102 h{,jJHAL i82NS¢L 8OX 174 NEAL 1OespOnSO t0 CO110Ct100 OffOgE82 a8; 00 WNW T % 762672 R ANOKO PO TX 76262 NO 501 290496 PD A KIf4 TX ERl Y 76205 D 1 3 i 4TON T% CLAUDE JR 76205 5/04/81 5/08/81 4/119192 27.50 S UMMINOSSRD 3 HV14fsINOD1R0 No response to collection efforts. ° 20S 338665 d~Nd PATRICIA PppA 59 , PATRICIA 10/03/81 4/29/82 78,34 1 AROIE APT 3 1'it MAROIE APT 3 TX 76201 DEN 0 TX 76201 Arrangements not kept, 1 343178 P tH 1110HELLE rH , MICHHLLE 50127181 4/29/82 160.20 p 11 gTELLA 00107 1L ST01-A 00107 f ~ i1f4rON TX 76201 ENTON TX 76201 NO response to Collection efforts, 201 21302D PQtlpNogp PT WORTH OR #2JAMSS 200 PT WORTH DR 0029JAME8 10/03/01 4/:9/82 4'~.Ob DENYON TX 76201 PnnNggr05 TX 76201 NO response to Collection efforts, 101 041164 PBgOWOCKHTT DOlN4A POiJBtl%% 54 DON 10/12/85 10/13/81 4/29/ez 400.35 S Aw AUR Y TX 76227 AVBREY TX '76227 NO response to collection efforts, 202 50427 P WB L RODHRT Tx R HAPtt IATION , 12/06/81 4/29/9'2 148.00 6 13 SRAD014AW ¢05 OR,40 HAW 1 ~ D NT N Tx 76201 EIJ1 N Tx 76205, Ifo response to Col lecti0n;effOrts. 1 3152609 PSJ'Kt 09 MANOR ' CYNTHIA M0 SK11408 MANOR CYNTHIA !1/17/01 4/29/82 61,70 L/,K DALLAS TX 75065 LAK DALI A8 TX 75065 NO response to Col4aetie7. efforts. 202 243931 /1NByy AqpN A g~IAfNsliY CNERIH 11/26191 4/29/8,2 55.00 1 p11 a BQX 591 TWIN L14H M p 7 BON 181 TWIN LAK&@ b qD 1000 % 7620E uE14dN TX 76201 No response to collection efforts. HtJ 001 341060 ¢~NRAL NANANJO ' AV9 AAI40111 NARANJO AVE 10/11/91 4/29/80 317.29 A ALA 11X QEN 0 OVAHALA MX Unable to locate,' J ` lot 044090 A6~ Rg , PRANK RRgAAbgqppRp (RANK 10/22/91 10/25/81 4/29/92 36.00 6fI ONpB 0 LINK TX 76201 OENTONOB p LINK TX 76201 No response to Collection efforts. 4~ 1 rvLff / 4 ! ;,i 1 ! --...._.......,~....._........1.,..s-..•-.,b..,.~........w....r.»..N r Ir .nu,+rrord' I, t , r7i 5r 1 .,,....rp..l....._- PACE 20 DATE 4/29/82 13:58, FLOW 11E M OR I AL`NOSp t t AL BAD DEBT TRANSFER REPORT POR PERIOD 4101/82 TNRU 9/30/92 00 CC ~tirt PATIENT NUMBER n*air PATI Nr Wie •440 •waM~OOtlURARCItSORSNAItTt Mt+< ADMITTED DISCHAROED WRI7E0lR OFOAACCtlUNT U PFX NUMBER - .A- R, AgtlRr CITYr 0Tr tIN T - - V pp !1/10./03 4/29/82 70.00 N tx 76¢63 (to response to collection efforts. 202 27Obf4 ~ Ow OAK OHA Tk 7b20t #0 LEE Cl ANW L 8/17/01 9/01/01 ~ YA8 LD762A1 Akra Qements not kept s 412c?/82 bR03.75 101 324269 R2AqYFFgI~LDD N GOAD 4,b HARTXD 76201 gRAFIELn en7~y01JLn N ROAD AP~{ CEIJTO 4/29/02 72.60 201 329914 jjAOAN tiADELYN Rp. 3 MAOflLYN 9/02/83 . 3 pO% 333A RT 3 an% 3334 TX 77777 No raSpOnss tO cOllectlOn of forts COhINTN T% 77777 CORpDINTHO 4124/02 39,90 201 3G1972 To~ WHITNEY 77E AL~~D WHITNEY 12/24/91 2 0 &~NWOOD LENWOOD Tx 76201 UNTO .1 76201 HO response t0 CO1laCtfon efforts. 4 RT20 284. DDUOLAO 10/09/91 10/10/01 4/29/02 300.25 102 287441 DMD 284 VAIERIE R TX 762bb HO response to collection efforts, BE~ TX 76266 DAN 4, HARVEY 11/10./81 4/29/84 90.25 202 33J641 ppp8p r IIARVBY, gTES DOX BS pY E MO% S8 TX 76201 bpBNTTDN TX 76201 No response to collection efforts. D IJ O ttAROLD 6/29101 4/49/92 141, 75 201 307991 p885n 129 r JUANITA pRp$gQaaXX T% 76384 No response to' collection efforts. Ck TX 76304 VNIA 178 bN q/4q/d2 40, 75 f j oy r VIROINIA gY r ClIARLHS 11/61/01 201 346940 RIEHO 1A EEDOX JA ffOrts _T% 76249 No response tO Collection a.. X Tx 7b249 NUM i V K UM n g MARY PEMSTp 7 NAh'Y ll/10/31 4129!02 18.00 4Dy 349910 pa 8 0x 1,77 TX 76258 kk 66qq YX 76250 NO reSPOnse t0 Collection efforts. a PO[NT l1b POINT 1 1r fi CLAYTON 10130/01 4/29/02 39.00 j 201 346650 H~VrBl9 ItlAN CLAYTON R 6VM~ COI`J,~AN 4 WIUt4l. T% 79667 LWI9VILLE 1% 75067 NO response to collection efforts. ' r EVELYN 10/1b/0i 0./$910'2 46 00 401 344477 i1CV~9gOWAN KATHINA RgVEOO L WI VILL TX 75067 L WIS (LEN TX 75067 NO reSpOM1SA t0 collection affOrtsJ ~j r CAROL p 0N p D/03/0l 5/05/01 4/29/02 P96, 40 104 117804 V6 TO 19G TX 78201 S a R NO llnLD RT, 3 604 iVt 76266 No response to collection efforts, arrangemOnts ~opaPki H 9 4191182 129;75 rnIJTC A 7ea6 arJn p 407 15769 _ NbII ~k 6970 6 fJ~fI657-0 vUTX 76966 No rOSPOnse to collection 'efforts. ✓ 0 L ~ L. l l 111J, 1 { W. ' ,r l 1 l,. DATE 4/29/82 13:58: F L 0 IJ M E 11 0 R I A I. H 8 8 P 1 T A L PAQE 21 BAD DEBT TRANSFER 4CP08T FOR PE8100 4/01/82 THRU 4/30/82 PATrIENT NNUMI~ ER 44M44 PATIENT NAME *41* 044*0 GUARANTOR NAMB DATE 0qq77 UATR OP UALANCE PFX NU118ER ADDR, CITY, ST, ZIP AD R, CIT .BT, ZIP ADMITTED pISCHAGEO NITEOFF OF ACCOUNT ~ 102 17145 610M8 5TH JVilY MM 5TH JIMMY R 9/17/81 8/24/81 4/29/83 136.28 ` rdJOEgR TX 76266 ANO0h TX 76266 No response t0 collection efforts. 102 334797 p3HHpODgpgp/ MILL KENNETH RaRa1100qDggggB 8R KBNNYTH 10/11/01 10/12/81 4/:9/82 141,22 6ECAIVR TX 74234 1h1LL TX 76234 No response to collection efforts, 202 325118 ~1Or9ANL000ST 030 ' CHARXEB pgEMA 76301 DN~ g8TUATQN40CV8T LOT 36 CHARLES TX 76201 NO response 10/17/01 collection 4/97/82 302.50 W 201 341903 dTT N a 10/1 g010NH1TE OeK COURTARTX 76201 I 0#nNHITE OAK COU~iTMAT% 76201 No NBSpO S01t0 collection effOrtS.4/89 30,60 ~r 201 356832 PPY APRIL NIPPY APRIL. 12/04/81 - 4/29/82 186.50 ' Yp LLQVIGE 36 }~,94g2 LI~OUISE ` NTdN T8 76201 UCNTd~! TX 76201 No response to C0110W OR efforts. 202 257949 R00g6ERRTTO DA~.F 1QjffRRTTA DALE 12/24/81 4/29/82 46,25 1 ` 6 ROAM ILLK OK 72616 BE NOW E OK 72616 No response t0 Collection Efforts. 201 378905 RODERTS JAY I3+OBRn I ITtB JAY 2/21/82 4/29/82 51.25 AN ANTONIO TX 99999 I(~~pr f, 49AUNN(gT~XONIO TX 99999 No response t0 Collection efforts, 04 103 69633 R163nAVE A TAIITX 76201 I7CKINNLY b4 JAYXIE70069 No 85p0 591 t0 soli CtIOn BffOrts,p/8` 267.00 i 201 3$0892 H6ppnp NTppttONU Z RV88CL 0QQ R18~UF7 ROMONA 11113/81 4/29/82 81100 9DeNTg80N8. {I YX 76701 DL144.ITOIJBB TX 76201 NO response t0 collection efforts, 201 360776 417 1 Ht544 1 MAINAPLA%E 75068 E~Tjej 144 1 MAIN'PLAA4,N 75068 NO re§pooSe`to Co118Ct10o effort9 7/82, 38.00 902 37374 R`4pQQ@pRBNYDER 8T CHARLES R`gRBIRN3,OER ST CHARLES 9/26/81 4/24/82 77,75 QENTON TX 76201 t 4?ON TX 7690t NO reSPOnSe t0 C01I8W On efforts- 9/82 Sb14, to 11it 0 101 ` 130605 6g~N89VftYkOR NYATX 76240A[NEhVILIY.BOR. gH TX Yl'`7b240 NO OepOnSA 9/00/01 'O C19114/01 10Ct10R BffOrt5. 201 362434 p liRB SAMMIE NO E 8 GAMM19 12/26/81 4/29/82 18,00 J Q I~„RUpDSL1 TX 76201 ~ rONIVODILL. TX 76/101 No response t0 c011ectfon effort, r+ ur+ J , W 1 lliil l P + IMDATE 4/29/82 MOD: F L 0W 11f. Ma R I A L H 0 8 P 1 T AL PAG9 22 s DAD D901 TRANSFER REPORT FOR PERIOD 4/01/62 THRU 4/30/02 ACCO NT { P' TIENT NUN.D R RR#RR PATIC147 IJAME x+I4M RRRRx GUARANTOR RAISE RRRR DATE J-D HOR WDATE RIT OFF BALANC PFX NUISOER ADDRr CITY, ST, ZIP„ y 4 ADDR, CITY*DTr-ZIP r ADMITTED D18CHAROEA WREpFP O OF ACC0 V ROSE EARLENE L 9/18/116 9/28/01 4/29/02 55.00 lob 171048 FjE TRAMS EARTXNE 76201 DE14Ttl14 TX 76201 No response t0 collection efforts. 0120/0 L4p.~ 9 RONAN 4/29/82 212 36422 •E80909NVDER JANTX6 76201 1907dSNYDER µETXET'16201 Nolrespon el to collection offorti. 76,00 Y HE T N R O L DS t '82 %1 00 205 3x3220 gT~Nap 268 NH4 STETxN 76201 DE3TOM P 269 5H5 TX 76201 Na response to cc Ilection efforts, D KENNETH 796F5L OX 16 MIME 4/+".3/61. 4/29/02 194,40 20l 2D712H pgpUrR6j ~0X 4 16 MIME TX 76262 RUAN03 TX 76262 No response to collection efforts. 202 333J44 A~AZARADBHAW DEfU TX JV 7b201 gAp NTa fJ TX 76201 DftVtAJzpFk DEhRlY 9/10/91 4/29/62 74.00 A D1NA DaHAW TX No response to collection efforts. 0 6 r EMI1.10 11/24/81 12/04161 4/29/92 04.00 S01 349563 gApArApp . TH':LMA JAOI.AISo M AV 5TH 6T gpD0U7H 5TH BT TX 76266 CBANOE T% 76266 No response t0 Collection efforts. 8A HR fAbllfi 263 GARY 3129/81 4/01/91 4/29/62 53.75 101 270937 BfaLM$ GARY ONB 263 TX 76259 OIJD TX 76259 Arrangements not kept. p 1, 205 3363L3 ga~ISFppkD CREBHA g3gA001~7FRMER 02 CRE6HA 9127/01 4/29/62 91. 40 yiN 0 HOER 02 TX 76261 U6IJTOW TX 7620t No response to Collection efforts. ~jAuuL THURMAN 12/24/01 4129/02 36,00 j NT N 202 206260 A L THUAMAN PEACH pTtlACH 9T ML TX PMb NL TX 76205 LE`JJ 76201 NTON pp No response t0 cotlectl0]I effortsr 4/29/92 46:00 204 63308 gpLTHI11 7 IffD qqLY HI WLN LAKES TR1PKRADNKLIN S0/2d/SL I; HTO WIN LAKES Tit K TXx 76805 DSNON TX 76201 No response to collection efforts. V 201 331058 ajg"RANCH TN, PK' R09TXT 7b20S ~ 04 ANCH TR PK r ROBERT 76201 No respOnSe1 t0 CO11oCtlon effOrtspi97 41, 74 ~wg ij 201 340976 bNTOAKLAND APT 5r GAIL 76201 D' 'OAKLAND APT 1) r EDDIE 76201 No11/13/91 efo collection effort29/02 69.00 TX 214 N IX J H GNN 101 344135 CRc MyL N~4 r g i RAgMqL N KENNETH 10/22/91. 10/24%63 4/29/92 110 79 . tjC YaE0IN7 AT, 1 88%pRj??75034 D914T JEaX 41P ~501 TX 76201 NO response to Collection lffortt, 1 ~ ~y^I i r n- , 11J,y, 1 f DATE 4/29/02 13:58: F L 0 IJ M E M tl P 1 A L H 0 8 P I T A I. PAGE 23 DAD DHDT TRANSFER REPORT FOR PERIOD 4/01/82 THRU 4/30/02 PATIENT NUMBER 4aa*a PAr1E14T NAHE *4444 4a1a4 GUARANTOR NAME apaN DATE DAT DATE OF nALANCE PFX NUNRER ADDR, CITY, 9T, Zip ADDR, CITY,ST, ZIP ADMITTED D SCHA OED WRITBOFP DF ACCOUNT i - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 208 303180 8 LEN LAUAI HEf !_p LAURIE 12/31/81 4/29/67 42.50 1 l pMOND9 0106 fob DIiDNDB NIOd NO response to collection efforts, L L W18PILLL pp TX 75067 LggyEWINILLE TX 75067 202 82396 2900oFT. WORTH DRlt'EOSTXE 76201 2FNTONT, WORTH DgIVER{~dXA276201 No response l to CO118Cti0n efforts 2/82 97:00 ri 201 3,17741 S YF R MATTHEW ryryppEyyF RT D900RAH 9/30/81 4/29/82 33,00 LPWIS L4EAY CIRCLE TX 70067 L r VDILIEAY CIRCLE TX 75067 NO 1`05MSO to collection efforts, 1 201 33$Y19 S3HAAbNYEN , DONNIS HANK N MILDRED 9/25/81 4/29/82 38,00 CENTON'F TX .76201 Uy{ ~OX 0960 TX 76826 No response t0 collection efforts, 103 229276 SHAW PgqRKWAY , DONALD SHAW ryry DONALD 10/03/81 10/06/81 4/29/82 DL 00 02 - 0NT'A TX 76201 D8N7ONl~4tlD TX 76201 NO response t0 Collection efforts, 101 266395 SHAY , Jul IF SyAgW RAYMOND 0 4/15/81. 4/10/81 4/$9/82 703.15 F PRTTILbt POINT TX 76258 PILOT POINT TX 76L+orl No response to collection efforts, 201 124669 IN 14 ANE AOOPR SHAW KEN 9/28/01 4/'29/82 66.00 04 OER pDtt ?x10D Ik 7X 76266 ND response to collection efforts. SV TX 76266 8A W 201 363762 9H~AT UI4AS 27 MARY SHEARER RDDERT 12/31/81 4/29/82 38.00 A TON TX 76201 FT SAN liOUSION TX No,response to collection efforts, 8H pp , i t bi405 RTGSAj8X 1147 TERRY SHEPApRpD 1147 OUA14E 10/20/St 4/29/82 15.50 DttNTON TX 76901 DE141ON TX 76201 No response to collection efforts, 201 343749 9HpIHhgx 200 JDBHPH PO I908200 JOSEPH 10/20/91 4/29/87 74.00 L, K11Uii TX 76249 KRUM TX 76241 No response to collection efforts, 01 301726 ggFJQCKEY JAMES smgp KEY JAMES 11116/81 4/229/92 79,00 2 A N ELM2pN~ATONN ELM No response to collection efforts, VEMA TX 76801 rr p TX 76201 901 346020 1}r gB1CON RANCH LOTCyARLES EgEE RTUABACtlgN RANCH LOTL7YCL 10/28/81 4/29/82 73,2!1 V DE14TON TX 76201 DENTON TX. 76201 No response t0 collection efforts, 201 344440 SH~Vji1 % JACK pgHRUM JACK 10/23/01 4/29/92 186,x25 V tit T '3i TX 76201 CUMBO% 31 TX 76249 NO response to collection eff0t9, J i I. 1 FWM,• PAGE 24 OATS 4/29/92 13:99; F L O IJ M E 11 O R I A L H O S P I T A L I ~ L JJ BAD DEBT TRANSFER REPORT FUR PSHIOD 4/01/62'THRV 4/30/92 fV~ PgpTIGNi NUIBEH axxxx ppAf[ gt!T NAVE wxwx xxxxADORx r LIGUARANMTOR STNAh1+-xxxx- Y --DATE V -'DATE- DATE M1OP -BALANCE PFX N1 _-rADDR; CITr, gT,-2IP-_-'yy , lP ADHITTUD DISCHArHtOED WRITEOFP OF ACCOUNT 1 209 317009 SgHqULLpTTZ S TRAILER bACH1FRYL l9A6ERR S 7'RA1LER PV, JAMES 7/29/91 4/29/92 43. 00 LAKE.D LLAS TX 70068 LAKE ULLA6 7X 79069 No response to collection efforts. 6,LV2ALAI:F SHORE A3j JUAN 1t/OS/S1 4/89/92 91. SO I 204 109736 gg L11 OX R 2 D% 37 LAKE SFIO E G9T DENTON TX 76701 DENTON T% 76201 No response to collection efforts, 4/2 .O1 399729 6 HBpp pp l!CKY S2t100 g 9tlUIH FTW LOT 51 RICKY 12/19/61 9/92 40.76 D NTOIJORT WORTH OR ~y ~O1 BS TX 76201 D NTOW T% 46201 No response to collection efforts, VICKY HYDE VICKY 12/16/91 4/'4/92 39100 203 19939 gpSO pTW DR LOT 51 63 KRAF1 RD WY 14990 No res 1 DENTO4 TX 76801 ITHACA response to collection efforts, l01 220777 I WANDA 56149 p x DALE 6/10191 6/15/91 4/29/92' 292.07 GgH ggTNVT ST 0EY TX 76227 No response to collection efforts. NAD TX' 76227 AB 149 201 343909 BA A SK DA LISA 10/20/91 4/29/92 39.50 R0 CORONADO APT 2061 T$ 76801 107 DENT B h! LUPL41RU DENTON T% 76201 No response to collection efforts. t k0o ~ j 201 9799802 ~l77SLggR{{B,,St1 l6 , VEG1A RKIe2RLStl7 16 VEDIA 14/19/91 4/44/92 40.79 1 ! AgOYLRDT TX 762201 AAROD TX 76201 No response to collection ei'forts. 401 334029 6N7UNAbAK APT C CLATXNCE7640S DCItT01lA1AK APT C CLTTXENC76201 No response to collection efl'ortS9/62 65. 2b f 11/06/1 I 209 146441 ~Y,'S MACHT CLUJ 00AL1SC 75034 F 1SGtlYACHT CLUB ESTATTXLD 75034 No response to Collection eff0/ S4i9z 71, 90 j BARBARA q1S/S1 A;Cq/R8 206,00 708 029704 !1 TNN A140SLA 9111t7~{ l d WOODROW LANE 681 ~OODRQW LAN9 ti "I{fON 7% 76201 N T% 76701 No response to collection efforts, 1 203 325704 6KITH ANGELA S11~TH BARBARA 4/41/92 4/2\`/92 30.00 t 4JtlOOROW LANK It WOODROW LANE 1,421 ON 7X 76201 DENTON TX 76801 No response to collection efforts, l TX 7420t DE IJILLIAM 9/08/91 9/04/91 4/24/83 627.40 103 139691j60bD q-L1tJK ANN 33IAH90B-O-LINK f fJ ~TON TX - 76601 Arrangements not kept, , 102 46904 6114H W OAK N9 DeTTYE SMITgTHOAy,WOOO BETTVE 9/Of/9l 9/09/61 4/29/BC 150 09 qN TX, 76266 &LNTON 7X .76801 No response to 60110CtiOn efforts, p{r1 , ,w y. ,i IS i I 1 Y~.s z1,•;. DATE 4/49/82 13:09: FLU W M E M 0 R I AL H 0 S P 1 T AL PAGE 26 SAL DEBT TRANSFER REPORT FOR PERIOD 4/01/82 THRU 4/30/02 / PATIENT NUM~ER 4*104 PATIENT IIAIJE *41w **4A10 GUARANTOR NAME •rrr DATE PATE DA776 OF DALANCE PFX IJVKD R ADDR, CI Y, ST, ZIP AD R, CITY, BT, TIP AUMI'TEU UIS HAROEO WA TEUFF OP AC CUNT 201 341271 E+MITgHg ACORN RANCH MPNk18q[NA 419179E9 ACORN RANCH MPHIN04 10/12/81 4/29/82 86.00 ~ gENTON TX 76701 ORMTON *X 76201 NO response to collection efforts, 201 361857 ggggMITH' EARL77bOT90N EARL 12/24/!1 4/29/82 38.70 D?N7pNTSON TX 76201 D NTDN Tx 76201 ~ No h4sponse to collection efforts, 201 339044 8111TH ORANVILLE I,t11 H GRANVILLE 10/04/81 4/29/82 73.40 TRAIL 39 T11AJ TRAIL M ON CENidN TX 76201 DEI7DN Tx 7620INo response to collection efforts, 201 339093 tJ NTpNBBGY STAERT N1&11Tx 76201 10 Ul+IJ7MP SeY ST N18 LI TX A 762otNo response 10104101 to collection efforts. 38.04 4 243 229708 8 ACLY OARRARA STACEY BARDARA 10/17/81 4/99/82 39,40 ` t6T8 RAILROAD AVE 608 pgI1ROA0 AVE CpNYpN TX 74201 UENTON TX 76201 No response to collection efforts. ' 201 337071 TEINJACH JACOR CTEIN ACH KATHY 9/28/81 4/29/82 38.00 R UYAL LN 1924 ppOPAL LN OALLA13 TX 79069 DALLgL11ApS TX 75069 No pe6pOnse t0 collection efforts, 201 323063 480iNMRCAR7 RAYNARO 4Ogt,MCRpCART RAYNARD 4/13/81 4/29/82 109.75 iw WCR H TX 76111 F WO TH TX 76111 TX No response to collection efforts. 102 247817 RTTEWART HO:EBR 9 E 0A 1002 HOMER 7/29/61 8/01/81 4/29/02 602.08 E 2 Ax 1002 RR7 C f+l'O TX 76201 U N ON TX 76201 No response to collection efforts, 201 331783 gg SCKARq PHILIP J 810%A p H O gR 1~ Ng APT 2C PH[LLIp 9/18/81 4/29/89 6b. 00, Q 9 W1l. ON 4pp kpp`1`? I t„ N7UN TX' 76201 J~CK MI 49203 No response to Collection of forts, I 2203 144121 5f UT , NARY OT ~IT , RICKEY 7/24/81 4/29/82 12,00 DiNTOLATT1MORli TX 76201 pEIJ+TONAT1IMtlR6 YX " 76701 NO response to collection efforts, 101 158360 Sor , RICKY STO t , RICKY 4/10/81 4/21/81 4/29/82 141 76 J 1 2 LATTIMOAE 9f~ LATIIIMORE 3 N , IN Tx 76201, 4EI ON Tk 76201 No response to collection efforts, 101 331602 a Ra O , FRANCES RR~ANNAN JAII99 9/11/01 9/13/81 4/29/82 944,50 1 ENfONWOUO TX 76205 1F.I+TtlN0p0 Tz 76201 No response to collection efforts. J i 201 141024 7y~Ep$p``L..gggROgqCHARD «j2aCOTT gEpp4 ApRCHARD Ogh28COrT 10/11/81. 4/29/82 70,90 i V L 818VlLLL Tx 70067 LHWI OVII p TX 76067 NO response to collodion efforts. J 1 , i i5. I 1 l pp11~~ 1122.. .ty~' I y' DATE 4/29/02 13f99: F L 0 IJ 11 C 11 0 R I A L H 0 8 P 1 T A L PA?E 26 1 i e BAD DEBT TRANSFER REPORT FOR PERIOD 4/01/82 THRU 4/30/B2 PATIENT NU11p{1ER •spAAA PATIENT NAME AyAa AAAAA GUARANTOR NAME AAKA DATE DATE OATT&& 0'r BALANCpE pFX -----R _ADDRY-CITY; 8T„2------ - ADD-, CTTY 0T, TIP ADMITTED DIOCHAROUD WRITEOFF OF W U14Y l 336990 LEWIBV IIECHAPEL RDELI7%fl✓ 1790b7 LEJISVt14NgCHAPEL AJ ELIZABETH 79067 No response t0 Co110Gt1on efforts. q/B2 18.00 202 321166 TURK MELISSA g14tTH JOAN $129/91 4/29/$2 90.00 8pp33 O~OXCRAFI C1RCLfi 2j03 FOXCRAFT CIRCLE ENT Eg TX 76.201 D NLpYYtlgN nnFH79 76201 No response to collection efforts." SUL 9126/81 201 336107 N ON SkRt02 ACORN AA Id11 7b201 p EHTfINA 102 ACORIAA1~CN% 76203 No response to collection efforts./ea 79. 00 ~r T 201 334227 JITAtrLOCUBT MICHAEL S~NJAITl.000S7 MA T UEL 7G201 9/20/81 4129/82 30,00 ION A 76201 No respOnso to Collection efforts, 10t 316801 £'~74 AQtlRgpR 70 MARTHA PAP riff 28 YO11MY DOH 9/10/91 9/12/$1 4129/$8 b0&.09 PPA]NOEfi TX 76299 BRRI C0 TX 79011 No response to Collection efforts, 1 KOt 326090 Y ALIEN ggI++gAT AI, EN $/24/91 4/29182 1117,00 W0, 1br l0 7.32o W. PRAIRIE APT f0 +w ON' 76201 DENTON rX 76201 No response to collection efforts. 203 299196 6336 66ttNK` DAVID INK DAVID 10/21/91 4/29/82 69. DO 66 V •EY VIEW 2 VALIEY VIEW Q N?ON TX 76201 EN ON TX 76POI No response to collection efforts. 1 HALL NTOU FAKHAIBH 10101/81 79 t . 201 334149 TArM(CBNNBL BOX 804KJ7x1BH 76201 11 1A I~Lll N TX ` 7001 No response t0 Collection efforts, 101 330799 J~JLOt BARBARA riC ENCEDEB , WILLIAM 0 10/19/01 10/Ri/$1 4/2q/$2 396,00 HACEDES 1 1 N TX 76701 N of TX 76201 NO reipanse to collection efforts, i III) 201 334020 RIM' U DONNA AVLOR ROBERT 9/'22/01 4/rq/92 30.35 Oq W. BRADY i TX 76234 ATUR TX 76234 No response to collection efforts, 4 703 102212 qY d WILLIAM TAYLI}R PETTY 10/II/91 4/29/02 93,00 y I f fl ~ ~QX 413 a~0 GROT,CpLLINS t 1.~ EN 0 TX 7ba01 f1 NTtl TX 76201 No response to Collection efforts. ' ✓ 7 E 201 327791 r ~LI IRA LI EUOtTNH 0/29/01 4/29/08 69,40 7pp 3 ggggOBOLINH 1 V O N?ON TX 76201 JJJ4j1`01NOLINK TX 76ROt NO response to Collectlon efforts. 9p J 20ft 233399 gqTTHppppM~Agg801 JA11E0 gqttpp¢M{n~EBN JAMES I71 !d/29/$1 4/20/$2 44, 2D t D NTON81jWAV TX 76201 2114T N1 WAY TX 76201 No response to collection efforts., ! 1 Vi t , ~ Er f11 i 3lyy t t DATE 4129/82 13:99; N L 0 W M E H 0 R 1 A L H 0 8 P 1 T A L PAGE 77 BAD DEBT TRANSFER REPORT FOR PERIOD 4101182 THRU 4/30/82 PAT1$NT NUMUER o4*4j PATIENT NAr1E *nu+t Mr441n GU1~ARANTOR NAME MMMN AATE DATE DATE pF BALANC~6 PFX NU11B DDR, CITY, S , 21P ADDR, CI1Y,ST, ZIP AD IT BD 01SCHAROED WR TED dF ACC UNT - -------TALLEY 0101/01 207 335896 QK gMML4RROUND, 04N~TO %ID7Btlb9 FAKE LANRr.LARK SITE 117207X2 79069 NO rasponS@ t0 co110Ction efforts/ 02 104.70 1. L 201 332411 1'tlSaPA INSON , gU4i TOMKINEON ROBERT) 9/14/81 4189/84 40.60 LEWIaVILLESTHE6. TX 75067 LEWISVILt8E8T TX 79067 NO response t0 C011eCt10n 0flOrtS, { pn MpT%P b6 H tptpp 6d 4A response t0 C011eCtion efforts/,02 64. 70 II 201 332627 p1LO8t3 %RRACB ti~1T%2 P76258 PbLGTXPO1NiTERRACE ArTTX 76250 NO 1/10/81 4/29 1661 201 337774 TR0.II~ CRISTAL TRULII,, BOBBY 9/80/81 2/29/82 76.00 Wk p BOX fp 93 pp pI7 9dX 1 93 1. k DALLA8 TX 75069 tARk DALI R6 TX 78065 No response to collection efforts, W1fi 202 011993 14AN7DLl ALICE U8LA7ND CHARLIE 9/c^2161 4/I29/89 00. t0 LgNT04 TX 76201 0 eq NAtl1E TX 76201 NO r0POAS8 to C011BCtiOn @fWtS. 1 3ROA41 1tA~711dY SHf1LA 9qggNlol,, SHEILA 9/01/01 4/910/82 125.00 D996NTONNDSAY TX 746201 0 NTONItDBAY TX 76201 Unable to locate,. 903 120934 t fit pUTSggggLL IA pEN RU BELL 12/27/01 4/29/82 90.00 i ASS VT WORTH DR LOT 60 l}~0 FT WORTH DR LbT 69 4 DON ON TX 76201 aDDDLrNgTTT N A TX 76201 Unobl@'to' locate, 204 120504 CL? FT WORTH DR LOTUS OLt 76201 tlW0i9T 14ORTH AR LbTRUOXELI' 76tt0! Unable /tollocdte, 4/29/92 43.90 V g 6 401 320366 gBNfaNKBY BR4T%A 76241 DJ 14 TbAKEY BRti%DA 746201 Nu response to 00110010n effu to 6^ 38.00 ie B t.0 I 336156 a LTEA0 CHpl6TOPHH IIA{TER$ BARRY 9/26/01 4/29162 127.00 7 dNDOHDEMAV Nb 9214404N 7 OONDERRY N3 ` NT~N TX 76201 TX 76201 NO response t0 0110CtiOn @ffOrtS, 201 332171 pWAALJURBHX 1046 110 tSSA pSTUARd4X 1046 VIROtNIA 9/10/91 4129182 72.00 DEN ONO TX 76201 I1KN?ON TX 76202 No response to collection efforts, J 901 186775 ppp00 MAY WARD LEON 6/22/91 4/29/02 66;46 y DE 99NX 974 TX 7620 PO BSA 274 TX 76201 NO response to collection efforts. V O N N 1 DENTON J 101 24356E Wh 1 UDOELL 10 ' OAiI IIA~~pKp1HUDDBLL #121 HAROLD 12/01/00 12/08/80 4/29/02 364.27 t OHO TX 76901 D t1TON TX 76201 Arrengemeots not kept. J i 111 1 J C 1, 4 444 , DATE 4/29/82 13:09: F L O W M E M O R I A L , H O S P I T A L PAAC 28 l DAD DEBT TRANSFER REPORT FDn PERIOD 4/01182 THRU 4/30/02 i PATIENT NUMBER arw** PATIENT NAM *01r wnarr OUARA14TtltlR ttJAMg AT0 nATE pAT OF DALANC' PFX NUMBER ADDR. CITY, OT, tip ADDR. CITY.BT, t[P ADMITTED DISCHARM WRI EtlpF OF ACCO~NT r L 201 30Bx99 D1891 JO CLAM 14EUDIND OLADYS 6/30/01 4/29/82 18.00 4 87 TH 6g0077E 87TH 8T ' N 110 64130 RAY TOWN MO 64130 No response to collection efforts, r 101 337676 W'IJOT LIIIDBEY IJSIJD6T WILLIAM 9130101 10/01/81 4/29/92 722, 56 DSNTUAOX 1^t TX 76201 DENTCINI l43 TX 7680t No response to Collection efforts, 201 340729 4!bp'NTgg IVORY WEST MARY 10/10/01 4/29162 00.00 t~ANOFik PARK CT.,P.O. X ! 1p0 0. PARK CT TX 76226 BAIJOER Tx 76226 No response to Collection efforts. 201 334292 Wk 0 RAYETTA WEB EDD'! 9/2t/a1 4/29/82 46.3tY 1f HEID N CT l 0 HH&&tO$$IJ CT LBW S11LL TX 75067 L~tJ SVtLl TX 7$067 No response to Collection efforts, 201 334961 N EY DARLA ' w 1,EY DARLA 9/23/81 4129/82 MOO 66 ~ WWfTHERS N1 0 8 I~ITHERB Kl p~NTON TX 7b241 D NT N 7X 76201 No response t0 collection Worts. SOl 303735 11pJJtfIL~~NaT MORRIS WOLt.IAll MORRIS 6/10/01 6/19/81 4/89/02 100.46 ` LLOY V6IHW TX 76272 VALLEY 4V 9W TX 76279 No resp60e to Ccllection efforts. S., 1202 318717 W HAVE 0 CAROL 1APA~AKVfi D JOSEPH 10105/81 4/29/8x2 40,70 ~HN.bN T% 7b2o1 Dt Ivan YX 76201 No reWlISM to C011000Ien efforts, 204 144014 tJ1LBNNQ%N713 JoETX 76290 pIIL TBP01N13 J07XPH 76258 NO response to cO11eCtSon @ffOrts~ 40,76 P„F ILO UOII II 901 336610 %ANX t64 BTHTXUN 76227 A00K YBOX 164 S'TE%HeN7b227 N0/response t4 collection' efforts 02 252.50 E S 260 07320 ARpp RANDY YARD , RANDY 9/00/8S 4/x9/82 334.50 bb13 ATTIMORE ff61 LATIIMORM ! ~ENTtl TX 76201 pC1J oN TX 76201 No response to eoll4l lon efforts. 901 341677 htlATCAMPOROUHD MbORONALO QGNEUGLIVBKY RONALD 10/13/81 4/29/02 30.00 4 D6AJ 0PI TX 76201. TIl. TX 70072 No response to collection efforts, 101 27%480 yybpUN DORIS YO~NQ PAUL L 9123/St 9/24/01 4/29/82 03,60 ✓ ' 613?~ ARnwALK Tx 16.201 M4TONAgDWALK TX 76901 No response to collection efforts, r EEEHHHHfFFJJJ J TOTAL DAD DEBT WnITp.-,Orr THIS PERIOD! 76370. i7 Ito , ..r~rs..u.M.s_r.a._•...rrwsVwMM,rW...MMTav~uNM~MNM ~~r.. a • aartwn i BOARD OF DIRECTORS MEETING "BIvrINESS MINUTES oalo Palo The Board of Directors of Flow Memorial Hospital met in regular session at 7:00 p,m.'on Thursday, March 260 1982 with Mr, A. E. Wyatt, Chairman, presiding, The meeting had been postponed one week due to several expected absences during Spring Break. Members present were Mr, Ralph Havenhill, Mr, George Hilz, Dr, Don Holt Mr, Dan Trammell, Mrs, Mary Williams, and Mr, A. E. Wyatt. Mr. Brad Moore was absent. Also resent were Mrs. Peggy Fogle (Home Health), Mrs, Linda Druell (Quality Accountability , Mrs, Wilma Fritz, Mrs, Gloria Madeweil, Dr, Roger Nunn, Mr, Warren Short (Pharmacy), and Mr, Leonard Idatson, The minutes of the previous meeting were presented, reviewed, and approved, Old Business: Boilers--The Administrator stated that the new boiler should be operational n about en ays, Air Conditioners--The Administrator stated that the work in re-tubing thq ,filler which had been expected to take one week, had lengthened to three weeks. that the re-tubing will be completed the first of next week so that the airtc6h,{-- tioners can be turned back on. New Business: Professional Office Bui_ _,ldin~--Mr, Donald Simmons, from Peat, Marwick, Mitchell s and Company, was present to report on the feasibility study.. He reported that he had contacted 16 physicians, and they had unanimously agreed that it is in the best interest of Flow Hospital that a professional office building be built adjacent to the hospital. However, of the 16 physicians contacted, only six would commit an interest in joining the building, A71 were interested in having equity provisions in the building, Mr. Simmons suggested that further discussions be conducted with the medical staff with more specific information concerning costs, square footage.availabl and an architectural rendering of the building and what other services might be housed in the building, The Board members agreed that they should continue to investigate the possibility of such a professional building, The Administrator was asked to proceed by contacting an office building company so that a drawing could be made. ~i~~an~e ort--Mrs. Fritz reviewed the Monthly Financial Report and reviewed the ffianc a s a ements and charge-off lists. She noted that with an average daily census of 101.11 there was an excess of revenue over expenses of $129,901 for the month of February, Year-to-date, the average daily census was 93,9 with an excess of revenue over expenses of $212 844, The Charity Charge-off List in the amount of $689796 and the Bad Debt Charge-dff cast in the amount of $71,137 were both reviewed. Mrs. Fritz noted that during the month of March, the total yearly amount of required Hill-Burton services of $167,000, will have been met. As a result of a•reeent court ruling, the'Medicare costs reports for the years 1979-80t 1980.81, and '1081-82 will be re submitted so that the Hill-Burton ppatients can begconsidered in the costs. It is expected that favorable ad ustments kill be made in higher allowable costs Mr. Hilz moved that the Finance Report be approved; this motion was seconded and i passed by voice vote, F Foundation Re ort--Mrs. Williams reviewed the minutes of the March 11 meeting of i i the.Foun at on oar , She noted that there had been some confusion concerning the recently purchased pediatric bronchoscope--specifically whether or not the equipment received was the equipment which had been ordered/needed, Until tha Foundation member can be informed properly, payment for the bronchoscope was tabled, Mr,,Hilz moved tha the Foundation report be accepted; this ~„M, t } K motion was' seconded And i4id bye' 01~. p d V l . ,..a 10 a, I k BOARD OF DIRECTORS BUSINESS MINUTES od~o Joint Conference Committee--Dr. Nunn reviewed the minutes of the February 24th meeting o, e o ht on erence Committee. He explained that they had discussed the possibility of providing mobile CT scanning services to the hospital, the expected impact of 'the newly opened HMO through Medical-Surgical Clinic, and the possibility of providing a birthing room, Mr. Havenhill moved that the Joint Conference Report be accepted; this motion wes seconded and passed by voice vote, Safet Committee--The Administrator reviewed the minutes of the March 12th ij~ meeting an strib`ut'ed summarized copies of the Incident reports. He reviewed the damage that had been caused by the lightning striking the antennaes on the tower and , explained how some of the equipment in the N1CU had been damaged by electrical power surges and what is being done to prevent future damaged, Mr. Havenhill moved that the Safety Report be accepted; this motion was seconded and passed by voice vote. Utlliza n R view Co tt ee--The statistics for review of admissions and lengths of sta of Med care, Medicaid, and non-governmental third-party and reviewed. Mr, Watson also noted that the committee had reviewedrtheenmbersanded types of delinquent charts, Mrs. Williams moved that the Utilization Review Report be accepted; this motion was seconded and passed by voice vote, Medical S aff wort»-Dr, Nunn reviewed the minutes of the March 22 meeting of th Bxecut ve omm ttee. 1"e "outlined what, is being done about a recent incidenh in which a physician who was "on tali" for the ER had refused to come in to`,* j Some new policies being initiated by Nursing Service-will ae reported t,. a patient via a newsletter. Subsequent to Dr. Love's and Mr. WatscnIs attendance at an Aspenian 1 Seminar on medical staff law and medical staff bylaws, work will begin on revising the I current Medical Staff's Bylaws. Mr. Havenhill moved that the Medical Staff Report be accepted; this motion was seconded and passed by voice vote, ua it ount bIII a-Mrs, Linda Druell, Director of Quality Accountability and Infection bontro urse was introduced, Mrs, Druell briefly explained her duties and responsibilities in ass'?ting departments in identifying and finding solutions to their problems. i Home Heae ealt --Mrs. PegF'o le was introduced and explained the programs of the t e vice. Shenotedgthat the number of employees had Increased from the five who were moved here from the City-County Health Department to the present number of twelve, She noted that the number of home health visits per month has more than doubled from the initial 240 to the present 500, A bud et for fiscal year 2981-82 was presented and reviewed , The budget included gg in revenues and was estimated based upon current exper'iencenforptheedepartment,OOThe ppolicies and procedures for the Home Health Service were also presented and reviewed, Mr. Hilz moved that the budget and policies and procedures be approved; this was seconded and passed by voice vote, motion harmac --The new Director of Pharmacy, Mr, Warren Short was introduced. He outline a programs of the Pharmacy and his plans for improving the management of the Pharmacy. h ld'TAHaa Seminar--Mr. Trammell reviewed the program of the recent 7AH08 Seminar I ' A'n"rej", texas, He shared some of the information with the two members who had not attended, Mrs, Williams and Mr, Wyatt, the hos i a had --The Administrator explained that the securit p previously been employed through contract with SecuritydGuardking at Services but ere now our employees. In order for the guards to continue to be able to Parry fire arms, approval must bu given by the Board of Directors. This Wo$ discussed, The importance of the guards being trained and havinq'eufficlon expap nd'', d 111111111 h BOARD OF DIRECTORS MEETING - - r' BWINESS MINUTES pe+e Fe9' 3 I~ - Mph Z6.,9_--_.-- = - _ - - was discussed, Mr. Ilavenhill moved that the letter of Authority for the guards to carry fire arms be approved and returned to the Texas Board of Private Investigators ( and Private Security Agencies for their consideration. This motion was seconded and passed by voice vote. The meeting was adjourned at 10:00 p.m, for-Executive Session to discuss suspense litigation. I At 10:05 the Board of Directors met in Executive Session pursuant to Article 6252-17, Section 2 (g) V.A,T.C,S. The Board of Directors reconvened at 10:16, No action was taken, and the meeting was adjourned, Dan Trammell Secretary I l gm i 1 i f ' 1 f , r , • J: ~`rF 1,4 7E` 3/R9/812 17: OD.., , r• •r's t I^' i~:^ f T.;' o ..>!+,tf►° "rY't ",:1,1 .i":4''r"~fifrr~ "i ' " F L O W M fi M O N I A L H O S P I T A L P AOL 1 1 ACCOVNt$ RECEIVABLE ACCOUNT STATUS REPORT CHARITY,CHARBE-OFF LIST.,., ward w Ir/2~1gPg itTTtxxIEIJT UMOEI1{{ OUARANTOR NADIR P/c gPREM[-ADMIT ppATE 4181CARE N INS N PA19NT TOT9A1- IILL ' #IN51hCT_PAT. OVARAN//rUn ADDRB88 PH01JE NUMBER R/0 D79C37HANtORgGATO MEDICAID M AV6 CVAR6NI,~ r. QA101 3810H88 pBEO ELBIiIN JAISGB NONE p9 3%01%tl2 1.900.00 1210. Z0 118'18 'f r tl TX 76201 3/0 / I n Hill-Burton crlterla. r BHAM NppNt Y NN ppp~A11 NANCY E 89 aa/p /2 43. 00 201 3827V~ UOIJf8N CtlUrlIY VAIt TX 76201 9 3/p0/ 2 ,J~j: I' ' Denton County Jail, r BL 109 2447pp 7yJA 633ODrrgg%A8U071Jf90N , DI TX LL1£ 7620 38 -4987 82j1,%92 190.00 24.00 1004;0 •`~n1i;~ 8ENfON 1 3a ; Balance after medlcald hl•&'£ 8 MCNICA BLC£I111 MONICA) 97 9/?7/1 900.01 2358.75 j 1/ T% 742 1 1304. ~S ,t,;' 10 247791 gp~Tll-8urt n crltari5. 5681902 1 6 q% Ci * DEN 9 2359 D r I 1JLCR8f1 M MICA 5p gg ggLEE£9 MONICA gb' 97 /g81 900 O1 1.248, 00 00 r 103 247791 GENTONOLr 23 Tk 7btD18BZ 4 ; •1811 00'''8: ;x. ' * • HIII-Burton criteria, E D1.2048 247 V1CA 508 AOLPMESB MONICA 9 69882 qg %O6rB0 40, 75 4 75 t + DENTON TX 76001. 40.75 4 X'. { 11111-Burton criteria. 4. f V ROTO STA Y L BOYD WILYN 97 6/ 4/ t 900.00 1270. 49 'iW t "o O1 295201 1p HEATHER LANE Rg7-1739 .8 6/ /{1 O~N?ON TX 76201 /17/l 1294. 49 ~y 7 i * * Hill-Burton criteria, BRaO yp 'g~r1 'a1~,4 y I 369108 RT O I1tlX I pIOON I11TCHEL 2679 l T/;102 fb1920038M .ftl0.00 47.00 74 00 t+ E g ZZ2Z 8922 1 ♦ * * OECATUli TX 7 034 f7,} y' 1 Balance after Medicare and Red cald. CCU;? II, 8 1 p CCU;? 158311 OEIOJTONHILCAVGiT8Nt39 :I YkA M7h20f g1 1%Ot% 469-30-80440 9. 1,60 00. , 11100 171 f. 00 ,x« .,1 9► 1' r ` 1+ " * Balance after liedlcare and Madicald. $/00/01 " 13p 9 4100-00" w 18.00 DAV 9 ERA RpANt~I' J 89 / / l 401728/01 lA ggg 1yop a 2~9 L74O14 O9 g W-50TH STW 1 8RL C 1Q 00 ITY OR 73119 900 t 4y g * Balancep after Aedloare and Medicaid g , k OAl~7 14433£ STAR ROVTQAVIg MpNTE 8176659218 86 1%10%80 ,400.61 126:70 1"0 40 I t ~y ,1 1 ~ {I t'. ~ 1? yri• I ~IMAwr.'"s~w•Mwa'M-w~ww,-wi~~•YYi,~M,~MMtlFMtiY.r- ..rMwYY+w.WIM.I.-a iMVM,~.•VYMTMMMIIrV . rMx.,.... 1.rr, V DATE 3/29/62 12:P AGE L 0 IJ M L' M o n l A L 14 0 9 P I T A L PAGE 2 1 ACCOUNTS RECEIVABLE ACCOUNT STATUS HaPdMF.UICASU N PDUE ATIENT f pPg SxENT ~j(u~11 g p PRE-An11M1T „A TE MF ! f~MS~ wItJU HCTrPATM 1+0•~ OuARANr0R0lADURLN9dH1t-•^NPHOW. HUMBER VC DiA~HAROE /T~ I)MAR N INS N PATENT TdT So. 40 # r 126,2C OASNESVILLE 1A 76240• 1'/16/92' b 39.00 ~ ~r HF { " a Balance after TOYAS Rehab, 632~66sp q 9 M1 g0 q h • 11 y28A 1190.00 n1ON 1 034gMANDtL2 n0 ~ ~lMedlCareWarid+MBOicelQ2lB7 8i 410Q%80 500 1 897 r y a 5aladC0 after IPh00A ,CHfiiB 0 89 l / A/8i 900.00 930.71 i f?BpINOSA JEN4qA pp g C q 8 g 033 1 } 101 L 3:061A IE41TfiVILiJRtJ T% 7'JOb770A 9 1%Oti%8 1 q ' r , a Balance after Hedicaid: A91 136 6D J~ II l01 379091 dESP AR ALERO TOMAS NONE 97 %^310 1.900.00 234.69 PAL R0 0 11 gg 3 V a 990 Nbb V td OL T% 7201 / 2/0 4. w CCgii, `gg 66Hill-BuFFrt``on criteria. gggg gq3 j12/1 ~ DE 37B21~NTONOLIV6R R0 TtlXAB 76201 }%0 .900:00 943.90 943 90 MV x4 r FA~SRO NA Hill-Burton criteria, Sy 1 1/129 r F090DR 16~928Y J~oaE"BTpOCKIMIND LIJ JTI%A 7 Q010869 82 1/ 3% 150.00 87.00 9701 i, far w " Balance after Medicaid. g Q4 014C1M DAtY DENTON COUNT, 89 3/03%92 q00. O1 76.00 ~i6 88 3822 5 99 Benton County Jail. ' sR x y r w a pp pa ' , I~M 3823{I~EV DeNTON COUNT, 8q 3J09%@? 76:00 r OS r 0 69 88 t w . Denton County Jail.' g o t`j p i V 1 A~ 03 3822 ~EY 9 MCK61R11J&YIJ COVNT, 9; 3/12%B2 76.00 Ep TX 76201; 1.' { * a N111:0naacounnptyJail, 3%37%2 3g. 00 is pp w On200N 3869C3Y DDggNTaa{{~~ COV~11'03AIi Bll.l.Y 09 RINTpN 1x. 76201 1 a 3i `00 y i g p x ` +r r' # Denton county jail. 1 90 00 12 ~ ft 11 4,VO ORgY CAggY pp Dagg RV am APT 28 THF.REBAN N 8,91 1116/82 11 6/ 293477802 ,.00 204. 289181 OHNTON Tx 7630 Ia,,.a41t1 " Balance after Hedicaid, ~ `Y rllir 4 I sr f Soo mzxl r r 1~a1~61w 0A1E 3/29/92 12:13: FLOW MEF11b11 I hL NU6p 17AL PA1?E 3 gyp 9{q/ gg ACCOUNTS RECRIVADLE ACC~pO~~MgUNT DAYEREPW P-ADMIT "[NDI ECTTpATM i;O.+ tlUARANtOROADDREp6R_-Np1{ONt IJUMOL<R R%C DI36NAROE BA I I 'MF19. S1CARb 0 INS 6. PATIENT CTSRFnC,.I `1''N7, V ' g q pp 77 g ppg rr °qt i~~.>~r}~} a. 4R10THOU8t 374843}1 f90YLA1'11Ii kpHOU9li ,MlCHIEL L 332 0020 94 900.00 ,3000.00 It t J4 uN Tx 76:10: ' 3000: 00 'f ;Y Hill-Burton crlteria, 4: OUL gY gH kLCY M OULLEY + OLEN 89 `2/8R/991/@ t . i20Q. Qtl 3$ 91 l~l 399980 0tl ,RUODE1.L 397 7229 2 l / 39v o0 p DENT ' J TX 76201 l /09/ 1 90.30 4F g " Balance ppafterg Medlcaid, 4 X11- b HARR19 377713IA 104L9 RUDDELLttf'1 9HEI.IA 32 7409 937 ~%1d//Q7 a, 63.00 2. 88 fY DENTON TX 76'01 3, 11111-Burton criteria. a 66 4. ! p Jl f{E203 373 2f0NYp ~ITUN CbII'U I1zJh1L I+AT%HUN76201 999 6%gg 02 121.00 1~{. 06 vo+~" tr " Ltw i Denton County jail. t;< I{RIT2 AIJIkO1JYnn HK 72 ANTHONY L 89 3~Q7~z 900, 01 49.70 . , 111j 200 379121 DNtON COUl7~1 JAtI TX 76201 q 30077 48:76 atd Denton CQyyn~~yq gail. ' H>RRSN01'UN ORACE 260240 HThRRIIJ~TUN +OHACE 97 9/2121/9g91 5;800.00, 7943.60 71q 1J 102 " rL}t'ptlurton criteria' TX 7412 82042 9 to/ ll 4. J 1 1.9 7P43, l ; HILL pQRtAN E WARREN SUE 94 / 4/e2 1.900.01 11. 7q Ipl 37D236 H 7 RU ELL 3%09074 6 gg / 2 1. l 0 TH2 COLR~Y Tx 7D0$b'.:. 2// 09/92 11.9 A • gg • ppBalance after HHHR contract. 4. M 411,11 JACK ON 39P7EVIL p NT N CdtllIYOJAII NTEV1$ 0 9q 3/89/ 92 38.00 y pp 11 , r I D NTON + TX 769901 J~.00, Denton county jail, bq6 yppyyff pppp w J101UN 347j46xE Pll~OT PaIRPHKt~ON fJT%LSE76fl6O2220 B~%3%H1 .091.001, 00 2 p sg 629 ~ ~AC14 ON y~ILL,1SS Aflttent ne0µe~apedl leftl JoLaIH ts, 11 gg l 1101 3079 1011 N .HU~CH 6R '2220 693 6/27%81 gq,d6 ; " " plL[~Tat ~OINT TK 76258, y d 444 p0 eJlt , eceasedl loft no assets. „ ` J 1010AT 7q, 3b q7 0E gub";n 1cpa rFCOAI' , OEOROC p 9q / 2/9 l q00. bS 45.24 { 4 D 436-0069 b ~/~2/6 2. /34.00 Yiw1'I~. •~MW eaMM 4Ml~.+~r•~aY.a.r-.wwrn.~r~ryyyM'Yww^.4wMMaM.elw.w+•~~,P. ~I .Myer. - , • i ';.i" 'rl'.`SeHVAW.C)";~, V ~J4~ DATE 3/29/88 12:16F L ❑ N M E M 0 R I A L H 0 8 p 1 T A L PAGE 4 ACCOUNTS RECEIVAHLU ACCOUNT STATUS REPORT I.~g PHI'-ADMIT DATE PppgFSTSIEIJI' fdy~M11AGrJAVANTOR NAME F/C ADhttT DATE MEBICARE N INS N PATIENT TOTAL BJILL D V +[i49 _C1' PAT, 14110 OUARAIIfUR ADURESD PHONE NUMUER A/C Din HAROR DATP MECAID d DUI: CURRHNT At A1~ LEWI8VI~.I.fi T% 73067 '1/27782" 3: 45.24 Balance after MHMR contract. 4 JONES JESSE G JONES JESSE 16? 09 V% 9%88 11.900.00 A4. 80 7qb rp l01 37690'a R r f 4E120. R A4, 60 I ARGYLE TX 76. " V 9/ 4 t w " I~B,,alanceµµaftcr MHMR contract, gg~~ 900.01 43, 36 749.6 K~ROIDOt)M 36948118 pL0jOP10NEER5EG0lI1 JTkEt3 7943 241349 66 tl20I/82 F 1: 3 0 Balance after MNHR contract. ; ISERKgIECK RAI'MDNO ~ pN Y.FRKSI CA ,RAYMUNO 99 9/01/91 43A-960-7977A 1,100.00 40.00 y IO 1689930 DF.11TV NUASINO PNTI?R T% 7.09909 l 9%OI%~1 .1 .10 3P1 01 ~7'Ag,~8': lard + 1 9: ■ ^ Balance after Medicaid and Medicare, Mill 1 4265 ' / / 2p ~U0.00 384, SS ' LRSTER pUIfY LEOTER RUBY 9 to 101 773!3 LIV o. AKENDALIA5 TX HONfi 0 2%ii43%8 3. $ 9 ; a " Hill-Burton criteria. r 22 F3 j b 1.ESUR 7733 1 7 N. HULESTLFk JERRY Np pHCIJE 9S1 3%1x2%~g2 1. 900, 00 1031. 73 `gpt y 1 r v LAKE DALLAS TX 73Q63 1661,70, ; « • 4 Hill-Burton criteria. . MAHER p9C Y q 11qHER , PEGGY p A 139 /p0'J/60. 73 b~. tot 33971 DON7OTAP.LgND N102 TN 76i1013R3 9%Otl9/if 1, > a` Balancu after MHMR contract. 3tl ME> MCCppMICK tt]VtLY ¢A MCCORMI(,% LIVELY 4553633167 100.00 66.50 p~, i~ r' p10i2 112679V uk+idb'I~nce eftPr Medicare e~ ►led72G93 1 1/~%~tl 13788 50 " PEAK 2- 4 1 MC~yppfi .R Hpp ppL 0 L MCDAtltt HAZEL 09 7/t g/ 1 100.00 82._00 t m 8Dg 10195 O24T5VODELL T%. 7dzol 2 7/i9/ 1 Rbl4glf01 Bq 3%f 7/ 2 38.00 9. + r N 110 R1$ }869)61+ DCNBiONnCOUjrmIg Medicaid, 0 DEIITUN TX 76:.01 171 2 ly rt ~ r Denton CFF11ougqL GntYgg Jail, q z!tl gs p b W 1 ~p 5, 3 NfbL1 4ELj2ADETH CARROLILVu ELIZAREJH9 -8309 8i 3 %&9%tl1 1f81ft998A01 1JO.$g 86.00 I a 0872 D AT T% 76801 ; , 00 . ar,f v~ P Balance after Medicaid, r urn I' A 'r> s owl t.Y y. rAr ~ :'rte.,, ;Tai' '..`::'~'.tA°t*Sd'W?"!tr', 14( 1 DATF 3/217/02 1 2 : : W ! fr L U W M V I I O R I A L H U 8 P 1 T A L PAOL7 D ~ I ACCOUNTS RECEIVABLE ACCOUNT t+TATUO REPORT 1.,~ . pT ~ & , P ENT AHE PR ^ADMIT DATE PREFI - IIUMDC[pq O'VARANTppR NAHE P/C ADM T UP1ATh4 Mggpp CARm N INS M PATIggNY TOTA p(LLS~ W x11400 CT PhT, GUANAIIfUR AIiU'tkBfS PHONE NUMBER A/C DI8~IIAROE tlATb Ill CAN M DUF CURRH~( t1Al.Ah~O! PARKS ECRGC V 811tH JVI/1C09 1I /3p0/g81 1.900.00 994,95 ygg qy 1~ g w 101 3643., DEIJT[SN lx 76:01 0 1/04%82 3. Y • / Denton County Jail, a. PEACF M H PFAC JOHN 09 1/ /ga 900.01 64.49 Yve s 10 689:1 1 701 CFIAMLERO 302 7603 b /3 /6g l0y 7 OENTUN TN 76201 I/D Ail 61.4~ 1• Balance after MHMR contract, ar+> F 1 10 PE202 464323FTH11 t&N COUI %AIL KCWNETH W SS 3/51/02 1 900.00 3S, 00 3,p~ a ~11~ UNION TX 76201 23, OB. GO W r e Denton County Jail. q0, PR CT4R CCOf'r!!E L pROC74R , COWIJIJEI Oq 3/89/82 1. 900, 00 30. 00 201 354299 8700 KONCAI'U 322 9031 S /9/7 2. aH.00 s DFIJ tl , Tx 7 e.of 3 , 00 ,ojfj , RENIJER TRAVIB MNCH WILLIAli 9r 2/6/82 1,900.00 889.40 7~;7 4► 101 377190 HT 1 i>O% 119 60-5351 8 2/16/88g 2, 8 q, „Jr„ p D4CAYUfJ Tx 76834 2/20/&2 gg 4p r a Hill-Burton criteria, 4, x389.40 a f r kO'1ObALM 38$714210 DENWtlN Cf)Ui0J1 10Atfl. UENNIS W 89 R/ /;3 1. C~B.00 8 00 y1i9' t DENION 1x 76201 7 0 1 9.00 Denton County Jail, Ito 9HA11 GARYr SHAW GAY 97 2/ff/0j 1 900.00 00, 70 1 101 374850 602 EtIlLt"Y DA NONE 6 / /g. B DGIJTO J TX 76201 /8~t r r Balance after MHMR contract, 4' wt, N BHIrH 11 FIT gH TII IIARVIN 09 7/8 150.00 pq, 50 1144 224493 Rr CApRICNRN N3:J 312-9074 2 1/09/9? 502Y54620 783.!}$ J7 } y OEN ON TX 76 01• 111/07/@2 k " rT ' Balance after Medicaid, 1 6 3%24%82 3:966.01 41.39 40 9M102Y 1884 LA Oti0 E NCYINITICY Ar%ELA'7b201 0 641,! Yt; i1s r " Balance 4fftppr WIR. p y y g` 4' ao S y WSW' 274QSOtlLgP.I0 000 64911111) CHURCIOIT% 76,2'NJ9 69 S%17%8l 900, OQ 30.014 38.00 (tft. ~ { WI-plutlan criteria, ` 1 f SP3 0 .g 2740COLLEp D BOX 64J/C1111 CHVk1 0AY 606 2407 SYY 4/03 1. 900. 00 7R,00 72.00 ' wP 2 y S~ e l It 00 11 I s j 1 DATE 3/29/02 12:46: F L O N 11 & M O R I A L H g B P I T A L RAGE w e G/ ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT r}° . qq (TT(XX IK~5 ~AIN~IRGCtTPtA7~186:0.1A OUARANTOROkUDRE69R--1PliUNE IJUI1UEft /p ADm T0111T DATE IEI~IIEA19 N INS N . PATICNT TO7Ah ee~L~Itp~ AE 0/C DISCHARGE DATE 0AID M DUB, CURRE T BALAN{,j r. } W ' T% 76258 A, '72.00 A A 4 P1~tuiian criteria, 3 4► pTACEY DA9RnftA ~ BfId;CY / BARBARA 84 z/0•/ /da l: 15o: 00 12. 00 "~J + i 2 22970 R,[ DO% 107 ACORN MHP NONE 2 2/07/02 2870749 Ol 3. 12j 88 j A DcN ON T% 76201 ~ r Balance after Medicaid, 4. srr}At9 '.!T PHHN9ON Tl1sK1' BriiPH~NOON / MARK 89 1%l7/g Z 11900.01 32. b0 f 1^. 360431 9119 ~J 7NI STREFT 4159 7726 6 !l7/ g2 2. ' 0 NOCfi TA 76266 I/l7/82 8:28 twd A Balance after MBHR contract, 5y 14 OTEVEN5ON LORENE 6 [t BTE\' ~t9tlIJ LOREIJE 09 8/1 /61 1. 900.00 4574.90 e t 9C alli i, A I W 101 323006 L ~~SVJOi} AND JLn RD T% 7 9067 544360640 B i % 1 3. 4774, 90 Indigent care, 1 g' 4 Qp p y' ` STUART 1294 9 93 1C9,LAICLEARHRUP, I7%n 790 74317 89 d%00/81 Q:`2-3:. 611 JJU ' 190, 00 184 OO 663.10 , l tz TA MA88D! ApD LOAFABaIanCe ~A iAgFitfi]aidlRpUUt.OAF'n 97 0/3Vppl }.904.00 142,00 ° f 01 346880 gg 41 OAK A T H3 O 10.1311 ~ A RIPON T% 76201 tll 14 ;00 i~ 4. , TAY[,OR O>t~B Hill Bur %'rn~Jt@It~aD. , 89 3/]b/B0 11900.01 68.00 gg oo 40 ' h I A703 38 G7 f DON TON 9 3~10/B: ' 99 QO Wd T1 74201 Denton County Jail, TOL gF$BUL ggHrppRl T 6FBDp1 IRYGVE p r 101 3b931SD 1o7tl CORtlN6~~ 302 7782 86 ~42/1 }1 900.01 52. 10 802, 1S'~ D$NtON I T8 76201 A ' Balaue after MHMR contract /82 y g g y6 p b S! r tl11011A 290 ffiLIEUOIJTUP86 YIL07R2D ROZALE~d~012663 B1 111/85 1287413-JO1 130',0411.00 2071 00 A " Balance after Medicaid/ 1 r VAN gRQR1Fp MART' ! MAIIRY I MARTHA 8I %40 1/ 3182 497 5A 4f?g d t. 10p, 00 16, 00 q 1. x104 17o282A 0 TtlNSE ST T% 76~Q157Ab %9 i-707b91~01 180,00 281 • dp 04 n 1 `I. r ~„c Balance after Medicaid, gg gg p p 1 ddbb 7 NEQ01 367096Y 0 MIIJ0aE8HMi04 DOBDY 81 I/ %8 50001 0 5A .f~0 00 16.00 3o 0 to A DLN ON T% 76201 6. 00 i''.:xf 7 Balance after Medicaid. ,5 ~ ~R ) !I 1 4 y it , ~ '151 ~ f a 1 i y , ii DATE 3/29/02 12:54: f' I. q w N L' 11 U R I A L H'0 3 P I T A L PAOE 7 ~L I,.':u;`.'n"Z'c4 "~+4r' , I' r RRPqAIgIIENT NAME e ACCOUNTS RECEIVABLE ACCOUNT STATUS ~R+EPORT /C D 0 MAROg D AT MED I AID 0 DUC CINiAeNT. f 1 4["01(1R'Cr~PAt'1Uf'0. » GUARANTOR O AODR'JARANEOTU OR PINA11IONE NVMUCR R PRE-ADMIT AT c C F/ AIM~T AT ME DARE K INS k PAT( NT T " ! NM T11.OCK 41YLLIB p MCCLU497 MAR^hRCT 09 2/ gg/02 1. !90.00 1[I 00 1Q 4t~' i+ y 4G6 42436 B`:NTONRUDDELL N9 Tr 7620T 2 2/2/82 242917302. 1.00°t~f ; Balance after Hedicaid, 4. , WILLIAMS p0~'r3A R Wt4LYAI4n THRRY S y 101 354319 RT. 2 DOX r3q LOT ?.G NONE 970 l3% /01 900,00 3109.46 3181.431 `l ARprj-F8Urton Criterld T%' 76226 12/2222220/01 43. 1 .45 4 4 { WIL Ails DONNA S, rl1LEON t~0 k T 97 /11/02 11900,00 151. 45 +1G02 3593194 ARE OP i1 0/EU4 tl CLINIC TX 7601 2921 0 ~S ;S88 1$ ~O ; Itaf/ 1 1 n 83 ` li{ ll-Bur Marla, WII LTAMSQN 0 go y C JULIE I 09 / +/n2 1. 190.00 12.00 1t 3'~1 Oat 14380 IE0 VILLApRIVC TX 790677723 2 2/~Id/nif g2g, 127.78 0 .70 .10 " ' Balance after Hedicaid, IJ110Z 24131bHIAR1 8 00% 0J7L8 ROBERT 3+ u%2qq%g0~ 2905631-OS a, 900.01 52.05 7 9431 6 0 1f`r ; AUDREY TX 7227 C3/6 3, 9'8 ) i a " Balance after HNHRr 18 g 4 ; E W0204 360513 BENTON COUNTY JAII DT%N 76201 09 8/ / d 3N. 00 3 pp ,t f ENTO 1 4 g g5gr D t~ 4 39.(30 ~ e WnoDl J@2n1 DVton COIyQOtif 911 JC3s1E 0 69 i/2 /01 458072642A 3 100.00 311.30 4 77r ; 1 204 90 NIL1. ST 382 3992 1 1J/gb6/ I 2. 190.00 E D riT N T% 76203 4/06/01 ~!L w 38 LL 4 Balance after Medicaid', 41 s 7* bl 359539»RY616TONSE 2t»RCK . U T% YV7601 9673 9H %l %8 33, 900.00 616, 30 y ~ A. 616 65 TAI 'f 1 HM-Burton criteria, E. ,ir, 40 fq T .a f ~ I I S• Ile DAM :1/29/S2r 12:56: F L O IJ M E 11 0 R I A L H 0 9 P I'T A L PAOB g ^M~., " ACCOUNTS RF:CEIVAIILr•' ACCOUNT STATUS REPORT SUMMARY '1`* S PATIENT Ct,ASS COUNT PATIENT INSUUPANCE TOTAL UV tl yr OUTPATIENT 1 63.00 .00 63.00 t INPATIENT 42 33900,15 00 39500.10 ` 60 E11CRUNCY 28 1362.00 .00 13b2 00 tt ~ ? S. ~ f TOTAL ACCOUNM RECEIVABLE 7l 36925. 10 .00 36925.15 F„ay t j { W pxaxa TOTAL NUMBER OF ACCOUNTS IN ERROR x~p xpp y: t~ Y } ,1 to I w r, r ; w 1 e~l w i 1 1 1 I ail: .✓f 1 '314 y~+. t'.. I NNW all F L O W M E M O R I A L H O S P I T A L wa.s'4 BALANCE SHEET MARCH 31, 1982 1982 1981 1982 198.1 Current Assets: Current Liabilities: Cash--Operating $ 228,620 $ 47,066 Current Notes Payable $ 185,496 $ 151,117 j Interest & Sinking 7,608 924 Accounts Payable 5909433 623,385 Reserve Fund 10,181 - Accrued Payroll 305,358 236,154 Repair Fund 1,051 29925 Payroll Taxes 73,091 85,897 Group Health Insurance 19157 21411 Fees Payable 193,751 133,036 Investments/Board Designated 5211398 271,398 Bond Interest Payable 10,061 10,586 Bonds Payable 66,000 650000 Due Medicare 39,000 Total Cash & Investments $ 770,015 $ 324,724 Total Current Liabilities $ 15462,190 $1,305,175 Accounts Receivable $25663,420 $2 172,629 Less: Allowances 224 212 178 393 Other Liabilities: Net Patient Receivables $4439s~ $19994 Ijeferred Income 174,527 1620709 Long Term Notes Payable 500,564 363,640 Other Receivables 30,371 255,988 Bonds Payable 430,000 _ 495.,000 Inventories 2650656 266,760 Prepaid Expenses 93,935810239 Total Liabilities $ 2,5619281 $2,316,424 t 'total Current Assets $3,699,085 $2,922,947 Capital: City of Denton $ 3930165 $ 393,1'65. Property, Plant & Equipment: County of Denton 11696,871 19696,871 ; Land $ 379547 $ 379547 Endowment Flow Estate 240,46X 240,461 Building & Improvements 310439463 3,0030045 Fed, Grants. Hill-Burton 11868,910 108689910 i Furniture & Equipment 4 418 388 3,996t626 Federal Grants 266,371 256,311 $7,4999398 Pledges and Gifts 459,380 373,300 ! Gen, Fund Bal., Beg. of Yr, (686,770) (1,0599636) Accumulated Depreciation ~4 029 933 3 6 5.077 Current Year 272,881 239,122 a469,_ _ $3,4026141 Total Capital $ 41501,2669 $440081664 Net Property, Plant Equip. $3 _ 465 & TOTAL OPERATING FUND $i'.068,550 $6,3251088 TOTAL OPERATING FUND $7,068,550 16L325,088 Current Ratio 2.46 I i r Page 2 FLOW MEMORIAL HOSPITAL STATISTICAL STATEMENT MARCH 31, 1982 CURRENT MONTH YEAR -TO -GATE P RIOR Actual Budget_ Actual Budget Year-to-Date Adult Patient Days 7, J6 31069 16,983 18,018 17,680 r Average Per Day 90.5 99.Q 93.3 99.0 97,1 Newborn Patient Days 366 403 2327 2366 1,994 Average Per Day 11.8 13.0 12.8 13.0 11.0 Gross Patient Revenue/Pt. Day $398.85 $388.59 $377.62 $371.44 $304,18 Total Expense/Patient Day $337.58 $303.91 $320.18 $298.33 $258.74 Month Charity___. Bad Debt Recovery. October $ 72,027 $ 499646 $ 7,406 November 52,097 158,693 50421 December 250607 94,950 5,666 January 15,366 879082 81998 February 58,795 71,137 5,034 March 36:925 54,005_ _630 I $ 2600817 $ 515,363 $ 41,155 F if Revenue 4.1% 8.0% 1.0% loft 'Y 1 N i 1 r L 0 W MEMORIAL HOSPITAL Page3 STATEMENT Or OPERATIONS/MARCH 31, 1982 b % of Salaries Supplies Total Direct Opiwating Revenue Revenue & Benefits & Other _ Expenses Profit (Loss) Daily Hospital Care 18 $ 202,600 $ 141,000 $ 2,687 $ 143,687 $ 58,913 Psychiatric Care 6 67055 32,386 1,4 64 33,850 34,106 OB/Post Partum 4 48,621 18,186 lo071 19,261 29,364 ICU 1 129925 17,062 1;183 18,245 { 5,320) Nursery 3 30,648 101581 2,165 12,746 179902 t Neo-Natal Nursery 1 14,100 14,071 431 14,502 ( 402) t Coronary Care Unit 5 56,270 36,227 5,942 420169 14,101 Labor ~ Delivery 3 32,115 21,138 3,342 24,480 79635 Operating & Recovery 5 56,658 20,119 85850 28,969 27,689 Emergency Room 3 33,292 125442 20,609 33,051 241 'r Central Supply 7 74,319 8,940 32,227 41,167 33,152 Laboratory/Blood Bank 9 99,065 - 54,427 54,427 44,638 s' Radiology/Nuclear Medicine 7 75,128 17,008 19,519 36,527 38,601 Pharmacy/11 15 172,153 10,274 39,215 41,489 122,664 Anesthesia 4 40,739 1''509 51948 19t457 21482 Cardiopulmonary 3 289364 ,577 12416 IA r93 9,771 Respiratory Therapy 5 57,358 125726 81474 200 36,158 1 Physical Therapy 1 13,413 6 844 1 25O 8 094 5019 E f Total 100 , , 220,820 619,0910 495t813 Deductions bf`Revenue $ 53,107 $ 53,107 Il Charity & Bad Debt ( 111,954 111,9$4 Employee Health Ins, Exp. $ 329023 $ 32,023 32,023 Medical Records 343 $ 11,681 1,978 139659 130316 Gift Shop/Grounds Mte. 1,8?5 11661 746 20307 432 Cafeibria 12,535 25,860 26,612 52,472 39,937 Plant 169795 44,723 61,518 61,618 Houtakeeping/Security Service 289111 39764 31,876 31,876 ; Laundry 1,008 19649 8,557 8,657 Fiscal Affairs/Data Proc. 89056 59148 13,204 13,264 Business Office 24,033 16,521 39,554 39,554 Purchasing 1,647 1,134 2,781 2,781 personnel 3,636 2,520 6,165 6,156 Administration 50929 5,338 11,267 11,261 Staff Education 10905 700 2,605 20605 'WoOal & AdO nistrative 29 1q,232 19,232 414o2O3 Dbpreciation 3 124 35,124 124 , 1500879) $ 19 T2`"" " `3 47 " Gain (Loss) from Operation 11;601 Non-Operating Revenue 38,389 380389 441048 Foundation Total '048 535,31-1' _ 411,932 947,2.43- =60,038 • a. Page 4 FLOW MEMORIAL HOSPITAL STATEMENT OF OPERATIONS/YEAR-TO-DATE, MARCH 31, 1982 Total Direct O erating % of salaries S+pplies Ex enses Profit oss_~_- Revenue Revenue & Benefits & Other - $ 764 19 $ 1,211,672 $ 735,824 $ 28,482 179,865 $ 15'4,894 6 Oaiiy Hospital Care 5 334,859 175,483 6,520 102,170 2209147 psychiatric Care 322,277 95,650 99,596 ( 14,7.98) f OB/Post Partum 5 Oq A00 93,011 6,585 g/y 1110123 I ICU k 3 191,102 65,907 142,,072 584 79 86, ,050 460775 Nursery 132,825 83,446 6 293,022 207,349 20,203 227 155 , , 552 254 65,470 41,229 Neo-Natal Nursery 2 Coronary Care Unit 3 196,483 126,917 28,337 109 , 898 Labor & Delivery 4 286,582 118,972 57,712 176,684 22,307) ` Operating Recovery 3 1871107 85,420 123,994 209238,414 , 730 184,769 l Emergency Room 423,499 52,721 1116,009 285,260 332,279 Central; Supply 7 018,039 2855760 10 2010,366 207,064 Laboratory/Blood isMed 6 407,420 97,677 102,674 640,150 Radiology/Nuclear Medicine 14 919$84 67,331 212,103 107,494 110,896 4 Pharmacy/Anesthesia 4 224,389 77,134 305360 88,099 41,748 Anesthesia 2 374129o084792 34 4153+s397844 Cardiopulmonary 374,392 77,217 41,844 19 788 18 091 Respiratory Therapy 119,061 2550331 35 324 3 56,879 4 ; 2,23 ,105 1,209, 4086 l Physical Therapy 1U0 $ 6,394,778 3,439,191 2,9 5,87 Total 272 0 $ 272,0805 ,05 ,13 4 635 17'2,6$6 Deductions Bad Debt Revenue 678 Charity & Bad ( 678,813 $ 111,519 $ 172,635 74,033 Employee Health 'ins, Exp. 1,988 $ 659102 20,441 4,633 Medical Records 11,830 11,631 8,810 311,441 245,021 GiPlftantShop/Grounds Mte. 66,779 155166,,562964 156,238 238 412,1800. 07 412,147 Cafeteria 102,186 309,921 1929486 192,486 56,510 Housekeeping/Security Guard 429884 139626 5674,510 ,526 74,526 Laundry 48,278 26,248 196 ,921 196,921 Fiscal'Affairs/DataProc. 141,022 55,299 18,069 18,069 Business Office/Cr. & Coll. 9,713 81356 39,050 39,454 Purchasing_ 21,582 17,868 49,047 49,047 sonnel 36,589 12,558 077 14,022 Ackli'inistration 11,856 2+221 145 156,854 165,006 General Stdff & AdmiEducationnistrative ( 6,152) 158 204 ,854 866 204 866 7.04 86.6 Depreciation' , 80,804 ' ]b7,aao Gain (Loss) from Operatics 167,440 37 s Nan-Operating Revenue 24 637 Foundation 8 j Total ;i .i i ~ y FLOW MEMORIAL HOSPITAL Page 5 SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS MARCH 311 1982 F { Current Month Year-To-Date i Beginning Balance $ 245,239 $ 68,014 Cash Received from: Active Patient Accounts $ 926,556 $5,148,588 Bed Debt Accounts 8,630 41,155 j Cafeteria 139193 70,421 Appropriations/Donations 9,327 321,108 Other 669306 699,975 1 Total Cash 1 024 012 6,281 247 TOTAL `CASH AVAILABLE 6,~ Cash Disbursements; j Payroll $ 4469914 $ 29564,444 j Payroll Taxes 61,811 373,787 Patient Refunds 16,135 121,186 Capital Assets 34,751 3185126 Notes Payable 15,129 75,867 j Other 467,_309_ 21668,710 I Total'Disbursements 11 041 049 $ 6,122:2,02 9 Cash Balance , 227 Cash Investments 521 398 521 398 Total Cash EiEa 74 Cross Patient Revenue $1 130983 $ 6 406,351 Less: Allowances 67:527) 452 214 Net' Patient Revenue $1,063,456 $ 5,954,137 i Cash Received on Patient Accounts $ 9260556 $ 5,148,588 Less: Patient Refunds 6,135) 121 180, Net Cash on Patient Accounts ,421 ,O , , 3 I Cash Received as a % of Revenue -85.6% 84.4$ i i a i` _0 7 Page 6 1 FLOW MEMORIAL HOSPITAL 1 AGED ACCOUNTS RECEIVABLE SUMMARY MARCH 31, 1982 Primary Payor Current _ 31-60 61-90 91-120 121-150 150± _ Total % of A/R Medicare $ 248,409 $ 109,782 $ 28,181 $ 95010 $ 12,917 $ 26,791 $ 435,090' 16.5 Medicaid 26,109 29,560 41,004 71494 -0- 15,105 119,272 4,5 Blue Cross 157,166 87,308 6,631 3,539 -0- 532 255,175 9;7 328,731 168,880 61,027 18,899 2,964 7,208 587,709 22,3 Commercial Ins. 283,808 218,318 101,431 88,840 71,502 125,197 8890096 33.8 Self-Pay Balance after Ins. 93,117 74,432 _ 43,213 49,393 _ 35.862 _47,420_ _ 3431,437 1311 r I $ 1,137,339 $ 688,280 $_281,487 177,175. $ 123,245 222s253 $21629;779 Advance Medicare - - r4913.565) Net Billed A/R , 1 tt $5017 3 In-House i I Total A/R $ j i Number of Accounts. 79874 !:i a bays of Revenue, Accounts Receivable 662 k in-House 10.0 Y Total r 1 •Y r r MMMMMM I Page 7 ' FLOW MEMORIAL HOSPITAL HOME It'EALTH BALANCE SHEET MARCH 31, 1982 ASSETS LIABILITIES t ` Cash $ 10,614,98 Accounts Payable $ 170.93 Accounts Receivable 733621.21 Payable Due Flow 49455.43 Total Current Assets $ 849236.19 Accrued Payroll 41121.04 i Total Liabilities $85747.40 I E EQUIPMEN _ Furniture & Equipment $ 1,615.00 Less Accumulated Deprec, (448.60) CAPITAL Net Equipment $ 11166.40 County Home Health $56,918.66 i Retained Earnings 190736.53 TOTAL OPERATING FUND 1-9 5 02.59_ TOTAL OPERATING`FL'ND $85,402.59 , I j i x: it 14 1 Page 8 FLOW MEMORIAL HOSPITAL H 0 M E HEALTH STATEMENT OF REVENUES AND EXPENSES MARCH 31, 1982 Month Year To Date REVENUES i Patient Revenues $ 259206.45 $ 104,207147 ~ i I Deductions of Revenue 6,702996 10s?73.13 Not Revenues $ 19t503.46 $ 93,834.34 r ( EXPENSES i ( Payroll & FICA Expense $ 139045.10 $ 61,843.13 Supplies 811,32 55954.72 Travel 998,97 41968.93 Employee Benefits 882.43 842,43 a Depreciation 448,60 4 Not Expenses $ 15,737.82 L.74,097. P1. f I + Cxcess of Revenues over Expenses $__31.765.64 $ 19,736.53 1 11 I 4. 1 11 ! p r.~r.e.n...l.w.. r.........--..r.Iwrl~.w«.....+...+..w,....~.,...»..«r. .~""'°+`.wY i s', I F L tl W M E M O R 1 A L H O S P I T A L PAGE 1 ' "?f t~. DATE 3/30/82 16; 1st f BAD DEBT TRANSFER REPORT FOR PERIOD 3/01/82 7HRV 3/31/82-. AT AT OF PAATJENTNUNU~RR <wwww PATIENT NAME ywww+-'_ -«.-i'wwww- uARClqYo , Z wwww 8AT8ED AI8p D- «.g - - * ~F ABORT C1TY1 By, ZIP AD~RI ITY9Y ZIP MIT--- -----A-- 41R17EOFF OP C~Y I 1 . _ r«.. .3/29/82 279, PM W 1 JOBEPHINE ANYNTA J09BPHINE 3/03/81 t.J' C 201 971536 JN ARUDOELL N13 lg8 {3 RUODEIL Nl3 TX 76201 NO r8spOnse t0 Collection efforts. +'f5',L NT N TX 76201 DDeeNTEN q 00 Qgi py~E 10/23/81 3/29/89 NA T,, 1f a NICK No response to colloction efforts. 201 34594' CC0 L~ I1 ~L1 W S LL6 TX 78067 3/29/92 ANf IA BRYON 9/30/81 "I1RB0X 162U TX 76249 NO response to collection efforts. 5 317073K~RBOX 1620 1 a S'1 UM TX 76.249 kA UM 118.75 ppppp DEBORAH ggpTT0 B@ggpLy%~,( DARRELL 3/03/81 3/05/131 3/29/89Y~ 101 271505 R R D , i 40 6TOGKAAC TX 7506LANEODAL8LAS TX 70065 No response to collection efforts. y s Q! LA E ALLAB Q rs/2q/82 25 00 j L THOMAS gg l{,0p THOMAS 1/03/82 ti, 1.11 1 201 3646`2 I(AY19 KBRYAN 4L{Yl 5' BRYAN T% 76201 NO response to collection efforts. NT N TX 76201 D6NTON 1~ 29102 113 std gp µ DANIRCU 7Rp99gYHOMPSON JETXV 75056 Nofesponselto collection effOrts so, f 348405 81IIVHOMP80N JppggTX 75056 IRRONY , 69 LONY KY 23/91 pp 9E% 36X MELL6 f0A8HUA RTUjIIj§TX36X MELLS'ROA~X 12/ponse 3/29/82 . 00 201 361b91 tlj~`j~YONR4 ' X 76201 ho response to CO}lection efforts. pR TX 76201 DEN ON 3/29/82 106,00 Sp Cv BOBBY 11/07/81 201 010054 7LN NDONDENRY NL47OBTX .1' 6201 SU"IONDONDLRRY 11147 TX 76201 No response to collection efforts. A 0 N~ DORIS 3/17/81 3/if9/82 $3.70 pp t r. i VIS 201 275967 9pp t47P DORT% 79067 LAN 8 VIf47F TX 75047 Movedl left no address! i W BVf~LE pp NN qq 200 980297 p7JYIgLAKES MOBILE' R70 T T 76201 a N OLAKE8 RT 5 L0~ 04>L~ENE 4/30/81 3/29/82 37 ~,.vl { A! ONTON N 1 X 76201 No response to Colleetlan efforts. 90.60 9/ tot 205369 l~ GQN~1LLO MARIA gbjq 0y~~gr1LLO JOSE 8 16/80 9/f9/90 3/[19/92 l~~ TX 76701 D NTBu TX 76201 No response t0 C011eCti0n efforts. ~ X11 0NT0 8/25/81 3/29/92 11. 2D ~j pqpg gg C~iLy, vvEE "a .PH t Jz 201 326496 Tg H CONYR VALLE4 JD0TXH 75056 7F6COLSNYR VALLEY TX 75056 110 response to Collection efforts, N~ V 8/28/81 3/29/92 67 50 MARLS Dt`E1Y91.~p ORD I WILLIAM aii St ~~pRp DENT N TX 76201 NO response to collection efforts, t 203 160292 X 76301 T 1 a w I I' 1 1 ' It I r• { la. I „L , i _ PAGE 2 Ir dbo DATE 3/30/e2 16:18: PLOW ME MOR 1 AL H08P I TAL I' j BAD DEBT TRANSFER REPORT FOR PER3UD 3/01/02 THRV p3/31/80 p 7g Tg pF i Pf1TXCENT VVf18ER rr+~r. PAYICHNT NAMfi ~rrr1_ _ _ _ M*rpD8NARCITORBNAM>tPrrs_~. ADMITTED UtBCHAROED WNtTEOPp dPD ACCOtJNtri 'a} F NUMBER At QR, 3 V. 8 i 1N r Y T ~ [ 201 337436 AZ 3/2q/$2 37.601'C1 NTONQ MAB$EY GLORIA PEDRO 9/30/85 DtOS /2 MA969Y TX 76201ENTNN YX 76201 NO response t0 collection efforts, 3 b1HpKER KViNETH i~IERK R KENNETH 1l/17181 701 352013 3/29/82 •.4 ' ? I 1900 6gAM BASS 615 1906 pgAM 6188 615 TX 76201 No GONTON TX 76201 DENTON response to collection efforts. Ft 201 340968 00 80REEN9RIAR MARK p17$OR6r.NBRCAR MARK 10/10/81 3/29/P2 40.00 x YX 75074 No response to collection efforts, 1 L9k1N0 N TX 75071 LANG NNTON $T A PAMPLA D HMA PAMELA 9/15/61 3/24/82 138 00 20l 33791 aa pp 14 BNTON $T 1•X 76201-0 DENTtNJ£ Tx 76201 No response to collection efforts, $NTON gggg fOl 308353 D3~0 ARBNALL $SANLEYTOOARBHALL $YANLEY 9/06/81 9/15/91 3/29/82 312.83 1 + ~iNO & YX 76266 AgNyOHk TX 76766 NO response t0 collection Of forts. < j ! 201 30$078 CL~YTON HOUSE MOTELMATXE4i 76201 aY~ON HOU$E MOTE MATHBW 6/20/$1 1/29/82 38,00 !;1 QC~+ GfV 1 J E N N ppgq9TX 76201 No response to C0110WO" efforts, Q~7 1 205 t 19634 AA OHR 204 PUCAN ~TMfiETX A 76266 gqN~ 204 P8CAN BFJlj T0 76266 NO respo 90 1 10 collection effo3t #p/ { 0 TT 201 160275 ON ,1A JANEL 6/17/91 3/29/82 132.00 Io7 6, Al,LN6ADOW kQO3NYX 76201 ININ NA LMEADIK+ N1208Y,X 76201 NO response to collection efforts, I WON LINDA 10/30/61 3/29/02 95.00 ' s 701 346395 Qn IL.LAOE eA$f 01p1TX 76x01 CU 106 BAST {1101 YX 76201, NO response to C0110ttlOA efforts f pp gg j U 102 325324. Q OX 163 L9VA5A 76201 DEN ONOX 183 ' R05HRY 11/00/81 .,31/19/01 3/29/62 6824,40 } a TX 76201 No response to collection efforts, 101 306977 011.`1N ELM 02 BEVERLY, AR 8 09VRRLY 9/03/81 6/06/81 3129/82 12114.65 I! SgNTbN YX 76201 IEN~tkbN HIM 03 TX 76201 NO response to collection efforts, rIr lOl 305144 9ApT9x~E6 LOREYX 176262 ~OANhll K OR KETXgT'76262 No re ponse to collection efforts'/a2 467,60 r' 101 296426 pp$n rlAultgg JANBY BBDD14fNJpg NARK 5/23/91 5/2$/61 3/29/82 16$7.40 r R R 1147 RT BOX 747 No fesponse to Collection efforts. i BIH09RO TX 76266 9ANiEN TX 76266 p I /J k:. Q b DATIF 3/00/82 ;1S: FLOW M E M 0 A I A{. HaaP I T AL PAGE 3 r.;rQ" r (LI PAD dEBT TRANSFER REPORT FOR pERltld 3/01/82 THRU 3131/8x7 p g p g,. p~ 51 T pA71ENT UMDER Ir+Mr PATIENTYr NAM wk4r wwwx+t OUARAN7aR W Hfi xrwr TE UHTA ATT PF BAIAN~Y"Irrr P NNUMBER AD Rr Cl 8 r ZIP AD , CI YrSNATr ZIP ADPpAMITTED 0180 A OED RI EO OF ACC 5 5" u"•.w rrrrru wrrr Vwu,•rrr •4rrrrurhr.rru ryrrrurrVU.rr r•. u.ruhti 4h Mw r. w.•r ,•ryr. h r• YYM r,r.~•MrYKM TR 1 ' Y wwr•• F.•rwun • 101 , 45633 DBNTON K O 14FON KPO pp r KOKO !~/Q5/81 6/12/81 3/1!9/82 1393. 6/r a THOMAS Mil l 7 OMAS Oil ` TX 76201 MTON Tx 76201 Arra,vments not kept, k 201 261203 A qqpp TINA LOUIS NUNE qq TOMAS 8 s.'/8l 3/29/82 36 00 j D WONNNtN 7X 76201 13926 ENTONNNtN TX 76201 NO "SPOnso t0 Collection efforts. f , If !h 201 327966 q LI33Idprrp77ppX 9LJ GARY EpI, t GARY 8/30/81 3/29/82 141.00 qgg R L O7 k qlJ [.:i~t3a9 r i + LDW18 LLE TX 70067 L W 6 cV[L1$ TX No response to collection efforts. x !4 ; r 1 147942 g1 L1 FELICIA ggyyB 7T ETHELENE 8/03/81 3/29/87 t3,60, D r ~ DUNVALLSY 17 8UN VAI.L5Y NTN TX 76801 DEEN70N TX 76201 No response to collection efforts, v a 201 237123 E 8 STLPHANIE I 8 EDWARD 9/25/81 3/09/82 3e, 001 18N4ON TX 76201 DDN D(?fWDRTH DR N53 TX 76201 No response to collection efforts, Wo k 20,7 99770 J~LZ BD% 112 KENNETH ~1jZBnOX 112 KENNETH 10/03181 3/29/82 1042.50 j AUB EY TX ,762227 AUB 8Y TX 76227 3 W E 8Y No response to collection a/forts, F 202 787309 1PRY TM OTT DR , M[NrXE 76201 DE~T ON OTT DR MITxIE 76201 No`responselto collection efforts. 1St 25 8/24/8 4 201 326314 `D4I8V2ttal.fiB DAVTX 73067 LEaI V1lLBLEB CA7X6RI 6067 N0 resPOn el to collection efforts /82 I W TT gg +Y 201 348272 EDN10~CCORM[CK LU18 `E~g18Ai.1 I~T MiCK L178 10/26/81 3/29/32 96.00 T 1X 76201 EgDgHN U BC TX 76201 No response to collection efforts'. 4 r , 1 356824 ,6D I9V L~kIN9 r AV8TXN 75067 LEW[BVfpIg1N8 CHTXB 075067 Nolrespon el to collection efforts 0/99/02 14.00 Iy ' Y ry ( ~V L LptlBP14 + 2 304246 L NIBV LLEAINE APIs M26Tx 78067 1 6KAL5A8 AUTXST7506!! No eSpOn e1 t0 c011@cliort effort39/32 90.60 101 345280 1'AiNiBgn% 4 BARBARA E ANBBnx 7 r VIROIL 10/26/81 10/31/81, 3/29/82 30.00 P LOT OW; TX 76258 MY p01NT YX 76258 No response to collection efforts. « g Ap 201 240366 4 ¢TOCOTT CHATXTAL76201 D6 TIN O71 PR IX 76201 No l rospone l to collection efforts9/bit 39,OOp A r w. r - W - r .r - r u_ r i - r - - u - - - - - u r r_ r ..r ..r r r ..r w r - r r - ,r. W u h.. rr ,r• ~ ,rl r ru..r V.. r., ur .u. _.,~4y.1,.~1 1 , 1 ,1 1 ' I r 1 j r' ~ , y 7. r t} It ;t "Owl PACE 4 T °l.t,l DATE 3/30/82 1br18: FLOW MEMOR 1 AL H 0 8 P 1 TA L y ( k BAD DEBT TRANSFER REPORT FOR PERIOD 3101102 YHRU 0/'Jl/02 MNNMrt ARANTOR AM p rg ppppTTgg ~~AIT gg pppp , CTv ''1 I PAAPrr ENTN~MH UrjER «*N** PAT1gNT NAyygg 4O4v 0pVV NN gg ~4+@ MATT CHAROED GREOPP OF AC pR ADORr CITY, tlTr ZIP ADAAr CITY,STr ZIP AD Y BD D18.. y' i ,r - - - - - lr { t J ROb 70 'r ICI 202 471V1 3/12q/82 t`33AN(~BH JAMES E3 ANSHH JAMES 9/05161 i V GN70NBATHER TX 76701 ~HN MEATHSRR TX 76VAl No response to collection efforts. ; 4. 7/22/81 a/17/al 3/29/92 1269 110 RICKY $012 YANB EAN N1002 EVVAB 2396-32 ti MCKINNHITS AVE 4100 TX 75069 IffiNEY16 AVE efforts. 75064 NO response t0 Collection g g KITIREDOE B Ng PEAALEtJE 10/01/81 0/29102 32 00 ZOl 336140 p U~TCHAMBERS gig NT • T% 76201 D N TX 76201 No response to collection efforts. OINJ Q 8/04/61 0/29/82 26 00 ` y~1 RAYMOND r 202 102005 aIBT PRAIRIE ' RAYTXWD 76201 1 DHNTggAq ONBY PRAIR19 TX 76201 HO response to Collection efforts. 646 70, 203 320226 BBYTCHISO GLORIA EytTCtH160SV r RALPH 9/09/81 3/29/82 t w gT~T1 CAUSES RANC{1 TX 76201 P6NDL91ON IN 46064 No response to Collection efforts. I DE ON !Jr t { • 201 3332O2 66pp N VERNON R3 SNN VERNON 9/17/11 0/24/82 BZ.OO { r 5 fin" GEBRUSH TX 76201 O DON OEBRUBH TX 76201 No response to collection efforts. T BN DOl KENNETH L 10/70/BS 10/21/81 3/29/62 114 04 i Fllffi l0Z 036883 ;j5 501 CANDICE 74201 D * l1~ np0p 119g Tx 76201 No response to C011ection efforts. 10/06/8 ZOt 339663 kY~~X 4l KARTX 75034 PRSBCOpX Al TOTxY 75034 No responselto collection eff@r3ts g/82 1037 90 .1 ` F r w FRYB pp RN ~ • 10t 373543 a8 ANN FLOYD F 7gvlBN PLOYD 0/14/111 9/17/91 0/29/8? b63 LA TX 70232 • riALLAB TX (5230 No response to collection efforts. p pg ppJ JAMES 8/30/81 3/29/62 46. Z0 } %O1 32^8146 tLS TROPICANA hAtIj NET7b201 71}01P,JANA M019L Viol * a r oaFJ TX 76201 No response to collection efforts. 201 334003 FR E n ~ptp JESUS 9/19/01 0/29/82 44.75 1116101HT JESUS 4ISEWAtMS1R10HT + TX 76201 U NYQpNN T% 76201 No ebpOnse t0 colluction efforts. ty DILYN 6/02/61 9/00/81 3/129/bit 101 3011666 012.04 ? MNtt N~E • }QpPANH DILYN FJ ANOLR T% 76201 p8 N gO AHNANDLR TX 76201 No response to Culiectton efforts. 201 324067 E1NTG6FORD 11tLIT%AM 74201 D NTON DFfkID ARTXN 76201 NO respOnselto collection efforts 3/29/02 30 •i- i . I 00 } ' lilt 1• .=r ;E .1: I 1 1 , ..,.y ~ ....r , q'~ M"•"gip ~'YI''~~TW i' M DATE 3/00/82 lb: t9i F L 0 W M 6 M 0 R I A L H C 8 P I T A G PAOB 6 ydl ` ~~rl,1 BAD DEBT TRANBFITR REPORT POR PERIOD 3/01/02 THRU 0/31/82 l y 1 PAT ENT NUMJJR MM«rN PATIEN7 Tr NAMgg +~*4* rra*y OUUARANTpRNNAMgg+nM+ A ppT{~ DArI~BOPF pp P. NUM9 ADDR, I Y, 8 , ZIP BR C T q Y T i » AR_. OP ~fCNNyfµi ADD CIT ,B IP AD I TED DltiCH OED WR IT • k 201 318469 bPL` M NNKN, BET I Y bP MLtN~RY BETTY 7/29/81 3/20/82 97.00 1rJ~1~~ f r O DETON V YK 76201 OETON Tx 76201 No response to collection efforts, , 201 360693 w R2118 DAWN MEJ p QUADELUPE 12/19(81 0/29/82 0t>f 00'ti113~ ti r LOUIBE Nb 2 [LLlN~Itf at NTON TX 76201 DALLAS TX No response to collection efforts, * r 201 346767 pppp NP~~ BARBARA F YN1J tt , 840RAOA 10/31/8t 3/29/82 109, 00 ? • D NTONY M12 Tx 76201 Y RBA LINDAA08RA CA 92606 NO response to collection efforts, 7" .I! FONND 1111013T 0/27/81 9/06/81 3/129/02 55, 00 D 102 294066 BECKY BOX 1926 0 C O1A RD, TX 76201 DENTON TX 76201 No response to collection efforts, + I p0 ~ c 201 327924 FAAO(1 pppp RD %JASON } J$RD ggtlX ig9A ERNEST 10/01/8l 3/.29/02 081, r IN TX 76201 ANQER TX 76166 No response to collection efforts, 41r ,1 201 348706 PpRD RICK R RICK l1/Ob/8l 0/29/82 82,20 Ij 40 L1N2~ UNIVBk81TY~f3 TX 76201 DENT ON UNIVERSITY M3 Tx 76201 NO responSO to collection efforts, s w' 101 364711 DgpEBpGX , TANYA 9~jFa3RpRtl , MAX LARIaY 1/04/82 1/06/82 3/".19/82 12.00 s e► 'NTON CIRCLp TX 76901 `DENa70{l1~CIRCLE Tx 76201 No response to collection efforts. • 203 116962 D NTtkI R8E CHARLOTTE'', D1~TON Be 2gTXY 761201 NO reap nse 7/22/01 Collection efforts, '82 112, 20 2 i' ! 202 331041 pFCTf2 WILLIAM ppTR~V~1R% 187 KV-ARTH 9/19/81 3/29/82 76.00 f - w ISNTON k 287 TX 76201 DENTON MMggTX 76201 No r@sponla to collection efforts, 1 202 127100 aR Yg%ECUTtVt flH~ LTXIE700b0 ~R NTNECUTIVS kHP"8%9 %N1y0067 Moved1102/02 left no address, 3/29/82 71 Otl ~&A N7H r 11, 3/2q/8Q 101.00 241 311803 WRIVILkoX t03 TiMTXR 7620t lOk 103 TtYX" 76201 U4016 to/ locate. 40 202 344218 jingNA ~~gg MOT pg % 76401 ~~cNgg OP~Nk re ib201 UnAblt4 t0'180cete, 3/129/82 177.40 hL Rk ?QAT IB a $QN •S MOTEL. 204 d;, d, w I IN 101 979398 jtNfL N2e9 CURARE 71941 b NY ON209 GUAR 971941 No response to collection offoOtS / t080.00Pkt y q* i w tit r,~ t7t1 , - - - - - - 5 1 DATE 9/30/82 16:14. FLOW M E M 0 A I AL H 0 8 P I T A L PAO[i 6 M„Y DAD DEBT TRANSFER REPORT FOR PERIOD 3/01/82 THRU 3/31142 rr A~+~?BNTN~MBHRR@MM P(~TI~FNr NAME ,•e~M rwrrar■ SVARANTOR NAME BATH Dads 41A1 t P BAA `tt* dk ~c ADDft++r 1iYr 8Tr Y1P y ADORRr C1TTYr8Tr iz[P -y--- AD-IT-TTED DISC--ROHD -R M80-- tlP-` 204 353594 }N K OX WILLIAM NTIJ NLggY----y- r-WILLIAM 11/22/81 3/29/82 440, 25f~. A10 L 147 Qp0% 147 7X 76226 AROYL6 TX 76226I4OVed{ left ri0 address. D 180 H-RT5 r HELEN 8/l7/9t 9/23181 3/29192 22200 ;i VJ 191 324244 PI D f50 14-FITS r HELM • DgNTON TX 76201 D Nf N TX 76201 Balance after Madlcare/no response to 202 140228 TROVETTA H?218 TROVETIA col;6Attf96taff arts. 3/29/92 76.00 : $ E OUI81f #23 2 yp~ LOUt9E #23 N O TX 1620t UNION TX 76201 No response to collection efforts, 3/29/92 79. 70 201 34112. 0 ~I$L~I~IAppkx OLIV4R H L 1pg0pNNx OLIVER 10/12/fit VLFP N 596 148 39503r1 GUL PORT 5qb M9 39003 No response to collection efforts. qq 201 328096 ~~NT DEe"IM 1ACARROLL 06BBIZ 8/30/81 3/2q/82' 45,50 1 RROLL 7k 76201 NNTLOENg N TX 76201 Linable to locate. C' ~ 9/11 202 249237 ~ DI,MStl N28 r SANYXA 76201 D`N0 ~8 028 VAT% CKIE 76ZOS Arrangements not knPt. 3/29/92 1369: 76 ~T ~T I 201 329549 H Y BILLY Y BILLY 4/04/91 3/29/92 172.50 ~ lupi PUttNELL NEUp t t " I CALLAB TX 75221 LAB NQLL TX 75221 Unable to locate. 4 I IAN 9/11/81 3/29.82 206.50 201 331454 N CNNI~~ gg r EVIE N DIAN TNAIL HI~RO CR k CORYACRBBAIL TX 77777 N Tx6tt01 Unable to locate. Y; 411, O { 1111 • 2 3?8375 DIRT T1Rb8A R p~, TEREBA 1 MOM 312q/kl2 40.50 NGtLY LN TX 76201 NONLY LN TX 76201 Unable to locate. t 201 354795 21og 0 NBWw~eg~gHtCNORY OSA019 0 N ~ICNORY Mqr PAUL INE 11/27161 3/29/bit 38,00+x: qSN tlN TX 76201 14 ON TX 76201 No resnOASe to collection aff@rts; 201 316711 N VIROIB t3gN~~N~gO~ RD APT44 IRA 7/~I4/01 3/29/82 25.76 i f QW RD APT 44 AyTX 0 Bff~UMONT R TX 0 Balance after. Medlcare{ no Mponse to 40 201 346296 ftidtaipw T O11NAY 11i1DNilsN~1 f 9 HipHifAY f21~127 (SgLL C08M91teffoots . 3/29/82 91.00 LIZALC1 T% 70067 L SV~L(E f% 15067 No response to collection efforts.' tj l 316513 JflK r JUDY ftA~(IpNR TX' 76734 7/24/81 3/2q//rd 136,26T 1 * ACM ILleN TX 76234 a~MfLLBR Balance after Insurances no response. r 00 „r . ,fir or 7 r^~*3"1s r?diW~'Z} IM- DATE 3130/97 l6: !91 R L 0 11AD DESTETNFDISFER REPORTNPOR8 PER2Otl A3/01/82 THRU 3/31/82 f~ . +f+W.ivii .v POTSENT WAR 4**** ppppTIggNTT NAIiG eK++r rMVNr 0UARffljtlP NAME;*** PM ED pOppTE pp p ~~~fT~1$v~', r, f% NCM~ER ADUR CS7Y UT. 21P ADDRi C1 TV. ST. iI AbM1"ITED DISFHANOED IJRITSOK OPyAA~CCOUI . . w. ~ 701 364307 ~~M18QUX 39 THEOORE ~Tt12S~~X 34 THEODORE 1/00/08 0/29/82 203,20 IRaMAN3 OK 69030 OgqOHRR~MAN l~ UK Movedt left no aidress. 202 336370 P iNT SROAO~ KIIi TO%RLE 7b203 P ILO O1 N T BROAD ltN 4 t O ~ b JUYkA 76308 No 1response to collection efforts. I 93 ~ 802 336180 JOHN [;i3Tp~ Ate HNSTON LARRY 10/26/81 3/"19/82 85 60 1 ~ l~ i M k AAiIEBT/MARBHALL ~RHTit 76SZ62 ROANOIKtEBT/MARBNALL T,Py~% 76262 No response t0 collection efforts, li ANOONN X R E7 1 71 OUBIE N8 43 50 701 367018 NE JANT%A 76201 t CpE9TONOUSIE N8 JAT TA76201 No12e porise to collection efforts4/82 r 75 ~ 201 350503 QJpON BMALONE i MARTHA >lt458MA r DONALD t1/12/81 3/29102 104, r OSNTON TX 76201 D6NT0N LONE TX 76201 No response to collection efforts, 11 201 341054 ?NREgpYAL OAKS MELISSA R1OtJQIIBpOWB;N20 ' DOVOLAS it/01/8l 3/29/82 46.00 • 6ENTON Tx 76201 gp7EN70N TX 76201 No response t0 collection efforts. tl j • 1002 77650 HI C80% 327A MEf.7XN 70034 gO1'10X 027A WAT%A 75034 No response to Co}18Cti0n effort /82 69 SO 202 109244 jjV9,@96V 80% 4 ' NULAN fiV pNA88EY BOX 4 , NOLAN 10/11/81 3/29/82 90 50 • NTQA Tx 76201 NTO TX 76201 No response to collection efforts, W1 204 149351 IN15OX 203 PAT7xC1~6a01 Dg R17UN pTO gzN NOX 2.)3 OBTxR 76701 No response to ccitectton effort /815 112.85 110 sva r Ng w 1 363797 O11BQX 84. RON TX E 76.749 #0KIV8 X 84 RONNIE 11/23/91 3/29/82 09.40 UM(y~(ee g TX ~o~q ~y 4 gg TX 76249 No response to COlloction efforts, r1 1 78 25 ONB MAINPL r ] 44 201 347799 ^T~f s HLM ' J fT%lY 75065 ~7TffjolA ME MAI~1 P~7%E 70068 Nofresponso Co1leCtiOn efforts.' :Ot 329318 ~NT xVNp THOMAS 0}tAYNE THOMAS 76701 No response to collection efforts. /82 102 00 f 76201 1¢ryrn nT Da j tol 273970 KtOr Log IpYgg gg1L SUSAN K E l SUSAN 3/22/81 3/26/81 3/29/82 1033.&0 to tgH16V[LLeE8g00K TX 75067 L u 9VJ~PBgpA TX 70067 No response to Colleotibn efforts. Vlt . ' i y.~pyu.n..wrrre.........r.n.......~.. ~....u.. ......_.~,..................<.w._...»..«w~.... _..W._..........._.. gyn. ....~......r..v.r~a«...r.. s.w+wwrw.tiw.u.wa y x .J u~,....io joy •i~ri lVJ ~~IM'~ V' DATE 0/00/92 16:19: r L 0 W MEMOR I A L H09 P I T A L Me 9 ~f BAD DBtlT TRANSFER REPORT FOR PERIOD 3/01/82 TNAU 3/31/92 wSj fi PppT1ENT NUM ggR w**** PgpTS9NY NAV ♦*4* **4+1* OUUARANTVME **0* DATe DATR OATgg tl~1P ISAL~A,yC%~p~ PPX NUMB R ADDfI, CITY, BT, LIP ADDA, CITY, 97,! NNAZIP ADMITTED DISCAROPD WRITpOfF OF ACCOUNf } 4 - ....'...e 11•'X C 101 ~259893 b S PATSY HE Spyy PAUL 4/05/61 4110/91 3/29/82 1700.00 t,1 }!t`' N J XKP., r'E DR S66 1` AKE6HORE DR APsf8~~{ rx 75119 EN14t TX 75119 Arrangements not kept. 1 303347 KPN V 1,H CINUV W N~(g1X CR DENTON Wkj1AANE 9108/01 3/29/82 505µ00 qty VN TX 7b20J DENTtlN TX 76231 Arrangements not kept, , t 201 334219 KFfIFoft l111 CHEHVL K ppggSTtt~++gg ANDY 9/20/91 3/24/82 68.72 L T ';fERIA t 04 WIl3T6HtA Af.i+d't TX 76201 D N ON TX 76201 No responsa toCOtlection efforts, t 3/29/82 38100 20L 076566 ht3•~ggtl L 7 0CRIPYUAE DIl L UN 1191 11 ONCRiPTURE BILL YX 76201 Unable to 8 ocete. G6N ON TX 76201 J 101 331546 p GV16E 206 ` MLCTXLLE76201 p'JAHJ 5634 NT9V 8TA7NTX 76203 Arran9/11 /'t gements not kept~B1 J/4°7/92 1333 60 1/ ` 1 M gg 206 124379 2 N OU19E APT Q03LEgTXE ,76201 Ott, f.COUISEN203 MBYXIN 7620f No response to collection effd t29/82 219,10 hp + 38.00 201 360073 G N O U 04 UI9E APT 00 10{~~ TXN 76201 D§NjLr Ulat APT J01 MgTXIH 76201 NolvOspon e` to collection Afforts r/02 i 0 /16/8 ~~~n+ 3 '243329 ~aQ~L4D DR "TX 90A6HW~IOD TIMMIE.C 5/31/81 3!29/92 278.44 1 L a'~ E TX 75067 L W[9V1L E TX 70067 No respOnse to collection effurts, ? 901 355412 1~t1NNggU p p25 , DANNY ~1R0i0 FRAN 11/30/01 0/eV/92 88.00 Lt3WWI V[LLE TX 73067 W HITA0FALIFP LLS TX 76307 No response to collection efforts, 4/23 203 217065N$NT DAx APT 92,1 ANOTkA 76201NTON'' OAK APT 221 ANT%tA 76201 No reSp?R @ to collection effort /9a 14.35 M. rr(1 SIRTHA U S9 PRA14K 10/02/01 10/00/01 3/99/82 1219.85 ' 101 398442 U01L HISOOOX 390 TX 75034 H11Cf10K 300 YX 75034 No response t0 Collection efforts. " 101 320721 JTMSBQIf 51 r JOHNj116BOX 61 JOHN T 9/05/111 6/07/81 3729/82 32.92 E DY TX 76023 Y TX "6023 Balance after insurance-,no response, 201 347650 11 AA , TINA Li M ER Q '11CHAEL 8/26/91 3/29/02 12. 32 L K6VILLE OD T% 75067 1W 911bBW0°D T% 75067 NO response to C011s6-10n efforts, "`d R If 111.1 3 1' ~ t ~ IPAGE '._,.,n` .4 p L tl W M t M g R l A L H p P 17 A L r► DA72 3130/B2 tbtl9t a }f' BAD DEBT TRANDFER REPORT FOR PERIOD 310118FA THRV 3/31/82 v~ ~ir~ rr~Nr WARANTOR NAMG+~»• OAT gg PDpYg up 8A ,~,~g O ZIP ADM 7190 IS OS L; PATTj9NTNIMiOgg RR ',faekrPATtlW NA • x*_.«.•.^._Y JADpORITY, BT, ZIP Dl C?AiAR080 4i.ITEOFF OF .^C ..t'a31ad F'' ADDRr 1TYr . _ 10/03/81 3/29/92 94. 25 201 338673 N$$ NNqqppT COWAN 171 V ~f MONTAA 1 N LI COWAN ~ly1 p% MONTRA 76067 L T% 750117 L 8 E 0010 to locate 3/29/82 124,38 r L W IBVIL ~j 201 358788 ~JN10NMMCKINNBY , LINDA 76201 gENT0AE MCKINN6 HE1xY 76201 Unable toel0cate, 3!99/92 130.50, M 201 3328II5 lp WNTOB 0!JOx 413 RT 4 D JEANETTE LAqWg0N JAMES 9!15/81 D OX 413 762of No r0SPOnse to"e0110ct1On efforts- TX 76201 OEiJTON TX 3/29/02 15.00 5 PATHICIA LR ESt PATICIA 10/19/81 201 043483 RqE U 60X 1056 S 6 2 Box 1,056 TX 76201 1 N O TX 76201 Balance after insurance; no Yespense, W NTON 11/26/91 3199/89 34.00 i 40 + r s 702 353037 VAAgqITY LEA ~jgq~pARVTO , LAMA i wNTONppG N6 Yx 76RQ1 gHNTON N6 TX 76901 No responso to collection efforts, 0/21 OV18E. N40 ' TX cHARLEB ,76201 ~ DEN q$0186 1122 JUAN 76201 NolrespOnsge t0 CO11fCti0n effertS9/8>Z 75' 20 w i - 203 47845 fiPOL . 3129182 72.00 s ~ N , 0TT 19/13/81 ~ $ 202 73928 ~16TDRX 3007 BERiJEB'f 0f ~OX 3007 8 Tx 76201 NO response to collection efforts. w ENT0NJ TX 76201 E1TUN KIMBERLY 7!06/81 3/99/82 0/99/8: 40.75 201 110334 ~ Rg%BCVTiVB f1HPM7XRLY76201 HI'llp i'l MHP BDX 491 TL TX Tx 76301 No response to collection efforts, 601 Ltl , ELLEN D OOX 2?2R ELLEN 9/19/91 11 90 ! ~ W 203 24N4a pAUB ~YBDX R2RR IX 76227 AUB 6Y TX 76227 Balinte after Medicare; no response; . r BERT 12/13/81 3/29/82 39.00 204 14863 BERT ($Xl{ MEkHON ~AAMBR9ON TX 76201 pRN D TX 76201 No response to collection efforts, JOE 19/12/81 3/29/82 $6.50 w r !!1 201 358978 M~RNARD 61jHU Al4PLTA M 4jHNARD „ y bj ~DN TX 76201 TX 76201 No response 'to collodion efforts, 201 351741 Mike STATER N3 ARBAAA 0 K MAD JJg D BTATE8,I13 tCHARD 11/17/91 3/99/82 41.50 pp gg pp~~ Tx 75067 No respeneA to collectlon 0ffert9. y LAB TX 73067 LAKfi4ALLApQ B 1 + pg r Ateg , JOHN 12/27/81 3/29/89 30.00 R W~+ MA 2062 No response to eoliectfon offorts. j 201 362639 M"Q9V E APT 207 AILTXN 76201 NIRWOtl11H6RLE RD 01 A { 1 ~ f l ; V ~1 , xDAYS 3/30/02 16; 19; F L D W M E M 0 R I A L H 0 8 P I T A L pp T" 'lA*91 7 ?k IK;' !S~ BAD DSOT TRANSFER REPORT FOR PERIOD 3101/82 THRV 3131/82 gggg ~Iyy pp TTgg ppFp Pq NN TIENT UM R *4*** PATIFNT NAME 4*0* ARANTaaR AM8 *4** D Tgg OA 9Al t 31e!','. PFX NUMBBH ADDAO 01TY, STr ZIP AOS CITY,9 ,.2IPADMDITTAAttggED DIOCNAR08D WR ITEOPF OF AC ~Pq L « Lvi ! COS 374900 f1tl4N Oyy JIMMY 11 H Nggyy JIMMY 2/09/82 0/29/82 189 213 T% 75065 90% 413 X1191 40 kMnYKC ALLA 0 83 K8 DALIAS TX 76065 Unable t0 locate. SOS 347916 M 1 R JANVT MM 1 R RICK 10/17/81 10/19/81 3/29/89 913 90 R E4 80X 83 EXHC 1111P R BOX 83 EXEC MAP tlc"~I~ fff DgNtgN 7% 76201 DEN ON T% 76201 Hovedl left no address. ~ 202 271726 SRS 2893 CHtRI ~lAR 2e03 JOAN 13/23/91 3/29/62 3e 00 j D NT TX 76203 DOOENt TX 76203 NO response to collection efforts, 5 201 355065 MAppT EDWARD 11AgqT E01lARO 11/27/81 3/29/82 154.65 r 4 LLIVAN 04 i04 LLIVAN 04 aALLAg yy ppTX 792211 DALL VVttTXYX 75221 Unable to locate. 101 337618 dNgRg;I6N pU98EL 90k 9j00piNIA 1Ul~~gt~lNE RU99>L DOX490t) OINIA 10/31/81 11/03/81 3/29/62 1637.90 t THE CDLt}NY TX 76066 1Hfi C6L0NY 7',101%6 Unable to locate, f i i 201 360009 6AAg9N9t~EU1RNNA~ RONNIE Mp Ng A~ R011NIE 12/16/91 3/29/97 30.00 Fi EN6RAL DBLIVERY TX Hffih 76261 DELIVER TX 96201 Unable to locate. ' 0, I 201 346982 1E~NST1OBN1QPLj18 LOC414Y ~i~86E aPL~19 LONNY 11/01/81 3/99102 38.00 N E i+ TX 76266 8 !OH TX 76266 No response to collection efforts. LnJ IAJH TN Rg Y KAREN 1/74/82 3/29/82 64.00 206 548403 RNAAD KAR4 76201 DENTO AHARD TX - 76201 Unable 10C&t0- INT 4► 1 361063 MAjT OY'HEAB APT M2 GENNI9 A14JR;WCORRPtlRATItlN, 12/19/91 3/29/82 90.00 34/g~ 43.00 201 066931. 2yAoNU~gl~8KY , ANIH01lY 76901~I~aBNU t ~rH+BE~KYAPT R ANTHWJV 76201 N0 12response /06/g1 to collection efforts. ii VTONMg TX 76201 D INTAON TX 76201 No response to collection efforts, ij 101 I 1 344164 L NIBV3L6ELE8 DOI:TX 75065 N/BViL .ELE9 TXA 7606' Unable to IOCate. 3/99/99 170, 60 11 DONN I 11 202 61219 MtC02ng~p3sl$ NNIN DONNA fHCp0C I NNIN DONNA 12/06/91 3/2'9/82 45.00 ~ € DTN TX 76201 OT TX 76201 No response to collection efforts. ( 201 354787 C A1N OTERHAN19 AIN MIKE 11/97/96 3/29/92 72.10 1 PRARIE 02 S • aN TX 76201 050h. PRARI6 03 TX 76201 No response 'to collection efforts. it %LO S i '•.`FY 4 r it r>! .4a w 1 L pAQS tt ,.,~"T:•"'."YwY'r3S".:~3p~~ } •ry'\vDATE 3/30/82 16:20: F L O W M E M 0 R I A L H 0 0 P I T A w ~r DAD DEST TRANSFER REPORT FOR PERIOD 3101/89 THRU 3/31/89 PApTIENT NUMnppA •wrww TIgNT NAME *44* www»~ qq ARANrrtltlR ryryAM£ +www OAr p pq7g nA77gg pp BALM PFX NUMDSR ADppppDR, CITY, 8T, ZIP ADD, C1TY,87, 21P ADMI7TE0 DIBC11AAtl£D WRITEOF OP»»ACCIl ' . 201 334184 N£M$R~IEN081pE ' JAMES M748EMi7RNiNOBIDE JAMES 10/05/81 3/C9/99 77. as U ES I L TX 76240 4A NESVILLF TX 76240 No response to collection efforts. r lot 323188 D ELggggggLE 0 gVRT CHARLES Mi~ga,888Lf JOANN 8/25/81 8/78/61. 3/29/82 47.2 , . ~0 MVft7 NTON TX 76201 E TO TX 76201 BalancO after insurance'-, no responsO. 1 '4w 201 360040 MCg NALppOplp£R CHARL£B 12/16/91 3/29/82 BS, 25 BAN tt~A ° pL 0 TX 75075 qq 8W No response to collection efforts. N 201 80374 .27 11ELL RYATX 76201 EnO1TO~ELI RITXAR76201 Unable t0 Locate. 3/29/82 74.00 t 34179 ~0~6 8H1CKORY ' 11AYA ! MttC0&S6T~SHICKdRY gY ' 111L 10/'4181 3/29/821 27,50 4 TX 76201 MMDLNTO 11 TX 76201 NO response to COlltction efforts, "5' I,v r i' 201 3121882NTS. SHILL ROYTX 76201 0!'kTNS ILL ROTx 76201 No' BSpOn e1 to collection eff0~tsg/S2 56,00 20t 350637 ~C t NUpp~HI N MICHAEL JIQUURp IN MICHAEL II/13/81 3/29/52 40.70 99 HttiL CT 0 CElggkHIA CT 0 No response to collection efforts. W 201 333302 QMApH root, , JANST MA 76266 BANO~RNSol SCTXTY 76266 801resPOn 81 O to cOllncti06 effort /82 20,M1 I1I " ~(NH i Cgof Ug kN', 1 201 T.79463 W480BNONSLS pEXYXR . 76201 QENTON SLH BFYXe 76201 No 3/30/81 to collection efforts. 13?.'00 NT 8S13 pp 101 336354 118J~ON160N RESTkCA76201 DENTONBNISON RlTXY 76201 Arran9/27/81 gem¢ns not kept. 3/29/82 204.7!6 lv 201 364195 Me~R9 , JOHN Aa Lt~{'INNBg SYDNEY 1/01/82 3/29/82 36.00 DBNTOtfX1b' TX 76901 D NTONx 1b TX 76201 Unable tO 1OC4te. j I~ 1 901 348011 ! 2YLA6 BREtXA 76201 ff dITLAB SRrx GA 769 H01 rSot /62 40.J0 l R9u 03 pone to collection efforts 4 4 201 356535 `J~AbDpEL4 23 ' WIL?SAM 76201 NTOMDULL 23 r NI7%I~ 762o1 No lresPon4¢ to collection effo~t~/~ ~ 35 D ~j i 1 L qtr , PAGE 12 t t DA1R 3130/82 16:20: FLOW MEMO- I AL HOBI' ! tAL DAR DEBT TRANSFER REPORT FOR PERIOD 3/41/02 THRU 3/31/82 EATSOED DATA BALANC -'I 4 ACC r*r*♦ PATIENT NAME OVARANTOR NAME DATEED 018HA R gpP . OF O I . PpP%BNTNIoeER ADD-, ADMITT CITY,BT, ZIP Uli_ R ADD-, CITY. 8T. zIP tL g SHERRY 10115/81 3/29/82 ` t 201 342204 gh~OERH 8t DNnVNE Pt~JL4TH 8T. IX 76266 BANGERCCHqq TX 76266 No response t0 icollection efforts. 104 42283 MMpp11SLCPANP , HOLL14EA76201 EINT1NPEri JOIN E 8/23/85 0raancencel no response. 63.00 E 7X 76201 Balance after nsurs . 105. B2 DONT STEPHANIE MtLLB CORY 7/25/81 7/27/81 3/29/82 00 M 4 45~v ! 103 254979 TRAILER VILLAOE 1x 76201 `Eq W MA99EY 425 TX 76201 Unable to 1000- } C NTON 3/29/82 62. MADLENB 1M1O$IS 010 BEND 46 ' MADLENE S/Oonse to collection efforts 701 289720 M5225 It BEND 46 MO 63122,) ST LOU18 MO 63122 No response , pp pp~y STAN 1/06/82 0/29/82 38.00 7gOMPURNE`,L 201 368437 EISVILE LLL Tx STEVEN 75067 LEWIBVILLE TX 75067 No response to collection efforts. 1. 3/30/02 35.75 LORI 11/02/81 202 291534 NMER LAURA pI~ SPRINOWOOD TX 75067 No response to collection efforts, * LEWIBVILLE II~D TX '75067 LEWIBVILI E Joy ~~qp MAROIE 11/05/01 3/30/8'' ~ ~ NTONADSHAW TX 76201 No response to collection efforts. 701 348003 gRADBHAW MAR TX E 76a0 i PE NN77Sf OHNTON LEROY II/22/el 3/30/82 320.50 y 202 37705 J1' SgNPRAIRIE TX 76201 No response to Collection efforts. r 4648 T LEROX 76201 DIENTONPRAIRtE 3/30/82 4'5.40 MA140 RR V 201 253042fiC k$X 317 ROS1GRT% 76201 DENTONOK 317 ROWE "ArXY 76401 No response to collection efforts. 3/30/82 31.00 to 6p0A WILLIAM Nb WILLIAM 10/17/81 ; J NTON RDWALK BOARDWALK Tx 76401 No response to collection efforts. 201 342907 D T% 76201 pTWi ~~p TO ROBERT 7!31/81 8/24/01 3/30/82 26.00 3 fOl 319111 LISA L1J8VILLE D TX 76067 LWIOVILi.E D TX 75467 No response to collection efforts. ~p1opMMW6 HENRY 10/14/81 3/30/82 104.25 } I i 201 341917 80 , HENT% 76241 41NT4i60H 1% 76401 No respOnso to coliectlon efforts. 1 EHTBA 11/16/91 3/30/82 16.00 202 448623 aJ~CH HAMIO fOig"AUSTIN OT collection xlr! 1200 AUSTIN BY TX 76205 OENTON TX 76201 No response to 1ecttOn"efforts. ~ f. CHNT !si . d it i 00 4y. I 0.,«;.. QATB 3/30/92 16:20: F L 0 N M E M 0 R I A L H 0 8 P I T A L PAGE 13 r f4~ BAD DEBT TRANSFER REPORT FOR PERIOD 3/01/92 THRV 3131/82 ai(G14'~ P~A1T ENT NUMBER PATIENT NAME +*+*r OUAf1ANTOR NAMS +++r DATE DATE PATE OP YALAANt T PF NUMBER ADDRo IT 1 BT, ZIP ADD , CITYo T,--IP______ ADMITTED DISCHARGED NRr Ep P OF`_ C~ CM -t~s , ` 201 r344400 GpLt'Ek T rr - w yDEAN _r' Y' 07o7L yE{1~~ DEAN 10/23/01 3130/02 46.00 FVOtNO8u00D T% 78922 Fp T~NORTH 811tlOD TX No response to collection efforts. ~"J .,w Q 128413 MAD t BEkAM OMAR ALI 9130/81 3/3O/S2 32.10 ix' ; BNT_yEBTMINSTER Ga01 TX 76701 DENTONE9TMIN9TlR N 01 TX 76201 No response t0 collection efforts. ` 203 67066 NE g an RQ[1N1 TX E 76266 NEALp RONNIE 11/17/111 3/30/92 31,50 8ANh 844 (900 47H pBSLIGgtENpRNx 844 TX 76266 No response to collection efforts. collection'efforts0/82 30-00 ' 73063 No r es/29/8ponse1 2 ` 202 270173 FaHgENIL46 LAUTX 750631 LEkIBVI554 LAURA V LLE TX 1 gpAq N v 4 201 332213 e NATQN OEOTXE 76201 JENTON ' OAK 012 OEtlx E 76201 No 9e9pOn58e t0 collection effort50/92 42.00 a }I OAK N1Q NT D 10/03/81 3/30/82 03.25 t 202 193149 rMANND ADAM ; RR GARY OE3 aIVAR E SQONLIVAR No Yes onse to collection efforts. v T% 76201 T T% 76201 p 201 343079 ppNNAA 5DNARD DAARD 10/10/0) 3/30/92 139.60 ! w N TbNER M. N. P. G7' TX 76201 ~~T $Fj R M, H. P. N 73T% 76201 No Yesponse to collection efforts 1 3/ 38.00 i 204 169609 17N1 W OAK 0109' JUANX 76201 Rgjp~ OAK 0109 ~TX 76306 110 rresp nose to collection eff rtso/9Q y+ 1flN t` t 201 23671 ~¢~CARROLLNTXFER76Q01 D TONARROLI MITX 76201 No response to collection efforts /8>Z 40.00 W 4 40 101 201024 tNE I VILLLIO LONTXE 76240 8t 1gVILLrtI9 LOTX1E76Q40 4106/91 /07/91 3/30/02 197.73 81 NES B No r s to collection eff t 201 349604 N OX 136 JDAN g'ryq@tyg CARL 11e/t/'~b/62 139.40 z . b TX 76226 CAflRf%-LfONRY T% 7000& No response to collection efforts. 4r. i 3/30/02 41.00 201 244064 ~N~ 9ARTHET 76201 ["yS RAHDALL l2/l1/!I1 DL ROAD NDt N ROAD TX 76201 No response to collection efforts, v i U 201 336265 aM TH_ OLIVIA S6~tMt TH OLIVIA 9/27/91 3/00/82 091.00 ¢INTI 33 TX 76201 UNTA31 TX 76201 No response to collection efforts. r r 1 "i . ` 00 ramawwwomomm"m 1 4 DATE 3130182 16:20: P L 0 W M E M 0 R I A L H 0 8 P I T A L PAGE 14 W BAD DEBT TRANSFER REPORT FOR PERIOD 3/01/82 THRU 3/31/82 Wi~gg's UARANTOR NAME - GATE BATE 7FF pFB ACCOUlIT, PATIENT NUM@JR PATIENT NAMME **4* DppD DiBCHAROED NRt PFX NUMB CS ADDRP CITY, BTo ZIP A A~_ R__ CITOR N Z1P ADMITTED . . . - PAVIA rt1`d 201 6b365 ggpp RTARKMAN PAMKMAN PAULA 12/09/80 .3/39/82 IIb as . , BOX 93 99 6BOx 93 AUBEY TX 76827 AVBREY Tk 76827 NO response CD Collection efforts, 802 66365 P KM N PAULA BAA Kt1MJ PAULA 9/IA/B1 3/30/88 it0 62 } pg COX 93 RT. Is BOX 93 TX 76227 No response to collection efforts, MAY TX 76227 AVB EY T p~ NN BAT R MAIN SHERRYY 9/07181 3/30/02 bS DO X03 201 330274 VOXR3NA%1? 2ND JEFFREY !S ~N T% 76847 SJUTrBTIIN 6E Tx 76247 No response to collection efforts, 76A 12/15/81 iti No response to collection effort50/82 10.28 101 359620 T~WP~AIpIEW WILLIAM 761511 FT1NO 7FRIVtEH WILLIAM Q 201 321885 D ~T 11) AV APT I SHAWNA M AN[HFIARPT I 9HANNA 8/09/91 3/30/82 78 50 C ~j TX 76201 0T~BO+NLLI TX 76201 No response t0 collection efforts. ff 801 34343f] ggTpA►~~ EY CRUSTAL 88 ANNOggY BTAVID 10/19/81 3/30/82 12.50 " P' P.[1.f0X 144/1x5 IhT ST P 80X 144/125 tB7 e JUST`I`N TX 76247 JUSTIN Tx 76297 No responso t0 Collection efforts. DB ON VIRG[L 5/3t/81 3/30/82 201 295950 VIRGIL MOVAAL IS. 00 v1D g N 1X 76201 UD19 DELIVERY TX 76230 No response to collection efforts. 5/94/01 101 273446 IIQ.;.VRCEDE9 NARTHXP 76801 DEN tNI kOHDEe DETk187620t No response to col ection effort a/ 1~90[ is 101 331389 DENTpN ' OARY DEETON 4378 GARY D 9/ 9/ 3/30/82 36.79 _ 43'ii TX 76201 TX '/6201 NO 9/response e to Oollechctio n efforts. lot 332841 11,1FIHI DRE88 AMANDA 7F LDRESB JACK 9/14/81 9/17/91 3/30/82 78.65 S P NORTh TX 76126 FT NORTH TX 76126 Arrangements not kept. 101 342850 I~O63~, DWELL , NORMA 181 jNNbDAt.I nWEtL WARREN 10/16/91 10/91/01 3/30/82 53. ~ `a RL TX 77653 D k70N TX 77553 No response to collection efforts. i g ~vy/g I 202 164856 JINAOtRCLF.RTX 76201 4NAfQ%ACIRCLE MA7X 76201 No:respo ee to collection of}Ort9o/ t9. 00 i . 201 326587 2A9L N0 D E8TAT6ERAY JJAYLK NOf1W00D 68TA~EIMOOENE 8/20/81 3130/82 26.00 d LAKE DA1LAg TX 75060 L~IBKEALLAS Tx 75065 No response to collection efforts. } J j 1 .Y .D_ATE 2 16:20: _ FLOW M8M4R'I AL HO8 P,I'.TA.L PAGE 17 •,+r.~rr."rt; +w 3/30/8 /t BAD DEBT TRANSFER REPORT FOR PERIOD 3/01/82 THAU 3/31/82 g ^ 4 PATIENTUMBER PATIENT NAME puAgANttppR NA ♦r** DA~F~ F 3 C T ADMI-- ED 015CHA OED WRY E~+~ OF ATI MDEER ADD C17 Y, 8Tr I1p ADUR, CItY.BT,~SP • 102 89375 TpyL MINUV 71 VLOOgR LARRY B 9/14/81 4/15/81 3/30/82 170 S iS9T L~~y1AH TX 76201 OSNTDNNLIA1RH TX 76201 No response to collection efforts, , ,O{ 32,414 DgQpLMU1NEY LANE ' NAOMt fpT12LMULYtBV LANE NAZI 8/13/81 8/10/01 3/30/82 73 JJ DENTOONN 5 T% 7620S TE TON p g y7X 76201 No response to collection efforts. ` 203 289934 a9isE DAlGA8R8 ApTHXN 70065 LAKfiRDALI/A8M0RB aP4 39TxVN 70065 9/0$/01 3/30/82 464 ,,60 A g No response to collection efforts. ,t1 Qtll 320341€0"/2 BELI ' JAMES 7p09 l/Q BELL ' JAMffB $/04/81 3130/82 ZO 00 S.. T% 76201 DENTON TX 76201 No response to Collection efforts. 11 . :1EATRICE 7/05/81 3/30/82 111 00 203 143883 fi TX ICE 76201 rr RN NTO N ED ry rpR TAOA 1I05 LAOUNA r% 76201 No response to collection efforts. fv . 00 rj D 201 331736 TOU 1 N By 808 MA 01752 MAR B iropU INCRO BOB 9/12/81 3/30/82 3A X19U 47 3EWTON ST f1ARLB{MO MA 01752 No response to collection efforts. CARROLL 2/10/81 2/16/81 3/30/82 157,85 101 266077 J%O SECOND 87 JERILYNE R 'Ail NO g 50p N BECOIJD BT ER TX 76266 SANGER TX 76266 No response to collection efforts. 201 300003 Tpg7C '%JROLL STREkT0INA AMORANROI~L BTRBE~ OHOROE 6/20/81 3/30/02 19100 ~1 w PIL 7 PINT TX 76258 PILOT POIN TX 76208 No response to collection efforts, put up for adoption, 7404.90 , 76Q08 Medicaid 12/29/91 W30/2 TX RAY 101 352211 U O RC N a 1kh AILOTRPOINSN JACK 14w T% 76258 t P p~ 101 314190 rA76g 121 Apo NSt4DA pv1A'polDfi0ltltAfH6 , EARNEST 7/18/81 7120(81 3/30/82 1440.20 A B LLE TX 70067 tEN16 LI.E 121 024 T% 75067 No response to collection efforts, p 8 DIAN149 9/14/81 9/16/81 3/30/82 94,80 + 102 248799NR C UDDHLL N80 HAT%A 75067 (>8n0jt0NR~L N80 TX 76201 No response to Collection efforts, 76201 Arr2/19/01 angements not kept 81 0/30/82 800 00 _ t01 01935 DQ~TBOX 280 RODY 76201 V~LIJIUOX 285. WALTER TX J D~ fit.... 202 294020 8A kf DN VILLAGE OIkTX 76201 MOBUTU P 0 9060LEy762o1 No response t0 Collection efforts. @DTa+ T i, OF r,{ t 'DATE 3/30/82 16:20: F L O W M E M 0 R 1 A L H 0 8 P I T A L PAGE lb „y BAD DEBT TRANSFER WORT FOR PERIOD 3/61/02 THRU 3/31/02 s u PpF%IENTNUMOENR •aa+ADURTICITY, ST.a2IP -aaMaADORARCITVRSTANxIP»*a ADMITTED DISCkAROBO LDIRITEOFF OFB ACCOIIHT~ # 9/l8/Bt 3/30/62 24 20 201 333708 WAS N FRANCES NAIS FRANCE8 RtTH 40 bb~~NMM DENTONiTH TX 76201 DENTROSE TX 76201 No response to collection efforts. JiM JIM 10/06/81 3/30/82 88.00 201 338985 T /1 DENTONSE TX 76201 DENTON pp TX 76201 No resQOnse to collection efforts. 9,0 lOl 309042 W{(~I~EABABOW M 9 . LEESA W LLE~jIR M S RO?tNAID 7/03/81 7/06/81 3/30/82 1064 DENTON TX 76201 NION TX 76201 Arrangements not kept. 202 245?9O TLIk7RL8R DESTINY lJ LARMLFR JAMES 9/09/81 3/30/62 47.00 " • NT TX 762011 7D WON TX 76201 No response to collection efforts. 101 331306 NIL ix 36A DEANNA NIL NX 36A RONNIE 9/10/81 9/14/81 3/30/82 649.24 to CHI 0 TX 76030 CHICO TX 76010 Arrangements not kept, 101 293522 oR6L01tl~gE MELANI6 ~ypO0RRRL g ROY W 0/14/81 1/t6/81 3/30182 18.00 40 LBB~FjRNHBT TX 76031 LED 419T TX 76031 No response to collection efforts. & 202 91372 pHT DOVOLAS l~ pH DOUOLAS 1/86/81 3/30/92 30.00 H 40 7 BA8L£Y 0271 TX 76701 No response to Collection efforts. NTOTEABLSY 0221 T% 76201 2pN 10t 300611 4N 7TH ' BECKY 6NN THOMAS 11/l3/81 11/10/81 3/30/82 24.00 NN 4N 7W f}{ M NO&R TX 76266 Yy0pa OOOCRRx TX 76266 NO response to Collection efforts. M lOl 279183WI84I~L6 BARTXRA 75067 L6W~8VIEF8 ' BOXY J et . 5/27/91 76067 Arrangements not kept 3/30/92 80.00 r TOTAL BAD DEBT WRITE-oOFF TH18 PERIOD: 14005.19 i 7 C~rylhna vIsUlh~, M APR 3 0 1882 r r I r BUSINkSS MINUTES Qale Februarl8,_1982 re9, _ - - - The Board of Directors of Flow Memorial Hospital met in regular session at 1:00 p,m, on Thursday, February 18, 1982 with the Chairman presiding and all members resent--i.e., Mr. Ralph Havenhill, Mr. George Hilz, Or, Don Holt, Mr. Brad Moore, Ar. Dan Trammell, Mrs. Mary Williams, and Mr. A. E. Wyatt, Also present were Mrs. Wilma Fritz, Mrs, Gloria Madewell, Dr, Roger Nunn, and Mr. Leonard Watson. For the purpose of their presentation, Mr, Dan Allmon and Mr. Taylor Allmon were also present. The minutes of the previous meeting were presented, reviewed, and approved. Mew Business: Professional Office Buildin --Mr. Dan Allmon and Mr. Taylor Allmon from the Rausc er erce a snes, nc, were introduced. They presented the background infor- mation about their organization and explained how tax revenue bond fundingg might be utilized fora professional office building. After some discussion, Mr. Allmon stated that RPR could, after receiving from the hospital certain information about expected square footage, cost, revenues, etc. provide their services to determine the economic feasibility of such a project--e.g., at what percentage occupancy would F expenses and revenue equalize, F The Board members agreed that the first step in such a project would be to secure a feasibility study, Mrs, Williams moved that the Administrator be authorized f to engage a firm to conduct a feasibility study with expenses up to $10,000. This f motion was seconded and passed by voice vote. The Board agreed that the study should be done as expeditiously as possible. Finance Re ort--Mrs, Fritz reviewed the Monthly Financial Report and presented the f nanc al statements for review, She noted that the month of February had f produced an excess of revenue over expenses of $26,475 with an average daily census of 95.7, She explained that there was an operational loss for the month of $2 613, due in part to the increased expense in PRN nursing salaries at time-and-a-ha1# rates, There was some discussion concerning what the break-even point might be, and Mrs. Fritz stated that with the present patient mix, about 92-93 patients per day would be a point at which the revenues and expenses from operations would be equal. The Bad Debt Chargye-Off List in the amount of $819082 and the Charity Charge-Off List in the amount of $16,366 were reviewed. Mr. Havenhill moved that the Board approve the Finance Reports this motion was seconded and passed by voice vote. t cco ntability Report--The minutes of the February 3 meeting were reviewe , Mr. Watson outTfned tie recent Q studies which had been prepared by the Radiology Departm+,nt, Nursing Services, and Home Health Services. Mr, gilt moved that the QA Report be accepted by the Board; this motion was seconded and passed by voice vote, Safety Committee Report--The minutes of the February 5 meeting were presented and rTG'r&-ed.-*Th`edm n s rator reported that a change in exterminating firms has apparently resolved the pest control problem. There was a discussion concerning a recent incident in which a visitor had injured herself in the elevator, and the Administrator noted that it may be necessary in the near future to replace all three elevators, Mr. Hilt moved that the Safety Report be accepted; this motion was seconded and passed by voice vote, i Utilization Review Re ort--The minutes from the Tissue and Transfusion/Medical Recorass/at'ilization ev ew ommittee were presented and reviewed. The statistics { for the review of December's admissions and lengths of stay were reviewed. Mr. Hilt ' moved that the Utilization Review Report be accepted by the Board; this motion was seconded and passed by voice vote. .•rr ILAfII ....ins. sr...... uN/. , IIfNH1, U.11 I BOARD OF DIRECTORS BUSfNESS MINUTES +Dal* = Februar 4 i Y . Pag♦ Medical Staff Report-.Dr. Munn presented the minutes of the recent Executive { Commi ee ee ng, pp cations were presented with the recommendations from the Credentials Committee, the Executive Committee, and the department to which the individual will be assigned--i.e., James A. Kendall, M.D.; David Price, M,D., William Meaney, M.D.; and Sarah Gates, CORT, These applications sere reviewed, Mr. Moore moved that the Board approve the appointments as recommended--i.e., Dr. Kendall, Active Medical Staff, Anesthesiology; Dr. Prive, Active Medical Staff, Othlaryngology; Dr. Meaney, Active Medical Staff, Psychiatry; and Mrs, Gates, Allied 3 Health Professional Staff, Physician's Technician I for Dr. Arthur Terry. This motion was seconded and passed by voice vote. Capital Im rovements--Mr, as well as t e an rai s and bumperoguards. Partstareestillebeingbreceivedttolbegin ' work on the pneumatic controls for the B wing, Status of De artmen s--The Administrator was askod to report on the operation. of then t, t e CCU nit, and the Home Health Services. He reported that the 36 Unit and CCU Unit are operating efficiently. He reported that the Home Health Service f is operating efficiently and will probably be expanded soon to include speech therapy, 3 social services, and occupational therapy, Mobile CT Scanner--Mr, Watson reported that a presentation had been made to the Medical St nce-i~ng the use of mobile computerized axial tomography, He explaine how such a mobile service would be more cost effective than purchasing a CT scanner f and that the proposal had been well received by the physicians, The Administrator recommended that a Certificate of Need be filed with the Health Facilities Commission for this purpose, Mr. Havenhill moved that the Board approve this recommendation; this motion was seconded and passed by voice vote, laws a inar--An announcement was reviewed concerning a medics star g ppertaining to yaws, The Administrator proposed that he, a Board member, and a physician be approved to attend the workshop,- He further explained that the medical staff's bylaws need to be revised, Mrs, Williams moved that the Board approve the three participants' expenses to the we~L~►,h.., ,,;,tion was seconded and passed by voice vote. There was no further business, and the meeting was adjourned at 9:05 p.m. } j s J Dan Trammell Secretary k gm c k° i FLOW MEMORIAL HOSPITAL BALANCE SHEET FEBRUARY 28, 1982 1982 1981 1982 1981 Current Assets; Current Liabilities; Cash--Operating $ 2469743 $ 38,057 Current Notes Payable $ 149,324 $ 113,100 Interest & Sinking 691 917 Accounts Payable 6550534 669,616 Reserve Fund 112 17,727 Accrued Payroll 256,567 193,69B Repair Fund 246 119412 Payroll Taxes 104,331 80,163 Group Health Insurance 4,829 41559 Fees Payable 196,562 130,725 Investments/Board Designated 5211398 236,498 Bond Interesi; Payable 6,707 71232 Bonds Payable 659000 65,000 Due Medicare 39,000 Total Cash Pr Investments $ 774,019 $ 309,170 Total Current Liabilities $1,4739025 $11259,534 Accounts Receivable 216419331 2,2631362 Less: Allowances (209,859) (229,321) Other Liabilities: Net Patient Receivables $ $ Deferred Income $ 203,615 $ 178,160 Long Term Notes Payable 614,308 3750115 Other Receivables $ 71,309 $ 263,800 Bonds Payable 430,000 4951000 Inventories 2649222 262,951 Prepaid Expenses 509415 309745 Total Liabilities $2,6209948 $21307,809 I Total Current Assets $305919437 $29900,707 Capital: City of Denton $ 393,165 $ 393,165 i1 Property, Plant & Equipment: County of Denton 1,6960871 1,696,871 Land $ 37,547 $ 37,547 Endowment Flow Estate 240,461 2400461 Building & Improvements 3,041,995 3,001,472 Fed. Grants, Hill-Burton 1,8689910 1,8680910 Furniture & Equipment 4,385,310 3 967,240 Federal Grants 2569371 256,371 a $$'52""' Pledges and Gifts 4584680 373000 1 Gen. Fund Bal., Beg. of Yr. (686,770) (1,069,536) Accumulated Depreciation {3,994,809 (3 602 299 Current Year 212L844 221,316_ Not Property, Plant & Equip. $3,470,043 $3,4039960 Total Capital j_ 444,053 3 996 858 TOTAL OPERATING FUND $1,061,480 $6,304,667 TOTAL OPERATING FUND $7,0611480 $6,304,661___ .r~ I Current Ratio 2.44 rs i I ti. . Page 2 FLOW MEMORIAL HOSPITAL STATISTICAL STATEMENT FEBRUARY 28, 1982 MONTH YEAR - TO -DATE P RIOR CURRENT Actual Budget Actual Budget Year-To-Date . Adult Patient Days 29887 2,772 14,177 14,949 14,874 Average Per Day 103.1 99.0 93.9 99.0 98.5 Newborn Patient Days 420 364 1961 11963 11610 Average Per Day 15.0 13.0 13.0 13.0 10.7 Grdss Patient Revenue/Pt. Day $395.53 $388.42 $372.37 $367.92 $298.82 Total expense/Patient Day $303.76 $317.59 $316.74 $297.19 $251.97 i Month Charity Bad Debt Recover October $ 72,027 $ 49,546 $..7,405 November 52,097 1580643 5,421 December 25,607 949950 5,666 January 15,366 87,082 80998 February 58 795 71 137 5 034 $223:892 $461',359 $J2:825 % of Revenue 4.2% 8.7% 1.0% I i t STATEMENT OFwOPERATIONS/FEBRUARY 28,019 82 i T A L Page 3 c % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other Expenses Profit loss Daily Hospital Care 17'-- $ 1929859 19,1 $3*9 1230142 69,717 Psychiatric Care 6 64,826 26,336 514 26,850 37,976 OB/Post Partum 5 57,807 16,542 1,094 17,636 409171 ICU 2 229275 18,083 1,912 19,995 21280 Nursery 3 32,758 9,583 2,620 12,203 20,655 Neo-Natal Nursery 3 29,100 12,837 440 139277 159823 Coronary Care Unit 4 50,945 36,466 2,979 39,445 111500 Labor & Delivery 3 33$00 20,799 5,865 269664 60636 Operating & Recovery 4 50,295 18,874 11,637 30,511 19,184 Emergency Room 3 28,694 11,904 200150 32,054 (3,360) Central Supply 7 76,558 7,749 37,608 459357 319201 Laboratory/Blood Bank 9 107,232 - 43,687 43,687 53,545 Radiology/Nuclear Medicine 6 680644 14,557 16,618 31,075 37,469 Jr Pharmacy/IV 15 17695Iq 91822 330685 43,507 1330012 Anesthesia 3 39,455 12,225 4,526 169751 22,704 j Cardiopulmonary 2 239919 5,698 9,562 150260 81659 Respiratory Therapy 7 79,006 110172 7,837 190009 59,997 Physical Therapy 1 7 794 6 213 688 6 901 893 Total 160 $191411 8 6 368',077 $ 205,24T 563,324 $ 578,562 i j Deductions of Revenue $ {45,257 $ 45,257 Charity & Bad Debt {124,791 124,791 Employee Health Ins. Exp. $ 17,973 $ 17,973 17,973 Medical Records 334 $ 90605 881 10,486 109152 Gift Shop 10935 964 10151 2,115 180 Cafeteria 119122 23,715 260929 50,644 399522 Plant 16,309 43,382 59,691 59,691 Housekeeping/Security Guard 249899 31684 2$,583 28,683 Laundry 6,568 31262 10,130 10,134 3 Fiscal Affairs/Data Proc, 71547 3,473 110020 11,020 ` Business Office/Cr. & Coll. 21,666 7,295 28,961 28,961 Purchasing- 1,462 2,303 3,765 3,765. Personnel 3,320 19629 4o949 4,949 Administration 69197 19470 8,667 8,667 Quality Assurance 3,478 952 4,430 4,430 General & Administrative (7,599) 37,294 37,294 44,893 Depreciation 4 935 34, 35 Gain (Loss) from Operation 4,088 100,663 Non-Operating Revenue 25,150 Foundation Total 1 006 868 484,107 392, 86- 600 $ 67 $ 17 i °r ,pow, FLOW MEMORIAL HOSPITAL k STATEMENT OF OPERATIONS/FEBRUARY 28, 1982/YEAR-TO-DATE Page 4 , % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other Expenses Profit Loss Daily Hospital Care 19 $1,009,072 59A,823 26, 9 621,11 , 54 Psychiatric Care 5 266,904 1439097 31018 146,115 120,789 OB/Post Partum 5 273,656 77,464 5,449 82,913 190,743 ICU 1 71,875 75,949 5,402 61,351 (9,476) Nursery 3 160,454 550326 110906 67,232 93,222 Neo-Nata' Nursery 2 118,725 69,394 2,154 71,548 47,177 Coronary Care Unit 5 236,752 171,122 14,261 185,38- 510369 Labor & Delivery 3 164,369 105,778 24,996 130,774 33,595 Operating & Recovery 4 229,924 98,852 48,862 147,714 82,210 s Emergency Room 3 1539815 72$978 103,385 176,363 (22,548) Central Supply 7 349,180 43,782 1539782 197464 151s616 Laboratory/Blood Bank 10 518,973 231,334 231,334 287,639 Radiology/Nuclear Medicine 6 3329292 800668 83,160 1639828 168,464 Pharmacy/IV 14 747,431 57,058 172,888 2290946 517,485 ji Anesthesia 4 1839651 630625 249412 889037 96,614 Cardiopulmonary 2 101,483 28,125 419381 69,506 310977 Respiratory Therapy 6 317,033 64,491 33,370 97,861 2199172 Physical Therapy 1 43 466 28,480 2$214 30,694 12 g72 Total 100 $-5-j-Z79-jD35 $ 19 831-o M2 29459J74 e Deductions of Revenue $ (218,298) $ 218,298 Charity & Bad Debt (566,858} 566,858 Employee Health Ins. Exp. $ 1359612 $ 135,612 135,612 Medical Records 11645 $ 53,422 9,540 620962 .61,317 Gift Shop 90956 10,070 89064 189134 8,178 Cafeteria 540244 1299702 1299626 259,328 205,084 Plant 859390 265,199 350,589 3500589 Housekeeping/Security Guard 138,852 21,758 1600610 160,610 Laundry 35,876 12,077 47,953 47,953 Fiscal Affairs/Data Proc, 40,222 219101 610323 61,323 Business Office/Cr. & Coll, 1170589 39,778 157,367 157?67 Purchasing 81066 7,222 150288 15,288 Personnel 179947 189347 33,294 33,294 Administration 30,560 7,220 37,780 37,780 qualityy Assurance 90951 10521 11,472 11,472 General & Administrative (60181) 149,623 149,623 155,804 i Depreciation 169-d42 1699742 110.742 Gain (Loss) from Operation 63,206 C Non-Operating Revenue Q, 20>439 ` Foundation 3, 129 f $1 , 981 $6w- Total; ._a." , r FLOW MEMORIAL HOSPITA Page 5 L SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS FEBRUARY L8, 1982 Current Month Year-To-Date Beginning Balance $ 153,761 $ 68,074 Cash Received frorr,: Active Patient Accounts $ 9070943 $49222,032 'tied Debt Accounts 5,034 32,525 Cafeteria 120001 579228 Appropriations/Donations - 311,781 Other 304x819 6332669 Total Cash 1 229 797 6t267,235 TOTAL CASH AVAILABLE ,38 ,a5 $ I Cash Disbursements; Payroll $ 408,857 $2,117,530 Payroll Taxes 88,947 311,976 Patient Refunds 369703 105,050 Caoital Assets 87,327 2830375 i Notes Payable 89148 609738 Other 508,337 22201,401 Total Disbursements 1 138 319 $59080J70 Cash Balance 245$239 Cash Investments 521,398 521 398 Total Cash 766:63-r-.766.637- Gross Patient Revenue' $19136,395 $5 275,368 Less: Allowances (60,731) 1384,687) Net Patient Revenue $4j8909691--- Cash Received on Patient Accounts 907043 $4 2220032 Less: Patien%`'p"'tl"ds 36 03) 105 050 Net Cash on PatleHf ,,2,Ot• its '$1,240 - ; Cash Received as a ti of Revenue 81,0% 84, 2% ri I i 1 Page 6 1 FLOW MEMORIAL HOSPITAL AGED ACCOUNTS RECEIVABLE SUMMARY FEBRUARY 28, 1982 Primary Payar Current 31-60 61-90 91-120 121-150 I50+ Total jof A/R Medicare $ 196,966 $ 71,138 $ 71498 $ 16,205 $ 14,417 $ 33,131 $ 339;355 13.9 Medicaid 17,897 43,286 14,092 12,930 7,116 14,021 109'342 4.5 E Blue Cross 1339389 50,213 29,485 2,239 78 15,151 230,555 9,4 I Commercial, Ins. `10,668 171,303 61,904 12,858 4,179 21,907 642,819 26.3 Self-Pay 259,457 150,554 136,617 995202 54,698 117,620 818,148 33.5 I Balance after Ins. 95 779 47 529 59 341 42 134 28 635 29 147 302 665 12.4 4 6 0 3 1, 1 3 0 9 8 $2$44Zs_7a4__ 160.6% 2 l' Advance Medicare Net Billed A/R In-House 503 73a Total A/R 53, W Number of Accounts: 7933 Days of Revenue: Accounts Receivable 61.5 I; In-House 14.4 Total i f I i i ' ~ arn~mi.rna+wslw~.wa 7~r x; r -vim I ijy Page 7 FLOW MEMORIAL HOSPITAL HOME HEALTH BALANCE SHEET FEBRUARY 28, 1982 t ASSETS LIABILITIES Cash $ 159083,27 Accounts Payable $ 170.93 Accounts Receivable 70,358 ,45 Reimbursement due Medicare 0 Total Current Assets $ 85,441.72 Payable Due Flow 30,099.19 Accrued Payroll 2,890.45 EQUIPMENT Total Liabilities $ 33,160.57 Furniture & Equipment $ 1,615,00 Less Accumulated Deprec. (448.60 CAPITAL 1I t Net Equipment $ 1,166,40 County Home Health $ 37,476.66 Retained Earnings 15,970.89 TOTAL OPERATING FUND $ 86608.12 TOTAL OPERATING FUND 86,608.12 i Current Ratio 2,58 to 1 { {i{ f ( I , 1 Page 8 F L 0W 11 E M 0 R I A L II O S P I TA L II O N E :,N E A L TN STATEMENT OF REVENUES 010 FXMISES FEBRUARY 29, 1482 Month Year to Date I REVENUES Patient Revenues $ 18,789,74 S 749001,02 Deductions of Revenue 1,246,28 (4,670,14). Net Revenues 17,543,46 74,330.88 J 4 EXPENSES Payroll G FICA Expense S 11,410,36 $ 48,798,03 Supplies 1,641,16 59143,40 Travel 969,72 3,969,96 Depreciation A9,72 44860 Net Expenses S 14,110,46 58,359,99 Excess of Revenues over Expenses 3-3,432,50 S 15970,80 L 11 %v r 7f ~ il5 "AYE' 1 ~.1 is t. a1i ~ PACE 1 DATE 8/26/62 4.00: PLO!J 11 E110R I AL 1108P I T A L ACCOUEJTS RECEIVADIE ACCOUNT STATUS REPORT CHARITY CHARGt-OFF LIST I PRE-J pE ORI , 1982 A MIADMIT SAT MEDICARE M INS M PATIENT TOTgL BI1LLED r. L PATIxxENT J1Afig 0, ARANTOR NAHE p SA DUE CURRENT OA LANCE I t Eli wINDIRECT-PAT.t!M w OUARANFOR ~DSRESB PHONE MUMDER 9/0 D38CHAROK 7 MEDICAID .II 1 /13/82 1.190.00 61.00 tl 1/13/92 ALLISON 11CLI IE 11 AI.LISFIII MOLLIE Be 6~.3 273409 900T PT WORTH DRIVE 307 7026 ~ DEN ON T% 76201 Indigent tare 4 , 9 98,89 1, r w 48..00 ..,1 T qq II CHARLES a D9 ii9ie2 R 2018 3721ti4LESbSft N COVt1T1'EJAII Tx 76201 Denton County Jail. 4. 1 w R, 900.01 29 78 yb 22 g 42q '•76 mlH FR CHARLES S6 n CH!,gLEB3 VON 1. HEIOOUR 108941 f7 PAI L1iF AD0:dW224 9096 TX 7b"~01 I Balance after MHMR cont. 1a 2 p ° Be ssgg/14/a1 49310-9233A 100.00 241.70 y pp DUFTON ,DAVID 12/l4/ 9l 2g1 vv q 6 RU102N 183Df13D P 0 DSx 963 Tx 762 6 1 12/18/ 1. 3, AROYL a Indigent care,II 4, J 900.01 49.01 eg i 7/8 82 CASITESERRY C1'NIHIA g R21SL,£NRY C fIXTHl7D0496917 , b J 36~9b9 O~WSBV[LLI S lb # w Bal ante after 4. MHM cont. 900.01. 63.26 82 1/ 1094. C9 ! I t 10911 UREA R CLARK a CL OR iD7917 2 0 Ht?kl X10 KNOLL 2144360389 MI1 / 6:1.26 ~ M COn . , T% 79067 Balance after g a w LEWI6VLI w x:900. 00 1373-35 1373. 33 I ' rr~~ g g I i ; 298971~5 196 P G3LFLPROf7+~ORTH,DOZAlD79ONE qH 2%09%62 y C0303NSWORTH pp Lkwtsv~fu Hill-Burton trIteria, 34 pp w p p 1.900.00 1348.00 134 00 J gg 3 1 £UDCE9DQOHW'ORTN,DONALU 4-1726 90 /OD CO10lNSWORIH2O9D~aMY 9L 1 g p Tx 7367. - Hi ll Burton tr teppp re, 1 _ L&NISVli.L 101$^ ~g I gb 4 w ♦ eett 150. 00 17.00 a12J I 500813699 CO101 292II30ARD~g0Hp FT WORTS047 flgx£' 76301 J 1SiKNTON Balance after Medicaid. qq p0 .7 p w g 900.00 79.009 80 1 ✓ µ N g t a 92 N 11 1 COO xj6DI~ D ~~yygg GtdibN C UV MARTHA 1 B OUTH RUD6FLI. 019 9~ I.X p Hill-Burton criteria, 24f! N 0o 66 11 gg +b 6a w q Cp Y OLA 762 01 09 % 6%91 i9D Q0~9 6 01 :lf0,b8 1E 00 2302.95 J 'f V Cb2 290DD4 SUNDIAL FIUA3I.WJ 1{o11E Balance after Medicare and Medea j 1 %..J r10~ 1 l t'f A It 1+. „ 1111.•,':{li 'Yv o; L RATE 2/26/82 4t! 1F L 0 N M F: M 0 R I A L H 0 8 P i T A L PAC! r MM6g ACCOUNTS.RECE[VADLE..A000UNT.,ETATUd RCp.QAT PRFpt%ENT 11UNDER OVARANT k NAME F/C ARM TDI117 DAT MEDICARE 0 INS If PATIENT TpTq plll q «INDI SECT PAT, FO. ~ OVARANi0R ADDRESS PHONE NJM0ER...,_ R(O 0 8 HAROE_DAT _-bEDICAI.Ji,. ~ . , _bUE _ CURTNT 9ALA58F PILOT POINT TX 76858 1l/Ol/d1~ 3 1fl. 00 - - O 4 nn zz 4 S$ /a9lB2.` _ 3 _ .35.00. .,.el CRQOIS 37 f~9Y OENTtlN COUN7YgJAIL LARRY 14 i - g DEN T, ON TX 7b801 Denton Count g p. JAiL SO y 1/,Ja1 21`9/82 - 4 _ ` . VIS JAMES P 20 1 38 00 8 DAVIT 37 1360 D,IITON 00DANTY It I/ - 7k 76201.. Denton County Jatl. DILLJN Eth IfER M DzLLON IDA P 08 1/ S/8 1 190 00 12.00 pp qq~~ I02 2S~81S, "AUb~EVO%_41 _ Y TX Yb .-17996,._. x 1% ~8 '___Z0230202 31 .OD -j w 4 Balance after 1HedI Caigd. D0UNY6Y ....~43E~1J_ A 0` RUDDCUL;LFP7 N11yEVA Y,.11316 6E 1%Rf%9 100100_. _._401 00, gg q6 DENTON TX 701 4. 40.' '7777 J: Balance after NdItald. „..,..07 / S: 900, bt..,•... 66. 66 OYtot R6RT g5NTON Dyk3ov R4%1kT76 O1 s_ «LO1 250 14 OS (HARLOILOTT NS if, J 7 8511 6/ / 2 D I / 36b$: Ntll•OurtOn qC{Cerilr . - CRTEB.. MSRTLE ES1Ed MYRTLE 47 /.2.7..,.... 1, 82.25 1.1 371A4996 1EN7tlN09 SENA at 38 1:90 q 1/27,11 25 p, _ T.~. 7621 B2, L'S 4471 L ~ pp IIy ppNrp~, U1 Hili Burton crglter7ia.$' J . 20, FU201 .....3773x9 ,.,DEfJTON,000 T18'TJAIL , DAVID ' W 9q 251 _ ,:..tM ._..^..3a 00 , V « T% 76201_ Benton County Jai1• 4 4: FIIAS18R .21 Vlb P8 FRAZIER CINDY g 900.00 38 00,,,, gg pp 201 5!!1. AUD EY 68 TX 7697714 71/28/111 . a. 38; 00 . r.":7 i a 4 Hill-Button crlterlo. Ifr RI OR VATT SHBRR[ , .~...8 C18, 00 21 17 Y ATT [L .2r0/9., gg r~U .i « # b2NibN qq Tk 76261 Denton County Jail W 8: b0 ORAVATi '37 H~RRf OOORA'/ATT., ..~.v_..._...-.- •'„1 r, SHER _.r T 69 802 373175 q I COUNTY JAIL qF 6A i,/H//~2 00 g b~ J PIJTb~ T% 76'.01, 9 l A+. bb l fs 'r-.)! ._.,.-.+.:a ^r?aM.r•~ ,.r ...v~e.sf',._.:, m.n..... ' J 1 • i l 0 '.is ;tom ~jr` ~ z: Z 2N, hy ~ ~ , 1.1,ty~r~ `:r ' 3oY1 4 ~ Ttti l'' VATS 2/26/02 4.07: F L 0 N M C 11 0 R I A L H 0 S P I T A L PAOE 3 1. ACCOUNTS RECCIVABL£ ACCOUNT STATUS REPCRT - AtlEli T NAt1gg PRE-ADMIT DATE PR6FI% NVMOER OVARANTOR fMMB F/C ADI11T DATE MEUICAU n 1NS M PATIENT TOTAL BILLED 4IN01RECT PAT. F'04 CUARANtOR ADDRESS PHONE' NUMDER R/C DISCHARGE DATE MEDICAID It DUE CURRENT BALANCE CRAY CARREY L ?RAY BOBBY 97 10/ 4/81 1.900 00 41.00 i 201 346310 J11 IJggD 87 322 6390 0 10/9/81 ' 41, 00 DCNTON TX 76201 q; + 1111-Eurtan criteria, 0Rqy ~pcKY OKAY IIOnBY 97 `22/ / 1.900.00 78.75 40. 75 202 AMR' 314 WOOD 382 6395 6 18/BO/& 0, 78.7 ~ 4. DENTON TX 767.01 4 +r ' Hill-Bu ton criteria.. 4 OR2A03 35.0 6Y 33 4 WOOD ORAN' 1BOBBY 22 2 6395 98 1%81 82 1,900.00 69.01 69,Qp J T x 7 01 69.00 DNT01J * e D 38 N111-0urton criterla, 4. _ { GRAY W L1 IAM U ORA'Y nOPBY 97 33ll2/ 2/81 1.900.00 1193:'75 f1b b 302 249969 D NTON° TX 762011399 $ IV 7/81- 4, 1193.73 r S v Hill-Burton criteria, ORCATHOVSS' MIICcHIEL R poRggATHOV3E MICHIGL 97 / 00/02 1.900.00 1308.00 161 O 1348: 361A85 ``90 LATT1MORE 9029 8 /?8/ 2 360 I , ElJ1ON TA 7682205 / /82 4• 4 e « Hill-Burton criteria, i g 7 oo MICHirL 9 8/ 8/ 900.00 6739, 35 ORBOYHOUSE 37A6a3H 1902 LATTtMOAp110USE 73205 8025 6 2/ $/Q$a k 1739.35 J ' D£t+TON TX . b Hill-Burton c`lq p( ei~#tM y 4. (pp p 55 OV1~BgRl r 34'ffis RT 2 n0% S6,34 ANDY OA1t6 6661 19. 3 7-1808 I 1801 / 1 422 q0001 S7C- . , 1. 130. 00 19:50 1387. 9 601 DENTON TX 76 0 ll/06/ I J y . 900.05 lndlgge car g E HAMI1AtJ Da`:N A gg HAM1141t , DONNA 6 2/pp02/81 313.04 10L 3f4B19 D~ENIONONLINO ORCtN TX 76201372tl 6 10//80%61 313.84 f ~ y 3 33 Balance after MHMR coot. J g0g 900.00 40.75 yy NA WE4L ,93 ABET}pp ccqq ARIJEL , 01 A 12/6 4S. . ,i [SBNfON 1:V0ENE 97 75 qq g2 > *6 H 39H i 0' RDI AL TX " 6 201 2 Hill-Burton criteria. 22__.,,.__ T 4. 98.90 ` fl • Sla . 0 J OI Y ANTHONY L 2 4 ~~.5$ r 37 18l ~6NCOIN cOUt~ 1 Tr.JAIL T% 76201 y J 1JINONV L - ~t72 ANTHONY 1' Denton 84 1 County Jail Ig/9 4' L2r 16/90 9abi'Ol 30.00 37 38.00 TT 4 NCO 121 OCIlTtlN CO ~tlr1 JAIL Denton County Jail. { .14 y. Y f;1/. DATE. 2126/82 4.08: F L 0 W M E M O R I A L H 0 8 P I T A L PAGE 4 •"A lb~ ACCOUNTS RECEIVAOLE ACCOU14T STATUS REVORT rr pppPpA71HNT I+AfIE uu rr gPqRE-AD11IT PATgE CC CC pp qq gg 1~ J w~IJDIt~GCTyPAT.10kD. • QUARANfORpAnDR239t--r PNaNE I:J1~3ER. R/~ D~9CNAROE DATL' MEn~ChID H INS tl PATIENT CVpRCNT t1ALANCE ~w DEWTON TX 76201 3, 38.00 4. HENSLEY BgRENDA D NENBLEY ORCNDA Be I/GO/87 1',1'50.00 12.00 7u ' 204 Sb640 ''800 Ft NORTH DR e16 NONE 2 11 a/0 "N 22'7846301 2. "'40 E1+7pN T% 76201 Balance After Medicaid,,. 4,. 17.00 w w 1.900-01 93.22 HEAR 140 D2tiN HBHRINU OWN 8 I /00p4/68g1 _ 26,22 ip '356 41 It10 W HICKORI' T% 76201 6 6 ll09%8l 2' 246.00 1, • nr•NrDN Balance After MBMR contract IIUCKETT RONALD M ARE,' JUDY tl8 52/15/61 f. 900. 01 208.17 883. 6p J SOt 3596.16 931 11CKINNF_Y 786 6170 6 18x/115181 2 208 t7 ER8VILLF TX 7503E 22?/21/81 FARM I w 4 Balance after MHMR contract. W.'00 34.00 C HH yq ``g gg tt pp 11U2l2M0 292A~9Lk n~LLA5AR@7~ACAPr 802 ,NT%CY 791739744Q8 82 i /~5/el``4147b$701 k 1^•1 w , Balance after Medicaid, 4. IIInQ]of NAYgLLIE " HHUUDOtl+B , NATALI83 '7 1727 ` Ind1 1900 t1. 131 ♦ 900, 00 4908. b5 y ' 10$ 338097 DENTONKLANO TX 76201 10 7 9 420b:6'J J s !l7/ it 1 i Medical 9 9182 121. oo JA>OION 31f05Y ppg ++i Oltt COUNTYBJA[L LARRY U 82 Hi/S9/9231ipp UE~ITtlN TX 76x01 Denton County Jail, _ 1 00.A0 ' JAa01ON 36jT%HENy13g C ONOR68CKGU1q ST8PHEN3tl2a277. ~B 1%19%82 3;900.00 768.50 T6B.OQ } „ f18NTON Tx 76201 patient deceased; left no assets, 4. f tl 1 /pq rg1 1, 150, 00 42. 7? 3 : ? S JA g ppW.y Jppftg8 J0111+ 0 8g tgg 09 Bl"'a •4x250 349 01 gg 8 1713 HITI>NAUOAEUL M8b TX 7G201838b w . Medical Indigent, 4, j JOIJSg ANBY p M JOMEB PANSY dd gy BO ' / / 4 1 4g234' g7 t 015°A 900. 01 34,06 gggy T Db 104 153106 OA1NEt3ViLLE Tx 7b~•4g3b58 6 i~b/g1 Jl~ S~JA. + + Balance after Wdi6aid/Medicare, _'.1.900.00 25t p 27.95 Jtl~&SN 372x68 Rr 1tlK6 Bp% 63DAN 011A 017 379 OP07 ae %95/82 2 ads fir; 3 J I ROAN Tx 76262 2/ 5/82 4 w w Hill-Burton criteria, v J~I I y'n -rw~rr..~ -~M~1W17rlfl v_ Its'. ~ , 1 1 I F V JI r _..r............... 4 S.. DATE 2/.Pb/nR 4 1 0 F L Q W M F M O R I A L H 4 9 P I T A L PACE S 4 A ACCOUNTS RECEIVABLE ACCOU14T STATUS REPURT -+•:1 1''~I ppAT1F.NT NAME PRE•ADMIT GATE PREFIX IJUMCE:R OVARANTOR NAME P/c AI)MIi ATE MEDICARE a INS it PATIEzt1T TRTAL bILLE +1NQIRECT PAT, NA,a O'JAPANfl7k AVDRE69 PHONE NUMBER R/C DtS HAROE SATE ...MEU CA1D_N DUL CURRENT DALAN E,,..1 r KELLOOO BRIAN C KFI_LOOr~ .BRIAN 88 11/28/8l 1.900.01 39.94 6yQ.00....... ' 101 .126722. APT 2, 2404 LCU £E N?tiV 6 1/77/81. __.2.,.. 37. 94 DENTDN Tx 76201 1 /OS/8l 3• a Balance after MMHR contract. ryq gg A' i L11g~8Y 41277 29'CARRbLLGRLVQ Bix 76006696 9alanCBe 1 0/ 6/9 1 after Meth/nd/Medicareo'^1 7 D D g~:'~~"" 16,.98 2'J 9.5 t. 34 J + WWII L 400. 00 38. 00 7 t LYLE 094 563 E LYLE BERT Be l2/W(II Ila 00 204 144°•63 g 18 f•.11ER90M 8173874439 8 WWII 2' 158, 00 C~NTON Tx 76201 3. MbPOWALL ANiELAIR MARSHALL ANGE'LAIR Be 1„/02/911 1.900.01 807.41 p gg •1 103 3963k PO ROx 429 6 k7% MI , 320x.41 i . FARMERBVILLE Tx_ 75033..... 0 l b y, ~ J r MARTIN Balan after O tract. 1, 38.00 3 ,00 1 DOl:NIE MART11! UOIJI~ I E 20 372144 DEMON COU14 Y JAIL 4 t/ 9/,~2..., 31.00 DENTON Tx 76201 4 i , o Denton County Jail. MP.gK R BRBNGA K 11@BKEN . DREIJOA K 86... 1p0% A% 1 1, 400. 01 79. 37_ I's 29 ,I J QR 7 .97 .t 10 279760 113739KLINR. . Tx 79'.71 10/3/8111..... _ q• « Balance after MMMR Contract. 1 w N8 L~" ABL+UENION RALS' FLIZABUTH tlg l 464767 24A 4Aso 00 00 76 O0'' t 76.00 l 29 LI DLVU, 3G7-8508 l / 1 1 d1 8 H 03 390 209 402 Tx 762 01 Balance after Medgdgi7ca d nr ps 7 p gg zz CARRN 139 9/04/BI 969 A 9960A 1, too. 0 28.30 49 NIX ACE 7 0~ 9 3 ! 1" N1x ACE, L . I. 0~ .•3p Tx 760.01 : _.,.._..,70 01 Ib0 109 4163~d B.RUnDF.LL N14b 3~~ 3607 I 9%6A^_, . 900 Balance ``%8l gg`` 4197 4 gg _I pENTtlN ~ . after MediCAld i N1% ADELL NIIt ADELL t1 / q/83 ` 964 48 2860A 1.10Q Q0 24.30 4Sgs•S 107 43E32, 9o0 g,RUDDEI.L g1A5 gg3 3607 . / qqq/g1 41.1z1 V "Q 81.9 a OLNTON Tx 7701 Balance Kedicaid, 1 9 0 00.._..4170. 50 D UYBKA 7I It1Y OLMA1 SClOMtlN ,97 A/ 0. 9 l pp 1 p y k 101 39911 ~9 T RdDI1LL'N62 Tx 762019697' 8 %1%93 J w 4 Hill Burton teria. J gggg ggppS~ tt ppgg P820~g8 ^'3b663S3~ . l11 NTON rCOUNRBLES 9014IN f1 1% %8 69. to Denton County Ja11. r~ t wl 1111"1111114m 4A 1 DAIS 2/226100 4:14: F L 0 14 M V M 0 R 1 A L H O 8 P 1 T A L PAOE 6 r ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT PREFIXX~E11- I~l UNOE11 GUARA~1 I'ON NAVE F/g IRppHITDM2T DATE MEptCARE H INS N PA16ENT TUT L DILLggD ,l 41NOIRECT PAT. P'0.« OUANANI'OR ADDR869 PHO14L NUMDER R/C DISCHARGE DAT2 MEDICAID a DUE. CURRENT DALAI4CC _ I" DENTON . 11 76201 3. 63.30 « 4 4. PEEBLER ED41N M PEA B!_1 9 EDWIN 11 80 I/V9102 1. 68.00 204 3496130 D HTON COUNTY JAIL 9 1/29182 2. 46g. 0 D NTON TX 76201; 68.tl0 4 - Denton County Jail. NEEDEA CARV RFEDER GARY 08 1~19~ev 1.900, 01 6060.30 6808-30 1Uu1 360321 STOW 0% NORTH i^.HP LEWI VILI F TX 78067 2/ 3/62 3, 6. 30 " « Denton County Jail. 4' REEDER 36p 232! DENTON CO JA. Be 2/09/Vj 60.80 yp 04 9 7/09/86p 0.88 I , " « Denton County Jail. 4 RE R 0Ak1}' DDItwi CO JA, BBq 2/11 /8"• a1 38,00 Bg bpop 20D 360381 Denton Countytf1183 3 39. tl0 « 4 4. 711, REHOER 36GARY' DENTON CO JA.' _ as l/11/02 20.00 SO & S0. 88 Denton County Jail. R[•:28ER 360323 DENTpN C0 JA. as V1S%02 1.900. 01 33. 00 3B.0 3q. OS 1 « « Denton COunty Jail, 4.' ~ REg05p~R pAR y g ' 2 360321.. TON CO JA. B 8!14/02 1 900.01 20.00 DEN TON 2/14/82 X5.00 V « /,g 4 Denton County Jail. 4: H5209R.,, 36021 DENTON CO JA. B / /Bg.,.... 70 00, 1r WOW ~Ounty g8: 008 « I , 44yyss 2857712-A- g Mppp 6 g 31.00 E000 38 'i061 1 .,.flO178 ~bbpo . i V ROT82 10Y7~3 g`9 BR N y g 18 DEMON ~ TX 7b201~ * NdDLav 6DrTH Balance 190 after Medicaid,t 5 a19.2o nt CN up ,i RUNjONS 9372 613 N RUDDBIN.{OIIB DICK B 738a^2911 p8 9/ / 22126 20 D10~. ~ 1 4 D N1 N `0 4 IIr~ TX 70701 f„ Hill-Burton crlte'ria,, ,I t ~ yiq'~1 ~ RRV I - 1~ J I IIATE e'/26/02 4:16: FLOIJ 11E M DR I AL H 0 S P I T A L PAGE 7 i ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT. _ 01 PREFIXEI1T WIE fi M 51117 NUMBER OUARANTOn 1JAKE F/C pp,U 7 DATE I1~~EO CARE 0 INS N PA1IJNT TOTAL BIL4En 41NDIRECT PAT. NO 4 OUARAWOR ADDRESS PRONE NUMBER R/C b1iUHAROG DATE MED~CAID n DU CUARENT BALM E .t j RUNIONS DICK E BUNIONS DICK 97 8/1a5/ I 1.100.10 70.00 1 473/2 623 N RUDDELL 0173022915 t 8/25/01 2. 7 .00 DENTON T% 76201 3. 7'J, 00 1 p Hill-Burton criteria. tt 4' r ! 4~ RUNIONS 4337 3BN RUDn1V:1 10113 DICK 0173020911 p1 10%13%01 100.10 12.00 60.0 UEf)TON T% 76201 3. 12.00 4 4 Hill-Burtor criteria, 4• BALINO R tlBRT A Mb WO ROBERT 97 ! / /111 63.00 I I* 2 208320 2;17ON OLVNIM D 302 1486 S 1 /00/S1 63 nErJ .00 TA 76201 3. 63,00 r 4 Hill-Burton criteria.. 4, BALINO R0017"r A SAL NO ROBERT 97 11/0;/ it 1.900.00 14661.81 1.03 208322 102M7 OLENROOL 302 1486 8 7/il 75 4 4 DENTON T% 76206 Hill-Burton CriteNd, l 11234. 61. e1' e~ 44 SALINO ROBERT AAg 3A1, INO ROUERY 97 5/311g1 29 1900.00 69.00 206 208327 J91 OLrtJIJ000 _ T% 76321 1486 . 8.. /3l/8.00 `s 4111-Burton criteria. 4• t BCHAUPERT, T&R 5' L 81Mv Rt TERRY L Be 2/g;/82 t. 56,00 V. 201 370113 0 NIO COUPJTY JAIL TX 76201 9 2/09/07 . Ob. 00 Denton County Jail, 4 * 4 ti t4CHELLENRERO RO 6RT SCHELLENOER0,ROBERT Be 2/6 38;00 251 3733 6 3 z pp 0 IITO CO JAIL 9 2/01/ 23. 388. p k 44 dENTON T% 76201 Denton County,Jpil. 4,. .00 N 1 SHAMAN MYAT1.1 SgHAHAN MYRTLE 8g 45986b294T p p 103 15091 gg^ $ CARA LL NBE t /pp /eg1 151662403 150 00 1e.00 11487~j * * p~tON T% 74101.1; 16: 00 J q AN pg~JT Balance, ftdr 1,~e,J~f Q SH2R1 ANY AENiON COUall NRRROAII JOHN 7b201 .1 7%05%62 1. 30.00 J 1W a If ggIIgpp Benton County Jail. 08 1w SH2O2 00 07099 BY08N COMM)AIL JOHN 6@ 48. 00 4 y E14TN T% 76201 Donton CbuntY 1i. 1 40.00 4 4 4 t SI K g NBR M $tt1{,K CHARLES A02.25 201 1 0 6 Rf 2 BO% 1470 3032169 8 1/05/82 2. 102.25 Indigent care, r,• 4,0 s r: r 3 DATE 2/x6/02 4', 17, F t, 0 IJ 11 E M 0 R 1 A L N 0 9 P -1 T A L PAGE _..I..8 ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT ~'lI ATIEIJT NAI4gg PRE-ADMIT RATE Pppppg It Nt~11BER OUARAVISA NAf1E F/CC AD rrT bATE Mp p1C ARE N INS n PATIENT TRTpIl, ggIlLLLEuu ►INDIN CTyPA7..,b'0.4 OVARANCOR ADDRESS PHOHE IJUMNER R/C, Al CHARQE HATE, ._f1CsDiCAiD_N _ OUE CUN6t1T IJALANCE. T OENICIN TX 76201 d 25 x 102 1 10964 aa t~fy E 1 1 4, RM101 391l~rA t2iEIJ I T11ORTHPEE:N' 139JUNE 966 0962 .96 400, 01 7b 4.. . I y T'X 76201 !`/f9Lqq.~..,_.._. _ 1 S 4 S MHMR. -4 . , JAI1E9 D 88 1/99/82 1 3R4 00 tU' 5M203 3656198 DEMON COUN Y JAIL 9 1/99/83 3g 00 1 2 DENT ON .TX . 76201 Denton Jail, STAL"' g7/8g2 ,I 94,00 i' Tr11"A : I County pqq 00 _ 6 a 1, 396667*8 DENTON DENTON COUNT, TX " 76201 Denton 88 t Co13 1 unty Jail, /$7/82_ . _ , 44, i10 1 e 44yye gg 4 a~ 3Tftl4Y 356ibh7A9 O7IJYON DENTON COUNT, 9p 2%0a/8a . 96.00 9S.UO _ ..4 9 0 _.r.1 ~ 4 + Tx 74201. Penton County Ja`i,pq g V4~.U3IUELA 31§181A RT 1[J OOAV'AkgNZUEtA "iOWN qB '900:00' 11'33.45 xOJ 4D 9 ~ V 133. 4 JUST 1702e2 76247 2/ /92 v 4 Hill-Burton criteria. 'L VANDERORIFF MARY E MANRV MARTHA 88 1/76/ 1 467 54 9499 0 1 100.08 24.00 T 9l-Ol a^ 190.0 246x4' 88 ~y 103 1702$2 7l6 fJ09E 8T 307 5746 1 1/ / 1 1-7076 " Di NTON, TX_ .76x01 1.2(Q!/ d,..., . 1 I V * 4 Balance after M I id. NE09 ,STEVEN D 9 / /6 1.900.00 1371.00 W482 gg #35J6221014 J472 TX ..:76z~7S32, 0 . % ? ..._371;Q 70 gtt nnx Wu S1794102532 Hill•Burton crtiiteriia gg 1 w68B1 , . 342409UA JU8 1N 47ltEUB,.. g XVEN7' 400 OP.. _ 11•Qf1..70. :.1109, 98 i « CC g7g p Hi11•Bu; on cr eri g gg I 900 00 ~ 61.26 waaa1 342A5~UA P13 6 47 E99 9rEVE11 i J 81 ZO Y JUSTIN TX 762g48a53$ d d gg , ~N11~;Bur~oo c!'1t.~rtp . . ~ _,..,..,.ti y ' * + STEVEN pp 91 t1/ 6/ ! 1.900 01 33.00 l EDa2 34~4N19LA PO F kE98 » . ✓ f JUSTIN 472 9 76452332 S 11/ 6/ 1 - , TX ..74247ItiiT~Bti'r{on .33: 88 v F r I i.a DATE 2126182 4 : e l : F L 0 IJ M E M O R I A L H 0 8 P I T A L PAOE 9 ``11A ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT YI t PATIENT NAME PRE-ADMIT DATE PREFIX IJUMOER OJARANTO(t 1101E F/C ADMIT DATE ME ICARE K [N8 k PATIENT Tpp7AL gILLfiD aINb1RECT PAT. P'O. OUARAWOR ADDRESS PHONE NUMBER R/C DISCHAROE OAT& MEDICAID k DUE CURRENT BALANCE R L ' WH1TAKER FLORA WHITMEH STEVE: 97 4/'V8 1.900.00 1079.72 1 02 277293 lltpg OAY.W000 3 7 3000 8 4/ 1/8 @ 0.60 M 4 DEN ON TX 76?Ol kill-Aurton Critard/1 1O~b.72 J WH10AHER 2OJA92N I19f~W~ 4 RUWH I TAk ER . STEVE. 3 3 1257 97 fI / WeBi 1. 900.00 1566.90 ..I { g"As R b TX 76'201 (1/149/83 1566 a r 11111-Burton criteria. 4• q p V 47HIT34fER 28523EN O1'IJTOIJ RUbDElTLHER 81%`E 76q.'011257 98 13/0 081 2. 400.00 696. t0 646. f0 ~ f a U + 1411 TAKER JASON IJ kHIThtER STEVE Hill-Burton criteria, I 1 97 12/Ob/8 1.900 00 10.35 20l 226226 706 N. RUDOELL 383 1257 9 12/05/$1 2. 20.39 , DENTON. T% 76201 3. _ 10. 5 * H111mBurton criteria. 4; ' WILLIAMS MA. V, A ~}ILLIAMS ,MARY. A B8 2/q 2102 1. 38.00 201 373191 - p ITON Ctl1jNTY JAt' 9 2/02/$)N_ 2. B.00 9 3 B. 00 DE1JTON TX 76201 ' T V 4 4 Denton County Jail. 4. 141f10 rrgg11N IJlN~qp 7E0 W 8$ 12/1.4 900. 01 329. la^ lot 35;5 &3 F9Q5 ;1011N M'JIR CT 141224789 6 12/14 /Q1 1093. 10 L NO TX 790, 4 12/21/B91 3. 399.12 / a MHMR. 4. OUTPATIENT $ 641,50 1 V INPATIENT 65,475.93 J i j EMERGENCY _..._.'2,777.85 J TOTWCHARITY CHAROE-OFF 56,T9'u 28 ` lit ill r i „ xtt', T y . ty., 1 DATI{ 2/26/92 12.36. FLOW M fi M D R CAL H O B P I T A L PAGE 1 DAD DEBT TRANSFER REPORT FOR PERIOD 2/01/8:1 7HRV 2/21/82 PATIENT NUMBER AAAAA PATIENT NAl1gg 44 AA A»xAr VVARANTpR NNAMgg AAAA DAT g p~ g Dp7g pp BA1. Na~gg PFX NUMBER ---R, CITY, BT, XIP ACITY, ST, ZIP, ADMITTED ..pISCF1 R0ED WRfTEOPF OF A~COVN~ t~ y l _ 201 337891 pN Wgg DARLA 1TJSHApRryp JACK 2/25/02 93.10 Ok 142 TX 76266 SAnNE ~d Sq2 TX 76266 81,N pEggRDN 101 31 22603 L qN8E6UN VALLEY TERE9A 7 Il0 USONN VALLEY OEARY No 1 ~~I ~to C 1/ r~I' eft 8/82 134,b6 a G Ntw TX 76201 RNIT~Ngg Tx 76203 No response to collection efforts, v+91 VL 201 300499 AUD4EYOX 2178 TALI%D0 W 76aa7 AuDREYpX 2178 TATXA076227 No ~espon88 to collection effots0/82 32x 00 l 201 342840 I2IHWEgCk OT LAURIE 12lHWELCH ST LAURIE 10/17/91, 2/25/82 40,75 D~E/glNrTONNN TX 76701 DENTTrON TX 76201 No response to collection efforts, 201 179392 1007IN. PRARIE ' JOSEPH f0071Wr PRARIE JOSEPH 9119/91 2/29/92 127.00 D NTON TX 76201 DEN ON TX 76201 No response to Collection efforts, 201 91962 A ERY JUSTIN A Y 0p LAOUNA Egep 1AMAR 3/08/dt 2/25182 190.00 N7ON TX 76201 DMNfONAOUNA TX 76201 No response to collection efforts. ' 201 3342134 ~e1~8Y ERIC A LEY ERIC 9/21/81 2/29/82 55.85 N OOtlNDUSBE TX 767.01 pN7tlNOUISE TX 76201 No response to collection efforts, 201 351829 1117% 7TH STREEf~ R06E 1BtA`7K p Irk ROSE 1S/l7/8l 2/25/92 33.00 9 Tx 76266 BAWp R TX 76266 No response to Collection efforts, J t ~.r 103 167064 ~t~NC6JAt`ja/titlX 173, ROBERT DnIJN1STER3, LARRY I1/10/81 11/12/81 2/75/82 633. 50 I/ ONp6R TX 76259 PPONBD R t7 TX 76259 Unable to locate, 202 ..".126470 111;T gUAIL RU14 T?%1OTHY DiR 1 QTTBVA I L RUN DARRILL 4/19/01 2/25/12 72.00 NTON TX 76201 NTON TX 76201 No response to collection efforts, J tt ~1NNMAC ' OR 203 306852 MARK A jj~M~ TX 76201 TMN UNRMAL TX MARK 76201 9/07/92 2/25/12 102x35 4 No response to collection efforts, J DR CAMILf r T NNDT 102 236059 JJN14E~T 14GPTN 0p T WORTH M64 CACII.LE 9/30/81, 10/06/81 7x/25/82 725.20 3X 0 ?0 N 0 TX 76201 N 0 TX 76201 No response to collection efforts. J d 201 345843 , NNBTi Mtr TON bB66t~N ATT MILTON 10/27/91 0190/82 38.00 bO rEAGL6 DR 04I TX 76201 DiNTONOLF. DR 041 Tx 76201 No response to collection efforts, J r , Iv, r , 4, } DATE 2/26182 112:36: P L O 11 M E M O R I A L H 0 6 P I T A L PAGE 2 BAD DEBT TRANSFER REPORT FOR PERIOD 2/01/02 THRU' 9/28/02 tId PATIENT NUMBER PATIENT NAME +M+• Mx++* GUARANTOR ~AM& AVM#* DATE DATgg DAT 0~ DALAIkti PFX NUMBER ADDRi OITVi 8T, 11P AD Rr CITY , TIP AtlMITTEp DI$CHAf10ED WRI EO 0p A COUNT l 3:191+^5 § CLOVER LN JACQUELIN CLOVER LN ERICH 9/18/BL 2/26/82 63.00 Y E TON TX 76801 DEN ON 76701 NO response t0 Collection efforts. dOR 329259 D NTn IOHLAND N4 JULTX 76201 J& ONIOHLAND 04 JUTXE 76201 NO response1 to collection OffOrtg$/BZ 76. QO t Y V 01 334177 ~JVEppLY TERRI BE ER Y , CHARLES 9/20/81 2/20/87 6$,00 y 41 NO B tVAR TX 76866 89MOERLtVAR TX 76266 No response to collection efforts. r $pp t 343897 P LEnnnRRR CASEY ,F LE , FRED 10/21 /at 2/2'5/82 140, 70 EAA OUTS TX 76238 A~ ROUTE TX 762,38 No reSPOnse to collection efforts. 199 618264 r B AWIi 0q FARID£ RAjAV AHMBD 1/12/79 1/17/79 2/20/82 134,80 L DIINTONT H N67 TX 76201 RNTONT WRTH N67 TX 76201 No response to collection efforts. a, 203 171798 HICKORY Nf1 RICKY HICKORY Nlt RICKY SO/20/Bl 2/20/82 39.00 ~ UPON. TX 76201 09a. TX 76201 No response to collection efforts. 204 283226 DJ99H r N P. BI1LY 6J9HS! . BILLY 9/20/01 2/20/82 161.7$ Iv POND TX 76201 B3D Ig0NTTOON POND TX 76201 No response to collection efforts. 1 101 _ 32953. A BbOSOX t06. EDWINA 76201 OJJTONALIMEADOW N1a6RI7XY 76201 NO es17/81 to ' 0/19/81 collection efforts. 145,00 { -J D NTT 002 307330 gLpOK JUANITA g1pCKK , JUAN ITA 1/04/82 2/20/62 38.00 ` 402 9 RUODELL-•N311 40.2 8 AVDDELL M39 s D NTON TX 76201 NTON TX 76201 Uneble to locate, J , 801. 343160 AAK`6WW OAK our AKEW,'OAK SUE 10/18/81 2/25/82 90.$5. V RNTON TX 76201 DISOWN TX 76201 No response t0 Collection efforts. 201 344531 L§Nk PRARIE GRACIE 2 ANgp PKARl6 ORACI£ _ 10/23/61 2/25/82 56.04 V BRIM, TX 76201 DO~NNTON TX 76201 No response 206 17723. N¢T~I,LL" BTR90 L[L7XE 76401 oEN1pS~Ll'8TRH6T' 41YXI ;76201 10/S6/BltO co1leCLlon efforts.' 69.10 . $g lh + y MICHAEL NO 8response /44/81t0 Collection efforts, 9/25/82 124. 10 203. . 138073 ' L I~V[LL JOHNNA t2 TX 70067 LEWMILT Yx Y5067, ' 1 t No response to collection efforts. L i ri 44 J i i I DATE 2/26/82 12,36: F L 0 W 11 E M U R I A L H 0 8 P I T A L PAOM 3 SAD D98T TRANSFER REPORT FOR PERIOD 2/01/82 THRU 2/28/82 '4 tiJ g pp g II1,gg QQyyJ~ RIP a~1 TTgg pp pp ~~gg pNFXfiNTNU11bEDR »,eADURTIC[TYNA8T,* 21P MMe~AJNARCITYRSNAMEeM» AOATTEp. pI11CHAR0Ep I EOfF OPBAACCOUNT 201 161711 ggppY R BfLI.Y pp Y N DOROTHY 9/79/8! 2/20/82 18.00 R7 ~ DOX 968 RT ~ 8OX 960 DEN ON TX 76201 DENT014 TX 76201 NO response to collection efforts. 101 351159 ry7A8 H , TED URASCH TED I1/19/81 11/17/81 2/20/62 228.68 RNTDNBOX 3l8 TX 76201 DENTON OX 318 TX 76201 tt;A Movedl left no address, 201 343152 BREEDD"ACKINN9Y ' DARRELL 1"1EDLOVACNtNNEY ' PATRICIA 10/10/81 2/20/82 39.30 ANTO TX 76201 D'ATTOEEN• TX 76201 No response to collection efforts. 201 284968 gqIICgg LEONARD DR Cggg DORREEN 10/22/81 2/20/82 38.00 508 8 RUDDELL 0130 40~ 0 RUDDEIL Ot30 ENTON TX 76201 DENTIN TX 76201 No response to collection efforts. i 202 267294 pp IBgN14~1}} , 1EMETR1O ggR 8g1JO DEMETRIO 10/21/81 2/20/82 64.00 qD2 DUUTH ELM NC 43 9O EIM NC t 0 NTON TX 76201 DE TON TX 76201 No response to collection efforts, 102 33e574 pp$ool1~'N ANOkL 8RppyWN JIM !0/$0/81 11/06/81 2/20/S& 9845.00 DHNTONOUISE 0106 TX 76201 DRUON0U18E N106 TX 76201 Arrangwants not kept. 201 342683 8RoapW N OD" BRB8Wt DON 10/17/81 2/20/02 119.00 DENTONRUDDELL 036 TX 76201 DONTONRUpOELL 036 TX 76201 No reSPOnse to collection efforts. J i~ 201 342311 oRTpWN JOE 8Rp WN JIE 10/16/81 2/25/82 90.50 ~WACO" TX 76201 DWONCO7T TX 76201 No response to collection efforts, t 203 119503 DQRAFFTEY SH1R Y PF Y gH~RLLY 11/23/81 2/25/82 18.00 HNTONBNUE F WIBT?A7E TX 76201 DENTONfiNUH P WEST 0ATfi TX 76201 No response to collection efforts, - i 0/92 it. 90 { 202 185082 ~li$TDCOOROW LN SLATX 76201 D}~T~JNODROW LN AMgTXEN76201 No respanselto c0118ctton efforts. 4 t 103903 j 'AATER NELISSA AATEg LARRY 7/11/81 2/25/82 41.03 V 21 N TRINITY 601 N TRINITY CATUR TX 76234 A U TX 76234 No response to collection efforts, J 201 343475 AY 0 JOHN 8aA 0 kRY RD JOHN 10/19/81 2/20/82 100.00 V 32 SONRRY RD MI 99994 JA DB~N MI No response to collection efforts. J 201 329797 e~7f2HAMIN~9 JAMES CIAMBHRR9 SLUM 9/05181 2/20/82 70.00 LENT TTYfi TX 76201 DENTONN6TTI6t TX 76201 No response to collection effort. i 3E~ -Ji J S_ P I I rk~ `r PATE 2/26/82 12:37: V FLtlW MEMOR 1 A L HO BP i T AL PACE A 77 { DAD OED7 TkANBFER REPORT FOR PERIOD 2/01/82 THRU it/28/82 g .i I PAT1ENi NUMB~R ~~«N» PAT [ENT NAf4E ~M'~NADORARCflYYR8TAM21p~r~ ADM1T75D DIBCHANOID WHt7E0~P OPDAACCgUN7 ,y~' y I PPX NUMBH ADD , CS V~ 8T. ZIP ' l02 +228896, Cg~HAI1~i~Ra ~ RANDI QR~ENWtl00 ~ f1ATX 76246 No respOn50Dto C011eCtibO effbats.9/92 l99.b0 ' , t`IiEENWObp TX 76246 P 202 1704x0 `gFIgt,QppL gARNG,BTINE Ig DLgg .CARL L6& 9/27/61 2/29/92 70.80 L CUNCpN~BRRACF. D04 662tl1t %3903 ~j~o~ LOU168 APT .0~ pp yy gfgg1 p T% 76201 ko response to collection efforts. ~ 201 347021 CC<NTON 60L7~ 2311~84tElCA Hggt~EBTEII.pp 240 NT~DtlANCV l1/OL/91 2/25/82 50.00 .r p g 76201 ~~517 FF33DggENTOIJ %T% 76201 No rBSpOnsn to collection effbrtS. ~ 201 28x100 CH~1. A FM N ~ ANOREW p19L14pHC14AN ' A 4/26/a1 8/26/98 12.90 6 pµµ ~~jj qp uu T% 79tb9 No res onsb to Collection efforts. ~ ~ 1v ~ WfiXAHACHtE T% 791b9 WAXAHACHI6 p 2Dl 334079 Ct`0HoppI8]'ppH ER90N , MATTHEW ~0H091~T~g~IF~R~~)l ~ 11ATTIiEW 9/20/91 Z/26/82 58, b9 1 OHNT4 98HV Mll TX 7b201 DEgqNR3qTOAN H EE7% 76201 Nu response to Collectl0n efforts. ' 4 20l 3374!0 ~ENTOWR~AAIRlE APT N19RXC1A76?01 DENTONRPRAtRIE APT~NI9TXV 76701 No responSelto collection efforts '/B2 2b, 20 ' N ; t t03 190660 ~UWINYOR6ENWDOD ' CATHY CI.ARDV?NHENWtlOD ' 0[:tlROlA 1/06/9! l/13/x1 2/29/92 25b.V9 4,, T% %6230 DooD1WtE T% 76230 No response to col}action efforts.. ~ A K ~ CRA10 AppK ~ CRA10 7/19/91 2/20/d2 52.20 ' 201 314682 ~~N~ON BELL M289 Tx 76201 D~NrON~ DELI Nt145 TX 7620.1 ko response to Collection efforts. " ' E?SNA CLAR , RSOSNA 50/73/85 2/25/x2 38.00 fSCp 20! 239301 .~~QY~NWOCO ~ ~ R Tk 76201 'DEgNpTONWOgg~NND T% 762ot No response tb collection efforts, ~ 201 374780 TH~~COLONY DOk865b2tANTX 77777 ~HErCOL61JY8ttX 86102 lJATkY 77777 No responselto col}action effbrt5.4/92 39.60 1C1 308800 GpIfg~~DggggDd CBCILIA d ZSy15 ~ ~ , ~ V tlENTtlN ftZt1 TX 76201 O~N'fON ' RAT%ON7b201 No respon e5 to coileutioe efforts.e/e2 1215.99 gn p p Tx fo/19/61 z/2b/az 9o.ao , C03 231901 St48RUDDLLt. YlC6, DANT%L ..76201 ~~~TpN DANIBL ut)98Lt k106 76201 No response to collection efforts, ' ~~NTON j 201 's4090L ~~~Tn~tL , . , BUF'aXD 76201 a~e~p~~LL HuTXpD7b^OS Uneblelto ~toeate. _ Z/29/82 108 D0 , . ~ ! lr 1• .lip I I . r;It~. ~ s I, _ __...~.~~_......._..._._.w_...__. S ~ i ,r .,4... . HATE 2/26/82 12:37: F L 0 W M E M 0 R I AL H 0 S P I T A L PAGE 5 J BAD DEOT TRANSFER REPORT FOR PERIOD 2/01/82 THRU 2/28/82 PATIENT NUI4DER ***0* PATIENT (SAME *00* OUARAN77OR NAME ***4 DATE DAXR DATE OF BALANCD PFX NUMBER ADDR. CITY. 8T. ZIP ADDR. C1fY ST. ZIP . ADMITTED DISCH CED DRITEOFF OF ACCtl NT J 102 342510 y?'1N1f8TVW00O CARTN 76201 DENTON~1 OUTXgD76201 No response 0to collection fforts'/82 2327.60 i 102 193276 C6C6`O`LWNCCK R0nERT C4LW Ck LARRY A 30/09/81 10/06/81 2/25/82 15,00 6fi ADE TX 76201 DENT N E TX 76201 No response to oolleetion efforts. ' 201 324379 CtlII•~~Dgg KAREN, ccppMBI KAREN 9/03/81 «/25/82 28.OQ 407 S BAN BUREN 707 9 VAN DVAC14 O 3.LA8 TX 75208 DAALL9 TX 75208 No response to collection efforts. 2 313328 CCp$ 0 pp MARIE ppUUO MARIE 8/10/81 2/25/82 45,60 j 9lQ~QNTON TX 7A266 DANGE EgkppgRNTON T% 76266 NO response to collection efforts. . cc xx RR LAURA g0% DELLA 9/30/SS 2/25/02 33, 8o 1 337634 4?7 DWIGHT ST 418 tltlwwtt0}{T 8T gI LEWISVILLE TX 75067 LpEARWipS[OV[t4NN'LE TX 75047 No response to collection efforts. ! 201 36483 ENTSa tlUleE N6 SNAT%NA TAMMY. ggRDE0U1SE 4 6 76201 No response 3to Collection efforty2si82 t8. 00 tr 1 337311 qA8g 12 VEL11A CAA NB LEWIB,,. 9/29/81 2/25/82 48.90 pp g0 PUO yypp J al1N0Ea 04 TX 76266 SANDER 294 TX 76266 No response to collection efforts. 4 pp CppAapp HAZEL 8/11/81 8/13/81 2/25/82 14.60 104 _ 153595 f PUDREOY D HAZEL T% 76227 RT3 B9X 2tl o B % a5 RT t AV"PEY TX 76227 No response to collection efforts. 207 af274b.,Cc 0 8 TOMMY CC OSLO TOMMY 4117/91 2/25/82 98.50 i V RPONpEROX 143 TX 76239 PONDHRBOX 143 TX 76259 NO response to collection efforts. 101 255364 CAUT~[4QER RENEE CRUTSING►R JIMMY 1/09/81 1/12/81 2/25/82 1012.15 PPGILOT POINT TX 76058 AUOREV pp~p TX 76227 No response to collection efforts. 201 P321S9 CqRVZIhOIPOgLANO ENRIOUE 4NUj148NLAN0 ENRIOUE .9/13/81 i:/25/82 39.00 J 94NTON H TX 76201 D NNTDN TX 76201 No response to collection efforts. 102 424'3 ILSON` WiL',1E C IdulL84N WILLIE 7/26/8Q 8/04/80 !t/25/O2 200 34 4 N OCI A TX 76201 N ON TX 76201 No response to collection efforts. J j 102 309914 jjLL ROBERT. Hi L ROBERT 7/25/81 8/02/01 2/25/02 8404.00 NTONNDSIDR MI6 TX 76201 D NTONNDSOq M t6 TX 76201 No response to collection efforts, j ~ Lot r_. r._ ~-•~~W _ I wp~ L DAIF 2/26/82+•• 12:37 F L O W M E M O R 1 A L H O 8 P I T, A L PAGE b DAD DEBT TRANSFER REPORT FOR PERIOD 4/01/02 THRV 2/28/02 PATIENT NUHRER 4**** PATIENT HAM 4**41X W1~RANTOR NAME'**** DATE DpATTE DATE 0 DALANCCE PFX NUMBER, ADUR, CITY, 6 tP ADDR, CITY,ST, ZIP ADMITTED DISCHAROEp WRITEOF OF ACC86NT 203 246967 HA t0 LINDA HAaMaMM7CN LINDA 9/27/91 2/25/812 39.80 DENTO OpDFORD CIRCLE TX 76201 DENTON8ODFORO CIRCLE TX 76201 No response to collection efforts, lot 319079 H,RDJNg JERRY HAR01N JERRY 7/31/81 8/12/91 2/25/82 3642,30 LEWIPILggET LANE TX 73067 LEWISV11.LET LANE TX 75067 Arrangements not kept. ~ „ 206 98648 ;A FIEL JOHN R HAaPt LD JOHN R 9/26/01 2/25/02 101.50 4 507 0A WOtlO t5 7 AKW04D J 'I ENTON L1, ETX 76201 DEN OO4 TX 76201 NO response to collection efforts. 201 336628 AVBNCpX 375-CNE87~tUTOaTXL 76226 AHA0HT WE 9/27/0/2 UBRLY 375 V LOTXLL 76226 No responselto collection effor2t5/8E 10D, 75 -J 202 330148 HAWK ryNS MDW1N. 14A1* ryryS MELVIN 9/14/81 2/25/88 170,75 V O1HAMSERB 601HAMR8k8 GENtTtltltlNNN T% 76205 p£NTOONN T% 76201 No response to collection efforts, 201 346817 RTA'JHN52 JOYCE N~A HYSZ JOYCE 10/31/81 2/25/82 46,25 CENTON TX 76201 DEN FIN TX 76201 No response to collection efforts. 101 306530 KN EppggnnN DARtA MENDER ppN , STEV4 C 7/29/81 0/01101 2/25/88 166.65 ? `T 8OX t26A RT tx 126A ON ER T% 76259 CPONQDDS TX 76259 Balance after insurance; no response, 202 353045 CO EgNAL APTS N2t6 JERTXRY 76201 DE EON ONAL APTS #213 JE7%8RY76241 Unable0to/8locate, 2/2$/82 144.00 J t 94193 G190 bNRDADWAY LAVT%E 76201 PISRCJROADWAV DATXARA 76201 Balan8/26/1 ce ef8er insurance) no response. 92 75,05 J lox 219113 Hr N NOOE18T ARMANDO 73"NM1L1Z8T ARMANDO 3/02/81 3/05/81 2/25/82. 448.50 DRNT N TX 76201 DENTON TX 76201 Arrangements not kept. 199 600974 114RRON CEVRIK HfRRCAIN ANNIE 7/20/77 7/30/77 8/25/82 1044,50 V 76201 DENTtlNgNVE S TX 76201 Arrangements not kept. J 101 321349, '~R 8 MILDRED HL11A11~1E 8 WALTER 0/07/91 8/08/81 .3/25/02 1?$. 78 4 ~y 100 nnvv LINTON T% 76201: 89NTON TX 76201 Balance after insurance. 101 42564 R1CKSDOX 40 MAROARET 41PPBtlOX 20, F A 7/14/80 7/17/80 2/25/82 572.95 ;i 4 JVA~1N TX 76247 JUBIIN TX 76247 Arrangements not kept, ' f , I r i ~lYt; l DATE 2/26/82 12:37: P L O 14 M E M O R I A L H 0 8 P I T A L PAGE 7 BAD DLOT TRANSFER REPORT FOR PERIOD 2/01182 THRU 2/28/82 " PATttEN7 ryryUHpER aaxxx PATIENY NAMgg 44ax xxxxx 0uARAMpP NAME axax CA ppgqTE pp7g OF SAI,ANCCE ✓ + i' PFX NUIQ R ADORr CITYr 87r ZIP ADDRr CITYrBTo ZIP ADMITTED DISCHARGED WRITEOFF OF ACCOUNT --------/201 101 330803 `DO~pOt~ ClrrD T0 % 76026 UDOEPOkT RANDY A76026 Balance efSer fnsurancedl 2/20/82 78.08 I' II 11 101 320633 H SL DANNA H IL DA1414A M 8/05/01 0/26/81 2/23/02 366,86 ' ` 7t` N LOCUST 7 3 N LOCUST DENTON TX 76201 p NTON T% 76201 Balance after insurance, 801 339633 9 1 4LFANNIN MITZ1 4ANF1 'NIN BRENDA 10/06/81 2/23/82 J21.3$ D NIONN T% 76201 Di14TON TX . 76201 NO response to Collection efforts, ! ? 101 317164 RD ALETA H,:L IqRD RONNIE 7/26/81 7/29/81 2/23/82 75.00 ~J~0 W PRAIRIE M3 ,l W. PRAIRIE e3 r L N ON' TX 76201 a DEI! ON TX 76201 0418nCO after insurance; arrangements not kept. aoa 231398 1 ~Ry EN 00DLIVAR JERT% 76201 MIZA8LIVAR JS 7% Y 76202 No 10espon8e to collection effortsl9a 138.00 202 1261719 WI NELDA H~jL [ RpLA0fi NELOA 6/19/81 P/25/02 164.10 r WI TONILLAOE E N 204 Tk. 76201 BEN tlN1L E N204 TX '76.201 Arrangements not kept, 1 316307 ERIC Ir CNN II~;; WALTER 9/06/81 2+/23/09 337, 40 opj~N44 ~U9TON PLACk. $534 ENSUSTON PLACE CNTtl TX 76201 DENTON TX 76201 No response to collection efforts. j 201 333826 RITD4E0X 33 ENNI$ ~OD1E88X 33 TREVITA 12/01/81 2/23/82 38.00 V ENTON Tx 76201 EN ON TX 76201 Moved; left no address, i 4 102 1249730 6¢W~RD OAYLA RW3RD rommy 1/01/81 1/120/81 2/23/82 374.14 { A OYLE TX 76226 A OYLE T% 76226 Balance after lnsurancei no response. J p J II 101 263327 WA DD LISA iiOXAZ4 VIROIL 3123/81 x/29/$1 2/23/132 1193.06 1 r 3 Vh7N1OER TX 76266 SANGER TX 76266 No response to collection efforts. J !!!1111 201 330381 NFbbM NIr. DEMA p rEL0IT JAMES 11/12/91 '2/20/02 38.00 V O TO 0 Tx 76x01 D N6TON TX 76201 Moved, left no address, 101 322303 H'yyAN DEBBIE HUMAN RICKY PAUL _ 9/06/81 9/10/01 2/123/82 90.13 4 a 7 CCOLL1NS 8T V7 CnnLLINS 8T D 14TgN Tx 76201 ETON TX 76201 Balance after insurance. 2 220418 tJApSg00p0V6NUE A N2 RONALD ~A94$L17 POND GLENN 1130/81 2/23/82 326.30 DBNTON TX 76201 tt??ALLAS TX 75080 Balance after Insurancel no response. i !r 11.' r I ; ' r I P}~ 73 r~s t r, DATE 9/:6/82 12: 37: F L O W M E M O R I A L H 0 8 P I T, A I. PAGE 8 DAD DEBT 'I'nANSFER REPORT FOR PERIOD 2/0t/02 THRU 2/28/62 p Tg p 9ALAN PAT [ENT NNUNggER aarar PATIENT tJAHE 99x9 raar• QQuuARAWTOR NAMgg Mara DATE D T WR ppp PF% NU118ER ADOR CITY, tlir 211' ADDR, CITYrBTr i1P ADMITTED Dl9CItAtZROED WRI7EOFP 0F~ ACC, T 36$4!9 NOD gp I JULIE EFP~jgpgY JULIE 1/17/62 2/25/82 111.29 201 V N~X 96 TX 76201 ENTd^OJ1 56 TX 76201 Unable to locate, ' N ap 510.20 102 177154 IN RUTH ADREAN 32lN ORVTH ADREAN 6(29/81 6/29/81 2/23/62 10 NT N TX 76201 DDgENIN TX 76201 Balance after insurancel no response. IOR 270454 ffiN NtlD9LL N46 HAC 7x 76201 D NTONgDELL N46 MATx 76201 Movecl;t2left no address ! a/25/D2 3276.30 q DAVID 1/25/at 1/31/61 2/29/82 261.00 101 297782 FO{~NjW1E DEDTX 76259 NBpCOpgNAWI ~ TX 76201 Balance after insurance; arrangements 201 338477 76201 P10'84T WORTH OR NllIIXD 76801 Unable vLO610cate, 2/29/82 b9. 00 l bENFON WORTH DAVID DAVID j1► 103 25977 6N ggTO RR NaE DE87% 76201 DNTONBE DETRA 76201 Unable Oto8loCate2/0l/8f 2/29/62 2454.09 1 E. 7HOMA8. 9103/61 2/25/82 36.00 ``bb i Tx 76901 No response to collection efforts. 202 312504 SAWR NYR 7!107%8 76201 DSAWR HN70NY y MY 2/20/82 77.40 ` 203 312504 G-bTE APT b45TX THOMAS 76201 Al TojYB APT 845 ' THOMAS 9/2onse J ttJJ Tx 76201 No response to collection efforts. 20L 3571 b0 ggACHHRY APT A RICHARD 2 L ~AC RR r RICHARD 12/06/81 ww^/29/98 132.79 PYAPTA D IHHN ~ DENFENTON TX 76201 D TO YX 76201 Unable t0 locate. 202 328039 LQFL RR4AND' ALICE L Ft. R , ROOERT. 10/25/81 2/25/02 318.45 ' G D pp 6 5 AALAND TX 76201 O 14T N TX 76201 Unable to locate. N 1r CENT 1 289074 I~,oTNOQi gg MAI COLM R !JQ 0% 370 , MALCOLM 4/26)91 2/25/62 134. 44 w C NTONtlX"370 TX 76201 DEN}0~J TX 76201 No response to collection efforts. , M19HAE1, 11/112/81 2/25/82 135.00 J 1 pUDDELG'NIl4 MICHAEL MAoSK UDDEBLt N114 201 353407 7 k , `EN T 0o OIJ RR N 0 1X 76201 D TX 76201 Hovedi left no address. [ r JANET 12/16/01 2/25/8+^ 63,50 4 ~ . 202 309235 'jAgYtNJOHA9N17 A1111 76201, Tj 0HA8 Nt7 TX 76;10t Unable to locate. r w J , ~ o I t I/ rayy ~'141~: ~ J j f __._.,.r..».... 9 DATE 2126182 12. 37, F L O W M E M 0'R I A L H 0 8 P I T A L PAGE t DAD DEBT IRA149FEII REPORT FOR Penton 2/01/82 TNRU 2/28/82 LT ` PATiKN't UIgD R KAAMA PA, TI NAM ♦xxx xwwxa OUARA14TOR NAME ■xwM DATE DATTE DA7gg OF BALANCE ~y gg ADMITTED D18CHAROEU WRITEOFF OF ACCOUNT PFx NONBE ADOR, CITY, 8T1 ZIP ADDRI CITY--- ZIP _ 101 271999 MATTHEWS MARYAN 905 TMEDOtlX MARY 3/06/81 3113/81 , 2/29/82 4294.73 T% 76201 DECCCNTON T% 76201 Unable t0 locate. 101 1. DENTON AO% ApDu 202 326108 pCKp RANCH RT 9,ILOTHT0S 76205 pENTONRANCk LOT 106 19OxNY 76201 Mev¢d;21ef8ttrio address. 2/26182 . 00 NO M27107 ArrangemenOS net kept/80 2/23/87. 996. 00 IOl 1g63S011 R EEi6 6TN ~9ALEHE 5T r FREUCt1 27107 IINBTN BALEME 8T I FRED 101 31213? GptMJTON~TWAV KINTk 76201 pENTOJBTIJAY BILLY 76201 7/if/0I 7/14/81 2/29/82 1200.20 I~ Arrangements not koptl 63,30 RONNIE J 6/OR/8l 6/06/81 2/25/82 C& 110001E M IT ` 101 278093 R7 11 2TBox 674 R'N BOX 624 1. DENTON TX 76201 DEN ON TX 76201 Balance after inSUrantel no response, pp q gq DAVID 12/15/91 2/25/83 82.00 i 202 241307 brp9OFTBWORTH DAVID 1(1~EgDOFTBWORTH DR j V OLNTON TX 76201 UNTON 7% 76201 Sped; loft no eddresS, tI,B ppppUQl AB Ia/02/gt 2/25182 36,00 201 366261 bbbLt WAND ARROiI DOUOLAB b¢IE~OW b ARROW MIOB9 V CALLA TX 75224 DpLLA T% 79724 Unable t0 locate, 30t 143937. 1Q L6fippa WILMANLTEN OAK _MARTIN 2/01/80 4/10/80 2/25/02 79 00 1. jLN7p0N OAK TX 76201 ~jEtN1Y90gN n TX 76201 No response t0 Collectlon efforts. i 4 201 336784 13 1811ILLTCHEN RENTX 73067 611 fj- iCtTTCHRA RETX 70067 Una 1e2t0 gOCate, 2/25/82 63. 90 s B ~~qq J + 4 6/27/01 0/30/01 2/25/e2 IOAtS. LOBg RVODELL 236 r B C 49.. ` 104 62786 C19aRNRUDDELL 1t3b, D C O M gig"' TX 76201 DENTOWoIJ TX 76^201 Balance after insuranCel n0 VOSpOnse, 101 276290 gNDY&CT LO TX 79067 HatHVSIO.YBCT ROTXR1 75067 UnableltoRlocate 3/R'//SL 2/2D/B2^ 40 00 J .12/29/81 2/25/82 4D. DO i 201 36'3168 RY ANTHONY 11 AR 0 $ Y NO pgL ANTHONY J 1+ Y L NOTONEY r% 76010 f 1 PTONgY 1k 76010 Unable to locate, . ggRLpp 1 310022 O baNITAN TRAIL' OFRTX 76201 OENTONIIAN TRAIL a OETXY 76201 MOYUdl2leftttno address. 2/2/92 320 04 SIM . ,1 ! ~ 'sJ f Y r et L DATE 2/26/82 12x30: F L 0 N M E M O R I A L H 0 6 P I T A L PAGE 10 iDAD DEUT TRANSFER REPORT FOR PERIOD 2/01/82THRU 2/2a/02 PATIENT NUMURA PATIENT NAME r*+'♦ atrarx 0 ARANTOR NAMF M#aa< ATE DA9fi DROP DALANCE PFX NUMpE rrrrADDR, CITY, 8i, tip AD9Rr CSTYraTr Z1F. AD ITTED DI9CHAROED DR Of~P QF ACCtlUNT arrrrr rr•------------------ .•r.~.r ----rrrr rwrrrr.m .nrrr rr. rrrrrMrr•. f V a 101 331676 QJVON M IERRA 9THYKER 9804 76201 DCNOaSIERRA SIDNEY 763101 Moved 9/10/01 fEno ad9/17/81 2/28/02 442,80 d 701 329369 ~!iJNLNaUDDELt'p11~ MOREZ1ME E 1p 16.0 76201 DENiO'NDUnDELL 0119 E2T%1EL76201 Moved; alefSt'no address. 2/25/02 86.50 1 IJ y 101 319434 PALMS THOMAS PA MIT THOMAS 8/02/Ot 0/03/81 7/25/89 626.05 i pfAORRokpTDdSNTQN DR TX 75006 CAAApRROLLTONNTON DR TX 75006 Arrangements not kept, DEN 12/0218I 2/96/09 38.00 ; j 230 39371 245lELQUIafi ML04 ' GARY 1?3xQE UODELL #104 ' GARY ! p7T O RRNNNNODELL 054 TX 76201 DEgRN O TX 76201 Moved; left no address. 709 25262 R1U ' JAMES PENTQNDDELL #54 ""My SOa CENT N TX 76201 76201 Moved; 2loft lnO address, 2/25/82 94.50 i 201 335612 ppRR SAM PARR GENE 9/24181 2/'72,50 RpT DOX 80A RT 1 BOX ODA PONDER T% 76259 PONDER TX 76259 No response to collection efforts. 201 357913 pgg61b R DAVID IP/08/81 x/25/82 75. 5 IiM .~4 VNIV CITY 'A 0 D Unable to locate, ! ENTON TX 76201 zz 103 06082 B RaROSa TRINIDAD PPIREROSE TRINIDAD 4/11/81 0/22/01 2/25/82 267.10 D NTON 1 76201 DNTON TX 71,201 Balance after Medicare, r 104 860821EOgE TRINIDAD pdREDdBF TRINIDAD 9/30/81 10/19/81 2/29/02 212.00 E E14T N TX 76201 DENTON T% 76201 Balance after Medicare, DOUGLAS 9/07/al 2/25/82 45.4E 203 139907 Pgg R DOUOLAS P RORDNAM ~ DENptlRDNAM 0 " TX 76201 D NTa TX 76201 tp No response to collection efforts. 202 16410¢ `P NAAp ppAI9LEV ROSE MARY 1100 PAISLEY OVADAWFIR 9/08/81 2/25/02 62.10 tl kTON TX 76201 DENTON TX 76201 1~ q n1{~~pp Arrangements not kept. 201 361717 11 LNI~V LLCEL"RD; hkL13T 75067 LE4IfIVRLAPEEL DX 1312AYkY ?C067 12/23/81 2/25/82 82.50 201 369530 JA C p qR1,ggNII RRoIQQgQA ARLENE 111/20/82 1 enable t0 iocat2/2SS/02 3900 DL~TINX 2694 'WL& DT) 76901 DEN70 2624 T% 76201 Unable to locate, afi. ~wMMW~YIYlW11~.Wwtl11WMMr~rW'n•. .,.r+ ~.M„~......_. _...~_i loom" f L DATE 2/26/02 12:30• F L 0 lJ M G' 11 O R 1 A I. H 0 3 P 1 T A L PAQE t f DAD DEBT TRANSFER REPORT FOR PERIOD 2/03/07 THRU 2/20/82 PppT1ENT NUMBER 4t**** ATIENT NAMg 4eya *NU*r OVARANTQR NAMfi aa+• DATE ppgqgqfifi pp pp CCgg F'FX NUMBER AD;R,_CITY, ST, Zlp ADOOR, C17Y,ST,_21_P__ AODAT 018CHAROED WRITEOF; OPSAACCDUNT i I. ( uaw .«rru- , uYa a«u •.~rra..ti_-.• .r.u wwnaw-.warrrrravuu aw r4YU wruaavua r..ra.,rr.. r..rurw_u -----4r+Vrw ~I 202 29x194 RTII pp C pp pq 1p~ ESPgCE t ROUNSURQV'%M 79067 LEW[C~s{SS A LIE CE PA~%LA 79067 7/1U/S1 2/23/82 67,60 LEW1OVI LE SPACE t RtlUNDORO 201 103104 pR TCH TT TOIJY Moved; left no address, V p PRITT11CSOX TONY 4/20/91 2/29192 93.90 BREYY liS TX 76^227 AUG NEYOX 2 AU TX 76227 HO response to collection efforts, 201 33698.5 PP YOR RONALD PRYOR . RONALD 9/27/91 2/25/82 103.00 309 CACTUS CIRCLE 3309 CACTUS CIRCLE ENTON TX 76201 DENTON TX 76201 No response to collection efforts, 202 290776 ~8YSJRR6~j~j THOMAS ~UURy~OJR , THOMAS 0/24/81 2/29/92 19.60 LAKE DALLAS TX 79069 LAKE 89LLAS TX 75068 No response to Collection efforts. 1 303318 H@@pAI%xfIMAN LOLA RAHMA((JJ , KAYVS 8/21/al 2/25/82 79.60 N 1 IiOX 9499 NTSU %.0 D~NT4N94 NNTSU TX 76203 DENrON TX 76201 No response to collection efforts, 201 336474 CHAppRTARCLIFP JENNIFER pa1C`AODSONN LIf JERRY 9/27/91 c/29/92 18100 C N1dN T% 76201 MITON P TX 76201 No response t0 collection efforts, 202 343004 D0LF p 1 R1 p gg l~ILLIE g L WILLIE 10/19/81 2/23/82 173,00 2!30f WORTH DR GS3 d~08 FT NORTH OR 4$3 i ENTON TX 76201 0 NT2[ON TX 76201 Unable t0 locate, 203 92460 ~T1NO A PAULA k l4 , 217 JBNkS ~ A 76201 9AN0 fi FD7XN1JA76266 No response to collection effortsa~/92 18, 40 4 201 307207 ORB 93 oAV[8 1,APTHOMA9 R Q 11 N 93 DAV1S MH~ THOMAS 6/26/91 2/25/02 18100 L K DALLAS TX 79065 LAK 1 A9gLLAES T8 700611 No response t0 collection efforts, i 4 241 341974 l.L5KE9DEURRRS 8Tl?; NN 79069 ~AHE 9 0ALOi A9R8 OT 7% EN 70069 Unable t0 / IOCAtg. 2/90/82 84. 00 LLAA i x02 252925 7 D p g p ` . 0 , 9k1jTkAN1~OED9LIVSRY MARY R OK 74693 RUT"Lj WA DELIVERY I11CHAEL OK 7465 4/08/81 2/25/92 74.00 3 Unable to locate, 4 201. 349001 18NrjtILEAIRE M103A RHOIJDA bb9NlW!t ~LIAiRE M103A 'HONDA 11/09/81 2/20/92 139.25 1 IIV 9 TX 76059 MRS TX 76055 MoVadl left no address, / 202 294470 I HN90N CHARL80 SSCSHMIDT CHARLES 10/79/01 2/2'J/92 20.00 N ON TX 76201 UENQNQIIN9QN TX 76201 Unable to locate. I i r , 4 OAIE 2/26/82 12:36, F L O W M Q 11 0 R I A L H 0 8 P I T A L PAGE 12 oogg BAD BEST TRANSFER REPORT FOR PERIOD 2/01/82 THRU 21888182 pp gg gg pp L CC PPFXEI~TNUMBEfiR ***40 I NAM City, SST,4ZIP #AkYAgURAAC[TYRBTo Z IPA** ADMITTED b18CHAgGED IOJRITEgPP OFDAACC8UNT 201 366393 JRTTTBANDY CREEK ' BRIAN 8000T8ANDY CREEK ' BRIAN 1./09/82 2/25/82 67.50 DEVON T% 76201 DENTON T% 76201 Patient gave false information in ER, 23/01 201 296301QRKSULLIVAN LANG TERIJVA 69431 gpRKDULI tVAN LA1JE TENVBA 69431 No rsponse to collection effo ts~5/82 52.60 tot 296343 P18 DAVID 8 148 p OTANLEY 9/23/81 6/11/81 2/25/92 8466.40 C b NTONNNIE TX 76201 U~INTtlNUNT 01 TX 76201 Arrangements not kept, /14 { 20l 247882 J~ULON AKS TRAtLab PKA7%OY 70201 DEJTONOAK13 MHP 4 20 8TT%LEY7620lUnabSe to/locate. 2/25/92 81:00 5/1 ~i lOl 285239 OlE0 CORDINAL Ob ' BARBARA 76201 DIENTCARDINAL N06 HATXY 76201 No response lt0 collectlonieff0rtsa5/62 2224.40 201 355982 Q1LAH>}MACITY G1NOK 73139 840jWMA6CITY 010K 73139 Unable to/ocate, 2/25/82 192,35 i 701 367490 87EWART , ANGELA SrEEWART SENNIE 1/13/82 2/25/82 38.00 k08RBBe CNEeTlJUT T% 76227 AUg8RES CHESTNUT T% 76227 Unable t0 locate. 101 140777 BM11O g pDRIB8 41 11M0NN8 O 6/10/01 6/17/81 2/25/02 84.00 V DIIJONACATtON VILLARE'TX 106 76201 NTOWACATION VILLAGE TT?c1076201 Balance after Texas Rehab, (private room){ , i 102 203$54 181x``88 LARRY pVVEtSSM LARRY no r9A~s/ 4 8/02/81 2/25/82 1471.80 1r RNTONLKEY LN T% 76201 OBNY NLKEY LN TX 76201 No response to collection efforts, ✓ i 201 334904 'TSINg98 STEPHANIE V IJEtlB MARY 9/22/81 $/25/02 39.00 V ENTONOX 277 TX 76201 DENTONOX 277 TX 76201 Unable to locate, F 201 324769 tJA Epp AELLIE 14A { ER DORSEY S/23/8i 2/25/82 52.00 ¢'A# QHLAND PK ho DDU i{tlODMDUNT CY ! DEIINVViggON TX 76201 gbNTTpg0nNNN TX 76201 No response to collection efforts, 92 V 201 370692 L' WI VIALTER8 JA11T% 75067 LEW18V11LLPEAB JATX9 75067 Unablle t0,1 Cate, 2/$5/87 75.00 201 320662 ~JLLUAYNQ MICHAEL ~ICLIAa82 MICHAEL 0/21/81 2/25/82 183.35 ALLAS TX 75221 ALA Tx 7l2a1Ila response to collection efforts, J ~y r fr~i t L.../ 1 l t i' f Cf t. .....~.~w~.... _ _ _ _ _ C DATE 2/26/82 MOD: F L 0 W , M E M 0. R I A L H O 8 P 1 T A L PAGE S3 BAD DEBT TRANSFER REPORT POP PERIOD 9/01/82 1HRU 240/82 Ili , ! 111 PATIENT NU`1g q R A,Irrr PATIENT NAgE 444r ♦rrrr ouuARANYOR kAMgg r+Irr DATg OAT g e0TG ppF BAI,AC~g i PFX NUMO R ADDR, CITY, BT, 21P ADDRi CITY,eT1,2IP ADMITTED 019CHA GE0 ITEOff OF ACCOUNT i' 203 307413 V LLIAeIOCUAT Mf1 ' OPHBLIA gjLLJALOCUBT kSl ' OPHELIA l1/21/el 2/23/82 110 151 78 f 0 NTON TX 76201 NT N TX 76201 d Unable #to locate. TOTAL BAD DEBT WRITE-OFF THIS PERIOD; 71107.22 I.I f i J 1 y V i J .V E r , i I BOARD 08 DIRECTORS BUSINE S 4NUTES Date ` _Janear 2 ? Pe ~hn e Board of Directors of m Flow Memorial Hospital met~lTietQre rlfjW;0ssion atng7;00 , Thursday, January 2i, 1982 with the Chairman, MrM/AM 'It$lffl1,Cppresidi, Members present were Mr. Ralph Havenhill, Mr, Brad 'Moore, Mrs, Mary Williams, and Mr. A, E, Wyatt, Members absent were Mr, George Hilz, Dr, Don Holt, and Mr, Dan l'ramMell, Also present were Mrs. Wilma Fritz, Mrs, Gloria Madewell, Dr Roger Roger Nunn, and present for their presentation only were Mr, Larry Rayburn and Mr, B Botourot from Poat, Marwick, Mitchell. the minutes of the previous meeting were reviewed and approved, New Business; udi a rt--Mr, Rayburn reviewed the auditor's report for year ending Septem or I and reviewed the accompanying letter to management, It was noted that the audit showed an operating profit for the hospital in the amount of $36,083 with a net excess of revenues over expenses of $372,766. There was some discussion concerning proposed legislation which would enable the hospital to compute the expenses or costs for Hill-Burton recipients and what effect this might have on cost reporting E procedures. The two recommendations concerning improving internal controls--i.e., placing the fixed equipment ledger on computer and better documentation 'of receipts I and disbursements from the Pharmacy--were discussed. Mr. Watson stated that the fixed equipment ledger will be computerized in the near future and that after the 1 new Director of pharmacy arrives next week, he will discuss with him what can be done to improve their controls. The auditor's suggestions concerning increases in certain f services' fees was also discussed, -The members expressed their pleasure in such a "clean audit", and Mr. Havenhill moved that the Board commend Mrs, Fritz for her ! work. This motion was seconded and passed by voice vote, Mr, Havenhill also moved tha the Board approve the audit as presented; this motion was seconded and passed by voice vote, i ci orb--Mrs. Fritz reviewed the monthly financial summary and outlined ( signs rant po n s on the financial statements, She noted that the average daily censu f for them onth was 86,6, which is 8% below budget, She stated that of patients have been admitted during the first quarter of operation a higher number 111 there has been a 6% decrease in the patients' Iong the of sta, eess this years however over expenses for the month of December had been $896, Mrs, y ritztwascaskedfwhavenues possible effects the proposed reduction in Medicare and Medicaid funds might have on the hospital, and this was discussed, The Bad Debt Transfer in the amount of { $94,960 and the Charity Charge-Off List in the amount of $25,607 were reviewed. Mr. 3 Moore moved that the Financial Report be approved; this motion was seconded and passed by voice vote, I Dallas w ss ihic alai pTice i din o osal-» hra been panne or f"s of 'meetingprwasnpostponed o dueat0athe n Associates Illness Dr. Fuller's mother. It was suggested to schedule a special meeting 'for this e The Administrator stated that a representative from Kitter Peaboby it now avaipulablreOsto. discuss tax revenue bond funding It was suggested that both presentations be planned for Thursday, January 28, 1982 with one beginning at 6;36 and the other at 8;00 preceaded by dinner at 6;00 p.m, Foundation Rona ort--Mrs, Williams reviewed the minutes from the Foundation's j uanuary mee , and the Foundation's annual audit report was presented for the information of the Board. Mr, Moore moved that the Foundation Report be accepted; this motion was seconded and passed by voice vote. i , NHVaSrS+YArigm .wa.. a.v....., .w!r..r..... BOARD OF DIRECTORS ` BUSINESS MINUTES DADA January_ 21, 1982 P•9• Utilization Review Report--The minutes from the December 22 meeting were pre- sented aNd reviewed. ` The A ministrator outlined the numbers and types of reviews which the committee had performed, Mr, Moore moved that the Utilization Review Report be accepted; this motion was seconded and passed by voice vote, edit 1..Staff_Report--Dr, Nunn reviewed the minutes of the January 18th,meeting of the Executive Committee. He presented a list of chairmen of the clinical departmen for the approval of the Board--i,e „ Anesthesia, Or, S. T, Love; Emergency Medicine, Or, B, P. Little; Internal Medicine, Or, D. P, Kagal; OB/GYN, Dr. S. D, Mantrf; Pathology, Or, K. L. Ford; Pediatrics, Or. McGehee; Psychiatry, Dr. N. M. Vasavada; Radiology, Dr, A. M. Finlay; and Surgery, Or, P. J. Montalbo. The applicatic from Kenneth E, Gaston, M.D., which the Credentials Committee, Emergency Room Committee and Executive Committee had been recommended for appointment to the Courtesy Medical Staff with privileges in Emergency Medicine was distributed and reviewed, Mr. Havenhil moved that the Medical Staff Report, including the approval of the clinical chiefs and the appointment of Dr, Gaston, be approved. This motion was seconded and passed by voice vote, Administrator's Report: Capital Equipment--The rJ rectors were brought up to date on the equipment which has been rece ve , `Just prior to the meeting, the directors had attended a demonstrati n of the new C-arm and orthographic table and had viewed some of the other new equipment items. s } the a eCT_irnning--The Administrator reported that a firm had made a presentation to th~T Gaff concerninr the possibility of utilizing a mobile C7 scanning r' service. Ha explained the benefits of this type of service which would have only about a$6000 cappital outlay versus an in-house service which would cost in'excess of $1,000,000. This will be Investigated further, and a letter of intent 011 be filed with the Texas Health Facilities Commission. ` DepartmentDir_ectors--The Board was informed of three recent resignations--i.e., Director of Pharmacy, rector of quality Accountability, and Director of Plant Operations, s U I,"- Or. Nunn asked what, plans the hospital might have in pproviding ou,t-pat an surgery services comparable to those planned by the new I Wnbulatory Surggi-Center, The Administrator responded that a charge schedule has been approved for several months and will probably be implemented in 30-60 days, T HGB Seminar--Plans were made for the directors to attend the Texas Association ~J of Hosp a overning Boards Winner Seminar, There was no further business, and the meeting was adjourned at 9:36 p.m. { A, E. Wyatt, Chairman and Acting Sacretai;;' 9m J - - _..___«.....avvwar«rurvaeim..u:usw.r~,. _ _ q I i ~ la FLOW MEMORIAL HOSPITAL BALANCE SHEET JANUARY 31, 1982 Current'Assets: 1982 1981 Current Liabilities; 1982 1981 r Cash--Operating $ 155,265 $ 120,472 Current Notes Payable $ 124,626 $ 1139181 Interest & Sinking 691 - Accounts Payable 673,472 788,598 Reserve Fund 112 6,417 Accrued Payroll 2639860 193,404 Repair Fund 246 69680 Payroll Taxes 1309533 99,689 Group Health Insurance 1,173 697 Fees Payable 190,546 135,443 Investments/Board Designated 3969398 198,217 Bond Interest Payable 3,354 32878 Bonds Payable 65,000 65,000 F Due Medicare 39,000 Total Cash & Investments $ 553,885 $ 3319483 Total Current Liabilities $19480,391 $1$99,193 Accounts Receivable $2,5591265 $29002,079 Other Liabilities: Less: Allowances (215 428 286 121) Deferred income $ 232,702 $ 203,612 Net Patient Receivables 7 57 Lon Term Notes Payable 249,319 388,170 { Bonds Payable 430,000 4956000 Other Receivables $ 56,383 $ 237,877 Total Liabilities $20392,412 $2,4850975 Inventories 265,272 2059483 Prepaid Expenses 499414 33,084 Capital: i Total Current Assets $3,268,791 $2,523,884 City of Denton $ 393,165 $ 393,165 County of Denton 11696,871 1,6969871 j Endowment Flow Estate 2110,461 240,461 i i Property, Plant & Equipment: Fed. Grants, Hill-Burton 158680910 10868,910 Land, $ 379547 $ 379547 Federal Grants 266,371 266071 Building & Improvements 3,037,195 30001,472 Pledyes and Gifts 468,680 373,300 Furniture & Equipment 4 328 286 3p923,446 Gen, Fund Bal., Beg, of Yr. (686,770) (1,069,536} ~,6W $5465 Current Year 821942 127,126 ; Accumulated Depreciation (31968,777) ,(315691791) Total Capital $4,3109630 $3,896,668 ' Net Property, Plant & Equip. $394349251 $3,392,675 TOTAL OPERATING FUND $6; TOTAL OPERATING FUND $;1i;lSA`"~' $7$r Current Ratio 2.21 to 1 i , r Page 2 F L 0 W MEMORIAL HOSPITAL STATISTICAL STATEMENT JANUARY 31, 1982 p CURRENT MONTH YEAR -TO -DATE P RIOR Actual Budget Actual Budget Year-to-Date Adult Patient Days 6968 3,069 11,237 12,177 11,843 Average Per Day 95.7 9910 91.4 99.0 96.2 ; t Newborn Patient Days 399 403 1,582 10599 1,306 Average Per Day 12.9 13.0 12.9 130 1016 Gross Patient Revenue/Pt, Day $ 373,05 $ 388.59 $ 369,21 $ 363.25 $ 294.44 "a .Total Expense/Patient Day $ 325,73 $ 304,03 $ 321.56 $ 292.55 $ 253,53 E t Month Charity Bad Oebt -Recover 7 October $ 72,027 $ 49,646 $ 7,406 Novemeber 52,097 158,643 5,421 December 25,607 94,950 5,666 January 16,366 879082 80998 $165,097 $390,221 $ 27,491 % of Revenue 4.0 9,4 1.0 i~ -s i i i 1 FLOW MEMORIAL HOSPITAL Page3 STATEMENT OF OPERATIONS/ JANUARY 31, 1982 % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Other Expenses Prof t Loss ) Daily-Hospital Care 76- $ 216,877 $ 129,651-" $ , T , Psychiatric Care 5 560184 28,827 436 29,263 26,921 OB/Post Partum 5 585827 16,023 1,048 17,071 41,766 ICU 2 22,275 10,834 759 20,593 10682 Nursery 3 30,320 11,171 19975 13,146 17,174 Neo-Natal Nursery 2 20,100 14,403 268 14,671 5,429 Coronary 'Care Unit 4 41,370 34,483 21336 36,819 4,551 z Labor & Delivery 3 32,164 240720 4,986 25,706 69458 ? I Operating & Recovery 4 43,816 20,031 10,915 309946 12,870 Emergency Room 3 30,769 14,632 21,146 35,778 (51009) Central Supply 7 78,485 8,739 35,155 43,894 34,591 R Laboratory/Blood Bank 10 115,858 52,001 52,001 63,857 E Radiology/Nuclear Medicine 6 64,165 16,825 19,917 36,742 27,423 a Pharmacy/IV 14 156,167 12,378 33,622 46,000 110,'167 Anesthesia 3 35,440 13,620 4,658 189278 17,162 Cardiopulmonary 2 215927 59603 99087 14,490 7,237 Respiratory Therapy 6 70,739 14,057 6,705 20,762 49,977 ' Physical Therapy 1 8 649 6 650 1Q58 8 008 641 j Total , 3870647 $Z12,662 $ ,309 503,BZ3 2 Deductions of Revenue $ (34,966 $ 34,966 Charity & Bad Debt (119,015 r 6 141,96 Employee Health Ins Exp $ 41,936 41 $ 3 Medical Records 281 $ 11,389 39751 15;1940 14,8 9 Gift Shop 11942 29114 1,566 39680 1,138 Cefeteria 110119 26,776 24,598 51,374 400266 7 321 Plant 179322 56,999 740321 74LsO Housekeoping/Security Service 30,113 51985 36;098 Laundry, 79604 20081 90685 Fist~l Affairs/Data Proc. 80345 50412 13,757 Busl6dtt Office/Cr. & Coll. 23,968 71211 31,179 Purchasing 11636 865 21501 Personnel 30705 1,565 5,270 1 Administration 61530 1,778 8,308 Quality Assurance 642 204 646 General & Administrative 651 - 37t733 37033 Depreciation - 34 0 34 20 Gain (Loss) from Operation (1190§69) $140o144 $2260304 366j448 1JOn-Operating Revenue 25,000 25,000 ' F6undation 4 088 4'OB Total 1-9-93123Z 6 - it a FLOW MEMORIAL HOSPITAL Page STATEMENT OF OPERATIONS/ JANUARY 31, 1982 YEAR-TO-DATE % of Salaries Supplies Total Direct Operating Revenue Revenue & Benefits & Orher EExxnses Profit Loss Daily, Hospital Care $ 816,21 $ 115,761 2~ 4y $ 119,,266. 82,812 F' Psychiatric Caro 5 ` 081Past Partum 5 215,849 60,922 4,355 65,277. 153.;766} ' ICU 1 490600 57,856 31490 61,356 3 1270696 45,742 90287 55,029 72,667 Noo-Net 89,625 56,658 10713 586271 31,354 ' Coronary Nursery 2 Il 282 145,938 39,869 Labor Corona 6 ry. DeliCarevery Unit 5 3 131, 185, 807068 1340656 84,979 19~,130 104,109 26,959. 1 Operating & Recovery 4 179,629 79,979 370228 1170207 62,922 144,309 ( 19,188) Emergency Room 3 125,121 61,074 83,235 1520203 1200419 Central Supply 272,622 360033 116,170 187,647 224,095 Laboratory/Mood Bank 10 411,742 - 187,647 130,994 Radiology/nuclear Medicine 6 263,748 669112 66,642 1329750. 570,912 47,236 139,203 1869439 384,473 Pharmacy/IV 14 Anesthesia 3 144,195 51,400 190886 71,286 72,904 Cardiopulmonary 2 77,564 22,427 31,814 754t246 239318 8,853 154,174 11 79 Res'piratory Therapy 6 2380027 53,319 25,634 1 35 672 22 268 1 525 2 793 -1- 881 Physical Therapy r + Total .d 4 Deductions of Revenue 173,041 173 0 $442,068 142 ,,06 Charity & Bad Debt 117,639 117,639 117,639 Employee Hdaltf Ins. Exp. 1,312 $ 43,817 $ 118,659 62,476 61 011.4 Medical, Records 8.020 90806 69913 160019 7,999 Gift Shop 430123 105,987 102,697 208,9684 165,561 Cafeteria 69,081 221,817 2900'98 2909898 ! plant 113,953 18,074 132,027 132,027 Housekeeping/Security Service 290008 80815 37,823 37,82,3 Laun'd'ry 321676 17,627 50;303 50,303 Fiscal Affairs /Data Proc. 95 923 32,483 128,406 128,40.6 Business Office/Cr. 6 Coll. 6,604 4019 110523 11,523 Purchasing 14,626 13,719 280345 28,346 Personnel 24,363 4,750 290113 299113 Administration 6,473 569 7,042 71042 Quality Assurance 14ji3 112,329 112,329 11'0,911 General.& Administrative , 134,807 134,801 134t8071 Depreciatfon , - $~,~3i , ► 3 ( 37,459 1 Gain (Loss) from Operation 104,050 Non-Operating Revenue 104,050 451 Founddtion 16 351 Total y r, A7 Page 5 v FLOW MEMORIAL HOSPITAL r SUMMARY OF CASH RECEIPT AND DISBURSEMENTS Year-.T0- ate CuT rrent~ h $ 68,074 $ 125,906 Beginning Balance $3,314,089 Cash Received from; $ 895,690 27,491 Active Patient Accounts 80998 45,227 Bed Debt Accounts 11,678 311,781 p 027 438 Cafeteria 241,739 328 ,850 Apppropriations/Donations 10 009 1264'1_ X4,096+5I Other Total Cash Available $ 438,326 $1,708,673 Cash Disbursements; 223,029 Payroll 57,763 68,347 Payroll Texas 13,305 196,048 Patient Refunds 86,188 52,590 Capital Assets 80148 11 693 J311.1§4 1 51' Notes Payable 632 529 365 other, 1 ?1 3 X398 _ ~ Total Disbursements 39698 Cash Balance ,Cash: investments Total Cash $4,138,973 $1 100,639 32 95 Gross Patient Revenue 84 152 Less- Allowances , 8 a Not Patient Revenue $3 314,089 $ 8950690 68 347 .Cash Received on Patient Accounts 13 305' ' Less; Patient Refunds 85,1 1 -Net cash on patient Accounts 86 8% Cash Received as a % of Revenue r s `r r +i i 1 Page 6 PLOW MEMORIAL HOSPITAL " AGED ACCOUNTS RECEIVABLE SUMMARY JANUARY 31, 1982 f - PrimaryPa or f -----..._._.Currant X31-60 61-~U 91-12, 0 12_ 1150 150+ 10ta1 L Of A R Medicare $ 222,015 $ 102,698 $ 25,600 $ 47,200 $ 15,861 $ 50,436 $ 464,310 6,5 % hodicaid 549230 12,171 14,035 8s614 198 13,876 103,124 4.7 % Slue Cross 100,874 88,151 7,296 ' 12,722 19290 149977 225,310 10.2 % Commercial Ins, 341,959 162,767 663497 25,939 60788 27,784 6219734 28.0 % Self-Pay 260,999 180,455 148,505 74,279 68,101 93,783 8160122 36,8 Balance after Ins, 88 582 76 46 807 39 74 27 999 27 461 30b'9 8 13,8 Advance Medicare 32 ,220 I Net Billed A/R In-House $ 9 416 Total A/R $9' A/R by % f Number,of Accounts i Days of Revenue. Accounts Receivable 65,9 1 In-House 11,2 I Total 3 - t i i j i s. ( Page 7 FLOW H 0 S P I T A L @AlO.ANCESHEEAL HOME HEALTH JANUARY 31, 1982 ASSETS LIABILITIES_ Cash $ 15,476.39 Accounts Payable $ 139.77 ~ Accounts Receivable „ 59,292.83. Reimbursement due Medicare 79550.00 Total Current Assets $ 74,769.22 Payable Due Flow 16,367.06 Accrued Payroll _ 2,601.34_. E MMENT Total Liabilities $ 26,658;17 Furniture & Equipment $ 10615.00 CAPITAL Less Accumulated Deprec. 269.16 Net Equipment $ 1,345,84 County Home Health $ 36,862.49 , l Retained Earnings 12,694.40 TOTAL OPERATING FUND X76,115.06. TOTAL OPERATING FUND $ 76,115.06 I 1 k Current Ratio 2.81 to 1 ; ~J A { r r Page 8 FLOW MEMORIAL HOSPITAL HOME HEALTH k STATEMENT OF REVENUES AND EXPENSES JANUARY 31, 1982 Year-to-Date- REVENUES Patient Revenues $ 18,618,07 $ 609177,57 Deductions of Revenue (124.30) (39423.86) Net Revenues $ 189493.77 $ 560753,71 1 j EXPENSES i j Payroll & FICA Expense $ 11,670,83 $ 379387.67 Supplies 828.76 3,502.24 i x Travel 807.82 3,000.24 r Depreciation 89.72 r 269.16 Net Expenses $ 13,397,,13 $ 441159.3.1 Excess of Revenues over Expenses 5 096.64 $ 12,594.40 ' .s 44 + r r DATE 1/28/82 10:44: F L 0 W M E M O A I A L H 0 S P I T A L PAGE f~~...... ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT CHARITY CHARGE-OFF LIST p PRE-ADMIT DATE JANUARY, 1982 ppPppTIHkT_ NAME qR uu gp tltl NOM ENS Cc ?l t gg .,pgD1pARE X INfl M PAT1ggNT 7aTrpAt I1II11{,ggD ■IN5146CT PATMBNO.r OVARAf1fOR ADDt2B89R~-kPH4NE NUMBER 2%0 6s4HAA0E BATH -MEDICAID X DUE CURilEN7 3ALANC6 7 g g%61 ✓ , JAIL. v y`} % i2 , LOVI8 8j 38. 00 p pp r~ AL 23 N ppUUrrS ggN 33468 rr~ 38,90 $i T0Oq COqUL NyY TX 76201 Denton County Jai: 4: { 1r A4%N 33 911123 B qT q COU~~VJAIL i,LOX28 76201 87 1/ 7/8, 1 36,00 31:tl3. ~8« Denton County Jail,; gs + ANOgL EELA gNAEL LELA 87 / /arfy1.459 38 8260 A pp p0 t2,00 104 SS~871 111 N ELM 387 3256 1 1oS/~ //e} .160,Qtl 3 :00 J, DEN O TX 76201 Balance after Me ptfared'Medicaid.' 4• V'-t DE101 M AH BEk!J MARIAH 97 12/3 3 / 1.900. 00 2504-80 gg 10 36376 77 00 8 STEM DNS 8 l2/ Q2114,90 » UNTON T.X 76201 Hill-Burton criteria2 / V 38: 3Q ; BIgg NB 301$98' 403JBMITH61001NS BOBBY 450 3498 BQ 1.%S7%SdZ 3. 38.00 13A14GER , 'TX 76266 - 4. { N « Denton County Jail, 7 6~ CAMPBELL NAITER R Wp CAMPBELL ,WALTER W. 87 / / ..1 74.60 t 7~: 6i7 h1r got 3JA6r n~NTON COU~TY JAIi TX 76201 9 1/07/2 , Denton County Je11, p CCpRq 7 g1 1 1 150100 20 o0 ISO CARS, 103992E B ND DAItQ CTA IT 2 Bb%2634E 032 1 %2%B 503.16 1913 Di,~.00 J vC pp yy ~j DLNTON TX 76201, 81 lance or Me c g 77 Q q g q TTgg Ba ~p CARi6R 1220442E UPON HINRLERARIVE 00JOSS IE 63 11p54 32 01 ;1 ;03 16:00 7 00 J d CAA;, TX 76201 Balance after Had care.and Medicaid. COggpp 0pN EL Sg cOBOB DANIEL r p q g 96.00 ; t`r 209 231951» DGN ONUDDBLL X106 TX 762011223 Sq 12%14%61 98.00 Denton County Jail. ~ CO r a: ' ~g QQ fg q UDDELL X106 TX 7 1223 1/1i2%82'~r 1' 36:00 96: k . 36 205 23D1K 5 I i EL CHAT COBOS DANIEL 201 Denton S4 County Jail, 0~ n bb: ;i » pp M APpgAN J 0 9 l / /E 465 80 2648 A too, 00 223 50 3073. E 4 DA 0 IN 04401 133 N WOOD HHP 436 0325 1 11/$3/81 , _ - v ~ y!E rf t - 1 . 1 i r I 'S 11 E • DATE (/20/82 10:49: F L O W M E M O R I A L H 0 8 P I T A L PAGE 2 ' 4 ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT gg'R OuuAppA 7ppR NAME ~~*r/CC pPpRppH-1ADM[T DAT Mgp1CARgg NN p4rA II~~ ggpp t 1'4 PppgPg xxIQNT NUAUM INS N PA;IjNT «INDISCT-pAT, NO.« OUARANfOR ADDA~89 PHONE NUMBER R/C D1SeEHAR06 OAT MRDICAID N DU CUpgN~T OALNCB i. LEWIOVILL6 , TX 75067 L1/11/01 223. 50 « « Hill-Burton criteria, 4 S 4' 11AN21BL8 ANN" Y AEN70N AREA 1CENTER 99 11%88%81 0. 900.01 40,00 4p. « 4 pp Minor resident of Oenton Area Crisis Center, t41 38,00 3B. V DA~681 368G19 ppEN10N COUAVISJAIL 'O6N9 S9 1~10~Q~ 08 E « DENTON TX 76201 DantOn County Jail " 5 e 4 3~ . p D DAyd 140.U3fi S AR gpuT~AVIS MONTfi 81 76654218 978 62jj jl '504719006 , 150• 00 10. 70 1840.0 4 106 0 tNEBV1LK TX 76240 b/t / t « TT tt r gg Balance otter TeXas ``Rehab, r pp dRfi04N0 12a a. 1gHtNO W7NL1& J 5tl6b 8~ LAKfiDALLAB 6%l9/ 1 000978259 ,150100 19 18,00 1 +i a LL« SS Balance after Medicare and Medicaid: TX ' p31 L00.00 15.60 231tl 40 %W Dpi ON 3B307V E lM OD MASON MARY 450 0927 81 11/9 %Bl T 1 /04/91 « « 3NO q Balance after Medicare and Medicaid, p ~e FL ;JHF" 00266Y u03T0UYANFLSTCHBR ,HENRY 76g3 201211 91 1%f4%gt 1091B40g00fA t00.0$ 24,00 00 116, (1r e o ppgg11.. « BN q Balance after Med4are and Medicaid, 4• py PRAga" 307Q7~2Y 22~ LOUtgEAt1 HE8T JAMES N2N6 Qb MAI 900.01 l0,>ZO 110. C0 ~ V D NON TX 761201 1/ b/; « ppppg4 Balance after HHHR contract, ~p 38.00.$$ FRH60AN 00966RT FREEMAN ROBERT 0q Milli I canton County daft. ' 2g 07 1/99 900.01 24,0 gg 2p i(V 00N ALEZ 300~1~V1A gg 11 ooONZA2gg7 BIW1A76 0 11 2 D~NTON AW 6Y VIEN T% 1467 0 Q9 J Bal once after JAI. Ok0g+218 0630365 y~gNTp(~ COUPLTYI~JAIL DAVID S9 l%09%8l 39, 00 R aE14TON TX 76201 . Denton County Jail, f IF f I I s4 L ,r R ""Vol r r r 1 { r.... i w~..rururaltr~ ~r ' _ ..,._._.........-~....V..r...._._.__~. .a . i L DATE 1/28/02 10:06: r L 0 W M E M O R I A L H 0 9 P I T A L PACE 3 PrF-DMIT ATE fi xrr( ! n ACCOUNTS RLCEIVASLE AACCpppOUtNT STATDUUS gREPOyyRT t pp p CUM T f 1~ 07N61 6C7TPANNNUl! T DIttl, +f OUARAfIrOgOADDfiE99R--NP110NE NIIMBLR R/ F18 DI9CHAROE DATE MlzB1CAID M INS N PAT~IgNT CUiJMT Ikkul! r e bVrrIIERREZ g vvgRtl QQ gApOY ,OAKS 87 p/S` /8g1 1 0p 12,00 fOl 348,5A6 OENTON X 634 T% 763387 1909 1 0%~Y~6,1 x.1`;8;00 1>11# ~ ' * * p ~H{ Rp Balertce after Medllllcae`rlle and Medicaid, gg yy vo ( HAROSLL 93390AREj$NTQARDINA{,WELI p7%EIJE73021332 94 /0 ~~Q 900.00 1627.76 16 7`7 ' j " H111-Burton criteria HFUMAN M1`prlIE HEUMAN MINNt[1 22 87 b/ 3333/ 1 4S7b2 1D I 1 0 00 13.00 102 16310 TIC10A T% 77486Q367 t 6/ ~ f y0234 671 4:150; 00 7Q3. 40 * Balance after Med~'a nlld Medicaid. ^J 00 NANCY 87 / /Sl 100.00 07.00 qp ~p pcbbMS PAMkLA HHppLCQQM~1D 333 f06 292409 024 67ARBTTA qdT 202 1 q3374408 21/181 419268701 HOL , 407.00 * DALLA TX 722! 1111 4 0 IL ~1I,LL rr balance after Medicaid, 40 ++88 pp 10 LJ;PORpDgf TOON COUNf'S'EJ/+IL , CLIF•PORD 04 1%87%81 9. , 70 HUBii TT tf6 48, 76 ' DE17 N TX 76201 Denton County Jail, 4, FIU L TT DARLA g NNU E1 DARLA q 8 / / 2 1. 38.00 ~ 0 367024 1;~1~ 8a COUN~~ JAIL TX 76201 1/13/92 • 4 W ! y. Denton County Jail, i JA2pKBtlN gRgg11Y gg Lgg yy JACKSON 6ETTY 8 t / 3/ ! 00. 00 19. 120 ` 01 3K067 U6CATUR iX 7624106 2 l/13/tl3 f * * Balance after Medicaid, V q0 qq gg. pu V 6x0%0%81 !00.00 1072,36 99zz44 pp W 8V[1'LL886M22' MOZlCA72`62213037 JAkU$L 02til~CA lpC1 k » fOJR, ~6 ` ; w y pp Balance after Kediaoalgd 8f' JgJfOJtlN 363o44 E pp11t r~N COUNTI6QA[1. WAYNA B9 1!2$%21 }3~ 4D.OC 4{pp gyp } 1r BVIR , TX 76201 40 00 ' ] . .1.~ +r rree * Denton County dolt`;. g op KlJx03EK >26439pD W80 COUITY~JAIL EDWARD L 8q 1%$$%A 1. 38 00 88.88 N T% 76401 Denton County Jail,; 1 KUtQgH 1i gp``,,gRb EDWARD L Will 909 00 100. 00 100. 00 g1C QbE03A D64ON COUNI'1~CEJAIL 8 t,> n r, i r.~ _ 1 i : DATE 1/28182 1101: FL 0W M a M 0 R I AL H 0 8 P 1 TAL PAGE 4 e . a Z ACCOUNTS NUMBER RHCHIVADLH¢ CACCOUNT STATUS WORT C gg M qq 'b pppAggpTtIxxHNT ~IAn6Dgq 0 T$R NpNtl R%C p~ CHAROS U DAT0 M6D~CA[U M Ne M pARUHN~ CURRkT ~AIL.AkCH ' S. V wINO1A6cT PAUuY. f;0, A OVARAWOR A6naS 3 100.00 OHNTON I TX 76201 Denton County Jail, 4, r ♦ '38.00 t Hw MMqq Qq 33 p~pp '1r MA21 MII.HAEL DDNTON MICHAEL A 89 I1G9%l t 3,00 } 36 DHNTON COVNTYNJAtL {y If 0b9 , S6ab`Y,J~ entOn COutyJail 1R' 267,.00 p2/RID 130.00 61. 00 pp MAYES RINI C gg pMAYES ST 16L C 4 07 11 %91 422291001 . f, 101 259905 LW1~VILLHARK DR TX 70067 4r w « Balance after Medicaid, q tt ppMT~N pp T% 76 66 900.00 960. 90 4R0, V MOpg6 309914SA DDOP IIRBOM1d10 SUSAN 6013493 989/ Hill-Burton critor~a. w w g 900:01 27, H8 %W MQ%jL 340108 j4ANA0UTUMNOLA4 ATXN 70070 87 SO% 9%9 4 * w ~P A Balance after MHIIR contrect. ' PAi01H2R 114916 DENT OAItP8T11ER J7XH H7 eft 9771 96 l ISHE 900.01 29.33 4 d RR 3 L w w Aalance after MHMR, 39.00 p PAgO LL 1018 7tD PANttHLI GERALD 89 f%tOJ/p2 t, 8;• J w w Denton County Jai 1. gg tt UX 11 2:900.01 2997,00 2977. 1 i 1w PAIJIMSON 18CR>23H aHf1TON16 PATTHRSON 'r80%TN 7307 7044 p6 !%ai % 39 H0 1-Burton criteria. / I i, S w pqqq w oE 900.00 71.76 7~;'TJ A RON it PA~jRSON 2SHIM..111 MCCORMtfk ''STg76R01 S~ 7%Q/8~ 008180870. ~f w OEN ON Balance after Medicaid, 7 gp J 1 b PH pLHS N M PCgDLPS HDWIN 11 ' Sb /S718tt 4q, Otl ppGpUutt BR UN COUNTY JAtI 01 36S63bw DHN7RN , TX 76201 Denton County Jell. tw w 40.00 gg ggppWW gg gg gg pppp TpN CO PPgggg VNTYLHAIL HDIJIN M q CO P60~6 360b31~N pNM 8 w RBNTON , Tx 76281 Denton County Jail, i 4 V 3 wlstl~ i `771 DATE 1/20/62 11:07, P L U W M E M 0 R 1 A L H U 0 P 1 T A L PAGE $ ✓'%i 1 pgpp RR uu nn ACCOUNTS 8WIVABLE ACCOUNT STATUS REPORT 1 ♦]NDIECTTpAT100r OUARANfOROADdR69HR--NP>IONE NUMDER R%C DIBCHAROH PATE CAID M INS M PADDONr c1'1R~~~T BkOCE ' V J PEW K NgETH yip pg 1' KENIJaTH W 07 1.400.01 411.80 ~yQ S20t 36423 OrJTON COUNT JAIL t% 76301 q 11/81,18 3. p1: ° a w, pp pp pp Denton County Jail. p 4, P10E010LOV 39760 1901 EDWARDRAPTLit AMIR 3033943 8 9/00%81 L. 900.00 36,00 00.88 •101 337600• DENTON PP gg T% 76 1 Indigent care. pp gg .4. PI0 561373 4A PHgENJ%TApTB LISA p669061 nZ N%Oi%91 205747107 164.00 16.00 ~ '0918 2 SIDNTON T T% 76201 I1. } Balance after Medicaid. ggg q + p PU181 354dVb 413T ,J PRASRIE JO%N 762016333 96 l> j 4%8f ; 900. 01 469.44 449;,04 / s t r Balance after Crippled ChiIdrens funds. 4r I REED pa ALD W pEN~~•ppN OHVEL, 6 /pp/g` 1.560.00 24.60 08 10 3 303614 909 N LOUP 2B9 307 0625 4 t~/17/91 $-013039-35 2, C4; J 1 * M DENTON pp ggpp T% 76201 Balance after Medicaid,; r 4 RE201 360301 BENTSN COUrNMEJAIL GARY 8j 12~18%881 y 40,50 43.6 5 E14T r Denton Counnty Jail, .6 y N ppgggg T% 76201 45 1 V RE000R 060321 nE COUfITYEJA[L GARY eb [%%00 39.00 0g DENTgrI T% 76201 Denton County Jail.; I48; 88 ~ M r R '064 3100tl0Y $ MTg COUNTY JAIL ,JERRY 76201 9 % 0%Og 46. ea $g; i G Denton County Jail. e SAND gguu A Bug pF 4~Rg• LEROY p 07 ``Ygt/gg 160.00 t0. 00 + B ! 31694 OONT WORTH DR NJq T% 76201 2 11/{21/91 RI0;,00; J r # Balance after riedlcaid,. 4 BC 112 bi0001NEPpp pp((}}% i1300TT GLAD INBNONE 62 1 4207$17-01 160,00 266.04 1 Qy Q DHN?8N T% 76201 % j 8 . 0P0,0$ J w 0 {~~t gg Balance after Medicaid.' SEAGR~AVE8 034~74g CARE INN N5AjRppyy 0OEHOMQ'ALJCE 01 $%00%0j 459300149A 1:j80;00 19.00 $474.4$ ~ V J t I\ .,r . / ITA narE 1/29/82 13:10; f R L O N M E M O R I A L H 0 B P I T A L i j PAGE 6 I i (4 ACCOUNTS RECEIVABLE ACCOUNT STATUS REPtlRT PR OptI914T O~AA1MY ryry u~1 MMTT M~pp CC pp Mggp cc RR qq »INIRECT~FA7. 10 QUARANrOR0ADDRE8811_.NIONE NUMDER R/C 01S~HAROE ATE INS PA » R/ A H T ATE. A R M TI6ENT CVNpRENT D gALANCB M60~CA[0 k , rA 1, IL1,gp SANGER G » » r 7% 76266 10/Ob/8l It q tt1, Balance after Medicare and Idedicald, 4. is. 00 1 Bt101 3~Oi9gLESt~T DO%t~90 CHARLES 6 IN 8g I 468098797A » * oEN qN T% 76201169 1rlg~ 1.100.00 153.40 J& &gS9•f~ 111] 8a 880 4. 81108 110e6ER nr 2m Box ~E~o CHARLES u Indigent care. HMO 1 14, TX 76 0116q %Ob%B,1T 1.900 00 1858.76 ~ » » 2 1/O5/ 12 Indigent 991: tr QQ CCpp II care, SM10kM 46gg6rrf6L 9EN7(SNRRO{O.M84TV0 E7XEL 76201 87 f// 7/g` 453 `p 989gA j: D0 11 N0 s 0 1 ~0/8f 1-10135301 33100.00 » ,1p Mr Balance after Had care 3613 14991 f0 r ytand Medicaid. 4; 1 9 ` SM[fi, 4n8 OENTON COUNTVH JAIL JAMES 69 1211Q%81 38, 00 Q00 NTON g pp ✓ I ~ • » TX 76801 00,00 J Denton County jail, g; 6M~I~H JAHKS p JAMES D 87 1 36 9 U2NTON 00804" JAIL 9 61 1%0y% S2 f 1 51. 50 L • » , Tx 76201 Denton Cuunty Jail, 1 1; ol. :92 36J619o DBNTCN N COUNTY"JAtt JAMES 0 89 1;12/82 1 1r am » » DEN tl ~B.OQ g o0 TX 76:201 Denton County Jail, t 38; pq 6MtrrY q0LA 0 IS TTY 54DDV 6B 7 t e Ike, lOt t9S I6MTON RSHAL 1tt%82%6 g00 Ot 10. f3 » y» TX 76201 Balance after MHM /03/91 160.Cp 0 J b 8N10i1 330668 ggEOooo rrHtlHPBgN VgNjgb1, MARY q%1 %S g~ ; » ATUA TX 762348165 61 97 9014104 » D0195 A IN: ~008 1!1.00 IN l 70 4 ggC µ n ggq(~ q a Balance after Medicalre sslgga~nd Medicaid, 0 ~ j 161E 369612*IJApIL0 XrVO LtfN GAY 762982457 88 %88 3/8 J » 100, 00 $0.50 / i• 849o' 00 I. Sp ®VARY RpgIE EPRASEARY ao81 ClalanCe after NediCa1ld,gt 6 g 4 ' 11f M20AZ 146tiB IENTON01MAN E TX 11181 2421 SI 18/11/81 106g 0o6806A 1.100.00 16,00 ag opop J j 1 Balance `41ter Medicare and Medicaid, 00 f: ;I u , s~j. ' 1^ f i v ~1~ r t DATE 1/29/02, 11:11: FLOW MEM0R I AL H 0 S P I TAL PAGE 7 pR pppp xx ggH1{ V NN ACCOUNTS RECEIVABLE CACCgpppUUNT 9TATpUUppDYARPORT +[NJYTECTTP tM0110.~ OUARANYOROAUUtAtE68R--NpHONE NUMnEYt 'R"/8 616CHAROt1 OA I M D1SAld 4 1N3 N HADUB"T CkARM7 ~ALANCE paggtt 8 po y SP2A011EARY 14651<3E 1119 NURMANRAOEARY 11091E 302 2421 BI ISI /Bt tot 6~01A Ri~0S,00 3Z. OD 1J215 l a DENTON TX 76201 Balance after Medicare. 33 S7A EV 77HppMAB pg 9i LEY THDMAg 0 Q/0 /91 H. 391,00 a8 Ir 2101 386669 b$NtON COUNTY JAtL TX 76201 1QJ0 ry Denton County Jail, 4'. sh 8 97p MY TH05A9 ggTppLE1' THOMAS 0q / ' /8g1 t• 30.00 qg 9B 00 386667 ONTON COUNTY JAIL 7% 76801 4 10/00/51 2 4. p { ~p E Denton County Jail, STALEY 3.16 6MA8 DBNTON COUtiT1'BJAIL 7TZMA976801 99 l0Si3%a11 900, 01 103.20 100.,,,, r 4 Denton County Jall, 1L tl, qq Vu 11 7 p1. 150.00 97.00 4387 00 ; 034 2• SUfL1VAN 86 h11AMgW JAMA$ALLNAN W7X. 7009093355a a~ I1,,1/111 v0 ` 61 e6 3. F « MAN Balance after MedtC 1~ 4• TA K NO70N L Sh pp 0 7A K NNOTtlN CHARLES 97 1011/1111. 3'900.00 434. 9K 4 qqpp } 3, 404, 99 V ~OD 321 62 DENTON RNOH 8 1926, 7X 76Na0E/3822421 0 812/1a2' q Hill-Burton crite`{riaaQ.y 9 4' pp. h V gQ 67 ~t/QD900.01 15.93 Qa00 SJ9111AR`O ryIJO FW WTXDA 79916 1 06 1 / UNGEOIWDDD 34B044A DOO .1. « Balance after.MHMR' k rrTT` u i1 g 3 gg bb ggqq oo X391 3239'6 D6NTON AtgHgta2 BOX 6a4 7X Y 7601871509 072 9%16%1, 1.150.00 18,00 19,00 y * » Balance after Medicare and Medicaid. 4. q 7p p pp WH ff''lOb%8l 900, Ol 218,56 21 b0 g 4 NHIDEMAN N JR$ NTSN CDUN Y6JA1 034 Y1 JO%N 76201 B Denton County Jai # ,1. M'~ 4 p y 7 g - 900. 00 77, 50 4 it~ g SO , ~ t ,277 4665 ~g li11110~ L W1101ap 1327.8 DENTONUTHW UpOGIL lt2~JT%E 76201 $ Balance af7ter, 'hdiitaiid.g . WOO pgAN y~tlpppp DEAN B& 12%10(91 38.00 3t,QO J 201 360313 DENTON CAR JAIL ~ y[~in1 kIj ~S i is s 4 y PATE t/28/82 11:16; F L 0 W M 6 It 0 R I A L H 0 8 p I T A L PAGE 8 ACCOUNTS RE:CEIVADLE ACCOUNT STATUS REPORT PpppgA ENT NBMpR 0upRANT~(yyR N 11 p/p PRRnMME-ATDMIT pCAATT,gg ppjg8pj8CARggO p INS N PAT1gNY T 'LLgtl } L wINUF1+CT~pAT,0.* GUARANTOR pDORESB PHONE NUMG6R R/C 61B~kARQG DATE MLD1CAl N OUE CYpURR~~TALANCB DENTON TX 76201 Denton County Jail, 3. 39-00 * 4. WOOD BAN V10 D DEAN 87 1 /g /e1 pt 35.00 R 202 36353 1)gNTON COUNTY JAIL TX 76201 Centel County Jai, /Qf 3. 31' 88 * p pp w pp 4, WO 203 3603ta pg TO COUNTY JAIL DEAN 89 1/ 5 a 38.00 * M DBNTON TX 76201 l.88 Denton County Jail, 4; ZIPPERER KATTd r 21PPERER KATE 87 4/o6d55/11, 456-58-9927-D , 33 100.00 02.00 q4 *1i?3 . 2339R3* PIL T POINT TX 76258 BalenCe after HeicBld. 4 7232. i V E 4 I J ~ J 11. LLr~r , f Iw DATE 1/28/82 11,16: F L 0 N M R M 0 A I A L N 0 8 P I T A L PAGE 9 ,II ACCOUNTS RECEIVABLF ACCOUNT STATUS REPORT SUMMARY PATIENT CLASS COU14T PATIENT INSURANCE TOTAL Du DUE Du OUTPATIENT 2 34.80 .00 34.60 INPATIENT 33 13260.71 .00 13268,71 EMERGENCY 40 2062. 69 .00 2062,55 TOTAL ACCOUNTS RECEIVABLE 77 1.4369,76 00 15365.76 rMr«M TOTAL NUMBER OF ACCOUNT8 IN ERROR +rx» i 4 V V , j V J 3 f 1 II J i J . s. 15 ,I .MrYY~`.. i Or bM,..x.u. H•~+11,Kv,w t.,. /':II ' HATS S/28/r4 10,44: F L O W M E M 0 R I A L H 0 8 PSI T A L rA46 1 .R t ACCOUNTS ARCRIVABLE ACCOUNT STATUS REPORT - CHARITY CHAROF•Opf LIST Sry I<< MMgg qq ii gg p ppttccJANUARY, 1982 ~p g`~, g~ PppggF xx N~~jjMB g 0qppNTTppR N ~j pQCHAROS DA76 ND[CA1D N INS 0. PAp1U~"NT CURd~T BAL~NCg''`l j; y_ HINDI ECTTPAY; OUARAHfDR XWE 9 PRONE NUMBBR p pp 1.0p$ ALtgN LOUtB 39.00 , , ~N Ott 1 ~ + AL 00 33p46~ g NTNN COUNTY JAIi. ~Tx 76241 Denton CCun Ja N N aN pp r, AL~04 33L46jB CNNTQN COUNIWJAIL LOXIB 76801 °a 3 07%8 35 00 5 t Denton County Jail "n N N , J ll QQ 1700 b QQ `g ANGEL LELA 87 459 38 5260 A ,I$g, 1 387 328b 1 / i 11r AN901~ 1838 1 l6 N Et 11 09 TON TX 76201 Balance after He care nd Medicaid- 900.00 2554; 80 N M R1 1N1 0n gg gg NtNJ MARIAN pB DENO1 3637J4AH 0N 8T1E3E1NON8 TX 96201 111 / D> H111 Burton criteria. 38,00 8120~NE~. 30I$$SY 403J MITHBIOBINS ,DODGY 45A 3498 B L%~7%87 . 0. G 8g8 00 V * SANOfR TX 7626b Denton County Jail. 4" ? N CCAA~~pp l ' 74.40 CAMP 20 iELL 363b4TaR 0 tJ COUNTYBJA[r WALTBR W 8q .80 M n N$N tx 76201 Denton County Jail. 4. " A~pp I N N pq MM34 I E 1'50.00 20.00 100: OQ CANS' 109991E gp Ty NOA14 8ACT A RT 2 SdX,r 74'201 82 503 16 1913 D 1%%l , EN O R C R gppgli Balance aSar C 3,3/g@t11 451g4 j f6g A 110p0. pp 54100 qq ggyy CAAIR QQgg pp HH pp rgR t/16JB1 11lSR~ OS 1150 OS 716, 00 3 y ~52~OM14N tlENTtlN1NFlLE DANE OaODTX 76201 Balance after Had 'care and Hadlcat6. 33gg ppqq pp gg pp tt ``gggQ qq pp pp gq eewat 11 3d, 00 38. 00 r, I C02~i 23~931~1EL DENTUNUDDKL8O$ 0104 DAN15L 6 5283 84 ~il .I V Tx 7ES01 Denton County Jail,' rY~ N N 4 UOnHnL08 9106 DANIEL 'J6 1223 87 08.00 g ~~gg pp 6j 3S jir CUO 23D0911 EL I3NTtlN TX 76281 A i Denton County Jail, pp33- ee•tt ` DAF101qqRN JJpp ppAFppggAN J D 97 il09%Bt 4" 28 2849 A u, 100,00 923.80 0073. ti0 3400t 133 N W80D MHP 436 0375 1 1 t a~• , y ? rr r DAIS 1/28/87 10:49: F L O W M 9 M 0 R I A L H 0 8 P I T A L; PAGE 2 ~I ~ - C` ACCOUNTS RECEIVABLE ACCf::`NT BTATUB77REPORT ATE p gg a pALL' ~~~~pp ' wjUI 11 CTTPATMIN0.w OUARAIffOROADDIiE88R__NP31pNH'NUMDER R%C PROHAR08 ~ATH MEDICAID N INS N PAATU8N7 CURRhT MAPS r` LEWISVILLE TX 78067 41/11/81 223,50 w w Hill-Burton criteria, v j, DAN ELS papgRT Y DENTON AREA CITNTER H7 /08/8 1.900.01 40.00 2~1 349084 9 11/08/81 2. 40,001 . 4 w * p Minor resident of Denton Area Crisis Center, q; DA2I1 368019 D TON COUNTY JAIL OHN6 89 11151.082 2 1: 30.00 ?A • w G w 01 TON TX 76201 Denton County Jail: 3. .&0. ' t~ 0AINES TAR VILgpLEV 8 MOZTE 7b740609218 He 6%10!01 802,718086 150.00 142 78 1848,$8 { i0o D»Ydg ~ 14473+ S WW1 Balance after Texas Reehae4• . 0H0RO N0 12396 6 pOXJl4.7 DOER [NO WILLIE NnH ~1 b%19%91 000978209 150,00 18.00 LASH DALLAS TX 75060 i, w * {{gy~pp Balance after Meldicaree and Medicaid, 4' D»NUON 3561~*S BANOEROO MASON MARY 458 3927 81 1%04%1 1. 100.00 15.50 2'1E .'4J0 803 ggpp TX Balance after Medicare, and Medicaid, 1. PLBTCHER H6nINV PLHTCHHR HENRY 723812" 67 /1W11 4A7 5 6l141A,00 EN10M 24.00 1$ 00 106 52 66 , YAN 1 491 450 Gt 10 0; 1141 w zzgg ggggt~TTCJ'iiY w Balance After Ned care and Medicaid, j "1810 307 2476 LOUIBBAP"REET JAMES NSNE H6 4.900,01 10, R0 110.80 10 DEI4TON TX 76 01 * * Balance after MHMR contract, F FRWAN JBHIRT PRHBMAN R08ERT 8~ 1/11/11 ' 38.00 1 :c St 81: 88 w 6 w Denton County J81 I. 4 0O121LS1 351ffl 1A AEI410NAL18tlNV1E2 SILVIA7680T467 8 s 1 900.01 24.23 *N: 3 Balance, after MH c act,' 83 08, 00 OR00 36303JD ~E14TON COU'+YY14JAIL D TX, 76201 87 11MI/81 31: 88, 9 F r I V r * Denton County Jail,, 4 , If i id i ,r I. , L' DATE 1/2S/82 10;96, P L 0 W M E M 0 R 1 A L H 0 8 P I T A L PAGE 3 14~ ppggpAAp xx ¢ ~J q pp ACCOUNTS RECEIVASIL6 CCACCpOUNAAT'BTATUS gREPORT~y pg g 0T g[~, gp ` +~INDI>~LCTTPAY. GUARANTOR OAOURE99R- 4HONE NUMBER 8%C n$8CHAROE AT£ Mll8~OA1D N INS N PAdU6"T CUgN3~T BAI.ANC6 1 D L OUfOjRREZ 34953@8RO UENTONOX 634Df 07X6 76301 1008 81 l0%f~ % l 188108 SR,00 126 if.00. " 9" Balance after Wi`tcaroo and Medicald. ` HARW53LL 933853a0AR£~PNTONRDiH^ WELg GTXEH673001332 96 tllB1 .900,00 16it7.7ti 16537~ 0 " 6 t Hill-Burton crIterIa,q 8 U HEUMAN MINIS TT HEUMAN MINNIO 87 b/ / 7b2271006 ,100;00 13.00 7$ r 102' 166816 T1Q0~ TX 761718611367 1 6/8 / 90273446771 SO 00 Balance after Med~d$ nd 40Medicaid. 1 HOIC6M6 2924b8 LA ggss4 ggTAR ACAp1 202 NANCY 2143374406 82 II/M111 t 419268705 160,00 07,00 9 P AALLAB A TX 7D221 v 67.04 1 g gg pM N TT Balance after Medicaid. q HUL453TT 1fc{~ 153;9PORdEI1TO CtlUNT~£JAIL CL1PpQR0 84 118;182 1. 40.76 L 2oV D I TV TX 76201 pp qq HH LL r Denton County Jail. F{UILTT 367024A pE 9 N CtlUNTYgJ1+IL DARLp 8 87 3%10%8 38,,00 f ;y 2200 % OHNTSN TX 76201 Denton County Jail. 1 3y. pp a Il JACN08DN 39JQb7MY BOXL24 JACKSON 6ETTY 61 73166 8 ~Y%~8%9I 160.00 19.20 b38 300 v j i 9 DECATU TX 734 Balance after Medicaid,, 1, IIS i " pp tt* g p JpIIE 32lltiCA LEW18Vft,lA.6L0~6N299 r.MT%ICA7tl6b7213037 87 19,1111 81 33 11150.00 1072,36 4 _ 0g yy " ~~pp pp Balance after Med``icaiiyyd.gg 1rI ~ ~ JpLtOTIN 36wu 3d44k 01N184 COA1p11 At0. ' W7XNE 762701 59 t8%i29%6t 45.00 ~v 48.'J8 Denton County Jail, p g V KUQ~OgK 1164833RD BEN N CD6VV CJ AIL rEDWARD L 8; 1%08%68 ' 38.00 sjcc DEMON TX 76201 8=. 98 r " Denton County Jail. 4: KU11VK (264383RD nr,40N COUMMAIL EDWARD L 81 WI/181 ..960.00 105.00 w 140.00 p . i 5 i 1 DATE 1/28/82 11x011 F L O W M E M 0 N I A L H 0 8 P I T A L PACE 4 ,I ACCOUN'13 RECEIVABLE ACCOUNT STATUS REPORT P5 pp xx 99~~jj ggpp uuqq qq pMg p c pp pIADMIT $ppATE c g T Tqq gy`` ggpp ' 'r `i, •[N11 6CTTPAT18NG,• OUARAWOR AbtlRfi98R- Nf'1I{1NE NUMD'aR N%C D BCHAROE DAT2 M11 Al N INS N PAaUBNT CUNppRENt BAL~NCg ! + « DENTON TX 76201 Denton County Jail. 100.00 t MAQ6N 3600691ELUHM EN COUNTVMJAIL MTXHAE76Z01 89 t2/29%f1 r. 38.00 88:00 V Denton County Jail. u p at 422291001. .~;150.00 01,00 `6J? 18 pp ' MAI01 ZD9903L CBWIOV[LLPPAIitIBDR BTXEL 748677071 A2 %84/g w + rr ' falance after Medicaid. qp p 1L MORSE 1 30941~8A 80NTI.NOP 2fl8DONIO BTXAN 762013493 98 8//16% g81 S2i900.00 900,90 908.40 Hill-Burton critle8fa. g MOIVIOL 34'AJ108 P L 7g0 ANE AVTUMNOLAN6 TX ALAN 70075 89 li 900 O1 27.88 4iE 7. 69 i fiJ + ■ Balance after MH`HR contract. i PALM OIR II 441B id06Hg pA14P5711ER JANE H 66 9771 86 It, p%881 900.01 28.33 448. 2 v~ DENY tlN TX 72Z01 .i It/ 3/1 00 pp qqqq+ nalance after MHMR. `PABtOJGLL 1019J7LD PAN.JELL .GERALD 89 M5/8 38.00 8 x00 ' r + Denton County Jail.. i pATdBRdtlN Etlj7H 88X f+T If0 PATTERSON EDXTH 3 76201 7044 97 6 / 4/~t 900.01 2897.30 2 18 3 8 1 a + Hill-Burton criteria. PA C2R1)ON Z 82180NOCrJONCCIRM`CKR 6TXRON76901 88 9%01%81 008180878,900.00 71.75 91:96 * + edlance after Medicaid .g + 1q9 ~p J L pEBgl66 36763JN ENMOp CtlVNiYLJAII EDWIN 11 89 1%87%88 .00 * r 8 NT0 TX 76901 Denton County Ail. .t 49: DO J i ~ g ppWW M pp &&pp ? "M2~E° 36060~y N7QJ COUNTVLJAIL EDWIN M 89 11/1118 p. 40.00 o pp &N tX 76201 3: 4A; 00 r.. J Denton County Jail. 4. i L Sul, I r IiP I DATE 1/20/97 1107: R LOW M E M 0 A I AL HD8P I T A L PAGE 0 ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT - gpgpgqp77ttIENT NAM'~ U p q p PRO-ADMIT pDATE M p1C p pL g~~ gp *INDIAhT-PA , tA0. • OUARANrOROADNg68911••-•NPHtE3NE NUMBER 5/12 D1CHAAOE GATE MCtl1CA10 N INS N PARU~NT CURRENT BALANCE ~ qy u gNp p A k. PM2OS 364323 THSEN180 COUN7Y~JA14 M8%IJET76201 149 J;400,01 45.150 4tl Denton County Jail, 49: P13fi10L0U 337600 6901ONDWAR2RAPTLIt AT%R 76203943 88 9/88/81 %3'900.00 38,00 Q Q " •101 337t6g0/0~0 D gg y indigent care. ;'/81111 .4, 9 ~P 204 161378 0I44,NHOE14ssXTAPTS iI TkA 7WIWI B2 205747107 150.00 18.00 J lO19:88 rrII TT VV CCHH Balance of ter Hedicald.gg PV18I 38 496 4 DENTON 23HW PAAIk1E JDXN 762618323 86 / / 900.01 46q.44 2449: 44 . Balance Lfter Crippled Childrens *unds, { REEDS 3034ti4LD 904WN IOJEWS" LEVEL, 3S7 88.8 S2 11%127%81 0 8-013039-35 180.00 94.00 z1 Q M pp DE14TON ggggpD9pp TX 76$ 01 Balance aftor Hadicaid,g 14''37 R601 ppggR 3603qq.2111 DNTQN C UNTI'EJAIL 'QTXY 76201 a9 13%9%91 3; 45,80 4:65 J ` r « Denton County Jail, gQ 4. 3H; RE302R 36SDqYR1 BIN NT N TON 000F1'f~EJAII OTXY 76201 8; 1%1 %@2 38,00 0 98 Denton County Jail, 4tl e R0204 018191, ppggWrnn COUNTY JAIL JERRY 93 1%lS%9 45. 150 V uu » tlBNTtlN pNp g T% 76201 Denton County Jail, V g` g 40:89 SAND P~AS 016q~h tlHNTONT W3R7liE0R N14 LB%UY 769141 82 11%i11%B1 160. 00 10.00 98: 00 r • Balance after Hedicald.: 160 80 TT pLAt11N6 ~ 811TT GLAD INfi S7 TX 76 8 / $p/ Y 1. 100,00 265.04 119 51806 pppp pppp% 1139 NaNE $ %1 4,207,.17-01 bHNJON 01 tl 1 6 " t M a8gggqQQ~~{{ yy yy Balance after Medicaid, q 8E18RAVE° 334 f4E CARE INN NURSIN06NOMQ`ALICE 8T ;/11/11 439300149A 1:1?8:8Q 18. Q0 0004 .45 N 1 t a a v a, M `~u' 3 11 J DATE 1/x8/90 llr 101 r• L 0 w M C M O A J A L 11 P I T A L PAGE 6 I PREP TIfiNT NAME ACCOUNTS RECEIVABLE ACCOUNT BTATUB REPORT XXUMBEM ,,1 Tp g p Ir ADMIT MlND10GCT PA 1'. NO.s BANOERARA14TOIR PAMr DR69yANRHONE NUMBEA k%O JAi~BCHAR4i DATE MOb~CA1C N INS PAgg pp BIILL~~gg~~ ! « , T% 7666 J N DU ENT CUARAY~T 3ALANCg V 91LK ' C p Baianc 10/06/01 , 3 7[j,✓i 101 3S8H19 AgLE0 0 p0% 1$190 CHARLES a Bier Medicare And Medicaid, 4. 18.00 « qT l/ 2/ 1 462099797A 81!14 EE OENTON ggit1l 0 TX 7801149 1 1/ 4%8l 30; 100.00 103 .40 20 y O , 1G l ` *100 11016 ~y NOONOX lO70 CT%ALE73032169 lndignnt8c7rn, 7! 1 4. !03.40 8 400.00 1250. 70 BM[T1{ gTJ 191 tI 1 j ` 8g 7 1„ lOQ 46$16 9 AR04MOG`10 ETHEL Indipentec~re, q Sp 4q 1'R08, I w I J,/Qq Kg» ~LNTQN ggMMt T% 76001 1 7q%1% 190136q 3~01A ~t010.00 11.'10 1.90 i71 8M001 36l°468 ppggNNTgpNN CbUry>tYHJAII, JAMES Balance after Had Care and Medicaid, 0; 1419. f • 02NTON TX 7600! 9; 8%Q0%81 0. 38.00 p~ ~JAIL JAMES O Denton County Jal1/ 7/ 4. as: , 00 8M001 3s9V9B BEU?80 CO8NT H * « D 11 T 51. 00 N ON I T% 76201 Denton CBerttY Ja11/07/~0 s ppggNNnny NN HHII ` g 0, tltl 0M202 3696190 OBNTON COppUNTYHJ,1Tl ,JAMES 7 D 97 3/ 1/10%tl2 6 ,00 39.00 $Mtr~•Y » gMr 6201 Denton County Jail. po 1 1G1 1989 4LA Il40MAR0HALLTTY snoopy S 00 p 4 D NTON 6 &L1 , TX MARY 76201 900101 10,10 ONBOi! LL 33MARY 000Ag RHOMABON Balance after MNM / 1 lbtl; J NC T <y p pp p e r U TX 79932163 4B1 Z'1 t SO145tl4S198 A :180;80 10,00 tt 8P Cg RAT 1NApp pp L H Balance after Medicare and Medicaid, 4 l01 30411« P1LO7%PO[NTLBtJ OAY 4 Y X 2457 g7 / /g1 M , % 76880 150.00 001 00 0P8S0gA4Y /81 ;0 1 / 080, I / 1461190 MOO" MgrRABBARY AOSIE 841dnce A0fterMedicaigd,g 6y r . # M TX 720010421 l f0/~i1%B~ 1010$680SA 100,00 l0. 00 / Balance After Medicare and MedlCeld,~• 00 I yi I, I Y 1~ d 11 }r `s , 5 {1 lba' L DATE 1/26/92 11:11: r L 0 W ME M 0 R I AL 11 0 8f 1 T AL PAGE 7 ACCOUNTS RECEIVABLE ACCOUNT STATUS REPORT L pgAT ENT NAME NN v 7' PR1M'.-ADMIT ATgEg p gg q p JILL M «INGfR CTrPhiMSPtO.« GUARANf0R0ADnAE89R~-WNHONB NUMBER A%O.DIZ£ICNAROE pATfS MEO~CAIG N INS M PADUENT CURRENT BA MR V t pp 6p66 p l SPRAAEARY Q 21 146116E 1119 N0kt1ANRADEAkY kO:l1E 3S2 R421 81 10%19%01 10104480122 2 900.01 32.09 13$,$e kw DENTON . T% 76201 Balance after Medicare, C it k 31 ` STA20ESY 3D6667AS tl N~TDN COSTA EJAIl THOMAS 077 10IS1181 D. 1.00 9 1) TON TX 76201 Denton County Jail, 04 S 4, Oq1 gg « « g OENTON CONTY Es, )All. THOMAS D9 17%2 %61 0, 38.00 8T202Y S667 3DAS U OH. 00 f « « Tx 76201 Denton County Jail, " 1 aT200Y 33b6d1A8 UNTYEJAIL THOMAS eq t22%.0/81 0.900, O1 133, 70 1009.8 OONNTiON N CO TX 76201 3, , k. « A gg``11 Denton County Jail, bb 4. 160.00 97.00 9U101VAN 34W8661~1AM14 Fq JAMAICIALLNAN ,W T 21469339D2 87 ~%6%1 R. 41yy7797,0x, Elm MAN T%, 78010 / h 1 3. « « Balance after Mo`{dp0Cplpdgg`` 4. I 100. 00 434.90 282: U J + 'TALK 10IN07pN 321062 DENTf1N fiNC1J1 00(019061 CT%RLE7 6 0 0E/382aa21 96 l0%; « R ~`++0 uu A N111-Burton crlteriiia22 99!!!!! UND81Wf1U0 34e~4A WAF1tlA 8 900,01 19.93 8rR 41{AR0oWN8ARIJOOD 3`6967 6 ` / /~1 818. 229 y L&W1VILLF. TX 7 067 tiii 1111 / 1 1 4 « « Balance after M11MgR. 1 WH00{ 328416 egApNM pyy OAf9HATS:! DGX 6hpLAY a 73871908 8a H%1b/1150,00 16,00 3~iOO ' tlRIJTON TX 7W Balance after Medicare and Medlcald, I I WH J ggNN ~1 wwHH Q gg6 g pp I II6MAN 339011t~ 11 JR810?80 COUNTYIJAI1 ' JOHN 7620$ 86 900.01 218155 018. ~6 w ,i « « Denton County Jal { NILS?N 1914 pp q W f ,JANE y 87 1112/1 1 900.00 77.90 t l0! 132 0 DENTONUTH RUDD~LL MBJ T% 70A01468a 6 116% 1 41# J8 « « Balance after Medicaid, 14.0 WOO01 360221 DENTON COUNTY JAIL DEAN 89 122//10%81 R, fl8,00 30,00 J ~ Y 3 t + ,1 f , All ~J71 DATE 1/$8/82 11: 16: P L O W M fi M O R I A L H O S P I T A L pA^s& 8 ppggp XX NNNN ppqq UU//~~ AC~~GyyfgglUNTg RECEIVABLE CCACppCUUOUYNpprT 8TA7ppU8rREPOMHgT tC gg p pT I l; PAh-OMIT ATE l +SND1fiCTTpATM3N0,• OVARANtORQADDkE8811--NplltlN".• NVMn6R A%C DJCHAROE DA1' MESCAIp N INS N PA;UEN7 CUpFt~b7 gg B4kggpp NC M * DENTON Tx 76201 Denton County Jail, 0, 30.00 T F W4 3R 363313 NENTON COUNTY JAIL DT)( N, 76201 0q 1 %R/ 38,00 s « Dallton County Jail, 4, 8 N EN 0 7 1 Ss 4 t~9 C WOi2pp03 363310 36fJ73N COUNTY JAIL u7xN 762401 8q t%1d%f~7 O. 38. 00 58.03' ti M ♦ Jonton County Jail, 4, • ,k 1., illpO3RER 2 09D RT 0 %IPPERER iKATE. 0l 9%OV%Q1 .406-b0-99R7-D ,100.00 02.00 7n PILOT POINT T% 74288 g/9~9e~111 Q3 r balance after Ne c v i ! +r iko 1,\ I L W j V .•1 I I V ,.r ,y ~ 1 t g: h tt,~, DATE 1120/9,, 11; 16; F L O W M C M 0 R I A L H 0 8 P I T A L PAGE 9 t L ACCUUNTS RECEIVASLF AOCOU14T STATUS REPORT SUMMARY qq PATIENT CLASS COU14T PATIENT I.N%8AANCE TUU6L i 1x OUTPATIENT 2 DUE DUU 34. 50 . 00 34.50 4 4 INPATIENT 30 13x'168, 71 100 13268. 71 EMERGENCY 40 2062.55 c0 2062,55 ; 4 TOTAL ACCOUNTS RECEIVAOL6 77 13368,76 100 10365.76 1 L TOTAL NUMBER OF ACCOUNTS IN ERROR My■ wra4 s 1 I~ x . i ` k ~ h. t l ~4` ~ f E 1 { 1 srrrrrw.n~wwsaMMp11YUMtlG11~M. IINNIIr.r.un.~.. . i i i , Al i 4ATp/01 /0~^ B: AI: P L 0 W M8M0R 1 AL H09P 1 T A L PA08 l i T BAD DEBT TRANSFER REPORT FOR PERIOD 1101182 THRU 1/31/82 PATIENT NU14JpAgR 4**04 PpATIENT NAMgg T * **v4w oouuARANTOR NAMC wMwM pATE pppp7G• ppATTgg ppe~rr DALANC$ PF% NUMtlER ADUR, C[7 V, 8Tr ZIP AGI1H, CITY $i, ZIP ADMITTER D10CHAROED WRfTEbFP OF ACCOUNT 102 242438 AnDALLAH AHMffD ABDALLAH IJAQDY 3/04/81 3/0$/e1 1/57/02 1318.120 l1o17 14 PRAIRIE #9 11910 pUDDELL #109 OLNTON TX 76201 DENTON TX 76201 Movedl left no address, 101 274030 AsIM80 ; NABWIA A A9YDN ISMAIL 3/12/$1 0/14/81 1/27/92 290.90 SYCAMORE APT 4J>~ 1YCAMOAE APT B ATON TX 76201 D NT N Tx 76201 No response to C011OCtion efforts. 103 13639 AIRIUgqRD~ SANDRA AJjUAAR% S SANDRA 10/07/81 10/00/81 1/27/82 120.03 1o D~Q@0700 B T% 76201 D NTON Tx 76201 Novedl left no address. 11• lot 69$216 ANDERSON MARK AN ER80N MARK 7/20/01 7/212/81 S/27/02 1091.00 6b^ATW OAK #701-U TX 76901 6j~}D~ OAK #201-8 T% 76201, No responso to COllectiOn efforts. 2071 330449 Ale RtltlppPRT RC EH ROBERT 91I7/81 /27/$2 T p Ox 4390 11ILL8 RD &r 2212.40 ~HNTb Tx 76201 DH SOX 430A MILL RD 2yyNgqO8%;490E NT% 76201 NO response to collectlon efforts, f01 330647 A AYYAD INQTMEON 8 'TR8ET 9 eVBTX A 76010 A~A AD IINSTREET SUT%t 76610 No response 1t0 COllect10n1effOrt9~7/82, 8732,10 j 4 201 327882 9EN QD ~ NLKEY LN DRAfiX 76001 RNI3LKEY LN MI7XAEL76RO1 No responsalto collection efforts 7/$2 38.00 0 1 loo 4$0112 RNE NI:NOY RNE Qppp RONNIE 9/05/81 9/08/02 1/27/07 1114, 15 ~1Au ILE$ TX 76240 pRISN~g 8i4LB TX' 76240 NO response to COllootion efforts, 101 329560 III N~OAO% 164 D JoNTx 76701 500700Ox f64 TET%Y L76201 U10/07/ tloCetO/129/01 1/27/02 167.96 j 1r e to 101 29586E J ft0 DbN b TWIN 44A69AryHP AUs BOx b TWIN LAKH8D8Ri 7/23181 7/28/$1 1/27/02 t$6e.65 lr ENT 8 V, N iX 76201 NTON T%" 76201 Arrawmonts not kept, 1 Vol ,336605 AMA IBLEY OSCAR H 1$LEY A OSCAR 9/128/61 1/Q7!$Q 370.2! ~ 760. 1001 Too TX 76201 No response tO Collection efforts. 101 2568$9 jHNTJ~~AN #203 VANTx 76201 u6 TDNYAN 0203 CHRISTIAN TX Yb2tll 7/20/01 7/31/01 to Collection efforts/$2 1264.00 J V 101 320606 ggi+~ T,{T pNN 2110K1 !11 31 ggRu NWpOD KUNNiiTH $ 9/125/91 9/0$/$1 t/2710$ 1176 6Q V, L&41I ILL OA T% 70067 Lfa29V Tx 70067 Hovedl'left ,no addross. J 1 Ili FI t 1 S ; Ic ~ is DATE 2/01/92 8:42: r L 0 W M E M 0 R I AL H 0 8 P I T A L PAGE 2 J DAD DEBT TRANSFER REPORT FOR PERIOD 1/01/02 THRV 1/31/82 PATIENT NUMORR 4***A* PATIENT NAHE 4410+6 rrA+r OUARAN~•OR NAME w«kr ' IATg PATE w nF DALANtlUNT r PFX NUMBER - ADD- -------0T_--ZIP ADDRi CIiYr9Tr i[p - - AAITTLD D18CHAHtlEp WRITECFF OF ACC J 101 296236 OLLpA00b(~ gg , PATRICIA DLA98 BILL 9/09/81 9/16/81 t/27/62 1972.05 I LAK63AILLA9CK 8TRE1:T TX 75060 LFAKLENS it E TX %0069 No response to CO11ectSCrr efforts. tot 146761 OLANNzD BE98IE RRppTLTA p BESSIE 9/09/81. 8/11101 I/2'7/82 1139.20 ~ RUNTONAPRICORN M42 TX 76201 DEN ONAPRSCURN 042 TX 76201 No response t0 Collection efforts. 6rp I 201 3$23b1 LAND PRANCED 45034 QLFAND FRANCES 70034 Una/itV locate. 1/27/82 97.70 V FRpiR 201 322040 6pp11AN~ORNE JOKEPHINA 0/27/01 1/27/82 44 20 NOD AY TX 76201 No response to collection efforts, 1 101 330407 ODK1 8 CATHY ODISI 8 CATHY 9/07/01 9/09/01 1/27/02 645,00 IN} UNIVCNOITY 14 ~ UNIVERSITY ( 1 0 TX 76201 IEN i~ 0 TX 76201 Arrangements not kept, 1 329016 IpL OR9C}lUHCH CANTX 76208 P 1C#'QYA~H CATDi 762$8 Uneb1e3t0 locate ` 1/27/92 79.00 ry FOI T t11NT 101 329516 DOWL a ~~{{1~pp CAN11 I gB`OI7JLE9 CANDI 9/04/01 9/06/01 1/27/82 1041.20 PLOD Y1~QPYNppTIi TX 76259 pPILppOV MUM TX 76259 unable t0 locate, 10 201 321521 flADODALLA0AVl8 Y PJOR7X 70069 LAHB6DpLIFAO JOTX 70065 No espon a to Collection efforts, /02 p3 ' 201 257881 R JtM11Y 1/1.7/61. 1/27/02 64.50 W RRLL'WA~RMON TERRAC TX 75200 1. NO response to col}ectlon efforts, • 101 290430 gWEpg gg PAU; BRA WgWEgggq PAUL 5/30/61 6/02/01 1/27/02 60.20 ogW ATHLKNAp TX 76201 FTOWORTHgL1,AP TX 76801 Unable to locate, 104 117,74 NKM DETIY By1zT ]NKpp1 HC6 8T ARTHUR 3/76/81 3/C10/01 1/27/02 1A, 00 w ~ NTONNOLE 0T TX 76001 D6NTON TX 76201 No response to collection efforts. lot 383576 DDqRR3 8pgHHLM ANTONIO OR19gg1gNO ANTONIO 8/14/81 8/16/81 1/27/02 946,50 ' 4 DR TON TX 76201 MY NFLM TX 76201 No response to collection efforts, pgpT' g•~ TT N 9/96/1 1 201 335085 D6NTO~ 263 ORATXY 76201 9NTO~QK 043 ROTC 765101 HO rBSpOn4e t0 CO11eCtI0n efforts/07/,02 08'00 v + 6 III 1 1 JJAJJAI 11 i ?y}. • J *Owl i 1. 1 1r DATE 2/01/02 0: 42: P L O W M E M o n -I A L 'H 0 9 P I T A L PAGE 3 DAD DEBT TRANSFER REPORT FOR. PERIOD 1/01/92 7HAU 1/31/e2. PATIENT NUMBER tar+r PATIENT NAME. aurr PF% NUMBER AUDR, CITY, ST, ZIP aaarr OVARANTOR NAME arrr OAT DATEHAR000 W ppAttggEpF nnF OF ADDR, CITY,bT, ZIP ADMIT6 D IbC BAI.ANCc£ _ R17F AOCgUNT qpR13l .33_._.._ 77r CC85NT 20I 330092 1IN~~ TTAYLOR OAINEb LLD J1MT% 76240 4A N tiVJAYLOn JIT%Y 76.240 9/Oh/bt 1/27/92 53.00 V a Movedl left no address, 205 201552 tiL NLNHOU$E-CHARLE7TTS ST 76201 N 201 24btl62 ON HOUSE N25 LATNA 76201 0121/01 1/27/92 O8.00 OW JOA a7 No response to collection efforts, f LOCUST I LOCUST ~ON TX 76201 ~EN$~N HIrxARA7ei201 9/0t/01 1/27/92 43.00 No response to collection efforts, 204 170192 DRD N LORETTA PRSQWN LORETTA 9/22191 1/27/92 44,00 y 1 4 SE4IpN//ODLE TX 76201 D9pNW7DtJODi E TX 76201 No response to collection efforts, 101 309971 ~~LVWNEL~ E~TNR JOHiX 77940 OA 4V6~ 4QNR JoTx 77559 No 7/04/01 7109/81 to A3 t0 CO11 Ct10n affOrti7/92 1964,70 201 336321 RONNO L OA1< UQNN M NTt DAWN 9/27/01 1/97/92 01.90 p X 17 ROYAL T, $ y ORIARCLIFF DEN p rx 76201 ~E~TDN TX 76201 No response to Collection 9fforts, 201 332049 p8 L AqR OWBN uTL R Ox 536 RALPH 9/14/91 1/ill/92 39.00 b9N ON~X 536 TX 76201 DRNT0 TX 76201 No response to Collection efforts, 203 225920 BUl~ttTTTERp JJAllll qpU LODppR JAHE$ 9/24/91 1/27/92 99.70 i ~BN ONUODELL APT ~14 TX 76201 7 N OfiUObELL APT 214 TX 75067 No response to,collettlon efforts, 7')3 330979 QEEEEO NOYD ARIB4 9 R~ g , ARIEL 9/00/91 1/27/92 51,50 6 Ij N 0 TX 76201 0 NTOIJOYD TX 76201 No response to Collection efforts, lOQ 120014 CAR? 11ARA 5A, VALLOY VIBE ROBERT 7/14/91 7/17/91 1/27/92 1054. 15 + ~bVALLEY V1£N T kao , NrpN TX 76101 7X 76201 N AL No response to collection efforts, lot 324301 ~4LO~A~~LL OE DEBRA 76299 NAL PPO~NT LLOYD 76209 b/17/01 9/19/01 1/97/92 (19,00 11x Tx ` 1[J No response to collection efforts, 201 346510 EMA oX 44 SHERW~iOtlAI~CY 4M N14 . SHERWOOD NT VE 10/30/01 1/97/09 30.00 q II~~ pp x V D N O TX 76201 N~X 76201 Movodl left no address. H 1 201170 NTZ HELANtE CANT MELAN[6 1 Fll~ 10126/01 1/97/62 30.00 DiA40N AVE D TX 76201 ~VE a TX 76201 Moved; left no address, ~ 1 q ,i ' '.I . gggi , , a i 71 DATE 2/0t/82 8. AP: F L 0 W M E M 0 R I A L H 0 S P 3 T A L PAGE 4 Y DAD DEBT TRANSFER REPORT FOR PERIOD 1/01/02 THRU 1/31/82 r _DATI:_ „^DATE Y OATgg -OP Or0ALAN8B t PATIENT NUMEER 4wwai`PATIENT_NAME-iwaa-+1 WJyrwYrrr GUARANTOR NAME 044* 7 PFX NUMB R ADDR, CITY, 81'1 ZIP ADDR, CITY,ST, ZIP ADMITTED DISCHARGED WRItEO OF M'.C _NT 2 283(70 CL NTZ , MELANIE CL NT , MELANIE .10/28/81 1/77/92 46.00 I AVL D 1l t VE R ~ QN ION T% 76201 C33D~N700pRf6p T% 76201 MOVedI left no address, 201 344366 81~~1IUBER AV PQIOA 31804 CO~UMDU51•R AV PQOA R 31504 MOVed left no address, 1/R7/8s (10.90 w 201 336037 SC PCLWANp VARY CpgPQtLWJAND VERNON 9/27/8t 1/27/82 63.40 MF% 2Aµ, PO BOX 64 TN 76201 U.NyTOfJ OATS Pb 130% hk TX 76201 Unabin t0 locate. 201 326434 CCgR,{3 pAAYTO 3~ N PRAIRIE N214 JOHN CRAAYTWNPRIASRE N2fA JOHN 8/24/81 1/27/82 26.00 # UE14 %7 76203 2D Ni10TON TX 76201 Roved; left no address. ' I 1 339390 QTNdS&Y OGDtl%AH rn 76201 pNTOggY OQT%RAN76201 Unable t0810cdte, 3/27/87 33.00 76201 MOV10//91 OdOleft no address, 1127188 65,00 4 339340 EN7MA BEY DEBORAH 76201 t)ENTOI+88EY DEBORAH !r 3 339390 DANtgLB8EY DEBRA DANIg( 88BY , DEBRA 10110181 1/27/8.2 71.00 ]099 q 109 A88 USNTON TX 76901 pDENTON T% 76201 Moved; left no address, 201 332874 LISA HALL M607 L1ST% 76204 b NRiOPALL 0607 4/ld/81 t/~7/92 38,00 ~w ON N H T% 76201 Undb10 to 'JCate, 11 /21 202 289694 9¢Og1NRUDDELL 412 DANTXL 76203 p5g8T~NRIJnDELL Nt23 ROTXRT 7670( Unable t0810cate, 1/7/92 44. DO j b !I 201 340473 %yLIE JpANgNIt E , JQpANNE !0/08/81 1/37/88 61.10 i 4 p 0&Q ALL MEADOW 632T, 76901 N p+ALI MEADOW 3~1feTX 76701 Unable t0 locate, { 76801 Unable t0 IOC8te0/03/8( 3/27/97 155101 tot 330004 S7g1TOAEDWOOD BHEiXY 76201 d M 0REDWOOq SHERRY d6 N CLYDE II/In)8t 1/27/82 38.00 J } 403 352484 5,0N. LOCUST NH6 CLY7x 761, D ON LOCUST NHb T% 76801 Unable to locate, l01 311407 Pg4INO8 RANONA nqIA AMO AUOUOTIN6 7/09/81 7/!9/81 1/27/82 2887.90 &AI'LAIN T% 79065 L FIE ~ALI Mi TX 75060 No rosponse to collection efforts. J r S F '~YbS, J 5, a DATE 2101 /(12 B. 42: r L 0 W M E M 0 R I A L H 0 8 P I T A L PAGE 5 DAD DEDT TRANSFER REPORT FOR PERIOD .1/01182 THRU. 1/31/02 PATIENT NUM L°'R A"" PATIENT-- 44*4 **A** 0uARANTpR ~1AM DATE DATE OAgg T RF DA ANC CH 1 g pFx NUMD~N y ADpR, CITY, 8T_------------------ 71,_..» SY~[pADMITTED OI8 AROED WR11'6tl F OF ACCOUNT 201 347009 FAArN„ ggpp RIAO14DA AN pppp% 246 RHONDA 11/01/01 1/27182 SS.50 {Y ROAAOi(FX X48 TX 76262 0A 0KH 26 76262 Unable to )OCato, 201 333492 PARRS ELIZADETH FAgq R JAfIEO 4i 18/91 1/2?/62 101100 TROP1CANA MOTEL N101 TRaaP CANA MOTEL 0101 DEMON TX 76201 nENT N TN 76201 Movedl left no address, 204 ;133492 FARRI ELIZADETH FARRIS JAMES I1/24/Ot I/2'I/9R 60,10 6 ROL CUST TX 76266 RgR~EhOlUBT TX 76246 Moved; left no address. 4. B GE 205 333492 Ftt3ARROoIR ELIZADETH FARA:8 .IAMEB 1,2/00/91 1/27/82 61°00 pRNTpNCMtPTURt iX 76201 DRNOIONygIPfURE TX 76201 Movedl left no address, t1 j 201 323548 FIV NTON IV NUE A Nl,l TROTX 76201 R NI011VaNU*' A N11 TROX 76201 Unable tOBlpCate, 1/27/87 18.00 101 312702 LL1AM DEITY L IAM STEVE 7/10/6! 7/18/61 1/27/9'2 2004.00 b LANDVtLLE tp~(t7 0X 1075 1 LAKE DALLAO TX 75065 LAA DALLAS TX 75065 No response to c31)ectfon efforts. l I t 943851 FEN g~~gU18E 04I JUb7X 76201 8 IIAQAR f0LOU16E N41 CUTkI$ 76201 NoSreSpORSe t0 COIleCtlOn effOrt87/02 65.50 i a 201 304104 Ho.4MME DECKq ERIC NpA11MoE 9 ERIC 7/it/BI 1/27/02 23,00 LG QB QLLEVfi NO15 TX 75067 LERIB LL&/E 0810 TX 75067 No response to collection efforts, r 101 314312% ANK 8 JANIC$ NK B JANICE 8/01/81 0/04181 1/27/Bit 1936, SO PONg % 023, 009 PLU11a TX )6.66 ~aAfl 523. 909 PLGMD TX 76266 80 response to c011ect)0n efforts, 1261 314567 HA IN? ADAM HARDI RDSTONE WANDA 7!19/65 1/27/82 69,00 ~0 RED670NE 390e a 0 ~pN TN 76201 DEMO TX 76201 No PO$pOnse to Collection efforts. 202 154211 HANDY CRA10 "A~oj y JIMMY 7/04/91 1/27/92 43.75 WggNAUDDELL N21 R ODEIL N21 i i. TQ TX 76201 T N TX 76201 No response to collection efforts, 701 2Af048 HHARKNggDS ANN HgARKNES LLEN 4/04/01 1/27/02 44.40 C819AN9UNTRV,ClVl1 RD Tx 70043 0A>gLAkRRUNTRY CLUO R~ TX 75043 No response to collection efforts. 203 323238 OOAA4`AA}M~ X 2533/2000 FT4%T 76201 D ENY ~ N 203312800FT WGR7T%Y' 76201 NO response 1 t0 Co118Ct10n efforts' /92 96 75 r t ~$13; G ,l t 11` ~ k. p V' 1 {1 - N ' DATE 2101/02 8:42; FLOW MC MOR I AL H 0 8 P I TAL PAGE DAU DEUT TRANSFER REPORT FOR. PERIOD 1/01/02.THRV 1/31/02- C PATIENT NUlIDRR wwarnDPURTtE TYNAef *RIP rwwapDA+UlARCjTORS7AM2IP*+x_ ADMIT ED DISCHARGED WRITEgfIT DFOAACCOUNY t _FX »_..._D..... r 20 J32270 14ARRION sOlOYA HARRISON RICKEY 9/14/Ui 1/27/87 v49.19 INOER' 9TH TX 76266 BRHTg~A~NVy. 5", TX 76266 No reF OnsO tO C0110ction Offnrts, 7640! PL+NTDN~% 103 AL7%N 76201 Moved/-,0l5/81 1n0 address 8l 1/27/02 1091.00 } lot 30029 flIV N5R Ox 103 JUDY 910 ~j 38. OD 201 327956 HAggT~IDVRN 1 SHERRY HAtgIDOE RICH 8/29/81 1/27/02 EN DH T% 76241 ~lpNT,&ON TX 76202 NO response to Collection efforts, F WITxIAM76266 No r@SpOn e to collection efforts?/8Q 69.00 2.01 96374 ~A89RRRBHALL CHRT870P~6Q66 ~AilOERRSNALL l y fi DARKEN 9/12/01 I/97/82 76 00 701 331'195 S DARKX 7 1067 OX 401 IX 79067 No response to Collection efforts, 6 `r , z VAi.B 40a. TX 74067 v2 CA F6 t { , 101 224040 f6WSVILLG04 JERE%Y 73067t~WEARMCuNAMDERO JAYxCE79028 68 WO to locate 6/84/81 1/27/82 Q08.4e 1 p ~gggAlg1g1lrraa p TOt1 9/02/Bl 9/OV/0l t/27/82 343.10 101 328773 GEwl YIN 0HTE NORTN I~PYX 79067 1.1.4 VILU@TE NORTH MH TX 79067 No response to coliecti Dr effortb, Jpp RICK' 7/OV/81 1/27 H. 19.00 b' N Ol 331793 i0q'NxgR8Yg49Y8 TWU/IIOtJ OEL LS 4978/1102 DELL pNTON T% 76201 P NTR N TX 76201 Unable to IOCate, , 141OURL b/01/81 6/02/81 1/97/82 3!#9,09 5 101 1299016 Fdd'cRNtANDpC6Xx 176 DEr"qb ORt81lN'A RH~1R1kANDil76 C RAOLLTDN 1X 75006 ChRRUOLLLL JON TX 79006 Na response to collection efforts, y 201 314391 H &R LARRY H6 E TERESA 7/18/8$/27/82 'J3,79 f p8 9TEI111tlN8 TX 76901 80MEN. BTfi MMtlNO TX 76201 No response to collection efforts, N 1 O gg MARTY 4/30/81 1/27/92 44.10 a 1 347931 IdDgHLNNN tlNyppE 0pU1DR.4 N2G2 T% 76201 No response to C01160-10n efforts, bNDNnYAL OAKS LIT 20 % 76201 pNO~oYAL OAKS 861 104733 HJLLOO~LCH PATT%CK 76201 pE~TOl,LCM PATRICK 6/19/01 1/97182 18 00 J x TX 762o1 No r@epOnsO to collection efforts- t. 8 38 201 362004 U TN ~Hp LOT4CRVOE H1 V NIE HP LOT 430NUCE 12/29/0! t/9%/82 ,00 t,y M{ g Cg TG M J R DAV6 LLAS TX 79069 LA E tlAL'wA8 TX 79069 Unable t0 JoCat@.. I I~i; X i r;. DATE 2/01/82 0'.42: FLOW MF.M0R I AL H 0 8 P I T A L PAGE 7 t DAD DEBT TRANSFLR REPORT FOR PERIOD 1/01/82 THRU 1/31/82 PATIENT NUMD R +kM+ PATIENT NAME 4+*» ++++Y OUARANrQR NAH&& a+#u OATg DApTE DATL OF BALANCC3g ' PFX NU11BE ADDR, CITY, Or. ZIP ADDR, CITV,ST 2IP ADMITTED DIBCHAROOD WRITEOFF OF ACC NT ......w_ _ 201 306844 IIQW9 L 91i0LH TR ' DIONNE 9p0pWELLI8HtlLM TR JOHN 6/25/81 1/27/82 63.75 yy 211NT N TX 76201 D$NTOI TX 76201 Agreement not kept, 201 298976 IIV?HEB AVOPIEST HUGHERSR SPENCER 5/31/81 1/27/82 26.00 2R ,ED TX 76201 p9 0NgNLbn TX 7620i No response to collection efforts, , TON J 102 63453 HUIJ1'SR 14ARJORIE UNION MARK 7/20/81 7/2a/Sl 1127/92 897.65 DENTONO% 379 TX 76201 UNIONOX 379 TX 76201 Unable to 100te, b. , .1 101 344375 HURT 4~LY LN TERESA HUURTTOLLY LN ' STANLEY 11/21/01 11/23/81 1/27/92 11 D9, 5b b 598 uO TX 76201 DENTON TX 76701 Unable t0 locate, 7 60(~ AtLI.Y 7/27/81 7/30/81 1/27/82 774,27 101 317975 IIUTLON OL1140A H13i 1/ N jLCMENTS 1s7 1 n CcLEMpNTH IN E9 LLR 'rX 76240 PI NEOVLLF TX 76240 No respoASe to collection efforts. l 201 332353 Hq7YER DAWN Hy8q DAW14 9/14/S1 1/27/82 08.00 J E D& JOUTH POND 77 Btl POND N ON TX 76201 0 N ON TX 76201 No response to collection efforts, 201 326494 RVAN BOBBY RVAN DOODY 0/24/01 1/27/82 69.50 BBOX 448A tT OX 449A /.NtBR TX 76266 SANW TX 76266 No response to collection vorts. 401. 310664 A AM ~Lc801/1111 BA~CAABO JJAROA6MBUpIKL2S01/,1111 ~AOL4KARDO 7/Ob/91 t/97/89 38.00 rl A TXii~I 76201 DUMP Ap TX 76201 No response to collection efforts,, U19 0 1. "IOU to collection efforts.7/82 139 00 l 321117 L&F911 Vi ftRLES 0227 140NT%A 75067 1V,6wlOVSLIGLES N229 MOTXCA75067 NO rospol9e1 7/~~ 13 S0 201 929946 fJNTN RMAL ORETXA "6201 f&NTONRHAL BRTXSA 76901 110 responselto collection efforts. NJ 201 324012 i;ON HICKORY PpBTX CK76^.ol DPtl N HICKORY P12TX8R y62O1 No espo set t0 collactlun efforts/2.7/92 38.00 1 325391 go}wgtOµtORY HItLB DVpAYL8 40HNCMRN y H1L1,L8 WALTER 0/120/81. 1/27/8'2 6t.00 1 HICK ftY CREE1~ TX 79065 H[CfORY UM TX 7x065 No response to collection efforts. i ' J t 702 177212 J NNQQRH JACOVELINR AtfD)IUTH JOB LEE 9/04/61 1/'27/02 39.00 "i '~1 NTIrO~+uN TX 76201 HNTON TX 76201 NO response t0 Collection efforts. tl I ' , tt ~,Opy"~'~+w•woMer~r~,~w,w-.. av.r~ur.,~nwr~r,nrnwswawwaw,~wwww„nw ...1 ,~~yyW a. z F k 4 HATE 2/OV82 8:43' rr L 0 W M G M 0 R 1 A L H 0 8 P I T A.L WE B BAD DEBT TRANSPER REPORT FOR PERIOD 1/01/82 THAU 1/31/82 ppqq ppgqTTggpp 1, CC PPAFRENTNUI10ERR rwepADPOT 1Ct7Y'JABT,4XIP rrrrAD8RpRCl1QR87AMXiprrr AUM[YfEU D18CHAfl0EO WFtlTQOF~ OFBAACC8UNT iiw 10,02 t60093 JOHNyyppN LILLIE JOHN ON MICHAEL W n/09/01 1/27/82 73.00 y S SMITH 08 lD OITH 00 i D NT TX 76201 ENTI TX 76201 No response to Cullection efforts. 1 201 340679 JQHNOTON IJILLIAM J H{J T IRO, ll7 OAK LARRY IO/09/el 1/27/82 38.00 A tlD% 220 , 117 OAK P u R ANOKE 1'% 76262 R AN K TX 76262 NO response to collection efforts. 201 318204 JONES NNIHEA JONES NBTKER 7/29/81 1/27/82 32.70 P p % 525 429 W F tgT P O tlOX 529 429 W O 8 L JAI~1D1N 7A 76247 JUSTIN TX 76247 NO respoPs@ to collection efforts, 101 230847 JONES SALLY pJp NEbbS SALLY 11/10/8, 11/12/81 1/27/82 161.20 LrNTdN CIRCLE TX 76201 D NTON OIRCLE TX 76201 HOYedl loft no address, y i ✓ • .O1 123661 PFUTOR $TIT%S 76201 KE6FEECTOR LINDSAY 9/03/81 1127/82 10.00 H WT ON TX 7620No response to COllitetion.offorts. 204 60632 ERR RICHARD gK R PATSY 9/12/81 1/27/02 117100 4NSnNQNIBgN T1( 76201 NONE1t30N TX 76201 NO response to collection efforts, J ~ E TT D T 201 314583 Y,P L1N HAROAEr &L%. MAROREI 7/18/$l 1/27/82 00 ft dgNAM9$TOWN TX 76201 ?OMESTOWN TX 76201 102 272781 KEalOafCJTBNOELL VER11 Ktl 4Q H0Lt LVSERT 7/20/01 7121/01 1127/07 410.40 LSNTON TX 76201 DL~TI]MB8 TX 76201 No response to collection efforts, lot 318519 PbN Ogg 0 pp RACHGL. KINpGpppgg RICHARD A 7/30/81 0/02/81 1127/82 915,00 l V OAI~EBV~LZ3 rx 76240 0A[NQBVIO1 ILi TX 76240 No response to collection efforts. J 201 339549 K. AA8 GREGORY KJ 514 AA9 AY DR GREGORY 10/06185 1/27/82 38.00 SLAY DRIVE ~ J ~ a COLONV 7% 1106 H H C ONY TX 7e0a6 No response to collection efforts. 207 114256 KBNT ANTXHARI JRQB CHARLES KRANT HARLQB CHARLES 0/09/01 1/27/bit 50.60 I NTC 4 ON T% 76201 ~~N?ON TX 76201 No respons@ to collocNon efforts, 261 339960 kKDLOpWpq% 283 L049N k c?aj PETER l0/07/el '/27/82 30.00 J T B t OOX Rea V A OYI. T% 76226 A OVL TX 761:26 NO response t0 CO110CHOn BffOrt9, lot 253492 WWAsNI1D,0R41K eH11RAY BJALDW`IARfAT ROBERT t/0318I 1/14/01 1/07/82 1019.20 MNTON T TX 76201 dDfiNjOfI 7X 75201' Unable t0 lOCet@,' i 1 I rr i V. l: i ' ~rr fui , r A DAf4 2/OS/8a B: 43: F L O lJ M E M O R I A L Hb d P I T L DAD DEBT TRANSFER REPORT FQR.PERIOD 1/01/82 THRV 1101182 ALANCE ~ ~arpa PATI N1 fJAMf a'ZIP araar DR, C1 MAME Paaa DATg p 'fg pATIENT NUMBER ffli ADDR ~iY;£3T, tIP~~ _ AD11iTED D13CHARpED HHITEOP; OF' ACCQUNT FX NUMBER ADD ITY, 9T»_ » P _ 203 9122/81 1127/82 40.75 'LEWIS ANNA 94616 ANNA b1~gC)5g. 11CKINNEY tpp2gB gg MCKtNNEY TX 76201 NO response to Collection efforts. LOFNRLTOIJ 9/20/81 1/27/62 38.00 SCENTON 7% 76201 CLARENCCs I✓ - , BTEFANI EW 12 INII`9 St 201 336727 EW1Ik+ II,LC Y IL 62626 A ]fJ V LE i IL 62626 No response to collection efforts. 50,00 ~JLtNVS iv J OX LYDIA 6/04/8! Its. 201 299q 'PO 35' bOX 656A T AMBER X 76201' REENJONOX 616A TX 76201 No response to collection efforts. 43 its N ta/oB/Bl 1/27/82 4 , 20l 357897 SAVTTL~P2 7 TMARY% 76227 No response to collection efforts. 46.00 it ~CTSNCiRCLR, PO BOX 1 KO 76201 841Qp LINDA 9/11/81 L/27/92 201 331629ppy~y0 1!Np LINDA p~jpXINCLE 1101X1190 4709 TX 76201. No response to collection efforts. 09,40 i , FLOYDIE 9107/81 1/27/02 FLOYDIE LL A BRAOBIIAW 201 330241 jH g T NBRADSHAW TX 76201 3 DEITBN 7X 76201 No response to collection efforts. 12/20/91 1/27/92 46.25 MAC 202 814630 RN!~C}NTpppXHag-B NElTX 76226 Rhyt. jai H25 8 NEI L TX 76226 Moved; left no address, ARCO11YL[{ ~ ALM9REEN 0/10/01 0/14/81 1/27/02 1927.65 yq gK INNER ALI'iOREEN Ie fA1, t02 192488 K01 TX 76201 BBI±Tn~sNNER YX 76201 No response to collection efforts. S91, a5 fJT P M1 CHAEL 9/06/81 1/27/99 ry /g p . ~y. 4Y 20g 32B05A BW BOtLiNERTH M.H.P. MICLTXHAEL 75067 t- MA I SVILIJ1Z M. H. P. N179YX 75061 No response to Collection efforts. itQ r 6LIURTO B/30/00 9/05/BO 1127/97 100.00 102 97016 Ig1181 A CROCKKIT ' DORA p CROCKVTT 'fX 79703 No response to COllettl0h efforts. HLAND TX 77703 MIDILANA ND 1/27/92 97.10 201 332197 f 14 L l~0Sp TRIX ILEti f pg pg gq Ct j I1 NTUNE TX 76201 1RND PRA1 1911L ND TX 75050 No response to collection efforts. 171 28 Il _ 9/09/91 1/27/22 W LT%E 76205 S "QILLAQH EAST 92V I2LLt4 2p2 324632 JNT~N9XANDER 9 Y% 76201 No response to collection efforts, i 39100 Np BARTXARA 7b20S Pl% JBTCALLtD BARBARA 10/19/81 1/27/02 4 2p1 343442 N OW&07CA1.1tID TX 76201 Uneblo to locate. r '-IK ; f t c t~Y 3.. ~.yyp ...........~.,.w111 ~,,..,.P•r.M~.'YI f r ' rl ; a~l 1 , , ~R, . r DATE 2/01/82 .0:43: f' L 0 W M E M 0 R I A L H 0 B P 1 T A L PAGE 10 BAD DEBT TRANBF'ER REPORT FOR PERIOD. 1/01/02 THRU 1/31/02 PATIE14T NUMBCC•R **Nxx PATIENT NAIIE ',nxx wxxxx OUARANTOR NAMg xxxx DA g dp E DATE OF BALANCE PFX NUMON ADDR, CITY, 8T, ZIP ADDR,•rCITY,ST, ZIF ADM( 7ED DISCRUROEO WRITEOFF OF ACCOUNT 1 327205 RTREVAC VtL BOX lQ67RY NARggTBEAC VII. OtlX 1067GN6 9/30/Bt 1/27/92 40.90 L RDENTORqN TX 76201 1D tNTOgNNOpyy TX 76201 NO rOSpOnSO to C011OCtiOn efforts, 701 336792 IA INEBViLLC PAUT% 76240 .NAINEBVILLE pNTXLIP76240 NO r@sponselt0 c011ecFion effOrts~Y 92 47.60 lr 701 325274 HART NEEZ CARLOS MAITINEZz CARLOS •8/20/et t/27/e2 104,00 914 ~AnµµDALE 91 PARNDALE Fr WORTH TX 76105 FT WO T TX 7alOS No response to collection efforts, 201 334417 0q RT ZZ DEBBle MARTgg1N{ Z JE08IE 9/21/81 1/27/82 38.00 k I„ D~NTON AMAN DR TX 76241 BATON RMAN DR TX 76201 NO response t0 C011OCtion efforts, !E 204 85963 1A9ON EMMA 1A ON , EMMA 0/06/81 1/27/92 39. to ~ DfiNTONLEN TX 76201 D&NTONI,FIJ - TX 76201 Balance after Med1carel no response, n 1r 101 229666 Hq,889 DARELL 1ppt,LG•y BETTY 10/15/00 ' 10/10/80 1/27/82 741.45 RT., ROYAL OAKS0311 RT2 ROYAL CAKON311 t DENTO TX 76201 DENTON TX 76201 00 response t0 collection efforts, 102 217133 ?,87ERN CHAD MA9T9j8 DWAYNE E. 0/02/91 9/03/81 1/27/02 295,90 t9d CADINAL NA-6 R7 5 X 3S1 TWLMHP V llENTON TX 76201 DENTON Tx 76701 No response to collection efforts. i 201 343111 HATli89 THOMAS MATH88 TH014A8 10/10/81 1/27/92 42,35 tt 09 HIOHLANO PARK 204 V~IOMLANO PARK tlNTON TX 7b201 iNT01J TX 76201 Moved; loft no address, 101 290123 MA Ld NN STEPHEN llA I N BILL 4/0t/81 4/04/9t 1/27/02 3'5,00 10 ASi1EL S0 QBLIEL 1U ON OK 73099 YU 0 OK 73099 NO response 20 collection efforts, 201 327155 Mi,XERn4YLVANIA ' JERTX 76~Q1 I3IAO8XEpkNN$YLVANIA JERRY 9/27/91 1/27/02 45,25 N N DENTO TX 761201 No response to Collection efforts, 201 330399 17>13gV rg MICHAEL 14AY , MICHAEL 9/07/81 1/217/82 • 96,00 b NTONXA6 TX 76201 O NT0IEJXA9, TX '76201 No response to collection of forts, MCSATH 0/01 5202 382234QTNRUOnELL N34 pLM7X 76201 ~BNTpNRUODEIL 034 + ALTX 76201 Nedl Aid denfedl no respome, 1/27/922 3755. 10 L p c p l 330431 ~ B14 N KO129A MYRTLE 7!1951 A1TL~N AX0l29A MyTXL2 76581 No response to collection efforts, R7/92 X1,00 - ~ i3 14 I,; r 1 j ii JII I pp 1 , y'r: I i ~ r ~ III y{3 !y ' {Sti f• / r~. HATE 2/01/82 8:43: F L 0 14 M E M 0 R I A L H 0 8 P 1 T A L pAOE 11 ~I+ BAD DEBT TRANSFER REPORT FOR PERIOD 1/01/82 THRU 101/88 ,w PATIENTyNUMB£R 4a44r PATIENT NAME,4**%. aaaaAa GUARANTOR NAM _aaaa` y+llA7E^ ATE DR1TEOf pPBAACCOVNT PPX NUMBSR ADDR, CITY, 8 ZIP DDR CITY,ST, Ip ADMIT ED DIS HAROLD W l1w i01 291948 D`O W, MAIN JUDITH MCCRAOoiiYqq PAT No response to collectionlefforts~r/91 95,00 tr OAINUBVILLE TX 76240 0AINESVILI.F TX 7b240 201 329776 MCCUBDIN 141RS 118CUDSIN , JAMES 9,03/01 t/27/82 38.00 1Q1 H CORONADO T% 76201 I I CORONADO TX 76201N0 response to collection efforts, D .NTON DENTON 103 42783 MC6AAJN151. RUOYE SMtC`d2xpA,~/IL CLAUDS L. 1/02/8f 1/t0/8l 1/27/82 2b3.64 DENTONJO LANE TX 76201 DEN1 N3D LANE TX 76201 No response to c011ect10n efforts, 201 331561 11 KINNEV DENISE 11NItJIJt?Y MICHAEL 9/11/81 1/27/82 73.35 q00 LONOONDEKRY S111S TX 76201 D NTgNJDtlNDERRY 111! TX 7b901No response to collection efforts, DHN7 N MMM lot 277418 N7~k KEU EY ,y~~EANN VALIEY WILLIAM 3/24/81 3/26/e1 1/27/82 270,15 ( ( LLAIRE TX 76201 ENT N TX 7640, No response to collection efforts. DJ 4 2Dl 331827 DJL>~N RICHARD MILL R RICHARD 9/S.T/Bi 1/27/82 116.25 3 1 y L p JY NNDONDERRY Nt27 r 1 ONDONDERRY N(27 No response to collection efforts, y TX 76201 UNT N TX 76201 202 103%88 1 /27/82 43. 50 j rr1L L p VA14ROVA ~1lOLp VANE:SSA 9/22/81 Vlbt. X 1135 TX 76201 D7EWTOOX N 1135 TX 76201 No response to collection efforts, / 6 AN Do 11 20t 341909 I NTU¢NDER SRI TX 7b201 pENTONNDHR 8RT%N 76201 10/14/81 1/27/82 J 1/27/6'2 1442. iD 1r q SOl 347633 IMU 1'HE800COVILLE RDRAYTk 999p9 1h's"RBOJOVSUV Ab RAIN HoYed(/left no address. 4 J J V LARRY 10/11/S1 1/27/82 118135 203 63474 2 MINO COf~NOR PLA2.A AI1Y MI 245 NO PLAZA NO 1'es cnse to collection efforts, i 2 5 Ca Nr10 pp L SJIBVILLE TX 75065 LEWtgV1Ll I TX 75060 P I 1 1201 335831 H 1o , P800Y 11 CO LARRY 9125761 1/27/89 38:00 i , 9 OONNER PLAYA 21 C~NIIB .PLAYA No reSPOnse to Collection efforts. i L.WI VILL TX 75067 L WI I L TX 704b7 201 316117 HttttC E(,!, THOMAS 6M TC ((,,L STA14LUY 7/23/61 1727162 1A100 _ 6RtirpAHM.LANE V qTX 76201 D N 4 To AK LANE TX 76201No response. to collection efforts.. ' 10/06/ 203 317159 DRRRRNNNL JffNJJ ~C~1I11oN6, To,: ~ j It VCA goof 3M3gtl(yL~j1~ OryryONS LOTHINCV No response6to C01 1 401 011 efforts~77fl2 $9 .00 W BVLII TX 7G20! LEW3V1,& TX 7b201 U 1 Q Ir~~+.r: q• ~j . i• DATE 2/01 /02 8,43: P L 0 W M L 11 0 n I A L H 0 9 P I T A L' PAGE 12 A DAD DEBT TRANSFER REPORT FOR PERIOD 1/01182 THRV 1/31/92 pp ~~gg ~ 1 PpFf%ENTNU148 RR #*4YADpRtICIIY~IABT,421P r*4XADDARC[TY~$T4M21Py*4 ADMITTED DISCHARGED WRI7TTEOPF OP AACCOUNT - 201 201706 MD100114K CRYSTAL 11CNK JAMES 9/31/91 1/07102 36,93 20 YY3 Tx 76227 11Q AUMOY3 YX 76227 NO response t0 Collection efforts. F,Ulin lot 19107 tONK GYN1'H1A 11 NK JAMES 7/19190 7/20/90 1/27/92 137,18 I~~{{0 ggppgxx f AVOREd3 TX' 76727 AUt1REY3 TX 76227 NO reSpOn98 t0 C011CCtIDn efforts. 10t 324992 MtlNK DCOORAN 119IJK DAVID 8/19/91 9/20/9( 1/91/92 1097.tO j R N nnOX 69 R BOX 5t AUD 9Y T% 7P227 AUDRHY TX 76227 Arrangements not kept, i lot 342699 Egg JCBUS 1ONTES J99Ull10/17/01 10/23/91 t/27/02 2366, ho ggMULDERRY OMAN, 1VL.DERRY DTX 76201 TX 76201 Arrangements. not kept, ` 4 101 329912 h. R{ DANIEL, D AY ppK DENNIS 9/09/el 9/06/91 1/77/02 266,00 ✓ 2 pR y~g ppOgROW P 21 gqCl ROW L I9 IHE TX 79067 LEWISVILIE TX 79067 NO response to collection efforts,. 201 334326 M RA WW JII1 M RA y~ JIM 9/21/91 1/27/92 62,00 1 ` GENTON OAK TX 76201 G NTtlfJ OAK TX " 76201 No response to collection efforts, ; 203 104093 tl N A PN , ORRODRY M R AN JA He 0/20/91 1/27/02 19.00 ` 30 ALL MEADOW ka••l 7 300 FALL MEADOW N2-10 HPI ON 1% 76201 0 NSOJ X 76201 NO r64011Se t0 CO110CtiOn efforts, II, 201 3:7023 III ROOgAN U9ggEgLL I1 R2pAFFN » pAR14HR 0/26181 1/27/92 34: DO 8110ONT WORTH DR LOT 12% 76201 p~NTONT WORTH OR M120 TX 76701 NO response t0 Collection efforts, ' 201 329300 Iq(ipgpqNL+9 LEONARD N7DppN$gngn LEONARD 9/03/01 1/27/82 108,00 ` TUNRSH TX 74201 GGNTO11 NR5E TX 76801 No response to Collection efforts, ~ D N u i 101 329377 jORR gggg pp i ISA 11ppRpppppp 9~r qq LLOYD W 013119/ 9/01/01 1/27/e2 63.32 } 4 0AINOVTLLHOLRNeI 06~ TX 76240 OASN ~ LLHPT$ 097 TX 76240 MOYedi left no address, s 202 893939 I,u~LLLL11Jgg AgAHN MU L1NN8 WARREN 9/23/91 1/27/9, 20: 49 7S VILLAOE H. 010 rx 76901 I NILIACE 9 0102 ,y r~~u~ON o~N~a tX 76,401 No response to collection efforts. L 201 342976 PAP r T011 IIA R0 TOM 10/16/01 1/29/92 b6, 00 ~ 3p. ONTCLAIR 0 ONTCLAIR DENTtlN Tx 76201 CE TOil TX _ 76201 Unable t0 locate, 202 201774 IP PAU4IN9 fl HIMCgpN JAMES 10/16/91 1/98/92 90,35 v O~~tl~1CCORMICK TX 76201 ~OCtlRMICK Tx 762,)1 No response to collection efforts. I I d ~ ' Y lf y !1` 4 BATE 2/01,102 -8: It 3: I' L 0 14 M E M Q R I A L H 0 0 P 1 'r A L PAGE 13 BAD DEBT TRANSFER REPORt FOR PCRIOD, 1/01/82 THRU 1/31/02. ! PATIENT NUMBER aapwa PATIENT NAME awrw eawpw GUARANTpR NAM@ wpwp DATE DATE DATE OF DALAN~E PFx NUMBER ADDR. CITY, ST, tln ADDR, CITY, 9T, ZIP ADMITTED DISCHARGED WRITEOFF of ACC VNT 1 } 209 91907 1147T QN HARY NATION NANDA 1o/11/S1 11221$2 1111150 $ 0 TIJETA 060 8808 THETA X60 udU9To TX 77034 HUTON TX 77034 NO response t0 collection efforts. 00 202 11''104 VARRE DARHARA NAVARRE BARBARA 1l/29/8l 1/28/02 69. 1N/4 D901 CAMOf!N Ct 0102 T% 70201 ;040CAMOEN CT 5102 ?X 76201 Unable to locate, 102 322083 pqv T£REOA ttAV DALE RAY 9/20/81 9/23/01 1/28/02 1297.95 RT BOX 172 RT BOX 172 At1BAEY TX 76227 pAUB} pbEpYlt TX 76227 Bankruptcy. f 101 711902 P. C. 85/113 OIRC►tlSOOXNE 76862 ROANI]Sts E9/133 DIRGHIMQ%ENE76262 Balance after MedlC6ree1 1/20192 210.30 ROAN 201 340018 (`,8qN , KATHLEEN NELSON , KATHLEEN 10/07/01 1/2S/82 110 50 FIK N• CAMPORQUNDS KOqq CCAKPOROUNDS D.NTON TX 76201 DENTON Tx 7620( Unable t0 locate. , 1 2410522 11 CHO S GEORGE NCH LB GEORGE 4/27/21 1/80/62 66,60 f //,~qIO 7IgNNYSON 6 0 gqTTggNNYSUN kwo DNTp i% 76201 ONTON iX ,762tli No response to collection efforts, 14, IOt 320923 NdAqEKB LOVE 14WAIC LA14RCNCE I A/05/01 8/06/81 1/20/82 002.90 ` ~p0 S RUapELI 0163 908 8 RUnDELl.. #163 CNTQN ix '76201 0'NT N TX 76201 Arrangements not kept, UUx 002 N U PATRICIA apDUnM WILLIAM E t?/26/80 tong/So 1/20/D29 436.05 ,I 101 290978 M pahnUUggMDk Da% 002 T% 76949 Arrangements not Y a, .3 I L TR 76249 $1 1/28/87 140, 9'U 60 r 26/01 ements not kept 101 317248 91 /l1M 1'X 76456 8AN23Eq 201 -JAMES 76P..66 Arrang 202 163394 RMAND JURY GROWN RUBY 0/01/at 1/20/02 $0 00 4 RDINAL 0-3 My tpROINAL C-3 2"AA ix 7621 tltJ RUDDELL 0162 TX 76701 NO response to collection efforts, lot 314013 hYt3K 66A JON' QYEKA CHIOBO 8/05/01 8108/01 1/26/97 60190 W a0~3 $ RUOnELL #162 q$'JTpN TX 76201 D5 Ig NTON TX 76201 No response to Collection efforts, 60 I 140129 PAR C DEBRA 8 AR EH 22 DEBRA 8 9/09/01 1/20/07 70.00 ~1. `p0 ppr OF, m~ GHNTaNIgRRA Tx 76201 DLN~aN TX 76E01 Unable l0 locate, 1 202 316990 PO/,ityypp,gf%l LARK PPARKKO DALp 1%c MARK 0/19/81 1/28/8'2 99.00 V KD16A8 TX 77065 No response to Collection efforts, P gKB~t}Ab4ASHUNOLE~ ~I1SX 78060 LA I lr J , t r ' J ff • \14 Mill P Lgr, , PATE 2/01/02 8.44; FLOW MEM0R I AL H 0 S P I TAL' PAGE 14 DAD DEBT TRANSFER REPORT FOR PERIOD 1101/02 THRU 1/31/82 _ r - r PATIENT ``JVMlIEq <MMrn ppATIggfJTT NAME 0404 ****p ppVARANTUR NNAHg **t• OAT DATRF DATgg OF BALANCR PFX NU14pHR ApDR, CIIY, ST, ZIP AOOR, CITY, BT, ZIP ADMIT6 DISCHA OEp WRITEOFF OF ACCOOUNT 201 329482 PARR OGNB PARR GENE 9/03/81 1/29/82 93. 75 0640" BDA RT BOX ODA NO rOS TX 76299 POtV2N68ER TX 762D9 pODSe t0 cOllectl0n AffOrtS. GA 201 330029 T X NIiA GATX 76201 NOVedi S left no address, 1/29/82 47, 10 PAYNE I~TgNRUDV9LL 4114 tlAI% 76701 ENTON `,r 8 E tl 1 60941 P ACE JOHN p ACE' JOHN 7104/81 1/29/92 13.00 / 4 CHAMpERS 7 4 CHAMBERS 7HNTON Tx 76201 DNTOIJ Tx 76201 No response to collection efforts. 201 331839 PRE JCeuS PERrz ESCERIO 9/14/81 1/120/82 201,50 { ~NTNOK STHE~T 630 OOK BY T% 76201 ggENT8N TX 76701 Unable t0 lOCat@, 201 019293 L6.N~U1VR$ ROtl7%P 76201 DENTONUE RCTXI 76201 linable t0110Cat0, 1/28/02 38.00 202 235648 JI1fJG ILlLIP58 TWh.NA PIIILLCPS MURRAY 1/30/91 112S/S2 63.00 l pnxANGER 575 7X 74266 No response to collection efforts. Efi TX 76266 B 1 177733 PPpnttCAlLLn 3 4 11AUDY PPpICKK % J09MPH 9/27/91 1/28/82 33,60 P1l.~IT POINT TX 76299 PILD PANT T% 76258 No response to collection efforts, ro ~ 102 166280 RL~j ZO URIr10ET PpUL 6j0 CRAIG It/13/00 11/15/90 1/28/87 466.25 3 pOA g26 D X226 TX 76262 ROANCKB qqT% 761262 NO rospomo to Collection efforts, 8/B2 Bs, Oa 103 30902 ~u8yL(L6Y4 O HT ADEIRHESRON RXA 'tlQk04 (V0 ST ADI)h A81IN75068 NoBr 9pOM1e t0 collection efforts. f7TLR EILM 75069 Lill 7LL EL 77 PATSY P WE~L GLORIA 7/30/81 1128/92 i8.00 201 315592 P~W5~~ p i SS 11L IJNIL' 111 "NIB IT T% 76142 KBLL Balance after Insurencei no response, T% 76142 ~ . N 1 319609 P~A7,ER CAROL PRA ER JACK 7/30/81 1/28/92 14.40 RqArj 0x 307 ROWS gT t2 DDX 307 ROWE OENVA TX 76201 E14 ON T% 76201 No response to collection efforts. 201 246207 PRUg5TT CHARLES P u9tr CHARLES 12/09/00, 1/20/192 14,00 9INT09OX_!02 T% 76201 DMONO% 102 Tx 76201 No response to Collection efforts. 103 140097 PbRUyRT ROBERT PR VITT ROBERT 9/26/S1 9/27/91 1/28/02 429.50 b1 TaNNgONOBRRY Tx 76201 $lR T4~N00N08RRY TX 76201 NO response to Collection Worts, / DB u r 1 WWAIIN M1 r at t Su DATE 001/£!2 5, 44, PLOW ME110R I AL A 0 6 P I T A L PAGE l5 j 1 Mu DEBT TRANSFER. REPORT FOR PERIOD 1/01/$2 THRU 1/31/62 (Y,E PATIENT NNUH ER aaara PAIIVNT NAIIIE ~aaw spar Ol~DDR.RANTOR NAME 041** QATE DATE gATgg qF BAAN86 PFX NUMB R ADM CITY, ti T. ZIP A CITI,ST, ZIP ADMITTED UI9CHAROEd wR17E0FF dF ACC k7 201 353144 NgAMIRE DEIFILIA RA3M3IRgEC DEIFILIA 11/21/91 1/26/82 41.80 MRO AIJSRUdK6 OK 73069 IRMANDROtlK$ OK 73069 Unable to locate. 201 323656 RApMSEpY g , LUOIA RAM6E g LUDIA G/le/et 1/2e/82 29.40 LA ELDA~LA6w Ix 75065 LRELDA LA6W 7X ,75065 No response to collection efforts, j t Lot 314543 RRgtJD1LPIIi MILDRED RAIL LPy MILDRED 7/30/61 0/03/91 1/20192 900.50 904QRDINAL 0-1 304pRO1NAL 0-I l1 TX 76201 No response to collection efforts. AT N 7x 76201 D ENT N l 208 24635. ggpANKINgg AMY RANKING MARCUS W 7/07/81 1/26/62 106.00 9>>WOLRdX 941/706 N lGTTBT 76:66 Pk1NC8TdNA1 TX 75077 No response to collection efforts, 3 4, 9 iitt p 201 328466 pdRqaAAxxTC66L F UqAD ATC16, FP BRAD 4/03161 1/29/60 62.00 k { plltli~ bINTU4 E. UIVI6ITX 76258 pY4ltl~dbtl1NT E. OIV. TX 762b6 No response to collection efforts, lot 320709 RAY1409 JOE RAY OR JOE 0/05/61 6/06161 1/29/02 12.00 i 1~9~1 C0R0NADO tOq CQRQNAUO N QN Tx 76201 DEN ON TX .76201 Moyedl left no address. D i 202 320796 PAY144OR . J:1C RAYNOR JOE a/le/6l 1/26/92 tb.00 , rr 494ydNORONAgd TX 76x2.01 iQtNITQNtlRONADQ TX 76201 liovodl left no address. 3 72043 PgggDFEApRN CALVIN RRvFEpApgX lSSw ' BODDY 0/12/61 1/26/62 3S vo j pAUIJ~i$YOff tBdW TX 76227 AUUnAJGa.. TX 76227 NO response to C01100tian efforts. 201 313194 R DIN&R . KAREN RD IK4q , KAREN 7/14/61 1/20/62 134.65 1 4~jI N SHADY BfiQREd 40 N 6HgpY $MORE9 y LIKE DALLAS TX 75085 LAL DAL LAO TX 73065 No response to collection efforts. l 101 293373 LREEpF.D yy JdHN pEpggQ JJdHN 7/04/61 7/16/91 1/20/92 $90,60 1 GRIJTON ORNTQIJ Jr67ATEe TX . 76201 I.O4TC~ •q NTQN t16TATE8 TX 76201 falanco after-insurancet no response, 4 UpoH 0 g pp , 4 242 302086 Qp g$HAD`AHMtlRES LIT TLJOb 75087 AItE GALYA8H4RG9 LQTlO~k 78089 No 6response i0 CO11eCt1on efforts/92 4Y.30 101 344465 11.1YC DptlX L !90160 1I p AN19TTTE pp}Cg orm 101 $q 0RL0 to/23/dl l0/:14/01 1/26/92 400 bb D 14 TX 78201 UENTON Tx 76201 Novedl left no address. T lot 327221 RRp Cg~{q A? NT ppR C pp ppgg CHARLES 9/24/91 1/02/131 1/28/02 ' 1040.00 P I:pxpNT Tx 76258 P~L PP&T 7X 762.9 Arrangements not kept. u j 1r . l ,7 r• 1 'i • t r 1r'1 Ipr, DATE 2/01/02 8:44: FLOW M E M 0L I A L H 08P I. T AL PAGE 16 i DAD DEBT TRANSFER REPORT FOR P69100 t/01/09 THRU 1/31/82 pp / htip X yIJ M11DER awyN'DR, CIT^1JAI4E-wuwn__~. wwwwAMOuNARC V, ^+wwy_y.. DATE _ DATE GE NOITEO~F OFBAACCO6NT ,!I Pp Nll1DER ADDR CTY, SiTr 71P IP AADR, CI YyBTt IP ADMDMITTED DISCHARGED lr 201 39640¢ RICNMpOpN q r T£RR1 R77 CppH11110A DONALD l2/03/81 1128/82 38.00 r 7404COLTTCNYOAKS TX 70036 TH2 CALONY AK6 TX 7DOD6 Unable t0 locate. THE 1i TX 11/81/81 1/20182 131.00 WISVILOLEE LN CLAUDE 201 393086 AIDING JiITIOR.E LN CLATXL 75067 LJ g T% 75067 Unable t0 locate. 203 112429 RODC~RTB 11ALINDA Ra0T ERT8 MALINDA 8/Ot/0l 1/¢8/8¢ 90.65 t VIILLAOS EN202 1604 VIL7 AOE ENR02 DENTON TX 76201 LIGH TX 76201 No response t0 collodion BffOrt9, US 126.¢5 1 g 1pq py STEPHEN 8/08/81 1/28/82 201 321693 I N SONVILLE LA STEPHEN 76201 TONN811NVILLH TX 76201 Arrangements Doc kept.' NTON 1 ELTTA 7/28/81 1/2B/82 96,00 203 136299 0 aa ETTA gp'~Y7 60g1Na OTT EITREL+r RpOU91J8CU y ENTON TX 76201 DE0NTOM TX 76201 HO response to collection efforts. r 206 36327 l 4ERALINTtlN jam SC 28691 604EWINTOW JOt1C $8651 6alai~Jlce after Medicare. 1/¢8/82 22 00 SOl 286096 G7 F~R Y WOOD BRENDA y 6R ~1 >IWOOD ANDY 7/15/81 7117/81 1/28/09 86'.1.50 { 0 Nr N TX 76201 D NY N TX 76201 Arrangements not kept, 201 331322 a URIOU 2 LRMA DR ARA MRAHMO 9/10/81 l/718/8? 140.30 R 4 000 9lD MAYNILL R N fl l AD X SID MAYNILL NI E DNTDN TX Yb201 tlBNTX. 76201. Arrangements not kept. 7 lot 313361 RX 0y~ JULIA ROSR OUR , ANDY 7/t!1/8t 7/17/8t (/28/82 197, q0 700 60ppoWOOD 750 V WODD 0 Nrc TX 76201 OETtOO TX 76201. Arrangements not kept, 903 230987 010 0#OX 25 ALLiX 76¢41 D~NE% 2t' , AI.TXN 7620! Unable to110Cflte, 1/20009 71,00 • 101 311383 R OER~ , MARY RO R , TROY L 7/0878; 7/13/81 V28/8¢ 366.04 t~ g + pgVDDELI_ 0113 1fl 1O VDDCL 113 TX 76201 DEL~pTOT 66 TX 76201 NO response to Collection efforts. 201 031215 D~BBBO 7306D NO Te4p0 9e t0 CO11eCE10n effpr2t89,8¢ 3tl, 00' A it ~Lj~ L263 111LT%AM '/5069 4AStgjBALI Ag , WILLIAM ~ A ((TT~~ pNNp 76201 NO response to collection efforts, 18.00 ti01 3¢5920 l~IM OX 173 DO11'IXIr 76201 008N OIJnx.17B DOTX Ig 1/99/99 DFj ~ I I • J W 6 qua Y r Xi C DATE 2/01/02 8:44: P L O W M E M 0 R IA L H 0 8 P I T AL - ...y °PAGE 17 ~ DAD DEBT TRANSFER REPORT FOR PERIOD t/0l/88 THRU !/31/82 PFX NUM U2 ER ADDR NY NAiIENT NUM + -M_nwM PATlgIJT NA11F: ♦4NM aanar auARANTOR NAM 11**** ppITY ggED TTREGED RR ppgqTTggEOF LL CC y,-CITY, -yT,_ ZIP `-y ADDq,-CITY,ST, IP ApM D18CN F OF BAACAU 201 323196 R SELL MICHAEL R~~11SS8gLL MICHAEL 8!!3/81 gY RAAILROAD AVE 5f2 RAILRUAD AVE. 1!20/82 40.00 , CENTON TX 76201 89141UN TX 76201 Ne response to collection efforts, 202 341123 'S1A'ACS R EFF2REY ~8/CIT ION VILLAGE LOT J6 XREY 76Z01 Mall 10/17/91 OBNTOfJOW VILLAGE LOJ 6TX 74201 ALSER not able t0 IOCAa/8Z 54.00 ..T itY 101 314000 RbAOii~% 166R6 DILT%E 76261OAN4kEX 16684 BILLIE 7/20/81 7/31/81 1/28/82 1122.35 TX 76262 Arrangements not kept. f 201 326612 AND9pS JEROME SANDERS JEROME 8/20/81 WO WE8T OAK 037 TX 76201 Ury~p OAK 037 1/28/82 18100 - N TX 76201 Unable to locate, 1 l 325407 NpEB8 ULAFERN BAfJ Ep8 LEROY 8/20/8l Rg11♦ D OX 7 ACRON ~sANCH UN BOX 9 ACRON RANCH 1/28/82 33.00 L 4ffNTpN YX 74201 ION TX 76901 NO response to collection efforts, 201 348990 APpgg p INOTpaN CLARENCG 53 NO NNE 11 /00/81 /28/0i? 128.50 F UL BA OA 77777 qp ppp Unable t0 locate, ldl 327056 DBNlT8O OMD#9 BANTxE 76201 OENTONL )MUOOH9 v 1x4w 76201 NO r26/81a t0 col ectlon eft/2t0s 82 457,55 202 331,058 CK , gABEg7 1 l i $I RANCH TH.PK MHggCgKg ROBERT 9/11/8l 1/28/82 43,50 & u r rx 76201 WIN 0911 104 E C gg rr Tx, 76201 No response to Collection efforts, 1 201 326736 668pp~jHUWWB T , CLYDE 68x9 gwE87WAY ' CLYDE 8/25/01 t/28/82 46.35 . 1. DBNUotITWAY Tg 76201 MHUN N TX 76201 No response to collection efforts, 202 230907 C7tl7'Tnn , ALLEN 8COrTp ALLEN 1011t/81 1/28/82 20,00 D NTgNOX AO TX 76201 UNT0IJOX 40 TX 76201 Unable to locate, ; 201 313585 On T CARRIE COY JOHN 7/26/81 8g0x:322 gNU ~gL 1120/89 150.00 lr hN ER TX 76266 IOC BINS OH 44408 No response to Collection efforts. ZOf 330126 077 6 JOHiJ ticp YT JOIIN 9/06/01 SINHOOO LN 1/28/82 qq p i 1A RM R BiNHOOD LN Rlb,its V M_RR t qq p 1 DU18E JRRIAhf K8 66203 No response to Collection efforts, 1, 1 101 312058 ANON 3100 M gaFrr Bp 8 66203 bggtHtANNIlJ LOVISH 7111721 7/14/0l 1/90/82 834,00 4 PkI Cf1 TX 75034 R1UC Dx 310D TX M34 'Arrangements not kept, ♦ 1 amp" <;r ~ r1s. r r i i i7 , 17,'lTE 2/01/82 9r44:' P L 0 W MEMOfi I'AL `HDSP I T A L PAGE 18 PAD DEUT TRANSFER_REPONT FOR.PERIOD 1/011,02 THRV, 1/31/82 PATIENT»NUMDR 4wa--------------------- + PATIENt NAME4r »»'VwM+rwr OUARANIOR NAMH1P wwrwYrr ybATH ATE»^ 1lATEY OF ~rBA1,AkCE . M'^»Y PFX NUMB ADDR, CITY, 81. ZIP ADUR, CITY,ST,. ADMITTTHD D18DCHMAROED w+RITEO F OR ACCOUNT 201 341016 SH%yFFqIRh~ CAMINATA DE " SHEFFIELD CAMMSsNATArpROOER 10/11/81 1/28/02 132.50 tr 411, UNT CA CA 80000 LUZ, EL CENTAO CA Unable to locate, I 106 26716 SHEFFIELD r TINA PHHrEFFqFggIEL4 r JAMES 7/22181 7/21/81 1/28/82 411.39 1 3DEM1N O VISACHE TX 76201 UENT01JOx 46 TX 76201 No response to collection efforts, 201 61283 SHLPARl . BRANDON H9PARD DEWAYNE 7/29/81 1/28/82 199,00 qqrr g PpOX 1147 1g1T 2 0x_ 1147 4 DENTCN TX 76201 U~EINTON TX 76201 No response to collection efforts. 1/28/82 96.00 i! ! 201 328769 NARL08" C1tR NY 9999q ~ATERWOD gRL0O41 OH NY ® 99999 Unable /to locate, 201 330381 RTIIE.0,15L BRANDON pHp~CK!MAN LUKE 9/07/81 1/28/82 43.50 6 LITTLE ELM TX 7$060 11T7LR I7 M TX 75068 Unable t0 locate, 202 330381 tJRQEL BRANDON B fi El ELAINE 9/11/81 1/28/82 38.00 i ~17~LG ELM TX 75060 LL T LE 91M TX 75068 Unable to locate, 60 9 1 296343 JJNTLOOP 288 LI DAVID 141mg N1 STANLEY 7/25/01 1/011/82 91.50 OIJ TX 76201 DENTCINUMT TX 76201 No response to Collection efforts. 201 319392 II Hpp BRUCE SMITH LINDA 8/02/81 1/28/82 42.50 O LEOX 1530 RH 2 IOx.153C ~ TX 76226 A QYL ,T% 76226 No response to collection efforts. 202 319392 ®®11~11ITH BRUCE SMITH LINDA 8/12/81 1/28/02 t4, 00 1 RY ^ BOX 1530 gg ROX 103C 1 A OGLE TX 76226 A OVL Tx 76226 No response to collection efforts.' 1 tv 201 327973 511TTH CHRISTINA IT MICHAEL 8130/81 1/20/88 38.00 1~ 9 pQX 159 HT Bp x t59 ;OANtl Tx 76201 ROANOHi Tx No response to Collection efforts. TH CHIRYL 7/12/81 1/RS192 307,60 1 106iS9 gM0 H TX CAYST.AL 7620~M'D N N~AKWGDD ~1 N 1~ pARHpOD TX 76201 No response to collection efforts, t ~ DI 208 293621 SM TH DAWN SMNNNT TH DONALD 7/30/81 1/29/82 Igloo y ' 1 t o PAAMfS 1~ 40NHAIIZT TX 76R01 p TX 76201 No response to eollction efforts. ' O 101 304659 H LYDIA SM H TROY DALE 8/IO/S1' 8/12/41 1/20/82 '540.50 r TYLER ST gOLtVAR 4 110ON Tx 76201 M DN T% 76201 Arrangements not kept. ;I V ✓ r .,t DATV 2/01/6iD 0:49. FLOW MCMDR I AL NO9 1 TAL PAGE 19 ' L + DAD DEBT TRANSFER REPORT FOR PERIOD 1/01/02 THRU 1/31/07 p 1 p Te' N g I PATIENT NUMOEi'1 444 PATlfif'7 IIAMF, aanr ''q* *ADDN6 C1TOY~ T, Z ,01 Ply*__ ADMITTED AIBCHAHOEI) WF1Ti:d F OFDAACCOUNY PFX N MUER AODR_ CIrV. BT. 7.1P-' r MICHAEL SMMg T TpH : 11TC14AEL 8/27/81 1/28/82 30.00 201 327130 CAAROLLTtlN3910 1 39 TX 79006 CA>~ROL305NVALUE INN TX 79006 Unable to locate. PAl'HICIA SM$ITH [UJER BODBY 7/20/Qt 7/20/81 1/28/92 1283, 90 ; O1 314039 gMTTH ggµµ r DE N N TX 76201 Df<NTtlN TX 76201 Arrangements not kept. I SppTtl S8KINNER L /QB/82 SHERRY 8/07/91 1 109. so 209 242917 p117pOX l3 / SHP'RRV 6MpITIiK lab 6y 9069 LhKE BALI A9 TX 73069 11A 00 LA E OAILA9 TX 7 VICKI N9 ➢az}sa to collection eflfAgOeIl VICKI SM TFFI 4*0 203 217689 t8TOsBVNARD 9l BBRNARD TX 76201 No response to collection efforts, u C tJ TX 76201 D BNTpN /09/81 1/20182 38,00 I 201 321965 fflg,34TE. MCKINIJH'/ RITTX 76201 ~MJTTgy ANOHLA f1CK1NNEY TX 76201 No response to collection efforts. EID Ct N~U1J 6/09/91 1 /728/62 121.00 j b 201 320762 PAggSK~{ , MARISA SPACQcgg MARISA DTN7ONOX.410D TX 76701- p&NTJOX 4100 TX 76201 No Yesponse to collection efforts, PRAOARY JAMES 7/18/61 7/20/S! 7/99/82 203,65 ; ` lO1 2040 ~PRJD ~D OxR303 JAMES p7O NX 303 TX 76271 No response to collection efforts. 7K 7b27t d 1/2t3/e2 86,00 THOMAS 7/OS/81 202 197410 2BtfrNNAOA THtlTAB HEWN PRAIRIE CLtlNOX 400 TX 76201 TX 76201 No response to collection efforts, N T ~pJ og piT MA IS 8 1/26/62 61,00 0 27938 JOTX 76840 Arrangements s not kept, INF~VILLE OINTX 76240 0h1NfiB Sp1 V2~L E i '60 I _2, fuUi6 L C 9/02/91 4/04/81 t/2B/653 675,30 502 27930 1S bE VIU81 0TX 76240 O ENOVtual JOTX 76240 Arrangements not kept. ? C N VI U81 1,g 7/18/80 1/219 02 70,6e DIANA 8tA KKPgYACLE ! 201400 IJh nKPO ►fiCLB TX 7 001 DRRkN tlN TX 76201 No response to collection efforts, _ j V NPFO CALHEN 9/02/61 1/29/fig 30.00 ti 201 3ag7gq rr FgtlqRDpE MI TX 76201 NO response to collection efforts, 1@9T8NQ117XCHAEL 7620! K RA480" A480" t M100ASL K`gBY CALEHN 9/09/81 1/29/02 efforts. 38,00 N 202 320799~~T~~gE ` ~JA006 TX 76201 110 response to collection efforts, TX NT ON 76201 H 140 { lw c 1 • 1. Klil f ,r ~ h l ry~p 1 14 i PAGE 20 r DATE 2/01/82 8;45, FLOW M E M tl R Y AL H 0 I T A L i J BAD DEBT TRANBFER REPORT FOR PERIOD, 1/01!82 TriRU 1!31!8$ BALANCE yl pp » - - y pp OF-»ACCOUNT 1 DATE C NN+~NOVARAN R NAME NNlN ADMITTED Dl-HARGED WRTTEOF'» 1 I 77 NN ' ADDR, CLT_,BT, ZIP , » +I NpF ENfNUM~OggRR wNNN A on, CITTY NAME- 8L, *ZIP 29/92 » D DR C gg w y,-JAMES 7/00/81 7/10/81 1/ 74,00 T k CODY pE NpgNIBnN TX 76201 NO response to Collection efforts. n 7/29/81 1129/82 100,00 102 63727 9ypaBNDENIBgN Tx 76201 DRl % { p2NTO 8`qr HARVEY D ponse /26/01 t0 collection efforts. gr AL11A 766,5g r 1306 J A 76240 ppNE9V1N 4LE TX 76240 No res 56.50 f/ lOl 302497 0 gpHE D 6 6 A 0/24181 1/29/82 A1NE8 1C L5 TX 7EP {EN8 , MICHAEL pptlN ppX gg MICHAEL 066 ppH~Uuxx gg 54 TX 76266 Unable to locate, p /01 7/S2/81 t/:19/82 20t 326124 8h00ERN054 TX 76266 A 261.45 TnDo ggu ' BHEILA 7/09 ffl CIRCLE No response to collection efforts, lot 311456 87E;HHI1NCIRCLE TX 761201 DEMON T% 76201 1/24/82 144.75 Uwm 4tl , WANDA 8/83/8! 4 1 201 325951 551 IV 01J GARY RILL O WIT TX 75067 No rOlpenSe to collection efforts, 931.50 40 LE TX 7-306•/ , L-AtLt 9 7/09/8! 7/l1 /81 t/29/82 a , KEN J COLLEEN pBpTtltlEVapp►®799 l01 311301 SSpppTE~pp//En 8,q TX 7625E PILOT POINT TX 76259 NO regpen4e t0 Collect'" efforts, 43.50 piLpT P01NT 10/01/81 3/24/82 RTE4E09EVEN8 MHP M34VA TX R176401 MovedI left no address, g EVEN8 VALFfl E 555.25 201 337964 g t LAKE PARK OAROKN MTX 75065 OgNTON L W18 IEEE LLOYD 8/23/81 8/26/81 1/29/82 L MELISSA RtrWAJpT Arrangements net "Al J toot TX 76201 295.75 75 102 71-3251 STEWART t p BOx ppDX 1002 TX 76201 pENTON 0/21/81 1/09/82 N DN OTIDo DAVID ; ` pp DAVID NN CIO X 973 TX 76201 NO response t0 collection efforts, 20.00 202 314443 81WONp% 073 T8 7620t 8/24/81 3/29/82 I gfl DAV efforts. J 1 A , DAV`fl 76201 ($t U NTON X 973 YX 76201 NO response t0 collection , J'01 0 203 314443 Jill' 'R 973 N~ NNgTr GEORGE 0107/80 8/15/80 1/29/82 , g GEORGE 8TpQD 324 TX 76374 110 response t0 Collection efforts. 40,75 1 101 208215 t1Ox12 T TX 76374 ULNEY 0/SO/al 1/29/82 OLNEY , DLAKE R gHARRl 6gtsOR%C7Kq ~ 203 135863 STOCKAAp20 Tx 76747 pUdf1Na D TX- 76247 No response t0 collection efforts. 03.10 N1719 0/24/81 1/29/82 Nq Q ALLEN 60 p AL4FN P~FFNglXHIOHLAND AVk AZ 85039 U1lable t0 locate, i 201 326389 6d"EW HIGHLAND AVE AZ 89038 P F pp PHOENIX i Irr r_ 1 II ! s' f 3+ r i DATE 2/01 /82 8: 45: F L O W M E M D R 1 A L H 0 S P I T A L PAGE 21~ i 1 / DAD DEUT TRANSFER REPORT FOR PERIOD I/01/82 THRU 1/31/82 PA IVNT NUSSD R iwwww PATIENT NAME rtrww wwwww GUARANTOR NAME wwaw DATE DATE DATE OF BALANCE PhX NUMBER AUDR, CITY, ST, ZIP yVADDR,,CITY,ST,_ZIP- ADMITTED DiSCH,RGED WR^1_TEOFF OPT ACC86NT 102 186460 Ygg{~TTRI!Cµµl~L1N : TERRI RTRI ox N049 tlODnV 8/12/80 8/[:1/80 1/25/82 1298.30 ~I j RN0EROX. 849.,. TX 76266 BANGER TX 76266 No response to collection efforts. ( { tlh G R 1/j 101 393290 6171TPAI.MEADOW DAVID SW77ggIFTpgqLLMFADQW DAVID 1I/22/81 11/23/81 1/29/82 424,60 HwLDOURNfi FL 78995 11ELOOURN FL 78955 Unable to locate, , I 902 337881 614114ARRT% Sgt DARLA SW,IHARDpTO% 192 , JACK 10/02/SI 1/29/82 47.00 4a SANOEROO TX 76266 9AN4ER TX 76266 Unable t0 locate. ~l 201 :150577 YKgS , JANICE SYK%8 , JANICE 11/13/81 1/29/82 43.90 50q LOCUST 850A LOCUST 4 [IN ON TX 76201 DENTON TX 76201 Unable to locate. 201 358964 TAYLOR , DRANDON T YL?A ELAINH 12/11/81 1/29/82 79. 25 rr qT 1 1R,I ITTLE V1M TX 79068 Unablo to locate. J TTLE ELM TX 79068 L 201 334409 fT1IY~OOOX 34 HEATHER RAIA4MBDDX 34 WILLIAM 9/21/81 1/29/82 19.00 i R q k7ON TX 76201 UENTON TX 76201 Moved; left no address. D 1 1. 316297 pTArYL`ORp TERESA TAYLOR THOMAS 7/23/01 1/29/92 101.00 CRAPERINE4. AL iP1 TX 76090 OWEVjNE42 AL IF! TX 76050 No response to collection efforts. rH7XAg74090 No/%sponse to9collQCtlOn effOrtse2 641.30 4 CRrr P RRggppIN ~ TAYLOR 101 316297 CRANEV114E4" A TERTXA 761150 ORA1'EflaNC42 At 1v 201 920382 TjjHUNjRII pq MARION TEggRWUNgpcttaq bpkp ALAN 8/04/81 1/24/82 38.90 r ' NDA AIRIE TX 73OLI ORAppJlrARpRA1RTE TX 75051 No response to collection efforts, 201 OLS766 NOC ERAAINE APT k6 T!OMtyLL 3 OC EMAINE APTk9 TIMMY 7/31/81 1/2q/82 91.29 3 f LEW1 VILLIX TX 75067 '.0pW1 caV1LI& TX 75047 Unable to locate, 201 322997 301;Q~ AUGUSTA ROBERT 76201 RENTON AUGUSTA BEN a0T%Rr 76901 No response t0 collection efforts, 08.00 J 4 W t tl q JA'1E9 9/04/81 9106/81. 1/29/62 807.30 MA VICKI R 302 200990 NTtlNSY MIIH14TW~YI O R NAY TX 76201 DDFPoliC111as TX 76201 No response to collection efforts. `r N 241 3x4497fN1;p1BSIL BASE t`1pcATTX 76201 bEI1TONMt96IL RASE ROCATxY 76201 Unable to locate, 1/24/9it 40,79 I 8 'N I i 4 DATE $2/01/82 8:45: P L U W M E 11 0 R I A L H 0 8 P I T A L PAOE 22 DAD DEBT TRANSFER REPORT FOR PERIOD 1/Ol/02 1HRU 1/31/82 L4•~ PA'f1E147 NVIIDER 4M*** PATIEN? NAME 4-M** M**** 0~/ARANTUR NAKJ *O** pA1'ggr DApTEOC DATE qqrF SALANC » PFX NUMBER ApUR, CITY, ST, ZIP -ADDA, CITY,L~T, ZIP ADMITTED DISC HARD WRITEOFF OF-yACC06NY 102 321775 TTyHHoOMCPCSON KATHY TgHQMPSON CHARLES 9/02/01 9/05/01 1/29/82 2010.35 DENT N'fPRELL LN. TX 7b20t D0 CAIPDELL LN. +r lppNTgQIN Tx 76201 Arrangements not kept, I 202 309821 DENT ONEBHERWOOD MHppATT%CI76~01 DET grSHERWOOD M4 9/2 PATXfC76201 MOY d3V/eeft no address. 1/29/82 56.00 4 7 , lOl 129021 T77RfMME.ALCOT) DEMPBIL' Ap77R0pABr4EL116g4q0 lt2ELL 7/27/81 7/25/01 1/24/02 70.10 PILO5T PIDNT pp TX 76248 PIILOVRRgXXPOtNT 2 TX 76258 NO response to collection efforts, 201 352203 V}lKE9T APT 204, LOOP°2X8 76201 pPNTNBY APT 204,LOP 0 xLAH7620f Unable to locate, 1/Zq/8~a 45.75 AtJTON T Daq T + 209 117432 N?05I WORTH DR M20RE1XA 76201 911 QOpT WORTH DR M~ 8RE%DA 76201 Urtablo/St0 locate, 1/.~9/S2 t8. 00 r 201 309833 `TURNE~ WILLIAM !!lURNER WILLIAM 7/04/81 3/24/82 39100 Pl9.R+J0 50TH ST TX 79074 PLANOE. DOYH S1' TX 75074 Unable t0 locate, ERNEST 8/09/81 1/29/87 98.26 AVE J 301 321919 XAIl,,LEJO ERNEfiT VALLEUR , DEN AVE H 20 AV DEN TON ~ TtlN yy T% 76201 tlENTUN TX 76201 Unable to locate. e :741 331728 1'AAyNZKCLOVEk , JENNIFER Y62 4KCE~JVER , JENNIFER 9/11181 1/29/82 49 25 13310 TON T% 77001 HOUSTOtd TX 77001 Unable t0 locate. i 4 202 117689 'AMZANOT , BAnRY WOtlTEN , ARTHUR 9/.x.4/81 1/29/02 38.00 `g1t AMARILLO ESII TLPHENSON MTON 1'X 76201 Ma TIE TX 75149 HOYedl left no address. j 202 138859 1ANZANDT STACY 1'poTRN OWENDA 0/19/81 1/29/82 49.40 10 L SYCAMORE ufU SYCAMORE 76201 No response to collection efforts. _ BNTON T% 76201 O Nfi W SYCAMORE E V 401 329175 yVAU p ITONHOTT MARTZW 76201 ~0Ni0NEOTT MAR%ON 76201 No response to collection effo2rts~2 945,75 Y i 4 D6 i, 1 296756 keNADLN LEONDA VENABLE LEONDA 5/26/01 1/24/92 195,00 33 gggg UDOELL aa 8. RVDOELL V p~IJTON 7X 7G$2O1 tli~'~TON Tx 76201 Unable to locate. 201 331498 VfiRppAAA JEA;RICE VjROAARAA ERAgSMO 9/10/01 1/29/82 39.00 ; pYN40pbX at!) MAYHILII RTX 76201 UEN4ONO% 910 MAYHILL MBX 76201 Unable ZO 1048[@, DD££££ 7T 1NJ T J 4 r1, 4 7 ~r } f DATE 2/01/02 6:45: F L 0 IJ M E M 0 R I A L H 0 8 P I T.A. L. PACE 23 1 BAD DEBT.TRANBFER REPORT FOR PERIOD 1/01/82.1HRU 1/31/02 i PATIENT NUMBER 4*0#* P TJENT NAME 441nr e►Mar 0 ANANTOR DAME r*r4 AT 7 DATE "ALAN pp II~~ po pppp g qq CCgg PFX NUMBER ADD R, CITY, 8T, XIP ADOR, CITY,B~, ZIp ADMIg TTEtl DIBCHARQED WRITEOP OF ACCtlUNT { 201 309195 V RQARA ERA8M0 VERJARA 6RAOM0 7/01/81 1/29/02 77,05 R A BOX 510 MOBILE HOME RT OO% StO HOME kg 1ho p NTO T 76201 DENTO TX 76201 Unable t0 locate', 4 201 323345 ``'dWF.LL DONNA VOWELL Sbtl N OLD ORCHARD f89 N OLB ORCHARD PAUL 8/14/81 3/29/82 b8, 50 L5W18VILLE T% 75065 L WI9V L1 E TX 79065 NO response t0 011ect10n efforts. 201 330609 WALOREP , WANDA VALOREP JOE 9/01/81 1/29/82 49.50 OENTONBOX 1129 TX 76201 DEANBO% 1179 TX 76201 No response to collection efforts, 201 330860 WALKER GINA WAL LRgqpp GINA 9/00/81 1/24/82 102,50 i G ~LNTONDAMB LN M3 TX 76201 1.9111 ILLS LN 83 TX 7,5067 Unable to locate. 201 330183 I!00 EyN~ MICHAEL WpAL EN MICHAEL 9/06/81 t/29/82 124.20 DBNTONL78TWAY W O WCBTWAY I►. TX 76401 A .N 0 TX 76201 No response to collection efforts, r lot 237194 ALISLVREC JERROO IJAL EURO% ND 139 pHI1L1P ti/07/90 11/12/80 1/74/$2 49.03 pJ~~}}WWtt I{{ZLtt 9N ANT4NI0 TX .0 DBN ON TX 76201 Arrangements not kept, 101 48140 {f{t~~~6.TTRgXAB CARRIE 14ALTgEgRtlLH GLENN 1/27/81 1/29/81 1/29/82 95.60 16 pENTON TX 76201 DENTU TX 76201 NOYedl left no address. 1 1 201 340907 WAApRROpNN KEITH BCCdTT EDDIE I1/08/81 1/29/$2 64,50 ~ 4RNTgNKLAND OT nT~AKLAND 6 TX 76201 tlN TX 76201 Unable to locate, 201 331107 ?N$ LILSA WATKIN$CHARLC$ DWAYNE 9/10/$1 1/29/$2 b$,RO C}~ARLFm 99q00 Bg t„ 'L4E TX 75067 LEWI$VtLLE TX 75067. Unable to locate, 202 331157 1111u CN}{ARLPB L1E8A WA K18N$ Ap DWAYNE 9/15/01 1/29/87 56,00 4 LHWIap eVtLLH TX 75067 LEWt811tllgRLEO TX 75067 Unable t0 locate, 201 329144 WAT ONg RHONDA 14AATTgIONB KENNETH 9102/91 1/29/92 100 L NOPLEOk 39 TX 76226 AROY3 25 TX 76226 Moved; left no address. .60 201 321138 ^Aq1TdN pAKRIDOE HOWARD gWgAT4 Apx2700£ HOWARD 8/00/01 11124189 96,00 L F N 'TX 76201 D NTg'J TX 76201 No response to collection efforts, 201 329805 H'I0 JAI40T Wg i$g JANET gy p6 CORtlELL V/013/91 1/24ia2 46.50 D6NIRDELL TX 76201 ~eNTON Tx 7620, No response to collection efforts,. 3 J D - F'A0E QA - ATE 2/0l/82 8:49: F L O W MEMO R 'f A L . H O SP I T A L L. DAD DCOT TRANSFER REPORT FOR, PERIOD 1/01/82 7NRU. 1/31/92. t LANCE T ' J - x**** GUARANTOR TAME'****__.. ADMIT44--El1 - _qqT-TggOED _07PO y NT PATIENT NUM DYE OF $ALANCE BER R****DPA• AUOR, CSTY,d i ZIP AUMITf DtBC HAR WITEOFF OF ACCOUN AOFt T CIENT TY, NAME 8T, 4*Z*I* P w - 7/19!81 1/1x9/02 19,00 RrLDON 00X 40 HANDRA y 313726 `~ttE4.gON ~d% 40 CRAtO gg TX 7620 i No response to collection efforts ~nENTO TX 76201 DEN10N ry/28!61 1/29/80 140..00 1 R A 8TO OxK1192 R. 1 SYDRO 201 3S8l13 p NT2AOXK1192 Tx 7600! No response to collection efforts. 6 N rX 76201 DENTOIJ 201 3421369 10/17/t31 1/29/87 74,00 I/NITE SANDRA Wyy I YE ROY 1978 111 1, 1EW NN MILL LAKEBHORE TXT Unable to locate, 70067 LHHW119 1L TX 79067 Lk$ 851ILLE THURMON 7/17/81 7/29/01 1/29/82 101 319104 1 236.80 HERON Tr STSP IEI.U No response to collection efforts, l r `JH~AIELO T O0 T% 100A TX 76271 .40 76271 R tTA~ITi , eaponso to collection 1/2effort9/s81 113EN ON .40 `t p JAMES pppp gpq 199IA9 pJTL2gRgDX L,46 TX 76201 1DT 90DX 446 MARTHA YXARTHA 76201 NO r 6/2V/91 2 S/02/81 1/29/82 102.79 ` ERIC WlL IAMB 9QYCE gp! 99352 p+FN OIM(BIPT6 Xb 9271V APTB N6 TX 76201 No response to collection efforts N ON T% 76201 8118/81 1/29/82 197, 7D l,, Wt LL 1 AM$ JOHN 201 324090 6W6pj LIAOL ' JOHN b03 EqOL¢ ON APT C19 No response to collection efforts. 4ENAAVE APT C19 TX 76701 DENTON TX 76201 1/R9/82 19.00 W g p , i 201 324996 77 LLNII M¢ TERBAd 7 ~ONOATMWOOO JUDY NO 8/response to collection efforts. p NTONR HWOOD TX 76201 D NTQN 7X 76201 1/29/82 41 6! E w he N ANDREW 5104/df 202 203651 g10NSE1JpRAIR1E ANDREW gtpg O PRA[RIG TX 76201 NO rOSponse to collection efforts, D5NT0N T% 76201 DENTOH 203 223691 1/29/02 38.00 E PRASRit ANDREW 9J27/81 tir [ BDIJ response to collection efforts. AIJDTX SW 76201 O0%9" Ig~EN TX 76201 j I gLgBEIJPRAIRIE TX tl ANDREW 0/29/81 t/329/60 26,32 l+ ~j , A14DREW gWgppl~gtlggNppA;RSE Ho response to CO11eCt10n efforts. J 204 223691 D 11 N fIT NpRA1Rl4 YX 76-201 ~j DAVE 3/30/O1 1/09/02 569 003 228219 U DENTtlN T% 76201 , 40 ARTX W aj . Yx 76001 No response to Collection efforts. J y24A0S . CARROLL M10 ~ 92'19 CARROLL 0102 tlENTdN Tx 76201 O NTON 7/25!81 7/8/81 2/29/80 980%, 7d 1f HAM AM MELVIN 101 317061! IIrINNQ~ONAN gOx 931 VICKI T% 76201 DEN~b 14ppT DOX 931 TX 76201 Arrangements not kept, J E i ~ .11171 1 7 . Cdr. i - - - - - - - - - - - - - - - - _ PAGE 25 DATE 2/01/82 0:46: FL01J M£MDR [ AL Htl9p I TA4 v A BAD DEPT TRANSFER REPORT FOR PERIOD 1/01/82 THRU I/31/02 PATIENt NUMDER ##a## PATIENT NAME: aMMn a#### QUAAAIIIppfI NAMgg DATE DATE OATgg DF BAAV a ADDR. CITY. 8T. ZIP ADDR. CITY.ST. Ilf ADMITTED DISC AROED W 7EtlFR OFD»ACCQOVNT / pF% NUIhBER E°d THEqE0A IJITTE RUSSELL 8/10/8t 1/2q/82 63.00 201 3?2370 ppuuITTpEp N $ gq No response to collection efforts. BANOEOX 149 (Bog PECATUt 76266 LVB[1tlCK1t04R APT 304 F TX 78407 J 01 201 319228 W80DARD CEDRIC 700DgYCAMORp CEDRIC U able/t0 locate. 1/29/82 46, 00 DENTOHCAMORE T% 76201 DENTON TX %6205 54 00 ~r WOODARD CEDRIC d/Ob/01 1/29/82 202 319820 4'UODARDp CEDRIC q00 SYCA11URE Unabl 4DOEµgNCAMORE T% 76201 UEkTON TX 76201 e to 1000- ? T iw 0 FRE4 IJRsOHLj FRED O/10/01 1/29/82 3(1' 00 203 87771 WN104T NOON ROW nable to locate. ~ S Ss5 CROW TX 76001 TX 76201 U it. FRED 8119/81 1/29/82 14.00 Unable to locate. J y 204 2%771 RNIOHCROW . FRED Wp14 I saw 1T 19 CROW Tx 76001 pENTOc T% 76201 OENfON pAlh AIJKIE JOSEPH 2/07/81 2/1S/01 1/29/82 29.16 101 148957 YhTNIINUX 2$ F RT 1 BOX 26 F AAF.UBRBY TX 76227 AUDREY TX 76227 No response tO COllectien efforts. W 1/29/02 40.10 202 131 69 aY}'/p.RS1Ra UGH KATHY lpgB"801"208 014 6 ' KATHY 2/00/61 30t) OP 208 ON-6 TX 76201 rM N T% 76201 No response to collection efforts. i ✓ ARLES 9/06/0 001 330039 1'A7~T 0 CHAR ES YATES MCH 1 1/29/02 90 00 4! EON ONM. N. P. AT 4 LOT 7 76201 O&goiN P NT 4 1.0T 69 TX 76001 }1o response to Collection efforts. J t r 102 23990 yuSK . MICHELLE Y CK DONALD 7/10/81 7/19/61 1/29/02 17.20 I 606 DRIFTWOOD 0 UNIFTh'pOD Nb00 J GBNTON TX 76203 ~~NTON TX 46203 NO response to collection efforts. 1 ti 1/29/80 15,90 201 306522 A.ACHAYY MELANIE ~TCHRYYOX 6l ROWE ROBERT K 0/20/81 DjMjQ X 61 ROWE T% 76201 TN ON Tx 76BOt No respenee to collection efforts. r TOTAL BAD DEBT WRITE-OFF iH19 PERIOD: 07092.97 J :y J .n l :Y r d KWM.°'r~rr.w+ fib. ;M I i ' r BOARD,OF ;DIRECTORS BUSINESS MINUTES Dafs December 17, 1981 page i The Board of Directors of Flow Memorial Hospital met in regular session at 7:00 p,m, on Thursday, December 170 1981 with Mr. A. E. Wyatt, Chairman, presiding, All members were present--i,e „ Mr, Ralph Havenhill, Mr. George Hilz, Dr. Don Holt, Mr. Brad Moore, Mr. Dan Trammell,Mrs, Mary Williams, and Mr, A. E. Wyatt. Also pre- sent were Mrs, Wilma Fritz., Mrs. Gloria Madeweli, Dr. Arvin Short, M,T ~g ry song and three representatives from the Marshall Erdman and Associates,) jl The minutes of the previous meeting were read and approved. ~J JAN 25 New Business: Medical Staff Report--Or. Short reviewed the minutes from the C>E'rc'ecOEINNT64ittee meeting. me announce at the following officers had been electecA9ANMSdOftCbf the Medical Staff, Or, Roger Nunn; Vice President, Dr, Victor Alvarez; Secretary/ Treasurer, Dr. John Anderson; and Members-at-Large to the Executive Committee, Dr. IJ. E. Coleman and Dr, Virginia Moreland, He explained that the Executive Corpnittee had investigated the case of a patient on 38 who had commited suicide while°r t on a pass with the finding of the Executive Committee that the attending physi.d-i and staff had appropriately managed the case, The application from Dr. L. R. Byi f'was presented to the Board with the recommendations from the Credentials Committ Executive Committee, and Department of Medicine that or, Byrd be appointed f the Active Medical Staff with privileges In Family Practice, Mr. Havenhill movr., that the Medical Staff Report and the appointment of Dr. Byrd be approved by the toard; this motion was seconded and passed by voice vote. s Dr, Short was presented a plaque in appreciation for his work during the past yyear as ex officio member of the Board. Dr. Short accepted the plaque and expressed his appreciation for the cooperation from the Board in all medical staff matters, Financial Report--The monthly financial statements and charity and bad debt chargea-Rf li`sis were reviewed and discussed. Mrs, Fritz noted that while the total amount of bad debts is high for the past month, the percentage of bad debts to revenues is still within normal limits and is only high because of the higher i revenue-producing months of _July, August, and September. There was some discussion concerningg the hospital's policy for collecting self-pay accounts, and Mr. Franzen assured the Board that accounts listed on the charge-off list are still being pursued for payments either through small claims courts, by attorneys, or collection agencies The average daily census for the month of November was 96.6 with an excess of revenues over expenses of $69,283, The financial statements for the first two months operation of the Home Health Service were closely reviewed and showed an excess of revenues over expenses of $7,142. Mrs. Fritz noted that the auditors have completed their E audit with no adjustments necessary. The final audit, including the cost report and any accompanying adjustment, will be presented at the January meeting, Mr, Havenhili moved that the Financial Report be approved by the Board; this motion was seconded and passed by voice vote. Professional 130-10ino - Three representatives from Marshall Erdman and Associates made a presentation concerning possible site location of a professional office bufldin I on the gounds of Flow Hospital They outlined the background of their company and how they might proceed with such a project. 1 After the presentation and the representatives from Marshall Erdman were excused from the meeting, the Board members discussed some of the possibilities. Mr. Hilz F ( moved that the Board approve a statement that it is the intent of the Board of Directors to study proposals for the building of a professional office building; this motion was seconded end passed by voice vote, The Board also agreed that a special meeting' of the Board should be 01led followin tthh9 anuary meeting so that more time might be devoted to a discussion of the posS~bitit es, y 1 BOARD OF DIRECTORS - _ r Fand _Page NUTES Dare Dec t R ort--Mr. Watson reviewed the minutes from the December 2 Safety ee ngHe distributed summarixhillsmovedhthatCnSafetyr the Report were reviewed by the Board. Mr, Haven ed by the Board; this motion was seconded and passed by voice vote, li on ev ew Re o t-The minutes from the October 24th meeting of the Tiss sfusio~n/filed cal Recor s/Utilization Review Committee were presented and revie d dministrator, Mr. Havenhill moved that the Utilization Review Report be ; this motion was seconded and passed by voice vote. istraI Is R~por_t--Mr. Watson reported on tha status ofHehinvitedvthecapital eqquipment purc ases and what their expected delivery dates are, f Directors to attend the Employee Christmas luncheon on Friday, December 18. Ha } f outlined what will be done to decrease expenses during the expected low census pperiod during the holidays and notified the Board that two department directors had recently resigned--one the Director of Plant Operatiowhusinesstiring;eand a the other the Director of Rhannacy, who is pursuing private ven. The meeting was adjourned at 9:45 p.m. ii I + Dan Trammell i Secretary i r grn G r k ' „4' ' •1 FLOW MEMORIAL HOSPITAL BALANCE SHEET DECEMBER 31, 1981 1981 Y 1980 1981 1980 Current Assets: Current Liabilities: Cash--Opeiating $ 2479410 $ 619097 Currgnt'Notes Payable $ 125,159 $ 114,769 Interest & Sinking 509691 917 Accounts Payable 711,740 66600.12 Reserve Fund 18,112 17,727 Accrued Payroll 426,902 333;320 Repair Fund 7,246 11,412 Payroll Taxes 570785 -39,660 Group Health Insurance 40364 194 Fees Payable 137,104 130,421 ` - Investments/Board Designated 171,398 236,498 Bond Interest Payable 625 - Bonds Payable 65,000 65,000 Total Current Liabilities $196235690 $1,350,307 ~ Total Cash & Investments $ 499,221 $ 327,845 Accounts Receivable $20567,307 $29176,743 Other Liabilities: Less: Allowances 245 ?.98 (2443 986 Deferred Income $ 261,790 $ 229,063 Net Patient Receivables , Long Term Notes Payable 259,028 397,$01 Bonds Payable _ 430000 495,000 Other Receivables $ 221,172 $ 3319787 Total Liabilities $2,474,50A $20472,171 Inventories 264,523 Prepaid Expenses 52.899 _ 34,568, Capital: Total Current Assets $3,359,824 $2,8909324 CountyfofeDnton enton $1,696,871 $Is6963939166 E Property, Plant & EgUipment: Endowment Flow Estate 240,461 240,461 Land $ 37,647 $ 37,547 Fed. Grants, Hill-Burton 108660910 1,868,910` Building & Improvements 39037,195 2,994 492 pled Federal es and Gifts Grants 256,371 256. 37.5,800 372,,801 Gen. 371 Furniture & Equipment 4'23 '374 39221,0 gFund Bal., Beg, of Yr. (6279770) (19069,536) Current Year 6,61467 65.926 _ Accumulated Depreciation 3 y34 157 3 537 345 Net Property, Plant & Equip, 3 374 959 $3,416,814 Total Capital $4,260,275. 933, 4,+967_ 734 783 307 13 TO'N'AL OPERATING FUND $6,734,783. $6,307,138 _ TOTAL OPERATING FUND $6. Current Ratio` 2,21 tr?.'• FLOW MEMORIAL HOSPITAL Paget s STATISTICAL REPORT DECEMBER 31, 1981 Actual R E N T M 0 N T H YEAR -TO -DATE P RIOR Budget Actual _,_,Budge_ t Year-To-Date Adult Patient Days 2 654 $037 8,269 Average Per Day 85,6 97.9 89.8 9020 80694 1 98.2 94.5. ' Newborn Patient Days 39i 397 Average Per Day 91216 1 12.8 1,183 1,180 976 12.9 12.8 10,6 # Gross Patient Revenue/Pt, Day 376.21 358,28 367,83 358.18 291.66 Total Expense/patient Day 330,58 290.82 E 320,07 291.49 251.83 Mont Charity Bad Debt Recovery October $ 72,027 November 529097 $ 49,546 $ 7,406 s December 25,607 188,643 5,321 ! 94,19 50 _ 5,666 t $1499731 $303,139 IE $18,393 f % of Revenue 4.9 9.9 1.0 } (I3 1 : , s FLOW MEMORIAL HOSPITAL Page 3e STATEMENT OF OPERATIONS/DECEMBER 31, 1981 of Salaries Supp,''as Total Direct Operating Re en Revenue & Benefits & Ower Expenses Profit Loss Daily Hospital Care 181B-6- Psychiatric Care 4 445758 28,111 811 280922 16,836 OGUPost Partum 5 53,508 15,042 1,005 16,047 $7,461 1 61050 10,563 243 10,806 (4,766) 3 349256 11,963 21401 13,864 20,392 Nursery Neonatal ICU 2 21,875 14,242 653 140795 7,080 Coronary Care Unit 6 55$66 34,014 2,296 36,310 19,266 Labor & Delivery 3 31,937 20,637 4,250 24,867 7,050 Operating & Recovery 5 45,023 18,803 10,865 29,668 15,366 finergency'RDom 3 29,559 15,187 20,380 36,567 (6,008) Central Supply 7 67,930 81852 17,841 26,693 41,237 Lab/Blood Bank 9 93,374 51,06; 51,057 429317 Radiology/Nuclear Medicine 6 59,845 169076 10,029 26,105 33,740 Pharmacy/IV 14 139,077 125596 34,169 46,765 92,312 Anesthesia 4 370392 113020 6,369 17,389 20,003 Cardiopulmonary 2 179599 6,850 71608 139488 40141 Respiratory, Therapy 6 55,725 14,139 6,969 210098 34,627 Physical Therapy 1 12 617_ 5'617 813 6,QT 6,187 'total OTC'- W $ 182,? ~ T , 9 $ 460,415 Deductions of Revenue $ (65,783 $ - $ $ $ (56,783 Charity & Dad Debt (103,068 - (103,068 Employee Health Ins, Exp. - 33,694 33,694 (33,694 j Medical Records -448 11,461 1,792 13,263 2'806 Gift Shop 29326 1,997 10822 39819 1, 493 Cafeteria 10,098 26687 250629 52,316 20218 Plant 17,700 45,067 62,767 62,767 Housekeeping/Security Serv. 29,454 3,294 32,748 32,748 Laundry 7,664 21030 90594 (9,!194° Fiscal Affairs/Data Proc. 7,914 3,774 11,688 (11,688 Business Ofc/Credit & Collec, 24,697 8,698 33;395 33,$05 Purchasing 19677 11229 20906 (2,906 Personnel 3,639 6,780 10,419 (100419 Administration 4,479 639 50018 5101 StafP'Education 1,946 46 10992 10992 { =General & Administrative (30) 27,128 27,128 it Depreciation 23,912 33 $(149,6N0 (34,43 Gain (Loss) from Operation &O fI N6n-Operetipg Revenue O 8 27,0060 . k Foundation 4 8 Total 878,233 $ 499,693_- $ 377,645 $ 8770388 895 i , ,il ~A.. + FIOW MEMORIAL FIOSP I TAL Pa9e4 STATEMENT OF ONERATIONS/YEAR-TQ-DATE, DECEMBER 31, 1981 ~ oP Salaries Supplies Total Direct Operating Revenue Revenue & Benefits Other Ex enses Profit r~____ p ~ 20 yy Dat1 Hos ital Care Psychiatric Care 5 1~ $`~3q Q69 ~ ~CUPost PartUm ~ 21~32~ gQ899 3,307 48 06 108:836 38,032 2,730 40, 62 (13,47) Nursery 3 97,376 34,571 7,311 41,882 55,494 Neonatal ICU 2 69,525 42,154 1;446 43,699 25,926 Coronary Care lrnit 5 144,437 100,173 8;946 109,119 35,3 8' l.abot" & Delivery. 3 98,905 64,269 14,144 78,403 20,52 Opehating& Recovery 4 135,813 59,Q48 31 456 91,404 44,4Q9 Emer enc koom ' $ y 3 94,351 46,442 62,089 108,531 1 180 Central Supply 6 194,137 27,293 76,573 103,166 ~$0,~~9,71~ ~ Laboratory/Blood Bank 10 295,883 135;647 135:,647 160,236 . Radiology/Nuclear Medicine 7 199,584 49,287 46 725 Phdrmac IV ~ 9 ,012 103,672 " Y/ 14 414,746 34,858 105,581 14,439 274,307 AnaSthesia 4 108,756 37,780 15,228 53,008 55,748 ! Cardiap~ilmonary 2 55,637 16,823 22,733 39,556 16,081 R~spiratory'Therapy 5 167,287 39,262 18,282 58,090 109,197 Physical Therapy 1 27 023 i5 617 168 16 785 1 2 Total 3,0 37 1,08 87 5 60 1,65 ,647 ` Deductions of Revenue $ (138,075) $ $ $ $ (138,0'5 Charity & Bad, Debt (323,052) 323,Ot12 Employee Health fns. Exp. 75,703 75,703 75 703 { r4ediCai ReCOrds 1,030 32,428 4,809 37,33736,307 ` Gift Shop 6,078 6,992 5,346 12;338 (6;2$4 Cafeteria 32,003 .79,21?. 78,099 157,311 125,3r~ 8 f Plant 51,760 164,817 216,577 ~216,61y ` ~ laUndryeping/Security Serv, 83,840 12,089 96,929 5,9 g 1 21,404 6,734 28,138 ~8i~8 Fiscal, Affairs/Data Proc. 24,330 12,215 36,545 3G;5 5 ~ 6usitlesS Ofc/Credit 6 Collec. 71,965 25,272 97,227 ~,2~7 ' Ppt'cf~drs~ing 4,968 4,054 9,022 ~9~02~ Pe~sbnnal I 10,921 12,154 23,075 ~23,67sj Administration 17,833 2 972 20 805 X0,805 ~ Si;aff EducaCi`on 5,831 X365 .6,186 (6,19 (ieiteral & Administrative 767 - 74,59b 74;596 (Z~,82~ _ j Depredation 1 0 188 ~10~0z188 ~ ; ~ Gain: ~ (loss)'Prom Operation ~ ~ Non»-O~eratinc~ Revenue 79,050 ~ (34,846 ~ Foundation 12 263 79,060 Total 1,70~3,30i~- i, 96, 8 1 8 3 2 ~i3~4 $ 56 463 I . _ - J -~.M.~....--- " , .Y. i^~` ~~r 0~', . 1 FLOW MEMORIAL HOSPITAL Pages SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS DECEMBER 31, 1981 ~ Current Moith Year-to-Date Beginning Balance $ 253,146 $ 685074 Cash Received From: 399 111 Active Patient Accounts $ 830,999 2,418, $ 18,493 Bad Debt Accounts 6,088 Cafeteria 10,602 33,649 Appropriations/Donations 70,042 Other 33,191 222,841 866 80 _ 2,763.324 Total Ca0 Available $1, 19,926 31,398 Cash Disbursements: Payroll $ 509,983 $ 1,270,347 Payroll Taxec 56,900 165,266 Patient Refunds 18,760 559042 Capital Assets 37,500 109,860 Notes Payable 19,236 44,442 Other 371,641_ 1,060,536 Total Disbursements 1 014 0 0 2 705 492 { i Cash Balance $11398 171 398 I i CashaYnVestments ~ Total, Cash Gross Iitient Revenue $ 994,449 $ 3 038,434 I` LeW Allowances 1 4 476 5'19,804) 1 i ' i Net Pa`,'ent.Revenue $ 8795973 { Cash Received on Patient Accounts $ 836,999 $ 2,418,399 Less: Patient Refunds (18.760) 55 042 ; Net Cash on Patient Accounts $ $-T$-363,357 Cash Received as a % of Revenue 9310% 84,5 % I E t 1-13-82 w T11 Page 6 r E'LOW MEMORIAL HOSPITAL AGED ACCOUNTS RECEIVABLE SUMMARY DECEMBER 31, 1981 Primary Pa_vor Current 31-60 61-90 _ 91-120 121-150 150+ total % of A/R Medicare $ 297,337 $ 93,793 $ 68,831 $ 20,433 $ 26,244 $ 77,049 $ 5839687 12.2% Medicaid 27,913 16,368 13,078 216 69454 79238 71,267 311% Blue Cross 99,826 67,158 28,246 11307 87 ;4,765 211,389 9.3% t Commercial Ins. 3199669 1603406 56,088 269717 83333 19,460 590,673 25.9% j Self-Pay 3399541 199,494 1059502 75,599 38,250 107,162 865,548 38.0% Balance after Ins. 771873 _.48,979 45 649 399781. 19,304 31,883 _263-,469 11.5% 1.162j 9 58 ,198 317 394 164 051 98 672 257 5 7 $ 2,586,033 Advance Medicare (306,474) a Net Billed A/R 1 ~ $ 29279,559 100% f In.-House 324,679 Total A/A L2,60.4,238 Number of Accounts: 7,684 Days of Revenue: Accounts Receivable 6910 In-house ~ Total r t 1-13-82 i 1 r j: I Page 7 - r PLOW ME140RIAL HOSPITAL HOME HEALTH BALANCE SHEET DECEMBER 31, 1981 f ASSETS LIABILITIES 7 Cash $ 37,985.15 Accounts Payable $ 237.04 s Reiribursement due Medicare 7,500.00 320, 6q Accounts Receivable 43 Payable Due Flow 24,933.37 'total Current Assets $629924.63 Accrued Payroll 5,660.99 i Total Liabilities $ 28,381.40 E$UIPMENT 1 Furniture & Equipment $ 1,615.00 Less Accumulated Oeprec. 179.44 CAPITAL County Home Health $ 36,862.49 1 } f Net Equipment J.3 66 _ 7~g97.76 + Retained Earnings 4~ 1,360.25 j $2,741,65 t TOTAL OPERATING FUND $ 82,7__ ____41.65 TOTAL OPERATING FUND Current Ratio 1.64 f a', E 1-14-82 . 4 Page 8 FLOW MEMORIAL HOSPITAL HOME H F A L T H STATEMENT OF REVENUES AND EXPENSES DECEMBER 31, 1981 _ Year-to-Date REVENUES Patient Revenues $ 169197,17 $41,559,50 Deductions of Revenue (71,02) (3 299,561 Net Revenues $ 169126.15 $ 38,259.94 EXPENSES Payroll A FICA Expense $ 109155,94 $ 25,716,84 Supplies ' 934.84 29673.48 Travel 11137.40 29192.42 j Depreciation 89,12 179.44 Net Expenses 12 317 90 $ 30 762.18 r`. Excess of Revenues over Expenses $ 3,808,_2 I M7,76 i j 1-14-82 f i r DATE 12/31/el' 11:23: P L O W M E M O R I A L H 0 8 P I T A L PAGE 1 D 12/31/01 PFX TIENTNUMMDJER 4***ALDRTICITYNA4E0* p DEBT TRANSFER REPORT CIT NYAMZIPJpy*t THRU AUD TE-:. DISCHARGED WRITEOF'R ORDA~CCOUNT PA 201 324947 ApORONp SILV98TER gJgLOLNEpSp GENEVA 9/10/91 12/29/91 41,50 BNO LRILRQAD AVE TX 76266 TANOER~~'ROAb A T% 76266 Noresponse to collection efforts. } 1. 8 HH Cg p pp _ 201 332072 ,20?OfT. WORTH OR LOTRT%T0P76201 ENTUNT, WORTH OR LOT1 XA 76201 ./13/81 12/24/91 00 104 149970 ADA,~ DOLORES ADAY CALVIN 7/17/81 7/21/61 !^2/29/61 32.00 j 10N ONROAUWAY TX 76201 N N ONR0ADWAY TX 76201 NO response to collection efforts, I 201 306175 AODKITCN LAIJANDA ADDKISON JAMEO 6/23/81 12/29/81 69,50 i 14 N LOCUST APT A 8g714 NN LOCUST ANT A j{ EN.To TX 76201 9aNTON TX 76201 No response to Collection efforts, 202 185314 SA04~ 1~~R DELMA R UILAR , LOUIS 8/02/91 12/29/8% 39.00 GDH CAMORE 8 00 ffgAMORE NT N TX 76201 D NTUN TJ: 76201 No response to,ColleCtion efforts, t 201 325795 M ET PRARIE BYLTXA 76201 pj~TO~fiAUOW OAK YHTX Ae76201 Bala0/22/01 nce after insurance; no response. 260.00 101 290475 AI INwSy~ggg wwp CARLA A1KJII6 t BARNEY R 5/04/St 5/07/81 12/29/01 236.94 l LWJ4VILLEY T% 75067 LEKWISVILEY rx 75067 . Balance after insuraneel no response, J 101 310094 A INq0g MELVA AKINS DARYL 7/05/81 7/07101 12/09/01 51s.33 A4UIDREYOX 102 AD TX 76277 AUD EYOx,182 AD T% 76227 Balanoe after inSurancei no response 1 ~ R Eb N0Nopu% 66qa11 201 316636 ARORAL` S , JUDTX 75067 L ALx 7/24/81. AKEDOALLAB RCTXRr 76067 No response to Collection effortsp/S1 70.00 j I A ppgg I k lot 322644 R~E%3AtJW Rb/ SHEILA RiEIAHOxM67 JOE 8/14/et 8/lH/81 12/29/61 74;00 „ AUGREY TX 76227 AUDREY Y% 76227 Balance after Insurmet no response, ; 201 300939 pp1yy~1LEMANNH l SCOTT rygftIL JpHP ~MittLL , C. 0. 6/07/81 12/29/8! 76. y0 L5WigVILLBL Tx 75067 pgLpEWWSSV1Ll.E TX 75067 No response to collection efforts, ✓ 4. 1011 296910 P ~OTOAYIN CATTX 76258 P 001'O TIN 'OESTXTER, JA 5/26/81 5/20/81 12/21/81 799 76758 Dalance after insurancel no response. , 17 102 34107 0DEISOOW SANDRA A~IDERSOtE JAMZ S 1/29/Hf 2/01/61 .12)99/01 570,35 V &YL~ TX 761226 AdbYLH. Tx 76226 Aerangments not kept. i t t S ; i GATE 12/31,181 11: 23, F L 0 W M E M 0 R I A L H 0 8 P I T A L PAGE 2 ppgg pp DAD DEBT TRANSFER REPORT FOR PERIOD 182/01/81 THRU 1~277/3gg1/61 pprr pp77gg PPpX NTNUMUERR 4*M#pDDRT1~NTYNABTErk21P`r`r J Y_wMa*AtlSaARC17Y~STnM21PMa*- ADMSTTED 013CHAROrD WRITEOnF OFBAACCOUNT 201 314439 ANQRE ALAN AND 6 RA1' 7/l8/SL 12/211/81 46. 25 23011 UESLIE 22D LESLIE { O MT0 Tx 76201 0 ON TX 76201- No response to collection efforts, 102 193591 tl1~~BNLLAIRE QERR % 7620 1 pOf BELLAIRE DATXV 76201 Balance after insu ante! no resp011se' 143.70 # L f0j 102 100467 A RINGTON BARBARA AIR INQQTON BARBARA 6/17/Bt 6/19/81 12/29/81 971.20 9 t gTEMMONS 9 1 TX ~ D~N1dN 7X 76$01 ONTO Tx 76201 Medicaid app, not completed. 201 324936 Al nRUDDELL Nll2 VANTx 76201 let RUDDELL N218 VATX 76201 No 6respon6se to collection`eftortsg/8' 49.00 12/2 I. 9 V ~N'j 201 316273 AVRETT WALTER AYRE T ALTER 7/23/81 12/29/81 63.60 1007 g 33000 N E STEMMONg LT 3000 N 9 STEMMONgg LSWISVCLLE TX 79067 L WI VtLtE TX 79067 NO response to collection efforts, 1 318090 bNO~ NN060R ALltx 76201 pQpUNtlONDARY Ayl 7/28/01 balance after insurancel no response,! 6%•60 201 307199 C42$RNN LOCUST 09CKV ~~Nt RppUDDELL 8T 870$I1CAY 6/7b/B,1 19/29/81 177.79 jE UNTON TX 76201 DEN 04 TX 76701 No response t0 collection efforts, 7/10/81 k S ZOS 314393 ppgggTqTK RBOX 97 SHERWDODI^ x 76201 OBMT030X 97 SHERWObel Al N ON v201 MOVaa; tuft no address 18/Q9/SS 35,00 DG 't 101, 289713 gAgAMKI BAM1R ARAM I BAM1R 4/17/81 4/18/Si 12/211/01 481,40 SI311 PCCADILLY 31 ICCADILLY L EN a TX 76201 ENO TX 76201 `AreangemePts'not kept, 208 30$300 ggpqRNES CHARLENE BARNES CHARLENEI' 6/2l/B1 12/29/81 38100 } gT ggOX 216 RT OX 216 ` AN ER T% 76266 8N rb.Ui TX 761466 No response to collection efforts JO1 293811 RAAN 6 FOURTH GLENN IIARNH OX 1063 CHARLENE 9/19/81 9/21/1}1 12/29/91 3114.43 no response. ~ NQ T% 76266 rpSS'jAQNOQEggp MA TX 76266 Balance after lAsurencel l 12/29/91 SI 101 794061 R1Mja00% 1012. 1sAaT% 76201 p~NTOf1dX 1412 I TX 76RU1 Balance after inSllranceidrra arrangements kept,. 908 83 201 316693 UD6EAB KENNETH D Abpp HENNETH 7/24/S1 12/29181 16.00 j. Q11±TJANILLO STROkY TX 76201 6 1TAO~ARSLLO B1REEf TX 76201 Balance after insuranea$ n0.'responso. ~ E U N ' j i 1 I r PAGE 3 1 DATE 12/31/81 11;23; F L O. ..._M 9 M O R I A L H 0 8 P t '1 A L DAD DEBT TRANSFER REPORT FOR PERIOD 12/01/01 THRU 12/31/81 DpppTTgg ppATgg OF llALANCE OF_~ACCOUNT r4 trtp#■ PATIENT NAME #ZP N r#p### DA, GUARANT(IR TAMZI####~ ADMiT ED D18C &CD -!I PATIENT U118pR ADDNTY,S ZIP PF% NUMBER ADDR, ('ITV, OT, [ _ y DARRAN CggrLrAANNYpp tt~~ pp LtNDA 6/22/81 6/£3/Ol 12/29/8 1 97,05 tOS 305619 I IEBVYTEE TX 76240 IWAVI~LE TX 76240 Balance after insurance; no response. 12/29/01 34 7/3tl/01 .92 At' A :iJ &ECK % 172 LARRY i t 318031 P 08n1 112 tl qo TX 76271 Balance After iosurancel no response. Y A TX 76271 7Ip0/+ JUDY 7/27/85 12/20/81 Soh. ; ` 201 317636 CK JA111E 1pa 01N10 WOOD NTON VINSONVILLE T% 76201 D£NTL YX 76201 No response to Collection efforts. 17/2q/81 39 { NO yy`` Cµ7 pryM JE88 3/09/51 V p t 210867 OjNCTMIMLOCUST TJOBSX 76201 N 00 D THN 9 LOCUST TX 76201 Balance After Insurance; no response, D6N70! g U, AMOAISLY RALPH 9/31/01 6/02/81 17/79/81 603. W. i OR gpp 77 06 p ; 101 298850 TON MCKINNEY OPAL TX 76201 DEGTCA YX 76201 Arrangements not kept, , LILLIAN ppliRpRpRDYDOo LILLIAN 0/05/01 12/29/81 84.: 201 380972 Gn8o R 733 TX 76460 PRUCTOH 733 TX 76460 NO response to CollOCtlOn efforts. 18 0 4 AC0 O GEORGE 7/20/81 12/29/01 201 318398 g EORGt; p Nt6NXAD YX 76201 BalAnco after insurance; no response, j D$ NT VAS TX 76201 (1 12/00/81 38 i JUA14 ITA D AO JUANITA 6/27/St 201 307330 ACK RUDO@LL 039 No response to Collection efforts, f J~CKN RVODILLI Nag T% 76201 8~'jtJ T% 76701 7!1t/8t I r+ O N 12/29/01 06.75 gLSID BENNY DjapgD~YRTLE DENNY 1 202 194019 f ibVNOMYR7Lfi TX ` 76201` D 014 T% 76201 No response to Col1PCtI0n efforts. 30:00 p OH N oy BEVERLY 7/30/91 12/29/81 1 ! V 201 315610 JACK D$g1 VALNUT HILL HONG No response to collection efforts, WALNUT HILL LW T% 79062 ~ ttv 14 TX 75('62 at i 4 8/06/9t 46. CO y IIEI , ME 201 320924 WWA{~(~q 6'AY NSUAN f$fl W b~ NAY T%' QAN 75159 No response to colloction efforts. 11pq ~OOVILLE TX 79159 8 000V L d j ..V vq/ , CHERIC g/Rpp U110 JbS LN ' MIKE 11/02/01 i2/29/81 30.00 201 347361 R6NI VILI£ AD pM0N MRS LN TX yp067 L HWI ViL 6 TX 75067 Unable t0 locate. U V }1oNATHAN BRAD(,gY RRONWYN 8/10/81 12/20/01 38, 40 9 TX 79068 4Af4ti ALIAS TX 75065 MoJed1 left no address. 801 322263 1514,40A ((DAVIS 7R.~ p R p p 90X j r DATE 12/31/91 11.23: FL OW M a K 0 R 1 AL H 0 8 P I T AL PAGE 4 BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/01 1HRU 12/31/BS PATIENT NUN.O R •~wwww pATIPNT NAME rwww wwdww OUhRANTpR NAME www'x OATS _ 16FA110E tlA7E PF BALANSfi PF% NU_11BE ADUR. ITY_ 8 , .2IPyy_ r _ AOUR, CITY,BL I1P.OMITTED D-- H -----O F OF ACC UNT 4 210 7r^^.033 8'0'050 RUDDELL N119OlTxTA 76201 D510JT0N RUDOELL e119C0T%TTA76201 NO response t. collection eff0~ts2p/til 117.x. G L qqpppp 8/03 201 320036 apTN PRAIRIE BAMTk 76201 pE~TgNPRAIR E SATxY 76201 NO responselto collection effo ts9/Bt 136.30 V J ROCHELLE O WWN ROCHEV.E 6/23/tai 12/89/91 20.00 202 305597 flROWtJ TX 76«O1 No response to collection efforts, NN&LLAIRE TX 76201 DINT 8N DE 101 149641 54faKpRINNCCgg pA BARBARA 0Ar~UNNaKppRRIWCCgg DR LARRY 6/21/81 b/2A/O1 fit/29/01 288.40 L.KB bALLA9 T% 79068 LggpAKH DALIAB Tx 75065 Pelance after Insurance,, no respORSe. 1 796,01 101 106393 ~j fl~ n PBY BARr%HA7b25q oENTOEPTUN& PATS 76201 Balanc6/05/81 e after insurances no response. 204 263798 LA ARNATHA K80gLl g AB OLEN hJPAHNxD492/119 OLEN RHgNIJ El/09/01 12/29/81 167.00 gg xxA0'qN gg TX 79065 IA CpCpqqK pp 00 r!:~ ~ 14 75()65 No response to collection efforts. / E 201 316927 ApAN~Lt.µµENTUCKY RAYMOND CCbEp L'l.µ TUCKY R'o'/MOND 7/25/81 12/29/RI 175, 20 ' CK1(+NEY Tx 75069 MCKI NEY Tx 75069 No response to Collection efforts. J~ Y :1OTLfi xACYItlN,~ ~JTIN$901 ~2 PP AT[ 7/21/01 7/22/81 12/29/81 647.80 fOl 293496 YAgR D' AJ LAP A YO L RTLE %ACTION 7 ~ ® tV W9901 No response to collection efforts. I fOl 318908 CopO Ng M0N10UE C` 00 Nµ8 MOlJIOUE 7/31/81 8/04/01 12/29/81 471,65 132NOKFl LANE Tx 76262 H ANOKE LANE Tx 76262 No response to collection efforts. J ~ ROA GGO 6 207 49270 COIN MARTHA JAMES 8/09/81 12/29/81 96; J0 697-X ~ ~pNbBR Tx 71j266 BA44 11ROX 657 Z TX 76266 NO respOnSe t0 CO11BCtI0n efforts, r/ f01 30636$ LOL17UIRE JCRRS 79067 tO WI~VpL E J&TkV 750d764nkrUptCY~l b/06/91 12/24/81 146.24 ; 201 310102 IMPT0g1D4Q JOEL Ctt~~11 T JOEL 7/05/81 12/29/81 70 00 J r9dUI7G.BROOK Tx 7915) 30~ 2EPAOUK Tx 75150 No response to collection efforts. _ MERE 201 12/29/81 70,00 309666 ~~jj NN R WILLIE NNPq EAVIN 7/03/81 D 0 PRAIRIE D N PRAIAIfi i NT N Tx 76201 D TDN Tx 76001 No Y4SpObSe t0 collection efforts.. j _ 1 r I i Ha aP I TAL PAGE 8 DATE 12/31 /81 11;23: F L D W M C M O R I A L L BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/81 THRV 12/31/81 gpLANQG 0EU W------ OF ACC NT ~f PATIENT NUMpER 4w*** PAT1CI NT^NAME -*Mixr-^---^- r0-ARANTDR NAM a*~* DATE DA~E OAT O ouV pFx NUM11 R AODR, TY, 8T, 21R AUDR, C-7Y, --S-T,--^TI--P----- ADM[7TEU D[ - r9/08/81 12/29/81 28,00 1 1 330969 COQII , DANIEL COOK UATXLL7b201 No response t0 CO11OCtlOn sffOrt$- 1 9 INDEN 09 IINhEN U •t NTO 7X 76201 N1ON 63.00 ; @ WYNONA rggnUOEpp WYNONA 7/14/81 i2/49/B1 1 3$3028 COQ2NTON T% 76266 HANO~iNTON TX 76266 No response to Collection efforts. 99 75 lr ( B J HINNY 8/11/81 to/a9/BS I 204 72649 QQVIBO ppRT IICIA uL ppC 76201 MO response t0 collection efforts, 1 t0Y66 DN7 TRAiLO76201 'fiq7jY&DNT TRAILR EbTAT DENT TX t2129/B1 39,00 202 118489 RpInV19 RONALL' pDAY 8 RONALD 6/13/81 R unx 272 E Tx 75067 16Ws~i~L~l3 E Tx 75D67 No respense to collection efforts. ~I LFW3BVILL 101 299164 ppgg1LAOANA IIAAIE pF.l Aofl$AIA4q MARIE 8!02/81 0/09/81 l2/2q/81 780.99 x RT 2 nnX 44 Tx 76227 1AUD~EY Tx 76227 No response to collodion efforts. J V AUDREY 12/29/81 26.25 t tot 273243 D R NO CURTIS RERTINNO 63 CURTIS 3/09/81 D'T' Inax 277 TT ` TX 76076 NO respOrSO to collection efforts, ' U 7X 76201 RHnMROX 41.00 UUGG N V U / 14 /1 201 323402 1 1jORTN~IDE%TER , tlSCTx 76102 5013 VINPEXTER nSTXR 76102 NO ~@SpOnge t0 c011ection effort p/81 ✓ i Fr f T SSJJCC11R7 } ' 12/29/81 82.50 202 212290 pOOSON R3DSRT DOCHONSRADBHAW ROBERT NO r85pOngA t0 c011eCt10n @ff01tS'. V g NA 6 NN BRADSHAW 7x 76901 316T tJ TX 76201 Gf~ t ns~T , EILEEN 7/16/80 7/21/Sl 17/29/81 721, 00 101 7064q I? TTQN RUDDELL N20 EtLTXN 76201 SOMBgNRUODaLL ifaD YX 76201 No response to collection efforts. ✓ I 4. ttlipU $ Ty g pDpBpn ogHpx ROSE 6109/al 12/29/81 11q,110 ~ NO reSpOn1@ to collection efforts, 201 300330 R{~8YNJ "BRRAL MHP' 011ETXNI76296 TERRALRa TtlOlt 73669 rs ✓ tl pgqq 201 312946 OuNLAP TOt47% 0 GUOS4DO 11TH TOMMY 0 No re7/1 SpOn 859.t0 c011ect•1on effo t9p/81 4O. 60 ✓ 1 1111 j7H 9T. V q~p• pL gg oo 201 311288 EATDN AREA CR1BId CN~R 76201 4SW3SVfLLGVSfiW APT Nt~L7XLD 76067 No rASpOn9@ to Collection effort 9/81 96, 00 f B IM 201 326033 qP 817ETEBALEV LN ' 11RLIOA FgppSTEf3EABLEY LN , HAROLD 9/23/Ol 12/49/81 41 00 f D6NTON 7X 76201 DENT ON Tx 76201 NO response t0 collection efforts. t { V t 1 r - PLOW M E M O R I A L H O R P I T A L AGE ' DATE W/31/81 11:84: 6 ~y DAD DENT TRANSFER REPORT FOR PERIOD 182/01/81 THRUY1 /381/01 nn_ _ -CC-•-~ GDIARCI17YR8TaM2y** ADMITTED D190HAi0fiD WRI OpBAACCOUNT PAATTIENTNUV110OR 4r**ADDItrICNTYNAMT;*ZIP - MY****AD [P U f` - _ LEONA 3/19/$4 • 12/291$1 22.50 201 879119 P1pQANNLNN DOYLE jRpINNL91%DELL TX 76261 i. pE14TO14 UDDELL TX 76201 DBNTON No response to collection efforts. AUGUSTA 7/27181 12/29/8! 287.00 AUGUSTA FUDGE-, I 3L2306 F DOERI~ ,113 THOMAS.N30 RENTQNO~tA9 N30 TX 76201 DENTON TX 76201 No response to collection efforts, 1r pI p pt ANA 6/27/91 12/99/81 69.90 201 307306 CAGE NDqYp 96 6 S SPRING VAL[.E 3 636 gPRINO VALLEY RDT%2 76240 DALLA No response to collection efforts. DALLAS YN220TX 75240 y 204 67991 41UA1 HETTIE JOHN AA0 1%9 HETTIE fiRMA 8/29/8. 12/29/81 38.00 k D NTUaN TX 76201 1) NTON TX 76201 No response to collection efforts. q RANDY 6/07/81 18/24/81 130:50 901 300780 pENpONBOX 344 'RANDY R7"EOX 344 TX 76201 DEN OIJ TX 76201 No response to•collection efforts. t2/29 60.00 L BEVCsRLY 5/02/81 /81 1 289835 sOsAJANWDHICHORY NW19 EVERLY gGq00yyAWDHICNOnY NW19 DEW Or+ TX 76201 DENTON TX 76201 No response t0 col laction efforts, 204 264938 RAFF ROBERT GRAFF FREDERICK 4/06/81 12/49/8l t7. 4N RN60W COLLINS TX 76201 MCALgax IBIEA55 OH 74501 NO response to collection efforts. T N ppANNY RE N DANNY 7/13/$l fY/29/81 88.~►5 tot 312520 Qj HR DOME MHP LO~ qb ~iggDOSE MHP LOT 96 TX 76201 No response to collection efforts. 12/49/$1 127.75 g5E OP~yy TX 76201 ~~hgPTK 202 312363 1+TMA59EY N4B OARTX 76201 p?;jTON~9EY N48 GARY 7/20/81 DD 01N~ TX 76201 No response to cdtiection efforts. t V j2 L p DANIEL lJM 7/88/81 'IEI~ILLE X 7/$4/81 18/29/$1 387.50 lOl 319$20 RSS M gNgp q NAO IX 79067 g LEWM[ ~ NT 7X 75067 'No response to collection efforts. ILIE ON WILMA 7/05/80 12/29/81 500.E f } 804 27193 ppRpl FIIN971 gFpa71(N571 T% 7JiROS Arrangements not kept, TX WILMA 76801 pQgpl Nr0IJ j t DBIJ D6 D014ALD 3/10/81 3/12/81 12/29/81 38.08 108 18D006 HAC OX 69 JOSHUA PHACK RI X 869 TX 76268 p p8h IT JO TX 76265 8nN JO Balance after insurance; no res onse. 101 3!0501 RUNES ST LINDA J6201 Hg"q~ Ito LItXA 76401 7/06191 7109/$1 12/99/91 469,30 Balance after insurance; no response, i !IN i IBM i~ `F 1 r DATE 12/31(01 11:24. FLOW M E M 0 R I AL H09P I TAL PAGE 7 ryrypp BAD DEBT TRANSFER REPORT FOR PERIOC 12/01(81 YHRU 12/31/01 BALANUOC& PATIENT NUNAERR 4164** PATIENT NAME ADM M ~ GUARANTOR NAME Rg 2pApTAROED WF D R IA7 TEE / ADDR, CSTY,97, 21P ITTED UlBCHUf K OF ACC NT ADD R, CITY, BT, ZIP ` Cfi{:RYL 6l 14 (01 12/29/81 34.0D I 202 127030 HAItRE ARON CUNNI NGHAM rypRE9TOtJ PLACE TX 76201 Balance after 1Rsurance; no response, 8g1112ONpR E9TON PLACE 2118g0N TX 761201 U & N 1 . DEIJT FRANKIE 0/17/01 12/20/91- 30,00 T NpALOO% 341!440 U SBT RT ll TX 76249 KRU TX 762q9 Balance after insurance; no response, BYR L 207 513647 PUUU p~M00X 341/440 O'Spy 203 01430 HALIS DORA IHIR{AAiLEtt Box 130A DORA 711/01 12/29/01 to, 00 I / I T 11 BOX 109A TX 76289 IIpiJDE~1 TX 76299 Balance after insurance% no response. j aLLHk 0/16/81 12/24/01 63.00 , JtlIIN Mk 1. , JOHN ` j ; 201 323931 HALL BERNARD1TX 76401 Balance diter insurance, no response, i.; 02 BERNARD TX 76201 N ON NTON Aq7q ~q 6/ib/0! 12/20/01 30.00 DENTO N A MXO 76201 Bdldnce after lnsurallce; RO reSpOn58, 202 301333 Pi DOX 71 CAPRICGRWL M%P 76201 DEN2 00% 21 CAPRICORN TT L LENNIII 6/23/01 6/26/01 12/29/91 004.99 (1 101 3060,19 R441CROX 799-J TX HATTMMUI~~ 799-J TX 76266 Pr"l$ed payment; not received, HAMMON X 76266 9AN~5p NR 0(03!01 12(29/87 67.00 M } 206 96313 0t00~UDDELL #143 , 40U10E ypg LOVIeE O~dDDELL 0143 T% 76201 ENT N TX 76201 NT N No response to collection efforts. 101 210377 H1AR~ONgOX 12tl7 VARLE9 vpiARMONNgOX 129T CHARLSS 0114/90 0/&o/60 12/29/91 471,30 I TX 76034 FRI>Ci1 TX 76034 No reSponse to collection efforts, RIOC0 TT t g 19/79/82 ?0 70 ~{pN w 9 MRUN TX 76249 K HM 4 GLEN GARDEN DRYAN b/40!01 401 307791 yla GLEN GARDEN ' MICHELLE HA`` L N TX No response t0 collection efforts, ; {i DORIS 11 AR Y DORIS 6/09/81 6/s0/01 12/29/ai 03 00 1 101 292090 ,pHpaRffi 304 ppO 0618AT Tx 75491 h'01 wR oHT T% 70401 wH1 Balance after in$urancei no rQSpOnse. R~JL TRACY TRjELb YO 0 GARY 6/19/01 0/16/01 12/99/91 236.00 fOl 323643 U!N+14W ~ DER 7X 76289 L6AOU~ CITY TX o tlN ealance after insurance; no response. 41 90 ta, RUBY 9/06/01 12/29/01 202 177907 HA TGtJ MICHAEL MOORRbE( s `g o pVDDELL APT 120 vT% 76201 4138UTARAZEN Tx /8190 Balance after insurances no response, QETON 12/29/91 60,00 7/29/01 2011 309037 y~b TX RODERT 76201 `NA N gTCyp{ ROTx~T7626f Balance after 1nSt'Pdnce; no response, ~jY~OLLINO UU N NN DtON 4iN0 ✓ V a ;t. 11'4 u r OA1912131/81 11:24: PLUW' MEM0R I AL H09P I T A L PAOE e DAD DEBT TRAN11FER REPORT FOR PERIOD 12/01/01 THRU 12/31/81 PATIENT ryryUMBER gAT1 NT MAME #nn# tir### O~uJARANTpR, NA11e +#w!r DATH DATE DATE OF BALANCE PFX NV11BE ADURR, [ Y, T, ZIP A0 ft, CITY, BT, ZIP ADMIT .0 DIBCHAROSD WRIT fiO F OF ACCOUNT 108 269637 H £R MERIDETH HEOOE JAM98 0/21/81 6/03/01 12/29/81 18 .20 JOAN t` ~0p, ` PEtJ 6N0AN Tx 76201 MOO~OAN Tx 76201 Balance after insurance; no response, 1 381406 HgggNgRY C~ORA H gNgRYi CORA e/r, /et 12/29/01 58 On LAKEKAALLAn00 EDTATh Tx 79069 4 K&KpAL8Ag0U EBTATEB Tx /so6b Balance after Insurance; no response, L A 55 EK1p~ HERNA /30~0i 12/99/81 901 328070 VaN 6 AIBLEY ARAT%LI 76201 1 40?014AI8LEY LOT%8 76201 Balance after insurance; no re ponse. 18.00 DFN lot 317493 1H014AApN,gqDE2 HIL.nA HaEaRNApNDEZ , JESUS 7/27/81 7/30/81 12/29/81 916.41 DLNTONUOOHTEaY YX 76201 pENTONU HTEP.Y TX 76801 NoVed, left no .address. 1 e9441 OOOF7 WORTH OR N4pFftT%DIN 7620t D10T'Jr WORTH DR 940QfiT%LDI7620S No respollsefto collection effn ts29/81 82.25 NE 6/02/8 1N i fJT N 212 99887 Np LLIARD , BEVERLY H IL,IARD JOHNNEY 8/17/81 18/29/81 143, Bb ~ 9 1 UO% 639C R 1 D0X 639C 4 8'i10EAp Tx 76266 8pAAANOEA Tx 76266 No response to collection efforts. 2 97824 gTOM l1WR1 ( Y '0" SUZANNE %76247 RU81n801C Y tOBC MA Tx IN '76247 NO response f to collection efforts. 90.29 t,~ J JUT i NN 1 326207 H 80N DEWAYN9 H 090N J111M1E 0/24/81 12/29/61 16. 50 4 ~j NoMILLER 4 ''D MILER DCATUR T% 76234 BECATUR TX 76234 No response to collection efforts. 201 305193 jkAINTEA ig; ANN IN ROY llmp q TX 76201 4 &N A14 IN JA 1 TX 76201 No r@sponS0to collection effort8a9/8J 38 d0 r 1r N NHUp gr V 1 348375 D6"TOI0 DOLLY DRIVETERTXA 74201 DE9NEYgNO DOLLY DRIVE BUUTT%LEY76Si01 Unab1e0t0/IOCAt@, 12/27/4! 36,00 0/17 201 324202 j b7MeLggY SYREE1f DVNruR 05097 NaHiHaARHOINOTON BTREHTMNAa ASOD7 No respons@14o coilectlon.efforts29/01 43.90 V CR f' Y 201 29473& gApNKKIINITH STREET ' RUBA 7 OK~11TH ROBA 5/18/8/ 12/29/81 38,00 ` Q6 T TX 76201 DENT TX 76201 No response t0 collection efforts, 101 295113 AMM3ECcBUpRONADD N204 KAREN JJAMOEC9ppONABD M804 J 6/02/01 6/04/81 12/29/01 297.17 fNTaN 7X 76201 NNTOk Tx 76701 Unable to locate. i f i 1 ,M„~,ANMi~Yg1~YMiMY1W IIINMSM~u ru.....w.s-...~..e.rwr.s'~wu,~eYYrw,.w,~,ISR~YAM.w~a~Y.Y., Ff,1Y~W+M1~,YlYtn....ww...V I wf r } i hATE 12/31/S1 11,24 P L O W M E H 0 R I A L H 0 S P I T A L PAGE 9 k pp DAD DEBT TRANSFER REPORT FOR PERIOD 1t2/01/01 THRU 12/31/St qqC pp gg, NUgOpp RR r*arAptATICIT YNA9T.~Z1P reKyApDRyRCITYaSTAMZIPxfe AOMIT7ED DIBCHAOED fJR1 tE0F OFDAACCOUNT J, J ~ C PATIENT U v 121:q/S1 30.00 { b/03/81 ,J 202 46134 AMES 1,AWRENCE 242 SOLp,NORTH RO Na0LAWREN;d 0820 OLD NORTH RD a20 Unable to locate. 1 DGNTUN T% 76601 DEN ON iX 76801 201 324640 JAiOEg^NNIE ROBERT JA,'10EJ IE ROBERT 9/18/81 12/29/81 35.00 TX 76701 Unable t0 IOrite, D6NTON TX 76201 ~i NT09N-J L 6/24181 206 104283 gHNSON 12/29/S1 S9.10 GAESSE H~a~N FRED l~p U HICKORY 0 1ICKORY tx 76201 TX 76201 Tp 10'0 Roved; loft no address. 11/12/9- 12/29/81 30.00 I 201 330306-IJgON KATIE ,tJ OALINA PARK rX 7994q AL1NA Unable t0 locate. O . lOt 254976 HHIIflUpp PAMELA i-HNpN 50N~ 1'% MARTHA 74847 4/16/81 7/07/81 12/29/61 43,60 ~H BNYOER ' Balance after Insurance; no response, $ T% 76247 TI yf3 f JUBT N , 319046 .-SHAWN 7/31/Jl 12/29/8/ tS.00 1 - g0 201 eM'NS N SHAUN HN AOINAL aHR 111: gOpapRDIVAL NH2 2 T% ' 765,01 NYON TX 76201 J Nt Balance after insurance; no rosponse, ; 201 349059 JOHNggTON . MIKE JppppH11Ngggg tlNN . MIKE 11/68181 1St/29/81 192.`29 I I UISBCLLAIRE 0103A TX 76059 HURST LLASRE N103A TX 76055L R ff NovedS left no address, 201 ?.37499 JggOASRUODELL k193 ERICA JJyOgNqERJDDELL 01S3 BETTY 10/10/Rl 17/29/9I 33,00 y I y OENTON TX 76201 DEN'1'ON Tx 76201 Moved- left no address. Z 1~g 12,129/St 126.79 f 101 308976 14E JOHTXY 76201 2tlNgRt?PDELL,A27 JO'rINNY 6/13/8- f o UVOEL4 1027 UGGG t1r+ Tx 76261 No response to collection efforts. 1 1+' EyNTS1 KENNETH 6/09/01 fie/29/Sl 69.00 202 ISa377 RNSBOX 43 D KENNETH NES r 4VBAEBOX 43 O AUD EY TX 76227 rx 76227 No response to collection efforts, 1 CfN SAMUEL SR ONHT SAIIuaL OR 0/07/81 12/29/8- $2.00 1 321380 ffjE IDROAD AVE ~ Tk 76266 Balanr,0 after Insurance; 00 re5¢dnSe, T% 76266 N 0O4IE 1~ RA P.IDROAD AVE AAAN3 R~µµfgTIp1~ p N147SOt49 BeTanCe/after insurantef no response` 207,20 204 12672^. ~14 1*0LASTRAILOR 811 7y06S LJ1K5O9LIS TRA1LOR~ 811 b ggp , M44XVIN ffJ13/51 111/29/HS 35.00 § Rp2 1$4079 jjN§O~nU1tr$ 10103 KATIE 762u1 NTtl Ol1f9E 10101 T% 76:01 UMb18 t0 lOCite. { i S 1 ~.....w...~.,.«..~....._ e~......_.. . RHO' HATE t2101/81 11:24: FLOW MEM0R t AL H08P 1 T A L PAGE 10 gg pp gg MM BAD DEBT TRANSFER REPORT FOR PERIOD 122g/01/81 THRV 12/31/81 ` r l PAA~TIEfVINNgp WICRTYNAR 44*Py_._.. ...._«~«*A08PRA TClR87AMY1P~^w4 A1IMITTED DIBCHAROEO WRITEOFF OPDAANBUNT 207 40e72 Kt; gRCpUGH M. N. P. OWEN 4 «~F M, H. P. OWTX 76201 Unab1e2t0 locate. 12/29/81 36. 90 aIJTN. TX 76201 /01 101 300061 A NTQ UVE STREET ELFRXEDE7/1201 6 OVA StREET fiLTXIEtl76201 Balanc08efter InsuranCed3lRU response~l $5.00 L 203 336065 KNI8HT 1'ER DENTOId CIRCLE tX1 76201 Unab e~tO80Cate, 12/29/81 44.00 >&J.'QNE CIRCLU TY 76201 p TERRY 1M fJ 201 324079 iO~QgRWWE4CH ~ ANOEI.YtJ µ0k7EWELRH THD d/16/81 32/29/8( 104.00 c~ D N ON T% 7b2 U1 6ffVON 'fX 76201 No rOSpOf1Et t0 CO11ect10n efforts. 202 34102 A k JCRRY LAR JERRY d!f6/81 12/29/81 T O N TX 76801 D 60,00 838' BUN VALLEY B ~J UN VALLEY NO response to Collection efforts. I ~ DDDENNNIJTON TX 76201 101 306229 1L SHAM EBTCHEBTER ' RONALii 1L1Aa0HoAlE97CHE8TER , RONALD 4/23/81 6/24/81 12/29/83 61.33 DNTON L{, DpTX 76201 R~NTON TX 76201 Balance after insurance( no response, LAY 202 333207 %NGSNX 272/WOOD ANOA1 AA 76266 6A166811 272 N1TX 76266 Unable2to 810C4te. 12129181 41.39 L N t}„t 62, 326116 # NAPA4LMEADOW Mai' BIN F,ONppA ~LIMEADOW 8322ROSIN d/24/8l 12/29/Hi , its NON TX 76201 NTO TX 76201 N0'response to Collection efforts, 201 286590 Q6NTUN 24283 TWU ' 1DA ~10~0074283 TWU IAA 5$pay lit/2q/81 130,39 TX 76201 N UA TX 76201 Pramiseded paymentt not received, G g 1 027528 RTWASaoX gg A LORI LVWaSepp%% 33gg77A MIRE 8/27/83 12/29l81 42,00 SHADY 914 TX 77777 SHADY FHOREB TX 77777 No response to collection efforts. 202 139246 l VALENTINes L W[ VAL.:UTtNA R/^23/81 12/29/81 158.39 E 8 gpRCADWALK pgg8 JACADWALK No response to Collection efforts. NTUN TX 76201 DENT TX 7620! If 201 306097 1P8CU~M!f OfHELIA pL NeuC000M1254 OPHELIA 7/04/81 1PI29/81 120,60 AV0 6 TX 76201 D k7y0gN TX 74201 No response to collection efforts. l 4 DENt01+ 1254 g t I4 241 327098 O9PSt~OT 105 ACORN RANEY 76227ORLYOX 105 VELA 762137 No respo sotto collection efforts/g1 g7 a0 . I f 1 1 1 r DATE 12/31/S1 I1: 25: FL 0W M6M0A I AL H 0 9 P I T A L PAGE 11 ! r DAD DEBT TRANSFER REPORT FOR PERIOD 12/01/01 THRU 12/31/81 PATItENT NUMBER 4ww•a PATIENT NAME rZaar **4** 0uARANtjnR NAMgg *v** DATg Dqqrr ppgqrrE tlOF tlALANCE PF% NUMDER ADDR, CITY, ST, IP ADDtt, CI1Y,8T, iIP ADMITTED D18CHA5QED WRITEDf~F OF ACCOUNT _ 4 102 34421 LONG V~ ARRIN6 LaaN VERNON 6/20/81 7/03/81 12/24/81 944.44 y ~i 2g0p T WORTH DRIVE 030 2tl0A FT WORTH 030 DEIJTO~ T% 76201 DENTON T% 76201 NO respanso to C011ecti00 efforts, 202 314823 OLgqUpPEZ OHIJNV LLpVDDgE2 ALICIA 7/22181 12 /29/gf 44.00 ' 67IJOG7 30 603 pOL1VAA TX 76266 BANOER3 603 pOLIVAA TX 76266 NO r051)0$e tO COllUCt10A efforts. `r 7 R ' 49 645970 LOPEZ VARY LOPEZo , DAVID 1/24/79 1/29/74 1S?/2q/@S 136,75 76266 TY 76266 No response t0 Collection efforts, 8AW0E R0X 173 Iwo 201 305383 2Lp0p8pVEE LYDIA LUfVEab NRN DONIJ 6/11/Bf 12/29/81 $1. 90 OK 731t2 Unable t0 locate. pENTONHADY BHOREB TX 76201 OltIO,AHt1AW0 qqYTH IT 201 296244 L VEC L LYNIJ OV t RANDY q/23/81 12/29/81 34.50 ' R &OL DELIVERY N AL DELIVERY All 8888 T% 76201 D @@@YY TX 76227 No response to collection efforts, 201 324009 LLyy A8pp ONE1.IA ig.~2/CpAsp ONHLIA 8/18/8l 12/29/81 48.75 O TONKEY TX 76201 D6NibNKEY T% 762DI No response to C011OCt10n efforts, 202 106254 L SK JOHN COFFJV ELTON 0/01/81 12/29/81 ?8.00 qquuii DO% 1138 Rr gg22 s0X 1138 1w OHNTEN T% 76201 D&NTM TX 76201 NO response to.collection efforts, 201 326371 M CK DOLORES Duo) CK - 001.ORES S/24181 12/29/81 75.00 I 1 UDRELL 0114 BELL 0114 I li$Otpp~ xx TX 76201 TX th2ol No response to collection efforts, I/vI 103 258902 1JHITF80tlRtlOA JENIFER A11 T EJVR6 3 A HOTXRD 76273 No reSpOnselto Collectionleffortsxq/OS 33,60 i T% 76273 14Hr0~6IijP ILU p61 38.00 202 275484 (S O JH~kYTIHAR BRCT%A 76201 ti NtONpT1IMAR A0TX 74,201 No response ~ to collection efforts, 101 227728 MANLEY , KRISTIN HANLEY STEVE 10/26/80 10/31/00 12/29/61 62,60 8p7a~ON DELL AVE Mi 24? N BELL 0109 6 TX 76201 DEIJ~OIJ TX 76701 No response to Collection efforts, a 701 350603 6MAANNlIN ANN MANN LIaNaUp , ANN II/13/81 12/29/81 40.79 DSNTPM~Vg7 TX 76401 9AMOERCUBi TX 76266 Unable to lobate, Ilk, 702 390603 HA~NI~EU6i ANN MANN IpNpp , ANN 11/15/81 12!29/81 123,90 ~EI1T~Fj TX 76201 B~NO~gCU6T TX 76266 Unable t0 Iodate. d 3 f r r MATS 12/31/01. 11:29: F L O W M E M U R I A L H D 8 P I T A L PAOC 19 DAD DEBT TRAN9FEII REPORT FOR PERIOD 12/01/81 THRV 12/31/01 PATIENT NUII1<iCR r~laaN PATIe•NT NAME *+»a aaa+u pUARANTDR NAME *040 DATTgg 10rrI ppAATTgg OF DALANC& PFX NUMDeR ADDn, CITY, 9T, ZIP AD x CITY. ST, ZIP ADMITTED OiBCARCBD NR-TEOFF OF-4ACCVUNT 103 N yr~0 t2 13623 p%LS7IA 0L N7ryr' NFRED%YN 76290 MARSHAPOtIJT LARRY 76259 No response to C 11 b/8 ection efforts /99/81 L90.00 202 2735%7 FMAnT~[AN p W SANDRA MARgTTNN p gW SANDRA 9/30/01 12/29/81 43:50 f bEgxE4 yV~ g AVE NJ 7922 ~ RAR MR AVE NJ 7922 'No response to CO11eCt1nrl efforts. pNPp JAMES 0/05/81 12/29/61 171.97 202 206948 11ASON DAWN I1lAA8O pp04npIAK TX 76201 DENTtlNEAK T% 76201 Movedl left no address. 1 301622 rqlATSSIINOALE KIMBERLY MASSENOALE KIMBERLY 6/09/61 18/29/01 47.00 VALLDY vIgw T% 76272 VALLEY VIEW T% 73272 No response to collection efforts. 203 172566 MMA A ISSAC T OLGA 8/OS/91 12/29/81 83.00 355 ggiDHT01J 0 RiOHTON DE 1TON T% 76201 N 0 T% 76201 No response to collection efforts, 201 213082 MAY p g g R HILLY MAY EV LINDA 0/23/80 12/29/81 21,00 P LAMR f~OW00D V &N TX 7$067 No response to collection efforts. 4 LT0400D TX 75067 L 1 a2 B IL PRI a L 168908 IIrAYg R ROD11J MAY RODIN 3/13/80 12/29/81 67.40 0 907 K~-14 T% 76137 No response t0 Colleet10n effort. qt QDDOXTH 907 K-14 99 7x 76135 01 V PT W L 5 39224 ~ A9 RUODELL M34 VERONICA $AgHRUODBLL M34 x ALMA 9/09/81 12/29/91 43.50 NT TX 76905 NT N 7X 76201 No response to Collection efforts. lot 299461 M ~AI~IE~ CLAUDE MC ANIEL CLAUDE 6102/81 6/10/91 12/29/81 90x2.40 Y 66g UN LANE 66LL UIJ LANB No response to Collection efforts, i DH TDN TX %6101 AfiT~N TX 76RO1 201 312177 IiOg3neDUTAI, SUSAN gMqC3ggC1V~Ak CARLOW SUSAN 7/L 1/S1 12/f29/9l It. 40 dALbA AN CARLOB TX 70221 DALLA TX 76211 No response to collection efforts, ddA 4L 1 320476 M I M99 PATRICIA M 1 p 8AMU1IL 8/31/91 12/29/91 00.90 l b ~~~~De TX 750.57 L W 8 4Mp~A8 Mq9 L W 8 L Tx 75067 6alence after insurance; no response, ~ p x~ p&N~1 , 901 330464 1 AV5 t.4L4AbANB TAMTX 75065 L~MgO6A"A~ANE TATXY 75065 No e9/07/0 12/2 spoRSe1 t0 COllectl0n BffOrt99/91 63. 60 G 902 02236 INuDAyyL TIMORR CHARLES 76201 1NOATiMORU CHARLES 9/29/11 4 7b201 No response to collection efforts, 195.95 i y . i 1 ail'. 1 I DATE 12131/81 11:25; P L 0 W M E M 0 R 1 A L H A 9 N I'T A L PAGE 13 A DAD DEBT TRANSFEk REPORT FOR PERIOD ivol/81 THRU 12/31/81 I ATIENT NUNJER 444n+< PATIENT NAME 4Ry4* $UARANTOR fgAI4E 444* DAT pppp7E p[+T8 Of 04LAN 5N 1 F% NUMB A ADDRI I YI a 21P AD Re C1TYID IP ADMIT ED DI9CHAAQEO WRITEOFF QR ACC i lee, 201 330530 gANEY I JEFFREY 11EAN JEKPABY 9/U7/8l 12/29/81 41.35. pM pp B% 7$61 NTSU P O X 7861 L irNTnN TX 76201 4% TX 761201 No response to coliectiotl efforts. ' 203 67007 MEDCAFE 14ASANDRA MR AFE JOYCE 0/tO/80 1'2/29/81 54.99 3+ MCCDONALD 1aa c6 OONALD HPON TX 76201 If6 7Do' TY. 76201 No response to collectlon effort's. } 1 101 180749 11 E WARREN M li R WARREN E 3/011/$t 3/03/B1 12/21/81 311.55 [ NDONDERRY NS4 J 1 ONDONDERRY M69 ; ~ 201 351019 DjNry~T❑EgUL CgqROLNxYpI 76201 M~1L1JJTO6NNL 9g ~ CCANOLYN76Z01 No1ri/114/gi to Collection efforts. 68, SO L x pUALLAgYI $TEVENA TKP 79065 LO.ANSpDaLIA2TEVEN9 MHp TX 75065 Ilnablo to locate. ~.L 1 349456 MIME TAFFY Mgpa Y TAFFY 11/09/81 12/21/81 60,00 40WEV19~ MOOD MANOR Tx , 75067 L&IBVIB~ (;OOp MANOR TX 75067 Unable t0 loCatel i 202 254921 }g1g1LE c PATRICIA MiaLC 6 ROBERT 8/14/81 12/29/81 46.00 DENY NTOR TX 76^01 1) 87 DR TX 76201 No response to collection efforts, 101 162511 Mhy6pSLLqLpEpIR1,, 11ELIE~BA HILL ppgg LeROY 3/25/80 3/27/80 12/29/81 120.60 AUBAGVUM TX 76227 AU S9 347 TX 76227 No response to Collection efforts., 901 331702 t iN~OREXEL gU$T% 75075 M1~yJ70DREXEL PAUL 9/11191 12/29/0$ 38.OfS I { F A PLANf1 T% 75075 No response to Collection efforts., E. 1 42283 M L ICHAMP 0 LI RAN 0 MA LtCHAMP JOHN S/11/91 1'9/21/81 63.60 1 VON EAST DR ff0 gsvc N ON x 76201 I1TnnnN TX 76201 No response to collection efforts. RANDY 3:25/91 12/Aq/81 46.76 201 277905 1p1g10p(1 ONNtIOR PLAZh RE% pM~jN ag bf 4~Wt4VLl & TX 79067 FRN~IgO$CO TX 75034 po response to Collection efforts. { 201 344990 LSWI9VIIiLL6 PAVT% 78067 L4$+18VT10SH6 PATX 79067 Unable2to/100ate, f2/I29/9f 166.30 l 201 097755 D11 BHNMILL FI1pTX 76201 DNTON~LL PR/259Oi 12/94/81. 45.00 - { } D NT S0 tTrt7 6'Ngy IIT' 1% 76201 NO ~B Eg spon t Collection efforts, 19/ fOt 137796 6111 T~ 91 Fj~ ~ Y JEN Tx AER7G240 ji CH [~fi~MCHEY OTTxEN 26240 No responseoto col Action efferts~p/81 114.76 J r L4 M va~V Yrtwr•M.• se. r- w~u~r ruwr.+y. ~~u..• r.• rv•...•... .-..,.---.r ~.~wy~~1 i c r PAQE l 1 - A L . F L 0 W MEM DR 1 AL H 0B P I T 4 r6A1E 12J31/81 tl+2tl: L DAD OSDT TRANOPER REPORT rrR PERIOD 19/01/81 THRU 12/311/8l DA nnAA pqTT Cc - N p gg rraaa*ayGU'ARANtb. AME aaaa y ADMITTED D18CNAFOED W UOVF DFAC - -VNI PAATxENTIJIMIIR ♦aaaAOPATIC1ITYNAM_8_' EaZiPADD., CITY, 87, 11P 69.26 CC E5 r 12/117/01 y 1 p - rya pp LOUtBE 10/11/80 J R X 98 TX 76262 No response to collection efforts. 2a;, 60 201 2a823q itTCHEL~ F 90 I4YRTXti 71262 Of4OµHL AUHtE 4lfT4/81 4/17/81 18/29/8S L t H RUDIE M13TCEHgELL 103 197202 3f TU% LL TX 71201 ~SNTONMILL TX 76201,IndblO t0 locate. 616,95 14014K E JAMES 2/23/61 9/27185 12/29/81 01ANA f01 23t266 INp RT 1 80X 121 D TX 76'26 NO rospOASe t0 CO11BOti0n efforts 40.00 puESE~OX "In TX 76,427 ADftBY{ 9/03/BS 12/29/81 R D R 8N CLAY 2U2 141160 R E0S OX 497-J DOV1E OX 497^K TX 76201 NO response to collection efforts. f D~N~roPi TX 76201 MR U tV b 7/27/81 12/2q/01 is. 00 LORENZO 1 2 61471 gMqU1141 ppL1VAR JERUt tqq1' N! pp n61JTN fX 76205 D NT t~ILIVA!< TX 76201 NO response to collection efforts, 417.80 g DARRELL 9/19/131 5/20 /.l 17/27/81 4 101 204611 N 1/2 BERNARD nB6 NA3C 1/2 BERNARD TX 76201 UneblO t0 locate. $ DN Tk 76201 D law 12/29/RS 34.111 V CHpp 8 LIiF 12/24/79 N1 201 130195 111CggFgqIgYBggT LEE a A91~ WT TX 76069.a response to rollgction efforts. I LARE DALLAS TX 99065 LA E A IAll 4/20/81 19/29/01 33'70 9 NORMAN ROD aYCE No response to collection efforts. 201. 286111 k`gOR1tp1A VDDELL APT 11.2 TX 76201 204 50 DgNT OkFb D MAR.VIN 5/11/81 9/12/0/ 12/49/.1 101 ag23g1 X%70 D NAO' NO W MAROER ND TX .46230, Na response to Collection efforts. t WILHAROER N~ 740. b0 j02 TX 71930 WW ~ gKaCl1TOR 6/14181 6/13/S1 igJ24/BS - ' p~E~} tEWIB LANE x76020 NO r6"dn t0 p011eCti0R efforts. 112. E' fY 104 A6771 PA W CRAWPORD N~241LL1AM PpAC I 08AON Tk 76020 i1LNf8gN g :/09/01 12/29/81 p g gjgjH~t a 248 8T4CkAi1 JA1~rMtT A 3g NO response to collection efforts. n~o2 89599 L~ ED X 9AJ2 200 9T Vkg 76060 H ALt B JANfiTxS 75060 62 60 ALLAS 0/10/81 12/24/91 1r 63 C N JAt1t;S PA HAM 3 78174 aDHAMA~~~~ gg qqpp TT ggtr Ta 76091 No response to collection efforts. 64:58 MAN ANA R & TX 75001 Oplwpuaak 6/R4/Bl 12/24/01 44RISTY BU01E 1r g 701 308147 R R T nX 43 TX 76'2,17 No response to Collection efforts. E U6 E Y, ' JUDRSJOX 43 tk 76227 F. V I l t i ' . i II I i DATE 12/31/81 11 r R9! F L O W M E M d R I A L H 0 8 P 1TA L PACE t5 „ C BAD DEBT TRANSFER REPORT FOR PERIOD-12/01/81 7HRV 18/31/01 PATIENT NNL"IBRA N#wwN PATIENT NAM NNNw NwNMY ARA T R AM ww«M FX NU M115 ADDR, 'I7 Y, 8 ZIP QQUU NN pp MM gg gg qqpp qq•~~gg DALLANCCG - _ADpR"CtTY,O TY_Z1P AOM[T7ED DYBCHAROED WRtT6tlpp F OF'yACC0UN7, , i 103 256610 ANTAIN JUDY gP YgAIN `+r t!?5/81 +1/2tl/91 12/29/81 927.0b NfAhLEORE VIOTA TX 76801 D AN EORE VISTA JUDY TX 76201 No response to Collection efforts. 201 301295 PHAI MAHMpOD PA HAI , MAH1100D 6/08/81 12/29/81 20.60 BRA ADLEN35 TX 76'201 NLQ~1•8NAOLEY 1135 nn TX 76201 No response to collection efforts. ; 203 137b46 F1A!~22TTEgAT1MORE JERtEMY 14AggNDAWAyyTIMDRE TERRY 6/13/01 12/94/01 382,25 DENiION TX 76201 AENjUJA7 101 116954 PATT'R80N MCLODY n TX 76201 NO rOSpOnSe to W leCdOn efforts, ; 33gg4 DRADBHAW 3H TENRB N GARY 2102/81 2/04/9! 12/29/01 411.8! (v DENT N TX 76201 DSNTD14 9RADBIIAIJ ? 103 45187 PaAaYIOoJE J01sEPH PAYNE TX 76201 No response t0 COI[Oction efforts, j DENTONTEMMONB RY 3 TX 76,701+NObNTEMMONB AT 3, SR PH :!/SS/9l 2/26/91 1.7/29/81 211:. TX 76201 NO response to collection efforts, 206 65102 PgREZ ANDY P REZ ~IIl 808E D N7QN3E ANDY 6/27/81 >r Nj R TX 76201 12/29/01 TX 76201 No response to COI l0ctlOn efS'Orts, 102 176790 P R'Z TRINIDAD PER Z PABLO WIN, JOHNSON 8T k12 1111 JOHNSON 8T 42 9/28/81 S/30/91 13/09/91 118C TX 76201 DEN ON TX 762011)(1eble to 1nCet@. S 103 110473 ghAy` , DIANA 7 B NNX It 40 PART xx JOHNNY b/R7/8!. 6/£8!91 12/29/81 149 81Y D 0 TX 76273 14HtTES NR C) YX 76273No response to Collactfon efforts. 101 296708 P q Y , 11AROARET pFt00 t 93 pRIARpWOOD 1 `3gg gptA WOdD NATHLE>N 4/22/8l 4/24/81 12/29/81 519, 4HW[0 ILL6 TY. 75067 L$WlOVILI TX 75065NO response to Collection efforts, 1 251108 Fy1 L P8 ROD j' NON 18 BOB &jI4LtjQAWUOD Nib 6/30/81 12/20/81 7, 4 RN 0 TX 76201 D NTOt TX 76201 No response to Collection efforts, p p i fOl 4:1422 PHILi~1909AWOOD MHO 'Nif T hYtL I9HBRN00D 11HP III '3/26/81 5/213/81 12/29/61 f0: f V b914TON TX 76201 DENTOIJ 11fTX 76201 NO rOspOM to collection @f fa. ti. 6 10S 208546 59 CgN ALAN NR[ RC HAROLD 6/01/01 6/02/91 12/29/81 69. it ON[NDBOR TX 76201 DHb1a1d8QA ttNJJ YX 76201NO response to Collection efforts. ~ 101 298145 P L RIM gRENOA PtL;RIM , LLOYO 4 ~ 0 VILLAOfi H MItlB h7 VILtAOt: E 0102 1/18/61 1/21/01 1272q/01 193,97 N ON TX 76.101 ~EN ON TX 76901NO reSPOnSO t0 Collection efforts, I :;r mom] 4 1 PaD~ 16 DATE 12/31/95 1L9D: 1' O N M E M O R I A L H 0 8 P I T A L e g DAD DEBT TRANSFER REPORT FOR FETTRppIgD l2/0!/8l THRU Ln^./31/21 tlFBA ppgqTTpp gg Qp CC /L PAFT,~ENTNI~M~ERA +**MADDRTIC[7YNA8T,*ZIP»_^°-- ^^""AIDDRARCT7VR8TAM2IP►*r^- ADM[ TEO DS9CIIAgOED 10T 7EOf~ ACCO~NT P X - D L r^»^ p PEOGv PNqOLL Y DAVID 6/06/Ot 6/04 81 12/99/01 I 1670 D5 103 139046 i1 LLIlE CIRCLE 7X 76244 K13tUM~LfS CIRCLE Tx ' 76249 No response t0 Collection efforts. 9/12/81 12/29/81 14 00 p C KSMOERLV PON CLAUDE JR t 990486 g,}10HUMMINGOIRD TX 74201 WOHUMM[N09IRD TX 76201 No,1.04011S0 to Collection efforts. N 0 taTYT Nqwq pp MAR DELL 3128/81 3/29/91 12/29/81 305.00 76201 71 76201 No response to collection efforts. 101 979789 VyygrrF( yy~~HITS OAK ROFJ1XD jj .D NTONHITB OAK 1 DSIJ tlN 1 12/29/81 61.00 t q PORREST 3/09/81 41 f(E.LTCH DELIVERY t No response to Collection efforts' 12/29/91 100.00 J 201 472336 P rTT POROK8T73'S 0L tiRALR0ELIVF.RY OK 7354 y ? FF TTCCHHEE 08A ANN PR1gCe01 p DAVID C R Lot 193086 PAC Ntiy ST T% 76240 AQINEBDILLE 87 TX 762'40 No rOSponSO to Collection efforts. 102 270116 C9V L[ ROBERT 8R 4/27/91 4/79/91 12/29/91 156.57 ' AI RgRF•R7 76 !I LIAIRE EA 76201 PRPAIN NALLAIRE TX 76201 No response to collection efforts. '.~SNTgt~ c q q Cg p EVELYN 6/i6/Si 6/23/91 12129/91 446.00 104 427453 tpp 48lJV1 LAVE EVETXIJ 76$40 IAINEBVILLEVE TX 76240 No response to Collection efforts. E 0 11 q ALEXANDER 1/25/81 12/99/81 147.10 201 259986 PR11~yT ACCEpE 9T COIJNIE F I C OK0344 TX 75034 No response to collection efforts. HWI~~LLfi TX 79067 t C p 11 TT Aq J t/16/91 1/19/81 12/29/91 386.'43 101 457352 1tTN5~Bq% 490 THIN LAKENR 76201 OiIRU 290 TWIN LAN" 76201 No response t0 collection efforts. i T N 3/27!91 t2/99/91 161.00 4 RA HAR CHARLES 202 277632 ~aCRt,,,LAT CHARLES 70065 LAfiCOAU AA TX 75065 No response to collection efforts. DAB 9 6/01/81 611b/dl 12/29/01 124. 91 KIMBERLY qE 9 WILLIAM 101 375489~E89E% CT 36. wE98E% CT TX' 76401 No response to collection efforts. TX 76201 pB qIJ V , REX GARY t/18/95 !/26/dl 12/29/81 SHARON 14A,30 806! TX 76240 No response to collection efforts. 1Q1 2' X3 h1app p33PI Ill. ~A[N68VIIN.LIi TX 75240 QAI E6VAN E ( CAROLYN RH rL gfi(A 516 r RONALD 6/09/81 6/12/81 1.^/49/91 1764.75 f' lOl 294074 H~jNE4JA T # TX 75060 NO raspOnso to collection efforts, f 7SOba ly ff(T1LEO LM6 TX r y L, r; p. PAGE 17 DATE 12/33/81 11'261 FLOW M9MOR I AL H•08P I T A L }f BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/81-THRU 12/3l/el np7g p - J~I PATlt'NT NNUMppggR a*µ 'rl~RT1C117Y'+AB ,*2Ip Y aaaMADDR. CIT(YR9YAM lp*a* y ABMITTt:D DISCHAfiDBD WRIfEQF~, OFBAACCgVNT . « OT NUMDER _ _ 4/20/91 12124/85 38.00 4 201 206214 r`!, y NppDyyI 6HORR8 iOTD10 ~0~8}tAQULLnHONES LOT I % 7!1069 No response to collection Efforts, ~A•'6ALLAB X 79065 A 6/49/81 6/23/81 10/29/81 275x60 103 to137':i IIr~ 11`DHgAgRDDONDR 11105 KR 1871NA yIy DH AOOBRNDR #108 BTTXE 76201 No response to COlleetl0n effertS pE1JTON E TX 76001 DENT }j pE 12/24/81 34.80 140 300424 itgo JAR gp Eg NN 201 E AST UTD 84660 g AN18NAFaRTDk UT.Y 8'1660 No response to collection efforts. ` 1 NR , JDHr\'NY 3/10/81 0/16/81 12/29/91 151, 419 tot 273664 R11l1ppER ppURNItLL eHCRRY b1TE lPORNeLI. CEWIBWVCLLE TX 75067 LP31 VILLE Tx 75067 No response t0 C01100ttOn Offctts, e II1 g pA JUAN 5/27/60 114/29/81 210,05 lot 152181 RRp3IVERA TOVAR VIOLA ~tl23R£L TOVAR T% 75233, NO response to COl1eCtl0n Worts, '4 e OA LAS TN 75233 LLA ER 104.00 C A 634 T%8T79009 No response to CP118Cti00 effOrt59/8L 6/90/01 C L NA 204 307842 pORtiQX8634 DONALD 75009 L I gpg 101 79990 R qpGRtB CI ROW EBV LL NICY 5/29/01 5/31/81 12/29/81 390. 7b t 3 n gV NLCY 'W't0Q CH ROH 1. tw{ R -atII. T)< 79067 fi Tx. 70067 No response to collection efforts. t0 CO11 W On effort" q/Pt 110.00 RODINY J 201 263663 V RSDINS AibiLA2LHAFLOOP CHAR 2987116 KI KLAND A~9OP MAIM 87116 NO,respon 4/12/St g LESLIE 5/27/81 12/149/81 139.50 f 201 297507 5181NND%CROFT RO9ERT Rg Hj ON Tx %601 ~1~oIfAMMA44 Tx 76301 HO 1`051)011114 to Collett'" efforts' 4 g ff p TERRY 4/18/91 4120/83 12/519/81 1004.60 101 274506 RS12'[VEe m CIRCLER[i57%4A 76201 p NTINUERIRD CIRCLE TX 76201 No response to C011"tlOn efforts, Da u L. g . JOSEPH 6/09/01 12/29/81 19,00 201 301788 R``SUS 11~~ RNARQ JOSEPH 1 7 ERNARO p6NT0 f% 76x01 06NIDtJ TX 76201 M0 response to Collection efforts, MI{Eg Y 765401 RTM q pp 3/42/81 12/29/81 39,00 202 131730 pp77MPB29T 49 LAKE BIIOI4RTH8 Q$LOT 49 LAKE BHOREDY i RJON NTO14 TX 76201 No response to c011ection Efforts, 60. so -~ho a CYNTHIA gCSZ CLEMENT 3/14/81 12/29/8t tL ELM TX 76068 TL E'_M TN 75066 No resp01158 to collection eff0rt4. 201 8000304cz Y I $V PAGE f9 ~ DATE 12/3S/01 31:96: FLOW MEMOR 1 AL H0 OP I T A L BAD DEBT TRANSFER REPORT I~FOR PERIOD 12/01/01 THRU 12/31/01 BA ppqq ppqq gg g PATTENTNOi1gQLR ♦axaAOIIRrICSTYNAHT,xIIP+u_- _aaaxAOgAARCITBRBIaM8 IF fJMIT79D D18CHAROED WRlfEOp F~ OPACCOUNT s 104.30 L ED respon Bso S to collection 12/ efforts. 20'.3 103767 SA3(GBNFOAq~LA1K 013 WAYTX 7tl065 D&NT6NOP 9980 NL1 TX 76201 No response RD 994,90 3., gqg ff (~g~j !O1 302799 LSQ~{fNLLOWBRgOK SHAUN 70067 SHWQ6V[LOfiOROQK QSITXN 75067 No Y@S'pense l to 0011 Ct On efforts - Ew 8 1 BB y HO3WARD 6/26/81 17/29/81 90.00 ' 203 132142 ppV4 AQgQqE HOpWWARD 8A4A//O,.. YX 76201 No response to Collection eff@rt4, AEI,TUNE F WEBTQATE APTTXI 76201 DENtUNE F WERTOATELNOS T 3/18/81 199/29/83 411,40 g q y J 3/57/81 OX 192A 102 194316 RIICQaOX 192A RANDAL R fWfE S , pR 6 Ix 75034 FRI8C Y% 76034 no response to collection efforts. j`. gg p pp yy XX qq 77 p,TTY 4/27/81 12/30/91 149.00 1 271809 pgXDg4pOI~A7 9O. JEF ETBON 7b298 ggpp P1LoT tpQP01NT 8 JEFFEROdy1X 76258 No response to Collection efforts, I CV - X , FRANK I/0$181 12/30/91 155.00 , 202 254243 OTT , FRANK RCrfDYT?? BOX 44111H aNYON OX 441HH TX 76201 riHNTON YX 76201 No reSpenS0 to celleotien efforts, v SOS 109942 gHANNgN MAROARBt 8 ANNON MARGARET 3/30/81 4/02/93 12/30/91 677.70 ijijodNtt AKWODD TX 76201 6 1405AKWOOD TX 76201 NO respOn50 to collection efforts, 14 T 4 101 234977 SHAW pp EVELYN SHHgAW tt KENDAL 11/05/80 11/S1/0o 12/'30/91 f59•la7 OgNOERAN% TX 76266 BANORR" TX 76266 NO response t0 CO11ection efforts, L { 12/30/81 60. 110 i 207 26716 EFIOFFIU[5ACHE TINA TX 76201 pBN[ ONXD66 UATXB 76705 No Y spanselto collection efforts, J V 0 205 245068 6gH`ORN RUDOELL , FLO981E HORT FLO90iE 17/00/130 12/30/91 181. 40 g5NY0N TX 76701lNTNNRUdDELL TX ,76201 No response t0 Collection'efforts, 101 299496 p R W XR1Y6D KATHERSN& RE N 9 BRUCE 0/Of/8l 5/03/81 1St/30/Of 933. b5 ' SR. WIBV~LL TX 75067 EVW 9V[L1 65 TX 75067 No response to collection Worts, 17 SO1 495121 S~UDERT , PATRICIA RTURt:RT ,'9ENNY 6/05101 h/lU/81 12/30/81 1.89 OO 911ENViLS.E TX 70401 ORF&VILIC TX. 76401 No response to collection efforts: 101 179770 +gg~+~ VpNpN WdUO MELINDA D 9V2p~' l.'OgD , oe% 2/25/91 3/06101 12/30/81 R44.76~ ` pjNTON TX 76201 DINTOt4 TX 761201 No response to collection efforts, ! J , 3 _ i ' ,V4 r L4•' r y PAGE t9 { ~ DATE 12/31 /91 It: 26; F L tl W M E M O R [ A L H O S p l T A L BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/01 THRU l2/31101 DALANC T pAT1iNT PIUMD R ♦•xxx P4t3ENT NAME 11x4# r■x*x tlUARANTOR NAME xrxx DAT *ATE pATg np U ADDA, C1TY,S T, 21p ADMIT ED D19CHAHOED WRITEJFI~ OF NT pFX N AD'iRr CITVy-ST«-2I----------- MBER fOl 174441 S 11PMINS DINA 6SIMPKKtVj EDWARD 5/29/80 5/29/90 12/30/01 126.26 k ~ 1T pIT711 T% 76201 DD NTtlO TX 76201 No response to collection efforts. LOL 396296 ts1MS N]CKALI SIfiS STANLEY 5/23/si 5/26/el W30/01 032'56 I MOUNT 01 UNIT MOpUNT 01 TX ?6201 No rosponso to collection efforte. NFNTON T% 76201 ON 413.74 301 377541 S1'' IL I.~ MARY CHG~g{ILE NNpppp BILL 3/2001 4/01/fit 12/30/01 8AINUOIIS TX 76240 9 INUMEE TX 76240 No response to collection efforts. 201 397433 ga;I'HpU 6 JEREMY tiAMrlTHOX 6' PAUL 5/26/01 12/30/91 14,40 OA11JBUILLE TX 76240 tIWERVILH TX 76240 No rasponso to collection efforts. } 202 $97492 pgpqt11THpp0p , JEREMY 9 [THpa 3 r PAUL 6/20/81 l3/30/e1 10. 54 4 OA1N60VILLE TX 76240 tlAIS+NE ILLE TX 76240 No response to collection efforts, y 202 316946 1y1 T 1 JIMMY BATH OHLAND J]1111Y 4/19/01 la/30/83 109.00 VENTaNOHLAND TX 76201 D TV TX 76201 No response to collection offorts. V KELLY SMITH KELLY t/07/01 I/11/81 i3/30l83 64.50 101 394698 0t1JT~L 603 WALNUT 1 +OWRALNUT TX 76266 SANDER TX 76266 No response t0 collection efforts. I 104 29819 091AAtt11 1555555! TAMMY BLAND DE6912 9/31/01 6/03/01 ig/30/91 146.55 1QNJONAPR1COnN 033 RT I CAPRICORN N33 TX 76201 DEN ON Tk 76201 NO respOnSo to Collection efforts, + LO1 209399 1T111THDB0o TONNIE SMITH Dp TONNIS M 10/14/00 10/17/80 12/30/01 939.55 ~pAN01lEX 295-1. TX 76263 ROANOKEx 295-1 7% 76362 No response to collection efforts, DAVID to/ Mao 10/21/90 13/30181 ' 117.16 101 231169 1t0TN6g Go RRNN TORT 67 lj ~AqRIIETT CAIIJEOVILLESTf TX 76240 A NBSV LL TX 76340 No responl4 to collection efforts. l 200 95042 ~m TEN WILLIAM SMgITH WILLIAM 0102/Si 13/30/01 114.00 fERCE D 3 PIERCE TX 7630! D6NTON TX 76201 No response to collection efforts, AENN91H DmjTTHER9 KENNETH 3/05/8t 13/30/8] 179.79 1 '201 272070 OVANDERBILT CT T% 76301 NTONA140FROILT CT WON TX 76201 No response to collection efforts., 201 30/496 pGNG: ONNN304 RODT%TA '!6301 AENTN14304 ROBXRTA76301 No re4ponse`tc collection effo tS30/8S 39.90 i } 1 1 r DATE SZ/3l/Sl 11:26: FLOW M£ MOR 1 AL HO8 P I T AL PACE 20 BAD DEBT TRANSFER REPORT FOR PERIOD 12/01/81 THRU 12/32g1/81 pppptt qqrrgg TIEN7 UM LR ,yrrrr PATigNT NAME rrrM yrw°KADOUARANTOR TA11X1pr»r ADMITTGD UIBCHAAOED WIJIfEO F OPSAACM, NT p NU UM ADOA CITY, ST, tIF RR " PFX NUl1RER _ _ »r_- _ » rr LUPE OTO LAUR£NCIO 5/211/61 5/24/81 W30/01 761.20 SOl 296020 600 116 FRAME BATON 7X 76201FNTDN 7% 76901 No response to collection nffortsl BATON 6/16/81 6/19/81 19/70/81 840.05 86T0 MARIA JOE 101 301036 T p AR T% 79034 No response to COIIOCti On Efforts. 1 CO TX 79034 Ffit8C0 578 g' ggp n Aq RAYMOIJD 6/27/81 12/30/81 114.75 201 307372 gxNMODILt HOr1E PANKRLOx6D N65 7620 1 XNMODtL6 HOME PK TX 76901 No response to collection efforts. 704.50 . TUONN y E tA tl.~ IOf 59543 8P119AgACRAWFORD , LUCIMUA 781gAUC~A'dFORD ; 'fAREN 3101161 3104/83 t2/30/91, OHIJTON TX 76201 D61JT(0jN TX 76201 No response t0 ColleCtion Worts, V FN0£d , GERALD t/15/BI 18/30/81 136.00 oER 9oq 74858 "i"5~6TWOOD Y%D 76201 p{gJ pBTWOOD YX 76201 No response t0 collection efforts. fOl 293310 ~jj1L~~~~A JANET 8 p 1 ON DAVID 1/02/61 1/05161 19/30/81 807.95 4 i 448EdT@N B t YX y5ob7 Ly1FWS V LI TX 78067 No response to Collection efforts- t '219756 grbP~~f7~NDERY N102 KATTXLE76Z0! 6ftIENRNbERY M102 RODERT 9/10/80 12/30/81 219.00 d6 YX' 76201 No response to collection efforts. i01 783614 tE £gNgII VITA BIEVEN JOHN 4/19/81 4/l5/B1 12/30781 443.34 1161 AUOZP ads TX 76227 AU6~£Y~rrX2n5 TX 76927 No response to collection efforts. t,ggaLq9 MM3CHIAL 4/07/81 4/16l6! 12/30/81 973,91 108 996866 TH6 jgjaf iCHIAL TXA 76201 DENTONB 1 OLTX 76901 No response to collection efforts, { N 4/16/81 12/30/81 34,30 too 203 62115 epTTT1 BUtlpM CHARLYNNE gRTTINNSON WAYNE t' gIBCOO% 289 TX 76201 Fittho Tk 70034 No response to collection efforts. 11 V p p pp p 4/!0/81 4/16/81 WOO/At 3p9.65 102 229694 PHYLLIS 76940 No response to Collection efforts, Sl3'6' J.L~R 76940 IN66VilA.LER RAY [ !SLAKE 6/27101 7/01/61 l2/70/Bt 1504.60 y 109 WSW U T N2D BHYXGRRI 76947 $ JUJU C T Agg2D Tx 76747 No response t0 collection efforts, N Cr 1NN 00iDYHYoo1xxN03 DOROTHY 6105/61 6/13/01 1.1/30/Bi 403,53 too 292722 j6KCLEV£LAND TX 76201 N N TY 76901 NO response to collection e*fOrt$ - ~ j N ON { 1 I ~ k w ~r..rar ~ r + DATE 12!31/01 11:26: F LOW M E M 0 R I AL H 0 6 P I T A L rAGE 21 HAD DEBT TRANSFER RCPORT FOR PERIOD 12/01101 THRU 12/31/81 PATIENT NUMBER 4:4*M PArI NT NAME 4444 xr44r 004',RANTOR NAME 4MMM DATE pqTE DATTE ppF BALANCE PFX NUMBER ADDR. 'ITV. ST. ZIP ADUR. CtTY ST. ZIP ADMITTED DISC ARCED WRtTEOFF OF ACCOUNT 102 11,56752 STRITTMATTER JANIS STRITTIIATTER JAMES 4/07/81 4/09/01 12/30/81 939.10 Rrr 2 pOX 344 321 WINDSOR 027 OER 7620466 ONNTON T% 76261 No response to collection efforts. STUART 81 14 tot 235893 OTJ2a,T,OX 1046 VIRTXN17620L RDENTON T 2.CAPNICORN 09 VIT%1N76201 NO rOSQOnse to collec ionlefforts30/fit 159.54 102 255093 STUART VIRGINIA STUART JAMES 6130/01 7/01/81 12/30/01 373,10 R7T 2 Dbx 1046 RT xx CAPRICORN 09 DCNTON TX 76201 DENTON TX 762^.O1 NO response t0 Collection efforts, 201 290594 SUREELCTT JERRY ffigLETT JERRY 3/31/81 12/30/SL 150,29 UOt COLLIER 1860 COLLIER >EN OM TX 76201 0 NTON4 TX 76201No response to collection efforts. 101 270439 nSNTONOXN1164 EMT %E 76201 ENTpN~XNS164 JET%REY76201Unable/to locate, 4/23181 12/30/81 1001. OD 202 25900 SWAFF(JAD ROBERT BWTA~FLO+FORD ROBERT 1/24/81 12/30/81 50.05 DCNTONLOCUST T% 76201 PIT POINT TX 76258 No response to Collection efforts. i 101 263525 SWINDE L JUDY SW NDS4 KERRY 2/12/81 2/15/81 12/30/B1 1216,45 1 p tlOCENWOOD t p~2 OR 4NI400D LW 8VILLE TX 75067 LEWISVI IE TX 7506714o response to collection efforts, j 101 273276 pTAAMPPLLgXN3pp 114F F PAAMBLpgxN 99 JOHN W 3/02/81 3/02/81 12/31/81 649.60 , y 1"UEN~JTER TX 76252 MUENBTE Tx 76252No response to collection Off,)rts. ? 101 263905 TAYLOR ELVIN TAYLOR ELVIN 2/06/81 2111/81 12/31/81 203.67 512 P014DRON 1ag PONpRON ! DALLAS TX 75221 D~LLAB TX 75221 No response to collection efforts. 201 300111 T LL1S EU94NE DEL. IBOB O LINK EUGENE 6/05/81 12/31/81 102.75 ggaa0 08 0 LINK 0 iHM7pN T% 76201 b N ON TX 76201 No response to Collection efforts. 201 290010 OKEY CECILIA TEBKEY ROBI~IiT 5/29/81 12/31/81 71.00 I i{ ggT p BYox "D RT sOx 605 AUARE TX 76227 AUB~EY TX 76227 No response to collection efforts. + 101 231944 THI{GMAO DILLINOER THOMAS DILLY 6/24/01 6/2518t 12/31/81 511.05 121f 140DONALD lm a + B Il 04 Tx 76201 lma TX 76201 No response to Collection efforts. I 103 37333 HOMA GLADYS T OMAS GLADYS 4127101 5/03/01 12/31/8l 976.29 J { CDONALU TX 76201N~OpCDONALp TX 76901 No response to Collection efforts. I f t J; r _ . - - i PAGE 22 DATE 12/31/St 11:26: F L D W M E M O R I A L- H D S P 1 T A L NN pp DAD DEBT TRANSFER .DEPORT FOR PETTAp0100 l2EE/Ol/81 THRU l2/81 /91 g____ DA +ANC6 PP?IENTNUMgEA arrrADRTiDi7Yo1ABT_aZIP ****ADR, CtTYRXMXIPM**,._ ADMITTED DIBCH1RGED NRl.EO1~R OF ~OCOWT 939,99 i 10/22/ /25190 I01 232074 pHbTBQXN22075 TWU JULT% 76204 TRICNDAFPRDN LN KETX `7'/946 NO respohSe$t0 co110e lion efforts/1/0.1 `r `0j 101 286996 LTLHppOMPpp~XO TWLMHP LINDA TµDppMP130N MARY 4/22/01 4/79/81 12/31/9l 207.06 DENTDN TX 76201 SPSRUMtlOX 465 T% 76249 Moved', left no address. SUBIE p JOH11 1/22/79 1/27/79 12/31/S1 59,85 L 199, 60957 7HOMP80N 791byAXAH gqAC DYELANE 1X 75169 NO response to cnIlPCti on efforts. i 3984 I I ilrr 101 226157 TttMD RLAK VON GT6t0M66HE~Wj0. AiIE , V014 10/05/80 ;0/17/80 12/31/91 . 98 06AINWRIOH7 TX 76201 q~N7tlNTNWRiONT TX 76201Arrangements not kept, CENT I tt pp UU ggrr pp g 4/26191 9/02/91 12/31/81 2686.59 gt XAauT I 102 18040 QT Via AINESVILLE aDNTXE 76240 KINEBVILLE J TN 7624CArrangements not kept, 4 CAAA PATTI TODDDp JOHN L. 4119161 4/2t181 12/31/01 518.45 101 22399gNTDNOX 4t3 AT T 00% 413 6L TX 76201 DF.NTTTTON TX 76201 No response to collection efforts. 1r 1, p i 101 293340 7¢ LBERT MARJDRIE D~T~EtjTµICK01{Y 03 ' MARJtl0.tE 5/89/81 5/17/9L 12/31/91 94lf,60 ' DIJTON ~ HICKORY 03 TX 76201 N 0 TX 76201, No response to collection efforts. V 6b 6/02 101 298009 TRHES FELTXg 76201 CIft JOHNSOW FET%A0762At ArrAngementS not kept /81 1$/31/01 289. 79 Phi DfJTON 102 149940 J VAR MARTIN TOVAR GUADALUPE 1/06/81 1/09/01 12/31/81 617 69 9 3 AVE B_.. Z1g3 AVE I. DENTDN TX 76201 DENTDN TX 76201 No response to collection efforts, ! 109 pq gp~jg po 41. pAKK LANE 12131/81 , 10 J, UA TX 79069 No response to collection efforts. 20t 294249 AKkjAAL2% LANE eTpT%N 75065 KE LA6 LEA V ROCHELLE 32/26179 12/29/79 12131/01 934.00 f T qp qggl, 101 130674 D~NTON L ~ SHANE gARfXWN6OAN 4 9 gO~AN DE T% 76201 DENoTDN T% 76201 No response to co11ec11on efforts, V 801 200727 ~ CaKDEJ 1cx ay BD ~4l?tALD yUCiERgpKRq 8T BOX p4DO1NALI) 4/09/81 12/7t/81 136.00 L Wtg I11R TX 79067 1. W 8 ILLS 17x 16061 No response to collectio efforts. 201 276040 TUURNEq PAUL TgUU44RONEtR PAUL, 3;21/8t 12/31/81 125.50 Oq OOMDU18EN17 TX 7b201 DE~OO OV78 M12 TX 76201 No response to collection efforts, tir DBRBIIT ? i V i 1 i ON w I-No's 'm I DATE 12/31181 11:27: F L 0 W M E M 0 R I A L H O S P I T A L PACE 23 - f DAD DEBT TRANSFER REPORT FOR PERIOD 12/01/81 THRU 12/31/81 PATIXENT NUMpoER rrM4r pATtHNT NAHgg 4444 ar44~ 0uARANrrOR NAME DATgg DA E DATgg 0p DALANCg PF NUMn E A ADD CI ACCOUNT _ TY, DT, Z IP ADDR, CITY,ST, ..1P ADMITTED DISCHARGED WRITEOFF OF l 299552 TTUTUpTLL0EEg 831 120 p,L,CAROLYN POTTbE 831 1201 DOLIDONALD 6/03/01 12/31/81 268.25 BAIJOER T% 76266 SANG EEEEEA TX 76266 NO response to Collection efforts. 201 281451 gTWTI6TTY , ZENA 4/05/01 12/31/81 32.40 PARID TX 75460 No response to collection efforts, lot 291856 TYLER , MELANIE Tyy LEA RANDY 5/09/81 5/11/81 12/31/81 800,75 L 10 RUDDELL APT 209 OtLVEf1 DOME MVP 43 DRWA TX 76201 T01 TX 76201 NO response to Collection efforts. i g 101 267351 oil , PAT UcpcQOJI OLISA 3/31/81 4/02/81 12/31/81 734.22 DEMTON RUDDELL 8154 TX 76201 D3 4 ENTON RVOOELL 11394 gpp TX 7640f No response to cO11eCt10n efforts, L 102 246462 ULgATOgSKI CHARLES 2V2tL5~A7T7OSg41 RICHARD 2'/05/81 2/13/81 12/31/8l 196 00 J 2p1l7OE11ER80N TX 76201 DENTONMER80N TX 76201 No respOnsP to collection efforts. UH T N 201 296533 ~flHO RUApEII. N19, CHARLES 5124/81 12/31/81 196.25 J l ~ ! 7 N T% 16201 No response to collection efforts. 201 251306 JNN1DERHILL DEOD18 UNNTrDCRHgILL MORRIS 12/27/00 12131/81 100.,60 J ti pA4 BOX 7B T% 76262 RbANOAx% 78 TX 76262 NO response to collection efforts. j 204 166017 A LEJO ROSA VAApLLEJO GONZALO 3/20/81 12/3t/81 325.05 ' O TAVENUH H TX 76201 O6 T014Ht1UE H 1%0 TX 76401 No response to collection efforts, 102 102079 VpgAEURHHHNNx CIRCLE ORARON VAAU HpNNx CIRCLE DANNY 5/27/01 5/29/81 12/31/8l 1053.00 V ORNTON TX 76201 DHN ON TX 76201 Arrangements not kept. 2 276758 E+ BTA GEORGE 1''8 A OEOR09 6/05/81 12/31/81 08.00 j~1 4 412 QUAIL RUN RR}g 4t 417 QUAIL RUN rv D NTOI T% 76201 OENiTO TX 76201 NO response to Collection efforts, y V lot 276798 gjN#CA412 OVAII. RUNCE07QE 76201 VCIS0AL QUAIL RUN 0E~x0H 76201 No response ft0 4o119ctlonlefforts33/el 1232.90 201 283234 VV CT&NT CHARLH9 Yt@7NCgENT CHARLES 4/1t/8t SIIl31/8l 76,00 W y 3 7r8MERMAN TX 7!,201 OENTON~RMAN TX 76701 NO response t0 collection efforts, lot 127449 VVINNNNSOONNN MONTIE QAI tN9pN EDWARD P 2/07/90 12/31/81 353.09 OAONCRIPtURH TX 76201OB 14 CRIPTUR9 TX 76201 NO response to collection efforts, i t J II { 1 ~w DATE 12/31/81 11: 27: F L 0 W M E M 0 R I A L H 0 6 P I T. A L PAGE 2.1 r } BAD DEBT TRANSFER REPORT FOR PERIOD 12/0L/01 THRU 12/31/81 , PATIENT NVMtlgR PATIENT NAMME **4* pl~ARANTjr NAMj DATE PpATE D4 g OF DALAHCE PFX NUMDER ADOR, CITY, BT. ZIP ADDN, CSTVBT, ZIP ADMITTED DISCHAROED WNVEOFF CF ACCOUNT 201 305181 `g`g' NNAHME CARLA VONN HME CARLA 6/20/81 12/31/81 68.00 ` D NTUNNOOR TX 76201 DENTONNDSOR T% 76201 No response to collection efforts. 201 287932 NADE SHAUNTA W2AApbE MARY 4/29/81 12/3l/8l 48.00 2fi1J1DNHARLDTTE APT N33TX 76201 pENONHAALOTTE API 33 TX 76201 No response to collection efforts. V 102 270330 1g44gAICHy1TND80R N94 ' LUCIA IByJAfCWWHTND60R N94 DOUG A 3/16/81 3/20/81 12/31/81 607.90 DS ' tJTWON TX 76201 DANTtlN TX 76201 No response to COllection efforts, 1,e 101 266478 ALIJRS GEORGIA gIIA6LTgpRB GEORGIA 2/15/81 2/17/81 12/31/81 1462.08 1{{HATRN APIIELB T% 76201 BATtlNDANIEL TX 76201 No response to Collection efforts. SOl 292951 D2TONHICFtORY RUBTX 76201 DHNTuN69 EOTXE 7LEE 6/13/81 6201 NO response to 12/31/01 833, ZO 4 DEN ' 101 289298 g17~RATRCC[[1N1ryJ~B SELENA A HIN9 TOM OR 9/21/01 5/23/01 12131/81 1216.39 14T QN16HOLM TR TX 76201 ORNTp0I6HOlH TA TX 76201 No response to collection efforts. :1r D 101 48781 EDD CHARMAINE WEBD 7 9W18 DNRNARD 1215 BERNARD CHARMAINE 6/09/81 6/11/81 12/31/81 2203.49 DENTO T% 76201 D NTON TX 76201 No response to collection efforts, ui lot 113662 Ipp47EDO g JIMMY 1g1408 JIMMY 4/21/81 4/23/81 12/31/8L 521.86 ! DEN~ONDX 368 TX 76201 DENTONOx 369 TX' 76901 No response to collection efforts. C~ g ggp0 1/51 420. 10 1 293332 `~$OQBADELLA APT 1218RTX 79x43 DALLgpDELLA APT 12laµETXY 79243 HO response to collection efforts. 101 264796 114fg1`~n{B SANDRA ~~EDggggppgg DAVID 2/09/01 9/12/01 12/3L/81 202.66 V JUSTIN LEVTY. TX 76247 `O6Tlf1 703 TX 76247NO response t0 collection efforts. 205 15008 'ELCH JIMMY ~ILJHAOX 154 SHIRLEY 6/28/81 12/31/01 30.20 J 1 NZ BOX 184 BOi~D TX 76255 nY 7x 761:26 NO response to collection efforts, ' 101 219311 W'LL~yS1 NNzz HAZEL WEppL177,L0 HAZEL 2/10/81 2/14/81 19/31/01 1626,00 t~ Lr%WI8VILLEIE BY TX 79067 LH41OVIL1ttJELt TX '7BO67No response to celleCtlon efforts. t x54011LMS R 107 MART% 76225 A HSELgR 107 MA Tx 7b2a9Mo response to collection effOrt53l/SS 36.00 V X V I ww.wwr - - x wool ~t71 FLOW ME M0 R I AL 1409 P I T A L PAGE 29 DAD DEBT TRANSFER REPORT FOR PERIOD 12/01/01 THRU t2/31/91 _-OF -ALANCE R, CITY, Or •_aaraVy___ _._..yra~r+IVOUAR Ct r Y, T, ZIrxat__ ADRAITgED D--qTE DATE ♦aaaa D PATt ADDR CTYY, 9T, 21P ADtlR, GUARANTOR 2P ADM----D O19CHAROED WRITEOFF -OF-AC COUNT 50 / MYRON WHISENHVNT . MYRON 6/301el ~y 12/31/91 59y_- , 76026 2 11 IBEWHUNT 2311 STEILA #139 i N3~1 NTELLA Nt39 TX 76201 DENT014 Tx 76201Unable to locate. 62323 14HSIFIELD ANNA 1414ITFIELD BOB 6119/91 12/31/e1 110.50 qp S. RUI=LL APT 125 400 0. RUDOELL N129 DE14TON TX 76201 DENTOW TX 76201 No response t0 Collection efforts, .►sl(u]NOiON LINDA WHITTiNOTON DAVID 4/06101 4109/91 12/31/01 25.00 J OK 73499 PTACN BHERVILox 233LE OK 73459No response to Collection efforts. ,NARTHAI WIDEN R Lb T 1/16/01 .1/23/91 12/31/91 360. 4b V iH OR LOT 51 2900T WORTH DR LUT 51 TX 76201 D N 0 TX 76201 No response to collection efforts. L WINSTON W5OAND WINSTON 2/23/91 12/31/01 214. 00 dKELL 65pp CARDINAL E-14 g TX 75220 DENTON TX 76201 No response to collection efforts. J gY JESSICA 141LEY GARY T 6/20/01 12/31/91 24.00 p i1OX 372 pppp DOX 372 NRU11 TX 76249 RflUM TX 76249NO fesponse to collection efforts. J f !OS W1 .4 WprtLtt1N9 PAULINE RN TILF2lIN4 JOHN 9/91/81 6/03/81 12!31/BS 296: 00 ~ [SBHT pOX 490 TX 76201 UBNTONOpx 480 TX 76201NO response to Collection efforts. J 202 311639 D~p1BILLLgAORRpD AUPREY RTLLARgOx 446 AUDREY 0/sn/9l 12/31/BI 368.75 UEN1'ONDx 946 TX 76201 DENTON TX 76201 No response to collection efforts. .J lot 290224 U LLIAMS W WgqILLIAMS , W 9/29/91 :f/31/81 12/31/01 400.50 DE14 WORTH DR TX 76201 DENTONT NORTH DR TX 76200o response to Collection efforts.' l02 92536 W((LLIgg DEVON III 4ILLI0 DEVON JR 4/'37/-1 4/29/91 12/31/81 189.00 TT R111CSOx 182 I 0H1 325 PAAAA 60 00 TX 75034 I7fL M Tx 7806e No response to collection efforts.' 4 201 330134 LI MAR'fANN 2WpI2LLI W MARYANN 4/fb/-t 12/31/81 90.60 I uQ ILMWAOp AVE N104 TX 76309 WICH1i~4MPALL AVE N104 Tx 76300 No response tO collection efforts. A F a 102 162610 IIgIILgg0064 JOHN lBJSSLggSOti4 J3HN 1/1f/e1 1/12/91 12/31/81 89.20 AUSRY TX 76227 AUfiRHY TX 76227NO response to Collection efforts. E 101 235212 1 L ON TERRI WILSO14 E$ OX 11/11/90 11/14/90 12/31/91 310.58 s JAUD I gYOX 239-e TX 76227 AUS EY0x 239-0 TX 76227.Arrangements not kept. y 1 1 J T I! wool I r i r DATE 12/31/01 11:27: F L O W M E M 0 R I A L H 0 8 P I T A L PAGE 26 i EE DAD DEBT TRANSFER REPORT FOR PERIOD 182/01/81 THRV 1p2/31/81 pp CCgg PPF%ENTNUMMOUR 4***ADURTICITVNABT•*21P ****ApURARCITY. TAMi1Py** ADMIT~ED DIBCNAROEp 4p1N1TE0~F 0F0 pCC86NT 201 301398 o6EEb ~SOMTCgMPCROUND 70110A81EM 76201 DWINDSOR EN?~N BThMMONS KOA CANTXS 76201 NO respon se t0 Collection efforts'/gl 42.25 101 730105 WOnDA000`LLL{{~~ aa MARY XXXX WO~ODDgA7L7((L REOINALD 11/10/80 11/13/80 12/31/81 136.77 LAKE1t)ALLA98WDOD EST TX 75069 IP.&MALII.A81N0$IiOOD E TX 79049 NO response to COl10Ct10n efforts. _ 201 294280 k OD8 , RAMONA HENDERSaaN MILDRED 9/17/81 12/31/81 132.00 l 9 1/2 N ALEXANDER BIB ALEXANDER D NTON TX 76201 DENTON ii Tx 76201 No response to collection efforts', y+e1 101 162303 go?DDOAttEY IRLT% 76201 D£pNTSN 5124/80 6/01/80 12/31/01 629.00 N 9 HHILT 8T 'LANNIE J; FA p8pN 0 76kOt No response to collection Worts. If 101 290163 k0 LLEXRICE MARIR IJOOL BY IOHN M 5/03/01 5/07/91 1.2/31/81 101.30 j q g 413 LE. PRICE E t,, S4'} LER T% 7624'3 KELLER Tx 76249 No response to collection efforts. 101 758467 NRpRp1OMMHTLL NN CARLA WRRbIONM1LT0 TOMMY JOE 6/10/81 6/23/01 l2/31/B1 2034.35 l i LEW19V[L~fi TX 7$067 LHW[BV1Lt & Tx 79067 NO response to collection efforts. ! 3 202 27771 qqI HTROW p FRED li 1 Hi FRED 6/12/81 12/31/81 90 7 bB, SD CRtlli }t, EN ON 1 C TX 76201 LL ggNBgTTTOHHN Co TX 76201 No response to collection efforts. 2/3 2~. 1491 O 7/8 201 304410 h`gkGH?AVEN99STATEBLor XX9 76069 LAKENDAIVfN FSTATEBL0T8 xLD75065 No BSpOn B't0 Collection eff0 iS1/81 103.75 y 201 294108 RYATW LpT163 TWIN IAKEMLAND YY73I0T163 TWIN LAKEBROLLAND 9/16/01 12/31/01 113,50 1 $t, CfiN1ON TX " 76201 DENTON TX 76201 No response to collection efforts. ` lot 284554 RK JASON Y AK R ?LOT 4/l5/81 4/17/81 t2/31/01 174.00 v [1 }t, ptL T POINT TX 76298 P?LOT FAINT TX' 76250 NO "%POn0 to collection efforts, 201 292276 o OAY ~ ss NORMAL YOO~ujN 0A1 5/10/81 12/31/81 93.00 9Ni N TX 76201 0ENTON NORMAL _ Tx 76201 Moved; left no addre;e. 2 4 TOTAL BAD DEBT WRITE-OFF THIS PERIOD; 94590.16 J E J f 1,0 ' f tl 1 OATS 12/78/81 8:39: FLOW H6?10R I AL N 0 0 P I T A L PAQE I Y qq~RTIItI ~ ACCOUNTS RECEIVABLE ACCpOOUNT STATUUS gEREPO~~RggT CHARITY CHARGE•OFf LIST g~tLgg~~ II *INDIRLCTTPAT•CNQ.w OUARANTOA 9 E88 A- "PHONE NUMBER A/c D P-DMIT A~rNAROE DATE M£SiCAID Y 1k8 N PAwwt1gNT CTpTAIRENT BALANCg L ~ggIN~ LLLq~~tt pppp~~TTpp►~~ pALL gg g ~rss UR TX 76201• I4 ~~IWI 38, 00 ALxOZ 33516BS DBkTUN COUNTYNJAIL LOUIS r w gg Denton County Jail. 4. qqg p SA 08 0AN SnNOLR 764A170 80 MEA68TXN 7620663083 at IMU S 900.00 998.x0 99S.ZS w w Indigent care. ' BLAKffLICY 44 781BEL B0% BARELEY ANNAM2Rg 6VB3 I ~ 41 0. 14.60 101 ~ qqTT pp~ a/ t~Q. ss DENTON TX 7 / w p+ g gLp~ Balance after Medicaid, BLAN 101 Z 1860gMYk NT&PRA N' JTXB M 745ZOI7644 a /Wa %9 431116901 ; 00.00 7I.16 3771. SS OaIaace after Medicare/Medicaid. 100.00 r_..; 80~aCZ 2Ig2j;gL DENTi1N DEVELOP C;XTBH7iasza 81 }Q00. 00 767.65 V w w Indigent care, 4• 0Omo 3 CYNTNIA!~p CNEgg76RPIE4D FRAN 4q~ 1104 81 g%~A%EI 900.00 137.10 3p + w CAR OM ON T% 75006 Juvenile Detention Center, IR 18 ~~~E, 60 BR REX ~r R 0R REX q HI M$ 900.00 1218.60 V w100 750613w DEN1 50X 36Z E 'Tx 76ZOIS1Z1 9 HIM 60 i ~ Nill•Burton. 8U 23 0 14089 jt660 VILLA08 ORT N SGr SUE387 3536 I2 % l%Il 902247Sb4 150. 00 do ,tE DFN TX 76201 46: + yyppppNNw rypp~ Indigent care. g1 BYRCMI H 1 56.00 pp V 5 BYgf~17 3DY71e p~N~ pqk~ COUNTY JAIL W8131 f b w w ORNTON T% 76x0! Indigent care, 00 i i CA% pig§ tMt~pg750 ~~~~3 ~~pp~R y 13NII LEWI6VIL E~ 'il.T%EN67 41060325 9j 465448075A 100.00 205.82 1 0 + w hill-Burton. V "My tAk p~ttR LI1i677I CHRISTIAN i 06RALD1 B " 6ppy~A 1 100, 00 1i 1. 0U 796"t PRAHE 76914 ~I2tl63t0f 125.00 5 V 7 T` r 11W DATE 17/78/91 9:46: F L 0 W MHM0R I AL N08P 1 T -AL F pACCOUNT STATUS F100CMT ACCOUNT8 RECEIVABLE KIT Aj 8H U11 E M INS r PArTw1BNT 0IINRENT BALANCE fl C 61 ARGE ppA7 MEOb CA [R D N IHNT NAMEER b twr~n H% OUsRANtpR NAME _ NUMBER x NUMB"lie D 59.00 4 r1flaCTrPAT. Nit. r GUARANTOR A 1Nl688 P 3. - bENTON T% 76201 Indigent care. y p 4'`o p~ w gg{,[E Q~7 2~~ p~ggR NELLIB763 at 8g% % 1~6~ A1g01 1, 198. OD 19. 50 3719 60 ✓ COUP 34S7r DENTONOUSRIAI , T% 0tbetg ? r Balance after `Medicare/Medicaid. t, 900 tv~ 9D qpg qp e$ 18%88%81 ~4D8.91! } 1. DE 1A 37916E ANN, DELIRA JORGB 4 x r T% 0' JERRY Patient deceased) no assets. J 38.00 Q r ~~IIgg~~ b 111/411/81 ~ ~g Tp~ UCK . DIg K R Y COlN1TY JAIL 8¢ 3n.vn+ t R01 30936 TON TX 16201 _ r Denton unty Ilse. 00 93.00 ' f 1 a y~ ~y p p~ ; PATRICIA~►3, 0(~ fOS >7671rt DENTON4D9TONH TX 7M?"' Balance after Med cal q00 Ot SS. 00 M g+~g~ p p~ gf g pp HTNtRHbG[ R tR QX_11HS EDGE RT0%HR 71~~ 6%03%81] 5,00 E r Indigent care. 99.65 94 1B~8~Sgl i 81 ' ~ ~~LC it NOMAa iOtCp pg TPtUNLGGB T► G03I3l3. - MTCHITAxFN.La 111 , 76307 r NN Denton County Jail. p ~j # 900.00 1529.00 ' '441 D0tI ~076 ,114 X"1313 HI[~ARV1S ggqq IItG9. p! W:81 r Mill'Burton crlterie. ~ p I V M / 300.00 1491. 46 t4~li.` y pog~~ 4p IZb9`46Ct,ALL IIeADON M3ilO~i768$6 f 646f:JO~/ s r yA~r yA~ Indigent care. ` to. 00 49.00 4o yp i V JAL 3IIS0! OENTOLIYARRHLL REBECCA 502867354 41~ 00 lndljent care. i a . i C ^ y I ■ I I - .1 r 1 I ~ I PAOR 3 DAYS 12128/81 8108: FLOW MBMOR! AL H08p 1 T A L ACCOUNTS RECEIVABLE ACCOUNT STA"REPORT M TTAAL~, yyKANC~~~~~~,g~~pE 1 r1ND[RHCTTP 8N0.y pVARANTOR IX4E88R-^ PMHONE NUMBER R%S D1SCHAW OATS B1A N CiIR~~~~REN7 O I 70.00 ;8:88 g 15SOb0I~ gENTON COUNT, 4 19 DENTON YX 76201 Denton County Jail. y p py 900.01 171.28; L 103 21~773N .OIIHSNN00D'~ NTX N at + 74f;3551 / / Balance after Cr4pl Childrens, DHNTON COUNT? 9/p/p 406-26-7089 A 200.00 36.00 - 38. 00 l y y 83 I ` KU187 148700 OENTON TX 7NSNH { 22 pp~~ppy 221 g Denton County Jail. 68fi ~q pp _ JJ %B1 35.00 38.00 j KVS0EK 26 33380 ~L _,,6~g UBICSK 9DDWARD76201 a Denton County Jail. Ly y 200.00 1079.90 1pry 9p STSR 206370v6ViNSW~BHTSR TOMMY 7 !S104620 SD79.90 4 « y Lg Indigen~care. 7/$7/8/81 400 I p~~ A Ok Q3E ~ONSTA 8694 / 015363640A 100-00 03.70 LE { 804 166380 _ Ni , T% 76201 Indigent care, 4' y y g 100.00 27.00 HIS ` LY210 4O90yT.tblO_f02_~1LLA06 EAST CTkLHT7 51294! 8 / / 57 00 y Balance after Hedltlcppaidpp,1 00 "It.so Q yy'~~ MA 1jLLEN 30~t48 1 S 1LL I.hEN i JAMS A t4 211249 97 Iml/81 661. 00 1 y ~BV L TX . 7!SO6~ Hill-Burton criteria, 748; 00 iho X02 19S226Y D 1MUN L Y. •/II/~ 602300604 1110. 00 48,00 1 TX 7e1374760 c / / ! V y • Batance~fter M di 900, 01 eP, 04 3 s j ;.MOROAN ~ i4 TN OMt1RCAN 'sDOUOLA~~ Ol 4 OE Balance after W10, i y ^~~yy 66 M AI g1 9%30%81 y62,!b MOR10A~N 337824"OPO 0o% 60MOROAN WILLIAM 6,572250 at 1!10,00 36,00 I :I; r DATE 10/78/81 9:03: FLOW ME M 0 A I AL H 08P I T A L PAGE 4 q~gApr[ N ggEq ~AgAN p ~AgCMCgOVNTS RECEIVADLaE CACpCppMMT STATUS REPORTp c pg 7AL B ~D r1dO. ~CTTPAT. NO.r OVARANTtlR ACGRfi88R-- PMONB NVMIER R%C D1 C~HAROE DAT C~CAtD M INS M PAaIENT CURRENT B ANCfi ' L HOLLAND' TX 76634 10/03181 3. 36.00 • IIr Balance after Medicaid. 77pp77yypp 4' `pp pp L Nitt l{ {047ZASE TCINARRBLVD, gLIZAI~ H 0 1%18/181 1d1108I8401 .188:8$ 3{. o0 1 M8608 at: 88 r r Balance after Meqdi`careg/Medicaid77.oo~~r66g "IQiO 4097 AIE 90N~RW L~BLVD. HTXPA876701 8808 of 8%18%81 f611St90A~01 :1$8:88 42.00 r r 1 p~ Balance after Medicaid/Redl care, i ~ZOS 359377RD CTYAJAII ET7WfD76St01 9 1%14%81 46. 60 44e ~~po ` ~ 4~: b0 1 1. F~ r r Denton County Jail, g "I: PIO t61~7 PIiOT-pT PC7TB 'rLT%A g 767D8 ,00 8 6%16%81 .400.00 66. 10 610 _ 4 r 88gg{~~ r Indigent care. { 9 00 6677 ,i1 ' PR181 3{3MAMI ~ I~ OY. 673Cfi DENJAM~{~-47 648-0643 9? %iS---A i; 100.QO 003.60 f10g:60 1 _ i J,i~%~~ r rrCC qnppr ~2 u pppAATT NN H111-Burton criteria, 4• p~ 1~, R~IQlH 3I94yy~p1«Nl~U WIEXNCAN70C6LVD 'VAZ - 050 ~ ;100.00 004.00 884:88 ` pyA~} Balance after MHBMR..p p BALAIAR 36Y181811;T11RR OAKS C, TX. 76001 81 9130%91 900.00 74. Sb 1 J V r » Balance 'fter Mndic6ra and Medicaid. I j 9TRd~lD LL35MDA U"k #tKABaROVO , i AMANDAm at 9; WHIM 9001 00 205.26 r ' r Hill-Burton criteria. : V migimAN ,me 9 MTON Is THAN DOR18' 03 97 Z% 800.00 3:317.00 19;00 i Hill-6urttan critp7/eriiaa, g ` TALKINOTON Q*t W D6CCn~IrGLg RANOM>fOlt'1986 ~ CMARLIION 38317{71 p8 10%70%81 900.00 433.50 r r HTON YX 76701 Hill-Burton criteria. I V 1i r; f DATE 19/28/81 9:15: FLOW MEM0R 1 AL H 0 8 P I T A L PAGE a ACCOUNTS RECEiVA6LE ACCpppOpUgM~NT tiTATpDUBAA RgggEPfMTpp Cc ~~T~L B'L & ■[NO' F/S I ✓ CTTPA"Y;" , r OVARANiOR0ADDRB~fiA--PHONE NUMBER D SC~HARO[E DATB MEDJCA[q N INS M PATIENT OVRRENT BALAhICE j V 1g 1.900. 00 DDUURREEO.00 118, 00 1! TA10INOTON 3216b2 N1fkJRANCHLBD 1~1Z6 411AML67N?01/9677421 9~ EM P 0 TX V r » Hill-Burton criteria. gg' pp g 278545 11/18/81 900.00 54.00 51: 00 TALftjNO7aN 321C8tA~M ~TON CHARLES 7774r Nill B -Burton criteria' 6 a * CHA YY NEE 8C gt 1.900, 00 46.00 TAV1.eA1 34~182M8A BTxSgHrl gHANAN ~TPtDM864MJ02 Transieneteadmlt edgo~fiichlta Falls., 46 y1~i r 0~1 ~~,,II • g gg. p ~6 ~ V THlOM. 13bi4AA THOMAS ' ET%ZA 78 764b583606 Sl j/qqj 17188/608 1. 100100 262.40 ~ ppog 1NOER44 / b/811111 M « 9A Balance after Medicaid, 1r gig q .150.00 65.50 118% 11g~U. SO T110f40PH11tIF! ?147MJ~SONE30~0 1~R RDMANH ' PHONE 781177370 at 1 l, l0~ PT 30/ i2/81 Balance after Hedlc}aid. 900.00 795.55 ~q yp ' %R~%9 7Ni~.60 f TR1P0N11fiLL 35C077A8 BfCNAMMILL I,PT%LLiy6Q66027 94 V * Hlll-Burton criteria. p!p p~ k • o Q OAT 6 ' 1.900101 206.50 1r TR BILE 1112JO2N QAT pppp IIRX 1217816 iAAXPH 76Rj7 5295 3. 1R66:'JO K e Hill-Burton criteria. 4 150.00 7600 b 3~ ' T 2571 uC~pq 9EULAH M ~E%~%9t 502599675 00 8 ¢41p g tS17TY 010'4'E' 104 TX 7L UHII Balance after Medicaid. , 4 » a Tt7Npp M~p e y g 150.00 22.06 ~~gg pp WIt,ltfiR90N 3211VI tj ABIX 4.1 61 8N r R7~GRT7N E 8 =lg~i%8~ Q2: SS r r Balance after Medicaid. 4• L r 900. 00 =49, 1!1 44yy pp W%TTT 35106 ..R'f 11r0X_ ~~~~LLLLirTT 90A.1X 76247 19? % /8l fAt, 4p. ~0 IP 1 + JUUBeTT ff u Hill-Burton criteria. gg 6p ~g 3 IV A ` WII~l~~AM9 012991 P OASOX 592U.IAMB JOHN A 686_2257 199630!0179 A k 50.00 14$.00 90".65 r r 1 r', t ' r _ PA06 b i ~ DAT6 fit/tt8/8! q:t7c FLOW MHMOR I AL N08P 1 TAL ACCOUNTS RBCEIVA6LE ACCOUNT STATUS REPIStT p~AT`~tt g~ ~A N p ~p c p '~'OMST AATTgg Nip c g CVRfiENT !L rtt~2AECTTPAT, Nt1.• OUARANiOIt AD~fi88R~_ p NUMBER R%C DtBCHAROE OATH hIED~CAID K IN8 N PA 1 NT T L 0 PfL'gT Pt7tN7 ~ TK 76889 Balance after Medlcald 4' r • i i ~ ~ 451806b5 Totek rccount~ geoeivable f t~ ~ ~t i w y ~ ~ i 1r i ' ,f . 4' ~ 1 V 4 ~ r ~ 1 w . ' ii y MAN f !#56Lq,l,Q 1fYQy], ~ BOARD OF DIRECTORS BUSI~ ESS' MINUTES o.r. November 14 1981 PA96 1 The Board of Directors of Flow Memorial Hospital met'in regular session at 7:00 p.m, on Thursday, November 19, 1981 with Mr. A. E. Wyatt, Chairman, presiding. Other members present were Mr. George Hilz, Dr. Don Holt, Mr, Brad Moore, Mr. Dan Trammell, and Mrs. Mary Williams. Mr, Ralph Havenhill was absent. Also present were Mrs. Wilma Fritz, Mrs. Gloria Madewell, Dr. Arvin Short, and Mr, Leonard Watson. The minutes of the previous meeting were reviewed and approved. New Business:' > i ial Report--Mrs. Fritz reported that the average daily census for October was Sri 9, which was 11% below the budgeted expectation. The month ended with an. excess of expenses over revenue of $13,708. It was pointed out that a check had been received from Medicare in the amount of $170,000 for cost report settlement; however, the check may be in error and need to be returned, In the meantime, the check has been deposited in the 'savings account. The Bad Debt Charge-Off List -in the amount of $49,546 and the Charity Charge-Off List in the amount of 172,027 were reviewed, Mr. Watson stated that the accounts payable are averaging 50-62 days. Mr. Hilz'moved.that the Financial Report be approved; this motion was seconded and , passed by voice vote. i ~ on Report--Mrs, Williams reported that the Foundation had agreed to purchase for'th'- e hospital the C-arm fluoroscopic equipment and orthographic table for the Operating Room at the cost of approximately $83,000. The Foundation had nominated Mr. Ralph Havenhill to fill the vacancy on their Board of Directors, and this was discussed,' Mr. Hilz moved that the Board approve the Foundation Report and appoint Mr. Havenhill to the Foundation Board of Directors. This motion was seconded 1 and passed by voice,vote. j Safet ort--The minutes from the November 11th meeting were reviewed, as well as the suMmar zed report of the-incident reports, The Administrator commented on the recentlyy held fire safety in-service classes which had been held for employees., Mrs. Williams moved that the Safety Report be accepted; this motion was seconded and passed by voice vote. 1 ati the minutes from Uctober 27th meet, ng, e which ohad includedputilization reviewed thes- and tissue and trans- fusion review. Mrs. Williams moved that the Utilization Review Report be accepted; this motion was seconded and passed by voice vote. Medical Staff Re ort-ADr. Short reviewed the minutes of the November 16th meeting of the xecu ve Committee, ee, He explained that the physician who had been suspended from the medical staff had asked for a postponement on a hearing,and will rertiain sus- I pended until he:asks,that the hearing be re-scheduled. Dr, Short commented that the EXecutive.Committee.had recommended,.uppon the advice of Dr. Ford, that the hospital change its source of blood from the Dallas Blood Bank to the Carter Blood Bank. Dr. Short explained some:of the beoekits:..to the patients in terms of costs and reduction of occurrence of hepatitis which could be expected from the new source of blood.. 1 Mr, Trammell moved that the Medical Staff Report, including the change in blood banks to the Carter Blood Bank be accepted by the Board of Directors, This motion was seconded and passed by voice vote. Medical, Dental, and Allied Health Professional Staff--The re-appointment applicat ons to e ROM, AM!, and ea rofassioval Staff for the medical staff year, December It 1981 - November 30, 1982, which had been presented in October, were presented again for the consideration of the Board of Directors. 's Mr. Trammell moved that the Board act upon the recommendation of the medical staff I 0404 Y•aIa $YI IN PA411 Alta 4146., 11 at40, LL UN H 111111014VJ.I, ' agrwa.+snMLYMRMaM4r140i"Wt3NWlew.'w"."""«n BOARD OF DIRECTORS BUSINESS MINUTES o+r. November 19 1981 Pago .wand approve the re-appointments (see attached list). This motion was seconded and passed by voice, vote. Capital Equipment oar Needs--The Administrator proposed that the following expenditur be consideriec by ti-""Teoar a of Directors: $90,500 to purcharess aseer avenew; $5 )boiler0ttoor rapldce 3 of the ti old boilers (kee ping the 4th present boiler a0,00epair the heang and air conditioning in the B-wing on all three floors; $10,000 for new vinyl wall covering for the Post Partum Wing; $12,000 for guard rails for the corridor to protect the new vinyl wall covering; $3b,000 for a new Hivac autoclave for Central pply, $102,500 to purchase Su the medical equipment items remaining in the budget for s this fiscal year, The total expenditure would be $300,000, and the Administrator suggested that a loan be securred from First State Bank for 60 months at 12% interest (@ $6,673/month), He suggested that the County contributions when received be intested in Certificates of Deposit as a reserve, This proposal was discussed. The i Board of Directors approved the $300,000 expenditure as presented and approved *the Administrator to borrow the $300,000 from First State Bank as suggested. Sus en se Litiat_io_n- The Administrator reviewed the status of pending suits agai ns a osp aim- ( r~•~s~~ q, fb'~ 41141 r~.. _Pro fa tonal uildin ;-A proposal will be presented at the December 17th Board r Meeting from Ra ation Associates of Dallas concerting the building of a professional building which would include a radiation therapy unit. l Medical of nnual Meetina_--Dr,'Short invited the Directors to attend the Medical of s nnualTleet ng on December 15th, ( There was no further business, and the meeting was adjourned at 8:30 p.m. • I Dan Trammell Secretary gm r ~ BMW 0.4r~ 1+ 111< I IA11 111406 e•„01401 uu1411 r r\ .w..u..:...ve.y.w..+«...~ac.'•Mw..~ .Ylrtle 4Y. Y,~ -VAIM-1W/U4tUly ..Xjlue; - r L w n -r-u 14 W f% v P, e....i. u u DAD DROT TRANSFER REPORT FOR PUAIOD'll/01/81 THRU 1l/30/O1 PATENT UMOgR 4**0rrMrr PArrttT4~T NuygMfi rr+t+rMM+rrr ****A*** 0upRANTTOR NAMfi as••kaas DATg D TTgg tlDATpg OF BALANCE PP N~M011 kAMH, ADDR, CI7Y~ p~l IF WiHI ADDR, CITY, 8T, Z1P ADMITTED DISCQAfi0fi0 WRI7EOFF OF ACCOUNT ~Y .IwY YY rwYYrrwwwrrlYWwwr~YwwlwwrSwY www.r rrw.u.wrwr w 201 r rwr~~.r ~ .j 31117 AtlqKINB SSES ADK tND 8063 7/04/81 11/30/81 62rao DC4 7 7WNNOi~AKE9 MHP LOS A}TX 76201 D1NTONA14E8 MHP 107 76Y~TX 76201No response to collection efforts. 1, 3x090 ft' NYON V OT 23 LAKRONOR6N XT` 71201 24T AT 8Y DENLAKESHTON 76201 No response to collection efforts30/31 33r 00 D LC fa opN } 3 31973 p N ON 0X 9ACDRN RANCcHH CHRTxTIk 76201 RGjl?OX 9 ACORN gA1N~g HgX fi 76201 No response to collection efforts, 30/Bl 124.70 t 201 31947 gTO~R Ox l65 j DANNY t1TD~118T log DANNY 8/02/91 11/30/81 48.ID AUB E TX 76227 AUD EY 7X 76227No response to Collection efforts. 101 27611 Ap RIATU JUSTINA ARNRAAAU I LA14RCNCfi 4/10/81 4112/61 'f!/30/81 389.80 3Q 8 RUDDEL 4100 go UODEL 4100 s Da TON TX 76201 OGNTON TX 76201 No response to collection efforts, } 201 11910 pAptlN6DTT ,•JBWELL AP a% RN$TpT o JEWEL 4/13/81 11/30/9! 44400 LARg nALL6A9 ' TX 7D069 LAAh aALLA53 TX 7$060No response to Collection efforts. Jt 101 79147 l ApN0009LL N11>7 RETT 71201 M1011 RUDDELL 0215 VICTOR76201 No respooso to aol/ectioaloffortsa0/81 349.98 h S ARQT. 201 30119 ~ bRX 90C , MICHAEL ri6 76201 k pNpX 90 C MICHAEL 7b201No r0 6109/01 ponsa to collection efforts 30/81 38.00 ` i . f 102 16764 RJTJOX 1'77 AMANDA 0JKRNBOX 177 I RONALD 7/27/81 7/30/01 11/30/81 146 69 A OYL TX 76261 .,A OYLE TX 76226No response t0 Collection efforts, , DONALD A7 tRNB IQ L I DONALD 8/11/81 11/30/01 69,00 5 201 32762 A INS Wfil{,L DR !0 RU L IN LLq TX 79067 L7BWIBVtLIEEL DR SW TX 75067NO response to Collection efforts, TO N ' PAULA 7/24/81 11/30/13l 46,79 201 0168'J ~an(WR pAtlLt: APT 6tl PAULA b0 p pAOLfi APT 60 TX 76201 DC N TX 7601 No rosponso to tolloction efforts. 101 19006 AttLCEYY G I DARIM61A BUY Y BRADLEY 0 9/04/81 9/14/01 11/00/81 300.41 9dAMlt~IUDOWWDDD ' TX 76048 H BURY AnOWNOOa TX ' 76048 No rOSponse to cal lottion efforts, I IN 2011 29087 ~gAN, DARLA~ qY 3 DARLA 9/09/01 11/30/91 97rDa t. OK9 TX 76262 10ANOKS TX 76262 No response to Collection efforts, 1 1. I, r P IS . r r . 1 ---v14 io-14(1 UlI at i►I vi,_ I p.L_u W.: h.h .M•U N! A L ._H"O B P I T A L PAOE_ 2 DAD DEBT TRANSFER, REPORT FOR PERIOD 11/01/81 7HRU 11/30/01 PATJENT'NUMDER wx~+wwwww PA7TftJT NAME rwrwwwwww wwrwrwrr OUARAIJTOR NAME wwrw*ww• DAT DATg PpATE ppF DALANCE PF NUNDER NAME, ADDR, CITY, STP 21P NAME, ADDR, CITY, ST, ZIP ADMIT EO DISCHARGED iJRITEOFP OP ACCOUNT „Y YYrrrr rrrwrrr rw wwrww .w nw..r 1•, r_„ r r+rwrrw r rwrrrrrrwrr rrrrrr-- yrwwr•rrrw ru,.rrrrr 2 01 24353 RAKERDO% 1570 ' DARYL ItTK1Rp0% 1670 ROLAND 12/01/00 11/30/81 84,75 HAVOREY TX . 76227 AUDRBY TX 76227 No response to collection efforts, f; 1 .201 30361 J~K~ANOX 97 . WILLIAM 0pKggRDOX 97 , WILLIAM 6/15/e1 11/30/01 62.00 i Rf 4 N ON TX 76201 DENTONk 7% 76201 No responto to Collection efforts, s ' 201 31133 SAVE N VALLEY MELINDA 3N~UN! VALLEY ' DJNAH 7/09101 11/30/81 33.00 DANTON H NTiAX 76x01 pD NTtiN 1'TX 76801 No respOnso to collection effo-ts, 201 131011 LEW1IhSE,4EQE LN, EA~ N7X~ 7$067 LSWI RRSMILLE TX HOE LN, E.JVREL 8 76067 No7reopon8o to collection eflert0/91 129,00 6/10 201 30369 W SVO LH17A JUD1X 79057 l,EW28 iLL 170 aT7XEN 75057 No respoeo t0 collection effart0/01 140,50 101 19672 NAV fitXEg34 r SHARON gpAYES DAN 5/02/91 0/08/01 11/30/&S 071.40 M TX 76249 AYES BOX 634 TX 76249 No rosponso to collection efforts, i I 101 20944 ARgD.N SHANE 1BtE~{AR3DEN LONI41E 1/19/81 ;/21/81 11/30/81 1QQ,OQ NOONlN OAK TX 76201 aDB1 OONIN OAK Tx 76201 No response to collection efforts, 11/3 101. 10403 8077PUINT , flETT%NA 76259 PLOT pD1NT r JATXg 762513 No3espose t0 Collection effort0/81 290,00 i PI , 101 301377 j oArv X 090 , CHETx 76234 bECATURX 000 , L TXI 74234 Norospoe0 to collection effor}0/81 270. 00 1 207 29969 N K lRCL6 ' ELIYXDEY7,.0Cl jj' ~flKCIRCLII , Et7%AnE76H$Of No relsponOSe t0 collection efforts. 511,80 101 99241 L r ALAN L , ALAN 6/04/0t 6105/01 11/30/01 g6,00 Tb~D, D, P. TX 76201 D Tb~D, O, F TX 76201 NO VW011s0 t0 COl loetioA efforts. 1 201 20430 t0T P01Nt ! gLJ1:'XflET76250 PIA POINT 6LTXAD 76258 No raspniso to collection efforsD/Bl 36.00 4 201 28492 BUT PRAIRIE 1HARLB9 NiiN 611ABT SeeohOORA 4116/01 11/00101 19,00 I" " ' TDN TX' 96201 ;A At TX 70466 No response t0 tollection,offgrtt, i Y J I j i ' r rl ""PATE 12/01/81 •11:071 F 4 D W M E M 0 R I A L H 0 8 P 1 K A L PACE 3 DAD DEBT TRANSFER REPORT FOR PERIOD 11/0l/01 THRU L1/30/01 PATIENT NUMBER rra#k#akr PAT ENT NAME #kk#kk#ar rrk##### GUARANTOR NAME ur#a##a# DATE DATE DATE OF r BALANCE PFX Nl1MDER NAME, AODR, c TYP STs ZIP NAME] ADDR, CITY, 8T ZIP ADMIYTED DISCHARGED WRITEOFF OF ACCOUNT 201 1'214 ENNG7~VI LARRY DEDNVF TT LARRY 0/fi/8l i1/30/81 46.56 822 £E APT 213 2 2 LOVISE APT 23 EiJT01~ TX 76201 D12NTON TX 76201 No rosponso to collection efforts. ` LOS 17864 AGNTO NTON 8T 8V8T% 76201 TPNTON S7 ' THOMAS 761201 No B ro ponSso to collection effart~/8i 216.16 102 22988 RO DAVID gR0q DILLY 3/16/01 3/17/81 21/.30/81 197.49 N7flN88fiY N29 029 T% 76201ENTDN813GY 7x 76201 No rosponso to collection efforts. AKE DEA 9/21/81 9/29/B1~ 11/30/81 L823,09 102 524321 [EARY SEA ORpX L92 OAALLAB TX 78065 LARKE DDA LAS TX 78068 NO r6 i)600 to collection efforts. 101 30174 BEgRR, C ATX8876201 7v" CHTX9E76201 No~es0pon8se to cone te0n 11/30/81 7812. 10 bEN70MT WORTH DR LO 2 W C 8 MECH. AT I'D OX B4 efforts. I~ 101 129298 ggEVEgb4IVAR r MILDRED $IgVE0p0LL1VAR CHARLES 5/13/DL 8/16/81 11/30101 919,43 i 9ANGERgg TX 76266 S9ANOflER TX 76266 AO response to collection efforts, 201 30499RhOf~fRKLANO ' Donny O~O IRKl.ANO BOBBY 6/20/81 11/30/81 109,88 i NOER TX 76226 ANGER TX 76266 No rosponso to collection efforts. 202 24168 06N$$HgAgM MARCI p0p6LF CRYSTAL 6/05%81 11/30/81 42,00 ' TX 70840 No response to collection efforts. ; FAIRf1ELD2L TX 79840 FA1RF1 LD21 201 311240 9gi SHOP . CATHY 9NO CATHY 11/30/81 38.00 D 7UNTLE DEND I LMT TLC DENU TX TX 76801 76201 No response t0 collection efforts. 1 D NTQO , 1T g~~c~ i 20St bOS4b ST NCKORY ' CART% 76201 CRNTpN HICKORY CATXL 762o1, No eosp6 60 to r,011eCtlon efforts 0/8f 176,0s 101 30921 LAKE u r RODDY gC(~(tAKE . R004RICK 6/20/Ill 61041 it/30/81 177,25 i IWON1 OAK TX 76201 DLNTO N OAK TX 76201 yo response to collection efforts. s E T N n rte'." nR01 49864 D N D~Affl 2842 • WIL~'AM76>:O1 ~ N O 2842' ' WITXIA761toi No resp nSSQ to collection efforts O/Af 122, 00 'f Rol 60396 ODSOUTIi RUODGI.l.1 Nf~ THY DD CµBtlN PO BO~I TIIMSTHY 6/16/81 11/00/31 111.29 l ! NTONX 761101 NT TX 76201 No response t0 collection efforts. . , , . . , .,0 165 ,,r,~ ~ I . f 1 -•-r----vn,p-4R/V1/VI 'It 07, F L 3 M M 0 R 4 A L H n 8 p 7 IT A k. PAOV A BAD DEBT TAANSFER REPORT FOR PERIOD ll/01181 THRU 11/30/81 PATIENt NUMBER r*rrrrrrr PAINVT NAME rrrrrrrrr rrrrrrrr OUAAANTOR NAME rrrrrr0* DATE DA E pATg OF DALAN / PFX NUMBER NAME, ADDR , ST, ZIP NAME, ADDR, CITY, ST, ZIP ADMITTED DISC__HA_ROED Wlt1TEUFF OF ACCOg UNT f • rpV wrwww M rww..rrrrrw4rwrrrw ww rwrwrrwr rrrwrwrrrw rr~r rrwrrrr r.. r L.•. , 1. lb. Rp II6g wrr,. ..wr ♦r. 4YM..rMrr r.~r YrV rr r.1,~ 101 29643 A 914 CREEK T M RAI~ERM%YyRK, 76262 14ELigRg LIT%A 76840 No 9espons0o to collection efforts, 0/81 101• '0 j ! 201 29667 ~034EFAIRFIELD ' TIMOTHY O034EFAIRFIELD TIMOTHY 5/24/01 11/30/81 51,20 I"ALLAS YX 70274 DALLAS TX 79247 ND response to Collection efforts, 201 30286 9f WfMArL~ , EDITH 1111A EDITH 6/12/81 11/30/01 30.00 1 111 D NSONATTiMOAE 7X 76701 0 Nl1,O~ATTFI4OAE TX 76201 No response to collection efforts, i 1 203 16648 19YER , uILL 1AM ponYER DOROTHY 7/07/81 ' 11/30/81 36,00 i N4 QOX 94 OHERWOOD M ~ RY 4 BOX 98 SHERWObD X 76201 DgNTONE t T% 76201 No response to collection efforts. ^ 20! 29720 ~WIIO INRAD 87Rt h7CYN lA 70067 ~j; DAD STREET DITIfY 70067 No rDespo ns8e t0 collection OffgYts0/01 311.00 101 19642 AkC , JAM 19 BRANCH , ROCER 0/a6/00 6/28/00 11/30/81 522, 45 1 IIENTONALONE TX 76201 ION7pE1ALONE TX 76301 No response to collection efforts, 102 8406 ggR11C B';DIA JESSIE 5/24/81 0/27/81 11/00/81 904.00 S'N l RUDDELL•M141 ERIC 0I RUDDELL 0148 , " DENT N YX 76:01 DEW tJ TX 76201• No roSpme to collection efforts, 201 30072 DENTIN R0009LL ROfST%NDA76201 p0~TOf4 RUDDELLL OLTXN 7620 1 No response t0 collection efforts, 0/81 47, 90 20!_...31488 qRq NN4SDDN T MILL R6 JOHNNY ggtgNOgCOTT MILL AD JOHNNY 7/19/81 1l/30/01 193,00 fl....`, A ROLL TON TX 79006 ~A UL TON TX 79006 No,rosponso to collection efforts, 201 01980 007W~, MAIN APT l6 CARL pOpW y , CARL 0/02/01 111a0/al 43.00, LeW1 VILLB J TX 70067 EW; y; N APT 16 Y.'. 78067 No response to collection of forts, ! ZOi 00686 Q DO` ALL MLADOW AP7A01K 76201 6NTt1NARMEL ' CHARLIE TX 76201 No r 5pono 1 to collection effo11 /30/01 rts. fA, 00 p /81 113, $0 5 201 ; 30443 DJA2W ENT AINWRIOHT ' KIMTXRLY7b201 ~8~9$INWRIOHT L7XA ~E76201 110 ospon o1 to collection efforts. ! 21784 ppy i KA18116 4/21/8!• 11/30/01 60.00 I0 NORYH 4UbDCLL N KUDDIZLL JERRY ENTON TX 762b! WTON TX 76701 Arrangements not kept, r ; I !p~ 1 3 l)ATB 12!01/6J 11; 07: F L'~1 W M£ M Q R J A L' H,p 8 P 1 T,A 1 PAW 'BAD DEBT TRANSFER REPORT POR PERIOD 11/01101 TNRU 11/30/81 ' PPF7%CNTNUMtl~RR t1AME~DORpAjJgNT NAF'ff PM*NAME» ADDA*~CI7V 0V7RANIRR' NAME r►►adrMU DATE BATE SATE FQALAkCB ADMITTED D18CHARORD WRIT90 OF ACCOUNT YYJ YYMY~Y Yn•YY•.wY ww YY ww Yw•IY rYwY MYw YYw-ww Oo-Y.rw-- ------------wwwu Yw----- ww_...--- r 11 002 1769 Q Cnox 331 ' BTET%A 79034 F~~ CpOX 331 ' BlfrxNON79034 No response to Collection efforts 0181 49.70 R 11 ! 2012 _ 29829 Q 1 IAN T~~LL AVENUS A4TANarXT6 76201 J jT h7LL AVENUE 04 A~T AN7%7797b20i ,Ho response lta collection efforts O1B1 94, 05 1 1 r x01 30375 U PYANT LkaTk1T8T ADDREO§1ED TX 76298 L Tt 7W BT AD0R5813)EDTX 74258 NO ¢sponse to collection efforts 0/61 b9, 10 201 30599 UL DIANA r STEVEN 6/22/01 11/30/01 47.10 Lai NINOSTON 9[ULIp. I 1LlE gTOk 10VSLDLE TX 79067 LE4o1J16VI TX 79067 NO response to Co118Ctlon efforts. ; 201 8966 OA~WOODflAOglt BRETXA 76201. N ON WOUDQROOK PAUL TX 76201 No response l to collection effort; 0/B1 70.50 N 6 q t 7/03/0 11 r 201 00971 RZN'ON NTON AUNNYDAI.E ' CARO% 76201 ~~WLNNYDALH CATXL 76201 No re t0 collection eftorts.0/6I 46, 25 sponso1 201 31601 peTArO,EL q , OENS 0 E , OEN13 7122101 11/30/81 58.00 $ gABk1~YONgWE N38 TX ,76201 C N O~OWfi M32 TX 76ROt 061A000 001' lnsurence; no response, 201 01027 D4NTON D' W' E. 32 ' TOMMY TX 71201 tl&M dtJ' 0 W` a' 32 QOTX 76201 110 response 1 to, Col104tion effort 30181 39. 70 201 00707 4 N , g~R g CptN BERNIE 6/27/01 ix/30/01 70,70 D~RRATT APT b SOX 1 B0$ 701 120 dARAT7 SYt ! 76247 JU t k T% •76747 NO response t0 ColleCtldn efforts. 4~LIE W aLwORTH DR K40 2LLiE 7/13/81 111301e1 393,90 204 13022 b WC~ WaRLTH Oh . j N ON Lg TX 76201', apDAp NP9BJ0sx YY TX 76801 NO response to'adllectidn efforts 201' 00770 i,R14 A~LAB WALTE TkR 79065 La"J4LLA8 NATXL 70469 No resconsdl to c0110ct1on efforts0/e! 51.35 , cG~AAN7 TTEg CpCp TOa 2p~jLnnL i 204 1126 IL.AE9DI+ilLA9R BY I'1LTXE 75069 DkNTtlN~ t9f2 DlTX1E 76801 No reap nselto collection efforts/00/s1 48, 40 f 101 1297711 '1~OW$BTWOOD ROBtkTA76201 DNTTTIE ST ti, ,ART%076801 No response lto' collodion efforts~0/6i 958. 1b f E N I %w 4w w *444 r` . T DATE 12/0t/01 11:07: F L'O W M E M O R I A L ' H 0 8 F 1 T A L PAGE b BAD DENT TRANOFGA REPORT FOR PERIOD Il/01/81 THRU 11/30/01 ppTttEkT µUMgER *4raN4rw pATTttggIT kkAqN6 *44**4aN* NNIFA4tlIIF GUARANTOR NAME *******N DATE DATE pAT$& OF OALANCg pFX NUMBER NAME, AODR, CIT~, 67, 2IP NAM9i ADDR, CITY, 871 ZIP , ADMITTED OtOCHAROED WAt1EOFF OF ACCOUNT ...r H--- g...88-....-, . -----....r---11 QOt 31231 J~Pjo~ox is EXEC MOtIlGTXA 76201 NTONO% 16 EX. MOB}LOITXY 76201 No response 1 t0 collection efforts/30/01 3F1. 00 D JANNIE 6/14/91 11/30/01 b2, s0 204 17S98 C RRR94L JANNIE ~SOfOt{ TH A T 94 ,'004 AUDDkLt NTOtJJN TX 76201 WICHIT FALL TX 76301 No response to collection efforts. , p 201 28070 A T R CHE9TkUT i LOU jaqpA'& R , LOU 4/03/81 11/30%01 69.64 w DANY& TX 76201 D NTON CHESTNUT TX 76201 No response to collection efforts, 901 26714 TER REBECCA 00A TgR jj~ThA T% 76205 1)6701' ALBERT 8/02/01 111/30/01 30.00 YON N LOCUST gggg p 9 N LOCUST TX 76201 NO response to collection efforts, E qq II02 26719 MLIINEY TRLR PARK-POgDXE OA ""R "BOX 1018 ALBERT 4/27/91 11/30/81 41.00 0 N7ON T 76II0 1 C9kNN77bCN TX 76201 NO response to collection efforts, i. 102 16933 4CSUM&JRRY OR THETXBA77703 GEAVMCIN7RRY DR I CLTXF 77703 Nn response 9/22/00to collectt a effar11 ts30/9S ' 326.60 lot W 64 gRUEBROX SO , 9TELLA RTAR11:R x KENNETH D 1/29/81 1/31/81 11/30/01 57.86 li 1 BO S0; LINDA 76266 C8AINN` 1j TX 7626SNo response to collection efforts, LINDA M 7/20/61 11/30/01 06. 10 201 1 3t81a INT JO M 231j BTELLA Via NE:AADOW LOT 17' , p N 0 TX 76201 DEN ON 7X 76201 No response to'COlIaction,offorts, 1 26564 jjNj0N7OWORTH OR 41RICT%RD 762 4 %OWOATH DR 9l RICHARD 7/09/01 f1/30/di bd. 00 01 DEN t) TX 1620[ No response to collection efforts, ; 201 04542 42;q OEyALE,5 , GARY Q TR~ A G , OARY 6/2L/8i 11/30/91 40.78 { RDAGGR~ON M1 49220 f}~4 NDA K 6tlN Nf 482."No responso to collection efforts, 10II 103" e6 1lE~j , MELISSA bApTfESN , LARRY 7/13/0t 7/10/OL 11130/0L 33,00 ' DECATGRTRINIYY TX 76234. 11 ECATURTRINC7Y 0pTX 76201 NO response to collOctlOA efforts. Cy W'241' 01300 B N 4 T WOAIH ORI0ISLMD X 76241 jjg~ll N TX a T WORTH DRI~EJM53 76II03 No'rosponsedto Collection efforts. D4/8t 38.7,4 '7 JVV 2% 29620 Fri1C0EY 'RYX 70034 PRI6COEY CNTXLES79034No response to collection Offorts30/91 60.50 r , 1 DAY9 12/01/81 It: 071 F L O W M& M 0 R I A L H 0 8 P I T A L PAGE 7 BAD DEBT TRANSFER REPORT FOR PERIOD 11/01/B1 THRU 11/30/81 PATIENT UMO R RRRRURMRR PA [ENT NAME RRRRRNRRR MRRRRRRR 0 ARANrrpR NAME *RM*rMRr pp TE ppATB PpATE OF -BALANCgg- N g i~ -r AtPITKO DIBCMARO$D WRITEOFF OF ACCOUIIT PFX NUMBER NAMCI ........Pr-NAM. AO......... .................r.- .1.r- 201 30993 }N~URRCCHI L I ROSEA 2 QH~RD L~44 a r R09EA No responseito eo11e ES/3Q/81 45,10 tl UtlX i44 E OANOKE TX 76262 ROAN TX 76262 CO On efforts, 101 2$956 D~ARDYp I ROBERT C ARDY + ROBERT No response to collodion aflor'ts, '1 700.25 01 N HAVEN RT 4 I~O 1 N HAVEN RT 4 ENO TR 76201 DENTON TX 76201 ' %6201 jr%NCAN + 1'RAY2ELL 6/14/81 11/30/81 29.00 202 00076 1T NNCAN + BARBARA TX 762ol No response to Collection efforts, 101 17552 V07 A9qK BELYNDA C1 AjK , DELYNDA 10/27/80 11/21180 11/30/81 100. 00 29TH BY SN~n E 99TH ST... TX 79549 TX 79549 NYOER No reSponsQQ to collection cff99rts Cp ARK r DAVID AppK r DAVID b/OM1/61 11/30/81 • 60,00 1 29989 D NYU14 51A TX 76201 DENTONOX - TX 76201 No response. to Collection efforts. 201 629 VA 1 1 EUOENB ~AlK? ?R , fiUOENE 6/24/81 11/00/81 30,00 O ,.I LIPON TX 76298 IMPER AL' EAST 9T CA 92251 NO response t0 Collection efforts, 201 30438 CAR WW r KENYA AR , KENYA 6/17/01 11/30/81 61,00 i LWIBVILLkTER9 TX 75067 L NI VILLBER9 T% 75067 N0 rOSponSe t0 collection efforts. rC~ Aqg 90 ; 4/21 203 16108 JA~L10X 06441 ~A %g 75236: CALLA9X 36441 LAURIE75235 NO respo/01 to collection efforts C/Rl 65.00 r 204 16189 CpLAOR~I I LAUR18 PL IAg 36441 LAURIE 8/19/81 11/30/81 67,650 i DALLAS 36441 TX 75235 DALLAS TX 75239 No response to C011OCti0A efforts. I 202 6396 R r R , RONITA 7/13/81 11/30/81 96.00 . TOM N000 NORMAN TX 7b201TN WOOD YX 76201 No response to Collection offorts. 30/91 19,26 1 203 5396 DE~TOIJ WtlDO r. NORMAN 7620! DT WOOD ROTXTA 76201 7/10/8S 11/ No response to collection efforts, ".l NIS RICHARD H. 1!/19/80 1!/92/80 11/00/81 831.70 1 101 23011 pRKVANDEgBILT C~ RODIN 2~ARKVANDER011.T CT • " TX 76201 DEN~ON TX 76201 .40 rotponse effert$. 1I 201 29299 RKKON , RONALD gFULTON RONALD 5/13/81 t0 11/30/81 87.00 FuLTON NTON TX.;76201D NTON TX' ;..76201 .No response to Collection efforts, . 11 D~ r y i , Y r • ..DATE 12101/01 11;08. fr,1 OBAD DED E M 4 R S A L H 0 P S T A L - PAOE p 7 7AAN8FER REPOAY FOR PE P RIOD 11/01/81 THRU 11/30/81 AT1tiNTNMBUM ER R gg ♦rrrrrerr PATJgMT UgME rwrrrrrr♦ «rrr«rxw Up FX ; J p NU NAMC, AADR, C17Yr 8T, , CITY, 08T,RANTOR NAME *pi~*atprN DAT A t l ,.,,n«M...rw.. ZIP IP..kAME•nww, n n. ADDA _ 018HARCE 0 {~OF BALA ACC UNT r•. .•n_w n nw__ n nn _w ADMIT ED rr C ON B .•rwYw_nr w•4n«rMwM wMnTEOFF OF _r YYl~www«YM Mw 101 126026 ER f.- ; 0n r.. TAMMY R E3 CC Eg,VILLU CC RR WAYNE 1/126/61 1/ 7bad0 p 241 24948 28/91 11/30/61 149.70 DpgLATTIMORE . TXMtlHbLA I OAINESVILLE TX 76240 No res onse to Collection efforts, 13 , p8 ~ UENTON YX 78201 11D01TChATTIMORE 6/02/61 11/30/91 65. 00 201 304184 N ELM , STEVEN O~L N ELF , STEVEN 76201 No ~~;6~aito collection efforts, O! N ON TX 7620E ENTON' • , . 1!/80/81 3q, 00 206 4927 iN TX 76201 No response to collection efforts, r N BOX 667-2 MARTHA OIN , JAMES ` OEA T 11 Box 697-2 7/11/81 • C4 ~ TX ' 76286 SpF1QaR 11/30/61 1L18. $4 y 29010 RTt'gMDO% 249A L MA TX 78288 No response t0 collection efforts) 801 POLLYANNA P ~ N , ARCHIE B/~ngJ01 AUDREY TX 'f 8U% Q48A 1f/30/01 135.10 rte- 76227 AUDREY 202 12491 HqEu ~NARt) Cb P RODNEYE ppp TX 76227'ko response to Collection efforts NTO Tk 78201 5PNT PNNARD Cb , RbT14EY 76201 9/f 2/81 14(80/6f 203 12191' E N 47• Is0 C y~ . ACD14EY I, N No response to collection efforts. I 1 lltiANARp C6 Q9EDARNARD Cb gQ gg i RpONEY 9/18/91 D NY ON 11/30/81 49, 70 281 3161? C LL ON YX 76201 CNT07J TX 76201 } r ` 0 WHITE OAK CYNTHIA LEOag CYNTHIA No 7/2a~g1 to collection efforts, D N ON TX ~PN A TS OAK 11 /30/61 38. 00 1013 7690 76203 NTONgg TX 76201 No response to collection efforts. bSQ~TL91Ngg 8r, N9 ' JOHN A! LJ~4aB DT• N9 , JDHN 7107/81 7/10/61 t1/pp/61 A OT 94,. 02 ` 1 202 29144 Nnoo164 LOT 4 9 TX • 762'01 bl6 TO TX' 76201 gg r All Pc M No response to collection efforts, AROYL ~NDOJ 169 LOT 40 r RONNY 7/04/81 11/30/81 ' Yx 76228 A pYL ; 31793 NN R Y 761266 3t~ 00 201 . LAUZRA No es o 2bf 29223 9 PRAIRIE ~N R C p nso to collection efforts. LELA 7/Q7/tl1 N70N 5 ARAIRIT A7, Tx- 7820! t4~3b/8l „ NNE NT N T1 76201 NO response to Collection effort;.` 0pT WORTHN47 R ICHARD VT r ROSE NTpN „ T>t 76201 N tlT NORTH147 b/10/85 11/90/81 f 201 30091 NEY 1'X 76201 S7, !SO sLOVItl16 67 *~~~HERRY NEY No response t0 collection efforts, 70N TX 78201 T1o1h0UI9IE BY 0112 SHERRY 6/07/91, 11/30/81 49.00 TX' 76201, No reSpon$o to Collection efforts. s. , i • ' r DATE 12/01/81 11108, F.~ 0 kl 11 E H 0 R f A L H O 8 P 7 T A l pAOE A BAD DEBT TRANSFER REPORT rOR PER10D 11/61/91 THRU It/30/01 N MpgR Mrrrnr*** PATTttgYAME rrrrMrrrr rrrrrrrr RANJPR NAME rrrrrrwr P~1 IENTNUMBER NAME, ADDR, C!?/ VTM 21P NAMEk ADOR, CITY, , 2 gg AArr TT rr p~ c AONI7TED DIBCHAROED WIt16E04F OF8 ACCOUNT , r wr Vrw.. V ' , . wwrwww rwwwrrww rYV»ww.» rw V•wrV ..,•.rYw.V».» 201 19629 RIM OEJR , Lewis RTOPERO%R248 , LEI4I8 7/12/9f 11/30/01 38,00 OX 247p . TX 78034 FRI O TX 73034 No response to Collection oi`Wts, a ~ 202 19628 CpCpq}OPEpRpOIJfR247 , LEWIS OOfEdtlX 248 LEWIS 7/14/91 11/30/01 01,00 pRI CO TX 70034 RISCO TX 73034 NO response to collection efforts,, 201 29310 nT$PE~1~ACp OX , ETHEL 'AOPE~AN$ , ETHEL 3/13/81 11/30/81 83,95 k; EBNTON 1030 TX 76201 ENT NB x 1034TX 76201 No response to collection efforts, 204 14947 00 , DELLA g _ 418 nEWtOHT DELLA 9/03/01 $1/30/91 13100 1' s LEW79V1LLE TX 75067 W1VDIIGCT TX 75067 No response to collection efforts, e -7- j 101 20502 X , TONJA R?1 RT VOX 744»A 80X 940-A ~ ERIC 4/21181 4/00/01 11/30/81 33.94. CHIL rX "76030 CHIC0 TX 76030'I+o response to collection offorts, j 209` 20532 RIADMdRGY LN , JAMES 0040 OC1iiKV pOX 633 ~18APRII 9/l0/81 11/30/01 59100 ENTON TX 76201 PILO FOtNT TX 76260 No response to collection efforts. f 201 32002 R ND! UNA JAMES ^ND~4!1~, , HORSE 0/03/01 11/30/81 39.40 C op A kl4UNA Q 10796 R NMION tl T% 76201 t1p TE 76901 NO r 6 0s 1 6 /91 to 'collection efforts, AIJ Q M 90.40 2 rX hO 76227., AOMERANHYn 92 MA TX 0'No response to collection efforts, l 202 16299 &AAAJFORDp 0pp ETT, f8AjggRiDO33 7'33 7HbMPARUILYN 6/15/01 11/30/91 167,00 7 A9O Txx f., tAK0DAl1LA 735 T~0MO0pM 78066 AK DALLAS T% 7506E No response to collection efforts, ~ 00129 R ~WFOA p r MARGARET QR WF p Zbl (QL pptl y6 ~ 7pL+~ MARGARET 6/09/01 11130/01 30,Q1f k A15C p LAB TX 70065 l kA1i RL( la TX 73065 No response to collection efforts, 203 24276 `R` 8PMM , VIROINMIIA 1o VIAOINNIA 11/30/91 18100 W00b 0T WOOD TX 76201 6fliitfN TX 76201 No r p ne to collection efforts, 1 29129 CtROOCKBTaOTqq L k CAROLYN JR~CKF~EklT.OYkR'gqL , CAROLYN 5/07/01 11/30/01 107,17 $ GAINBgVtLlA6 rX 76240 A 7N88V1l.LB TX 76240 No response to Collection efforts, M E 4 201' 33009 fflPf?AE8ROOK , ,"G"ELINE6' 81IS VOEEBROOK ~•_JA7%ELI7E150 'Ho re7/05/8 sponsel to collection n 11/30/81 i20, 78 0 • or s, : J DATtr l2/O1/fll 131081 F L O W M E N G N S A L H 0'$ P I T A L PACT: 10 , } BAD DEDT TRANSFER REPORT FOR PERIOD 11/01/6,l THRU it DAT DA /00/91 qq pATIENT f1UMDRR aMaMMMMMM PAJJTNT NAME N"AMaNa MM*MMMMM-GUARANTTR NAME axayMa»y ADMITTED DISCHARGED WAITEOFFR OFDAACCOUNT - - PF% NuuMBE NAME. ADDR Y, 8T, XIP AF1B. ADDR. CITY, ST. ZFR _ - - 103 r14943 rp066 + TANYA BOG JIMMY 5/29/61 6/02/91 11/30/91 309.62 60tl N DRADSHAW BRADSHAW S DENTON TX 76201 CDpENNpTTgOLN pp Tx 76201 NO reSpOnSO to Collection efforts. 31736 BAOl 81L1 N09 MANOR 0 U4f7'N'28 MANOR 0 7/2>/ilf 11/30/61 40.00 LAK p tLA9 T% 75065 LAKE DALLAS TX 75067 No response to collection offorts. 101 28339 CpRDtW , SUSAN R~Of SOX 332W SUSAN 4/11/91 4/20/01 it/30/01 112.26 BAW ROX 332W TX 76266 9 NGER T% 76266 No response to c011ection effort). C y 11/30/61 38.00 201 16682 RCC17LgYY , CANDICET~yWji6NDOOR PLN2y8 r CHARLES 4/20/91 NTONE E WINDSOR TX 76201 DDryEApNTON MM TX 76201 No response to Collection efforts. 201 30409 1} N ONAWN CT + EVA JA 76401 WIN, AM CT EVTx 78069 No responses to collection offort0/91 549.30 ! / 201 3157741R08E , BETTV gDgALT N JIMMY 7/21/81 1'S/30/81 '34,05 l ti. NTON TX 76701 ARNTONS6 TX 76201 No rosponoo to collection efforts. L JIMMY 7/23/DI 11/30/61 51.00 6280 204 pgAg T ' ' p L DFNBE JIMMY $d TX 76201 DENT026E TX 76201 No response to collection Offorts. ~DtiF1T0ONTa g 0 1Yl R • ! 76240 No esponseto collection offorts 0/91 701.90 1 102 20069 R tESVIL~E2 + JU9TXN 76240 0 I2BVILLNa + ROTX1E 0 s + WILLIAM MOAN WILLIAM 3/10/91 11/30/91 43.50 201 16326 g"BNt04 X 104 RICHARDBON TX 75090 IOHARDOON TX 75090 No rosponSe to collection efforts. ' 212 6432 a g N , RICHARD. D L QNAp RICHARD 6/02/ni 1$/30/91 47.00 b20y L LILILIVERY TX 75067 No,rOSpOASO to Collection efforts. DA ,T UN OtLL TX 7 14 RV[ IJ D aWIG 210 6452 DD LED i RICHARD pI~LLN 0RN Hg , RICHARD 7/16/81 11 48.50 M TX 75067 NO r0p0n$0 to collection offorts. T0NDDELL TX ,76201 LENIBILL BLIVEAY 1 12870 LRf:qUg e LILLIE 8UI f 92CRAWFORD , LILLIS 5/27/nl. 11/30)61 30.00 20 VR ' TCINGNUK D TX 76201 NTOON TX 7b201 hlanCe aftOr in60renC01 no rOSPOPSO, 101 29701 NT~UN DR + BILLY POgD$OX 339 BILLY D/12/01 ,,9/14/91 11/3o/0l 3R, 00 A L TX 76000 Al! T% 76020. Dalance Aftor insuencol no rosponto. I z. ~I I PAGE SS F L 0 Y N M Q R I A I. H p B p i 7 A L y --DAYS 12/03/61 SSi08: gg BALANCE DAD DfiDT TRANSFER REPORT FOR PERIOD 1'1/01/81 7HRUADbITOTEDS D D18CHAfl0ED 4JRIATTLUFFOF OF--ACCOUNT } **~ra~•e• ATE I ' r......•..... rrrr.-rr - NAMCM#ADDRC~ YT 0TME7Ip.,NANE, ADDR*xCtTy' T,AtIPR NAM - PFX NUMBER T ' - _.-rrrr.,-rrrrrr-rrr--- A I` /~7IEN7 UER P, P 500 00 _ DAN 3/04/81 B/06/81 li130/8S f r DAN DOD E T% 76526 balance ditm lnsurancd; no r1/300./81 3960 101 2900o D T% 76226 RARQYI- j A pp pp 6/07/01 1 4YLE DpDpn11INNpU 2 BETTY 201 30096 gjglRo LZ r BET 76201 Dtb RCSGL TX 76201 NO r0spow to collection efforts. 38.00 TX ENTON JOE 6/25/01 11/30/81 Y i QQ1 30668p1T6ATKINB C1RC{EMARTHA g ~I 7y TX 73067 No rdsponsd to collection efforts. 43 50 p TX 79006@ W 6VILLE 7/03/81 11/30/81 THE COLONY DOORBF$TRVDDSLL 0123 ROBERT R DANIAL T% 76201 No rosponse to collection offorts 933-55 I 201 28969 jj9 TRUDDSLL N1213 TX 76705 DENTON 6/14/81 11/30/01 DNYON ROBERT QL1R8~TRUDOGLL 8123 Rn4ERr gg z aao 7% 76201 NO response to collection efforts, 311 00 202 28779 a$0 ATRUDDELL 012b TX 76201 WON i DENTON U UOtIER V ROSE 6/06/81 6/06/81 11/30/01 U' MHPr JACOB ~pO II7 CORRAL MHP TX 76226 No rosponsO t0,co110ction efforts 44,45 301 30034 Rp OHBRCORRAL 7X 76226 AROOYLL2y 11/30/81 AROLYNE DRIVE K11106RLY 8106/81 A OYL9 ~gAC . 32084 UNAWAY , JASON JR T% 76266 ko response to collection efforts 901 97.24 l ANGCRROLYNE DR T%' 76266 AN4rR 4/21/81 4/28/81 11/00/81 101 88767 C , JERRY R~g01~H 8T APT M5 RUTXN 76233 No response to collection efforts, { ~~m H 87 APTN9 TX 76296 N ON 11/30/81 38.00 CON~ KEN b/2A/91 IgABTORIBXE52B 201 30071ABpp92B r TERTX 76262 RbANbl4 TX 7662 No response to Collection efforts 173,00 OAHO 11/30/111 k M Nppgg~~IINN OLETA JANE 6/20/01 opMUNgqN pLEYA g Uk 8Cp7T ,00 1101 ;7020 016 ~C6TT UEN ON 7X 76205 No rdsponso to collection effort S b5 S UNION TX 76201 CHARLES 6/09181 r CHARLES ELM . 1 /30/81 r WALTER No rdspW6 to COlldeti0n efforts "t ELM g 21,00 TX 76201 1TN 76201 5203 ~C!149 qANDELM 1/20/81 11/00/81 ' D NTON EIgAxM 1 T%R 76068 4iTTLE ELM 7X 70060 NO r*ooso t0 collection offorts 68.00 8/t3/8t 11/00/01 QO3 29517 JAM ELM r WA L RIC g=q CARghYN X q TX 76067 NO r6 WSO to collection offorts, W qB~LLE1 1 3201Q ~gWIBVLLEIJ TX 71067CL GARY w • :v f k t, r PW 12 / F'GQ4 M X V 0 8 1. Ncl P1K,A6 BAD DEBT TRANSFER REPORT FOR PERIOD !!/01/81 THRU it/30/81 PA p t5D WRt OF pALAMC s~*wwwaw+ ANU q OF ACC4 NT ADI4IT7lZp DYBCNF~ ~ b rwww*Nwww wwwwwwww RANTPR NAME Dh7~ao TrIENTNUMBER wwwkwwwwM pAT[[gNNT NgqMB 9T OUAZI »ROfi C.TY, » f; PRX NUMBER NAME, ADDN, CITY, ST, tYP NAME, ADD., Y.Y F....Y YY1~»MM1Y..Y.Y».. Y»..YYY«..»YYY MY MY.. .~ti.»Y»Y. 7g !!/30/81 . gl,1ftgAPLE a ' ROBERT 7/19/81 1-4 201 31483 91 IMAPLE , RODTXT ' 76201 DENTON TX 7b20i No response to collectlon Offorts, y IZ 7113/81 11/30/81 889.00 101 81194 DENT", , TlZRR1 JUTA EOOX 4 7111!83 g TX 76201 No responsQ to collectio efforts s ( gNTONOX 2 TX 76201 R- ON 11/30/80 '11/30/81. 10'00 209 ism MOQg9D , IZUKANNE a1m p RUDELL N14 IKEM pRNTONRUDELL 04 TX 76201 DfiNT IJ 1% 7620t No response to Collection efforts. w,....., ....y ft/30/81 07.80 ¢g 0n YY , MELVIN gM~RaCOTT MEI.VIN 7/11/83 D NT014 TT TX 76201 D~NTON TX 76201 No rosponso to collection efforts. ' 203 22G74 D NTtlN 9P NX 6 19 I 101 29441 RrrN1N~~~rt45 xUB T% T 76272 1AL~E~~Vt W2 ' OLYXA 76272 No ros5/0/81 ponso to colIectionlefforts30/8t 366. f ALLEY Q 7/29/8t 1t/30/B1 37-44 GRANT - 701 31843 $V N , ORANT EgaY t[ q7V N AROYL9 TX 76226 AROYL¢ TX 7622bNo response to collection efforts. 494 30 C.. gp 101 18491 gg6nChpM%3LLA VICTORIA RTO1N11L~APO BOX 643 FERNANDO 4/13/81 4/15101 31130181 UBTON 643 TX 76246 JUBTIN TX 76246No rosponso to collection efforts. 80,00 J UUg~• E gg syl~ , DON 7/.^.5/81 11/30/01 ll 901 31704 3N 49UCK ttg~j70 TXA 76201 0A1NE8VSLLE TX 76e40No rQSponto to col IdotiOA offorts. DON L 4/90/81 9/0II/bi 11/00/81 18$.01 , rr 1d1 28067 PRO CCK , RUBdtiLL gDU~ ti V1LL6 TX 76240 b?A h8V LG T% 76240 Ne re4(onsQ to collection effort/ o/81 g9. 90 L p , ROURRT gg H¢ Np ^ ROBERT 7/20/01 901 31780 ~~N1ND8OR N12 ~ M T% 76201 NO rASponse to eQllcct{on efforts. TX 76801 CUNT 110R N1~ 40.74 ~ NTtltlN r 7/13/81 11/04/01 TX 7620iNO response to collection Offorts. 202 90448 jaETN0 E% 763 , JOHN J~RJCT;X 263 JOHN ¢N ON 7%, 76201 NTON 11/30/81 4' % ON p 201 11216 7Of I~ ROW LEAP ' DEDORAH CLIF=FORD 7/13/01 Obt~ lllJ LEAF to collection efforts,, SAN AN t)N3 NN TX 761227 JON ANT~N117 TX 78227No response t L/30/81 f; ~G f 72.~s 209 92119 F4A1~jNWW , LOUYSK IA4NW PRAIRIE , SARA ( p¢NYONPRAIRIE TX 76201 No rosponso to Collection efforts. 4D YON TX 76201 . r • I 1 DATE 12101/81 111 O9, F L O W M E M O R I A L H 0 9 P C T A L pAdg 13 DAD DEBT TRANSFER REPORT FOR PERICO 11/01/01 YHRU 11130/01 S PPTJENT ~1UMiER ♦NNSNMr_Nu_ NN PA Yjj9 ww T NAME MMNNNNkNN NkNNNNMN GUARANTOR NAME NNNNNM** DATE DATE DAYCC• OF BALANCE F N MB R NAME, ADDRr 4 T r ST, ttp NAMEr ADDRr CITY1 DTI ZIP ADMITTED w DISCHAROCD ,WRITCOFP OF ACCOUNT www Yw YYY Y• w w ------www.ww----------w-Nwwr ----rwrw wwuwwwuu M.ww uwrwwwu I 201 00665 AIN TRACY p N CATHY 6/84/01 11/30/01 76.00 IN LAK99 MHP 0249 Tpm LAKEB MHP 0241) VNTON TX 76201 0 NTON TX 76?Ol No responso to collection worts. 202 30661 F TN r TRACY F I CATHY 4/a0/Di 11/30/01 41.73 x BtlX 30 DE BOX 30 N2 B TX 76205 DEN ON - TX 76201 No response to collection efforts. 203 9331 g ROUO$Nk 159 r JOE ~ROUSOId JERRY 4/29/91 11/30/01 105,50 A 2 t+O 2 DOX 09 AROVt.fi TX 71226 ARQYLE TX 71266 NO response to collection efforts, 101 26939 FAtVY~ORryy / MARIE FATBpppxx r JEFF W 2/24/01 .2/20/01 11/30/Sl 1774,90 COHH[CANgAD TX 70110 COOR32CANAD TX 76110 No response to C0110Ctfon. efforts, 201 29902 PCAOINB J2 MACK FEAOIN3 JR , MACK 6/01/81 11/30 9l $4,29 WS J HN ON 1i26 JOHNSON , TON TX 76201 DENTON TX 76201 No response to collection efforts, 201 30785 PIPPB RICKEY F P B RICKEY 6/.8/91 11/30/01 2W31 25 r V g4"9 OLD N. ROAD 114 2 OLD N. ROAD 034 fb'2f&I~TON NTX 16201 pDlCTONR DtTX 76201 Moved; left no responso, + ft0.9 ft9212 ~SNTONNRAILUR COU~TDIIOYTXq 76201 DENTON7RAILER CT, OT9TXA 761 01 No response to COI1eCl10n efforts, O/91 47,05 102 12379 F Tt~UQH I CATHERINE A AY SHIRLI:Y 9/08/01 9/22/91 11130/91 i 59.00 q 3 11CKSNNEY 9 3 g MCKINNEY D NT N gg TX 76201 0 NTON pp TX 76201 No rosponso,to collection efforts, 201 28340 FFyLLpjMpMpUDDELLM167 r 8IONEY MgMUDD~LL0lS7 r MARY 4/11/91 11/30/01 69,75 DSNTgN YX 76201 D TON TX 76201 No response to ColioctIOn offorts, 111 8877 r F 1NTDDX 62wAH 1 r BENJAMIN UI11TBOX 62AH JERKY 4/26/01 6/29/81 11/00/01 1993,51 ; p 1 ! Y4gUM ' TX 76249 A UM TX 76249 No responso to collection efforts, 101 2790E FLINT r gUSANNE FLINT DAVID 3/01/95 4/02/01 11/30/81 299.50 LONOONDgRRV 8103 616 ONDONDEARY 0161 S NTON TX 76201 DENTR TR YX 76201 No response to 4011ection efforts, 783 30901oNj 1023 (200 LOUTTT19EHy4201 AN7tlN 1023 i LOYX 76201 No~09pon0se t0 collection efforts, 1E0,80 X i 1 3196E qFq OfYD , CAROL 0 D / CAROL 0/02/01 11/30/81 49,00 ' j hURpgYOk 948 YX 76227 AUB MY Cox Epg, Yk 76247 No responso to collection of forts, i i r " CATg 1R/01/8f 11£09; f+ L O lJ M E M O R I A L H g 8 P I T A 4 PACE 14 BAD DEBT TRAIJ6lCR REPORT FOR PCRidb 31/p1./OS 7HRU 1l/30/Of t PA7IgNT NU ♦wu►4*### pA I g}~~1T NAME #aaaaaas FX NUUMUMRER NAME, ADUn, ITY, 87, QUARANTOR NAME ####a4## nATE DATE CATC l~F DAL AN ,_„y-----'.»»-`y__ZIP--NA«EL ADDR, 01TY, ST, ZIP------------ AD ry-r AUIIITTED AIOCHAROCD WItIT$OFF - A OF ACCpVN7 201 32149 F LcAR r' MAUttICIO `Yr~r»~ DC~ 8g C LOCUST FO CAR' , MAURICIO N7O 7X 76201 910 p LOCU07 8/07/81 1l/00/tr1 94.00 1 203 9698 PRO , JERRY DEN DEN YON 7% 76201 No response to CO"lectfon offorts, , T 4 3401 WALTON 7 4 3401 WALTON ' JERRY 6/£4/81 11/30/t~l OBNraN TX ' 76201 D NTOP1 h 79, 00 201 31097 F RD c ~1C p TX 7601 No response to c411ection efforts. LCN0IQNRB CURNfiR Af47x~L 76010 A~N~O ~ P CRS CORNrh#j7HAEL 7/07/91 11/30/81 I 111.50 1 L ltat FORD rX 76010 No response to collection offorts• 1 BOX 799-A ' REBECCA g? ERNEST M dANOCR 7k %6266 gSOX 799-A O/Ob/DS , 11/30/01 49,00 ; 702 24496 AWC-n TX 76266 No response to collection efforts. T gg AD%% 388 , %JANICE 93L'~{ pX LAWRENCE 3/14/8£ CKINNI;Y YX 79469 GKTNNEY 388 It/30/81 30,10 52052 14090 F 9TE WANpA g T% 750E;9 No rosponse to colloction efforts a 0p 7 WORTH DER Y40' ' urp r WORTN DR 860 AYE 31/30/21 118.25 i DLNTE~ 1X 76201 LNrON b/10/d! 201 91214 F" ANCI90AK #7 L14A 76201 NO response to collection offer". bo W ~ LISA F'RANCIO pENYON TX 76801 601 N OAX 417 :'13/81 11/30/91 49.90 Vol 23910 AN 0 R' DEN7tlN TX 76203 No response to collection efforts, Ay N NJ LROLL 0206 CWRI87INE ANC$ XI~L , RICHARD 1,1/S3/8o JJA TX. 76701 ANDQREtiN 11/3C/tdl 36, U4 902 •18494 pR NK N 7X 79070 No response to collection efforts, 7681.J4ARLIOHT M157JAM68 FRANK ttN . JAM 59 5/03/8 UALI.A TK 75220 963f ~TARLf4kT 8107 1 1!/30/8I 38.00 5201 29470 /1qNxLIN ALI„A IX 75220 No rosponsa to collectinn efforts, ~Q$ N CRAWFORD ~ JAMES - F AM LIN r JA11L8 aNttlH TX y6110t ~ N TON CRAWFORO 9/24/91 14/30/81 143,00 t20it 519003 R NT ` TX 76201 No response to collection efforts, i BUti ~ SUE AUD1I Oak 69 rX' 763iQ7 p A 7 6/06/01 11/30/81 96.40 AU01?rY ! TX 76'27 No rospatao to collection efforts, 209 00727 UNTO ouraE srR~~i "Try • P, Qag~r ama 87REr•.r' JA11Ed 7/06`/01 if/a0/8t TX - 76201 Ot NTON TX 76201 No rosponso to colloction efforts, R~,90 203 10095 FRFCI.ND ~ WILLIAM 05 FREC MULBERRY FRErL AND ' N5AN TX 76241 1004 N MULBERRY APT VISLIAM 7/^4/d1' 11/30/01 %16.00 DCNTO TX 76201 No responso to collection offorts, 1 1 „ a; + ..''DATE 12/01/01 11:09 F L O W M E M 0 R I A L H 0 8 P I T A L PAGE 15 1 IA 8A0 DCOT TRANSFER REPORT FOR PERIOD 11101/81 THRU L1/30/81 + PApTIENT UUMDhR <www»wwww PATIENT 1lAMO'ww*www•xww, 'wwww*aww OUARAMR•NAME *wwwwwww DATE DAT£ DATEOF DALANCE FFX NMOE NAM61 ADDRI I Yo STI 21P NAMEI ADDRo CITY, ST, EI ADMIT ED D16CHAR_Q_CD WN TCOFF OF ACC NT YrY wYU Ywrwwwwwwww•ww~uu.wwwMrruurwrurr uuwwrrr.u.rwurwrwrrwrrrrwwyywrr wrr _Y rr rwr-F M rrwrwrYY Yw.lrrrrrw.. V 1 . - 'I ' yy 1 1 28861 F4R~O ppALLMEADOW I6"lplY FR00 NALLMEADOW H130Jp14MY 4/27/01 11/30/81 !50180 9ENTON T'X 76201 DENT01J TX 76201 No r0spanse to Collection efforts. 101 126040 fj7L6Nj8X 174 MINA PTLJNEOX 170 Jag 1/26/81 1/28/81 11/30/81 709, 10 ENTON TX 76201 RDENTON TX 76201 No response to collection efforts, 202 89080 Ar111g 1 TIMQTHY pAtNCR DAIJNY 6/12/81 fl/30/at 77.90 ~N~A,ONORONADO 1pp7AA ORONADO i TX 76201 DEN70N Yx 71201 No response to collection efforts, 103 1912 po~q NDY , SHARON OANY RANDY 5/04/81 9/08/81 1 11/30/81 28. 19 7RXAS ROAD PO S! 'X 08 MAAANY LA 71449 MANY LA 71449 NO response to collection Offortsl' 201 26212 RA1110a 0 1,17 1 ENEDDINE 1/31/81 1030/01 39150 00 A DENTON TX 76201 No response to colloction efforts. I 201 28160 ARC1A 1 FRANCISCA OARCIAtlREBT RD FRANCISCA 4/09/81 11/30101 39,03 149 QREST RD 244 9 F g PANS 5&O MI 48910 LWIANG HI 48910 nalanCO after Insurance; no response. 201 34308 j4N7Utp, PRARrs , H[LTX30 76201 6 7oN1 PRARtE HITXRt476a01 No 6/13/01 collection Offort30/II/al ' 68.50 201 27037 A6 0 A qq WALTER A CrrA Sp WALTER 3/27/81 11/30/01 136143 $0 g L8CUBY APT 131 F 8. ELLIOT NO. 31 f DE TpN TX 76201 D NTON TX 76241 No rosponso to collection efforts. .r 201, 30104 tf COYT q q T DOODY b/t0/81 11/30/81 $0.00 gg 1 D TN 1 DDDTX 7120. D NYkoTa 7X 76201 2 No response to collection efforts. "j 201 01736 a q TT CRIB An' ' AvOL 7/26/81 21/30/01 1181 La RUDDELL N03Q4 E RUQDELL ND7 ~Y N Tk. 76201 T N TX 76201 No r5/o 1 201 29300 ARRF<YYrr / LILL IS QQARR rr~~ LIL41K 0/01 t0 c011octfon 01111/30/01 10.00 S L6 PAAIILANS 1,11 ~A1211 LANE s NTON TX 76201 DUNTON TX 76;01 $1 r yy pyy r No rospml5o to collection efforts, 1 200 8980 pIi'"Was TIM9f R01 N1ERY%ICA7b201 187ftNTOMpaB TINDERS ;1V1t7xNIC 76201 0/20/01 1 t/34!01 26; Op u No rosp6nsO to collection of for l5, 201 20602 0~(12A , ANGOLA d/~ RJAnoX 01F r DAVID 5/24/21 11/30/01 it), 00 R 4 naX *IF R7 L 0 NYON TX 76201 DEN ON T~ 76201 No 1'eS1)0nSe to Collection offOrtS~ .1 1 1 ' r fi r PAQE S6 p1;OW ME'ItOR I AL HOHP 7 YAL ';bA713 1Q/OI/81 Si 09t TT DAD DEDY Of9A/+CCOONT TRANSFER REPORT FOR PERIOD 11/01/81 THRUA0141 O d1 DISCHARGED 4n&llRR AA V 1 gg wwMwwwwww 77IIggN7 NgqMS wrrwwwwww wwwwwwww 0............... t~¢RA 1pR NAME wMawww~w tlATE Y j~ PP~xENTNVMOORR NAME , CSTY,YBT .zlp«YNAME: AODR/ CITY/ III 317,95 ADDR .Y»Y .YY.YrVYY. '""Y UARIO 7/13/81 7114/01 11/30101 L Y% ¢ffoiS~3O/fit DAR 10 UARtiA 76205 No response to collection 29,60 5 i 101 -31219 iRt 1YH TX 76205 8MS7H 7/10/81 MM ENTN o A ELIA$ LEONOR tl14 ME IX 76205 No rospons¢ to Collection efforts. 40- 50 201 01427 j AzROU YX 76205 D NT N 7/08/AS i1/20/81 NTON YORAEL 1344,5 AR A r MARY A}RA00X 42 TX 76227 No response to collection offcll/30/81 27. IO 205 RT DOX 42 TX 76227 AVOREV 9/09/81 AV REY DELI A 3 , MARY A TWA, BOX 79C ,28 0~y R .A AUI3R~Y Tx 76227 No r0spnnse to collection eIforts, 95 206 13265 R7 9oX 42 TX 76227 6/24/81 6127/85 . 11/30/81 t. AUDREY KELVIN LANA Ig YX 762016alanc¢ after insurance; no response, 37,60 101 00632 gKINNEA T% 74,201',' CWTOtJINNER 14/00/81 . EENT aN G L11J0(+ 1/1G/00 onso to CailOCtion of forts, 160,50 + KSSMT RIyONnax 998 7Ga7 No resp /30/81 it V TX 2 202 4907 FNONA 51 T 011% 598 TX 76227 AUU E DILLSE 7/11/01 PUDREY RN RV , UILL1E qq 76026 No response to Collactfon efforts, 10,00 201 7589 RF{{NTTAYpqLEOX 181 TX 76226 A 0 L X 181 TX li/30/Bt AAOY WESLEY ' 0/12/81 , TAMMY WIRY Y5262 No rosponso to collection efforts, 1145,50 3/19/79 ' 3/24/79 t1/30/81 1 77490 IIAWOK TX 79262 AWOKE TX AWOKE p NUCHI MARVIN H , CARLA t821 PAISLEY TX 76201 No rosponso to colloction efforts, 240,40 1954 ~YCPt8L5Y Y% 76.01 DLNTON B/tl/8i 8/17/81 14/30/81 101 EJ ON g KATHERINE ' sponse to collection efforts. 1p, 00 y p ~j pp AYHSAiNE $~OA~SIARLES APT 41232 TX 75067 Nq re it/ j N 108 22098 1;WI ViL~~ APT M3 YX 75067 LEY11 V[L E 30/Bi ~j P l V ATHERINE 0/03/81 , • , KA7HEAINE ppAK1J00D ISTX 70067 No resp0l%sc to 491 irction afforts 40, 00 E 1~11L.ff TX 7504,7 ~CtJ111VILLL 7/20/01 11/30/81 403 22098 fi RHUNOA O1A94 T% 7h801 No i~esp5nso t0 c911¢Ctiai of forts, 2419, y0 r, HONDA nnppFp 0 LOCUHT APT, 20 901. T N, LOCUST Apo Co 7X 74,401 O 4/24/01 4/20/81 l/30/01 i 8 EA y~ JOHN f 105 15t1A b 0ALWH JOSHUA ~AN1E Y% 76405 No respoas¢ to collection afforts. JANNIB TX 76201 GNtON D NTN r 1,, r _ L'n S1 11 M n R I A 4 H 0 8 p 1 7 A L PACE 17 OA1'6 12/01 /81 11: 091 A{~ DAD DEBT YRANSV9R REPORT FOR PERIOD 11/01181 THRU 11/30/81 j" a*w 0 RANTDR NAME DAIE PpATE DA7g OFF OFDAACC~LNY Ppp7`EN7 VMDBR ***a***** PATIENT NAMH *******w* *w** VqA ADMIT7EO DI3CHAhGED WRITE««_ r r. « Ppx NUM9ERR NAME, ADDR, C TYr 8Tr XIp NAMEr ADDRyIT57YrXIP««-««««« r«.. ..w««r rn«««-««..««r«.ra-r w.. «....rr r«««+•. 6/28/81 6/30/O1 11/30/81 770,70 lot 12382 Gt ADNEY , AUTHIS 10y A44k5Y JERRY D 01 OAK ST. T% ' 76201 D NYON OAK Y% 76201 No response t0 C0110CtSon offorts. 1 101 19110 880-AINg7 r BRIAN $~OXW~Nq GARY 6117180 7/11/80 11/30/81 9690.60 1 ~JuUNCTSON TX 76049 JUNCTION 7X 76849 No response to collOCUOn Offor", , y } 202 17088 01D TE11DE, p0 130%D 1 E L3 s E N r RICHARD 7/12/85 113 0/81 47. 10 ' ANOR X 7,266 AONGER 7X 76266 No responso to collection efforts, r MARGARET B/0(3/81 it/30/81 47,50 q Q EA 67 201 31402 R~ 4dNOX b7 PAY7X 76201 DEN OWN TX 76201 No response to Collection efforts, U7 r EVERETT 8/09/91 11/30/81 46,00 202 3361 O2DL T WORTH DR,`NMARGARET 60ojfl) WORTH DR 1127 RYON TX 76201 Of{NTON 7X 762101 No rOSponsO to collection efforts, ail /14/O1 1!/30/81 76,70 YX 76201 00 TON fi LEWIB 51AD TX 76201 No rosponso to collection offorts, VOW I 202 17074 D MTONORBE / LEW 202 20004 8 4H1Ai06E r KENNY , D~~hlA~13E TAMMY 7/27/81 11/30/01 1097,60 DNTON T% 76201 DENYGN CC TX 76201 No rosponso t0 collection efforts, 701 2993.5 JA6A~LSILLACB EASY M CRO`LYN ?Rp LV[LLAOE EAST 41 1ROLYN 6/02/91 11/30/81 38. 0 0 TX 76x01 No response to collection efforts, 00 DGN ON 7X 76201 D N ON 101 30796 D r CHRIS GRAY , CHRIS 6/29/81 7/02/91 11/30/91 4252g RRgA~j A 4qO6 1 HWY 35 ' D NTONVE H N202 TX 76:01 DHNTO TX 76201 No rosponse to r011eetion offorts,- N 800 CHRIS Vii/O1 11/30/91 16.$0 N 7X 76201 NO reSpOnsO to C011OW 0n OffOrts. 201 r1 3079.5 .106OUI8EN207 ' CHRIS 76201 1 H14Y 35 a' Donis 8/16/91 11/30/91 26.00 201 /24417 O~AY2 r DORIS A DOX 02 YLGf1X .52 YX 76226 A OYLE TX 76226 No rosponso to collection offorts, 1 R 4/28/81 !t/30!&1 19,04 AY SAM D TX 76201 No response to collection offorts, ; '4°Ol 291346; D NTDTON LINDEN DR Y,% POTERNIA 0 1 t LINDEN DR 76201 pNDN r CHARLES 6/10/W 11/30/131 40.717 1 202 29140 oQD NHAXEL , HEIDEMARIE AR02N~{AX5L r Tr X KANA 79 76001 TOXANUANA Y% 75901 No response to collection efforts. ' L was in 4w t 1 ' r i ""DATE 12/01/81 11109: FLOW M 9 M 0 A I AL H 0 8 P I T A L PAOE 18 DAD DEBT TRANOPCA RRPdRT FOR PCRIOD 11/01/81 THRV 11/30/O1 PpT IKkT NUM R PAC77 ggNT N ME *a*****a* ir-it**a*n 0uARANTOR MANE **n*M*** DAT DAT DA7 0 PF% kCMD NAPIE ADDR TY S~: ZIP NAME. ADDR, CITY 8T. 21P gg gg ~ BALANoCfi - ~iDMITTED DISCHAR0 URI EDP or ACC UNT 1 201 31968 GREEN OS , STf:V3E. R7E ND0X 43 ' JOHN 0/03/of 11130181 41.30 CH[ TNUAuBRY TX 76227 AUD EY TX 76227 No response to collection efforts, 1201 34204 ~ gENCHARLOTTK AP~ ICHARI A NOIiARLOTTE pg RICHARD 8/10/Sj l1/30/SS '38,00 O NTON TX ,76201 DENTON TX 76,.41 No response to collection efforts. j 102 10421 ~RESHAMr NB , SHARON R99HAMp V , DAVID 6/26/81 6/29/81 11/30/S1 299,90 101' 33867 AILFpiNO I7TION R $ % 76250 RtET 0 NT ION ROSE 76230 NO rOspon1 to 917 ;tfon efforts, JAEnOOSW1 PRAIRIE AP~' OR 2416 W PRAIRIE APT 01 / 7/8l II/30/81 809, $S f N 7X 76201 DENTON TX 76201 No response to Fpllection efforts. lot 8473 ORV NWA DIANA D L ~ ' Ry. no Bat , fRINI ~U5NDO%D921 , DAWN 8/133/79 (3/23/79 11/30/81 74.98 $ 76227 - ,Ub REY TX 76&27 No response to collection offorts. E01 45427 HHgpMILLL, A R7gq11~LXANDggR JOE 4/14/81 4/22/0 R1 11EY DOX 67 1 no 67 AVBR1 t~/30/8t 1824.¢6 1 ~ TX 76227 AVDR•'Y TX 76227 No response to colloction efforts. t 101 30910 gk4MfLIgMOX S4 A3 : JACK rIALIN? JACK 7/0 l/0 1 7/03/01 !1/30/81 1107.29 OAAP6VINE pppp ccYXX 7DObl 0 Ap9VNE84 A3 12 TX 79061 Moved; left no address, 01 341)0140MD{~ R CREEK AF~TUN3 q t ygg AA0 ~7tMDERCREEK A~+TBNOCE f0/17/81, 11130/91 73,28 LEW1SVIt,Lg TX 80671 1.ER62kLE TX 78067 Unable to )ocato, 1 101 44656 PAR ~~b1 r MARTHA PXA"s61 MARTHA 3/23/!31 3/2$/S1 11/30/8L 600,80, JUS TX 71,247 J STSK 7X 76247 NO rosponso to to)loction efforts, !by 0601 ARDI►►~~ LOURBE ARDNO LAl11SE q/03/S EONTbNDDELL 0143 0o0 DDELL NI43 1 /!b/S1 1.1/30/O1 28~4,.40, TIC 74201 6NTON TF 76201 No rdspOnse to Foiloctfon gffurts, 203 4124 tHt4A4R OVOMBRA VISTA HA HAP 1)EN ON TX N R'76x01 p&NTOMOMDRA VISTA HpTXA7176201 NO 7/10/85e t0 colloction affart 0/gl It , p~ I 110.1 1sOb0 RhGpp , - BARRY H1P1q CECIL l1/30/S1 91N140NITON TRAIL TX 76201 3Ayl1t TITAN TRAIL S/O9/Sl 727.25 nPON TX 76601 No response to collection efforts, ! 101 45864 P1p AE(10 POINT / SHANN TkON.7,6258 Ld1'6AT11"0 STRGSTIA P 76238 No respon8so to eoilectigort efforts. 0205.10 `f . ;I r ` i PAGE .19 ''""DATE 12101/81 11109: PLOW MEMOR I AL H00P I TqL DAD U20T TRANSFER REPORT POR PERIOD 1t/01/01 THRU 11/30/01 g *******r,r pA I T NAME *****aN*+ *****aa* 0 AANTOR NA-M9 ***p**4" ADM1TTSD DISCHARGED WR-T---- -N-Z1P PATtENT UMDER 77 MM „UUpp _ PPX NCDCR NAME, AODR~ CI Y,.OT,-IIP_ NAME ADh-i CITY ST, MDCR $2,69 « { AWELL SMIRLEY 0/09/00 8/06/00 11/011/81 R 101 20732QRg7L pgINT r TX OHIALEY p7 TX 76350 ( » I 76298 PILOT POINT No rosponse to collection efit/0/81 69, 50 N o 7 6g JOHN 5/00/81 Y 201 29176 pOUnoX 243030MIT1i C145HEA7b204 ~AU8 VNX 24353 TWU TX 7620} No response to c0110otion efforts, GENTON 4/10/0L 11/30/81 00.79 U WILLIAM 201 2004 HH3AOgMAROHALL WII.TXAM 76266 ANOI AROHALL TX 7b26b No rosponse to collection efforts. OANOER 6/20/01 11/30/01 92.05 i 201 30700 BLLE~OxIpw , RAYMOND ~L11~OVI90 ' AATXOND76272 No response t0 colloction efforts. f k V E TX 76272 30.3$ DAVID 9/07/01 11/30/01 A i j 201 29120 ~Ay'? LIVE OAK 0 t DAVID AYEg L1V8 OAK Moved; left no address 30.29 1 Ake DALL S TX 75065 '~Ak9 DALLAO TX 7.069 1Sb/Bt 11/30/01 202 13241 Ay0g SDWAAD pA00lq 919 p14f03Ox 919 x EDWARD 76242 11/30/01 56, 00 T% 76262 AHpDANOK£YyX 572 YX IE76201 No rosponse to collection offortS. RO 4/0/1 y ft% 76201 , DC8"O MI No respol0so to Collection efforts. 'r 201 2430NTt1N;tUDDBLL APT' 62AR D' 11/30/01 45.75 , g D014N19 4/O0/q3 201 20209 H~JN`YOOX 67 , OONTX pgJSYBOX 67 TX 76227 No responso to collection efforts AAUDREY TX 76207 AUDHH£Y 146.67 p 1 11/30/81 i.. p g N NO 8/21/81 0/116/0 102 30333 H1j1 AV1LLA09 6A0T~Ng 1~ T% A 76201 ~N ON ILLAOE EAST ~l102TX 76801 Moved, loft no address, { N ON 11/00/01 210.00 ALLEN ~uCK~ 9 ALLEN 3/20/01 1101 27657Kj lq TX 762bb A~YLi; TX 76766 No response to collection efforts, 23,90 j YL gg , RICKY 3/05/81 11/30/81 201 27204 H6108UN VALLEY . r CYNTXIA 76701 p ~TtlNN VALLEI't T% 76201 4an 6/14/01 46.00 UNTON JOE ` y it/3o/qi D~dk JOANN 19 TX 76201 Moved; loft no address. 202 10263 Hf TO 76201 W n T Ot1A8 O1'JL N16 • tN'f0N YHOMA9 APT J05 4/12/01 11/00/01 40.00 203 10017 I HtII~Ig~YD6R MICHAEI. 7b201; oEN70NNYDER TX 76201 No rosponso to c0110ct10n efforts, p:4TON . • r VAT612/01/81 11;101 p L 0 W M E M 0 n I A L H O 8 P 17 A L PAOE 20 DAD D90T TRANSFER R9PORT FOR PERIOD l1/01/91 THRU 11/30/OS PATIENT NVM09R PATIENT NAMG rrraanaa* Og~RANJOR NAME DAIS 3AIROED NHI730FFF' OFDALANSE T PFX NUMBER NAME ADDS, 1 8 . TIP NAME. ADDR, CITY, 8 , 2 P AOMII A p16 ACC Y ----rrw--------- wwrr-rwr rwY,+.• ' r..rrrrww Lr wNrr 201 .04227 N~JDOk S2 LO U113 RH N JO , LOUIS 10/15/81 11/30)81 38.00 D 0X82 NTON TX 76201 EN ON TX 76201 Urieb1C t0 locate, , I go y t 101 8842 tN`f3j~Nlg9OyNST LAWRENCE~C AC;16 tHatMNOT LAWRENCE CrR% 1G 9!03/79 9/06/79 It/30/01 20 00 1)pCLAO X 75234 DALLRR8 X 78234 NO respon;a to collection efforts. 201 30060 H1 PL i,MICHAEL 1pPl, g , MICHAEL 6/06/81 11/30/81 40,00 pOX 594 0 DOX 594 Hfs M TX 76249 MU Fr.... TX 76249 No respenso to collection Offorts, 211 2/2 102 1384 L TONODFORD LYNT%{ 76201 DCNTON.DFORD EUTkNE 76201 NO rospo sotto Co 1Otion offOrts 0/81 60.90 D a 204 7558 HtlLCOp1p D NISti H cCMMg KIRK 7/16/81 11%00/H1 78,70 f 5511 KIN0%ANOR p~ilV~ H KV08MANOR LAKE DALLAS TX 76226 L C DA LAS TX 762" Msponse to Collection of forts. 203 ' 23049 ~S$ DR53 RONALD HQLD N3 RONALD 6/20/O1 110..0/81 113,00 SA 0•R TX 7,6266 BANDER TX 76266 No rosponso to ealloction efforts, I 201 29309 ~F Okpd ACORN RAN YN R L P1OXDS ACORN'$&ROLYN 0/15/81 S1/00/01 104,10 ENTO h76201 D N ON TX 76201 No rosponso to,colloction efforts. ' 202 17588 lXM5p94 JOYCE nH(iLN994 JOYCE 7/19/81 11/QO/81 NTON TX 76201 bEATON TX 76201 No rosponse to collection offort;. ; { 201 24681 N200Q S/2 68LL AVE~lURICKY 0 ~gTf/g HELL AVENUE 111KY t}725/8S 14/pQ/91 75.?Q HH" T% 7A201 0 NTnN TX 76201 No rospansa to collection offorts. 201 30321 OSO01'fe 0nX 037; KELLY voJEJOX 337 Fl"1E 6/13/81 11/30/81 145. 75 AUpDKKR~Y TX 76727 AU R1Y TX 767rusponso to colloction efforts. 201 32268 0 4NB DgLIVERY MICHAEL O N RA18. D UIVLRY JhNt;T O/f1/E11 l1/30/A1 3tl,00 LAKIt9~ DNAIL~LAS TX 70068 LB gDAXKRLL333 T% 79065 Unable to locate. r ` 201 29198AGtiA7ER0 JIMMY T% 75647 OLnAKAn[tWnTO ' JITXY 75647 No rosponsa 5/09/01 to coliocti0n efforts34/Bf• 58,00 201 t!®384 H, QWAppp BOB HOIApD . BOB 4/12/01 11/30/01 97.50 10 N, CnWAN S S t~ CCO``JApN WI9VrLLfi TX 75067 I+WI VrLLE TX 75067 NO rosponso t4 S011e0tfan OffOl•ts. . r "",DATE 12/01/81 t1: 10: FLOW MEMOR I A L H 0 8 P 1 T A L PAOE 21 E DAD DEBT TRANSP58 REPORT FOR PERIOD 11/01/01 THRU 11/30/81 NT 1 PATIENT PA wwwwwwww 0UUppRANr7OR NAME Nww*ww"" YDA1' rr DATE DAFTEOFa dPDALANCE wwwwwNwwTIENNT nnqq ADMITTED D IBC HAROEO WA F » ME wwwwwwrww AM" q Y $T .IP kAME ADD-,CITY f37. ZIP r r rrrr PFX R NAME, ADUR~ Mr17r~ rr_rrr.rr rrr r » r i' M»M V»»M.YY rn.r»~r Yrrr YY •I SCOTT 7106/81 7/10/81 !!/30/81 J953.65 ypy 2V740 4fl LdQWARAHAT HER , KATHY 3 2ARgDHATOHRR Tx 78067 No response to colloCtton efforts, 2 8 LENIOVILL TX 70067 L HI D VILL E 8C07T 2/11/81 11/30/81 2L 00 02~2d R0 CC , 201 29740 Q AaDHtT HER + KATHY 7X 78067. 13E4F18V1LLEHER TX 75067No response to collection efforts. RWISVI L tl Dp 201 289b1 ~7WaR90X 22f RETTA p7Wa~DOX 221 JACKIE S/O1/9S 11/30/81 42.33 AUDREY TX 76227 AUDREY 7X 74V7 osponso to collection efforts. 101 28371 }1Uti~DLRQYON DONNIE tIU q l6T ()J8 , DaldNIE 4/12101 4/14/81 11/30/91 147,91 HA1 f SA TX 76268?1o rosporise to Collection efforts. ~ BA NT JO 7X 76260, IN7 JO 11/30/61 3Q. 00 ~ HgUp , 7X 76x01 D&NT0{~oNLOOP 288 TX DANA 76201No 7/2responseL/91 to Collection efforts. 1 31588~NTINLtlOP 288 DANA ~j U DRE77 9/Ob/81 0/00101 11/30/01 fl8A7.09 102 27257 HµffnANKI , OEVERL.Y u1p11gHAb p'gYCAMOA6 AUD aREY b7 SYCAMORE TX 76227 AUD-EY 7x 76227No response to Collection efforts. qg, BO UD 11/30/81 CHARLES H~0 E9 + CHARLES 1$/29/00 to Collection offorts. 85.80 207 0317 Ht OHE~ Xy TX 75056 NO response Wi3V41.L~flfl TX 78006 LEW~9VOILIEOD 101 130187 Q8qq 8a gggg , RACHEL Hu . DAVID 6/09/01 6/12/81 31/30/81 ORT T% 76W!6espOnsO to collection efforts, lOt,Ab ' g ID0 AM TX 76026 DR 0 P 19 P RT " u` 0ufd RUSSELL 3/16/91 3119185 11/30/81 1 101 27543 V Elsyt Y ROAD RUBTXyL 7624. AI 98V1LL..G ROAD TX 76240NO response t0 Collection efforts'. {L B 203 CA OL A 9/02!91 11/30/81 69. l0 20872 H yy,LEEY CAROL HU Lg% 914, 610 HETTI 6 O F{ETTIR TX 76201 90y N X 7620INo responso to collection efforts, k. H y, A1JCE 6/1!/81 11/30/91 42'25 ' NTtlN pp k t,~ g 204 13802 XNb R 3g2IP8CAN ANDN4 Q~O~Il~3X 592IPECAN AND i ' 8AN0 R 762bb ANO& TX 76V" No rRSponso to collection offorts. 20 00 3 5/23/80 ! pp V pp i P , Rt;OBCCA 201 9901 BNEROX 379 Hp7N EDOX 074 MA 1 %30/81 TX 7(~2bb Unable t0 lOCetO;.' TX 76266 SAN VR j I. N ~ 202 33029 }~ACRSOotWBWtlr~ggi pp CctRp r DOR0A8 ,A1R~QWFdiGiRCLg NS DORCAf; 10/12/81 ll/30/6! 00,00 A EH 7X 7006506b10 to locate. { HIC1lORYACR65tl N5 TX 15061 HICKORY B ..-DATE 12/01/81 If; 10; d F L O W M R 'M O R I A L H 0 8 P I T A L PACE P. 2 DAD tUN7 UMBER aaara*aKa PArr ENT NAME arar~raaaaANB# **agaNR OUuARANTNTE gI PATX NAME1/01/01 HRU 11/06/81 F~F N~MSER NAME, ADDR, C~7Y, 8Y, XIP NAMG, ADDR,-C1TY, 8Y, _ 21 DA7ggD AYE DATE pp ADMSYTt D flAACCDU 18 HARGED WRSTEOI'Ft OF NT 201 87492 AACCKgnNN ,qq CC - - - _ h 7725 FRANK JACKBbNJAREB 7HgOWRANK JACKSON eRMEB !t/30/8S DALLAS T% 78221 J05e 3/15/81 201 29330 JA¢KQtlM pp 99 C AS TX 79221 Unable to locate, 190,00 1RANK JACKBbNJCRix 76282 ~}~I~C~tlX 84-A FRANCES DALLAS DALLAS F 5/1'3/81 fl/30/B1 38.25 j ry 201 26164 gAqCgKqB~NBURk JOE A x8pp YX 75034 No response to collection efforts, iWON p~ ~ON~DURN JOE 1/29/91 11/30/81 TX 76201 62. 60 h c 241 24164 CAggpN , KEITH p TX 763Anresponsd to collection efforts, 2 tlOX 126A ~TCKJODNOX 124A KEITH 5/08/81 a+ LAGER T>; 76266 Af~O R 1l/30/01 46. $0 1 20I 31034 Jq KSON , AEO TX 76266 No response to collection offortS, nENYp~IAMDERO Ty61 p A ~RCCR~yL~AMflERB BETTY 7/06/Qf 76201 A NTOf4 I1/30/01 9629 tO1 28204 CKBpp SANDRA c TX 76801 No response to CC oction efforts. NTONOARLdTTE 221 5 4 HARLOYTE 021 BANORA 4/1 0/81 4/12/81 11/30/81 T% 76201 EN NON TX 76201 Moved; left no address. 1130,70 706 4093 AMID CAROLINE RUDDELL N83 LINE TA , 4 ENTOk X 76201 DENTON RUDDELL N83 E[)DIt 6/.25/81 11/30/81 142 75 202 30616 3JAMVS ggpp TX 76001 No response to Collection efforts. 0 q RUDDELL AP~ 8341, ENTON CAROLINE 44.00 D$F1YN TX 76201 M ER RUDDGLL APT 63 6/25/81 11/30/91 ; k 201 31690 AMES , MICHAEL gg 7X 76201 No response to collection efforts, t k0 gANNIE AOE,1ppN1JtG MARY 7/24/81 NT N TV 76201 f~j NTON It/00/01 43. 723 , 101 28172 JJ RnfLL Tl 761biroSppnso t0 collection effort. R¢ l Box 61 r J08EPOINE RR1 FRANK ARkit T.X • 76226 g!1EEttOX 61 5/04/81 P/08/81 !+/30/81 1283. 7Q 201 21924 1 COKNOB HILL ' LENA TX 76246 No response to collection efforts. F RY 87GVE 0/10/81 TX 73034 1 OKt1OR HILL t 1 /30/81 73, 40. 1101 28452 gg , OUYANNg 66 TX 70034 No response to collection efforts, l 91N MIN PRAIRIE N8 TX 76201 UN pN PRAIRIE NA ' SUZANNE 4/14/91 201 28116 9 Gp 1!/00/81 43,80 f • AMEN Iffa TX 76201 No responso to colleotion offarts. rr ~~yy l WISVILLL MODILE YX 70067 RW ~Ld6ILti DR ' JAMES 4/04/81 ll/30/81 TX 70067 No response to collection efforts, 99, 00 ~.Yw.w~r°»N...v.nwM`+w+....w_.w.ww.ru-. t.1 i M • I (`""'bAT& 12/01/8! S1tS0 F 'L 0 W M E M O R I A L H 0 8 P I T A L PAGE 23 DAD DEDT TRANSFER REPORT FOR PERIOD 11/01/81 THRU 11/00/81 PATIENT NUMDER ****i1NMNN Plflgq T ~JAME NN*NNNNNiF *NMNp1fNN GUARANTOR NAME *****N** DATE DHT DTI? OF DALAN tt pFX NUMBER NAME, ADDR, , T, ZIP NAME, ADDR,-CITY,wST_wZIP~rrwrwwYJ ADMITTED DISC A 502D Wrl'fEOFF OF ACC UNT 1) Yrw YtiwYwr MwwrMJUrwwYwurY JwYwwwJwY....YY.. -Yw rww J wu YYr -YJrwu uurYrwrw Y rurMJr .VUUrrrruYJ 201 19092 A0 ON 19N a TX ADONDIS 76201 21! .lpfqsom , ROY J8/16/00 11/30/01 32,50 N44CDONALif PCOONALD n ,,D~~ENTOrr TX 7629jrosponse to collection efforts, 76201 S/ Wal 8/10/01 11/30/01 1195.90 • 102- Y19420 O ONION CABBIE 76201 n?HNSONHICKORY CABBIE N ION BI p p Unable to locate, NS N , CLIFFORD 5/31/01 11/30/Sl 2:1100 202 29712 HNSON PO~~ 1 , CLIBXORI) 76 C 5233 258 3P LOT POINT TX 7,62513 No response to colloction offorts. :03 33183 ~NTONTH DAVID 02 TX 76201 D NTuNTH OATXD 76301 No res9/09/01 ponse to collection efforts. 30/8I 3J,00 202 13608 HNSON , OAVI: JOHN ON TOMMY 2/09/01 11/30/81 38.00 aJ~~~ CRAWFORD 202 CRAWFORD tdYON I TX 76201 DENT N TX 76201 No f',esponso to collection efforts. 1$01 31761 JR~~gtlUW OARDSN13 ~124pANA LO EIV 1~1ANA 7/27/01 11/.30/131 46.50 If SVILLE BX 70067 IL ISVi lL6ARDENS M24 LEWI [i TX 7,5067 No rasponso to Col loction efforts, ii QOS II1262 ~HgHgfitlN , BLIZAD67H HHNSNN ELIZABETH 8/21/80 11/30/81 64. 00 I DfiNT0NCO0NALD TX 76801 MTONCDONALD TX 7620 tlOresponsc to collection efforts. ' 201 30731 N 0N3 t1 6 HOUSTON pJtlpHHN~aON HOUSTON b/27/G1 S1/30/81 52.96 Otl aPOtNTT BURR~IW 7X 762. pn$[OLOT S R POINTY BURROW TX 76280 No rosponso to collection offorts, . 202 85207 flVj'RUDDELL APT M41+HTXNA 76201' gCNT NUODELL APT116J9TXNA 76201 NO rosponsglto CollacEierl efforts. 0/St 61 0 202 4702NNCIitiWfDAD LEEYX 76201 fkNTINCRAWFORD LErx 76201 No res0/20/19 ponse t0 collection offorts~C/gl 50.01 TON 33552 gJ$HINSON , MICHAEL RJR?HYSON GLADYS 9/24/8( 9/26/01 11/:a0/8t 16. DO pILaT POINT TX 76356 PILOT POINT TX 76250 Unable to locate, I 99 60136 JOHNSON , PAM HT0 N PAM 9/27/70 9/27/78 II/30/at 107,75 76201, r ~Nn~IACDONALD TX •76201 No response to callection efforts, l 201 19975 I N80N , PAM HN60N , ROY 5/16/01 11/30/81 47.95 QNCDONALD TX 76201 MOT CIO' DON ALD TX 76201 No response to collection efforts. I t p "DAYS 1Q/O1/01 11. f0. F L'O W M.C M D R I A L H 0 E P I T A L PACE 24 A DAD DEBT TRANSFER REPORT FOR PERIOD 11/01/81 THRU 11/30/01 pATENTNUMpgR **»~rr~r» PA77ttpp T NAME ♦rMkax+rM x*riar0• 0 n{1NA TOR NAME a* *wn+ta ppATE DS~T ppA g tlF DALANCE h NUMDER NAME+ ADDR+ CiTL+ 87, 2IP NAMB+ ADDR+ C+rITY, R61 LIP An I7TE0 DISCFIANOEA URTT'EOFF OF ACCOUNT wrr w.«--- r«__....r««w-----w-.wrw-------- - IOJs.-------- ----«w---.- « ......«r..« N8O Q02 52039 &NORMAN BTETXEN7k201 DE 06 N9NMAN CATOLY~6201 No r0sponso1 to collection efforlts 0/81 39 00 T ,,1~g0H 202 16910 OWN CRAWFORD r l~`ATX 76201 HOUSTON 4opUTH LEA lQMMY 77033 No ro p07/o0o collection effort/10/81 13116 0 0/61 1343,00 J. g ?A SO! 11641 I E>A ECABB7 CHATXEg 70067 L~WTSV~f;CREST CH TX CHARLES No response to collection 9effor11 ts, LWt V4L 4/30/01 6/02/61 11/30/81 243.10 101 27786 C1NPS r CHERYL oW S , CHERYL DEC 2 YORKSHIAIt ~a112B YORKSHIRE I a NgON TX 76201 DENTON TX. 76201 No response t0 collection efforts. ~ 201 14241 Eg + GEORGE AUL EE41 GEORGE 1/28/80 11/30/81 32.30 241 A-Y 7X 76227 AUpREY TyS 76427 No response to collection efforts. 201 26044 JRCOg]NG , MAY rp$i BIi , NfIY 2/S~i/BS 11/30/81 .~a.60 @ANOFIRILADAD AVg TIC '7 6,66 A ORILROAD, AVE TK 76266 Unable to locate. 201 10184 N&R ,t10~ai S r,REBA (I ESAg~ Y WILLIAM 9/04/81 1l/.30/B1 222.00 ~1 ` D N ONOX 1341 TX 76201 bITtlN N 7X 76201 Moved; loft no address. ROD 10166 ONE qq TAIESY I1 Egp 8AMURL On 7/16YO1 'S1/30%81 140,00 j AN0 12ILROAD AVE pTX 76226 8 NOCRI6ROAD AVE TX 76"x66 No rosponso to collection efforts. 204 6218 RHN 90X 203 ACORN &ANTANND076201 pOLVARBJ HTONOX 203 ACORN RANRCNANDO 4/2b/Bt 11/36/81 48.60 7 x 7X 76201 :o'rosponse to collection offorts. 203 18606 ffiR j of:LL APT by LYDT>S 4 76201 ; 8T~2UDDELL APT 157' LYDXA 076201 No r0spo0n1ett0 collection efforts 0/88 43. D4 o . 101 31774' RuDbZLL APT 5y ROee DOELL APT 97 ' LYDIA 76201 No response ~ to collection 7/01 l Worts. 1666. 2tl tl , ET 76:01 ~UN ZZ j 101 31141 RD DENTON DEBT MNHp E~Y&N WEST MHP L04 1 T D7X 76205 E TACN IYx 76401 Unable0to/1Eocato.7/13/81 11/00/01 1947,05 C N7~ o@N SOS 29616 p~N7ONOX 062C r ERNTXT 76201 C6NI0 Sx 36-2C ERTX67 76201 No respoSnse1to coll7/1 680.70 1 1 l r s., I 1 . r - -DAT9 12101191 ill lo; F 1. 0 W M C M 0 R S A L H 0 6 P I T A L PAGE 25 BAD DEBT TRANSFER REPORT FOR PERIOD 11/01/81 THRU 11/30/81 P,qY BN7 NUMnall xwwwww*** pATttggNNT NAME ww*w wwrw wwwwwwww QUgqRANTTOR NAME wawawwrw tlATE DApTE DAT"? OF BALANCCgg PF NUMBER NAME ADDR Cr7Y 8T ZIP NAML1 ADDR, CI_T_Y,_ 8Y, 2[P ADMITTED DISCNAROED WRITEOFF OF ACOOUNT rr VrYVVV Y. wrrY rMrV rrrr Yrrr......rru,...,... ru-rrr U lrr wMr ...rr.rVrNM , oot,Yy LV .,,.rM,wu u, ,.u r-..Vr Vr 6/1 11/ 2032 7419 KObO2'OWNE CANYO4 R26gXMA7523f 1060~A 70NE CANYON N26TXM'i7D831 No responselto collection efforts30/Ri 07.00 AALLAB T 103 15169 K EIIEJ , CHARLES K PNER , CHARLES 18/12/80 1/07/01 '11/30/81 113,60 r g OU CLLINOTON 2NN WELLINOTON D~NTON Tx 76201 DUNTON TX . 76201 NO response to collection efforts. I~ 201 $150 RRyy 2~'PAAI8L8Y MICHAEL 1~ d EMnRMAN KATHERINE 9/31/79 11130181 32,80 f D NTON TX 761201 D N ON TX 76eot No response to collection efforts, 202 29792 KBMPROX 182 p tl JAMES yKt Mp OX 18a , PAATRICIA 8/06/81 11/30/81 122.25 P. O• 1 " SANOER TX , 76266 SAND FRIIC~t(Ku W TX 76266 NO response to co110cti0n efforts. 6/11 11/ 201 30208 6 W sVg&OD PHITXIP 76067 l1 W 9VILLUCIOD pHT%LIP79067 No rosponsnlto collection efforts~0/81 39,00 / .99 62908 KENEMER , CLINTON ~`sIN CNNIFi , C41NTON (1/07176 9/07/78 11/30/Ol 19,00 31 L 76201 D1ENTON TX 76201 No responsa to c011ection efforts. 201 91214 A 01 NTDNNNIg ' BILLY 421NJANNI6' , BILLYI 7/11/01 11/30/01 249,25 TX 76201. DENTON TX 76201 NO response t0 Collection efforts, tNSgEMM pppp pNNpC0 1M~ytRR ' 1 27244 JUSTIN R73 ' PAVTXNE76247 JU 9 T IN E 3' PA TX IN 76247 No responselto collection efforts, 376,40 l' r 102 7049 K pRRDQQOF , DOUOLAS ~S~R84~ , DOUOLAS 0/03/01 8/04/01 11/30/01 572,80 2NT N TX 76403 D NTONOF TX 76202 No response to co110CtlOn affOrts,_ f ` 201 31614 RBouu , LISA RSI N , LISA 7123/91 11/30/81 39, 15 s INOTANOF Tx 76201 WONDF TX 76201 No response tD COl)ectlOn Worts- 101 00017 2E4NAON"I6RCLIPP A ROp~RTA 76201 p~NIOVRIERCLIFF DRS HAT%Y J76201 No rosponsotto Collection efforts~0/81 25,10 201 30089 K 1 " F7, WORTH pR 1CHARD t6aFER bRJOS6PH 6/07/01 11/30/81 30,00 I ~N:N R TX ' 7620! DgNTON7 FT' W01tTH Tx 76201 NO response t0 collection efforts. 703 bb4b7 K110bbMi3RNp0oo DtJ , OWN KMDRO~OOW wy~ , OWEN 6/15/80 11/30/81 X24,10 L,. 11tCH17 R ALLAY TX '76904 W CHIT R AlD.LAV YX 76304 No rosponse to collection efforts. , i • .a 1 AAY~ E2/O!/Ell 4111lt P'-4 4 W M E M 0 R 1 AIL ii O S P'I If A L PAGE s26 DAD D90T TRANOPSR R5POAT F'09 P(SRIOD 11/OS/81 THRU ti/30/01 PpTIENYNdUMGJR ♦*MkkN♦#M PATjBNT NAME gIfMNNiFnMS a**a,~npa OU~IRATOR NAMC 90*****r HATE DATE DATE OF IlALANCS PPX M NAMCo ADDA, 0 TvY, To Z1P NAME ADDR CITY tB3T) ZIP ADMITTED DISCHARGED WRSTCOF~F OF ACCQUIJT Y. rrr-rrrwrrr y.. r..rr.... r-.rrrr rr rnHr r rwwrwwrwnr.. rrr rrrrrr nrwrr rrwwnrrrrrrrrrwrrrw+..... rrr..rr .r.rnrrrrwnrr- 1201 01325 BAN~CROX ld r OHAWNA 76266 ' lent' OX Sbd ~ REX 7/14/81 S1/30/61 39.00 A WER TX 761266 No ronse to collection efforts. 201 14494 DWL PATRICK NOIJLggS WILLIAM 1/18/01 111/30/81 34-00 ry 58X 328A 0 00% 104 I6Cp£ T 75034 STYLK LEM TX 76068 AO response t0 collection efforts. 202 17719 OR (0n Iµ~ pp REN511 R Ey, ARK DA RGNEE M 6/08/81 11/30/81 47, 10 EWl9VILL5ARK DR, TX 7806" L tl12~~lnpfiH1'GOVLLP9 . TX 73067 Unable to locate. 201 34343 bA2%gTRRY RD , CYNTHIA 10/19/81 11/30/8l 111.00 J M1 99999 Unable to locate, . 902 34343 AMDC , CYNTHIA AMDE((~~ , CYNTHIA 10/22/61 11/30/81 96160 Up32 1Rr RRY RD 30p3g 7~RRY RD 5KSd Mt 99999 JACKSON MI 99999 Unable t0 locate. 202 2301 L P TS , DAVID PSI' N MARTA 6/01/81 11/30/81 69,00 p~ X 1094 X 5004 AN A TX 76226 ANOCR 7X 77626ry6 No response to collection efforts, 101 33380 AY . (,App NN AY ) KII'f 9/211/9l x/23/81 it/30/01 933,66 i lp D B~(q% 2712/WOOD AHO P CAN 0. OOX 272 BANGER X 76266 A , Novo o; Ie,'t l no ad,dross '201 01473 lR DFORD TANGY LR D ORD tlAT }D 11 /3b/65 107, 0.3 PLOT POINT J TX 76268 L T POINT TX 76258 No response to collection efforts. 206 21974 Wb4TH DR 'M50~1X 76205 flC060NT WORTH DR NJOANDREA 5/NT TX 762105tiovo0left 5/ no addrnss, 11/30/61 106.00 101 2470 `S`Eb g , P900Y LE , PS06Y 3/20/79 3/30/79 11/30/81 2811.89 D4N70N• MULOMANY TX 76201 f11T66 5 MUL89RRY DEppNTON TX 76201 No reseonso t6 collection efforts. 7/1 11 201 01472 D rYHDMAB APT 2b R'CTXRO 76201 ENIACHAS APT 90 9HrXIA 76201 No rbspcnsutu collection efforts 0191 44, 00 0/1/91 11 POnsa to c011,rcElon offorts3I91 23.00 2021 520949N~Tt3NL0Y 06 , 7ROTN 76201NyELOT 36 , T67x1 76201 No rPs 201 119291 4LB0OP i RODggY. 6Ei1~tlF , ROA6RT 6/S2/91 li/30/81 S7,tl0 N7DN TX 76201 UNTON TX 76201,No response to collection efforts, , ,I r .t ^ -DATE 12/01/01 3i; 11; a L Q W N E M 0 R I A L H O S P I T A L PAGE 27 1 GAD 090T TRANSFER REPORT FOR Pen= 11/01%01 7HRV 11/30/61 AAAYI9NY NUM05R AilpaakAak PA7SF~{T NAM[ aakakkapk kpknpaaA OUARANTOR NAME aaaaaakA DATq PATE DATE Ofr DALANCE PPX NUMONA NAME. ADDR, CI N~ , ZSN NAME, ADDR, CITY, 97, 21P ADMIT RD DI HAROED WRITEOFF* OP ACCOV14T i N.,N YFN YI.N wNUU ryN NN NUY..YiY Nq rw .wNYwwFNFY wNN wu NY wwYYNw,.w uww+lu-NNMN-NN- NUU ,a.•u FY NN1u Nw.Y FYUYNYY„ Nw YwN YNYw 101 16790 ORAR MHYTLINE gOEAR , CLYDE 5 9/04/00 l1/~30/01 112.76 t ROX 200 tE R" 200 ND[: 7% 76266 ~ ANO 7% 7626600 rosp0nso to c011oction efforts. 101 23013N7a UNtiB , 9FIETXL 76201 p~U tlDUNRB ' DSTXR 76201 No response 12/16/00 11/30/61 2794.90 j ~,g e to Collection efforts.. 203 29900 4IQTQLLEEATE ' 11 OR ~ MM % 75067 LLW1ttgggVtLLti 90 ~~4fi7bN 0 7fi YX 6 79067F1o response 9/81 collection 11/30/01 203.33 W1 V offorts. 1202 5205 L:WIS NORMAN' F4 8 NORMAN 10/14/01 11/30/91 71.73 13 JkpDHN6QN~LF JtlHN04N L2bb lgOCti TX 76201 6N ON TX 7620tUnablo to locate, 101 !24787 OF: TNBRDRS DANA I IDfT&tt MICKEY 12/15/00 12/19/00 1f/00/f31 1186.90 NN.TOgONXX 7X 76201 L~RUMUax ~tl6 7X 76249 He response to Collection efforts. a0/Ol 58,00 201. 32137 p0AN01{G 473/10 OAFS PA7rZCIA762b2 Q0N RX 47.3/!0 0A pA TX IC1 76ab2Nn re0spo so tl to collection efforts I Sl0! 30497 aL t~ Atb $6 ' WALTER R 9X tip3Tr t~a116 AL O~A19 WALTER 0411G NO response 0 t0 colieetlon efforts. 93.76 101 27902 tt1iNN , DANIEL pLgtNNUX , JERRY 3/29/01 4/04/01 11/30/01 514.40 e - BANOHRgCCOND 67 TX 76/266 8ANSH 291 7X 76266 No response t0 Collection efforts, 203 29166 7Q AMi;ERB DELB&RY L6 7$A~DERO DELO&RT 4/05101 11/30/81 96.50- ' L i 14T 7X 76201 D NT N TX 76201No response to Collection offorts.. 906 12307 hjXIN SNN , MAM18 VtAUB ON , MAMIi 7/11/01 11/30/01 40 09 D.NTO TX 76201 NTON N 7X 76201No rosp6mo to alloction efforts, 201 .~R091 L 0RI1N , MARVIN` bgrLIN MARVIN 0/05/01 tI/30/01 160.00 8! ' AI LttN 80 [ ALLEN I, C NTON TX 76201 DENTON YX 76201No response 32056 QATfN 612 , MUR18L OFT N , MURSRL 9/0/ to collection efforts. f 1 lp fggpx D. ~{pX 612 /00/91 11/30191 01, 45 1•-•• • RbANtlke YX 765262 R~1ANilltli TX 762620nabla to locate, 1 124419 lgaTHa2 30X 103 ' CMttRYL eYH , -0HffRYL 12/03/80 11/30/81 426,05 SAQER TX 76266ANOCFROX 103 YX 76266 No response to C0110otion efforts, 1 1 fi, r ">)ATgl2/0!/8t tt:lfo f+LDW M M M 0 A I AL H 0 0 P I T A L InC1: :20 DAD DEDT TRANSFER REPORT FOR PERIOD 11/01/01 THRU 11/30/81 PPR9141 NUML&R wwwwwwwr» PATIENT ~lAMG wwwwwwwww awwwwwww 0UARANTppR NAME wwwwwwww DA7gg DOpTgg P~ArrE OF nALANCCE + NUM.' ilAM4, AADR, C , Tr ZIP NAME, ADO,, CITY, ET, XIP AD11l7TED DISC HA£iOED 41RITEnFK Op LOA 8VT Yw1Y YYMMYV YYMYYV Vw Vr1YYYYYYy Yw YYYrw Y•.YV Yy Yy rwrrAYrY rMMr,+r VYti YYYYYYY- 1 • YYYYYYYYYrYMbrYYYyYYYrYrYYYrrYwM Yr YYw I r. L~t{ pp D4 r N, 203 30346 DEENTO~IODLE , CA7TXRIN7620f DEN ONODLE CATXER1768o1 No responselto Collection offort5~19.00 101 26200 a pypyEi~j , HENR20UE PG r HHNRIOUE 2/08/01 2/03/81 ' il/30/81 306 00 DENYONOHLAND TX 76201 DINTOINOHLANO TX 76201 No responta to collection efforts, I ' 241 31630 P NN ~JPCJ Vtt TNEZ , RU91N • q~A2EZ MtYINRZ RVOE:N 7/20/01 ' 1f/30/Di 3q 36 j TON TX 76201 D T N TX 76201 No response to collection offorts. { 101 23320 t7j~ VETOR , 6ANgRA VE S~AA0N200tr WILLIAM 4/03/81 4/06/el 11/30/81 1174.85 t 7 C~~ARDN2001 TX 75067 L9W1csTTVILLg L~ifI~ VIL i.B TX 75067 No response to collodion ufforts, 201 22627 gg'~ LD LEE CT CHRISTIAN L1^. EOLD LEE OT, RONNIE W 0/14/01 11/30/81 20,33 E 0 TX ,16201 69N ON TX 76201 No response to Collection pffor;s, E t 12Q1 30834 OANO EXR1aZ + CHRTX7116262 ~!A'NTJCRRC'32 CH X8T7626. No r spons6 `to ca110ction efforts 0/01 4R QQ 10} 2904 ArY BOX 22^wR ELLEN, kYnRD DOX 2i32R` ELLEN 4/07/79 4/14/79 11130/81 369,0 I AUDRhY TX 76257 66A000DR9kLY8g TX 76,127 No response to Col')oction offorts. A 201 31819 ARANCNBCOL ODECAA 94150 6ANA 7/09/01 11/00/81 49 SAN N PA'RA~CIBCOL ODCAOA 94110 NO response to Collection efforts, 0,0 1 30112 ~D? 1RgqKI~ aappREET DR~VJl1DY llooAgqK ppOREDT DRfVE;JUDY 6/06/81 11/00/01 143,70 L WI VILLIL TX 75067 I6VILL4 TX 73067 NO response to Collection efforts, 101 24790 i{~0uo0 1INDEFPENDENCl1 BARDARA 400 0?pEgrpjgND6NCE ' WILEY DEAN 1/22/01 1/vml 11/30/01 $03.00 pSNEgV1Ll.6 TX 76240 ' 4AIN66ILLE TX 76240 No Yesponso to Cg110Ction efforts, 201. 37920 L~N~ snit 247 r M1N0~1 D NA TEAR1 9/02/01 11/30/D1 7R g0 Nro Q nnx 247 1'ON TIC 76.;01 Moved-, )eft no o4drbts. 2 TX 67 1 EN 10} 27600NRRxx ii ff , NOR N µ 3 , ELMQ 3/10/01 4/Dl/8l 1;/30/81 6490 $Q F,'. . '.:'t.,, A ViL B M0 ,31789 ARNILL O M9 34759 No response to Collection efforts, 1 28642 ALVgHH , JE00E IV,Itk3 JG60E 4/20/11 !!/30/01 60,00 G' r ; eANO& YX " 76266 8A&E TX 76266NO response to C01100ti0n Offorts. k r , "Oil - • i r 7-601 12/01 /01 't l t It: F L O W M 9 M O R I A L H 0 0 P I T A L PAGE 29 / DAD DEBT TRANSFER REPORT FOR PERIOD 11/01/01 THRU 11/30/81 PATIENT UM0CR 4Mrr~ru,♦w PAT ~T qqm6 *arnarxp* araagaaa OUVANTOR NAME raaaarait DATE DATE. 0ATq OF BALANCE PFX NCMORR NAME, ADDR, CITY, ~T, ZIP NAME, ADDR, CITY, 8 ZIP ADMITTED DISCHARORD WRIEOFF Or ACCOUNT wwNH...w w~M. r Y..YY .Y 201 30876 k NBaN , ROBERT LYNN ROBERT 6/30/01 l1/30/01 46.S9 j F 1$Ca 317 A I TX 78034 FRI C0 317 A-1 TX 75034NO rosponsO to Collection efforts, 101 29090 M RR CC gMY2475 POCOHON~AQRA10 At1qNY CRAIG 7/16/91 7/22/01 11/30/01 1677.05 I 6 E47B FOCOHgkTA6 OANUK TX 76262 OpNO}SS TX , 76262HO response to Collection efforts. ' 201 27827 DO~OJAN 8T , 4AME8 3/26/81 11130191 126,00 9N ONUUWWUU TX '/6201 No'rosponso to collection efforts. 102 13324 512URUDUGLL N169 ' FELICIA . 111A Uq0Uy~U SAMUEL 8/13/81 5/18/81 11/30/81 979,59 DpENTLOgN TX 76203 S &7{1DD[LL k169 TX 76201 No response to cOlloctfon efforts, 102 25922 p I Tl SHARON I Tf6 DANIEL 2/03/81 2/1f/01 11/30/01 02.02 pQX 1114 A b4 OARYVIL li LA' 70031 RkM0 R L15 LA 70051 No response to Collection efforts, 1 30882ALL~YgV1513JP i LOU7%E 76272 VALL~YUVIEWP ' ADTxEN 7b272No response 11/30/91 3:2,40 to colloction offorts, 206 1023 VAGUEll.. , DOROTHY ANUCi•Lg4 , DOROTHY 12/11/80 11/30/01 1600 0 11 IH3n~f 6 DRNTQN84 TX 76241 pEMTON TX 76201 No response to collection offorts. j 101' 29844 MARKIAM DOUOLAB MARKHAM , DOVOLAS 0/31/81 6/01/01 1s73o/B1 236,08 40p1s SHAOY BgHOASB h Pp OX 56 LANE DALLAS TX 79065 LAK DAL'th rx 75065NO rosponso to c0110ctiOn efforts. I 101 26526 ARMA?UKE CHRI8TOPHE MARpMADUKE , LINOI;LL, 2110181 x/14/61 11/30/81 148,29 I M209 H O 8O%2~ a09 TH P BOX' 22 VALLEY ~+[EW TX 76272 VAfLtLHEYI,IA12 TX 76272No rasponse to collection efforts, ~fl Y kt 201 27232 'Vpbk LANE LAR x 76241 YNTONHµ LANE ' LATxY 76201 No responseeto collection efforts/30/81 iE09.OS fi N p ,1 NN ' 201 30823 L g TXP INTN. PRA~I6A9fXk JANET ,76288 1LIIT~POINTPRARIE 6TTX762BaNo resp6/20/01 onse to Collection efforts 30/81 304.39 201 99774 D IAVKNU6 B ' WALLACE 1MSAD INNVSNUE D WALLACE 8/26/81 11/30/Bi 30.00 MEN Tx' 7620 GKN~ON ; TX 76303NO responsd to eelioction efforts, 201 30990 A o =2N0 STREE4 CYNrXIA 76266 dANO RD~2ND ST, , Btlr%AM1 762b[~a response B to Collodion offorts/30/81 46,70 I f: f ff 1 MMMi "LnOM~ OATS 12/01/31 wilt F' L 0 W Mf1MOR 1 AL HO$P I TAG PAGE 30 ~ UAD DEDY TRANSFER REPORT FOR, PERIOD 11/01/81 THRU 11/30/81 +2 g Pn7 6NT NNUMDEq +<rwww*w w PArr gg~}T NgqMS wwMww*w~,w wrwsww~Yw GUARANTOR NAME wwawwwww DATE DA E DAAT OF UALANr,E FrF NUMDER NAMEi ANN C~T r S7i YIP NAMEi ADDR, CITY, 8Tr ZIP AOMITYED DISCHAHOED WRITEOFF OF ACCOUNT rrr urrrrr --r.-rr rrrr~~~rr....r~...r..rrrrrr..rrrGr •rrr rr~......r~ r r urrrrrr.. wrrrrr..y 202 0194 M T NEZ r DA JEAN - HARTIN Z r GLORIA 7/17/31 11/30/81 19,00 gS rnNLLMGADOW NO. TX 76201 6ENTFA L119ADOW N0. 1 TX 7420 y klo rosponse to collection efforts. 201 28439 Af~rrlkrz a MANUEI. MAI; g MA14UEL 4/14/81 11/30/81 96., 00 9A 7EALFORD 2322 UALFORD i DALLAJ TX 792128 DALLAS TX 79P28 No response to Collection of forts. 101 27317 N r BANDRA M T N9 SANDAA' 3/09/01 3/09/81 11/30/81 215,40 jWA18RVIEgW AVE 1` 27 pp,1RVIEgW AVE 1 ERK L.Y HT8 NJ U7922 AU K I9 HfS NJ 079221io response to collection efforts. 4 y 201 00417 I~R D~VOX 42 , CHRISTOPHti ODOR 4a i MAUREEN 6/16/81 11/30/81 43,25 a AUDREY TX 76221 AUAREY TX 762270 responso to Collection efforts. 103 14003 M ~3AY r JACK42 M 8 Y i CHARLES 3/03/131 3/04/81 11/30/61 106.59 6 / lit.RNARD 011. A o a911NARD Nil DENTON T 76001 R NYD11 TX 76201Unahlo t0 locate, 202 2660 f1A ON Rpll Y I1AtlTtl R4; ?fiT 1/19/81 11/30/81 92.$0 l 4 0 HEb9TONE q 0l gNEDSTON6 Vis ON T>i 76201 D kTtlN Tx 7620P0 rO;PonsO to collection efforts. 202 2941 3OHWtlp r JAMBP THE ?NWORTH DRIVh MARY 7/31/61 11/30/91 153. y5 • DUkTON 7X .76201 N O 7X %620110 response to cO1100tion efforts. 201 29633 5AjHtlDgLL , KATHY EIJH180N ODELL KATHY 9/23/bG 11/30/81 78.00 j DINT N TX 76201 MMa 11 WN TX 76201 Moved; loft no address. i 1/0 302 6428 ~J;1AVto~IEY By ' RH07XA 79062 LEW[®VILIHT , RHTXDA79062 No rospOn9sO to pllection effarto/[ii 791,' 10 „ 120; 00478 4MppURggg , WILLIAM MgAURERq r WILLIAM 6/19/6f IIp0/81, 619.90 ¢iTjLAELELNLIVERY TX 78069 IO.1Nf0i LEDULtVERY TX 73066 No rosponso to collection ofiforts. 202 28811 CORAL MA CORAL P/12/91 I1/30/81 3Q, 00 UL KNIGHT BY t NR KNIGHT BY } } NTON TNKI 76201 ip N1bTTON M TX 76201 NO rOSpOnsO to P110ettOA efforts. 11/ L.. 201 I 01176 Dl NiONILLAOt4 EABYr,APTL 111876201 D N7014IL1A0E CAnT AP75 X1176201 Norespon a to collection effor30/01 57.00 g 1f Mi R D8 r JERRY 7/03/81 11/'30/01 24.30 i 1!5091 MH IR185RA LN. JERRY 6 9180RA LN. ti.. ; p NTDN TX 76201 0GNYON TX 76203 No eepOnsO to 4011OCtiOn Offorts, { r ,i 1. I i f I ' r i ` UATB t2/01/01 i it 1I1: F L' d W M E 'M D R I A L H 0 err P 17 A L PAOE 01 AAO DEDT TRAN8FER REPORT FOR PERIOD 55/01/01 THRU 11/30/81 PATIBNT NNGMppJgR ~+t»«rrrw+t PA77ttgNT MMgqME a*4nan~rr •rkn„x GUARANTOR NAME nrararaM' DATE pA77F DATE OF flALANCg PFX NUMB NAME, ADD R, CJ Y, 8T, IIP NAME, ADDR, C1Y'r, 8T, TIP ADMITTED DISCHAROED WRITEOFF OF ACCOUNT rr..rrwwrwrw-------- rwwwrrrw rrrrr--- wrwr wM rr wrwMrMwrwww 201 32203 M CcAM Ykk r WINIFRED MX AN WINIFRED 0/12/81 11/30/(11 38, 00 f L.W18VI1LE 121 RR TX 78067 rLLU 121 TX 79067 No response to colloctfoo efforts. 190.10 204 7532 LNELDALLASW/Adx 637dNTXD 7$068 LEDALLA9W/DOk 61J7RO7XLD 7AOG$ NoUeQpotso t0 collection efforts. 703 28591 hCA NArr , STACY ccCANNr ONALD 7/14/81 11/30/81 38.36 1 AKC DL~ASPK -QENO ELIT R PKwO&N DEL, 75ob~ AKO A LcfAKOe GD LLAS 76 No reaponsa to collection efforts, 201 30"10 1H~ RTY HICKORY LAWT%NCE76a0! DISAOTY HICKORY ' Tx LAWRENCE 12o1 79065 1;0 6espono to colloctian eff1 /00/81 97.00 203' 13760 `G~ OM~4TIMdR6 ' JAMES 76x01 1f~E870NArIMOAE JAMES 76201 No 7/10/8so to collection efforts, 79.00 I D 101' 25206 lODAD8CdTT LEON M DADE LEON 6/03/81 6/11/01 11/30/81 1821,99 DCIJTON TX' 76201 N qN, OR TX 76201 No response to collection offoets, ! 201 29249 MC Appf3 TABHUNA CAR VAI.ERY 0/11/81 1.1130/01 3,45 3 6 RUDDELL #11b pp 3.66 8 RUDD GLLMIIb Di NTON Y X 71.01 ~~TON Tx 76201 Daldpco after fnsuranGO; ni, roSponse. ' 201 029$9 pnWs1~~MMaNB N106 JEFFERY MMCp WE1~~ggMMdNB JIEFFCRY 9/05/81 31/30./81 44,20 DR? N10t3 NIIgN TX 76201' OL+N dIJ TX 76301 jI Ap Moved; loft: no address, 201 (:2161 ~JQAR NTENDOX 652 CNET%L 76201 UNND~RDOX T 14 632 DE TX RL 76201 No 9/19/00 eSponse to collection efforts, 00,921 ' 1201 27A49siEOALLt~V7 f1TRkE7aRTX 78065 N~tlLiNCHURCH AARKgTXY 37x06 3/10/81 12/30/01 106,00 RAWCU9T TX 76x01 D ENT N COST No response to eolloction efforts, ~ i ♦ 201 02091 M MflRSAW q , GAIL M R W , GAIL B/06/81 11/30/01 139.00 ~gx G41 CRACK~T7 T P D0X 005 CROCKGT Tx 76205 No response to to110etfOn efforts. 201 30669 0 Oq dAA oR 0 f 89"Y 6/26/91 11130181 68, Op i I 1 UM T 76249 KRVM }"X 76249 No response t0 Collection efforts, y490 MACUDRSYMg t JANiCE 600 yy f' 5g 1 RT DR I T R JAN ICU 0/07/81 11/30/81 104,00 ` TX 76227 AUDRREyOX 600 TX 76227 No rosponso to collection efforts. ' t; 1 , - J Ts . r DATE 12/01/81 11:12: PLOW MEM0A I AL H 0 0 P I T A L PAGE 3.^", DAD DtOT TRANSPER REPORT FDA PER10D 1t/01/8t THRU tl/30/01 S i PAATIIENT NNUMpgR wwwwwwwww PpT1!INT NAME wwwwwwwww wwwwwwww p~fARANTOR NAME wrwwwwww DATE ghTG` BATEE pp DALAN g PFX NUMIIEA NAME, ADDR1 C1TY1 871 ZIP NAME, ADDR, CITY, 8T1 ZIP ADMITTED 013CHAROED Wit1YE4~C OF ACCgUNT . „ , M.. .YVww w ........ww,.........wwwwrwV www M1 M MwM,~ M---VwJwwwww..wwww,.rw-- rw„wrr-- rwwwww-- Aw,~wY w ~Mrr 201 32309 11JNpli HSCK0 DRIUOETY , 8/14/01 1~/30/B1 20,39 ~l7DN TX 76201 t ggNN No response to collection efforts. j 101 29984 agHjj"f~I4L1N07DN JAF{NNY, 8Ma403TW6LLIN07DN ' JOHNNY 0/21/81 5/32/81 - 11/30/81 66,50 DEN O TX 76201 DENTON TX 76201 t{0 responso to collection offurts. 202 23681 g l1 3A NN18 ST ply J01{ A TX 79946 DLLA~UrtNq8 ST NI JO7X 79246 NegospoasO to collection affort0/6! 668,33 8 DR 9/03/81 11/30/B1 13.00 ! 201 28999 MCLEA~O% 1618 JASON Q~EN2CVAO MID ARRY4 TX 76226AAggtOOtYLE N TX 76226 No response to collection efforts. l.•..... 3 29576, A LNElLff) 038 BU87X 76240 tlA1NESV1lL.LED 0" 11 /3 1 8UTXN 76840 No rcapon0se to collection offort0/D! 1i29, btl 2 2 2027 ggl,GW E8 ,L LE ' , RANDALL M ,c5~G~if I<ANOALL 0/07/01 1 r{30/01 QQ E 1 N7iO7MINE87ER M6 TX 76201 b1890i;t'STMENI8YER X10 'TX 76201 VAat1e to locate, 101 29761 tptaDBQHDDI67,6 , CHARLES rpf £lpnppcEtllxOxq 676 CHARLE8 9/27/01 5/20181 14/170/81 40¢,70 DBNtONN. TF 76701 b NTUN TX 76202 No response to collection efforts. i 201 31744 jjg~QC.DU1a5 MARYX 76801 j1ffiO1KUIBE STR99TI CHARLES 7,120i Movedl no address, 11/30/81 184:00 1 MO TX 1 30218 Kb~TCOpNNqN1gt 11 DARLENE MQLLT N UARLENE 6/10/91 ;1/30/61 ,18. 00 ORAPEVIN8tl72 T% 672 76090 ORAP VINE TX 76090 No response to collection efforts, 31644 ~N00ZA . BRENDA M6 ND lA r DRENDA 7/20/01 11/30/01 11':00 f BANOERgTH STREET 7x 76766 S NO A4TH'9TR 67 TX 76266 No response to collection efforts, 701 2,1138 MENDO h HENRY iMf¢NDOaXA HENRY 1/29/81 11,/30/pi' 110 'wp Sno11TN81pE DRIE WX 86266 t3ANOCttuTtifliri6 UR1V8 TX 76266 No response to collection efforts, ~8 b pUD}IRRRY ff 1 (I~gg48 N 7ARV6b t/81 01 27976 LgW19VILLK BRETXA 76067 MT g1 Tpr+V1LL~ DRTNDA3D02q Uoablolto locate,/03/81 11/30/83 8312, 00 101 27944 CUDI9~R728 RD2TXb 76078 Rj 018 ER729 1 ROTXUD 7LEE 6473 4aanco 0/00/Bi 4/1/01 after insureCet Ad rOSpasel 268,00 V i t'~`I 1'l/ui/dl 1111Wt F 0 W M E M O it I A L H 0 8 P 1 Y A L PAQE 33 DAD DEBT TAANBFER REPORT FOR PU-0 OD 11/01/81 THRU It/30/01 PATIENS NU5IBEA 444444444 OA1141 N~,ME 4444444 l4 4»444044 GUARANTOR NAME 44444444 DA 7E ppA77E DArE OF VALANCE J PPX NUM E NATIL~, ADDR, 7 e $ 1IP NAME, ADDR, CITY, 8T, ZIP ADMITTED DIfiCHrlfiOED 14RSTEOFF OF ACCOUNT wwr, MyuVyV yYV VYYY.Yrwww,.Yw Vwy,ryYrw YwY-Mrr-Y . Yrr ,.V rryyy Yrrr rr rrYrrV YV YrYrrV wr.r..Y"Yrr YY it 203 27311 YEgR~j r CHARLES JA ~~1YgR , CHARLES JR 7/23/81 l1/30181 474,45 C+~TONEROCDEB TX 76201 AHNrOERCbDEB TX , 7620! He response to collection offOrt5, 101 25522 MICHEL , OUADALUPS M Ht~ FLAVIANO 22/09/01 2/14/81 11/30/01 2009,25 1D@ VILLAOU NORTH 1 V LLAOE NORTH t t LEWISVILLE TX 79067 LEW113YiCLLE TX 7D067 Moved; loft no address, 11{ 1 12598 fMJRgpL N KATHY 1M 6DL nODFOAD OR, RICHARD 7/2$/ai 11/30/81 49 $0 I, DNTON ~DJ+ORD CAT TX 76201 UPON TX 76201 No response to collection efforts, RO! 312216 M,~ LER r CONNIE PITRE RICHARD 7/18/81 11/30/81 64,73 p NORTH SHORE TVAL 6 TX 70056 ASTt~ARETHE SHORE' 6A S V L TX A No response to Collectionrefforts, 707 20831 MILLER r DOUOLAS M LLdR DOUOL A9 7/18/81 11/30/61 46.25 4 1 PgAIAIE 4 1 PRAIA 1E DBBBNTO TX 76201 D NTON TX 76201 Unable t0 locate, 901 01197 M MOO r KENNETH M LLE , P900Y 7111/81 11/36/81 66,29 tt LggI MEADOW 1 31 A94DOW DMON TX 76201 DENTON TX 76201 No response to collection efforts. 902 16836 M~L'yF~A ~ WALTER MIL siR r WALLY 7/0!/(31 1!/DO/Bl 38,00 op Ni• qqL DELIVERY q73~ CALMONT AENTON TX 76201 PT wappRTH yy~~ TX 76107 No response to collection efforts,; 101 27391 aLSRAaOPoO 'UVG , TINKER 196tL`~LAK6VIEW OR N1G60DEY VAN 4/215/81 4/27/91 11/30/01 650.70 W18VILEh TX 79067 LawlevtLLE TX 7DO67 NO response to C011ottion efforts. loll 216746 11910, PANNIII MIM9 , FANNIE 2/25/81 0/06/01 11130/81 099.03 j DRADDHAW 410 DRADSHAW j( DUNYQN TX 76201 BENT N TX 76201 @alanco after insurance; no respon59, g 202 21600 UIO;CAELLN , OIATHA Mq Ca4L N DENNIS 8/21/01 11/36/81 811,54 } G DENTON TX 76201 D NT0N TX 76001 No response to c611ottlon efforts, I 1 121411 fiTtg~L1030 , OUY AOLR0194D CONEY , 4/30/01 11130/Bl 297.00 } r- NTON TX 76201 ALLAS TX 75260 No rasponso t0 collection efforts, f 202 24961 M TCHF JAMES MIJ~•OHELL JAMES, 7/27/Ol 11/30/01 60.Ot 6 8 PA LANE 16b26 PARK LANE. D NTON TX 76201 GUN. 014 TX 76701 No rasponso to collection efforts, I 201 10594 M~ S7E~ NItl RtlADr Wltttkt.IAM M 36E~GNNIB ROAD I15AILLIAM 6/20181 11/30/01 76,50 DA LAS N TX 70229 D LL 9 TX 75224 No rasponso to C011oction efforts, 1 . 'DATE 12/01/91 11:12: F L 0 W M E M D R 1 A L H 0 8 P I T A L PACE 34 DAD DEBT TRANSFER WORT FOR PERIOD it/01/81 TNRV 11/30/81 P~F i7 ENT N UMEBgER *M*O' MAN pA77 ~yT J~~ppME MiF11MMMMM awxrN QUARANTDR NAME k♦*•~akk DAT DATE « DATR ppF DALANCC N M<3R NAME, ADDR, Imi 9T ZIP NAME, ADDRr CITY+ aTr TIP ADMIT 6D D18CHAR0GD WAITEOFF QF ACCOVNT -rrr__r.r-rr__rrr_..-- AD... r W,r r.Yrrrr rrrr-rrr-rr----------r--------r- DAVID M8tp~2R8AIIALEY 41206 JUDY 7/28/81 11/30/81 80.80 r: 7X 75060 No response to c011ection efforts, 8.8 HALEY 0246 TX 70060 IRVI140 INO 104 23084 $N C g , JARET7 t4F1iCQ4 124C LARRY 1/12/81 6/14/81 14/30/81 24.00 M g to UM TX 7649 No response to collection efforts. A i 6% 124C TX 76249 RUM 1 16297 ~j IS00XE1240 , PATTY gN11115 124C r LARRY 9/28/80 11/30/£11 105.30, UM TX . 76249 RKDYUMM WW TX. 76249 No response to oolloctien OffortS. 7x 76226 No erespon$e to Collection effort 0/83 245.00 ; 201 ' 37079 MgNSL X 1328 r CHRT% 76277 AROYL~oX 1328 CH e i' O 11/3 201.. 32117 J%N'Q 8Mg MO ' J1MTX 76701 DETONNAH 028 I JITXY 76201 No IruoF nDSO to co11o0tian effort tll8t 63, SO 12/0 11 204 15064 T 5qqRE AR Map- E7, , AND7%I 70501 '~gXARl4ANACE 87, r ANTXEI 75001 No rospons0 to Collection OffOttsO/91 24.00 , ` 1 26977 $$$gR cpN0 Mygg r DOUOLA9. J Fqp2p'j~jj tltl MM 1O11L18 SR 3/09/Si 11/30/81 2303.10 AINBVILL6R0g TX 76240 4AINE8VILLRCE 7X 76240 No response to collection offorts, 101 32178 ti q R6bfi9g qq , OARY MMO7 Rb9BAq r GARY 8/09/81 0/04/81 11/30/81 904o65 M~ QUITE2EiN TX 70200 M6§QU OaAtEN 7X 70350 Moved; left no addrOSS. J 101' 760q M6 pR r JEFFREY M00RE r WOODRQW 7/31/79 0/04/79 11/DO/al 224.30 QJNGJRAK TX tiL44gHARRY HINEB TX 75229 No rasponso to c011action Offgrts, DAA A 401 8 r ANGELA , 7/10181 11130181 40.00 0 3118288% 1104 , JO$TXA 73034 ~hpbcg% 1144 TX 75034 No re6ponso to Collection efforts. 202 26677 gMQ~ppyR t r MALYNOA RR r DAN 0/0:/01 11/30/81 77. 00 DENT NG}iLANO TX 76201 33 nb$ TANPUD ' . C M ~tlGRO~ 7% 76031 No r05pontu to collection offorts. /01 101 27410 r N B AT 023 r MART% 76201 Y NTON COUNTRv APT MATX 76201 Uaall)lolto locate/24/es ti/3tl/05 991.80 1 p 1DERT r RAMUNA M 2/17/41 2l17/01 11/30/01 756,25 101 2111,2 bMU~~EpNt``..AER7 r RAMONA `M`(p~yoynE AT CKFUN CA ?OROS 6MKT~~ CA 9Dr0a 110Ig',penso to colloWoA efforts. EE i • • I •OATE t2/01/81 11;12 F L 0 W M E M O R I A L H 0 6 P I T A L PAOk 3D DAD DEOT TRANSFPR REPORT FOR PERIOD Sf/O1/O1 THRU 11/30/01 PATttONT MDER aaaaaaaaa PATfiVT NAME aaaaaaaaa aaaaaaaa GUARANTOR NAME aaauaaaa DATE DATE DATE Of DALANCE t PF)f N NNUUMOER NAME, ADOR, C 9T+ ZIP NAMSt ADI)R, CITY+~ST,_XIp N NN-- ADMITTED DISCHAROED WRITEOF'F OF--ACCOUNT j WAV NNN~tiN YiwY„nNYM•1n.•+i~YM .YNNW Lot 27947 HORS , SADRINA PRATT , FLORENCE- 3/30/81 4/04/01 11/30/91 1$.14 ENOOIJCOAL TX 76201 D2900 ENTTON~OnL TX 76201 NO response to collodion efforts. 1 101 24226 MOREEIAND , AELL1 AggLANpp DONALD R 12/16/00 !2/21/80 11/00/81 387,22 24AOISH LANg ARF19H LANE LKB DALLAS Tk 76060 KE DALLAS TX 7DO65 Dalance aftOr 10SUraneel no voSpOASO. 202 25507, OR AN OOROON fMtMOIA , FRANK 7/15/81 11/30/01 36,228 NERDOX 379. TX: 762266 BANEROX7~ TX 76266 No response to collection Offorts. 101 129942 12LATT , JANI0 ~14RLATI r 4ANI9 6/02/81 6/09/81 11/30/01 125,10 b MULKEY LN ib MULKEY LN ' NT ON TX 76201 DHNTrN TX 76201 Balance aftar'insur0col no response, 201 30319 ORRyL TT , JANIS RbGL TT JANI9 6113/81 11/30/81 94.00 r1TONLK6Y LN TX 76201 D NTONLKEV LN TX 76201 NO response to collection efforts, 3 101 314,46 ORLATY , JASON MORLAATT JANIS 7/18/91 7/19/01 11/30/01 64.00 } ~j G rdULKEY LN 816 MULKCY LANE s D NTDN TX 76201 DoCNTO6N TX 76201 Waco aftor insurance; no response, 1101 304th»~ UNIVtiR9574 0¢NTX 76201 pGNpN' UNIVERSITY+ QTX 76201 No response! to collection ePfortso/el 3g o0 2 20688 54RNgEVgRYTE ST ' LARRY gRni 9tiV RE.5 8T LARRY 7:09/91 11/30/91 429;'50 l ILLWAT NN 65082 8 ILUTER MN 55092 No response to Collection efforts. " 111 1 f0i 28440, S8II94BMtLL , MARTX 762230 g8WQX 741 NATX L 76230 No respon e1 to c Ilectton efforts 0/81 964,90 5201 27633 M$ppppgl , NANCY ri Ra1 NANCY 3/19/81 11/30/81 124 6, ~BNTO OLIVAR TX 76241 i NT9,O~OLiVAR TX 76201 No rospOASO tO C0110Cti0n offorts, 4 PAL gRRpp~jX0114 o THOMAS 10/31/80 ' 51/04/80 11/30/81 7612,83 p0 n tl1N1 0 141 123466 BANG. TX 76266 ~ANOER TX 76266 No response to collection offoHts. 0 y 241 25760IRH gg v BW:OR ' CAROLYN MRFIIXHV[EW IlR JACKIE L 6/10/91 11/30/91 $b 00 / • rr 61 419VI LB , RICHARD 76067 L WXSV LLE TX 75067 NO ras hso to collection affOrts, • 42118' h0~6 , OtitlROED 7/29/81 W30/01 104.20 Stb11 `1 I ~t eRTOHT4N 1 RIOHTON EN ON TX 76201', N 0 TX 76201 NO raspons0 t0 CoilACtfon Affcr,ts, k . , P•~ 0 ~ MltiMOR Art i AL HOOP,I rAL PPFJfgNT NUMO R sa~wNwo CNN RAD DEDT TRANCPep PAOIt NUMBS NAME, ADDRPA~JTYT NAkS NwwwwNwatN REPORT FOR PERIOD 06 YY YyYYYYyyMrYMYYY •~T' ZiP wwNNw py I/OJ/O! THRU ' --_Y,Y" NAtdCc Ap!?Rr C17Y, O~JARANYOR NAM [1/30/6! -"---•.rYY ZIP U yNwwNp g 001 80642 MOS ---Y •_..YT._.. . _.YY., ADMITTgD O,Sl)pqyT ATYE ORA O~TELLA M13t ' P$ARLSJi DATE OF gg _ DPDAgCCQUNT l; 202 16079 M U5 R TX 76201 off gTE1LA gf31 Y Y t)FF ag N70N PEARLIE -----4_YY-y D OOKE: 6HOA9 r LINDA M U E TX 76201 Moved/14/61 4 2091 r% 1!/30/91 4 A r I loft no e, , 73 gX~LeN 76201 D~NSHORE LINDA ddross 110 ADNLAND TERRI 0/15/g! 101 NTO M1 1L1EAqN TX 76201 Moved! }oft n 11/30/9, 140,80 o addroeS, f13966 t, f YR Ap TX 76201 tJgLEN $ C RUSSELL DfiM ~N POLL N10,9 ' DSANq M 7X 76201 No resp nselto colloctf0 1101 30494 pp TX 76201 dt;g~ a105LL 2103 REZA 1/23/g1 n offorts00/81 229, 09 " J 6 TONERNARA 8T IIATHLgEN p TX 7620 1/24'eul 11/30/OI f 10Z 1961:1 rURgA Ty rX 76201 ~IARRANARO KATHLEEN 1 Mo rosp'onso to coliection offer t5' 963,60 I692 ' J2RAMY 6/19/8, URPAY TX 76201 110 rosponso tr coliecti0n 0fforts00161 202 14383 1 pLLMp YX 76240 PXI4 c.HWy D`I ' DONN)tg Ob:00 I _La GMYtlNANHA7TAM r J011N N A TX 76240 Movcdj 3of~ no addr 02/64 S t/2p/0i 103 10661}T~NIJVAlL6Y ' JOHNX 76201 JOHN AsS, 03.$0 (Ly 7/27/61 D j jTX 76;201 No response to eolloctioA 11/30/01 001 30134 r CM rTs%r '76L~01 efforts AE TN VALLRY r JOHN M ROT J1/21%$0 20. pp R AOT 06 OAPRZtORNRMwsOPHg2 7X 76201 If0 respOn9o to Co1llwoo y Qp! ppNN TAX.' pN$rYpMA~IOT 36 CAPRICbRROD 11 /00/6t k . 29286 B~Rbur lP O! D2NTON Ctlon Cfforts, 834. 12 NO &b !t 1076 6/08/6l mot 30408 /1043'AVg%A1NC rQ TX 76,201 No rospon3e to coli0ctlo fJ/00101 , i M T ~RfI'QUP 7626b IX 1076/1003 A(~8 HcRINt; 9/1 n efforts, 00. 05 11 2/91 Q1T an CINDY 76466 No j.. 1 3f 170 ' I IA OU OSponso to 1 t /308! it r 76001 Tu CLARA M collection efforts, 46, 00 w0¢gQAT@ ' FR6DDy 7/30101 r% br TX 76201 No respoa$0 to C011eCtipR offorts30/9, r f1Q0 O 76107 gf4T OAT6 J1494 ' FREOOY d7 1Q n OUTH CORINth RL116CCA O. 7/09/Ol { g TX 74107 No ros 11/00/81 ~ X pW0 po110 to coI)oct ft r 74081 p&Np~QUTH CORINTHr RRRECCA ion 44 efforts. 00 6/26/81 _1 l1/30/Q! i rX 70ao; No roapnse to co lloctioR efforts. !l3 0 i 1 1 { r 1 ~ I r` DATE 1210l/81 1t: 13: F.L'0 W M E M O R I A L H 0 0 P I Y A L PACE 37 1 c, • DAD D90T TRANSFER REPORT FOR PERIOD l1/01/81 YHRU 11/30/81 PpgTttDNT kkH gR MxrANMOD PAp IpNT N~ME 4AMr, Dni CITY # NAME a*xxrnnM T DATE OAT OP GALANC6m PFX NUHD .A NAM( ADDRi CITY 8 + YIP P 1JAME ADDR C+ 8 r Z P ADMIT ED DIfICHAROED WRI.GO.. OF ACCIi]]UNT VVY rMYrrY rNMNrNlTrYn.VrwrMrr.•YrrrnVrrwwr rnrM- TYrMVrrlrrnrlwrrrrwnrrrnrnnw rrrwrrr• NrrY ! rrr r .rrrrrrrlFr JJJ 20L 31878 QRIBHpOX 14O + DGBCRAH ~~REBH + DILLY 7/31/01 11'/30/01 40 50 ELLER' YX 76248 ELLEROX 140. TX 76248 No responso to collection offorts. 201 33893 HnKEL 8T JERALD RN LL JERALD 9/26/81 +11/00/01 229,60 NT TX' 76201 I NTON TX 762ol Unable to locate, lot 24768 ARpK8 { JOHN pARKgg JOHN 12/14/00 12/222/00 11130181 2040,05 q 8 INNER ~S19 6111NNER DENTIN YX 76201 DETNTDtd YX 76201 No rosponse to collection efforts. 101 20238 anuAY {~qNSY KE{.LSObrANNiIBT RICKY 7/20/80 7/tit/80 11/30/81 6081.33 k GENTON Y% 76201 DENTON TX 76201 N0 rOSponse to collection efforts, 313, 00 701 31309 HOVBYONYOUVISTA + KEIY%A 77091 NO ~gyNg + K8Y%HA 77091 No osponsolto collection efforts 11/30/81 202 10093 p~7jEbACCCE , STEVEN + BEVLAH 6/00101 11/00/81 18,00 ! t' D NTtlNAMB6R8 TX 76201 pLNT6gACOENANDERS TX - 76201 No rospoOio`to 01'1e6iion efforts, 209 29077 J~~ZEVyALLAq06 wear , VICTORIA 71 6xVILLA01i WfiBY r ANTHONY 8/16'/81 ti/30/01 876,38 WIOViLLfi TX 70067 LEERWIOVILLC YX 90067 Unable to IOWO, ~T ~ { l 201 01574 RUDD6L1. M9l/ RUDY% 76201 D6NTEA. numELL 007, LYDIA 'b¢O1 NO 7/21/82 sgto co11@ction efforts, 44,60 UENNIFER P~ TYgg''~~ g + CHARLES 11/20/00 1!/23/80 it/00/01 85,97 ~ 01 pYL7 HALL 0209,09 C.. 101 241 ~JNFJN TX 76203 DU K~LJRNu TTY TX 76304 No response to collection efforts, 203 0908 d Lrp g + SHARICA L epN , LEONARD 11/22/80 11/30/Bl 36,00 CDDKts 1804 CCOKE fi D NYON gg TX • 76201 DENTONppgg TX 76201 No rbspOnso to collection efforts, 01 30484 H69i'AVPO, APT 6 , TARA HgL~VEEJUE 0 p6 , TARA 6/19/04 li/30/8S 53:60 i DENTON TX 76801 DENYON TX 76201 NO responso to e011eetion efforts. , 201 29393 gja O rYCMpN + LQUI86 I If/20/01 ¢7,80, , rNTPpN TX' 76401 pp D M NN LQUIBEI 4/10/el , ; DRDCLL 9 ~YCOADGLL + F N TX 76201 No rOSponso to Co110Ction efforts, AN i 262 1704/ PPg1 Y LUfi60NNGY ' TODD; pow AVQ% 492 + JANgB 6/04/61 11/30/81 64,00 AU REY YX 76227 AUbA Y YX 76227 NO respOASO t0 01100ti0n efforts. . i L ~ F ~,7•-`bAjg 12/01/81 "11113; F L OW M E M 0 R I A L HO 6 P I T AL PACE 30 t DAO DEDT TRAWER REPORT FOR PERIOD 11/01/01 THRU l1/30/01 + t ppT ENT UMppER W1*rr** PArtgN T NAME #n**rw*** *r****** GUARANTOR NAMC *****o*r DAT E DAYCc DA ANr6 Pp N~MbHR NAMff, ADgR, G1TY, ST. iIP NAM4~, ADDR, CITY, OTC 2IP AOMIT GD D[6CH GATAR0GD tirRIYEOF Of CCI UNT ..r w «.««wwwrw......... w w n.«ww«w.......«w».. « ..:..,«..w rw « ~«r., ' ' 902 20272 ~R%X~~ A~+ EN G8lA4ti8DWARD 8'J6 A~& AV6N EOTATEOEOtdARq 6/01/01 11/owal i'a.00 AR D CLA0 TX 75069 L~~AKK DALLAS YX 75069 No rosponse to Collection efforts, 1 5042 P66 BLSLIIRADFORD 802587 ddJ2~L3RADEHAId ROOGRT 1/14/01 41/30/01 02.25 D NTON TX 76201 pn5{N NTON , TX 76ROI No rosponso to CoiloCtion efforts. 401 29444 NIX APT3 #167' CLARENCETON9 APT 0167 CLAREiNCE6zOl No response to Collection effOrt13001 6'4. 70 7b201 PE 1 • 25223 pB~D~15 ~ BDD p~~DE1S o GDD& 76023NO repo~se ~o collection offortS30/6S 40.00 TX 74083 X , , JAMIE PpID HE119 , CENISE 8/80/01 11/00/01 30.00 203 13047 pITCHTCHOTT X 8 V Y p AUDAeQ R Y TX 7632' PRO RCH 7X 76227 No rosponso to Collection offorts, k 1101, 10811 60 NE VILL / J! RTX 76840 N~~IRLa.y , JETXY 76240NO response Gto Collection efforts 30/tlt 46.00 r CA 801 77353 11U%WOX 360p MANDY 74201 RV T;OX 3602 ~ SHERMAN762otNo 3/08/tji t0 collection efforts, 00/01 6~.b0 11/30/O1 72,75 201 85597 GpUOR%13F6ag , THOMAS GS6 THOMAS t/S1/D1 LAItE AAtLAa rX 70062 Rtt D LLAO TX 75065No response to'c01l@Ction efforts. 201 30090 dym DON pp($ , DON 6/03/81 11/30!61 31. 4D I OLIVAR 114 OOLIVAR MCA T'X 76801 N ON X7 62013NO response to collection efforts, 1, 801 02004T NCAMOR6 R51rXCA 76201QopNrNCAMORfi ' REYXOCA 7620SN0 roa8/13/81 po9e t0 CO11@etfon offorts30Y61 66.05 i 3/16/Ot 11/30/ai 44.00 2101 27548 0QNOIY ~ DAVID AMOIYOdX 407 ' "Y' AVbR yHdX 48`/ YX 762117 AAUbR Y TX 76227No response to collection offorte, ' :01 119652 R~ 0 Y. Nall. RA 9 , DONALD 6/74/01 il/3o/B1 41,25 G dl AaDO DR bb2 WARDO I qA IAI~ TX 76179 BAOIAW TX 76179No response t0 collection efforts, 1101 II141~ L FppWlt i BARRON RAg ZpL np IJ , BARRON 7/17/01 11/30/61 34.40 W 6~1LLf1A #1W T% 70067 LEWIS0U•~CAN 0161 TX 7806% rpsponso to COlloCtiOi OffOrts, i` l 4,} ~ . X11 l1ATEi 12/01/01 11 13. P"L0W M11 M 0 R I AL H0SP I TA L `i A PACE .3q BAD DEBT TRANSFER REPORT FOR PERIOD 11/01/81 THRU 1I/30/e, PA;LENT MUMDER NX#M#NNNN PgrrlI T N MB NNkMNYXNN NNN#MNNN 0tSuARANppOR NAME Na#NXaXX g P X NUMBER NAME, ApDR C1 , JQ, IIP NAMU ADDR, CITY$ Yr Ifp OA76 ppP BALANC$ I, ..«...«..»««.rrr«.«..rr«««._ r "OED w"SYEOIrP OF r«r «r r«r«»«_ ADM 17Y[L bISCNAE _L ACCOUNT Off u UU RO WR Yrrr rr4«A CO 201 01377 CH LDR 830 D SE ' OER71RtUDJ74201 pLURC63E D SE OURTAUDEr/201 No r0 plonso f to 11/30/01 66.50 1 201 27961 R Y 8 , SHAWN p Collection offorts: ~ N7tl OAK Yx 76201 k YNISLSEr AK CT r ANN 3/30/8f 11/30181 63. 90 { 201 20602 JAM LEAH A Tx 76262 NO rosponso t0 Collection efforts, ` BOX 90A r PAM 4OX "A r LEAH 4/22/91 S1/30/91 61,25 VS71N TX 76247 gUSf IId TX 76247 201. 203906NTON TX 76701 nk1~N NO rosponso to collection efforts. IN r M&C INDA p CSRDSLL 61N0 MGLINUA ORDfiLL p 4/12/01 11/30/81 40,7$ 2052 20744 J AHO YX 76w0i no rosponso to collection efforts. IDMOV 264 r VALERIE( qR DM r DOUOLAS 7/25/81 YX 76766 gNg 294 11/30/61 40,'7$ 201 26961 Qg p TX 76266 No response to Col 1cation efforts, p0 DbAROWALK r ARTHUR ~0D DARD14ALK ' ARTHUR 1/10/81 S1/30/01 '54,00 MON TX 76801 UUNT8N 201 20312 gp YX 76203 No response to Colloctlon efforts, ` nO $1692 r HAROLD RRg1tb x , HAROLD 4/10/91 11/30/81 4b, 78 9 ~ ~~NTUN Yk 76201 VitkF,ON 128 g s AL 35292 No rosponso to Colloctlon efforts, a 201 27346 JURVIV6 MHP RT~ 4AL T L0&11`310 pal OSSR RD 023 PAMELA 0/10/61 S1/30/B1 47, 10 J 0 rX 76201 ~ICHARD5~N TX 79081 No response t0 C 1locti6n efforts, 1 79799 Pa r VICKI' R pp bf 8;'NRAME YK` 76201 JEW RAM2 PAUL 5/x29/01 11/00/01 119.00 r Yx 76201 NO 201 23774 response to C0110ot10A efforts, t R 4 {~IUuOOD ' WILLIAM tJgot.I, DOD ~ WILLIAM I L W 8V~LLiI TX 75067 t. W 3VILL 75067 2/23/01 11/30/61 86,00 f 201 28290 ONLDD , DOYLg No response to Colloctlon efforts, s C' C 6U OK 74337 HOVT ppa 0 [EA C&LIVERY IM0484LVDJLIV&RY DD OK L 74337 No r spouse to collection efforts~0/61 63;00 201 00331 R NNOLTQLAB , MARY N T0t~7 762of D LSA8r , MArxIN 76201 6/14(01 11/30/81 3a; 00 R T,. 101 25920 FCoIYaYaN ggASY,bYH ' PATTY H k Eg No rosponso to cottoction efforts ; hR1 TTA OK 73446 ~ARIT7AST 6TH r OLaKO 7344nN0 ros)/Qt 1/24/81 11/30/el 36,00 p005a to Collection efforts, I t:. _ 3 100mm- lam . r DAU 12/01/01 11t SD, F L'D W M E M 0 R 1 A L H 0 B P 1 7 A L PACC 40 rr. p.••{{ NN ppgg tt gNN pp j~. pPPXENTkU+U10ER~ NAME~wApDRpA~I7Yr TAANGFER 1DATF/01 0p7E DATE OF BAtANc BAD DEBT 8T. 21p •ADMITfED DISCHPRGaD NR1TccFfr OF ACCO5NT Y YryyYY ryy YYrywYwY YYNH1 yMw.,yNNYr NYYYyaYYY., e.Y r.YUy .'u....NV. rrYrrr r y YiYNVNYV r i NYYy l 0 F+ 241 27601CCD193 i SANDRA QtCtiQpgQ~3 SANDRA 3/ID/01 11/30/01 7R, 90 1 TX 79036 frRl C i TX 79034 No rosponsa to collection Oforts r • - ,1Upp ~jO~tj yb~ t 201 28793 L "%LGABOBWaoolE TTX 70065 I.A & DAl.1NOSWOOD BA87TXY 75060 No ga pongo to collection efforts, 0/01 59.15 f 201 29290 R6 ~EARDINAL E6 a BRADLEY' bg~g¢ARDINAL 65 MICHAEL 0/12/01 11/30/81 42.05 w A NY N TX 76201 1) NTutnJ 1'X 76301 No response to collection offorts. ~ 201 28966 N1hafiX 26 , BRENDA I 1~EfIOX Rb BRENDA 0/02/St 11/30/01 30.00 SA 0 'R TX' 7622224 ANOER TX 76226 No response to COI1000IOn offorts. C LL 202 19507 N NYbONDONDERRY LN AA//P,~T7 0 76201 MTbUNDONpERRY AP4 pQTktCt762o1 No oospon9e to collection off"60/01 30.00 rts0/01 70.75 201 31'912 R tl~AO FOURYH BT~tC51'NTX 79009 ~~~1NAJ VCURTH BTR6ETA7x1C17000q No r sponso to collection effo11/3 7/01 tl 11 202 26248 D R dDUODE,LL 4119 BON7XE 76201 610'' UGDELL 411' EDTX 76201 No re sponse to. coltoctian offorts0/81 38.00 ~1. 102 20030 1jD'pUDbE44 #119,X9,4, 211. X441 igj,Af$DOELL 11,19 %MrQ~gYp5b201 No response to c011oct on Offo tsQ/gf 494.00 101 27518 D~HANN APT 3 ' MARK R 4ERUDA6LL Nllq f/.MEp AppG 3/10/81 0/20/01 11/20/01 23.90 j ~j 4 Q gqTLR D TON TX 76201 16 TON X 76201 NO rOsponso to collection offorts. pp 4 101 23064CATUkptg~ X db D ATX 76234 DSC1 gCg ATUX 2b FRTXR17623A No'oospenso to colloctton offo tsq/81 109,04 1; ? W9 201 24909 O 34 %obPORp CYNTZIA 76241 11110 E.N ONQaDFORD I CARL p6 TX 76201 NO 2rospOnBso to collection afforts~/81 18.60 101 26322 ' 11 1/04/01 11 jlajnj~ N g b5 n J~uTX 76266 ENKIP 651 C 1 TX 76266 No responsse to collection offo ts0/B1 36. qD TX got 00207 eh6 J68 AURI r BH7XLA 76266. No rosp nse tp collection effo ts0IB1 59. ~t5 Y ° ~A~CBR TX 76266 , s 1V w r., . 44; r DATE 12/01/61 111131 F'L 0 W M 8 M 0 R I A L N 0 8 P I T A L. rACG aI 1 BAD DEBT TRANSFER REPORT FOR PERIOD 11/01/81 TtgnU 11/30/81 rqr1ENT NUMBER NRNMRR##R perrtt NNT MMpp14E #NN####N# N1N####N 0U,3RA rn N'R NAME #R####R# f'RX NUMBER NAME. AODR, Ct~Y, 9T, ZIr NAME, ADDNr CITY, S7, ZIP DAT ppppTE DAT F DA Cd gg pp CCED ADMITT kI7Ed3 F AN D1tlCHARO W ED 01+ CCOUNT 20! 00689 RyANbEX 325 JOYCE TX 76262 ROPRIL 320 ROGER 7G. 68 NO 6/24/6so to collodion effort /61 46.70 201 211923 RVBER8T8 9!2 RR t1xg r JUDY q p RTS r JUDY 4/30/01 pARAA186 TX 76073 pRn~§ 912 L1130/01 38.00 TX 76073 No respoAse to collectioA efforts, 202 22203 RRR$$D NnnSSV 1 , FRANNIE D tJ (7t 1 , DONALD 7/00/61 li/30/9f 38.00 OgN ON TX 76201 • D N ONO 203 4,119 B N13 WpM DA R tl~jN N DONALp7G2ol No 6r~o ~8! 1 ACORN to collection efll 30/81 3D 00 0 ~iA pp p NCH Fi RT T I0X 1 ACORN MMp M ON TX 76201 DEN ON TX 76201 No response to Collection efforts. 201 30291 00014y~ MAI APT 2br at.18rR70 08'1 ROI ELEVERADO 6/13/81 LEWIBVILL TX . 70067 MAi. APT 26 11/30/81 94.00 I VILL TX 75067 NO rosponso to collection offorts, y 101 27642 ptl CE , LARRY R g LARRY gOXb 699 MAIN 8T U0 063 MAIN 8T 3/19/81 3/91151 11/30/01 91.90 AUARFiV TX 76227 AU RC•Y TX 76287 No rosponso to collection efforts, 261 20254 gfiq7gSDR1 Ug Z , ROBERT RnDR I Ugz ~ DCNTO~1p7W00D Tx ~6:0i NT0~1PYWODD MArX 76201 Yo responsso to Collection effo tso/01 90 90 201 30.266 &gpf.Rg r R41 NN RR gg II RTQ9 IiOk 125 TWIN # M R Q9ROOX 129 TWIN LAkbENN 6/12/61 fl/30/01 66 28 1 3086A DENTON TX 76201 pENTON TX 76201 No response to collection efforts, li p QQ 4, ~$$9 RK LANE r J 9 MARK LANE J 6/30/01 11/130/61 12.00 DENT TX 76201 DsssssNTON Tx 76401 No response to collection efforts, TWIN LAK88 ~OX 1 OT TWIN E1AN .2/28/80 4/30/80 11/30/01 90.00 10% 18330 10ET S JEA 76201 OT TWIN LAKES 160 1^0 ggggQ T 76201 No rosponse to collection efforts. 202 10839 jrN RUOX 96 TWIN# dRl$ X Y 76201 ~J%~ AK68 AT 0 60k 4JARRY 6/22/61 I1/30/g1 39.40 QOS 23641 , JIMMY Tx 76201 No response to collection 6ffors5. IONLANO l S RHIONLAND JIMMY ' 11/04/00 11/00/81 t"iN7 30,br, ~ 0N 8001101 TX 76201 DUNON YX 7,5201 No response to collection efforts. r343 911 sRp , 7Cp 4/19/60 9/!6(60 11/30(01 30.00 102 1.2 p ~~V Q , TED Y% 76240 1 5 MEE YX 76,140 No response to Collection offorts, ' ti 7 1 "'tlATt 12/01/9! Ili 1-3t F L 0 W M C M O R I A L H 0 8 P I T A L PACE 42 BAD DEBT TRANSFER REPORT FOR PERIOD 1l/O1/81 THRU 11/30/81 YY. f PpTTfiNY NUM FAR a%MArNNrlf PA~j6~T ~1AML NNrM+rr*a* MrN#aMMr OU~RANTOR NAME *arrrraN NAVE DAVE BATE OF BALANCE OXI NUMB NAKC AdDRP T , T, ItP NAME, ADD R, CITY, S ZIP AUYITT9D DiSCH~RCEO YRYTfiOFF OF ACCOVNT rYY YwwV1w ...YYO~YYYYYYYVf YY......YYYYVY YVYMYYVYYMrw......YYYYwwYYwYYw.. 4Y wYYYY Y Vwwl. V ' 901 01004 ROLLINS i CHARLES RptloLLplNi CHARLES 7/22/01 1l/30/01 32.25 DEPlTONDSON STRUT 9/$/e TX 762101 No'r/22/01 to eollection it/30/a1 43.00 1101 29619 $PNtl00 7 , DAVID DIPjg1~0 7 r DAVID 1 ~_...,ARBD10 T% 76074 AU YX 76073 AqA 18 No rosponse to CollECtion efforts. E J205 4862 ~j9EN CRAWFORD , rIANA 719ANACRAWFORD KAREN 3/18/81 l1/30/01 73,00 {yEENYON Y% 76201 AENTON YX 76201 No rosponso to collection offorts. 206 ' 9968 0gE 7IANA gpRA ARY IIAREN 9/09/01 11/30/01 38,00 ' 0 FRAME 8 N RA14FORD ~ANTON 7% 16201 AMC Y% 76201 No response !0 C0110Cti0n Worts. 204 9062 aJ4YNNRtIODELL N8 TIAT%A 76801 pSP A E IN oUDDSLL 48 KAOEN 7620[ L/06/81 1t/30/Ol 20.20 &5 4Q AA p No Icaponso to collection efforts. 902 90705 JUN M 416A ~ WINIFASD76201 JjUNTRS 416A ' WINIFRGD 4/30/01 11 /30/8i 14.00 TO TX `G TX 76201 No response to collection efforts, 209 15361 JJWpNBH6RWOdD PK ~LVjnOJNIA D NTONGRNARD, K£TXGT76201 2/10/O1 ii/30/S1 50,50 WON . X 76201 Lot A7 No response to collection efforts. 20~ 15361 REWAN PK ~L~TaTiNI401 IgN~ O 76201 No respone to coltootfon effoMtso/8t 30,00 NON 7b DGRNARl1 KE7X~~ e ` C 101 26448 y~qw E , DAVID gIE tl , RODNEY MOM 2/10/Ot 11/30/01 11.90 300YOp 268 N4 T% 76201 ENT~NdP 200 04 TX 76201 No response to c011eetfon 0ff6rtS, 202 9006 DENEO , MY gg E ROMNEY 5/02/81 11/30/81 4i. 10 M NTbRop 289 1}M4 YX 7.6201,• E T NOS 898 qM4 YX 76201 No respanSe to collaction efforts. J 201 20534 g E}~ o CALVIN W L CALVIN 4/17/01 11/30/fl1 72,QO RAYtiNNOt; ROW YX 76201 INTONT WORTH DR NG9 YX 76201 No response to collection effort , ~tQl ; Oi~30Q AMA013CY #44 ' AAU MJiI.ViN 8/13/91 I1/30/Oi 39.00 K9LVIN 1I D N 9 MA(38fiY q44 7620% f i:;'. N70 YX:' 76201 NTON TK {o rasponse to collection efforts.. 701 27940 8ALAA OttBERT ' 3/30/01 I v30/B1 69, so Lw, Y 1`ppNTOSA CHOYAWN . IeH TX, 76201 No response to Collocf,fon efforts. i i 1 DATE 12/01 /8 L 1 L 14; P. 0 W M 2 M 0 N 1 A L H 0 6 P I T A b PAOR 43 F' BAD DEBT TRANSFER REPORT FOR PERIOD 1f/01/D1 THRU 8/30181 Rt POTIENT NUMBER «Nw+aaaaw PATIENT NAME wrwaararw aatwanraa 0uqRANTOR NAME aaawaanw Wr, DATE DATE OF VALANCE.' NX NUMBER NAME, AODR, CITY, DT. ZIP NAME, ADDR, CITYi Br YIP AD1117TED DISCHAROED WRITEOFF OF ACCOVNT Y.. Y.M... YMA.•uwY ~N~Y YYYM~Y..Y~YUM~ Y~ Mw ..1w•...YO... 206 MYY YYY~ 19022 JALARORE , RUSSELL 762o1 VALQ~ QO~Nif , RUSEL 7Ga0l No 3/15/s o to Collection af(ort;. 201 04003 BALSER , WILLIAN ROAA8CAMPORpUND , MARC 10/10/81 11/30/81 98;00 KOAp CAHPOROUND IRALp~Ka DDALLAS 0p TX 75065 LAKE DpDppALLAS TX 75069 No response to collection efforts. .t 202 20901 , ~A1tEMPALL2559 /R6 1162'~X 78065 L pgAdkMDAIXLA259 ' OOROON'75065 No 5response to collection offo ts0/Of 75.60 lot 27169 AN Ep , JUDITH A`N E~ , JUDITH 3/04/81 3/06/01 1'tl/30/81 36 01 3 RN ONTONfiQA7E TX 76201 ~GNTON8gTO3JEOA76 TX 76201 No response t0 Collection offorts. 1 19744 9EN1' MLLA 05 ' BETTY 76201 l0 01 a Lf17ELLA 05 BETXY 74241 No rasp nsle to collection offorts0/81 47;85 201 29696 a2AN%RS , ELLEN AN fi 8 j4LEM 0/31/81 11/00/81 19.00 I 01 PRAIRIEAPT 4 8p50 PRAIRIE APf A NTUN TX 76201 FN 04 TX 76201 NO responso to C0110010n Worts, 1 31698 g9AfNtg1E0CORN RANCH bO1UVLA AANACRA OAN RANCH 8dXL9R0Y 7/25/81 11/00/81 40.00 ; 3S6t4 TX 76201 bENTON TX 7620i No rosponso to collection efforts. g qqgg g , 203 3764 2A?~CLOUISE N31 HaSTCR ~a DG~ 23 HGBTER 4/26/01 11/30/131 43.05 DIi5 ON TX 76201 6D0oE6A TX 76201 No rOSPOn9O to collectIDA efforts- 1 E 1' „ 27416QLRI30X.11RYL ,,LAA 9gah2 TX 76476 OA2N58nILL8E / V[TX[ 76:40 No response to collodion offortso/St 77.00 1 202 10016 ION C~ , R1EA N ERg TppD 4/21/01 11/90/81 76.00 DBNTOppNppOW ' pq TX 76201 EN 01J OX 2R 6HERNObD M~rX 76201 No response to 4011o0ti0A efforts. 101 27295 SA1fHAVEN fiSTA78~ %JL SAKNr50 OVEN lr8TATE8~183IL 3/00/81 3/10/61 11/30/63 75.0 LA DALLAS - TX 75065 L0 DALLAS 7X 75065 No response to collection efforts, 201 29857 pq1o/}A{~98TTY,' 5/31/01 11/30/81 09,00 YpNANTTIS TX 76201 ANH fupgg NO roSpOnso to collection efforts. 1 1 X201 3520')NOOpAMR8A98 6LV~f VtWDA 76201 pENTRbA89 N15 W4 TX A 76.01 NO r7/1001 esponse to Collection efforts . I e y. y ' r 1 DAYS 12/01/81 11:14: F L'0 W M'S M 0 R 1 A L H 0 8 P T T A t PAGO 44 PAO DEBT TRANSFER ACPORT FOR PERIOD 11/01/01 THRU i1/30/D1 i PPPX At1~[[EN7 MD¢R #wNk#kNNN pATj ~T N~11fi NN#NwwwNw *0****#N GUARANTOR NAVE NkN#wNwk DATI PATC DA19 OF DALM1NQ NNUMDE NAME, ADDRo Z1p NAM A13pR, CITY. dT. ZIP ADMIT FD O1pCIlAROEp WII 7GoFP Op ACLUU NT YYYwYY YYwy FYYYYY AYYYYY yYY1Yr1ywY Y,wYryr Y,w.,r V.wYY Y YYwwwrY wr yyr r.YYMYY ww r4.Yyy .YY.Y.. , YVY.......Y. ' 3101 29660 ICHVLT N16 + QSDT% 76701 t) NTON~LLAOS E 204 DB7XA 76201 Ho Ore ponge to Coll ection offortse/e1. 10.00 fOl 20376 OC T CAl.V1N 9DC0g07 i CALVIN 5/10/01 6/25/81 Q -11/30/91 2462.00 TNRUDDELL N10 7X 7b201 DENTdNRUDDGLtN102 TX 76201 No response to collection efforts, l 201 30698 1'& ONES QSOR06 tic OTTRnp r OEORO5 6/26/01 11/30/Al $0.00 SpNOERONEB ROAD 7X 76266 NGEOX 322 TX 76266 No rOSpOnso to c01104ti0n efforts. i 201 30309 IMOGD MRD CAR7X 76201 ~1N0F.~RNARD CHTZMAI76201 No ~esponseo to collodion efforts0/81 68.00 Yr;I I 201 30360 ELP , $TANti(Y F r-STANLEY 6115/81 11/30/131 20.00 MgyCiU11 All N3 TX 75110 aWQ137H APT 03 TX 75!10 No respooso to collection efforts. 901 00310 pp pp7 22 LAU A4YY ppJA 0/e1. 64, 13 L ~$W1 VILI.ETX 70067 15. Sp6WT 9gi AF VILLEP7 22 r RANDY 75067 No response to collection efforts. 202 12840 `NYbNIOUNAA DAVTZ 76201 p~8TONOUNA JOHN 4/26/01 1.1/00/01 18100 E YqYq TT ~1dd TX 76201 No responsn to collection offorts. 3 26694 L i v L1E,~AY OtAC~BDEDTXAH 75067 Llj t'J 11G.tEWAY C1RCL DE7%RAHy9067 No ~esponee to collection efforts1/81 06.'00 101 26334 H PARD , SARAH MA PAR0 , JUDY 2/04/81. 4/07/81 11/30/81 73,16 6Q AaU A8H8UAN TX 76234 WASHBURN R TX 76234 No rosponso to Collection efforts. 1101 45954 ~E 1 1 198 c0 ' JERRY 75034 1 J~UJOLSY WETXON 79034 NO r1/23/1 11 e Dense to GOlloction offorts0/61 3d.Oq QQS 30573 1~aFX 236W r LLOYD TX 79034 19vt c 236W r L4Q X 0 76034 NO r sn0nse to collection efforts/d% 23. 909 27852 un1'~NtlQ340 DRfiTXA 56477 AUO1E~a%02340, r gR7xpn Y6227 No response to tolloGtion 11/30/81 26.00 St01! 10973 N101iR ~.JUAN 7X 76~Oi C6NTONAxE 8HOR1i Nay JUAN O1 NO resNon ge LO co1lr,Gtion efforts, 68.00 Y4 76^. r ' r • F _ PAGE 12/01/01 41,14: FLOW M6MOR I A L WO9P17AL BAD DEBT YRANSFER AVORT FOR PERM 11/01/81 THRU 11/30/31 C P p YrXENY NUMbNR aaarw#aaa PArrIIggr+T NAqM5 aaaaraaaa aaaaaaa+ OUARANYOR NAMSwa+~a--a"y ADM RED DIGCHAtItlGd WRI7-O- OF aAAC OVNT PF• NUMB: NAME. ADpR, C17Y, $Y, ZIP NAM ADDR, CITY 6.Y~~~2iMP--, _ . w - MMw YY 1 YYV N~.w Yew. r------ 94. 40 , YtlLANDA 8!15 A , JUAN ,/Oq/81 9/17/81 11/30/01 l02 293151 g bNNYI)ER D # 9NYp6R TX 76201 d E TTT TX 76201 E dN No to collection offPrAO/01 80 00 201 319156 ~MMtltlN9 RUSSELL R11,12 9TRAtL RUSSELL /~~B~~Y LEI ALR IETRAIL TX 79067 LEWILLti T% 74067 No responso to collodion efforts. g `L , ZGLLA 11/08/00 11/30/01 42•60 VJL 201 3725 Q Qd COYY DR TX ZELLA 4OHOYT DR a T 715201 70N TX 76201 No response to collection offcrts. TONY 4/19/61 11/36/81 92•x15 201 28579 S18~Nno% 730 TONY R9RISq"qEX 730 TX 76201 No response to collection offorts, s UNTCA TX 76201 DCNYON 201 27332 811j1pM0R JASON NIOMdR r JOY 3/097S1 ST/30/81 67.40 9 R f pd 36F TX 7609f ORAf~GVTNg36F TX 76051 No responso to collection offorts. ORAPLVt E. 202 2870, %j1BO7 16 YAM7% %G226 ~ bY"BT 16 JACKIE 6/26/81 Si/301f11 35,00 { YX 76226 NO responsO to COllection efforts 10/06/80 11/a0/S1 45SO SS 201 22647 SANDRA 1 WILLIAM T 4Q?1L 5CO9TH 8T ~,{1as 0tH ST 7% ' 79434 R 7x 79034 No responso to Colloctlnn efforts, bd i R a DOYLE 10/09/80 10/11/04 11/30/PS 69.00 T M0 tgHOXx . i 101 22762 DGNTtlN 682 AH 1YX A 76201 D N N 652 IX 76201 No response to collection efforts. d BRIAN 7/14/8: ft/30/D1 62.30 201 20479 4 dWEBYWUOD BEVERLY SaMN O Wt19TW00D GG N Y% 715201 D~ff W TX 76201 No response to collection efforts, q6.75 1 26701 aa YCLOOINB, CYN7F{CA 76201 588TH CY7NH1A76201 fl0 esponsallo collection offorts 11.1/36/01 N ION X 11 /30/01. 173.60 DALTON 11/29/00 ' Ap g DALTON 241 24276 YX 76201 T~NO TX 76201 No responso to collection efforts, N5 a t t f 0 3 /ao/ds 06.0 DB~TO 1S14 RAMS , DAWN DONALD 5/14/01 201 29367 9MIqH ' fSMT Hpp LflI f•NAME TX 76201 D[i{~TtlN 7X 176201. No response to collection of forts. kN ~~yy ;,DdNA~.D 7/06/01 1l/30701 19,60- ~ ONO% 279 DONALD TX715201, No responso to collection efforts. 20~ 2163 y H 7X, 76201 NTONO% 279 N w ~ `L if` 7 bATR 1,2/0! /8! i i i 14: F L O W M 2 M O R I A L H O 9 P I T A L PACE 46 DAD DEBT TRAN9rt:R REPORT s:OA PERIOD 11/01/01 THRJ 11/30/41 I PqqrrPF>~6kT NNU rtrurrrtrrr PA (gN T p14$ rtnrrtrtrirtr arrtrraA* 0UAAANNTOR NAIIN *******0 DATCC• ppgqTgg DATgg F DALANCE NUMDERMµppER NAME,ADDR, ~t7Yi 87, 2IP NAK9p ADDN, CITY, 6T, TIP ADMI77$D DIEDAROED Wn1TGO F OF ACCOUNT YYYM.Y w,•YYYYYYYY~wYYYYYYYYwYMwYYY•,YY,wY wYYwYYI w..MYY.YYYY/YYYYYYV..Y Y~wY-Nww YY-YYY YwwwY,MYY MM4Y4wMMYJ 201 20740 M~TJALNUT I &OITH ~pMplOT ALN'UT , KELLY 4/24/81 tl/30/81 19.00 f,..., A ~~N~ R 7X 76266 s NOR 7X 76266 No response to collection efforts. 11/0 RO! 27716 fl N N 2441 HELTX 76201 M%HW 2441 HETXN 762A1 NO efporg0 to collection offOrt0/81 49,21 11 202 10096 §6N~'W OAK APT 201JAMtX 76201 DENltlN' OAK APT 201 JATK$ 76701 Nobospon8so to collection @ffort0/91 39.00 r 88 101 30550 5Sn/7Hg 0q NtiT JADON t9s~jb~FieeAqRNgT , DAVID 6/21/01 6/23/01 11130/01 92,96 OA NC VILL TX 76240 DAINE5'lkLH TX 76240 No 110sponso to colloctiontofforts, I I 201 27850 F9MplYUDHX , ""'N ppM0;tp1ufR I AMELIA 3/27/91 11/30/91 69,00 DENTON b52 p 7X 76205 D8N?tlN 652 TX 76201 No responso to collection offorts, 14/0 lot; 4949 N OY~kOT D OOLDEN~ T~1A OL6 762264~OX 1034 ' AOTX 76226 NoOfpn 80' t0 COl I Ct10n effort G/OS 04.00 5 1I 103 9049 91MI7HL , 7N1A %L H NY 9 I JOHNNY 3/16/si 3/18181 11/30/81 55.82 ARbYL60T D OOLDEN E 56226 gpM1V0 1034 TX 76226 No responso to Collection offOrts. i 29736 AMIJH O LIOX.1500 LINDA to Collection effort It/30/el 7E, 00 AX TX 76226 AID DO, 1530 LITXA 76226 No gosp 120/01 ,..1•...209 1304E J~Ijll APRICOAN #313 MARTIN 76201 J6NT0NAPRICORN 033 TAMMY 76201 N$2/27n05o to collection Ofli/30/91 39.40 h C. 201 7036 ItINJUAUD 1 SH"Y".:-TX 76201 &NT0N6$D I 9HTXY 76:01 No rospon8so to collectfon'offorts,/81 181 00 l 201 3!633 gRT1 H 1 TOKMY BRMfIt4H , TO11MY 7/R3/Dt 1l/30/i1S 00.00 D4NTUN0X 175 TX 76801 D&NTDNOX 176 TX 76001 No respunso to collection efforLS, 1 202 10047 H T I TRACY ~iM11 , DOIIOTHO 340/01 11/30/01 61,.00 1 sop ARAN09N TX !6620 RANDRN TX 76670 No_rosponso to COI14Ctioll OOOV s, 0902 25765 IpgitATHHg7~ i WANDA OSM1RTNg5 a WILLIAM 0/31/91 11/30/O1 39.1 b t " ~GP TX ` 76201 DE N TX 76201 No responso to Collection efforts. t $ I y ,1 DATE 12/0t/St 11; 14: F L 0 W M E M 0 R I A L H 0 8 P I T A L PAGE 47 DAD DEDT TRANSFER REPORT FOR PERIOD 11/01/01 THOU 11/30/91 P TlBNT ME~UMppER Kwxrr~~rr PAr(gNT N ME e+,+~Mnr~n* er♦au+*ar 0`x1 RA J7tlR NAME a Ana*ona ppA F Dr11TE DATE OF DALA`JCE pPX NVMG4R NA11E, ADOR, CITY, aQ, ZIP NAME, ADDR, CITY, 4 , IF ADi1IT1'CD D18Cf{AROED WnITEO~'F OF ACCOUtJ7 - 5201 20066 gN2gD + THERESA 9NE5D + W114DELL 4/02/01 11/30/81 62.50 21 RAVE HILL 21 REEAV4 DALLAS r% 75227 O KLAAB TX 73227 NO rosponso t0 collection efforts. 50 205 23009jT ITH LGT 19 + ALOTX 76205 DS1~TpµITH LOT 10 11 EV7XYN7620S No oosponlso to collection effo ta0/81 32 50 C 11 201 26446 IiND ITH LOT 10 PAUTX 76201 ~S~NTC) LOT 10 PA7X 76201 No rosponp0' to collootioo efforts. 63.00 901 27241 GE ggnn a{L, I , EDWARD 1 EDWARD 0/06/01 11130/OS 71,73 g 73~ FDNTRE ~ QGNTAO i" DALL TX 76200 ALLRb TX 73209 No response to collection offorts, 1 27014 g is SUSIG gpEl 5USIE 3/00/81 - 11/30/01 20 00 1 9 a4J WALTCRO 12~ WALTBRS L WISVILLti TX 70667 LEWI VILLE TX 70047 No rOsponss'to Collection of farts. 1 30103 p Tt10N 073 + MARIA p,162 170 MATXA 76002 fio re.NonOSO to collection cffort~0/91 33,00 F ISOO TX 75034 Il CD 201 27691 gO~YWARPg , MAROAR11T BpOWAt1Dg1 DANNY 3/21/81 11/30/91 44,00 ; AiTt0OL2Q% 153C tgTLX.L 767.26 lIlITL N C ROC1i op AR 72116 No rosponso to collection efforts, j' 202 27405 iIL 7~P0INTRCH P. S,90x XbE 76250 PtI.bTDfO[N7/Sl1N CURCYX 762011 No aoslponee to collection offorts0/W1 33.00 1 961 00111 p Lgp2 , TQ tt Lf18 RIC 6/0.5/81 11/30/91 20.00 gP SLg 44 PT, WDATH DFIVRE 2 1 4 FT, WORTH bAI~E i ENTONUu TX 76201 0LNTOKN TX 76201 NO I'ospOnso to colloction effcrtS, 202 8907 Poo CNORMAL + SHERI' Oi vONORMAL SHECR1 3/143/81 1!/90/81 38.00 ' gN ON TX 76705 tENIONN TX 76201 No rosponso to collectioA offorts, 201 26390 TON , RANTX 76201 DpPONOLIVAR OETXAN 76201 No res0jonseo t0 collOCtton effp Cstl/Et1 45,00 DOLIVAA N909 20226 p8pLLpAW0Np h,y pUDY FSFPL{tlq,AWPJ Xy( OERALD 3/05/01 11/30/01 44,30 6AftLDpA416.AA/ALAMO 8T TX 111111 'X ~bALLAfOlG/ALAMO AT TX 7ti0G9 NO rosppnse to col lectioU Ofaarts, 90.1' 04111 AL,AIJ~J I WILLIAM ' 01, AWN + OI30ROIA :/09/01 tl/30/01 77.00 I r, UPON 01.lVAA TX 76901 pL'1'ON01.lVAtt YX '16201 NO r0sp0ns0 t4 collection OffOrts, DDu~rNvr 1 i i is 1 I 1 i r DATE l2/O1/8S 11:14: F L 0 W MEM0R 1 AL HO0P i TAL PACE 40 DAD D90T TRANSFER REPORT FOR PERIOD I1/01/01 THRU 11/30/91 ppT11ENT ~IVM ggR •r»+rRxrrN pArr gg~~T NNAM[3 rrwr +rrM* NrarM+~nr OUARANT R NA115 *r»awauM DATL DATE DATCC• p DA``ANCE OFX NJ14DR NAME. ADDR+ C~11'+ 8T. ZIp NAME, ADDR. CITY. QT. ZI1 Ad11IT7GD DIt3CNARCED WR[YGDF DF_ ACC NT rYY •MYMMM wY Yw .NM NNtirrYpw"MMwMNwrwrNw w-N- rw.N r.MN. W r-Yw-Nwwr-NN r-rrr +N w Nip ti NrWN N 1 ggHHtt ppRRggNN 7/1 6/0 206 4073 f13000NALRL99AOCW N1221815T%fiY 76201 OPONALI.MEADOW N81210UTXLEY76^.Ol No rospon 01 t0 colifctton of ortsU/01 41,25 101 26618 ASTALL6NOX02q i JAMES ITA{LIR121 JAMES D 1/12/91 1/14/Sl 11/30/01 90. 33 RnADUREY TX 76287 AUDREY TX 7627 No response to collection efforts. 904 6108 jT~NLQEWOOD CHRIOTOPHE U1~N~ENODD + KATHRING 3/26/91 11/30/01 87 70 IN TX 7620L DE TN TX 76201 NO rOSpons@ to collectioA efforts. 11 201 28880 J~T LE%ANDER OHATXN 76701 D NT IAXANDER LU7X 76205 No responsolto collection CffortsO 802 20279 / 1 Al 00 t 4 IhENNl1tlLLSTRE6T ' MICHAEL AARCKEWAN + MICHAEL to/8t/00 11/30/01 243.30 r, LGWTBtVII LE TX 70067 L6W10OR& TX • 70067 No response to collection, offorts. / 201 26243 RgIAR1NED + MAR0AA9T 2/OS/Ol 11/30/81 69,00 nUGREYNX 069 TX 76227 No response to collection efforts. I , 203 10846 ggrrA'{ E0 NLOCUST + ZACHARY A tggQQlER LN + ZACHARY 5/08/81 11 N U 11/30/01 99 30 it7 ON N TX 76201 PEN CI V I NNgg' N ON TX 7611.01 No response to collection efforts. 102 6939 ~304H~URTHrm LAND, JANAE 30pH~fGATHER LANE , DENNIS 4/18/131 4/24/01 11/30/01 26.10 88&NTO AATTT}X 76201. F~N1'D9~n apTXY 76201 NO response f to collution offcrts, I f' 201 01076 j ~YQNSXECUTSVIt M~IpKL6YS 7620t ~ITf TIICUTIVS MHP 667% 76201 No rusponse to collectian afforts C~S1 134.10 1 76260 p CATURB + MARY TX 76234 D C TURg ' MARY YX 76334 No response to collection afforts 0/dI A3. 38 7/0 ' 202 24121 p ~J10~IRNARO NDb ' LLpTX 76201 DgNTON;% 1002 ~ LLTXD 76201 No rospon el to collection efforts C: of 91.00 1102 00909 ~TI~OOfpp i OINDY ~~2~4~~ + DAVID 6/81/01 II/30/01 431M0 T d0X 979 X 970 EN~iON TX 76201 N ONNqq TX 76201 No response to collection offorts. 11 201 31444 jj'~"JDX .97'3 ' DAVTp 76201' fUN~ONX 973 DATXD 76201 NO I0SpOn1e1t0 collection OffOrt9,0/D1 40.70 1, . . Tj~.__ ..,....~....~~N...~..e....w.v....N...«ur•. ........N..urrY~ww7tM~dWt 'i: 1 1 1 DATE 1:/01/81 11 19; F L U W M Z M 0 R I A L H C S P I T A 1. PACE 49 DAD 09DT TRANSFER REPORT FOR PERIOD 11/01/91 THRU t1/30/01 r PATIENT I~UM R «k«wN«M« PATIENT NAME ««k«M«eu« «M4M«a4u OUAqRANTOR NA119 DATE OATF DATSi OF DALAN89 PFX J UV NAMGI AD9RI C 21P NAMCI ADDRI CITYI 0TI ZIP ADMITTED 016CHA120Ep WRIligOPF OF ACCOOVNT Mtiw rr-rrw .nrrwwwlrrr...Yrw~Mlrrw rwwrrrrrw. rr~rrwi wwwrwrwrrrwwrrwrw itrwrrwr rrr r wMw..wyrrwrll 202 8211 TTr12SCN I CHARLYNNE R9IT,I 80N WAYNE 12/30/80 11/30/81 194,09 f110C0 TX 76201 FRI Co YX 75034 140 response to collection efforts, 201 8522 qD QT TZ~AND CHRTXTO76201 D TO~60 DONALD 3/26/8) 11/30/01 38.00 YX 76201 No response to eolloctlon efforts, i 201 30173 p $T~~NNYN CHA7XC81 76201 NY kIV+JIN ' CFIYXLE876 41 No response i to collodion of forts 0183 65.00 101 27408 7T7ONE . JOSHUA TONER DALE 3/12/01 3/13/81 11/30/01 36,00 EN74~0X 483 -YX 76201 KJON,OX 403 TX 76201 No response to colloctSoM efforts. 201 28987 87OYANOVI7CH ~AN TOYA' VITCH DAJq 9/02/81 11/30/81 47.00 { ATO~L~% 300 OLD RICFIARhON7Gi:26 p~L 3X 300 OLD IIfCHAft%Oa76226 No response to Collectlon efforts, 001 21752 IR;OpApUIIVfiRHVISW 1~ KENNETH flAVRI~VGRHVISW 12, YHCRESA 9/06/00 11/30/81 40,90 ' ~1V1N YX 78060 IVIIJO TX 75060 3 ggr~•pp Iglprq% c~ No response to collection efforts) 202 6476 19KLAND NLTXg 7tlOb8 (tTT{SGLELM NEYXIE 76298 NO response to collection eff0rt130/8l 681120 t 241 25684 U R I VIRGINIA U R JAMEO 7/09/81 11/00/01 67.00 E jjAjOX 1046. TX 76741 jj%1APRICORN 09 TX 7A201 lp~j' 0p RR33 51 LL!1 tN No responso to collectioM offarts. i 201 31527 1AKCDAL4 AgR ' CHAP%E8 6P 70060 LAIac6UALABp CH~XLE879060 No responseS to collection efforlts~0/0t 46.25 207 13340 JQBAJ(RDINAL C4 / JAMES ~~~3A~~RDINAL C4 JAMES 0/19/81 it/00/81 771$0 ' NY~N+ TX 76201 NY TX 76.ry01 No responso to collactSon'Offorts, f/Ci0/OS 13150 ~ 1 09030 jgjA H100D i VASLICA @1110000 , OAMMUCL 0/01/81 1 hNT N TX 76QO1 ENT N YX 76201 No response to collection offovts. 901 02194 7 LAMANTE , MANUEL ALAMANTCq MANUEL 0/10/01 11/30/01 70,74 i a ax 54 4T fax JDa ANOO YX 76266 0AN0li TX 71,^266 No rosponio to CO118Ction effort. { 1201 '00070 ifi~1ON TX AN96ROUILY 1,T" ' 76201 ~Pff LRV.ZRDZ OT MACAAV9000U NO r spoI1S0 it0 C611COt10n It/00/01 03,00 n I i 5 "'''DATE 12/91/81 11; 15: F L. D W M E 11 O R I A L. H 0 0 P t T A L PACE 00 BAD DEBT TRANSFER REPORT FOR PERIOD i1/01/01 THAU it/30/81 LANCV PAAT R11T NNUMOp R MYaaaYYYY PArr T NApME YYYaYaaYY iIYYYYN•fY OUAqRANTnpR NAME YYN+tY+<ap PATE DAprrgg DATg F BAACCOO PF NUMDE NAME, ADDR? C~ , 0Tr x1P NA119, ADDR, CITY , 8T. 21 P ADMITTED DSBCHAROED WRIfEOPF OF ACCOUNT rrr rr_... ---r-----r---- _-._r-,.--------------..----.---r... 201 20060 JOHN tAg0~OMILAN JOHIt 4/20/81 11/30181 90,7y ARD TX 76859 tlUSTON TX 77008 No rosponso to collection efforts, 1 01084 MPLETELLA APT 6700BG16 EMPLS DOD 6/82/01 11/30/81 65,04 TX 76201 1 B D N 00%NSig TER R D D NTDN T% 76801 No response to collection afforts. , , gT 4 I1 X a1gq1 ENTTEOLLA FT t3y 01 11/34/81 30,40 202 113x0 SNTtl11 N , TX 76201 DENTONpxutlp TEARY 76201 No respon o to collection efforts, 201 20669 MAg r JOHN D AANVT4~HIP CYNTHIA . 4/22/81 11/30/81 40.75 pp~ ONAMEB 7X 76201 tl 42W T% 76201 No response to collection efforts. 201 31454 JHOMPSNDERW00D ' TRACY 3OMPBONERW00p TRACY 7/19/81 31/00/01 46.00 0 T pull EgDpTX 76201 DCCNTON TT T% 76201 No rosponso to collection efforts, 201 30911 NTONpX 42 MAYHIZLTRtlT% 76701 N,4fp,OX 42 HAMILL Rp %Y 7620i No response l to collection efforts~0/dl b9,29 I 201 29945 1E N,SIOAVE A 05 r RICTXY . 76201 DBNTONVE A 03 RCT%EY 76801 No osponsolto collection offort00/8t 56, 00 201 74001 IY R6N , JOHN M R JOHN 1:/20/00 11/30/81 16.00 TOJTTI$ TX 7620! MT ~jTTi6 TX 76201 No response to collection efforts. 2011 29582 jjt~UN N RUDDELL NSbBKM1RY 76201 JgA1 L5o1GEtId00D DAT% ID 6/20/ 76240 No Yospons0o1to collection efforts, 1 27221 TpMARII.I.Q r DAN7kL 76201 n~13~T~'OARILLO DIANE 76201 No resoonto i to colloctlon efforts0/SL b9. 90 903 9090 ~iJK~j RppRp'App`E r CLARA K A2 r FREDDY 6/10/01 L1/30/et 01,50 PILO PQSNT TX 76250 LO POINT YX 769011 No rosponso to collection offorts. ROl 2984E W , DRONDA ~1 Nrrj~ BOMA 0/31/01 11130/01 30,00 TONOS Tk 74201 UIfa'~TI]NItD6 T% 76901 No 1'esponSO t0 collection afforts, 0/0t 19, 50 1142 2131311 AND1CMONT r JOH7k 76201 N14pN OAK WO 'JpTk 76201 No i osponsolt0 collection efforts. i 4 1, d 1 I i i I "-""GATE 12/0!/01 IIt10: F L 0 W M E M O R I A L H 0 0 P I T A L PACE 01 BAD DGOT TRANSrM REPORT FOR PERIOD 11/01/01 THRU 11/30/01 , } PpTIEN7 MUMppggR aaaaaaaaa PAr'p]gg 7 NpME aaaaaaaa+l aaaaaaaa 0uqRANTOR NAME asaaaaaa pAYg DATgg DA G QF VALANCE Pr% NUMpEA NAME, ADDR$ CIT , BTr ZIPN_AMgr ADDR, CITY, 6T, ZIP ADMITTED OIt3CHAR0El) WR Tto}'F OF. ACCOOVNT . . .....Y MYwrrrrrrY rrr•wwrrrrr rrwM .nrrwrr+-----MUwrn rwrwnwrr rwnrrr-- r-YYwrw.w wwti✓rw~yrYr 1 ,902 10230 UUYNYD~R1JIITE CHAPGLrRMACHAGt #D6RW1{T E CNAPEL hapgTHY 7/30/01 11/30/01 30.00 1 RtlANOU TX 76262 ROANOKE TX 76262 No response to collection efforts, 141 24108 11~ response 11 0to co12/03/00 , llection effort 30/01 04.90 FlfiV Ox 311 AVEYXN 76249 KIIEM511 WILLIAM 703 1326 IIRI~AYI,tDEZ 27 LAKM~HUAR E gVAT4 LAKE BHpR RAAYMOND 0/23/01 11/30/Dl 69.00 D&f~TON T% 76201 DEN ONnN T%. 76201 No response to collection efforts. 201 31480 pb[W18V1L16 121 APi` go}y90b7 l.fJJSS~ LLE 121 APT`11aATKEp79067 No respOnsolt0 collection Offer Sao/0! bit, 30 103 21000 LYA.gqD UODGLI NlA4r WANOA Yp 4YA3DDELL alba KENNETH 3/10/01 3/10/01 11/00/91 21.00 p 7a TX 76201 OENTam 79 76201 No response to Collection of forts, 201 30941 1~J/ApN.RR , MICHAEL VVARNggpp MICHAEL '//02/01 11/,90/01 6.1.00 bD0 ~IIAMMS G00 CFIAM0018 O'NT N TX 76201 DENTON TX 76201 No response to collection offorts. 201 00017 fflO~LH r EVARDO ~ASQ Z EVAROO 6/2'0/01 !L/30/01 40,75 ; ENT N TX 76201, DENT IN TX 76201 No response to collection efforts, 101 27678 73~ 58NOONDERAY 012&HOTXE 76201 ~6 4T&9NDONDERRY a1:16THT11A0 76201 No rer.pnselt0 col3195181 t lection offorts~0/01 241,60 ' 0 201 31640 7VyR r MINNII WA~ g MINNIE 7024/01 11/30/61 61.1 50 d~l7~N01TY API 0111 TX 76201 ^~EN~01tO0INW0OD TX 76201 No rasoonso to Collection efforts. 20t 30200 4gAApLD6EN r 49139 MA ~NRODER 6/11/01 11/30/01 96,00 P1LM PY TX 76200 T TX 76200 No response to collection efforts, T WORTH DR p MF~ NOMAD 010 JO ANN 7/17/C11 13/30/01 07, qA 1 202 16002 R0902 JA bb9 la 3' i TX 76201 DU TON TX 7601 No response to collection of (orts, 201 70236 4 t )UANITA WA KE'R CAGAN , OUANITA 4/11/U1 It/30/111 03.00 ~padpp gAOAN 1180p gl4N YX 90499 ~DLU YX 94949 No responso to colloction offorts. I 711 11/ n 201 31364 ~QN G +j EX 410 : ROA %1• 76266 AN cnIS9 416 VU7X 76:66 No responsclto collection offerls30/01 32,20 • f1 ~ n 1 j y Rime, y F L PAGE 92 ""'t1AT4 22/O1 /01 111191 OW MEMOR I AL H08P 1 7 A4 A DAD DED7 TRAN9FtiA REPORT FOR P5RItl0 11/0f/Dl 7HRU 11/30/01 nA TE0 ppA fi T OF OALANC~ ^^TrrED pS_BCk1_- SlR »lTEOFF t1F_ ACCtl NT ADMIT Y I~I .aaanaaaar PATlSf6VT NAME aarra~raaa arxaaaaa OU RA TOR NAME aaa*aaaa ARCE ti PaT%ISNr µµunDeR _ » _ . » In » _ - PF NUMOER NAME, AoDR, C T OT. ZIP-.NAME, AODR, CITY, -Y, Z1P 1 E NNETH A/09/01 11/30/01 1201 20166 W``hRpgg pDERNAAD/PO AkXp2ENqDA jgRgDERNARD/PO DOX 27 TX 76001 No response to colloctlon efforts." r pENTON 7X 76201 DENTON 11/34/81 18.00 JENNIFEA 9/01/01 JCNNIFffR R 203 13206 ~A nnx 990 O ~ DOX 999 TX 76201 No rosponso to collection efforts. EN ON TX, 76201, DEN ON 7/10/01 l1/30/01 76.00 i $p Ip f RpSS Iqq YIOL$7 60803 BpAtNQFfELUNO 110 68003 No rosponso to colloctlon efforts. 5201 31240 g lloNOFSELJNO VIOLET 9 E THOMAS qp THOMAS 1/02/g1 a 11/30/01 60.00 Np 201 20310 ~fl"NOD 9T 7X 74266 ~ANdN ®T 7% 76266 No rosponso to collection efforts. f I M1/20/Of 11/30181 C,;. 00 1201 28880 &I ORATX 70467 fiWBt OH oN TX OAADY 7(1017 No response to colloctlon efforts. , 1 IOLC E Nun ,p1 KENNL~711 0/16/01 11/30/01 03.05 " „ 201 21423 NTt1 0~R49 KBN7XTH76201 WATC10lAYhUN 07, TX 11 No response to collection efforts, ~i 9/43/81 1tlL~0/BI 04.;06 WrBN , THGOTIB NON UQCLIen efforts. it01 20194 , 9HUNTAL ~U} fr+ MILLPOND ND response to COII 1 a 8 ILLPpND TX 76201 TX 76201 17.00 tt1/30/01 WILLIAM 6/29,181 202 18641 WNThIF7WOOD WtLYXAM 76201 ~J;N' (11"1400D TX 76201 No response to collection efforts, r oafiLfi N 18;L(109 6/90/01 1t/00/O1 92.10 201 30937 LWt8V1LB~EGtt , CARTX 70067 L491I8~14O r CATXA 79017 No response to 0110000n offorts, 9/19/01 0/22/01 11/00/01 00.79 107 9866 ~ 11~~ALLAB P9OOY EQQpynpA 6~t g H TX ICKCY 75060 No rosponso to collection offorts. TX 70065AKtL DALLAO 5/02/01 11/30/01 '60,60 tulSLLI6 W rRnVIO 901 89185 ~pS/ t1Z pArrf=~}R11 TX; 76247 ,njr~~~/112 PATTPOhD TX 76247 No rosponso to c0110ttlon offorts. 36400 t/17/OS 11130/fll 1) MCK6 ! 1C No responso to colloctlon offorts. AQ1 29781 L6 LKNA GBWISVILL¢ T% 79067 11/30/81 40.00 JUDYATp3 JnMaa 7ro1/91 1 1 1602 D2 6 fX 76209 OlCR6 T% 76209 NO rosponso to C011octian efforts. R u . k I , ' DATH 12/01/01 111 ID; F L 0 W M E M O A I A L H 0 R P I T A L PACE 53 - DAD DEBT TRANSFER REPORT FOR PERIOD 11/01/61 THRU ti/30/01 PAjj9NT N'1MDER 4Nn****+t* PArjqYT AME ****r**** ****r*** QUARANTOR NAME ****r*aM pATCC• DA77 DATE CF DALANCCC PFX NUMBER NAME. ADDAi CI'P Tr ZIP NAME* ADDRi CITY. ST, TIP ADMITTED DICCHhROED WRIY60FF OF ACCGUNT NNM ....Nyw ~dNNyN.Nr-NNNYNMN uuuNywyMN".VMNNyYN.wwNryMNNUhYNNrV Nrnwwruy uyVwh--- Nrurur-- V 201 20026 Wg66DT AMEN4 LGILA MARINA DR A9 ' JOHN 1/09/01 11/20/01 42.79 FY 3WORTH TX 76110 Y WORTH TX 7613D No response to collection efforts. 201 31594 gSj00SQKI192 CUE 641`13§8291192 , CUE 7/42/61 11/30/01 61.05 N ON TX 76241 DEN ON TX 76201 No response to collection efforts, t 202 16981 OTJYfYLARK + DEBRA $NT ISYLARK 7X DEBRA 7620 1 NoaesponOSe to collection efiortso/01 40,75 NT TX 76201 ~N~ 202 30327 ~yl EDOX 3530 , KELLY lJH1T4T JERRY 6/17/01 11/30/81 04.25 RT L~ DOX 2D3C AUD EY TX 76227 AUDREY TX 76227 No responso to eolloeLlon'efforts, 203 26032 41pHp4YPIILQ Y6 , KIMBERLY WF1~07FNIEDDfiL4 N12~ KIMBERLY 5/02/91 1t/30/01 27.00 + 1 DFNTON TX 76201 RUA I Up TX 76201 No rosponso,to collection efforts, 200 20632 N ONT~LLA N24g ' KIMr%RL7620I. j(i 1NE UDDQLL H122 KITXER7G3D1 No r0 pea o to collection after$0/0S 42, 94 / '202 23202 WIKOLg RUDY WWUtL 0 ON RONALD 5/07/el I1/00/01 43.150 R'. 1 YOX M. RfCf Cp~jX 766 AVDREY TX 76227 AV BR Y TX 76827 No response to eoltoction efforts, I 201 29470 Jl LDGDtlX 80 A ! DILL g4RKID4X 00 MAROE 8/tO/01 1!/30/01 03,50 ! { III A OLE TX 76226 ATAOgLi M TX 76226 No response to Co110ctloA efforts. 201 30601 N O ~YHft.L , JONTX 76201 pkijWX 490 JO TX 76201 No b/25/01 to callaction,effo/30/8i 30.60 z I 202 1134 lttIlTL1dI~Q 51p CNRIOTOPHB ~grRCAS~OX DSF CHRISTINA 4/24)[21 11/30/81 36,00 DRNTON TX 76201 DGNYON TX 76201 No rosl>onso to collection efforts, 201 22761 ll L 0AF , DIANO ~i1 LAMS~j STEVEN 10/09/00 11/30/01 04.60 A ~ A4LA4 YX 715065 Allh 2ALLA13 TX 70076 No 1'05pD1150 to C01100006 efforts, 201 245012 E L /Ap,MBY 1 MWIN jjj LIIIAMOY MARINN 12/06/00 11/30/01 73.00 N7t1N TX 76203 T0~ YX 76.01 110 1'0.1101150 to Collection or(ont, 20t 26661 tN{, IpONMgOE , M6ALQ 2/16/01 It/no/al 09, 40 Dt~tl~ I~ NTO TX 76202 No roslronso to collection efforts, 1 . i ' s 1 , l r PAOE gq .,.DATE 12/01/81 SS; SO; FLOW MEMO R I AL HO BP C T AL F AALAk A; SAD DGDT TRANSFER RGPORT FOR PERIOD 11/01/81 THRU 11/30/131 n~7LbOF OF ACCtlUNT ♦MAAA##AA FA T N ME 0*AA#u# #A#AA#AA 0 ARAN? R NAMEx #MA#A##w DATE yg ...»w`ww TT N ppgg rr ggkk qq VV a /,OMSTTLD D18CF1AR OC0 AA wwww P/~AFXgNTNUMDNRR NAMC. ADDRP CITY ST-MENAME, hDDR._CITY. ST wX1Pww_____ »ww» »»w ..r.. .wwwww wrr«.w-w-w w.wwwwwww» w..w ..w.- w-'w » 1 28426 . 1i/30/81 14160 JA OMA pW1gL~1pA(Mg14 OMA 4/13/81 ft YIUW , TX 7&272 VA4L4Y 3V1EW 7X 76272 No response to collection offoets. Y l1/30/83 G8 00 DENTDN C`OHCLIA 6/27/81 `p,t~ HHF%DtIR W l~MjL~p$tT}HL N11 FT WOR~fH 201 30741 NTOEi SAPT 11 FT' W~RT 76201 DDENTONMS TX 76201 No rosponso to collection efforts. it/30/81 56.00 ' tI`L fA14Q RAY110ND lb/^.3/tl3 TX 7&201EfhTOtyRuH&N ARROW ROAD T% 76201 NO response t0 collection efforts, 202 12847 W LLIAON nRMSK&N ARROWRAQDCCpoTT 011 forts, 8 1 89; 38 11 rN FRANK 0/31/91 T% 76201 t,0~31iPOINT TX 76299 No rosponso to collection efforts. 44. !10 242 6960 HNTkepROLL 0205 ' UNA pJ % ~jaAAMptlNN WqW LL 3g l/17/111 ti/d0/8l 70227 No rosponso to collection efforts. 201 21776 &IS'FOVOdD , CARTX 79227 p Lt.Atl0991J0OD CARL hI~ CcN}1AA L ` 3/31/01 11/30/01 19.40 l AIaA A/~8 '947 TWINiLAk hH 74201 N9'AM'947 TWIN I.AKiitlx 76201 No respcnso to collection efforts. L7 201 127963 WW DO%3iS N ON rNRY b/17!81 6/19/8S 11/30/81 16.00 ,1ER13MY CNLI Ox RbJ14 TW 78034 N'f0 HI. TX 76204 Nn response to collection offorts. i01 30422 LLfJOx 2362 ' 7X ~ q UTH RUDDCLLNOb p L tlgND DARA 4/36/91 11/30/81 , 74.60 001 QA490~}N81{rx . 76201 ~~NTONSfrH RUDDELL ~13b Tx 76201 NO respon;o to collection efforts. 8 08 7/10/91 11/30/9t 40.75 . , . , ~~LBQN ~ 201 31178 TON UDD(ILL 09 FRIjQ Tx 1107ELL 09 FRED TX 76201 No rosponso to collection efforts. 7&201 NT W 4/06/01 !3/30/OS 96.00 1p~tTLB N . JOSEPH 2p3 14401 tvi POINT YX 76280 PtLO~ POINT TX 76208 No response to colloction'efforts., J N FRANKIE 4/01/01 11/30/91 38,00 000 26624 N7 ciUTH RU00GLL 0 76201 f 4,'Jr~ ~UTH RUDOOLL 443 TX 76001 No ro9ponse to collection efforts, Tx , NN N ROt n 6/07/01 Sf/00/81 18,00 f.'.; , JOY YX 74201 No rosponoo to collection of forts. 3000 8 ANT N 20 PO Ab%J o~ 76001 J 2111 dt _ ~ NAT}IAN1ttL 0/15181 11/30/dt 69, 00 u7 tQlkb. , k 201 29364 AM" MARYX 76740 0A1N~bVIM tl Tx 76240 No rosponso to Collection offorts. r. I i , l H C S P 4 T A L t DATE 12/0l/Ot 11! 161 P L 0 W M rs m C R X A L PACE 09 A DAD OUT TRANSFER REPORT PUR PERIOD 11/01/91 THRU 11/30/01 PATIUNT NUMD wxxsxawww pIT1 gNNT N^14fI wwwwwxwxw wxxxwxra GUARANTOR NAME waxxwxxx ADMIT Csn DIOCAARor.u WRATE ITCOMR 01: ACC05NT pF% NUMpERR NAMti, AODR, OfTY, ti Y+ X1P NAME, ADDR, CITY, 9T+ ZIP „r r «.«.r r.rrrryrr L ' ..~rw «~.M rwr 202' 22667 O~S N PRAIRIE + MARY OS nNPRAIRIE , MARY 4/30/Ol 11/30/01 70,f3O 1ikTLN TX 76201 DEN ON TX 76801 No rosponso to collection efforts, 201 30094 W~j 40Nµ~{ ggqq r MICHAEL WT t3ONU + MICHAEL 6/07/01 1l/30161 61,78 gANiANOBL09 AVE TX 76901A1ACy0LAO AVE TX 76901 No response to collection efforts. lot 70214 W BON + ROGER W L0 ROGER L 4/07/01 4/10/81 11/30/01 19,94 6f1 CNAMDERO 6118 AMOERO ' D6NTON T% 76201 D&NTON TX 76201 No response t0 collection efforts, 101 29263 fiSNIEWSKI r CHERYL ¢'8915W0>ZA~60H + ALLEN 5/11/Ol 5/12/01 11/30/01 00.30 3 DO% 360H TX 76201 ~CNTON TX 76201 No response to colloction,offorts, E + SUZANNE 5/27/01 11/30/01 40.7' NTO fl TN DCNTtlER SW ANNE W gg 201 29747 f DO DOLIVAR TX 76201 D NTO 100N D{1LtVAR TX 6^a03 No response CO Collection efforts, 201 31306 Wpcd3On , OENNIE tJ00D~ nUNNIl2 7/16/01 11/30/01 1000 On 947 TX 76271 1RRCLh1gOn47 TX 7c271 No response to collection offorU. r 13100/01 19 00 202 12127 W OnpOMOROti , JONA7HpN 112110DMORSE JONATHOIJ 7/04/01 pGNTONggpp' TX V-201 WNNTONN pp TX 76201 No rosponso to collection offtrts, + ! 1 29101 Qg AfflAGGTOWN ' EVA ~~SJACEGROG7tlWN' + EVA 9/19/01 11/30/01 10.20 " fiN ON TX 76201 NON TX 76.01 No response to collection Worts, 100 11393 ffiL9iXY + DENTGN W3W30pUL g1Y~G tµ , PHlLLJP LO/14/80 10/16/00 IL150101 97,44, NESTS, TX 76240 OA©fdlI0U14.4 TX 76,140 No response to collection efforts, JERRY 2/00/6l 11/30/01 30,00 1 202 26026 01T + • + JERRY MU 1 MLOYO 8T YD 0T L. TX 76249 TX 76249 No response to Colleetion'Iff0rts. li M .51 W T ARLOTTC 0/06/01 11/30/Ol 49, 202 7417 ~itS TRVDDELL 029' LAOUXTA R~I~IiIi,UODELL 029 CH &NiON TX 76201 0 N On T% 76201 110 rosponso to collection efforts, 51, t:9 y I~I~ 1L'/17/00 1!/16/00 11/30/01 101 0127 ~{A{CCItnffGtiNC + OAHTR - Al N?"INLWttNE , DUN DRNTON T% 76201 L ~N T% 76201 No rosponso to collection ufforls. I 1101 b7bb ATllO fLNORA ~A I , ELNORA 7/09/79 ti/00/01 , 40, 00 i OIOMOLIVAR 8T TX 7b201 OONOi.fYAR OT TX 76201 No rosponso to collection offortS. GENT 6 • I r r t , s } I •~ATB 1.^./O1/9f ! l1r 16. FLOW M E M p R 1 A L M b 8 P 1 7 A i. ` - , CAD D90T TRANSFER REPORT FOR PERIOD 11/01/81 THRU 11/30/91 PATIENT NUMDER tINNNNNNNN pA1 ~j T (lAM6 NNNNNMNAtE NN NNkNNNNN OUgRANTQR NAME NNNNNMrtN, DATE DATC DAjq PF DALANCIj PF% NUMDER NAMEI ADDRr . 2IPr ADDRI CITY, DTI x ADMIT'ED DIDC AROED WR. EO F dF AOC.JUNT • YYY wwYYwY wyYwww-w YYw~YwY^M i1nYY•YwYl.wryV ww w 4/20/01 wnr ~.Y ^wYY^w Yw wYrM `W1 YY YwYMYww I 4/2O/dl Il/30/Bl 73173 ft01 R1g17 Y Ci r CHRISTINA gC~ OCOROE 1 76x26` A OYLL 7X 762216 No rasponso to collection efforts. A~ OvLB 1 21030 CCK r SHEILA YY ccK DONALD 2/2$/81 1/30/01 691 40 YYqq $ W CW.INB 6 0 qR IFTWOOD 11608 DNTpN TX 76201 D i1TON TX 76e01 No response t0 collection uffartS. 201 2040 Y iDJbRDELL r BEVERLY 76701 Td CORDELL 000 8/01 /91 11/30/81 39.70 7 qq HH p~tj TR 76201 No response to collection 'efforts, 9S e©001 4/19/01 201 70589 1934R~1 GLAND DAANMRA 9E300f LAGRU~$$LAND BARBARA spouse to octlcctlon efforts, 0 ya TOTAL DAD DEBT WRITE-OPF THIS POX= 160642.69 `i I I I 1 1 i 1 I • ;s. I, l I ' we _ PAGE 1 r L'; •O(.:i. It/77/Bt 11.:33: F L tl IJ M,R M O O I A L H O 8 P I T A l ACCM,4TS RVEIVADLE ACCOUNT STATUS i:EPORT CHARITY CHARGE-OFF LIST PRHP; EIlT N NBL'R 0UARANTppR NAMgg pp/ ARpp6-II TAROT OATS MMap ICAI N IN8 a PADU INT CVRaSNT A~ANCE 'i +IRE CT PA N3.n OUARANIOA AOORt?88 PM0115 NUMBER R/0 DISCNAROC DATE MEDICAID D a C q SS 900.01 18.38 3o6.20 ALTER 19502010 821 N6WCA6TL PR 'MKT%OQA722 0OQ670302 6b paid%p8~ 1; 18.38 ~L.ANO C7 gdlance b4t9+er 1, 900.01 60.33 670, 5 ANDSRBQN paaw~lA 9qttW{~ ANNDSWN JtlBGPN ;/07/ $ 60, 3g 102 Z814'17~ OkCATVRRADY , TX 76234 8@lenC@ dot@r M}I/tiR,' M p 121900, 00 30.00 0 ANK VANT 32731H 33q lAE MCKINY6COUNTY J, BB 99/M11 :0O DL'NTON . TX 76201 Danton County Ja11,t a, 00,00 p0 Q 11 * u1, IAM pACOBIT iWILLIAM C no i !0 !©E1 X8',88 BA OS7T 30931: N COUNTY 4At4 T% .76201 BI Dan& County Ja41 , 0 k DH GN `95. * pR H i r k 3, 900.00 1915.70 80101 33~639N R7 DOX DS QILVgRDgMkLORAN TY..; R518 1096 9 10%%l 4 1919,7Q ' pKN qN Ht11.9urton crtter'.a. ~ +r 7 g 50. a5 xta, ~0 I BROWN ppgg% pT~ R ppRpwy iRBX O1^a1 48 r0. f 250613N HN~ONtlX 36R 6 TX. 7638? H111-Burton arit@rib. 4 R y RgX l1g0' 308 j C OR 1J I pg~ g 903 3A 98 % S, 900. 00 ~ f0a x^60613 ftlN 8O% .,b.Zk6 r g 33b1[J 11 6O D[;N7 , TX 75201 11111-Burton c i~o%. 4. 1 007 2500661,3r 77NTDN t p BARN 900.04 4311.7y qqttyy ss p6 QB%%8i 1,; 9ai S ~9 } i j rC,"«I •aR10 25061.0 O% ' e RTX , 761.1815121. Hill•aurton crtt@rla, S a g ~y pg « p 7 100.00 1020.05 f r,1• BRgI~4 f2l10613 D8N[tlNO% 263 R / RYX 7yf2018121 9p / / bFti ~J N H111•BUrtOn Crit@ri8, 900.00 7509.70 pR DBNTgNbX 36ituR t e gAC N 5f21 p~ yq%~$(QR% i'SS9, 70 tOb 20dA10 IRTX 7~t Hill •BurtAoEr'ik/ea. 900.00 1Mo 15 17M I5 R2X R i 91 p~ RT t gOXAfi ft 1106 ftt}0~13 Kill-Burton critoeia. YM Y« . r a .+L. I ~ .1.'1. 1 ' 1,, 1 r I} L' Y, r PAGE 2 i DATE tf/37/81 11.35: FL01A ME 110R I nL H06P I T AL PORT t ACCOUNTS RHCEIVAOI.E ACCOUNT STATOS AV t F/ PPE tDl4l7 DAY MED1 ARE b IN0 n PADUENT CUkRENT 0ILAECE XXCGhT 1~ fl~R DENTON pUARAN OR hPHS cc pp THAROE 1785, to " *PR I~ffC7 pA1 IdO.M OUARA!ITOR ADDRIi~S PHONE NUMOER R/C Uf~~ 2ATI MEDICAID u 0/ry 06/O tl , TX 76201 10/26/01- Y * ~ b t r t g 900.00 9023 96 .30023 23, gj / NN R W ,iRB% 762039121 qR l%SI%R1 k' 4.p0 1/12/01 , I':' BROOtJ 2906 RE X 13 DgNTnNO% a62 E 11111-Burton criteria, M 7 a Rix qy g18618 1.900.00 190.90 1~.'..,9Rn1JId R pR WN gg 9s2f n pl 13U6,~00 ' zt)3 26O0661 13 pCNTOkOX p6 0 B . T% 76001 Hill-Burton criteria, 4, g 11Q¢; OG R 16 M S!} • Q/igl 464 40 6990 02 100. 00 12,00 f:. ..9f04 480NONgq7 2 pp O% 0301~iJ iSWANNON qq 1 9/r /a9i }FF FRI8Ctl TX.. 79034g0 ^ HHuu q pp Balance after Medicaid. 190.00 761. 60 C o qo t BUILARD 1199 s 0 VILLAO~L6ABT M 103xX gU7b2013236 03902247564 3; 761.40 r 116 t) NTON 4. t. R « Balance aftel mojipcaid, 900, ^S 263.79 h gg pqRQ {~LOQH~i Sq 9/14/ .CAiRIGHT 036960 THBINIm COUNTYIM, i'µ7%NFT7630t Dorton County Jail. 63; 7 i # * g 181/1W/81 440,00 47.00 47 OS e rgg Ry DYNION COUNT, S9 S1 7 0 CHAppE6L qq 2828. ! I, I 20l 34 DENTON o.. TX 76301 p@nton county Jail. ' t,: ~r ~ • S / A/p1 900, O1 84.729 24~~a g pppp,,qq nn gg , 1:. Cdist p3 Aoe BUT & CbCJAIf:, iM7%RfE76Z01 ; 9/ /Q1 DHN7UN DeAton County jail. ' g ~ 7le f , qoo, Qo 3n. oo ~ D$ "s. tl' $z a x910 s C 11 NIL MTtXROE76201 U 9/ 7/Hf .I9; tl Oonton County jail, , . 1t qb Q g ' t g 76201 08 fv31%t#0 00 2~:OU 7x Gp CONN290700 gONTLOtlP QflVfiQ61.6~1 NYDTON Ag ON i 7A@, D4 ~ tl CO PgR • q R ppNgffWOW ANNE RU 17,497 ]n 0b 5onE cer0% 900,01 42,00 101 tS32~ 4111JVI4L4' 7X 7ll 4, l k , ~ « ' ~ Balance eotCr ~IIiMR, t (e ` ' I ae Vie. i A"j w DATE 13/27/01 11:36; P L 0 IJ M E M 0 R I A L H 0 6 P 1 T A L PACE 3 Ch/~Tt1x qq gg ACCOUNTS REC63VABLB ACCOUNT 6rATU$ REPORT ODR r NINOtftGFYTPA7MpEp.w CUAkAItrgROXARAU88R.-NgP{f1tJ N M F/CC A?M(TDMfT ~A7~ 11EOIC PIRpIgcAR 4 INS 0 PA7tr;NT YppttAt nnIL ggD E U GHR A/C DNHAROE ATAl 5 DUE CURAQNT DALCE i CO2JIgSISR DUgTIN C J ccOBPER i 6HIRLEY~~ D p/ / 100.00 Mao 1 326025 41 ANCH PARK 104 Tx 76201 19:88 sL * # Balanco al. )r Medicaid, CR¢8lER 0043670A ?4N E MCKI MN COUNT•l TX 76201 69 q% 1% 1 900.01 73. 10 73; 18 Denton County Jail.; } CR &ll6R 031yA 6A 315E MCKINN6YN COUNTI 7x 76221 69 9 .9/ 1 1.900.01 70, 99 NTON a gg 5 * DE Denton county Jail, d: 7$; I DAIOHLL 2b6B6SH SStltliRPR'AM ARNELL 1 1IIDITH 3g7 6974 3& 11"Al } 900.00 r 163.00 6 p * M QENTON A ,•T% 76201 3 163, 88 pp Indigpent Caro, 4; DAM b6a9Y p nx 3 3G1RT,3 /DANNY 370 1609 00 1$% %Q1 900.00 2709;20 Or 0 I,' r f LQn°WIGVILL6 TX 79027 Dorton county pp w all. 27Q091 NO b23~1MAH0ENTAEE%AEOI~RAN , 1Ary%ETT7b2Q1228$ 6i 10%0t8ffl 150.00 1114,20 5114.1£0 p Indigunt Care, 4 FARMER. 04NA~JY LpCp3Ly gOWROgAOMMANOR 1CUAT18 536 0664 '1 tS8% 77/11 900,00 5079.0 567 5 E C M LBWI9aILL , TX 75067 ki11•BUNtOnliBUJ E N y od? *Al 816ATH' 336'J4AJYN6114.10k $A4111ATH`! i DEWAVN& ".1 \ OA' J / '300. 1o 99.92 gqgg bboo31 I * * TX 76266 4L992, 2. N, ,X pn Balance after MMMHHHHR, 41 E 001JLSS 01J37406 A601of1N 2i21VjALf;A CARLOS a Ds 7/ t/ni 900.00 62'00 H TX 9 99 1Adl9Q 7/ t/d1 z~ « C nt caro, HAS HA21 9a43 LL HAR LR SC A HARWg ~ N R03MAL i,67%$IJft7AiI01333I 99 4%17%331 900.00 36,00 * * gig H111•Burton. R9; 88 Ip µ HH p tZ.Ht fi56 40764 n330THOMA63111~3 rRIDUCOAN{iNB 9 B/118%61 , 3031 90 25,00 6974 70 F Hilt• urton\ ' r WwnW\I\Nrj •MYrbl\•M~ M.r wuw. r1... . • , Yl.rl\JYr.1.Y rA ,M..r M'J MAl..M1 ~l~r ~,rr~a♦ 1. Lam, 1....i a .Y.. • , ~ I r. . , .r~.w,. 1+1n ♦rrrx.rr..Y~, r.r r• .r...•... l/87/91 1 t, 34; -Ff E M 0 R 1 'A L H .0 9 P"f TA b ~ race 4 FL bW- MpRRggOA yy~~EIJ7 N Mg UUAR ACCOUNTS RECEIVABLE ACCOUtJT STATUS REPORT r..... 1fJAf Et;T~eAN MBNO.* OUARAWOR~ADDgESgR..NpHdMti NUMBER %C UIBCHAROE tlA7 M9DJGACD M q gg pp JJJ INS N rAB~NT CURRENT DA~AFElC' ' * 0CNT0N Tx 74201 pp zz* DL' 0/15/af j L P of 27i8G d`4 CARAdI1,ON 6 tlH$LtCY 5. 00 NT N S N014R 180.00 1:0. 07 * * TX 76201 V 9%1811 , SOgt 66 HtlG828A0 rel. HOL9TttAD Balance after Hedlcald, 195272 RT THUD 4 g 89 3/ / i11 4tlt pp gqg0o p 0 *1 ~t DEN ON TX 16?010837 S 3/ 4%01 1 a9~7C4 Ol 1g0 gg ,40 t HOj~aa b13~1$ tpB EppNagp T rLtLLtAN2 05148PCO after Mppodidaro/Medicald, 441: x * LBWt~VII LB Tx 7J8222132$6 1 /(r /79 816323904 2, 190. 00 16, Op gQ HGIJARD VIICKTR qq qLq H WARD i VICK1g' Balance after Medicaid. 4; Sb. $8 i 1 101 92)C1 CNTONOX 3 g 7034097 Sp %79 t M * i TX 7bH . 301.20 268.05 f paL Balance afte /Me maid. Till ; 1r, wy,`g~p1$L OQ72H DBNTON OQUNTiJAtL D ; 34 ..r.. M * O$NTON TX 78201,%S2%81 ig 900. q0 $5 50 gs g cc 11~~ Denton County 0611, 4, 50; 1o 0 " p b I E JgAg$ 10M;21 A64 t<l•1 4NAVAN AH~B JOHN R n TX 7df010101 6 1 900, 01 12. 00 c DN 11,,, 1$ Balace of t/R, t3a: 00 (1"„7~ *101 114;W PCL ? AT xr4tj s i:',~TXAAD7d 697900 9~ / / 9 r 00 95SW 70 yy gg g H HH~~ N111~Durton, , Jd1010N.' J3 y6aa ~6N4A~NON0D0NALD$4N ~,WYLMA g b/ffqq/y9 6 /tq/79 30, ppppnBpp* Tx ' 76181""'101 lndipont core, 00 1 9=0.0'... VQN 339194A ~ 99pp pp g1 pgr ap r'r ''N * * N pNAO$~R R OR tVg/ i MTKK': '761010091 06 % % 900-01 37.07 tIQ i n Balance after M11MR~ ~ 1 p '4' JONq$ 106Db7 o'00g RUDD$L40N17 19.78 l OKNTON TX 748"' . p Hill-Burton, 14, i 1 4 i ^ y r + • ill 1 DATE 11/27/01 51;46, .!(fir FLtlW ME MOR ! AL HtlSP I TA L PAOt? 0 *1 aIJT AMC ACCOUNTS RECElVAOLC ACCOUNT STATUS RLPORT I ' PagPgAtX f~0lhCT P~T OhR ♦ OUARANIOROADDR~6pR...NAMR NUMBER Q ppPRE-ADMIT DATE CC g JtlNE~9 PHONE P~ D1$CWAROG DR/ ATE MEDICAIO N INS q PADUENT Ar1SY r P CVk1t5NT QA1LfLE( X10 109505 OAikL+9VlLLgNaS rPANSY 3b08 TX 76 q 9i 2/R7 H ggg PANSY We/ 10380: 70 F.,• JOId3 103505 ppT AS JONES (PANSY y C! k OAiBVILLd r TX 76845`3608 0' 6 gg 0 01 103S 9%l% 190,00 1274. b3 q JONES Ob PANObSY qr ,PANSY 0 4, + 01 + 0 IM -3609 97 / / 11 qg +yafo A TX 7$ 89 _ ; ~ 41 92076? 1: 108: SS 01 r... . J0l07 158105Y' RT a JONES ,PANSY 424, 0 r.. M x OA=NCgVILLB 9 . 7X 768493608 1 tl%~l%O1 4109.070118-A ~:~50:00 01 1 F JON gg uuppyy grRyq gg 0 a: 45b7r 0 ` , kr,l M10{ J0•Aa0 gpTONMII.LONEB RUtlY pp 7861, OD 1 i I + .TX.. 7~Eb1 . . r iggi 100.00 14. 50 k' µV06 14 i00M DENTON COUNT, ' Beleacce After Med7fOald, 210 ,'p 1 L ♦ DGNTON ! TX. 7b841C g$ I /at' 4,06-86^7099 A ~ 400.00 4b.00 1 , Lp RRpp AA pp p Denton County 0411. , p r' 048607LD' DjNTOF! COUNTI~lJAL RONALD 90 b Y 46: DA 1 :,5 LY~I 844, 70 7s 'q Cc qt, gg 11., N f TX 76ROl 9 900,01 1 gb 4340JCT IQ t08 V1~4A0& L"A8T g Denton County Jefll44 9S b rr TO ARLOT g g b p 4 ~~i.r a< MM nncc , ~aN 4N + TX 7a0 1k941 94 JI%dOJ81, 900: 00 x"98, 20 f ° „ MA16f~Y G11tl676Y 0 3 M RTONC~AIJ$ +VIMIly IIIIIryD~urton criteria, ~ 1"'. ' * f pp H} 9001 00 14301 00 4 i MA 6I 17t666L6 AEt~~ONtlRpWAXAL6 + t, H1i1~Durton, 43 q ~y qq g: 1$pi: o$ F r M + TA 7~~i6oaa 9 9%~6i9~ M1yl MO10QR 87091RA57t3RRUTH BTAH~r Denton County ~e(l,:fi: Q4 [ H j Ce VE' kA 90 J50-00 817 S16S ~ ~ 00 , • 6atance lbbn,0o attar o fcefd 1:156. 9a a, is I q f i DATE 11/27/01 1 1 ; 5 2 1 P L O W'•"' M E MO R I A L H O S P I T A L PAOM b 1' 'y r ACCOU14TO R6061VA01.6 ACCOUNT STATUD WORT ? q PA p N MDER 0ADARAryryTTppR NAIqgg pF/C p T HAH06 AT AT' M nn1pAR p IATIJNT TOTAL 21 LLE2 I DRS88 P110N1 NUMD6R R/C 'U1C E MRb1CAig N gg OU C IRRBNT A AN X11497 07TPNNA . NO. *1 OUARANTOA • PR »gq6 INS N L362, BO DENTON T% 76201 11/27/90 4. * * 3 1; 9001 Of 563.65 pp bb v" Mon N 3A5,03 DENTON COUNTIJAIL I " t/Ij/81 4. J~3 b0 It 1 0,0 Oonton county Jalll I ; pp qq~~ pp 900.00 410,00 X15 o 4 NORTiCUTi 34b379E pp t ApbLLgtlRTHCUT7 IDtANl1 3 2025 9a 10%00/ 1 L DSNTON. TX . 76205 11111-Burton, I ' « T, * I.~ "PEittt 960521DApB 1gR09E P6R6Y ITRINIDA8 73872901, pl x%82%81 4(~t7015010 fOb4lO 463102 116 r * DINTON l T% : 7610t, Hi11.9urtonl ' r 900.01 36.20 0o e pT1010L0U ,.037ti00 DfiNGNQWAR~RAPTLII, IIATXR 74201943 G1%0% 63,b'~0 il I' G~ 11 * * pp xx `tl, Balance after NIMRI 41 o GU101 301.3kabCNC 1pOTOPO{N INN L7%R&N7 2~tlR670 BE 1jjjp%81 900101 47105 647 00 r * Balance after Texas Rehab. RAM R6F FA3fAN q L' a$ HIA61 RADIAN 9 900100 0070, 0 gq p lbl Q15473 19.HWIAVILLB~ 1 TX 70Q676367o%%4 78700 i TI 1:' gg g * Hill 0 rton. g o qq 1 , C ROJ~07L6R 14411gg3Ng UNµµ OWN RDEeDL6A 1 EUOENE NppNE 8i 8%20%00!1 • 501409323 101 00 19; 0 f a 65, LA DALLAS V." TA 7 Balanra aftertMWICaid, 0 36100 p p f f 7H M 0 9 1/1;%81 406520401M 1001 00 ~+~f M pp CQ$ 0p o ! 0, L;.`. SiMOS 257606 AUDA6y0X 95M 1 TX ,76277 Hi11-Burton); i I,, . 01 4 76A 24170 •~p 9MISTY 3Z1~ 0 ppQ ggIMCKl xtdY S '.jALTA N N a> ~##~042G E4 180;00 44Q 70 f' 1 7~N~ON i T% .7601 3 _ Balance after Medlcdid. 461 ,188; 88 3D I 95 41P1,alBRfiRV AM, ►"PAAVD6RRY ,g0616' aal~pp 2421 e` 4~~t11 01~tS4Fl86A ODr 90'~ f 7 1 T% 7&:Ipi / S t r . -k 1. :'Cal 1.1, . 1 anc0'aftar Medicaid! ; .q 1 r 1 . r •n Ila .J 1 nV w o. rAl, w wl.. ~I,•tywAr i 1 ~11 1 11 r M«I.\ri 'M••.. Il. lr r•. •N.li 1 , I. t.. Ir _ .u« .1~ 1 1 Mru ~l+gwrrw 1 4w, n OAY'9 I1/27)81 1x:02:. F t. 0 W M E 11 0 R I A L H 0 S P 1 T A L PAGE 7 ACCOUNTS RECEIVABLE ACCODU14T aTATUO AfponT T~t PAgPA %P14T NAME OV~1AgqANTppR NppIgqE III ADMIIT0171T f)AT~ MM ppttCARgg N INS M PA77Iq,NT TOTA RILLSpp «II.'OI EOT PAT, N9.« QUAAANTOR AOORE80 PFItlNE NUMBER A/C DIf3C»AROE OATd MEUICA10 N pU4 CURRE~T AALANG' f.... aTR0~0 33l"Hs SRi PO AAAWEgSOROUO , aHENR I da 111/191/121 2, 900, 00 3D3, 7tl 70 UENTON , T% 76201 Resident, Cumberland Children's Home. 3 « « 974%80%01 11900.00 78.73 78.7; BWO;MAN, 1l40ybS DN7pNNNIBWBATIIAN DTXtB 7283025 « H111•Burton.' a « pg TA102R 1o6S3THA gggg1011 BELLTAWL70 ,BERTHA 434319 81 431 32 3320 A 100. 00 .^0. 94 37 8; 24 AEPITON TX 7601 3/19/01 « « Balance afterqMedicaid. 1. ' I,;..,7Lto 1047tl0tL NTONTELLAMPRO I~00% 7A2~11489 a p% 331 %Qt 1900, 0t 15,04 31 d,D~ H i H 7 « Bala ca after 1 k '...Y,TMg10 a 14646M1HEW70p9 KERLEYH0MA9 MATTHEW 2111 ~ 424966501 80, 00 19fi 00 9W219 « DENTON 1'X 7901 Balance after liediiat1d, C 1 TRtggTr9CH ALI EN pg NrnN TqI gT90M ALLEN at I0/ / 900, OS 116, 00 } 6 Go f Z04 02Aibl D8N1tlN COUNTY JAIL , TX 76201 Oanton CountyQJ~flr~t •yb 00 ' TUTO R' 2J VL AH f0 UNLV60A17Y N104AEULAH N NE 8 / yb/p 100, 00 18, d0 619, QO , qq gg p /a 0614S1Qr(81 BNTdN + TX 76201 Balance after M,; : y « 7 2978, 40 p 00 we Lp RRAII4WBell I JERRY I~ 9~ 7~ 400, . "gbh ~ ~ $ra, ~ f ~ : : 181 '2$OQ0 9Q /4 / 6,L « tx 76 Hill4urton, ppBB o p W gg gq p gg gg ,pp 1~ g pppo L'" NH 0~8A 60A91MA DENTONT NORTHL10 LOTt &IMA76~01 601108894 330,00 10 00 8,00 C 1,t ` p NNt qqppQQ Balance after$$Modicaid, qq 44 M7,1 .~I~O1AIti8 t'i41~60« PL OSHBARY~L""S MYX A7307 363 ag ~0%~f'%~ ai goo. O1 47, 89 74~ 9 ' i G {j BAldgco aftergMV, l~I} ® ?A~' 2 01 ~~I „ 14~~R14pH AT 40X +F1OpN , , . „ :'i Jb86pH 8I736b2tl41 o E j~ 900 OI 7.~t R 121.T. 7tl y NI %8 BAlAnoa After M'dMA, -1►W.J.: . d.ti ,n'\'~,,au „t' 1 .w, I ' I ,.1..M ~.nYn .....xn,raw.~...w/........4..r...~~......~uFn.a... rnr ..r^iww.l.ww i........r , IFS Y$t M a: I DAT913/27/01 19:051 PL0W MEn0R I AL H09P I T A L PA06 0 ACCQUMTS RECEIVADLE ACCOUNT STATUS REPORT X15N7 NNuANR R uuppppqq Ppp~~{{ gqDMIT ~yATE a<p 6~T^PATnDgJ OUARANTt1R0AD0R$$OR--NqqMMgg PHONE Nt1NDER R/8 ADMtrt7 QATgg II4p SCCAR~~rr N 1N0 N PANT URTAG 0 LLPqq R/C DESCHARQE ATE MiEOICAl N DU CURRENT n LANCE M1 * PILOT POINT , Y% 76250 10/05/01 41 7 0 2 tt p MM WWyy ttgg g g{ 4247 10%01%/81 91 1' 900.41 15.77 9, 73 i t,ly I WrA otBRO~~HYO~N"80CKIHQ~IRD LANE ''F1%PH 7b891 # Odlanao after MR, E E TOTAL OUTPATIENT 1,307,52 r f. TOTAL IMPATIENT 46,911,60 TOTAL ER 4,§77j S 1 TOTAL $ 62 096,67 / I . t , it • 'I.. .r. •i - . ' 1 L i, L' 7`j r~ i i y 1 FLOW MEMORIAL HOSPITAL BALANCE SHEET NOVEMBER 30, 1981 1981 1980 1981 1980 Current Assets; Current Liabilities; Cash--Operating $ 254,655 $ 48,527 Current Notes Payable $ 131,209 $ 118,190 Interest & Sinking 39517 10,468 Accounts Payable 604,048 6299531 Reserve Fund 7,988 7,614 'tccrued Payroll 426,765 293,977 Repair Fund 6,386 10,495 Payroll Taxes 56,895 41,047 Group Health Insurance 111052 15 Fees Payable 139,996 1201606 Investments/Board Designated _ 23l 398 _ 236,499 Bond Interest Payable 14,289 16,943 Bonds Payable 65,000 65,000 ;Total Cash & Investments $ 514,996 $ 313,618 Total Current Liabilities $1,438,203 $ 1,285,294 Accounts Reoeivable $2 569096 $2 069007 Other Liabilities; Less; Al Ioviances 23 ,805) 233,920 Deferred Income $ 290,878 $ 264,514 ? Net Patient Receivables $91 $ 1182 51087 Long Term Notes Payable 274,180 282,398 Bonds Payable 4309000 495,000 Other Receivables 2050522 317,782 E ' Inventories 260,358 288,898 Total Liabilities $2,433,2F1 25317,206 f Prepaid Expenses 61,688 41,516._ Capital; Total Current Assets $30371,856 $2,786,901 City of Denton $ 393,165 3930165 County of Denton 19696,871 116989871 Property, Plant & Equipment; Endovnuent Flow Estato 240,461 240,461 Land $ 37,547 $ 37,547 Fed, Grants, Hill-Burton 1:8681910 118681610 Building & Improvements 4,761,302 4,7?.0,249 Fedcral Grants 266,371 266,i17l ' Furniture & Equipment 2t422,181 2 1 2 702 Plodgos and Gifts 375,800 372,234 0'Ub ; m_ Gan, Fund Bal., Beg, of Yr. 627,770 (1,055,169) Current Year $5,571 37,-638 Accumulated Depreciation (3,900,246) (31619,702) Net Property, Plant & Equip., X3,320,785 $31340,796 Total Capital $4,259,379 $ 3,810,491 TOTAL OPERAT.INp FUND x,692,640 $6,12_ 7,6_ 97 TOTAL OPERATING FUND $6 6 644 $ 61127 697 T Current Ratio 2.34 { L l r 71 LI Page 2 r FLOW MEMORIAL HOSPITAL STATISTICAL STATEMENT NOVEMBER 30, 1981 CURRENT MONTH YEAR -TO -DATE P RIOR Actual Dudgat Actual Budget Year-to-0ate Adult Patient Days 2869 2946 5675 5983 5735 Average Per Day 95.6 9812 91.4 98,1 94.0 Newborn Patient Days 412 386 822 783 618 Average Per Day 13.7 12,9 13.5 1218 10.1 Gross Patient Revenue/Pt, Day $381.23 $357.94 $366.96 $358.13 $288,37 Total Expense/Patient Day $311.36 $293.34 $317,36 $291.83 $250056 j{Sr i 1 Month Charity Bad Debt _Recovery October $ 72,027 $49,546 $ 7,406 November 520097 158,643 5,371_ $ 1249124 $ 208,189 $ 12,127 % of Revenue 6,1 10.2 1.0 r~ t .:5. r i i• r FLOW MEMORIAL HOSPITAL Page3 STATEMENT OF OPERATIONS; NOVEMBER 30, 1981 % of Salaries Supplies Total Direct Operating Revenue Revenue & Benofits & Other Expenses PYofit (Uss). Daily Hospital Care 19$-nT x6C ' $=Z 2M 5~ 673 8 116,282 ~ $ 9218,78 Psychiatric Care 5 54+921 28,549 660 29,309 250612 / OB/Post Partum 5 51,097 13,110 1;309 14,419 36;618 t ICU 2 15,275 18,659 1+041 190600 (41325) Nurser 3 31,119 10,331 2,074 12,405 18,714 Noo-Natal Nursery 2 25,575 13,843 522 14,365 11,210 Coronary Care Unit 5 51405 33,162 21419 36,181 15;124 Labor & Delivery 3 33,180 210031 8,285 26,316 75464 Operating & Recovery 4 461230 20,519 10,496 31,014 15,216 Emergency Room 3 32,840 16,784 20,983 379767, (4,927) Central. Supply 6 61,534 9,237 34,760 43,997 23,537 Laboratory/Blood Bank 11 113,414 - 43,246 43,246 701168 Radiology/Nuclear Medicine 7 739286 16,212 191600 351812 371474 Pharinaoy/1V 14 163+115 10+990 46,873 61+863 960282 Anesthesia_ 3 375113 13,048 4,609 79657 19,456 Cardiopu monary 2 21,392 5,204 9,004 40208 7,184 Respiratory Therapy, 651268 121019 67245 14 18,454 43 004 Physical Therapy 1 7t718 5 ...._3~ f~~ Total 100 + + + DodUctions of Revenue $ (43,896 $ 43,886 Chanty 9Da . Debt (119,399 119,39'9 Bmp10yee HTth Ins. Exp. $ - $ 23,768 $ 23,764 23,768 Medital.Records 433 10,290 1;927 12,217 11044 Gift Shop/Grounds Mte, 11844 2,330 1,614 39144 2,0Qd Cafeteria 102966 26+706 25,583 51,289 40;3x4 Plant 16,640 63$83 80,023 80.0x3 HousRkeepiog/Security Service 271644 4,928 $2,572 32, 72 Layndry 6,698 2,150` 1$,048 r 8 fiscal Affalrs/Data Proc, 71611 +630 2, hl 1120141 Business Office/Cr, & Coll. 22069 81107 310066 31,066 purchasing 11646 1,030 2,516 2,67.6. Personnel 31545 21494 61039 61039 Administration 6,755 11474 8,229 8,29 $ualit Assurance 1,884 169 2,b63 20063 Qenf.rej~ & Administrative (209) 22, 46 22,146 22,355 Depreciation 3225 32,225 32 225 + + Gain (Lass) from Operation 38,195 Nen»Operating Revenue 24,OB08 249088 Totalation. 2ER r . r xt♦ i PLOW MEM0RII~L NOSP I T A L Page4 STATEMENT OF OPERATIONS, YOR to DATE, NOVEMBER 30, 1981 % of Salaries Supplies Total Direct Operating 1 Revenue Revenue- & Benefits & Other Expenses Profit Loss Daily'Hospital Care 20 $ 4121324 $ 227,689 $ 11,518 $ 239,207 $ 173,117 Psychiatric Care 5 101,135 595823 11258 61,081 40,054 OB/Post Partum 5 1039614 29,857 21302 32,159 71,355 ICU 1 211275 279468 21488 290956 (8,681) Nursery 3 63,120 23,107 4,911 28,018 35,102 Neo-Natal Nursery 2 471650 27,913 892 28,805 18045 Coronary. Care Unit 4 889871 66,159 6,650 72,809 169062 Labor & Delivery 3 66,968 43,622 9,894 53,516 13,452 Operating &.Recovery 4 90,790 41,145 200591 61,736 29,064 Emergency Room 3 64,792 311255 41.,709 72,964 (8,172) Central Supply 6 126,207 18,442 58,031 76,473 491734 Laboratory/Blood Bank 10 202,510 - 84,590 84,590 117x920 Radiology/Nuclear Madiciiie 7 139,739 33,211 363695 69,906 690 33 j Pharmacy/IV 14 2751668 22,201 71,413 93,674 181,194 Anesthesia 4 711363 26,760 80659 351619' 360744 Cardiopulmonary 2 38,037 10,973 161125 261098 119939 Respiratory Therapy 6 1111663 25,123 11 870 36,993 74,570 Physical Therapy 1 14.4 10 001 6gGl A AKA S,OnL Total 100 $2,039,932 $ 724,809 $ 388,150 $1,112,959 $ 926,973 Deductions of Revenue $ (82,293 $ 82,293 Charity & Bad,Debt (219,984 219,9~i4 Employee Health Ins. Exp, $ 420010 $ 421010 42,0SO 1 M4dioal Records 583 $ 20,966 3t117 24,083 23,6 0 j a0t Shop/Grounds Mte. 3,752 4,995 3,624 81519 41 7 7 j Cafeteria - 21,905 521526 62,470 104,995 83;Q 0 Plant 34,060 119,751 1531811 15018 1 Housekeeping/Security Service 549386 8;795 63,181 63,1$1 Laundry . 131839 4,705 18544 1B,6R4 Fiscal Affairs/Data; Proc, 16,416 8,442 24,868 24,868 Business Office/Cr, & Coll, 47,257 16,876 63,832 631832 Purchasing 30291 21825 601,16 61116 Personnel 70282 5,374 1"0656 120666 Administration 130363 2,433 160786 1507 6 gality Assurance 39884 320 4)204 414 4 aneral & Administrative 797 - 47!;468 47946E 46,6 } Depreciation 75 66 1~ f~ 5 ' Ga,in(Lossj from Qporatton 52,000 Non•Oporating Revenuo 62,000 8 176 8,176 T- ou n dation total 957 j-063 7 671 f. y' ,F ~F r Page V L 0 W MEMORIAL HOSPITAL s SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS NOVEMBER 30, 1981 Current Month Year-Lo.-Date Beginning Balance f $ 210,033 $ 68,073 Cash Received from; Active Patient Accounts $ 780,096 $1,581,400 Bad Debt Accounts 51321 12,405 Cafeteria 11,560 Apppropriatfons/Donations 10,627 ?3,042 Other• 8,926 -.816 529 70,042 Total Cash Available -°--18-9=650 1 876"64 4¢f7"'" Cash Disbursements Payroll $ 383,150 760,364 Payroll Taxes 669715 Patient Refunds 21,Q81 136,281 Capital Assets 13,230 72,360 Notes Payable 12,603 f ! Other 285,837 8269206 81894 Total Disbursements -7731416 680,89 Cash Balance 1 691 71 cash Investments Total Cash 2313 8 23 Gross Patient,Revenue $1,092,906 Lessi Allowances 67,673 $2 043,985 Net Patient Revenue 126 327 Cash Reoeived on Patient Accounts 720,091 Less► Patient Refunds $ Q6,) $1,6261,400 } Not Cash on Patient Accounts 77,75- Cash Received as a % of Revenue 7410% ' 8016% { Page 6 PL014 MEMORIAL N0SPITAL AGED ACCOUNTS RECEIVABLE SUMMARY NOVEMBER 30, 1981 Prima Current 31-60 61-90_ 91120 " 121-150 _ 150± Total % of A/R I Medicare $ 347,655 $ 236,867 $ 61,815 $ 56,183 $ 9,249 $ 114,982 $ 625,741 13.0% Medicaid 25,607 24,756 9,707 69716 1,727 7,713 76,226 3,4% Blue Cross 126,825 60060 17006 7,099 68 15075 2269333 10.2% Commercial Ins. 348,630 118,744 75,047 20,449 81549 21,339 592,758 26,7% Self-Pay 2939731 140,342 101,252 690258 58,273 115,262 7789118 36,0% Balance after Ins. 84,643 42,176 40,107 199278 _ 13,640 $7,748 267,692 11.7 _ $1, 26? ,2091 $ 623,835306234 $ ,177,983 $ 91,506 332,1 91~ $2 7661768` d4boe Medicare - 636 503 gr ililled aiR2 olBB 16-House 389 889 Total A/R $V$6 Number of Accounts: 8867 Days of Revenue: Accounts Receivable 66.3 Total In-House 11 1- . . {,f. FLOW MEMORIAL HOSPITAL HOME HEALTH BALANCE SHEET OCTOBER, NOVEMBER, 1981 ASSETS LIABILITIES Cash $ 36,897.35 Accounts Payable $ 237.04 S Accounts Receivable 26,027,28 Reimbursement Due Medicare 7.550.00 Payable Due Flow 14,366.12 Total Current Assets $ 62,924,63 EQUIPMENT Accrued Payroll ___3L999.76 Furniture & Equipment $ 10615,00 Total Liabilities $26,153.21 t Less Accumulated Depre, (89,72.) CAPITAL; 1 525, 28 County Home Health $ 31,154,67 ; l Net Equipment L 25- i , i Retained Earnings _ 7,14202 r i 38x296,70.._}. s' TOTAL OPERATING FUND 6~,449.91 TOTAL OPERATING FUND 164 ,449,91__- j 1 1 Current Ratio 2.62 1 .i i' f 1 1` E S FLOW MEMORIAL HOSPITAL HOME HEALTH STATEMENT OF REVENUES AND EXPENSES YEAR-TO-OATS, NOVEMBER 30, 1961 j i 1 l REVENUES: Patient Revenues $ 25,586.30 EXPENSES: Payroll & FICA Expense $ 15,560.90 I Supplies 1,736164 Travel 11055,02 Depreciation 89,72 44,28. Excess of 'Revenues over Expense 71142.02 L i I f I r: j: 'r r y{ I BOARD OF DIRECTORS _ _.-..:z=_.=__ ~-.~~s-=---•= peg, 1 ►dSINE55 MINUTES or+e _October 26,_ " The Board of Directors of Flow Memorial Hospital met in regular GeorgenHilz7'00 i p.m, on Monday, October 26, 1981 with all members present--i.e•, Mr, k. Mr. Ralph Havenhill, Dr. Don Holt, Mr. Brab Moore> Mr. Dan Trammel I, Mrs. Mary Williams, and Mr. A. E. Wyatt, Also present were Mrs. Wilma Fritz, Mrs. Gloria Madewell, Dr. Arvin Short, and Mr. Leonard Watson. t replaced Drre-appointed Mr. Wyatt to the . Finlay. The County Commissioners It was reported eddaDDr. DDoniHooltfo Board and had ed appoint. HMr. Trammel had re-appeireplaced, eiTheanewamembersdwere wal omed,to replace 14r. Shelton, who had asked to b rovedr The minutes of the previous meeting were presented, reviewed, and app New Business: . Election of Officers--Mr. Watson was asked to conduct the election fliofficers for t e oar o rec ors, and he opened the floor for nominations, Mr.ore moved Willi elected ce otionmwaseseconded,Vand theinomin esdwere that Mr. Wyatt be elected Secretary. Chairman, This m Mr. Trammell be elected ~ elected by acclamation. l Financ Re ort--Mrs• Fritz reviewed the year end financial report and made some + historical o servations concerning the past operations of the hospital. She that with the average census for the year beln9 94.90 the hospi taldexperiencedoan list t excess of revenue over expenses of $496,343. 1 he char 11 , I in the amounts of $37,835 and $100,423 respectively. It was noted that the actual % p enue of percentage oe . My.s. Fritzowasvasked to determinelwhathpercentageaof5accountsiarein 1 l the aloare sent to outside collection agencies and then what percentage ofMrhe}~ilxcmovedsthat the 1 collected, and she agreed to report this at the next meeting. Finance Report be approved,, this motion was seconded and passed by voice vote. 5ee a Re o f the enewnmembers,ttheSpurposeoofitheeSafetyrCommitteeyw'as outlined. For t ene it of A Safety Repoort be accepted; Incident byvvohcelvote. the ~ the e Safety R p ! Male Short suirmarized the minutes of theOcctoabe' 6nmeeting r t and reviewed the reports of QA studies, including Nuclear Medicine, D Laboratory. Mr. Havenhill moved that the Quality Accountability Report be accepted; this motto; was seconded and passed by voice vote. Ut lzati Revie REitteemwereepresontedTandureviewedans~~rsl4iasoniexplaine t zat on ev ew Medicaid, and some Reco rds that one purpose of this committee is to review all Medicare, non-gotal admIssionsiforothefmonthpofpAugust,sthe commicare hadengrevith of offthee 633 total ams moved cases. All. cases were rtube 0111and passedtbytVOica vo i Utilization Review Rep , had Medical Staff rsionaleportedconductthat ontthe Active recei Medical Staff andafter voted days ~orraquestpanhearinbfbei'.ore medical staff privileges, The physician will have gg ; ' the Executive Committee, and due process will be afforded him as set forth in the ' Dr. Short reported that the Executive Committee had received Media} Staff's Bylaws. is recommendation concerning the selection of a C-Arm for the Department of Radhe Ylications from the following were presented and reviewed: the Operating Room, The app ' k f wnrsrnm~an, .rrwruW rn,uemtete,.,to.Jtern r,ti+eie L • 10.1 P•1tl d ..,,....,.........,..-....,..M•.w.+..a...r.V..n.w. .nw+xrw.WNNYr^r,.el . IYiM0.W' i BOAR~F pIRES_S_ _ - BUSINESS MINUTES oa+a October 26, , 1981- - - - =v41,. Active Medical Staff--Douglas 8, Hagen, M,O, with privileges in Family Practice; i Allied Health Professional Staff--Ray Wr'Johnson, Ph,D „ Merna McMillan, Ph.D., and i ( Don A. Smith, Ph.D. with privileges as Consultants to the Physician--PsycHologis'"" Mr, Havenhill moved that the Medical Staff Report, including the appointment of the - four applicants, be approved; this motion was seconded and passed by voice vote. The recommendations from the Credentials Committee, the Executive Committee, and the various clinical departments for re-appointments for the medical staff year be- ginning December 1 were presented and reviewed. These will be acted upon at the next meeting. (see attachment) Awards Events--The directors were invited to attend the Employee Awards Event on October 27 an `the Volunteer Awards Event on October 29. The directors were also invited to attend the Dallas-Fort Worth Hospital Council Annual Media Awards Luncheon on November 17; reservations need to be confirmed through Mrs. Madewell. Home H a h Service--Mr. Watson proposed the following resolution which would allow him to enter into contracts on behalf of the Nome Health Service: p BE IT RESOLVED that the Board of Directors of the Plow Memorial Hospital does hereby authorize Leonard E. Watson and his successors in office to negotiate i a contract or contracts with the Texas Department of Human Resources and to execlata'said contract or contracts on behalf of the Flow Memorial Hospital for the purpose of participating in the Texas Medicaid Program under Title XIX of the Social Security Act, and further we do hereby give him the power and authority to execute any and all documents incident to this transaction or any future transaction incident to participation in said Program and in addition authority to do any and all things necessary to Implement, maintain, amend, or { renew said contracts. Mr. Moore moved that the Board of Directors adopt the resolution as proposed; motion was seconded and passed by voice vote. this Insuranc on Buildin --Mr. Watson stated that the insurance policy with Ramey, King, an nn s` or the building and its contents expires on November 1,1981, He stated that the current policy is $70000 for .3 years for coverage up to $4,000,OOOr There was some discussion concerning increasing the coverage to either $10,000,000 or $7,000,000, Mo. Hav.enhill moved that the Board authorize increasing the policy with Ramey, King, and Minnis to $10,000,000 for $10,500 for three years; this motion was seconded and passed by voice vote. The directors asked to be reminded several months prior to the expiration of the next policy so that they might consider asking for bids from several companies, Pendin Suits--The Administrator briefly reviewed the scheduled action on two i liabi ty Cif"- as es pending, pro nal Offi a uilding--The Administrator stated that he had been contacted I by rf, esenta yes rom a fia~i~on Medicine Associates of Dallas with their request to I study the possibility of building a professional office buildin on the grounds and i locating within the building a radiation therapy service. He sated that the rgpre- sentatives had visited the hospital and were interested the northeast cornar of the hospital groundso-i,e1, facing Egan street on the north and Ponder Street on the'east. Mr, Watson stated that the representatives had asked the Board to determine what;ier or not that location might be a viable place for such a building before the rQpresentative formulate a forma; proposal. Mr, Watson reassured the members that approval of the site as a possibility would in noway obligate the Board to accept their proposal. It is still planned that,Mr, Dave Hitt will tall, to the Board of Directors soo concerning long-range planning. Further discussion ensued, Mr. 'rrammeoll move that { . ICIV Adftl /AN rtllrr.l~<6AI GOl1 YYf 1. 1111.111 M1Y,1Y 111 Y.1.1./}. i ~r•- - - Pa4• BUSINESS MINUTES oa+l October 26,_ 1981 , = x °3 " Radiation Medicine fat mightsbefpioposedbfornthe bui1dingtof aQprofessionaltOfficeuld prs consider any p ( building on northeast corner of the grounds , and further that thelBoOenton,OtThis in h and r passed r by tvoice voteng radiation therapy seconded Staff motton e was medical Capital E ui ment--A proposal to purchase the capital equipment listed in the "urgge" prior ty o t e bchasedi~as soon$asepossibleAandnexplainedptheoneedtfor the following equipment be pu equipment: Tetronix monitor (Nursery), $5,600 $13,000 Transcutaneous oxygen analyzer (Nursery), Orthographic table (OR), $180000 C-Arm (OR), $65 000 life Pack 5 {HR;: $69450 $5'200 Oise urgicali microscope c (OR), Medicine) $30,000 • S } A discussion ensued: Mr. Hilz moved that the Board of Directors recommend that the Plow FonfromstherBoardpurchasing the $143,250 Thisdmotiontwas recommendation seconded and passed by voice vote. } There was no further bu3iness, and the meeting was adjourned at 10:00 p.m. f Dan Trammell Secretary to the Board of Directors s. i ikk I gm ~ E 'Y wow 1. „I,BIAA V Ital A, CL, 111fb.I111111/ polo V .........,.........,..w.wnwwwaerw.«a+..w.rY.wy. . FLOW MEM0R1"AL I10SPITAL BALANCE SHEET OCTOBER 31, 1981 a ° 1981 1080 Current Assets: 1981 1980 Current Liabilities Cash--Operating $ 2119564 $ 12,388 Currant Noises Payable $ 1369495 $ 123,809 Interest & Sinking 30517 10,468 Accounts Payable 541,881 329,686 Reserve Fund 7,988 7,614 Accrued payroll 378,747 262,646 Repair Fund 6,386 10,495 payroll Taxes 69,932 50,404 Group Health Insurance 19052 930 Foes Payable 95 626 120,139 Investments/Board Designated 231,398 _ ?36 9L Ron(: Interest Payable 14,289 130590 Bonds Payable 65,000 __i5 LOOO , Total Cash & Investments $ 461,905 $ 278,394 Total Current Liabilities $11301,970 $1,165,174 Accounts Receivable $ 2,504,505 $ 1089,884 Other Liabilities: Less: Allowances (317~,~4_2__261 302 Deforred Income 3199966 279,966 Not Patient Receivables $ 2,FI , $ 1,7283582 Long Term Notes Payable 2700952 291,805 Bonds Payable 430,000 496,000 Other Receivables 202,275 3459996 Inventories 258,440 291,512 Total Liabilities $20322,888 $2,231.945 1 ' Prepaid Expenses 48,344 39,61 1 a Capital: 1 Total Current Assets $ 3,1589044 $ 20684,095 City of Denton $ 393,165 $ 393,}66 . County of Denton 1,696,871 1$696$071' Property, Plant & Equipment: Endowment Blow Estate 240,461 240, 61 I Land $ 319647 37,647 Fod. Grants, Hill-Burton 15868,910 1,8685 X f Ouilding & Improvements 31033,781 2,994:1493 Fedarul Grants 266,371 2661 1 Furniture & Equipment 4 42 6 1 3 828 t4~59 Pledges and Gifts 375,800 372,234 $ ~ ,L ,195 Gen, Fund Dal,, Deg, of Yri 627,770 (100551159 Current Year 22 7 4 4f,W1 I Accumulated Deprociation 868 020 (3~493~G22~ Net Property, Plant & Equip, $ _3,345,939 $ 3 36661876 Total Capital 14,f81,095 $ s819'026 s TOTAL OPERATING FUND $ „6 503,983 $ 6 50 970 TOTAL OPERATING FUND 16 603 983 5~u050 70 V Current Ratio 2,43 4I i Page 2 r -FLOW M EMO"RIAL HOSPITAL STATISTICAL STATEMENT OCTOBER 31, 1981 CURRENT MONTH P R 1 0 R Actual and et Year-to-Date Adult Patient Days 2,694 3037 300?4 i Average Per Day 86,9 97.9 - X7,8 E Newborn Patient Days 422 397 301 Average Per Day 13.5 1218 9,7 r Gross Patient Revenue/Pt. Day $353.39 $358,31 $290,96 Total Expense/Patient Day $325.17 $290.37 $239,38 i i ~ i Month Chariik Bad Debt Rccov, ery S October $ 72,027 $ 49,546 $ 7,406 i, t % of Rovonuo 7,6% 1.0% r i . Tii: FLOW M E M 0 R AL HOSPITAL Page 3 r STATEMENT OF OPERATIONS/OCTOAR 1981 AND YEAR-TO-DATE of Salaries Supplies Total tP rect Operating Revenue Revenue & Benefits & Other Expenses Profit (Loss) Daily Hospital Care 21 $ 203,164 $ 116,480 $ 61445 $ 122,925 $ 80,239 Psychiatric Care 5 46,214 31,173 598 31,771 14,443 OB/Post Partum 6 52,417 16,747 993 17,740 34,677 ICU 1 60000 8,910 1,446 10,356 (4,356) Nursery 3 32,001 12,776 21837 15,613 16,388 1 Neo-Natal Nursery 2 22,075 14,070 370 14,440 79635 Coronary Care Unit 4 36,966 32,397 41231 36,628 338 Labor & Delivery 3 33,188 22,591 4,609 27,200 5,988 Operating & Recovery 5 44$60 20,626 10,095 30,721 13,839 ' Emergency Room 3 31,951 14,471 20,72.6 35,197 (3,246) Central Supply 6 58,673 9,205 235271 32,476 26,197 j Laboratory/Blood Bank 9 89,096 - 41,343 41,343 47,753 Radiology/Nuclear Medicine 7 66,454 16,999 17,095 34,094 32,360 Pharmacy/IV 13 122,553 11,271 24,540 359811 86,742 I Anesthasia 4 34,261 13,712 4,250 17,962 16,289 Cardiopulmonary 2 16,645 5,769 60122 11,891 4,754 Respiratory Therapy 5 46,295 13,104 5,624 18,728 27,567 . Physical Therapy 1 6,688 4 832 68 4L900 117g8 i. Total 100 , 5, 0 $ 539,796 $ 409,395 i. Deductions of Revenue $ 38,397 $ (389397 Charity & Bad Debt ~10O,58G; (100,5 5 j ,Employee Health Ins, Exp. $ 181251 $ 181261 18 ,21, Medical Records 149 $ 10,677 19139 ,,..f , 6 1 ,77 Gift Shop/Grounds Mte, 1,908 21665 29h10 '145 21707 ~i Cafeteria 10,940 26,820 26,087 53,707 42,7P7 Plant / 17,420 5.',,368 730788 7307..8 Housekeeping/Security Guard 26,742 3,867 30,609 30,6, 5 Laundry, `7,041 2,555 90596 9, 5 Fiscal Affairs/Data Proc, 8,906 3,811 12,717 12, 7 24,298 8,467 32,755 32,765 Business Office/Cr. & Col lo , ~ Purchasing 1,744 1979$ 3,539 3,639 Personnel 39737 2,880 6,617 616 7 Administration 60599 959 71558 716 8 Quality Assuranco 26001 1G1 20162 2, 2 ~ Oenoral' & Administrative 1,006 - 25,321 25,321 P.4, 5. Depreciation 341051 34 061 141051 f 0019 (Loo from Operatinn Non-O>oratln 'Rovonuo 20,000 26,000 Foundation 5 4at?n _ - w 068 Total `81 311Uw » "T~ti3", 7U3 G3 ;275" ~ 7, 8 i r' { FLOW MEMORIAL HOSPITAL Pate4 SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS OCTOBER 31, 1981 r Current Month/Year-To-Date Beginning Balance $ 68,073 Cash Received from, Active Patient Accounts $ 801,326 Bad Debt Accounts 7,064 Cafeteria 11,487 Appropriations/Donations 69,415 Other 180,724 1 060 015 j Total Cash Available Cash Disbursemontss Payroll $ 377,214 Payroll Taxes 615651 4 Patient Refunds 14,400 Capital Assets 590130 Notes Payable 12,603 Other 403,057 Total Disbursements' 918,065 Cash Balance $ Cash Investments 231 398 'i Total Cash Gross Patient Revenue $ (951,07G9) Less Allowances 46fi4;6'2 Net Patient Revenue Cash Received on, Patient Accounts $ 801,326 Less; Patient Refunds $ 14,400 Net Cash on Patient Accounts Cash Received as a of Revenue 88,1i~ I I 'r . ;r FLOW MEM9RIAL HOSPITAL Pate4 SUMMARY OF CASH RECEIPTS AND DISBURSEMENTS OCTOBER 31 1981 Current Month/Year-To-Date Beginning Balance $ 68,073 Cash Received from: Active Patient Accounts $ 8019325 Bad Debt Accounts 70064 ' Cafeteria 115487 59,415 Appropriations/Donations Other 180 7! 24 1i,t0~6~0 Total Cash Available Cash Disbursements: $ Payroll 377 214 Payroll Taxes 51,214 ,400 , E Patient Refunds 14,400 59,130 Capital Assets 12,503 Notes Payahle i Other 403,057_ rr s Total Disbursements $ w- 918 Total Balance c $ X31 398 Cash Investments i Total Cash Gross Patient Revenue $ 951,6 079 Less: Allowances (r755 Net Patient Revenue Cash Received on Patient Accounts $ 801,325 LesSi Patient Refunds 1 900 Not Cash on 'Patient Accounts $ Cash Received as a % of Revenue 88.1% a 9 (i s I I } j Page 5 E'L0W MEMORIAL HOSPITAL e AGED ACCOUNTS RECEIVABLE SUMMARY OCTOBER 31, 1981 Primary Pavor Durrent 31-60 61-90 2-120 121-150 150+ otal of p Medicare $ 430,967 $ 91,150 $ 780902 $ 345678 $ 34,604 $ 127,120 $ 797,421 Medicaid 23,691 13,667 91603 11727 30804 119187 63,679 f Blue Cross 116,027 529928 15,677 30650 21~ 14,996 203,494 Commercial Ins, 240,104 210,999 58,516 16,433 7,263 27,987 561,302 Self-Pay 217,368 1710182 105,935 95,996 74,934 123,440 7889855 Balance after Ins, 72,354 609912 31,899 22,966 19,330 __63,06.6 270,527 $1,100,511 60b 838_ 300 532 1759450 $__1_40 ,151 $_367,796 $2 685 278 Advance Medicare Net Billed A/R $ZtI5 6~ In-House Total A/R 398 Ill A/R by Number of Accounts: 8,900 Days of Revenue: Accounts Receivable 70,1 TotelHcuse 1W E `i I yl . _ PA06 1 CATC 10/20/£31 7122: 1*LOIJ MEFipR C AL M176p I 7AL CHARITY CHARGE-OFF LIST ACCOUNTS RCCL'IVA01.C ACCOUNT STATUS REPORT f~tC ER 31, 1981 PHt:-pp m DATCC ~~yy tt f'ATIf'!;7 ldrlpi' (1/C A0141T QATC MQ CAE N INS M PATIENT CITJAR~NT fiLkQE MHUICA~0 N UU °i:iir'I\' NUHUEfl OVARANTOR NA1fi BAT ~:NJ1f;liC,T P/+7, NU.A OVARANTOR AQURC106 P~iUI~C NUFIDER R/C Uf9CFIAROC H CHANOLCR TAMMY Eih El/ap/Q 1, 150.00 51, 00 cHANoLEn ANOr1,n V 9718 210842 24'.'),l LOUISE 11S 09106116 2 /au/ uENTON Tx 76201 Balance after Modiooid, 4, Vol Y. 9T io / 900. 06 799. 85 yy ggsy IaAir;1AR0 Uf:nN MAOOARID ' f gTXN 7(OOIHONE U rj/ / 7 9, 0S 1ul 11jIt04 AT. I DOX 60 DENTON Hill-Burton cr~ or a. p 1~0, 00 1D,,00 HAn".' WII„Llt: A HART , MUM f~ On jj g//pl 300914701 70?. o$ j 15 p 104 1 ] 0931 1003 N Lt10UST N fj/0 /0~• UF:NrOIN TX 7h OL DalanCO after Medicaid, " FF`` qq 1Stlr00' '31516, 04 6 fy 1tUjf>t 2791FI Olg BDV7HV>iitLL MINNIC 3102 14013 a2 6 8% % 3~F16: 301 4 1BMYON Tx 7620s Hill•0urton criteria,' +f d r DENTON COUNT, Oq 9%36% 1 200, 00 L3i1, 00 JACASON LIF DA gg f b: CO 1 30/7 2 tli NiPIJNNE Y ST TX 76201 Denton County . # 4 tl p 09 13181 30, 00 p ~CFtN^7N C.Asolun m DENTON COUNT, 9%1 38, QO Z:(;3 100060 DrNTON TX 76801 Donton County Joil, ; u w 57.00 yq 00 J011;:5ON CASSIUS M gCNTON COUNT, DontE14 L a Coudt 9fiNl B~ oC r.09 IDOObO U]NTON TX 76201; 1Qf} pQp qqg ggtltl r7pQ , JUNES PANSY JONCS , PANSY 69;36 96 al v~ lOttt3 D, 00 lpp O:gS, 48 IU1 183106 RT A , 0AINESVILL6 TX 7b Hill-Burton rotor a iI r E D qqyg tl%4%e 160,00 4967;00 4967, I JUFIES PANSY JONGB ,PANSY' 669-3686 97 - 1'53106 tt7 4 M1a 102 A11JE6VILLf! , TX 762 * Hill-Burton critorio, ppl~y} bQ yq y 668-3698 ~1 q/OSI 0 lil0,00 w 5274 61 174,6 .CN S PANfg3Y JONES PANSY pp ~ij j03 153106 UAIN6SVILL9 , TX 76249 9/Q C/Q~ I Hill-Burton criteria, 0 r 4 q PAN':3Y M JONGB PANSY 97 41 0/Qf g0061Q1~A A, 100, 10 13r 70 68r 79 J0.+48 660-3698 1 4/ a/ 1 it 1 182]06 (IT 4 Hill-Burton criteria. f 't r GAtt: 10/'P81W 7:30: t' L 0 14 11 r 11 O'R I A L H 0' 0 P I T A L PADS 2 A ACCOUNTS IWCrIVAULE ACCOUNT STATUS REPORT i ,I VATfa'NT NAME ~ PMADMIT DAY pp 7p pI p" I ltliiR[CT-PAf.I~ OUARAflmnOfUiUCRrL13R--NfIIUNE NVMUVII III/c U?(1 11AH06 ;3ATI MEUICAIN M 1N8 M PADUENY CURRENT IIALANC~ 0AIN aVILLL TX 7G1".49 4: 13.73 a JOa S NAkSY 11 JONES PANtIY 117 WI MO 43'ft9i11910A 1030.'00 14622.90 j 15'4 !"u31Ub I?T 4 660-36;H3 3 EJ/' /IJtl 4114:20 01 1,00 2467.0 CAINESVILLG , TX 76244 9/~ /eg 4; 1462.0 * H111,0vrton crltoria, JOr1~i: 5 PANb3Y M JOiACS , PANSY 17 6/S t3/ill 402 n~~~gA 88 4~^4. b'J 4 1.i 153SOG AT 4 60••3630 f 6%. / 1 413 2 J GAINS-VILLS Tr 7L249 G/.10/01 414q. '89 III/ . Hill-Burton Crlnntorla. qpg g o _ ' o :tl0 op 41 JI111i 3 15SAWSY f?T q JpNC9 rPANDY 6 3-363(1 p1 f /O6q%9~11 413y 071110 A : IQ$ 4537.30 106 OAINCSVfLLE TX 76249 /Ot/8l a 8 4l c+ a 8111•Burton criteria. 1 JI10LI1 HOWARD {Y.~ JOF' 1N HOWARII 04 900.00 4.6.00 *d3l 030000 prIJT103N CO IA L , TX 76701 Denton County Jail. k $9'38 I o KENDALL. OL VER l~ KENDALL .OLIVHR 84 / /O1 1.900.01 94.20 fJ 501: 96'6}J4 RY ~OX 321 NNg 4 /S/pH1 3a.Ii a nF,NYOPI , 7X 76601 1 Belahco after 11HMR. a KN20 T 3 a9G21 201 tE MCKIN. TONY COUNT, Dry IG%A9%B1 69.00 69. x d3 OtiWTON 7X 76:01 Donton County Jail. y LUCAS ODELL UCAE ODELL 97 6/ /R1 900.00 173. ?0 2012 2731.11E) 10 SCOT c?7 6493 0 6/17/ 1 7 .7 7C ORN aN YX 76201 Hilt•Surton criteria. ; HILL MICHAEL HILL MICHAEI. j IOlA49a5 313 THOMAS, DENTOH, TEXAS 76201 Ht11.0urton criterio" 6,070.90 y /1 M II,LE'R 5 ILL II I LLCft n I LL, 134 0/ 3/ 1 4 0 6 99 M t pp pp 12.00 p 106 47097 1~FN34NACLE , TX 791031991271 1 g 3%tl//1 427969 41 : 1~0.OS 40 QO r . Oalance aftor adicare and Medicaid. 111I.LER 00..A8 R MILLER NELSON 900.00 2164, 13 , 2164. Lot 9S 045• PO IIOX 09 497 246! v d LAKE DhI.L 0 TX 7 060 Hill-Burton CFlUri ~ HWHES CHARLES H G11£S CHARLES Z'hdigont Caro 21181110 Rt121,m . 3, Box S 0, Lawlsville, ix. . M 3 I f i i _ DATIF 10/20/01 7:03: I' L 0 IJ M R H 0 R I A L Id 0 6 P I T A L PAOE 3 + ACCOUNT!; RECEIVABLE ACCOUNT Tp STATUS REPORT F/C ADMIrDMST CAPE AR It !N8 M PATDUENT CUfOiRENT OALL,ANCS PATIFIJT NAME. gAAnANT R NAI1F g r19018 PIVFIX NV1f061t ANTOR AODRES PRONE NUMDfR R/C DIBCHAROE OAT L" CDAl N 41NDIRECT iz. c JUAR 1117CHELL. , RUBIH 04 tqb/SL 465 43 6909 A 1. 100.00 19$, SO 1212, 9 MISClrLL RUti7E 2051! MILL } M6/61 1gB.8C ' i 147FU,. t)EIJTUN TX 76 0! L/8V/SS 4, Indloont care. ~ g1 900.00 114.20 t11 B4 9%~b%St 3 iZO MVApHPEf. aaS1106AF DENTOJJ COUNT, ; 201 Denton County. Jail, 4 / a n q , c UEN70tJ COUNT, Uq gj00jOj 1, 900, 01 7$ 00 . z 73,00 I riURP}'RCe' T!•.J?:1A! 1 ,q1 sat ±av Donton County Jail, 4 S9 IO%09%81 QS, 00 ; 00 88 PAIKER 25bElg911J 5 $ $M1THP1 t7TE14 MtELVIN NONE. 02 I)FNTON , TX 76201 Denton county Jail, u a 90o, OL 54.60 ~py p MuI.VIN pARKSiR M£LVIN 84 to/ C/81 94 60 P/,RK£R 2$G042 015 SMITH LOT 14 NONE pentOn COUn o/ at ?I $G.I QNTON TX 76201 100100 165,17 1 u P10T1L 1977Rl9HA 709JNORHPAVOVI2M WHGELER5093758365 SR 7,11"1 1160,17 PA1 MY(2 UN NM 07401 ~i u Aolanco after Medicaid, 3S. 00 p PItNArATON 23117a2AFL 0 DENTON COUNT, U9 gj00j01 .900.00 81: 88 DEtJT011 , TX 76201 Denton County Jail, 6 p " S4 q/ 4/OL 900,00 66,50 66,50 9 9/.43/ 1 6 0 P1111,LRTOtJ 111C>AEL 0 OENTOlJ COUNT, 202 33472 09NTON TX 76201 Denton County Jail. ' p ff JESFi PINKER .JESS 84 33/3g$/ 1! 46H645232A 180;80 S7. SO I A/19/f &g PC07,'r0 I PINNCR M 101 27gn97 CCX ^74 , 7% 7G20S N 1 1 IJr$N Balance after 140dicare and Wicald, r * tlOYCg d r 0 900.01 6359. 15 10 RtI11INgggg , ooe} 66 n011AIR9 03g7p0tJ od CT WORTH pf1 11'20 NONE q7 jl~ bOC9, L I. , ti tJTUPJ T% 76201 HI11.9Dueton 9ygqc~ farpi. 630, 00 `f A 7/SO/8L 900, 01 , 38, 74 i li'QOP 1'AYC MOP FAYB 352 6660 lot 31w06O 1100 MALONG•' ~I . t Y DATC 10/"8/81 7;37: V L 0 W M C M tl R I A L H 0 8 P i T A L PAGE 4 1 ACCOUNTS RECCIV60LE ACCOUNT STATUS RCPORT f ATIENT NAMF, qq PRRp'P'q- bMIT BAY 1 CC k rrpp D11 pp *VI 101Nf;T+PFUT. NO, • GUARANTOR0ADDRESS --NNIIONC NUMDER R%C AMA'ARGE UA7E~ MGDSCAI~ M XNB. M PATVRNT CURRENT DA~ANCE DENTON TX 76.^O1 7!1 /tl1 Du 08.74 r Balance after 11tt4R. fff! J§!RRY ROY ,JERRY 04 1QJ¢¢/61 86. SO tlb .!Gb 310 63 RCNTON COUNTY JAIL ➢ ! / / 1 0o Er1iUN Tx 76^.ot Denton County Jail, A; 96.. a a ~d G'MITH H IUCnT UCNT'ON COUNTa p4 a~~~+R~pt 000, 00 98, 00 201 331 X10 001 a MCKINNGY 9 8 t11 8' pp % UCIQTON TX 76001 Denton County Jail. . 9 00 SMITH HQDERT DuNTON COUNTa 84 18/ /W 38.00 tlo 202 a34 4p NENT'ONMCKINNfiY TX 76201 Denton Coucity/Jn~t~t 3; R; 00 rr 4, IIaODCnAY E 307rJU3 E FR060NOLIVANAYIICRAY a'HTXT176R97-5473 81 46,(/'R.I l f57674.~O1Si~D ;~9~;~g 13,00 7 A I u DalOnce aftE 34, THOMAS SCG464HGWPpp pnY 12aatlMAB aMATTHCWyy66l~ 2liS S 6%qq%s@` 42A46630i 100 00 194.80 3 f DEk1dN Tx 7Gt101 21-11 I 6/i9/8t ~ Q 1~PA, 98 " L w Balarice after Medicaid.' Tt1203SiCH 3'20S 0I DjgrTON COUNYYT0AIL rALLEN @A~ / % 38.00 UBr1TON , Tx 76201; O80 « * Cento4n County Jail, OR: 0 Vu lot 90 41M£LH1969NDONUt7~`RSON ,87~VIA76S414188 8SI % ~j%~1 ~.iS0.00 48.00 4 43y. 95 4@.00 8a1n~te site nggd,~ild, E WAtr MITVAEL WA KE aMICHACL 172.75 f as^G1 3303 OgtaBN COUN~Y JAIL 1 $ l /02/@t U6NT N TX 76201 + # * ppnn 3yp DOntOn County drift. l~ W 2871,76 5 6COLNN ALLER aDr%NA793yoyd789 0 6/ 6/ 1 1E0.00 367.64 j aL7 ¢/]3/l PBNDINO 1p9'';00 p j 1 3 9b9: 64 Balance after Medicaid. "JOST"' '.i 6949Py UGJiOINASTSH'MMAORY 'P~zNIIX73R0i33B S2 j$'/jI 23S179t101! 150.00 A01.8¢ ispb t 00,1ence after Madic4lid, Atli' n I 4 T At CHARITY TRAWO $ 72.02040 s y I Iwo' idol a a f . PAM 1 .iC{ 14/OO/UI 15:U'1' 1'L0N 11t'.11Uk t Al. HU$P 1 7AL LAD Dr..11T TRANSFUR REPORT FOR PCRIOD'10/O1'/al 1HRU IOA7F/RS OA E DA7 OP SIALANCt IT!iall Ilt,'t:i:CR #O a-SMGak PATICNf NA OVARANTAR IJAI AdMITTIU DIuCHAROdd WR1 Gl?FF 01' ACC f . » U ,7 1Z 4*11*11*0 PFa J2LMUl.ft !'AI(n, AUD%+, ST, L1P_.I+AISCi, Adi?R...CIT'/, Pil'tll » CS1 r ROOM 7/23/81 7/f;4/O1 10/20/81. 384, 101 SH704 Annn7T Ri7ocR 4V-1 I: WATERS 404 E WALTERS TX 75067 4V-1 I: C TX 79067 Rovedl left no address. 14/80/81 10, LFPIIPILLb CHARLES 2/db/B1 CHARLES h1)A`tCi ^:^,4 QG6l1 rtr PgW-'ST W01•COTf R1' iJLPtiT WOLCUT'f TX 76298 No rosponse to collection efforts. PSLU1 PC YX 76250 P I Ucl t I'T u EARL 3/31 /S1 4/14/Of 10/20/e1 SV2A1,, CARL I6.!5 CHURQ'HILL 107. x3369 AtA9flCHURCHILL TX 76?O1 UCC+TON TX 76201 No response to collection efforts. P40 UPI SJILLIAM G/O1/9t 10/iE3/Bl 1'Sq, ai~LL of+~ } r I'll, 4 i WiLI IAM r PT ADA4M °HLrWIOOD' MHP ~S1I4 TX 76'x01 No response to collection effforts. RI 4liM'J DLh14°HtMftSlpUD MHP 413'3 TX 76.^.01 i DOHA 0/1G/01 10orts A2 ALCYhNDEn ' .1 i r j6 i i!r'1 ?390 I:j6 CliliRLC9 DOR.' My,) tUOQTH CHARLES TX 70067 No response to collection offorts, EEWI5VILL 00,` f L417 TX 79067 LEWICVSLIG p/18/d0 10/2H/81 L 14ARILYN ACCXAN0tX RON l 1 )Olq IIOX n7iER 9OX 771 TX 76157 w response to colloctlon efforts, 76280 YFLUf POINT 0/80/91 3e' 1 PILOT POINT T% AL! C T h DAMS ii DORCA9 6/04/dt l 1 F'ItIOCO TX 75034 tt r T% 79039 No rRSylOnsO t0 Collection efforts, ilQ 0 139. Al SC Ii+ i'. 1 ,CU 1 Do,( le0 AT. I nox IU!1 . P A/1:I/d1 IO/u 62;1 .20-103 MARY PHELPS % 11i 3 MARY . I t S~1Pt ppLDOX 1113 7X 79069 L,AhI DALI Afi a' 7000 NO response to collection 10/ dffOrt.'.0/81 107.1 LAKti t)ALLf+9 CA IM Z rrL Y AN;F.ROON CaTXIN 76201 No response to collection efforts, t 28393 A4',!L 000 ;YKL I+ SeLL 0103 "v41 14 eCLL Il103 TX 76201 Di':3dTCIJ DSNYDI LOTS ANN 3/24/81 3/26/01 10/20/81.011Z ARA I WWII 141 7 y,i9 Atni'+aTUT+ 1.p1 Pa 0 X A113 Tx 7680q No respon9e to collection efforts, , j PILOT POINT TX 76'V59 PILn POINT 7$2. I 8ANDana , SUSAN II/OD/90 11/14/00 10/Q9/et 1 101 21647 dALG3 LRCM JARD V11_LA01! NORTH MHP ttPA7TY TX 79067 L 711067 NO response to collection efforts, V1LS.Ar,E WiRTH N.HO 11x41 Y. W L GVI LI 117,:1 ' LE411ft'V1LLL• WARM 6/07/01 10/20/01 ~fAL1. j ?QI 300 7 Ukt.L WARAH pT 9 DOX 866 WIN L c{'I Tnla Tx 76201 No rospon* to collection efforts, LAV.H RT. 5 h1SC 1,+IM 11. H. P, TY% 76101 O 1 r f0!29/91 tll~' AW44N < r N i'!DY tARN4i8 RONNI9 6/01/9t M ' r i91 RARN41 3 9 0 0 YX 76440 No response to'colitctidn offorts, 3 4 T 9 ,klax 0 AINF.~0 MO ~ CAINC•.t3V[LLi TX 76240 ..w -wurwlwf~ill~fMdlf~4 ll~"' I~ I I PAGi, nAl'[i IU/a0/US 15:07: F L U W I t. N C) tt L Ill'q a i' I Y n L. tiAD DE,T11 Tfthll:;t'(:1't IUSI'Or;T rOri NFRIOD Lvolml 'HIM 10/31/EII p,1T1LI4T N011nlR •t~acnwMUU ('AY LNf N.'+r',t aauu,aa~v a.,uriY+ O(U]A1tniI1L)A NAM6' ,,a,runu DATV DA11ti II1Air' or UA1./q C PP'x N'U15De,R NAME, ADDR, C~TY, ST, 11I° NAN'a, ADI)ri. CITY. EirI xIP A011)'ITED p[6LIfAltCLU C1rt I I COI-I 1)t AiCU'JNf 1 31335 ROAN THU11h3 OCAN TH011Aa %/1J/Elt 10!913/ill SJ fr1+ 9 DOX 2U1 itI. `f DOx "01 ULIITON TX %6601 IALN toN TX 76F10t NO reipwo t0 CO110Ction tvovt5, 201 29483 11CAnU t41011ACeL b/lU/[31 10/'dOJia 140 29 4KRUMTX 76249 No rosponse to collection efforts, fOS 94 it ~CARD RUDNIlY DCA11 PL00Y 9/17/79 9/10179 10/?G/01 I:el 0`. i' O BOX 24 7X %6249 11t0M13OX 24 Tx 762.49 No rosponso to colloction ufforts, I KRUM 101 14712 SECK PATTY RE:CK RATTY 4/11/91 4/1;3/01 l0/: ti/O1 961.00 C JEN14013F. NI/ RO5C ION TX 76201 Ut N1014 TX 76201 HO rOSpOnSC t0 CO11flCt10i1 efforts: I 703 1,1712 DECK. PATTY nt1K PHT'TY 0/11/131 i0/2I3/R1 179.30 Div R09E 1117 ROBE DENTOIJ TX 76201 DENTON TX 76201 No rospollse to collection efforts, 202 25076 DECK THRU6A }NriCK EDNA 6/12/01 t0/29/f31 3D Od NI CH 1~ AYFA4L BYRSE}' TX 76304 L{2NTCJH Tx 76201 NO response to "lleCtiOA 0f01'ts. j 202 19x04 PFLCFIER EARL rI"ticit LARL 9/07/01 10/?O/ul 40 SO 214 $M.DY LAKE Zia, 214 BANDY LAAV tit) I{OV,edI left no address, ~AttuLLTON YX 19006 AR11OLLTUN rX 70006 201 27000 opf PIAVIDE9 RA1igNA ynt nIs'L D1rLOREO +/,76/8l 10/itllel 76 CO i OIiUCE HALL n207 003 SIKtLLHAN 0109 fX 7 9206 No response to cAlledtton efforts, T X 76202 AULA3 DLNTON lol 253399 fIRY WENDELL LrirRY Nt¢NDELL v 411,9/81 4/14/ef 10/:?0101 y/,0 79 i tl0X 692/DAyls MHpp9 11U,rC,42/DAVIG MHPIID L, LAKE DALLAS TX 75069 LA,'Yr DALLAS T,x 7506U do response to collection efforts. J i 202 7.9099 DLACK , TIMOTHY 1A.ACK DEITY J/07/01 10/2~/D1 04.29 33.,i VALLEY VIEW `1;300 TALL MEADOW 11.^.°lU' DErJTON TX 71tt01 UCNTgN ~X 76201 No response to ColledtiOA efforts, 601 30140 pp7y YNT , LORENZO OLUNT LORENZO 6/00/01 10/2C/0i a6 fl9 O rJYONRTLE Tx %6201 7111TmYATLE 1•X 76201 Unable to 100% :O1' 30294 QOND. , ROl1nLD 4OND RONALD 6/I3/0[ f0/23/E31 44 2g a otltl4 M19tiON 1n4 MrSSION U24 TX 76201 CLNTUN 'fX 76201 UA010 t0 100010, NTON 201 30011 rppOWMr!(A~NZ~( CIIMIL1y~9 DOJWMAII CHARLEO 6/29/61 IO/2t3/61 40. ~r pEIJ7011 °754 LOT 0 PT iJT% 76401 NYpI1RT WORTH OttIVU TX 76201 Moved; left no eddross. 3 Pik 71. 1 PAQC 3 F L 0 l' N C M 0 R I A L H 0 8 p 17 A L p,<1'E: lU/7ri/OI 15: 07: D<+D UIJUT TRANgT':R RM)ORT FOR PCiRIOD 10/Oi1fll THRU 10/3l/dl p DALAN8s 1414 an+.na C"rRANTOA NAME aaaaaaaa ADDAIC 0►BCNAaOED WRIYEOE+p 0F. ACCU ITTUD . p~taruatiu PImrW M...?, 1'hT r17 I'J'1 fA v, J,DDIlr Clf'/+ GY. 'ZIP NA112, AURA, CITY, "Iw.Zfh»« Q 13~r~ CAi 4/22/01 io/28/01 Gfi1C URO'K8 G :?01 2e'G97 atlOA q@I71:pN 213'378 M:.'AKWSIDE TX 79240 Unable to 10cate. V TX 762o1 UhLLAq 10/20/81 104.. r,EArON DCRRY 6/f7/dt g flRY UUitt.f UOX (,1 3CA~7 u-iru SU"J I UO 3G2C ST TX 76301 Navedl left no address. R1 1 UU% 362C ST TX 76201 I,01f11N l0/ad/fll 190x Dkr;TUbl lJO0DA0W 4/30/81 3u3 14179 DIARICA , w000ROw ryit;Itflr i OT 762b6 CR No rosponse to collection efforts, 1H 1 07 AVLIfUr A rx 76201 SANO TX I)qua 1rl 5/19/Ot 10/20/81 gThCY r,OENI, KATHY 1 E 1.01 2'1499 CAPCf)A I,tr , Igor TX No responsfe to collection effort. Y IGr. J0;0a°UN T% 76201 DGJJYOIJ 96203 56. Guilt('+11 3/07/81 to/28/51 gH1RI.CY CAPPt!Y QH NLEY ` ?2 SIB/90 CA F' ~CWUC F WGGYC/+It': Af T .?ZM AVCNVE P wEtSTOATa X 76201 No response to collection efforts, CicJll'ON T% 76201 Of Nr01J 4/21/81 8t 39 + CALHOON CHIP I Ot 2$623 CAI_1?0~N CH[P 2710 UOUCLAS 0147 7X 70219 + 2710 I)OV;LAg Unable t0 1000, /81 57.7 DALLA'i T% 75'519 I+ALLAB 5112M to/29 t 1.11J0A CWINCIJ JIM ,CI 297c33 Cf.!41Jf1N n16 a LOCVGT TX 76201 No response t0 Collection efforts, iib LCC0ST YX 76201 DENMI 10120/51 C>:NYG(4 ,.N09LIA , 3/10/01 CA14TU ! "'0t 27369 (.f1YV ARIiANOp yoq LOVI6C 115 7x 76201 NO response to collection efforts, ,;1404 LOU(5E n0 TX 76201 ~IiNT014 10/20181. 4t, V'tIJ10N JOHN 4/29/01 JOHN GGARPCNT4IR 1 901 2£'9114 CARPCNTRIZ h U pRI)OKHILL NO response to C0110Ct10n effOrtl, ?0o IWOOMTILL 1X 77007 NOVQTCIN 7X 79007 147. i 00 C+'Y Of l ANMi JAMS 4/02/81 4103/81 10/28/81. 101 nC036 CAHTCfi J/+IiCCi +Cj1414.111CKORY + 1315 w 4ICKORY TX 76701, D NTON T% 76201 No response to collection efforts, t91r~ i1 tENYbrt 3/04/81 0/07/01 10/29101 tot , RAM[NpZ J. 004 CI.~~ll.lCI.SIADf?TFI Cry ,[LOWOE APT 41 L(UI9C APT 41 76301 ~ENYOIJ T% 76.101 NOV@d; left no 6400%. j, 41 TX 000 OLfiliN 3/09/0f 3/11/61 10/20/01 t12,~ r,COTT CIIANCLLLAR q r , PO Ctlll@CtIOfl efforts. 101 X4417 CHAVjL OP VI(IXAiLIk qAa Tx 79060 No response to I+I ,y i 'JrN' TRL rK TX 75040 LA p UAl.t.h8 UC889 4/11/81 f0/26/tli b7r 201 ggit350 CgHAMIL- i{RI N/`RY CgqpbNCRpp T:f 75116 No response to collection offorts. 10 4U110/+NVILLG TX 79116 DUNCANVI+. LC f ~I ~d 4 GATt: I dr 1)i ti 1 19: 07: r L 0 14 M 1? 11 O Il 1 A L 14 0 G P 1 T A L WE 4 I 1 A LAD DtiDT `mmi8I'L'R ncer•)1tT Fan 11MOD 10/01/01 TIM t0/3l/8I ; ij f-i'kl NT Ni7'{f'ft +d+~~nry+i PAT1l;HT NIAO' 40000.11.) ;l-It4i,►Irh OVARANTnP NAVE ApaMauAU DA1 pAMP DATE F DALANCII NX Pu.111fIf NAME, Al`:ii »CIYY, 3 1r .11 „NA6- ADDR, CIIY, 3T! ZIP_M ARMITgED D1FiCHAH0El3 WR17COFF OFy^ACCOI, ::Gt 33$4+! CHAMM4 J^:4I CHA14TEV-N JONI 9/24/01 10/20/01 43: l~9[>pp I•T. WORTH DR L01 3;? MM F1' WORTH Ltl7 32 DKNfON T:< 76'401 M-141% TX 76201, NWed; left no address. 7.01 2.,%'.25 L'HERRY CHARLM CHL•R:IY C14ARLES 4/07/81 10/28/01 69:+ RT I nT I UhANUPIELO OK 7:+946 CRAMW ICI D OK 73846 No response to Collection efforts, 201 V3754 CHE"Mn nARRY CHtir3TGn DANNY 4/25/01 10/20/01 38? 4131!.0 PONTIAC TRIAL IOU 4(+~! 0 PONTIAC TRAIL WU E ' Wt ca H lat 40096 Wlx 14 ht 413096 No rospOnse to c011ection efforts. ! ` 1 2?357 HUJILNY Ml..11Y CHUMLEY , MANY 0/14/01 10/20/81 401 ucelrG~J Tx 76201 f)1NTOiJ TX 76201 Movadl left no address. 1 i4a•12 C1 L1JIS MIME CI rRJ OARY 0/1'4%81• IO/28/Ai 466 i~t22 WAYNG 13T 1 i.^d WAYNC 87 F1' WUIITN TX 76117 V'( 14ORTH TX 96117 linable to 10cote. 201 293.15 4LAYPO ~ dnr AN CL.AYPOOL URIAN 9114/,OS 10/29/Oi 09~ 14.10 M IACLE WAY 022 1430 MIRACLF 14AY 022 CI. PAIJQ TX 797/27 CL PASO TX 799995 No response t0 Collection offerts. :01 1597 CLAYIOR ELDON CLAYTON ELDON 4/01/01 10/28/01 1 05 f 17 2 6TH 117 3 6TH 8T ANG4:H TX 76266 6AI40CR TX 76266 NO response to C011ooloo efforts. 49 i 1261 6640 C KM PATRICIA QIM + PATRICIA 5/07%81 10/28/91 '~0 P09L L4 LA ..UN TX 76201 Uh1i70N5C TX 76^w01 No response t0 collection efforts, r 70I 2,714n v. -0 LY14VO14 CVX `CBLEY 9/07/01 l0/2g/al 66, 2~-0. OAK rA~K OR n199 2100 OAK PARK Dn 0107 LE:WISVILLO, TX 79067 LI:WI8VIL1 C TX 7$067 No response to collection efforts, p 141 27724 CbLli wALIN COLC MARLIN 8/71/01 10/20/81• 1101 f)JP VEL GI1N DEL 4 y U~~TON TX 76201 LBNTUN TX 76201 Unable t0 looate. 901 001 at' COLEY CYNTHIA COLM r CYNTHIA 6/07/01 10/20/81 44, I101W OAK APT P.1 1900 W OAK APT20 DEMON ik 761401 0614TON TX 76201. Unable;tp locate. OLWpiCKJ URARY 5/08/131 l0/&8/111 04 201 29104 COU410K, JanRY CWIT 013 PASISLEY A13LEY O I4IOLJ TX 76201 GIJ Tx 76241 No response to'eollection efforts, 102 2,1623 Cg mhAVIN C!''+ MARLIN 4/17/01 5/01/81 10/120/91 16'3M 10 UO OTONE CANYON OJ30~ STON5 CANY014 ALLAG TX 742:10 GALL 6 TX 78230 No response to collection dfforter i apwpi~ .....A.~C«........ f r. i i 1 p r, 0% r-ATl~ F L C` IJ M C 11 0 R 1 A L H 0 8 P I T A L PACC 9 / 10,.,or.l 1~ ' DAD DLI)l 1'RANl (P R RCI)ORT FOR PL'RIOD 10/01/O1 THRV JO/3i/81 PATIENT IIU"tCR aanniu»ua PATlr IJnI'E uuaurys.~ araunrna OUAI2ANTpR NAME •ye**w•r EATRM DfflTg pa T!A ArJC f>i x rJJrsU R NAMC. ADDR, CITY 8T' ZIP NAMCR, ADDR, , ITN', Or,«ZIPy ADDATFRITBD 0C$HA ORA WRtrROFF OF OCp ^I STEVE 4/76/81 10/08/81 43. 2C'.O16 Lpx JR 3rGVE COX "I"I'(+ 1.) 011KI12 r'.G 6 W CIAK 2 DEtlTDrl TX 76201 VCNTUN TX 76001 Unable to locate. 201 20766 CRAWFORD PATRICIA CRAIJI'ORD PATRICIA 4/0'7/$1 10/20/91 47: PO DCx %01 ppp ttlnx 703 LrdiP. Ont.L.A5 TX 75065 LA DALLAO TX 79069 No response to collection efforts, 201 201193 CRI+Z RODLRT0 ORUz RCDF:RTO 4/06/81 , l0/20/91 3$ ? 927 1:01 `Jr7 ELK _ No'res once to collection efforts. a Ut1.row Tx 762"1 I)LI1'0N 1'x '762101 p IO/2B/81 39,7 201 pri972 CUrart'r:RLAMD DOr;UY HIPPLG MIKE 4110/e1, RT DUX 761 TWIN LAMV-MIA ' R1 0 DCx .I TWIN t.AKV13 QCIJ pN Tx 76101 DENTON TX 76201 NO respODs(i to collection effort. 201 064.'.0 OM" IN08 VrJ.VJTIHA HUIIAR 3/±7/8l 10/20/91 1$y., vI?fir DR s63 I; wr OR No response to collection efforts, f LCW1SVILLU Tx 70067 LLW18VILLC Tx 79067 ^.01 4UII:G:O LUCIA 0 CUIJEO LUCIANO 4/2%/91 t0/29/9t 39 } /4 M1 Vr•RR MALI NTOU 07744 7Dd, -"rHA1,L IJT II DU:G 7744' L'V000 ~x 'M203 011171017 TX 76203 Moved*, left no address. ^V2 203'37 DADAIM11FAT A8HAD U~AOARt r-Al RC APT AHAMAO 3/09/01 10/98/Rt 40,~ M. PnA TbN TX 76~01 No eoSpopse to Collection efforts. , D UN PRAIRIE A' T JTX %6201 Dt?rt 201 209,2 D'dJ1EL "AR'rA!J1CL OAR'/ 9/02/91 10/.^9/91 3~• WAXAHACHIC 1'X 79160 WAXAHACHI9 TX 79169 NO response t0 cO11oCt10n efforts. 104' 1071 DAM 1111-13 $tiGItR1' DANIOL$ , RICKRY 3/12/01 3/16/01 10/20/91 1'54.3- 6'10 W VNN40N bar) IJ NUNSON IjUr+10"N TX 79!20 i)LNI41014 TX 75020 No response' to COII00tiOn efforts. i CHARLES 0/18/$t 1,0/26/91 60.? 1 8490 i)AN13DY 4a:M D,4tJODY i lit 111011VICW CT 7X 76%,01 111 N'f HI00HY1J18W CT TX 76001 No response to collection efforte. 1 UkNTUrJ 302 10;.43 04INDUGH CHAFMITTE }X.ARINO ORRALOINU 9/23/9% 10/20197 3S•{ , } 2rf0U VI. WORTH DR ,200 FT WRTH OR 40 DLISTON Tx 761'.01 DrUDl7 Tx 76001 No response to c0111kction 9ffOrt5 r 10/?.$/Bl 128,1 Y 702 X947 DA~OIIKRTY MARK DAyIHTRH MARK 9/0$/81 TX 76201 No r@sponslr to collection efforts. r. FAt.t.MGADOW }ta r.1.1 D 34TON Tx 76201 1) rn ON LLr',rnuoW (12 r !G4 19211 DAVID JOHtJ DAVID , JOHN 2/20/$1 to/210/91 40,~ ~'~rti.%IN, HICKDnY TX 761101 p7tTp2! H%CKpNY TX 76201 No response to collection efforts. ;r `P IF, . } PAC5 6 Is J LJ M t' ft (1 ft I A L 11 O S P I T A L l7.+D UE11T TrtPPt8llili RtiPOilr FOR YLRCOD 10101181• 111% 10/31/pI pp g aa pALAN!JCI nrµga #+t OAT Cppr3CHACOdo iJRITEOFR 01' ACCaI, 1. r, uwww~'F.raa aa•.uaaaa oUARANIQR (JAMC ADMI A .Ip~rt aatrxrt0 'AAd PA1'[ENf 14A..' CITY; OI: »,.w 1,1N NA(a~' AL`hR, »Ylr » » T _"`"1 I'hrl T,il~ri'ILrI PlAtl=, AS)1)ri C11'V, .IT . f0/2p/81 40 _ OAV1fr )OIAN 4/13/81 Ur,t I rIC 111• rj LOr 141 T12111 LAKR , No response to collection efforts. ;:G1 i.lulCr+ FIT415 L01 141 1'1Jlid Lr✓iy 1X 7Ga01 79i l0/211/8i D'T.JTUN Y% 7en01 DCM101d 6/30/01 DAV l3 , U0 14 2222 rNr X 762os to collection efforts. I 04' 20" 2P,104 11AVf~ LOT 141 7NlN LM1k.tT ft~ 0 t.!JT 141 TIti'I¢J LAV. No rospanso H NTOW 1x 76;201 IlSNTO}I 5/0l/81 101"/8f 1 !)B V 16 GLORIA i DrTR.1 U.^ p,1C}IIUAN No response to Collection ,offorts, T% 70e21G 38; ..".0l 2!1993+~!^?'I,iclllDAW TX 73~16 UAL LAS r,l.l.r,f RONALD 4/02/81 10/p8/pl ~,)2 1,403 tl/,VJ~ D l 37x8 CI.iZAl1F.T)i' R1'Vit; no% 1736 YX 75006 Na response to collection efforts, 1 I kTT ~1 7,305b GAfiTVALL 41 Cr,GTVALil 7% 4/24/01 S0/98/!31 l11CHEILG. DAVIS JOHNNY 2 Vol 9730 pp.1V18 ST tt LOT GS UTN,TRLR, 'tX 76FOI No response to Collection efforts, y fIJ I LOT 6•r 1)1N fhr,1L~ T XL 76POI Dr':N'f0:! !Oe Df+J7'UN N PAMCLA 6/10/01 J 0128/0 1 { 1 2S7iC 11AV1L' i hAI4CLA I101l,a111CAINODIHD TX 76101 No response to collection efforts, 1 I N11 Mr-0JI103111D TX 7t^01 D4P11UN 10/20/81 460, D 0110N pAVL 3/13/81 ` PAUL L acta No response to colloction"afforts. r` s~c)t uia~~ o~+k ttvl .1u ~ p C) po:c a3G TX 7oo:s4 rr~7e~aox a~6 Tx 7soaa 1 , RUDY 3/Ob/pt '.0/28/01 3~, IC l,y IS nv,;y DAV I3 4 II 2 19616 D!11fi ;!I% EmII2 GT. TX 76266 No response to Collection efforts, 8C a 6111TH ET TX 76166 UAIJULn n li)/28181 ~nNOltil TOMMY b/.0/8f q DAVIrd TC14iiY 603 grtjIIAN BLVD Moaedl left no address, Put 34911 4,'o3 J SjTtAN CLVO 1•X 70063 112V1N0 TX 70060 778 IRVIIJ RAYMOND 2/03/8t gw/06/81 10/2p/(11 1 lai,ARtISA MARIA CELAROSA }loved, left no address. SOl 3.',609 $320 VSATH' ELM rJ .i0 %40UIR ELM 130 pp. n C TX 76201 DRIJ ON T.X 76201 1161130100 l/O!/D1 10/AB/81 010 11r1_r+h8QRA 111 auWARR tot a^')%90 h[1~A1A04h0 Irt tA r.)4 TX 76101 MoYedi 1Qft no address. }yCNTA TX 76201 DUNYON p DC J PAUL 4/16'/9l 10/.'8/81 lbd; o;Adi 6 k 201 30'18` D!100I~~~/LF kr05 PAU ! t(TU 0205 TX 76101 No rosponTO to collection efforts, ~1~ OENlprt Tx 76201 DWNN !/29/81 10/98/91 DIIAtJNA UCRHEe1M1f RICHARD «r)1 y aGi4V ItrHrL IiLLCf1llEBY 1nINECVSI ICER.P.isT 7X 76240 NO response to 'colleation efforts, AINgSV1L1,1! Tx 762a0 U :~S e • I I I 1 1 DAIC IWj0/kit SI5:12`.1'. i' t. U lJ 1.1 V4 M 0 fl f A L li 0 5 P I T A L PAGE 7 i t Ilhn UCRT TRANOF01 KC0011T POR PCRIOD 10/01/131 THRU 10131/01 ;.TIFiIIT I;t.t (if ,l +n s~uaau P.1TIEntf NM1&' { Y4lkY;17 / aannaxq CCARANTOR NAMQ I$** NY♦*V AUMITICD DISRAi Eoel) WRITCOFO orDAhCCGI g _ F'n, ttCPlt fMlia AOVII, CI'+Yi fiT, ZIP NAI1l1, bl)Pk, CITY r. I. ZIl Sr 0ATItICY, 0tiarY PATRICK 5/09/01 10/`90/el 112, sat 29016 bL~ v 113 11 2 WC:nT OAK I I.I ry WF.3T C,9K TY 76,01 "t-11 DUNTON TX 76201 No response to collection efforts. 1 ~ 011 1 I iG! 2611113 Dr-T140014 CAVIN rrDfiT'tlCRdl+ CAVIN 4/26/01 10/40/01 at.. TX 76:49 No response to collection efforts. I FO ad' TX 76'x.'49 Y.RuliOY db KRUM IS SOS 17:¢73 nF'~CR PF.,'JY gwr FdILLIAM JR 3/17/01 3/20/01 10/20/81 73, ;0:1 Wr3TIJUtD DR 012 wrStWOOD DR NO response t0 Collection efforts. I Gi1LD5b I'M 760'30. LQL.rG6 TX 76039 103 14079 Trt;VIV iSR113TY DEVINLOX 372 VERNON 3/Wal 4/03/dt 10/20/81 9MI 101 7TH E7 J'J:3 'f 1 Ft TX 76247 JUST IN 7% 76247 pgreen,ent not kept, 1 77929 DISHMAN TRACT hMORO£A ~ LARRY 3/30/81 10/28/81 60„ 51,1 C.INr3F.Y 1>~l7 IN09CY Ifk OhIf'S1i l Le TX 76940 GAINE~V1LLE-' TX 76240 No response to collection effort, 201 30250 raWk DAVID DOVER DAVID 6/11/ql 10/20181 49.1 6U1 CAOLE CArn E 7620' i bLGNION TX 762201 WNTUN rx No response to collection efforts, f 201 2e673 b~V~rn ' GARY DOVER , OARY 4/$2/01 10/20/81 20,I 113 LATTIMORC 171' LATTIMORC DIstJTON TX 76201 DCNYON TX 76201 NO response to collection efforts, { it I :101 "16575 001,1111 t1ARIA pUNNAr MARIA 4/19/81 10/220/01 6'1.1 i P. tl 1102 324 ~ LAAL• DALLAS TX 75067 1N.AO4EnilALI69 TX 76065 No response t0 oOlloctlOR efforts, ' LtBA Dt1N1U5 s MICH(iLLC 8/10/01 10/20/81 94,1 205 3^.207 D~R4 TOY 92 MOUL15 OT RR 'I 9 9: NOOILF CT. TX 76901 DC.4TON YX 76201 Unable t0 locate. DENTON tot 26706 D'JRNAM L %A DURHAII LSLA SUR 2/23/01 2/86/81 10/28181 84, fl• 2 1102 181 TX 76226 AiTiOLYOX 181 A 7YLL• TX 762:6 No response to collection efforts. 1 102 0470 Fit3AAl31Mt PCOGY EPRRAH3q% 709 ' MA88OUD 4/lb/8l 4/17/01 10/20/81 1694 OL01'LCC' .lU3TIN RD TX 71,:226 AIF01'L!. 7X 76226 No response to collection efforts, 1 AR0 102 13,249 NUN' R00119VtiaT ynRtlN ROOSSVCLT 5/00/01 10/20/81 ' '~h" CHARLOTTE 134 2 420 CSiARLOTTB NO 4 NTTON TX 76201 DENTON TX 76201 No response to collection efforts. ~i OARYA 9/02/01 d7/Std/8t 78, { 2201 4 2r+o 0 OARZA ELIA$ 11 O O 174 P U 7,1 No response to collection efforts. DENT ON r1 1X 76201 OSftTit NX 9 T% 76201 } # i , , : 1 1~( I. 1. 014 MI: fl 0 1( 1 AL H013P I TAL PAW 0 I1 VAD DCD1 Ti?r,NLrf.rt RE:NOitT Ito P imo 10/01/01 TkRU 10131101 1 1 IE11F (WritNF N~'ii xt,laavtiM'I u.taMry,y G'~/}RAN1'04 NAME *IOnNaalb DAT DATI DATE FF' UALAN8E AcA)RCI 1, h1, 711 1JAI'Co Al M, CITY, U1, T11 ADMIT ED DIBCNAROED WRITEO•r•' Oa ACC L, r,ll..__......•...•..__......._..... 1 } Ci 3G0 3J1 VLL.It; WfLLIAM 51.,.18 41l.L1AM 7101/01 7/041ei 10/20/61 1495• 2146 L VAR ST ~Wo G OAV, OF f i)fNTOn' Tx 76201 !>CIJTON YX 76,0% Unable to locate, Zol 31294'1 PINAeN'DG JGSC r:RNAIJ00 JOSE 7/13/81 10/211/61, 39., uuirr; PLATINUM DRIVC Mr 89701 41 rj PLATINUM PIT W01 I MoVedi left no address, ildl VIP= CPIJIN L11LLf,aM M4IN CLIEABETH 4/13/el 10/20/61 30,} 2117 FT WORTH' 2617 FT WWTH Ii 11170.11 TX 76i^.0l . UE'14TON TX, 76901 No response to collection efforts. { 101 '171143 L~VAI:S , dARI)ARA INANO OAROARA 0/[7/61 0/19/01 10/20/91 109. ~ H 1+RtCpp: 4t'i PRICZ ixWIi0iVlLCE TX 79067 L414IGVILLE TX 75067 No response to collection efforts, 4.01 20097 MOAN 01tri LY rd,OAN VINCENT 4/19/91 10/:28/61 39, 711) O bons r%Y LN r •10 8 DORSEY LN J TEJTP,. A2 0 1 a:i3 ~'t'Mrc Ax 05263 No response to collection offortsl 201 27916 FARRIB MICHACL VAN DY1 14ANDA 3/20/01 10/7.0/&l 39, I(i::0 RV00F1.L IIr105 I{J 10 IV,DliLl_1120J Ci'+J'rLNJ TX 7001 ur,rJ7T[)N YX 76703 No response to Collection efforts., 2 1 1 77177 FLt;MINO GHSLLeY f'1-911W 9HCW1Y ' 4/62/01 10/24/61 1261 FIT 7 13OX 60 N' 7 BOX 60 JVJITM31JUAO NV 999T9 MARTINGRO 61Y 19999 No response to collection efforts, 101 307110 F011OAM fill. PLCRra OABRIEL 7/02/91 7/04/A1 . '10/29/@1 707, T,)I+!1Y 11i~NYON RANCH TOMMY MANYON RANPH t AUI;RkY TX 76297 AVORVY TX 76227 MoVed; left no address. 20; 20697 FQRTNM • CARLIMC F'QRTNVR CARLENE 4/22/61 10/20/61 36„ t]]OF dliv..RSON 1 /011 eMeASON D.:NTON Tx 76201 DEN7ON TX 76201 MOYed; left no address. t j ~O1 31013 GALLpp 4IIA41 M. LO RICHARD 7/29/61 10/20/91 S6,j 99:1. GOVTH CNA}ILE6 1137 99i CFJARLES 1(337 L6111SVILLE TX 7806,7 LQNISV Lr TX 79067 MoVedi loft no address, i 10102 106,7 01dlf+F'rI LOON SI(JPPARD MALI 9/11/01 5/12/01 10/70/61 117,y ,~IIAMbGRtl 0 [10141111%9 004 VON TX 76201 G'E:NT~N ~ TX 76201 Account:Io bankruptcy, d 100 106:;7 OAImUTT LEON OARR!'TT LEON 0 bo"Wal 6/20/01 iO/Q9/01 2176, 600 HAMRCPS tF,00 CHAMR[R3 w 1 UG+ll 11 TX 76.901 UVNTM TX 761'01 Account in aAkruptcy, a1(}' 013133 CARMiT~ 9TV145N QRAY 6AMUML 4/04/01 10/96/91 30,? 3I 6 N I PAWN.. 116 41 PRAIRIE { J U NtOlJ TX 76:0! l`tiN7UN TX 76201 No respons# to Collection efforts, VOW r Y• ~ V z I 1 { ~ I 1N,, if 10."3+)/+.?1 I b', Cat. F L. O N N Et 11 u R I A L It 0 S P I T A L PAX 9 '~t 1 a ' SAD UI111 THANI.?I'E'R WORT VOR PVRIQD 10/01/01 THRU 10/31/U1 PATIEIJY NI:hdLR 44Ah4npaa PA -11r NA11„ n nnH»aus +n +x x,v•z OUhHANTQR+NAML ***V*pP+ r^ ATfiY- SFATGO. DAT950OF +^OALANQ Pr ,r IJViatllti N4MLY ADM6 MY, 5T. 7.11) AI'C:. ADUft CITY J1', YIP AD 11'TCD DI£ICHAROBD WRITf~F QF ACOu ' a 201 3039 CAgVIhI , 410V IIVA 0AQVIN , I)1LL 6/:1/(31 10/3Q/HS ? 1 RT i E10% 2C$ R1 4 COX y9a FRISCO TX 79034 FUIGC8 TX 700,34 Movady left no address. 7014 13122 OARZA DONALD r, AR 7A LOON 41110101 10/20/01 29, -i113 I<LOSTONE 9L)13 RIiDSTO14C UE:laON TX 76x01 UJ:'14 TC14 TX 76201 No rosponse,to collection efforts. FUl 13137 Cf'CRr1C Si1fDJY CrOrt4C i10fiIW 4/10/01 10/21/81 51, I "r0:+ IEWY 'Xo J !)(),I 11111Y 580 UcIdTUN 7X 76'201, U(-JJI(IN TX 76201 Moved$ left no-address, 201 U0t)S3 OIC•sOV DUSTY r) IJGON OUSTY . 6/24/01 10/29/81 38 Cr,h?V9 l OUAl10 APT lSo l At1f+US SGUARti' APT 180 OtiIJTUt•I TX 76401 ~LiNTt1N TX 76201 MOyedl left no address. k ?.01 30907 01DSON VICY,IV GIOSON VICKIE 6/23/81 10/28/81 10,! 70l A PUR('IELL 7t? 1 A PURNELL LEWII;VIL.LP TX 79067 LC.WISVILI e. TX 79067 Movedl'loft no address. X01 29427 i'tl.Ct'Pr EDDIC OILRENT CDDIC 9/l7/81 10/20/81 87; ' C'L) WILSON ET (Sit! 14~LSON ST DENI'ON 'fX 76201 0C100J TX 76201 NO response t0 Collection efforts. 201 310')9 0It.1.~tAND CHr6TtiR OILLIALANO ~HFiBT&R 7/17/S1 +^/28/81 195 CuY W fta'rnL OAKS T AlL^R ROY. Ora ROYnL OAKS TR ILLR 11HP j 1 RU"ol hV TX 765262 RUAN KG 76262 Moyodi' loft no address, 1 w02 31795 UfCLIL/+NU Ct"`TLin O LL1LAtl0 CH813T6R 7/24/01 10/28/01 14,) f ON IOIWAL OAKS TFTI+fLIR R f 1H ROYAL OAKS MHP • OAI0KS TX 76^A2 R ANOKG TX 76269 Moved) left no address, a0'a 19+13A C 7t)f:ft FRAMSOCA 01`l{R CHARLOTTE 3/17/01 10/20/01 64. 1 L•' CHANDEAU ?.1} CHAI1DRIIS Dl'WTUN TX 76^101 1?rNTQN TX 76201 ! Movedl left no address, 202 270£10 00;<'L DAN ICL PR ICS PATRICIA 4/04/01 10/20/81 S2~ 3 f.U,yys.! W HICKORY 291V IJ HICAORY pp.DN T% 76201 0&IlTON TX 76201' NO response to 0114000n efforts, Gl 2639 014tiY MANVQL 5/23/tat 110/28/81 20.1 q lei NO VOLIVAR 4 U NTON TX 76+01 No resp6n" t0 collection efforts. 02 16034 0CJ1 &R 111CHAGL OOROGR CAROLYN 5/06/01 (0/283 81 ?8,! N7 J DDX 200 TWII1 LM hl D7 5 DOX Q00 TWIN LAKr N J WITON / TX 76201 UGNTON TX 76201 No respo.Zj to Collection`effort$. 201 21653 CR/Y DODGY BRAY 0004Y 0/24/8t 10/20/81 70 y yf~ppfiNTOht 7Q 3i DENTON ST DHIlTUN TX 76201 DGWON TX 76201 Movedl left n0 addrass, womm • ;l;rtli i:l9ai01 1L';t?0• T L 9 H M I MGR 1 n L H 0 0 p I T A L PAOC t0 11AD M07 itAW3V,,R RrhORT F11R Punin 1Q/Ui/61 Y4RU 10/3101 Tg A OP DnLANC~' r,.,:nI' 'i:'i:;F:f n•r• a~ e,t.i r/,'f'IINr "':,1.:c I,pq++x++~ +"'+x~~ CtrAR rr1'OR NAMC pa+tA##p» ADDATE 1 DIYCNAROOD tl 0 T Teoar OF ALAN8 it 0 '::1!.fi FrAY L', AUC'Ii. CITY, 3T, 71P NAMIL ADMI,+GIYY:.MUTV..xll " I g ~ C V • 1.E :'71 ~al lt tEGly aArTnti C11X!6rJ an9TOrJ 4/12/D1 10720/61 7 .Ooh NU.VAJO ST :*1 14AW.JO S7 o.plfr;N TX %6.U1 .~N.!JIY}N Tx 76r.01 NO response to CO11UCtt6n efforts, 31Et53 /,f',tdti K67HY ofU.r,f LARDY 7/31/01 8/01/81 l0/?6/Sl 742. R1 1301. ,13 RT!.IM ,,y DOX 40 /,7IR4V YX 76t.V A+W Yx 74027 !loved! left no address, " ~!01 2r'i77 ;f1 rrJ 11I1"I: ONX14 MIKE 9/02/al 10/20/6l 25„ p~ X:X 174.4 I'0 Bft'~( 042g• Lepw I(MLLK T% 75067 U1141010 L• YX 15047 No response to collection efforts, SHARON aRC:fiPt , SHARON S/i1/Dt... 10/20/01 3g'' ,:O1. 2' :1,r C is (r ' 10} CQP0 DADA APT 6 } lab CORC?a;DA APT' D 10tI T% 76 80 1 C Lt . 1 " N T% 76201 Unable t0 locati. U' iJ 17r I DAVID 3/a9/01 i0/20 /61 44,E a?1 7%'/76 0 11 FIN UnVID 6-'33 BOLIVAR rr~~ r rlnl.1V7d4 ~'i.riNi T% 71,201 CIEWTON TX 7601 NO rq$pOnSe to Collection affortS, J Lgt; 0 L L C Y LtC 5/21/01 10/26/91 103. r GIA.I.G'i 2G?_ ; X942 , 0.8Ux 113;3 / 900 5 I'F{{OC P t l133/D04 S PHOENIX y ACi:TI t. TX 76801. Vt. NTON TX 76201 NO response 1.0 collection efforts, 1377. ! ROSS 9/10/1.11 10/73/01 241 1%401 NS43 rD RC'9 {~'pryIPY,110RTH DR. q }U7 PT, l1^.YTH DR, IVJTGIl TX 76id0 1. pt{IJYpt! Tx 76201 Unable to loc9te, 10!20/01 a/20/61 Eij? !7331 6:15 IN~J ~P!`l4,LCY f ANKLN11, 'H Dfl'' It21JFOLEY 1 0. h PT L•)ilTFi DR n3:, t, F1'. 1,O.RT L"I,TON 76201 D1NTOrJ Tx 76201 No response to collection efforts. to/ao/61 43.2 21J1 2otm IlarnANAY MARY HArDAWAY MARY 5/31/01 1,4-1 LATTTMORE 152! ' AT1111ORe OL' =14 1'Y 761201 OS11 014 TX 76201. No response to collection affoets. ' So/20/el 42.0 ~n07 %112 1llf{A{nOY Q « , JnN.CB 11~D/ RUDDCI L e21 ~ JAN56 6/24/9! ~ ! pC~:TUNRUGT 111121 TX 76201 DUNT&I TX 74201 Unable to IO'cat ! 1.0/29/91 29 r~ 'rDh lao FV.R{.AtJ I MiStLIA HARtA MARrkALL it g GL.L%A 6/ti/61 E C1RA'Nt1 t ORAI:a LYNN APT121a T% 77777 O AND fRAD I TX 7DOht. Unabl9 6-locate. Gan 10/26/6! SOF e01 20094, f14ttP10N FIANDA Lc!"MON DOUGLAS CHARL90 T 3/11,/01 v PEI Prix iR/DOUOLAS ; L1TtLC 'Wi T% 760614 LIM-( 11111 YX 75069 'No response to collection efforts, 69 (h ' 101 kgh10 1+I,9T ,JOHN IIAt'7 069NOA 4/ 0/01 10/20/61 A-",4 nnT1,Rl}AD AVE pp'1 RAIIROAD AYM CcIJfON T% 761201 DENT014 TX 76201 No response t0 collection efforts, t a T^ ' r .10 1, . t.F f or a0 k" t l'J: (JCI ~ 1' L U 14 PI L• M 0 It 1 A L. !1 U 6 P L T A L PAOE S t IM0 Dl Dr IIWW'NI! RCI~ORY FOIL r'(RIOO l0/02/01 YnnU 10/31/01 p;+;i'It 12 •s pane++ry t`n: rtJt J!sp? r,aaa +rrs vny;,rshb CUI+RANIOR NANC 10*04*40 D6TF DATE DATL ppF BALAN a Fa NJ!y.ii t!'+L Aplfll. C'11+Y, C2Y1'i 1'.I, 2tJ` ADI11T1CD DI$CHAROFO WRJTEO-» ACC L » . A. 5 MYER(i 6/27/02_ f0/'tl/9l L74.'. }?CL. 6b0 HAIJ' , h1'fC+;4 AAnT HAR 1 RAIUn:1np RAILROAD Ls.NTOPi TX 76201 DGNTOiJ Tx 76201 No responSO t0 C011@otion efforts. "Ot 4ur7 n(%5CN D' '!CAS 1p ClSfi0ld DORCAD 9/07/01 10/20/82 86. %Rr+(Y.y:'?Ap r1R n8 6 ItRUWy11'AD CtfJCI.r JIJ yttfYi71iY CI; itCY, TX 7:065 Itt;R1rtY C1?61G.K TX '.'0060 Unable to locate. J1 p•1;;94 J11'r°t+7+J JC `•1VA '!ArKMIN 1`16RTHA 12/02/00 20/28/92 36. .'.()6 SOUTH SIDE Tx 76841. Y,ILLLN TX 76941 KII.LGN Unable CO locate. 2n/J39iA1 3e.'. e''J1 21''3$1 Jt;fi~Rl°Y , J!+riON JF:rrREY , WILL2Al1 4/lllt~31 3% N•1pHgL7Z 374E IJABHOLTZ 076UI VI TX 70i9o , MV8,0UITC TX 79!80 No response to Collection Offort9r ?G? )908 VETOWF SOIJF.S r VICKIC 1/28/A1 10/nQ/O! 22.1 + i:, h'•'I: r APT N9 '✓,4 AVE F APTN9 ~:EI<TCIN TX 7620[ iU1J'f N TX 76001 Kov4dl left no address, 2J t ?<.a}dt KEITH BILL VIE ITH + BILL. 2/01/01 0/RO/Al 81 ! E 0"".4 ROr35 tt9?.4!1466 C'ALAiIU'lA,OITy OK 73259 U/LAH0 A CITY OK 7328'7 No response to collection efforts, ; 701 10617 AC;.C"i DANICLLF KGL[119 r Jill IO/16/79 10/'29191 ?4.1 :irJ"SG 9116C pp 30!0!!28 DRAB ii i~lft(.I.J TX 76201 LNTs1''I TX 76$01. No response to collection efforts, } i:41 31017 P'%'~i[t0W DAVID DCRpNOW ORTTY 7/Olt/ei 20/^n0%81 202, 1110. MUMAS Tx 767.OI D4FIYONF1014A9 YX 7620! r Unable to locate, D+1N MN !0/70/91 23.! TO1 29'2! KING OCNNIA V, 2f10CC , , DONNSti 5/29/01. 42!1, P. 111 LL TX 76201 U7DIYOil1'ILL Tx 76201 NO respon6@ to COlleotton efforts, QPI 10!0 ' ' !01 JJ1 216 V•IA.K JwCrY "410K JGQQV 9/16/01 10/20/81 91+~ I !f410 RUDI)FLL 8204 OJIO IIUDFLL 8304 O[;NI'ON TX 76n'Oi WfM TX 742201 Unable to locate. grid ..'.64Z U6K+ CAMI U7 ' mal,VA y~(~ IdKll,a I MAT 8/31/Ell 4/08/02 1Q/QB/g1 408, ~ S16 FRAM9 QT D Nrbi~ TX 961101 t&14TO++ Tx 76201 No raspogs@ to collection efforts. gCOfTY ldA' DELJ RU0>YELLL. 6/14/Hl 10/3A/t41 40, 842 1e918 LL;AI. 7•i9(1 FT WORTH DR LOY 6r, ;,sF,p rT WORTH On 069 • Unab1A t0 local@. Tx GE; TON Y X 76201 O Id70N 76801 201 51416 l.Cr NIiA LP:G N1TA tl/Of/O1 20/'0/92 BA•1 e7 E+71?0 NA°11 .3' L' NASH 1 I 7Hli COL~tJY TX 77777 TM COLONY Tx unable t0 locatl, 1 001 r j f''!r7i lOJt3,i/R1 19Oti, r. L'Jl: MS:'M[)R 1 AL $1U3R 1 7AL riAOG 12 ' 'IAD DrDT THAN51"T..R RCr0-2f rm Pl?pim) 10/oi/111 mnU 30/1;1/03 'i ~ a 0ALAI~NE 7P."~11117 ,Lft a•r+>>dn44l1 ^A'rl(:Nr t!A".'. etiana+!x•, y!!aux!a rV10ANTOR NAMC M'0400ad DATE UATC SATETCtl "Y 1,.!i,.hR IA'ir', ADC'(. CITY, S;I, 7IP HAL ADI)R, CITY, 0, '111) ADMITTED 018CHAROED IJRI~r Or_ AC U; W vr,PYL L.INL.`Y CHCRYI. 2/u0/tlf 10/28/01 60 1 .^•.5 9 171. SL) 1;l C P CI IitIX 1(1F.7 ' ant %*r~!n r Ix I61)"b l'RII)GEPORT TX 76026 No response to collection efforts, i 53 2Ce".9I Iy0tf0 J'f4[! LUNG JA141C 2/03/01 10/90/131 19. el!)! LMS1:VfLN CIRCLP vIRD PifY? AY,S;VICN CIRCLI:IFr!S !.r?lJilVIl.Lti TX 79)69 U'wll; ILI C. T% 7$069 NO response to Collection efforts. rVtlaIE 3/00/81 10/2001 3tl. M91 a x:114 ! [1 I: Vi I+LI UnA 403 eyr j+ 6 0 "X 76146 13A7:Cot YX 76966 No response to C0110006n efforts.. ; lbl ..^.:D'r,3 rltIc OMWAAA LO%Jr BARBARA IP/24/00 1,2/24/00 10/2(3/01 04.1 11r I ,DUX 4 Cyr SIT I BOX 42COr CaAPVVINf. TX 76501 VAPCVINE 7X 76$01 No response to collection efforts, f LYNCH WILLIAM JCl'fnc fAtJNETTtI 11/21/80 10/26/0% -35' u 13 0A91401D 1114 OAKWOOD 01 Na response to collectlon efforts. 7 GcrJON TX 76:10 1 ICriTON TX 764 IO/29/01 40.3 t41 25764 70-) 1C A04'1 0C RUDDCLL MOO ' r,HARON 1/84/01 70d F} Dt.bATUR 7X 76007 lif IJT 4 , T% 76201 fiNl• I a NO rocponse to collection efforts. ; ti ~,L3NT , , R08 10807 t!AIIDCN UIISf iY ISADOEN 5/34/81 10180/81 119, HT4 V"ERW1000 mW, LOT 2r. RT 4 SHERWOOD MHp LO % 76201 Unable t0 locate, I 4 DT.IJTUN TX 76201 Dr.NTON 103. 70I 25070 ;TAI f'rr)N, Cf1N1ICi 0AD I 0 8i0RVDDlLL 0!02 JANEY 12/88/00 10/2(3/131 100 (i+JLD$44 111n4 6 bt~tJrC4t TX 76201 C?uYON YX .76201 No response t0 Co118Ctioq efforts. j 1101 <^.1655 I~AI.CSIOW LARRY 4120/81 30/28/01 30 700 4;0ROIJADA DcnTON Tx 76POL No response to collection efforts. 3 SHARI 6/21/81 6/28/31 10/20/01 !'i2 20O9G 14ANUEL , TAN610HA MANU«~R~E !1 J'T tSCOgNgLO TX 76101 DEN TON T% 76801 Arrangements not kept. Vol Ii~+JTON 2;:4913 DANAMILA f JITRICIA imotm SHAUNA 4/30M - 0/90/01 32~ pT 1 BOX 26 MAYHCI.I. RD 1613 WAYNE $7 y 61TON TX 7620t DLNTON T% 76901 No rdtpbns$ to collection eft&ts, e a^J1 307LG 1ART1NC7, , ARMANDO KARTINW2 , ARMANOO 6/97101 l0/21;1/BS 30 r Tr 1,l A IIQUSr 8121 IiA ST%l l A HOVF3E 2121 on Ltr4rDll Ts 76101 D14J1ON TX 76$01 Unable t0 %)cate, nl)z ;r,,1O 11", 5114 , &Tavr•.N HARP TAUMA14 112/0000 10/90/01 32. j is ~4af R0n1N41,10D 4:101 ROBINW001) UI11'pN TX 76201 Dl•31YON TX 76201 No response to Collection efforts, 1 NM1M1s ;u.ZC. )i I;I' 017. F; I. O W M C 11 0 P I A L H U 0 P I T A L PAOE 10 1 RnD 01.81 1RANSPLR REPORT POR PCRICID 10/01/01 THRU 10/01/01 ~i rA;l:')T I?R 42'21#+Nti^ PA 'fImir NA;'. 'i 00!.x12! k1N„sar GUIMANTOR NAM nnnnx~nn DpATE npATE: ppAT• pF 3ALANCI ,fs wwr.., AD)R, CI r1', !'+1' r11' ).4V'4•" l•G1)f., CITY. Sil', XIP ADMITTED D15CHAROCD WRI EDf•'F OF ACCOU S:'l l:'?:;0 4?,SSA , r,H1RI,!?'( me," ,A , DAVID 4/'29/80 0/01/80 10/28181 22,f,rt)GLtiY 01AY• 3TAR ft l'. I;UX pv9 %t;rIRL,.Y GfIAY, OTAR RT. [7.UvK ^.150 1 oS.lU1 fr IJN k}s30n0 l1i:..0U TL PP U 040 No response to collection efforts, IC+I 7.071<11 , VIRU1nlA t1Ir3T0R£s DWAYNE C 9/09/00 4/08/80 10/28%01 261.1 [IT 'i BOX 391 TWIN lAf•I:'• PT 9 VJX 3D1 TWIN LAKE'S Df:rl°ON IN 76;01 DhNION Ix 76.".01 No response to collection efforts, 1512 15407 NILUVR I A'dl•'rI:L 11ILDUR A 7/31/84 0/04/00 30/$0/$1 160 i "I-IX 6%"4 1:QX 6l14 , ' Umi 6,.LL7,0 TX 7DO60 LA%r )ALI AS TX 79065 No roSponse t0 collection efforts. i ',1.01 ;;r,ri,33 Id•.nDrFR RYAAN V,"(4 DVGit , MARTHA 6/07/91 10/20/81 01,1 171!4 rill MILLCR 17114 JIM MILLER Or.ILAS TX 75291 DALL TX 79221 No response to collection efforts. 2,)1 24570 MCIRlb1z LINDA •r1COR IDE. CAROL 41111/01 10/29/81 0tl.j PI • 0l1(NW0c^D N.HPli:14 R1 4 SHUNI'OOD11HP034 D N)ON TX ;6::0t 1r~1ATCN TX 76801 No response t0 rollection pl'forts, 101 121 9 1^'ARTY ELLQN MCCARTY , FRANKLIN 7/16/00 7/22/80 10/28/01 3s9, ' INK; I.1Nri"N 1cT09 LINDEN DEIr ON . Tx 76201 neNTON TX 76201 No response to collection efforts. { nJ1 21194 MCCAVLEY CHRISTY MCCAVLRY' , R69ORY 4105/81 10/90/81 100. ' PO nox L14$ PO Iibx 11112 OF'NION TX '7420S DCNTON TX 76201 Unable to locate, ~I')1 ca95 1l,^CL)NTON ~111fW NCe.LINTON r J1M,yY 4/99/81 10/29/91 ^J4. CCn11UN0''dDG,RRY HL'fe TX 76201 U"NTpNI'UONDIRRY 0146 TX 76201 Unable t6 locate, 09 3 1 t:VC00L ANNIR rCeOUL ANNIE 6/07/81 101`128181 ie4-1 VILLAOC C DR 1#107 60Q VIII A0G C DR 1#002 OGNrut4 TX 76'201 ~>UPtTTON ?X 76201 Unable tollocate, 202 WS451 190 colt ANTHONY McCOY MAR rHA 9/18/91 to/R9/91 s9, ~66 RUDDCLL 0176 556 RUDDRU. 0176 DVrjTON Tx 76201 DE•:NTON TX 76:01 0 response to collection efforts, lk' lJt AfO 6'OY DBG?16 MCCOY , ARON 100"22/90 10/20/90 10/20/ei 9992 112 5 WOOD Ije WOoo DR14TUN TX 76201 O IIT N TX 7620L No rospopse to collection efforts. lot 20.`17 hV)AD8 DOi.ALD M~D.hDC b0ROTHY 7/01/90 9/02/80 10/29/91 726,. 9211 V PRAIRIE 446 T PRAIM9 Ur:IJTGN TX .76201 DENTON TX 76201 No responst to totlection efforts. E 1!•)1 1,,!7173 I CDAI)f: Jh,'4C8 MCDADE JAMES 3/04/01 10/28/01 09, '',i"l:. PRAIRIE: 5'6 U PRAIRIE U141 ON TX 76201 IRAT5gTx TX 76201 No response to collection efforts. i' ICI f p 1I~ 1 1 f~ 1 I ? :C!C7o!,^,I 55:07 r L tl Id M f: It 3 ft 1 A L fl O S N 1 7 A L PAQE 14 DAD V(-'Ur RL'.POIT FOR PCR10D 10/01/01 THOU 10/31/01 S; 1Iti ~ ~I I' IY "'GQ 4Y•1>wbaj r 4th i 1W at5.~ wet+111,•1 4,•,04.1141 OUARANYOn NAI, ,C: Mxuapar,M AT DATE DATE OAI,ANOE ! t L`I't Alti, An l- CITY, ,T, CIr rA 1I?DR, CITY !jr, YIP DD ~~rr pprc _ .,.r ..._.....r.. hDM17YGD D18CI4AR0ED Wn1TG3faF OF ~^ACCOV. t 102 M95 I:CGF4:.LIA~0 JIM M'r,1) LLIARD JIM 8/14/80 .6/21/80 10/,2cf/pi 650. fiT ) 21v`j POST OAA UN H1' r ;.,m POGt OAK DR OLNTON 'rx 76201 bLWTON TX 76201 No response to coilectlon efforts, 1^1i 2?4)7 CCLAVCH Cf'Rii) MC;AUGH RICHARD 10/125/80 11103180 10/28/91 251.1 rc l' 1 r t I " a~LR TX 76'-ic, tAN':CrI YX 76266 No response to collection Worts. 1 X41 7 I ga f. ~Frir.!'T r5^,0hf OnA LUC 10/15/80 10/20/81 22. t 1: SlS'N"t+li !/J, 1',~ aK1NIJEII Gr.+IT'JN rx 76101 1"4 W1"ON TX 76not Ilo response to collection efforts. 1.'01 4w5 r'~CC, GA1R1.(TY MCOCC 4HIRLEY 4102/41 10/20/81 28, (l,~~ ~41tINNGR 419 'JKINNER p:,,foN T7, 76201 DaWTON rx 761201 No response to c011e000n efforts, 7')1 19196 VC01NN13 CAl IIY MC•)1NNrS CATHY 2%24/00 10128181 38, a0r NIG;r_ArID DR ~ 47 1410,41 AND DR CA+tA H+,t.F, 'i X 76633 CA IAVMGL' TX 75633 Moved, loft no address, + ;7S 819414 11.OUIRC: NECHAFL 11COVInF. 1110 HY`!. 9/ 14/80 10/28/91 37, i 15T}I aTRC_f;7 1 .0 '0 A 10TH STRt 1ST i L1Jn1OCK Tx 79401 LUNOCK 'fX 75401 No response to collection efforts. t S104 10F4 E rZ1'EVCR ISAUA LARQ5K , DONNA 1/09/81 140, 4 I I M;A -PPNGON ROX 13 1+:14761 TX 76201 UrNITON TX 76201 No response to collection arforts, It 2O It 'hi 11C%INNr.Y J D Mr KINNCY J I) 7/P9/80 7100/80 10/28/DJ 161. <1' ^ -px' 1017 R f ? SOX 1017 C'Emruii TX 76,201 p1"NrUN Tx 76201 No response to collection efforts, { i 2d910 1'CLL•'LAND KL'LLGY 14rl.N1.AND , KE<LLCY 10/03/8p 10/00/81 i9 :ilin AfL'8 12 ATLAO uEWON. TX 76201 fmw TX 766201. NO response to collection efforts, . 1411 25894 I"CAIA RRY JOA14N jj 'Q~Cf3R7Y 249 C JOANN r I UOxX ~0'l C y U,2t/bl 1123/81 10/20/81 3141 C/,!MMLt0.4 rX 79006 C/'doLL ON 7X 79006 Unable to locate. 141 7571 r+t~'UCAFF• JOYCE hGDChPE CLINTON 1/07/81 1/08/81 10/28/01 5913 .1, 1?:6 MCDONALD 136 MCnONALD OI.IVTOW TX 76801 IM-341`014 TX 76201 No response to collection efforts, 141 11?30 Mr.1)1NA MMDA IICDINA P41? VENISON bnlVk' 4419 WNIGON DR1VKr JOC Jn 12/30/80 1/01/81 10/ft9/r31 148 LftwI'Wl Tx 76201 ~O.rlTON TX 76201 No respond'to collection efforts, ' 201, 46M I FXX Dr.'JDNA, I C6k JAME11 3/15/111 10/$9/81 33 023 MILL R CA11 ING lILLw TX 76240 OA114CSVILLF TX 76840 , No response to COlleCtlOn efforts. ,6 mom] r,,r. t, Ipi;;.y~;;1 I1): A/r F I. U II rl r r~ 0 rt I n L. It t7 B P I T A L PnoE 1D t r C5D Dt'RF rf;nwsrr.,l ttL'I'Uf11' f'tlR PliAfOD 10/01/01 TIIRV 10/31/01 r.,'iSC'!T N't1:r.n dn,ilaaxu:e 1+ATICNr 1.1t aauireat•i e•iYaaa,1 OVnr1ANFiIR NN~Cc raaa+tl,rr DATC DATE DATC fPr UALANStt q DMITIED DISC14AROVO WR1~80 F Or W 1! V IIY~.._r~..f lh,. 15DIIPi CI i'S !3T, ._Ztf A.. - N to 11"<,1 SC✓, U1vt'R,.Y r ICK ORUCG 10/02/00 10/09/00 10/20/81 4e.7 01 I'LII+JX O1 A Fx 76010 V)II~uLU; 34 A T% 74030 No response t0 Collection efforts; ?.C1 2'x481 TCAIX , 01013 f CLDER , RICHARD 9/10/01 10/20/01 106, 0 CVNI RAL VE'LIVERY rrL'(j.iAL M.IVGRY 'r.x 762:18 LR/, TX 76230 No response to Collection efforts, 1•1614 M0CA1•f' , DG;AUNA Mr'IrAU , LeTHA 4/70/U1 4/26101 10/20/81 3103.4 r1 LUCV3T 910 , UIMT I? I' Ut?wrGN Tx 7MV01 1;,11TCN TX 76201 Arrangenents not kept, an.'. 1t1i"CAI.r 1103I3RT CA` 1% ROBERT 9/01/af 10/20101 o9,d MitriN 40CV5T TX 76201 Wi0 9, TON LOCU87 TX 76201 No response to Collection WOO, .%G,? P 304D r lt.lltAO% nn RO;JUn Ii15AROX 3A W b/27/I31 10/20/9! 40, 7{ A NYL TX 7G~11[s ArOYLe YX 76226 No response to collection efforts. "01 e^ d•5411 11t01) Lr TDII DIANA tlto1 L 1ZTiwt1, ST VC 12/11/80 10/X1/91 1l. 11,/'SVti?t2 N, IA/EVl>SIJ' LAd6 PALL/+L; Tx 70069 1.AM OAI1 TA , 7506% No response to collection efforts, 01 P'. MIVM3 KRISTCN MICRO VACAk 10/03/80 10/29/9( M 11 Fnn POX 64 PO rQX 64 ntlWIr. TX 76230 u0W12: TX , 76200 No response to cullettioe efforts. t :.X; '?:007 MIL4ER ARTHUR MILL0 ARTHUR 9/20/01 10%r~8/91 40, i n;a/ 1+GrJT IIICKOAY rya'? Wf;tlT HICKORY, DLf11CN TX 7601 O~IITO;d TX 76,;01 No response to collection efforts, 7! ! 103 r^^.17'47 1.1.6 CL.II- TON 111LLS O1. PTON 10/12/U0 10/20101 92' r14 rT WORTH ON LOT S77 "1300 FT 61011TH OR LOT 2 r DENVON I% 76201 WTON X 76201 No reepense to Collection lifforts, 1 ',:9447 I11LLO STEPHANIE i9TL1.g / ¢ODY 1/20/01 10/09/01 2710 V11fdp TAAILEA PARK il`r '!Ytbrlr3 TRAILER PARK 15 9 VE117 N TX 76201 DI?WY N TX 761201 Unable t0 lOCattli 107 1x/171 IIItc.hv. L NrtIOTOPHC f11TCHE C. i HAROLD 9/09/00 4711/00 10/90/01 jt6,0 1110C X19•: gg HAGR LCU 4421 bA" t•100D MANOR 01,1081", L.:,"WISV11.LC Tx 79067 LldwlWILL TX 79067 No response to CO1loceicn efforts, 703 L97a0 riIM1VL. RUD1C f'.ITCHCLL I AVnIE 4/19/81 / 107.",0/01 86, !e:f~ C MILL 13ji~rirow L TX 76201 G1:4:1LIN T% 76201 Unable t0 Itcat1. m '"!9em 41ajwAD R(MMARY MOJAARAD ALI M 11/126/00 11/28/80 10/29181 1063.4 ! 11 I 0 W t1 101(M PONS 1 11912TH POND ! DuntUrt TX 76201 D r+YSN TX 76901 Arrangements made not kept. ! t n ' , it >AOL 16 F L iJ 11 11C 110f1 I A1. H08P 1 T A L IMP DlAtT 1AAri IGR R[ROCT COft PCR10n 10/01/01 T11RU 10/31/01 i f';I' (II"'^fr en..,aa~d, fATIGN( Iv' f oaY~, } ana-!uu C'.IARA!JTOR N14118 NHUa,rraa DAM DATE 0147G tlALrNC A,CtlVN .0 1 11 Ar,M1TTG0 t)ISCFIAROEI) 4n I1~0 or CIf1', :Ir 71P NA• AI`li+• M TV, + > 1ALANS 3d, tY v, m. 1Pf.Cr1; W{At71JrC/, ?1O1.L(Nt;DO , PAUL %%2u/61 10/29101 117CC ,rtT.ttWV 7171:C'7 I!T+~ 76.!OI 1)G!9UO1I1B1'.M01:"; TX 7b201 Unable to locate. I 'C'fli rorl i'.5rt t7;t3 1-:111 .1 1N'Dn v9:RQNrCA ' rar3tLtNf UU RAUL 9/19/81 to/Qtl/61 30.0 1 11C7 !3rtminc,NI, TON5:R 111iY 11xv.+ '3T,t!IMC1149 U~I:T N Tt 7b`.;OL LCN,CIN Tk 76201 Unablo to locate, I !JL IMA Y.t,ftrN P "I !N•R KARtN 3/14/01 LO/f;9/0L X39. 0 1w 11,1P^,C41'd000 Mt{f' v'), I+J? Y,INr:Ef1JOUl! 11HP „u,. 1 I A Tk 750 61 7 v1 N(: Tx 78065 No response to collection efforts, PAT1Y 04CC,1µR LARRY 101lY/a0 10/80/00 10120/Bl 411. IITI 1,10x. 1R4c PT 1 Dux t;41f VOW14 I'X 76249 /.RUM Tx 76847 no response to collection efforts. 101 0.174 VLIORE, PAUL MCIORV.. PAUL £/20/61 ;1/22/BI 10/20/61 46.0, r.10001¢ROOK 110e) %C(OR D j fl !1t)N rX, 76201 DZ14TON TX 76201 No response to collection @ffort5. I avl 257.70 10dR18 + LOUISM 1SQ,1R19 HAROLD 0160 o1 !b/Lt6/O1 I9. 4S 1 4^7 MCADtl+AS 193 MrADOWS C+,:N'h)N TX 76201 UE.I•NOW TX 76201 No response to collection efforts, 171 217E9 FIMAOMI OAAI4CR MOPOAN , OARMIR 9/13190 a/id/d0 0/29/dl 275.6{ 15";'' PT WORTH on LOT 1.10 ?21.2 PT WORTH OR 120 $t;,IfOw TX 76701 DM rem TX 76201 No response to collection efforts. 1 IP4017 1;!YM At.4 14t:Argw n,pol50.}•Ci11Y MgfOA~AU ISLASStl41 nP»,0705 16/07/0. t0/20/$f ' lil. Gi:f1YON 1 x 76701 NMI ON 7X 76201 No eosponso to collection efforts. 3f t P. 7191 F"IPW) 011f:0 R1'AN , JUDITH 12/ 16100 S2/80/90 !0/Va/0! 1032, .;+1':•106 PT wonTH P 17•SOb FT WORTH i 0214f6'u Tx 76201 nFdNtJ TX 76201 No response to collection efforts, a % '.UR 7429 HDATOM MARK MgA701 MARK 12/04/00 10/26/03 39, 3j p~Ux 265 11OrgroUnx ~05 TX 76247 PONnE4 TX 76247 No response to collection efforts,' 202 15776 I?3 5 anMVaw mgsl g DVO 3/08/01 !0/20/81 6q lr.('iYLL CLM TX 70060 U?YtLCi 81M TX 76060 No response to tolloctio'n efforts. ° T011 26027 ?1:31, 11400 Ltnl4A IOq 4 1po J 1126/01 42, 5 ATP Box 1107 A tiox 1185 UENION 7X 76201 Dbglri;' TX 76201 No responsi'to collection efforts. 1 ^7615 V'3411\100 JAf4te f,0:,INO0 JAMIC 3/17/01 f0/20JQS 63 0 w/ 41 $ V07 l,W011Atl yy'J AriKA1J9A0 OA1r4CSiv1 LC TX 76240 14 SVILLCI TX 76240 No response to'collettion efforts, E, l r rc Tr, F L 0 U M I S 14 0 f: 1 A L. III C1 £ 1 P 1 T A L P A U L 17 L n PAO DI:D'f 1ft/dJl;+t'H ULTO{T FOR VCR 100 1040t /01 THRV 10/31IF31 T!I'NT II i., a a~aa~n: 1VIII'(Ir IAA' 'rn, n„ "„1 a:•-71 EIUAHANTOIt N'AMC audVYgNM DATE: DA?R DATC fP DDALANC6 1 1; . r N ,r „P Ill , j` i ti 1 , 1!+ Iahr AUI.. Ycl t l5', 431: U l' Ahl1111'(?O p1GCHARCGD WR i TCO: F - ACCT)-N 1 %t•1 ^.J;+iW0.,1 C +415T1t1.: I'.'J;tYWUKI • UCNJAMIN 6/20/00 7/09/80 40/281411 144.2 I!>QQ 4f 110!{ L'a4 1600 W. OAK R34 1 No response to Collection efforts. NCI+I,'1N 7X 76,101 UHN 1014 TX 7420 ?t 7? i$;t I URPHY v LI.URA HIPPIIGTII rTRI?0T ' Many 10/30/00 IO/Wol 53. 0 1,01 (i,OLE I,RIV,. It9 TX 76i'01 V-.; 110INEII IQ 80321 No response to collection efforts, GuN1 Ut1 :.,11 PI1 f4 1,;-P{{A5' N'I0 I/.M r+V;IVAY WILLIAM 10/2.3/00 10/r^.0/ol M. $1 1':UpC:S T'A 7btU'0 /i)%i'f r.." TX 76226 No response to collection efforts. ,rL{: 100 C-41 M 11YUR1 , R114 MYE110 NUN 9/24/OD 10/21/00 10/119/81 30.01 0(. 607 nX. 4,07 MMIANK TX 75147 MAMWO T% 78147 No response to collection efforts. OAN1L NAHKLNST CARL 41V4101 10/99/61 ..^.71 i3 06 '!',yI0); . INl n0X 106]/T-3D Pry I1V 1?1;311-39 ~ •IUyvsLLe,, rz 75Q6•/ Lc~1.;s;vlLl1: Tx 78067 No response t0.oo11@ctlon efforts, L r I PAUt.INZ 14L'TCH1S0!4 JAMCS 4/06101 10/a^.0/81 44.01 201 2i+577 4i la ! P,CCCR'11CR, '{`W3 15CCOR;iICK O~N3ipNf TX 76:05 6L•NTUN 7% %4201 NO rdlpoAS@ to Collection AffQrts, DONALD (4/14/01 10/28/81 as. 0( 1 201 3.".^96 PT MAT) UB D'fIhLD E:ATtON 3 GD% 62A RT t BOX 680 KAU 1 Tx 76349 ARUM TX 74249 Unable t0 locate, t Kli 'rq"p b.h':Uy tsf Il< 31CA56N SHIRLEY 5/21,101 10.0"Wel 38.0' o1 2 h 5 OI/n,RDtJAL4{ 62IN DWI „r,.IT611 1'x 76201 DttsTO++ Tx 76201 No response to collection efforts. c , + 7.01 49190 KOR L01T1 NRM LORI 8/00/31 10/20/Bt 39 . si 10113 WJ`MNQw000 lot, ~{OW11000 L.01SVILLS TX 75067 LE141 T% 7$067 No response to collodion efforts, ?.01 c^7019 t.!r,ORCIN KARTA !er?Ii01 MARTA 6/01/01 10/28/91 38 p If 1084 PU nq > 1004 JRN0f.n TX 761'66 NA11161R TX 76266 No response to e01100tion efforts, I ~ JE)tAY I,CwTC1l1 CLVO 4/09/4;1 101213/91 10,0 11Sf4 NCORf11Cst 1514 MCORMICK ' DCfITON TX 76201 DEIJTON T% 76301 Arrenganlonts not kept. 0 1 29647 toOft P MARVEL tiyAN5 , LINDA. 5/23/84 10/29/>31 38 0~ I'., QP0 C Q'i0 9 OAK DEN YON OAV• T X 76201 ! 10,17014 TX 76201 No eesponstto C0116400n efforts. t 7:11 tC'NC1{0141 P;UfAyl 05ENCHAIN RONALD 3/30/01 10/2001 131M o M 4 13U;r 01 NIT 1 Box 91 VITOU T% 767..01 =170N 7X 765101 110 response t0 Collection QPfOrts. i .y s I IM N Pot 1 _ r 1"~t r i f tt t +•~'°f? 10r~7~?r',1t t! fU:. f° L tl to M f: 11 U rt I A 1. II 0 9 P I T A L PAOR 10 ' i~Al) rceT 1r?nr)t3"CER RHPaRT P"nR !~E>;lOb 10lOtrnt 7111tV SO/3flilt i Iil;r Nl l f:,{ .loarosn f'Atit^fr ilh!''.". ys+ y:s "i„1"u"..1 t;V'IRANICA NUKE .r u+ungq DATE 2ATE OA~C OF VALANCE t t:.A1R',p M,d7'. Ai,DR, C11Y 141, 7W Mril"tj, IDf'1, C11Y, fit, 71f' ADMITTUD DIO HAROLD WR_TCOFr DYNwACC0VN7 2Gt e,Ca'rA L!"i+rh N .I^SiG1i1Nn CIH10',IU 1.00rSlNA 9/10/81 10/20/91 42.7$ 1 It Go12 1')Y 60t No response to collection offorts. K f t. r u '1 rx 76;0 1 i ,"NTOr1 1'% 76201 r; ;,:rs•ih t VrdJ Kr:u..Y nL;:1nt: KI:L.LY 6/09/31 101213/01 23.30 ; pUTi•! D',;,lJ•1R!? t9 t'L!•/ifi 1WANAR1) 7x 7L+rn .01 No response to Collection Worts. t L - TDfN 'I'. 7r•KO1 I'...!itl''d ;.t l 30049 {13N1AW LIM,IC t1111tYAiV CHUCK 6/09/131 10/20/01 30170 i Gtirltlil! D`,Rt1AR0 ;'NTNTOt1 510LtNAkD 1'X 7h,h ,Ot 7X /G'sO l 11C No response to collection efforts. . . 1.5'2 a1•?12 C 1.!t'::,MA CLUO 8AI1U> L 4/21 /0 1 4/43/91 0/28/0 1 669109 'In ..-11TH N1Jt)DSi.L' 4t0, Jl ; 1nVT11 R:'00CLL 8103 N07QSpOnse t0 cOlleCtiOA efforts. 0: 1 t , 014 tX 76,:01 ;TGrJ Tx 76201 1-N 1 ~ -00071 nt CIIr-AYI. 7 ;AR CHERYL 6/07/01 6/69/91 S0/:?0/nt 12901 93 l g .l RT r 00 160A Pt, 71 20x 1631k LN'SUt: Tx 76Sldt LIi11T011 Tx 76201 Arrangements not kept, i01 v)n4 C.1E:N3 KAKI REAOAN SANMA 12/16/90 12/20/00 10/29/e1, 941.30 r; F 1'n t I10% J67 NT I 2OX 567 NO respons0 t0 c0110ctlon L', forts. + J'14•ItJAW TX 76111 r4ASANIW T% 76111 -t 20J Sa!Sa4 f .'J?Ki;1t Ttt'37HY PTOYMY 6/09/01 f0/2g/Sl 31, 00 , P y !h TWN t.P.KrS KHP 11QD1 RT 9 TIM L0,P8 MHO' R2v Unable to locate. Gc.NILIN TX 76201 DCl1roi1 X 76201 LC'1 22600 PriT7tinGIN TriIJAI PAT7CRf3 N 11ARY 1/1/91 Olb/9t 10/20/01 317,44 Irn Sitfx arrt Pa tlnr ~91 No response to collection efforts. i KIJA1,1< T% 76093 I-IURt1 T% 76093 103 1037 PAYI.E RYAN PA'f'rX JEF'PSRY 0/17/60 6/20/90 10/20/91 430.3 Rr i DOX 43 ROWC RT. 2. DOx 43 ROUE =NT01 1 TX 76205 OLNTUN YX 76201 NO response t0 COII@ction efforts, 49.30 t BKULAH FdACC 4CULAH G/O1i81 10/20M Olt C1tIdlLlt<Ru 7 t C AM08RS y r Nrpri rx 76^n01 D No resPorlse to collects n efforts. ~iiTOr. TX 76401 F01 275?B P1.61:a DOVOLAS PF'9C9 DOUDLAS 3/tb/91. l0/26/gl 106.30 1201 + RRO KDANK 10001 1 MCKDANK No 7os ns U<L.LAO Tx 7$R29 DALLAS Tx 713729 pG a to collection efforts, it $JI ? b'i3 f 1 WME ,Mr RtCHAID PS:NTGC007 RICHARD 11/07/80 10/20/01 50.75 P1.1 1 Mix 1300 601 IUXA0 '3T t TX 7601 Agreement noNke P AV' :v x 76227 bCNYOH 1^07 1401, 2 PE'REY tiAROARCT' PrREZ ANDAEW 6/29/81 10/26/9( 143; 20 k ' h;;l 1105E 0'!S.NTON POSE T% 761201 L't3NTON T% 76201 U NO response t0 0011eCti0n efforts. . ~l,~w i~......1........r.w....lr.a,.os .~ww..+......w 1IMM♦f• , s.. .4i. I :i!,•T.'': t1 15 10'. U 11 hi l' M U R I A I. H U C P I T A L PACE 19 IIAD DI?IJ1' TPAINfir1:1t truwRT FOR PIiI11OD 10/01/61 THRU 16/01/ol j 1",l 'f IJI `ru +an*vn fAT(r,!1f U5+'v 1 1 11 11 7;~r re,,i OUARANT()R wji$ ann anon DAT1; DA1'ti I)4TII 0r• DALA,VPE r!~,-,y,yA1) Clfli Si, SIP IJhfi . Ailll;t C17Y, E;1LIP ADMITTED DIVCHA1f 1 11 ~jr .1 . 41 . 4020 - - - - - - ar•..,.ACCDV_1 S✓t ,,i ;,,r,7 f 1131 {2 P(CONO !'[i,•,G/. PKDRO 4/17/f)1 10/20/91 46, 00 UC0t1Y.3!JFUDDEI.L 1107 Tx 76;.01 DI l TgW f;'JDi>fLL 1!D7 TX 76201 NO ed6pOn50 to Collection efforts. ~O1 00103 PrPI„J MICHW1. 6/lo/01 10/20/81 62,00` RT 290 10,13 1•RCY1.14 Tx 7666 No response to collection efforts. 'Ul P4,5 Y=RDY AI1CH6:R Pf:R0Y ti h I .I II CKOuY '1I W HICK(InY AlJCHrR it/1G/fyf ./n0/O1 10/20/01 204, 63 Ix 76 01 LC:!J1'C^J Tx 70201, No response to collection efforts, / 101 ~114V r,.Jt:RUCiN R1.ANCA P> TLrt;ON , DAV111 7/031111 7/OD/O1 10/28/81 462. 00 f. e1r'AL DCI.IVGRV P;rJ$W. DELIVCRY Fl1,UtGi Tx 76889 puNUCR TX 76299 No response to collection efforts, 101 2h9,4 PEtTY O144RAY P'TTY . CLAVD6 8 6/02/01 6/0*101 10/28/,31 131.80 Pr 4 nr1X 14 A RT 9 10X '4;JA { 1, t_ 111,VJLLSi Tx 750,17 LLwIGVILI L TX 75067 No response to collection OffOrtS. i a0r1 5340 P10Pr10 LC Ah4y rHtpPri 111CKY 1/29/01 10/26181 44. $0 I)E!ii01i i1 IE RD k14 TX 76201 PWINTJ)rjLD N fiD 214 TX 76;!01 j ~ htovedy loft no address. , I <^.O1 273x6 PHlrrq R10KY PHrrrs n WY 3/09/81 10/26/61 40 50, r 4.^.`• DI.D NOnTH ROAD 1114 ?.4^5 OLD NORTH ACADIt14 I L'3NTON T;( 76201 DENTON YX 76201 Unable to locate, 102 ~6^•1 PIt .cbtY CY14THIA PIC KNRY ROOERT 1/13/61 1/16/61 10/116/81 1025, 50{ R r 3 LOT 251 TwISd 141 E1 4dpvOTHRU5H . Unable t0 locate. i bL!JrLIN TX 76n01 DGNTUN TX 76201 n01 27911 PORTL/R f1OsIQ $iORTCII JIrimy an9/pt 10/28/61 40.75 II E UfJIVGRsI Y IlII 1: U141VERSITY Mail returned. } W41'ON TX 76201 R0014 Tx 769401 t V02 11111:40 F1tt)QIa1; G1;1RLUY PORTLn OHIRLCY 9/la/80 10/20/61 40. so 0,i4t W000014 TX 76201 ULNrONODRCW TX 76201 Mail returned. I lot 117.30 PC'rY P6:%LA NGrLY 'WILLZAM r 0/08/60 010/90 10/W/O1 300.00 5'7'} STRCTCH DR - 8748 STRETCH DR LALLA0 TX 70211 DALLAS YX Mi t Arranggwts i)ot kept. , t :I01 dn1779 1, 01.11 CHERYL POSTON , CHERYL 10/13/60 10/20/61 34.50 It i. et 11(yx D30 R'I. ^a R0pX 936 A7ItCH1, £R TX 77777 DORCHU9 tR TX 77777 No rosponse140 ColleetiOn'efforts. 101 1^090 POTTER GhIL POTTEn OAII. 11/27/79 11/"2'9/79 f0/28/91 lie. 50 1•)CY RROWNIV10]D loop 311OWJN000 Lt~WizYILLV TX 75067 LLNisVILI E TX 790h7 No response to collection efforts. I r i -7 i- 1 / l~:v I s f 1 :I' I A', r I. is l: F1 C. ;J ~ !i I h 11 0 6 r I T Al. ' rnoe 2 0 IihD dr.Rr Tr,.Nt;r1=r, rtL•fgrtT .art rV410D 10101/01 THRU 10/31/01 rI h'."f;t'JT tt;,,f2 >++~u'tua r'A1IfrJT N.~`:C +,<ie,r,i,nr a~•+auav» OVARANTOR HAM, +r440000d OATH DAJg. DAT9 OF OALANCt AI71}R. CITY. tit. Zip Nhl'f`' AT)0fL Cf1'v; ;T_ Zll'. _y• ADMITTED d111CHAR0Ep WR1TCprp OF--ACCOUNT {.lVr...,.,..• P'.it<r.l.l. rtlc.KY A/i~O/9! f0/Q/81 r SI,OCj ^~S '64 F~.:i .L l 9 LOT 11-- TWIN LAVA-' 14 PT LUYHl l3t~IN LAKLL' 702 „01 No response to CO11eCt10n efforts. DV0,0:1 . X 761.01 KWITON 'Ik V; 117 Pnllltr0 JACS:I6 POWERV bUnaY IO/27/80 10/2.d/81 40.00 616 nrd.,A( rSlt ONEAI_ p•,Ikr,3VILLfd TA 96240 uAING3VILLE 1':( 76240 No response to collection efforts. 1 1 [ 1'308 PIA1fi,s? 7,GItH hATr';2 JAC1t 0/09/90 0112100 10/20/al ago. `S r a !w x 9121 7 G(1X I TX 76241 11t'N i.( 7G 0f L'rJrti;tJ NO response to collection efforts. 1 21ti:u p11Clll[IX nj H't1i:~T "(WK wSlIH LIT Dr:RIJI3 9/02/I0 l0/^20/fdl 355.0 rLi Q. i CCIJTQJJ TX 76801 Dt'.14Tt31J r 76201 No response t0 Collection @tPorts, I i t 244 213: G }'r.SaR , T1 01/A i 01, 1 6/ 11 /8l 10/28/81 28 Ob t tpftt' tiORTH DRIVE. NO, '3)0 FORT WORTH OR 4111 11'J r 9 C1 ITCN TX 76201 L3rl101*4 TX 76841 Movedl left no address. rr DIANA Nr:rD DIANA 6/21/81 101$8/531 67.90" a. o r la 1 U i 3r 1 j hSriAD? 1 1:+40 MGADp'n' ul Jrp,, Tk 76201 GL1414N TX "621)t l,nabTa to locate. 1 201 30608 v-f1 .H ANIIRCW RAIarLC 0. 6/25/01 l0/a0/O1 67.00, RT , drtX 41nF fit' 8 00,X 418r 7x 76201 Movodl left no address, 00-0:10N TX 76201. nkNrCN G.'ITU CARL08 9/31/8f t0/R8/81 88, 30: 2111 ~ 7ga0 f ^L~ . CARLU9 tANDOUCUST I;a3 710 LQ.US7 1143 TX 76201 US".PITON TX 76201 Unable t0 locate. 71 ,^,74.17 i'HI11DT 0,,HA%L4 fXH14:DT CHARLES 9/18/81 10/20/81' 91.00{ R1 I s ~rR[3Cp TX 70434 rltifiCO Tx 75034 linable to locate. 2e)I 3f714 S0DCHAZTZDH NA.IJ Ai:DOH/}ZThj MAN 7/26/81 f0/ar1/81 l2q.Otl •.])S': L IIVILDINO ;1r Y5 AV. 4 4,300 FALI M ADOW H3-118 f; - F1 t6 [IN' X 76201 DEN10N 76201 Unable to 10040. -62 7n1.:~ 5111HON1 TC'.t t& [14r10N0 KWH 8/16/81 10/1~8/8l 30. 00 17t0 WtlLIVAN 1710 10%.IVAR Y 76201 t51?IJION TX 76201 DENTON , Unebl@'tQ locate,.. ' 102". 271'16 e1Mri TAD ITHA nIKa , RICKY 6/00181 6/09/81 10/88/81 1417.50 14 0AC8EY 47.4 8CTr1E ST , LCNiON Tx 762201 tRN105J 7X 76201 Unable to locate, +BJS -493 v1ITH OGRALD GMITH OSRALD' 6/26/81 10/28/01 120,70+ A (t pp.CANA AM 0 9+3 0.7 itCRIJI~RD tt20 DrrJYf)!J Tx 76201 tl0i1011 TX 76201 Movedl loft no address," r I~ 1;; IJiaa,r)1 19: 10! r L o w M E M 0 It I A L W 0 5 P. I T A PAOLt 21 BAD DEDY 'fRAIJwf'G'R RCI'ORT FUR PMOD :0/01/01. THt1U 30/3S/el FATivii ItUI1rf:R Iavn6n**i, rATjrNr NA T 064A*41a•, $#*414111 OUARANVIR NANO n404*0*♦ UAT DATE DA76 pp BALANCE 'I Pi'X NI)WILit d.ShiG, ADDR, CITY, DT, ZIP NAKIi;, AMIR, CITY, f1Ti 7. P ADI4IT ED ULL'CHANCED WRITTCf~Cf OF ACCOUNT SC1 .^1190 C,0,1(.I.L W-PM ii;hl~tiLL MARK 3/27/81 9/27/91 10/20/01 91.8 63 E R1' I LOT ,17 r1 r 4 LOT 47 i D2NION TX 76201 DIA4(ON TX 76201 Movedi left no address, 1 1k9 60091 ^?IMI NOE'LA rRFfEa WILLIAM 7/20/77 7/22/77 10/20/81 370,00 + t PT 7 BCX 936 R'f '1 BOX v30 0AP4,PiSVILLE TX 762,10 0 INd8VILL.l: T% 76240 NO response to collection a,forts. M 27121 SPOA!IARY MARY SPRAYDARY LINDA 3/02/01 10 20/61 37.75 },U'~7101'4 ROAD BOX4PO I)CVM.N: ROAD BOX 4R0 wiv;1 TX 76^4v vitllrf '1'X 76249 Nvedl left no address, { I 101 lW169 ;.1" ART LY'NN'd ISr.WART LYNNE 4/22/81 4/20/81. 10/20/61 9071.78 E 17 : C' 'STONrCATE $7'.10 STUNEOATU 1 uv. `IuN T% 74801 DENTUN TX 76201 Unable to locate. I V;2 .30-7 T/,!IOR CARIIA TABOR CARMA 4/1.2/01 10/20/91 19.553 Ill# AVGNUC E III= 144 AVENUE C 0123 UF.NTOt TX 76201 D I4TON TX 74201 MOved1 left no address. 161 19142 TAYLOR DENNY TAYLOR 0V.NNY 6/17/00 6/19/80 10120/61 69.26 G8CAsVaX 18-1 TX 762;74 DLCATVFt 13 q TX 76234 NO response to Collection efforts. 201 30829 THONPRON OINM TH0MR0g7N LEON 6/29/81 10/20/01, 38, 00 '5 7 t.001" 268 07 LC :I/, O( 1L 917 L P 200 117 MOV@d1 iefC no address, U-JTUN X 76201 DE.14TOW TX 76201 ;O1 30012 TNUNR:;;pN , SANDRA THUMR~JOIJ SANDRA 6/05/01 10170/01 71,10 y, S'S07,PATRICIA DR ii9p7 RATHICIA DR;•, 0AINGGVILLL YX .76940 QAINESVI ,L11 TX 76240 Moyedi left no address, i 101 3390: TC'..LIWR , RATHIC1A IMLIVEN! MARK 6/0.4/81 4/23/61 •10/d0/b1 666160 1 R1 4 DUX 47 RT 4 BOX 47 U414TUM TX 76201 DENTON TX 76201 Unable to locate., P$l2 TOWNS NI) CHARLC6 1101)''s NO CHARLES 7/190/01 10/'20/61 512, 75 Rp 3 h% 6 AT 3 OX 6 Movadl left no addrosa. D6WON YX 7!:;01 DUNTON TX 76201 u91 30310 TU,".110Us ROWLLD TWCFyDUB , RONALD 6/14/81 10/26/01 70 50 1Z107 ft, ItASHMOTON 130 N. IIASHMOTOfd Unable;t0 lOCate, LI WIWITON Iqg 96001 LLWIN0Tp14 NE 96001 .aS 29397 WCHUR~It NI TA UPiMURCH DONALD 9/11/01 10/20/81 4'9 25 Z;l U HAnLE•:0 3h CHAnOi5 FbvedS left Me address, Lk.1118V1LL.E TX 75067 L041dV1LLE YX 10067 G!. 11'471 WyTOM KGNNUTH WATSON KENNETH °/16/61 39,60 e AN6YLGBOX 4U T% 76926 AR4YL e30X 129 YX 76266 4ovedl left no addreso. , ,y 'y Owl NOV 23 1981 CITY Of DENTON MANAGER'S OFFICE r L C W 11 6. 11 0 r 3 A 1. H U S P I T A L PAGE 22 ' :'r+U UE'k3T TI!AV;FCft RCrORT rCJR PCRIOD 10/01101 712RU 10/31/01 :i, 1 ?2 ~o- nuga,.;, F4,TlG11f h11'.: n n,x,:+.+e r!a*+,ei VVARAN'Wrt NAME xaralax** DATE DATE DATC OF DALANCE AD6P, CITY, Sr, III-' r.A;tCC. ADDR, C11Y, Oil, YIP ADMITTED DISCHAROED WRI DOFFS OF ACCOUNT ,:e. 3 1'0 ' r 010WIS I`C GEr+ DAVID 4/17/01 W/29/01. toil 50 AIX 614 N TX 76'01 L+.N'f(L'1 TX 762201 Unable to locate. U t 2:.^1 1NRh1.Y TRACY tt:1;ML01 JOHN 7/10/01 l0/20101 44,10 1C F 1?irJ 1f'' rIT',r, q Unable 1.0 locate. Lr.. 3 bIl.l.E TX 7506' I.P.l1I5V11.1 r TX 7.067 ,;?I J7040 !:J1TT1: DiArJG htl'fC 1) tAl4E 7/02/81 10/20/01 29. 00, S LOUI5O R3 ,71;:'l LOUISC 113 1?w'+fDN TX 76201 Oil, NWJ TX 76201 Unable to locate. JI ^.%',5? US' ..I 6M4 JAIirls 14 31.1.1At,0.. DOYCE 4/11/01 10120/61 120. SOy ` i:; . F: lIIC1SORY46 01 ^ IH ~ p+, J1nH TA 7601 t)1•.NTL'014 IJ TX 76201 Unable to locals. ^+17v l!1t ,fJ'•J RICHARD 14 1L8ON ~ RICHARD 0/23/01 10/20/61 59.10 VI LA"C CAST APTP 'e0! VJ k.ACE EAST APTN 201 F v: 101.; TX 76201 0.NTON TX 76201 Movedl left no address. , ti3 n'1*7'9 lilt:3Or1 RICHARD 141t.5ON RICHARD 6/30/61 16/90/01 OB 00;,' V22 t AGG F.A':;T AP'f!i 241 1.'Il.t.40E EAST APTM 201 Moved l no address. V'r'NtLit! TX 76;01 0tt41uII TX 762,;01 I 201. "?k'1i vntotir WANDA t4AT"W1 ALICE 4/07/0t 10120/01 126, 4y] Fir 4 11OX 21 RT 1 DOx R2 1 1 Da~'TCJrl T;t 76201 DCNTON TX 16201 Movedl left no address. t TOTAL DAD DaOT WnIYI-OPR THIa PCRIOD: 49040,77€ t 1 d